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HomeMy WebLinkAbout04 April 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: April 21, 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, and the City Representative present. APPROVAL OF THE MINUTES: The Minutes of the March 17, 1987 meeting were approved as read by motion of Commissioner Larry W. Dennison, seconded by Commissioner George Brown. ADMINISTRATOR/DIRECTOR OF NURSING REPORT: Proposed new fees for Nursing Services were discussed by Mary Catlin. The proposed fees, Mary Catlin reported, were set by the level of reimbursement that the Department can receive from State and federal medical aid programs. These fees will only be charged to people who are on medical assistance or who can afford them. No fee will be charged to anyone who cannot afford it. After considerable discussion of each new fee and the reason for it, City Representative, Glenn Ison suggested that the fee ordinance be worded as follows: "Fees charged will be to the amount reimbursable by Medicaid or any State or federal program," which would accomplish the same purpose as listing all of the fees separately. The advantage to this wording would be that the ordinance would not have to Health Board Minutes: April 21, 1987 Page: 2 be changed every time Medicaid reimbursement levels are changed. Mary Catlin will check into the advertising requirements for ordinances and re-write the fee schedule to meet the regulations and still be as simply stated as possible. Dr. Geerlofs added that the need for raising these fees is due to diminishing funds which the Health Department has to provide public health services. Update on Community Health Nursing Advisory Board: An advertisement has been published seeking people to serve on this newly established advisory Board and Mary Catlin asked that the Board let her know if they have any particular person in mind to serve. There was discussion of the scope of issues with which the Advisory Board will deal. Currently it is a Community Health Nursing Advisory Board, but the scope of the Board could be expanded later if the Board members feel it is appropriate. Myrtle Corey,R.N., Foot Care Nurse: Mrs. Corey is paid less than the other Nurses for the department, Mary Catlin explained and asked if a raise in her salary has been discussed. Chairman B.G. Brown advised that the Board will have to discuss this matter as well as other personnel matters at a later time. Quarterly Revenue/Expenditure Report: The revenue and expenditure report for the first quarter of 1987 was reviewed. Even though both the Nursing and Environmental Health sections have been working with less staff than last year, the revenues and expenditures are in good shape for the first quarter. Nursing Service Report: A full time Nurse Practitioner will be working by the end of May which should bring the Well Child program up to speed. The immunization clinics are seeing about 50% more clients than last year and the WIC caseload is now up to 200 clients and is being run very efficiently. ENVIRONMENTAL HEALTH DIRECTOR REPORT: Bill Glasser submitted a written report of the environment health activities during the month of March. The Bed and Breakfast compliance campaign has licensed all but two bed and breakfast establishments for food service. The temporary food service permit process has been improved and made more efficient by use of a new application. Criez Alternative Septic System proposal: Dennis Hanburg of Pac Tech Engineers has asked to be put on the May Board of Health agenda. Mr. Glasser reported that his last day with the County will be May 8, 1987 so he will not be at that meeting. To update the Board on the Criez property, Mr. Glasser reported that the latest alternative system design submitted in August 1986 for this property is a design that can be approved, and that the winter evaluation of the water table on this site, as required by condition, has been completed. The maximum seasonal water table depth is 18 inches which is acceptable. Health Board Minutes: April 21, 1987 Page: 3 The following issues remain unresolved on this permit: 1) An official waiver request for the reduction in the setback from the stream to fifty feet must be submitted to the Health Board, and if approved must then be forwarded to the State Department of Social and Health Services for their concurrence; 2) The Superior Court Order that remanded this matter back to the Board of Health states that the permit be evaluated under the rules and regulations that were in effect at the time of the original application. This presents a problem because at that time the suitable soil depth was 24 inches and has since been reduced to 18 inches. The suitable soil depth meets the new regulation but not the regulation that was in effect on the date of the application; and 3) A contract for performance monitoring services is required by the conditions set forth on the permit. Bill Glasser was directed to advise the Criez's of the problem caused by the wording of the Court Order regarding the soil depth, and that they will have to have that matter resolved in the manner required by the Court. Upqradinq Part Time Environmental Health Specialist to Full Time: Bill Glasser urged the Board to look at the feasibility of making the current part time Environmental Health Specialist a full time employee, which he feels would be to the benefit of the department. The Board advised that they will need to review this request as well as other personnel matters with the Administrator and the Health Officer. A meeting was scheduled for May 1, 1987 at 8:00 a.m. Proposed chanqes to Fee Schedule for Environmental Health: The fee schedule changes proposed by Bill Glasser were reviewed. The Board will consider this ordinance change at the same time the Nursing Service fees are changed. Bill Glasser introduced Steve Rice, the new Environmental Health Specialist to the Health Board. Mary Catlin and the Board thanked Bill Glasser for the work that he has done for the County and wished him well in this future endeavors. MEETING ADJOURNED OF HEALTH t.-L.-l.---I.-,"..----~--y- ison, Member / t~-c~-<~- Member