HomeMy WebLinkAbout1988 Community Health Commission Minutes A G E N D A
EDINA COMMUNITY AND HEALTH SERVICES ADVISORY COMMITTEE
HELD ON THURSDAY, APRIL 28, 1988 AT 7:30 P.M.
EDINA CITY HALL, MANAGER'S CONFERENCE ROOM
I. ROLL CALL:
II. INTRODUCTION OF NEW MEMBER:
III. APPROVAL OF THE MINUTES:
September 2, 1988
IV. REPORTS:
A. Evaluation Task Force - Holly Branch
B. Tri City AIDS Task Force - David Velde
C. State CHS Advisory Committee - Virginia McCollister
V. ELECTION OF OFFICERS:
VI. OTHER BUSINESS:
VII. ADJOURNMENT:
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MINUTES OF THE EDINA COMMUNITY HEALTH
SERVICES ADVISORY COMMITTEE MEETING
HELD ON APRIL 28, 1988 AT 7:30 P.M.
EDINA CITY HALL MANAGERS CONFERENCE ROOM
MEMBERS PRESENT: Dr. Walter Wilder, Chair; Sharon Aadalen; Holly
Branch; Virginia McCollister; Sally Tang, ; Silas
Weir; and Thomas Orth
MEMBERS ABSENT: Effie McKerson, Eileen Cooke, and James Hansen
OTHERS PRESENT: Berit Peterson, Edina Public Schools Nurse; Colleen Paulus,
Edina Health Department; and David Velde, Edina CHS
Administrator
I. APPROVAL OF THE MINUTES: September 2, 1987
Virginia McCollister offered a motion to approve the September 2, 1987
minutes as presented. Sally Tang offered a second to the motion. All
voted aye; motion carried.
II. REPORTS:
A. Evaluation Task Force
Holly Branch told the committee that after several meetings of the
Task Force and after reviewing the evaluation tools presently in use at the
Bloomington Division of Public Health, the Task Force came to the following
conclusions:
1. A member of the Edina CHS Advisory Committee should serve on the
client record review team to become more familiar with the services provided by
the contract with Bloomington.
2. The Edina CHS Advisory Committee should set aside time on the agenda
at each meeting for a representative from the health services to discuss the
various health activities which are taking place in the community.
After considerable discussion the committee decided to pursue the
recommendations of the Evaluation Task Force.
B. Aids Task Force
David Velde informed the Committee that Edina, Richfield and
Bloomington have formed a Task Force to address the issue of AIDS in the
community. The Task Force has been named the Tri City HIV coalition and is
represented by one staff person and two advisory committee members from each of
the three communities.
The HIV coalition will establish a directory of community resources
for HIV/AIDS issues and will serve as a focal point for education and needs
assessments in the three communities.
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The coalition will form task forces to pursue the various issues which
will be identified in the future. These issues could include funding, public
policy, and education to name a few. The chair of these task forces will become
a member of the coalition.
The purpose of the HIV coalition will be to provide a coordinated-
effort in responding to the HIV/AIDS disease in the community in a responsible
manner.
3. State CHS Advisory Committee
Virginia McCollister reported that the Community Health Services Act
underwent considerable revisions in 1987. One of the revisions removed the
statutory requirement of no more than 3 consecutive two year terms for advisory
committee members. The length of CHS Advisory Committee Membership can now be
established locally and the Committee might want to consider this in the future.
Virginia informed the Committee that the State CHS Advisory Committee
has formed a Task Force to help identify ways the local health agencies can
address the HIV/AIDS problem in the community.
Virginia said that the Department of Health will be increasing the
subsidy allocation to local health agencies in 1990.
Virginia advised the Committee that additional funding has been made
available for children age 1 to 6 under a program called Right Start. This
program targets working poor families. This program is administered through the
Department of Human Services.
III. ELECTION OF OFFICERS:
Virginia McCollister offered a motion to elect Dr. Wilder as chair of the
Advisory Committee for 1988. Sharon Aadalen seconded the motion. All voted
aye; motion carried.
Sharon Aadalen offered a motion nominating Effie McKerson as Vice Chair.
Virginia McCollister offered a second to the motion. All voted aye; motion
carried.
IV. OTHER BUSINESS
David Velde suggested that the Committee set the next three meetings for
this year. This will give everyone an opportunity to plan their schedules in
advance.
The Committee set the next meetings as follows:
July 21, 1988, September 15 1988 and November 17, 1988.
