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HomeMy WebLinkAboutHealth Board - Minutes - 8/8/2017BAYFIELD COUNTY BOARD OF HEALTH MEETING Tuesday, August 8, 2017 – 5:00 PM Bayfield County Annex Building EOC Present: Fred Strand, Jeremy Oswald, Elaine Kopp, Wayne Williams, Rachel Coughtry Absent: Brian Goodwin, Deb Dryer, Ellen Braddock Staff: Sara Wartman, Amy Jarecki, Anne-Marie Coy 1. Call the Meeting to Order: The meeting was called to order at 5:05 pm by Chairman Strand. 2. Approval of June 20th, 2017 Meeting Minutes: A motion to approve the minutes of the June 20th, 2017 meeting as presented was made by Kopp; motion seconded by Coughtry. Motion carried. 3. Public Comment: None. 4. Update on Health Department Staffing: Jacob Kentnich, NEHA Intern, has finished his internship as of August 3, 2017. Jacob had been working with Anne-Marie Coy on beach water sampling. Jacob had also been posting weekly beach updates, showing which beaches had closings or advisories. Jessica Zakovec, PT WIC clerk, who has an environmental conservation background and past experience with water sampling, will be filling in for the month of August doing beach sampling twice a week in and around Iron River. Beach sampling will end around Labor Day. We have advertised for a Part-Time LPN to fill the Health Screener position at WIC. We were having a difficult time filling the Health Screener position with a Public Health Nurse as this is only a two (2) day a week position, working WIC clinic days only. We were able to create a job description around an LPN instead of a four-year RN. Mary Spoden was hired as the WIC Health Screener. She will be starting on August 10, 2017. Tony Bondioli, Public Health Nurse will be brought over to the Health Dept full time instead of splitting his hours between the Health Dept and WIC. Tony will be working on the Community Opportunity Grant, which is AODA (Alcohol and Other Drug Abuse) and taking over some of the Wellness duties that were previously held by Pete Morrissette, Public Health Educator. Pete will be taking on more of an Environmental Health role as he will be working more in the water lab and assisting the sanitarians. Sara will be working up to her deliver date and then will be taking six (6) weeks off for maternity leave. She plans on being gone for four (4) of those weeks and the remaining two (2), she will be working mostly from home. Caloney Mesik, Public Health Nurse will be interim director while Sara is on leave. 5. Discussion and Possible Action Regarding Resolution to Accept Safe Sharps and Prescription Drug Collection Grant: Many community members and coalition members have mentioned the difficulty in safely disposing of sharps containers. Many county residents have been dropping off containers of sharps at the Bayfield County Sheriff’s office who then drops the containers off with the Health Department. Peter Morrissette, Public Health Educator and Amanda Paulson, Community Health Nurse, had applied for a grant through Security Health for three (3) permanent drop boxes for pharmaceutical and sharp collection. We have been awarded the grant; the amount awarded is $12,000.00. We are looking at three (3) geographical locations for the drop boxes: Washburn, Bayfield and most likely Iron River. These drop box sites would need to have law enforcement presence for monitoring purposes. The drop boxes will be secure and built to certain specifications. The specific placement of these drop boxes has yet to be decided. A motion to approve the resolution and forward to the Full County Board was made by Oswald; motion seconded by Coughtry. Motion carried. 6. Discussion and Possible Action Regarding Resolution to Accept WIC Mini- Grant: Bayfield County Health Department was awarded funds through the Wisconsin Department of Health Services in the amount of $2,320 for WIC clinic improvements. Some examples of these improvements are to make the clinic more father-friendly and to improve clinic signage. The outcome will be to improve participant caseload and increase visibility in the community. A motion to approve the resolution and forward to the Full County Board was made by Kopp; motion seconded by Oswald. Motion carried. 7. Discussion and Possible Action Regarding Resolution to Accept Taking Action with Data – Carbon MonoxLife Grant: Bayfield County Health Department has been awarded funds through the Wisconsin Environmental Public Health Tracking Program—Division of Public Health in the amount of $10,000. We will be purchasing between 250-300 carbon monoxide detectors to be given out throughout the county for placement in homes. We will also have packets with educational materials and a detector available for those agencies that provide home visits. Packets will also be given to the WIC program and our nurses who provide prenatal and/or new baby home visits. Pete Morrissette will be attending some of the local hunter/fisherman dinners and expos providing carbon monoxide safety tips for hunting shacks/blinds and ice shanties. A motion to approve the resolution and forward to the Full County Board was made by Williams; motion seconded by Coughtry. Motion carried. 8. Review and Possible Action on 2018 Proposed Budget: The proposed budget for 2018 looks to be about on track with the funding we received in 2017, with the exception of the loss of a few grants, such as the Beach Monitoring Grant. We could possibly get another paid intern next year or have the municipalities take their own beach samples and bring them to us for testing. And there are the new grants we are applying for and receiving that will take the place of the grants ending. The difference between the revenue and the expense would be what the Health Department would need in tax levy. Once the 2018 budget is finalized, a report will be sent to all Board of Health members for their consent before it is presented at the full County Board meeting. 