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The Vermilion County Board of Health meets monthly, except for the month of December. Minutes are taken at each meeting, and willl be posted on this site following their approval by the full board; meaning the minutes for each month's meeting will be posted follwoing the next mnoth's meeting and board approval.
>>>>>May 4, 2010 Special Board of Health Meeting Minutes<<<<<<<<<<<<<<<<
Present: Jason Asaad, Kay Banta, Judi Benjamin, Dr. Jane Cooney, Ivadale Foster, Brenda Larson, Jim Meharry, Dr. Todd Miller and Connie Ostrander. Absent: Dr. Karen Broaders - she asked to be excused. The meeting was called to order by President Kay Banta at 7:30 PM.
A motion was made to approve the agenda as presented; motion: Judi Benjamin; second: Jim Meharry; motion carried unanimously.
Amy Marchant, the Director of the local CRIS Senior Services Center, was in attendance to request that the Board of Health consider rescinding the termination of our Community Care Unit (CCU) program from 5/21/10 to 6/30/10. The additional time would enable for CRIS to obtain training for the program and would keep the program local with a chance that they would hire some of our staff. If the Board of Health does not rescind the contract and extend the termination until 6/30/10, Cumberland Associates out of Cumberland County would likely get the contract.
Fiscal Status:
Mr. Laker reported on the extension of the Line of Credit with the County. The County Board decided to extend the loan of $300,000 plus interest to July 13, 2010.
Old Business:
Mr. Laker called the special meeting to report that Illinois Department on Aging (IDOA) has requested that we extend the termination of the Community Care Unit until 06/30/10. They told him that 30 days was not enough time to close out the program and get another agency in place to take over services. Without the additional 30 days, Cumberland County would probably get the contract. It is the desire of IDOA to transfer the files and services to another local agency – CRIS Senior Services Center. In order to aid us in the decision to rescind the termination, IDOA paid us $80,000 which pays us up through March. Mr. Laker informed the Board that 2 years ago, we received what IDOA called a Capacity grant. With that money, we remodeled the CCU area. It is not certain whether we will have to transfer the items purchased with that money on to the agency that decides to take the grant. Mr. Laker explained that rescinding the grant from 5/21/10 termination to 6/30/10 termination would mean retaining 5 of the originally terminated employees for 5/21/10.
Ivadale Foster arrived at 8:00 PM.
Jim McMahon, the County Board Chairman, was in support of CRIS taking the IDOA grant for CCU. However, he reminded the Board of Health that the Health Department already owes the County $300,000 plus interest. He can not commit to the County loaning us anymore money to support the rescinding of the grant and employing the 5 employees for an additional 5 weeks. However, he believes that the local will is for the contract to be retained locally.
Amy Marchant stated that Vermilion County has the third highest Senior Citizen population in the State. CRIS Board has “stepped up to the plate” to maintain and care for our Seniors. The CCU program is an essential program within our community. The CCU program pre-screens seniors for nursing home admissions. Any senior who is going to be on Medicaid within 60 days must have a pre-screen. Mr. Laker informed the Board that it would cost approximately an additional $17,000 for the Health Department to retain the 5 employees within the CCU program until June 30, 2010.
Mr. Laker recommended to the Board that they vote to rescind the termination of the CCU grant as of May 21, 2010. He recommended that they extend the services until June 30, 2010. A motion was made to rescind the initial termination of the CCU grant as of May 21, 2010 and extend the services until June 30, 2010; motion: Dr. Todd Miller;
second: Jason Asaad; motion carried with 7 yes, 1 no by Jim Meharry and 1 abstain by Ivadale Foster. The voting was as follows: Judi Benjamin Yes; Brenda Larson Yes; Connie Ostrander Yes; Ivadale Foster Pass; Jim Meharry No; Jason Asaad Yes; Dr. Jane Cooney Yes; Kay Banta Yes. Amy Marchant thanked the Board.
New Business: None.
Items of Information :
Mr. Laker reported that we had an Environmental Health site review. The person auditing the sewage charts gave us an incomplete review. He said that three charts were missing information. We did not agree. The information he was seeking was on the outside of the folders and, thus, he had excluded the information. We appealed the review and the report was reversed.
A motion was made to adjourn the meeting; motion: J im Meharry; second: Dr. Todd Miller;
motion carried unanimously.
Respectfully submitted,
Donna J. Dunham
Recording Secretary
Ivadale Foster
Secretary, Board of Health
>>>>>April 21, 2010 Board of Health Meeting Minutes:<<<<<<<<<<<<<<<
Present: Jason Asaad, Kay Banta, Dr. Karen Broaders, Dr. Jane Cooney, Ivadale Foster, Brenda Larson, Jim Meharry and Connie Ostrander. Absent: Judi Benjamin and Dr. Todd Miller; both asked to be excused. The meeting was called to order by President Kay Banta at 7:05 PM.
A motion was made to approve the agenda as presented. Motion: Connie Ostrander; second: Jason Asaad; motion carried unanimously.
A motion was made to approve the regular minutes of the March 16, 2010 meeting. motion: Ivadale Foster; second: Jim Meharry; motion carried unanimously.
Fiscal Status: We finally had a Budget and Expenditure report for year-end. With year-end payables that were paid in December, January, February and March the report shows that we were in a deficit position of $81,296.13. Our expenditures were down due to the lack of cash flow.
The Budget and Expenditure report for December through March was presented. Expenditures are still low for this fiscal year due to the lag in payments from the State.
A motion was made to approve the Budget and Expenditure reports and cash balances reports for November 2009 and March 2010. motion: Jim Meharry; second: Jason Asaad; motion carried unanimously.
Old Business: None
New Business: A motion was made to enter into an Executive Session: Pursuant to the Illinois Open Meeting Act, Illinois Compiled Statutes 5ILCS 120/2(c)(1), “the appointment, employment, compensation, discipline, performance evaluation or dismissal of specific employees of the public body……” ; motion: Ivadale Foster; second: Dr. Jane Cooney; motion carried as follows:
Jason Asaad Yes; Jim Meharry Yes; Brenda Larson Yes; Connie Ostrander Yes; Ivadale Foster Yes; Dr. Jane Cooney Yes; Kay Banta Yes ; Dr. Karen Broaders Yes
The Board of Health entered into Executive Session at 7:15pm
A motion was made to re-enter the regular meeting at 8:00PM.; motion:Jason Asaad;
second:Jim Meharry; motion carried as follows: Jason Asaad Yes; Jim Meharry Yes ; Brenda Larson Yes; Dr. Karen Broaders Yes; Connie Ostrander Yes; Ivadale Foster Yes; Dr. Jane Cooney Yes ; Kay Banta Yes
Mr. Laker presented the Bylaws for approval. Article IV, Item #2 was removed because it is in direct violation to the Illinois Open Meeting Act. With the removal of this item, we will no longer be allowed to conduct interim business polls. All polls must be presented and acted upon at a Board of Health meeting. A motion was made to accept the Bylaws as amended; motion: Connie Ostrander
second: Jim Meharry; motion carried unanimously.
The Vermilion County Health Department Administrative Policy was distributed for review by the Board of Health. The Board is to review the policy and bring back questions at the May meeting. Action upon the Administrative policy was tabled until the May meeting.
Mr. Laker presented to the Board a Loan Extension agreement with the County Board for repayment of the $300,000 loan plus interest. The County Board extended the repayment until 7/14/10. A motion was made to authorize Mr. Laker to sign the Loan Extension agreement with the County Board for repayment of the $300,000 loan plus interest. motion: Jason Asaad; second: Brenda Larson;
motion carried unanimously.
In direct response to the resolution passed by the County Board on 4/20/10 directing the Vermilion County Health Department to bring back to the County Board scenarios for retaining WIC, FP and staff necessary to remain a Certified Local Health Department, Mr. Laker recommended to the Board of Health that they vote to eliminate Health Works Illinois, Healthy Child Care Illinois, Family Case Management and Community Care Unit. He recommended that these positions be eliminated at the end of the day on 5/21/10. This would give him time to notify the granting agencies that we would no longer be servicing clients after 5/21/10. This action would eliminate 20 positions, 19 of which are filled. This action would save us approximately $67,000 in payroll expense from 5/22/10 – 6/30/10. Mr. Laker would be notifying the grants that we would not be reapplying for the funds. A motion was made to eliminate the following grants as of the end of day on 05/21/10 – Health Works Illinois, Healthy Child Care Illinois, Family Case Management and Community Care Unit. motion:Jim Meharry; second: Dr. Karen Broaders; motion carried with 6 ayes and 1 nay by Dr. Jane Cooney; President Kay Banta called for individual votes: Jason Asaad Yes; Jim Meharry Yes; Brenda Larson Yes; Dr. Karen Broaders Yes; Connie Ostrander Yes; Ivadale Foster Yes; Dr. Jane Cooney No;Kay Banta Yes
Mr. Laker informed the Board of Health that he plans to retire 6/30/10. He will have been employed by the Vermilion County Health Department 39 years as of 5/1/10. He has been the Public Health Administrator for 34.5 years. Option 1: Shirley Hicks replace him as Public Health Administrator; Shirley has the credentials and is qualified to move up to the position of PHA Option 2: Jenny Trimmell replace him as Acting Public Health Administrator. Jenny is 17 months short of the required administrative time to fulfill the requirements; Shirley Hicks, since she is credentialed, could supervise Jenny. Option 3:Jenny Trimmell replace him as Acting Public Health Administrator. Since Jenny is 17 months short of the required administrative time to fulfill the requirements and if Shirley Hicks did not choose to supervise her, an outside supervisor would have to be hired on a contractual basis. Option 4: Seek outside applications. He informed the Board that according to the Health Department Pay Scale, the Administrator position would be classified as a P-24 and the starting rate of pay would be $75.600.
Items of Information:
Mr. Laker informed the Board that as of 4/12/10 Doug Toole has been hired as Director of Environmental Health to replace Kolby Riggle effective 6/14/10. We will be doing some juggling of staff to accommodate the vacancies and the terminations.
Mr. Laker informed the Board that we have contacted the landlord of our Hoopeston office about terminating our lease. In December, we entered into another 3 year lease. He is willing to let us out of our lease with a 30 day notice.Jim Meharry asked about the lease with the County. Mr. Laker told him that there was no lease. In fact, about 4 years ago, we voluntarily increased the rent from $60,000 to $70,000 a year. Jim Meharry wanted to know if we could occupy a smaller building with the decrease in staff. We definitely do not need this large of a building for the remaining services. Mr. Laker said that we could look into it.
Connie Ostrander asked Mr. Laker to request the State’s Attorney obtain a ruling on the residential policy. This would give the Board of Health the ability to make a better informed position regarding the replacement of Mr. Laker as Public Health Administrator.
A motion was made to adjourn the meeting; motion:Jim Meharry; second: Dr. Jane Cooney; motion carried unanimously.
Respectfully submitted,
Donna J. Dunham
Recording Secretary
Ivadale Foster
Secretary, Board of Health
>>>>>March 16, 2010 Board of Health Meeting Minutes:
Present: Jason Asaad, Kay Banta, Judi Benjamin, Dr. Jane Cooney, Ivadale Foster, Brenda Larson, Jim Meharry and Dr. Todd Miller. Absent:Dr. Karen Broaders and Connie Ostrander; both asked to be excused.
The meeting was called to order by President Kay Banta at 7:16 PM.
A motion was made to approve the agenda as presented; motion: Judi Benjamin; second: Dr. Jane Cooney; motion carried unanimously.
A motion was made to approve the regular minutes of the January 19, 2010 meeting; motion: Judi Benjamin; second: Ivadale Foster; motion carried unanimously.
Fiscal Status
We have money in the bank but the County Board has instructed the Auditor to hold $270,000 for three payrolls. Therefore, we are only getting our bills paid if we have excess of the $270,000 in the bank. Our internet has been shut off every two weeks since the beginning of the year. It costs $8.00 to turn it back on. We also have other late fees due to lack of payment. These additional costs were not in the budget but we have to bear the burden.
We still owe the County $300,000. The decision will be made by the County Board at the April meeting whether they will call the loan or not.
A motion was made to approve the Budget and Expenditure reports for October 2009 and the cash balance report; motion:Judi Benjamin; second: Ivadale Foster; motion carried unanimously.
Old Business:None.
New Business:
A motion was made to authorize Mr. Laker to sign the VFC/AFIX grant from IDPH for $35,000. This grant designates us as the county monitor for the Vaccines for Children program; motion: Judi Benjamin; second: Jim Meharry; motion carried unanimously.
Mr. Laker presented Line of Credit Agreement to the Board for his signature. This document outlines the understanding of the loan agreement between both parties.A motion was made to approve the signing of the Line of Credit Agreement with the County Board; motion: Judi Benjamin
Second: Ivadale Foster
Motion carried unanimously.
