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 Minutes Archive |
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Board of Health
Minutes
Calhoun County Board of Health
Monday, January 23, 2006
Meeting Minutes
| Board of Health |
Health Department |
| Larry Anderson |
Dottie-Kay Bowersox |
| Rick Tsoumas |
Ted Havens |
| Ben Miller |
Brigette Reichenbaugh |
| Jeff Mitchell |
Mike Waite |
| Ken Ponds |
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| Calhoun County |
Guest |
| Jim Latham |
William Schroer |
| Greg Purcell |
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| Absent |
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| Byron McDonald |
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Anderson called the meeting to order at 8:05 a.m. Anderson welcomed
Tsoumas. Motion for approval of the agenda. Mitchell moved. Ponds
seconded. Anderson revised the board vacancy item to include election of
vice chair. All in favor.
Consent Agenda
Anderson motioned for approval of the consent agenda removing
Resolution 2-2006 for further discussion. Mitchell moved. Ponds
supported. All in favor.
Resolution 2-2006: Mitchell supports the contract and
service, but asked:
- 1) Who determines what services are provided and
that these services are the best to be provided; and 2) Why does
Battle Creek Public Schools contribute so little?
- Bowersox stated the services provided are mandated
by the contract. Miller and Ponds stated that the school system does
not have the additional funds to support as in the past.
- Miller asked about the Nurse Practitioner position
at the Student Health Center (SHC).
- Bowersox stated that it was posted four times since
April 2005. We received several resumes, all were contacted and/or
interviewed. All but one declined or was determined the individual
was not what we were looking for. The position currently is a 34
hours/week position. As a part-time position, the benefit costs to
the employee are approximately 35% of the county cost (~$250). We
are considering contracting the Nurse Practitioner (NP) position or
reformatting the NP position to a full-time position to include
Fetal Infant Mortality Review (FIMR).
- Miller requested a listing of the FTEs of each
position at the SHC and the NPs at the Nursing Clinic (NCBC), within
the Breast and Cervical Cancer Control (BCCCP) program, and Family
Planning (FP) program.
- Mitchell asked how attemptable does Bowersox see the
program reallocated to the Family Health Center (FHC) or to the Battle
Creek Health System (BCHS).
- Bowersox stated that the majority of Health Centers
within Michigan are programs within Federally Qualified Health
Centers (FQHC) or health care systems. In response to a question
regarding termination options if deemed necessary, Bowersox
indicated that at any time we can terminate the contract.
- What is the staffing impact if we were to move out
of the Health Department?
- Currently, one full-time nurse and one clerical
person. The nurse could bump, and we received word that another
school within Battle Creek has indicated a need for a nurse.
- Mitchell clarified: At this time the Board of Health
(BOH) approve and Bowersox will provide further recommendations at
upcoming Board meetings.
Anderson asked for approval of the Resolution. Mitchell moved.
Ponds supported. All in favor.
Finance Officer’s Report
Latham summarized the 2004-2005 year-end and December 2005
financials. Miller asked about family planning how did we make money on
FP. Waite indicated that indirect costs are not allocated to this
program and there is third party billing and fee collection.
Board Education and Discussion
The Board vacancy was deferred by the BOC until February 2, 2006.
Anderson asked for a Vice Chair nomination. Miller nominated Dr. Jeff
Mitchell. Ponds supported. Anderson asked for other nominations. Ponds
asked that nominations be closed. All in favor.
Nursing Clinic Advisory Council representation. Anderson previously
served, however, due to the new meeting date is unable to fulfill the
commitment. Anderson asked for volunteers. Mitchell asked to check his
calendar and he will confirm.
Health Officer’s Report
Breast and Cervical Cancer Control Program
Bowersox added the Breast and Cervical Cancer Control Program (BCCCP)
to the report. The Health Department (HD) was notified by the State last
week of reduced BCCCP funding. All funding will be expended by April 1,
2006. Bowersox will present a recommendation at the February 2006
meeting. There are several avenues that the HD will look into and
include in the February report.
Waite explained the funding of the program. Last fiscal year, we
exceeded our State approved caseload (509) by 133 totaling 642. In the
past the State reimbursed the HD for any excess clients (over the 509).
This year the State reduced their funding by the 133 clients. As a
result of this, we will reach our State caseload by April 2006. The
BCCCP clients are between age 40-62 with limited insurance (insurance
does not pick up pap smears or mammograms). There is some third-party
billing involved. Our current caseload is 56%. Waite stated that we want
to continue the service within the community and make this process as
smooth as possible for clients.
Miller asked for a cost estimate what it would be to continue through
September 2006. What would it cost to serve the returning clients, no
new customers.
- Mitchell asked what Waite thinks makes the program
successful.
- Staff follow up, case manager outreach and follow up
with clients, and clients are very complimentary of the Nurse
Practitioner. The staff “has it down”.
- Tsoumas asked if the HD could continue or train the
FHC staff in outreach for BCCCP.
- Mike stated that yes the HD could train FHC staff.
- Mitchell suggested contacting the women’s physician group (Teresa
Myers, Chair).
- Tsoumas asked for HD and county results statistics.
- Ponds asked what the number of clients are from Marshall/Albion
(East County).
- Waite stated we see approximately six per month at
the Albion HD.
W.J.Schroer Presentation
Bowersox provided an overview of Schroer’s mission for the HD. Mr.
Schroer’s services are being donated through an agency within the
community. No outside costs. Tsoumas stated that this is a great
opportunity to put some business sense in the Health Department.
- Anderson asked Schroer about the principal staff
members involved.
- Mary Jean Silver and himself.
- Ponds asked if there is an extended benefit for the
county.
- Within the framework of the HD survey that will be
completed, county-provided services will also be included. Purcell
stated that the county would like to piggy back on this survey,
particularly to include senior services. Bowersox will share
information received with other county department heads. The process
has begun. Schroer stated that he would like to set a retreat date
approximately in April 2006. After that he will provide a fact book
about the HD that includes services, cost, and data. The framework
for the retreat will be obtaining facts for development of a HD
guide. The project will be completed within six to eight months. The
contract is between W.J.Schroer and the donor. Anderson motioned for
support of the HD to proceed. Mitchell moved. Tsoumas seconded.
Motion for adjournment. Tsoumas moved. Meeting adjourned at 9:22
a.m.
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Several photos included in this 
