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HomeMy WebLinkAbout06 June County Health & Human Services HEALTH BOARD MINUTES JUNE 22, 1993 .!.mARD MEMBERS: STAFF MEMBERS CITY OF PORT TOWNSEND REPRESENT A T.!.VE: Norma Owsley Larry Fay, Director of Environmental Health David Specter, Administrator Jean Baldwin, Director of Nursing Services J. Peter Geerlofs, M.D., Health Officer Chester Prudhomme, Director of Substance Abuse Robert Hinton, Chairman Richard Wojt, Member Glen Huntingford, Member The meeting was called to order by Chairman Robert Hinton. The following Board and Staff members were present: Commissioner Glen Huntingford, Larry Fay, David Specter, Jean Baldwin, and Chester Prudhomme. City representative Norrua Owsley and Commissioner Richard W~jt were not present. APPROV AL OF MINUTES: Commissioner Huntingford moved to approve the Minutes of May 25, 1993. Chairman Hinton seconded the motion. The motion carried. ADMINISTRATOR'SREPORT FINANCIAL REPORT: David Specter reported he did not have an expense report this month due to the timing of the expenditure run. Revenue from grants are beginning to pick up. He reported 42.3% of budgeted revenues have been collected as of May 31, 1993. Revenue is high partially due to the receipt of the City's quarterly payment and money from the schools. Fees are slightly down since most of the nursing fees come in during the fall which coincide with flu clinics. Likewise, there are seasonal aspect~ of Environmental Health Fees related to food. HEALTH DEPARTMENT 206/385-9400 ENVIRONMENTAL HEALTH 206/385-9444 DEVELOPMENTAL DISABILITIES 206/385-9400 ALCOHOL/DRUG ABUSE CENTER 206/385-0650 FAX 206/385-9401 HEALTH BOARD MEETING MINUTES - JUNE 22, 1993 Page 2 PROGRAM/GRANT UPDATE: Recently, health reform law passed which included money to meet urgent public health needs. Ten million dollars was approved to be distributed to the Counties on a population basis. Jefferson County's share for the two year period will be $44,000. The Department of Health is developing guidelines on how that money will be spent. They have received the grant to continue the dental program. It has been funded at the level of $24,000, however, this year the department that funded this particular program has merged with another department at the State level and as a result they have decided to only provide funding for the next six (6) months until the administration of the new department becomes familiar with the program. David Specter stated they will plan the fall dental program based on $12,000. 1993 GOALS/STATUS REPORT: David Specter reported the Public Health Improvement Plan Advisory Committee met last week and are right on schedule. He told Commissioner Huntingford he would be glad to answer any questions and invited him to attend the meetings. Jean Baldwin stated that Commissioner Wojt had expressed interest in attending the meetings to listen and learn about the service needs of the public. PROGRAM/GRANT UPDATE CONTINUED: Recently the Board approved a request to provide $6,000 in funding support for the Port Hadlock Teen Center. A budget was put together for a full year of activities that totalled approximately $40,000. They had expected to receive about $25,000 in funding from the State Department of Community Development program called Community Mobilization Against Substance Abuse and the balance from UGN, Coyote Foundation and other private sources. Just the other day they received word the State turned down the request for $25,000. Since then they have reviewed the budget and cut it back by $5,000. The funds currently available will keep the Teen Center open - - through December I, 1993. David Specter suggested that in the meantime, work with the Coyote Foundation and other groups to find other sources of funding. The Board directed the Health Department to continue th.e program through the end of the year and try to find some additional funding for it. DIRECTOR OF NURSING'S REPORT CHILD ABUSE PARENT EDUCATION GRANT AWARD: Jean Baldwin reported on a grant where they will receive $25,000 over a two year period to continue and enlarge the parent education program in Brinnon. At the start of this program the Department of Social and Health Services (DSHS) referred teenage mothers with child abuse referrals, to the Health Department. The Health Department began weekly classes for the group of teenage mothers to provide maternity support and education and support services for child development. The girls receive school credits (from Chimacum, Quilcene still pending), and they formed a network of support for each other. Small amounts of money have been received from UGN and other groups to help keep the program going. In over six months there were no repeat~ of child abuse referrals. The girls have brought in another person and created a peer outreach group. The Health Department and the DSHS feel this program is very successful and plan to add Quilcene and Chimacum. HEALTH BOARD MEETING MINUTES - JUNE 22, 1993 Page 3 David Specter added that the money could pay for one of the nurses to work full-time and pay for the retirement costs for two years, however, after that the County would be locked into paying retirement for the individual. The Board concurred to accept the grant funding. The agreement will be placed on the Board of County Commissioners' agenda for signing on Monday. The decision on whether to increase hours for one of the nurses was deferred until Monday. PROPOSAL FROM GRACE LUTHERAN CHURCH: Jean Baldwin presented a proposal from the Grace Lutheran Church and Dr. James K. Rotchford regarding the establishment of a low income health clinic in the community. Dr. Rotchford feels there is a need for an urgency clinic or other access to primary care for those individuals who are unable to get medical care. Dr. Rotchford would serve a~ Medical Director and congregation members would staff the clinic on a volunteer basis. The clinic would