McLean County Health Committee met Sept. 30.
Here is the minutes provided by the committee:
The Health Committee of the McLean County Board met on Monday, September 30, 2019 at 3:00 p.m. at the Government Center Building 115 E. Washington Street, Room 400 Bloomington, IL.
Members Present: Chairman Susan Schafer, Members: George Wendt, Carlo Robustelli, George Gordon, Randall Martin and Sharon Chung
Members Absent: Members Catherine Metsker
Other Members Present: Member Jim Soeldner
Staff Present: Ms. Camille Rodriguez, County Administrator; Mr. Eric Schmitt Assistant County Administrator; Ms. Cassy Taylor, Assistant County Administrator; Ms. Jessica Woods, First Assistant State’s Attorney – Civil Division
Department Heads/Elected Officials Present: Ms. Michelle Welch, Adult Jail Medical; Ms. Tammy Brooks, Interim Administrator Health Department; Mr. Mike Donovan, Director
Court Services
Others Present:
Chairman Schafer called the meeting to order at 3:00 p.m. and declared a quorum.
Chairman Schafer presented the minutes from the September 4, 2019 regular meeting for approval.
Motion by Chung/Martin to approve the minutes from the September 4, 2019 regular meeting.
Motion carried.
Chairman Schafer confirmed there were no members of the public to appear before the Committee.
Ms. Michelle Welch, Adult Medical and Mr. Jason Tabb, Juvenile Detention Center came forward and presented their reports. Chairman Schafer asked if there were questions; hearing none, she thanked them.
Ms. Schafer proposed moving the first two action items under the Health Department to after budget discussions. The Committee agreed.
Ms. Tammy Brooks, Health Department Interim Administrator presented for action a request to approve an Ordinance of the McLean County Board Amending the 2019 Combined Appropriation and Budget Ordinance for Fund 0112.
Motion by Robustelli/Martin to recommend approval of an Ordinance of the McLean County Board Amending the 2019 Combined Appropriation and Budget Ordinance for Fund 0112.
Motion Carried.
Ms. Brooks presented her monthly reports to the Committee. Ms. Schafer thanked her for information on flu shot clinics. Ms. Schafer updated the Committee on the Board of Health Director search. Chairman Schafer ask if there were any questions or comments for Ms. Brooks, hearing none, she thanked her.
Chairman Schafer indicated that Ms. Wegner was not present and asked if the Committee had any questions or comments on her reports. Hearing none, she moved to the next item on the Agenda.
Ms. Rodriguez presented for review and approval the Tort Judgement – Risk Management/Correctional Health Services (0135-0077-0073) budget. Mr. Schmitt went over highlights for this budget including increase in office supplies for larger office area and replacement of dental equipment. Ms. Welch indicated that dental supplies are very expensive and current supplies are old. Mr. Schmitt also went over medication expenses. Mr. Schmitt indicated they also put in a 5% increase for the director. Mr. Robustelli asked about the Administrative Surcharge. Mr. Schmitt indicated that was calculated using the numbers for the across the board raises for past two years.
Motion by Gordon/Chung to recommend approval of the Tort Judgement – Risk Management/Correctional Health Services (0135-0077-0073)
Motion Carried.
Ms. Rodriguez presented for review and approval the Health Department Dental Sealant Grant Fund (0102) budget. Ms. Dreyer indicated this budget decreased by reducing expenses and eliminating an OSS position that had been vacant for over a year. She indicated that with creation of the shared service center there are several OSS individuals who are able to work in the dental program to fill in. She also indicated they brought Medicaid revenue down to what they felt is a predictable income. Ms. Schafer indicated in past years this fund had lost money but holding their own this year. Ms. Dryer confirmed. Ms. Brooks indicated expansion of service hours for after school and increasing the time allowed for each appointment have helped.
Motion by Martin/Robustelli to recommend the Health Department Dental Sealant Grant Fund (0102) budget.
