HomeMy WebLinkAbout1986 Community Health Commission Minutes A G E N D A
EDINA HEALTH ADVISORY COMMITTEE MEETING
WEDNESDAY, 'JANUARY 29, 1986, AT 7:30 P.M.
EDINA CITY HALL, MANAGERS CONFERENCE ROOM
I. Report on Status of Committee Membership
A. Identification of Potential New Members
II. Election of Officers
III. Discussion of 1986 Work plan
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* PLEASE CALL ME IF YOU CANNOT ATTEND - 927-8861, extension #264
MINUTES OF THE EDINA HEALTH ADVISORY COMMITTEE
MEETING
WEDNESDAY, JANUARY 29, 1986 , AT 7 : 30 P.M.
EDINA CITY HALL MANAGER' S CONFERENCE ROOM
MEMBERS PRESENT: Sharon Aadalen, James Hansen, Eileen
Cooke, Virginia McCollister, Holly
Branch and City Council Liason Peggy
Kelly
MEMBERS ABSENT: Dr . Walter Wilder , Effie McKerson
STAFF PRESENT: David Velde
OTHERS PRESENT: Barbara Clayman
I. APPROVAL OF MINUTES; AUGUST 29, 1985:
The approval of the August minutes will be tabled until
the next meeting of the Committee.
II . NOMINATION OF OFFICERS;
Virginia McCollister nominated Sharon Aadalen for Chair
of the Edina Health Advisory Committee. Jim Hansen offered
a second to the motion. All voted aye; motion carried.
Virginia McColister then nominated Jim Hansen for vice-
chair of the Committee. Holly Branch offered a second to
the motion. All voted aye; motion carried.
III . 1986 WORKPLAN;
Sharon Aadalen indicated that she hoped the committee
could utilize task forces and work groups during this year
to study various issues and report back to the committee.
This would help reduce the number of meetings of the full
committee. Sharon Aadalen also stated that perhaps a
calendar could be sent out to the committee members to help
determine a convenient meeting time for the members.
The following subjects were offered as possible study areas
for 1986 .
* Edina City Council community survey
-Care of Senior Citizens in the community
-Assessment of BPHNS Service Contract
* Environment
-Abandoned wells
`- -Nuclear waste site
-Leaking underground storage tanks
* Health Promotion/Disease Prevention
-Family Health
-School Health
-Chemical Dependency
* Committee Coordination with Human Relations
Commission
The discussion turned toward processing these subject
areas during our next meeting where the committee should be
represented with the newly appointed members. It was
suggested that a mailing preceed the next meeting to inform
all members of the subject areas and that they should be
prepared to help in setting priorities for the 1986
committee work plan.
State Community Health Services Advisory Committee
David Velde reported that the CHS subsidy fund has been
reduced by 3 1/2a. This will probably mean a reduction to
Edina, but it is not clear what the final dollar amount will
be.
IV. ADJOURNMENT
The meeting adjourned at 9 : 30 p.m.
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A G E N D A
EDINA COMMUNITY HEALTH SERVICES ADVISORY
COMMITTEE MEETING
WEDNESDAY, MAY 7, 1986, AT 7:30 P.M.
EDINA CITY HALL MANAGERS CONFERENCE ROOM
I. ROLLCALL: Committee Members Introductions
II. APPROVAL OF MINUTES: August 28, 1985 and January 29, 1986
III. HENNEPIN COUNTYWIDE TASK FORCE REPORTS:
A. Introduction - Sharon Aadalen, David Velde
B. Legislation —Barbara Clayman
C. Home Health - Virginia McCollister
D. Environment - James Hansen
E. Maternal and Child Health - Betty Stinnet
F. Occupational Health - Charles Podas
IV. 1986 WORKPLAN: Sharon Aadalen
A. Edina City Council Community Survey
-Care of senior citizens in the community
-Assessment of BPHNS Service Contract
B. Environment
-Abandoned wells
--Nuclear waste site
-Leaking underground storage tanks
C. Health Promotion/Disease Prevention
-Family Health
-School Health
-Chemical Dependency
D. Committee Coordination with Human Relations Commission
E. Advisory Committee Bylaws
V. ADJOURNMENT 9
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MINUTES OF THE EDINA HEALTH ADVISORY COMMITTEE
MEETING
WEDNESDAY, MAY 7, 1986 , at 7 : 30 P.M.
EDINA CITY HALL RECEPTION CONFERENCE ROOM
MEMBERS PRESENT: Sharon Aadalen, Eileen Cooke, James
Hansen, Virginia McCollister, Effie
McKerson, Thomas Orth and Dr. Walter
Wilder
MEMBERS ABSENT: Holly Branch, Barbara Clayman, Charles
Podas, Betty Stinnet and City Council
Liaison Peggy Kelly.
OTHERS PRESENT: Berit Peterson, Edina School District
Nurse and David Velde, Edina CHS
Administrator
I . APPROVAL OF MINUTES:
August 28 , 1985 and January 29, 1986
Effie McKerson offered a motion to approve the minutes
of August 28, 1986. Eileen Cooked offered a second to the
motion. All voted aye; motion carried.
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Eileen Cooke offered a motion to approve the minutes of
January 29 , 1986 . Effie McKerson offered a second to the
motion. All voted aye; motion carried.
II . Hennepin County Task Force Reports
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Sharon Aadalen informed the committee that the County
wide goals task forces have begun meeting to establish an
unprecedented level of cooperation between Hennepin County
and the Municipal Health Agencies in Hennepin County. These
task forces are comprised of members from each of the
advisory committees in Hennepin County and will identify
issues in five subject areas for cooperative action within
the county. These areas are: legislation; home health;
environment; maternal and child health and occupational
health.
Legislation e Barbara Clayman who is on this committee
was not present but had related to Sharon that if anyone had
a suggestion for the committee they should contact her with
their issue or concern.
Home Health e Virginia McCollister said that the Home
Health Task Force is looking at regulation and licensure of
Home Health agencies in Minnesota. Effie McKerson wondered
whether the regulation and licensure process
would address the competency of those employed for Home
Health Care. Sharon Aadalen stated that the proposal by the
Minnesota Department of Health included criteria for the
qualifications of the Home Health workers. Sharon Aadalen
also indicated that there is a concern about home health
licensure among small groups of home health care providers.
Some home health care workers have formed into groups of
four or five nurses who jointly care for a homebound
patient. Licensing of home health care agencies may have a
negative impact on these small coalitions of nurses
providing home care. It was suggested that the Task Force
look at the proposed regulations with the thought of
establishing different license categories recognizing the
different organizational structures of the home health
agencies.
