HomeMy WebLinkAbout1987 Community Health Commission Minutes i
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EDINA COMMUNITY HEALTH ADVISORY COMMITTEE
WEDNESDAY, FEBRUARY 25 , 1987 , AT 7: 30 P.M.
EDINA CITY HALL MANAGERS CONFERENCE ROOM
I. ROLL CALL
II. APPROVAL OF MINUTES: October 29 , 1986
III. REPORTS:
a. State CHS Advisory Committee: Virginia McCollister
b. 1987 Workplan: Sharon Aadalen, David Velde
C. Tri City Plan Development Task Force: David Velde
IV. OTHER BUSINESS:
V. ELECTION OF 1987 OFFICERS
VI. ADJOURNMENT:
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MINUTES OF THE EDINA COMMUNI^lY HEALTH SERVICES f
ADVISORY COMMITTEE MEETING HELD ON '
WEDNESDAY, FEBRUARY 25, 1987 AT 7: 30 P.M.
EDINA CITY HALL MANAGERS CONFERENCE ROOM
MEMBERS PRESENT: Sharon Aadalen, Jim Hansen, Eileen Cooke
Holly Branch, Thomas Orth, and Virginia
McCollister
MEMBERS ABSENT: Barbara Clayman, Dr. Walter Wilder, Betty
Stinnet and Effie McKerson
OTHERS PRESENT: Council Member Peggy Kelly; Berit Peterson, !
Edina School District; and David Velde I
I. APPROVAL OF THE MINUTES: October 29, 1986
Sharon Aadalen asked if there were any correction or
comments about the minutes. Hearing none, Sharon Asked for a
vote of approval for the October 29, 1987 minutes . All voted
aye; minutes were approved.
II . REPORTS: j
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A. STATE CHS ADVISORY COMMITTEE REPORT-Virginia
McCollister
�. Virginia reported that a bill has been submitted to the
Minnesota Legislature requiring licensure of Home Health Care in
Minnesota . The proposed bill will provide an inspection program
of Home Health providers by the Minnesota Department of Health.
This licensure will exclude persons who care for family members.
The State Advisory Committee will be establishing a Task
Force which will establish guidelines for developing health
promotion programs at the local level .
The State Committee will also establish a Task Force which
will develop guidelines to assist communities in implementing
Emergency Medical Services locally.
The Administrative Task Force has developed a set of CHS
Reporting guidelines to be used by all CHS agencies in reporting
annual activities. This program will be piloted in several local
agencies prior to adopting the guidelines.
Virginia indicated that a bill has been introduced which
will recodify all health related State Statutes into one
Chapter. The recodification process was initiated by the
Department of Health and is expected to pass unopposed .
Virginia informed the Committee that the Health Department
has recently released a new draft manual for administering
Community Health Services in Minnesota. This manual is intended
to assist CHS agencies in planning , managing, and evaluating
their public health activities.
The Health Department has asked for an increase in CHS
subsidy of about $1. 3 million for 1988 and the same amount for
1989. The state has not fully funded CHS for several years and
this increase will bring the state' s share of funding in line
with the enacting legislation.
The Department of Health is attempting to increase staffing
in the division which responds to complaints about HMO' s .
Evidently, during 1986 the number of complaints increased
dramatically and the staff was unable to respond appropriately.
B. 1987 WORKPLAN:
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David Velde , informed the committee that the City will be
developing the 1988-1989 CHS Plan this year and it is expected
that the preliminary draft will be completed by June 1987 . A
joint Task Force of Richfield, Bloomington and Edina will be
meeting in March to begin looking at the community demographics
and needs. The Edina CHS Advisory Committee should provide two
members to attend the four Task Force meetings .
`. The CHS plan will address the delivery of Community Health
Nursing Services, Home Health Services, Environmental Health
Services, Disease Prevention and Control Services, Emergency
Medical Services, Health Education, and Maternal and Child Health
Services in Edina.
The statewide goals developed by the Minnesota Department of
Health will be addressed on the 1988-89 CHS Plan. It is
generally believed that the Metro Area has adequately addressed
statewide goals in the past and existing programs will adequately
address these goals in 1988-89.