9. Review of Second Quarter Budget Report: The 2017 budget looks to be right on track. The funding for the WIC program was just increased by $6,432.00 so that will change the 2017 budget slightly. There are going to be some reductions in expenses in the WIC budget for 2017; hiring an LPN to do the health screening and full-time employees not taking the health insurance will help to shift the expenses to more outreach materials geared at improving participant caseload and for purchasing items needed at the WIC clinics. Water lab revenue is up due to the Coastal Management Program in 2016, is prompting more people to want to have their water tested. The trend of Air B&B’s has increased the revenue of the licensing fees. Air B&B’s are people who rent out a bedroom in their house on a nightly basis; state law says that they need to be inspected and licensed before they can rent. Anne explained the process that she needs to go through in order to bring these rooms up to code. Revenue for Health Check (billing for heights, weights and hemoglobin checks) at the WIC clinics has been reduced due to our not being able to bill for those services; those services are technically covered with the grant money from WIC. We are still allowed to bill for any blood lead testing that we do at a WIC clinic. 10. Discussion and Possible Action Regarding Resolution to Approve 2017 Health Department Budget Adjustments: This resolution is to amend the 2017 Health Department Budget due to increase/decreases in grants. Due to receiving the news of the increase in funds for the WIC program this morning, this resolution does not reflect that change. However, there will be an adjustment done before the resolution goes before the Full County Board. A motion to approve the resolution with the addition to the WIC budget of $6,432.00 and forward to the Full County Board was made by Coughtry; motion seconded by Kopp. Motion carried. 11. Discussion on Community Recreation for Health, Capital Improvement Plan Request for Budget 2018: Sara has been discussing with Mark Abeles-Allison investing in infrastructure for health for the community. Normally, looking ahead we would budget for painting and/or carpeting of offices or office equipment in the capital improvement budget. We are requesting $22,000.00 in 2018 to fund a cost sharing program with local communities that will assist with health infrastructure, such as playground equipment, new lighting for hiking trails, safer swimming areas or a new tennis court. This amount will be a fifty-percent (50%) match with local communities. The intent of this mini-grant is to help support communities improve health and wellness opportunities. The emphasis would be on the rural areas of our county that don’t have as many opportunities for health and wellness. Sara will be gathering more data to support the plan. Consensus to move forward was made by Chairman Strand. 12. Discussion and Possible Action Regarding Strategic Work Plan: The strategic work plan specifies what the staff will be working on for the next four (4) years. Sara will be looking into whether or not the Health Department will be creating its own logo or stay with the Bayfield County logo. The topic of employee morale was brought up and discussed. 13. WIC Update: Mary Spoden will be starting as Health Screener on August 10, 2017. As noted earlier, the WIC budget has recently been increased by $6,432.00. The number of participants has remained steady for our local WIC project, even though throughout the state, WIC has been trending with lower participant counts. Sara and Kelsey Latimer, WIC Nutritionist/Director have created target goals for the WIC program. There is still outreach being done to increase the number of WIC clients. Word-of-mouth seems to be the way most people hear about the services. Two members of the WIC staff attended training to become child passenger safety certified to install car seats. We will be looking at applying for car seat grants to purchase car seats for future clinics. Kelsey attended a training to become a Certified Lactation Specialist which qualifies her to become the breastfeeding coordinator for the WIC program. The WIC mini- grant funds are being utilized for items such as decals for the waiting room walls, toys and a sandwich board type sign for satellite clinics. 14. Radon Information Center Update: Letters of support from other local health departments regarding possible creation of a northern Radon Information Center (RIC) will be sent out. 15. Health Department and Grant Updates: We are looking at applying for a grant to purchase car seats to give away. Sara had applied for a grant through the Duluth Superior Area Foundation, but was denied. She will be applying for a Second Chance Grant. Staff are always looking for other opportunities. Staff participated in a HIPAA training at the last all-staff meeting presented by Amy Jarecki, Office Manager, who is the department privacy and security officer. Board member Jeremy Oswald shared that he provides the HIPAA trainings for NorthLakes Clinic and offered to share his training with the department staff. 16. Other Issues: None. 17. Next Meeting Date: The next meeting is scheduled for Tuesday, October 10th, 2017 at 5:00 pm in the EOC. 18. Adjourn: The meeting adjourned at 6:16 pm. Respectfully Submitted, Amy Jarecki, Office Manager