Environment a Jim Hansen reported that the Task Force
has met twice to date and are still in the process of
identifying environmental issues facing the community. So
far, the issues suggested are: underground storage tanks,
groundwater contamination, lead exposure, asbestos,
abandoned wells, substandard housing and formaldehyde to
name a few. Jim would be interested in hearing from anyone
if they have any other suggestions.
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Betty Stinnet representing Edina on the Maternal and
Child Health Task Force and Charles Podas representing Edina
on the Occupational Health Task Force were not present to
`- report on the activities from those two task forces.
III . Announcements:
Sharon Aadalen indicated that her work schedule has not
allowed her to participate as the Edina representative for
the state CHS Advisory Committee Meetings lately and David
Velde has been attending as the voting alternate. Sharon
asked if anyone else would be willing to attend these
meetings as the delegate. Virginia McCollister indicated
that she was interested but her work schedule may be
conflicting. Virginia suggested that David Velde should be
considered as the delegate. David Velde stated that he
served as the alternate and would rather continue as the
alternate because he is readily available to attend meetings
in the absence of the delegate and is familiar enough with
the issues to fill in with a moments notice. Virginia
McCollister said she would like to give this appointment
some thought before committing her time to this task.
Sharon Aadalen informed the Committee that the Edina
School District will be piloting a curriculum which relates
to skills for violence free relationships. This curriculum
is sponsored by the Minnesota Battered Womens Coalition and
is endorsed by the Minnesota Department of Education.
Sharon Aadalen indicated that if anyone from the Committee
had thoughts or suggestions for this curriculum they should
contact her to forward their suggestion.
IV 1986 Workplan
The Committee was interested in the recent Community
Survey which is going out into the community. The
possibility of reviewing the results of the survey was
discussed.
The Committee also discussed the issue of evaluating
the delivery of contracted public health nursing services
sometime in 1986 . Virginia McCollister suggested that a
self addressed stamped survey be given each patient that is
visited by the nurse. The patient could complete the
questionaire and return it to Edina for analysis. Sharon
Aadalen stated that the development of an evaluation
mechanism to monitor the delivery of personal health
services and to evaluate future contract proposals should
proceed as soon as possible.
The Committee decided that the next meeting would take
place at the Bloomington Public Health Nursing Services
Clinic in Bloomington.
The issue of coordination of activities between the
Edina Health Advisory Committee and the Edina Human Relation
Commission was raised. David Velde indicated that he could
�. exchange minutes between the two advisory bodies in the
future. Sharon Aadalen suggested that the two advisory
bodies link whenever there is an issue which affects both
bodies and when it would be mutually advantageous to join
forces on an issue.
Sharon Aadalen noted that the bylaws of the Committee
need to be revised. David Velde indicated he would submit a
draft version for the committee' s approval at the next
meeting.
Berit Peterson informed the Committee that the Edina
Public Schools have developed a set of guidelines for
addressing AIDS patients in the school . These guidelines
set forth the procedure to follow relative to personnel
involved with the patient and general safety measures within
the school. The patient will remain in school based upon
the risk assessment and confidentiality will be maintained .
The Meeting adjourned at 9: 00 P.M.
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BY-LAWS
EDINA COMMUNITY HEALTH SERVICES ADVISORY COMMITTEE
ARTICLE I
Name
The name of this City Committee is the Edina Community
Health Services Advisory Idea-Ith Committee.
ARTICLE II
Duties
The duties of this Committee are:
A. To research, study, and evaluate the needs
�.. concerning the health and environment of the City
of Edina.
B. To advise the City Council (Board of Health) of
its findings relating to the needs of the health
and environment of the residents of the City of
Edina.
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ARTICLE III
Officers
A. The Committee shall elect officers including a
Chairfaaa person and a Vice Chairmae person with the
terms of one year.
B. The election of the Chairfaa person and Vice
�. Chairman person shall take place i-a aaRaaEy-e4 each
year at the first meeting of the Committee
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following the annual Boards and
Commission Appointments Meeting of the Edina City
Council .
C. If the office of Chairman person is vacated by
resignation, the Vice Chairman person shall become
Chairman person and a new Vice Chairman person shall
be elected by a majority vote of the members of the
Committee.
ARTICLE IV
Membership
A. The Committee shall consist of (9) to (12)
voting members.
B. Members of the Committee shall be appointed by
the Mayor, with approval of the City Council (Board
of Health) . The Committee may submit to the City
Council (Board of Health) names for appointment to
the Committee. Members of the Committee must be
residents of the City of Edina.
C. First appointment may be for less than two years;
thereafter, all terms shall be two years and no member
shall serve more than three consecutive terms.
D. The membership of the Advisory Committee shall be
as follows: at least one third providers of health
services, including at least three licensed health
professionals; and at least one third consumers
�' selected to represent consumer organizations or
constituencies within the community.
E. Edina Health Department personnel , and a designated
member of the City Council (Board of Health) shall be
ex-officio, nonvoting members of the Committee. The
Chairman person may appoint additional ex-officio,
nonvoting members.
ARTICLE V
Organization
A. The Committee shall meet at least sip€ four times
a year and at the call of the Chairman person or a
majority of the members.
B. Members shall be notified of the place and time of
�- each meeting. All meetings shall be open to the
public.
C. Greater than 50 percent of the voting members will
constitute a quorum.
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D. The Chairman person may appoint committees,
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including special committees and ad hoc committees
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for the purpose of studying issues facing the
committee.
New Language is underscored
Old Language is striked --------------------
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AGENDA
EDINA COMMUNITY HEALTH SERVICES ADVISORY COMMITTEE MEETING
WEDNESDAY, SEPTEMBER 17, 1986
BLOOMINGTON PUBLIC HEALTH CLINIC
1900 WEST OLD SHAKOPEE ROAD (see enclosed map for directions)
I. ROLL CALL
II. APPROVAL OF THE MINUTES:
Map 7, 1986
III. COUNTYWIDE TASK FORCE UPDATE:
A. Legislation
B. Home Health
C. Environment
D. Maternal and Child Health
E. Occupational Health
IV. ANNUAL BOARDS OF HEALTH MEETING REPORT:
Virginia McCollister
V. EVALUATION OF CONTRACTED PUBLIC HEALTH SERVICES:
Sharon Aadalen
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VI. REVISED BY-LAWS
VII. OTHER BUSINESS j
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VIII. ADJOURNMENT
MINUTES OF THE EDINA COMMUNITY HEALTH SERVICES
ADVISORY COMMITTEE MEETING
HELD ON WEDNESDAY, SEPTEMBER 17 , 1986 AT 7: 30 P.M.
