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HomeMy WebLinkAbout1984 Community Health Commission Minutes i Minutes of the Edina Health Advisory "Committee Meeting Tuesday, April 30, 1984 at 7: 30 p.m. , Edina City Hall Conference Room MEMBERS PRESENT: Chairperson Barbara Reynolds, Jim Hansen, Sharon Aadalen, June Schmidt and Virginia McCollister MEMBERS ABSENT: Holly Branch, Dr. Kris Hagen, Effie McKerson, Dr. Stephen Sinykin, Margaret Rash, Dr. Walter Wilder and Peggy Kelly STAFF PRESENT: David Velde, City Sanitarian I . APPROVAL OF MINUTES: March 5, 1985 The discussion regarding family violence in the minutes was corrected. The minutes did not clarify that Sharon Aadalen and Dr. Kris Hagen met with Sylvester Schwartz and- Vince Bongaarts of the Edina Police Department to discuss the issues of family violence and distress . It was noted that the report to the Health Advisory Committee and the ensuing `— discussion was in the same paragraph and tended to lead those reading the minutes to believe that Ms. Hargens was accusing the Edina Police Department of not pursuing family violence issues. The family violence section of the minutes should read as follows: Family Violence. Dr. Kristopher Hagen and Dr. Sharon Price Aadalen met with Lieutenant Vincent Bongaarts, Investigative Supervisor, and Detective Sylvester Schwartz, on February 6th, 1985. The purpose of the visit was to discuss with representatives of the Edina Police Department (1) the kinds of situations they deal with in the area of individual violence, (2) the laws under which police operate, (3) resources used by police department for referrals, and (4) services, resources, referral channels police need to carry out their jobs, but which are not available. Domestic disturbance, child or adolescent abuse or neglect, partner or elder abuse, are examples of problems the police investigate. Lieutenant Bongaarts shared the forms the Police Department use in filling out an Offense Report. The Edina Police Department responds to about 60 calls per year related to domestic disturbances or some form of violence. Few arrests are made (victims often resist pressing charges) . Very few arrests are made for violations of orders of protection. d�--\ '"1 State Assault Laws are undergoing change. Since August of 1983, arrests can be made for probable cause. The Data Privacy Law was discussed with Detective Schwartz in relation to his work with youths in difficulty. Resources which the Edina Police Department routinely use include Cornerstone Advocacy Service (for battered women and their children) ; St. Joseph' s Home; Bridge; S.O.S. ; Storefront Youth Action; Sojourner Battered Women' s Shelter; EDD; and Family Renewal Center . CHIPS stands for Children in Need of Protection Services. Detective Schwartz indicated that 85% of youth referred to Storefront Youth Action are 12, 13, 14, or 15 years old. Referrals for younger youth (8 ,9, and 10 years old) are increasing. Resources which Edina Police Department feel are needed and unavailable at this time include: (1) temporary detention for truant youths who axe fleeing a home situation; (2) parent education options for working with their youth; and (3) shelters for victims of violence. Bloomington Health Department Domestic Disturbance Referral Service. Yvonne Hargens of the Bloomington Health �- Department described a referral service developed by the Bloomington Health Department in conjuction with the Bloomington Police Department. This referral service is only used in domestic situations which can be considered "Disturbance" and it is never used in situations of suspected of proven neglect, abuse, or violence (reportable by law) . Dr. Hagen and Dr. Aadalen stated that this referral service was not one of those listed by representatives of the Edina Police Department during their discussions. The section of the minutes addressing Public Health Nursing should be corrected to read "Mr. Hansen moved that this apply to all service providers . " June Schmidt moved to approve the minutes as corrected. Sharon Aadalen seconded the motion. All were in favor; motion carried. II . GOAL SETTING FOR THE COMMITTEE FOR 1985 : Mrs. Reynolds advised the committee that the Bloomington Public Health Nursing Service brochures and First Call for Help brochures were left at the food distribution center. Of the 50 brochures set out on the table, about half of the �"!. ''1 '\ Nursing Services brochures and 14 First Call for Help brochures were picked up. The discussion continued about increasing the visibility and exposure of the First Call for Help telephone number. It was suggested that the Edina Sun could publish the telephone number in both the weekly newspaper and the Edina community directory. It was suggested that the telephone number also be placed on the city and school billboards. Virginia McCollister agreed to contact United Way and determine if there is a time of the year when they do a promotional campaign. If they do, then we could time the displays on the billboards to coincide with their campaign. It was also decided to ask United Way if they have displays and posters to place in libraries, businesses, churches and elsewhere to increase the exposure for First Call for Help. Mrs. Reynolds suggested that this venture should be coordinated with the Edina Human Services Commission. Mrs. McCollister suggested that an attempt should be made to evaluate the effectiveness of the increased exposure of the First Call for Help telephone number. It was agreed that the evaluation of the committee' s effort should be pursued . Mrs. Reynolds stated that Yvonne Hargens with the Bloomington Division of Public Health had indicated that they would be willing to place a public health nurse at the food distribution center at no additional cost to the City of Edina. This nurse would then be available to offer assistance to the participants and could help identify problems in that population. Mrs. Reynolds discussed the status of the Edina School nurse. The present school nurse will be retiring in June and the future status of that position is not known. Mrs . Reynolds suggested the possibility of the school district contracting with the Bloomington Division of Public Health for the school nurse. This