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HomeMy WebLinkAbout1990 Community Health Commission Minutes i A G E N D A EDINA COMMUNITY HEALTH SERVICES ADVISORY COMMITTEE MEETING, THURSDAY, APRIL 12, 1990, 7:30 P.M. , EDINA CITY HALL MANAGER'S CONFERENCE ROOM I. ROLL CALL: II. APPROVAL OF THE MINUTES: December 12, 1989 III. INTRODUCTION OF NEW MEMBERS IV. REPORTS: A. Proposed ban on cigarette sales by Vending Machines - David velde B. State CHS Advisory Committee - Mathew Peterson C. Tri City HIV Coalition - Virginia McCollister V. Election of Chair and Vice Chair For 1990 VI. 1990 Meeting Schedule VII. ADJOURNMENT: L I "1 I L MINUTES OF THE EDINA COMMUNITY HEALTH SERVICES ADVISORY COMMITTEE MEETING HELD ON APRIL 12, 1990, AT 7:30 P.M. EDINA CITY HALL MANAGER'S CONFERENCE ROOM MEMBERS PRESENT: Eileen Cooke, Chair; Matthew Peterson; Virginia McCollister; Robert Wilkins; Sally Tang; Dr. Richard Cohan; Pam Moody; and Spencer Turner MEMBERS ABSENT: Sharon Aadalen, Mary Strazz, and Ann Francis OTHERS PRESENT: Berit Peterson, Edina School District Nurse; Elliott Marston, Edina Health Department Sanitarian; and David Velde, Edina CHS Administrator I. APPROVAL OF THE MINUTES: Sally Tang offered a motion to approve the minutes as presented. Dr. Cohan offered a second to the motion. All voted aye; motion carried. II. REPORTS: A. Proposed Ban on Cigarette Vending Machine David Velde reviewed the Ordinance Amendment which is being prepared to ban the sale of cigarettes in Edina from vending machines. Mr. Wilkins asked whether this ban would affect the sale of other items through vending machines. David Velde said it would only affect the sale of cigarettes. Mr. Wilkins asked how many communities have implemented a ban such as this on cigarette machines. David Velde said he was aware of several other communities who have adopted ordinances restricting or banning vending machine sales of cigarettes. Sally Tang asked whether this ban would be a problem by banning cigarette vending machines when they have just been licensed. David Velde said that there may be some objections, but the city would reimburse the operation pro rasa for the unused portion of the license. Robert Wilkins offered a motion recommending a ban on sales of cigarettes from vending machines in the City of Edina. Eileen Cooke offered a second to the motion. All voted aye; motion carried. B. State CHS Advisory Committee - Matthew Peterson Mr. Peterson reported that at the present time the State Health Department is faced with a threat of about a 6% reduction in funding due to the state shortfall in revenues. This reduction would cause a reduction in their activities and they're working hard to maintain the funding at the present level. Mr. Peterson said he expects to be appointed to the Task Force on Administrative or Legislative matters for the Community Health Services Advisory Committee. Virginia asked whether the cut in funding would affect local community health agencies. I David Velde said that Edina might receive a reduction in CHS subsidy. C. Tri City HIV Coalition - Virginia McCollister Virginia McCollister gave a brief presentation about the history of the Tri City HIV Coalition for the benefit of the new members. i Virginia informed the committee that at the last meeting of the Tr•i City HIV Coalition the steering committee decided that instead of organizing all five task forces, the coalition would concentrate on the component education through the efforts being undertaken in the school district. i i Virginia said the other Task Forces for the Coalition will be formed as the need arises. l I III. Election of Chair and Vice Chair - Eileen Cooke Eileen asked for nomination for chair of the committee for 1990. Sally Tang nominated Virginia McCollister. Robert Wilkins offered a second to the motion. Robert Wilkins nominated Matthew Peterson for vice-chair. Virginia offered a second to the nominations for vice-chair. Robert Wilkins moved that the nominations be closed and that the Committee cast a unanimous ballet for chair and vice chair as presented. All voted aye. Motion carried. IV. 1990 Meeting Schedule: The meeting dates for 1990 were set as follows: June 14, 1990, September 13, 1990, and November 8, 1990. V. OTHER BUSINESS: The Committee decided to invite Kenneth Dragseth to the next meeting to discuss the School Districts Strategic Plan. It was also decided that Gayle Hallin from ,.'