HomeMy WebLinkAbout1979 Community Health Commission Minutes AGENDA
LDINA ADVISORY HEALTH COMMITTEE
Meeting January 23, 1979, 7:30 p.m.
Edina City Hall Conference Room
Linda A. Bjerke, Chairperson, Presiding
I. Roll Call
II. Minutes
III. Announcements and Reports
IV. Old Business
V. New Business:
A. Election of 1979 Edina Advisory Health Committee Officers.
B. Appointment of Member to Attend City Council Meetings.
C. Coordinated Home Care - Lucille Goodwyne, Administrator and
Director of Nursing.
VI. Unfinished Business
VII. Next Meeting Date: February 27, 1979, at 7:30 p.m.
VIII. Adjournment
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MINUTES OF THE REGULAR MEETING OF THE
EDINA ADVISORY HEALTH COMMITTEE
HELD TUESDAY, JANUARY 23, 1979, AT 7:30 P.M.
EDINA CITY HALL CONFERENCE ROOM
Members Present: Chairperson pro-tern Barbara Kresoya, Linda Bjerke, Dr.
E. Duane Engstrom, Dr. Walter Krafft, Vern W. Moss Jr.,
June Schmidt, Dr. C. V. Rockwell
Members Absent: Mary Bang, Beverly Harris, Homer Kinney, Dr. Richard Simmons,
Tulley Stoppel, Leroy Werges
Staff Present: Kenneth Esse, Public Health Sanitarian; David Velde, Public
Health Sanitarian; Judy Teichert, Secretary
II. Approval of the Minutes
Dr. Walter Krafft noted the misspelling of his name in the
September 26, 1978 Minutes of the Health Advisory Committee. With that correction
being made, Dr. Engstrom moved the minutes be approved. The motion was seconded
by Dr. Rockwell. All voted aye; the motion carried.
New Business:
V. •
A. Election of the 1979 Edina Advisory Health Committee Officers
Barbara Kresoya explained to the Committee that she, Dr.
Engstrom, and Roy Werges had comprised an ad hoc nominating committee to draw
up a slate of officers. However, they were not able to contact all the people
te; therefore, they suggested an interim Chairperson
they had intended to nomina
for the February 27, 1979 meeting. She suggested Vern Moss, who had agreed to
be the Vice-Chairperson for 1979, take the position for that meeting. Mr. Moss
agreed to be the interim chairperson for the February 27, 1979 meeting. The I
election of a chairperson will be continued u_rtil the February meeting.
B. Appointment 'of Member to Attend City Council Meetings
noted that Homer Kinney has been the Advisory
Barbara Kresoya '
Committee's representative to attend City Council meetings through the end of
December, and it had been agreed that at that time another representative would
be appointed to attend the meetings. After some general discussion, it was
agreed that the Committee members would attend on a rotating basis. Dr. Krafft
agreed to attend the meetings for the month of February, and other representatives
will be appointed at the February meeting for the following months.
I
Edina Advisory Health Committee
January 23, 1979
page 2
C. Coordinated Home Care - Lucille Goodwyne, Administrator
and Director of Nursing
Lucille Goodwyne,Administrator and Director of Nursing for
the Coordinated Home Care Program, informed the, Committee about her certified
medicare home health agency. She explained that any person receiving Medicare
Coverage, Medical Assistance, or Veterans Administration Benefits is eligible
for a variety of private health services in their home. Staffed by Registered
Nurses, Physical Therapists, Home Health Aides, Occupational Therapists,
Psychiatric Nurses, and Speech Pathologists who are experienced professionals,
fully trained and licensed in accordance with state and federal regulations,
she stated Coordinated Home Care is an alternate source of health services
when care in a hospital or nursing home is not necessary.
Yvonne Hargens, Director of Bloomington Public Health Nursing
Services was also present at the meeting. Dr. Krafft asked Lucille Goodwyne
if her services were in direct competition with the public health nursing services.
She replied that to some extent they overlapped; however, they also supplemented
each other. General discussion followed comparing public health services and
private health services, their fee differences, and the regulations governing
each.
Vern Moss moved the Committee send a letter to Mrs. Goodwyne
thanking her for her presentation to the Committee but indicating they could
not endorse private agency services. Dr. Krafft seconded the motion. All
voted aye; the motion carried.
VI. Unfinished Business:
Yvonne Hargens approached the Committee in regards to establish-
ing a liaison committee between the Advisory Health Committees which would hold
one or two joint board meetings a year. She asked that the Committee consider
it and discuss it further at the February meeting. No action was taken.
She also informed the Committee about pending legislation
regarding the standards for home health care agencies and other health-related
subjects. A general discussion followed. No action was taken.
VII. Next Meeting Dates February 27, 1979 at 7:30 p.m.
VIII. Adjournment:
Dr. Rockwell moved that the January 23, 1979 Edina Advisory
Health Committee Meeting be adjourned. Dr. Krafft seconded the motion. All
voted aye; the meeting adjourned at 9: 15 p.m.
Respectfully submitted,
JLzdy Teic�hert, Secretary
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COORDINATED HOME CARE
a certified medicare provider
POSSIBLE NURSING NEEDS
Home care needs for the cardiac, diabetic,
ostomy, orthopedic or stroke patient may
be easily identified. However, other
possible uses should also be considered.
Slightly confused or forgetful people - to monitor and assess patients who were
alert and oriented prior to being in an institution;
Anxious people - to monitor and support patients or their families whose concerns
about going home may cause undue stress;
Instruction - medication, diet, activity regime, procedures, skin care:
- when patient or family uncertain about proper techniques;
- when uncertain about proper patient follow through;
Assess and reinforce the program of care and therapy established in the hospital ;
Terminally ill people - care can increase as needs increase:
- teaching of care techniques necessary at home;
- assist with adaptation of home and acquisition of equipment;
- assessment and support of family's ability to cope with death
and dying;
- assist family with further community resources;
Long term care - for people with:
indwelling catheter;
- monthly vitamin B12 injections (more often for newly diagnosed) ;
inability to draw up insulin;
- periodic fecal impactions;
- slow healing ulcers or decubiti ;
Exacerbations of chronic diseases.
fledicare pays for the services of
skilled nursing care, physical therapy,
or speech therapy as needed; home
health aides can then provide
supplementary care.
Medical Assistance also covers
needed home care services.
Personnel Qualifications: - PHN certification
- Expertise in geriatrics, oncology,
psychiatry, rehabilitation,
cardiac and diabetes.
210 Washington Ave. N Minneapolis, Mn. 55401 612-338-4848
It is the policy of this Aqency to accept referrals and provide service to all patients regardless of race.color or national origin.
COORDINATED HOME CARE
a certified medicare provider
PSYCHIATRIC NURSING IN THE HOME
Possible uses - for persons with:
- repeated hospitalizations - could decrease with home intervention;
- anxiety in returning to same stress producing environment;
- depression - improves in the hospital , but regress when home;
- inability of family to cope with patient's needs;
- questionable reliability in medication regime.
Patient eligibility:
Medicare:
-under the care of a psychiatrist and has a psychiatric diagnosis ;
-is homebound - can not (or will not) leave home without the aide
of another person or assistive device;
-needs part-time intermittant psychiatric nursing care;
-needs care oriented toward improvement of the person or his
situation, not purely for maintenance.
(Note: Coverage for 2 months is usually possible with additional
periods of 2 months as long as some change occurs. )
Medical Assistance:
-person needs psychiatric care and is under care of physician.
Credentials of Psychiatric Nurses:
- Masters degree in Mental Health Nursing;
- Extensive experience in:
- pain rehabilitation;
- supervision of chemical dependency interns;
- individual counseling;
- continuing education seminars;
- nursing home consultation.
Visits by other professional personnel - RN, PT or Speech:
-, I
- some persons with psychiatric problems can receive care by other
personnel even though a psychiatric nurse is not necessary.
- additional care can be given by home health aides and occupational
therapy, if one of the above personnel are needed. j
i
210 Washington Ave. N Minneapolis, Mn. 55401 612-338-4848
It is the policy of this Agency to accept referrals and provide service to all patients regardless of rap.color or national origin.
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4` WEST 50TH STREET, EDINA MINNESOTA 55424
612-927-8861 February 12, 1979
Mrs. Lucille Goodwyne
Coordinated Home Care
210 North Washington Avenue
Minneapolis, MN 55401
Dear Mrs. Goodwyne:
The Edina Health Advisory Committee would like to thank you for
appearing before the committee and informing us about your services.
