HENRY COUNTY BOARD OF HEALTH MEETING Held Tuesday, January 15, 2019
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1 HENRY COUNTY BOARD OF HEALTH MEETING Held Tuesday, January 15, 2019 Board Members Present Roger Richard, President Joel Miller, President Pro-Tempore Char Weber Dr. Melinda Fritz arrived at 1:41 pm Marilyn Bremer, RN Ryan Zachrich Sharon Miller Staff Present Mark H. Adams, RS, REHS, MPH, Health Commissioner Joy Ermie, MPH, Director of Community Health Services Julie Lauf, RN, Director of Personal Health Services Jon Lindsay, RS, Director of Environmental Health Services Julie McHugh, Director of Fiscal Vi Ordaz, Office Manager Public Present Jen Lazenby, Northwest Signal Bob Hastedt, County Commissioner Call to Order, Roll Call and Introduction of Guests Roger Richard, President called the Board of Health meeting to order at 1:30 p.m. The meeting was held in the Henry County Engineering Building Conference Room. A quorum was present. Introduction of all in attendance were made due to several staff members. Approval of December 18, 2018 Health Minutes R1.19 The Board of Health reviewed the Board of Health minutes. Joel Miller moved to approve the Board of Health Minutes. Char Weber seconded the motion. The motion passed unanimously, resulting in its adoption. Approval of Bills The Board of Health reviewed January bills. Joel Miller moved the January bills totaling $347, be approved for payment. Marilyn Bremer seconded the motion. The motion passed unanimously, resulting in its adoption. 1
2 Approval of Fiscal Report The Board of Health reviewed January Finance Report. Sharon Miller moved to approve the January Finance Report with attachments. Ryan Zachrich seconded the motion. The motion passed unanimously, resulting in its adoption. Approval of 5 year contract with RTECH Communications R2.19 Mr. Adams reported with this new RTECH contract the internet and phones will be provided by the same company and will be under $5,000, savings of an average $4200 per month. Continued issues with public Wi-Fi will cease and EK is helping us to resolve. There will be a better infrastructure. Ms. McHugh added, RTECH will be coming out instantly and working on issues immediately. Char Weber moved to approve the 5 year contract with RTECH Communications. Joel Miller seconded the motion. The motion passed unanimously, resulting in its adoption. Approval of MOU with Van Crest Healthcare Center as a closed POD site R3.19 Ms. Ermie, Director of Community Health Services stated Vancrest is a closed Point of Dispensing (POD). A POD is establish a process for providing Facility staff, staff families, and Facility residents with vaccinations or other medications in the event of a public health emergency declared by the State of Ohio or federal authorities. Mr. Adams added this was done with other nursing homes in the past. Joel Miller moved to approve the MOU with Vancrest Healthcare Center as a closed POD site. Marilyn Bremer seconded the motion. The motion passed unanimously, resulting in its adoption. Approval of cost for CPR instruction services R4.19 Ms. Lauf mentioned a past BOH resolution (8.12) on providing outside CPR training from At the time, there were 3 CPR instructors. Due to attrition, two were gone leaving HD with only one. One instructor could not cover the outside requests, therefore services were ceased. A request to provide CPR (Basic Life Support) training for Community Health Services has been asked of HCHD. Our staff instructor is willing to do the training. Mr. Adams stated the fees have not gone up since 2012 and due to the increasing cost to supply the program the current fees of $45.00/person and $12.00 for booklet is proposed to be an increase to the new fee of $65.00/person and $15.00 for booklet. Sharon Miller moved to approve the new proposed CPR fees for outside services to be provided by HCHD. Ryan Zachrich seconded the motion. The motion passed unanimously, resulting in its adoption. Approval of Out of State travels R5.19 Char Weber moved to approve the following proposed out-of-state travel with authority delegated to the Health Commissioner to determine staff attendance based upon available appropriations in the training/travel line items of pertinent fund, the merit of the conference/program, the cost of attendance, and the workload of the staff involved: a. Joy Ermie and Tante Lovins, Annual Lifesavers National Conference on Highway Safety Priorities, Louisville, KY, March 31 April 2, 2019 Dr. Melinda Fritz seconded the motion. The motion passed unanimously, resulting in its adoption. 2
