HomeMy WebLinkAbout1984 Community Health Commission Minutes i
Minutes of the Edina Health Advisory
"Committee Meeting
Tuesday, April 30, 1984 at
7: 30 p.m. , Edina City Hall Conference Room
MEMBERS PRESENT:
Chairperson Barbara Reynolds, Jim Hansen, Sharon Aadalen,
June Schmidt and Virginia McCollister
MEMBERS ABSENT:
Holly Branch, Dr. Kris Hagen, Effie McKerson, Dr. Stephen
Sinykin, Margaret Rash, Dr. Walter Wilder and Peggy Kelly
STAFF PRESENT:
David Velde, City Sanitarian
I . APPROVAL OF MINUTES: March 5, 1985
The discussion regarding family violence in the minutes was
corrected. The minutes did not clarify that Sharon Aadalen
and Dr. Kris Hagen met with Sylvester Schwartz and- Vince
Bongaarts of the Edina Police Department to discuss the
issues of family violence and distress . It was noted that
the report to the Health Advisory Committee and the ensuing
`— discussion was in the same paragraph and tended to lead
those reading the minutes to believe that Ms. Hargens was
accusing the Edina Police Department of not pursuing family
violence issues.
The family violence section of the minutes should read as
follows:
Family Violence. Dr. Kristopher Hagen and Dr. Sharon Price
Aadalen met with Lieutenant Vincent Bongaarts, Investigative
Supervisor, and Detective Sylvester Schwartz, on February
6th, 1985. The purpose of the visit was to discuss with
representatives of the Edina Police Department (1) the kinds
of situations they deal with in the area of individual
violence, (2) the laws under which police operate, (3)
resources used by police department for referrals, and (4)
services, resources, referral channels police need to carry
out their jobs, but which are not available.
Domestic disturbance, child or adolescent abuse or neglect,
partner or elder abuse, are examples of problems the police
investigate. Lieutenant Bongaarts shared the forms the
Police Department use in filling out an Offense Report. The
Edina Police Department responds to about 60 calls per year
related to domestic disturbances or some form of violence.
Few arrests are made (victims often resist pressing
charges) . Very few arrests are made for violations of
orders of protection.
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State Assault Laws are undergoing change. Since August
of 1983, arrests can be made for probable cause. The Data
Privacy Law was discussed with Detective Schwartz in
relation to his work with youths in difficulty.
Resources which the Edina Police Department routinely
use include Cornerstone Advocacy Service (for battered women
and their children) ; St. Joseph' s Home; Bridge; S.O.S. ;
Storefront Youth Action; Sojourner Battered Women' s Shelter;
EDD; and Family Renewal Center .
CHIPS stands for Children in Need of Protection
Services. Detective Schwartz indicated that 85% of youth
referred to Storefront Youth Action are 12, 13, 14, or 15
years old. Referrals for younger youth (8 ,9, and 10 years
old) are increasing.
Resources which Edina Police Department feel are needed
and unavailable at this time include: (1) temporary
detention for truant youths who axe fleeing a home
situation; (2) parent education options for working with
their youth; and (3) shelters for victims of violence.
Bloomington Health Department Domestic Disturbance
Referral Service. Yvonne Hargens of the Bloomington Health
�- Department described a referral service developed by the
Bloomington Health Department in conjuction with the
Bloomington Police Department. This referral service is
only used in domestic situations which can be considered
"Disturbance" and it is never used in situations of
suspected of proven neglect, abuse, or violence (reportable
by law) . Dr. Hagen and Dr. Aadalen stated that this
referral service was not one of those listed by
representatives of the Edina Police Department during their
discussions.
The section of the minutes addressing Public Health Nursing
should be corrected to read "Mr. Hansen moved that this
apply to all service providers . "
June Schmidt moved to approve the minutes as corrected.
Sharon Aadalen seconded the motion. All were in favor;
motion carried.
II . GOAL SETTING FOR THE COMMITTEE FOR 1985 :
Mrs. Reynolds advised the committee that the Bloomington
Public Health Nursing Service brochures and First Call for
Help brochures were left at the food distribution center.
Of the 50 brochures set out on the table, about half of the
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Nursing Services brochures and 14 First Call for Help
brochures were picked up.