We found the information very interesting.
Presently, the City of Edina contracts for the delivery of personal
health services with Bloomington Public Health Nursing Service. We
must be capable of addressing all segments of the population which
include the indigent and those capable of paying a fee for services.
We understand that the Bloomington Public Health Nursing service does
coordinate the delivery of services with other agencies including
yours.
The Health Advisory Committee does not endorse any private agency.
We feel that coordination of services can be accomplished best through
the Bloomington Public Health Nursing Service,
Sincerely,
Verne W. Moss, Jr.
Vice Chairperson
Edina Health Advisory Committee
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AGENDA
EDINA ADVISORY HEALTH COMMITTEE
Meeting March 27, 1979, at 7:30 p.m.
Edina City Hall Conference Room
I. Roll Call
I
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II. Minutes
I
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III. Announcements and Reports:
A. Presentation of 1979 Slate of Officers
I
B. Joint Meeting with Bloomington and Richfield
at Southdale Library, April 17, 1979, at 7 p.m.
C. 1978 Nursing Service Statistics - Yvonne Hargens
I
D. Other f
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IV. New Business:
I
A. 1980-81 CHS Subsidy Awards and Plan Development - Dave Velde
V. Unfinished Business:
A. Appointment of member to attend City Council Meetings
B. Establishment of a Laison Committee between Edina and Bloomington's
Advisory Committees
VI. Next Meeting Date: April 17, 1979 - JOINT MEETING
VII. Adjournment
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MINUTES OF THE REGULAR MEETING OF THE
EDINA ADVISORY HEALTH COMMITTEE
HELD TUESDAY, MARCH 27, 1979, AT 7:30 P.M.
EDINA CITY HALL CONFERENCE ROOM
Members Present: Mary Bang, Homer Kinney, Barbara Kresoya, Dr. Richard Simmons,
Tully Stoppel, Leroy Werges, Dr. C. Rockwell
Members Absent: Linda.•Bjerke, Dr. Duane Engstrom, Beverly Harris, Dr. Walter
Krafft, Verne Moss, June Schmidt
Staff Present: David Velde, Public Health Sanitarian; Colleen Hemmingsen,
Public Health Sanitarian; Judy Teichert, Secretary; Yvonne
Hargens, Bloomington Public Health Nursing.
Chairperson pro-tem Barbara Kresoya opened the meeting by
presenting the slate of officers for 1979 that the Advisory Health Nominating
Committee, consisting of Dr. Engstrom, Roy Werges, and Barbara Kresoya, had
drawn up. She presented Homer Kinney for Chairman and Verne Moss for Vice-
Chairman. Dr. Rockwell moved that the Advisory Committee accept Homer Kinney
as their Chairman and Verne Moss as Vice-Chairman for 1979. Dr. Simmons
seconded the motion. All voted aye; the motion carried. Barbara Kresoya
then turned the chair over to Homer Kinney.
II. Approval of the Minutes
Dr. Rockwell moved that the minutes of the January 23, 1979,
Edina Health Advisory Committee be approved. Dr. Simmons seconded the motion.
All voted aye; the minutes were approved.
III. Announcements and Reports
B. Joint Meeting with Bloomington and Richfield at
Southdale Library, April 17, 1979, at 7 p.m.
Mr. Russ Stricker, the Executive Director of the South Hennepin
Human Services Council, who has agreed to moderate the joint meeting, was present
to give the Committee a general idea as to what would take place and what would
be expected of them at the meeting. Mr. Stricker noted that the Committee should
decide who they would like to invite to the meeting and recommended the 'City
Council and local legislators be invited. Mr. Stricker also indicated that a
tentative date of April loth was set for an evening meeting to prepare for the
meeting on April 17th.
Dr. Simmons noted that the evening of April 17th was very busy
with the doctors also having several other conflicting meetings that evening.
Mr. Kinney indicated the City Council and local legislators would be invited to
attend the meeting, and an advisory committee member would be delegated to speak
on behalf of the advisory committee at the joint meeting. The advisory committee
also discussed a representative to City Council meetings on behalf of the
advisory committee. No action was taken on this matter.
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Edina Advisory Health Committee Meeting
March 27, 1979
Page 2
C. 1978 Nursing Service Statistics - Yvonne Hargens
Yvonne Hargens gave a brief overview of the 1978 Nursing Service
Statistics analysis which gave a service description and evaluation of the services
rendered to the three cities of Bloomington, Edina, and Richfield. She stated the
full report will be published and distributed at the joint meeting in April.
D. Other
Yvonne Hargens gave the Advisory Committee an overall legisla-
tive report on several bills now being considered in congress that would have
some effect on the health program in Edina.
IV. New Business:
A. 1980-81 Community Health Services Subsidy Awards and
Plan Development - Dave Velde
David Velde began by making several announcements including the
fact that Mr. Esse has been ill and a new employee, Colleen HeamLingsen, is now
with the Edina Health Department.
Mr. Velde referred to the Planning Assumptions for 1980
Community Health Services Subsidy Entitlements handout that had been sent with
the member's packets prior to the meeting. He noted that Edina might have to
take a $1,400 cut in their 1980 Community Health Services entitlement. Mr.
Velde also covered the tentative date schedule for drafting the plan.
V. Unfinished Business:
A. Appointment of Member to Attend City Council Meetings
Mr. Kinney felt someone should talk with the Mayor regarding
attending the Council meetings to see if perhaps a member could just attend
when a health-related matter was being discussed. No formal action was taken.
B. Establishment of a Liaison Committee between Edina and
Bloomington's Advisory Committees
Yvonne Hargens explained that the Federal Government requires
that each year an external agency's evaluation be done on the Public Health
Nursing Committee, and the agency likes to have someone from Richfield and Edina
to participate in that process. She cited that last year Mary Bang participated
in that program. In addition to this evaluation, the Preventive Practice Spending
Committee and Environmental Committee is doing a project on day care centers and
have requested a liaison because there are a substantial number of day care-nursery
centers in Edina and Richfield. She clarified that they were speaking of two
people - one for each area, namely day care-nursery and the agency evaluation.
Because of the shortage of members present, this item was tabled to be discussed
at a later date.
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Edina Advisory Health Committee Meeting
March 27, 1979
page 3
VI. Next Meeting Date: April 17, 1979 - JOINT MEETING
VII. Adjournment: 8:45 p.m.
Respectfully Jsubmitted,
V
Judy Teichert, Secretary
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PLANNING ASSUMPTIONS FOR 1980 COMMUNITY HEALTH SERVICES SUBSIDY ENTITLFMFNTS
The following assumptions will be used in determining the eligibility ak,A _
entitlement of Henne in County and direct share municipalities for 1980 (dcr:unit ty -
Health Services (CHS subsidy entitlements:
1. Consistent with M.S. 145.912, Subd. 17, Hennepin County will
conduct an annual expenditure survey of all community health
services for 1978.
2. The most recent population estimate provided by the State Planning
Agency will be used as the official population estimate for
Hennepin County as required by M.S. 145.912, Subd. 15.
3. It is likely that the Minnesota Department of Health application
of M.S. 145.921 will be inconsistent with M:S. 145.917, Subd. 2,
resulting in inconsistency of legal CHS -subsidy entitlement.
Hennepin County planning staff will apply the appropriate sections -
of the law.
These assumptions permit the preliminary estimate of 1980 CHS subsidy entitlements
for Hennepin County on behalf of 41 municipalities and for five direct share
municipal i ti es:
Base $0.25 Per Capita Total 1980
Local Government- Population Entitlement Population 50,000 CHS Entitlement
aloomington 74,047 129,582 18,512 148,094
Jina 45,795-- 80,456 -0- 80,456
inneapolis 371,896 1,022,714* 92,974 1,115,688
Richfield 39,706 69,486 -0- 69,486
St. Louis Park 41,859 73,253 -0- - 73,253-
599,431 to** 714,570 to
Hennepin County 333,017 915,797 115,139 1,030,36- -
1,974,922 to 2,201,547 to
TOTAL 906,500 2,161,835 226,625 2,517,913
*Assumes a maximum proportional share at $2.75.
