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HomeMy WebLinkAbout1985 Community Health Commission Minutes i A G E N D A EDINA HEALTH ADVISORY COMMITTEE MEETING WEDNESDAY, JANUARY 30, 1985, AT 7:30 P.M. EDINA CITY HALL, MANAGER'S CONFERENCE ROOM I . ROLL CALL If . APPROVAL OF THE MINUTES: October 11, 1984 III. ELECTION OF VICE-CHAIR IV. EXECUTIVE COMMITTEE Discussion regarding an Executive Committee, which can make decisions between Advisory Board Meetings. V. REPORTS : * Report from Task Force on older adults 7 Clem Peterson * Report from Task Force on ChHdren8 Youth - Holly Branch * Report from the Community Health Services Administrator David Velde * Report from the Chair -_ Barbara Reynolds VI. MARCH 11th MEETING - Preparation VII . RECOGNITION - Recognition of those members who will not be continuing beyond February. a. Evaluation and opportunity to consider ways to orient new members based on theirs and others' experiences. b. Refreshments f 1 i V MINUTES OF THE REGULAR MEETING OF THE ADVISORY HEALTH COMMITTEE HELD WEDNESDAY, JANUARY 30, 1985 , AT 7 : 30 P.M. EDINA CITY HALL CONFERENCE ROOM MEMBERS PRESENT: Chairperson Barbara Reynolds, Clemens Peterson, Joyce Omelianchuk, and Kris Hagen MEMBERS ABSENT: Stephen Sinykin, Walter Wilder , Marjorie Hogenson, Holly Branch, Jim Hanson and June Schmidt STAFF PRESENT: David Velde, City Sanitarian OTHERS PRESENT: Sharon Aadalon I . APPROVAL OF THE MINUTES: Mrs. Omelianchuk moved for approval of the October 11 , 1984, minutes. Dr. Hagen seconded the motion. All were in favor, the minutes were approved. II . BUSINESS : Election of Vice Chair. Mrs. Reynolds read a letter of resignation from Deb Tarrde, the present Vice-Chair. She also noted that Stephen Sinykin was interested in the position. It was agreed ., that Dr. Sinykin would be appointed Vice-Chair. Due to the lengthy time periods between regular meetings, discussion ensued regarding an executive committee and meeting times. This item would be further discussed at a meeting with the new members. Mrs. Reynolds introduced Dr. Sharon Aadalon who has been recommended as a new Health Advisory Committee member. Sub-Committee Reports. Clem Peterson reported on the the task force for older adults. He expressed that he felt the only service lacking to the older adults was �- visitations. Many were lonely. He reported that he had traveled along for a day with the Meals on Wheels. He said that much information on various services could be found in T `- the front of the telephone directory. The Committee talked about the problem of elderly loniliness. In the absence of Holly Branch, Dr . Hagen reported on the task force for children and youth. He stated that there were suggestions in the South Hennepin Human Services needs assessment that had not been fulfilled in Edina. They scheduled another meeting for February for further evaluations. The Committee discussed present services and suggestions for future services regarding latch-key children, school services, counseling of school children and police involvement. Meeting with Bloomington Staff. David Velde reported on a meeting with Bloomington and the update of the upcoming two-year plan. He explained that he reviewed all aspects of their operation regarding the different services, activities, intake of clients, and operation of the Bloomington division. In order for Edina to undertake the benefits that Bloomington is presently providing, it would be a costly endeavor. Mr. Velde explained what activities were covered in monies allocated by the State and other ways the projects were funded. He mentioned that it was discussed with Bloomington that two members from each health advisory committee and staff representatives meet with Paul Gunderson of the State Health Department to examine the profile of the three communities. This would help in needs fulfilling assessment required for the Community Health Services Plan. This information would also be used for input into Hennepin County' s process. Mr. Velde told the �Committee that Bloomington had a surplus of brochures and were hoping that Edina could include a brochure with it ' s City news letter. Bloomington has also made a change in their letterhead, identifing the other communities serviced as well as Bloomington. Through his meeting with the Bloomington personnel , it was determined that Edina employs the equivalence of 3 1/4 full time staff persons, at 40 hours a week, 52 weeks a year with a variety of levels of skill . He also reported on Bloomington' s preliminary end of the year statistics. Edina Food Distribution. Mrs. Reynolds reported that she had done some research on the food distribution in Edina. It was dispussed once a month at Southview Junior High School , South Haven and Yorktown Continental , the �-- latter two are elderly highrises. She suggested that the