Health Committee
October 10, 2007 - 7:30 am
DRAFT MINUTES
Members: Sean Clark, Chairman; Sandy Price, Vice Chairman; Larry Cornell, Mike McKee, Carol Tytler, Ron Van Dee and Tom Williams
Others Present: Marilyn Brown, Chairman, Cortland County Legislature; Scott Schrader, County Administrator; Katrina Spicer, Secretary to County Administration; Jackie Gailor, Director of Public Health; Michael Kilmer, Director of Administrative Services, Mental Health Department; Corey Preston, Cortland Standard; and Eric Mulvihill, WXHC
Mr. Clark called the meeting to order at 7:31 a.m.
Mr. Cornell moved adoption of the minutes of the September 12, 2007 meeting; seconded by Ms. Price. All members voting in favor; none opposed; minutes approved as corrected.
SUGGESTED LEGISLATIVE REVIEW:
**The following items have been noted as items for suggested Legislative Review by the Chairman of the Health Committee. These items are also noted with ** and in bold print.
· Amend Budget Transfer Funds Health Department, Children with Special Needs Division
·
Abolish/Create Mental Health Department Secretary I/Senior Account Clerk
·
Authorize Agreement FCS Psychiatry
Recruitment Services
·
Suit-Kote
·
Departmental Budgets
RESOLUTIONS:
MENTAL HEALTH
14.
** Abolish/Create Mental Health Department Secretary I/Senior Account
Clerk – Ms. Price moved adoption; seconded by Mr. Cornell.
Mr. Kilmer explained that recently an individual in the position of
Secretary I retired and he spoke with Ms. Barber and Mr. Schrader regarding
the need for more assistance in the accounting area at the Clinic.
Ms. Price inquired if Mr. Kilmer was comfortable with this change.
Mr. Kilmer expressed that he was very much so. He further discussed the savings that will occur by making
this change. All members
present voting in favor; none opposed; resolution approved.
15.
Amend Budget Mental Health Department
(NYS Office of Mental Retardation/Developmental Disabilities)– Mr. Van
Dee moved adoption; seconded by Mr.
McKee. Mr. Kilmer explained that
this is for a COLA increase from Office of Mental Retardation/Developmental
Disabilities. All members present voting in favor; none opposed; resolution approved.
16.
** Authorize Agreement FCS
Psychiatry Recruitment Services – Mr. McKee
moved adoption; seconded by Mr. Cornell.
Mr. Kilmer explained that as of today he has not received any
recommendations from Locum Tenans. He explained that this resolution is with another company
that specifically deals with permanently placing psychiatrists.
He added that the County will only pay if the company provides the
County with a permanent full time psychiatrist and added that they are less
expensive than Locum Tenans. Mr. McKee addressed concerns he had with the contract being
non-exclusive. Mr. Kilmer
explained that even though there are agreements with two companies, the County
can still do there own thing and search for a psychiatrist on there own.
He stated that these companies would only be paid if their services
were utilized. All members
present voting in favor; none opposed; resolution approved.
HEALTH DEPARTMENT
Committee members discussed
making agenda items 1 through 13 a consent agenda.
Mr. Clark
introduced Consent Agenda, Items 1 through 13, and asked if there were any
items to be pulled for discussion.
Ms. Tytler requested that
Consent Agenda Item No. 6 be removed and acted upon separately.
The following agenda item
was removed from the Consent Agenda to be acted upon separately: Consent
Agenda Item No. 6.
Mr. Cornell moved adoption
of the Consent Agenda, with the exception of Agenda Item No. 6, which was
removed by the request of Ms. Tytler to be acted upon separately; seconded by
Ms. Tytler.
CONSENT AGENDA
1.
Authorize Agreement/Accept Funds Health Administration Special Pedestrian
Traffic Grant
2.
Authorize Agreement/Accept Funds Health Administration Traffic Safety and
Injury Prevention Program
3.
Authorize Agreements/Accept Funds Health Department/Administration/Special
Programs Breast & Cervical Cancer Early Detection Program
4.
Authorize Agreement/Accept Funds Health
Department Tobacco Enforcement Program
5.