**Assumes range for proportional share of $1.80-2.75 per capita.
Comparison of actual 1979 CHS subsidy entitlements to projected 1980 entitle-
ments:
CHS Entitlements- CHS Entitlements
Local- Government 1979 1980 Change-
Bloomington 154,050 148,094 ( 5,956)
Edina 81,846 80,456 ( 12390)
Minneapolis 1,135,435 1,115,688 (19,747)
Richfield 72,335 69,486 2,849
`-- St. Louis Park 78,797 73,253 5,544�
7114,570 to 19,585 to
Hennepin County 694,985 1,030,936 335,951
2,201,547 to
TOTAL . 2,217,448 2,517,913
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MEMORANDUM
TO: The Honorable Mayor and City Council
Kenneth Rosland, City Manager
FROM: David A. Velde, Edina Health Department
SUBJECT: Joint Meeting of Edina, Bloomington, and Richfield Health
Advisory Committees
DATE: March 28, 1979
A joint meeting of the Health Advisory Committees is scheduled to take place
on April 17, 1979, at 7:00 p.m. in the Ethel Barry Room at the Southdale
Library, 7001 York Avenue South.
Russ Stricker, Executive Director of the South Hennepin Human Services Council,
has agreed to act as moderator for the meeting. The meeting will consist of
a presentation from each advisory committee and a presentation from each
health department of the three cities. After a brief presentation, the
meeting will be opened to a discussion session during which questions will
be answered about the various programs within the three cities.
This department will be sending invitations to other public officials
`— and would appreciate any suggestions as to other persons or organizations
which may be invited.
I hope you will be able to attend this meeting.
Respectfully,
David A. Velde
DAV:jkt
DIVA
4801 WEST 50TH STREET. EDINA. MINNESOTA 55424
612-927-8861 April 3, 1979
The Honorable Mary Forsythe
4605 Edina Boulevard
Edina, MN 55424
Dear Mrs. Forsythe:
A joint meeting of the Edina, Bloomington, and Richfield,Advisory Boards
of Health has been scheduled on April 17, 1979, at`7:00 p.m. in the Ethel
Barry Room at the Southdale library.
This meeting will provide a forum to discuss mutual health needs in the
three cities, particularly as it relates to the Community Health Services
Act. Russ Stricken, Executive Director of the South Hennepin Human Ser-
vices Council has agreed to act as moderator of the meeting.
The meeting will consist of a presentation from each advisory committee
and a presentation from each health department of the three cities. After
a brief presentation, the meeting will be opened to a discussion session
during which questions will be answered about the various programs within
the three cities.
I hope you will be able to attend this meeting.
Sincerely,
David A. Velde
Edina Health Department
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DAV:j kt
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4801 WEST 50TH STREET, EDINA. MINNESOTA 55424
612-927-8861 April 3, 1979
Mr. Otto T. Bang
5200 Duggan Plaza
Edina, MN 55435
Dear Mr. Bang:
A joint meeting of the Edina, Bloomington, and Richfield Advisory Boards
of Health has been scheduled on April 17, 1979, at 7:00 p.m. in the Ethel
Barry Room at the Southdale library.
This meeting will provide a forum to discuss mutual health needs in the
three cities, particularly as it relates to the Community Health Services
Act. Russ Stricker, Executive Director of the South Hennepin Human Ser-
-vices Council has agreed to act as moderator of the meeting.
The meeting will consist of a presentation from each advisory committee
and a presentation from each health department of the three cities. After
a brief presentation, the meeting will be opened to a discussion session
I
during which questions will be answered about the various programs within
the three cities.
I hope you will be able to attend this meeting.
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Sincerely,
j
David A. Velde
Edina Health Department
DAV:jkt
JUIi'!T ADVISORY IBOAf:!)S Ot- EttAL ill riLt-IING <c r
BLOO111NGI Oil—LDINA—RICHI'ILLD
April 17, 1979
amass Stricker, Director, South Hennepin Human Services Council
This is a good opportunity for the three Advisory Boards of Health to discuss mays
to better serve the residents of the south hennepin cities. tie is continually impressed
by the willingness and concern of individuals, like those "on the Advisory Boards of Health,
to work toward improving services. He introduced the elected officials present.
James Libby, DVM, Bloomington Advisory Board of Health
The Bloomington Advisory Board of Health was established in 1960. The primary
purpose is three-fold: 1 . Advise City Council on health issues; 2. Study public health
problems; and 3. Act as liaison between community and city health staff.
Dr. Libby briefly listed areas the Board has been involved in: Well Child Clinics,
food ordinances, visiting nurses, school immunizations, pre-school vision and hearing
screening, scoliosis screening, water testing, nuisances , home health aides, family
planning, venereal disease, rabies vaccination, community chaplian services, senior citizen
issues, drug education and enforcement, hypertension, and proposed legislation.
The Board consists of 21 members appointed by the City Council for two year terms.
The Board members may serve more than one term. Half of the members are consumers, half
are providers. The Board tries to overlap the terms of providers to that no one profession
is without representation. The Board is fortunate to have good representation and input
from public health and enviornmental staff and the City Council . The meeting is held
at 12 noon the last Tuesday of every month.
`-- The By-Laws are reviewed annually and presented to the City Council for_approval .
This year the Board prepared Rules of Procedure which were adopted by the City Council .
There are three elected officials: Chairperson for a two year term, First Vice-Chair
Elect, and Second Vice-Chairperson.
Linda Bjerke, Edina Advisory Board of Health
The Edina Advisory Board of Health was formed in July, 1977. Board members are
appointed by the Mayor. The City Council elected to make this the advisory committee to
them on health issues. The Board consists of half providers and half consumers.
When it is necessary to replace a Board member they are very careful to look at the
corciunity and make sure every segment of the population is represented on the Board.
Edina has a history of providing excellent health services to their residents.
They have provided personal health services for several years, first through a contract {
with Suburban Nursing Service and beginning 1977, through Bloomington Public Health.
Edina has a very good paramedic program that is a model for the country. Their response
time is 2-3 minutes. The residents of Edina appreciate this service.
In 1978, the Board dealt with organization. They focused on identifying the needs
of the population and possible duplication .of services. In the future their Board
expectes to go in a number of directions, including becui;iing more involved in the
Community Health Services Plan. At present the Edina city staff carries the major
responsibility. They will continue to assess the needs in their community and organize
'nto committees to work on these specific needs.
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F'age 2
William Seimers, Richfield Advisory Board of Health
The Richfield Advisory Board of Health was established two years ago in 1977.
Their duties are prescribed in the By-Laws and membership type is stipulated, as well
as terms and chairperson. A quorum is a majority of voting members present. Their
duties are to advise, consult, and make recommendations in regard to community health
issues. Their first Board function ;,,is with House File 1 , this was a very e —iting
time for them. The present efforts have been in preparing an annual plan and assembling
facts and figures of what happened last year. This plan is submitted to their City
Council .
They sent out a questionnaire to determine how aware the residents are of the
personal health services provided. They had a very small response. P to from the
Bloomington Public Health Dept. showed that 35 percent were referred by friend or
relative, 3', percent by self. Therefore, the community's awareness is high. The
largest age group using public health services is the 20-44 age group.
Robert Mood, Director, Bloomington Building and Inspection Department
Bloomington's environmental health program began in 1959-60. . Over the years as
the city has grown so has the program. They are funded out of general revenue funds and
community health service grants The 1973 budget is $265,522. In applying for the next
CHS grant they list six categories of service:
Enviornmental health administration Community sanitation
Housing inspection
Pollution control
Food service inspection Environmental pollution control
Robert Mood listed the various areas their Department inspects: multiple
dwellings, rental housing and complaints, food service inspections--churches, hotels,
motels, schools, etc. , building codes for new buildings or remodeling, nuisance
complaints, water quality, enviornmental pollution--air, water, private wells, swimming
pools. A noise code was recently established that is a compliance program rather ,..,an
a program of fines.
Dave Velde, Edina Environmental Health Dept.
Their enviornmental health program began in 1960 with a part-time sanitarian.
They hired a full-time sanitarian in the mid 1960s and in 1974, hired two full-time
sanitarians. They inspect swimming pools, food, noise, and nuisance complaints. Their
city has 111 licensed establishments, 73 are routinely inspected twice a year and the
rest are inspected four times a year. They have 80 public swimming pools. They average
150 nuisance complaints annually.
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They have a lab for the testing of food 'and water which is used jointly with I
E loornington and St. Louis Park.
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Their emergency medical service consists of six paramedics. Two to each ambulance.
The police and fire departments have staff trained in Emergency Medical Training.