Mr. Laker informed the Board that the County has passed a Residency requirement. It states that any employee seeking a different position within the County must become a Vermilion County resident within 6 months of accepting the new position. Therefore, if any of our Out of County employees want to accept another County position, they will have to comply with the residency requirement. We are not posting our job openings with the residency requirement as directed by the County because we do not think this is legal or enforceable.
Mr. Laker informed the Board that we are not allowed to conduct interim business polls due to the new Freedom of Information Act (FOIA) effective January 1, 2010. FOIA is critically important as well as burdensome.
Written FOIA requests must be responded to within 5 business days. We have the ability to negotiate an extension of 5 business days. If the request is a commercial request, we have 21 days to respond. We can not charge for the first 50 pages of any request. Starting with the 51st page we can charge 15 cents per page.
Mr. Laker distributed the revised VCHD Administrative policy. The Board was instructed to read it and the policy would be voted on at the April Board meeting. The changes include allowing the Public Health Administrator to sign grants as they are received since we can no longer conduct interim business polls.
Mr. Laker presented the By-Laws for annual review. The Board was instructed to read them and vote on them at the April BOH meeting.
Mr. Laker discussed the retirement of Kolby Riggle, our Environmental Health Director. He will be retiring June 2010 after 34 years of employment. Mr. Laker will post the position internally only. If we hire internally, we will backfill the vacated position. Mr. Laker informed the Board that 4 people within the agency are qualified for the position.
Mr. Laker then presented a revised job description for the Director of Environmental Health.
A motion was made to accept the revised job description for the Director of Environmental Health.
Motion: Judi Benjamin
Second: Dr. Todd Miller
Motion carried unanimously.
Mr. Laker presented a revised job description for the Public Health Administrator.
A motion was made to accept the revised job description for the Director of Environmental Health.
Motion: Ivadale Foster
Second: Judi Benjamin
Motion carried unanimously.
Mr. Laker informed the Board that we have received a State grant for West Nile Virus prevention. The grant is for $9,306 this year. It was for $14,697 for FY 2010.
A motion was made to authorize the signing of the State West Nile Virus grant for FY2010.
Motion: Jim Meharry
Second; Jason Asaad
Motion carried unanimously.
Mr. Laker discussed his retirement. He originally planned on retiring May 1, 2010 but with the current fiscal problems has delayed it. He does plan on retiring at least by November 30, 2010. His plan for succession will depend on the County Board’s decision so he delayed his plan for succession until a later meeting.
Mr. Laker presented a draft of the Quarantine and Isolation policy. This is a standard policy that was drafted according to the requirements of the regulation.
A motion was made to accept the Quarantine and Isolation policy.
Motion: Jim Meharry
Second: Judi Benjamin
Motion carried unanimously.
Items of Information
Mr. Laker reported that the 12 positions have been vacated as of January 31, 2010. These positions are the result of terminating the Healthy Families Illinois Program the Targeted Intensive Prenatal Program and the All Our Kids program.
A motion was made to adjourn the meeting.
Motion: Dr. Todd Miller
Second: Jason Asaad
Motion carried unanimously.
Respectfully submitted,
Donna J. Dunham
Recording Secretary
Ivadale Foster
Secretary, Board of Health
>>>>>>>>>>>>>>>>>NO February, 2010 Meeting<<<<<<<<<<<<<<<<<<<<
>>>>>>January 19, 2010 Board of Health Meeting minutes:
Present: Kay Banta, Connie Ostrander, Judi Benjamin, Jim Meharry, Jane Cooney and Ivadale Foster
Absent: Brenda Larsen, Dr. Karen Broaders, Dr. Todd Miller, Jason Asaad
The meeting was called to order by President Kay Banta at 7:20 PM.
A motion was made to approve the agenda; motion, Jane Cooney;
second, Judi Benjamin; Motion carried unanimously
Audience Comments: Board of Health members introduced themselves to audience present and audience likewise introduced themselves. Those present were County Board Chairman Jim McMahon, Scott Kair, Orick Nightlinger and Indiana State Nursing Student, Corina Masterman.
A letter from VCHD Nurse Practitioner, Vickie Ellis, was distributed.
A motion was made to approve the regular minutes of the November 17, 2009 meeting; motion, Jane Cooney; second, Judi Benjamin; motion carried unanimously
Fiscal Status:
Mr. Laker reported that there are no close of year numbers at this point due to the current fiscal situation. Also, the Auditor’s office is experiencing a staff shortage which may be causing a delay in payments. VCHD still has $33,831 for outstanding 2009 payables; $23,000 payables are to the County.
Mr. Laker also reports that our Financial Director is out of the office due to recent surgery.
Budget and Expenditure Report for October, CYF 2009 was struck from the agenda as this was approved at the November Meeting as noted in the November minutes.
Mr. Laker reports that there is no fiscal change in the situation from last month. VCHD continues to receive a little state money.
Mr. Laker provided Board Members with a correction to the memo previously issued regarding the impact projections of budget cut options. This correction memo will be sent to County Board members.
Status Report on the Line of Credit Loan:
$300,000 still owed to County due March 8, 2010
Old Business: None.
New Business: Affirmation of Interim Business Polls:
A.1. Authorization to Notify IDHS of the Termination of the HFI, AOK and TIPCM Grant Contracts. A motion was made to approve the authorization.
motion: Judi Benjamin;
second, Connie Ostrander; motion carried: 5 “yes” votes; 1 “no” vote. Board President Kay Banta then asked for a show of hands - “Yes” Votes: Judi Benjamin, Connie Ostrander, Jim Meharry, Ivadale Foster, Kay Banta; “No” Votes: Dr. Jane Cooney
B. No Executive Session required at this meeting
C. Approval of a $423,972 Budget Amendment Ordinance Due to the termination of the IDHS Grant Contracts; a motion was made to approve the Budget Amendment Ordinance; motion: Ivadale Foster; second: Jim Meharry; motion carried; there were 5 “yes” votes; 1 “no” vote; Board President Kay Banta then asked for a show of hands: “Yes” Votes: Judi Benjamin, Connie Ostrander, Jim Meharry, Ivadale Foster, Kay Banta; “No” Votes: Dr. Jane Cooney
Approval of a Revised Family Planning Fee Schedule; motion was made to approve the Revised Family Planning Fee Schedule; Mr. Laker explained that this is a mandated standardized fee schedule. This is a midyear correction/revision of the fee schedule; motion: Judi Benjamin; second: Dr. Jane Cooney; motion carried unaminously.
E. Discussion of Continuing Fiscal Crisis
Mr. Laker explained that some money is coming in. There are different stories every day regarding the State fiscal status. Locally, CRIS Senior Services has been affected; Center for Children Services (CCS) has been affected. The CCS had a “New Beginnings” program that paralleled the VCHD HFI program. Between the losses of the 2 programs over 100 families have been affected.
Items of Information
Financial Director Donna Dunham recently had surgery and plans to return to work in 4-6 weeks.
Vermilion Quick Facts were distributed by Mr. Laker. This is data specific to Vermilion County that was assimilated by State Department of Human Services field staff. It is a quick snapshot of the some of the problems Vermilion County is faced with.
Mr. Laker asked if Board Chairman McMahon had additional comments he wished to make. Chairman McMahon declined any additional comments at this time.
Mr. Laker stated that the cut of the 3 DHS programs was proactive and realistic response to the fiscal situation. This action enabled preservation of resources for at least another 4-6 weeks. Mr. Laker stated that there is some risk in taking a budget amendment to the County Board as the County Board can make an “amendment” to the original amendment which would take a simple majority to change the original amendment. He further explained that it would take a 2/3 majority to then pass the amended amendment. Mr. Laker re-stated that the risk is a possibility.
Mr. Laker said that if Option 4 is acted upon overall staff would be reduced to approximately 40 staff.
On February 9, 2010 the County Board must make a resolution to extend the $300,000 loan owed by VCHD. The call date on the loan is March 8, 2010. Mr. Laker has posed the question to Chairman McMahon and to attorney Bill Donahue regarding the legal/financial implications if the loan is not extended. Mr. Laker reported that Bill Donahue is further investigating and will get back with Mr. Laker and Chairman McMahon regarding this issue.
Chairman McMahon stated that with Option 4 some may look to eliminate all State programs. He voiced concern that the State won’t make any payments. He stated to the Board of Health that they should be concerned about that.
Board of Health President Kay Banta stated that the Board of Health has been aware and concerned for sometime.
Mr. Laker said he has to support the elimination of the 3 DHS programs in an effort to preserve resources. Further staff reductions may be forthcoming due to the State fiscal crisis. It is possible that State budgets may be cut by an additional 20-25%
In other items of information, Board President, Kay Banta, stated that Mr. Laker’s annual evaluation had been completed and “was above average as usual.”
ADJOURNMENT
A motion was made to adjourn the meeting; motion: Judi Benjamin; second:Jane Cooney; motion carried unanimously.
Respectfully submitted by Jenny Trimmell, Director of Community Health Services
(in behalf of Donna J. Dunham, Recording Secretary); Ivadale Foster,
Secretary, Board of Health
>>>>>>>>>>>>>>>>NO December, 2009 Meeting<<<<<<<<<<<<<<<<<<<<<<
>>>>>November 17, 2009 Board of Health meeting minutes:
Present: Jason Asaad, Kay Banta, Judi Benjamin, Dr. Jane Cooney, Jim Meharry and
Connie Ostrander. Absent:Dr. Karen Broaders, Ivadale Foster and Brenda Larson and
Dr. Todd Miller. (all asked to be excused from the meeting).
The meeting was called to order by President Kay Banta at 7:03 PM.
The agenda was amended to add under New Business, Item C: Election of Officers. A motion was made to approve the agenda as amended. Motion: Judi Benjamin;
second:Dr. Jane Cooney;
motion carried unanimously.
A motion was made to approve the regular minutes, as corrected, and the executive minutes of the October 20, 2009 meeting. Motion:Connie Ostrander;
Second:Judi Benjamin; motion carried unanimously.
Fiscal Status: Very little money is coming in. The State has not paid us any from the General Revenue Fund since June 30, 2009. As the Board can see from the bank balance, we are struggling. A motion was made to approve the Budget and Expenditure reports for October 2009 and the cash balance report. Motion: Dr. Jane Cooney;
Second: Judi Benjamin; motion carried unanimously.
Old Business: None.
New Business: A motion was made to approve the following interim business polls:
>>>1. Authorization to accept the Tobacco grant for $20,000
>>>2. Authorization to accept the IDPH grant of $700 to expand storage capacity for vaccine
>>>3. Authorization to accept the IDPH Immunization grant to address unmet immunization needs of adolescents and other selected populations within the community. Motion:Dr. Jane Cooney; Second: Judi Benjamin; motion carried unanimously.
President Kay Banta called for nominations from the floor for the offices of President, Vice President and Secretary. A motion was made to nominate the following officers:
President: Kay Banta
Vice-President Judi Benjamin
Secretary Ivadale Foster
Motion:Dr. Jane Cooney;
second: Judi Benjamin
President Kay Banta asked three times for nominations from the floor. Being none, the nominations were closed. The slate of officers was voted on and the motion carried unanimously.
Items of Information:
Shirley Hicks reported on the H1N1 clinics. There has been less interest than anticipated so we have ramped them down. Judi Benjamin said that the Hoopeston residents complained that they were not aware of the dates we had the clinics in Hoopeston. The clinics are going well and have been scheduled throughout December. We have had no adverse reactions from the injection or the nasal mist. Shirley Hicks reported that there have not been any confirmed cases of H1N1. A lot of flu-like symptoms have been reported. Providers have not received any shipment to date.
Shirley Hicks reported that we have a Nutritionist position available and a Targeted Intensive Case Manager position available.
A motion was made to adjourn the meeting; motion: Connie Ostrander;
second:Not required
Motion carried unanimously.
Respectfully submitted,
Donna J. Dunham
Recording Secretary
Ivadale Foster
Secretary, Board of Health
>>>>>October 20, 2009 Board of Health meeting:
Present: Kay Banta, Judi Benjamin, Dr. Jane Cooney, Ivadale Foster, Brenda Larson, James Meharry and Connie Ostrander
Absent: Jason Asaad, Dr. Karen Broaders and Dr. Todd Miller
The meeting was called to order by President Kay Banta at 7:20 PM
A motion was made to approve the agenda.Motion:Judi Benjamin; second: Dr. Jane Cooney
Motion carried unanimously.
A motion was made to approve the regular minutes of the August 18, 2009 meeting as presented. Motion; Ivadale Foster; second: Judi Benjamin;
Motion carried unanimously.
Fiscal Status: Mr. Laker, Public Health Administrator, reviewed the current fiscal status of the Vermilion County Health Department as outlined below:
>>Cash balance is approximately $180,000
>>We still owe the County $300,000 from our line of credit.
>>County Board Chairman, Jim McMahon has suggested that we pay the interest and they will carry the amount of $300,000 into the new county fiscal year. The interest will be between $5,000-$6,000 at a rate of 4%.
