HomeMy WebLinkAbout1990 Community Health Commission Minutes i
A G E N D A
EDINA COMMUNITY HEALTH SERVICES ADVISORY
COMMITTEE MEETING, THURSDAY, APRIL 12, 1990,
7:30 P.M. , EDINA CITY HALL MANAGER'S CONFERENCE ROOM
I. ROLL CALL:
II. APPROVAL OF THE MINUTES:
December 12, 1989
III. INTRODUCTION OF NEW MEMBERS
IV. REPORTS:
A. Proposed ban on cigarette sales by Vending Machines - David velde
B. State CHS Advisory Committee - Mathew Peterson
C. Tri City HIV Coalition - Virginia McCollister
V. Election of Chair and Vice Chair For 1990
VI. 1990 Meeting Schedule
VII. ADJOURNMENT:
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MINUTES OF THE EDINA COMMUNITY HEALTH
SERVICES ADVISORY COMMITTEE MEETING
HELD ON APRIL 12, 1990, AT 7:30 P.M.
EDINA CITY HALL MANAGER'S CONFERENCE ROOM
MEMBERS PRESENT: Eileen Cooke, Chair; Matthew Peterson; Virginia McCollister;
Robert Wilkins; Sally Tang; Dr. Richard Cohan; Pam Moody;
and Spencer Turner
MEMBERS ABSENT: Sharon Aadalen, Mary Strazz, and Ann Francis
OTHERS PRESENT: Berit Peterson, Edina School District Nurse; Elliott
Marston, Edina Health Department Sanitarian; and David
Velde, Edina CHS Administrator
I. APPROVAL OF THE MINUTES:
Sally Tang offered a motion to approve the minutes as presented. Dr. Cohan
offered a second to the motion. All voted aye; motion carried.
II. REPORTS:
A. Proposed Ban on Cigarette Vending Machine
David Velde reviewed the Ordinance Amendment which is being prepared to ban the
sale of cigarettes in Edina from vending machines.
Mr. Wilkins asked whether this ban would affect the sale of other items through
vending machines.
David Velde said it would only affect the sale of cigarettes.
Mr. Wilkins asked how many communities have implemented a ban such as this on
cigarette machines.
David Velde said he was aware of several other communities who have adopted
ordinances restricting or banning vending machine sales of cigarettes.
Sally Tang asked whether this ban would be a problem by banning cigarette
vending machines when they have just been licensed.
David Velde said that there may be some objections, but the city would reimburse
the operation pro rasa for the unused portion of the license.
Robert Wilkins offered a motion recommending a ban on sales of cigarettes from
vending machines in the City of Edina.
Eileen Cooke offered a second to the motion. All voted aye; motion carried.
B. State CHS Advisory Committee - Matthew Peterson
Mr. Peterson reported that at the present time the State Health Department is
faced with a threat of about a 6% reduction in funding due to the state
shortfall in revenues. This reduction would cause a reduction in their
activities and they're working hard to maintain the funding at the present
level.
Mr. Peterson said he expects to be appointed to the Task Force on Administrative
or Legislative matters for the Community Health Services Advisory Committee.
Virginia asked whether the cut in funding would affect local community health
agencies.
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David Velde said that Edina might receive a reduction in CHS subsidy.
C. Tri City HIV Coalition - Virginia McCollister
Virginia McCollister gave a brief presentation about the history of the Tri City
HIV Coalition for the benefit of the new members.
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Virginia informed the committee that at the last meeting of the Tr•i City HIV
Coalition the steering committee decided that instead of organizing all five
task forces, the coalition would concentrate on the component education through
the efforts being undertaken in the school district.
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Virginia said the other Task Forces for the Coalition will be formed as the need
arises.
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III. Election of Chair and Vice Chair - Eileen Cooke
Eileen asked for nomination for chair of the committee for 1990.
Sally Tang nominated Virginia McCollister. Robert Wilkins offered a second to
the motion.
Robert Wilkins nominated Matthew Peterson for vice-chair. Virginia offered a
second to the nominations for vice-chair.
Robert Wilkins moved that the nominations be closed and that the Committee cast
a unanimous ballet for chair and vice chair as presented.
All voted aye. Motion carried.
IV. 1990 Meeting Schedule:
The meeting dates for 1990 were set as follows: June 14, 1990, September 13,
1990, and November 8, 1990.