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nianuel Roesler, Richfield Environmental Department
Richfield has a very good program. They began providing personal health services
in 1950 and environmental health services in 1960. The Richfield City Council passed a
food ordinance in 1962 that expanded the previous program. The new program is a plan
review that enabled them to upgrade restaurants and food establishments. -It also provides
for teaching good food handling techniques to food handlers. Many of their food chain
establishments are rated as top in the nation.
In 1968 they began inspecting housing, since that time home values have increased
tremendously in Richfield. They are concerned about noise and air pollution from the
airport and work closely with the Environmental Pollution Control Agency. They have 123
noise ordinances that are enforced.
Yvonne Hargens, Director, Bloomington Division of Public Health
Yvonne Hargens stated everyone had received a copy of the two-year report of
personal health services provided to the three communities by the Public Health Division.
The first half of this report is a description of services. Each section has a service
index because of the City's budget system. There are eleven individual budgets for
the Division of Public Health services. The second half of the report is a composite of
nursing statistics. Of the entire staff, 75 percent are RNs or LPNs who fill out dailies
that go into a computer. The bulk of this report was prepared by Gayle Hallin, Administra-
tive Assistant.
GENERAL DISCUSSIOA
Kristen Kurtz, St. Louis Park Health Advisory Committee: How did the three advisory
boards determine their community's needs?
Linda Bjerke, Edina: They did a needs assessment. The State Health Dept. has
a format for this.
Dave Velde, Edina: They looked at the morbidity and mortality reports. These
identify what people die from but do not identify what chronic illness people are
suffering from. The State Health Dept. is working on statistics that will identify
chronic illnesses. The Metro Council was also a good resouce on community needs.
Yvonne Hargens, Bloomington: The SHHSC did a complete survey of residents in j
the south hennepin area and what they felt were needs in their community. Things
happen that help identify. needs, i .e. , legislation, citizen requests, funding
becomes available, etc.
James Libby, Bloomington: The advisory boards of health are one of the best
resources for determining a community's needs because it is a large representation
of the various segments of each community. Just one of the Bloomington Advisory
Board standing committees came up with 30 areas that niay have a need.
Immanuel Roesler, Richfield: Experience is the best teacher. The State Health
Dept. recognized the fact there was a need for personal health services and
initiated regulations to establish nursing services. Agencies with experience can
determine trends, state and federal government recognizes a need and makes
funding available, or a growth in a segment of the population encourages the
development of a new program.
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Page 4
Russ Stricker: How many things cross over cityi~. and does this causeproblems?
James Libby, Bloomington: Bloomingtc�r, `: I> ; s control program has caused a
few problems because the surrounding comlilun es do -not have this ordinance and
not all the local veterinarians :,el a rabif, ntrol pro(Iram is necessary. There
needs to be more program coor-Jination betweei, three co;;anunities.
Robert Mood, Bloomington: The ideal situation would be for the three cities
to work together and make their ordinances similiar. This would make it much
easier for citizens and industry going from one community to another, i .e. , a
company that delivers meat must deal with three different city ordinances.
Yvonne Hargens, Bloomington: Day care and nur-ery schools need regulation
coordination. The Bloomington Division of Public Health provides services to
the three communities and each has a different ordinance.
Immanuel Roesler, Richfield: It is difficult to have similar ordinances in
some cases, for example, Richfield does not really need a rabies control program
because it is surrounded on all boundaries by freeways or major highways, however,
Bloomington has many wooded areas. There are areas where coordination on ordinances
is possible.
Why does Edina provide EMT services to its residents and the other two communities do
not?
Linda Bjerke, Edina: This is a program that has been developed by Edina and
�- the residents really appreciate knowing this service is available.
Bloomington and Richfield have adequate emergency medical services. The county
is responsible for providing emergency medical care. Since their program is
not s«fficient, the individual cities may supplement as they wish. There is a
issue at present whether the county should be the sole provider of medical care
services to Hennepin County. The Edina residents would prefer to keep their
own paramedical program.
Russ Stricker: What do the elected officials think of the Advisory Boards of Health,
are they important?
Robert Darr, Bloomington: The City Council assigned a task force to study the
city's boards and commissions. It was a very good learning experience.. The
only changes recommended for the Board of Health were technical changes which + 'I
have already been done. The Bloomington City Council has a high regard for
the Advisory Board of Health and seriously considers all recornrrendations.
June Schmidt, Edina: The Board of Health is dole to ;provide a completely
different point of view to subjects and problems th-L come before the City
Council , a different insight.
Juanita Colin, Richfield: Since she is fairly new to Council can only say
that board members she has met are very interested and concerned about the needs
of the community and how to serve there,.
Chuck Bredesen, Richfield: Same position as Juanita. Very pleased with what
he has seen of Advisory Board of Health. Would like to see heoi + h services r
considered a community problem, not a county, state or federal overnwent
problem.
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Ken Roland, City Manager, Edina : Advisory boards of are the backbone of
good receptive government. This volunteer help is needed to keep government
in balance. i ve city council members are not a large enough representation
of an entire community.
William Seimers, Edina: The advisory boards are only as good as the relationship
they have with their city council . There has to be good cooperation and
coordination.
Russ Stricker, South Hennepin Human Services Council : Community has to be
involved in planning process. The closer we get to community needs the better
in-put we can give to Hennepin County. The health boards are a means to
better community involvement.
Adjournment: 9:25pm
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A 1 ENDANCE
J01 iiT AO%'IC}( Y C�Or'�f�DC OF
Donna Adams Rita Nelson
.� Donna Anderson Charles Officer
Dorothy Backstrom Pat Reichert
Mary Bang Ruth Renz
W. Ii. Bi tti ck, MD 1. Roesler
Linda Bjerke Ken Rosland
Diane Brady June S( i:; ii dt, Edina City Council
Chuck Bredesen Bill Siemer-,
Mark Bernhardsen A. Simmons, MD
Ralph B. Campbell Luce,, Stoppel
Juanita Colin, Richfield City Court i kuss Stricker
Robert Darr James Truax
Joseph DeAntonni L. D. Vanderhoef
Ellen Dennis David Velde
Kathryn Dewey Joyce Wilde
Kitt Eiler Nat Wisser
Gayle Hallin Helen Yates
Yvonne Hargens
Bev Harris
Arvid Kingsriter
Homer Kinney
Barbara Kresaya
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Kristen Kurtz
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Jaynes Libby
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Kathy Lucas
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Iv:In Ludeman, Richfield City Council
Johanna I"ti l l I
Robert Food
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AGENDA
Edina Advisory Health Committee
Meeting May 29, 1979, at 7:30 p.m.
Edina City Hall Conference Room
Homer Kinney, Chairperson
I. Roll Call
II. Approval of the Minutes: March 27, 1979
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III. Announcements and Reports:
A. Presentation of 1980-81 Preliminary Community Health
Services Plan
B. Joint Meeting Report (Edina, Bloomington & Richfield)
C. Other
IV. New Business:
A. Analysis of Community Health Services Questionnaire
B. Ad Hoc Study Committees
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C. House File 782 (SF 1414)
Licensing of Home Health Agencies
V. Unfinished Business:
A. Appointment of Committee Member to Attend City Council Meetings
B. Establishment of Liaison Committee between Edina and Bloomington
Advisory Committees
VI. Next Meeting Date: July 24, 1979, at 7:30 p.m.
VII. Adjournment
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MINUTES OF THE REGULAR MEETING OF THE
EDINA ADVISORY HEALTH COMMITTEE
HELD TUESDAY, MAY 29, 1979, AT 7:30 P.M.
EDINA CITY HALL CONFERENCE ROOM
Members Present: Chairman Homer Kinney, Linda Bjerke, Dr. Engstrom, Beverly
Harris, Barbara Kresoya, Dr. Rockwell, June Schmidt, Dr.
Simmons, LeRoy Werges
Members Excused: Mary Bang, Dr. Krafft, Vern Moss, Tully Stoppel
Staff Present: David Velde, Public Health Sanitarian; Colleen Paulus,
Assistant Sanitarian; Judy Teichert, Secretary
II. Approval of the Minutes
LeRoy Werges moved that the minutes of the Mar. 27, 1979,
meeting of the Edina Advisory Health Committee be approved. Dr. Rockwell
seconded the motion. All voted aye; the minutes were approved.
Chairman Kinney noted the minutes from the April 17, 1979,
Joint Advisory Boards of Health meeting would be distributed at a later date. `
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III. Announcements and Reports_
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A. Presentation of the 1980-81 Preliminary Community Health
Services Plan
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Each member of the Committee received a copy of the 1980-81
Community Health Services Preliminary Plan for review prior to the meeting. Mr.