David Velde informed the Committee that he will be
developing specifications for bidding public health nursing
services for 1988 and 1989. For the past several contract
renewal period the Edina City Council historically has requested
the City seek competitive bids for these services from both the
public and private sector . The bid specifications will be
released in June 1987 and the bids will be evaluated by the
Committee in August with a recommendation being forwarded to the
Edina City Council in September .
It is anticipated that it will take about one month to
transfer client records to another agency if Bloomington loses
the contract. The record transfer should take place in December
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1987 to ensure an orderly transition from one provider to the
other and to minimize the potential disruption of care to the
client.
David Velde commented that evaluating the bid proposals is
a difficult task due to the different missions of the agencies
submitting proposals. The Committee has struggled with the bid
proposal evaluation process in the past and the committee should
develop a tool to assist us with this function.
Sharon Aadalen asked David Velde if he has received a
directive from the City Council indicating a desire to bid the
nursing services for 1988-89,
David Velde indicated that in the past the City Council has
expected that these services be offered for competitive bidding .
Sharon Aadalen stated that the Committee should discuss this
process and come to an understanding within the Committee whether
this process should continue and forward a recommendation to the
City Council . Sharon stated that when an agency submits a bid
for these services they put forth a great deal of effort in
developing the bid. When the Advisory Committee reviews the bid
we end up spending a great deal of time comparing services which,
often cannot be considered as similar. She felt uncomfortable
with a process which is supposed to be competitive yet , because
of the philosophical difference between public and private
providers, the agencies are not totally comparable and therefore
not equally likely to be competitive in the process .
Holly Branch recalled her position from the last time the
City reviewed bids for nursing services. In her judgement she
does not believe the City can get the same commitment to a public
health objective from a private agency as one can expect from a
public agency. She has worked with both public and private
agencies in the past and there is a different philosophy of care
with a public agency. The public agency will continue with care
until the client no longer needs the service. Holly indicated
that she has done consulting work with Bloomington, Abbott, Home
Health Plus, MMC, United, Mercy and many other agencies relative
to home health services. In her dealings with these various
agencies she believes that the Bloomington Division of Public
Health does a superior job in the areas she is familiar with.
She is very impressed with their staff and their whole scope of
services . She believes a hospital could not provide comparable
services for Edina residents. Holly stated that it would take a
number of years for a hospital Home Care service to develop a
service comparable to the service provided by Bloomington.
Sharon Aadalen stated that Dart of the philosophical
differences between private and public agencies is that the
public health agencies tend to look at the family-in-community as
the unit of care as opposed to the individual . The private
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agency typically will focus on the identified patient in the
family. The focus on the community and family is important
because the issue of connecting people in need to the available
resources in the community is a critical function of a public
agency. Private agencies have a tendency to lose sight of this
objective because of loss of reimbursement. Another factor
Sharon thought should be kept in mind is the continual shifting
taking place in the private health care environment. Home Health
Plus is an agency that resulted from combining home care services
in Edina (Competent Care) , at MMC, and in St. Paul . This is not
the only such combination taking place in the private sector and
more combining will be taking place in the future. The health
care market is in a state of flux which may result in changes in
philosophy of the resultant agencies.
David Velde indicated that the has been concerned about the
possibility of changing nursing service providers every one or
two years as it relates to the disruption of service to the Edina
residents. Developing a public health care system in a community
to the point where it becomes effective takes several years.
Just "getting to know the community" is essential for the
provider . Changing providers means losing that knowledge. In
David' s opinion a long term commitment to a provider is needed to
develop an effective system of service delivery in the
community.
Peggy Kelly asked if there was some services that Fairview
Southdale Hospital could not provide the last time they bid on
these services.
David Velde stated that Fairview Southdale Hospital intended
to contract with Hennepin County for Disease Prevention and
Control Services.
Sharon Aadalen indicated that the Health Promotion component
submitted by Fairview Southdale Hospital consisted of utilizing
their educational programs in existence or to be developed which
were not comparable to the Bloomington proposal .
Eileen Cooke recalled that in evaluating the Fairview
Southdale proposal the Committee discovered that the professional
staff was not comparable to the quality of the professional staff
level offered by Bloomington.