The discussion continued about increasing the visibility and
exposure of the First Call for Help telephone number. It
was suggested that the Edina Sun could publish the telephone
number in both the weekly newspaper and the Edina community
directory. It was suggested that the telephone number also
be placed on the city and school billboards.
Virginia McCollister agreed to contact United Way and
determine if there is a time of the year when they do a
promotional campaign. If they do, then we could time the
displays on the billboards to coincide with their campaign.
It was also decided to ask United Way if they have displays
and posters to place in libraries, businesses, churches and
elsewhere to increase the exposure for First Call for Help.
Mrs. Reynolds suggested that this venture should be
coordinated with the Edina Human Services Commission.
Mrs. McCollister suggested that an attempt should be made to
evaluate the effectiveness of the increased exposure of the
First Call for Help telephone number. It was agreed that
the evaluation of the committee' s effort should be pursued .
Mrs. Reynolds stated that Yvonne Hargens with the
Bloomington Division of Public Health had indicated that
they would be willing to place a public health nurse at the
food distribution center at no additional cost to the City
of Edina. This nurse would then be available to offer
assistance to the participants and could help identify
problems in that population.
Mrs. Reynolds discussed the status of the Edina School
nurse. The present school nurse will be retiring in June
and the future status of that position is not known. Mrs .
Reynolds suggested the possibility of the school district
contracting with the Bloomington Division of Public Health
for the school nurse. This would combine the school nurse
service and the city funded Public Health nursing services
and would broaden the public health nurses' exposure to the
needs in the community.
Mrs. Aadalen added that if the school is not interested in
combining the public health nurse and the school nurse, that
at least there should be some input into the selection
process by the City, especially now that there is a search
in progress for a new superintendent. It could be very easy
to overlook the need for refilling the school nurse position
while preoccupied with filling the superintendent' s
position.
N1.1 - It was agreed that a letter would be drafted and forwarded
to the Edina City Council outlining the committee' s concern
and interest regarding the Edina school nurse position.
III . PUBLIC HEALTH NURSING SERVICES SPECIFICATIONS:
Mrs. Reynolds asked if the recommendation regarding a two
year public health nursing contract had been approved by the
Edina City Council . David Velde indicated that he would
follow-up on that question before the specifications are
made public in June 1985 .
Mrs. Aadalen suggested that if the nursing contract was
awarded to a private provider, we should be willing to
institute some form of a comparative study to evaluate the
outcomes for clients under the different forms of service.
Mrs. Schmidt was concerned that the private providers may
drop the clients when medicare, medicaid or other third
party reimbursements have expired.
Mr. Hansen stated that with the contract, the fee will be
carried by the City of Edina as part of the contract and the
contractor would have an incentive to rehabilitate the
�-- client as soon as possible.
The committee reviewed the specifications and offered
comments on the various items to clarify the presentation of
the information and data.
IV. REPORTS :
Mrs. Reynolds informed the committee that two task forces
are being formed to address issues related to the 1986-1987
CHS Plan.
A task force consisting of representatives from Edina ,
Richfield and Bloomington will be formed to identify the
needs in the three communities. This will fulfill the
statutory requirement for a needs assessment when the
biannual CHS plan is submitted. Jim Hansen, Sharon Aadalen
and David Velde will be serving on this task force.
Another task force will be formed to identify countywide
goals for 1986 and 1987. This will be the first time
Hennepin County has included input from all of the direct
share agencies in developing integrated countywide goals.
June Schmidt will serve on the goal setting task force.
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- Mrs. Aadalen reported that the State Community Health
Services Advisory Committee has been involved in suggesting
changes to the subsidy formula. At this time the subsidy
formula changes are moving through the legislative process .
The purpose in changing the formula is to provide a more
equitable allocation of subsidy funding to the CHS agencies.
Mrs. Aadalen also stated that the State CHS Advisory
Committee is in the process of recodifying the State
Statutes related to Public Health. Presently, the relevant
statutes are contained in several different chapters in the
Statute books. The goal of recodifying the statutes is to
combine all chapters and sections relevant to Public Health
into one chapter.
Mrs. Aadalen then advised the Committee that the 8th Annual
Boards of Health Conference will be held in late summer of
1985.
The meeting adjourned at 9:45 p.m.
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MINUTES OF THE REGULAR MEETING OF THE
EDINA HEALTH ADVISORY BOARD
HELD ON WEDNESDAY, JUNE 13, 1984, AT 7: 30 P.M.