BLOOMINGTON PUBLIC HEALTH CLINIC, 1900 WEST OLD SHAKOPEE ROAD
MEMBERS PRESENT: Sharon Aadalen, Holly Branch, Virginia
McCollister, Dr. Walter Wilder, Eileen
Cooke, Thomas Orth and Betty Stinnet
MEMBERS ABSENT: Effie McKerson, Barbara Clayman, James Hansen
and Charles Podas
OTHER PRESENT: Council Member Peggy Kelly, David Velde
and Gayle Hallin, Director , Bloomington
Division of Public Health
I . APPROVAL OF MINUTES:
May 7 , 1986
Dr . Wilder offered a motion to approve the minutes of May 7 ,
1986 as presented. Betty Stinnet offered a second to the motion
All voted aye; motion carried.
II . COUNTY WIDE TASK FORCE UPDATE:
Legislative Issues:
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Sharon Aadalen provided an update of the legislative task f
force for Barbara Clayman who was unable to attend this meeting .
A summary of legislative issues was handed out which described
and offered recommendations which could be used by the various
CHS agencies to support legislation which may be introduced in i
the forthcoming legislative session.
The issues identified for legislative positions by the
agencies in Hennepin County are: Home Health Licensure,
Uninsured Medically Disadvantaged, Maternal and Child Health
Funding; AIDS; and CHS subsidy.
The Committee Members were asked to refer to the handout
describing the issues and recommended positions. After
considerable discussion , the committee felt that they could
support these issues but were concerned about several aspects of
the process which would be followed because it was not clear in
the report.
The process issue identified as being unclear were:
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* Who will be submitting the legislation? Will Hennepin
County draft legislation or will we react to legislation
submitted by someone else?
* Was the Home Health Licensure proposal which was
previously submitted for legislation reviewed by the Task Force
relative to compatibility with the recommended position outlined
in this document?
*Adoption by Edina CHS Advisory Committee should clearly
indicate that this does not imply support by the Edina Board of
Health. At such time that legislation is introduced , the
advisory committee would present these positions to the Edina
Board of Health asking for- their support.
Environmental Issues:
David Velde reported that the Environmental Task Force was
in the process of developing background information on the
following issues: Substandard housing/housing hygiene/abandoned
buildings; groundwater contamination; soil lead; asbestos; noise;
hazardous chemical spills; waste management; and legionnaires
disease.
The Task Forces will be meeting again to reduce the number
of issues to two and develop recommendations to address the two
issues.
Maternal and Child Health Issues :
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Betty Stinnet reported that the Maternal and Child Health
Task Force identified low weight birth babies and prenatal care
for low income families. Betty indicated that the meeting
notification process on this committee was very poor. She did
not know whether it was mail delivery problems or something else,
but she had not been receiving meeting notification in a timely
manner .
Occupational Health Issues:
Charles Podas was not available to report on the
occupational health task force.
III . ANNUAL BOARDS OF HEALTH MEETING REPORT:
Virginia McCollister informed the committee that she and
David Velde had attended the annual Boards of Health Conference
on September 10, 11 , and 12. The theme for the conference was
Ethics in Leadership. The Minnesota State CHS advisory committee
also met during this conference and acted on several issues which
the state committee had been working on this year . The
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re-codification of public health statutes wad adopted, statewide
CHS goals were adopted and delegation agreements for
environmental health services was approved.
The conference addressed issues affecting Minnesotans such
as AIDS, ethics, new program development, information handling ,
isolated adults and a look into the past through the eyes of
retired public health nurses.
The conference as very worthwhile and productive.
IV. EVALUATION OF CONTRACTED PUBLIC HEALTH SERVICES:
Sharon Aadalen raised the possibility of performing a client
evaluation of Edina residents who have utilized the Bloomington
Public Health Nursing Services. Gayle Hall.in indicated that the
Bloomington Public Health Services has collected this information
in the past but she thought it would prove very useful if the
clients were to respond to a third party member instead of the
provider of service. After some discussion it was decided that
an evaluation of services by the client could be performed but
the committee would receive the responses and not Bloomington.
This opportunity will be explored at the next meeting .
V. REVISED BY LAWS:
David Velde presented the Committee with a set of by laws
which have been revised to reflect more accurately the present
operation of the committee. The changes were: election of chair
and vice chair will take place at the first committee meeting
following the City Council appointments of new committee members;
changing the minimum number of meetings from 6 annually to four
and; changing the gender references from man to person.
Elaine Cooke offered a motion to approve the by law changes
as presented . Betty Stinnet offered a second to the motion. All
voted aye; motion carried.
VI . ADJOUR!;:-LENT:
There being no additional business , the Committee adjourned
and Gayle Hallin offered the committee members a tour of the
Bloomington Division of Public Health Clinic.
CHS COUNTY-WIDE HOME HEALTH TASK FORCE SUMMARY
Background
The CHS County-wide Home Health Task Force, which was formed
by representatives from the Hennepin County Community Health
Department and its Advisory Committee members from the Direct
Share municialities, had the following goals:
1. To review the issues relating to home health.
2 . To review the role of public agencies in providing home
health services.
3 . To make recommendations to the local Boards of Health
regarding home health issues and the role of public agencies
in home health.
The Task Force consisted of the following representatives:
Name Affiliation
Lelsie Dodd Cox Task Force Staff
Mary Hathway Hennepin County CHS Advisory Committee
Delton Krueger Bloomington CHS Advisory Committee
Jacquelyn Lockman Richfield CHS Advisory Committee
Virginia McCollister Edina CHS Advisory Committee
Todd Monson Hennepin County Community Health Dept.
Gretchen Peik Minneapolis CHS Advisory Committee
Karen Swanson Minneapolis Health Department
Audrey Wagner Bloomington Division of Public Health
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Process
The Task Force met six times from March to November, 1986 and it
started by attempting to define the appropriate role of public
agencies in home care. The group spent several meetings discuss-
ing the evolution of home care to its current status. Then it
explored the following key questions:
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1. What would be the effect if public home health agencies did
not exist?
2. If public home health agencies are essential, what is needed
for them to survive in the current home care environment?
3 . If public home health agencies are not essential, then what
role do the local Boards of Health have in home health
services?
4. Who should be responsible for monitoring home health care
and for assuring quality?