Committee recommend to the Council at the joint meeting the 1 possibility of having a public health nurse present at the times of food distribution. New Business. Mrs. Reynolds stated that there were openings for board members on Richfield ' s Robert Will Center for Community Living. March 2 , 1985 , from 12 : 00 to 4 : 00, TV' s News 11 Health Fair will be at Southdale. Edina volunteers are needed, both professionals and non-professionals to administer blood pressure tests. Also, volunteers to set up and clean up are invited. April 20 from 10: 00 to 5: 00 and April 21 , 12 : 00 to 5: 00, Edina Expo will be held at the Edina Community Center. There will be time set aside for public health. Meeting Dates. Mrs. Reynolds noted that the next meeting of the entire Committee with its new members would be scheduled for February 26 at 7 : 30. Dr. Hagen stated he would not be able to attend. Mrs. Reynolds was interested in setting up a meeting prior to the 26th for the new members only, for orientation. Adjournment. The meeting was adjourned at 9: 00. MINUTES OF THE REGULAR MEETING OF THE ADVISORY HEALTH COMMITTEE HELD WEDNESDAY, MARCH 5, 1985, AT 7: 30 P.M. EDINA CITY HALL CONFERENCE ROOM MEMBERS PRESENT: Chairperson Barbara Reynolds, Holly Branch, Kris Hagen, Jim Hansen, Sharon Aadalen, June Schmidt, Virginia McCollister, Walter Wilder MEMBERS ABSENT: Effie McKerson, Stephen Sinykin, Margaret Rash STAFF PRESENT: David Velde, City Sanitarian OTHERS PRESENT: Yvonne Hargens, Bloomington Public Health I. Approval of the Minutes: January 30 , 1985 Mrs. Schmidt moved for approval of the minutes and Mrs. Aadalen seconded the motion. Mrs. Reynolds recommended corrections to the minutes. She noted that Mrs. Aadalon was appointed to the Minnesota State Community Health Services Committee by the Mayor and City Council. She also noted the discussion regarding the commendable police referral work done in Bloomington and Richfield. Bloomington Public Health Services followed up on cases of domestic violence. It was decided that Kris Hagen and Sharon Aadalon would speak with the Edina Police Department and report back to the Advisory Committee. All were in favor of approval with the changes added; the minutes were approved. II. Business: Mrs. Reynolds expressed a need for an Executive Committee explaining that there were occasions when it could be necessary for only for two or three members to consult. This could consist of the Chair, the Vice and one other member. Discussion ensued regarding the functions and possibilities of an executive committee. The main purpose would be to facilitate communication and this Committee' s ability to keep abreast with what is happening in the Community and contribute input. Mrs. Aadalon moved that an L executive committee be created consisting of three members and Mr. Hansen seconded the motion. All were in favor; the motion carried. Mrs. Aadalon volunteered to act as the "Commission Member" or third member on the Executive Committee. Community Reports. Senior Task Force Report. Mrs. Reynolds stated that Joyce Omelianchuk and Clem Peterson presented their report at the last meeting. She summarized that the needs they found were elderly people who did not know how to obtain service. Mrs. Reynolds added that Edina has the largest suburban count of elderly. The lifespan has increased and therefore, we can expect a large growth in this population of 75 years of age and older. She noted that she had spoken with people from the South Hennepin Human Services Council who had published the book * . They are presently conducting a survey regarding the elderly similar to one they had done three years ago. The South Hennepin Human Services Council mentioned that hearing is a major health problem for the elderly. Perhaps community hearing tests and screenings could be conducted. The surveys also showed interests in home health care. Yvonne Hargens, Bloomington Public Health Nursing Services, addressed this issue. She stated that financing presented problems for the home health care. Also, the people are not taught how to care for themselves once their financial benefits are exhausted. Home health services were discussed. Many times nursing services are not need, however, some form of adult day care is. Mrs. Reynolds suggested a public health nurse be present at the Edina locations of food distribution in order to provide counciling for nutrition as well as direction for other health needs. There was discussion of the quality of care provided through the group health programs regarding the elderly. Youth Task Force. Holly Branch reported that the main problem uncovered was the lack of coordinated information of referral and access. She suggested an informative telephone number. She reported that they reviewed various youth concerns and offered the following suggestions: Mental Health: A family or youth counceling center or service available at the Edina Community Center would be appropriate— Chemical Dependency: N * Public transportation to Fairview Detox. * Encourage the expansion of half-way houses. * AA related groups conduct meetings at the Edina Community Center. * Support legislation to increase the drinking age to 21 years. Mental Disabilities: Presently only one mental health facility in Edina. It should be suggested that the Council encourage other activies or establishments in this community. Child Care: Latch-key program is very adequate, however, there is a need for infant programs and day cares. Family Violence: Dr. Hagen spoke with the Police Department and reported that weekends are the trouble times. Yvonne Hargens agreed that the largest amount of referrals from the Police Departments are received on Mondays. She spoke about the referral service. It was noted that the Edina Police Department did not participate, however, in this referral service. Ms. Hargens explained that the Edina Police Department was not interested in participating because of the possibility that the nursing services contract could be changed at any time. They hated to start a program which could possibly be discontinued in a short period of time. When questioned, the Police Department noted that few arrests were made in regards to family violence, because the complainant did not want to press charges. Ms. Hargens argued that it was the policeman' s responsibility. Public Health Nursing. Mrs. Reynolds believed that a yearly renewal contract with nursing services was not beneficial. Large amounts of staff and committee time are spent each year evaluating contract renewals. The renewal period should be extended. Discussion ensued regarding this contract and how it should be presented to the Council. Mrs. Aadalon motioned that the Committee include in their recommendation to the City Council that the Bloomington Public Health Nursing contract extend for a minimum of two years that corresponds with the Community Health Service funding cycle. Dr. Hagen seconded the motion. Mr. Hansen motioned that this apply to a services whoever they are contracted with. Dr. Wilder seconded the motion. All were in favor; the motions carried. Sharon Aadalon presented to the Committe the following excerpts from the Minnesota Coalition of Health Care Costs report The Price of Life: Ethics and Economics. December, 1984: The ability to provide technology is exceeding our ability to pay, therefore rationing of health care resources is inevitable. Principles for rationing: 1. No person should be denied potentially beneficial medical care on the basis of limited health care resources unless waste and inefficiencies are first eliminated. 2. Society has an obligation to ensure equitable access to a "basic level of health care" to all people. There are three actions to reduce inefficiency which will forestall rationing: 1. Education. Extensive programs by government, health care institutions, and other major actors in health care to educate health care providers, employers, third party payors, policy makers and the general public about the reality of the need to deal with limited health care resources. 2. Program Focus. A. Details of alternative actions to reallocate health care resources to slow drift toward rationing. B. Ethical, social, legal, theological and exonomic issues associated with allocations and rationing. 3. Prevention. Eliminate the current bias against prevention and public health programs. A. Develop new and expand existing prevention programs offered by employers, health maintenance organizations, other providers and payers of health care. B. Increase proportion of health care expenditures by state and local authorities in Minnesota devoted to public health, especially in prenatal care and health education. C. Employers, healthcare providers and public and private third party payers provide financial and other incentive to consumers to participate in prevention programs. i i i i MINUTES OF THE EDINA HEALTH ADVISORY COMMITTEE MEETING TUESDAY, MAY 28 , 1985 , AT 7 : 30 P.M. Edina City Hall Reception Conference Room MEMBERS PRESENT: Chairperson Barbara Reynolds, Dr . Stephen Sinykin Holly Branch, Dr. Kris Hagen, Sharon Aadalen, Jim Hansen, Effie McKesson, Virginia McCollister , Peggy Rash, Dr. Walter Wilder, June Schmidt, and City Council Liason Peggy Kelly. MEMBERS ABSENT: None. i STAFF PRESENT: Dave Velde I . Approval of Minutes: April 30, 1985 Dr. Sinykin moved to approve the April 30, 1985 minutes. Effie McKerson seconded the motion. All voted in favor. Motion carried i II . Reports: Jim Hansen and Sharon Aadalen reported on the Tri City Task Force Meeting held on May 16, 1985. The first meeting was well attended by all three communities, Edina, Richfield and