EDINA CITY HALL MANAGER' S CONFERENCE ROOM
MEMBERS PRESENT:
Chairman Barbara Reynolds, Holly Branch, Jim Hansen,
Effie McKerson, Joyce Omelianchuk, Clemens Peterson,
Stephen Sinykin, Walter Wilder , Sally Tang, June Schmidt
and David Velde
MEMBERS ABSENT:
Kris Hagen, Marjorie Hogenson and Deb Tande
I. INTRODUCTIONS:
The members of the Board introduced themselves and
presented brief summaries of thier backgrounds.
II. APPROVAL OF THE MINUTES:
Mrs. McKerson moved for approval of the April 18, 1984,
minutes and Mr. Hansen seconded the motion. All were in favor;
the minutes were approved.
III. Environment Health Services
Mr. Velde summarized the City' s organizational arrange-
ment and the various levels of responsibilities.
Ms. Yvonne Hargens, Community Health Services Adminis-
trator of Bloomington and Director of Public Health Nursing
Services, stated that they have been delivering services in
Richfield and Edina since 1977 when the Community Health Services
Act was past. There are four independent health departments in
Hennepin County: Minneapolis, Bloomington, Edina and Richfield.
The remainder of the County is covered by Hennepin County
Community Health Services. Bloomington coordinates many services
with them such as; epidemology, pre-natal clinics, imunizations,
etc.
She introduced her executive staff and asked them to
explain to the Board an outline of their area.
Bill Kunau noted that he was the coordinator of Community
Nursing Programs, and the Parent and Child Health Program. This
includes the Parent Support Program which enables public health
nurses to visit the homes to counsel and assist new parents.
Also available is pre-natal assistance. There exists a CEC
Program, continuing education program for pregnate teenagers with
a follow-up program after the birth. Counseling at the Parent-
Child Center is another service provided. A number of clinic
services are available for the residents of Edina. Bloomington
offers routine exams for children ages 2 months through 21 years.
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Among other services that Mr . Kunau listed is a new
program called the Family Support Program. He explained that the
Police departments act as a referral service for many of the
cases. This is a United Way funded program.
Audrey Wagner , Director of the Home Care Department.
R.N. ' s, L.P.N. 's and home health aides work with the physicians
to provide intermittant home health care. This may consist of
occupational therapy, physical therapy, speech therapy, mental
health nursing, and social service. Ms. Wagner explained that
there is a charge for the service which can be covered by
insurance. If this is not possible, a confidential payment plan
is set up based on their income. No one is turned away.
She expressed a concern for the patient in regards to the
fast discharges from the hospitals. It appears that these
patients are being lost in the shuffle. It is important to make
the consumer aware of the services available in the home.
Gayle Hallin, Coordinator of the Disease Prevention and
Control Programs, highlighted some of the key programs in this
area.
* Disease prevention and control. Efforts are made on .�
the work sites with the employees, such as hearing conservation
programs, back injury prevention programs, and health days
seminars.
* Health Education. Together with the United Way an
attempt to prevent teenage pregnacy in the community is made.
The program tries to meet such challenges as providing
educational guidance to mentally retarted young people and human
sexuality decision making for sex offenders at Store Front, which
is a counseling service that is financially supported by the four
cities.
In closing, discussion ensued regarding such topics as:
the present and future directions of the Community Health
Program; a more positive image for the public health nurse;
possible ways of advertising the system as a referral service;
and elderly care.
IV. ADJOURNMENT: The meeting was adjourned at 10: 00 p.m.
MINUTES OF THE REGULAR MEETING OF THE
EDINA HEALTH ADVISORY COMMITTEE
HELD ON WEDNESDAY, OCTOBER 11, 1984 , AT 7 : 30 P.M.
EDINA CITY HALL MANAGER' S CONFERENCE ROOM
MEMBERS PRESENT: Barbara Reynolds, Stephen Sinykin, Walter
Wilder, Clemens Peterson, Joyce Omelianchuk, Kristofer
Hagen, Effie McKearson, Deb Tande, Jim Hansen , June Schmidt
and David Velde
APPROVAL OF THE MINUTES ;
Mrs. Schmidt moved for approval of the June 13 , 1984 ,
minutes and Effie McKearson seconded the motion. All were
in favor; the minutes were approved .
