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 Minutes Archive |
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Board of Health
Minutes
CALHOUN COUNTY BOARD OF HEALTH MEETING
3rd Floor Law Library, 315 W. Green St., Marshall, MI 49068
February 28, 2005 – 8:00 AM to 9:30 AM
Meeting Minutes
ATTENDANCE
| Board of Health |
Health Department |
| Larry Anderson |
Heidi S. Oberlin |
| Jean Cook-Hughes |
Kathy Ferguson |
| Byron McDonald |
Ted Havens |
| Ben Miller |
Paul Makoski |
| |
Brigette Reichenbaugh |
| |
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| Calhoun County |
Absent |
| Greg Purcell |
Jeffrey Mitchell, MD |
| Jim Latham |
George Perrett |
| Nancy Mullet |
Ken Ponds |
- CALL TO ORDER AND INTRODUCTIONS
The meeting was called to order at 8:26 a.m.
Review of the financial statements. The new financial statement
presentation format was highlighted and summarized. The narrative
specifically addresses items causing large variances. J. Latham noted
that the new format should include trend analysis reports, comparing
prior years to the current year. G. Purcell suggested that we focus on
specific mandated programs (e.g., Environmental Health) when
developing trend analysis reports. Grant funded programs often mandate
program costs and revenues, and these programs come and go over time
thus making comparisons between years difficult.
L. Anderson stated that the Red Dress Event was very well attended.
Preliminary numbers indicate 250 people attended the banquet and
Health Partnership received $940 at the banquet and $230 on National
Wear Red Day. Other funds totaling $600 were received from American
Heart Association, Battle Creek Community Foundation, and the
Huron-Pottawattamie.
- APPROVAL OF AGENDA
Motion for approval of the revised agenda. Mac moved. Jean and Ben
Supported. All in favor.
- PUBLIC COMMENT
N/A
- PUBLIC HEARING ON FAMILY PLANNING FEES
Public hearing opened; no comments; public hearing closed.
- CONSENT AGENDA
- January 24, 2005 Meeting Minutes
- February 10, 2005 Meeting Minutes
- Resolution 5 – 2005 Approval of Amendment #2 to the
Comprehensive Planning, Budgeting and Contracting Agreement for the
Period 10/1/04 through 9/30/05 between the Michigan Department of
Community Health and Calhoun County.
Motion for approval of consent agenda. Mac moved. Ben supported.
All in favor.
- RESOLUTIONS to be Considered Separately
- Resolution 6 - 2005 Approval of Environmental Health Fee
Schedule
- G. Purcell noted that he asked Brad to determine
the cost of completing a fee study. He also suggested that once a
study is completed, we can present a plan, potentially over five
years. P. Makoski noted that we have not received a fee complaint
since the simple and complex fees and food training classes were
implemented. The owners stated that they expect cost of living
increases, but they disagree when the economy declines and the
County passes the entire cost onto the owners. The owners accept a
slight increase at a time, not a significant increase all at once.
Ben asked that we address a five-year plan to improve our cost/fee
structure. The resolution as written was moved by Jean and
supported by Mac. Per request, a roll call vote was taken. Larry:
No. Ben: No. Mac: No. Jean: Yes. Resolution is defeated. Develop a
resolution in the future for revision of fees. Ben moved. Mac
supported. All in favor. Ted is to not move forward with fee
revision until the study is completed. The County will determine
how the study is to be funded.
- Resolution 8 – 2005 Approval of Family Planning Fees
- Family planning fees were last increased in December 2001.
Heidi stated that most of the people we serve in Family Planning
either receive services at greatly reduced fees or at no cost, or
we bill Medicaid. These increases allow us to receive full
Medicaid reimbursement. B. Miller suggested that we explain the
exact cost when presenting the resolution to the Board of
Commissioners. Motion for approval. Ben moved, Jean supported. All
in favor.
- To be sent to the Board of Commissioners for
final approval.
- COUNTY ADMINISTRATOR’S REPORT
- Executive Sumary of Calhoun County Health Officer Evaluation.
Greg summarized the Health Officer evaluation and goals.
- Resolution 9 – 2005: Approval of First Amendment to Employment
Agreement for Calhoun County Administrative Health Officer. The
evaluation committee recommended a two-year extension through
December 31, 2006. Larry confirmed that Heidi did review this
contract and has full concurrence. Motion for approval. Jean moved.
Ben supported. All in favor. Mac asked that email updates be sent to
him via U.S. Mail since he does not have email.
- To be sent to Board of Commissioners for final approval.
- BOARD EDUCATION AND DISCUSSION
- 2005 Executive Order Budget Cuts: Background on
Local Public Health Operations funding from Michigan Department of
Community Health. Hearing and Vision is slated to be cut. B.
McDonald feels that the Health Department should do what we can to
maintain the hearing and vision services. To operate the service is
approximately $80,000 per year, which in turn would result in the
discontinuation of another program/service. We are reviewing the
possibility of school nurses performing testing on referred
students. H. Oberlin feels that there may be an implosion of the
service before the actual discontinuation date due to the need for
employment by hearing and vision technicians, not just locally, but
across the state. B. Miller asked if we can keep the program for
referral availability or if we can bill Medicaid for the service? K.
Ferguson answered that we would have to charge everyone the same
amount or introduce a sliding fee scale. H. Oberlin stated that she
prefers to see one program cut rather than a percentage cut across
the board, negatively impacting many programs.
- Policy Governance – Handouts.
- FINANCE REPORT
- Kathy Ferguson, Finance Officer
- January Financial Summary and Narrative
- Overview of Budget
- Budgeted Revenues for FY 04/05
- Budgeted Expenses for FY 04/05
- Budgets by Business Unit for FY 04/05
Put the election of Chair and Vice Chair on the next agenda. Larry
and Ben will be out of town.
G. Purcell: The Board of Commissioners meeting will address the
CareSource Health Plan. The Albion Health Department update: FIA moved
out in July and presented a large increase in costs for the maintenance
of the building. The Health Department expressed an interest in staying
with minor renovations to bring up to accreditation standards. Although
we are still losing money, it is a better option than leasing space from
another. They received an interest in a potential purchase of the Albion
Building.
H. Oberlin: We will receive an additional $33,000 for WIC services
for the current caseload.
Motion for adjournment. All in favor. 9:36 a.m.
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Several photos included in this 
