Loading...
HomeMy WebLinkAbout03 March COMMUNICABLE DISEASE CONTROL PUBLIC HEALTH NURSING VITAL STATISTICS ENVIRONMENTAL HEALTH HEALTH EDUCATION JEFFERSON COUNTY HEALTH DEPARTMENT 802 SHERIDAN PORT TOWNSEND, WASH. 98368 (206) 385.0722 HEALTH BOARD MINUTES MARCH 23, 1993 BOARD MEMBERS: STAFF MEMBERS: Robert Hinton, Chairman Richard Wojt, Member Glen Huntingford, Member Larry Fay, Director of Environmental Health David Specter, Administrator Jean Baldwin, Director of Nursing Services J. Peter Geerlofs, M.D., Health Officer CITY OF PORT TOWNSEND REPRESENT A TlVE: Norma Owsley The meeting was called to order by Chairman Robert Hinton. The following Board and Staff members were present: Commissioner Richard Wojt, Larry Fay, David Specter, Jean Baldwin, and Port Townsend's representative Norma Owsley. Commissioner Glen Huntingford arrived later in the meeting. APPROVAL OF MINUTES: Commissioner W~it moved to approve the Minutes of February 23, 1993. Chairman Hinton seconded the motion in the absence of Commissioner Huntingford. The motion carried. ADMINISTRATOR'S REPORT FINANCIAL REPORT: David Specter reported that 17.1 % of the budget was expended and 13.2% of budgeted revenues have been collected a~ of February 28, 1993. Expenses are over budget as a result of prepaying the rent for March. Grants are slow coming in causing revenue to be down, which is typical for this time of year. Fees collected for Nursing services are right on target while fees collected t()r Environmental Health services are ahead of target. HEALTH BOARD MEETING MINUTES - MARCH 23, 1993 Page 2 PROGRAM/GRANT UPDATE: Commissioner Wojt asked the status of STD Program funding from the City of Port Townsend'! David Specter stated that the Board of County Commissioners directed him to contact the City regarding their portion ($10,000) of the program funding. He contacted City Council Member Norma Owsley and explained that when the County's 1993 budget was approved they were to begin the women's STD Program and that part of the funding wa~ assumed to come from the City. Norma Owsley stated she reviewed a letter presented to the City la~ year which stated that short term immediate assistance wa~ needed in order to maintain existing service levels. It was the City's undersianding that funds were needed for existing programs not for new ones so the funds were put aside until additional information was received. Since they did not receive any information the City assumed the County did not need the funding for this program and therefore funds budgeted for it were put back into the general fund. David Goldsmith explained that the County was requested by the public to provide women's STD care at the same time the County asked the City for help with the regional services. The public was told there were no funds available but that service delivery could be shifted around in order to use money intended for existing programs, for STD care. The County is still in need of the funding and they should have followed up with a letter or bill to the City. Ms. Owsley talked with the Mayor regarding this matter and he suggested scheduling a meeting of the City and County to discuss it. After further discussion of budgets the meeting was tentatively scheduled for Wednesday, April 14, 1993 at 5:00 p.m. in the City Council Chambers. Jean Baldwin stated they are monitoring the costs of the STD Program and anticipate 25% to be fee reimbursed. They budgeted three clients per week and are currently serving approximately four to five a week (men and women). She added that the clinic has not been advertised. The clients seen are referrals from Community Action, Community Counseling, Family Planning, and local physicians. It needs to be clear that this is a limited resource and at some point the medical community will need to help out more. David Specter reported that the Grant proposal to continue the Dental Program begiuning July 1993 through June 1994 has been submitted. They have requested $28,000 from the State Primary Health Service Fund. This program has been 100% funded by the State. Last year funds were used for 17 dental hygiene clinics, 9 dental clinics, and 6 clinics for bead start children. The State contracts jointly with Jefferson and Clallam Counties. Jefferson County is the lead agency. 1993 GOALS/STATUS REPORT: The APEX process is moving forward. Priorities are being defined. The Community Advisory Committee is being put together and will review the priorities in late April. The Health and Human Services Department is working on improving their computer systems for registration and billing. Jean Baldwin visited a Health Department in Spokane that is using the same system and she was able to get some good ideas. HEALTH BOARD MEETING MINUTES - MARCH 23, 1993 Page 3 DIRECTOR OF NURSING'S REPORT Jean Baldwin reported they have applied for the Washington State Child Abuse Prevention Grant. A program has been started through a Maternity Support Group. This is a support group for teen mothers in Brinnon who have had Child Protective Services (CPS) referrdis. It is well attended and since the group began none of the mothers have had any referrals. The group has been expanded to include the Tri-Area using Human Services Drug and Alcohol Community funds. The Grant required that several other agencies be contacted for support letters. The response was overwhelming. Support letters were received from all of the local districts, physicians, DSHS, and other local agencies. Beginning March 29, 1993 immunizations will be moved to five days a week for half day segments rather than one afternoon a week. This can be done due to increased State funding. ENVIRONMENTAL HEALTH DIRECTOR'S REPORT LUDLOW WATERSHED ACTION PLAN: Larry Fay reported that at the last Board of Health meeting the Board deferred making a decision on the Health Department's recommendations for the Ludlow Watershed Action Plan. He then reviewed each recommendation and noted that the Health Department's response to recommendation number R-13 was changed since the last meeting. Instead of concurring with the recommendation they are conditionally concurring. He explained the wording changes made as follows (underlined) : RESPONSE TO RECOMMENDATION NUMBER R-13 The Health Department conditionally concurs with this recommendation. The Jefferson County Health Department ~ to develop and recommend policies for review by the Jefferson County Board of Health to identify when an on-site septic system is required to be repaired. If these policies are adopted a policy/ordinance addressing: the mandatory time of sale inspection of existing septic systems can be developed and presented for adoption to the Jefferson County Board of Health. The Jefferson County Health Department is currently using a data base to record sewage disposal permit~ in the entire County. This data base will be expanded to enter all existing systems that we have records for and all systems that we evaluate or receive information on. This data base will be able to tlag and report on alternative systems and other items of interest (i.e. sensitive areas, flood plains, shorelines, unstable slopes, etc). The development of policy and expansion of the data base will take place as funding. time and staff permit. HEALTH BOARD MEETING MINUTES - MARCH 23, 1993 Page 4 Larry Fay went on to review the remainder of the recommendations that were not changed. After a brief discussion of the recommendations and responses Commissioner Wojt moved to accept the recommendations of the Health Department with regard to the Ludlow Watershed Action Plan. Chairman Hinton seconded the motion in the absence of Commissioner Huntingford. The motion carried. POLICIES AND PROCEDURES: Larry Fay presented to the Board draft policies for review of subdivisions, water supply, two connection Group B Water Systems, and wet seasons. These are all areas to be developed for integration into the One-stop Permit Center. After reviewing all the draft policies, he asked the Board to look them over and get back to him at their earliest convenience with any comments or changes they would like made in order to incorporate them into the policies by next months meeting. The next meeting will be held on April 27, 1993 at 1:00 p.m. MEETING ADJOURNED