Motion Carried.
Ms. Rodriguez presented for review and approval the Health Department WIC Grant Fund (0103) budget. Ms. Dryer indicated this budget decreased 10%, which was due to a decrease in our WIC grant. She said they were able to reduce the salary expense by transferring expense to another fund where they received a larger grant and the nurse performs duties for that program as well.
Motion by Gordon/Martin to recommend approval of the Health Department WIC Grant Fund (0103) budget.
Motion Carried.
Ms. Rodriguez presented for review and approval the Health Department Preventive Health Program Grant Fund (0105) budget. Ms. Dryer said in past they received an asthma grant of about $5,000 but determined they could not have cost effective program for $5,000 so chose not to continue and the Health Promotions team is searching for other grant opportunities. She indicated this budget includes the tobacco free communities grant. Mr. Gordon asked them to confirm an overall 15% decrease. Ms. Dryer confirmed.
Motion by Chung/Martin to recommend approval of the Health Department Preventive Health Program Grant Fund (0105) budget.
Motion Carried.
Ms. Rodriguez presented for review and approval the Family Case Management Grant Fund (0106) budget. Ms. Dryer indicated this contains six large grant programs and this year had an increase in funding in the family case management and high risk infant follow up grants of about $70,000 while better birth outcomes grant went down by 20,000. She also discussed a program to purchase infant car seats to provide to families in need. She stated they would collaborate with the childcare resource and referral network or local fire department for the proper installation. Ms. Dryer stated that the Lead case management grant increased allowing them to pay for part of public health nurse for the lead testing. She indicated they plan to use about $192,000 of the fund balance to offset the grant fund and the actual expense of the programs. Ms. Brooks indicated they felt a strong need to purchase car seats because of the loss of grant funding to other agencies providing car seats to families.
Motion by Gordon/Chung to recommend approval of the Family Case Management Grant Fund (0106) budget.
Motion Carried.
Ms. Rodriguez presented for review and approval the Health Department Aids/Communicable Disease Control Grant Fund (0107) budget. Ms. Dreyer indicated major change in this Fund was an increase of $19,000 for prep grant, which is a grant for individuals who do not have HIV but are at substantial risk for contracting. She indicated this grant educates physicians and community on the use of the drug and other prevention methods to provide greater protection.
Motion by Martin/Wendt to recommend approval of the Health Department Aids/Communicable Disease Control Grant Fund (0107) budget.
Motion Carried.
Ms. Rodriguez presented for review and approval the Health Department Federal Financial Participation Prog. Grant Fund (0109) budget. Ms. Dreyer indicated this budget was reduced significantly because the State informed them they will no longer be receiving federal claiming revenue, they transferred $60,000 to Fund 112/0060 Behavioral Health to purchase mental health first aid books and collaborative efforts with Mental Health Advisory Board. Ms. Schafer asked if there was an increase in funding with Family Case Management. Ms. Dreyer confirmed that increase made up for part of this loss.
Motion by Robustelli/Martin to recommend approval of the Health Department Federal Financial Participation Prog Grant Fund (0109) budget.
Motion Carried.
Ms. Rodriguez presented for review and approval the Health Department Persons/Developmental Disabilities Grant Fund (0110) budget. Ms. Dreyer indicated there were no major changes in this Fund.
Motion by Robustelli/Chung to recommend approval of the Health Department Persons/Developmental Disabilities Grant Fund (0110) budget
Motion Carried.
