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HomeMy WebLinkAbout1991 Community Health Commission Minutes MINUTES OF THE EDINA COMMUNITY HEALTH SERVICES ADVISORY COMMITTEE MEETING, THURSDAY, APRIL 18, 1991, AT 7:30 P.M. , EDINA CITY HALL MANAGER'S CONFERENCE ROOM MEMBERS PRESENT: Matthew Peterson, Vice Chair; Eileen Cooke; Dr. Douglas Lambert; Audrey Runyan; Sally Tang; and Robert Wilkins MEMBERS ABSENT: Pam Moody, David Rosenblatt, Patricia Smith and Spencer Turner OTHERS PRESENT: Berit Peterson, Edina School Nurse, John Keprios, Assistant Director Edina Park and Recreation Department; and David Velde, Edina Community Health Services Administrator I. APPROVAL OF THE MINUTES: November 8, 1990 Eileen Cooke offered a motion to approve the November 8, 1990, minutes. Sally Tang offered a second to the motion. All voted aye; motion carried. II. REPORTS: A. Alcohol Use During City Sponsored Sports Events John Keprios informed the committee that the City of Edina has 11 athletic associations. Each of the associations has a policy about alcohol or drug usage for the participants in their association. The sanctions imposed upon the participants are progressive. The first violation results in a two game or two week suspension, whichever is greater, and a mandatory meeting with a Chemical Health Advisor. The second violation results in a six game suspension or four weeks, whichever is greater. On the third violation the participants suspended from all sports for one year until he or she has gone through a chemical health counseling session. Mr. Keprios stated that he believes some people have unfairly singled out sports as being associated with substance abuse. Instead, he believes that sports provide a valuable alternative to substance abuse for the participants. The committee ' agreed with Mr. Keprios that playing sports was a valuable activity for the youth in this community. The committee also believes that those involved in sports activities should set an example by demonstrating their willingness to refrain from chemical use. Mr. Keprios went on to say that the associations do not have any policy regarding chemical use by the coaches or chaperons. He indicated that there may be a need for such a policy and that the groups he has talked to about this policy are receptive. Berit Peterson stated that she has met with the Edina Chemical Health Advisory Committee and reviewed the chemical use policy developed for the School Board. If adopted, this policy would address chemical use by coaches and chaperons associated with youth athletic events. Mr. Keprios indicated that he would take a draft policy to the athletic association boards for their review and comment. He informed the committee that the athletic associations are individually incorporated and can act independently from the City, however, associations typically accept recommendations and advice from their respective Park and Recreation Advisor. Mr. Keprios offered to take the committees resolution to the Park Board for their input and then take it to each of the athletic associations for their actions. The resulting policy will be brought back to the committee for final recommendation to the City Council. Eileen Cooke offered a motion to proceed with the action outlined above. Bob Wilkins offered a second to the motion. The motion was amended to include a commendation for the Edina Chemical Health Advisory Committee for their work on developing the School Board chemical use policy. All voted aye; motion carried. B. Community Health Services Planning Process: David Velde informed the committee that the planning process for the 1992-1993 CHS Plan began with county wide meetings. Representation from are CHS committees in the county were involved in this process. The next step in the process will involve the committees input on local community health issues. Three task forces are being established to complete the next part of the process. Sally Tang volunteered to serve on the Home Health Task Force. Audrey Runyan agreed to serve on the Disease Prevention and Control Task Force. Bob Wilkins and Berit Peterson agreed to serve on the Family Health Task Force. C. The Next Meeting will be held on June 20, 1991. �I III. Election of Officers: Robert Wilkins nominated Matthew Peterson for chair. Sally Tang offered a second to the motion. All voted aye; motion carried. Douglas Lambert nominated Robert Wilkins for vice chair, Eileen Cooke offered a second to the motion. All voted aye; motion carried. David A. Velde I I MINUTES OF THE EDINA COMMUNITY HEALTH SERVICES ADVISORY COMMITTEE MEETING, HELD ON JUNE 20, 1991 AT 7:30 P.M. , EDINA CITY HALL MANAGERS CONFERENCE ROOM MEMBERS PRESENT: Matthew Peterson, Chair; Dr. Douglas Lambert; David Rosenblatt; Audrey Runyan; Patricia Smith; Sally Tang and Robert Wilkins MEMBERS ABSENT: Eileen Cooke, Pam