3 Approval of Intrafund Transfers, Cash Transfers, Budgetary Revenue Increases, Budgetary Appropriation Increases, and donations R6.19 Joel Miller moved that the Henry County Auditor be requested to make the following Intrafund Transfers: a. Intrafund Transfers: i. $37, from (Other) to (Contract) Health Department ii. $20, from (Equipment) to (Supply) Health Department iii. $9, from (Transfer) to (Insurance) Health Department iv. $36.00 from (Other) to (Insurance) Health Department v. $9, from (Other) to (Salary) Hospice vi. $1, from (Supply) to (Advertising) Hospice vii. $2, from (Rent) to (Insurance) Hospice viii. $1, from (Other) to (Advertising) Hospice ix. $ from (Other) to (PERS) - Hospice x. $ from (Other) to (Advertising) Hospice xi. $ from (Other) to (Salaries) MCH xii. $3, from (PERS) to PHEP xiii. $ from (Other) to (Travel) Home Health Aide xiv. $ from (Salary) to (Travel) Home Health Aide xv. $1, from (PERS) to (Advertising) Home Health xvi. $5, from (Salary) to (Supplies) Home Health xvii. $1, from (Salaries) to (Insurance) - Environmental Sharon Miller seconded the motion. The motion passed unanimously, resulting in adoption. b. Cash Transfer i. $13, from (Health-Transfer-Appropriation) to (Environmental-Transfer-Revenue) Char Weber moved that the Henry County Auditor be requested to make the above cash transfer. Marilyn Bremer seconded the motion. The motion passed unanimously, resulting in adoption. c. Budgetary Revenue Increases i. $2, to (Environmental-Fees) 3
4 Joel Miller moved that the Henry County Auditor be requested to make the above budgetary revenue increases. Ryan Zachrich seconded the motion. The motion passed unanimously, resulting in adoption. d. Budgetary Appropriation Increases i. $40, to (Health-Salaries) ii. $5, to (Environmental-Salaries)) iii. $2, to (Environmental-Contract) iv. $ to (Home Health Aide-PERS) Sharon Miller moved that the Henry County Auditor be requested to make the above budgetary appropriation increases. Dr. Melinda Fritz seconded the motion. The motion passed unanimously, resulting in adoption. e. Donations i. Donations totaling $3,370 for the benefit of Hospice ($655), Help Me Grow ($30), Community Health Worker ($2,500) and Health Department ($185). Char Weber moved that the Henry County Auditor be requested to make the above donations. Dr. Melinda Fritz seconded the motion. The motion passed unanimously, resulting in its adoption: Approval of Division updates R7.19 Mr. Adams, Health Commissioner opened the division updates with the following topics: i. Submission of the Service Statistics Report, stats with an accumulation for each division and for year end. Lots of information. This report has been completed annually for quite some time now, so there is lots of information available. ii. iii. Service packet includes the quarterly Pinnacle report HHH various reports from HHH: i. Quality and Bereavement report Katelyn Britenriker this year only. Also includes the revamping of the volunteer program. ii. Revamping of volunteer program - volunteer hours went from 169 to $12,000 savings iii. Survey report outside agency does all the surveys. 6 attempted and 4 completed. Not enough to gauge our services. iv. Loss of personnel, changes to come. Other agencies have same issues with nurses. a. Director of Nursing Julie Lauf. i. Ms. Lauf reported a HEP A clinic was held at CCNO for 180 inmates this was the 2 nd visit. Newly vaccinated inmates too. Mr. Adams added this was a way to look at regional prevention. This was in Williams County. What s more awesome is that we provide personnel, this is success for us, but also for the whole program of prevention. Process strengthens bond with the more people who will be vaccinated. b. Director of Community Services Joy Ermie. i. Ms. Ermie talked a little about safe communities, two coalition meetings, and 1 casualty review. She also reported on assignments and jobs the CHS team is currently working on: 4
