Loading...
HomeMy WebLinkAbout07 July 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: July 17, 1990 BOARD MEMBERS: STAFF MEMBERS: B. G. Brown, Chairman Larry W. Dennison, Member George C. Brown, Member Larry Fay, Director Environmental Health Kathy Stafford, Administrator Nancy Gow, Acting Director of Nursing Services J. Peter Geerlofs, M. D., Health Officer CITY OF PORT TOWNSEND REPRESENTATIVE: Sheila Westerman The meeting was called to order at the appointed time by Chairman B.G. Brown. The following Board and staff members were present: Commissioner Larry Dennison; Commissioner George Brown; Administrator Kathy Stafford; Director of Environmental Health Larry Fay; and Acting Director of Nursing Nancy Gow. APPROVAL OF MINUTES: Commissioner George Brown moved to approve the Minutes of June 19, 1990 as presented. Chairman B.G. Brown seconded the motion which carried by a unanimous vote. Health Board Minutes: July 17, 1990 Page: 2 ADMINISTRATOR'S REPORT Amendment to Contract for P~ofessional Services: Kathy Stafford explained that Bill NeSmith, Coordinator for the Interagency Coordinating Council had requested a reduction in pay of $4.50 an hour which would change his pay rate to $13.50 an hour. The original contract was written for his predecessor who had more expertise in some areas. commissioner George Brown moved to approve the request for a reduction in pay submitted by Bill NeSmith. Commissioner Larry Dennison seconded the motion which carried by a unanimous vote. DIRECTOR OF NURSING REPORT Communitv Health Nursina Service statistics: Nancy Gow explained that there is a correction to the Well Child Clinic statistics. They only need 55 clients a month to meet the contract with the State instead of 70 as shown on the chart. The remaining statistics were reviewed by the Board. 60+ PrO<}ram Review: The 60+ senior screening program was started in February and was scheduled for review in July. Nancy Gow's recommendation is to terminate the program because of a lack of pUblic response. Also, this program was to be self-supporting, but most of the clients weren't eligible for Medicare and were on fixed incomes, therefore they could not pay for services or could only pay a minimum. Nancy explained that a program for seniors is important, but more research will be done into other options for a better program. The projected start-up time for a new senior program would be the summer of 1991. Nursing Retreat: On July 5, there was an all day nursing retreat. The time was spent increasing communications and working on ways to improve problem areas in the department. Nancy thanked Peter Geerlofs and Kathy Stafford for their help and support. Nursina Services for the West End of Jefferson County: There was a discussion about the number of people in the West End, both on and off the Indian reservation. The Indians do have access to health care from Federal agencies one day a month, or at any Health Board Minutes: July 17, 1990 Page: 3 Director of Nursina Report - Continued time at other facilities out of the area. Jefferson County serves the West End one day a month, and also contracts with Clallam county to have a nurse out once a month. Nancy is looking at the needs of the people in this remote part of Jefferson County and the possibility of increasing service, especially by working with other agencies. ENVIRONMENTAL HEALTH REPORT statistics: There was a brief discussion regarding the written report of Environmental Health Activities. Draft Ordinance - swimmina Pools and Snas: The state Board of Health adopted a Water Recreation Facilities Ordinance last winter. Larry Fay presented a Draft Ordinance that would bring Jefferson County regulations in line with these new state regulations. Chairman B. G. Brown explained the procedures for adopting an ordinance. It has to be published in the newspaper, with a hearing date set and would be part of the County Commissioner's meeting agenda. It was agreed that the Commissioners would review the document, and have the Prosecuting Attorney review it before it is published. PrODOsed Amendment to Ordinance 2-77. On-site Sewaqe Disposal SvstA1I1"': Larry Fay reported that the state Board of Health On-site Sewage system Regulations were revised in November, 1989. The Board concurred that the present ordinance should be amended to update the on-site sewage regulations. It will be put on the County Commissioner's agenda as soon as possible. Solid Waste position: Larry Fay explained that Environmental Health Specialist Linda Atkins had been handling the work on the Solid Waste Grant Program, as well as the Water Quality Program. Now that the Water Quality Program is fully operable, the work load has escalated, and he requested that the Board hire an additional person as Solid Waste Co-ordinator to take over this part-time position. commissioner George Brown moved to approve the request. The Solid Waste Co-ordinator position will be advertised. Commissioner Larry Dennison seconded the motion which carried by a unanimous vote. Health Board Minutes: July 17, 1990 Environmental Health Report - continued Existing On-site Septic Svstems - Alterations. Additions. and Remodels: Larry Fay asked if the County has a policy that requires that a septic system be brought up to code when a building permit is approved for an alteration, addition or remodel, even if there are no bedrooms or bathrooms involved? He cited three examples. He will check with other counties and find out their policy in such cases and report back. At the present time isolated incidents should be acknowledged and a disclaimer should be put on them. Page: 4 * * * * * * * The next regular meeting will be held Tuesday, August 21, 1990. MEETING ADJOURNED JEFFERSON COUNTY BOARD OF HEALTH ~ B. G. Brown, Chairman