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HomeMy WebLinkAbout1988 Community Health Commission Minutes A G E N D A EDINA COMMUNITY AND HEALTH SERVICES ADVISORY COMMITTEE HELD ON THURSDAY, APRIL 28, 1988 AT 7:30 P.M. EDINA CITY HALL, MANAGER'S CONFERENCE ROOM I. ROLL CALL: II. INTRODUCTION OF NEW MEMBER: III. APPROVAL OF THE MINUTES: September 2, 1988 IV. REPORTS: A. Evaluation Task Force - Holly Branch B. Tri City AIDS Task Force - David Velde C. State CHS Advisory Committee - Virginia McCollister V. ELECTION OF OFFICERS: VI. OTHER BUSINESS: VII. ADJOURNMENT: °"'! I i I i MINUTES OF THE EDINA COMMUNITY HEALTH SERVICES ADVISORY COMMITTEE MEETING HELD ON APRIL 28, 1988 AT 7:30 P.M. EDINA CITY HALL MANAGERS CONFERENCE ROOM MEMBERS PRESENT: Dr. Walter Wilder, Chair; Sharon Aadalen; Holly Branch; Virginia McCollister; Sally Tang, ; Silas Weir; and Thomas Orth MEMBERS ABSENT: Effie McKerson, Eileen Cooke, and James Hansen OTHERS PRESENT: Berit Peterson, Edina Public Schools Nurse; Colleen Paulus, Edina Health Department; and David Velde, Edina CHS Administrator I. APPROVAL OF THE MINUTES: September 2, 1987 Virginia McCollister offered a motion to approve the September 2, 1987 minutes as presented. Sally Tang offered a second to the motion. All voted aye; motion carried. II. REPORTS: A. Evaluation Task Force Holly Branch told the committee that after several meetings of the Task Force and after reviewing the evaluation tools presently in use at the Bloomington Division of Public Health, the Task Force came to the following conclusions: 1. A member of the Edina CHS Advisory Committee should serve on the client record review team to become more familiar with the services provided by the contract with Bloomington. 2. The Edina CHS Advisory Committee should set aside time on the agenda at each meeting for a representative from the health services to discuss the various health activities which are taking place in the community. After considerable discussion the committee decided to pursue the recommendations of the Evaluation Task Force. B. Aids Task Force David Velde informed the Committee that Edina, Richfield and Bloomington have formed a Task Force to address the issue of AIDS in the community. The Task Force has been named the Tri City HIV coalition and is represented by one staff person and two advisory committee members from each of the three communities. The HIV coalition will establish a directory of community resources for HIV/AIDS issues and will serve as a focal point for education and needs assessments in the three communities. i i i i i i i 1 I i I i The coalition will form task forces to pursue the various issues which will be identified in the future. These issues could include funding, public policy, and education to name a few. The chair of these task forces will become a member of the coalition. The purpose of the HIV coalition will be to provide a coordinated- effort in responding to the HIV/AIDS disease in the community in a responsible manner. 3. State CHS Advisory Committee Virginia McCollister reported that the Community Health Services Act underwent considerable revisions in 1987. One of the revisions removed the statutory requirement of no more than 3 consecutive two year terms for advisory committee members. The length of CHS Advisory Committee Membership can now be established locally and the Committee might want to consider this in the future. Virginia informed the Committee that the State CHS Advisory Committee has formed a Task Force to help identify ways the local health agencies can address the HIV/AIDS problem in the community. Virginia said that the Department of Health will be increasing the subsidy allocation to local health agencies in 1990. Virginia advised the Committee that additional funding has been made available for children age 1 to 6 under a program called Right Start. This program targets working poor families. This program is administered through the Department of Human Services. III. ELECTION OF OFFICERS: Virginia McCollister offered a motion to elect Dr. Wilder as chair of the Advisory Committee for 1988. Sharon Aadalen seconded the motion. All voted aye; motion carried. Sharon Aadalen offered a motion nominating Effie McKerson as Vice Chair. Virginia McCollister offered a second to the motion. All voted aye; motion carried. IV. OTHER BUSINESS David Velde suggested that the Committee set the next three meetings for this year. This will give everyone an opportunity to plan their schedules in advance. The Committee set the next meetings as follows: July 21, 1988, September 15 1988 and November 17, 1988. Berit Peterson gave a report on the School Health Activities during the year. Over one hundred and fifty students are known to have a history of, asthma. Fifteen students had a diagnosis of diabetes. Forty students are on daily medications, most of which were Ritalin. Fifty medications were i i i I .-.