Ms. Rodriguez presented for review and approval Health Department Fund (0112) Program; Mental Health (0060). Ms. Dreyer indicated there were no major changes and provides $1,389,000 for mental health agencies in the communities through the request for proposals program. She indicated that it also received $60,000 from 0109 including $10,000 for mental health first aid materials and $50,000 in collaboration of the mental health action board. Ms. Brooks stated agencies receiving funding were not always forward thinking so wanted to bring in agencies to train them to increase their sustainability by finding additional grants or additional Medicaid reimbursements and not relying solely on behavioral health funding. She stated this would cover contracts for that training. She said other funds would go to educating the community on mental health and how agencies could collaborate on services provided. Ms. Schafer indicated the Board of Health would like to have property tax dollars spent on services and this is money coming from FFP that can be spent on any public health issue. Mr. Robustelli asked what information agencies have to submit with application showing ways they are trying to find funding for same service. Ms. Brooks indicated that in this round of requests that part was not included, but we are having conversations with them for future applications. Ms. Schafer indicated there was a question about sustainability in application before but this will expand on that. Ms. Chung asked how many agencies are involved and does it change from year to year. Ms. Brooks indicated there are seven areas of funding and funding is not based on the number of agencies. She further indicated they have selection committees who decide how much funding would go to each agency. Ms. Schafer stated this is a new process and set up in a true RFP procedure now where we state what we want to see accomplished. Mr. Robustelli cautioned that there is not alot money out there and organizations can do their best to identify and apply for additional funding but it can be difficult and don’t want organizations to have to put more time into the administrative functions and take away time for providing services. Ms. Schafer stated that she felt this was to address more outcomes and that agencies are working to improve services. Ms. Brooks agreed with Mr. Robustelli. She stated that it might be that this person they bring in might be the one looking for extra funding for the agencies, so stress is not put on the agencies. She provided example within the Health Department.
Motion by Robustelli/Martin to recommend approval of the Health Department Fund (0112) Programs; Mental Health (0060) budget.
Motion Carried.
Ms. Rodriguez presented for review and approval Health Department Fund (0112) Program Environmental Health (0061) budget. Ms. Dreyer indicated that only change is the 3% increase to food permit fees. Ms. Chung asked if this accommodates changes to the food inspection code. Ms. Dreyer confirmed it did.
Motion by Gordon/Chung to recommend approval of the Health Department Fund (0112) Programs; Environmental Health (0061) budget.
Motion Carried.
Ms. Rodriguez presented for review and approval Health Department Fund (0112) Program Personal Health Services (0062) budget. Ms. Dreyer indicated this decreased by 25% as they did not fill a vacant Registered Nurse Position and combined the Adult and Children’s immunizations programs. She stated they also decided to not continue with the home nursing program as it was not cost effective and they were able to find other resources in the community for those individuals who were utilizing the program. Ms. Dreyer also stated there was a 2% decrease for medical director. Mr. Robustelli asked them to confirm they were able to find alternative care through other community providers. Ms. Dreyer indicated they had less than 12 clients and they were able to find assistance for them. Ms. Brooks also indicated they were providing basic medication set up, so they were able to work with pharmacies that could provide pre-filled bubble packs.
Motion by Chung/Martin to recommend approval of the Health Department Fund (0112) Programs; Personal Health Services (0062) budget.
Motion Carried.
Ms. Rodriguez presented for review and approval Health Department Fund (0112) Program Administrative Support (0063) budget. Ms. Dreyer indicated this budget decreased slightly due to decrease in FTEs for the public health communications specialist and the administrative specialist.
Motion by Martin/Robustelli to recommend approval of the Health Department Fund (0112) Programs; Administrative Support (0063) budget.
Motion Carried.
Ms. Rodriguez presented for review and approval Health Department Fund (0112) Program Immunization Program (0064) budget. Ms. Dreyer indicated this decreased by 5%. She indicated there was an increase in expense due to combination of adult and children immunizations and having to purchase adult vaccines, but did not include new refrigerators. She indicated they received additional dollars from the state and used that funding to purchase four vaccine refrigerators with those funds.
Motion by Wendt/Chung to recommend approval of the Health Department Fund (0112) Programs; Immunization Program (0064) budget.
Motion Carried.
