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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
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MINUTES
- AUGUST 21, 2008 |
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CLINTON COUNTY
ADMINISTRATION BUILDING
BOARD
OF SUPERVISOR’S ROOM “B”
CLINTON,
IOWA
Members Present:
Charleen Smith, Dr. Speer, Dr. York, Jean Morgan, Dr. Osaro
Others
Present: Kristin
Huisenga, Grant Wilke, Mary
Lou Hinrichsen, Michele Cullen,
Chance Kness, Marcia Christiansen, Jeremy Husse
Board of Health Chairperson, Charleen
Smith, called the meeting to order at 7:40 a.m.
Approval of minutes for June 26, 2008, meeting; Dr. Speer moved to
accept the minutes; Dr. York seconded the motion; all members were in
favor; motion carried.
FINANCE COMMITTEE:
Charleen said she wanted to table Bob’s request for a decision on
what they should do for vehicles and mileage increases in this new fiscal
year, she really would like to have him here to answer questions the BOH
might have on this matter, then she discussed the various ways, purchase a
new vehicle, a used vehicle, leasing, a monthly allowance not to exceed
the most cost effective option, or mileage reimbursement at current rate
of $.505 per mile; Dr. Speer said he thought Bob had presented his case
well and wouldn’t mind voting on it; Dr. York discussed the
possibilities of all and said he thought buying a program vehicle would be
the best option based on the possibilities Bob offered; Charleen still
didn’t feel comfortable and wanted the BOS opinion on this; Grant said
the BOS trusted the BOH would make the most reasonable option; much more
discussion; Charleen moved to table this matter until they could talk with
Bob and maybe have another special BOH meeting to vote on it if he needs
this done soon; Dr. York seconded the motion; all members were in favor;
motion carried.
PERSONNEL COMMITTEE: Nothing to report.
TOTAL QUALITY MANAGEMENT: Nothing to report.
ENVIRONMENTAL SERVICES: Vehicles
were discussed during finance committee, there were no comments on
monthly, quarterly, and end of year reports provided.
GENESIS VNA & HOSPICE:
Michele discussed the healthy lifestyles grant, it’s a Well Mark
Grant and the Clinton Schools is letting them use their grant writer, now
it’s just a matter of waiting to see what the letter of intent brings,
right now they’re starting to gear up for flu clinics, by next meeting
they should have the schedule ready so they can make the BOH aware of
those times then, Chris McClimon has been doing a lot of emergency
immunizations for children to start school; Kristin Huisenga from Clinton
Substance Abuse Council discussed “Clean Out Your Medicine Cabinet” ,
handed out brochures and inserts, they are having a day (September 11,
2008) encouraging residents to get rid of all their unused/outdated
medications in their medicine cabinets, from a substance abuse perspective
they know that kids or adults may abuse these drugs, 15% of Clinton’s 11th
graders said they use prescription medication that is not prescribed for
them (the State of Iowa is 7%), prescription drugs are more widely abused
than any other drug except for marijuana, also seniors may get confused
with all the medications, some are out of date, they all look kind of the
same, so we want to get rid of all these medications, we encourage them
not to flush it because that is not very environmentally sound; discussion
on ways to do this, crush
them or dissolve in water then mix in with dog food, coffee grounds, or
something solid, also discussed seniors knowing what meds to take vs. ones
that are expired, and security issues of medicines in cabinets when you
are selling your house, lock them up with your jewelry; Kristin said the
residents of Clinton County can get rid of their old medicine
prescriptions or over-the-counter (non-prescription) medicines at no
charge by bringing them to us at either Awesome Car Wash, 2215
Manufacturing Drive, Clinton, or the 4-H Auditorium at the Fairgrounds in
DeWitt, on September 11, 2008, from 7:00 am to 1:00 pm, mostly what people
need to do is know what medications they are taking and why they are
taking this medication, make sure all the doctors you go to know all
the medications you are taking, keep those medications secure in your home
and make sure loved ones know what medications you are taking, and when
they are expired get rid of them and make sure you destroy the
label.
WOMEN’S HEALTH SERVICES:
Nothing to report.
HILLCREST/WIC: Nothing
to report.
CLINTON SCHOOLS:
Nothing to report.
MENTAL HEALTH/BRIGEVIEW:
Marcia Christiansen listed new Social Workers, Rosemary Jordan
will be seeing adults and adolescents, Shelly Hilton Cullen will be
working with the DeWitt Schools, and Mike Mills will be seeing students at
Clinton Middle Schools and the Cal-Wheat and Delwood Districts, Bridgeview
will be offering the Teen Screen Program again this year at Clinton High,
DeWitt, Northeast, and
Cal-Wheat, they identify students at risk.
EMPOWERMENT/DECAT:
Charleen
announced that Diane was gone now but they do have a person to take her
place, her name is Jenny Kreiter, she’s worked with her on the Board of
Empowerment and thinks she will be an asset to them.
COMMUNITY ACTION OF EASTERN IOWA/ CHORE:
Nothing to report.
NEW DIRECTIONS: Nothing to report.
