December 11, 2003 &ndash 6:30pm

Agenda

  1. Call to Order
  2. Approval of Agenda*
  3. Public Comment
  4. Approval of November 6, 2003 Board of Health Minutes*
  5. Employee Information
    1. New Employees
      • Kimberly Yates
      • Phlebotomist
      • Monica Barrera-Meier
      • LPN Case Manager - Clinic
      • Norma Blair, RN Case Manager - Clinic
      • Sarah Lamie, Case Manager
    2. Resignations
      • Brenda Cluney, RN Case Manager - HealthWorks
      • Lisa Yohnka, RN Case Manager - Family Case Management
      • Michelle Galiger, HIV/STD Case Manager
    3. Open Positions
      • RN Case Managers - Family Case Management
      • Client Services Representative, HIV/STD Case Manager
    4. Anniversary - Pam Boudreau, CCD Director - 5 year
  6. Division Reports
    1. Maternal Child Health
      1. WIC Administrative Review
    2. Chronic and Communicable Disease
      1. Influenza Update
      2. BCCP Statistics
    3. Environmental Health
      1. Advisory Committee Update
      2. Food Program Update
    4. Health Promotion
  7. Administrative Reports
    1. Financial Status
      1. October and November 2003 Financial Reports*
  8. Old Business
    1. Nominating Committee - Election of Officers*
  9. New Business
    1. Physicians Contracts*
    2. Board of Health 2004 Schedule
  10. Executive Session*
    1. Environmental Health Pending Litigation
  11. Adjournment*

* Board Action Required

Minutes

Members Present
  • Ms. L. Faber
  • Dr. R. Mann
  • Dr. L. O’Connor
  • Dr. P. Reeder
  • Dr. G. Trapp
  • Ms. R. Turner
Members Absent
  • Mr. W. Boudreau
  • Mr. B. Charlier
  • Ms. B. Durell
Staff Present
  • Ms. B. Schaafsma
  • Ms. K. Marcotte
  • Mr. J. Bevis
  • Ms. P. Boudreau

Call to Order

Dr. Trapp called the meeting to order at 6:42 PM. Dr. Mann moved to accept the agenda; Dr. Reeder seconded the motion, which passed unanimously.

Public Comment

None.

Approval of November 6, 2003 Board of Health Minutes*

A motion was made by Dr. Reeder to accept the minutes of the November 6, 2003 Board of Health meeting, seconded by Ms. Faber which passed unanimously.

Employee Information

Ms. Schaafsma announced the following new employees:

  • Kimberly Yates, a previous employee, has returned as a Phlebotomist with some additional CNA training.
  • Monica Barrera-Meier, LPN, and Norma Blair, RN will be starting as nurses in the Child Health and Immunization clinics.
  • Sarah Lamie is a social worker who has accepted a position as a case manager.

Currently it has been difficult to find enough nurses to fill these positions. Hiring a social worker is allowed under the grant guidelines. In addition there were three resignations, Brenda Cluney, and Lisa Yohnka who were RN Case Managers and Michelle Galigher, HIV/STD Case Manager. Open positions in Family Case Management are full and part time case managers. In CCD, positions available are an HIV Case Manager and STD nurse. Sarah Hertz, our STD nurse will be cutting back hours and continue with the Heart Smart program. Ms. Schaafsma also announced the 5 year employee anniversary for Pam Boudreau, Director of Chronic and Communicable Disease. Ms. Boudreau started in the WIC department and accepted a position as the CCD Director when Ms. Hubly left. Ms. Boudreau has increased the effectiveness of the Breast and Cervical Cancer program and has taken on a lot of extra work with the Bio-Terrorism Grant.

