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HomeMy WebLinkAboutHealth Board - Minutes - 8/19/2013 BAYFIELD COUNTY BOARD OF HEALTH MEETING August 19, 2013 – 4:00 PM Present: Wayne Williams, Deb Dryer, John Bennett, Harold Maki, Beth Meyers, Elaine Kopp, Winefred Punjak Absent: Ken Jardine Staff: Terri Kramolis, Cathy Moore Others: None 1. Call the Meeting to Order: The meeting was called to order by Chairperson Meyers at 4:00 p.m. 2. Approval of June 17, 2013 Meeting Minutes: A motion to approve the minutes of the June 17, 2013 meeting as presented was made by Maki, motion seconded by Williams. Motion carried. 3. Adoption of Agenda: The agenda was adopted as presented. 4. 2013 Second Quarter Budget Report: As of June 30th we are between 45 and 49 percent which is right where we should be at the end of the second quarter. There is a decrease in the amount of flu vaccine we are purchasing and therefore there is a decrease in revenue. With the 317 changes we cannot immunize in the schools any longer so we are losing that revenue. Also, with people being able to receive the vaccination at so many other places, such as Wal-Mart and Walgreens, we do not have the demand we once did. These entities are not required to enter the vaccinations they give into WIR (Wisconsin Immunization Registry) so we don’t know who has been vaccinated and who has not. Walgreens are now a VFC provider. As a VFC provider they must enter vaccinations with VFC into WIR. They do a data dump of vaccinations given every 30 days. We are setting up partnerships with clinics and trying to think outside the box. A motion to approve the second quarter budget report was made by Bennett; motion seconded by Kopp. Motion carried. 5. 2014 Proposed Budget: We were told to come in with a zero percent increase. We have done as instructed. It has become what do we cut, where do we skim, or what do we not do. We have captured a little more grant funding and our lab is generating money. We do not have the final revenue figures for the state and federal grants yet. We were told to budget the insurance increase at 3percent A motion to approve the 2014 budget proposal as presented was made by Kopp; motion seconded by Maki. Motion carried. 6. Environmental Health: a. Inspections Report The inspection report was reviewed. The sanitarians have been very busy in the field with inspections. The history of why we are contracted with the State to do the inspections was explained. The State did not have enough staff and therefore could not inspect all the facilities in the county annually. Because of this they asked us to take over the program. If we turn this program back to the state we lose the revenue. This is for safety of the residents of Bayfield County. This sets a standard of protecting the health of people in Bayfield County. 7. Update on Prenatal Care Coordination (PNCC) Services in Iron County: The contract has been signed. Katie has signed up the first person. 8. Update on New WIC Director: Telephone interviews were done with five applicants. Face-to-face interviews were done with three of the applicants last week. An offer was made but has not been accepted yet. The person has until August 26th to respond. 9. Update on the Regional Trauma Advisory Council Collaboration: They have agreed to a 10 percent administration fee per month. The contract will come out in September. 10. Update on the Child Death Review (CDR) Team: There is a push to have this in every county. Per Health Board direction Kramolis met with Gary Victorson, coroner for Bayfield County and Dora Gorski, the oversight person who comes out of Superior. This comes with no funding. We are willing to participate. Gary Victorson will lead the team. 11. Synthetic Drug Coalition Meeting at WITC on September 30, 2013: We are hearing horrendous things people are doing who are coming into the jail when they have been on synthetic drugs and don’t know what to do with them. There is an awareness meeting coming up in September at WITC in Ashland. Meyers encouraged everyone to attend. AODA was listed as a top priority in the Community Health Improvement Plan for Ashland and Bayfield Counties, and Memorial Medical Center. There is a task force set up through MMC. Our own Have You Had Enough AODA task force is addressing this also. We need to increase awareness. 12. Fair Weather Friends Safety Program for Inclement Weather Situations: During the hot weather there was a death in the Red Cliff community. It is unknown if it was heat related. There has been discussion in Red Cliff of having people contact the elderly in severe weather conditions to find out if they are okay. CORE may be taking the lead. There would be a calling tree. Part of the Health Department’s preparedness activities ties in with this. Some of front line people would be Meals-on-Wheels, mail persons, UPS, FedEx, etc. 13. Discussion and Possible Action on a Resolution Amending the 2013 Budget to Account for Increased Funding for Breastfeeding Peer Counselor Grant: The Health Department has received and additional $8,546 for Peer Counselor activities. A motion to accept the additional funding and forward on to the Full County Board for approval was made by Bennett; motion seconded by Dryer. Motion carried. 14. Discussion and Possible Action on a Resolution Amending the 2013 Budget to Account for Decreased Funding for the WIC Program: The funding for the WIC program has been decreased due to a decline in participants. As the number of clients goes down so does the funding. There was question as to why the numbers are down. Births are down and food stamps are easier to get than WIC are a couple reasons. They do not have to see a nutritionist to get food stamps. They have to come to the WIC office to get vouchers. Also WIC is more prescriptive. With WIC they can only buy nutritional foods; with food stamps they can buy whatever they want. The federal government is looking at recertifying once per year instead of every three months. This may help increase the case load. A motion to approve the resolution and forward on to the Full County Board for approval was made by Bennett; motion seconded by Dryer. Motion carried. 15. Next Meeting Date: Monday, October 21, 2013 at 4:00 p.m. 16. Other Issues: We are no longer TB testing solution. The agreement has been set up with Ashland County. We schedule appointments and pick up the solution from Ashland County. We have done only three since our last meeting. The last two were referred to Ashland County. North Lakes Community Health Center has not had a problem getting solution so we can refer clients to them. There was a suggestion that we set up an MOU with Northern Lights. Kramolis will check this out. We are expecting a lab audit tomorrow for recertification of our lab. UW-Oshkosh will be here next week following up on the grant funding for Thompson’s West End Park. The City of Washburn got $92,000 to do remediation and to date nothing has been done. Last year we analyzed 65 samples for local people. We are at 143 already this year. Along with our DNR sampling we have analyzed over 400 samples already this year this year. On local residents we charge $20 per sample; we get $130 on the DNR samples. Meyers would like in 2014 that, as a board, they take on one an issue. Maybe next year we could work on the synthetic drug issue. The Board could write letters to the legislature. No decision has been made yet on entrance. The bid to correct the current reception area is $27,000. This is not unreasonable for what needs to be done. This matter is still in discussion. 17. Adjourn: Meeting adjourned at 5:00 p.m. Respectfully Submitted Cathy Moore, Office Manager