V. OTHER BUSINESS:
The Committee decided to invite Kenneth Dragseth to the next meeting to discuss
the School Districts Strategic Plan. It was also decided that Gayle Hallin from
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�► the Bloomington Division of Public Health would be invited to discuss the Public
Health Nursing Services.
Matthew Peterson suggested that the Committee should look at ways they can
increase the visibility of public health in the community. After some discussion
it was decided to pursue this possibility at future meetings.
VI. ADJOURNMENT:
The Committee adjourned at 9:00 p.m.
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MINUTES OF THE EDINA COMMUNITY
HEALTH SERVICES ADVISORY COMMITTEE
MEETING HELD ON JUNE 14, 1990, AT 7:30 P.M.
EDINA CITY HALL LOWER LEVEL CONFERENCE ROOM
MEMBERS PRESENT: Virginia McCollister, Chair; Matthew Peterson, Sharon
Aadalen; Robert Wilkins; Sally Tang; Ann Francis and
Pam Moody
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MEMBERS ABSENT: Eileen Cooke; Mary Strazz; Dr. Richard Cohan; and Spencer
Turner
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OTHERS PRESENT: Jim Parker, Community Health Services Director, Minnesota
Department of Health; Gayle Hallin, Bloomington Community
Health Administrator; and David Velde, Edina Community
Health Administrator €
I. APPROVAL OF MINUTES: April 12, 1990
Matthew Peterson offered a motion to approve the minutes as presented. Sharon
Aadalen offered a second to the emotion. All voted aye; motion carried.
II. REPORTS:
A. David Velde reported that Edina, Richfield, and Bloomington have been
meeting with representatives from Hennepin County Adult Protection to discuss
the increased incidents of garbage houses and vulnerable adults in our
communities. These discussions have also included police department
representatives from the three communities because they are often the source of
the primary referral to the health agency.
As a result of these meetings, the three communities plan to establish an
investigation team to respond to further reports of garbage houses in the
community. Through this team approach we hope to improve the efficiency of our
response and expedite the necessary intervention services.
The next meeting of this group will be in September at which time we hope to
formalize the elements of the investigation team.
The Committee asked for a report on this issue at the November meeting.
B. Gayle Hallin provided a summary of public health nursing services for 1989
along with brochures which describe the various services available to Edina
residents and through the contract with Bloomington.
Gayle pointed out that Home Health Care has been one area that traditionally has
been of key interest to the advisory committee. Ten years ago, the public
health agency was the primary provider of home health care services and the
public health agency was heavily funded by Medicare. However, this has changed
and now other Home Health Care Services have moved into the Medicare
reimbursable market leaving the public health agency with clients who have few
resources and no coverage to pay for the services.
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In 1989, Edina had 102 Home Health Clients who received 2,881 visits by
Bloomington Home Health Staff. Home Health Aides provided 2,224 of these visits
which indicates that a larger portion of the visits were to clients who need a
significant amount of help with day to day activities in order for them to
remain in their home.
Matthew Peterson asked how the clients end up being referred to the Bloomington
Division of Public Health for these services.
Gayle stated that the primary referral source are neighbors and family members.
Gayle then discussed Family Health Activities which she said take about 70% of
the whole budget. This area includes Maternal and Child Health Grant, Family
Planning Special Project Grant, United Way Grant Funds and the SHEILD program
for Edina, Bloomington, Richfield, and Eden Prairie school districts. The
SHEILD Program addresses the health needs of children from birth on who have
potentially handicapping conditions so they may receive full benefit of an
public education.
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The SHIELD Program is very challenging in that some of the children in the
program have severe physical, emotional or mental problems.
Gayle went on to talk about Parenting and Family Dysfunction Activities which
include Family Violence referrals. Family Violence crosses all socio economic
status lines and are complicated by higher socio-economics status because of the
fear of financial loss for a spouse wishing to get out of a violent
relationship.
Matthew Peterson asked why there was a lower activity level in this area in
Edina versus Bloomington.
Gayle stated that the Bloomington Police Department -has a history of making the
family violence referrals to the Public Health Agency. At the present time, the
funding for this program is able to address the current activity level but would
not be able to handle a significant increase in reporting.
Gayle then discussed Health Promotion and Disease Prevention and Control
Activities. This includes chronic and communicable diseases, AIDS intervention,
Heart Health Program, Cholesterol Screening, Blood Pressure Screening, and
tobacco initiatives. The majority of the time spent on these activities is
community action and resource development.