Velde explained the plan is very similar to last year's except two new categories
have been added: animal control and weed control. He indicated that the budget
figures may change as these were preliminary estimates of the budget and increases,
and that the nursing services activity descriptions would be incorporated in
Bloomington's proposal but the budget figures would be shown on Edina's plan.
Many of the programs were questioned as to content and allocation of funding.
Dr. Simmons moved that the Advisory Board of Health approve the resolution
recommending approval of the Preliminary Community Health Services Subsidy Plan
for 1980 and 1981. LeRoy Werges seconded the motion. All voted aye; the motion
carried.
Homer Kinney questioned how the Advisory Committee could
determine if this budget was thoroughly consistent with the needs of the com-
munity. The Committee was especially concerned about the services Bloomington
Public Health Nursing Service provides. Linda Bjerke added she felt the Committee
should be better informed about the specifics of the programs so the Committee
would know what they were buying for the citizens of Edina. Bev Harris voiced
her concern about the duplicaiton of services that may occur.
Dr. Engstrom felt it would be helpful if the Advisory Committee
could get a better breakdown on services from Bloomington. Mr. Kinney suggested
that a small ad-hoc committee be formed to do an in-depth study of Bloomington's
services. Mr. Velde also pointed out that the Advisory Committee could ask to
review or audit their records under the contract. _
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Edina Advisory Health Committee
May 29, 1979
page 2
An ad-hoc committee was formed consisting of Chairperson Bev
Harris, June Schmidt, and Linda Bjerke to more closely examine the services that
the Bloomington Public Health Nursing Service is providing to Edina.
B. Joint Meeting Report (Edina, Bloomington and Richfield)
The Advisory Committee discussed the Joint Meeting on April 17,
1979, of the Health Boards and Advisory Committees from Bloomington, Edina, and
Richfield. They commended Linda Bjerke for her presentation at the meeting. In
general they felt the meeting was very informative and successful.
IV. New Business
A. Analysis of Community Health Services Questionnaire
Because the members of the Advisory Committee had not had the
chance to consider and fill out the Community Health Services Questionnaire, it
was decided that they would be discussed at the next meeting, and if possible,
the Committee should,fill them out and return them to the Health Department prior
to the next meeting.
C. House File 782 (SF 1414) - Licensing Home Health Agencies
David Velde explained that House File 782 is new legislation
that is being held over for interim study providing for licensing of home health
agencies by the Department of Health. He continued that a home health agency
was defined as one which provides any two of the following at a patient's
residence: nursing, physical therapy, speech therapy, occupational therapy,
nutritional services, home health and/or medical social services. He pointed
out that the act makes appropriations in blank, and gives rules for applications
for license, licensing requirements, license renewals, inspections, denials of
licenses, appeals, and exemptions.
Dr. Simmons, after general discussion on the act, stated he
would speak to a lobbyist for the Minnesota Medical Association to get more
of the background on the act.
V. Unfinished Business
A. Appointment of Committee Member of Attend City Council
Meetings.
Homer Kinney stated he had talked with the Mayor, and the
Advisory Committee should have representation to the City Council meetings. It
was decided that Dr. Simmons would attend the June City Council meetings and
Dr. Engstrom would attend July City Council meetings, and at the next Advisory
Committee meeting, volunteers would be solicited for the remaining months.
Edina Advisory Health Committee
May 29, 1979
page 3
B. Establishment of Liaison Committees between Edina and
Bloomington Advisory Committees
Homer Kinney stated that there were two committees, Day Care/
Nursery and Agency Evaluation, that were being formed between Edina and Blooming-
ton Advisory Committees and solicited volunteers to serve on the committees.
Tully Stoppel agreed to serve on the Day Care/Nursery committee and the ad-hoc
committee that was established to examine Bloomington's services consisting of
Bev Harris, June Schmidt and Linda Bjerke agreed to cover the agency evaluation
committee meetings.
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C. Other
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General concerns of the. Committee members were discussed
which included Edina Day Care Centers, the dog ordinance being considered by
the City Council, and a summary of findings regarding an opinion poll which
was conducted in February of 1978 reflecting the perceptions of health and
social service problems. No action was taken on these concerns.
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VI. Next Meeting Date: July 24, 1979, at 7:30 p.m.
VII. Adjournment: 9:05 p.m.
Respectfully submitted,
C'
Judy Teichert, Secretary
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AGENDA
Edina Advisory Health Committee
Meeting July 24, 1979, at 7:30 p.m.
Edina City Hall Conference Room
Homer Kinney, Chairperson
I. Roll Call
II. Approval of the Minutes: May 29, 1979
III. Announcements and Reports:
A. Meeting with Yvonne Hargens of BPHNS - Bev Harris and Linda Bjerke
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B. South Hennepin Human Services Poll, 1978 - Dave Velde
C. Subsidy Award Adjustment - Dave Velde
D. House File 782 (SF 1414) - Dr. Simmons
Licensing of Home Health Agencies
E. Public Hearing on Policies and Expectations of the Metropolitan
Health Board Regarding Roles and Responsibilities in Community
Health Services, July 31, 1979, at 7:00 p.m. Crystal City Hall.
42nd and Douglas Drive.
IV. Unfinished Business:
A. Discussion of Community Health Services Questionnaire
B. Appointment of Committee Member to Attend City Council Meetings
V. Next Meeting Date: August 7 or 14, 1979??
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VI. Adjournment
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MINUTES OF THE REGULAR MEETING OF THE
EDINA ADVISORY HEALTH COMMITTEE
HELD TUESDAY, JULY 24, 1979, AT 7:30 P.M.
EDINA CITY HALL CONFERENCE ROOM
Members Present: Chairman Homer Kinney, Linda Bjerke, Beverly Harris, June
Schmidt, Dr. Simmons, Dr. Rockwell
Members Excused: Mary Bang, Dr. Engstrom, Dr. Krafft, Barbara Kresoya, Vern
Moss Jr, Tully Stoppel, Leroy Werges
Staff Present: David Velde, Public Health Sanitarian; Colleen Paulus, Assistant
Sanitarian; Judy Teichert, Secretary
II. Approval of the 1linutes
ILinda Bjerke moved that the minutes of the May 29, 1979 meeting
of the Edina Advisory Health Committee be approved. Dr. Rockwell seconded the
motion. All voted aye; the minutes were approved.
III. Announcements and Reports
A. Meeting with Yvonne Hargens of BPHNS - Beverly Harris,
Linda Bjerke, June Schmidt
Beverly Harris, chairperson of the ad hoc committee formed
to more closely examine the Bloomington Public Health Nursing Service, opened
the meeting with a presentation explaining a more detailed breakdown of the
services Edina utilized from the Bloomington Public Health Nursing Service. She
referred to a handout entitled "1978 Services Index" (which you find at the con-
elusion of the minutes) in her report of their findings. She responded to
several questions that had been voiced at the previous meeting. In reply to the
question of how the Bloomington Public Health Nursing Service was staffed, Bev
Harris answered that the committee felt it was very efficient with 20 full time
nurses, 50 past time nurses which are paid by an hourly rate, 2 full time secretaries,
and services contracted out for occupational therapy, physical. therapy, and speech
therapy.
In. explanation of how the fees are. determined, Bev informed
the Advisory Committee that the Certified Public Health Nurse determines the
level of care needed and assigns someone capable of that level of care to the
case. She stated the ad hoc committee felt this team concept was very cost ef-
f.eeti_ve. Bev Harris indicated that the cost per visit was $28.96.
Linda Bjerke. and June Schmidt aided. Bev Harris in clarifying
how the monies are used by Bloomington, and they concluded that the budget did
seem to be consistent with Ed_ina' s needs.
The Advisory Committee agreed that a more detailed report of
the findings should be sent to the City Council for their review.
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Edina Advisory Health Committee
July 24, 1979
page 2 --�
B. South Hennepin Human Services Poll, 1978 - David Velde
David Velde presented the South Hennepin Human Services Poll
from 1978 in. which Hennepin County polled the jurors -regarding their perceptions
of various health or social. services and also asked them about their support for
the various programs. From this survey, the South Hennepin Human Services Council
extracted the responses made by jurors living in the South Hennepin Human Services
area, and these were then tabulated and used to determine priorities and support
for programs in South Hennepin County. Mr. Velde stated that this poll would be
used in the final plan as basis for needs assessment.
