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Minutes-January
10, 2008 |
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CLINTON
COUNTY BOARD OF HEALTH
CLINTON
COUNTY HEALTH DEPARTMENT
329
EAST 11TH
STREET
DEWITT,
IOWA 52742-1457
PHONE:
563-659-8148
FAX: 563-659-2616
MINUTES
BOARD OF HEALTH MEETING
JANUARY
10, 2008
CLINTON COUNTY
ADMINISTRATION BUILDING
BOARD
OF SUPERVISOR’S ROOM “B”
CLINTON,
IOWA
Members Present:
Dr. Osaro, Charleen Smith, Dr. Speer
Members Absent:
Dr. York and Jean Morgan
Others Present: Grant
Wilke, Bob Summers, Michele
Cullen, Pat Retzl,
Jennifer Gerdes, Diane
Martens, Karen Lueders, Mary Lou Hinrichsen, Chance Kness, Dar Fox
Board of Health Chairperson, Charleen
Smith, called the meeting to order at 7:30 a.m.
Approval of minutes for November 15, 2008, meeting; Dr. Osaro moved to
accept the minutes; Dr. Speer seconded the motion; all members present were in
favor; motion carried.
FINANCE COMMITTEE:
Will do budget for BOH after all budgets have been reported on.
PERSONNEL COMMITTEE: Charleen said
they should elect a chairperson now; Dr. Speer said he thought they should keep
their present leadership (Charleen as Chair); Charleen asked if he’d stay as
Vice-Chair; he agreed to; Dr. Osaro motioned to keep the same officers; Dr.
Speer seconded the motion; all members present were in favor; motion carried;
Charleen said she would like to keep everyone on the same committees also; Dr.
Speer and Dr. Osaro agreed to that.
TOTAL QUALITY MANAGEMENT: Nothing to report.
ENVIRONMENTAL SERVICES: Bob discussed his budget referring to the summary he’d sent
the BOH members starting with expenditures, revenues are expected to have an
increase of $14,000 due to food licenses increased charges, the state raised
them 35% this year, increased the expenditures for vehicle fuels and postage
$550 for both together due to higher prices, increased telephone expenses to
include the cost of wireless internet, will use Verizon for the wireless
connection since they are the only company offering it right now in this area
(possibly $50 per month), we might be able to get a government discount on the
cost of this, the state is adapting a web data base for wells, water samples,
etc., we will have to incorporate all of our data for wastewater/septic systems
into that data base, then he will be able to get information from it when he’s
out in the field whenever he needs it, discussed getting all the well and septic
cards scanned by a private company to be able to put that old information into
any of the new data bases or Retrieval ware, the Zoning department will
participate in this also so that will help with the cost, the cards will be
scanned and put on CDs (estimated cost at $2500); some discussion on all this;
Bob said he’s figuring the salary increases at 4%, we’re still selling radon
test kits even though we won’t have a grant for that any more, total increase
in expenses will be about $11,500; Dr. Osaro moved to accept the sanitarian’s
budget; Dr. Speer seconded the motion; all members present were in favor; motion
carried.
GENESIS VNA & HOSPICE: Michele
said the Healthy Lifestyles Coalition is participating in Lighten Up Iowa and
they are also encouraging Clinton County schools to participate in Go the
Distance Day, that’s April 29th in Clinton County, Clinton High
will do it then and Northeast will do it on May 1st, they’re hoping
they will get a little media coverage on that too, another committee they’ve
been working on is the At Risk Pregnancy Committee, the project is funded by the
Rotary, each new baby born at Mercy Hospital receives a book, immunization
audits are done at all the schools and pre-schools, etc., flu shots are wrapping
up, they’ve given 2400 immunizations in Clinton County, in January they are
participating with the Gateway Free Clinic providing flu vaccinations there for
free, she also explained that Chore funds do come from the State funds for the
LPHSC and comes under the heading of the HCA grant money so they would need no
additional money for CHORE; Dr. Osaro moved to okay the VNA budget; Dr. York
seconded the motion; all members present were in favor; motion carried.
WOMEN’S HEALTH SERVICES:
Syl
Manlove couldn’t be at this meeting but sent a letter of request to the BOH
for their FY’09 asking if they could receive $3000 in that fiscal year for the
HIV program; Dr. Osaro moved to put this in the BOH budget; Dr. Speer seconded
the motion; all members present were in favor; motion carried.
EMPOWERMENT/DECAT: Diane handed out
flyers to BOH, she said the Clinton/Jackson Empowerment gets funding and they
have forums in each county to get insights into where they should use this
money, in January the Early Childhood Team is going to get together and look at
community data from the two counties and try to simplify that and take it to the
quorum in February, and then from there in March they will have a Board Retreat
where they will make the decisions on what things they want to fund.
