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HomeMy WebLinkAbout03 March COMMUNICABLE DISEASE CONTROL PUBLIC HEALTH NURSING VITAL ST A T1STI CS ENVIRONMENTAL HEALTH HEALTH EDUCATION JEFFERSON COUNTY HEALTH DEPARTMENT 802 SHERIDAN PORT TOWNSEND, WASH. 98368 (206) 385.0722 HEALTH BOARD Minutes: March 17, 1987 BOARD MEMBERS: STAFF MEMBERS: B.G. Brown, Chairman Larry W. Dennison, Member George C. Brown, Member William J. Glasser, M.P.H. Mary Catlin, D.O.N. and Administrator J. Peter Geerlofs, M.D. CITY OF PORT TOWNSEND REPRESENTATIVE: Glenn Ison *********************************************************************** ********************************************************************* Chairman B.G. Brown called the meeting to order in the presence of all Board members, staff (with the exception of Dr. Peter Geerlofs, Health Officer), and the City Representative present. APPROVAL OF MINUTES: meeting were approved by motion Commissioner George Brown. The Minutes of the February 17, 1987 of Commissioner Dennison, seconded by NURSING SERVICE REPORT: Mary Catlin, Director of Nursing/Ad- ministrator, reported on the following Nursing Service programs: * Well Child Clinics: The position of Nurse Practitioner is still vacant and every qualified applicant for the job has refused the job offer because the salary offered is to low. In order to raise revenue to cover a proposed salary increase, Ms. Catlin made the following suggestions: Health Board Minutes: March 17, 1987 Page: 2 1) Charge a fee for administering immunizations. If a fee of $2.00 per child was charged, $2,000.00 could be raised. 2) There is $3,600.00 available from Mary Tudor's grant that could be put toward this salary this year. 3) A Prenatal Care Grant would provide $3,000.00 toward this salary if the program passes the legislature. 4) Allowing the Nurse Practitioner to do contract work outside of the Health Department such as medication review for the Community Counselling program would also provide extra income. A raise of $7,000.00 per year in this salary is needed to attract a qualified Nurse Practitioner. The Well Child Clinic Program provides many services to the community such as keeping track of Foster Children and potential cases of child abuse. There are many low income and "at risk" children who will go without care if this program is discontinued. Commissioner Larry Dennison moved to recommend that the salary for the Nurse Practitioner be raised to $25,000.00 per year in the Health Department budget. Commissioner George Brown seconded the motion. Kathy Stafford will check the budget categories involved and make a request for a budget extension, or transfer as needed. Familv Planning Request to do STD Clinics in Health Department Facilities: The Medical Society will discuss this matter at their meeting on March 25, 1987. AIDS Educations Proqram: Mary Catlin outlined suggestions for implementation of a Countywide AIDS education program in her written report. EBVIROKMBKTAL HBALTB REPORT: Bill Glasser reported on Environmental Health activities for February: * 42 sewage disposal permits were issued compared to 31 during the same time last year. * Solid Waste Ordinance: The County's Solid Waste Ordinance 2- 77 must be updated to conform with WAC 173-304. * Hazardous Waste Planninq: Draft DOE guidelines have been issued for management of moderate risk hazardous waste. One set of guidelines is for "Local Hazardous Waste Planning and the other is "Local Facility Zone Designation". Letters of Intent must be submitted by the County for the following: 1) To perform hazardous waste planning at the Health Board Minutes: March 17, 1987 Page: 3 local level with regard to moderate risk waste and 2) To designate a local facility zone in which hazardous waste treatment and storage facilities can be sited. Both of these letters are due by October 31, 1987. The following actions can be taken: Submit letters of intent that state that the County's zoning meets the requirements; submit a letter of intent stating that the zoning is being amended to meet the requirement or that an exemption from these requirements is being requested before that date. * Amendments to Health Department Fee Ordinance: The current fee schedule reflects a $175.00 fee for a site evaluation for proposed short plat. Since the department no longer performs this service this fee should be eliminated from the schedule. Other fees which have remained unchanged since 1984 may not reflect, Mr. Glasser noted, the cost of service delivery in 1987 for both nursing and environmental health services. Commissioner Dennison moved to direct the department heads for nursing service and environmental health to prepare an analysis and proposed fee schedule for cost recovery. Commissioner George Brown seconded the motion for the purpose of discussion and asked which fees Mr. Glasser feels need to be raised. Mr. Glasser added the fee schedule needs to be updated with regard to elimination of site evaluation fee and add the sewage disposal application fee that is being required for each lot in a short plat. The other fees need to be reviewed against the cost of doing business in 1987. Chairman B.G. Brown called for the question and the vote was unanimous in favor of the motion. * Licensed Installer/Designer Proqram - Sewage Disposal Systems: Bill Glasser reported that the following steps will be taken to implement the changes that have been made in Ordinance 2-77 regarding the Licensed Installer/Designer Program: 1) Structure a written exam for already licensed in- stallers. This would test their ability to design conventional sub surface soil absorbtion systems (simple, uncomplicated, conventional systems). 2) Administer this test to already licensed installers the week of March 30 to April 6, 1987. 