In 1989, there were 10 individuals from Edina who sought counseling and support
for AIDS/HIV through the staff epidemiologist at Bloomington. The clinic also
provides a HIV screening and testing site through the Hennepin County Health
Department for the southwest metro area.
Gayle mentioned the Tri City HIV coalition which has been active in developing
an action plan for responding to HIV infection in the schools and workplace.
This will include policy issues and potential needs for services.
Matthew Peterson asked whether there was something the Edina CHS Advisory
Committee could do to help her improve the service provided to residents of
�. Edina.
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Gayle responded by stating that the committee could serve as a monitor of the
community and identify the gaps in services.
Mr. Peterson asked if there was a need to improve the marketing of the Public
Health Services.
Gayle stated that if the number of clients increased substantially they would
not be able to respond adequately without an increase in financial resources.
Robert Wilkins stated that the Committee could serve as an advocate for public
health issues which lack popular support in the community.
C. Revenue Shortfalls: Jim Parker
Jim Parker told the Committee that in 1989 the legislature increased the
Community Health Services subsidy by four million dollars which was the largest
increase in funding since 1979. In 1990, the legislature reduced the increase
by $500,000.00. The governor had targeted the CHS program for a two million
dollar reduction. The legislature also increased the funding for alternative
care grants by seven million dollars, so in effect there was an increase in
funding for public health service in the state.
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Jim Parker observed that state funding is going away from discretionary subsidy
programs toward targeted programs.
Mr. Parker said the Minnesota Department of Health had $800,000.00 taken out of
their budget. However, they did receive increases in program specific areas and
come out of the session with about $200,000.00 over the previous fiscal year.
Mr. Parker pointed out that the next budget will be a cut in spending that the
Department must adhere to. This will be accomplished by not replacing employees
who leave the department.
Mr. Parker stated that the Department will pursue maintaining the funding level
of the CHS subsidy program but they will not seek an increase in CHS funding.
Virginia McCollister asked if the legislators understood the impact of the
subsidy program.
Mr. Parker said that some legislators do, but generally subsidy programs are not
trusted because of its discretionary nature at the local level. Mr. Parker said
that the department views the CHS subsidy as a shared (state, local) program and
that this argument can be supported by the annual reports the local agencies
submit to the Department of Health.
Mr. Parker said the Department will propose an initiative to improve rural
health care in Minnesota. Also, the Department will be proposing a program
addressing minority health needs. In addition, the Department will be taking a
major role in the prevention of drug abuse.
Mr. Parker informed the Committee that the Department is working on several
reports, one is on financing of community health services and another is on
administering community health services. These reports should be completed in
the near future.
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III. ADJOURNMENT:
The meeting adjourned at 9:45
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MINUTES OF THE EDINA COMMUNITY
HEALTH SERVICES ADVISORY COMMITTEE
MEETING, HELD ON SEPTEMBER 14, 1990,
AT 7 :30 P.M. , EDINA CITY HALL MANAGERS
CONFERENCE ROOM
MEMBERS PRESENT: Virginia McCollister, Chair; Sharon Aadalen;
Matthew Peterson; Robert Wilkins; Spencer
Turner and David Rosenblatt
MEMBERS ABSENT: Eileen Cooke, Mary Strazz, Sally Tang, Dr.
Richard Cohan, and Pam Moody
OTHERS PRESENT: Dr. Kenneth Dragseth, Edina School District;
Berit Peterson, Edina School Nurse; and
David Velde, Edina Community Health Services
Administrator
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I. APPROVAL OF THE MINUTES: June 14, 1990
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Matthew Peterson offered a motion to approve the June 14, 1990, j
minutes. Sharon Aadalen offered a second to the motion. All voted
aye; motion carried.
II'. REPORTS:
A. 1990 Annual Community Health_ Conference.
David Velde reported that he and Eileen Cooke had attended the
Annual Community Health Conference on August 22-24 , 1990 at Madden
Resort in Brainerd. David Velde advised the Committed that he had
attended the State Community Health Services Advisory Committee
meeting as Edinas representative. The Committee meeting was
shorter than previous years due to the lack of controversial
issues. The Committee adopted a mission statement for community
health which will be discussed later in the meeting.
Several interim reports were accepted by the State committee one of
which was a report from the Administrative Work Group. This group
will be developing a guide for use by all community health agencies
in Minnesota. The final report will be due in 1991.
The keynote address for the conference was delivered by Dr. Robert
Veninga from the School of Public Health. His address focused on
cooperation and trust in an organization.