Jim Hansen asked whether the City was obligated by law to
competitively bid for these services.
David Velde said the City was not obligated to bid for
professional services and that for several years the City
negotiated exclusively with Bloomington for nursing services .
Virginia McCollister said she concurred with what has been
said and that her concern was that a private provider may decide
to aggressively seek this contract and submit a bid which is
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extremely low and underbid the competition. This situation would
create a difficult evaluation problem for the Committee and, if
on paper they appeared to meet the specifications, could the
committee determine whether this was a responsible bid .
David Velde stated that he did not feel he could evaluate
the bid proposals fairly. He felt that comparing agencies and
the services being offered is an extremely difficult task that
requires more resources than he has.
Sharon Aadalen brought up another issue about the philosophy
of care the private and public agencies have. The private sector
will provide whatever services the client wishes as long as these
services are reimbursable. The public agencies objective is to
return the individual to an independent status , which is
sometimes contrary to the individuals wishes.
Sharon Aadalen informed the Committee that metropolitan
public health nursing agencies have developed an areawide
coordinated service system to ensure that residents needing
health services will be handled properly in their geographic area
of residence . This service system has obtained funding from the
Robert Woods Johnson Foundation to implement the program in the
metro area . Sharon feels that the City should not ask public
agencies to compete against each other for the Edina service area
when they are trying to develop collaborative service agreements
among themselves.
Sharon Aadalen said she has never heard a negative or
critical comment about the Bloomington Division of Public Health.
She has heard a great deal of comments suggesting that
Bloomington has substantial expertise resulting in well planned
and well carried out services .
Sharon Aadalen asked David Velde if the Committee has the
option of advising the City Council to consider negotiating for
the contracted services with Bloomington rather then obtaining
bids.
David Velde said it would be appropriate for the Committee
to offer some form of recommendation.
Jim Hansen suggested that the Committee proceed with a
recommendation to the City Council that we negotiate with
Bloomington for contracted services for 1988 and 1989 and that a
parameter for a dollar amount be established prior to
negotiation.
The Committee will meet in two weeks to formulate a
recommendation for the City Council .
C. TRI CITY TASK FORCE:
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David Velde advised the Committee that we will be forming a
Task Force representing Edina, Bloomington, and Richfield to
study the needs in the three communities and develop the needs
assessment required in the CHS plan for 1988-89. Each of the i
three communities will provide staff and advisory committee
members to serve on the Task Force. Two members of the Edina
Advisory Committee should serve on this task force. The Task
Force will meet 3 to 4 times over the next 3 months. The first
meeting will be in early March, 1987. This process has been
utilized before and has been a valuable tool in developing the
CHS plan .
Sharon Aadalen asked for volunteers from the Committee for
this Task Force. Tom Orth said he might be able to attend.
David Velde will call absent members to see if they could attend
these meetings and Peggy Kelly said she might be able to attend
if others could not do so .
III. OTHER BUSINESS:
Eileen Cooke had been asked to discuss the smoking policy in
the Edina School District with the CHS Advisory Committee.
It has been suggested that the school district prohibit
smoking at school between 7: 30 a.m. and 4: 00 p.m. at the very
least. Smoking by teachers does not present a good role model
for students.
The school district has been implementing the Minnesota
Clean Indoor Air Act and this policy would carry the non smoking
policy one step further .
Eileen is asking the committee to offer support for a no
smoking policy to be implemented in the Edina School District.
After further discussion, Eileen offered a motion that the
Committee forward a letter to the school district indicating
support for their effort to adopt a smoke free school policy.
Tom Orth offered a second to the motion. All members voted aye;
motion carried .
David Velde will draft a recommendation for Sharon Aadalens'
signature.
Peggy Kelly asked if the City has been experiencing problems
with the water system. She indicated she has had a few calls
complaining about rust and scum in the water .
David velde said that the City does periodically flush the
water mains to control the build up of rust in the system and
this procedure does illicit complaints. He indicated that
perhaps the Newsletter could include some information about water
main flushing to forewarn the community.
