MEIGS COUNTY HEALTH DEPARTMENT

Transcription

1 112 E. Memorial Drive, Suite A Pomeroy, Ohio (740) Fax (740) MEIGS COUNTY HEALTH DEPARTMENT Board of Health Meeting Minutes September 13, 2016 Board of Health (BOH) President Roger Gaul called the convention to order at 5:08 PM. In attendance: Gaul; BOH Vice President Gene Jeffers; BOH Medical Member James Witherell, MD, who entered at 5:25 PM; BOH Member Edna Weber; Health Commissioner Marc Barr; Administrator Courtney Midkiff; Director of Nursing Leanne Cunningham; Medical Director Doug Hunter, MD, who entered at 5:23PM. Absent was BOH Member Jim Clifford, Jr. Guest was Meigs County Commissioner Tim Ihle. Discussion with County Commissioner: Ihle reported that the Board of Meigs County Commissioners decided not to place the Tuberculosis (TB) Clinic.5 mill five-year levy on the November 2016 ballot. This is a result of educational and preventative services being offered for years with monies generated by a levy for treatment of patients with active TB with no healthcare overage. The existing levy ended 12/31/15 with funding collected through 12/31/16. The TB Board and County Commissioners have told the TB staff to expect layoffs as the TB Clinic will close on 12/31/16. Meanwhile, the County Commissioners are responsible via Ohio law to establish a three member board to oversee monies collected to assist TB patients with treatment of the disease should they not have healthcare coverage or fiscal resources to cover expenses. The County Commissioners will dissolve the existing TB Board, which consists of 13 members and delegated authority to the County Commissioners to make decisions about the future of the existing clinic. On behalf of the Commissioners, Ihle asked the BOH Membership to consider assuming the duty of overseeing the remaining tax levy funds (approximately $150,000) to be used for treatment only. The County Commissioners also need to have a communicable disease plan including TB. The Commissioners are interested in including TB in the Meigs County Health Department s (MCHD) plan. There was extensive discussion about the future provision of TB services for the County. Midkiff expressed the need to employ another nurse if the agency assumes responsibility for additional services. The MCHD can bill for TB testing. A plan and budget will have to be developed to present to the Commissioners for consideration. Gaul said that, in his opinion, no decision should be made until after the MCHD s replacement levy on Nov. 8 th. Ihle, who was asked to provide the MCDH with a copy of the current TB Clinic budget, exited the meeting at 6PM. Discussion continued, but no action was taken. Dr. Hunter exited the meeting at 6:24PM. New Business:

2 Midkiff asked for a motion to approve the 8/9/16 BOH Meeting Minutes as mailed for Member review. Gaul made a motion to approve the document as mailed; Jeffers seconded the motion. All were in favor of the motion. Midkiff requested a motion to approve the corrected July fiscal report and the August fiscal report as presented. The available total cash balance for August equaled $262, The Health District was able to retain a $90,000 budgeted carry over. Witherell made a motion to approve the fiscal reports as presented; Gaul seconded the motion. Motion carried unanimously. Midkiff asked for a motion to approve the payment of the August 2016 expenditure spreadsheet as presented. Gaul made a motion to approve the payment of the bills as presented; Jeffers seconded the motion. Weber abstained because there was an expense payable to Quality Print Shop, which is co-owned by her husband. Motion carried. Midkiff beseeched a motion to approve the August 2016 daily deposit records as submitted to the County Auditor/Treasurer. Gaul made a motion to approve the daily deposit records as presented; Witherell seconded the motion. Motion carried unanimously. Midkiff asked for a motion to approve the August 2016 financial transactions (Advances, Transfers, Corrections, and Appropriations) as presented. Jeffers made a motion to approve the financial transactions as presented; Gaul seconded the motion. Motion carried unanimously. Midkiff solicited a motion to approve the August 2016 donations as presented in the amount of $121. Witherell made a motion to approve the donations as presented; Gaul seconded the motion. All were in favor of the motion. Midkiff requested a motion to approve the part-time Health Commissioner contract as presented. Midkiff relayed that the County Prosecutor recommended that it be noted in the contract that Marc Barr is considered a part-time employee; therefore, he is not entitled to health insurance. Gaul made a motion to approve the contract as presented; Witherell seconded the motion. Motion carried unanimously. Midkiff beseeched a motion to approve retroactively the full-time employment of Donielle Carsey, RN as the WIC Director/Certifying effective 8/269/16 at $18 per hour. Jeffers made a motion to approve retroactively Carsey s employment. Witherell seconded the motion. All were in favor of the motion. Midkiff solicited a motion to approve retroactively a.50 per hour pay increase for full-time Sanitarian In Training Dawn Keller to $14.00 per hour effective 8/30/16. Keller successfully completed her six month probationary period. Weber made a motion to approve retroactively Keller s pay increase; Gaul seconded the motion. Motion carried unanimously. Midkiff asked for a motion to approve retroactively a contract by and between the MCHD and the Ohio Department of Health (ODH) in the amount of $15,000 for a Community Health Improvement Plan. (Note: Midkiff signed the contract on 9/6/15 and the ODH Director signed it on 9/15/16). It is effective through 8/30/17. Gaul made a motion to approve retroactively the contract as presented; Witherell seconded the motion. All were in favor of the motion. Midkiff beseeched a motion to approve a Charitable Product Donation Agreement with Kaleo for 100 doses of EVZIO (injectable Narcan). Gaul made a motion to approve the agreement as presented; Witherell seconded the motion. Motion carried unanimously.