>>
The money for the PHER I and PHER II is approximately $47,000 and the PHER III amount of $76,000 expected mid-November will help with cash flow difficulties.
>>
We have not received any GRF funding since the start of the state fiscal year and they are currently running about 25% behind which is around $500,000-$600,000.
A motion was made to approve the Budget and Expenditure reports for September, 2009 and the cash balance report. Motion: Connie Ostrander;
second: Judi Benjamin; Motion carried unanimously.
Old Business: None.
New Business: A motion was made to approve the following interim business polls:
>>Additional $1,500 for Body Art Regulation
>>Additional $77,610 for Public Health Emergency Preparedness
>>Additional $13,263 for Flexible Senior Services
>>Authorization to extend the contract for CCU Services for approximately $200,000.
>>Authorization to accept contract for Federal Claiming for Medicaid Direct Services Costs
>>Authorization to sign $94,612 contract for PHER I & II with IDPH
>>Approval of CFY 2008-2009 Budget Amendment of $47,000 for PHER Grant Revenue from IDPH
>>Approval of MOU with ECIAAA for Senior Gap Filling Services
>>Authorization to Sign H1N1 Provider Agreement with IDPH. Motion: Ivadale Foster; second; Judi Benjamin;
Motion carried unanimously.
Executive Session: A motion was made to enter into an Executive Session A roll call vote was taken. Motion passed unanimously.
Mr. Laker explained the PHER III grant. This grant is to be used for the H1N1 implementation. The budget for the grant must be submitted by November 3, 2009. The money is to be used for the administration of the vaccine. There was discussion regarding the decision by IDPH to keep 30% of the federal award for their own use. Mr. Laker asked the Board for authorization to sign the $153,418 PHER III Grant with IDPH. Motion: Jim Meharry;
second:Dr. Jane Cooney;
Motion carried unanimously.
Mr. Laker asked for approval of a $76, 709 PHER III Grant Budget Amendment for CFY 2008-2009. He explained that most of this money will be expended on personnel but not after this CFY. This is primarily just to get it on the books. The Board will be polled in December regarding the possible amendment. Motion:Dr. Jane Cooney;
second: Judi Benjamin;
Motion carried unanimously.
Items of Information:Mr. Laker discussed how pleased he was with the staff responsiveness throughout our H1N1 response planning. He circulated the Incident Action Plan for Southview School as an example of some of the work that the planning staff has accomplished. Mr. Laker reported that the health department has received 18,000 doses of the H1N1 vaccine to date in multi-dose vials. This type of vaccine can be universally used for populations 6 months of age and up.
Shirley Hicks reported that there are there are 2 vacant staff positions. One RN position in TIPCM and one CHP position in WIC.
A motion was made to adjourn the meeting.Motion: Judi Benjamin;
second:Brenda Larson;
Motion carried unanimously.
Shirley Hicks
Recording Secretary
Ivadale Foster
Secretary, Board of Health
>>>>>August 18, 2009 Board of Health meeting:
Present: Jason Asaad, Kay Banta, Dr. Jane Cooney, Ivadale Foster, Brenda Larson, Jim Meharry and Connie Ostrander.
Absent:Judi Benjamin, Dr. Karen Broaders, Dr. Todd Miller asked to be excused from tonight’s meeting.
The meeting was called to order by President Kay Banta at 7:15 PM
The agenda was amended to change the date of the minutes from July 15 to July 21 and to change the budget and expenditure report from June CFY 2009 to July CFY 2009. A motion was made to approve the agenda as amended. Motion: Jim Meharry; second: Jason Asaad; motion carried unanimously.
A motion was made to approve the regular minutes of the July 21, 2009 meeting as presented. Motion: Connie Ostrander; second: Ivadale Foster; motion carried unanimously.
Fiscal Status: Our bank balance is dwindling again. We have borrowed the full $300,000 from our line of credit with the county and received $205,000 in real estate taxes. We have been told that the state will be paying the amounts owed by the end of August or first of September at the latest. A motion was made to approve the Budget and Expenditure reports for July 2009 and the cash balance report. Motion: Jim Meharry; second Dr. Jane Cooney; Motion carried unanimously. Old Business: None.
New Business: A motion was made to approve the following interim business polls:
>>>
1. Additional $12,350 for the Family Planning grant
>>>
2. Additional $12,486 for the HealthWorks Illinois grant
>>>
3. Additional $145,350 for the Healthy Families Illinois grant
>>>
4. Authorization to accept the $3,800 Tanning Facilities grant from IDPH
>>>
5. Authorization to accept the $950 Potable Water Supplies grant from IDPH
>>>
6. Authorization to accept the restored $210,643 SFY 2010 Local Health Protection grant from IDPH Motion: Dr. Jane Cooney second: Jim Meharry Motion carried unanimously.
Mr. Laker explained the new Food Sanitation Ordinance. He talked to the State’s Attorney and has altered the ordinance to read that all fines and fees must be current before a food license is renewed. Mr. Laker reported that we had a smoking violation hearing last week and it was the very first one held in Illinois under the new Act. The owners of two different establishments were cited for not prohibiting smoking. They were cited as individuals in stead of DBA (doing business as). This could mean that they would only be fined $100 instead of the $250 that we were seeking. We are to keep ½ of all fines collected and the other ½ is to be forwarded to the State. A motion was made to approve the Food Service Sanitation Ordinance. Motion: Jim Meharry; second: Ivadale Foster; Motion carried unanimously.
Mr. Laker recommended that the seasonal flu rate be set at $30. Our fee last year was $32 but the cost of the vaccine is a couple of dollars less that last year – thus the recommendation of the reduction. A motion was made to set the seasonal flu rate at $30. Motion: Ivadale Foster; second: Dr. Jane Cooney; Motion carried unanimously.
Mr. Laker reported that we are in the planning phases for H1N1. Mr. Laker estimates that we will receive $90,000 for the first phase. One-half of this money should be received after the first of September for start-up costs and the other ½ will need to be claimed against. The Clinic Phase is expected to begin around the middle of October. Mr. Laker estimates that we will receive approximately $135,000 for this phase. We would receive the first ½ after the middle of October. Private providers can charge an administration fee but can not charge for the vaccine. |
Mr. Laker informed the Board that we are having more requests for TDAP. We must purchase this vaccine at a cost of $33 per dose. Mr. Laker is recommending we set the reimbursement cost at $44. A motion was made to set the reimbursement rate for TDAP at $44. Motion: Dr. Jane Cooney; second: Jason Asaad; Motion carried unanimously.
Mr. Laker informed the Board that the Hoopeston lease for the new fiscal year has increased by $100. This would make the payment $1,100 per month. We house 1 full-time RN at that facility and WIC has clinics on Tuesdays and Wednesdays each week. A motion was made to approve the signing of the lease with KBA Limited for the Hoopeston office for $1,200 per month. Motion: Jim Meharry; second: Ivadale Foster; Motion carried unanimously.
Mr. Laker presented the new CFY budget for 2010. He explained that it has not been a pretty year for budget preparation. In the budget presented, we have had to lay off 4.4 employees. The 4.4 positions are an open EH position, an RN Case manager, a Health Educator position, a clerical and a two day RN for Chronic Disease. The budget does not include a pay increase for non-union employees and there is no longevity pay for the non-union employees either. Mr. McMahon has allowed us to increase our Real Estate Tax Levy request from $239,455 to $250,000. Only 7 ½ % of our budget comes from our tax levy. 83.75% comes from grants. A motion was made to approve the CFY 2010 budget as presented. Motion: Jim Meharry; second: Jason Asaad; Motion carried unanimously.
Mr. Laker reported to the Board that the Recycling program will be gone as of October 31, 2009. The cost to retain the program is greater than the revenue we receive. The surcharge generates $247,000 per year. It does not cover the enforcement and planning areas. We plan on keeping the Coordinator at 100% or 80% of her time. As the revenue builds, we hope to restore the program next year. The City of Danville plans to open 3-4 sites. We met with them today and had a good meeting. We have offered them our bins. If they are successful in opening these sites, we hope to restore the program within the surrounding areas by the end of CFY 2010. Many people in the community are unhappy since we are in the middle of a “Go Green” movement but, without the revenue, we can not continue the program. The Health and Education committee will meet at the Health Department on Thursday, August 20, 2009 at 5:15 PM. Ivadale Foster and Mr. Laker invited all Board members to attend.
Mr. Laker was surprised that the Healthy Families Illinois program was fully restored. However, all four employees are back to work now.
Items of Information
A motion was made to adjourn the meeting. Motion: Jason Asaad; second: Not required per Ivadale Motion carried unanimously. Respectfully submitted, Donna J. Dunham Recording Secretary Ivadale Foster Secretary, Board of Health
>>>>>
July 21, 2009 Board of Health Meeting
Present: Jason Asaad, Kay Banta, Judi Benjamin, Dr. Jane Cooney, Ivadale Foster, Jim Meharry and Connie Ostrander. Absent: Dr. Karen Broaders, Brenda Larson and Dr. Todd Miller.
Dr. Karen Broaders, Brenda Larson and Dr. Todd Miller asked to be excused from tonight’s meeting. The meeting was called to order by President Kay Banta at 7:08 PM.
A motion was made to approve the agenda as presented. Motion: Judi Benjamin: Second: Ivadale Foster:
motion carried unanimously.
A motion was made to approve the regular minutes of the June 16, 2009 meeting as corrected. Motion: Judi Benjamin;
Second: Ivadale Foster;
motion carried unanimously.
Fiscal Status:
We have had to borrow the full $300,000 from the line of credit and have received a $205,000 advance on our real estate taxes. Today we received $99,250 for Medicaid dollars paid to us for Family Case Management services not reimbursed by the State. Hopefully this means that the grant money will be forthcoming. We now have enough money in the bank to meet August expenses.
A motion was made to approve the Budget and Expenditure reports for June 2009 and the cash balance report; Motion: Judi Benjamin;
Second: Dr. Jane Cooney;
motion carried unanimously.
Mr. Laker informed the Board that we have received $150,000 in the past two weeks. It is estimated that the State still owes us $650,000 - $700,000. Our bank balance now is $256,000 and last year the end of July we had a bank balance of $335,000. The difference is last year we had only borrowed $200,000 at that time and this year we have borrowed the full $300,000 and have been advanced $205,000 of our real estate tax money. We probably will not receive the additional real estate tax money until October.
The State has borrowed 3.5 billion to pay bills. They expect to pay them during August. Medicaid reimbursement can be postponed for a while but any Medicaid bills received by the State after they receive the stimulus money must be paid within 30 days or they will not receive the stimulus dollars.
Mr. Laker reported for the past 6 weeks he has been writing letters and making and receiving phone calls due to the budget crisis and cuts.
The State has cut $250,000 from our DHS contract. This includes the 75% cut for Healthy Families Illinois which caused a layoff of 4 employees last Friday, July 17. We, also, opted to eliminate the Teen Parent Services grant. The State was only going to fund 25% and we decided that it was not worth it. We have been notified that we will be receiving a revised grant. The State has indicated that they will be providing us with the new grant amounts as early as next week.
We have given the 4 laid off employees a call back time of 180 days. We were not obligated legally to do so but felt like we had a moral obligation.
Other agencies have gambled that the HFI funding will be restored and have not altered their programs at all. However, we opted not to do that.
Discussion ensued regarding the lay off of the 4 employees.
Health Works Illinois was eliminated from the DHS contract. This was a mandated program to ensure that wards of the State were provided with adequate medical attention. A judge ordered that the program be restored. We had decided to move the RN in the Health Works position to the temporary WIC nutritionist opening however since the program funding has been restored, she will remain in Health Works.
When we decided not to accept the money for Teen Parent Services, the local Department of Healthcare and Family services picked up the charts on July 1.
Mr. Laker ended the discussion saying we may be facing more layoffs before the budget process is finalized.
Old Business: None.
New Business:
A motion was made to approve the following interim business polls:
1. Authorization to sign the SFY 2010 DHS grant contract for $1,492,163. This does not include the Teen Parent Services program.
2. Authorization to lay off 4 Healthy Families Illinois employee effective July 17, 2009; Motion: Ivadale Foster;
Second: Judi Benjamin;
motion carried unanimously.
Mr. Laker discussed the budget process for SFY and CFY 2010. The State has agreed to restore 100% of the Health Protection grant. This is a relief. Mr. Laker wrote a letter to the State regarding the possible discontinuation of the Health Protection grant funding and the consequences to the State Health Department due to the mandated requirements. The State is mandated to monitor communicable disease, HIV/STD’s, water, food and sewer and they have contracted with local Health Departments to provide these mandated services for them as they do not have the staffing to do so. His letter got a lot of attention when he asked how they expected to meet the mandated requirements without the funding.
The impact on our agency with the loss of the Health Protection money would be a Full Time Equivalency (FTE) of 5.8 of staff. This would eliminate 3 positions in Communicable Disease (all CD staff), 1 position in STD, 1 LEHP and a portion of another LEHP.