operate weekly, on Saturday mornings and they are requesting the use of the Health Department facilities. Health Officer Dr. Geerlofs met with Dr. Rotchford and recommends waiting until July to look into health care reform and the intent of this proposal as a community clinic. David Specter stated he is concerned about insurance and liability, wear and tear on the Health Department facility, opening up the facility to an outside group without any Health Department staff present and setting a precedent for others. He stated they will do some investigating and get back to the Board with a recommendation. ENVIRONMENTAL HEALTH DIRECTOR'S REPORT Larry Fay stated the first few weeks at the new Permit Center have gone well. Once the networking of the permit plan is complete there will be a good link between the building permits and the septic permits as well as a method for tracking activities of shorelines and subdivisions. This has done a lot to improve the communication between Planning/Building, Health, Zoning and short term planning functions. The next meeting will be held on July 27, 1993 at 1:00 p.m. MEETING ADJOURNED JEFFERSON COUNTY BARD OF HEALTH (f ulusd /l6:,>e-lltL') Richard E. Wojt, Member (.~- GRACE LUTHERAN CHURCH 1120 Walker Street Port Thwnsend, Washington 98368 U.S.A. (206) 385 - 1595 Howard A. Fosser, Pastor May 28, 1993 Dr. Peter Geerlofs, Health Officer Mr. David Specter, Director Jefferson County Health & Human Services 615 Sheridan Port Townsend, W A 98368 Gentlemen: The Church Council of Grace Lutheran Church and Dr. James K. (Kim) Rotchford have begun conversation regarding the establishment of a low income health clinic in our community. Dr. Rotchford would serve as the Medical Director and various members of our congregation would staff the clinic on a volunteer basis. It is anticipated that the clinic would be operated weekly, on Saturday mornings. We are seeking your support of the establishment of this clinic and seeking to explore the use of your facilities. I am enclosing a propo!ial and Dr. Rotchford's Curriculum Vitae. Please advise us of the procedure necessary to secure the use of the Health Department's facility on Saturday mornings, or advise us of the possibility of other facilities that may be available and appropriate for our use. Thank you for your help. Howard A. Fosser Pastor (-- PROPOSAL FOR PORT TOWNSEND LOW INCOME MEDICAL CUNIC December 17, 1992 .. Purpose: To provide inexpensive acute medical care to members of the community who have no medical coverage or whose medical coverage through DSHS significantly limits access to medical care. Organization: A board appointed by the Church Council CUnic Director Medical Director Volunteer Staff Qinic: Held weekly Saturday mornings Cost to Client $20 paid in advance (DSHS would be billed normally, sliding scale would be available but only after triage by the Community Action Council) Services Provided: . 1. Acute diagnostic and therapeutic medical care by a physician or physician assistant. 2. Preventive medical care on a lime available basis 3. Each visit the patient will be considered a "new' patient and require to fill out a medical questionnaire prior to being seen by the clinician. 4. Appointments not available, flTSt come flTSt serve basis. 5. No telephone care, no telephone prescription refills, no copying of records without appropriate fees, 6. All supplies and laboratory services additional fees. 7. Visits of very short duration, on average 5 minutes. Only the most acute and urgent problem will be addressed. Other medical problems will need return visits or appropriate referrals. 8. No controlled substances will be prescribed other than tylenol #3 and those can't be refdled. 9. No insurance billing except DSHS. 10. Patients will not have individual records. Notes on visits will be part of a day sheet kept on a computer. Medical Billing: 1. Only DSHS 2. Provided through Ocean Shores Clinic $3.00 per claim or on site volunt""", with clinic director supervision. Salaries: Clinic Director 10% of profit Medical Director (Physician) 50% of profit Problems to be resolved: 1. Referrals for appropriate counseling 2. Source and communications with laboratory and auxiliary services 3. Management of Abnormal Labs 4. Liability .issues for the Church? "~ CURRRICULUM VITAE June 1992 James K. Rotchford, M.D., M.P.H. 817 Point Brown Avenue Ocean Shores, WA 98569 Tel. 206289-3378 EDUCATION: 1969 William Winlock Miller High School; Olympia, WA. 1973 Bachelor of Arts, French literature, University of Washington 1976 Completed the first two years of french medical school at the University of Nantes; Nantes, France 1980 Doctor of Medicine, University of Washington 1983 Advanced Cardiac llfe Support Certification, Univ. of Washington 1984 Acupuncture for Physicians, 200 hrs of CME sponsored by the UClA School of Medicine, Joseph Helms, M.D. Instructor 1986 Aviation Medical Examiner, Certificate of Designation 1990 Masters of Public Health, MPH Extended Degree Program and Preventive Medicine Residency, University of Washington School of Public Health 1992 Board Certified in Public Health and General Preventive Medicine 1992 Fellow of the American College of Preventive Medicine WORK EXPERIENCE: 1980-81 Mixed Internship, Montreal General Hospital, a McGill University affiliated hospital 1981-82 General Practice, North Beach Health Care Inc., Copalis Beach, WA (A federally subsidized rural health clinic) 1982-85 Health Officer, Grays Harbor County 1983 Medical Director, Innersight Alcohol and Drug Rehabilitation 1983-85 General Practice, Solo 1983-85 Investigator, Puget Sound Medical Investigators; Olympia, WA. Involved in a series of Clinical Trials for hypertensive agents 1984- Host of "Doctor, Doctor" a local Television Program with an emphasis on preventive medicine 1984-85 Physician and Medical Director for the Chehalis Indian Medical Clinic 1985- Physician and Medical Director for Ocean Shores Clinic