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HomeMy WebLinkAbout04 April Human Services HEALTH BOARD MINUTES APRIL 23, 1996 BOARD MEMBERS: Robert Hinton, Chairman Richard Wojt, Member Glen Huntingford, Member STAFF MEMBERS: David Specter, Health Department Director Jean Baldwin, Director of Nursing Services Lany Fay, Director of Environmental Health Chester Prudhomme, Director of Substance Abuse Thomas Locke, M.D., Health Officer The meeting was called to order by Chairman Robert Hinton. The following Board and staff members were present: Commissioner Glen Huntingford, Lany Fay, Jean Baldwin, Judi Morris, David Specter, Tom Locke and Chester Prudhomme. Commissioner Wojt arrived shortly after the meeting began. APPROVAL OF MINUTES: Commissioner Huntingford moved to approve the minutes of March 26, 1996 as presented. Chairman Hinton seconded the motion in the temporary absence of Commissioner Wojt. The motion passed. PUBLIC COMMENT PERIOD: R.G. Hohnstein stated he owns a 5 acre tract in Hidden Trails, located near the old landfill, and was recently denied his request for a setback variance. He is appealing to the State Department of Health and would like any additional information from the County regarding this parcel. Lany Fay said that he has a survey map of the boundaries in that area and Mr. Hohnstein should also talk to Frank Hall in the Public Works Department. Lany Fay suggested that if his appeal to the State Department of Health is denied, he should talk to his neighbor about a two party well connection. DIRECTOR'S REPORT FINANCIAL REPORT: David Specter presented the revenue and expense summaries. He reported that 21% of budgeted revenues have been collected and 24% of the budget has been expended as of March 31,1996. The Drug and Alcohol Abuse program revenues are down by $10,000 and the grant revenues are also low but are expected to catch up in the next couple of months. He stated that they may have to request to move some money from salaries to cover expenses. David Specter reported that during the monthly Management Team Meetings, the Health Department will be presenting an FTE report similar to the budget report. This will track if something is out of line so it can be adjusted quickly. PROGRAM/GRANT UPDA TE: David Specter reported that the Consolidated Contract is the mechanism that the State Department of Health is using to implement the State Public Health Improvement Plan. This year the Health Department will be getting a self assessment tool that will be HEALTH DEPARTMENT 360/385.9400 ENVIRONMENTAL HEALTH 360/385-9444 DEVELOPMENTAL DISABILITIES 360/385-9400 ALCOHOL/DRUG ABUSE CENTER 360/385-9435 FAX 360/385-9401 HEALTH BOARD MINUTES - APRIL 23, 1996 Page: 2 used to score the Health Department Standards. The Board was asked to participate in this assessment. The Health Officer, Tom Locke, discussed the difference between the Community Health Assessment and the Organizational Assessment. David Specter presented "April News" which are newspaper articles regarding Health issues. Judi Morris reported that the Health Department received a complaint on their service and as a result they are working on a customer service survey to help improve their service skills and process. A report will be given to the Board when the survey is complete. Judi Morris was asked by the Public Services Director to check computer software at the Health Department and make sure all programs were licensed. There is a total of 20 machines with 146 applications running on those machines. There were six unlicensed programs found and they have since been purchased. NURSING DIRECTOR'S REPORT PROGRAM UPDATE: Jean Baldwin reported that she is the County representative on the Healthy Actions Oversight Committee. This committee talks about management care plans and how the Medicare, SSI and Medicaid people are affected by the managed care changes. Issues such as access and enrollment problems are discussed at these monthly meetings. Jean Baldwin reported that there is a suspected case of measles reported on the Hoh Indian Reservation at the West End. Tom Locke discussed how measles are transmitted and the process to control an outbreak. Commissioner Wojt asked if the West End nurse, Jean Fletcher, could attend the community meeting scheduled for April 25 at the Queets-Clearwater School to answer any questions that may be asked? David Specter thought that was a good idea and would check with her. Commissioner Huntingford asked that the Board be updated prior to their April 25 community meeting. ALCOHOL and DRUG ABUSE SERVICES DIRECTOR'S REPORT PROGRAM UPDATE: Chester Prudhomme said that he has done an informal analysis to determine the number of clients compared to prior years and determined that they are 60% above 1994 figures. Most of the new clients are kids and DWl cases going through the court system. Chester Prudhomme reported that he has applied for an Adolescent Case Management Grant. A total ofl0 grants in Washington State in the amount of $30,000 with a $10,000 local match will be given out. This money would allow the hiring ofeura staff to get kids (12-19 years) in and through treatment programs. He also reported that the Student Assistance Counseling Program was left off of the school levy and he doesn't know if this program will continue after June. The Schools would like this program to continue but have no ideas on how it will be funded. Some direction may be requested from the Board within the next few months. ENVIRONMENTAL HEALTH DIRECTOR'S REPORT Lany Fay introduced Dave Christensen who has been hired to implement the Critical Areas Ordinance Seawater Intrusion Provisions and various other projects. HEALTH BOARD MINUTES - APRIL 23,1996 Page: 3 Lany Fay stated that Linda Atkins met with the Board of Directors ofthe Quimper Credit Union to discuss administering and managing various grants and loans. He also informed the Board that a court date has been set on the legal action taken by the Prosecuting Attorney against a food service establishment that operated without a license. Lany Fay discussed the dmfi Memorandum of Agreement with the Department of Ecology which would delegate authority to Jefferson County to administer and enforce the well sealing, tagging and decommissioning portions of the water well construction program. Commissioner W ojt asked who changed the inspection rate of 100"10 of decommissioned wells to 90%? Lany Fay responded that due to time, 100"10 of the inspections would not be possible. Discussion continued on the cost and the process of decommissioning a well. A second draft is being worked on and will be sent to the Prosecuting Attorney for his signature and then to the Board for their approval. HEALTH OFFICER REPORT Tom Locke reviewed how the Public Health Improvement Plan (pHlP) was established. It is a long term plan with revisions made every two years. This plan is going to be rewritten this summer including comments from Counties statewide. NEW BUSINESS Chairman Hinton asked Lany Fay when the next septic system designer class will take place? Larry said that Jefferson County doesn't have a designer program scheduled. The Courts have decided that Counties do not have the authority to license people to do engineering work. This decision is being appealed by the Board of Licensing for Professional Engineers and is currently unresolved. Chairman Hinton then asked Lany Fay what the regulation was on a one bedroom residence designed septic system? Lany said that the new regulation which became effective January 1995, states that a minimum of240 gallons per day are required whether it is one or two bedrooms. It also states that the Health Officer is the only one who could allow a smaller system, with appropriate justification. David Specter said that due to Memorial Day the Board of County Commissioner's regular meeting date has been moved to Tuesday, May 28. It was decided that Health Board would remain on the same day and time, but would only last one hour. The next meeting will be held on N COUNTY BOARD OF HEALTH ,