HILLCREST/WIC:
Cindy handed out a report on the WIC services for the past year,
numbers have stayed level, goal for this year is to try to increase their
outreach, they know a lot of people out there could use this program and
that’s why it’s disappointing that these people are not being sent to them
by DHS and others who should be putting them in touch with WIC; Charleen
commented on the article in the paper on breast feeding babies, if it’s done
for 3 months it decreases their chances of having asthma; Cindy discussed the no
show rates which are way too high, they only need to come into the office four
times a year, her office calls these people the day before the appointment, when
they miss an appointment they send out letters and make two courtesy phone
calls; some discussion here on no shows and getting the word out on what all WIC
does; Cindy said information the women are receiving from other agencies telling
them they can’t get WIC until the infant is born is not correct, they can
start receiving WIC as soon as they find out they are pregnant, these women fill
out applications at DHS and on it they can mark what programs they want to
participate in, then we’ve had people tell us they’ve marked WIC but those
forms aren’t coming to us so that we can contact the women, she knows the
State WIC office every year does a mass mailing to all DHS offices on the WIC
program and provide them with information so she doesn’t know why these
aren’t getting to people who need this information, that’s one of their
office’s goals is to go to every DHS office in their service area and have a
talk with them at a staff meeting so they know that it’s important for them to
get this message out, their nutrition goal was to work on obesity, they had to
go to a training on some nutrition modules, they incorporated those into their
education, so over this past year they tried to include some of those education
modules through certification, group education, newsletters, bulletin boards,
etc., their breastfeeding goal was to survey women and find out if they were
going to continue breastfeeding when they return to work, and how supportive
they felt their employer was about it when they returned to work , she also
included what their goals for the next year are, their nutrition goal is
nutrition literacy, WIC program does participate in literacy by book, nutrition
type books about fruits and vegetables, salads, things like that, what they want
to do is teach the parents the importance of reading to their child and how they
can incorporate nutrition messages by reading these books to the children, right
now they’re focusing on two year olds, might do this each year and get to
every age group from 1 to 5, their breastfeeding goal is surveying women at
first to get some data and find out why they say they are going to do it and
then return and say the didn’t do it or started and then quit, they’re
working with their lactation consultants in their area to devise a survey so
this will give us some idea why they are not following through on their intent
to breastfeed; some discussion on this and the lack of money to market
breastfeeding like the formula companies do.
CLINTON SCHOOLS: Dar said she
encouraged all the Clinton district schools to actively participate in “Go the
Distance Day” April 29th, the epilepsy foundation has opened an office in Des
Moines and has a new coordinator who has offered services throughout the State
of Iowa, she was here this week to train their bus drivers on monitoring
seizures and dealing with that on the bus, they have had an increase incidence
of students with seizure activity, and there are always concerns about when they
leave the school building and their safety, the district purchased three vision
screening machines this year, they were about $1900 for each machine, she wanted
to comment about WIC, they have 15 students at the high school who have reported
to her that they are pregnant, she tells them about WIC and tries to follow up
with that also.
MENTAL HEALTH/BRIGEVIEW: Nothing to report.
COMMUNITY ACTION OF EASTERN IOWA/ CHORE:
Karen
Lueders discussed getting an extra $1000 for CHORE, they knew that CHORE is part
of the VNA’s LPHSC grant but sometimes they need more service due to the
weather, and if it doesn’t get used then they can always use the money to
reach more people who need service; Dr. Speer moved to give CHORE the $1000; Dr.
Osaro seconded the motion; all members present were in favor; motion
carried.
NEW DIRECTIONS: Jennifer thanked the BOH for their help in
sponsoring her to go to the National Tobacco Conference in Minneapolis in
October, she’s working on a report that she’s going to submit to each entity
that helped her with sponsorship because she’d really like you to know what
all was involved in that conference, we applied for two JEL (Just Eliminate
Lies) grants, it’s the youth led statewide tobacco program, the goal of that
program is to bring awareness to kids on why they shouldn’t start using
tobacco and if they do we to have the help and resources to help them to quit,
they applied for two grants, one for Clinton Schools and one for Camanche
Schools, she can go into the schools and make a pull out group from SADD
(Students Against Destructive Decisions) and having this particular group focus
just on tobacco, both grants were written for $4000 and we found out just two
weeks ago that we did receive both, we also are going to start incorporating
(instead of a JEL for 9th Graders or older) a new program called YEL
(Youth Eliminating Lies for 6th, 7th and 8th
graders), statistics have shown that in Clinton County we need to start tobacco
education in the middle schools, that’s going to start this year, 5 counties
have converged to form the “Breath Easy Tobacco Coalition”, they have a web
site at breatheasycoalition.com or you
can Google tobacco coalitions, she’s on the task force for Mercy Medical
Center, that is going to have go tobacco free campus wide, we have set a date
for that on July 1, 2008, we put together a task force and the first meeting for
that is next Wednesday the 16th, we’re doing a six month time line
to show what we need to do month to month, she helped Jackson County with their
campus transition, state of Illinois has no smoking in public buildings
effective 1/1/08, Iowa is not far behind.