� I � i �► the Bloomington Division of Public Health would be invited to discuss the Public Health Nursing Services. Matthew Peterson suggested that the Committee should look at ways they can increase the visibility of public health in the community. After some discussion it was decided to pursue this possibility at future meetings. VI. ADJOURNMENT: The Committee adjourned at 9:00 p.m. i i ii { i i f "1 i MINUTES OF THE EDINA COMMUNITY HEALTH SERVICES ADVISORY COMMITTEE MEETING HELD ON JUNE 14, 1990, AT 7:30 P.M. EDINA CITY HALL LOWER LEVEL CONFERENCE ROOM MEMBERS PRESENT: Virginia McCollister, Chair; Matthew Peterson, Sharon Aadalen; Robert Wilkins; Sally Tang; Ann Francis and Pam Moody i MEMBERS ABSENT: Eileen Cooke; Mary Strazz; Dr. Richard Cohan; and Spencer Turner i OTHERS PRESENT: Jim Parker, Community Health Services Director, Minnesota Department of Health; Gayle Hallin, Bloomington Community Health Administrator; and David Velde, Edina Community Health Administrator € I. APPROVAL OF MINUTES: April 12, 1990 Matthew Peterson offered a motion to approve the minutes as presented. Sharon Aadalen offered a second to the emotion. All voted aye; motion carried. II. REPORTS: A. David Velde reported that Edina, Richfield, and Bloomington have been meeting with representatives from Hennepin County Adult Protection to discuss the increased incidents of garbage houses and vulnerable adults in our communities. These discussions have also included police department representatives from the three communities because they are often the source of the primary referral to the health agency. As a result of these meetings, the three communities plan to establish an investigation team to respond to further reports of garbage houses in the community. Through this team approach we hope to improve the efficiency of our response and expedite the necessary intervention services. The next meeting of this group will be in September at which time we hope to formalize the elements of the investigation team. The Committee asked for a report on this issue at the November meeting. B. Gayle Hallin provided a summary of public health nursing services for 1989 along with brochures which describe the various services available to Edina residents and through the contract with Bloomington. Gayle pointed out that Home Health Care has been one area that traditionally has been of key interest to the advisory committee. Ten years ago, the public health agency was the primary provider of home health care services and the public health agency was heavily funded by Medicare. However, this has changed and now other Home Health Care Services have moved into the Medicare reimbursable market leaving the public health agency with clients who have few resources and no coverage to pay for the services. 1 ,.�� "� i In 1989, Edina had 102 Home Health Clients who received 2,881 visits by Bloomington Home Health Staff. Home Health Aides provided 2,224 of these visits which indicates that a larger portion of the visits were to clients who need a significant amount of help with day to day activities in order for them to remain in their home. Matthew Peterson asked how the clients end up being referred to the Bloomington Division of Public Health for these services. Gayle stated that the primary referral source are neighbors and family members. Gayle then discussed Family Health Activities which she said take about 70% of the whole budget. This area includes Maternal and Child Health Grant, Family Planning Special Project Grant, United Way Grant Funds and the SHEILD program for Edina, Bloomington, Richfield, and Eden Prairie school districts. The SHEILD Program addresses the health needs of children from birth on who have potentially handicapping conditions so they may receive full benefit of an public education. I The SHIELD Program is very challenging in that some of the children in the program have severe physical, emotional or mental problems. Gayle went on to talk about Parenting and Family Dysfunction Activities which include Family Violence referrals. Family Violence crosses all socio economic status lines and are complicated by higher socio-economics status because of the fear of financial loss for a spouse wishing to get out of a violent relationship. Matthew Peterson asked why there was a lower activity level in this area in Edina versus Bloomington. Gayle stated that the Bloomington Police Department -has a history of making the family violence referrals to the Public Health Agency. At the present time, the funding for this program is able to address the current activity level but would not be able to handle a significant increase in reporting. Gayle then discussed Health Promotion and Disease Prevention and Control Activities. This includes chronic and communicable diseases, AIDS intervention, Heart Health Program, Cholesterol Screening, Blood Pressure Screening, and tobacco initiatives. The majority of the time spent on these activities is community action and resource development. In 1989, there were 10 individuals from Edina who sought counseling and support for AIDS/HIV through the staff epidemiologist at Bloomington. The clinic also provides a HIV screening and testing site through the Hennepin County Health Department for the southwest metro area. Gayle mentioned the Tri City HIV coalition which has been active in developing an action plan for responding to HIV infection in the schools and workplace. This will include policy issues and potential needs for services. Matthew Peterson asked whether there was something the Edina CHS Advisory Committee could do to help her improve the service provided to residents of �. Edina. 