` i i i I i i f administered for short term treatments to a presently undetermined number of students. In addition, many procedures were performed on a daily basis throughout the year. The immunization status of the students was 99.6% complete in October. It is difficult toattain 100% compliance due to migration of students. Each of the public schools have a CPR team. These teams will participate in annual refresher training. More school bus drivers are being trained in first aid. Presently the school has eleven full time health aides and three substitutes. Berit sees that the nursing needs in the school are increasing which may require additional professional help. V. ADJOURNMENT The meeting was adjourned at 9:30 p.m. i '�.. �. i i i i I i I `.. MINUTES OF THE EDINA COMMUNITY HEALTH SERVICES ADVISORY COMMITTEE MEETING HELD ON JULY 21, 1988, AT 7:30 P.M. EDINA CITY HALL MANAGER'S CONFERENCE ROOM MEMBERS PRESENT: Dr. Walter Wilder, Chair; Eileen Cooke; James Hanson; Sally Tang; Dr. Richard Cohan; and Silas Weir MEMBERS ABSENT: Sharon Aadalen; Holly Branch; Virginia McCollister; Effie McKerson; and Thomas Orth OTHERS PRESENT: Peggy Kelly, Edina City Council Liason; Audrey Wagner and Patty Rickheim, Bloomington Division of Public Health; Colleen Paulus, Edina Health Department; and David Velde, Edina CHS Administrator I. APPROVAL OF THE MINUTES: April 28, 1988 Sally Tang offered a motion to approve the minutes of April 28, 1988. Jim Hanson offered a second to this motion. All voted aye; motion carried. II. REPORTS: A. Tri City HIV Coalition David Velde reported that the Tri City HIV Coalition has been meeting regularly to develop an action plan which will address the HIV/AIDS issues in the communities of Edina, Bloomington and Richfield. The coalition has tentatively planned a HIV Forum which will be held on a Saturday morning in February or March 1989. The Forum is intended to provide information about HIV/AIDS for local public officials such as City Council and School Board members of the three communities, civic leaders and CHS advisory committee members. B. Bloomington Home Health Care Report Audrey Wagner and Patty Rickheim from the Bloomington Division of Public Health were present to inform the Committee about services which are provided by contract in Edina. Audrey Wagner began by discussing the Pre-admission Screening/Alternative Care Grant Program which has been implemented in Hennepin County. This is a state program which was started in 1980 because of the high usage of nursing homes in the state which was costly to the state because many of the patients were on Medical Assistance. With this service, a person who has applied for admission to a nursing home or someone who is in a nursing home and is at or near 180 days of becoming eligible for medical assistance is evaluated to determine whether it would be more appropriate to remain at home with some limited home care services. These services are limited to home health aides, homemaker services, adult foster care, adult day care, respite care and case management. This assessment is i II �I I f performed by Hennepin County and it is more cost effective then the nursing home. A plan of care is established if the patient accepts it. Bloomington provides the home health aide-homemaker services as one of the eight providers in Hennepin County. Audrey said that this service is growing rapidly and that Bloomington has added home health aide and homemaker staff to address the need for these services. As of this date, the program has been paying its own way and they intend to contain the program costs and avoid placing a burden on local tax dollars. Audrey believes that this is a valuable service to the residents of the community. She hopes that the availability of state funds will be forth coming to more adequately cover related program costs. Audrey stated that 46% of the hours provided in this program was to Edina residents. Patty Rickheim, stated that she has worked for the Bloomington Division of Public Health as a part time home health nurse for two years. She has had about 20 to 30 clients in Edina during this period of time. The clients are elderly, have been referred to them by Veterans Administration, other hospitals or other individuals. The needs of the client range from personal care such as baths to assistance with dressing changes or catheter irrigation. One patient, who is 99 years old, was taking a bus downtown for catheter change and irrigation. The public health service believed that the bus trip downtown for this procedure was not appropriate and began performing this procedure in the clients home. In this case, Medicare will pay for the nurse visit to change the catheter. Medicare will not pay for the ongoing irrigation of the catheter so the client pays for this based on his ability to pay. In another case, the nursing service had been providing home care to a patient for several years and the client joined an HMO. The HMO did not contract with Bloomington for the provision of Home Health Aide services yet wanted Bloomington to continue with the services on a sliding fee