EMERGENCY MANAGEMENT: Chance
said he’s going to Iowa City this afternoon for the public assistance portion
of the December 11th ice storm that was residentially declared last
Friday, it was state declared before that and there is individual assistance
available to the state, the Federal assistance is going to be only public
assistance, on health related issues he has a foreign animal disease table top
exercise on the 6th of February and he’s not certain if he’ll be
able to do that or not, he’s having difficulty finding livestock production
individuals and veterinarians to participate in that and the key to that
specific training is getting representatives from those groups, he’d
appreciate any help you can give in finding them (he’d already talked to Dr.
Speer but the suggestions he gave him fell through);
Dr. Speer told him they’d talk again after the meeting.
After all reports were in the Board voted on the entire BOH
budget; Dr. Osaro moved to approve the BOH budget; Dr. Speer seconded the
motion; all members present were in favor; motion carried.
NEW BUSINESS: Nothing
to report.
OLD BUSINESS: Nothing to report.
BOARD OF SUPERVISORS: Grant
said he is not running for re-election, so this will be his last year as
Supervisor, three of the four bargaining units are waiting to be ratified, he
discussed “turnover folders” because there are always people moving,
transferring or not coming in that day, this folder is important in case a
person isn’t there to do their job, it’s is a real helpful tool, he has one
for whoever takes over his job, you need to think of the person who is going to
replace you, then he asked Cindy (from WIC) when people come there (to WIC
clinic) and you give them a voucher how long is the voucher good for; Cindy said
they get new vouchers every 30 days at their office; Grant then asked if they
can tie the voucher with the appointment; Cindy said they have a scheduled
appointment whenever they pick up their voucher, they have to have four
nutrition contacts a year with the dietician, one of the biggest purposes of the
program is nutrition education, once they’ve met that appointment then they
get their vouchers for the next three months; some discussion on this and
enabling people to depend on these programs, and the fact that it’s for the
poor who can’t afford these services and they still don’t show up for their
appointments to get them; Dr. Osaro said also the way the poor move so often and
keeping up with where they are; Grant also mentioned that they provide a room at
the courthouse for moms who do breastfeeding, he also asked Karen about the
CHORE grant and how the people find out about this service; Karen said they come
in for other programs like energy assistance and they also try to go into the
community and get the word out too; then a discussion on people preying on the
elderly and programs that are a help to them.
OTHER: There
was no other business to discuss so the next meeting date was set for March 6,
2008, at the Administration Building, Supervisor’s Room “B” at 7:30 a.m.
Dr. Osaro moved to adjourn the meeting; Dr. Speer seconded the motion;
all members present were in favor; motion carried.
Meeting ended at 8:30 a.m. |
|
Minutes-November
15, 2007 |
|
MINUTES
BOARD OF HEALTH MEETING
NOVEMBER
15, 2007
CLINTON COUNTY
ADMINISTRATION BUILDING
BOARD
OF SUPERVISOR’S ROOM “B”
CLINTON,
IOWA
Members Present:
Charleen Smith, Dr. York, Dr. Speer, Dr. Osaro, Jean Morgan
Others Present: Barb
Voss, Ida Lorenz, Chance Kness, Syl
Manlove, Michele Cullen,
Marcia Christiansen, Grant Wilke, Mary
Lou Hinrichsen, Pat Retzl,
Karen
Lueders, Darlene Fox, Leslie
Mussman, Jeremy Huss
Board of Health Chairperson, Charleen
Smith, called the meeting to order at 7:30 a.m.
Approval of minutes for September 20, 2007, meeting; Dr. York moved to
accept the minutes; Dr. Osaro seconded the motion; all members were in favor;
motion carried.
FINANCE COMMITTEE:
Nothing to report
PERSONNEL COMMITTEE: Nothing to
report.
TOTAL QUALITY MANAGEMENT: Nothing to report.
ENVIRONMENTAL SERVICES: Nothing to report.
GENESIS VNA & HOSPICE: Michele
said they began flu shots six weeks ago, on October 15th and up to
this date Clinton County has given 1900 of those vaccinations, the State has its
first confirmed case of influenza in Iowa (a 7 month old) so we’ll continue to
encourage everyone to get a vaccination, discussed Healthy Coalition obstacle
course on Oct. 18th, had about 200 kids go through it and they’ve
already been asked to do one next summer, for 2008 they’ll be working with the
State for the healthy program they’re promoting activity for kids weight loss,
Chris McClimon has been doing school immunization audits, she hopes to be done
with elementary through high school by the end of the month, then she’ll move
on to the pre-schools and have them done by the end of the year, there’s a
push on middle school immunizations, and she has received additional money from
the I-4 Grant to have a couple more clinics; discussed lead testing and toys
being recalled because of the lead paint.