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Next, the Task Force invited an outside expert, Barb O'Grady,
Director of the Ramsey County Public Health Nursing Service,
to present information to the group on the role of public health
in home health care. Barb presented the following four roles of
public agencies in home care:
1. Manage special funds for home care that is provided to
unique populations such as adult protection cases, child
protection cases, the homeless, etc.
2 . Competing with private agencies in order to get reimbursable
cases to ease the burden of non-reimbursable cases.
3 . Developing and measuring standards of care for home health
care.
4. Educating and training students, in order to demonstrate
what quality care is.
The Task Force members discussed these issues at great length and
reviewed the proposed Minnesota Department of Health Goals for
Home Care. The Task Force agreed that:
1. Public home health agencies must be competitive, but services
L- provided to the public and private sectors may be different.
2 . There is a need for minimal standards for quality assurance j
for all home health services.
3 . Education is an important role of public home health agen-
cies, but adequate staff and funding are needed.
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4. Public agencies are often the only agencies who will care for
the special populations. A professional assessment should be
available to those who request it.
Recommendations
As an alternative to the Minnesota Department of Health Goals,
the Home Health Task Force proposes the following goals that can
be included in each local Board of Health's annual budgeting
process and biannual CHS plan.
1. Identify specific segments of the market and develop a
market plan for competing for those segments.
2. Support and participate in the development of minimum
standards of Quality Assurance through the establishment
of a state licensure process that is administered by the
Minnesota Department of Health.
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3 . Identify specific health science disciplines which will be
educated by public health nurses each year.
4 . Identify special populations which will be targeted for
home health care, for example, AIDS patients, medically
indigent(people with inadequate health insurance) , etc.
5. Make available general home health assessments any person who
requests one.
6. The local Boards of Health should continue to have a standing
group that meets to discuss the implementation of the recom-
mendations of this task force.
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[LcTMW f�LSll1]llC�ll �a� B1.00MINGTON
n EDINA ,
RICHFIELD
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PROTECTING AND PROMOTING HEALTH
HOME HEALTH CARE
RECIPIENT PERSPECTIVES
GAYLE HALLIN, R . N. , M. P . H.
AUDREY WAGNER, P. H .N.
MARY HAYDEN, P .H. N.
1983
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Public Health Center • 19oo West Old Shakopee Road • Bloo 77 gton, Minnesota 55431
PHONE: 887-9603 (Deaf only 887 96 )
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HOME CARE EVALUATION
PURPOSE AND METHODOLOGY
In 1984, a questi��r,r,aire was designed to receive feedback from these
who had- received home health care serviissues during ofq ualit 1�le preceding year. The
y, acceptance,
focus of the evaluation was to address issues
of these served.
continuity, and coordination from the p
a sample e .:of 25 patients or family
The questionnaire was piloted by P � questionnaires i e or were
members. With minor revisions, indletienlsywh�ded had received care in the
mailed to the addresses of the 237 p
preceding year. The questionnaire was mailed, along with a self-addressed,
envelope to 106 residents of Bloo+mington, 7residrd viduaEslwho and
stamped P was riot mailed to
56 residents of Richfield. The ypercent (50%) of the received
were still receiving care. Fifty percent
was completed by 36
questionnaires were returned. The q
patients and 79 family members or friends. Data was summarized b zed by question(see attachment ) . Also, comparisons were made of results by city and staff
� :ategory.
The information received from the 105 respondents is viewed from three
perspectives:
-- issues of quality and acceptance;
-- issues of continuity and coordination;
issues of reimbursement.
DISCUSSION OF RESULTS
I, ISSUES OF QUALITY AND ACCEPTANCE
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NURSING CARE
quality care were equally high
Perceptions of having received high q y
among patients receiving care from nurses representing all levels of
educational preparedness. This is supportive of the organizatic�r�' s
tradition of matching patients' needs with staff skills rather than solely by educational experience.
segmenting responsibilities
The few negative comments which were received related to isolated
impressions, not to any common problem or any common nurse.
Quest inns on patient perception of nursing quality were keyed to the
Health Division' s statement of direct service nursing competencies in home
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health care (sew attachment) .
`.• Frequently, prafessic anal criteria is developed todefine quality ��f
usi
have
care, and the assumption is made that those
va l�_�es. This nedttc receiveservicesfeedback both
is questionnaire i�_nr,a i t^e was des i g
co the patient' s perception of having received competent nursing care and
consonant
the extent to which the patient valued those qualities.
NURSING COMPETENCIES AS PERCEIVED BY PATIENTS
1. Thera a at is y 11s. One hundred percent ( 100%) of respondents
felt they received good nursing care and that it was adapted well to the
home en-ironrnent. Ninety-six percent (96%) agreed that cares were modified
as health needs changed.
2. Co_m_m_un i cat i gn S u i I N- One hundred percent
(100%)easy t o of respondent s
felt that the nurse explained things in ways
Ninety-eight percent (98%) found that the nurse listened carefully and was
easy to talk to.
,3. Dec_isi�an Making Skills. Ninety-six percent (96'/•) be1}eveda�e
their nurse grade good decisionsat
and discontinued care at are app ^ P
time.
4. Coor_dinatio_n. Eighty-one percent (81%) of the cases recognized
providers. Only one felt
de that felt no
the need to coordinate care with othe (60X) of the respondents
was inadequate. Sixty percent
�-- eed or responsibility for the nurse to help them locate additional ced helpfulness by the
community resources. Of the 40% who did, 90% experien
nurse in locating such assistance.
5. Ed W. i�Win. Seventeen percent ( 17'o f felt
h set who did, nurse' s% o found
1 i t in
teaching self care did not apply to them. O �
effective. Seventeen per^cent ( 17%) did not feel that the nurse' sOf
interpretation of agency services, fees, and policies applied to them.well related.
those who recognized that role, all but three found it to be
6. Planning and Ea1 a to C� n. Eleven
rpercent
ewsi (11%)pla feltnig that
tcit was
sOf
unnecessary for the nurse
the 89% who did, all but fourbelieved that consideration, had occurred. Of
the 92% who recognized the setting of priorities, all but one believed it
had been effective.
NURSING COMPETENCIES AS VALUED gY PATIENTS
Seventy percent (70/) of the 11t respondents completed
are this
ividualsction f
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the questionnaire. It could be that the 4� non-respondents
who feel that patients are not to be expected to be participants i r, care nor
appropriate judges of professional issues. . . the "don' t quest ion authority''
mindset.
