October 14, 2004 – 6:30pm

Agenda

  1. Call to Order
  2. Approval of Agenda*
  3. Public Comment
  4. Approval of June 22, 2004 Board of Health Special Session Meeting Minutes, July 15, 2004 Board of Health Meeting Minutes, and September 16, 2004 Board of Health Meeting Minutes*
  5. Employee Information
    1. Resignations
      • Thomas Webster, Sanitarian (EH)
    2. Open Positions
      • LPN Outreach Worker (BCCP)
      • Sanitarian (EH)
  6. Division Reports
    1. Maternal Child Health
      1. Infant Mortality Analysis
    2. Chronic and Communicable Disease
      1. Influenza Clinics
    3. Environmental Health
    4. Health Promotion
      1. Tobacco Grant
  7. Administrative Reports
    1. Financial Status
      1. June, July, August and September 2004 Financial Reports*
  8. Old Business
  9. New Business
    1. Environmental Health Computer System*
  10. Executive Session*
  11. Adjournment*

* Board Action Required

Minutes

Members Present
  • Mr. W. Boudreau
  • Ms. B. Durell
  • Ms. J.M. Flageole
  • Dr. L. O’Connor
  • Dr. P. Reeder
  • Dr. G. Trapp
  • Ms. R. Turner
Members Absent
  • Ms. L. Faber
  • Dr. R. Mann
Staff Present
  • Ms. B. Schaafsma
  • Mr. J. Bevis
  • Ms. P. Boudreau
  • Ms. S. Stevenson
  • Ms. K. Marcotte
Others Present
None

Call to Order

Dr. Trapp called the meeting to order at 6:34pm. Dr. Reeder motioned to accept the agenda. Dr. O’Connor seconded the motion which passed unanimously.

Public Comment

None.

Approval of September 16, 2004 Board of Health Meeting Minutes*

A motion was made by Ms. Durell to accept the minutes of the September 16, 2004 Board of Health meeting minutes. Mr. Boudreau seconded the motion which passed unanimously. The June 22, 2004 Board of Health Special Meeting minutes will be ready at the next meeting for approval.

Employee Information

Ms. Schaafsma reported the resignation of Thomas Webster who was a Sanitarian in Environmental Health. He has accepted a position as a Building Inspector in another county office. Open positions are: LPN Outreach Worker in the IBCCP Division in the Will County area and EH Sanitarian.

Division Reports

Maternal Child Health

Ms. Stevenson distributed and reviewed information concerning the 2002 Infant Mortality statistics. The rate which was 6.8 is calculated by counting the number of infants born in Kankakee County that died per 1000 births before their first birthday. Dr. Reeder asked about how many were in programs at the health department. Ms. Stevenson referred to the chart she prepared. The majority of deaths were due to pre-maturity. African Americans had a lower percentage compared to Caucasians contrary to the overall state report. In the future Family Case Management staff will be attending the March of Dimes conference. Pamphlets have been ordered in English and Spanish regarding premature births. Dr. O’Connor asked if there was anything else that could be done. Ms. Stevenson explained that many of the clients that were case managed had medical intervention early in their pregnancies. Those clients that were non-compliant with case management visits were also non compliant with medical care.

Chronic and Communicable Disease

Ms. Boudreau reported on the shortage of the influenza vaccine. We were scheduled to give 3200 doses of the vaccine which was ordered from Chiron through the Illinois Public Health Association. The vaccine was not allowed to be released due to some manufacturing difficulties. There is a potential to receive 50% of the vaccine ordered. In the next couple of weeks more information will be available. Dr. Trapp affirmed that a note from their physician should be required for those who are under 65 and at risk due to other criteria. Ms. Schaafsma noted that in addition to the 3200 doses we ordered for adults, additional vaccine was ordered through the Vaccines for Children program and through Aventis as our private stock. This vaccine may be cut back by 1/3 and will probably be set aside for children receiving services from the health department. Dr. O'Connor asked about the availability of the inhalant influenza vaccine. Ms. Boudreau stated that the inhalant type of vaccine is for those who are currently healthy and not at risk because it is a live vaccine. Dr. Reeder asked if the cost of vaccine will be higher due to the scarcity. Ms. Schaafsma stated that the CDC is taking measures to avoid price gauging; KCHD has a contract that will control the price. Walk-in clinics are being considered if the vaccine does arrive as opposed to making appointments as in the past.

Environmental Health

None.

Health Promotion

Ms. Schaafsma reported that Health Promotion did receive the Tobacco Grant in the same amount as last year, approximately $35,000.

Administrative Reports

Financial Status

The June, July, August, and September 2004 Financial Reports were presented. Ms. Schaafsma noted that there was a deficit in the earlier months of these reports because not all of the tax or grant monies had been received. At the end of September, (83% of the year), we had received 84.5% of the revenue and spent 81.5% in expenses. The actual grant agreement for Bio-Terrorism is still not certain but should be similar to last year’s. Additional information was provided by Ms. Koenning on the invested funds. Ms. Schaafsma reported that we have now switched financial institutions from National City to First American Bank. This is also the third month of bi-weekly pay checks similar to the County; this has helped with insurance payments and IMRF, etc. Dr. O'Connor motioned to approve the June, July, August, and September 2004 financial statements; seconded by Dr. Reeder. The motion passed unanimously.

FY2005 Budget

A copy of the proposed FY2005 budget was reviewed. Ms. Schaafsma noted that the budget does allow for a 3% cost of living raise. Ms. Schaafsma asked to delay the approval until next month.

Old Business

None.

New Business

Environmental Health Computer System

Ms. Schaafsma provided information regarding the purchase of a computer software system that would enhance the Environmental Health Division. Details regarding the two proposals submitted by Decade Software and Garrison Enterprises were reviewed. Ms. Schaafsma asked for approval to purchase the Garrison Enterprises program. This system would help a variety of the programs in Environmental Health for example entering food inspection reports into a laptop out in the field which could save time. It would also allow for inspection scores to be posted online for the public to view. It is a web based application which is available anywhere you have access to the internet. Ms. Flageole asked if there were annual maintenance fees for both programs which there are. Dr. Trapp questioned if Mr. Bevis had obtained information from other health departments about systems they are using. Other health departments were surveyed and the information was reviewed. Will County is using the Decade software system however it seems they are not fully using its features. Other health departments have custom made systems which overall seemed inadequate. Dr. Trapp confirmed that the proposal at this time is for the software only, not for laptops or printers. Dr. O’Connor questioned the differences in prices on the chart. Decade software provided two options to purchase their system. Option Two is the similar proposal to the Garrison Enterprises with the exception of the additional costs for report writers, servers, etc. Ms. Turner asked if there was a “contract”. Ms. Marcotte confirmed that KCHD would “own” the data which could be backed up to our server at anytime. Mr. Boudreau asked if this purchase was in the budget. Ms. Schaafsma noted that although it was not included originally it looks as if the budget will be under spent at the end of the fiscal year by enough money to cover the cost. Mr. Boudreau made a motion to approve the purchase of the Digital Health Department system from Garrison Enterprises for $25,900.00 with an annual maintenance fee of $6,000.00. Ms. Turner seconded the motion which passed unanimously.

Executive Session

None.

Adjournment

There being no further business before the Board, Ms. Turner moved to adjourn at 7:30pm. The motion was seconded by Dr. Reeder which passed unanimously.

Minutes
respectfully submitted by, Dr. Phyllis Reeder, Secretary
reviewed by, Bonnie Schaafsma, RN, BSN, MBA, Public Health Administrator
prepared by, Ms. Kris Marcotte, Administrative Assistant