C. Subsidy Award Adjustment - David. Velde
Mr. Velde informed the Advisory Committee that an extra award
of $2,865.00 has been received for the last half of the year which made the total
award $84. 711.00. He indicated that the extra award had been allocated under
Emergency Medical Services.
D. House File 782 (SF 1414) - Dr. Simmons
Licensing of Home Health Agencies
Dr. Simmons explained that he had spoke with Jim Sova, a lobbyist
for the Minnesota Medical Association, who informed him that the bill was introduced
to set standards for home health agencies. He continued that proprietary home health
agencies. do not get reimbursed for medi-care unless they are licensed so they are
attempting to be licensed for reimbursement. Dr. Simmons stated this would also
hold true for the nursing services. A general discussion followed but no action
was taken.
E. Public Hearing on Policies and Expectations of the -
Metropolitan
Health Board Rewarding Roles and
Responsibilities In Community Heal-th Services,
.July 31, 1979, at 7:00 p.m. Crystal City Hall.
42nd and Douglas Drive.
David Velde asked the Advisory Committee to note this hearing
and stated he would report its results to them at the next meeting.
IV. Unfinished Business:
A. Discussion of the Community Health Services Questionnaire
Because all the members of the Advisory Committee had not filled
out and returned the Community Health Services Questionnaire, it was decided that
they would be discussed at the next meeting.
B. Appointment of Committee Member to Attend City Council
Meetings
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Edina Advisory Health Committee
July 24, 1979
page 3
June Schmidt volunteered to act as the Advisory Committee
representative at the August City Council meetings. Volunteers to attend for
the following months will be solicited at the August 14th meeting.
V. Next Meeting Date: August 14, 1979, at 7:30 p.m.
V1. Adjournment: 9: 15 p.m.
Respectfully submitted,
Judy Teichert, Secretary
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SLi:V'1CC II;DCX[S
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httlUti. CO1!111 PI-ClIV.
6201 Illness PLS. -"l.11 160 101 472
Ilov:e visits 3 1S`t 1086 116
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6202 Pat-ients-��-- 1,914 65 271 2,l_50
family Pl:n. Visit 1,321 t15 5t;3 5,019
Well tdu1t_V'i;its---- -----i'082— ---12 -----2b- --1�120 -
6203 i'atien If,s - -
hell Child Visits 594 110 91__ --L'0�1 ;•
[PS 2,003 745- - 6i5 3,362
I,IC -„7 640 10 j''.0----HODD --
620i Group Sessions 559 104 33 696
Class 2,756 307 184 3,247
Indiv. Co,aat. 1,649 295 310 2,2-"
Ilealth center 2,296 2t�4 196 2,733
_-
----------- 2'91-3 -----1,`I1/ 6,514 i'L,374
6205 StudentG(c4r-
Visits 668 235 3``-16 1,?59
Group Visits 221 241 351 813
Indiv. SCrccned 1,n7 68/ 3,580 7,123
Indiv. ltach/Counsel 1,287 2,101 2,63(i 4,795
_ I;urser'/(i?� Care 7!;5 721 1?! 1,603
6205 Individuals `erved 3,614 215 697 4,526
Nursing Visits 9,305 •1 L,OL;S 1'2,1£;7
/rlco./Drug Pcl. Visits 461 12 18 553
G.otional I!ralth Vis.it.s 752 94 41 1,O1,7
_ _I!eaIIll Pro.,!. Vi:,i ts_ ----9,007 ----_-_706_- -_-2.0('9----1(t,57?
6l.^II_In Sividual trued ^---- — 6,150 ?,464 2 C 4 10,6GII
Uell Itdults (Client ) 391 176 Zoe 775
ihtrapcutic Visits 1,555 '599 307 2,'[Gl
Out-peach (ontr.cLs ?3;7 MI) 163 639
J;att-n- --.. _._ 7412 ?P? 301'
6210 V.O. Visits E29 48 46 937
lu.nur,izatipns
!i%!S 3,1;70 647 5,(145
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AGENDA
Edina Advisory Health Committee
Meeting August 14, 1979, at 7: 30 p.m.
Edina Police Training Room
Homer Kinney, Chairperson
I. Roll Call
I L Approval of the Minutes: July 24, 1979
III. Announcements and Reports:
A. Final Community health Services Plan - Dave Velde
B. House File 782 (SF 1414) - Linda Bjerke
Licensing of Home Health Agencies
C. Report on the Metropolitan Health Board Public Meeting for their
Policy Statements Regarding Roles and Responsibilities in Community
Health Services - Dave Velde
IV. Unfinished Business: j
A. Appointment of Committee Member to Attend City Council Meetings
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V. Next Meeting Date:
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VI. Adjournment
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MINUTES OF THE SPECIAL MEETING OF THE
EDINA ADVISORY HEALTH COMMITTEE
HELD TUESDAY, AUGUST 14, 1979, AT 7:30 P.M.
EDINA CITY HALL POLICE TRAINING ROOM
Members Present: Chairman Homer Kinney, Mary Bang, Linda Bjerke, Dr. Engstrom,
Beverly Harris, Vern Moss, Jr. , Dr. Rockwell, June ,Schmidt,
Dr. Simmons, Tully Stoppel, Leroy Werges
Members Excused: Dr. Krafft, Barbara Kresoya
Staff Present: David Velde, Public Health Sanitarian
II. Approval of the Minutes
Dr. Rockwell moved that the minutes of the July 24, 1979,
meeting of the Edina Advisory Health Committee be approved. Beverly Harris
seconded the motion. All voted .aye; the minutes were approved.
III. Announcements and -Reports:
A. Final Community Health Services Plan - David Velde
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David Velde announced that there has been an increase in the
subsidy allocation to Edina for 1980 making the total that will be received
$90,641; in 1981, $96,986 will be received. He also noted that the public
hearing had been held, and no comments had been directed at Edina's plan.
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Copies of the final plan were distributed to the Advisory
Committee members prior to the meeting. Mr. Velde pointed out that the City
Council has not taken any action on the 1980 budget which means the plan is
just an estimate, and if any changes should be made, a revised budget would
be submitted to Hennepin County and the State.
After general discussion, Dr. Rockwell moved that the following
resolution be adopted:
A RESOLUTION RECOMMENDING TO
APPROVE THE COMMUNITY HEALTH
SERVICES SUBSIDY PLAN FOR 1980 AND 1981
WHEREAS, the Advisory Board of Health of the City of Edina is
an official advisory body to the City Council, which is the official Board of
Health; and
WHEREAS, the Advisory Board of Health is charged by the City
Council to study public health needs in the City and recommend to the Council l
policies and ordinances and.programs necessary to meet these needs; and
WHEREAS, the Advisory Board of Health has reviewed the plan
and application for 1980 and 1981 Community Health Services Act subsidy funds
prepared by the Staff of the City of Edina and finds it thoroughly consistent
with the needs and priorities of the community as determined by this Advisory
Board and as expressed in citizen's participation;
Edina Advisory Health Committee i
August 14, 1979
Page 2
NOW, THEREFORE, BE IT RESOLVED by the Advisory Board of Health
of the City of Edina, in regular meeting assembled, that the plan and application
for the 1980 and 1981 Community Health Services Act subsidy be approved and
forwarded to the City Council of the City of Edina with a recommendation for
approval.
Passed and adopted this 14th day of August, 1979.
Chairman, Advisory Board of Health
ATTEST:
Minutes Secretary
Motion for adoption of the resolution was seconded by Beverly Harris. All voted
aye; the motion carried.
B. House File 782 (SF 1414) - Linda Bjerke
Licensing of Home Health Agencies
Linda Bjerke recalled that the Advisory Committee at its previous
meeting had discussed this bill which provides for licensing of proprietary home
health agencies. She presented several handouts including a draft of the bill
and a copy of a legislative analyst's view of the bill. Some of the facts Linda
Bjerke brought out were: there are approximately 15 to 20 proprietary home health
agencies located in Hennepin and Ramsey counties that are not regulated; regulation
certification or licensure is no guarantee of quality of care; abuse could occur
when an agency, which received reimbursed payments., sends a home health aide into
the home instead of a more expensive nurse and then pockets the difference in fee
charged; and it does promote duplication of the same kinds of services which are
already available to the same group of people.
A general discussion followed. The Advisory Committee felt they
should talk to the author of the bill and try to examine it from an objective view-
point. Vern Moss agreed to talk with Representative Waldorf and Senator Kirschner,
co-authors of the bill and report his findings back to the Advisory Committee.