We may have an additional lay off with the loss of $45,000 Environmental Protection Agency grant. We have signed a contract but have been notified that the funding may be eliminated with the new budget. The State does not have any staff to inspect the landfills and this is also a mandated requirement.
The County has started the budget preparation for all departments. They wanted all budgets completed by 8/15. Mr. Laker informed them that we would be taking our budget to the Board of Health on 8/18 and, since it has to be approved by the Board, it could go to the Parent Committee (Health and Education) at the regularly scheduled meeting on August 20.
Mr. Laker informed the board that this would be a very demanding budget.
Mr. Laker also explained another program offered by the Illinois Area on Aging. It is called Money Follows the Person (MFP). We are given start up money of $5,000. We are to evaluate all Medicaid nursing home residents for eligibility to be released to live on their own. They can live with family, have their own apartment or live with up to four people who are unrelated to them. We are to help them with a lease, purchase furniture and furnishings.
Donna Dunham asked them what we are to do with the furniture if for some reason the person relapses and is unable to be released. She was told that we could rent a storage unit or see if the furniture could be returned. When asked if the State was going to provide money to rent the storage unit, she was told to use the start up money. When asked who would be on the hook for the lease if the person could not be released, they indicated that it would probably be the State’s responsibility. The idea of this program is to save Medicaid dollars but it appears that more will be spent in the long run.
Mr. Laker has asked the Department on Aging for some statistics. How many persons qualified to get out compared to how many were actually “sprung”. However, he does not think he can sell the program to the County Board and does not really want to – it doesn’t appear to be well thought out or logical.
At this time, Kay Banta was proud to announce that Shirley Hicks has received her Public Health Administrator certificate for the State of Illinois. We are only one of possibly three Health Departments who have more than one certified Public Health Administrator on staff.
Kay explained that she has been on the Certification Board for 7 years. The certification is based on skills and the ability to prove they have administrator qualities. This process combines academic and experiential achievements. The candidate must site examples of what they have done to qualify them for certification as a Public Health Administrator. The person must, also, have someone attest to their competency.
Shirley was applauded and commended for her achievement.
Items of Information
Although we have had to lay off 4 employees, we have openings for a Temporary WIC Nutritionist (employee is on maternity leave), an LEHP in training/LEHP I, and a part time Health Promotion RN position.
Kolby Riggle, Director of Environmental Health had interviewed for the LEHP in Training/LEHP I position a couple of weeks ago and had a very interested candidate. Mr. Riggle wanted to know if he could offer the position. Mr. Laker told him that we would have to hold off until we knew what exactly was happening with the budget. We do not want to hire someone and have to lay them off immediately.
We have had site visits for HFI, FCM, FP and Health Works. Nothing major to report from these site visits.
A motion was made to adjourn the meeting; Motion: Judi Benjamin;
Second: Dr. Jane Cooney; motion carried unanimously.
Respectfully submitted,
Donna J. Dunham
Recording Secretary
Ivadale Foster
Secretary, Board of Health
>>>>> June 16, 2009 Board of Health Meeting<<<<<<<<<<
Present: Jason Asaad, Kay Banta, Judi Benjamin, Ivadale Foster, Brenda Larson, Jim Meharry Dr. Todd Miller and Connie Ostrander. Absent: Dr. Karen Broaders and Dr. Jane Cooney. Dr. Karen Broaders and Dr. Jane Cooney asked to be excused from tonight’s meeting.
The meeting was called to order by President Kay Banta at 7:06 PM.
Ivadale Foster arrived at 7:20 PM.
A motion was made to approve the agenda as amended. Motion: Judi Benjamin; Second: Jason Asaad; motion carried unanimously.
A motion was made to approve the regular minutes of the May 19, 2009 meeting as corrected; motion: Dr. Todd Miller; second: Judi Benjamin; motion carried unanimously.
Fiscal Status: We had to borrow the additional $100,000 from the line of credit on June 8 for a total borrowed of $300,000 from the County. We will be asking the County for an early distribution of our tax levy to hopefully get us through until we start receiving money from the State.
A motion was made to approve the Budget and Expenditure reports for May and 2009 and the cash balance report; m otion: Ivadale Foster; second: Judi Benjamin; motion carried unanimously.
Mr. Laker reported that the State owed us at least $700,000. We have not received some grant funds since January when we requested the hardship money. Since then we have been only receiving Federal Pass Through dollars. The County Board understands that we are solvent but in trouble due to the delay in state payments. Mr. Laker reported that money was tight in 1975 and 1982 also.
Illinois’ budget deficit is 11.6 million. There is nothing presently on the Governor’s desk for a budget proposal. Originally the Governor was sent a 50% budget which was intended to be a 6 month budget. The problem with a 6 month budget, the State can not borrow any money. Therefore, it was rejected.
Mr. Laker reported that it may come down to layoffs.
We still have an opening for the Emergency Response Coordinator. A current employee is going to apply because her present program is in jeopardy.
The politicians will be back in session on June 23rd
We currently spend about $250,000 per month in expenses for salaries and supplies, etc. As long as we have a budget that has been appropriated, the County Board is responsible to cover them.
Mr. Laker hopes that the threats to cut the budget are just scare tactics. However, we can’t count on that being the case. We will know more after June 23rd.
In 1975, we laid off 20% of the staff. Those that remained employed had their salaries cut 20% for the last three months of the fiscal year.
Old Business:
None.
New Business:
A motion was made to approve the following interim business polls:
>>>1. Authorization to sign the $45,000 IEPA Solid Waste Grant Contract.
>>>2. Authorization to sign the ECIAAA $1,361 CCU/SHAP Grant Contract.
motion: Judi Benjamin; second: Dr. Todd Miller; motion carried unanimously.
Mr. Laker reported that the Request for Proposal (RFP) was lifted for Family Planning. They were also trying to cut the grant by 10% and use it for an incentive. It was pointed out to DHS that a penalty could not be an incentive.
Center for Children’s Services had to eliminate their daycare program. Their Director said it was not due to State cuts but due to the fact that it had been operating in the “red” for 7-8 years.
Mr. Laker reported that we have issued three citations under the new Smoke-Free Illinois Act. Eight total citations have been issued since the Ban in January 2008. Bars are the violators. Beverages are considered food and therefore the bar must have a food permit to remain open. Therefore, if their fines are not paid, we can pull their food permit and shut them down.
Items of Information
In the way of staffing, we need an LEHP in Training, Emergency Response Coordinator and a temporary nutritionist in WIC (employee is on maternity leave).
Mr. Laker presented a Power Point presentation about H1N1 in Illinois from 4/23/09 – 6/15/09. A total of 76 countries reported active cases with 163 deaths.
A motion was made to adjourn the meeting; motion: Dr. Todd Miller; second: Jason Asaad; motion carried unanimously.
Respectfully submitted,
Donna J. Dunham
Recording Secretary
Ivadale Foster
Secretary, Board of Health
>>>>>May 19, 2009 Board of Health Meeting<<<<<<<<<<<<<<<
Present: Jason Asaad, Kay Banta,
Dr. Jane Cooney, Ivadale Foster, Jim Meharry and
Connie Ostrander.Absent: Judi Benjamin, Dr. Karen Broaders,
Sharon McMahon and Dr. Todd Miller. (All were asked to be excused)
The meeting was called to order by President Kay
Banta at 7:16 PM.
A motion was made to approve the agenda
as presented. Motion: Ivadale Foster;
Second: Dr. Jane Cooney;
Motion carried unanimously.
A motion was made to approve the regular
minutes of the March 17, 2009 meeting as presented. Motion: Dr. Jane Cooney;
Second: Jim Meharry;
Motion carried unanimously.
Fiscal Status:
Cash balance is dwindling. We had to borrow
money, $200,000, from the line of credit and
will probably be borrowing the additional $100,000
soon since May is a three payroll month. The State
is behind on payments again. The only ones we are
receiving are the federally funded payments. If we
are still in need of money, we will ask the County for
an early distribution of our tax levy. A motion was made to approve the Budget
and Expenditure reports for March and April 2009
and the cash balance report. Motion: Ivadale Foster;
Second: Jason Asaad;
Motion carried unanimously.
Old Business: None.
New Business: A motion was made to approve the following
interim business polls:
>>>>>1. STD grant additional funds of $2,499.
>>>>>2. Approval of a 30 day unpaid employee maternity
leave and additional 30 day leave extension.
>>>>>3. WIC grant additional funding of $9,300.
>>>>>4. WNV Prevention grant fund of $12,749.
Motion: Connie Ostrander;
Second: Jim Meharry;
Motion carried unanimously.
We presented a revised Financial Policy to the
Board of Health. This revision was the result of
an Illinois Department of Human Services Administrative
audit. We were advised to add information about
interest earned, credit card information and spending
limits and bank reconciliation procedures. A motion was presented to approve the revised
Financial Policy. Motion: Connie Ostrander; Second: Jason Asaad;
Motion carried unanimously.
Mr. Laker updated the Board on the Illinois Smoke
Free Act. We have three pending citations and
have been scheduled for administrative hearings.
One is the result of a complaint and the other two
were discovered with routine food inspections.
The Title X Family Planning grant Request for
Proposal (RFP) that we submitted in December
has awarded us $76,900. For the July 1,
2008 – June 30, 2009 our award was $269,200.
This is a 26% cut in funding from last award.
The State is trying to force agencies into enrolling
clients in Medicaid. Title X does not fit criteria for
Medicaid because of the confidentiality issue of teens. Teens under 18 can not enroll in Medicaid unless they
are pregnant. 35% of our clients are teens.
Illinois Public Health Association has protested the
Family Planning funding distribution. We were notified
on April 30 that the State has pulled the RFP. The
Feds gave the Family Planning program an additional
one million dollars. With Cook County not applying for
the grant this year there is almost two million dollars
unaccounted for. The Feds only allow 10% for
administrative costs so it does not make sense that
the State could retain that two million in their program budget.
Once notified that we would be awarded the same
amount as our Grant Fiscal Year 2009 award of $269,200,
we were notified that 10% would be withheld as an “incentive” to enroll clients in Medicaid. Mr. Laker and
others protested to the State that withholding 10% of the
grant was not an incentive but a penalty. Mr. Laker and
others met with Grace Hou and Bill Black in Springfield on
May 19. Grace Hou, a member of the Governor’s staff,
and is very supportive and knowledgeable understands
the situation and is behind the agencies in their protests.
Mr. Laker thinks that the State will eventually back of the
10% reduction.
Mr. Laker advised the Board of the revised Vermilion County
Health Department Emergency Operation Plan (EOP).
Mr. Laker informed the Board of the Strategic National
Stockpile (SNS)/Local Technical Assistance Review (LTAR)
score that we received. Last year we received a 16% and
this year, after revision by Jenny Trimmell, Linda Bolton
and Sherrie Shoemaker, we received an 88%. Mr. Laker
commended the three employees for the outstanding job.
Once our Emergency Response Coordinator (ERC)
resigned in February, the plan was reassigned to Jenny,
Linda and Sherrie.
Due to the H1N1 outbreak in April, we received a
distribution from the state of vaccine and Personal
Protective Equipment (PPE). The State had received
the supplies from the National Stockpile and ended up
distributing ½ of the supplies they received. The state
distributed supplies to 251 sites within the State of Illinois.
Our regional site for distribution was Peoria. Mr. Laker received a call at 9:20 PM on 4/30 and since the delivery was coming from Peoria, Mr. Laker requested that Kolby Riggle, Susan Pacot and Doug Toole meet him at the EMA warehouse at 11:00 PM. A deputy sheriff met them also.The shipment did not arrive until 2:37 AM on May 1, 2009. The supply was checked to ensure that the shipment was complete. Once checked and verified, the shipment was loaded into an enclosed vehicle and transported to the Health Department. The shipment left for the Health Department at 3:25 AM. We received approximately one-half million dollars in deliverables.
To date there have been 5,469 confirmed cases with 6 deaths. There were 707 confirmed cases in Illinois and 766 cases in Wisconsin. Mr. Laker stated that this was Stage 5 pandemic. This type A virus diminishes in the Summer and returns in the Fall and Winter with a vengeance. Pandemic outbreaks were seen in 1887, 1918, 1957 and 1968. Each time they started late in the flu season and came back after mutation more serious. The mean age of 13 fits with the Pandemic outbreaks in the past.
Mr. Laker informed the Board the he will probably be posting the ERC position in June.
Mr. Laker distributed the Annual Report.
Items of Information
In the way of staffing, we need an LEHP in Training, ERC, two RN’s in Family Planning, and one data entry clerk in admin.
A motion was made to adjourn the meeting. Motion: Connie Ostrander;
Second: Jason Asaad; Motion carried unanimously.