EMERGENCY MANAGEMENT: Chance
said the disaster restoration period has been closed as of August 13th
but people can still apply for individual assistance for disaster damage
assistance until September 29th, they are encouraged to do that
sooner than later, they are working toward changing the direction of the
CCEPAP meetings to focus on different things each time they meet and issue
a calendar in advance to let them know so the individual will be able to
go to the ones that they would be most interested in, hopefully to keep
people interested and so that they know things are getting accomplished,
the Region 6 Homeland Security & Region 6 Public Health Board have
purchased 14 trailers for the County to use as emergency shelters, the
Public Health Planner for the region is in the process of assembling the
gear for that: 50 cots (they requested 50 special needs but aren’t sure
if they’ll all be for special needs), gear, blankets, clean up kits,
etc., the trailer will have a generator, not sure where it will be housed
(possibly DeWitt or Clinton), hopefully under some sort of shelter.
NEW BUSINESS: Nothing
to report.
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 October 16, 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 were in favor; motion carried.
Meeting ended at 8:10 a.m. |
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Minutes -
March 6, 2008 |
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CLINTON COUNTY
ADMINISTRATION BUILDING
BOARD
OF SUPERVISOR’S ROOM “B”
CLINTON,
IOWA
Members Present:
Dr. Osaro, Charleen Smith, Dr. York, Jean Morgan
Members Absent:
Dr. Speer
Others Present: Diane
Martens, Michele Cullen, Karen Lueders, Grant
Wilke,
Bob Summers, Mary Lou Hinrichsen, Darlene
Fox, Jeremy
Husse
Board of Health Chairperson, Charleen
Smith, called the meeting to order at 7:35 a.m.
Approval of minutes for January 10, 2008, meeting; Charleen pointed
out that on page 2 under Genesis VNA the last line says that Dr. York
seconded the motion and he wasn’t at that meeting, it was Dr. Speer;
Jean moved to accept the minutes with the correction; Charleen seconded
the motion; all members present were in favor; motion carried.
FINANCE COMMITTEE:
Charleen said the BOH budget for FY’09 had been approved by the
BOS, nothing else to report.
PERSONNEL
COMMITTEE: Nothing to report.
TOTAL
QUALITY MANAGEMENT: Nothing to report.
ENVIRONMENTAL SERVICES: Bob said he had nothing to report.
GENESIS VNA & HOSPICE:
Michele discussed her trip to Ireland; Charleen asked her how they
were doing with no smoking over there; Michele said they were doing quite
well, at first some of the businesses lost customers but now it’s okay,
she reported Chris McClimon is doing the middle school immunization plan,
Chris wrote a grant for this, a lot because of the meningitis; some
discussion on the meningitis in Dubuque and the need for high school kids
to have that (meningitis) immunization,
if you get 85% of the people immunized then you won’t have an
epidemic; Dar also discussed immunizations at the VNA and in the
hospitals, they are also working on “Go the Distance Day” in the
schools on childhood obesity for Lighten Up Iowa.
WOMEN’S HEALTH SERVICES:
Nothing to report.
HILLCREST/WIC:
Nothing to report.
CLINTON SCHOOLS:
Dar said AEA is doing hearing screenings in the schools;
Charleen asked if there is a hearing loss increase because of the ear buds
kids are using now; Dar said she’d have to ask AEA that; there was a
discussion on how loud kids have those in their ears.
MENTAL HEALTH/BRIGEVIEW:
Nothing to report.
EMPOWERMENT/DECAT:
Diane
said they are working on transportation to and from pre-school for the
kids, and at the capacity of the pre-schools, right now Delwood School is
the only school in the County that has pre-school so they are looking at
expanding that to others; then there was a discussion on mandatory lead
testing.
COMMUNITY ACTION OF EASTERN IOWA/ CHORE:
Karen thanked the VNA for
allocating $2500 more to them for this fiscal year to help with the CHORE
program, they can really use it with this long winter.
NEW DIRECTIONS: Nothing to report.
EMERGENCY MANAGEMENT: Nothing
to report.
NEW BUSINESS: Jean
wanted to discuss the importance of the elderly especially who come into
the ER and have no idea what medications they are taking, they need to
have some kind of card to have these all listed and in a billfold or purse
to give the Emergency person whoever it is, she showed some of the
different kinds for people to pick up at places like Medical Associates or
the drug store counters, even if they just put all the meds they have in a
paper bag and bring that it would help; a long discussion by all present
on the importance of getting this done so people aren’t given meds in
the ER that can potentially kill a person, also the way older people can
be taking old meds or two of the same kind of medicine (one is the generic
of another, etc.), and then there is the mail-order medicines; discussed
the Community Action Against Drugs Task Force meetings on under age
drinking, there will be one on March 27th at Godfather’s
Pizza, 1841 Lincolnway, Clinton at noon on the abuse of over the counter
drugs, the ones on under age drinking are on March 24th at the
Curtis Memorial Library, 116 S. Main St., Wheatland, at 6:30pm, March 31st
in the Clinton Community College Graphic Arts Bldg., Room 10, 1951
Manufacturing Drive, Clinton, at 6:30pm, and the last on April 1st
at Immanuel Lutheran Church, 1519 S. Washington Blvd., Camanche, at 630pm.
OLD BUSINESS: Nothing to report.
BOARD OF SUPERVISORS: Grant
discussed more on the medical cards, said the county budget for snow
removal this year was over $200,000 but so far they’ve used $400,000,
the rural roads right now are hard to get to and it’s going to get worse
when it all starts melting.
OTHER: There was no other business to discuss so the next meeting
date was set for May 8, 2008, at the Administration Building,
Supervisor’s Room “B” at 7:30 a.m.
Dr. Osaro moved to adjourn the meeting; Jean seconded the motion;
all members present were in favor; motion carried.
Meeting ended at 8:25 a.m.
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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.
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