5 1. Tante three completed wellness programs (Halloween, Thanksgiving and Christmas, currently working on super bowl Sunday exercise program, don t drink and drive program, safety day and presentations coming up with Tenneco and sheriff dept. (all 3 shifts), District schools for kids and games plus education. 3 rd grade nutrition classes in Napoleon on Friday s. 2. Sharon busy with Quality Improvement program. Staff not afraid, staff now working with it, finding money and she makes department robust. 3. Bethany social media she has placed the new video in our waiting room and has done a very professional job. 1 hour long and rolls over, no money involved, but Bethany did an awesome job with it. Accreditation reporting will be starting. 4. Joy also added that the CHS status assessment will be going out in the mail. Please fill out and return. Thanks for our new person appointed on January 18 th. Krista Payne. c. Office Administration - Vi Ordaz, Office Manager. i. Ms. Ordaz reported the front office is running short of one staff member who is out on medical. Support from other staff has helped. Approaching double clinics for Taco Bell HEP A tomorrow and next Wednesday. One day at a time. d. HH/H no report per Mark Adams e. Director of Environmental Services Jon Lindsay i. Mr. Lindsay reported there was not a whole lot to report. Food inspections are next month. If anyone needs money for their sewage system to be replaced, there is grant money available. Grants are paying up to 100% to replace sewage systems. All based on a sliding fee. Joel Miller moved to accept the division reports, Dr. Melinda Fritz seconded the motion. The motion carried unanimously. EXECUTIVE SESSION: Personnel discipline; compensation; and employment of public employee(s) Joel Miller moved to go into Executive Session at 2:26 p.m. Marilyn Bremer seconded the motion. The motion was passed by roll call vote: R.Richard (Yes), J. Miller (Yes), C. Weber (Yes), S. Miller (Yes), Dr. Melinda Fritz (Yes), R. Zachrich (Yes), and M. Bremer (Yes). Mark Adams, Health Commissioner, Vi Ordaz, Office Manager, Julie Lauf, Director of Nursing, and Joy Ermie, Director of Community Health Services also participated. There being no further business to discuss in Executive Session, the Board of Health returned to regular open session at 2:49 pm. Ryan Zachrich left meeting at 2:27 pm, returned at 2:36 pm. Approval of Personnel R8.19 Mr. Adams, Health Commissioner discussed each of the items listed below with the Board of 5
6 Health. The following personnel changes were reviewed and approved: a. Resignation: Breanna York, Help Me Grow, Home visitor, effective December 30, i. Char Weber approved resignation of Breanna York with regrets. Sharon Miller seconded the motion. b. Reduction of Hours: Katelyn Rasey, HH/H, RN, effective January 17, 2019, hours will be reduced from full-time (35 hours) to part-time (less than 1,000 hours per year. i. Marilyn Bremer approved HH/H, Katelyn Rasey reduction of hours from 35 (full-time) to less than 1,000 hours per year (part-time. Joel Miller seconded the motion. c. Reduction of Hours: Julie Saputo, Public Health Nurse, effective January 15, 2019 hours will be reduced from 28.5 hours to hours. i. Sharon Miller approved PHN, Julie Saputo reduction of hours from 28.5 to per week. Dr. Melinda Fritz seconded the motion. d. Appointment: Krista Payne was hired as Data Technician 2, effective January 18, 2019, at an hourly rate of $ i. Joel Miller approved Data Technician 2, Krista Payne, at an hourly rate of $ Char Weber seconded the motion. e. Appointment: Jessica Buhrman, was hired as Help Me Grow, Home Visitor, effective February 19, 2019, at an hourly rate of $ i. Joel Miller approved HMG Home Visitor, Jessica Buhrman, at an hourly rate of $ Ryan Zachrich seconded the motion. All motions listed above were passed unanimously, resulting in their adoption. ADJOURNMENT There being no further business, Joel Miller called for a motion to adjourn at 2:53 p.m. Ryan Zachrich moved for adjournment. The motion passed unanimously. Next meeting is scheduled for Tuesday, February 19, 2019, at 2:00 pm, at Henry County Health Department, 1843 Oakwood Avenue, Napoleon, OH. Roger Richard, President Mark Adams, Health Commissioner 6
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