Respectfully submitted, Donna J. Dunham,
Recording Secretary; Ivadale Foster,
Secretary, Board of Health
>>>>>>>>>>>>>NO MEETING IN APRIL<<<<<<<<<<<<<<<<
>>>>>March 17, 2009 Board of Health Meeting <<<<<<<
Present:Kay Banta, Judi Benjamin, Dr. Jane Cooney, Ivadale Foster, Jim Meharry and Connie Ostrander. Absent: Jason Asaad, Dr. Karen Broaders, Sharon McMahon and Dr. Todd Miller.
The meeting was called to order by President Kay Banta at 7:12 PM.
Jason Asaad, Dr. Karen Broaders, Sharon McMahon and Dr. Todd Miller asked to be excused from tonight’s meeting.
A motion was made to approve the agenda as revised. Motion:Dr. Jane Cooney;
Second: Ivadale Foster;
Motion carried unanimously.
A motion was made to approve the regular minutes of the February 17, 2009 meeting as corrected. Motion: Ivadale Foster;
Second: Judi Benjamin;
Motion carried unanimously.
Fiscal Status
Cash balance is still healthy. However, we still will probably have to borrow money again this year from the County. We will probably need to borrow at least $300,000 to get us through the lag with the State’s payments. Jim Meharry asked if the loan had to be paid back with interest. Mr. Laker said it did not require interest payments to be made.
All line items are in line with spending except postage (which is pre-paid) and EPA transfers.
A motion was made to approve the Budget and Expenditure reports for February 2009 and the cash balance report. Motion: Judi Benjamin;
Second: Connie Ostrander;
Motion carried unanimously.
Old Business:
None.
New Business:
A motion was made to approve the following interim business polls:
>>>>> 1. Approval of the West Nile Virus contract with IDPH for $14,967 for FY 2010. Motion: Judi Benjamin;
Second: Jim Meharry;
Motion carried unanimously.
>>>>> 2. A motion was made to approve the request for a $300,000 Loan Renewal from the County. Motion: Jim Meharry;
Second: Judi Benjamin;
Motion carried unanimously.
Mr. Laker offered the TB Contract to Dr. Timothy Horner. He verbally accepted over the phone. The contract will be effective 4/1/2009. Dr. Patel will receive $100 final payment for one week of April; however, he will not provide services after March 31, 2009. Dr. Horner will be paid the full $400 per month for April and his services will begin on April 1, 2009. Dr. Horner will be coming to the Health Department of Friday afternoons for scheduled clinics as needed.
Mr. Laker updated the Board on the Smoke-Free Illinois Act. He is to attend a meeting on March 18 with legislators to discuss enforcement of this act. Any establishment that has been reported for violating the Act will be required to attend an administrative hearing process. They will need to provide their own attorney. Local food ordinances can be amended to say that if the establishment has an outstanding find, their food permits will not be removed. VCHD is proceeding with enforcement of this Act. Owners and operators say they are being discriminated against because the smokers are not being fined. Employees of the bar that are caught smoking will be fined individually.Mr. Laker thinks that casino smoking will be rescinded.
Mr. Laker reported on the status of the Family Planning grant application. VCHD was notified that we would receive $75,460 for FY 2010. This is 28% of our award for 2009 or 26% of the total reward received in FY 2008. Mr. Laker informed Charlotte Rodems, the Family Planning Administrator at the State level that there is no way that we could support a clinic for that amount. Unless the state pulls the RFP, VCHD will not be providing Family Planning services after June 30. Mr. Laker reported that this was an unreasonable, willful and wanton destruction of the Family Planning program.
We asked for $320,000 – this equates to $100 per client. In the RFP the state reported that it cost approximately $238 per client per year. With the receipt of the $75,460 we could at most serve 320 clients.
Once we accept Title X money, we CAN NOT refuse service to anyone that walks in to the Health Department.
Mr. Laker informed the Board that we have joined forces with other health departments and Planned Parenthood to fight this barrier to service. If we are not successful with our protest, we will have 9 jobs that will be lost. These employees also service our STD clients so that program would be affected also.
Mr. Laker reported that the Emergency Response Coordinator (ERC) did not return from her leave in December. Therefore, that program has been operating with out a coordinator. Jenny Trimmell, Linda Bolton and Sherrie Shoemaker have stepped up to the plate to fulfill the requirements of the grant. Our baseline SNS score last year was 16. At the preliminary review this year we were notified that we received a 79. We must have a mandated exercise in June to fulfill the grant requirements. This must be a drop off exercise. We have been exempted form a dispensing exercise for this year. Our next dispensing exercise will be in 2012.
We hope to replace our ERC by June.
Items of Information
In the way of staffing, we need an LEHP in Training, ERC, RN in Family Planning, Nutritionist in WIC, RN in CCU and one data entry clerk in FCM. We had to terminate the data entry clerk in FCM for breeching confidentiality. Mr. Laker expects a grievance on this.
We had a regulatory compliance audit in CCU. This was conducted by Healthcare and Family Services (formally Public Aid). We received no findings.
Mr. Laker announced that he would be retiring May 31, 2010. The search for a replacement will need to be started soon.
A motion was made to adjourn the meeting. Motion: Connie Ostrander;
Second: Judi Benjamin
Motion carried unanimously.
Respectfully submitted,
Donna J. Dunham
Recording Secretary
Ivadale Foster
Secretary, Board of Health
>>>>>February 17, 2009 Board of Health Meeting<<<<<
Present: Kay Banta, Judi Benjamin, Dr. Karen Broaders, Ivadale Foster, Jim Meharry and Connie Ostrander.
Absent: Jason Asaad, Dr. Jane Cooney, Sharon McMahon and Dr. Todd Miller; all asked to be excused from tonight’s meeting.
The meeting was called to order by President Kay Banta at 7:18 PM.
A motion was made to approve the agenda as revised. Mr. Laker added Item C under Items of Information – West Nile Virus Contract; Motion: Judi Benjamin;
Second: Connie Ostrander; Motion carried unanimously.
A motion was made to approve the regular minutes and the executive minutes of the November 18, 2008 meeting as amended; Motion: Ivadale Foster;
Second: Judi Benjamin
Motion carried unanimously.
Fiscal Status:Cash balance is finally healthy. Our checkbook balance is down to about $464,000 and that includes the repayment of $300,000 to the County for the Line of Credit that we needed to borrow to get us through the lag with the State’s payments. The State released some money the end of December. After Mr. Laker met with Bill Black and Jim Meharry on January 23rd, Mr. Laker wrote a hardship letter to the State indicating the need for the money. We received another $296,000 the first of February. This is why the cash balance is so healthy.
Mr. Laker informed the Board that we will need to establish another Line of Credit for the current fiscal year. He will probably bring that request to the Board at the March meeting and then it will be presented at the April County Board meeting.
Mr. Laker explained to the Board the amount of money that the State had to borrow (1.4 billion) in December and the payback schedule. The full amount must be repaid by the end of the State fiscal year which is June 30, 2009.
Mr. Laker informed the Board that it is likely the State will increase income tax. It is currently at 3% and will likely increase to 3.5% or possibly 4%. Another possibility for the State to increase revenue is to increase the amount of gas tax.
A motion was made to approve the Budget and Expenditure reports for November 2008, December 2008 and January 2009 and the cash balance report; Motion: Jim Meharry; Second: Judi Benjamin;
Motion carried unanimously.
Old Business:None.
New Business:
A motion was made to approve the following interim business polls:
1. Approval of the amendment to the STD grant contract with IDPH for an additional $16,875.
2. Approval of the $3,917 Vital Records grant with IDPH. This money is our percentage of the surcharge received by the state for the State fiscal year 2008.Motion: Judi Benjamin;
Second: Jim Meharry;
Motion carried unanimously.
There was an affirmation of the following business poll:
1. Approval of a long-term employee’s request for a 30 day medical leave extension; Motion: Jim Meharry;
Second: Connie Ostrander;
Motion carried unanimously.
Mr. Laker informed the Board that Dr. Patel, who is our contracted TB physician, is being difficult again. Prior to signing the contract for the 2009 County Fiscal Year, Jenny Trimmell, Sherrie Shoemaker and Stephen Laker met with Dr. Patel and his staff. During the meeting clarification was given to Dr. Patel and his staff on what was expected of him and his staff, the requirements outlined by the State and the roll that Vermilion County Health Department played. Dr. Patel and his staff appeared to understand and the contract was signed.The problem that we have with the doctor is that anyone is eligible for this program within Vermilion County. The person can have insurance but choose to take part in our program instead of filing claims with their own insurance carrier. Dr. Patel does not think this is right. He and his staff think we are not doing a good enough job of screening the patients we send to them.It is not as if he is overloaded. We only had one active TB client this past year. The contract pays Dr. Patel $400 per month whether he sees patients or not. Jim Meharry asked if any other doctors in the county are qualified. Mr. Laker reported that there are others but no one has been approached yet. And it may be that no one is interested in contracting with us for this specialty. If not, we would have to find an alternate solution.If we decide to terminate the contract with Dr. Patel, we are obligated to give him 30 days notice.
Dr. Broaders left at 8:07 PM.
Mr. Laker gave a copy of the revised Smoke-free Illinois act to the Board. The revised act is not a criminal act but an administrative process. This means, if we issue a citation, the establishment can request an administrative hearing by an Administrative judge. Once a fine is established, if the establishment does not pay the fine, we can take them to Small Claims Court.
Mr. Laker updated the Board on the Family Planning granting process. We were awarded $269,000 last year and this year. However, for the 2010 year, it has been indicated to us that if we are awarded the grant, we will only receive $76,000. If this is the case, we will not be able to sustain a family planning program. We currently have over 3,200 clients who will be without services if we are unable to operate the program due to lack of funding.
Two local health departments chose to not apply because their dollars appeared to have been cut excessively. Even though we were told that we would only be eligible for approximately $76,000, we wrote the grant for $300,000. We can not operate on less.
Mr. Laker showed the Board a copy of the new Electronic Death Record. We are not inputting the information online (except for medical causes of death). We fax the information on the medical cause of death and the Vital Records staff at the State level inputs the information. We eventually will be allowed to input this information.At this time, we are not allowing the funeral directors to print their own documents. Perhaps in time this will be an option. We would still collect the amount of fees that we collect now.
Electronic birth records are on the agenda for next fiscal year.
Items of Information
We have one Family Case Management RN case manager position open. We are trying to fill it now. We also have one EH LEHP in Training position open, one Family Planning RN position open and the Emergency Response Coordinator position open. These positions will not be filled until we are in more stable financial shape.
Mr. Laker reported to the Board that we would be polling the Board for a West Nile Virus contract that we received today. The award is $14,000 for FY 2010. This is up from $2,000 for FY2009.
A motion was made to adjourn the meeting; Motion:Connie Ostrander; Second: Judi Benjamin
Motion carried unanimously.
Respectfully submitted,
Donna J. Dunham
Recording Secretary
Ivadale Foster
Secretary, Board of Health
>>>No meetings were held in December 2008 and January 2009<<<
>>>>>November 18, 2008 Board Meeting:
Present:Kay Banta, Judi Benjamin, Dr. Jane Cooney, Ivadale Foster, Sharon McMahon, Jim Meharry and Connie Ostrander. Absent: Jason Asaad, Dr. Karen Broaders, and Dr. Todd Miller.
The meeting was called to order by President Kay Banta at 7:30 PM.
Jason Asaad, Dr. Karen Broaders and Dr. Todd Miller asked to be excused from tonight’s meeting.
A motion was made to approve the agenda as presented.Motion:Judi Benjamin
Second: Jim Meharry;
Motion carried unanimously.
A motion was made to approve the regular minutes of the September 16, 2008 meeting. Motion: Jim Meharry;
Second: Sharon McMahon;
Motion carried unanimously.
Dr. Jane Cooney arrived at 7:35 PM.
Fiscal Status: Cash balance is not healthy at this time. Our checkbook balance is down to about $75,000 and will not even cover the next payroll. The State is behind in many of our grants and Medicaid is over 1 year behind in payments. The only current grants are those federally funded – Family Planning, Women’s, Infants and Children (WIC) and Healthy Child Care Illinois. We paid back $100,000 of the $200,000 loan from the County. However, it we will need to draw another $200,000 for the full $300,000 line of credit. Steve Laker has already talked to Jim McMahon, the Vermilion County Chairman, and he said that he understood our predicament. Mr. Laker informed the board that he is not sure that the $300,000 will carry us since the State is so far behind in paying their bills. We may have to ask for an additional $300,000 line of credit at the first of the 2009 fiscal year. Mr. Laker told the Board that the Southern Seven Health Department laid all of their staff off effective 11/24. The staff was given two weeks notice. They are heavily reliant on Health Protection money that, of course, has not been released. We have been notified that $214,000 has been released to the Southern Seven to prevent the layoff. Steve Laker told the board that we are over in the office supply line but since we are not over in the supply category, we are fine. He anticipates that we will expend approximately 85% of the budget this current year. Part of the reason is salary lapses with people leaving.Jim Meharry asked Mr. Laker if he thought that the mileage rate reimbursement would go down now that the price of gasoline is decreasing. Mr. Laker stated that he thought that it would probably be the case.Currently we are down 2 RN positions and one Environmental Health position. A motion was made to approve the financial statements for September and October as presented. Motion: Ivadale Foster;
Second: Judi Benjamin;
Motion carried unanimously.