COMMUNITY HEALTH
CONSULTANT:
Barb Voss handed out some sheets, she said this year with their contract
with the counties they are asking them to do an education on the revised Chapter
80 (one of her handouts); Dr. York asked her how she fit in as far as the Board
of Health is concerned; she said if the county has a health need and they
don’t know how to address it she can link you to the experts at the State
level, if you have a complaint about anything in public health you can contact
her and she will work towards resolving that complaint, then she gave her
background in public health, Chapter 80 is from the Iowa Administrative Code 641
Chapter 80, it’s the rules that govern the grant that you receive from the
State, it’s called the Local Public Health Services Contract (LPHSC) and from
this contract Clinton County receives $179,101, it’s one grant but it is four
funding sources or four different pots of money and the Legislature determines
the use for each pot, this was designed to make it clear for the administrators
of the grant, then she listed each pot:
1st Pot: has $3719 this year and it’s for the
Local Board of Health’s to determine how this will be used (this year’s use
is listed on the second handout she gave us)
2nd Pot: has $15,578 this year, and is for Local
Public Health Services (services it provides for are also listed on handout)
3rd Pot: has $120,518 this year for Home Care Aide
Services (services listed on handout)
Fourth Pot: has $39,286 this year for Public
Health Nursing (services listed on handout)
All
these give you a feeling of the different things you’re using your grant
dollars for, once a year Michele brings you an application for the next year and
revues it with the BOH, then she explained Chapter 80, it’s been in position
for about two years, it used to be two chapters and now they’ve combined them
into one chapter, the purpose is to assure that core public health functions are
delivering essential public health services and to increase your Board of Health
to promote healthy people and healthy communities, things changed on Chapter 80
are:
Page
2-
“income”
means sources of income for the consumer as well as the spouse if applicable-
some older people newly married would like to not include the spouses income
because they want to save it for his kids, but the State says if you are married
you need to be sharing those resources for each other
“outcome
measures” for
this grant cycle most of their measurements are with how much food is being
provided, beginning next year’s grant she’s leading a statewide effort to
write outcomes that will tell us if anyone is better off, next year there will
be more measurements
Page
3
“resources”
this is one of the things that’s considered in the sliding fee scale policy
(re: Page 5), it means if the person has resources we’re looking at
unrestricted assets that are owned by the consumer and the consumer’s spouse,
they can have a place of residence and one vehicle be exempt from consideration
of the resources
“restricted
assets”
means typically any asset that has a penalty for early withdrawal such as IRA,
KEOGH, 401Ks before your retirement, she said they had an actual case of a woman
in her 50s who was receiving services and the agency was expecting her to cash
in her retirement income in order to continue to receive the services with the
sliding fee scale, so she appealed and won her appeal, her assets were her
retirement assets, they were protected, that would have involved severe
penalties for early withdrawal and so the Attorney General ruled that you cannot
ask people to cash in their retirement plans, if they are 59 ½ and it’s okay
to do their retirement then it’s considered part of their resources
“unrestricted
assets”
are those that can be converted to cash for financial reporting, they’ve also
put together a chart that has been shared with all the administrators on how you
would look at farmland and farmland resources, they’ve kind of divided it out
to--if the person lives on the farm, if he depends on farm income, are they
living in town and the kids are living on the farm, are they living on the farm
and paying rent-- those are some of the things you have to look at
“vulnerable
population”
their priorities for this grant is for people who are vulnerable in the State,
we are a last resort, this is the grant that takes care of people who are
falling through the cracks, there is nobody else or no other funds available to
take care of these people
As
a contractor for this grant the BOH are the governing branch responsible for
making sure that there are program policies and procedures, that there are
personnel policies and procedures, that there is fiscal management and a quality
improvement plan in place, also in billing and determining how the funds are
going to be used, that’s one of the reasons she is here today is to check out
all of your policies to make sure that they are on track, we work
collaboratively, if we find something we’ll work you through it.
Page
5
“sliding
fee scale” on this grant if a person is at 75% or less of poverty then the
client is free, and the services
specifically are HCA, HHA, CHORE, PHN, if the person is at 200% of poverty then
we must charge, this is when you use your sliding fee scale, you can set this up
however you wish, some counties set it up that it’s free up to a $1000, other
counties are saying “no” right at 76% of poverty so they are expecting
people to pay $1 or $2, another thing you can determine into that sliding scale
fee is “are you going to include resources?” and some counties are saying
“definitely”, if grandma is living in town and she owns a $5M farm out in
the country shouldn’t some of that resource be considered in her provider and
her care, this is a local decision there, do they have high pharmacy bills,
medical equipment, paying for medical insurances, need to find ways to stretch
these resources to make your dollars stretch farther, what ever works for your
community
“right
to appeal” when a person appeals the Attorney General has stated that during
that time you have to continue to provide services, they did put into this
chapter that if there is a situation where a person on your staff (PHN/HCA/HHA)
would be in danger in a home and that’s why you are terminating services with
them, then you can request a waiver from the State and we will remand it to you
immediately so you do not have to put your staff in harms way
Page
8
One
change on public health coordinator/supervisor qualifications, Michele meets
this criteria, this states that this person must possess a bachelor’s degree
or higher in public health, health administration, nursing or other applicable
field and a minimum of two years experience OR be a registered nurse and two
years of experience and has completed a course signed by the department in the
past six months, and they just completed that course putting it on line.