Bloomington. The Bloomington Epidemiologist presented demographic data about the three cities. Dr. Paul Gunder- son from the Center for Vital Statistics of the Minnesota Department of Health was also present to comment on the data and offer additional information which may be useful . There will two more meetings of this group which will be utilizied to review a resource inventory, the Health Care System Profile of the Community and mission and roles of the public sector. From these meetings, each community can tailor their 1986-87 CHS Plan and present it to the Advisory Committee for approval and forwarding to Hennepin County as a preliminary plan. After the public hearings on the preliminary plan, a final plan will be submitted for council approval and submission to the State Health Department. June Schmidt reported that the committee established to set county wide goals has not met as of this date due to scheduling conflicts. III . 1984 Annual Activities Reports: Barbara Reynolds briefly reviewed the annual reports from the Bloomington Divison of Public Health and the Edina Health Department. It was noted that the individuals being served in Edina in the 75 and older age group for disease and disability was quite high. This would stand to reason when considering the age of the Edina population. Dr. Hagen noted that there appeared to be alot of public health nursing activity being provided in the community at a relatively low cost to the City of Edina. The discussion continued about the budgeting for the contract with Bloomington and the corresponding low visibility of the service. Dr. Sinykin stated that if there `— is a need in the community for personal health services, then we should not ignore this need but rather we should ensure that the community is aware of the availability of the service. Sharon Aadalen suggested that an article should be placed in the Sun newspaper describing various services which are available in the community. Jim Hansen expressed a concern that the services which may be published should include Health & Human services in addition to those provided by the Bloomington Division of Public Health. The discussion turned to identifying the needs in the community. It was agreed by the committee that a task force would be organized to develop a questionaire to be distributed which would ask the public to identify the areas of concern in obtaining help. Based on the results of the questionaire, the coommittee would develop a list of providers of services in the community which could be published in the city newsletter or the Sun newspaper. Sharon Aadalen and Barbara Reynolds agreed to develop the questionnaire. David Velde discussed the Environmental Health Department Annual Report. He stated that this annual report 'is very similar to previous reports except this time they have included a breakdown of food establishment inspections by their scores. The department performs two comprehensive inspections on each food establsihment annually. In 1984 there were 21 food establishment inspections that scored less than 70. However , this does not mean that the 21 establishments were always the same establishment. If a C food establishment fails to improve above 70 on two consecutive inspections, the department increases the surveillance on that food establishment by increasing the frequency of inspection. The food establishment will usually improve its score. Also, in cases where compliance is not attained, the department will issue court citations. IV. Other Business : Virginia McColister reported that she had been in contact with First Call For Help to determine what type of promotional materials are available for dissemination in the community. She was told by Marge Carpenter that First Call For Help is developing a new brochure and a larger poster to be ready in time for the United Way Campaign in the Fall . Marge was concerned that if Edina were to launch an awareness campaign for the First Call For Help service that first she would like to update their listing of services available in Edina. Evidently, First Call For Help does not have a complete listing of Edina based services. First Call For Help would be willing to track the calls �. coming in before the awareness campaign and again after the campaign has started to help determine the effectiveness of the promotional campaign. Virginia stated that she has been in contact with the Edina Human Relations Commission and they would be willing to assist the committee in this endeavor. Sharon Aadalen informed the Committee that she had discussed the possibility of utilizing the billboard at 50th and France with Naegle Sign Co. There would be a cost of $120.00 for the use of this sign. After some discussion it was decided that due to the lack of data available at First Call For Help it would be more beneficial