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<br />JEFFERSON COUNTY BOARD OF HEALTH <br />MINUTES <br />Thursday, April 19, 2001 <br /> <br />Board Member.r: <br />Dan TitterneJJ, Member - Coun!y CommÙsioner District # 1 <br />Glen Huntingford, Member ~ Coun!y CommiJJioner DÙtricl #2 <br />Richard WO/f, Member - County CommisJioner District #3 <br />Geollr~y Ma.rci, Member - Pori Town.rend Ci!JI Counctj <br />]ill Buhler, Chairman - Ho.rpital Commissioner DÙtritt #2 <br />Sheila WesteroJan, Vice Chairman - Citizen at LLltl,e (City) <br />Roberia Frissell - Citizen at Large (County) <br /> <br />Staff Members: <br />lean Baldwin, Nursifl.-f!. Sen'Ù-eJ Director <br />. - <br />Larry Fqy, Environmental Healtb Dimtor <br />Thoma.r Locke, MD. Healtb Officer <br /> <br />~ <br /> <br />, <br /> <br />Chairman Buhler called the meeting to order at 2:00 p.m. All Board and Staff members were present <br />with the exception of Commissioner Huntingford and Wojt. Noting the lack of a quorum, the decision <br />was made to proceed with reports and postpone approval of the March 15,2001 minutes. <br /> <br />PUBLIC COMMENTS - None <br /> <br />OLD BUSINESS <br /> <br />Follow-Up Report - Letter from Senator Har2rove re: Rural Health Care Access: Dr. Tom Locke <br />referred to Senator Hargrove's letter responding to the Board's concerns about rural health care access <br />and local public health funding. Although Representative Kessler also expressed her support of the <br />topics during the town hall meeting, neither Representative Kessler nor Buck have formally responded. <br /> <br />Follow-Up Report - Board of Health Authoritv re: Lone-Term Care Facilities: At the request of <br />Commissioner Titterness, Dr. Locke reviewed his written report summarizing his research into the <br />regulatory structure of long-term care facilities, The local Board of Health has authority on issues as <br />identified by the State such as communicable disease control or environmental health code enforcement. <br />The local Board may also decide to exert authority due to a particular public health threat or issue. With <br />the exception of gathering information assessing local access to these facilities, or dealing with disease <br />outbreaks, he has not been able to find instances where the Board of Health has taken a role in long-term <br />care facilities. <br /> <br />Commissioner Titterness responded that his initial interest and concern related to his perception of an <br />inadequate caregiver-to-patient ratio. <br /> <br />Vice Chair Westerman mentioned The New England Journal of Medicine article included in the agenda <br />packet regarding regulatory standards for the ratio of caregivers to children in daycare facilities. Similar <br />