Old Business: None.
New Business: A motion was made to approve the following interim business poll:1. Approval of the SFY 2009 Gap-Filling grant for $13,015 Motion: Judi Benjamin;
Second: Connie Ostrander
Motion carried unanimously.
A motion was made to enter into an Executive Session at 7:53 PM pursuant to the Illinois Open Meetings Ace, Illinois Statutes 5ILKLCS 120/2 (c) (1), “The appointment, employment, compensation, discipline, performance evaluation or dismissal of specific employees of the public body” Motion: Judi Benjamin;
Second: Jim Meharry; Motion carried unanimously as follows: Judi Benjamin Y
Connie Ostrander Y
Sharon McMahon Y
Dr. Jane Cooney Y
Jim Meharry Y
Ivadale Foster Y
Kay Banta Y
A motion was made to return to the regular session at 8:00 PM; .Motion: Jim Meharry
Second: Sharon McMahon;
Motion carried unanimously as follows:
Judi Benjamin Y
Connie Ostrander Y
Dr. Jane Cooney Y
Sharon McMahon Y
Jim Meharry Y
Ivadale Foster Y
Kay Banta Y
Mr. Laker presented the contract with Dr. Keval Patel, as the physician who sees our TB patients. The current contract is set at $300 per month for his services and Mr. Laker is requesting that the rate be increased to $400 per month. Mr. Laker, Sherrie Shoemaker and Jenny Trimmell met with Dr. K. Patel and his staff to address the problems or misunderstandings that we have had in the past. We now have assurances that we will have the increase of services from Dr. K. Patel that our patients need. We have reinstated the monthly meetings between our staff and his. A motion was made to approve the TB contract with Dr. Keval Patel for one year at a rate of $400 per month. Motion: Ivadale Foster;
Second: Dr. Jane Cooney;
Motion carried unanimously.
Mr. Laker presented the TB radiology contract at $45 per Xray and the Medical Director contract with Dr. Joseph Karinattu for $1,500 per month. Motion: Ivadale Foster;
Second: Judi Benjamin;
Motion carried unanimously.
Mr. Laker presented two environmental health policies for Board approval. One is for sewage and the other is for Food Sanitation Policies and Procedures. This will clarify the process. Revisions are written in red.A motion was made to accept the environmental health policies for sewage and food sanitation as presented. Motion: Jim Meharry;
Second: Judi Benjamin;
Motion carried unanimously.
A following slate of officers for FY 2009 was presented as follows:
Kay Banta President
Judi Benjamin Vice-President
Ivadale Foster SecretaryPresident
Kay Banta asked for nominations from the floor. She asked for nominations from the floor a second time. And she asked for nominations from the floor a third time. Since there were no nominations from the floor, a motion was made to accept the following slate of officers for FY 2009: Kay Banta President
Judi Benjamin Vice-President
Ivadale Foster Secretary
Motion: Sharon McMahon;
Second: Connie Ostrander;
Motion carried unanimously.
Mr. Laker reported that we have about 600 doses of the influenza vaccine left. He reported that next year we will probably only order 3,000 doses.
Dr. Jane Cooney left at 8:30 PM.Items of Information
Mr. Laker wanted to update the Board on the Request for Proposal (RFP) for the Family Planning grant. The grant is due on December 19, 2008. Although it was indicated on the proposal that we could receive approximately $75,000 if awarded, we will be requesting approximately $300,000. If we are only awarded the proposed $75,000, we will no longer have a Family Planning program and the 3,000 clients were currently serve will be without service. We are protesting the process. The protest has to be filed by noon on 11/19/08. The protest states that this process will destroy the program.Family Planning currently has 49 sites within the State of Illinois. With the new proposal, the open bidding is extended to 213 geographically political service areas.
We have had two site visits and one audit. The programs involved were HealthWorks Illinois, Family Case Management and Targeted Intensive Case Management. We were cited for small deficiencies. A plan of correction must be submitted to the state in December for our TIPCM and FCM programs. A long term employee has been off on Family Medical Leave since October 7. She has been with us for 15 years. It appears that she will not be able to return to work before the Family Medical Leave allotted time is over. Therefore, Mr. Laker wanted the Board to be aware that there may be need to poll the Board of Health in December in order to extend her leave for an additional 30 days. Mr. Laker recommended to the Board that the extension is necessary.A motion was made to adjourn the meeting. Motion: Judi Benjamin;
Second:Sharon McMahon;
Motion carried unanimously.
Respectfully submitted,Donna J. Dunham
Recording SecretaryIvadale Foster
Secretary, Board of Health
>>> September 16, 2008 Board Meeting:
Present:Kay Banta, Judi Benjamin, Dr. Jane Cooney, Ivadale Foster, Sharon McMahon, Jim Meharry, Dr. Todd Miller and Connie Ostrander.
Absent:Jason Asaad, Dr. Karen Broaders, and Dr. Corey Warner.Jason Asaad and Dr. Karen Broaders asked to be excused from tonight’s meeting.
The meeting was called to order by President Kay Banta at 7:12 PM.
We have been informed by Carle Clinic that Dr. Corey Warner has left their facility and relocated West.
A motion was made to approve the agenda as presented by changing item A.5. to C and then changing C to D and D to E.
Motion:Ivadale Foster;
Second: Judi Benjamin
Motion carried unanimously.
A motion was made to approve the regular minutes of the August 20, 2008 meeting. Motion:Ivadale Foster;
Second: Judi Benjamin;
Motion carried unanimously.
Fiscal Status:Our cash balance is improving. The State has paid all of the grant FY 2008 balances and are beginning to pay the grant FY 2009 balances. We have received the first three months of the new fiscal year for a few of the grants. The financial statements for August were presented. Once again, the only expense that is high is office supplies. We realize that we will be over the line amount budgeted but since we will not be over the category budget, we will be okay. Notification will come from the Auditor once we are officially over budget but we are no longer required to do a line item transfer if the category is sufficient. Donna Dunham reported that she will still be running items through the office supply line even though we will be over budget because this is a truer picture of what is being spent in the category. This will help for future budgets. A motion was made to approve the financial statements for August as presented. Motion:Judi Benjamin
Second: Dr. Jane Cooney;
Motion carried unanimously.
Old Business: None.
New Business:A motion was made to approve the following interim business polls1. Approval of the SFY 2009 Childhood Lead Prevention grant for $18,000 with IDPH
2. Approval of the SFY 2009 Emergency Preparedness Grant contract for $63,305 with IDPH
3.Approval of the SFY 2009 Flexible Senior Services Grant contract for $13,929 with IDOA
4.Approval of the Flu Vaccination contract with Health Alliance for their PPO 20 and HMO 10 clients Motion:Judi Benjamin;
Second: Dr. Todd Miller;
Motion carried unanimously.
Mr. Laker informed the Board that the new rate for the influenza vaccine reimbursement by Medicare has not been released yet. Since we have already received our vaccination this year, and we need to set a Flu Clinic schedule, Mr. Laker suggested that we increase the rate to $32.00 this year. We have not increased our rate in two years even though the Medicare rate increased slightly last year. Last year we did not receive the information on the reimbursement until October. Mr. Laker also suggested that we increase the pneumococcal vaccination rate to $48.00 this year. It has not been increase for two years also. A motion was made to set the influenza vaccination rate at $32.00 and the pneumococcal vaccination rate at $48.00. Motion:Dr. Todd Miler;
Second: Ivadale Foster;
Motion carried unanimously.
A discussion ensued on whether to renew the TB contract with Dr. Patel. We have ran into some obstacles in the past few years and with new guidelines/requirements that will be set, we are in need of a physician that is specialized in communicable disease. A motion was made not to renew the contract with Dr. Patel for TB. Motion:Sharon McMahon;
Second: Jim Meharry ;
Motion carried unanimously.Shirley Hicks presented a power point presentation on a survey that she conducted with her leadership group in which we were able to get feedback from 84% of our employees on the satisfaction of their employment – facility, pay, benefits, etc. An 84% response rate is a rarity. The survey was really conducted from the standpoint of how do we retain our current employees and continue to attract new employees. Shirley explained that it is getting more and more difficult to recruit and retain RNs and Environmental Health Staff. She informed the Board that we have had to fill 10 RN positions this year.Some of our new employees have indicated that they were tired of driving to Champaign for work. With the price of gas, they decided that it would be better to work closer to home. Most were satisfied with the benefits offered such as time-off, flexible work schedules, family oriented environment and friendly co-workers.Negatives given where area needs improving are poor physical environment, uncomfortable temperatures, poor ventilation, health insurance not affordable, salaries are too low.
Items of Information: We received our first fine for a smoking violation. As directed, we kept ½ of the fine and submitted the other ½ to the State.
Mr. Laker has solicited the resignation of Dr. Corey Warner. We are currently looking for another physician to serve on the Board of Health.
We currently have only one opening: we are in need of a Family Case Manager RN. Since we added a new position to the Targeted Intensive Prenatal program, one of our current FCM case managers had decided to move into that program. A motion was made to adjourn the meeting. Motion:Judi Benjamin;
Second: Jim Meharry;
Motion carried unanimously.
Respectfully submitted,Donna J. Dunham
Recording Secretary Ivadale Foster
Secretary, Board of Health
>>>>>August 20, 2008 Meeting minutes:
Present:Jason Asaad, Kay Banta, Judi Benjamin, Ivadale Foster, Sharon McMahon, Jim Meharry and Connie Ostrander; Absent: Dr. Karen Broaders, Dr. Jane Cooney, Dr. Todd Miller and Dr. Corey Warner.
The meeting was called to order by President Kay Banta at 7:12 PM. Dr. Karen Broaders, Dr. Jane Cooney, Dr. Todd Miller and Dr. Corey Warner asked to be excused from tonight’s meeting.
A motion was made to approve the agenda as presented moving item C to E and item E to C. Motion:Judi Benjamin Second:Connie Ostrander; Motion carried unanimously.
A motion was made to approve the regular minutes of the June 17, 2008 meeting; Motion:Ivadale Foster; Second:Connie Ostrander; Motion carried unanimously.
Fiscal Status:Our cash balance is very low. We did have to draw $200,000 from the line of credit we established with the County. The State held May and June payments until the grant fiscal year close out. The close out was due to them on July 31, 2008. Therefore, payments for May and June final amounts are starting to be paid to us. Also, prospective payment for grant FY 2009 is starting to be paid. We should be able to repay the loan to the County before the end of this fiscal year. The financial statements for June and July were presented. The only expense that is high is office supplies. This is because of the high cost of color printer cartridges. With two colored printers, the cost had almost doubled. We have allowed for this in the FY 2009 budget.A motion was made to approve the financial statements for June and July as presented. Motion:Judi Benjamin Second: Sharon McMahon; Motion carried unanimously.
Old Business: None.
New Business: A motion was made to approve the following interim business polls:
>>>1. Approval of the ordinance request to establish a $300,000 line of credit with the Vermilion County Board
>>>
2. Approval of the State Fiscal Year 2009 Tobacco Free Illinois Grant contract for $19,600
>>>
3. Approval of the State Fiscal Year 2009 Health Protection Grant contract for $210,643
>>>
4. Approval of the State Fiscal Year 2009 Flu Vaccination contract for the State of Illinois Employee with CMS
Motion:Judi Benjamin; Second:Ivadale Foster; Motion carried unanimously.
Mr. Laker informed the Board that our rent for our Hoopeston facility (the old Stokely business offices) will increase on December 1 from $1,000 to $1,100. This equates to $13,200 per year. The lease will reflect this amount through FY 2011. The increase is due to higher costs of water, heat and lights. Mr. Allen, the owner, maintains the building but we pay for the cleaning service. A motion was made to approve the lease of our Hoopeston facility for $13,200 annually for December 1, 2009 – November 30, 2011. Motion:Jim Meharry; Second:Judi Benjamin; Motion carried unanimously.
Mr. Laker reviewed the changes proposed for the Fiscal Policy and Procedures. There are only minor changes – some program status changes and some language changes. Mr. Laker recommended that the Board approve the changes as presented. A motion was made to approve the changes in the Fiscal Policy and Procedures as presented. Motion:Judi Benjamin; Second:Ivadale Foster;Motion carried unanimously.
Jason Asaad arrived at the meeting at 7:30 PM.
