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HomeMy WebLinkAboutHealth Board - Minutes - 4/15/2013 BAYFIELD COUNTY BOARD OF HEALTH MEETING April 15, 2013 – 4:00 p.m. Present: Beth Meyers, John Bennett, Winefred Punjak, Wayne Williams, Harold Maki, Elaine Kopp, Deb Dryer Absent: Ken Jardine Staff: Terri Kramolis, Cathy Moore, Anne-Marie Coy, Katie Hampston 1. Call the Meeting to Order: The meeting was called to order at 4:00 p.m. by Chairperson Myers. 2. Approval of December 17, 2012 Meeting Minutes: A motion to approve the minutes of the December 17, 2012 meeting as presented was made by Bennett; motion seconded by Williams. Motion carried. 3. Adoption of Agenda: A motion to adopt the agenda was made by Kopp; motion seconded by Bennett. Motion carried. 4. Environmental Health: a. Inspections Report The year is almost completed. There was a question on how we deal with facilities that do not pass inspection. We really don’t have any businesses that do not pass inspection; some may have some deficiencies that cannot be fixed immediately so they may need a re-inspection. The board was informed of the basic things that are checked during an inspection. There has been a change in licensing policy at the state that will affect us. Some lodging facilities were licensed as one unit even though there were several buildings to rent. Now, if they have separate owners with separate fire numbers, they need a separate license. They can no longer be licensed as one facility. b. Change to Temporary Food Event Licensing This is not a change at the state level but a change on our level. The state has always issued a temporary food license for $170 that is good for food vendors to go from event to event around the county. We have never had enough events to make a $170 license feasible so we have charged $45 for a license per event. We are required to pay 10 percent of the state fee for each temporary food event license we issue. This means we are paying $17 of the $45 to the state. We are now having vendors at multiple events and we reimburse the state $17 on each one of those. We would still have a $50 license for a one-time event. The state license would be honored in other counties. It is good anywhere in the state. An inspection fee may or may not be charged in other counties; we charge a $35 inspection fee. We will still be inspecting these food stands. A motion to accept the $170 license fee and the $50 one-time license fee was made by Kopp; motion seconded by Bennett. Motion carried. c. Beach Monitoring Program In the past the EPA beach grant has paid for UW-Oshkosh students to test Lake Superior beaches. UW-Oshkosh does not think they will receive any funding this year. People have become dependent on the reports. Northland College is starting a lab and will do the sampling. They will charge $15 per sample. UW-Oshkosh will let us borrow their equipment to do the sampling here. We have asked some of the local municipalities if they are interested. Some are interested. Kramolis feels this is something we need to do. There is a public health implication in this. We do not have the staff available to do this but it is possible if the municipalities had their people take the samples. This also ties into tourism. People know they can look at the website to check results and when the beach was sampled. No one has ever paid for this before; it has always been done free. Our cost is about $10 so we can’t afford to do it for free. The Board also feels we need to continue the program. We should calculate our costs and charge accordingly. The Board felt that the bare minimum testing would not cost that much. This should be brought to the County Board if we need the funding to continue the program. Kramolis is to get back to the Health Board in advance of the May County Board meeting in case we need to request funding. 5. Budget Update a. 2012 final budget update: The final bottom line for the 2012 budget came in about $13,000 under what was requested. There were no surprises. Maki made a motion to approve the 2012 budget report with the remaining $13,000 going back to the general fund; motion seconded by Bennett. Motion carried. b. 2013 first quarter budget update: There was a question on the line item for water testing fees; what is it for and where does the funding come from. We contract with the DNR to do well water testing for all Bayfield County and Sawyer County public wells. There is no profit; the program pays for itself. We are right on target for this time of year. There was a question about the Employee Wellness funding. The funding is allocated by the County for the program. There is no other revenue. A motion to approve the 2013 first quarter budget report was made by Bennett; motion seconded by Punjak. Motion carried. 6. 