INGHAM COUNTY BOARD OF COMMISSIONERS
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1 CHAIRPERSON MARK GREBNER CHAIRPERSON PRO TEM CHRIS SWOPE VICE-CHAIRPERSON PRO-TEM MIKE SEVERINO HUMAN SERVICES COMMITTEE JOHN CZARNECKI, CHAIR LISA DEDDEN MICHAEL SEVERINO CURTIS HERTEL JR. VICTOR CELENTINO INGHAM COUNTY BOARD OF COMMISSIONERS P.O. Box 319. Mason, Michigan Telephone (517) Fax (517) THE HUMAN SERVICES COMMITTEE WILL MEET ON TUESDAY, SEPTEMBER 18, 2001, AT 7:20 PM IN THE FIRST FLOOR CONFERENCE ROOM OF THE INGHAM COUNTY COURTHOUSE, MASON. NOTE CHANGE IN TIME AND LOCATION Call to Order Approval of the August 20, 2001 Minutes Additions to the Agenda Limited Public Comment Agenda 1. Cooperative Extension - Resolution Proclaiming 2002 as the Year of 4-H 2. Health Department a. Resolution to Amend Resolution and Authorize the Health Department to Obtain Services from Nextel Communications b. Resolution to Authorize a Contract with the Barry-Eaton District Health Department for Medical Direction and Program Consultation 3. Board Referrals a. Mid South-Substance Abuse Commission s Financial Audit for Fiscal Year 1999/2000 b. Letter from Marquette County Health Department Regarding the City of Marquette s Smoke-Free Ordinance Announcements Public Comment Adjournment The County of Ingham will provide necessary reasonable auxiliary aids and services, such as interpreters for the hearing impaired and audio tapes of printed materials being considered at the meeting for the visually impaired, for individuals with disabilities at the meeting upon five (5) working days notice to the County of Ingham. Individuals with disabilities requiring auxiliary aids or services should contact the County of Ingham in writing or by calling the following: Ingham County Board of Commissioners, P.O. Box 319, Mason, MI Phone: (517) A quorum of the Board of Commissioners may be in attendance at this meeting.
2 HUMAN SERVICES COMMITTEE August 20, 2001 Minutes Members Present:: Members Absent: Others Present: John Czarnecki, Lisa Dedden, Mike Severino, Curtis Hertel Jr. and Victor Celentino None Harold Hailey, Mark Grebner, Bruce Bragg, John Jacobs, Bob Godbold, Dennis Jerzak and Judy Williams The meeting was called to order by Chairperson Czarnecki at 7:03 p.m. in the Personnel Conference Room of the Human Services Building, 5303 South Cedar, Lansing. Approval of the June 18 and July 23, 2001 Minutes MOVED BY COMM. CELENTINO, SUPPORTED BY COMM. HERTEL, TO APPROVE THE JUNE 18 AS SUBMITTED AND THE JULY 23 MINUTES AS CORRECTED. MOTION CARRIED UNANIMOUSLY. Additions to the Agenda 5. Budget Update - Informational Item Limited Public Comment: None MOVED BY COMM. HERTEL, SUPPORTED BY COMM. CELENTINO, TO APPROVE A CONSENT AGENDA FOR THE FOLLOWING ITEMS: 2. Health Department c. Resolution to Authorize a Child Care Agreement with Michigan State University e. Resolution to Authorize a Specialized Community Based Care Coordination Provider Agreement with Kids Care of Michigan f. Resolution to Authorize an Agreement with the Family Independence Agency to Support the JumpStart Program h. Resolution to Authorize an Amendment to the Teen Parent Program Grant Agreement with the Michigan Family Independence Agency i. Resolution to Authorize a Second Amendment to the CPBC Agreement MOTION CARRIED UNANIMOUSLY. MOVED BY COMM. HERTEL, SUPPORTED BY COMM. CELENTINO, TO APPROVE THE ITEMS ON THE CONSENT AGENDA. MOTION CARRIED UNANIMOUSLY. 1. Ingham County Emergency Planning Committee - Resolution Honoring the Emergency Planning Committee Hazmat Team