Mr. Laker presented the budget to the Board of Health. He explained that he and Donna had prepared 9 different budget scenarios before deciding on the four he presented to Chairman Jim McMahon, Financial Chair, Bill Donohue and Financial Director Nikki Bogart. The first budget reduced overtime and PRN dollars by $5,000 for CFY 2009. Also, a Family Case Management Outreach RN position has been cut. The scenarios that were prepared got progressively worse. The second budget eliminated the longevity awards for all non union staff. This would have been an additional cut of $20,160. The third budget eliminated the raises for non-union staff. This would have reduced the budget another $56,337. The fourth budget eliminated a union clerical position which reduced the budget by $18,499.Mr. Laker presented all four scenarios to Jim, Bill and Nikki explaining that although none were ideal, he was being fiscally conservative. He explained that the first budget was inflated with excessive fees. The amount presented was over $400,000 and it was about $80,000 inflated. Therefore, we developed the other three budgets. Chairman McMahon informed Mr. Laker that he should utilize the surplus amount and present the first budget with the inflated fees. We were asked to keep the tax levy amount the same as last year at $239,245. Since the Equalized and Assessed Valuation (EAV) has increased for FY 2009 to $835,000,000 (up from $811,000,000 for FY 2008) our extension has been reduced from 2.95 cents to 2.86 cents. Mr. Laker informed the Board that he told Mr. McMahon that he philosophically disagreed with him. He believes that the 2.95 cents should be used against the EAV to generate a few more dollars. If not, we are holding dollars back and eventually this would catch up to the County and would prompt a significant tax increase. Chairman McMahon said that this was not the year for any kind of tax increase and we should hold the tax levy to what we had last year and “burn” surplus.There are concerns with this budget. Mileage has been reduced from $113,000 for FY 2008 to $100,000 for FY 2009. If the price of gas would increase drastically as it did this past year, we may have to adjust for the increase within FY 2009. The amount allowed should cover 166,000 miles at 55 cents per mile. A motion was made to approve the CFY 2008 – 2009 Budget Appropriation, Real Estate Tax Levy Request and Employee Wage Schedule. Motion:Ivadale Foster; Second: Judi Benjamin; Motion carried unanimously.
Items of Information: We currently are at full staff.
A motion was made to adjourn the meeting. Motion:Judi Benjamin; Second: Jason Asaad; Motion carried unanimously.
Respectfully submitted, Donna J. Dunham, Recording Secretary; Ivadale Foster,Secretary, Board of Health
>>>>> June 17, 2008 Meeting Minutes:
Members Present: Jason Asaad, Kay Banta, Judi Benjamin, Ivadale Foster, Sharon McMahon, Jim Meharry and Connie Ostrander
Members
Absent: Dr. Karen Broaders, Dr. Jane Cooney, Dr. Todd Miller and Dr. Corey Warner.
The meeting was called to order by President Kay Banta at 7:08 PM.
Mr. Laker introduced our newest board member, Sharon McMahon. She was welcomed by the staff in attendance and the board.
Dr. Karen Broaders, Dr. Jane Cooney, Dr. Todd Miller and Dr. Corey Warner asked to be excused from tonight’s meeting.
The date for the minutes to be approved on the agenda stated April 20, 2008 and it should have stated May 20, 2008. A motion was made to approve the agenda as amended. Motion: Connie OstranderSecond: Ivadale FosterMotion carried unanimously.
A motion was made to approve the regular minutes of the May 20, 2008 meeting as revised.Motion: Ivadale FosterSecond:Judi Benjamin; Motion carried unanimously.
Report on Fiscal Status : Our cash balance is diminishing. The State has decided to hold up payments for the last two months of the fiscal year to alleviate any repayments by the agencies to the State. It is possible that we will need to poll the Board of Health in order to request a Line of Credit with the County. We will NOT draw on the line of credit unless it is absolutely necessary.
Donna Dunham presented the financial statements through May. Some of the extensions on the worksheet were not correct. Donna will correct and send amended financial statements to the Board. Office supplies are depleting fast due to the end of year acquisition of an additional color printer. The cartridges for the two machines that we have are very expensive. We are keeping an eye on this line item because of this. A motion was made to approve the financial statements for May as amended. Motion: Judi Benjamin Second:Jason Asaad; Motion carried unanimously.
Mr. Laker told the Board that he would be presenting the County Fiscal Year budget for 2008 – 2009 at the August 19th meeting.
Old Business: None.
New Business: A motion was made to approve the following interim business poll: 1. Approval of the $18,000 Childhood Lead Prevention grant with IDPH Motion:Connie Ostrander; Second:Ivadale FosterMotion carried unanimously.
A motion was made to move into Executive Session pursuant to the Illinois Open Meeting Act, Illinois Compiled Statutes 5ILCS 120/2 ( c ) ( 1 ), “the appointment, employment, compensation, discipline, performance evaluation or dismissal of specific employees of the public body…..” at 7:22 PM. Motion:Judi Benjamin; Second: Connie Ostrander
Member votes: Kay Banta Yes; Judi Benjamin Yes; Connie Ostrander Yes; Jim Meharry Yes; Sharon McMahonYes; Ivadale Foster Yes; Jason Asaad Yes
A motion was made to return from executive session to the regular session at 7:27 PM. Motion: Judi Benjamin; Second: Ivadale Foster; Member votes: Kay Banta Yes; Judi Benjamin Yes; Connie Ostrander Yes; Jim Meharry Yes; Sharon McMahon Yes; Ivadale Foster Yes; Jason Asaad Yes
A motion was made to grant a 30 day medical leave to a recently hired employee. Motion: Jim Meharry; Second: Judi Benjamin Motion carried unanimously.
A motion was made to grant an extension of the medical leave of a recently hired employee – not to exceed 30 days. Motion:Jim Meharry Second:Jason Asaad Motion carried unanimouslyMr. Laker presented a budget amendment for Targeted Intensive Pre-Natal grant in the amount of $29,372. The additional funding has been awarded to our agency so that we can hire an additional case manager in the program. We currently have a waiting list of 55 clients. The case managers are limited to a client load of 40. Normally these case management positions are filled from within. The position requires a Bachelor’s in Nursing.A motion was made to approve the budget amendment for Targeted Intensive Pre-Natal grant in the amount of $29,372 .Motion:Ivadale Foster Second: Judi Benjamin Motion carried unanimously.
A motion was made to approve the bylaws as presented with no changes.Motion: Judi Benjamin Second: Jim Meharry Motion carried unanimously.
A motion was made to approve the revised Family Planning fee schedule and Schedule of Discounts for grant FY 2008/2009. Motion:Ivadale Foster Second:Judi Benjamin Motion carried unanimously.
Sharon McMahon left the meeting at 7:40 PM.
Mr. Laker reported on the stakeholder’s meeting that was held at Danville Area Community College on June 5, 2008. He was pleased with the turn out for the meeting.Mr. Laker presented a power point presentation to the Board with facts about STD’s within Vermilion County. It was an interesting and informative presentation.
Mr. Laker reported that the stand-by generator has been installed. A fence has been installed surrounding the generator. The contractor dropped the generator when he was installing it because a rope broke.The testing for the generator will begin tomorrow.
Mr. Laker will be out of town at a conference for the July meeting scheduled date. Since we really will have no major issues until the budget, Mr. Laker and Kay Banta recommended that we cancel the July meeting and not meet again until August 19. At that time, Mr. Laker and Donna Dunham will have the budget complete and will be ready to present it to the Board. The decision was made not to meet in July
Items of Information We currently are at full staff. We do have a Family Case Management Outreach position open but it is undecided at this time whether this position will be eliminated.We had a Family Planning site visit on June 10 and 11. We had one small finding which has been corrected.
Mr. Laker handed out the Fiscal Policy with revisions. He asked that the Board review the changes and bring any questions or suggestions to the August 19th Board meeting. The fiscal policy will be voted upon at that time.
A motion was made to adjourn the meeting. Motion: Judi Benjamin Second: Jason Asaad Motion carried unanimously.
Respectfully submitted,Donna J. Dunham Recording Secretary
Ivadale FosterSecretary, Board of Health
>>>>May 20, 2008 Meeting Minutes, (Approved 6/17/08)
Present: Kay Banta, Judi Benjamin, Dr. Jane Cooney, Ivadale Foster, Jim Meharry, Dr. Todd Miller, Connie Ostrander and Dr. Corey Warner.
Absent: Jason Asaad and Dr. Karen Broaders.(asked to be excused)
The meeting was called to order by President Kay Banta at 7:10 PM.
A motion was made to approve the agenda as presented. Motion: Judi Benjamin
Second:Connie Ostrander Motion carried unanimously.
A motion was made to approve the regular minutes of the March 18, 2008 meeting as amended. Motion:Judi Benjamin Second: Dr. Todd Miller Motion carried unanimously.
Fiscal Status: Our cash balance remains healthy at this time. A motion was made to approve the financial statements for January, February, March, and April.January and February had been deferred from last month. Motion: Judi Benjamin Second: Dr. Todd Miller Motion carried unanimously.
Old Business: Mr. Laker announced that Jim Hardy has resigned effective March 31, 2008. Therefore, it is necessary to fill the Vice President’s seat. A motion was made to nominate Judi Benjamin as Vice President. Motion: Dr. Todd Miller Second: Connie Ostrander Motion carried unanimously. President Kay Banta asked if there were any other nominations from the floor. She asked three times. Since there were no other nominations, a nomination was made for Judi Benjamin to be appointed Vice President. Motion: Dr. Todd Miller Second:Connie Ostrander Motion carried unanimously
New Business: A motion was made to approve the following interim business polls:1. Approval of the $14,000 two year grant contract at $7,000 per year with Illinois Department of Public Health for West Nile Virus Surveillance2. Approval of the $2,000 grant contract with Illinois Department of Public Health for West Nile Prevention.3. Approval of the HIPAA Business Agreement with East Central Illinois Area Agency on Aging.4. Approval of the $1,187 Senior Health Assistance Program with East Central Illinois Area on Aging.5. Approval of the $1,745,300 grant contract with Illinois Department of Human Services for our MCH programs for State Grant Year 2009. Motion: Ivadale Foster Second: Dr. Jane Cooney Motion carried unanimously. Dr. Miller asked what the difference was in the West Nile grants that were awarded. Mr. Laker explained that the $14,000 grant was to be used by us to set up traps, get samples and collect dead birds. The $2,000 grant was to be distributed to the area towns and villages within Vermilion County. The towns and villages must submit copies of their bills and an explanation of what they have done in the area of West Nile Prevention. The money is then awarded to and distributed to those towns and villages.
Mr. Laker gave the Board a listing of surplus equipment. He explained that the listing consisted of old computers, monitors and printers that either do not work or are not compatible with today’s technology. A motion was made to approve the removal of the Surplus Equipment. Motion: Judi Benjamin Second: Dr. Todd MillerMotion carried unanimously.
Mr. Laker presented an Ordinance to increase Certified Death Record Fees. The current cost for the first copy is $12.00 and each additional copy is $2.00. Since these fees have not been increased since 1998, he is asking to increase them to $14.00 for the first copy and $4.00 for each additional copy. Mr. Laker explained that we are now required to purchase special paper and it costs us $.42 per copy. A motion was made to approve the increase in Certified Death Record fees from $12.00 for the first copy to $14.00 for the first copy and from $2.00 for each additional copy to $4.00 for each additional copy. Motion: Jim Meharry Second: Judi Benjamin Motion carried unanimouslyMr. Laker informed the Board that there is a disparity in the fees that we charge for Certified Death Records and what the County charges. They have asked for a copy of our ordinance so that they can increase their fees to be the same as ours for FY 2009.
Mr. Laker reported on the Emergency Response exercise that was held on Wednesday, May 7 at Walgreen’s on East Voorhees. He said the exercise was quite a success. He praised Darci Newton, the Emergency Response Coordinator, Linda Bolton, the Community Relations/Health Educator and Jenny Trimmell, the Director of Community Health Services for all their preparation and hard work in organizing this event. Walgreen’s has over 900 employees and was a good place for our exercise. We dispensed meds to 310 employees and 610 members of their households. Walgreen’s employees and management were very cooperative and pleased with how smooth the exercise played out. A discussion on earthquakes and how to educate the public ensued. Mr. Laker said that it is really Emergency Management’s responsibility to inform and educate the public. On June 5, 2008, there will be a stake holder’s meeting at the Bremer Center at Danville Area Community College. This meeting is to inform the public of the high numbers of Chlamydia and gonorrhea within our community. So far this year, we have had only one case of syphilis.
Mr. Laker presented the 41st annual report. He requested that every member of the Board review the report and bring questions to the next meeting.
The stand-by emergency power generator will be installed before the end of June because that is the end of the grant year.
Items of InformationWe have four nursing positions, one clinic aide and two clerk openings within the Health Department. Some have occurred from job transfers for spouses and retirement. We are currently gearing up for the interview cycle. We have had no site visits since the last BOH meeting. Our lease is up in Hoopeston in November. Mr. Laker has contacted Mr. Allen about renewing it. We asked for every consideration in not raising the rent to help us hold down our costs. Mr. Allen requested that we increase this from $1,000 per month to $1,100 per month. The new lease will run from 12/1/08 – 11/30/11.
Dr. Warner arrived at 8:00 PM.