Berit Peterson gave a report on the School Health Activities during the
year. Over one hundred and fifty students are known to have a history of,
asthma. Fifteen students had a diagnosis of diabetes. Forty students are on
daily medications, most of which were Ritalin. Fifty medications were
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administered for short term treatments to a presently undetermined number of
students. In addition, many procedures were performed on a daily basis
throughout the year. The immunization status of the students was 99.6% complete
in October. It is difficult toattain 100% compliance due to migration of
students.
Each of the public schools have a CPR team. These teams will participate
in annual refresher training. More school bus drivers are being trained in
first aid.
Presently the school has eleven full time health aides and three
substitutes. Berit sees that the nursing needs in the school are increasing
which may require additional professional help.
V. ADJOURNMENT
The meeting was adjourned at 9:30 p.m.
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`.. MINUTES OF THE EDINA COMMUNITY
HEALTH SERVICES ADVISORY COMMITTEE
MEETING HELD ON JULY 21, 1988, AT 7:30 P.M.
EDINA CITY HALL MANAGER'S CONFERENCE ROOM
MEMBERS PRESENT: Dr. Walter Wilder, Chair; Eileen Cooke; James Hanson; Sally
Tang; Dr. Richard Cohan; and Silas Weir
MEMBERS ABSENT: Sharon Aadalen; Holly Branch; Virginia McCollister; Effie
McKerson; and Thomas Orth
OTHERS PRESENT: Peggy Kelly, Edina City Council Liason; Audrey Wagner and
Patty Rickheim, Bloomington Division of Public Health; Colleen Paulus, Edina
Health Department; and David Velde, Edina CHS Administrator
I. APPROVAL OF THE MINUTES: April 28, 1988
Sally Tang offered a motion to approve the minutes of April 28, 1988. Jim
Hanson offered a second to this motion. All voted aye; motion carried.
II. REPORTS:
A. Tri City HIV Coalition
David Velde reported that the Tri City HIV Coalition has been meeting
regularly to develop an action plan which will address the HIV/AIDS issues in
the communities of Edina, Bloomington and Richfield.
The coalition has tentatively planned a HIV Forum which will be held on a
Saturday morning in February or March 1989. The Forum is intended to provide
information about HIV/AIDS for local public officials such as City Council and
School Board members of the three communities, civic leaders and CHS advisory
committee members.
B. Bloomington Home Health Care Report
Audrey Wagner and Patty Rickheim from the Bloomington Division of Public
Health were present to inform the Committee about services which are provided by
contract in Edina.
Audrey Wagner began by discussing the Pre-admission Screening/Alternative
Care Grant Program which has been implemented in Hennepin County. This is a
state program which was started in 1980 because of the high usage of nursing
homes in the state which was costly to the state because many of the patients
were on Medical Assistance.
With this service, a person who has applied for admission to a nursing home
or someone who is in a nursing home and is at or near 180 days of becoming
eligible for medical assistance is evaluated to determine whether it would be
more appropriate to remain at home with some limited home care services. These
services are limited to home health aides, homemaker services, adult foster
care, adult day care, respite care and case management. This assessment is
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performed by Hennepin County and it is more cost effective then the nursing
home. A plan of care is established if the patient accepts it.
Bloomington provides the home health aide-homemaker services as one of the
eight providers in Hennepin County. Audrey said that this service is growing
rapidly and that Bloomington has added home health aide and homemaker staff to
address the need for these services. As of this date, the program has been
paying its own way and they intend to contain the program costs and avoid
placing a burden on local tax dollars.
Audrey believes that this is a valuable service to the residents of the
community. She hopes that the availability of state funds will be forth coming
to more adequately cover related program costs.
Audrey stated that 46% of the hours provided in this program was to Edina
residents.
Patty Rickheim, stated that she has worked for the Bloomington Division of
Public Health as a part time home health nurse for two years. She has had about
20 to 30 clients in Edina during this period of time. The clients are elderly,
have been referred to them by Veterans Administration, other hospitals or other
individuals. The needs of the client range from personal care such as baths to
assistance with dressing changes or catheter irrigation.
One patient, who is 99 years old, was taking a bus downtown for catheter
change and irrigation. The public health service believed that the bus trip
downtown for this procedure was not appropriate and began performing this
procedure in the clients home. In this case, Medicare will pay for the nurse
visit to change the catheter. Medicare will not pay for the ongoing irrigation
of the catheter so the client pays for this based on his ability to pay.
In another case, the nursing service had been providing home care to a
patient for several years and the client joined an HMO. The HMO did not
contract with Bloomington for the provision of Home Health Aide services yet
wanted Bloomington to continue with the services on a sliding fee scale. As a
result, when the aide made her visits, the client would identify needed services
that the HMO would not pay for and the client was told to contact the home
nursing provider. This tended to fragment the delivery of needed services.
