Health Committee

January 10, 2007 - 7:30 am

DRAFT MINUTES

 

Members:                   Sean Clark, Chairman; Sandy Price, Vice Chairman; Mike McKee, Carol Tytler, Ron Van Dee and Tom Williams

Others Present:         Marilyn Brown, Chairman of the 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; and Richard Van Donsel, County Attorney

Absent:                       Larry Cornell

Mr. Clark called the meeting to order at 7:32 a.m.

Ms. Price made the motion to adopt the minutes of the December 6, 2006 meeting; seconded Mr. Clark.  All members present voting in favor, minutes approved as corrected. 

 

RESOLUTIONS:

Health Department

 

1.                  Authorize Agreement/Accept Funds/Administration (Cancer Services Program),

2.                  Authorize Agreement/Accept Funds/Administration (Healthy Heart Program),

4.                  Authorize Agreement/Accept Funds/Administration (Healthy Heart Program) - Ms. Tytler moved adoption of Agenda Items Nos. 1, 2 and 4 as a consent agenda; seconded by Ms. Price.  Committee members discussed fixing a typo in Agenda Item No. 1. Ms. Gailor explained that these three items involve a cost of living increase in grants implemented by the State Comptrollers Office.  All members present voting in favor; none opposed; resolutions approved.

 

3.                  Authorize Agreement/Accept Funds/ Jacobus Center for Reproductive Health (State Grant) – Mr. Van Dee moved adoption; seconded by Mr. McKee.  Ms. Gailor explained that this is an annual grant, which funds the Jacobous Center.  Chairman Brown inquired if this is the same amount as in the past.  Ms. Gailor expressed that it is.  Ms. Price inquired about the cost to the County to provide services through the Jacobous Center.  Ms. Gailor explained the cost to the County is the STD Clinic because it is state mandated but added that if a client is seen through Family Planning and becomes a client in the STD Clinic then that client is covered through the grant.  All members present voting in favor; none opposed; resolution approved.

 

5.                  Accept Funds Health Administration Special Pedestrian Traffic Grant – Mr. Van Dee moved adoption; seconded by Mr. McKee.  Ms. Gailor explained that this would cover the cost of the Sheriff’s Department overtime on Tompkins Street.  Ms. Tytler inquired about what the primary target was for this grant.  Ms. Gailor explained that it included $1500 for education; including messaging and door-to-door projects.  Additionally, Mr. McKee inquired about the area being targeted.  Ms. Gailor explained that the Tompkins Street and McLean Road intersection was the primary target.  Mr. Van Dee expressed that this is a good thing considering the number of fatalities in that area in the past.  All members present voting in favor; none opposed; resolution approved.

 

6.                  Authorize Agreement – Deviation From Standard Contractual Terms For Certain Insurers’ Agreement With Hospice – Ms. Price moved adoption; seconded by Mr. Van Dee.  Mr. Van Donsel expressed that on a number of occasions he has objected to language in some of the contracts initiated by the Health Department.  He added that the is concerned about this resolution because it is open ended and there is no limit to the renewal period.  He expressed that even with an automatic renewal there should be a termination date to prevent any binding of a future Legislature.  Committee members discussed the origin of this resolution.  Ms. Gailor and Mr. Van Donsel expressed that it did not originate from either of their offices.  Ms. Price suggested that the resolution be tabled to the next meeting in order to be able to gain more information regarding this.  Ms. Gailor did express that she is aware of two insurance companies that are waiting for payment.  Ms. Price made a motion to table this resolution until the February Health Committee meeting; seconded by Ms. Tyler.  All members present voting in favor; none opposed; resolution table until the February Health Committee meeting.

 

6A.      Amend Budget, Health Department/Jacobous Center (Grant Rollover from 2006 Budget to 2007 Budget) – Ms. Tytler moved adoption; seconded by Ms. Price.  Ms. Gailor expressed that payment was authorized for these at the last meeting and the money needs to be rolled over into the 2007 Budget.  Ms. Tytler inquired about making purchases without having a pre-approved Purchase Order.  Ms. Gailor expressed that for a certain period of time purchase orders could not be written.  Ms. Tytler inquired about the County policy regarding purchase orders.  Mr. Schrader expressed that a purchase order was not required prior to an order being placed.  Ms. Tytler inquired further about the module requiring an approved purchase order prior to an order being placed.  Mr. Schrader expressed that the module has not been installed by MUNIS yet and further expressed that the problem is that MUNIS does not have enough staff at this time to support the software.  He added that they are tied up with end of the year software and training issues until the end of January.  Chairman Brown expressed her disappointment.  Mr. Williams expressed that MUNIS is only half the issue.  He added that a plan needs to be in place on the human side her in the County to ensure that the Departments have the purchase orders prior to the orders being placed.  Mr. Schrader expressed that once the system has been installed the procedures can be set up and implemented.  Ms. Tytler expressed her disappointment with the purchase order system.  Ms. Tytler further requested that plan to implement this policy be followed up in the Committee meeting on a regular basis.  Committee members discussed the history of the purchase order policy and problems that relate to it.  Mr. Van Dee requested that this issue be placed on the Budget & Finance Committee agenda as a discussion item.  All members present voting in favor; none opposed; resolution approved.

 

Mental Health Department

 

7.                  Authorize Agreements (DocuTrac, Inc) – Ms. Tytler moved adoption; seconded by Mr. McKee.  Mr. Clark inquired about this already being in the budget.  Mr. Kilmer stated that

 

All members present voting in favor; none opposed; resolution approved.

DISCUSSIONS/PRESENTATIONS:

 

1.         Tobacco Enforcement Policy – Mr. Van Dee inquired about the progress being made regarding the enforcement of the no smoking in restaurants and bars.  Ms. Gailor expressed that they are doing checks monthly and when complaints are received.  Mr. Van Dee expressed that he would like it done more than once a month.  Ms. Gailor expressed that it becomes a staffing issue.  Mr. Van Dee expressed that the Legislature is here to help.  Ms. Gailor expressed that she would look into it and would report back to the Committee.  Ms. Brown inquired about the amount of the fines.  Ms. Gailor explained that she is certain of the exact amount but the ones that she sees are approximately $300 to $350.  She expressed that the coasts related to the hearings are quite steep.  She further expressed that she has seen the hearing officers reduce the fine even if the person admits to it. 

 

2.         Board of Health – Ms. Gailor expressed that Dr. Nancy Sternfeld is retiring from the Board of Health she has recommended that Dr. Sandra Holland replace her on the board.  She explained further that this position needed to be filled by a physician and Dr. Holland meets that requirement. 

 

3.         Pre K Wait List – Ms. Gailor expressed that there is a child in the Cincinnatus School District that is in need of service four times a week for 30-minute sessions.  She explained that services through Family Enrichment were refused by the School District and the School District has requested services through Francisca Rackers Center of which does not have an opening currently.  Committee members further discussed that this individual also works for McGraw and Homer Schools Districts and has done this same thing in the past.  The Committee requested that Chairman Brown address this issue and Chairman Brown agreed to do so.  Committee members discussed that a child is in need of services and the services are available through Family Enrichment Center but the child is not receiving the services because of an individual’s preference to the Rackers Center.  The further added that the child is being hurt by not receiving the services needed in the whole process. 

 

4.         Health Department, 2006 Budget Report - Ms. Gailor provide each Committee members with a copy of a Health Department, 2006 Expenditure through

 

Mr. Williams made a motion to adjourn the meeting; seconded by Mr. McKee.  Mr. Clark adjourned the meeting at 8:14 a.m.