Page
9/10 Chart
Direct
care workers-they added this into the administrative code because there is a
task force in Iowa called the Direct Care Workers Task Force, which is looking
at the role of what we always thought of as the nurses aide, when you look at
the nurses aide in a nursing home, mental institution, a hospital, home care,
are there commonalities to this role, they have decided that there are and they
have put this into five different classifications of workers and they’ve
outlined exactly what kind of services they can provide, what kind of education
would be required and how much continuing education is required for the role,
all this is part of the effort to lift up nurses aide work as being a profession
of its own, that it’s not something you do temporarily and move on, it’s the
best kind of opportunity to provide good care, so they have changed their
template to support the task force observations.
WOMEN’S HEALTH SERVICES:
Syl Manlove introduced
herself as the new director at Women’s Health Services, Carol Machael retired
as of yesterday, she looks forward to working with the BOH, she discussed the
HIV program, they work with Quad Cities Community Health Care Virology Center
out of Davenport to provide HIV testing at WHS, this has changed since last May,
they have a new rapid HIV test, they are here two times a month (every other
Thursday from 9 to 5), people can just walk in, the test is free, it’s a gum
swab and they get the results within 20 minutes, clients receive education, pre
and post counseling on reducing risks, they are the only ones who provide the
rapid test in this area, WHS provide the space and registration for these
individuals but they don’t track the results because that is confidential, to
date they have not seen a lot of positive HIV results, and that’s an informal
communication between WHS and the QC Virology Center, the cost of the test is
approximately $8 per kit which the Virology Center is paying for, the old method
was provided by the State and took up to two weeks to get the results back;
discussion on time for exposure from when you get HIV until a test will show
positive, responsibility for their health and the health of others, consulting
for pregnant girls/women, and if the test is negative they should still come
back and be retested as a follow up the next month; Syl said they do go to
schools for education on this, also to Teen Success (Lincoln Alternative School)
where they can bring the boys/men in this education also.
HILLCREST/WIC:
Nothing to report.
CLINTON SCHOOLS: Ida (pronounced
Eda) Lorenz said she wanted to discuss the Clinton Schools’ grant from the
IDPH on mentoring, it targets kids from grade kindergarten through eight, they
can be matched with caring adults who are volunteers from the community, they
are trained on 40 developmental assets which is educating kids in a nurturing
way of how to affect the external assets of a caring environment and also an
internal one by taking responsibility for your own actions, they’ve had this
program in the school district since 1991, it has been very successful, they
have a lot of caring community members that do like kids and like to spend time
with them, and they also like the opportunity to be connected through the kids
with the school, they have different kinds of programs, one on one mentoring 1
or 2 hours once a week with the same child, also have more flexibility based on
the opportunities that the volunteer can provide, a lunch buddy program, they
also have a campus pal program, it takes kids from Washington Middle School up
to Ashford University where they are connected with a group of college students
and they engage in various activities including homework, it’s very popular
with the kids, there is also a group mentoring program for grade school kids at
Lyons Middle School and Washington MS, these people meet once a week with the
children while school is in session, they got a new grant from the Dept. of
Education for extended mentoring within the school, they also would like
volunteers to spend time with the kids in the summer, which is something they
haven’t done in the past unless the parents have requested that the volunteer
stay in touch with the child over the summer by taking the child to a baseball
game or something like that, they discourage the volunteer not to transport the
children because they not insured for that, therefore they have to rely on
busing, they have 80 kids in the program and they have about 70 volunteers that
are definitely committed and most of them are returning volunteers, they partner
with New Directions who provide training for all mentors and also activities for
the middle school kids, they’d like to address teenage pregnancy but they do
have to get parental permission to bring this into the program; discussion on
“Lights On” program.
MENTAL HEALTH/BRIGEVIEW: Marcia Christiansen said
she wanted to update the BOH on the Teen Screen Program, it’s a Columbia
University program that screens adolescents risks for suicides, substance abuse
and other serious mental health issues, it’s funded by the DHS and a Mental
Health Services grant, they started the program in Sept. in three area high
schools, DeWitt Central, Clinton High, and Northeast, in Central they screened
25 teens, out of that 13 scored positive for at risk, we refer those students to
the area agencies for counseling services, we don’t know if they receive them
or not but they and their parents have been told that they are at risk for these
problems, at Clinton High they screened 11 students and of those 5 scored
positive for at risk, and at Northeast they screened 9 students and out of those
2 scored positive for at risk, Cal-Wheat Schools has expressed interest in this
screening also so they are getting approval from Columbia University to provide
it to them as well; discussion on other schools getting it and informing school
of results, new hours for Bridgeview 8 to 7 on Mon-Thurs and 8 to 3 on Fri.
EMPOWERMENT/DECAT: Nothing to report.