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Peggy Kelly asked for a followup on the City appointment to
West Suburban Mediation Service. David said he would follow up
on this.
Peggy also discussed the annual Volunteers Dinner with the
Committee. She indicated that the Committee could recommend
someone to be recognized at this event. David Velde said he
would provide the information to the Committee at their next
meeting .
Eileen Cooke offered a motion to adjourn the meeting .
Sharon Aadalen seconded the motion. All were in favor. The
meeting was adjourned at 9: 20 p.m.
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MINUTES OF THE EDINA COMMUNITY HEALTH
SERVICES ADVISORY COMMITTEE MEETING HELD ON
MARCH 11 , 1987 AT 7: 30 P.M.
EDINA CITY HALL MANAGERS CONFERENCE ROOM
MEMBERS PRESENT: Sharon Aadalen, Virginia McCollister ,
Effie McKerson, Dr. Walter Wilder,
Jim Hanson and Betty Stinnet
MEMBERS ABSENT: Holly Branch, Barbara Clayman, Eileen
Cooke, Thomas Orth and Sally Tang
OTHERS PRESENT: Council Member Peggy Kelly and
David Velde
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I . APPROVAL OF THE MINUTES:
Sharon Aadalen asked the Committee if there were any
corrections or comments for the minutes. Hearing none, Sharon
asked for a vote of approval for the minutes of February 25,
1987. All voted aye; minutes were approved.
Sharon Aadalen reminded the Committee that at the last
meeting the members had approved sending a letter to the Edina
School Board supporting a no smoking policy in school buildings .
Sharon read the draft letter to the committee. Effie McKerson
suggested that this letter advocating no smoking in school should
also include the use of tobacco in any form. The letter, in its
final form, will include a reference to tobacco use in any form.
II . 1988-89 Public Health Nursing Services Recommendation
Sharon Aadalen informed the members that in the past the
Committee has been concerned about purchasing public health
nursing services through a private provider however the Committee
has found it difficult to evaluate proposals because of the
differences in the content of the proposals . In all cases, the
other bidders for these services have subcontracted for some
components of the services, notably the Disease Prevention and
Control components .
It was noted that hospitals are merging their home health
services and these services are constantly in a state of flux .
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Sharon noted that the contract was awarded for two years the
last time the bid was awarded. She commented that keeping the
public health nursing services contract in the same period as the
community health services plan was beneficial for all people
involved in these health services .
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Dr . Wilder asked how many records must be transferred when j
the service provider changes. David Velde said that about three
hundred patient records would need to be transferred . Dr . Wilder
said that this would be a monumental task and if there isn' t a
good reason for changing providers the task of transferring
records should be considered as a reason not to change to a
different provider.
Betty Stinnet asked if there was any indication that the
Bloomington Division ofPublic Health was not providing
appropriate services in Edina or whether Bloomington was not
fulfilling their obligation. David Velde said he was not aware
of any problems with the services delivered by Bloomington.
Jim Hansen asked if any other organizations had approached
the City since the last bidding process indicating their interest
in bidding on future contracts. Dave Velde indicated there had
been none
Effie McKerson indicated that she understood the City
Councils position regarding bidding for purchasing materials
etc . , but she believes bidding for personal health services has
quality issues which may not be identified in a bid process and
that this quality issue in the personal public health nursing
services contract is very difficult to evaluate in open bidding .
Betty Stinnet wondered whether our energies would be better
utilized evaluating the present services than evaluating bid
proposals.
David Velde indicated that beginning in 1986 the City of
Edina was able to utilize Federal Maternal and Child Health
funding to support existing programs and augment the services
delivered to Edina families. These funds are available to public
agencies only and if we were to contract with a private provider
we may jeopardize these funds or further fragment the delivery
system by having another provider of services in the system.
Virginia McCollister stated that she didn' t see a strong
case to seek bids from other providers for these services . She
went on to say that if there were indications that the quality of
care provided by Bloomington was questionable or if the costs
were escalating beyond reasonableness her response would be
different. She feels that the decision to seek bids should be
based on evidence that some other provider could do better .