BUSINESS:
Mrs. Reynolds introduced Mr . Tom Esser , Executive Director
of South Hennepin Human Services, and Gayle Hallin,
Bloomington Public Health Department explaining that they
would be the guest speakers for the evening.
Mrs. Reynolds stated that the Committee should decide what
their role was and what needs should be addressed and met by
�- the Committee. Information should be collected and reviewed
and a position paper constructed. This would be presented
to the City Council . She asked for discussion from the
other members.
Upon discussion such questions arose as follows : What is
the power limits of the Committee? Why is it set up as an
advisory committee? How do other cities utilize their
Health Committee?
It was noted that City Council cut $5,000 from the 1985
Bloomington Public Health Nursing budget. Where or what
should be cut from the current program now becomes an issue
and a problem. Discussion ensued regarding this situation.
Perhaps the Committee should return to the Council and ask
for reconsideration.
Mrs. Schmidt stated that the Council was very interested in
the Committee' s recommendations as well as the opinions of
the citizens. Mrs. Reynolds suggested that each City
Council member be questioned as to what they wanted the
Health Committee to accomplish.
The Committee talked about issues which might be addressed.
Education programs for the Community would prepare and
inform citizens regarding such items as child or spouse
abuse. Ms. Hallin reported that Bloomington Health set up a
identification program with the Bloomington and Richfield
Police Department. When the police receive a domestic call
which warrant reporting to the legal system, they are
recorded and labeled as "high risk" . The Health Department
contacts those referrals and offers services or advice. She
expressed that the response is positive from those
contacted.
Mr. Esser suggested that Edina meet with other surrounding
Health Committees and exchange ideas. Mrs. Reynolds said
that two people could go to Richfield and two could visit
Bloomington and report back to the Committee. She hoped
that each person on the Committee would have a task of
collecting data on which to report to the other members. A
possibility would be for a Committe member to spend and
afternoon with one of the health nurses.
Ms. Hallin reported on the Health Service Plan. She talked
about basic planning and strategic planning, explaining that
many of the issues cannot be anticipated and must be dealt
with as they arise. Bloomington' s Health Committee faces
many of the same frustrations by being an advisory
committee. She recommended task forces as opposed to
standing committees which may not be needed each year .
It was asked if Richfield, Bloomington and Edina should have
one Health Committee. Ms. Hallin stated that the three
communities were different enough that they each have their
own Committees .
Mrs. Reynolds asked for volunteers to speak with Richfield
and Bloomington Board Chairman or go to one of their
meetings. She also asked if anyone would be interested in
looking at the needs of the elderly, particularly in the
low-middle income high rises. This would be possible
through the nurses who visit those high rises.
Mr. Esser spoke regarding the elderly. South Hennepin Human
Services has done studies in this area and have a program
called the Home Project, household and outside maintenance
for the elderly. The goal of this program is to assist the
elderly to enable them to stay in their homes instead of
having to enter a nursing home.
Dr. Hagen expressed interest in being on a task force for
the elderly study. He suggested that the group be broken up
into two task forces; one for the elderly and one for the
young.
Ms. Hallin commented that Edina with its aging population is
in a key position to become involved with a program that
will allow the elderly to live out of their homes.
Discussion continued as to different ways of assisting the
elderly.
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r Mr. Sinykin noted that there were alot of ideas and
suggestions brought forth. These ideas could be summarized
in an article in the Edina Sun which would make citizens
aware of the purpose and options that the Health Board has
available.
The Board divided into two task forces . It was decided that
the task forces would meet and collect data before the
January meeting of the Health Committee at which time they
would report back in order to assess needs and identify
resources.
Clem Peterson will chair the committe to assess the needs of
the older adults and indentify the services designed to
address those needs. Joyce Omelianchuk and Dr. Stephen
Sinykin will also serve on that Task Force.
Debbie Tande will chair the committe to assess the needs of
children and youth and identify the services available to
address those needs. Jim Hansen, Dr. Kris Hagen and Dr .
Wilder will also serve on that Task Force.
Mr. Velde prepared an expenditure information sheet for the
Committee and presented it for their review. He also
presented the Health Department Budget.
ADJOURNMENT
Dr . Hagen moved for adjournment and Mr. Peterson seconded
the motion. All were in favor; the meeting was adjourned.
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