3 MOVED BY COMM. HERTEL, SUPPORTED BY COMM. CELENTINO, TO APPROVE THE RESOLUTION HONORING THE EMERGENCY PLANNING COMMITTEE HAZMAT TEAM. MOTION CARRIED UNANIMOUSLY. 2. Health Department a. Presentation, West Nile Virus Encephalitis Mr. Bragg stated the West Nile Virus is a new disease from Africa which has made its way to the east coast. The Virus is traveling south and west at a slow rate. Mr. Jerzak stated the Virus was identified in Africa in Israel and Europe have experienced epidemics of this Virus in the past. The Virus entered the United States in New York City was the hot bed of activity for this Virus. The Virus is now in Ohio, Pennsylvania and Canada. Michigan will have the Virus possibly next year. Mr. Jerzak explained that the Virus is primarily a disease of birds. Birds most affected by the Virus are Black Birds, Crows, Starlings and Blue Jays. Mosquitos carry the Virus from the birds to humans. Transmission of the Virus to humans is not possible without mosquitos. Michigan s mosquito population is very low this year due to the dry weather. Currently, the Health Department is in a surveillance and anti-panic mode. The Virus mainly affects the elderly population. People experience flu-like symptoms. Many people fight off the symptoms without realizing they had the Virus. Michigan is not a hospitable climate for the Virus because many birds leave the State during the winter months. Mr. Jerzak further explained that mosquitos can transfer the Virus to any warm-blooded animal. People experiencing stiff necks, headache and vomiting should be placed in the hospital because they could have a specific type of meningitis. Mr. Godbold displayed various types of mosquito traps. He explained how the individual traps work. Mr. Godbold also explained how the Departments picks up dead birds that are to be transported to a Federal facility for testing for the Virus. The Department tests dead mosquitos for the Virus. Three birds from Saginaw County have tested positive for the Virus. Therefore, those birds will be sent to the Federal facility for confirmation testing. Ms. Williams distributed a question and answer pamphlet to the Committee for their review. She spoke regarding prevention. If a person will be hiking or hunting, he or she should use DEET, protection, mosquito netting, etc. When a person has been diagnosed with the Virus, the Department will determine where the person has been and review the symptoms with the physician and family members. Mr. Jerzak stated a vaccine has not been developed for this Virus. Many cases of the Virus will resolve themselves. Ms. Williams stated people 50 and older are more susceptible to this Virus. In response to Mr. Hailey, Mr. Jerzak stated the Virus is under diagnosed more than misdiagnosed. Notifying hospitals would be the easiest way to spread the word of the Virus. 2
4 In response to Mr. Bragg, Chairperson Grebner stated the County has the authority to create a Mosquito Control Authority if necessary. Mr. Bragg stated the Commissioners should be prepared to respond to a case of the Virus in our County. Chairperson Czarnecki stated the Health Department should review the issue of the Mosquito Control Authority this winter so that they are prepared if the Virus does enter the County next year. b. Resolution to Amend Resolution and Authorize Contracts for the 340B Pharmacy Plan In response to Comm. Dedden, Mr. Bragg stated he did not know why Meijer, Inc. did not want to participate in this Plan. The Health Department will try to redirect people from the Meijer pharmacy to Rite Aid for the County to reap the benefits of the Plan. Clients will not save money with this Plan. The Department may need to develop an incentive to redirect people to Rite Aid. Chairperson Grebner stated more people would use the Rite Aid pharmacy if CATA would stop at their businesses. MOVED BY COMM. SEVERINO, SUPPORTED BY COMM. DEDDEN, TO APPROVE THE RESOLUTION TO AMEND RESOLUTION AND AUTHORIZE CONTRACTS FOR THE 340B PHARMACY PLAN. MOTION CARRIED UNANIMOUSLY. d. Resolution to Authorize a Hazardous Waste Facility Grant Agreement with the Michigan Department of Agriculture, Appropriate Funds and Authorize Use of Contingency Funds In response to Comm. Dedden, Mr. Bragg stated the County will receive funding from the Michigan Department of Agriculture. The MDA will provide $33,000 up front to support the purchase and site development of a hazardous waste materials building. If the MDA is willing to continue paying for the disposal costs of mercury and pesticides, the County would have an obligation to accept those materials from surrounding counties for a period of 10 