The following list r_�f nursingskills is listed in their order of
importance t� these receiving car^e. The quest i��nnaire asked respondents to
receive
circle those skills which were important foforthere to arenthesis,�al
number of responses by the 70 completing the section is in p
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1. Gave or provided goad nursing care (54)
t. Was easy to talk. to (53)
`.. 3. Listened' carefully (52) o understand (43)
4. Explained things in ways that were easy t
5. Made good decisions (40) ,_,r tautproblems first
6. Dealt with what you considered most important(35)
7. Adapted cares well in the home environment (33)
8. Taught helpful ways of self care (31 )
9. Coordinated care well (26)
10. Considered your views in planning for care (25)
li. Modified care as needs changed ( 19)
12. Discontinued services at an appropriate t i rre ( 19)
13. Interpreted agency services, policies,icies, and fees we1 1 ( 14)
HOME HEALTH AIDES
All those who responded indicated they werre e satisfied
With home health
aide services provided. Comments offas
ered
indicated that they had home health
interesting to note that ci resp
aides but not nurses. In addition, two checked y werethat hbeinrgecare lfor abyea
was the only service provided when, in fact, they
nurse. These responses point to the longstanding conf►_►sic,r, by the consumer
as to "who s who in Horne Care".
EHYSICAL THERAPY
`-- Of the ten who indicated having received physical therapy services,
nine checked they were satisfied wit
hustr' It is r espond likely ttct the Psecr_,a�ning
patient was satisfied with care and Jforgot
made and only y positive comments were recorded.
question since no entry was
OCCUPAT_IONA_L THERAPY
apy
Only two clients indicated havicheckedng ivno"ed rider satisfiedr^with care.
services. One checked "yes" and one checked experienced
No individual comments were r►7ade to explair► why the individual
dissatisfaction.
II. ISSUES OF CONTINUITY AND COORDINATION
Hospitals were identified as the primaryobeirgo referrals
efe ralsafOthe
public health home care services with physiciansidentified
source t of
primary referral source at one-half the rate.
these sourcesare
referral is physicians and hospitals,
increasingly forming their own home care systems,
trditional had referral
networks become dysfunctional. Although few patientsin the
through other sources, c6 indicated they felt that ads or articleSThe most
newspaper would better inform residents of
service ahasPab 1stY• or, "TV-
cornmon suggest ions for outreach were physicians,
radio. "`... patient care and the need to
With the emphasis on deinstitutionalizing p
be in tune with changing needs in home health care, it becomes increasingly
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important t� explore unmet needs from the consumer' s perspective. The
P
at ient responses indicate some need for improved communications about
t
`•- current services and their limitations, extended hours, and some add itiGnal
services, i. e. "speech therapy, check ear passages. "
Issues of coordination inat ion, become increasingly challenging'�ast lof°basedenl�i
becomes an area of discharge and admittance i t t ar,ce o services frequently
designated reimbursement capabilities. Ten of 34 patients indicated that
ty coordinating services between agencies.
there had been some difficul
r le in this survey had received horse health
Approximately of peep
m another agency prior to public health involvement. Some of
care fp � e
A
interacti!'�Yi between agencies was car
fees, location, and frequency et,' variation
e
Onlyoneciteddiffi difficulty l b in service
our previous help. " Most felt
transition. . . "the hospital ignored y P ^ � most
s helped each
comfortable with the transitions, with one stating "both groups
other with advice and information.
Coordination with the physician was perceived as being effective by
97%. Three percent (3%) had comments related
t o the dig i f t ed,ficult yDOf or^s are
contacting and communicating ing with physicians.
doct�ors. "
III. ISSUES OF REIMBURSEMENT
The current trend of enhancing the cost consciousness of patients as
\..- :onsurner^s of care depends on the patient' s awareness of costs and charges.
Fr-om the responses to the questionnaire, it appears that as long as someone
else is paying, fees are not of much concern. Three individuals expressed
cast concerns. One patient responded to the impression of high costs by
s needed
working with the nurse to cl,t back the number fee for, ashortvisit, and the
model ) . Another- col-tldn' t understand the sot
last why Medicare would pay so much more than they as individ�_�ais had t �
a It appears that patients have little awareness of or concerns about
pay-
c,�st as long as there is coverage from other sources, and when they 1D
become involved in payment, need better information. One patient appeared
tod
y.
to have perceived this. " I know
ltardswhat"the condney to ition innrtgf the apat ierts
depend . or, your financial situation
is. to
IV. GENERAL DISCUSSION
rovided through this questionnaire from the 115
The information p the home care staff of the Bloomington
patients or family members served by provided.
Health Division indicates high satisfaction, with care
Specifically, it validates patient perception of nursing competencies.
Expectantly, it highlights patients' highest values of nurses to be their
therapeutic and communication skills. Issues of ldecisionsor-tance� to the
coordination, teaching, and planning were of far less irnp_ ^ agency in the
issues for the traditional public health
patient. This raises ag Y
.�_�r^rent competitive home care maelet alttcierapeut ice. The Jandtcom nunicateontand free-standing
agency focus has almost exclusively public
focus. . . which is primarily what the patient is loakir,g for. The p.
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health focus is that of promoting patient independence through incorporating
ducat ion, coordination, and planning along with the therapeutic and public
sl_uiimunication skills. Although this is viewed as essential from the p-
,t
health view in promoting patient responsibility and independence, it is
certainly less important to the patient and their family.
So, although public health home care positions patients and their
families well for personal management of their health problems, it is riot
necessarily what the patient and family are looking for. Therefore, when
these components are extracted from the services focused
onTmaxihe mizing
profits, it may not be noticeably missed by the
the benefit of
therefore, is on the public health agency
comprehenLive home care oath from a quality and a long term cost
perspective.
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BLOOMINGTON Serving the Cities of
ld
HEAL.TI"I Bloomington, Edina and Richfield
DIVISION
1900 West Old Shakopee Road • Bloomington, Minnesota 55431 • (612)887-9603
In providing quality health care to the residents of Bloomington, Edina and
Richfield, the Public Health Division believes that evaluation by those
served is very important. We would appreciate your time in completing this
questionnaire and returning it in the enclosed stamped envelope.
1. How did you find out .about Public Health Nursing Services?
2. In your opinion, how could people be better informed of our services?
3. Please comment briefly on the services you received from the Public Health
Division.
ervice Provided Satisfied with Care
Yes No Yes No COMMENTS
I
Nursin !
i
Home Health Aide
Physical Therapy
Occupational Therap
Other please list
4. If another agency provided service at the same time , were these services
well coordinated? Yes No If not, please comment.
S . Were there Public Health home care services you needed that the Health
Division was unable to provide? Yes No If so, please explain.
6 . Did you receive home health care from another agency prior to our services?
