Loading...
2017-02-21 MINUTES ATTENDANCE: JEFFERSON COUNTY HEALTH BOARD MINUTES February 21, 2017 Board: Sherrel Rhys via telephone, Kathy Rux, Sandy Sacry, Jennifer Dodge, and Bob Mullen. Staff: Megan Bullock,Joan VanDuynhoven, Pam Hanna, Karen Wandel, Kim Franchi, and Molly Carey. Others: No others present. I. CALL TO ORDER:6:35 pm II.AGENDA: New Business item"Jan Williams—Lead Program and MOU"was removed due to Jan not being able to attend. The agenda was approved as amended. III. MINUTES: Kathy made a motion to accept the minutes as presented from the December 14, 2016 regular meeting. Sherrel seconded. All in favor,motion carded. IV. SUBCOMMITTEE REPORTS: None at this time. V.STAFF REPORTS: a. Environmental Health Department Report: Megan submitted reports for December and January. She issued four septic permits compared to seven one year ago. In the first half of the fiscal year, she has issued forty-eight septic permits compared to fifty-eight one year ago. She inspected three septic systems compared to five one year ago. She conducted one site evaluation for subdivisions. So far this year,she has hauled fifty-seven junk vehicles and issued one violation. She has submitted three subdivisions to the State,with three being approved by the State. She reported two animal bites;one being a dog requiring quarantine and the other a pig. She was called to two truck wrecks in January. She is part of the survey review committee that meets each week on Thursday. She continues to work with the Clancy Water and Sewer District. She met with Montana Tech professors in December regarding the water study. She will be working with staff and graduate students who will conduct water tests. She worked with them February 21S1 and received some initial results that show a concentration of high levels of nitrates. She will be meeting with the Commissioners on February 28th to discuss the results from the testing and develop a plan for financing future actions. b. Public Health Department Report: Karen submitted reports for statewide communicable disease case counts for 2016. Jefferson County had eight campylobacter cases, ten chronic hepatitis C cases, three influenza hospitalizations, and two pertussis cases. She also reported outbreaks and significant events that occurred during 2016 pointing out the large number of gastrointestinal outbreaks. An increase in one school's absences due to similar symptoms including vomiting and diarrhea prompted a site visit. Adjusted cleaning and exclusion procedures were recommended, laminated hall passes were being used (bathroom, lunchroom, etc)without proper decontamination, so that practice was suspended. Pam, Karen and Joan were involved in the control measures. No labs results confirmed the bug causing the outbreak. Lewis and Clark was having some norovirus activity, Karen confirmed from Lewis and Clark Public Health, and Dr. Dodge agreed Helena area had seen some. Karen shared the 2016 STD numbers, not much of an increase in chlamydia from the previous year; there was also an increase in gonorrhea but that number is stabilizing compared to the recent past when it has doubled for several years. Karen shared a spreadsheet that shows the vaccine usage for 2016 sorted by age, vaccines given and source of vaccine.There were 944 vaccines administered to 707 clients, the majority of those flu shots.The office had a nursing student for February; Jenn Johnson chose to develop a survey to determine the need and/or interest in a countywide ACES training. A Beaverhead County social worker is willing to conduct the training. Karen was invited to join the Boulder Building Active Communities Initiative which wants to build a biking/walking trail and sidewalks to encourage incorporating physical activity in daily life. The PH staff have been reviewing and learning about the department's PHEP plans at staff meetings, allowing the PH staff an opportunity to get familiar with the plans and voice concerns or suggestions. The PH Emergency Operations Plan will be shared with the board members to review at the next meeting. Vaccine Fees collected for FY2017 is approximately $13,800 year-to-date, FY2016 (12 mo)was $8,286 and FY2015 (12 mo) was $10,392. c. Health Officer Report: Joan submitted reports for September through February. She attended health board meetings in September,October and February. She attended the ACES Summit September 29th and 30th. In October,she wrote an article for support of the mill levy,conducted a car seat clinic in Whitehall, addressed a complaint on an abandoned house, and attended a Foster Care Review Committee. She conducted two car seat education meetings:one in November and one in December. She has worked on ACEs and Elevate MT throughout October and November by presenting at the Mental Health LAC meeting, meeting with Barb Reiter, Karen and Pam for discussion, meeting with Rebecca Hargis,and presenting at the Care Coalition in Boulder. She responded to a tobacco complaint. In January,she met with Melanie Reynolds and Kathy Moore to discuss lead assessment in Jefferson County. Lewis and Clark County has two personnel that would assist if needed.Jan Williams will meet with the health board to present an MOU for helping with referrals when requested.Lastly,Joan was able to attend an in-service training for