This situation frustrates both the client and the provider.
Another example of a trend that has been noticed in the community is an
older daughter taking care of an elderly mother. For example, presently the
Bloomington Department has a case where a 77 year old daughter is taking of her
mother who is in her 90's.
C. Committee Membership Terms
David Velde advised the Committee that the Community Health Service Act was
changed in 1987 and the present statute states that an advisory committee must
establish their own terms of membership. Presently the committee by-laws state
that no member may serve more than 3 consecutive two year terms. Edina City
Ordinance restricts length of membership on any Board or Commission to 12 years.
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�.- Dr. Walter Wilder stated that he had no strong feelings either way and that
if someone wishes to change the length of membership they should offer a motion
at the next meeting.
III. Announcements
David Velde reminded the committee about the Annual Community Health
Conference coming up on August 24, 1988 at Maddens Resort in Brainard,
Minnesota. The deadline for registration is July 24, 1988 and any member
interested in going should get a copy of the registration material to David as
soon as possible.
Virginia McCollister and David Velde will be attending the conference.
IV. Other Business
Silas Weir asked whether the Committee is routinely updated about the
health status of the community. Mr. Velde responded that every two years as
part of the CHS planning process a community needs assessment is conducted.
This information is shared with members of the Committee.
V. Adj ournment
Eileen Cooke moved for adjournment.
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MINUTES OF THE EDINA COMMUNITY HEALTH
SERVICES ADVISORY COMMITTEE MEETING
HELD ON THURSDAY, SEPTEMBER 22, 1988 AT 7:30 P.M.
EDINA CITY HALL MANAGERS CONFERENCE ROOM
MEMBERS PRESENT: Dr. Walter Wilder, Chair; Virginia McCollister; Effie
McKerson; Eileen Cooke; James Hansen; Sally Tang; and
Thomas Orth
MEMBERS ABSENT: Sharon Aadalen; Holly Branch; Silas Weir; and Dr.
Richard Cohan
OTHER PRESENT: Peggy Kelly, Edina City Council Liason; Lynn Wetherbee,
Bloomington Division of Public Health; Berit Peterson, Edina
Public Schools Nurse; Colleen Paulus and David Velde, Edina
Health Department
I. APPROVAL OF THE MINUTES:
Effie McKerson offered a motion to approve the July 21, 1988 minutes as
presented. Eileen Cooke offered a second to the motion. All voted aye; motion
carried.
II. REPORTS:
A. Bloomington Health Services:
Lynn Wetherbee, Family Health Coordinator for the Bloomington Division of
Public Health, was present to discuss the various clinic programs offered by the
Division of Health.
Lynn reported on a 1987 audit of the child and youth clinics. This was a
financial audit to determine whether the clinic is serving the appropriate
target population. In this case, the target population is families who are the
working poor.
The average family size for the clinic was 4.36 members. The average
income of the clients was $16,800 annually. Nine Edina families utilize the
Child and Youth Clinic. The average income of the Edina residents utilizing the
clinic was $21,398. The average fee paid by the Edina clients was $14.66.
Based on this audit the Child and Youth Clinic is meeting its objective of
serving the working poor.
The Child and Youth Clinic provides sport physicals, developmental testing
and referral and followup. The clinic also has a Maternal and Child Health fund
that can be utilized by clients who need to see a specialist. The fund will pay
up to 50% of the specialist fee if the client demonstrates they are unable to
pay the full fee.
In 1987 there was a total of 721 Child and Youth Clinic visits. The
projected volume for 1988 will be well above the 1987 total.
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Seventy five percent of their clinic referrals for abnormality in a childs
development are confirmed by a physician. This means the clinic is identifying
the abnormalities.
Transportation to the clinic has been identified as a problem. VEAP has
been helping with transportation but more needs to be done.
Another program offered through the Nursing Service is WIC (Women Infant
Children) a nutrition supplement program. WIC provides milk, eggs, cheese, and
cereal for children and formula for one year for infants. This program has
helped many families with their nutritional needs. This program targets the
working poor population. Participation in the WIC program has increased
significantly. In 1981 the WIC program had 3,222 clinic visits. The projected
1988 volume is over 5,000 clinic visits.
The WIC program utilizes the clinic visits to educate the clients about
nutrition, low budget meal preparation and other health related outreach
activities.
The WIC program normally has 100 people on the waiting list. The need for
the program is out there.