Mr. Laker distributed the By-laws. He asked that the Board read them and bring them back to the next board meeting which will be June 17, 2008 at 7:00 PM. A motion was made to adjourn the meeting. Motion: Dr. Todd Miller Second: Judi Benjamin Motion carried unanimously.Respectfully submitted,
Donna J. Dunham Recording Secretary
Ivadale FosterSecretary, Board of Health
>>>>> March 18, 2008
Meeting Minutes (approved 5/20/08)
Present: Jason Asaad, Kay Banta, Judi Benjamin, Dr. Jane Cooney, Ivadale Foster, Jim Meharry, and Connie Ostrander.
Absent:Dr. Karen Broaders, Jim Hardy, Dr. Todd Miller and Dr. Corey Warner.
The meeting was called to order by President Kay Banta at 7:05 PM.
Dr. Karen Broaders, Jim Hardy, Dr. Todd Miller and Dr. Corey Warner asked to be excused from tonight’s meeting.
Mr. Laker deleted item E under New Business. This item was voted on at the January 15th meeting.
And under Items of Information, Mr. Laker deleted item D as it was discussed atthe January 15th meeting and added items: E. $53,200 TIPCM increase for State FY 2009 and
F: Smoking Act Enforcement. A motion was made to approve the agenda as amended.
Motion:Judi Benjamin Second:Dr. Jane Cooney Motion carried unanimously.
A motion was made to approve the regular minutes of the January 15, 2008 meeting as presented.Motion: Ivadale Foster Second:Connie Ostrander Motion carried unanimously.A motion was made to approve the executive minutes of the January 15, 2008 meeting as presented. Motion: Connie Ostrander Second:Judi Benjamin Motion carried unanimously.
Fiscal Status Our cash balance is still good at this time. Donna Dunham, Financial Director, reported that the due to the fact that the County has been paying bills sporadically, since the first of this County fiscal year, it is making it very difficult for us to balance with them and the bank. December is finally balanced but January and February are still giving Donna problems. It was decided that a motion to approve the Cash Balance Statement and the financial statement for January and February would be deferred until the next Board of Health meeting.A motion was made to approve the cash balance report and the financial statements for November and December 2007.Motion: Ivadale Foster Second: Dr. Jane Cooney Motion carried unanimously.New Business: A motion was made to approve the $10,000 budget amendment for our STD Prevention grant. Motion: Judi Benjamin Second:Jim Meharry Motion carried unanimouslyMr. Laker informed the Board that we had been awarded and additional $13,200 for work in our Targeted Intensive Prenatal grant. These monies have been awarded to aid us in employing and additional case manager within that program. The State has not told us that for State FY 2009, we should have an additional $40,000. This would make the grant increase a total of $53,200. However, until we get written confirmation that the full $53,200 will be awarded as an increase to our TIPCM grant, we will not be hiring an additional case manager.A motion was made to approve the $13,200 budget amendment for the Targeted Intensive Prenatal Grant from IDHS. Motion: Ivadale Foster Second:Judi Benjamin Motion carried unanimously.We have been awarded an additional $49, 091 from IDHS for our Family Planning program. This additional money has been awarded to us because we deliver the services and our grant dollars does not fully cover all expenses associated with the FP program. We will be using the money to purchase supplies, exam tables, scheduling and pharmaceutical inventory software and miscellaneous items that arise.A motion was made to approve the $49,091 budget amendment for our Family Planning grant from IDHS. Motion: Jason Asaad Second:Judi BenjaminMotion carried unanimously.Mr. Laker reminded the Board that last County fiscal year we received an additional $52,631 from our Health Protection grant and it was decided to use it in infrastructure improvements. The window in Mr. Laker’s office was $2,270. This left $50,361 remaining which was supposed to be spent on a generator. However, natural gas generators were too expensive. And the money was not spent prior to the County Fiscal Year end on 11/30/07. Mr. Laker and Mark Cravens have been researching about generators and it has been decided that a diesel generator is the one that we need at the Health Department. A diesel generator is less expensive and 30% more efficient. Therefore, we have amended the budget to reflect $40,000 being spent on the generator and the switching panel and $10, 361 has been budgeted into contractual for installation.Discussion ensured regarding the generator.A motion was made to approve the $50,361 budget amendment for Health Protection grant from IDPH. Motion: Ivadale Foster Second: Jason Asaad Motion carried unanimously.Mr. Laker presented items for the Board to declare surplus items. We have nine chairs and a wood veneer doctor’s cabinet. Once the items have been declared surplus by all relevant committees and the County Board, the will be sold. A motion was made to declare the nine chairs and the wood veneer doctor’s cabinet as surplus. Motion: Judi Benjamin Second: Dr. Jane Cooney Motion carried unanimously.Mr. Laker presented to the Board the new certificate declaring us a local health department from 11/10/2007 – 11/9/2012. This is a result of the IPLAN being approved by the State.Mr. Laker reported that our next emergency response exercise will be held on May 7, 2008. This will be a dispensing exercise. We have partnered with Walgreen’s Accounting offices to have a closed worksite clinic. We will be dispensing meds to the employees and their families for both 1st and 2nd shifts. Jenny Trimmell, Sherrie Shoemaker and Darci Newton have been working diligently on this.Mr. Laker informed the Board that the Communicable Disease rules have been finalized after 5 years. He has a copy if anyone wants to see them.
Items of InformationShirley Hicks reported that we have three open RN positions within our Family Case management area. Also open is a Family Support Worker in our Healthy Families Illinois program. We hired a new LEHP in training a couple of weeks ago and she seems to be working out well.We have promoted a Public Health Nurse to Healthy Families Illinois Coordinator. She is Connie Bechtold and has been working as a case manager in our TIPCM program. We have, also, hired a temporary RN for our Family Case Management program, a FCM clerical worker and a new clinic aide for our FP program.Mr. Laker reported that we have had WIC and FCM site visits. We had minor findings and corrective action plans have been filed with the State.
Mr. Laker informed the Board that we have already been notified that our 2008 shipment for flu vaccination will be delayed. The reason is, they have changed the make-up of the influenza vaccine and this will delay the manufacturing and thus distribution will not be timely.
Mr. Laker reported to the Board that we have had 3 separate complaints for 4 separate establishments about non-compliance with the Smoking Ban. He has contacted the State’s Attorney’s office to see about enforcement of the law. However, Frank Young has not returned his calls or emails.
Mr. Laker sent Mr. Kolby Riggle, Director of Environmental Health, to visit these establishments. He found three of the four establishments in violation. He has notified the States Attorney’s office of this also. Kolby Riggle was instructed by Mr. Laker to file the complaints with the Circuit Clerk’s office, today, March 18, 2008. If we do not hear from Frank, the establishments will be issued complaints on 4/8/08 and notices to appear.
A motion was made to adjourn the meeting. Motion: Connie Ostrander Second: Jason Asaad Motion carried unanimously.
Respectfully submitted, Donna J. Dunham, Recording Secretary
Ivadale Foster, Secretary, Board of Health
****************************************************************************************************
>>>>>The February meeting was cancelled due to weather.
****************************************************************************************************
>>>>>January 15, 2008 Meeting Minutes (approved 3/19/08)
Present: Jason Asaad, Kay Banta, Judi Benjamin, Dr. Jane Cooney, Ivadale Foster, Jim Hardy, Jim Meharry, and Connie Ostrander.
Absent: Dr. Karen Broaders and Dr. Corey Warner.
The meeting was called to order by President Kay Banta at 7:05 PM.
Dr. Karen Broaders and Dr. Corey Warner asked to be excused from tonight’s meeting.Mr. Laker added to the agenda under Items of Information: F. IPLAN status. A motion was made to approve the agenda as revised.
Motion: Jim Hardy
Second: Judi Benjamin
Motion carried unanimously.
Members of the community were at the meeting to ask questions and voice their opinions regarding the smoking ban that took effect January 1, 2008 for all public places in Illinois. State Representative, Bill Black and Director of Public Safety for the City of Danville, Larry Thomason, were at the meeting to answer questions and to clarify the new law.
A motion was made to approve the regular minutes of the November 27, 2007 meeting as presented.
Motion: Ivadale Foster
Second: Dr. Jane Cooney
Motion carried unanimously.
A motion was made to approve the executive minutes of the November 27, 2007 meeting as amended.
Motion: Jim Hardy
Second: Judi Benjamin
Motion carried unanimously.
Fiscal Status
Our cash balance is still healthy at this time. The State is currently paying December and January payments. Donna Dunham, Financial Director, reported that the County has not closed out November so there are no final FY 2007 reports. Since there are no final FY 2007 reports, the County has not issued December or January reports. It was decided that a motion too approve the Cash Balance Statement for November would be deferred until the next Board of Health meeting.
Old Business:
NONE
New Business:
A motion was made to affirm the following interim business polls:
1. Approval of the $10,000 Contract with NACCHO for Medical Reserve Corp.
2. Approval of the $10,000 contract with IDPH for STD Prevention
3. Approval of the $3,500 Contract with IDPH for Women’s Health grant Motion: Judi Benjamin
Second: Jim Hardy Motion carried unanimously.
Dr. Jane Cooney left the meeting at 8:00 PM.
A motion was made to enter into an Executive Session at 8:02 PM pursuant to the Illinois Open Meetings Act, Illinois Statutes 5IKLCS 120/2 (c) (1), “The appointment, employment, compensation, discipline, performance evaluation or dismissal of specific employees of the public body” Motion: Ivadale Foster
Second: Judi Benjamin
Motion carried unanimously as follows:
Kay Banta Y Judi Benjamin Y Connie Ostrander Y
Jim Hardy Y Jim Meharry Y Ivadale Foster Y
Jaon Asaad Y
A motion was made to return to the regular session at 8:14 PM.
Motion: Jim Hardy
Second: Connie Ostrander
Motion carried unanimously as follows:
Kay Banta Y Judi Benjamin Y Connie Ostrander Y
Jim Hardy Y Jim Meharry Y Ivadale Foster Y
Jason Asaad Y
A motion was made to approve the 30 day unpaid leave of absence request from an employee. Motion:Jim Hardy
Second: Connie Ostrander
Motion carried unanimously
A motion was made to approve the $10,000 budget amendment for the Medical Reserve Corp Grant from NACCHO.Motion: Jim Meharry
Second: Judi Benjamin
Motion carried unanimously.
A motion was made to approve the $3,500 budget amendment for the Women’s Health grant from IDPH. Motion: Ivadale Foster
Second: Judi Benjamin
Motion carried unanimously.
A motion was made to approve the $4,800 budget amendment for Targeted Intensive Prenatal grant from IDHS for COLA.
Motion: Judi Benjamin
Second: Jason Asaad
Motion carried unanimously.
A motion was made to approve the $12,700 budget amendment for Healthy Moms/Healthy Kids grant from IDHS for COLA Motion: Judi Benjamin
Second: Jim Meharry
Motion carried unanimously.
A motion was made to approve the budget amendment for $30,953 for our Flexible Senior Services grant from IDOA. Motion: Ivadale Foster
Second: Judi Benjamin
Motion carried unanimously.
Items of Information
Mr. Laker reported that we are in need of an LEHP in training, clinic aide in Family Planning, Healthy Families Illinois coordinator and support worker.
We have promoted a staff RN to Family Planning Coordinator, Cathy Hubbard. We have hired a temporary RN for our Healthy Moms/Healthy Kids program. Nancy Strawser has been hired as a staff RN for our Family Planning program. She was previously our Family Planning coordinator in 1998. And we have recently hired a Healthy Moms/Healthy Kids clerical worker.
Mr. Laker reported that we one open RN position in CCU and one Data Entry Clerk II position open in our Healthy Moms/Healthy Kids program. We have a Family Support Worker open in our Healthy Families Illinois program, also.
Mr. Laker reported that we have had an MCH site visit. We have not received the findings connected with this visit. It is no longer common practice to do a face to face exit.
Mr. Laker reported that we have given 3,373 influenza vaccinations to date. We gave 200-300 to walk-ins since our clinics stopped. Since we had ordered 4,000 doses, we have a surplus of 627 doses. This equates to $7,348.44. Therefore, when ordering our supply for the 2008 flu season, we have cut the supply by 500.
Mr. Laker talked about the award of $10,000 that we received for our STD grant. We hope that the State will make this a yearly amount since STD rates have risen throughout Illinois.
We have spent $2,270 of the additional Health Protection money we received. As you recall, it was originally $52, 631.57. Therefore, we have $50, 361.57 to spend on either a generator or a new telephone system. Mark Cravens and Mr. Laker are researching the possibility of a generator for the Health Department.
Mr. Laker informed the Board that we have been told by the State that our IPLAN has been read and approved. This will extend our certification as a local Health Department until 2012.
A motion was made to adjourn the meeting. Motion: Connie Ostrander
Second: Judi Benjamin
Motion carried unanimously.
Respectfully submitted,
Donna J. Dunham
Recording Secretary
Ivadale Foster,
Secretary, Board of Health
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