Moody and Spencer Turner OTHERS PRESENT: Cheryl Smoot, Minnesota Department of Health District Public Health Nurse Representative and David Velde, Edina Community Health Services Administrator I. APPROVAL OF THE MINUTES: April 18, 1991. i Robert Wilkins offered a motion to approve the April 18, 1991 i meeting minutes. Sally Tang offered a second to the motion. All voted aye; motion carried. ! II. REPORTS• A. 1992-1995 Community Health Service Preliminary Plan. David Velde introduced Cheryl Smoot to the Committee. Ms. Smoot is the Minnesota Department of Health District Nurse Representa- tive for the Metro Area, and is attending this meeting as an observer. Ms. Smoot said she was interested in hearing the Committee's discussions relative to the Community Health Services Plan and that when the Community Health Service Plan is submitted to the Minnesota Department of Health, she will be one of the people reviewing and commenting on the Edina Community Health Service Plan. David Velde began discussing the Community Health Service Plan by informing the members that the Plan consists of the following parts: Problem Statement; Year 2000 Objective; Objective; Method; Evaluation; and Administrative items. Each of the components listed above will be addressed for each identified problem statement. The problem statements contained in the Plan were identified ear- lier in 1991 through Hennepin County Task Forces for each of the Community Health Service program areas. The Task Forces were comprised of representatives from area hospitals, cities, local advisory committees, professional groups, public health staff and the general public. David Velde highlighted the following problem areas for the Committee: * Decrease incidents of Hepatitis B by offering vaccinations for populations at risk such as police, paramedics and health care workers. * Reduce the occurrence of vaccine preventable diseases especially among the Southeast Asian population within our communities. * The Tri-City HIV Task Force will continue to exist as an emergency resource for the community. The Task Force will be activated when a situation arises that needs additional resources to respond to concerns from the public. * The Public Health Center will continue to provide staff for SHIELD, a program that provides services for children with potentially handicapping conditions. The number of referrals to this program in Edina has doubled from 17 in 1989 to 34 in 1990. The cost for this program is covered by the School District. * The Public Health Center will continue to provide low cost consultation services to day cares in the three cities. These services will be charged to the day care centers. i * The Public Health Center will continue to provide family planning services to area residents through a grant obtained from the Minnesota Department of Health. * The Public Health staff will provide dental health education to new parents as part of the new baby visit. 4 * The Public Health Center will implement a block nurse program at the senior high-rise buildings. * The use of automatic defibrillators for first responders during medical emergencies will be investigated. * Licensed food establishments will be offered a license fee reduction if they have an employee on duty who has been trained in safe food handling procedures. * The City will continue to monitor public water supplies for chemical contamination. * The Health Department will develop and utilize a team of health professionals to address unsanitary house complaints. * The Health Department will participate in efforts to reduce air pollution from automobiles by encouraging car pooling. The Committee was generally critical of the wording contained in the County-wide Needs Assessment. The Goal Statements and Year 2000 Objectives for some of the problem statements were not clearly written,. David Velde informed the Committee that a public hearing will be held in August, 1991 for the proposed Community Health Services Plan. The comments from the public hearing will be incorporated into the final plan after which it will be brought back to the Committee for a recommendation to the City Council. B. 1992-1993 Maternal and Child Health Grant. David Velde asked the Committee for volunteers to participate on the Maternal and Child Health Grant Task Force. The Task Force will meet three times to review and evaluate grant applications for this grant. Bob Wilkins and Audrey Runyan offered to serve on the Task Force. I III. ADJOURNMENT: i The Committee adjourned at 9: 15 P.M. i f I I MINUTES OF THE EDINA COMMUNITY HEALTH SERVICES ADVISORY COMMITTEE MEETING HELD ON SEPTEMBER 19, 1991, AT 7:30 P.M. EDINA CITY HALL, BUILDING DEPARTMENT CONFERENCE ROOM MEMBERS PRESENT: Robert Wilkins, Vice Chair; Sally Tang; David Rosenblatt; Patricia Smith; Eileen Cooke; and Audrey Runyan MEMBERS ABSENT: Matthew