The next clinic Lynn discussed was Family Planning. Participation in this
clinic has declined somewhat. In 1987, they had 3,051 clinic visits and they
are projecting 2,000 visits in 1988. Bloomington residents account for 68% of
the clients, Edina, 4%; Richfield 13%; and 15% are outside these three
communities.
Sixty five percent of the clients are over 20 years old. This program is
funded by Maternal and Child Health grants and Family Planning grants.
The last program discussed is a joint effort by Edina, Eden Prairie,
Bloomington and Richfield called SHIELD (South Hennepin Interagency Early
Learning and Development) . this program is a multidisciplinary approach to help
children who have been identified as having a handicapping condition or are
experiencing developmental delay. SHIELD integrates the services of public
health agencies, community services and early childhood family center to provide
intervention to help the child or infant develop physical, intellectual and
social skills.
Funding for SHIELD is through the Maternal and Child Health Grant and
Hennepin County. No Community Health Services funds are used for SHIELD.
The Bloomington Division of Public Health is the lead agency for SHIELD.
Since March, 1988, forty two clients have been referred to Shield. Three
clients are from Edina.
B. Annual Community Health Conferences:
Virginia McCollister and David Velde attended the conference in Brainard
August 1988. In addition to the educational sessions, the State CHS Advisory
Committee met and acted upon recommendations of their Task Forces.
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The HIV Task Force recommendations included a possible funding formula for
distribution of grant money to local Boards of Health. The formula requires a
25% match of funds by local agencies. If the HIV Grant is funded, Edina would
receive between $18,551 and $29,577 to develop and implement HIV programs which
address educating the general population.
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The statewide goals have been modified and the local Boards of Health will
need to address these goals in future plans. David Velde will mail the modified
goals to the committee members.
C. Tri City HIV Coalition
David Velde reminded the committee that the coalition is in the process of
planning the Winter Forum on HIV. The Forum will focus on developing HIV
awareness among community leaders.
The coalition has contacted several foundations asking for funding of the
HIV coalition initiative. To date, the response has been negative. The
coalition will continue to request funds from various foundations as the
programs are developed.
III. OTHER BUSINESS:
David Velde passed out an informational sheet on Radon in homes. Radon has
been found in homes in Minnesota at levels above the suggested EPA guidelines.
In a recent Minnesota Department of Health Survey, six homes in Edina were
tested. The levels of Radon in the homes ranged from 0.9 pCi/l to 16.5 pCi/l.
The EPA action level is 4 pCi/l.
The Health Department has requested funding for 10 Radon kits to be
installed in homes in Edina. This data would be used to further determine the
Radon problem in Edina. The City Council has referred this to the Advisory
Committee for their recommendation.
Eileen Cooke offered a motion recommending a City Council approval of
$250.00 for purchasing Radon test kits for random home sampling. Effie McKerson
offered a second to the motion. All voted aye; motion carried.
IV. ADJOURNMENT:
The meeting was adjounred at 9:10 p.m.
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MINUTES OF THE EDINA COMMUNITY HEALTH
SERVICES ADVISORY COMMITTEE MEETING
HELD ON THURSDAY, NOVEMBER 17, 1988 AT 7:30 P.M.
EDINA CITY HALL, MANAGERS CONFERENCE ROOM
MEMBERS PRESENT: Dr. Walter Wilder, Chair; Holly Branch; Sharon Aadalen;
Eileen Cooke; Sally Tang; Silas Weir; and Dr. Richard
Cohan
MEMBERS ABSENT: Virginia McCollister; Effie Mckerson; James Hansen and
Thomas Orth
OTHERS PRESENT: Colleen Paulus and David Velde, Edina Health Department
I. APPROVAL OF THE MINUTES:
Sally Tang offered a motion to approve the September 22, 1988 minutes.
Eileen Cooke offered a second to the motion. All voted aye. Motion carried.
II. REPORTS:
A. Tri City HIV Coalition:
David Velde informed the Committee that the Tri City HIV Coalition Forum
will be held on February 11, 1989 at the Richfield Community Center from 8:30
a.m. to 12:30 p.m.
Dr. Michael Osterholm from the Minnesota Department of Health will be the
guest speaker. The Coalition will be inviting members of the City Council from
each community along with School Board Members, Advisory Committee Members,
South Hennepin Human Services Council Board Members, State Legislators and
County Commissioners representing the three cities.
The invitations will be mailed during the last week of November.
B. HIV/AIDS Epidemiology:
The Committee viewed a video tape of the Epidemiology of AIDS which was
presented at a Minnesota Department of Health Conference in March 1988.
III. ADJOURNMENT:
The meeting was adjourned at 9:15 p.m.
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