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Dr . Wilder suggested that eventually the City may elect to
provide these services directly and that this could be explored
in future years. However , at the present time he believes that
the present system is best for Edina.
Jim Hansen offered the following motion :
"The Edina CHS Advisory Committee recommends that the City
of Edina negotiate a contract with the Bloomington Division of
Public Health for personal public health nursing services for
1988 and 1989. The cost for these services should not exceed 40
per year and if an agreement cannot be reached at 40 or less, the
City of Edina should seek open bids for these services"
Effie McKerson offered a second to the motion. All voted
aye; the motion carried .
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David Velde will formulate the recommendation and send a
copy to each committee member for their review. This
recommendation will be forwarded to the Edina City Council for
the April 6, 1986 meeting .
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III . OTHER BUSINESS
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Sharon Aadalen reminded the Committee that -in a previous
meeting an evaluation of Public Health Nursing Services had been
discussed and that the Committee should concentrate on this I
evaluation process during the next two years. Home Health
Services would probably be the most likely area •to evaluate
first. Other areas would subsequently be evaluated .
In evaluating Home Health Services, the provider could give
the client a questionnaire which the client could complete and
return to the City of Edina .
David Velde advised the Committee that the proposed Public
Health Act being considered by the state legislature had a
statement that all people should have access to the public health
care in Minnesota regardless of their place of residence. This
statement has a potential impact on City delivered health
services if a non resident chooses to utilize the service offered
and is unable to pay for the care.
David Velde also informed the Committee that the
Metropolitan Health Board has recently drafted a report titled
"Expanding Access to Health Care for the Low Income Population" .
This report suggests a method which could be utilized to provide
health care coverage for the working poor in Minnesota. Copies
of this report will be distributed to the members and the City
Council .
IV. ADJOURNMENT
The meeting was adjourned at 9: 10 p.m.
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MINUTES OF THE EDINA COMMUNITY HEALTH
SERVICES ADVISORY COMMITTEE
HELD ON MAY 27, 1987, AT 7:30 P.M.
EDINA CITY HALL, RECEPTION CONFERENCE ROOM
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MEMBERS PRESENT: Sharon Aadalen, Chair, Virginia McCollister,
Effie McKerson, Dr. Walter Wilder, Eileen
Cooke, Jim Hansen and Betty Stinnett
MEMBERS ABSENT: Holly Branch, Barbara Clayman, Thomas Orth,
and Sally Tang
OTHERS PRESENT: Berit Peterson, Edina School District and
David Velde, Edina CHS Administrator
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I. APPROVAL OF MINUTES
Sharon Aadalen asked for the approval of the minutes for the last two
meetings. Effie McKerson offered a motion to approve the minutes of March
11, 1987. Betty Stinnett offered a second to the motion. All voted aye;
motion carried. Effie McKerson offered a motion to approve the minutes of
February 25, 1987. Eileen Cooke offered a second to the motion. All voted
aye; motion carried.
II. SCHOOL DISTRICT NURSE REPORT:
Berit Peterson had asked to be placed on the agenda to update the
committee about the school health activities.
Berit reported that they are in the process of developing an end of
the year report which she will share with the committee when it has been
finalized.
Berit has been active in several tuberculosis manitoux clinics at the
High School as a result of a diagnosed tuberculosis case in a student.
Thus far there have been no indications of additional cases as a result of
this exposure, however fourteen individuals are receiving additional follow
up as a result of positive manitoux tests.
The School District is on alert for mumps and measles as a result of
an increase in reported cases of these diseases. The school population is
in compliance with the expected immunization level for students, however,
the immunizations are not totally effective in all individuals.
Berit advised the Committee that she is on the Adolescent Pregnancy
Prevention Coalition Committee which is a joint effort by Edina,
Bloomington, Eden Prairie and Richfield addressing teenage pregnancy. The
coalition is involved in teenage pregnancy prevention workshops and
addresses the educational need of pregnant teens through the District 287
program which allows the pregnant teen to continue her education, provide
parenting classes and day care for the child.
Berit also advised the Committee that she has been on the Health
Curriculum Committee for the School District and they have just completed
their review of all the health curriculum. The Health Curriculum Committee
has offered suggestions for changes and when the report is available, she
will make it available for this committee.