Authorize Agreement Health Department/Diagnostic and Treatment Center
Auditor
6.
** Amend Budget Transfer Funds Health Department, Children with Special
Needs Division- Removed to be acted upon separately
7.
Authorize Agreements Health
Department (Nursing Division) MOMS Program Provider Physicians
8.
Authorize Agreement Health Department (Nursing Division) Cortland Regional
Medical Center/Childbirth Classes
9.
Authorize Agreements Health Department (Nursing Division) (Contracted
Services)
10.
Authorize Agreements Health Department (Nursing Division) (Contracted
Services)
11.
Authorize Agreements Health Department/Children with Special Needs Division
(Contracts for Services)
12.
Authorize Agreement Cortland County Health Department (Nursing Division)
Thornberry, Ltd
13.
Authorize Agreement Cortland County Health Department (Nursing Division)
FGA Software Solutions
All members voted in favor; none opposed; consent agenda adopted.
6.
** Amend
Budget Transfer Funds Health Department, Children with Special Needs Division
– Ms. Tytler moved adoption;
seconded by Ms. Price. Ms. Gailor
explained that after the full-time Speech Pathologist position was created the
County was made aware of a child in need of services that was not anticipated.
Ms. Tytler inquired if the funds are for services or transportation.
Ms. Gailor stated that the funds are for services.
Ms. Gailor further discussed children at the age of 4˝ being able to
switch from Early Intervention (EI) services to Pre- K services.
She added that these changes are not being made this year; they are
staying with EI services. Ms. Gailor further explained that there is no appropriation
of funds; funds are only being moved from Pre-K to EI. She added that the creation of the position of Speech
Pathologist has been a savings to the County.
All members present voting in favor; none opposed; resolution
approved.
DISCUSSION:
1.
** Suit-Kote – Ms. Gailor explained that Audrey Lewis has
provided a Summary Report regarding Suit-Kote Odor Concerns to the Health
Committee (See Attachment “A”). Committee
members discussed the report that Ms. Lewis provided to the Health Committee.
Ms. Price addressed her concerns that the summary report states that
there are a considerable number more complaints in 2007.
Ms. Gailor explained that several individuals have called in with
complaints more frequently than others. She
did state that since Suit-Kote announced the increase number of tanks the
calls have increased. Committee
members and Ms. Gailor discussed the summary report further.
1.
** Departmental Budgets - Mr. Schrader explained that the Budget
Requests from Individual Departments have been distributed to all Legislators.
He added that if anyone has any questions they could address them to
Ms. Gailor, Mr. Kilmer or to himself. He
did respectfully request that any questions addressed to him be done via
e-mail. He explained that there
were no substantial changes to the requests in the Mental Health Department.
He did add that Mr. Kilmer has made adjustments based on the
psychiatric needs. Mr. Schrader
also explained that Ms. Gailor has made significant changes in the area of
Nursing. He explained that there
is a decrease in the area of Nursing of seven positions.
He also explained that there is an increase in the area of EI and
Pre-K, including half EI Coordinator position.
Mr. Schrader explained that the proposal regarding the Deputy Director
of Public Health and the Director of Patient Services previously submitted has
been incorporated into the Budget this year.
Ms. Gailor explained that with St. Joseph’s here already and Cortland
Regional Medical Center trying to become a licensed CHHA the need for these
positions in Nursing is low. She
also stated that if there were a need in the future to increase the positions
the revenue would be increased also to support that.
Mr. Cornell inquired about when budgets would be reviewed by the Budget
& Finance Committee. Mr.
Schrader explained that the tentative budget will be released on October 25,
2007 and after that he will coordinated with the Chairman of the Budget &
Finance Committee to establish times for the budget review.
Mr. McKee inquired if there were any positions being eliminated that
are due to grant cuts. Ms. Gailor
stated no, there are only positions that are not filled.
Mr. Van Dee discussed similar changes done at the Highway Department a
few years back. Mr. Schrader
explained that if the position is not in the budget then the position does not
exist.
Mr. Clark adjourned the meeting at 7:54 a.m.