Yes No If so, why did you change agencies .
If this was a recent change , was there any difficulty with the transition
between services? Yes No If so, please comment.
7 . Were home health services provided by the Public Health Division well
coordinated with your physician? Yes No If not , please comment.
8 . Were fees for service reasonable? Yes No If not , what problems
did you experience?
AN AFFIRMATIVE ACTION/EQUAL OPPORTUNITY EMPLOYER
i
Sometimes there are differences between what professionals consider quality care
and what patients expect to receive in their cage. We are specifically
interested in your opinions about the home nursing care you received and also
what you expected. Please answer the following questions as they relate to this
care.
w w
w A E-+
R: H
W c9 U z >+
a A w a
The nurse:
cD H . z o a.
1. Adapted cares well in the home environment .
2 . Modified cares as health needs changed.
3. Gave or provided good nursing care.
4. Listened carefully.
5 . Was easy to talk to.
6 . Explained things in ways that were easy to understand.
The nurse :
7 . Made good decisions about care provided.
8 . Discontinued services at an appropriate time.
9 . Coordinated care well with other providers (physician,
physical therapist , occupational therapist , home health
aide) .
0. Helped us locate additional community support services .
The nurse:
11. Taught helpful ways of self-care.
12 . Interpreted agency services , policies and fees well.
13 . Considered your views in planning for care .
14. Dealt with what you considered most important problems
first .
e' !lOW, PLEASE GO PACK OVER THE LAST 14 'QUESTIONS AND CIRCLE THE NUMBERS OF THOSE
WHICH WERE IMPORTANT FOR YOU TO RECEIVE FROM THE NURSE AS PART OF YOUR CARE.
Please offer any additional comments .
This questionnaire was completed by: the patient family members/frienu
would appreciate that you return this questionnaire by
i
Thank you for your time and cooperation.
SUMMARY OF HOME CARE QUESTIONNAIRE
t about Public Health Nursing Services? (101
1. How did you find out
responses)
Hospitals (57) Senior group (2)
Doctors (22) City Hall ( 1 )
Relative (7) Housing Aide ( 1)
Neighbor/Friend (6) Home care/home repair ( i )
Phonebook (4) A lady was waiting here when I returned
from the hospital .
2. In your opinion, how could people be better informed of our services?
(94 responses)
Word o f mouth (4)
Ads ��r stories in news- gr^,�ch�_�re (4)
papers (2)
Doctor ( 17) Phonebook (2)
Hospitals ( 13) Information with water bills (`>
TV/Radio ( 12)
Nurses (2)
Single responses:
Social Workers Public relations
City Hall Apartment bulletin beards
Enclosure with bill from PHN visit people in hospitals
`w hospital/clinic Mail
contact to whoever has a need
Personal care Direct
It is pretty well known how helpful You
Schools j
are
. Seniors
fly on the services you received from the Public
3. Please comment brie
Health Division.
Service Provided Satisfied with Care
Yes No Fair Yes No �
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70 6 1 61
Nursing 57 7 50
Home Health Aide 10 16 9
Physical Therapy 2 15 1 1
Occupational Therapy
Other (please list) : 1 1
Temperature 1 1
Blood Pressure 1 1
Visits 1 1
Nurse
NURSING COMMENTS:
Competent, warm, nice, caring, patient, cheerful, fantastic, great,
extremely helpful, excellent, kind, understanding, informal,
supportive
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Visits were too short - could have used help with therapy, etc. The
fee was $50 and I only received help with the bath and some c0nsulta-
ticn. The nurse didn' t stay art hour!
I took care of my husband. The nurse came dust to check on how he was
doing - blood pressure. .
Very helpful t o family as far as emot i ona 1 awareness of both h patient and
primary care giver.
Gave personalized attention.
owed by t`a i- competence.
HOME HEALTH RIDE COMMENTS:
Friendly, helpful, very good, great, nice, considerate
Service was the best.
Excellent care.
Mostly fr_,r cor,ipanionship--my wife liked to visit with the aide.
We couldn' t have had better care from the aide--even took time to
inquire a5out my health after my husband died.
I
`.. PHYS I CAL THERAPY COMMENTS
Very helpful person.
I
Excellent care.
Excellent therapist, she got her walking again.
OCCUPATIONAL THERAPY COMMENTS: None were made
4. If another agency provided service at the same time, were these
ses)
services well coordinated? If riot, please comment. (34 respon
Yes: 24 No: 10
COMMENTS: (9 people answered no but did not comment)
Hospital provided home services that we didn' t understand.
5. Were there Public Health home care
Ifservices
You
se explain. that
the Health
Division was unable to provide?
responses)
Yes: . E No: 98
COMMENTS:
Physical therapy (time did not permit ) .
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Check ear passages.
Didn' t investigate HHA yet.
I didn' t need help, it was wasted time.
Weekend care for�r i 1 eost orny.
Had to find private nurse and pay for same, little if any explanation.
Speech therapy.
Needed full time assistance.
6. Did you receive home health care from another agency prier to out-
services? If so, why did you chance aoencies? ( lOE, responses)
Yes: 11 No: 95
COMMENTS:
Cost factor.
Doctor' s orders to change to more care.
Moved.
so were limited t�o services they could do Thought
They weren' t nurses,
cost too� high for few duties they could do.
Still in effect.
Nursing care was needed on a periodic basis.
From cancer - wheelchair, commode, oxygen.
This was handier.
Hospital.
Lack of information by the hospital.
They did not have a therapist.
If this was a recent change, was there any difficulty with the transi-
tion between services? If so, please comment. (8 responses)
Yes: 1 No: 7
COMMENTS:
Hospital ignored your previous help.
Both groups helped each rather with advice and information.
J
7. Were home health services provided by
the Public Health Division well
coordinated wit h yoi_cr physician? If riot, Please comment. (102
responses)
Yes: 98 No: 4
COMMENTS:
I have no way of knowing.
Coordination by nurse very efficient.
Did not consult .
Did not have doctor--had been in V. A. Hospital.
No contact.
Doctors are doctors.
At first the doctor was hard to contact - much better later.
g, onable? If riot, what problems did yol
Were fees for service reas 1 experience? (83 responses)
Yes: 82 No: 1
COMMENTS:
Covered under Medicare. (8)
I had no fees - I did not need help.
??'? (2)
V. A. paid. (5)
No charge for services. (4)
Charged to coUnty.
Sometimes I felt we did not get our money' s worth and so the nurse
would cooperate and cut back the number of visits.
Medical insurance
The fee was $50 and the nurse didn' t stay one hour.