2 ---. "� I Gayle responded by stating that the committee could serve as a monitor of the community and identify the gaps in services. Mr. Peterson asked if there was a need to improve the marketing of the Public Health Services. Gayle stated that if the number of clients increased substantially they would not be able to respond adequately without an increase in financial resources. Robert Wilkins stated that the Committee could serve as an advocate for public health issues which lack popular support in the community. C. Revenue Shortfalls: Jim Parker Jim Parker told the Committee that in 1989 the legislature increased the Community Health Services subsidy by four million dollars which was the largest increase in funding since 1979. In 1990, the legislature reduced the increase by $500,000.00. The governor had targeted the CHS program for a two million dollar reduction. The legislature also increased the funding for alternative care grants by seven million dollars, so in effect there was an increase in funding for public health service in the state. E Jim Parker observed that state funding is going away from discretionary subsidy programs toward targeted programs. Mr. Parker said the Minnesota Department of Health had $800,000.00 taken out of their budget. However, they did receive increases in program specific areas and come out of the session with about $200,000.00 over the previous fiscal year. Mr. Parker pointed out that the next budget will be a cut in spending that the Department must adhere to. This will be accomplished by not replacing employees who leave the department. Mr. Parker stated that the Department will pursue maintaining the funding level of the CHS subsidy program but they will not seek an increase in CHS funding. Virginia McCollister asked if the legislators understood the impact of the subsidy program. Mr. Parker said that some legislators do, but generally subsidy programs are not trusted because of its discretionary nature at the local level. Mr. Parker said that the department views the CHS subsidy as a shared (state, local) program and that this argument can be supported by the annual reports the local agencies submit to the Department of Health. Mr. Parker said the Department will propose an initiative to improve rural health care in Minnesota. Also, the Department will be proposing a program addressing minority health needs. In addition, the Department will be taking a major role in the prevention of drug abuse. Mr. Parker informed the Committee that the Department is working on several reports, one is on financing of community health services and another is on administering community health services. These reports should be completed in the near future. 3 '\ I �__ III. ADJOURNMENT: The meeting adjourned at 9:45 i 4 ''1 I � � MINUTES OF THE EDINA COMMUNITY HEALTH SERVICES ADVISORY COMMITTEE MEETING, HELD ON SEPTEMBER 14, 1990, AT 7 :30 P.M. , EDINA CITY HALL MANAGERS CONFERENCE ROOM MEMBERS PRESENT: Virginia McCollister, Chair; Sharon Aadalen; Matthew Peterson; Robert Wilkins; Spencer Turner and David Rosenblatt MEMBERS ABSENT: Eileen Cooke, Mary Strazz, Sally Tang, Dr. Richard Cohan, and Pam Moody OTHERS PRESENT: Dr. Kenneth Dragseth, Edina School District; Berit Peterson, Edina School Nurse; and David Velde, Edina Community Health Services Administrator i I. APPROVAL OF THE MINUTES: June 14, 1990 i Matthew Peterson offered a motion to approve the June 14, 1990, j minutes. Sharon Aadalen offered a second to the motion. All voted aye; motion carried. II'. REPORTS: A. 1990 Annual Community Health_ Conference. David Velde reported that he and Eileen Cooke had attended the Annual Community Health Conference on August 22-24 , 1990 at Madden Resort in Brainerd. David Velde advised the Committed that he had attended the State Community Health Services Advisory Committee meeting as Edinas representative. The Committee meeting was shorter than previous years due to the lack of controversial issues. The Committee adopted a mission statement for community health which will be discussed later in the meeting. Several interim reports were accepted by the State committee one of which was a report from the Administrative Work Group. This group will be developing a guide for use by all community health agencies in Minnesota. The final report will be due in 1991. The keynote address for the conference was delivered by Dr. Robert Veninga from the School of Public Health. His address focused on cooperation and trust in an organization. '� i i i David Velde informed the Committee that he had attended five sessions at the conference on environmental health and that the sessions were excellent. B. COMMUNITY HEALTH SERVICE MISSION: David Velde reported that the State Community Health Services Advisory Committee adopted a mission statement at the Community Health Conference. The mission statement reads "The Mission of Community Health Services is to bring people together to create a healthy future for all Minnesotans. " Matthew Peterson noted that the word education was absent from the statement and he thought