2013 County Health Rankings Report Summary for Bayfield County: A summary document was sent to the Board showing the health outcomes and the health factors that influence those outcomes. Within this system there are some things local health departments can do to influence these outcomes. The Board was informed on where Bayfield County lies within the health outcomes and influences. They were also shown a comparison of the counties surrounding us. The meaning of each ranking and how the data is acquired was explained. The numbers for Bayfield County have not changed significantly in the past few years. Usually we don’t see changes until there is funding to make changes. 7. Status of Medical Equipment Loan Program: Kramolis met with the Administrator about discontinuing our medical equipment loan program as per direction from the Health Board. We have been trying to give the equipment to several other locations that rent medical equipment. We will be contacting those who currently have equipment on loan informing them we no longer have an equipment loan program and that the equipment is theirs to keep. We will not be putting it on the county’s auction site since most of the equipment is not worth more than a couple dollars. 8. Status of CHIP: There is a statutory requirement for local health departments to do a Community Health Improvement Plan (CHIP) every five years. Non-profit hospitals are now required by the IRS to do this every three years to retain their non-profit status. Ashland and Bayfield Counties have partnered with Memorial Medical Center (MMC). The top priority area was alcohol and drugs. The CHIP will be going to publication soon. This will be a guide for the health department for the next few years. The document will also be on Ashland County, Bayfield County and MMC’s websites. Ashland County, Bayfield County and MMC were selected to go to a national conference in St; Louis. We presented on how this collaboration took place and it is being held as a best practice. We are the first ones to go in full partnership with a hospital. In May we will be attending a state conference. Now we need to work toward improving what we have identified as health priorities. There was a discussion about synthetic drugs. 9. St. Louis and WALHDAB Presentation Update: This was addressed in number 8. We did a presentation in St. Louis and were recognized nationally. Now we go to a state conference in May. 10. Preparedness Update: We are required to do planning activities in the county. We partner with Ashland County and Red Cliff. We have a set of work activities that we must do every year. We have an exercise schedules for May 7, 2013. An invitation to join our partnership has been made to Bad River and they have declined to partner with us. 11. Northwoods Shared Services Grant project update: About six months ago this item was brought to the Health Board. An agreement was signed by the Heath Board Chair stating that Bayfield County would participate in the group. Shared services is looking at ways health departments can share resources to meet the standards of accreditation. Board of Health members or decision makers, not just health department directors, are to participate. It is a way to have the services without having these people in-house. Bayfield County would be part of a larger shared service where we would have access to the personnel we need without actually having to hire people. For an example, for accreditation health departments are required to have an epidemiologist or contract with an entity that has an epidemiologist. This is in development. It is two year grant. Someone from the Health Board may be asked to represent Bayfield County at a national meeting. 12. WIC Update/Fit Families Review: WIC has a caseload of about 750. The funding is contingent on caseload. Fit Families is a $10,000 grant for enrolling 25 families into the program. There are currently 28 families enrolled. The goal of the Fit Families program was described as well as the goals families are to meet who are enrolled in the program. All information is tracked and submitted to the UW in Madison. We are required to show outcomes. WIC is continuing the extended hours. The office opens at 7:30 a.m. and closes around 5:00 or 5:30 p.m. 13. Discussion and Possible Action Regarding Amending 2013 Budget: These figures were not available when the budget was done last summer. A motion to approve the resolution and send it to the Full County Board for approval was made by Maki; motion seconded by Dryer. Motion carried. 14. Next Meeting Date: The next meeting is scheduled for Monday, June 17, 2012 at 4:00 pm. 15. Other Issues: The Bay Area Health Education Coalition has a speaker coming from Duluth to do education on ticks borne diseases. This will be at WITC tomorrow night at 6:30 p.m. It is free. 16. Adjourn: The meeting adjourned at 5:27 pm. Respectfully Submitted Cathy Moore, Officer Manager