years. In response to Chairperson Czarnecki, Mr. Bragg explained that appointments are made for the drop off of hazardous wastes. Staff does ask people for their addresses. In response to Comm. Severino, Mr. Bragg explained that the Solid Waste Plan was not signed by the Director of the DEQ until February 1, The revenues from the Williamston Transfer Station were not anticipated at that time. MOVED BY COMM. SEVERINO, SUPPORTED BY COMM. HERTEL, TO APPROVE THE RESOLUTION TO AUTHORIZE A HAZARDOUS WASTE FACILITY GRANT AGREEMENT WITH THE MICHIGAN DEPARTMENT OF AGRICULTURE, APPROPRIATE FUNDS AND AUTHORIZE USE OF CONTINGENCY FUNDS. MOTION CARRIED UNANIMOUSLY. g. Resolution to Authorize a Agreement with the City of Lansing 3
5 Comm. Celentino stated the June 30, 2001 date in the first BE IT FURTHER RESOLVED paragraph should be June 30, The Committee accepted this as a friendly amendment to the Resolution. MOVED BY COMM. CELENTINO, SUPPORTED BY COMM. HERTEL, TO APPROVE THE RESOLUTION TO AUTHORIZE A AGREEMENT WITH THE CITY OF LANSING AS AMENDED. MOTION CARRIED UNANIMOUSLY. j. Resolution to Replace Lost Funds and to Pay for Tire Recycling In response to Comm. Celentino, Mr. Jacobs stated the Health Department now uses a mobile cash box with a set amount of cash and a receipt book. The money has to be balanced at the end of the day. Copies are now made of all transmittals to other departments. Collections taken after hours are to be recounted by a different employee. MOVED BY COMM. DEDDEN, SUPPORTED BY COMM. SEVERINO, TO APPROVE THE RESOLUTION TO REPLACE LOST FUNDS AND TO PAY FOR TIRE RECYCLING. MOTION CARRIED UNANIMOUSLY. k. Resolution to Authorize a Agreement with the Michigan Department of Community Health for the Delivery of Public Health Services under the Comprehensive Planning, Budgeting and Contracting (CPBC) Process Mr. Bragg explained that several sources provide funds to support this contract. The State has just notified the Department that they will now contract directly with Catholic Social Services. Therefore, the dollar amount in the seventh BE IT FURTHER RESOLVED paragraph should be $104,063. The Committee accepted this as a friendly amendment to the Resolution. MOVED BY COMM. DEDDEN, SUPPORTED BY COMM. HERTEL, TO APPROVE THE RESOLUTION TO AUTHORIZE A AGREEMENT WITH THE MICHIGAN DEPARTMENT OF COMMUNITY HEALTH FOR THE DELIVERY OF PUBLIC HEALTH SERVICES UNDER THE COMPREHENSIVE PLANNING, BUDGETING AND CONTRACTING (CPBC) PROCESS AS AMENDED. MOTION CARRIED UNANIMOUSLY. 3. Informational Item - Rural Emergency Outreach Mr. Hailey stated he is not familiar with the circumstances of the dissolution of the Rural Emergency Outreach. This Committee granted the Outreach $4,500. The Outreach received the first payment of $2,200. Mr. Hailey further explained that the Outreach has provided a Statement of Deposits and Expenditures for March 8, 2001 through March 20, This information is included in the agenda packet. The County will receive a refund of $ Board Referrals a. Mid South Substance abuse Commission s Financial Audit for FY 99/00 4
6 b. Letter from the Marquette County Health Department Regarding the City of Marquette s Smoke Free Ordinance The Board Referrals were received and placed on file Budget Update - Informational This item was not discussed by the Committee. Announcements Comm. Celentino informed the Committee that the Environmental Smoke Task Force will meet on August 29 at 6:30 p.m. He invited the Commissioners to this meeting. Public Comment: None The meeting adjourned at 8:05 p.m. Respectfully submitted, Debra Neff 5
7 Agenda Item 1 RESOLUTION STAFF REVIEW DATE August 31, 2001 Agenda Item Title Resolution Proclaiming 2002 as the Year of 4-H Submitted by Michigan State University - Cooperative Extension Service Committees: Ad.Ser/Per., H.S. *, Law & Cts., Finance Summary of Proposed Action This resolution will authorize an honorary resolution for the Michigan 4-H, proclaiming 2002 as the year of the 4-H in Ingham County. Financial Implications None Other Implications Staff Recommendation: JA JN * HH This resolution should be approved.
