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HomeMy WebLinkAboutHealth Board - Minutes - 10/21/2013 BAYFIELD COUNTY BOARD OF HEALTH MEETING Monday, October 21, 2013, 4:00 PM Health Department Resource Room Present: Ken Jardine, Wayne Williams, Winefred Punjak, Beth Meyers, Elaine Kopp, John Bennett, Dr. Deb Dryer joined the meeting at 4:12 p.m. Absent: Harold Maki Staff: Terri Kramolis, Cathy Moore, Kim Wavrunek Others: Dee Kittleson, County Board member; Chris Dobbe and Amanda Ostrowski from the Northwoods Shared Services Project; Mark Abeles-Allison, Bayfield County Administrator 1. Call the Meeting to Order: The meeting was called to order at 4:00 p.m. by Chairperson Meyers. 2. Approval of August 19, 2013 Meeting Minutes: A motion to approve the minutes of the August 19, 2013 meeting as presented was made by Jardine; motion seconded by Williams. Motion carried. 3. Adoption of Agenda: Kramolis suggested moving the presenters above the budget report on the agenda. All were in agreement and the presentation was moved to number four and the third quarter budget report was moved to number five. 4. Presentation and Discussion on Shared Services: The Northwoods Shared Services Project is funded by the Robert Wood Foundation. The grant project is looking at shared services between public health departments. It is looking at how public health departments share services across county lines and jurisdictional lines to increase the efficiency of what they do, provide more services and maybe provide them more effectively. They are looking to policy makers for their thoughts on shared services and how they could improve what the health department does. Examples of shared services were presented to the Board. Bayfield County Health Department has more shared services than many other counties. Meyers suggested putting non-profits in the list of entities involved in shared services. Deb Dryer arrived at 4:12 p.m. These services build our reputation and knowledge of services. Chris Dobbe asked the Board as policymakers what they would like to know before committing to a shared service. Some of the items were what the projected outcome may be, what kind of responsibilities it would put on our staff, would it detract or enhance the services we provide. Chris Dobbe stated that she would like policymakers to attend the meeting on accreditation. They will be doing a composite of all counties so we can see where we fall in with other counties. This may help when applying for other grants. 5. 2013 Third Quarter Budget Report: The third quarter budget report was reviewed. We are currently at 68 percent for expenses. The budget was discussed. Kramolis is comfortable with where we are at for this time of year. The fear with WIC is over now that the government shutdown is done. We are contracting now for 2014 grant funds. Surprisingly funding seems to be stable. A motion to accept the report as presented and place on file was made by Kopp; motion seconded by Dryer. Motion carried. 6. Environmental Health: a. Inspections Report: The Board reviewed the number of inspections, pre-inspections, re- inspections and other activities done by the environmental health staff. The sanitarians are now recording the information on an electronic program called HealthSpace. HealthSpace tells us what percentage of facilities the sanitarians have inspected. The Board was asked how valuable this report is for them. Kittleson felt we didn’t need the report anymore. When we took over the program it was used as a tool to see how the program was working. Dr. Dryer said she is more interested in what the problems are and how issues that require re-inspections are resolved. We will stop the report and Kramolis will bring any problems and the resolutions to the board. 7. Information on Human Health Hazard in Cable: The Health Officer recently condemned a property at 43405 Sunset Road in Cable. She was called by the fire chief. This property had a propane explosion. The people who own the house do not live there. This building was in a residential area. There were metal fragments and shards of glass all the way to road. After talking with the homeowner the building was buried. It was considered a human health hazard. The health department has statutory authority over anything that is considered a human health hazard and would affect the health of the public. If the owner refuses, the health officer can order the building destroyed. 8. Update on New WIC Director: Kim Wavrunek, RD was introduced to the Board. She started as WIC Nutritionist/WIC Director on September 25th. The board was told about her background and internship. The Board introduced themselves to Kim. 9. Family Planning Program Information and Potential Action: The Family Planning Program, which has been delivered by Healthcare Clinic, Inc., has gone through program and staffing changes. The contract for family planning services is open for bids in 2014. Family planning for Bayfield County has been provided by the Ashland office but the company is based in Douglas County. The Health Care Clinic provides women’s health service. It is operated under grant funds from Ashland and Bayfield Counties. There is a change in how services are being delivered for Bayfield County women. There are very limited services for women now. The company in Douglas County is now sending a nurse one day per week to Ashland. Family planning is state funded and counties have the right of first refusal. This program would create enhancement in our County. Ashland County is also interested in taking their money and running the program for Ashland County. Medical professionals agree that services are not being adequately provided. If we took over the grant we would not be based in Ashland; we would be based out of the Health Department and would go into the communities. We would not hire a nurse practitioner. Those requiring medical services would be referred to the Northlakes Community Health Center. We would use our nurses for non-medical services. Kramolis is looking for support to write for grant. This is a critical service we need to provide. There are lots of billable services to bring in additional funding. The Board would like more information at the next meeting. The grant application is due this time next year. The Board feels we should try to take over the program now. It was suggested Kramolis send a letter to the state informing them we are not satisfied with the services being provided. Kramolis is to bring plan of action to the next meeting. 10. Influenza Vaccination Campaign: The Board was informed on billing issues. Staff is going out into the community to deliver shots. The clinics are very poorly attended. We are losing money by sending staff into communities and giving only four or five vaccinations. We are trying to keep costs down as much as we can. Northlakes is partnering with us in the school-based clinics. They will be ordering private vaccine for kids who do not qualify for VFC vaccine. It should be seamless at the school level. 11. Next Meeting Date: Monday, December 16, 2013 at 4:00 pm in the Health Department Resource room. 12. Other Issues: None. 13. Adjourn: The meeting adjourned at 5:17 p.m. Respectfully Submitted, Cathy Moore, Office Manager