3) By April 13, 1987 all conventional systems will be required to have a proposed design (by a licensed installer/designer) submitted along with the application for the sewage disposal permit. .. Class IV Public Water Systems: (See also Minutes of February 17, 1987) Mr. Glasser reviewed his proposal for the County to assume responsibility for approval of Class IV Water Systems. Administration for this program is estimated by Mr. Glasser to cost approximately $1,275.00 with revenues generated Health Board Minutes: March 17, 1987 Page: 4 estimated at $1,500.00 above the self supporting cost of the program. Mr. Glasser is requesting an additional half time employee to provide this service for the remainder of 1987 which would mean an additional $7,200.00 to be added to the budget. It is expected that this employee would also be able to help in the on-site septic program, the shellfish sanitation program and/or the moderate risk hazardous waste management program as needs dictate. A summary of fees from other counties was provided along with a proposed fee schedule for Jefferson County. A new half time person could be hired or the current half time person could be upgraded to full time. The discussion continued regarding the difference between a person working on a contract and hiring a full time employee. Chairman B.G. Brown and Commissioner Dennison asked that costs be developed for both options (part time contract employee or full time employee). A budget extension would be required along with a public hearing before this amount could be added to the Health Department budget. John Ployd, Manager, Jefferson County POD #1 re: Perforaance MonitorinG of Alternative Svet...: Bill Glasser submitted a letter from PUD expressing their interest in providing performance monitoring of alternative systems, a proposed agreement for Operations and Maintenance Services as well as a typical fee schedule. Mr. Floyd explained that the fee schedule is based on the PUD's cost of service. Until enough of these alternative systems are on-line so that the costs can be spread out, there is no other way to cover the costs incurred by this service. Chairman B. G. Brown noted that the PUD will have a monopoly on this service in Jefferson County and stated that he would like assurance that these fees are reasonable and will stay reasonable. Mr. Floyd added that the Board sets the conditions, including the monitoring requirements, on each approved alternative system. The discussion continued regarding the proposed fees and the PUD's role in monitoring these systems. Mr. Floyd added that the PUD will be able to give homeowners an estimate of the costs that the required monitoring will cost them. Bill Glasser asked if the Board would enact the proposed policy with regard to the PUD contracting with owners of alternative systems to provide performance monitoring services. Chairman B.G. Brown said that the statement in the policy that says that "PUD #1 is authorized to charge such fees as may be reasonable to cover expenses incurred" bothers him and he would like to have more assurance with regard to the fees. He would like to have a review of the costs made to determine that they are reasonable. Commissioner Dennison moved to accept the proposed policy in concept. The motion died for lack of a second. Commissioner George Brown stated that he agrees with Chairman B.G. Brown that this needs to be studied further before a decision is made. Health Board Minutes: March 17, 1987 Page: 5 Beth Krehbiel-Johnson re: Storaae Area in Bas_nt of Buildina: Mary Catlin stated the concerns expressed by Beth Krehbiel- Johnson with regard to the storage space in the basement of the building. Commissioner Dennison reported that he has been checking on what the basement areas of the Multi Service Building are used for in response to a request from Vic Dirksen, Hospital Administrator. The Hospital may be making a proposal to the County for use of the basement of the building. If the Hospital does need to use this area, however, they would provide alternate storage space for the County. Bstablishment of a Health DeDllrt.ent Co_unitv Health Ifursina Advisory Board: A draft resolution for the formation of a Community Health Nursing Advisory Board was reviewed. Action will be taken on this Resolution at the next meeting of the Board of Commissioners. Move of the Envirol1llental Health Services to the Courthouse: Updated figures on the proposed move of the Environmental Health Services to the Courthouse were presented and reviewed by the Board. MEETING ADJOURNED JEFFERSON COUNTY BOARD OF HEALTH arr ennis, Member ~~~ George C Brown, Member - " /\ Public Utility District #1 Of Jefferson County ,.If'r,- I;, !t!VED ffi3 2 =..; '87 February 18, 1987 Boare! c: CO:llr:'I~;S;O(lers: C,T: But'~, D ":fle! 1 KcrnCfJ: Md'vl,;'cr, District 2 \'\'a1iy P('(1erSel1. Distr,ct 3 --'-'''''--- Johr Fcy(~, Manager Bi 11 Glasser Jefferson County Health Department 802 Sheridan Avenue Port Townsend, WA 98368 Dear Bill, Here is a first cut at a boilerplate contract for municipal oversight services and a typical fee schedule that would be a sample Exhibit D. I The idea of using Exhibits, rather than trying to make one contract format all things for all people, is that we can tailor an oversight program for each project and each owner - it gives the Board of Health some flexibility. Note in the third paragraph that there is reference to an interlocal agreement. This will be necessary since the District is providing a service to the County which requires the assumption of some of the responsibilities that would normally fall to the Health Department (or perhaps even Public Works). At some point, we will have to address the (,enforcement mechanism that will be essential to make this thing work. My inclination is that, should the ! owner fail to live up to his part of the contract, the District would notify the Board of Health that the contract was abrogated and the Board would then take appropriate action as set forth in State Statute or County Ordinance. The District has little or no interest in being in the enforcement business. The District's Board of Commissioners has approved contractural arrangements for municipal oversight services several times in the past couple of years, starting with the Samples AIRR system. The individual Commissioners have indicated that they would favor assumption of municipal oversight responsibility in a more comprehensive way provided that each system benefiting from such a program is fully self-sustaining financially, that is: each system must pay for itself including all administrative costs. po Box 1331. Port Townsend, Washington 98368 (206) 385-5800 - . . ,- .. , " :1 i;. ,., c' I am personally committed to the implementation of the contemplated municipal oversight program - provided that it is the "start-up" element of a full scale designer/septic system management program, rather than a stop-gap measure to relieve a certain amount of bureaucratic pressure. Give me a call when you're ready to go over this thing. Sincerely, f!;;:;; ~~~ger !.