Peterson, Dr. Douglas Lambert, Pam Moody, and Spencer Turner OTHERS PRESENT: Berit Peterson, Edina School Health Service Coordinator and David Velde, Edina Community Health Services Administrator I. APPROVAL OF THE MINUTES: Sally Tang offered a motion to approve the June 20, 1991, meeting minutes. Eileen Cooke offered a second to the motion. All voted aye; motion carried. II. REPORTS: i �. A. Community Health Services Plan Recommendation David Velde informed the committee that public hearings were held for the 1992-1995 Community Health Services Plan' on July 30, 1991, and August 6, 1991. The public hearings included the Community Health Services plans for Hennepin County, Minneapolis, Edina, Bloomington and Richfield. No substantive changes were made as a result of the public hearings. The Edina Plan will go before the Edina City Council on September 23, 1991, for their action, pending the committees recommendation. Mr. Velde stated that Edina will receive $113, 620 from the Minnesota Department of Health in community health services subsidy for 1992 and 1993. The subsidy funding for 1994 and 1995 will be determined at a later date. Mr. Velde advised the Committee that the contract with Bloomington for nursing services is expected to be $127,904 for 1992 , which is a 3% increase over the 1991 contract. Mr. Velde informed the Committee that the Plan incorporates an Index to Methods located toward the back of the Plan. This index is used to identify specific methods which will be used to address the priority problems identified during the community assessment. �--' 1 After general discussion about the Plan, Mr. Wilkins asked for a motion to recommend approval of the 1992-1995 Community Health Services Plan. Eileen Cooke offered a motion recommending the Edina City Council approve the 1992-1995 CHS Plan. Audrey Runyan offered a second to the motion. All voted aye; motion carried. B. 1992 BLOOMINGTON PUBLIC HEALTH NURSING CONTRACT: Mr. Velde informed the Committee that the 1992 nursing contract is being proposed for a 3% increase over 1991. Mr. Velde stated that Bloomington has been advised about this increase. The City Council has not yet adopted the 1992 Budget but is expected to adopt a budget in November 1992 . The nursing contract will be brought back to the Committee when the budget has been adopted for your consideration. Mr. Rosenblatt stated that a 3% increase may not be enough to maintain the present level of service. Mr. Velde indicated that some service may need to be cut to come in on budget. Mr. Wilkins indicated that the Committee should be informed about any proposed cuts in service. i Mr. Rosenblatt added that he would want to know the impact of any cuts in service by Bloomington. Eileen Cooke asked which area would most likely be cut. David Velde suggested scaling back on the number of Home Health visits to each client or perhaps eliminate certain types of health promotion home visits. Mr. Wilkins was concerned that if funding is cut the committee would not have enough time to analyze the proposed cuts and argue their case for reinstatement of funding for these services. David Velde indicated that the committee would have the month of December and perhaps part of November to consider this issue. C. MATERNAL AND CHILD HEALTH GRANT: David Velde reported that Edina, Bloomington, and Richfield had applied for an MCH Grant for 1992-193 . The three cities will receive $125, 000 for 1992 and $130, 000 for 1993 . These grant funds will be used to improve pregnancy outcomes for low income pregnant women. A majority of the grant funds will be used by the Bloomington nurse services to enhance their existing program and $8, 000 will be allocated to other agencies to support their services to the targeted population. �-' 2 Mr. Velde stated that Audrey Runyan and Robert wilkins served on the task force which decided the allocation of the grant funds. III. OTHER BUSINESS: Berit Peterson offered to report on the school district health services. Ms. Peterson informed the Committee that there has been an increase in services to children with handicapping conditions. This is due to the effort to place children with these conditions in the mainstream at school. This is placing a heavier burden on the staff at school because of the wide array of medical procedures involved at different school buildings along with the need to be aware of specific cautionary restrictions for some students, such as an order to not resuscitate. I Another problem which seems to be getting worse is the j increase in school children with asthma. Presently, the school district has more than 200 pupils with asthma. Ms. Peterson said that they are also providing more medication to pupils, for example, in the six years she has been with the district the number of pupils coming into the health office has increased from 4, 000 to ! 