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HomeMy WebLinkAbout04 April COMMUNICABLE DISEASE CONTROL l' I PUBLlC*H EAL TH . NU ING I \ HOME NURSING VITAL STATISTICS ENVIRONMENTAL .~EAL T~. HEALTH EDUCATION ~ ~~ JEFFERSON COUNTY HEALTH DEPARTMENT 802 SHERIDAN PORT TOWNSEND, WASH. 99368 (208) 385.0722 :':W~'W;j:.;{OI:1:i!lt__ Minutes: April 18, 1984 BOARD MEt1BERS: B.G. Brown, Chairman A.M. O'Meara, Member John L, Pitts, Member Brent S. Shirley, Member STAFF MEMBERS: Randall M. Durant, R.S. Gretchen Gephart, D.O.N. Joseph Fischnaller, M.D. G~~l Stuart, Adminis,-rator Chairman B.G. Brown called the meeting to order at the appointed time with all members in attendance. Approval of the Minutes: Commissioner O'Meara seconded Commissioner Pitts' motion to'approve the minutes of March 21, 1984. NURSING DIRECTOR REPORT: March was a busy month, Gretchen Gephart reported, with an increase in cases of Pediculosis (lice), home visit referrals, especially from the schools,and In-service training sessions at Kai Tai Center, a preschool and Bayshore Enterprises. A "Kiddie Health Fair" is being set up for the Quilcene area as a community education event. Gretchen advised that she had presented her foot care proposal to the Area Agency on Aging Advisory Board in Shelton on Monday and they recommended fundi,ng the program for $1,000. If the Health Board will write a lette,- of support, she feels that the full $1500 request would be considered fOT funding, The full amount is need to implement a good program. The last clinic in Brinnon took care of 13 clients, with 11 clients at the Quilcene clinic, which is alot for one session in each community. The board directed Gael Stuart to write a letter of support and recommen- dation for the full funding requested, for their signatures. Request for waiver from Triton Cove Oyster Farms: Gael Stuart read Ron Powell's request for a waiver trom Section IV, Provision 4.1.a of the Health Department Rules and Regulations (Ordinance No. 2-77) which requires that all food service establishments have toilet facilities for each sex. Randy Durant reported that the Health Department supports approval of this request for the Triton Cove Oyster Farms, on the basis that there is only Rre-packaged food, no food processing, no seating and because the sewage disposal system is quite small and it could possibly faTl. -- , - . Minutes, April 18, 1984 Page 2: Commissioner O'Meara moved to approve the watver contingent on the project meeting other Health Department requirements relating to water supply, sewage and facilities. Commissioner Pitts seconded the mo~ion. Unanimous. Ernest Criez rei Action on variance request: (See also minutes of the March 21, 1984 meeting) Chairman Brown reported that the Board had visited the site and asked for additional comments from Mr. Criez or Dennis Hanburg of Pac Tech Engineers who were in attendance. Dennis Hanburg noted that many questions had been answered by Doctor Fischnaller and Randy Durant, but he did not feel the question of the set back from Mean High Water or bulkhead had been addressed. He then pre- sented pictures of the high tide taken that morning. After more discussion on this point, Randy Durant reiterated that the Health Department uses as a common and consistent practice, the Department of Social and Health Services (DSHS) interpretation on how this measurement is ~o be taken, which is the same procedure that is sta~ed clearly in the new regulations. Commissioner Pitts submitted that the placement of a mound septic system on this property is beyond being considered just "tight". He noted that he would feel better about granting a variance for a normally accepted septic system, since the mound system technology is relatively new, but a normal system won't fit on the property within the required setbacks. Commissioner O'Meara added that after two hours at ~he site making many measurements to see if a solution was possible, he had to go along with the Health Officer's recommendation and moved to refuse the variance request at this time. Commissioner Pitts seconded the motion. Unantmous. Dennis Hanburg was informed that an appeal would have to be made through Superior Court. In response to Mr. Criez's question of what is considered a hardship, he was advised that that would have to be determined by the Courts. Revised contract to reflect raise for contract employees: Contraclli for Danielle McClannahan, Gillian Abshire and Jeanne Hibbard were signed as approved by motion on February 15, 1984. Organization of the agenda: Gael Stuart noted a need for re- organization ot the agenda to allow more efficient use of the Board's time and to facilitate scheduling to allow reports on various areas of depart- ment operations that are not now being discussed due to the time being allotted to hearing appeals. Reports from the Directors of Nursing and Environmental Health