NEW DIRECTIONS: Leslie said today is the “Great American Smoke
Out” so if you know someone who’s a smoker and trying to quit we’re
encouraging you to support them, unfortunately we had
a change to the tobacco dollars that we get from the State, it no longer allows
us to do on going station service with clients in the community, what that means
is that we can no longer buy people nicotine replacement therapy (NRTs) which we
used to be able to do, we used to be able to do on going counseling with them,
what we are allowed to do is what’s called “quick clinics” and we have
done seven of them over the last week with a variety of different groups, this
time around we’re focusing on people who are already in treatment, so we’re
focused a lot on our own clients, we realize we’ve been doing a lot with the
community and not a lot internally and we have about 95% of our clients that are
in treatment due to tobacco products, so today we have 37 of our clients who
have decided to go tobacco free and will be receiving NRTs for today and then
they have the option to continue
that for six weeks and hopefully quit smoking, so if you know of a smoker who
needs help we can refer them, one of the reasons Iowa took the responsibility
away from us is that they have a quit line, it’s 1-888-UCANTRY and it’s the
Iowa Quit Fund, they can get a month of this and then if that’s not enough for
them the people on the phone line will refer them to a local service, we
partnered with Bridgeview to do these services there one on one, along with that
we also have the “Great American Eat Out”, this year we have 22 restaurants
in Clinton and Jackson Counties who are typically smoking restaurants that have
gone smoke free for the day, we’ve had 7 restaurants go completely tobacco
free over the 6 years we have been doing this because of the results we’ve
gotten from the Eat Out, it’s a two way system, it’s a support to the people
who are trying to quit and it’s a trigger for them if somebody at the table
next to them is smoking so this gives them the opportunity to go some place
where they don’t have to worry about that, and the other is the restaurants
can see that they don’t lose business on the day they don’t let people
smoke, she said that Gen Gerdes did go to the National Tobacco Conference in
Minnesota, she thanks you for helping her with that and she’ll be at the next
meeting with a report for you on that.
COMMUNITY ACTION OF EASTERN IOWA/ CHORE:
Karen Lueders explained
the CHORE Program
for seniors, we serve approximately 25 people and the numbers vary from year to
year, it depends on who needs the services, helps assist seniors to pay for help
on their outside chores such as lawn mowing (all clients used this service),
shoveling snow (86% used this service), raking (64% used this service), window
washing, putting storm windows up and taking them down (23% used these services)
and trimming trees and bushes (9% used these services), they track the services
used by doing a survey, 100% of the surveys said that these services help them
to take care of other bills and maintain their quality of life, they sign up for
this at our office possibly when they come in for energy assistance, we also get
referrals from other local agencies, and they use our
food pantry (BOH members were surprised to hear that they had a pantry),
the clients get to pick who they want to do these services for them.
NEW BUSINESS: Charleen
mentioned how nice the Community Health Assessment for DeWitt, Iowa was, a group
of girls at the University of Iowa did it using the information Vicki provides
on the Health Department web site, they all got an “A” for it! And they came
in this week to find out about radon in the County for their next report, they
thought this was a good subject to get into. Jean
asked if anyone else had gotten a letter from Paul Deaton; Charleen said she had
and she brought hers to discuss this also, Paul is the Chair for the Johnson Co.
BOH, he sent a letter also to the Governor about the health effects of global
warming and the negative impact of existing and proposed coal fired power plants
are having on public health in our communities, he states examples of new plants
being planned in Waterloo and Marshalltown, but she knows that the wonderful
golden globe that was put up at ADM is full of coal, and that is just for their
power plant that’s being put up, he talks about the mercury contamination from
this, the asthma and respiratory disease among children and the elderly, she
thinks Clinton County is pretty high on the asthma in children already and this
is probably going to increase it, with this letter he sent to the Governor we
know he is now aware of it so he really should be monitoring it; Jean mentioned
that people want to do something with ethanol too but people don’t know that
they are using coal to do it, she doesn’t think people really get the drift of
that, and Paul doesn’t even mention ADM; a long discussion on the amount of
coal cars on trains and barges coming through Clinton
.
OLD BUSINESS: Nothing to report.
BOARD OF SUPERVISORS: Grant
said he appreciates all the information on volunteering and helping others in
the county, he thinks there should be a “help your neighbor” program, the
elderly really can use the help to stay in their homes, discussed schools and
smoking, grants for the county come through the BOS and he likes to know
whatever programs we start what the outcomes are and whether we should continue
them, he sees more and more of the elderly being let down, they have a fixed
income, their families move and they don’t have that connection anymore, he
thinks they should be made aware of the programs we have for them; Jean
mentioned now that the baby boomers are getting older and reaching retirement
age their children have all moved away so if their spouse dies they are more or
less on their own.
OTHER: There was no other business to discuss so the next meeting
date was set for January 10, 2008, at the Administration Building,
Supervisor’s Room “B” at 7:30 a.m.
Dr. Osaro moved to adjourn the meeting; Dr. Speer seconded the motion;
all members voted in favor; motion carried.