to inventory the services available in Edina and provide that information to First Call For Help. June Schmidt offered a motion to establish a committee which would identify local health and human resources in the community and provide that information to First Call For Help. Peggy Kelly seconded the motion. All voted aye; motion carried. June Schmidt, Peggy Kelly and Virginia 'McCollister agreed to work on the committee. Barbara Reynolds informed the committee that she had been in touch with the school district about replacing the school nurse. The school has received over 100 applications for the position of school nurse. E E V. Election of Committee Chair: Barbara Reynolds announced her resignation from the Edina Health Advisory Committee and asked for nominations for a new chair. Effie McKerson nominated Sharon Aadalen as chair for the committee. Dr. Sinykin seconded the motion. Dr. Kris Hagen moved that the nominations be closed. Dr . Sinykin seconded the motion. Barbara Reynolds called for the vote. All voted aye; motion carried. Dr. Stephen Sinykin asked that the committee recognize Barbara Reynolds for her contributions on the committee during her tenure as chair . Sharon Aadalen suggested staff draft a letter recognizing Barbara' s work on the committee. The meeting adjourned at 9 : 20 pm. I �I � I! j MINUTES OF THE EDINA HEALTH ADVISORY COMMITTEE MEETING WEDNESDAY, JULY 17 , 1985, AT 7 :30 P.M. EDINA CITY HALL, MANAGER' S CONFERENCE ROOM MEMBERS PRESENT: Chairperson Sharon Aadalen, Jim Hansen Virginia McCollister, Dr. Stephen Sinykin, Eileen Cooke, Dr. Walter Wilder, and City Council Liason Peggy Kelly MEMBERS ABSENT: Holly Branch, Dr. Kris Hagen, Effie McKerson, June Schmidt and Peggy Rash STAFF PRESENT: David Velde I . Approval of Minutes: May 28, 1985 Jim Hansen moved to approve the May 28, 1985 minutes as presented. Virginia McCollister seconded the motion. All voted in favor, motion carried. II . Review of 1986-1987 Community Health Services Plan: Sharon Aadalen asked David Velde to review the timeline and process for submitting the CHS plan. David Velde advised the Committee that each community j participation in the CHS process will submit a preliminary plan to Hennepin County. The County will aggregate these plans and hold public hearings on the CHS plan in August. The CHS plan addresses the broad programs as identified by the Department of Health. Within those broad programs are specific activities which may be implemented to satisfy the needs within the community for public health servcies. Each community is different from a demographic viewpoint, therefore each community will implement a CHS plan which will emphasize activities which are unique to the needs within the community. To determine which activities are needed in each of the communities of Edina and Bloomington a chart is being developed to prioritize the CHS activities for each community A point system will be used to each of the activities based upon the need, severity, public demand and other criteria. The results of the priority setting will then be used in developing the final CHS plan and delivery to the public health services in 1986 and 1987 . David Velde then discussed the environmental health and j `- emergency medical services programs contained within the I preliminary CHS plan. 1 i I During discussions of the housing maintenance component of the preliminary plan, the committee expressed their concern about the condition of the Biltmore Motel site. The Committee agreed that a letter of concern about the safety of the site should be forwarded to the City Council from the Health Advisory Committee. Dr. Sinykin agreed to draft a letter which will be presented to the Edina City Council. A concern was raised whether the preliminary CHS plan would be binding for the agency who will be providing the personal public health services in Edina. David Velde indicated that the board program areas as outlined in the bid specification are compatible with the preliminary CHS plan. However, specific activities which may be provided within the broad program areas by each agency could vary depending on the methods used by the agency. Therefore, the committees review of the bid proposals. Dr. Wilder indicated that some activities are redundant such as screening clinics. The private physician will address those issues during the regular case of the patient. Sharon Aadalen stated that not all members of the community are under the care of a private physician due to their poverty -status. The discussion turned to the review of the bids for public health nursing services which are due on August 5, 1985. Sharon Aadalen stated that she has contacted other CHS agencies with regard to review criteria for bid proposals for the delivery of personal health services. At this time there does not appear to be a set