scale. As a result, when the aide made her visits, the client would identify needed services that the HMO would not pay for and the client was told to contact the home nursing provider. This tended to fragment the delivery of needed services. This situation frustrates both the client and the provider. Another example of a trend that has been noticed in the community is an older daughter taking care of an elderly mother. For example, presently the Bloomington Department has a case where a 77 year old daughter is taking of her mother who is in her 90's. C. Committee Membership Terms David Velde advised the Committee that the Community Health Service Act was changed in 1987 and the present statute states that an advisory committee must establish their own terms of membership. Presently the committee by-laws state that no member may serve more than 3 consecutive two year terms. Edina City Ordinance restricts length of membership on any Board or Commission to 12 years. L '\ I i �.- Dr. Walter Wilder stated that he had no strong feelings either way and that if someone wishes to change the length of membership they should offer a motion at the next meeting. III. Announcements David Velde reminded the committee about the Annual Community Health Conference coming up on August 24, 1988 at Maddens Resort in Brainard, Minnesota. The deadline for registration is July 24, 1988 and any member interested in going should get a copy of the registration material to David as soon as possible. Virginia McCollister and David Velde will be attending the conference. IV. Other Business Silas Weir asked whether the Committee is routinely updated about the health status of the community. Mr. Velde responded that every two years as part of the CHS planning process a community needs assessment is conducted. This information is shared with members of the Committee. V. Adj ournment Eileen Cooke moved for adjournment. I i i MINUTES OF THE EDINA COMMUNITY HEALTH SERVICES ADVISORY COMMITTEE MEETING HELD ON THURSDAY, SEPTEMBER 22, 1988 AT 7:30 P.M. EDINA CITY HALL MANAGERS CONFERENCE ROOM MEMBERS PRESENT: Dr. Walter Wilder, Chair; Virginia McCollister; Effie McKerson; Eileen Cooke; James Hansen; Sally Tang; and Thomas Orth MEMBERS ABSENT: Sharon Aadalen; Holly Branch; Silas Weir; and Dr. Richard Cohan OTHER PRESENT: Peggy Kelly, Edina City Council Liason; Lynn Wetherbee, Bloomington Division of Public Health; Berit Peterson, Edina Public Schools Nurse; Colleen Paulus and David Velde, Edina Health Department I. APPROVAL OF THE MINUTES: Effie McKerson offered a motion to approve the July 21, 1988 minutes as presented. Eileen Cooke offered a second to the motion. All voted aye; motion carried. II. REPORTS: A. Bloomington Health Services: Lynn Wetherbee, Family Health Coordinator for the Bloomington Division of Public Health, was present to discuss the various clinic programs offered by the Division of Health. Lynn reported on a 1987 audit of the child and youth clinics. This was a financial audit to determine whether the clinic is serving the appropriate target population. In this case, the target population is families who are the working poor. The average family size for the clinic was 4.36 members. The average income of the clients was $16,800 annually. Nine Edina families utilize the Child and Youth Clinic. The average income of the Edina residents utilizing the clinic was $21,398. The average fee paid by the Edina clients was $14.66. Based on this audit the Child and Youth Clinic is meeting its objective of serving the working poor. The Child and Youth Clinic provides sport physicals, developmental testing and referral and followup. The clinic also has a Maternal and Child Health fund that can be utilized by clients who need to see a specialist. The fund will pay up to 50% of the specialist fee if the client demonstrates they are unable to pay the full fee. In 1987 there was a total of 721 Child and Youth Clinic visits. The projected volume for 1988 will be well above the 1987 total. i i I I i I i i I I w i i f Seventy five percent of their clinic referrals for abnormality in a childs development are confirmed by a physician. This means the clinic is identifying the abnormalities. Transportation to the clinic has been identified as a problem. VEAP has been helping with transportation but more needs to be done. Another program offered through the Nursing Service is WIC (Women Infant Children) a nutrition supplement program. WIC provides milk, eggs, cheese, and cereal for children and formula for one year for infants. This program has helped many families with their nutritional needs. This program targets the working poor population. Participation in the WIC program has increased significantly. In 1981 the WIC program had 3,222 clinic visits. The projected 1988 volume is over 5,000 clinic visits. The WIC program utilizes the clinic visits to educate the clients about nutrition, low budget meal preparation and other health related outreach activities. The WIC program normally has 100 