8 Agenda Item 1 Introduced by the Human Services Committee of the: INGHAM COUNTY BOARD OF COMMISSIONERS RESOLUTION PROCLAIMING 2002 AS THE YEAR OF 4-H WHEREAS, Ingham County 4-H youth development is committed to helping our community s greatest resource, our young people, develop the skills they need to succeed; and WHEREAS, Ingham County 4-Her s number 3,262 4-H members with 386 volunteers, local adult and older youth volunteers partnering with them to engage in meaningful learning experiences; and WHEREAS, the local involvement of Ingham County 4-H youth and volunteers is strengthened by statewide 4-H Youth Development programs which annually connect more than 260,000 Michigan youth with 33,000 volunteers; and WHEREAS, today as it has been since 4-H began, learning experiences use the knowledge and research base of our state s land grant institution Michigan State University in the Cooperative Extension Service partnership with Michigan State government and our own Ingham County Board of Commissioners; and WHEREAS, Ingham County 4-H Youth Development is part of a national 4-H movement that has created fun, educational experiences for young people in communities throughout America for 100 years. THEREFORE BE IT RESOLVED, that the Ingham County Board of Commissioners do hereby proclaim THE YEAR OF 4-H in Ingham County and urge members of this community to take advantage, during this centennial celebration year, of the opportunities to become aware of the contributions of 4-H s past, the innovative programming of its present and its continuing commitment to the future of our community s youth. Mark Grebner Victor Celentino Curtis Hertel, Jr. Randy Schafer John Czarnecki Amy Krause Michael Severino Lisa Dedden Calvin Lynch Mary R. Stid Debbie De Leon Thomas Minter Chris Swope
9 Agenda Item 2a RESOLUTION STAFF REVIEW DATE August 31, 2001 Agenda Item Title Resolution to Amend Resolution and Authorize the Health Department to Obtain Services from Nextel Communications Submitted by Health Department Committees: Ad.Ser/Per., H.S. *, Law & Cts., Finance * Summary of Proposed Action (see attached letter of explanation) This resolution will authorize an amendment to Resolution No and to allow the Health Department to utilize the agreement with Nextel Communications to provide cellular and direct connect phones and service for employees. This will replace nearly all of the array of current employee communication devices including pagers, cell phones, and calling cards. Financial Implications The estimated cost of providing 65 employees with Nextel phones is $22,000 based on a flat rate agreement of $29.99 per month per phone. The monthly service includes 100 cellular minutes and 500 direct connect minutes. The Health Department will create a pool of shared minutes within the department. This is an additional cost of $15,000 over and above the current costs of $7,000. The Health Department is proposing the recognition of an additional $15,000 in revenue from administrative service contracts with other communities to increase the telephone expense line item by $15,000 to fully fund this contract. Other Implications Purchasing has reviewed and is recommending this proposal. Staff Recommendation: JA JN * HH This resolution should be approved.