on their programs and problems could be an educational process for ~he Commissioners and the Mayor which will help them be better informed to make decisions at budget time. Mayor Brent Shirley agreed that if he has knowledge of problems that occur within the City, such as with restaurants, he may be able to provide some assistance in their resolution. Minutes, April 18, 1984 Page 3: The concensus of the Board was to move the meeting time to 9 a.m., to allow an hour for department and program reports and to schedule appeals for 10:00 a.m. The new meeting time will be published in the paper. ,Hospital/HealthDepartmentInterface: Commissioner Pitts in- quired about the status ot the response to Doctor Fischnaller's letter from D.S.H.S. regarding the Health Department and the Hospital interface to save expenses. Gael Stuart reported that the Prosecuting Attorney has not commented on this matter yet. This had been tried in another County Dr. Fischnaller noted, and information regarding that merger was what prompted his letter to DSHS. Commissioner Pitts stated that he assumed that if there were programs that could be enhanced or programs that may be threatened by future funding cuts could possibly be continued, or if there were some administrative or clerical duties that could be shared and consolidated, that this type of interface would allow current programs to remain stabilized or allow them to be expanded, then it would be to the mutual advantage of the hos- pital and the Health Department to investigate the possibilities further, since the main objective is to provide service to the community. The legal responsibility for the administration and the enforcement duties of the Health Department can not be taken over by the hosDital, Gael Stuart and Doctor Fischnaller advised, but programs could possibily be enhanced through such cooperation, and investigation into the feasibility of this type of cooperation should be made. ENVIRONMENTAL HEALTH DIRECTOR REPORT: The rise in the number of septic tank permits (29 over 14 in 1983) over the same period last year is somewhat surprising in light of the decrease in building permits. Apparently some people are putting in their septic systems but not building immediately. The number of site evaluations are at approximately the same level (32 in 1983, 30 in 1984) which is higher than expected. There have been numerous plans submitted for new and remodeled food establishments. There is now an hourly charge for plan reviews. The food service program is stronger now that John Eliasson is on staff. HEALTH OFFICER REPORT: A report has been received on the new rabies vaccine derived trom humans. Six percent of the people who have been given this new vaccine have had side effects, which would indicate that it may not be as good as was originally predicted. ADMINISTRATOR'S REPORT: Since the County has put the insurance package (including the Health Department's coverage) out to bid, there has been a considerable reduction in insurance costs, Gael Stuart reported. He advised that the Health Department's portion of the insurance costs should be billed so that the Health Department can reflect that expense when they prepare program costs at budget time. The Board concurred and indicated that the Insurance Broker would be notified to break out the costs of the Health Departments coverage. Gael Stuart noted that the revenues are running higher than budgeted, which is not totally unexpected, and that the expenditures are right on target. Next meeting will be May 16, 1984 at the new time of 9:00 a.m. Please publish April 25, 1984 MEETING TIME CHANGE Jefferson County Board of Health The monili~ meeting of the Jefferson County Board of Health will begin at 9:00 a.m. on the third Wednesday of each month, in the Health Department Conference Room of the Multi-Services Building at 802 Sheridan, Port Townsend, Wa. B.~ Jefferson County Board of Health : /;.-)~~--u~-: ~<..". A_ ~ :...~ CONTRACT FOR PROFESSIONAL SERVICES This Contract is between the JEFFERSON COUNTY HEALTH DEPARTMENT (DEPARTMENT) and DANIELLE MCCLANNAHAN (CONTRACTOR). The contract is to be effective , June 1, 1983 and will continue until December 31, 1983. WHEREAS, the Department is in need of the part-time services of a Public Health Nurse; and WHEREAS, at the present time the Department is unable to provide the services from personnel within its employment; and WHEREAS, the Contrator states that she is qualified to perform the duties of a Public Health Nurse as set forth in the body of this contract; NOW THEREFORE, IT IS AGREED: (1) The Contractor shall act as a Public Health Nurse assisting the Pediatric Nurse Practitioner in conducting Well Child Clinics. She will serve under the direction of the Director of Nurses in conducting home visits, school programs and general nursing duties. (2) The services to be performed by the Contractor