CHIPPEWA COUNTY BOARD OF HEALTH MEETING February 26, 2010

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1 CHIPPEWA COUNTY BOARD OF HEALTH MEETING February 26, 2010 BOARD PRESENT: EXCUSED: ALSO PRESENT: James Moore, Don Cooper, and MaryAnne Shannon Ph.D. Rita Dale and Aaron Hopper David Martin, R.S., M.P.A., Christine Lundquist, M.P.A., Renee Crays, R.N., B.S.N., Heidi Bailey, R.N., B.S.N., Jesse Knoll, and Lana Forrest I. CALL TO ORDER Mr. Moore called the meeting to order at 10:06 a.m. II REVIEW OF AGENDA Mr. Moore called for review of the agenda. It was moved by Mr. Cooper, supported by Mrs. Shannon, to accept the agenda. On the call of the motion, there were two ayes. Motion CARRIED. III. REVIEW OF MINUTES Mr. Moore called for review of the January 26, 2010 minutes. It was moved by Mrs. Shannon, supported by Mr. Cooper, to accept the January 26, 2010 minutes. On the call of the question there were two ayes. Motion CARRIED. IV. PUBLIC COMMENT Mr. Knoll spoke about the broadband initiative being promoted throughout the County. He asked the Health Department to write a support letter for the initiative and include other equipment CCHD has received through the stimulus funds. A thirty percent match is required by the County. V. COMMITTEE REPORTS Finance Committee Mr. Cooper reviewed the finance report. Claims and Accounts for February There was a large expenditure to the County for MESC fees paid by the County on behalf of the Health Department. It was moved by Mr. Cooper, supported by Mrs. Shannon, to accept the February Claims and Accounts in the amount of $582, On the call of the question there were two ayes. Motion CARRIED. Financial Statements The financial statements for January were reviewed. The year-to-date loss is approximately $56,000, which is better than last year. We have not yet recognized any County appropriation, other than cigarette tax. Page 1

2 It was moved by Mr. Cooper, supported by Mrs. Shannon, to accept the January financial statements. On the call of the question there were three ayes. Motion CARRIED. Travel Requests The in-state travels were reviewed. Ms. Crays presented an out-of-state travel for a national WIC conference in Milwaukee, Wisconsin. All the travel costs are covered by a special scholarship. If there are out-of-state travel requests which arise before the Board of Health meetings, they will be brought to Mr. Cooper and Mr. Moore and then forwarded to the County. It was moved by Mr. Cooper, supported by Mrs. Shannon, to accept the out-of-state travel to Wisconsin and forward the travel to the County for approval and accept the in-state travel report. On the call of the question there were two ayes. Motion CARRIED. Purchase Orders over $1,000 Mr. Pietrangelo explained the three home health clerical computers are approximately three old years and were to be rotated out in The computers are slow in opening client information and running reports from Carefacts. Mr. Cooper indicated the Board has the option to use some of the designated vehicle funding to purchase the computers. Mrs. Shannon requested a copy of the computer and vehicle rotation schedules for the next Board meeting. It was moved by Mrs. Shannon, supported by Mr. Cooper, to authorize the purchase of three new computers which were on the rotation schedules for On the call of the question there were two ayes. Motion CARRIED. EPC report The report was provided to the Board and reviewed. Mr. Martin explained that Chippewa County is at a higher vaccination rate than the State had predicted. Ms. Crays explained that H1N1 clinics will be offered once a week in March and additional clinics will be held under the ARRA funding. Fee for Service Contract The Personal & Family Health Supervisor would like to have fee-for-service contracts with part-time MIHP staff. By having a fee-for-service arrangement, staff must be responsible for their own efficiency. It was moved by Mr. Cooper, supported by Mrs. Shannon, to accept the fee-for-service system for parttime positions in MIHP. On the call of the question there were two ayes. Motion CARRIED. McKay Psychological Services Contract at SHACC This contract is for psychological services at the SHACC. Ms. McKay originally worked for Catholic Charities and provided services at SHACC. Catholic Charities no longer provides services in Chippewa County. The contract is for $50.00 per hour which is less than Catholic Charities received. Mr. Cooper would like RFPs done for the coming fiscal year on all psychological services contracts at SHACC. It was moved by Mr. Cooper, supported Mrs. Shannon, to accept the McKay contract through the fiscal year and then go out for RFP for all psychological contracts. On the call of the question there were two ayes. Motion CARRIED. Page 2