10 MEMORANDUM Agenda Item 2a To: From: Human Services Committee Finance Committee Bruce Bragg Date: September 10, 2001 Subject: Recommendation to Authorize the Health Department to Obtain Services from Nextel Communications This is a resolution to authorize an amendment to Resolution No and to allow the Health Department to utilize the agreement with Nextel Communications to provide cellular and direct connect phones and service for employees. The Health Department has approximately 65 field based employees that can benefit from the use of cellular phones. These include Sanitarians, Public Health Nurses, Disease Control staff, paraprofessional outreach workers and others. Currently, the Department provides approximately 20 employees with cellular telephones through the Verizon contract, provides approximately 50 employees with pagers and provides approximately 20 employees with telephone calling cards to conduct County business. Nearly all of the current resources would be replaced with the issuance of telephones from Nextel. The estimated cost of providing the Nextel phones is $22,000 based on a flat rate agreement of $29.99 per month per phone. The monthly service includes 100 cellular minutes and 500 direct connect minutes. It is our intent to create a pool of shared minutes within the Health Department. The cost savings associated with current use of cell phones, pagers and calling cards is estimated at $7,000. Therefore, the Board of Commissioners needs to authorize an amendment to the Health Department s 2002 budget to recognize $15,000 in additional revenue from the administrative services agreements with other communities and to add that amount to the telephone expense line item. I am recommending that the Board of Commissioners adopt the attached resolution, authorize the amendment to the agreement with Nextel and authorize the Controller to amend the Health Department s 2002 budget. This action will improve the efficiency of our workforce and make their work environment safer. Attachment cc: John Jacobs w/attachment Teri Younger w/attachment Jim Hudgins w/attachment
11 Agenda Item 2a Introduced by the Human Services and Finance Committees of the: INGHAM COUNTY BOARD OF COMMISSIONERS RESOLUTION TO AMEND RESOLUTION AND AUTHORIZE THE HEALTH DEPARTMENT TO OBTAIN SERVICES FROM NEXTEL COMMUNICATIONS WHEREAS, the Ingham County Board of Commissioners adopted Resolution No to authorize a contract with Nextel Communications; and WHEREAS, the agreement provides for several County departments to obtain cellular and direct connect phone services from Nextel at competitive rates; and WHEREAS, the Health Officer recommends that the agreement with Nextel be amended to include phones and service to Health Department employees. THEREFORE BE IT RESOLVED, that the Ingham County Board of Commissioners hereby amends Resolution No , which authorized a contract with Nextel Communications. BE IT FURTHER RESOLVED, that the amendment shall provide for the Ingham County Health Department to obtain cellular and direct connect services from Nextel Communications under the agreement with Ingham County. BE IT FURTHER RESOLVED, that the Health Department service shall represent a separate pool of shared cellular and direct connect minutes. BE IT FURTHER RESOLVED, that the Controller is authorized to amend the Health Department s 2002 budget to recognize an additional $15,000 in revenue from administrative service contracts with other communities and to increase the telephone expense line item by $15,000. BE IT FURTHER RESOLVED, that all other terms and conditions set forth in Resolution No shall remain unchanged. BE IT FURTHER RESOLVED, that the Board Chairperson is authorized to sign the amendment after review by the County Attorney.
12 Agenda Item 2b RESOLUTION STAFF REVIEW DATE August 31, 2001 Agenda Item Title Resolution to Authorize a Contract with the Barry-Eaton District Health Department for Medical Direction and Program Consultation Submitted by Health Department Committees: Ad.Ser/Per., H.S. *, Law & Cts., Finance * Summary of Proposed Action (see attached letter of explanation) This resolution will authorize an extension of the current contract whereby the Ingham County Health Department provides medical direction and consultation to the Barry-Eaton District County Health Department. This is a recommendation to authorize a contract to extend that relationship through fiscal year Financial Implications In Barry-Eaton will pay Ingham County at the annual rate of $40,000 for this service. The proposed agreement would compensate Ingham County at the rate of $41,000 in and $42,000 during This compensation represents about 20% of the cost of supporting Dr. Sienko (wages, fringes, travel, phone, professional development, liability insurance and indirect costs). Other Implications This contract has been in effect since Staff Recommendation: JA JN * HH This resolution should be approved.