will be in accordance with the standards of the profession, the State of Washington and the Jefferson County Health Department. (3) The Department shall pay the Contractor the amount of Eleven r,Ff'L fCiGrHr Ii j/' 5f /fIii1: and sixtu,[, cents ($11.16) per hour for professional services rendered dollars and shall reimburse her for mileage driven in her personal vehicle at the rate established by Jefferson County. (4) The Contractor shall provide the Department with a detailed accounting of the work performed and the mileage driven at the conclusion of each month of this contract. The Department shall make payment for the work performed on or before the 20th day of the month following the month in which the work was performed. ... ,. . (5) The Contractor is employed by the Department to substitute for Department personnel during leaves and vacations. It is understood that she acts as an independent contractor and that she will receive no employee bene- fits from the Department of Jefferson County. It is further understood that neither the Department nor Jefferson County will withhold F.I.C.A. taxes or other obligations for which the Contractor may be responsible. (6) The Contractor shall be considered an agent of the Department and will be covered by the terms of the Department's insurance policy. (7) The Contractor shall not discriminate against any person presenting themselves for service based upon race, religion, color, sex, age or national origin. The Department shall take affirmative action to insure that persons receive services without regard to race, color, sex, age or national origin~ (8) This contract may be terminated by either party by written notice of thirty (30) days. for Professional Services (McClannahan) dated this ;I~~ of Ct tf1 , 1983. day JEFFERSON COUNTY BOARD OF HEALTH By ~) B. G. Brown, Chairman By GJ\~ R. Stuart, Administrator ~ /M("/-~) Danielle McClannahan, P.H.N. - By ,: :flL..-./ ~ ",....- :;-~ .' . CONTRACT FOR PROFESSIONAL SERVICES This Contract is between the ,JEFFERSON COUNTY HEALTH DEPARTMENT (DEPARTMENT) and Gillian Abshire (CONTRACTOR). The contract is to be effective Nov- \ ember 1,1983 and will continue until December 31, .1984. ~ WHEREAS, the Department is in need of the part-time services of a Public Health Nurse; and WHEREAS, at the present time the Department is unable to provide the services from personnel within its employment; and WHEREAS, the Contra tor states that she is qualified to perform the duties of a Public Health Nurse as set forth in the body of this contract; NOW THEREFORE, IT IS AGREED: (l)The Contractor shall act as a Public Health Nurse assisting the Pediatric Nurse Practitioner in conducting Well Child Clinics. She will serve under the direction of the Director of Nurses in conducting home visits, school programs and general nursing duties. (2) The services to be performed by the Contractor will be in accordance with the standards of the profession, the State of Washington and the Jefferson County Health Department. dollars (3) The Department shall pay the Contractor the amount of Eleven FlnyEl(1,HT f//,5'6 ~ and siJrteea cents (~11.16} per hour for professional services rendered and shall reimburse her for mileage driven in her personal vehicle at the rate established by Jefferson County. (4) The Contractor shall provide the Department with a detailed accounting of the work performed and the mileage driven at the conclusion of each month of this contract. The Department shall make payment for the work performed on or before the 20th day of the month following the month in which the work was performed. ~ ~....: ->~ ., (5) The Contractor is employed by the Department to substitute for Department personnel during leaves and vacations. It is understood that she acts as an independent contractor and that she yi11 receive no employee bene- fits from the Department of Jefferson County. It is furtQer understood that . :neither the Department nor Jefferson County yill yithhold F.I.C.A. taxes or other obligations for yhich the Contractor may be responsible. (6) The Contractor shall be considered an agent of the Department and yill be covered by the terms of the Department's insurance policy. (7) The Contractor shall not discriminate against any person presenting themselves for service based upon race, religion, color, sex, age or national origin. The Department shall take affirmative action to insure that persons receive services without regard to race, color, sex, age or national origin. (8) This contract may be terminated by either party by yritten notice of thirty (30) days. Contract for Professional Services (Abshire) dated this 16th day of November . 1983. JEFFERSON COUNTY BOARD OF HEALTH By &/~ B. G. Brown. Chairman JEFFERSON COUNTY HEALTH DEPARTMENT BY')! U C! j~1 ./ Gael R. Stuart, Administrator By '1 /..u:a-'Y7 ~::J/>.A-U ,0:1 iIIian Abshire ' . P.H.N.