Berit informed the Committee that she has been serving on the Chemical
Health Committee. The goals and objectives will be ready by this fall and
she will share this with the Committee when they are available. She also
stated that the Chemical Health Committee was concerned about the lack of a
juvenile police officer being available to the School District. The last
Juvenile Officer was promoted and the Police have not replaced him in this
capacity.
III. ELECTION OF OFFICERS:
Effie McKerson offered a motion to nominate Dr. Walter Wilder for
chair of the Committee. Betty Stinnett offered a second to the
nomination. All voted aye; the motion carried.
Jim Hansen offered a motion to nominate Effie McKerson for Vice Chair
of the Committee. Betty Stinnett offered a second to the nomination. All
voted aye; the motion carried.
IV. REPORTS
A. Status of Public Health Nursing Contract:
David Velde informed the Committee that negotiations with Bloomington
for Public Health Nursing Services have been completed. The increase for
the contract will be 4 percent each year in 1988 and 1989. David Velde
said he will seek City Council approval for the two year contract as soon
as possible.
B. Environmental Health Countywide Task Force:
Jim Hansen reported that the Task Force has recommended that
groundwater protection be the key issue for cooperative efforts by the
Boards of Health in Hennepin County. Activities will include water well
abandonment and public education and awareness.
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C. Tri City Planning Task Force:
Effie McKerson informed the Committee this Task Force has met six
times and have developed the public health nursing programs for the 1988-89
CHS Plan. The program descriptions and activities will be brought back to
the Committee during the plan development process which will run between
now and August, 1987.
D. State CHS Advisory Committee
Virginia McCollister reported that the local Public Health Act
was passed by both houses and has been sent to the Governor for signing.
Virginia said that there will be no increase in CHS subsidy for 1988
or 1989, Emergency Medical Service block grants were funded instead.
Virginia advised the Committee that she will be serving on the Health
Promotion Task Force which will develop recommendations for Health
Promotion Activities for local agencies. They will submit a report to the
State CHS Advisory Committee by December, 1987 with their recommendations.
Virginia also said the Home Health License Bill was passed and is
awaiting signing by the Governor.
V. ADJOURNMENT:
The meeting adjourned at 9:15 p.m.
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MINUTES OF THE EDINA COMMUNITY HEALTH SERVICES
ADVISORY COMMITTEE MEETING
HELD ON SEPTEMBER 2 , 1987 at 7 :30 p.m.
EDINA CITY HALL, RECEPTION CONFERENCE ROOM
MEMBERS PRESENT: Dr. Walter Wilder, Chair, Sharon
Aadalen, Holly Branch, Jim Hansen,
Virginia McCollister, Barbara Clayman,
Thomas Orth and Sally Tang
MEMBERS ABSENT: Effie McKerson and Eileen Cooke
OTHER PRESENT: Peggy Kelly, Edina City Council Liaison
and David Velde, Edina CHS Administrator
I . APPROVAL OF THE MINUTES:
Jim Hansen offered a motion to approve the minutes of May
27 , 1987 as presented. Sharon Aadalen offered a second to the j
motion. All voted aye; motion carried.
II . 1988-1989 Community Health Services Plan:
David Velde informed the Committee that the 1988-89 CHS Plan
will be submitted to Hennepin County by September 11, 1987 . The
Edina City Council will receive the CHS plan on September 14,
1987 for their action. The resolution approving the plan by the
Edina City Council wiil be forwarded to Hennepin County during
the week of September 14 , 1987 . Hennepin County will be
reviewing the plan in September and the County Board is expected
to approve the plan in early October. State statutes requires
the review of City CHS plans by the County Board prior to
submission of the plan to the Minnesota Department of Health.
The CHS plan is compromised of 6 program areas :
Environmental Health; Emergency Medical Services; Home Health ;
Family Health; Disease Prevention and Control; and Health
Promotion. Environmental Health Services and Emergency Medical
Services are delivered directly by the City of Edina. Home
Health, Family Health, Disease Prevention and Control and Health
Promotion Services are delivered through a contract with the
Bloomington Division of Public Health. The contract has been
awarded to Bloomington for the 1988 and 1989 planning period.