Meeting ended at 9:00 a.m. |
|
Minutes-September
20, 2007 |
|
MINUTES
BOARD OF HEALTH MEETING
SEPTEMBER
20, 2007
CLINTON COUNTY
ADMINISTRATION BUILDING
BOARD
OF SUPERVISOR’S ROOM “B”
CLINTON,
IOWA
Members Present:
Charleen Smith, Jean Morgan, Dr. York, Dr. Osaro
Members
Absent:
Dr. Speer (sick)
Others Present: Bob
Summers, Darlene Fox, Michele Cullen, Chance Kness, Janeen Meyer,
Pat Retzl
Board of Health Chairperson, Charleen
Smith, called the meeting to order at 7:35 a.m.
Approval of minutes for July 26, 2007, meeting; Dr. York moved to accept
the minutes; Jean seconded the
motion; all members present were in favor; motion carried.
FINANCE COMMITTEE:
Nothing to report
PERSONNEL COMMITTEE: Nothing to
report.
TOTAL QUALITY MANAGEMENT: Nothing to report.
ENVIRONMENTAL SERVICES: Nothing to report.
GENESIS VNA & HOSPICE: Michele
discussed the increase in blood testing, it’s almost doubled since last year,
she thinks it’s because in 2008 anyone who enters kindergarten will have to
have a blood test; Charleen asked if there had been any increase because of the
toys coming in from China having lead in them; Michele said they’ve had a lot
of calls, there are several web sites people can go to for information on this
and sites from Mattel and other toy companies, they are giving information to
parents at WIC and Well Child clinics if they are asked about it, cited incident
of two children in one family who both had high levels, then when they were
retested after three months the family had moved but one child’s level went
back down slowly but the other one’s went up a little bit, when the family got
the results they called wondering if it was related to the toys, after giving
them information they think it probably was due to the toys, then she also asked
Charleen to sign the lead grant for them.
WOMEN’S
HEALTH SERVICES: Nothing
to report but Charleen did say she saw an article in the paper of what they are
offering just recently.
HILLCREST/WIC:
Nothing to report.
CLINTON SCHOOLS: Brief discussion
with Darlene on immunization records and auditing them each year and IRIS
access.
MENTAL HEALTH/BRIGEVIEW: Janeen Meyer, therapist at
Bridgeview, came to speak for Marcia who couldn’t be here, she handed out
pamphlet on the adolescent co-occuring treatment program and explained that the
program is for adolescents aged 12-18 (18 as long as they are still in school)
which will start in November, it’s Monday and Thursday nights from 4:00 to
6:00 for thirteen weeks, they have a series of workbooks, videos
and activities that they’ll do with them in hopes that they can manage
their mental health and/or substance abuse, they are presenting this to the
Judges, JCOs, school counselors, etc., people who can spread the word for us,
they are taking referrals now and are ready to go; Jean asked if they had a big
enough room because there are a lot of people out there who would benefit from
this; Janeen said they rented some extra space so they could do this; Darlene
asked how long it would take to get an assessment if there was an incident at
the schools and students are suspended for seven days, if they can get that
evaluation that suspension is reduced; Janeen said they can do that on a regular
basis, because if the two of us are out of the office the two women who do the
adult therapy can come and do it, just call our office and let us know what you
need and they’ll take care of it; Michele asked if they have parenting
classes; Janeen said they do and she thinks the next one is in the middle of
November, she said she’d send her flyer for that; Dr. Osaro asked if two days
a week was enough; and there was a discussion on adolescents, they thought if
there were too many a week they probably wouldn’t show up so that’s what
they’re going to start with.
EMPOWERMENT/DECAT: Nothing to report.
COMMUNITY ACTION OF EASTERN IOWA: Nothing
to report.
NEW DIRECTIONS: Charleen said the Board needed to vote on giving
them $250 for the Tobacco conference in Minnesota, she thinks this would be a
good thing for the county, she spoke to Jeannine in the auditor’s office and
we do have funds in the educational part of our budget; Jean moved that the
Board send the $250 to New Directions for Jennifer to go to this conference; Dr.
York seconded the motion; all members present voted in favor; motion carried;
Jean said she’d also like to mention that she is on the Board of New
Directions, she’s in the process of trying to get one or beds in the hospital
for people that need detox, and she thinks that a letter from the BOH saying
that they endorse it or support it would help; Charleen asked if she wanted it
sent to Mercy (Donna Oliver); then there was a long discussion on the need for
it vs. the people who will really use the service, how this would really help,
etc.; then Charleen introduced the new Emergency Management person, Chance
Kness, and welcomed him to the meeting.
NEW BUSINESS: Charleen
mentioned that she got a very interesting and informative magazine called Healthy
Communities from IDPH that she thinks all the members would be interested
in, the letter she received with it tells how she can get more copies for each
member (as she passed her copy around for them to look at quickly), then she
asked Vicki to look into getting copies for all the members and one for Michele
at Genesis VNA too.
OLD BUSINESS: Nothing to report.
BOARD OF SUPERVISORS: Nothing
to report.
OTHER: There was no other business to discuss so the next meeting
date was set for November 15, 2007, at the Administration Building,
Supervisor’s Room “B” at 7:30 a.m.
Dr. Osaro moved to adjourn the meeting; Dr. York seconded the motion; all
members present voted in favor; motion carried.