that education was a key part of their mission. Robert Wilkins thought that the goal of assuring everyone in Minnesota a healthy future was not obtainable. Sharon Aadalen suggested that the statement referring to assuring a healthy future meant that everyone should have the opportunity to attain a healthy life. . Spencer Turner suggested that with more education the people of Minnesota would have a better opportunity to achieve a healthy future by making better choices. The Committee discussed whether a Mission Statement for the Edina Community Health Services Committee would be desirable. The } Committee decided that a review of the by laws and the charge to the would be helpful and asked that those items be distributed for discussion at the next meeting. C. SCHOOL DISTR ICT STRATEGIC PLAN I Dr. Kenneth Dragseth informed the Committee that about 1 1/2 years ago the school district began the strategic planning process because they had realized that there wasn't a central focus for all of their various activities. Dr. Dragseth stated that before the mission statement was developed a statement of beliefs were identified through a group consensus model where all participants agreed to a set of beliefs. From this statement of beliefs, the mission statement was developed and strategic policies were adopted for implementation through a series of action plans and objectives. The action plans encompass all levels of the community such as school, parents, City Council and students. Dr. Dragseth reviewed the action plan with the committee and "ti "1 i i i i highlighted areas where the City of Edina can provide some help. �. One area was in alcohol prevention. The school district has adopted a policy prohibiting the use of alcohol by adults who travel with the team. The City of Edina can help by adopting a similar policy for City sponsored events such as traveling hockey etc. After considerable discussion it was decided that the Committee would adopt a resolution supporting the concept of no alcohol during City sponsored youth sport events. Matthew Peterson offered a motion supporting the strategic plan as adopted by the Edina School District and specifically encouraging the City of Edina to address the elements within the plan concerning the consumption of alcohol by coaches and chaperons during city sponsored events for Edina youth. Sharon Aadalen offered a second to the motion. All voted aye; motion carried. D. SCHOOL HEALTH ACTIVITIES: Berit Peterson reviewed an annual report of the Edina School District Health Services for the last school year. There were three deaths in the school system and crisis response teams were assembled to address the needs of the students during these times �II of crisis. f During the year 3300 student visits were seen at the health office, for minor first aid, 9500 students were seen for illness, 8400 student contacts were for medications. Strep throat and chicken pox were' the most common communicable disease observed by the health services staff and 99 .94% of the students are current with their immunizations. - Of all students screened for vision, 7% were refereed for further evaluation, 2% were referred for further hearing evaluations and 6% were referred for scoliosis. Berit noted that they are seeing more students in the school needing professional attention and the district has hired another licensed school nurse. The extra nurse will be placed at the high school where the special education students are located. In addition, there is an increase in high school students with eating disorders ad pregnant teens which can be addressed by the nurse located in the building. Berit informed the Committee that another licensed nurse will be hired to help serve students at the kindergarten level where there are two students requiring special nursing procedures. Berit stated that they are monitoring accident reports with other districts to determine whether there are any predominant injuries r "1 j i i occurring in the schools or if there are general trends in �.. injuries. E. 1992-93 COMMUNITY HEALTH SERVICES PLAIN: David Velde informed the Committee that we will begin the next planning process by developing a community assessment in conjunction with other agencies in Hennepin County. By mid November it is hoped that we can form seven committees to assess the needs in the following program areas: Home Health Family Health Disease Prevention and Control Emergency Medical Services Environmental Health Health Promotion Health Systems Virginia McCollister asked whether there would be enough openings for our committee members to participate. David Velde said that it was hoped that each program area would have one member from each of the agency advisory committees in Hennepin County. Virginia McCollister asked that more information be provided about the community assessment committees and that each advisory committee member give this some thought before the next meeting and volunteer to serve on one of the planning committees. The meeting was adjourned at 9: 15 p.m. ..-�.� I