people on the waiting list. The need for the program is out there. The next clinic Lynn discussed was Family Planning. Participation in this clinic has declined somewhat. In 1987, they had 3,051 clinic visits and they are projecting 2,000 visits in 1988. Bloomington residents account for 68% of the clients, Edina, 4%; Richfield 13%; and 15% are outside these three communities. Sixty five percent of the clients are over 20 years old. This program is funded by Maternal and Child Health grants and Family Planning grants. The last program discussed is a joint effort by Edina, Eden Prairie, Bloomington and Richfield called SHIELD (South Hennepin Interagency Early Learning and Development) . this program is a multidisciplinary approach to help children who have been identified as having a handicapping condition or are experiencing developmental delay. SHIELD integrates the services of public health agencies, community services and early childhood family center to provide intervention to help the child or infant develop physical, intellectual and social skills. Funding for SHIELD is through the Maternal and Child Health Grant and Hennepin County. No Community Health Services funds are used for SHIELD. The Bloomington Division of Public Health is the lead agency for SHIELD. Since March, 1988, forty two clients have been referred to Shield. Three clients are from Edina. B. Annual Community Health Conferences: Virginia McCollister and David Velde attended the conference in Brainard August 1988. In addition to the educational sessions, the State CHS Advisory Committee met and acted upon recommendations of their Task Forces. \.r i ', i The HIV Task Force recommendations included a possible funding formula for distribution of grant money to local Boards of Health. The formula requires a 25% match of funds by local agencies. If the HIV Grant is funded, Edina would receive between $18,551 and $29,577 to develop and implement HIV programs which address educating the general population. i The statewide goals have been modified and the local Boards of Health will need to address these goals in future plans. David Velde will mail the modified goals to the committee members. C. Tri City HIV Coalition David Velde reminded the committee that the coalition is in the process of planning the Winter Forum on HIV. The Forum will focus on developing HIV awareness among community leaders. The coalition has contacted several foundations asking for funding of the HIV coalition initiative. To date, the response has been negative. The coalition will continue to request funds from various foundations as the programs are developed. III. OTHER BUSINESS: David Velde passed out an informational sheet on Radon in homes. Radon has been found in homes in Minnesota at levels above the suggested EPA guidelines. In a recent Minnesota Department of Health Survey, six homes in Edina were tested. The levels of Radon in the homes ranged from 0.9 pCi/l to 16.5 pCi/l. The EPA action level is 4 pCi/l. The Health Department has requested funding for 10 Radon kits to be installed in homes in Edina. This data would be used to further determine the Radon problem in Edina. The City Council has referred this to the Advisory Committee for their recommendation. Eileen Cooke offered a motion recommending a City Council approval of $250.00 for purchasing Radon test kits for random home sampling. Effie McKerson offered a second to the motion. All voted aye; motion carried. IV. ADJOURNMENT: The meeting was adjounred at 9:10 p.m. '"'1 � � MINUTES OF THE EDINA COMMUNITY HEALTH SERVICES ADVISORY COMMITTEE MEETING HELD ON THURSDAY, NOVEMBER 17, 1988 AT 7:30 P.M. EDINA CITY HALL, MANAGERS CONFERENCE ROOM MEMBERS PRESENT: Dr. Walter Wilder, Chair; Holly Branch; Sharon Aadalen; Eileen Cooke; Sally Tang; Silas Weir; and Dr. Richard Cohan MEMBERS ABSENT: Virginia McCollister; Effie Mckerson; James Hansen and Thomas Orth OTHERS PRESENT: Colleen Paulus and David Velde, Edina Health Department I. APPROVAL OF THE MINUTES: Sally Tang offered a motion to approve the September 22, 1988 minutes. Eileen Cooke offered a second to the motion. All voted aye. Motion carried. II. REPORTS: A. Tri City HIV Coalition: David Velde informed the Committee that the Tri City HIV Coalition Forum will be held on February 11, 1989 at the Richfield Community Center from 8:30 a.m. to 12:30 p.m. Dr. Michael Osterholm from the Minnesota Department of Health will be the guest speaker. The Coalition will be inviting members of the City Council from each community along with School Board Members, Advisory Committee Members, South Hennepin Human Services Council Board Members, State Legislators and County Commissioners representing the three cities. The invitations will be mailed during the last week of November. B. HIV/AIDS Epidemiology: The Committee viewed a video tape of the Epidemiology of AIDS which was presented at a Minnesota Department of Health Conference in March 1988. III. ADJOURNMENT: The meeting was adjourned at 9:15 p.m. O i {I 1 I 1 i