C. Report on the Metropolitan Health Board Public Meeting
for their Policy Statements Regarding Roles and Responsi-
bilities in Community Health Services- David Velde
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Edina Advisory Health Committee
August 14, 1979
page 3
Mr. Velde noted that several issues or concerns had been raised
about the Metropolitan Health Board's policies, expectations, and responsibilities.
A general discussion followed expressing concern about immunization or community
health programs sponsored by volunteer organizations which would have to be included
in the Plan under the requirements of the Metropolitan Health Board.
David Velde pointed out that one of the suggestions made at the
meeting he attended was that the Metropolitan Health Board use some of their staff
time in providing information to different agencies as far as getting some
statistics for developing plans; however, nothing came of the suggestion at that
meeting. The Advisory Committee felt they should at this time comment on the roles
and responsibilities of the Metropolitan Health Board. An ad-hoc committee consisting
of Dr. Engstrom, Homer Kinney, Leroy Werges, and Linda Bjerke was formed to draft
a position statement.
IV. Unfinished Business:
A. Appointment of Committee Member to Attend City Council
Meetings.
Vern Moss agreed to be the Advisory Health Committee representative
to the September City Council meetings, and Leroy Werges agreed to take the October
meetings.
B. Other:
The Advisory Committee expressed a concern about a practicing
podiatrist advertising in the Senior Newsletter. They felt that if one doctor
advertises, all would need equal time, and the situation would get out of hand.
They also noted that many of the services to the senior citizens such as glaucoma
testing are done on a volunteer basis, and the podiatrist should practice on a
volunteer basis to the senior citizens. or cease advertising. This item will be
discussed further at the next meeting.
V. Next Meeting Date: October 23, 1979, at 7:30 p.m.
VI. Adjournment: 9: 10 p.m.
Respectfully submitted,
�- Judy Teichert, Secretary
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MEMORANDUM FOR INFORMATION
T0: City Council Members
FROM: Health Advisory Committee
SUBJECT: Bloomington Public Health Nursing Services
DATE: September 10, 1979
On May 29, 1979, the Advisory Health Committee was presented with
the 1980-81 Preliminary Community Health Services Plan. At that time, the
question arose as to how the Advisory Committee could determine if the budget
presented was consistent with the health needs of the community as a whole.
The Committee was especially concerned about the various services the Bloom-
ington Public Health Nursing Service provides and noted that they would like
to be better informed about the specifics of the different programs so that
the Committee would know more about what they are recommending the Council
buy for the citizens of Edina in the area of health.
Dr. Engstrom suggested that the Advisory Committee obtain a more
detailed breakdown of services from Bloomington Public Health Nursing Service.
This prompted the formation of an ad-hoc committee consisting of Beverly
Harris, Linda Bjerke, and June Schmidt to do a study of Bloomington's services.
On July 24, 1979, the ad-hoc committee reported to the Advisory
Committee with a detailed breakdown of the health services ,Edina receives from
the Bloomington Public Health Nursing Service. They referred to the following
handout entitled "1978 Service Indexes" in the report of their findings.
1978
SERVICE I11DC3ES
ELM. EMMA It�n.1F,. -TDiAL
6201 Illness Pts. 211 160 101 472
Nome visits 3,153 2,046 1 536 6 775
6202 Patients 1.914 65 271 2.250
family Plan. Visits 4.321 •11S SO 5,019
Well Adult Visits 1 082 12 26 1,110
6203 Patients 996 82 236 1.314 ��o
Nell Child Visits 594 120
EPS 2,008 745 3.318 R
Ric 640 20 340 1.000
6204 group Sessions 5S9 104 33 696
Class 2.756 307 184 3.247
Indiv. CMcn. 1.649 295 310 2,254
Health Center 2.298 244 196 2.738
Study 2,340 1,282 350 3,972 -
620S Studentrt r,(Odj - 2.913 2,947 6.514 12,374
. Visits 668 235 356 1.2S9
group Visits 221 241 351 - 313
Indic. Screened 1.727 697 3.580 7.123
ladiv. Teach/Counsel 1.287 2.101 2.636 4.795
Nunerr/Oar Carc 75S 721 127- 1,603
.6206 Individuals Served 3.614 •215 697 4.526
pursing Visits 9.305 814 2.068 12,187
Alto./Drug Rel. Visits 461 12 111 553
Emotional health Visits 7S2 94 41 1.062
Health Prom. Visits 9,,007 7116 2,009 10.S72
6208 Individuals Served 6.15o 2.464 2.054 10.668
v Nell Adults (Clingyca) 391 176 20L 77S
.Therapeutic Visits 1,S55 399 307 2.761
Out-Reach Conucts 2' 189 163 639
Counsel Teach. lwtri. 742 282 309 1,333
6210 V.D. Visits $39 48 46 $37
leaamtaationt S28 3.370 $47 5.045
Tuberculin.1. 2.11 700 227 3,122
(flood P.•rssures S.308 1,444 1.S:8 9.360
$
Crocnines 760 �••_1_47 1.179 2.9116
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Memorandum for Information page 2
To City Council Members
From Health Advisory Committee
September 10, 1979
To begin with, Beverly Harris, Chairman of the ad-hoc committee answered
several questions that the Advisory Health Committee had raised at their
previous meeting:
* Why do the figures seem to differ from print out to print out on the
print outs we receive from the Bloomington Public Health Nursing Service?
A: The budget is allocated according to the Community
Health Services Act which defines the four basic
areas as Community Nursing, Health Education, Disease
Prevention and Control, and Home Health. This is how
the state categorizes them. However, in Bloomington
they use different categories for record keeping which
explains why the figures on the two reports do not
match. It is an accounting difference.
* How is the Bloomington Clinic staffed?
A: The ad-hoc committee felt it was staffed very efficiently
with 20 full time nurses, 50 part time nurses which are
paid at an hourly rate, 2 full time secretaries, and all
the lab technicians are part time. They contract out for
all of their occupational therapy, physical therapy, and
speech therapy.
* How are the home visit fees determined?
A: Bloomington works on a Team Concept. The Certified Public
Health Nurse determines the level of care needed and
assigns someone capable at that level of care to the
patient. The ad-hoc committee agreed that this system
was very cost effective. The cost per visit, $28.96, is
the composite average of all the services rendered by
the Team. They noted that in a Twin Cities agency the
minimum cost per visit would be around $35.
* How are the costs of the home visits by the nursing service determined?
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A: Bloomington uses the figure of $28.96 times the number
of home visits. Then they take all the reimbursed fees
for home visits such as those received from the Veterans
Administration, Medicare and Medicaid, and insurance
companies and credit these funds to the general account
which includes all three cities: Bloomington, Richfield,
and Edina. They subtract these fees from their cost.
Then they subtract from the total fees all of the grants
that they receive from any government programs. The
dollars remaining are then charged back to the three
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cities.
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Memorandum for Information page 3
To City Council Members
From Health Advisory Committee
September 10, 1979
* What amount does Bloomington Public Health Nursing Service actually bill
and get back from third parties such as Veterans Administration?
A: Bloomington Public Health Nursing Service projected that
from the three municipalities they would recover about
$77,000. From Bloomington and Richfield they recover
about $50,OOO which means about $27,000 comes from Edina.
• Is the budget consistent with Edina's needs?
A: The ad-hoc committee felt the "1978 Service Indexes"
chart seemed to show that the profile of needs are
being met.
Following is the breakdown explanation of the 1978 Service Indexes
Chart:
B E R T
6201 Illness Pts. 211 160 101 472
Home visits 3,153 2,086 1,536 6,775
Out of the 6,775 total visits under this category, Edina had 2,086
home visits. This category is the most expensive because it involves a one-
to-one visit at home with an ill patient. They noted that Edina is getting
a greater share of the expensive help due to the greater number of senior
citizens in Edina.
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B E R T
6202 Patients 1,914 65 271 2,250
Family Plan. Visits 4,321 115 583 5,019
Well Adult Visits 1,082 12 26 1,120
Edina is substantially lower in this category than the other muni-
cipalities probably due to the fact that most of its residents have their own
private, family physicians.
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B E R T
6203 Patients 996 82 236 1,314
Well Child Visits 594 120 94 808
EPS 2,008 745 615 3,368
WIC 640 20 340 1,000
The well child visits listed in this category consist of infants
under one year old. Out of the 745 Edina children listed under Early and
Periodic Screening, 200 pre-school children are included. This category
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Memorandum for Information page 4
To City Council Members
From Health Advisory Committee
September 10, 1979
generally includes children ages one to four years old. The final category,
Women/Infants/Children, is nutrition counseling.