Still can' t understand why Medicare charged so much more than private.
I know it costs money to do' things today--it depends on your financial
situation and what the condition of the patient is.
professionals consider
Sometimes there are differences between. whatre peCifically
care and what patients expect to receive in their care. We are sp
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Your o inior,s about the home nursing care you received and
erested in y P questions as they
`,,..,o what you expected. Please answer the following q -
relate to this care.
The nurse:
1. Adapted cares well in the home environment. (9.3 responses)
Agree: 87 Doesn' t apply: 6
2. Modified cares as health needs changed. (85 responses)
Agree: 61 Disagree: 1
Undecided: 2 Doesn' t apply: 2.
3. Gave or provided good nursing care. (95 responses)
Agree: 87 Doesn' t apply: 8
4. Listened carefully. (100 responses)
Agree: 95 Undecided: 2 Doesn' t apply: 3
5. Was each to talk to. ( 100 responses)
Agree: 97 Undecided : 2 Doesn' t apply: 1
s that were easy to understand. ( 102
6. Explained things in way
responses)
Agree : 100 Doesn' t apply: 2
i
The nurse: �
7. Made good decisions about care provided. (94 responses)
Agree: 84 Disagree: 1 Undecided : 2 Doesn' t apply: 7
i
8. Discontinued services at an appropriate time. (92 responses)
Agree: 73 Disagree: 3 Undecided : 4 Doesn' t apply: 12
9. Coordinated care well with other providers (physician, physical
therapist, occupational therapist, home health aide) .
(89 responses)
Agree : 72 Disagree: 1 Doesn' t apply: 16
10. Helped us locate additional community support services. (79
responses)
2 Undecided : 1 Doesn' t apply: 47
Agree : 29 Disagree:
�re nurse'.
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11. Taught helpful ways of self-care. (88 responses)
`- Agree: 71 -, Disagree: c Doesn' t apply: 15
12. Interpreted agency services, policies, and fees well. (82
responses)
Agree: 65 Disagree: 1 Undecided : ^c Doesn' t apply: 14
13. Considered your views in planning for care. (88 responses)
Agree: 74 Disagree: 2 Undecided : c Doesn' t apply: 10
14. Dealt with what you considered most important problems first. (9c
responses)
Agree : 84 Disagree: 1 Doesn' t apply: 7
*NOW, PLEASE GO HACK OVER THE LAST 14 QUESTIONS AND CIRCLE THE NUMBER OF
THOSE WHICH WERE IMPORTANT FOR YOU TO RECEIVE FROM THE NURSE ASs�ART OF YOUR
CARE. (Only 70 of the returned evaluations circled any
of theThe nurse:
1. Adapted cares well in the home environment. (33)
2. Modified cares as health needs changed. ( 19)
3. Gave or provided good nursing care. (54)
i
4. Listened carefully. (52)
i
5. Was easy to talk to. (53)
6. Explained things in ways that were easy to understand. (43)
The nurse:
7. Made good decisions about care provided. (40) �
8. Discontinued services at an appropriate time. (19)
9. Coordinated care well with other providers (physician, physical
therapist, occupational therapist, home health aide) . (26)
10. Helped us locate additional community support services.(10)
The nurse:
li. Taught helpful ways of self-care. (31 )
12. Interpreted agency services, policies, and fees well. (14)
13. Considered your views in planning for care. (c5)
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14. Dealt with what you considered most important problems first. (35)
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. rditional comments:
She was so easy to talk to and she answered
This nurse was a delight.
hat I felt so at ease with her.
all my questions in a way t
Our period of time was short--death came more quickly than expected.
t without the help of your nurse--would have
But we couldn' t have done i
been impossible.
The nurse that treated my mother showed loving concern for her as a
whole person. She gave excellent care an my nalitmothY andr-sense looked
forward to
her coming because of her sparkling per
As all I needed was to have my bloom s
pressure
byithI become someof these questions do riot apply t Y ill
I' d apppr-eciate information
again and need help with household chores,
and assistance for same.
prior to her death my mother was in a coma. One of the Public Health
nurses acted like she (my mother) could not
hear.she P rheas she notldn' t
hear, but if there was any possibility t
respond, my mother would have been upset by the conversation about her
soon approaching death. (Written by family member who is a social
worker at Hennepin CoUnty. )
We had a wonderful home health aide.
praise for the services rendered.
I have nothing but
Both nurses we had were outstanding ! They were very supportive and
understanding. Liked their independence and advocacy.
was a home health aide) for the complete
We had the nurse tactually
bath once a week and we liked her veri much at . Couldn' t
0Olbs� Hope veveryonerJ
has
patient with a mart who tipped the sca
a nurse like her. i
ing, considerate ladies. I have a great
The nurses were very car
admiration for them and your agency.
i
Very pleased with nursing care. Excellent people.
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BLOOMINGTON PUBLIC HEALTH DIVISION
Home Health Care
Direct Service
NURSING COMPETENCIES
ThERAPEUT I C AMP
Adapts cares well in the home environment
Modifies cares as health needs change
Provides good nursing care
COMM!JN I CATION SK I LM
Is easy to talk to that are easy to understand
Explains things in way'
Respectful
Listens carefully
DEt_.I S I ON_MFY. 9 Sii AO
Mayes
good decisions about the care provided
�
Discontinues services at an appropriate time
9902101=0
Coordinates care well with other providers
Helps locate additional community support services
SDUCF�T I G(�!
Teaches helpful ways of self-care
Interprets agency services and policies carefully
Assists healthful living with .adapting
I
SHOW OND EVALUATION
Includes patient and/or family in planning care
Modifies care as health needs change
Sets priorities of care effectively
A G E N D A
EDINA COMMUNITY HEALTH SERVICES ADVISORY COMMITTEE
WEDNESDAY, OCTOBER 29 , 1986 AT 7 : 30 P.M.
EDINA CITY HALL
MANAGER' S CONFERENCE ROOM
I. APPROVAL OF THE MINUTES:
September 17 , 1986
II. COUNTY WIDE TASK FORCE:
A. Home Health - Virginia McCollister
B. Legislation - Barbara Clayman
C. Maternal and Child Health - Betty Stinnet
D. Occupational Health - Charles Podas
E. Environment - David Velde
III. CONTRACTED PUBLIC HEALTH SERVICES EVALUATION: j
Sharon Aadalen
IV. SCHOOL PILOT CURRICULUM
Skills for Violence Free Relationships
Galene Erickson
MINUTES OF THE EDINA COMMUNITY HEALTH SERVICE.
