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 Minutes Archive |
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Board of Health
Minutes
CALHOUN COUNTY BOARD OF HEALTH MEETING
190 East Michigan Avenue, Suite A-100, Battle Creek, MI 49014
November 15, 2004
Meeting Minutes
ATTENDANCE
| Board of Health |
Health Department |
| Larry Anderson |
Heidi Oberlin |
| Jean Cook-Hughes |
Kathy Ferguson |
| Ben Miller |
Ted Havens |
| George Perrett |
Ginger Hentz |
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Brigette Reichenbaugh |
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| Calhoun County Administration |
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| Greg Purcell |
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| Jim Latham |
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| Nancy Mullet |
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- CALL TO ORDER AND INTRODUCTIONS
Meeting called to order at 8:10.
- APPROVAL OF AGENDA
Jean moved approval of the agenda; George supported. All in favor.
- PUBLIC COMMENT
N/A
- CONSENT AGENDA
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October 18, 2004 Meeting Minutes |
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George moved approval of the agenda. Jean
supported. All in favor. |
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- RESOLUTIONS
Resolution 34-2004. Ben moved for approval; George supported. Greg
Purcell asked for an additional breakdown of the $646,000 received.
William briefly explained. Kathy provided a detailed CareSource budget
to all Board of Health members. Ben asked if we are reducing any of
our previous initiatives from year one. William answered “No” because
there were many first year items, such as dental operatories, that are
not required in year two funding. Greg Purcell asked for clarification
of the Year Two allocation related to the carryover amount in addition
to the budgeted amount. The federal government does not confirm the
carryover until 4 -6 weeks after the formal request is made, and the
formal request cannot be made until the financial report is submitted
to them at the end of November. William stated that CareSource has
engaged in a process with the contractual partners to determine where
carryover funds will be allocated if awarded. George asked what
percentage of the carryover is attributed to the delay of the start of
the program. About $250,000 is due to the delay. William stated that
per Mr. Mike Smith, our federal HCAP Project Officer, it is not
unusual to approach 40% carryover. George asked about Albion Health
Care Alliance’s outreach and advocacy. William summarized: neighbors
canvassing neighbors about needed programs. Nurse Triage for
MedConnection? Anyone enrolled in the CareSource Health Plan can call
211 24/7 and the nurse (RN) can provide advice on what to do or where
to go with the goal to reduce emergency room visits and costs.
Evaluation costs? Is there a report available? As of today, we are in
the final stages of finalizing the logic model. The first year
evaluation is in process.
Motion to approve. All in favor.
- HEALTH OFFICER UPDATE
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Ted Havens, Environmental Health
Director |
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Lead-based Paint Abatement Program Presentation |
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Lead-based Paint Abatement Program Presentation:
Ted explained the lead abatement program and introduced Kelly
DeMoss from Lowe’s. Lowe’s Corporate allocates $1,500 for the
Lowe’s Heroes Program to each Lowe’s store. The Battle Creek
Lowe’s took first place in a competition and won $2,000 and
donated it all to the Calhoun County Lead Awareness program. In
cooperation with Environmental Health staff, Lowe’s located
another house for lead abatement. Kelly stated that the project on
the home starts tomorrow and needs to be completed by
Thanksgiving. Larry presented a resolution of appreciation on
behalf of the Board of Health to Kelly DeMoss. |
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Temporary Food Fees – Discussion |
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Temporary Food Fees: Ted summarized the process in
issuing temporary food permits and the costs. He also summarized
surrounding county fees. He is proposing that we charge $75 to
corporate and $40 to nonprofit clients due to staff time
allocation. Environmental Health proposes initiating an incentive
program by increasing the fee as the event draws nearer. See
attachment. EH will send a mass mailing and hold a public hearing.
Temporary includes Albion Festival of the Forks, Marshall Home
Tour, Balloon Fest, etc. Nonprofits include firefighters,
churches, scouts, etc. A Board member suggested that we provide
the client an incentive to apply early by reducing the fee for
early application. Concern is the cost of the service as taxpayers
should not pay for the service. We need to determine the County
cost for service and then set the fee. We can offer the nonprofit
organizations a little less. A Public Hearing will be scheduled
for an upcoming meeting. |
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- FINANCE REPORT
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Kathy Ferguson, Finance Officer
October Financial Summary and Narrative: As is typical in the
first month of the fiscal year, we have received relatively little
cash that applies to the new fiscal year, as billings for October
are typically not sent out until mid to late November. We show a
loss for October 2004 of $35,217, as compared to October 2003 at
$44,817. It is too early to tell how much impact the flu situation
will make in our budget picture. |
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- COUNTY ADMINISTRATION UPDATE
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Health Department Fund Balance and Indirect Cost
Rate |
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Greg Purcell summarized surrounding county budgets
and State of Michigan cuts, indicating that counties are in tight
financial positions. Greg indicated that Kalamazoo is cutting
their budget by $2.7 million. Jim Latham summarized the Calhoun
County Health Department fund balance. As a pattern, the County
reviews countywide departments for excess funds. They looked at
indirect costs, plan, and allocation with the idea of maximizing
the charge for departments who have additional funds (grants,
etc.). The expected result for FY 2003-2004 is that the health
fund will break-even or maintain a slight surplus. The other issue
is the indirect cost plan which includes everything supplied by
central County administration (such as the costs of
administration, insurance, occupancy, etc.). County administration
is proposing to charge indirect costs to the Health Department of
$13,125 per month starting in January 2005, in addition to
transferring $25,000 from the Health Department fund balance.
Indirect costs can be charged to grants. The County has not been
charging indirect costs to departments. The County is trying to
liquidate the Albion building, but simply by closing it down, the
County will save $80,000 per year. The County terminated the
Signature agreement at the Toeller Building. The County will
transfer the Health Department’s maintenance person to County
Maintenance and will charge ½ of salary and benefits to the Health
Department. George suggested that we contact Erv Brinker about
space for the Albion office. With the State allocation beginning
in 2006-2007 of the “Renaissance” zone being tax-free, that cuts
the county further. These financial recommendations will be
presented by County Administration to the Board of Commissioners;
however, they would like to have BOH concurrence on this
recommendation. |
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The County understands the feelings of the Health Department,
however, the State is cutting countywide dollars which in-turn reduces
our fees. The projected county fund balance is $2.6 Million for FY 2004
which is at the minimum of the county set 8% minimum fund balance.
George: We need to review every service provided by the Health
Department and confirm that the users of those services pay as close to
net costs as possible (so that expenses equal revenues). We also need to
confirm that fixed overhead and variable overhead are included in every
fee that we charge. Make sure that we are nearly approximating the costs
for the fees. Ted suggested that we have someone come in look at our
fees for service, possibly Maximus. County is willing to discuss this if
the Health Department can come up with the funds to do engage the
service.
We will revisit our budget and will accept county information with no
motion.
Meeting adjourned at 9:55 a.m.
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Several photos included in this 