of criteria available to aid the Committee in their endeavor to perform an objection review of the personal health services proposals. I Sharon Aadalen suggested that the Committee should look at the staffing qualifications as one indicator of the quality of the bidders programs. I Dr. Sinykin moved that the Committee adopt the draft of the CHS plan as presented for 1986 and 1987. Eileen Cookes seconded the motion. All voted aye; motion carried. III . Bid Review Timeline: The Committee agreed to tentatively set Wednesday, August 21, 1985 for the next Committee meeting at which time the bid proposals will be reviewed for the public health nursing service contract. i I David Velde so told the Committee that he will send out �.-- copies of the bid proposal to all members of the committee as soon as they are received. i 1 IV. Annual Boards of Health Conference: Sharon Aadalen encouraged the Committee members to attend the 8th annual Board of Health Meeting scheduled for September 5 & 6, 1985 at Madden Resort on Gull Lake. The City will reinburse the committee members for their expenses. V. Adjournment The meeting adjourned at 9:30 p.m. A G E N D A EDINA HEALTH ADVISORY COMMITTEE MEETING WEDNESDAY AUGUST 28, 1985, AT 7:30 P.M. EDINA CITY HALL, MANAGERS CONFERENCE ROOMP 1. ROLL CALL 11 . APPROVAL OF MINUTES: July 17, 1985 Ill. REVIEW BID PROPOSAL FOR PUBLIC HEALTH NURSING SERVICES CONTRACT FOR _1986 AND 11987 IV. OTHER BUSINESS V. ADJOURNMENT I i i I i `. MINUTES OF THE EDINA HEALTH ADVISORY COMMITTEE MEETING WEDNESDAY, AUGUST 28 , 1985, AT 7: 30 P.M. EDINA CITY HALL, MANAGERS CONFERENCE ROOM MEMBERS PRESENT: Sharon Aadalen, James Hansen, Holly Branch, Dr. Walter Wilder, Effie McKerson, June Schmidt, Eileen Cooke, Virginia McCollister and City Council Liaison Peggy Kelly Members Absent: Dr. Kris Hagen, Margaret Rash, and Dr . Stephen Sinykin Staff Present: David Velde Others Present: Tom Barrows and Dorthea Tenney Fairview Hospital Systems I . APPROVAL OF THE MINUTES: July 17 , 1985 Dr. Walter Wilder moved to approve the minutes as corrected. Effie McKerson seconded the motion. All voted aye; motion carried. II . REVIEW OF PUBLIC HEALTH NURSE SERVICES BIDS: A memorandum was mailed to the Committee members which provided a comparison of the two bid proposals. David Velde explained the comparison by each Program Area as listed in the memorandum. Virginia McCollister questioned the reason for two different Home Health Care fees proposed by Fairview Hospital Systems. David Velde indicated the higher fee was for Medicare reimbursements and the lower fee was for non medicare reimbursements. The reporting required by medicare is more costly and time consuming for the provider, thus a higher fee. i Sharon Aadalen advised the Committee that the Bloomington Division of Public Health has access to federal funding for Sudden Infant Death Syndrome (SIDS) visits to families who have experienced this crisis. Public agencies are the only agencies with access to this reimbursement mechanism which may explain the absence of a SIDS program in the Fairview Hospital System proposal . Peggy Kelly commented that Fairview Hospital System offered different fee schedules for Home Health Nurse visits and Home Health Aides. Bloomington Division of Public Health has only one fee for service, which appears to be more expensive. David Velde indicated that Bloomington does -1- have a lower fee for Home Health Aide services but that he did not have that fee available at this time. Dr. Wilder asked what implications the fee structures of the two agencies would have on this contract. Jim Hansen stated that as far as we are concerned there would not be any further bidding and the fee structure is reflected in the costs submitted by the two agencies. David Velde advised the Committee that the contract costs are firm and these bids are binding . Jim Hansen asked if Edina residents must travel to the Bloomington Clinic for clinic visits or if there was a clinic site in Edina. David Velde stated that residents must go to Bloomington for clinic visits. Dr . Wilder asked if there had been any problems or complaints in regards to the services provided by Bloomington at the present time. David Velde stated that he had not received any negative feedback about the Bloomington service. Eileen Cooke noted that a resident of Edina would be better served by being able to utilize Fairview Southdale Hospital rather than having to travel to the Bloomington clinic for services. However, Eileen indicated that the cost difference between the two contracts is considerable and she would have some difficulty in justifying awarding a contract to the higher bidder . Jim Hansen added that he liked the concept of Fairview Southdale providing services to Edina. He thought that there would be greater identification of this as being a City