Meeting ended at 8:10 a.m. |
|
Minutes-July
26, 2007
|
MINUTES
BOARD OF HEALTH MEETING
July
26, 2007
CLINTON COUNTY
ADMINISTRATION BUILDING
BOARD
OF SUPERVISOR’S ROOM “B”
CLINTON,
IOWA
Members Present:
Charleen Smith, Dr. Speer, Dr. York, Jean Morgan
Members
Absent:
Dr. Osaro
Others Present: Syl
Manlove, Kelly Jacobsen, Jennifer Gerdes, Diane Martens, Grant
Wilke,
Mary Lou Hinrichsen, Jeremy
Huss, Laura Healless,
Chris McClimon, Pat
Retzl
Board of Health Chairperson, Charleen,
called the meeting to order at 7:30 a.m.
Approval of minutes for May 31, 2007, meeting; Dr. York moved to
accept the minutes; Dr. Speer seconded the motion; all members present
were in favor; motion carried.
FINANCE COMMITTEE:
Nothing to report
PERSONNEL COMMITTEE: Nothing to
report.
TOTAL
QUALITY MANAGEMENT: Nothing
to report.
ENVIRONMENTAL SERVICES: Nothing to report.
GENESIS VNA & HOSPICE:
Chris McClimon explained that Michele was on vacation and she came
to get approval for the Clinton County Environmental Health Emergency
Response Plan, it needed to be approved by the BOH and be in their
minutes; Dr. Speer moved to approve this plan; Charleen seconded the
motion; all members present were in favor; motion carried.
WOMEN’S HEALTH SERVICES:
Syl Manlove introduced
herself, she is the new Administrative Assistant, she also introduced
Kelly Jacobsen, who is the health educator in the elementary, middle and
high schools; Kelly said she gives talks about sex education, she was in
Austin, Texas recently for a seminar, it was a week long and on the male
population, discussed how males are left out a lot and how to address
their way of thinking in the male vs. female relationship, things like
family planning, birth control, sexual activity, responsible safe sex,
they need to know that it is their decision too, it’s not just the
females who have to be thinking of these things; some discussion on men
going to a place called “women’s” health services, they don’t
understand that it’s services are for men too with a name like that.
HILLCREST/WIC:
Nothing to report.
CLINTON SCHOOLS: Nothing to report.
MENTAL HEALTH/BRIGEVIEW: Laura Healless said she
does teen screens at the schools, there
have been at least three teen suicides since she’s been working here so
she felt this was a needed service, she takes an assessment (hearing,
sight, health, etc.) of the teens, each student must consent to the
assessment as well as their parents, if they are found at risk they go on
to a 20 minute assessment, no diagnosis is made, just the assessment, this
is given by a therapist, there is case management to this also, parents
can choose who they want to see for the problem child and the family,
there is follow-up to this also, this program is funded by Columbia
University, they go to the Clinton Schools, Northeast and DeWitt right now
but she hopes to have it in all the schools in the county, they won’t
usually go to teens under the 8th grade.
EMPOWERMENT/DECAT: Diane said Empowerment
went to Camanche to tour the Kids First Academy and the Sunshine
Pre-School in Maquoketa, she reported that Delwood is the only school that
got the 2 county grant, and she also mentioned she has posters with her
for the pre-school scholarship program.
COMMUNITY ACTION OF EASTERN IOWA: Nothing
to report.
NEW DIRECTIONS: Jennifer Gerdes handed out a letter to each BOH
member, it was too late to send them so she read it to them, it explained
that her job was funded under the tobacco grant from IDPH so most of her
work is in tobacco prevention, education and cessation, she has an
opportunity to go to the National Tobacco Conference on Tobacco and Health
scheduled for October 24-26th this year, the cost of the
conference is $380 plus approximately $1000 for travel and lodging, she
was hoping the BOH would consider a $250 sponsorship to help fund a
portion of this conference, the purpose of the conference is to help
improve and sustain the effectiveness and reach of tobacco control
programs and activities in our area, she would learn the latest on what
works in tobacco control and how to apply it to the programs that she
does, she will also meet and network with other tobacco control advocates
from all over the country; Charleen said before they could even vote on
this she would have to check with the auditor’s office on where the BOH
budget could get this money since it wasn’t in our budget for this
fiscal year (will vote on it at the September meeting).
NEW BUSINESS: Nothing
to report.
OLD BUSINESS: Nothing to report.
BOARD OF SUPERVISORS: Grant
said that if the BOH could not come up with the funds for this Tobacco
Conference New Directions should talk to the BOS about this and see if
they can help them out, call Lynn Tibbetts, the BOS’s Administrative
Asst., and get a time to speak to them put on their agenda.
OTHER: There was no other business to discuss so the next meeting
date was set for September 20,
2007, at the Administration Building, Supervisor’s Room “B” at 7:30
a.m.
Dr. Speer moved to adjourn the meeting; Dr. York seconded the
motion; all members present were in favor; motion carried.
Meeting ended at 8:10 a.m. |
|