ADVISORY COMMITTEE MEETING
HELD ON WEDNESDAY, OCTOBER 29, 1,986 AT 7: 30 P.M.
EDINA CITY HALL, MANAGER' S CONFERENCE ROOM
MEMBERS PRESENT: Sharon Aadalen, Virginia McCollister , Jim
Hansen, Eileen Cooke, Dr. Walter Wilder
and Barbara Clayman
MEMBERS ABSENT: Holly Branch, Thomas Orth, Betty Stinnet,
Effie 'Mcrierson and Charles Podas
OTHERS PRESENT: Galene Erickson, Edina School District;
Berit Peterson, Edina School District;
Gayle Hallin, Bloomington Division of Public
Health; and David Velde, Edina CHS
Administrator
I . APPROVAL OF MINUTES :
September 17 , 1986
Eileen Cooke offered a motion to approve the September
17, 1986 minutes. Jim Hansen seconded
the motion. All voted aye; motion carried .
II . School Pilot Curriculum - Galene Erickson:
Sharon Aadalen introduced Galene Erickson who is with the
Edina School District Galene was asked to inform the Edina CHS
Advisory Committee about a new pilot curriculum which is being
offered to students in Edina. The curriculum titled "Skills for
Violence Free Relationships" is being introduced at the seventh
grade level .
Ms. Erickson began by saying that she believes that violence
in relationships is a health related issue because of the
physical disorders associated with stress which may result from
such a relationship.
The curriculum being used in the Edina School District was
provided through the Minnesota Coalition for Battered Women.
This coalition provides the training needed for piloting the
curriculum in the schools. The objective of the curriculum is to
define abuse , domestic violence, and battered women; know the
facts that dispel the most common myths about battered women;
know when battering in intimate relationships happens ; and
develop skills and knowledge that will reduce the likelihood that
the student will be abused or be an abusive partner . The
curriculum teaches the student how to recognize these
relationships and to free the student from the need to continue a
violent relationship.
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This curriculum has been placed in the junior high schools
in Edina in combination with their health class. The students
are introduced to the school social workers prior to the
beginning of the curriculum. This serves as a method of
connecting the students with the social worker to encourage
discussion by the student if the need should arise. It is
critical to provide this resource for the students once the issue
is raised so they have the opportunity to followup with their
concerns.
Galene believes that this curriculum is a cost effective
method of stemming the growth and perpetration of violence in
various relationships .
Berit Peterson informed the Committee all of the health
curriculums in the school district are being reviewed and
evaluated with respect to content addressing violence issues.
This should be completed in the spring of 1987.
Galene asked the Edina CHS Advisory Committee if they could
help identify this issue as one which the community could look at
in an open way instead of hiding the issue. Galene also
indicated that there is a need to dispel the myth that violence
is associated with alcohol . Family violence and alcoholism are
two separate issues.
III . County Wide Task Force Update:
Legislative Issues :
Barbara Clayman presented the latest version of the
Legislative Task Force position statement. The course which is
being proposed for these issues is to bring the report before the
various Boards of Health in Hennepin County for their review and
approval in November 1986 . once this has been accomplished a
meeting will be set with the legislative delegation in Hennepin
County to apprise them of the legislative concepts which will be
supported by the Health Boards in Hennepin County.
The Edina CHS Advisory Committee had acted on these
legislative issues at the September 1986 meeting. This rewrite
reflects the views of all CHS advisory committees in Hennepin l
County. This report has been forwarded to the Edina City Council
Members and will be acted upon at the November 3 , 1986 meeting .
Barbara Clayman indicated she will be present at the council
meeting to respond to their concerns .
In discussing the Legislative position regarding Home Health
licensure, Barbara Clayman stated that she has been informed by
some people that agencies who provide Medical Services in the
home can abuse the system through methods of recording or
documenting these activities. Jim Hansen stated that he was
familiar with instances where the service provider has not
performed the level of service that they had been reimbursed
for . His company performs audits to uncover these abuses , and in
some states, this practice is much to frequent. Jim Hansen
`.. indicated that .licensure may not provide an adequate mechanism to
prevent abuses in the future. The consensus of the group was
that perhaps legislation should include a mechanism of checks and
balances that has been tried and proved elsewhere, such as a
system the private sector may be utilizing .
Home Health Task Force:
Virginia McCollister reported that her task force had
prepared a report which discusses the possible roles a public
health agency might take in the home Health field.
The following recommendation were presented to the Edina CHS
Advisory Committee for their approval :
1. Identify specific segments of the market and develop a
market plan for competing for those segments .
2. Support and participate in the development of minimum
standards of Quality Assurance through the establishment
of a state licensure process that is administered by the
Minnesota Department of Health.
3. Identify specific health science disciplines which will be
educated by public health nurses each year .
4 . Identify special populations which will be targeted for home
health care , for example AIDS patients , medically indigent
(people with inadequate health insurance) , etc.
5. Make available general home health assessments to any
person who requests one.
6 . The local Boards of Health should continue to have a
standing group that meets to discuss the implementation
of the recommendations of this task force.
Virginia McCollister stated that the Task Force felt that
Public Home Health Agencies are important, that they need to be
competitive and they should be more flexible in choosing the
services they provide if they are to become more competitive.
Gayle Hallin supported this report saying that these
recommendations are solid and are consistent wit the direction
that the Bloomington Division of Public Health has been taking .
The Home Health Task Force report was accepted by the
Committee upon the motion by Virginia PcCollister and a second by
Dr . Wilder .
IV Contracted Public Health Services Evaluation:
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Sharon Aadalen asked the members to refer to their copy of
�. an evaluation of Home Health Services which had been prepared by
Bloomington in 1984. Perhaps this kind of data could be utilized
by the committee in determining what could be done in assessing
Edina residents perception of services rendered.
Gayle Hallin indicated that, due to staff limitations , they
perform these evaluations by program area. Therefore, the
evaluation are more like a special study evaluation focusing on a
different area each year to answer specific questions pertaining
to the clients perspective of the service delivered . Other
program areas which have been evaluated recently are the Family
Support Team and Teen Pregnancy.
Sharon Aadalen asked the members to review this evaluation
with the thought that there may be areas that Edina could
evaluate to obtain a better understanding of the quality and
appropriateness of these services in the community.
David Velde suggested that the committee think about
evaluating future contract proposals when the public health
nursing services are sent out for bids in 1987 . This becomes
difficult when one is attempting to evaluate the quality of care
being offered by the bidder .
V. Adjournment
There being no further business the meeting adjourned.
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