Informed Trauma Care in connection with ACEs. d. Public Health School Nurse Report: Pam submitted a report for her recent activities. She only has four students in the county schools on conditional attendances for missing immunizations. She will continue to evaluate records at Youth Dynamics and will coordinate clinics as needed.Hearing screenings have been completed for the county.Vision screenings have been completed in Basin, Cardwell and Jefferson High School.To date,eighteen referrals have been sent out with three students receiving Lion's Club vouchers for additional exams and glasses. Dental screenings have been scheduled: Clancy is February 23rd, Cardwell is March 14th and Basin is March 17th. Kindergarten screenings have also been scheduled:Whitehall is March 24th, Montana City is April 14th and Clancy is April 28th. Pam was able to instruct students on the importance of covering your cough and handwashing. She taught K-6 graders in Basin, Boulder and Clancy. She taught K-8 graders in Cardwell. She will facilitate EpiPen education for the Whitehall Schools on February 27th and March 6th to qualify for EpiPens for Schools Program. Students with chronic or specific conditions continue to be monitored. Pam reported that hearing referls have v alsp avrenot g been followed requirements with. Karen will inquire with BC Hearing. Lastly, Pam proposed be updated.The current requirements of two screenings relate to a Snellen chart,not an electronic screener which has similar results after two screenings. VI.OLD BUSINESS: a. Budget and Claims: Molly distributed the purchase claims that had been submitted for September, October, November, December, and January. Jennifer and Sandy submitted claims for mileage. Jennifer made a motion to approve the budget as presented. Kathy seconded. All in favor, motion carried. Molly reported to the board that she had received an invoice for membership to the National Association of Local Boards of Health.The board instructed her to disregard the notice as the Health Department already has memberships in AMPHO and NACCHO. Karen met with the Commissioners in January and will review and approve the budget and claims.Jennifer made a motion to accept the budget as presented. Kathy seconded the motion.All in favor, motion carried. b. Correspondence: None at this time. c. County Car: Karen reported to the board that she has started to gather information from staff members on options available and preferred with the new department vehicle. She has conferred with Keith at the County Shop and Bob Mullen and they will help research options. VII. NEW BUSINESS: a. Board Member Position Vacancy: There is currently one vacant seat on the board.Whitehall has one representative, Boulder has one representative and the north end of the county has two representatives.As directed by the board, Molly will place an ad in The Boulder Monitor and The Whitehall Ledger for the vacancy. The seat will be advertised for a representative for the Boulder/ Whitehall area. Interested individuals will be directed to contact the Commissioners' Office for further details. b. Medical Director Contract: Dr. John Pullman,the current Medical Director,contacted Molly by email at the beginning of January requesting a fixed fee of$500 payable once a quarter for assuming responsibility as the Medical Director for the Jefferson County Health Department. Included in that fee would be vaccine related services and protocols. He requested information pertaining to vaccines administered and any adverse reactions that may occur. The hourly rate of $125 would apply to any non-vaccine related services. Kathy made a motion to amend the current contract to include a quarterly fixed fee of$500 beginning 1st Quarter 2017. Jennifer seconded the motion.All in favor, motion carried. Molly will forward the request to County Attorney Steve Haddon to amend the contract as agreed and will notify Dr. Pullman of the board's decision. c. Jan Williams—Lead Program and MOU: Taken off the agenda until Jan is able to attend. d. Department Goals: Karen explained to the board that she is currently reviewing and revising policies and procedures. Pam and Kim reported that they may be unfamiliar with these, but they are working towards understanding them. Because she's not in the office every day, Pam is not proficient with protocols for epidemiology.As for the procedures in the office that weren't being completed, Karen will continue to work towards training the staff. Sherrel would like to see the department continue to be a public presence and educate residents about public health, suicide prevention,ACE's, and communicable disease surveillance. She also would like to see the department keep researching a larger facility. VIII. PUBLIC COMMENT: None at this time. IX. NEXT MEETING: A regular meeting has been scheduled for April 18, 2017 at 6:30 pm in the Health Department waiting room. Sandy moved to adjourn the meeting at 8:23 pm. Kathy seconded. All in favor, motion carried. X. MEETING EVALUATION a. Meeting started on time:Yes b. Meeting ended on time: Yes c. Addressed all items on the agenda: Yes d. Discussed issues and came to decisions:Yes e. Gave everyone opportunity to express themselves:Yes Minutes approve, by Jefferson County Health Board. Sherrel Rhys, Health Board Chair Date