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David Velde informed the Committee that he had attended five
sessions at the conference on environmental health and that the
sessions were excellent.
B. COMMUNITY HEALTH SERVICE MISSION:
David Velde reported that the State Community Health Services
Advisory Committee adopted a mission statement at the Community
Health Conference. The mission statement reads "The Mission of
Community Health Services is to bring people together to create a
healthy future for all Minnesotans. "
Matthew Peterson noted that the word education was absent from the
statement and he thought that education was a key part of their
mission.
Robert Wilkins thought that the goal of assuring everyone in
Minnesota a healthy future was not obtainable.
Sharon Aadalen suggested that the statement referring to assuring
a healthy future meant that everyone should have the opportunity to
attain a healthy life. .
Spencer Turner suggested that with more education the people of
Minnesota would have a better opportunity to achieve a healthy
future by making better choices.
The Committee discussed whether a Mission Statement for the Edina
Community Health Services Committee would be desirable. The }
Committee decided that a review of the by laws and the charge to
the would be helpful and asked that those items be distributed for
discussion at the next meeting.
C. SCHOOL DISTR
ICT STRATEGIC PLAN
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Dr. Kenneth Dragseth informed the Committee that about 1 1/2 years
ago the school district began the strategic planning process
because they had realized that there wasn't a central focus for all
of their various activities.
Dr. Dragseth stated that before the mission statement was developed
a statement of beliefs were identified through a group consensus
model where all participants agreed to a set of beliefs.
From this statement of beliefs, the mission statement was developed
and strategic policies were adopted for implementation through a
series of action plans and objectives. The action plans encompass
all levels of the community such as school, parents, City Council
and students.
Dr. Dragseth reviewed the action plan with the committee and
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highlighted areas where the City of Edina can provide some help.
�. One area was in alcohol prevention. The school district has
adopted a policy prohibiting the use of alcohol by adults who
travel with the team. The City of Edina can help by adopting a
similar policy for City sponsored events such as traveling hockey
etc.
After considerable discussion it was decided that the Committee
would adopt a resolution supporting the concept of no alcohol
during City sponsored youth sport events.
Matthew Peterson offered a motion supporting the strategic plan as
adopted by the Edina School District and specifically encouraging
the City of Edina to address the elements within the plan
concerning the consumption of alcohol by coaches and chaperons
during city sponsored events for Edina youth.
Sharon Aadalen offered a second to the motion. All voted aye;
motion carried.
D. SCHOOL HEALTH ACTIVITIES:
Berit Peterson reviewed an annual report of the Edina School
District Health Services for the last school year. There were
three deaths in the school system and crisis response teams were
assembled to address the needs of the students during these times �II
of crisis. f
During the year 3300 student visits were seen at the health office,
for minor first aid, 9500 students were seen for illness, 8400
student contacts were for medications. Strep throat and chicken
pox were' the most common communicable disease observed by the
health services staff and 99 .94% of the students are current with
their immunizations. -
Of all students screened for vision, 7% were refereed for further
evaluation, 2% were referred for further hearing evaluations and 6%
were referred for scoliosis.
Berit noted that they are seeing more students in the school
needing professional attention and the district has hired another
licensed school nurse. The extra nurse will be placed at the high
school where the special education students are located. In
addition, there is an increase in high school students with eating
disorders ad pregnant teens which can be addressed by the nurse
located in the building.
Berit informed the Committee that another licensed nurse will be
hired to help serve students at the kindergarten level where there
are two students requiring special nursing procedures.
Berit stated that they are monitoring accident reports with other
districts to determine whether there are any predominant injuries
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occurring in the schools or if there are general trends in
�.. injuries.
E. 1992-93 COMMUNITY HEALTH SERVICES PLAIN:
David Velde informed the Committee that we will begin the next
planning process by developing a community assessment in
conjunction with other agencies in Hennepin County. By mid
November it is hoped that we can form seven committees to assess
the needs in the following program areas:
Home Health
Family Health
Disease Prevention and Control
Emergency Medical Services
Environmental Health
Health Promotion
Health Systems
Virginia McCollister asked whether there would be enough openings
for our committee members to participate.
David Velde said that it was hoped that each program area would
have one member from each of the agency advisory committees in
Hennepin County.
Virginia McCollister asked that more information be provided about
the community assessment committees and that each advisory
committee member give this some thought before the next meeting and
volunteer to serve on one of the planning committees.
The meeting was adjourned at 9: 15 p.m.
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