Dr. Reeder expressed concern over the number of nurses that have left recently. She also asked if there was a sense of why this was happening. Ms. Turner commented that she knew what it was - salary. New graduates at the hospital where she is employed start at $20-25.00 per hour. Dr. Reeder would like to look our pay scale and consider making it more competitive with the private sector. Ms. Schaafsma replied that with a couple of the situations, there was some dissatisfaction. In the past, there was not as much of difference between our salary as a public entity and the private sector salary and our benefits as far as work hours, no weekends/Holidays would balance it out. Many of these nurses have worked for the eight years the county requires to become "vested" in the Illinois Municipal Retirement Fund. Ms. Turner asked that the Personnel Committee meet to look over different options that are available. Ms. Schaafsma has put some ideas together but this might require dipping into the reserves as the budget for the next year has already been approved. Dr. Mann asked if the situation a few months ago had any impact of their decisions. That employee, Ms. Schaafsma noted, was moved to an "in house" position where she has had no other incidents with employees or clients. Dr. Trapp commented that two of the clinic nurses did speak with him and voiced their concern that this person was not being reprimanded or taken care of in a timely fashion from their supervisors. Ms. Schaafsma did meet in an exit interview with those nurses. It is not always possible to explain one persons disciplinary actions. Ms. Turner reiterated that salary was the issue with the nurses she has spoken with that she knew from the hospitals here. Ms. Schaafsma explained that she has asked those who were leaving what their reasons were. One employee commented that she would be making $6.00 more with a $1,000 sign on bonus. Another part time employee stated she you can't come close to the salary and she needs to receive insurance benefits, which is a policy set through the county. Ms. Faber commented that she is aware of this problem in other county offices as well. For example at the States Attorney’s office they can't pay what would be offered in the private sector as well for their professional positions. Other ideas regarding appreciation, rewards and benefits were discussed. The Personnel Committee will decide on a date to meet in the future.

Division Reports

Maternal Child Health

The WIC Administrative review was distributed and discussed. Recommendations were to hire more minority staff and to change the layout of the WIC clinic in Pembroke. Ms. Schaafsma commented that overall the review was favorable.

Chronic and Communicable Disease

Ms. Boudreau reported that the first 3,000 doses of the flu vaccine were given and an additional 180 dose were purchased from a local pharmacy and have been committed. There has been a shortage in the community due to high demand of the vaccine. We have several pages with names and number of people wishing to receive the vaccine. IBCCP Status Report was distributed to members and reviewed. This year we are projecting to see 135% of the targeted population. However, the state is requesting that we focus on the women ages 50-60 years old. The number of errors reported has decreased to 3% which is within the acceptable rate.

Environmental Health

Mr. Bevis reported on the Advisory Committee that has met twice with the next meeting scheduled in January. They have discussed grading scale options and how/where to publish ratings. Mr. Bevis has provided statistics. This week a vendor provided an in-service for a computer program that can manage Environmental Health information including a way of posting scores on our web site.

Mr. Bevis also reported on statistics from the Food Program. With the addition of the new staff we have been able to do 200 more inspections than last year and have inspected 100 more establishments than last year. The establishment’s ability to make changes during the inspections has greatly decrease the number of re-inspections required. This has provided more time to work on other inspections that are due. Now that the new staff are fully trained, next year’s statistics should look even better.

Health Promotion

None.

Smoke detectors were also provided through the Safe Kids Campaign. They were distributed through the fire departments to clients that needed them.

Administrative Reports

Financial Status

The financial reports were reviewed for October and November. At the end of October, (92% of the year), we had received 98.53% of the revenue and' allocated 89.17% of the expenses. Dr. Mann asked about the overage in Outside Contracting. Ms. Schaafsma commented that that line item included some extended expensed from the move. Another factor occurs when items are posted to a different line item than where they were budgeted. These categories were discussed with the Fiscal Manager when creating the new budget to reflect more accurately reflect expenses. Machinery and Equipment expenses were over due to purchasing the computers with the Bio-Terrorism money that was not budgeted for. Dr. Mann motioned to approve the financial reports; seconded by Ms. Faber which passed unanimously. The November financial report was provided for review because the total expenditures for the year end have not been entered. This report shows a projected amount of $200,000 under budget. Salary adjustments/bonuses were discussed.

Old Business

None.

New Business

The 2004 STD physician contracts and the 2004 TB physician contract were presented for approval with the same salary amount as last year. Dr. Mann motioned to approve the contracts as submitted; seconded by Dr. O'Connor. The motion passed unanimously.

The 2004 Board of Health meeting schedule was discussed. The Board agreed to continue meeting on the Thursday following the second Monday. Two exceptions were made in February and November due to the Holidays. The new dates are as follows: Monday, February 9, 2004 and Monday, November 8, 2004.

Executive Session

On a motion made by Ms. Turner, seconded by Dr. Reeder, and approved unanimously the Board moved into Executive Session at 8:00pm to discuss an Environmental Health Legal issue. The Board returned to regular session at 8:16pm.

Adjournment

There being no further business before the Board Dr. Reeder moved to adjourn at 8:16 pm. Ms. Turner seconded the motion, which passed unanimously.

Minutes
respectfully submitted by, Ms. Roxanne Turner, Secretary
reviewed by, Bonnie Schaafsma, RN, BSN, Public Health Administrator
prepared by, Ms. Kris Marcotte, Administrative Assistant