of Edina program if Fairview Southdale were providing the services. He also believed that $25, 000 to $30, 000 of convenience could not be justified. Holly Branch stated that there is also some advantage to going to a clinic located out of the area especially for sexually transmitted diseases and pregnant teenagers. The client may not meet an acquaintance in a remote setting. Sharon Aadalen asked Tom Barrows of Fairview Systems how large their service area was. Tom Barrows responded by stating they serve the entire Metro area. Virginia McCollister recalled that during the development of the Community Health service Plan for 1986 and 1987 , the Committee was interested in programs which focused on education, prevention and health promotion activities. When reviewing the two proposals, she felt that the Bloomington proposal addressed this issue more effectively than the Fairview Systems proposal. -2- Sharon Aadalen advised the Committee that other business was pressing the Committee and that perhaps they could address the other issues at this time and return to the bid proposals at the end of the meeting. II . OTHER BUSINESS : Virginia McCollister reported on the task force formed to study the promotion of referral services in Edina. Members on the Committee were June Schmidt, Peggy Kelly and Virginia McCollister. They met with Marge Carpenter of First Call For Help and discovered that a great deal of information is available for programs available to Edina residents but that the programs offered by the Edina Park and Recreation Department are not up to date. Marge Carpenter indicated that they cannot promote a specific agency through First Call For Help. If one wishes to increase awareness of services available for a specific target group, you have to address the target group through some form of communications or promotional activities. Virginia also advised the Committee that First Call for Help provides information to callers on subjects such as recreational activities, apartments , support groups and educational resources and not just health and welfare resources. Virginia ortered the following recommendations for committee action: •• Peggy Kelly will encourage Park and Recreation to submit a more comprehensive list of services to First Call for Help. The City of Edina and Community Education groups should be encouraged to inform First Call For Help of new services as they are instituted . We should proceed with promotion of the First Call for Help during some portion of the United Way Campaign, September 8 - November 14. We should recommend to the City Council that they ask a community service group to fund the expense of a telephone sticker with the First Call for Help number to be included with a city mailing . Effie McKerson offered a motion to approve the recommendation. Dr. Wilder seconded the motion. All voted �. aye; motion carried. { f I -3- �. David Velde informed the Committee that the Hennepin County Community Health Department has requested a member from the Edina Health Advisory Committee serve on the Maternal and Child Health Task Force. This task force will review the applicants for MCH grant funds. They will meet two times in the next two months. Virginia McCollister volunteered to serve" on the MCH Task Force. Sharon Aadalen announced that the Hubert H. Humphrey Institute of Public Affairs is sponsoring a series of breakfasts over the next six months to discuss leadership as it relates to Public Health policy issues. The fee is $75. 00 per person and she will be attending these meetings along with David Velde. If anyone is interested to attend in either of their absences please let her know. Sharon Aadalen turned the Committees attention back to the public health nurse services proposals . Effie McKerson indicated that she thought residents would not be reluctant to go to Fairview Southdale Hospital for confidential treatment. The hospital is large and one can maintain their anonymity. Jim Hansen wondered if Fairview Systems would promote the program as an Edina sponsored Public Health Service or rather as a Fairview Systems Service. His concern was that the client may not identify this as a City of Edina program j and believes that the same problems exists with the current arrangement. Holly Branch said .she has a hard time justifying the difference in cost between the two proposals for what appears to be very similar proposals. Dr. Wilder stated that Fairview Systems with regard to the services in the bid proposals is relatively new, they are more expensive and the relationship with Bloomington has been good , therefore he would move that we recommend the bid proposed by the Bloomington Division of Public Health for 1986 and 1987 . June Schmidt seconded the motion. Seven voted aye, one voted no; motion carried. The meeting adjourned at 9 : 50 p.m. -4-