3 Other There was an increase in receivables due to the holiday and audits. Days of cash are down which correlates to the increased receivables. Home Health Writeoffs There were four cases reviewed by Medicare. Staff do not believe the cases can be successfully argued before an administrative law judge and do not want to pursue the cases when there may be other cases which do need to go before an administrative law judge. It was moved by Mr. Cooper, supported by Mrs. Shannon, to write off the home health claims in the amount of $4, On the call of the question there were two ayes. Motion CARRIED. Hospice Marketing There has been a significant decrease in Hospice profit of almost 50%. The days of hospice are very low. The program needs to be marketed to explain the importance of Hospice to families and physicians. Hospice clients are not receiving the full benefit of hospice as they come under our care with very few days of life left. Ms. Lundquist explained that a significant expenditure in marketing may be presented to the Board next month. It was moved by Mr. Cooper, supported by Mrs. Shannon, to accept the February 23, 2010 Finance CHS Committee Mr. Moore reviewed the CHS Committee report. WIC Ms. Crays will provide information at next month s meeting on the value of WIC packages. Home Health Admissions There were 85 referrals for January, which is more than last year. BCCCP The Ladies Night recently held was successful. War Memorial and CCHD will work together in the future to offer such events. Building a Healthier Community A spring walk-to-work day is being planned. The MDNRE and the City of Sault Ste. Marie are working with BHC Committee on grant opportunities. Tobacco Free Project Through with Chew week was held last week. More information on the Smoke- Free Air law can be found on CCHD website. A two-year $50,000 Smoke-Free Apartment grant has been awarded. Foot Clinics Home Health foot clinics will be held on Saturdays upstairs in the Avery Square for Avery Square residents. Other clinics are held in the area town halls as well as Cedarville and St. Ignace. Home Health ADR Update - We are at a 23% denial rate and 40 more charts will be pulled for audit. It was moved by Mr. Moore, supported by Mr. Cooper, to accept the February 17, 2010 CHS Environmental Health Mr. Moore reviewed the Environmental Health report. Detour Reef Lighthouse MDNRE wants the Health Department to monitor the septic and water system. The water is not potable. The Coast Guard passed the lighthouse over to the State of Michigan. CCHD will not begin monitoring the site until a request is made in writing from the State of Michigan. Page 3

4 Whitefish EMS Well Permit A new Type III well permit was issued. They are now getting bad water. A new system will be entered. A second ex It was moved by Mr. Moore, supported by Mr. Cooper, to exempt the second well permit fee for Whitefish EMS. On the call of the question there were two ayes. Motion CARRIED. Lagoon Maintenance Program - A fee has been established and is on the super bill. Lagoons will be evaluated every five years. Lagoon owners will need to have the evaluation conducted by CCHD or a certified evaluator. New lagoon owners will be required to sign a maintenance agreement before a permit will be issued. It was moved by Mr. Moore, supported by Mrs. Shannon, to approve the On-site Wastewater Treatment Lagoon Program amendment to the Superior Environmental Health Code. On the call of the question there were two ayes. Motion CARRIED. It was moved by Mr. Moore, supported by Mrs. Shannon, to accept the February 25, 2010 EH Personnel Committee Mr. Moore reviewed the Personnel Committee report. Employee Issues Administration questioned if they could require staff to attend the EAP program. Mr. Moore stated that Administration could do what is needed and that all matters do not need to be brought to the Board. Mr. Cooper expressed his concern about hiring additional staff to learn other positions. He does not believe it is necessary. Mr. Moore indicated his idea was to have part-time staff available, not to hire new staff. It was moved by Mr. Moore, supported by Mr. Cooper, to accept the February 17, 2010 Personnel VII. VIII. OLD BUSINESS There was no old business. NEW BUSINESS Hospice Compounding Medications There is a pharmacy out of Cheboygan which is willing to compound Hospice medications. Ms. Bailey did check with Snyder s Pharmacy in Newberry but they cannot compound some of the medications needed. She indicated this is another service for Hospice clients. Our local pharmacies cannot provide this service. Protocols will be created. It was moved by Mrs. Shannon, supported by Mr. Cooper, to move forward with obtaining a contract for compounding Hospice medications and creating protocols. The contract will be brought before the Board for final approval. On the call of the question there were two ayes. Motion CARRIED. IX. HEALTH OFFICER S REPORT County Health Rankings A letter has been sent to our local health partners and a meeting will be scheduled so the group can discuss the rankings and determine what we can do to improve the county s health. Septic Installer s conference The conference is March 3 at the Kinross Township Hall and the Page 4

5 It was moved by Mr. Cooper, supported by Mrs. Shannon, to accept the Health Officer s report. On the call of the question there were two ayes. Motion CARRIED. X. REVIEW OF CALENDAR OF COMMITTEE MINUTES The Finance Committee meetings will be held on Tuesdays before the Board meeting at 4:30pm. XI. ADJOURNMENT It was moved by Mr. Cooper, supported by Mrs. Shannon, to adjourn the meeting. On the call of the question there were two ayes. Motion CARRIED. Adjourned at 11:01 a.m. Respectfully submitted, Lana Forrest Executive Assistant James Moore Chairman - Chippewa County Board of Health Page 5