3 At 6:35PM, Jeffers made a motion to enter into Executive Session to discuss employee compensation issues. The following roll call vote was taken to approve the motion: Gaul yes; Jeffers yes; Clifford yes; Weber yes; Witherell yes. In attendance were the four BOH Members, Midkiff, Barr and Cunningham. At 6:47 PM, Gaul made a motion to resume in Regular Session that was seconded by Witherell. All were in favor of the motion. Other New Business: The MCHD applied for $95,000 on Aug. 29 th from the ODH for the FY 2017 Creating Healthy Communities (CHC) Program. The MCHD has contacted locally owned and operated Meme s Custom Embroidery to purchase promotional shirts and a light fleece jacket for all staff members and BOH Members. Remaining Medical Reserve Corp. (MRC) funds will be utilized and the clothing will feature the public health logo as well as the MRC logo. The regional Public Health Emergency Preparedness (PHEP) Coordinators will erect the BluMed mobile hospital on Oct. 25 th as an annual exercise. The trailer which contains the equipment requires repairs. It was transported to Montgomery Trailer Sales in Langsville for service. The repairs will cost $350. PHEP funds will be utilized. The MCHD will administer flu shots on Tuesdays from 9-11AM and 1-3PM beginning Sept. 27th. Other weekdays require appointments. On Tues, November 1 st, there will be an extended clinic offered at the MCHD from 9-11AM and 1-6PM. Meanwhile, clinics will be held in Meigs County communities to administer flu shots as follows: October 1st Home National Bank (HNB) Racine Branch 8AM-noon; HNB Syracuse Branch 9AM-noon; October 29th Rutland Department Store 9AM-noon; Reed s Country Store 9AM-noon; November 3rd Meigs County Courthouse 9AM- 2PM; November 4th Ohio Valley Bank/Save-A-Lot 9AM-2PM; November 5th Farmers Bank Pomeroy Branch 9AM-noon; Farmers Bank Tuppers Plains Branch 8:30AM-noon. Interested BOH members can receive their flu shots before the Nov. 8 th meeting. The MCHD received a $15,000 subsidy from ODH for IT or accreditation needs. The Management Team, Administrative Assistant Michelle Willard and Emergency Response Coordinator Frank Gorscak recently met to discuss needs on which the monies can be best expended. The ODH is providing the MCHD with free doses of several vaccines for uninsured County adults aged 19 or older. To date, Varivax (chicken pox) and Zostavax (shingles) have been received. Midkiff presented the Meigs Multipurpose Health Center Tobacco Free Campus Policy, which was approved by the Board of County Commissioners. This is the building in which the MCHD offices are located. Laura Cleland, the CHC Coordinator, assisted the Commissioners. She will help with the implementation, which will include education of staff of the four entities that occupy the building as well as clientele. The County Commissioners have purchased signage. Old Business:

4 Midkiff reminded the Membership about the new federal legislation concerning the new annual salary threshold required for employees to qualify for executive, administrative and professional exemptions under the Fair Labor Standards Act effective 12/1/16. There was brief discussion about making all Health Department staff members nonexempt. No action was taken, but Midkiff said a decision will have to be made and voted on during either the October or November meetings. Cunningham discussed the school-based head lice screenings, which will begin on Sept. 15 th at Southern. The MCHD will bill students Medicaid or commercial insurance for the service. MOUs have been signed with all three educational districts. Miscellaneous Business: Members were reminded that the MCHD will be closed on Sept. 14 th for its annual staff training day. Training will occur at the Farmers Bank (Pomeroy Branch). The next BOH Meeting will take place on 10/11/16 at 5:00 PM in the conference room of the Meigs County Health Department. With no further business to discuss, Gaul made a motion to adjourn the convention at 7:00 PM. Marc Barr, MS Health Commissioner (Administrator Courtney C. Midkiff, BSC transcribed the 09/13/16 meeting minutes on 09/23/16.)

5