B E R T
6204 Group Sessions 559 104 33 696
Class 2,756 307 184 3,247
Indiv. Comm. 1,649 295 310 2,254
Health Center 2,298 244 196 2,738
Study 2,340 1,282 350 3,972
Funded by the United Fund, this category covers health education.
B E R T
6205 Student Contacts 2,913 2,947 6,514 12,374
Visits 668 235 356 1,259
Group Visits 221 241 351 813
Indiv. Screened 1,727 687 3,580 7,123
Indiv. Teach/Counsel 1,287 2, 101 2,636 4,795
Nursery/Day Care 755 721 127 1,603
The total number of student contacts made in this category 2,9479
were seen in 235 visits which indicates that groups of about 100 were seen
on each visit. Individual Teaching and Counseling included dental screening,
mental health or emotional problem counseling. This included both the private
and parochial school district.
B E R T
6206 Individuals Served 3,614 215 697 4,526
Nursing Visits 9,305 814 2,068 12,187
Alco/Drug Rel. Visits 461 12 18 553
Emotional Health Visits 752 94 41 1,062
Health Prom. Visits 9,007 706 2,009 10,572
This category included the Mental Health areas of Health Promotion
and Counseling. A surprising fact surfaced that showed that most of the
emotional health visits made were for marital counseling. Also, over fifty
percent of those seen were after-care follow-ups.
B E R T
6208 Individuals Served 6,150 2,464 2,054 10,668
Well Adults (Clinics) 391 176 208 775
Therapeutic Visits 1,555 399 307 2,261
Out-Reach Contacts 287 189 163 639
Counsel, Teach. Nutri. 742 282 309 1,333
Memorandum for Information Page 5
To City Council Members
From Health Advisory Committee
September 10, 1979
This activity provides health services at the community centers
through individual teaching and counseling, health supervision clinics and
injections and treatments to ambulatory patients as prescribed by private
physicians.
B E R T
6210 V.D. Visits 889 48 46 937
Immunizations 528 3,870 647 5,045
Tuberculin Tests 2,825 700 227 3,122
Blood Pressures 5,388 1,444 1,528 8,360
Screenings 760 847 1,379 2,986
This activity provides services for prevention and control of
communicable diseases and adult screening clinics for early identification
and referral of chronic diseases.
SUMMARY
After the facts had been submitted and each category discussed,
-the ad-hoc committee concluded that the team concept used by the Bloomington
Public Health Nursing Service was very cost effectivet and that the budget
profile was, in their opinion, consistent with Edina's needs at this time.
The largest amounts being allocated are spent in the area of home nursing
visits and care due to the greater number of senior citizens in Edina.
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AGENDA
`-- EDINA HEALTH ADVISORY COMMITTEE
Meeting October 23, 1979
Edina City Hall Conference Room, 7:30 p.m.
Homer Kinney, Chairman
I. Roll Call
II. Approval of ,Minutes: August 14, 1979
III. Announcements and Reports:
A. Subsidy Award Adjustment and Allocation: David Velde
B. House File 782 (SF 1414); Licensing of Home Health Agencies:
Vern Moss; Mary Forsythe
C. Metropolitan Health Board; Roles and Responsibilities: David Velde
IV. New Business:
A. Nominations for 1980 Officers
V. Unfinished Business:
A. Apointment of Committee Member to Attend City Council Meetings
B. Senior Citizens Newsletter Podiatrist Advertising
VI. Next Meeting Date
VII. Adjournment
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,MINUTES OF THE REGULAR MEETING OF THE EDINA
ADVISORY HEALTH COMMITTEE HELD TUESDAY,
OCTOBER 23, 1979, AT 7:30 P.M.
EDINA CITY HALL CONFERENCE ROOM
I. Members Present: Dr. Engstrom; Dr. Krafft; Dr. Simmons; Mary Bang;
Linda Bjerke; Vern Moss Jr. ; June Schmidt:
Barbara Kresoya; Leroy Werges; Homer Kinney
Members Excused: Beverly Harris; Dr. Rockwell; Tully Stoppel
Staff Present: David Velde, Colleen Paulus
II. Approval of the Minutes:
June Schmidt moved that the minutes of the August 14, 1979, meeting of
the Edina Advisory Health Committee be approved. Dr. Simmons seconded the
motion. All voted aye; the minutes were approved.
III. Announcements and Reports:
A. Subsidy Award Adjustment and Allocation: David Velde
David Velde announced that Hennepin County sent a notice stating
that Edina would receive an additional $3169.00 for the 1980 subsidy entitle-
ment. He recommended that the $3169.00 be added to the Emergency Medical
`- Services. The correction would be submitted to the county if the committee
approved to do so.
June Schmidt made the motion to approve the recommendation. Dr. Engstrom
seconded the motion. All voted aye the motion carried,
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B. House File 782 (SF 1414); Licensing of Home Health Agencies:
Mary Forsythe; Vern Moss,
Mary Forsythe discussed the purpose of House File 782. She stated that
licensing of the Home Health Agencies is notvery critical, because certification
of the agency would be provided under the Federal Program. She pointed out that
there are private agencies that provide excellent service and she would like to see
more become involved. The senate is not moving the bill and the chances of it
being passed are slim.
Paul Camarout from Up John, a proprietary Home. Care Ayency, spoke about`
the services the agency renders. UpJohn has 240 offices throughout the United
States and employs between 70,000-80,000 people (full and part-time) . ' They
charge $29. 00 per visit for a Registered Nurse, one and a half hour visit and
$22.00 per visit for a Licensed Practical Nurse visit. The patients either
pay the bill themselves, through an insurance company or sometimes through
government funding, such as, V.N.A., or public health agencies.
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Edina Advisory Health Committee
October 23, 1979
Page Two
�.- Mr. Camarout stated that UpJohn wants standards set regulating the
quality of service rendered and those standards enforced.
A general discussion followed. No further action was taken in regards
to the bill.
C. Metropolitan Health Board; Roles and Responsibilities: David Velde
Dave Velde attended a meeting on July 31, 1979, at which an Information
Forum discussed the roles and responsibilities of the Metropolitan Health Board
in community health services.
As a result of the meeting and public input the Metropolitan Health Board
adopted an alternative charge. They have asked for more representation on their
committee by going to the different health agencies and asking some of the
CHS administrators to be on that committee. They will be assessing their
original roles and responsibilities. If their roles and responsibilities develop
as they plan, then the City of Edina and any other city who receives subsidy
will have to include in their own health plan the plans of the private and
voluntary organizations in the community. Each organization would have to be
included whether they receive subsidy funding from the state or not.
Dave Velde felt that this would triple the size of the plan and require
more manpower. He also felt that if this does occur, then the City should look
�- seriously at giving the subsidy money back and letting the county take care of
it.
The Metropolitan Health Board has forwarded the CHS plan from Hennepin j
County to the State Health Department recommending approval. A hearing was held
on October 24, 1979 at 3:00 p.m.
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A general discussion followed.
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IV. New Business:
A. Nominations for 1980 officers:
A chairman and vice chairman needed to be nominated. June Schmidt asked
if a nominating committee needed to be appointed. Homer Kinney felt that it was
necessary, and asked for two volunteers. }
The nominating committee will be Homer Kinney and Mary Bang.
V. Unfinished Business:
A. There was a general discussion regarding committee members attending the
City Council meetings. There was a suggestion to send a letter to the Mayor asking
if the committee could possibly be excused from attending the meetings. Homer
,Edina Advisory Health Committee
October 23, 1979
Page Three
Kinney felt that the group should continue to attend and volunteered to attend
the City Council meetings in November.
B. Senior Citizens Newsletter Podiatrist Advertising:
June Schmidt will inquire in regards to the Senior Citizens Newsletter.
VI. Next Meeting Date:
Dave Velde pointed out that the by-laws state that the January meeting
is the time when the new officers are nominated and elected. He did not think
that it was necessary to have a January meeting just for the election of
officers.
Vera Moss made the motion that the committee grant authority to the present
chairman, Mr. Kinney, to consult with Dave Velde and to advise the committee when
the next meeting should be held which will be some time after the first of the
year. --
Mary Bang seconded the motion. All voted aye; the motion carried.
VII. The meeting adjourned.
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