Ms. Rodriguez presented for review and approval Health Department Fund (0112) Program Health Promotion (0067) budget. Ms. Dreyer indicated that it increased due to moving an administrative specialist back into the Health Promotion Division and reduction to 40% of the publication specialist where the other 60% is covered through Administration. Mr. Robustelli asked how much unappropriated fund balance is being used throughout their budget. Ms. Dreyer indicated that over all the funds it is just over $174,000. Ms. Schafer asked if that was just 0112 Fund. Ms. Dreyer indicated that was all Funds.
Motion by Robustelli/Chung to recommend approval of the Health Department Fund (0112) Programs; Health Promotion (0067) budget.
Motion Carried.
Ms. Rodriguez presented for review and approval Health Department Fund (0112) Program Problem Solving Courts (0069) budget. Ms. Dreyer indicated that this budget remained same.
Motion by Martin/Gordon to recommend approval of the Health Department Fund (0112) Programs; Problem Solving Courts (0069) budget.
Motion Carried.
Ms. Rodriguez presented for review and approval Health Department Fund (0112) Program Community Outreach (0096) budget. Ms. Dreyer indicated that there were no major changes, does not receive property tax support, and revenues have been supporting its expenses.
Motion by Robustelli/Martin to recommend approval of the Health Department Fund (0112) Programs; Community Outreach (0096) budget.
Motion Carried.
Ms. Rodriguez presented for review and approval Health Department Fund (0112) Program TB Care & Treatment Program (0111) budget. Ms. Dreyer indicated there were no major changes to this budget.
Motion by Robustelli/Martin to recommend approval of the Health Department Fund (0112) Programs; TB Care & Treatment Program (0111) budget.
Motion Carried.
Ms. Schafer presented for action under the Health Department a request to approve an Amendment to McLean County Code Article XVIII: Miscellaneous Code Fees Chapter 205, Section 205-95, Chapter 310 Sewage Disposal Systems, Water Wells and Geothermal Exchange Systems Fees.
Motion by Gordon/Chung to recommend approval of an Amendment to McLean County Code Article XVIII: Miscellaneous Code Fees Chapter 205, Section 205-95, Chapter 310 Sewage Disposal Systems, Water Wells and Geothermal Exchange Systems Fees.
Motion Carried.
Ms. Schafer presented for action a request to approve an Amendment to McLean County Code Article XVIII: Miscellaneous Code Fees Chapter 205: Section 205-90 Chapter 216 Food Service Fees.
Motion by Martin/Gordon to recommend approval of an Amendment to McLean County Code Article XVIII: Miscellaneous Code Fees Chapter 205: Section 205- 90 Chapter 216 Food Service Fees.
Motion Carried.
Ms. Rodriguez went over the new positions hired. Ms. Schafer asked if there were any other questions; hearing none, she thanked Ms. Rodriguez.
Ms. Schafer indicated that the next meet would be on Monday, November 4, 2019 at 4:30 p.m.
Chairman Schafer presented for approval Nursing Home bills with a prepaid total $145,819.31.
Motion by Robustelli/Gordon to approve prepaid bills for the Nursing Home as presented.
Motion carried.
Motion by Martin/Robustelli to approve prepaid bills for Jail Medical and JDC Medical as presented.
Motion carried.
Chairman Schafer presented the bills for the Developmental Disability Board with a prepaid total of $17,194.78.
Motion by Robustelli/Gordon to approve prepaid bills for the Developmental Disability Board as presented.
Motion carried.
Chairman Schafer presented for approval bills for the Board of Health with a prepaid total of $136,725.87.
Motion by Chung/Robustelli to approve prepaid bills for the Board of Health as presented.
Motion carried.
Chairman Schafer reminded the Committee of the mental health forum on October 17th at the Marriott in Normal. She indicated that key note is over lunch, parking is free.
Chairman Schafer asked if there was any additional business to come before the Committee; hearing nothing, she adjourned the meeting at 3:54 p.m.
https://www.mcleancountyil.gov/ArchiveCenter/ViewFile/Item/6956
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