13 Agenda Item 2b MEMORANDUM To: From: Human Services Committee Finance Committee Bruce Bragg Date: September 10, 2001 Subject: Barry-Eaton District Health Department - Contract for Medical Direction Since October, 1996, the Ingham County Health Department has provided medical direction and consultation to the Barry-Eaton District County Health Department. This is a recommendation to authorize a contract to extend that relationship through fiscal year Through this agreement, Dr. Dean Sienko dedicates approximately 20% of his time to the Barry-Eaton District Health Department, including a commitment to being on site at least 16 hours during each month. Additionally, the agreement provides that the administrative staff of the Health Department occasionally consults with the staff of the Barry-Eaton District. This relationship has worked well for both Ingham County and the Barry-Eaton District. In Barry-Eaton will pay Ingham County at the annual rate of $40,000 for this service. The proposed agreement would compensate Ingham County at the rate of $41,000 in and $42,000 during This compensation represents about 20% of the cost of supporting Dr. Sienko (wages, fringes, travel, phone, professional development, liability insurance and indirect costs). I recommend that the Board of Commissioners authorize the contract with the Barry-Eaton District Health Department. cc: Dean Sienko w/attachment John Jacobs w/attachment
14 Agenda Item 2b SCOPE OF SERVICES Ingham County & Barry-Eaton District Health Department Medical Direction & Program Consultation Ingham County shall provide to the Barry-Eaton District Health Department, during the term of the Agreement to which this Scope of Services is attached, the professional services of a qualified public health physician to serve as Medical Director and public health program consultation services from the professional staff of the Ingham County Health Department. The full-time Medical Director of the Ingham County Health Department shall serve as the Medical Director of the Barry-Eaton District Health Department on a part-time basis. The Medical Director shall dedicate approximately 20 percent of his practices to the Barry-Eaton District Health Department. The services of the Medical Director, or his Deputy, shall include 24 hours per day, seven (7) days per week, telephone consultation and direction for medical emergencies and consultations. The Medical Director shall provide overall medical direction to the programs of the Barry-Eaton District Health Department which shall include the following: 1. Establishing written medical protocols and standing orders and consultation with department staff on the medical aspects of programs. 2. Providing direction to the communicable disease control program of the Barry-Eaton District Health Department including consultation and direction of health department staff responsible for disease control, consultation with clients involved in disease control situations, and consultation with community medical practitioners involved with diagnosis and/or treatment of communicable diseases. The Medical Director may utilize specialized professional staff from the Ingham County Health Department to assist in the implementation of this Scope of Services. He may facilitate communication between Barry-Eaton District Health Department staff and such Ingham County professional staff as appropriate. He may also provide Barry-Eaton District health Department board of Health with identified problems, needs, and help establish priorities in public health programs.
15 Introduced by the Human Services and Finance Committees of the: Agenda Item 2b INGHAM COUNTY BOARD OF COMMISSIONERS RESOLUTION TO AUTHORIZE A CONTRACT WITH THE BARRY-EATON DISTRICT HEALTH DEPARTMENT FOR MEDICAL DIRECTION AND PROGRAM CONSULTATION WHEREAS, the Barry-Eaton District Health Department has purchased medical direction and program consultation from Ingham County since October, 1996; and WHEREAS, the arrangement has worked well for Barry-Eaton District and for Ingham County, with Barry-Eaton District compensating Ingham County for approximately 20% of the cost of supporting the Medical Director of the Ingham County Health Department; and WHEREAS, the Medical Director and the Health Officer recommend that the Board of Commissioners authorize the extension of the relationship with Barry-Eaton District Health Department. THEREFORE BE IT RESOLVED, that the Ingham County Board of Commissioners authorizes a contract with the Barry-Eaton District Health Department to provide medical direction and program consultation services for the period October 1, 2001 through September 30, BE IT FURTHER RESOLVED, that the Barry-Eaton District Health Department shall compensate Ingham County at the rate of $40,000 per year for and $41,000 for and $42,000 for BE IT FURTHER RESOLVED, that the Board Chairperson is authorized to sign the agreement after review by the County Attorney.
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INGHAM COUNTY BOARD OF COMMISSIONERS P.O. Box 319. Mason, Michigan Telephone (517) Fax (517)
CHAIRPERSON MARK GREBNER VICE-CHAIRPERSON ANDY SCHOR. VICE-CHAIRPERSON PRO-TEM RANDY SCHAFER HUMAN SERVICES COMMITTEE CURTIS HERTEL, JR., CHAIR TINA WEATHERWAX-GRANT VICTOR CELENTINO LISA DEDDEN DIANNE
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