11, 000 visits. Ms. Peterson said that one recess at the elementary school level was eliminated last year. Data from the previous school year indicated that 44% of the accident reports occurred during recess. �., The elimination of the recess reduced the accident reports to 32% related to playground. IV. ADJOURNMENT: The meeting was adjourned at 8:45 p.m. 3 MINUTES OF THE EDINA COMMUNITY HEALTH SERVICES ADVISORY COMMITTEE MEETING HELD ON NOVEMBER 21, 1991, AT 7:30 P.M. , EDINA CITY HALL, MANAGER'S CONFERENCE ROOM MEMBERS PRESENT Robert Wilkins, Vice Chair; Eileen Cooke; Dr. Douglas Lambert; David Rosenblatt; Audrey Runyan, Patricia Smith; and Sally Tang MEMBERS ABSENT: Matthew Peterson and Pam Moody OTHERS PRESENT: Berit Peterson, Edina School District Health Services Coordinator; Jeanne Massey, Executive Director of South Hennepin Human Services Council; and David Velde, Edina Community Health Services Administrator I. APPROVAL OF THE MINUTES: Eileen Cooker offered a motion to approve the September 19, 1991, minutes as corrected. David Rosenblatt offered a second to the motion. All voted aye; motion carried. II. REPORTS: A. South Hennepin Human Services Council. Jeanne Massey, Executive Director of the South Hennepin Human Services Council attended the meeting to inform the committee about the reorganization of the council and its future role in the community. Ms. Massey informed the committee that the South Hennepin Human Services Council consists of an Executive Board which is comprised by the City Managers from Edina, Eden Prairie, Bloomington and Richfield. The Organization includes a Regional Citizen Advisory Commission which includes two representatives from city advisory bodies and a city council member from each of the four cities. A staff member from each city has been designated as a liaison to channel information between the council and the cities. City councils from the four cities will have oversight responsibilities for the councils activities. At this time, the two advisory commission members serving on the South Hennepin Human Services Council for Edina are members of the Edina Human Relations Commission. In the future, one of these position will be filled by a member of the Edina Community Health Services Advisory Committee. The Council is funded by the four communities serviced, Hennepin County and various grants which may be available. The Budget for 1992 is proposed to be $120,000 which will support two planners, planning aides and clerical staff. Ms. Massey stated that the agency has been in existence for about twenty years and over time it became a provider of human services. This reorganization will help steer the council toward a research and planning agency. The identified services will be spun off to outside agencies. The first task of the council will be to undertake a comprehensive needs study. At the same time the agency will be focusing on child care as a priority issue for 1992 . i The issues surrounding child care will include availability, E special needs, sick care and scheduling flexibility to name a few. Ms. Massey indicated that the South Hennepin Human Services Council workplan will be presented to the committee in the future and that issues which arise as time goes on will be shared with the committee. B. Public Health Nursing Services Contract David Velde informed the committee that the city council has not adopted the 1992 budget as of this date. At this time the department is proposing a 2% increase in contract cost for 1992 with Bloomington. In discussions with Bloomington the proposed increase is in line with their projected costs and it appears that there will be no reduction in services if the contract is awarded at $127,904 .00. Mr. Wilkins indicated that the committee should review any proposed cuts in service if contract is not awarded as proposed. Eileen Cooke offered a motion recommending approval of the 1992 Public Health Nursing Serviced Contract with Bloomington as proposed by the Health Department. Audrey Runyan offered a second to the motion. All voted aye; motion carried. C. Childhood Lead Poisoning David Velde informed the committee that the Center for Disease Control (CDC) lowered the action level for blood lead levels in children. At this time, it is uncertain what impact this will have on local health departments. This action by CDC could increase the number of children identified as poisoned by lead, which would increase the need for public health intervention. This would be especially true for environmental home assessments for the lead source. David Velde stated that there is no need for action at this point, but he wanted the committee to be aware of this potential issue. Mr. Velde will keep the committee informed on this issue. �` III. ADJOURNMENT The meeting was adjourned at 9: 00 p.m. David A. Velde I I R