-- David Velde summarized the activities which are proposed in
each of the Program areas .
Environmental Health:
Food Service Sanitation
Restaurant inspections
Food handler education
Quarterly newsletters
Restaurant operator certification
Housing
Housing Code complaint investigation and enforcement
Community Sanitation
Investigation of refuse accumulation complaints
Abatement of accumulations of refuse
Environmental Pollution Control
Water well testing
Noise pollution control
- Swimming pool inspection
Carbon monoxide monitoring in buildings
Noxious Weed Control
Investigation of tall grass and weed complaints
Elimination of noxious weed
Animal Control .
Investigation and quarantine of animal bites.
Loose animal control
Public Health Laboratory
Provide environmental health laboratory support for
Bloomington, Edina and St. Louis Park
Chemical and microbiological testing of food and water
Emergency Medical Services
Provide emergency treatment and transportation to
individuals experiencing life threatening injuries or
illness
Home Health Services
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Intermittent home health services to those in need
Coordination of services with other community agencies
Participate in the Public Health Cooperative
( transcare) to market these services in the area
Family
Provide affordable prenatal care
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development
Provide consultation to day care providers
Provide disease and disability services to families
Disease Prevention and Control
Communicable disease surveillance
Focus on AIDS and Lyme disease
Testing and referral for Sexually Transmitted Disease
Immunization activities
Health Promotion
Health risk reduction activities
Hypertension activities-blood pressure monitoring
Accident reduction
Behavior modification to promote a health lifestyle
Participate in low cost occupational health initiatives
for small business
Information and education materials I
The services delivered by Edina (Environmental Health and
Emergency Medical Services) are supported partially by fees .
Edina collects about $300,000 in license fees and ambulance fees
each year. About 58% of the costs for community health services
in Edina are supported by CHS subsidy, grants and fees . The
remaining 42% is supported by property tax.
Sharon Aadalen offered a motion to approve the 1988-1989
Edina Community Health Services Plan and forward the plan to the
Edina City Council for their action. Thomas Orth offered a
second to the motion. All voted aye; the motion carried.
III. State CHS Advisory Committee Update
Virginia McCollister reminded the Committee about the annual
Boards of Health meeting which will be held in Alexandria,
Minnesota on September 23 , 24 and 25 , 1987 at the Arrowhead
resort. The state CHS advisory committee will meet on Wednesday
afternoon. Thursday and Friday will be filled with workshops on
Public Health topics . Virginia plans on attending the state CHS
meeting if she can schedule it. David Velde will be attending
the entire meeting and can serve as the alternate if she could
not attend the meeting.
Virginia informed the Committee that in the latest
newsletter called Commentary from the Minnesota Department of
Health there was a good article about the Home Health Care Bill
passed by the legislature which summarizes the bill quite well .
Virginia advised the Committee that the new CHS Planning and
Reporting Manual has been released by the Department of Health.
wnicn wiii improve the consistency of plan submissions and
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reporting among the local agencies . Virginia circulated an MDH
Report on Radon in Homes . This report gives background
information about Radon, suggests companies who can test for
Radon and provides suggestions on what to do if Radon levels are
above the action level in the home. There is little information
available as of this date about the prevalence of Radon in
Minnesota.
Virginia said that she is on a Task Force for the state CHS
Advisory Committee which is designing Health Promotion guidelines
for local health agencies throughout the state. These guidelines
are intended to assist local health agencies in designing and
evaluating health promotion programs .
IV. 1988 Committee Work Plan
David Velde reminded the Committee that previously there has
been discussion about performing an evaluation of services
delivered by Bloomington. It has been suggested that clients
using the services should submit an evaluation to Edina thereby
avoiding the potential for discomfort on the clients behalf in
offering a candid evaluation. After some discussion, a Task
Force was selected to develop an evaluation tool to bring back to
the full committee. Holly Branch will chair the Task Force.
Others on the Task Force are: Sally Tang, Jim Hansen and David
Velde who will provide staff support
V. Adjournment
The meeting adjourned at 9 : 10 p.m.