would combine the school nurse service and the city funded Public Health nursing services and would broaden the public health nurses' exposure to the needs in the community. Mrs. Aadalen added that if the school is not interested in combining the public health nurse and the school nurse, that at least there should be some input into the selection process by the City, especially now that there is a search in progress for a new superintendent. It could be very easy to overlook the need for refilling the school nurse position while preoccupied with filling the superintendent' s position. N1.1 - It was agreed that a letter would be drafted and forwarded to the Edina City Council outlining the committee' s concern and interest regarding the Edina school nurse position. III . PUBLIC HEALTH NURSING SERVICES SPECIFICATIONS: Mrs. Reynolds asked if the recommendation regarding a two year public health nursing contract had been approved by the Edina City Council . David Velde indicated that he would follow-up on that question before the specifications are made public in June 1985 . Mrs. Aadalen suggested that if the nursing contract was awarded to a private provider, we should be willing to institute some form of a comparative study to evaluate the outcomes for clients under the different forms of service. Mrs. Schmidt was concerned that the private providers may drop the clients when medicare, medicaid or other third party reimbursements have expired. Mr. Hansen stated that with the contract, the fee will be carried by the City of Edina as part of the contract and the contractor would have an incentive to rehabilitate the �-- client as soon as possible. The committee reviewed the specifications and offered comments on the various items to clarify the presentation of the information and data. IV. REPORTS : Mrs. Reynolds informed the committee that two task forces are being formed to address issues related to the 1986-1987 CHS Plan. A task force consisting of representatives from Edina , Richfield and Bloomington will be formed to identify the needs in the three communities. This will fulfill the statutory requirement for a needs assessment when the biannual CHS plan is submitted. Jim Hansen, Sharon Aadalen and David Velde will be serving on this task force. Another task force will be formed to identify countywide goals for 1986 and 1987. This will be the first time Hennepin County has included input from all of the direct share agencies in developing integrated countywide goals. June Schmidt will serve on the goal setting task force. l - Mrs. Aadalen reported that the State Community Health Services Advisory Committee has been involved in suggesting changes to the subsidy formula. At this time the subsidy formula changes are moving through the legislative process . The purpose in changing the formula is to provide a more equitable allocation of subsidy funding to the CHS agencies. Mrs. Aadalen also stated that the State CHS Advisory Committee is in the process of recodifying the State Statutes related to Public Health. Presently, the relevant statutes are contained in several different chapters in the Statute books. The goal of recodifying the statutes is to combine all chapters and sections relevant to Public Health into one chapter. Mrs. Aadalen then advised the Committee that the 8th Annual Boards of Health Conference will be held in late summer of 1985. The meeting adjourned at 9:45 p.m. If f �"`. "� f LYE MINUTES OF THE REGULAR MEETING OF THE EDINA HEALTH ADVISORY BOARD HELD ON WEDNESDAY, JUNE 13, 1984, AT 7: 30 P.M. EDINA CITY HALL MANAGER' S CONFERENCE ROOM MEMBERS PRESENT: Chairman Barbara Reynolds, Holly Branch, Jim Hansen, Effie McKerson, Joyce Omelianchuk, Clemens Peterson, Stephen Sinykin, Walter Wilder , Sally Tang, June Schmidt and David Velde MEMBERS ABSENT: Kris Hagen, Marjorie Hogenson and Deb Tande I. INTRODUCTIONS: The members of the Board introduced themselves and presented brief summaries of thier backgrounds. II. APPROVAL OF THE MINUTES: Mrs. McKerson moved for approval of the April 18, 1984, minutes and Mr. Hansen seconded the motion. All were in favor; the minutes were approved. III. Environment Health Services Mr. Velde summarized the City' s organizational arrange- ment and the various levels of responsibilities. Ms. Yvonne Hargens, Community Health Services Adminis- trator of Bloomington and Director of Public Health Nursing Services, stated that they have been delivering services in Richfield and Edina since 1977 when the Community Health Services Act was past. There are four independent health departments in Hennepin County: Minneapolis, Bloomington, Edina and Richfield. The remainder of the County is covered by Hennepin County Community Health Services. Bloomington coordinates many services with them such as; epidemology, pre-natal clinics, imunizations, etc. She introduced her executive staff and asked them to explain to the Board an outline of their area. Bill Kunau noted that he was the coordinator of Community Nursing Programs, and the Parent and Child Health Program. This includes the Parent Support Program which enables public health nurses to visit the homes to counsel and assist new parents. Also available is pre-natal assistance. There exists a CEC Program, continuing education program for pregnate teenagers with a follow-up program after the birth. Counseling at the Parent- Child Center is another service provided. A number of clinic services are available for the residents of Edina. Bloomington offers routine exams for children ages 2 months through 21 years. I Among other services that Mr . Kunau listed is a new program called the Family Support Program. He explained that the Police departments act as a referral service for many of the cases. This is a United Way funded program. Audrey Wagner , Director of the Home Care Department. R.N. ' s, L.P.N. 's and home health aides work with the physicians to provide intermittant home health care. This may consist of occupational therapy, physical therapy, speech therapy, mental health nursing, and social service. Ms. Wagner explained that there is a charge for the service which can be covered by insurance. If this is not possible, a confidential payment plan is set up based on their income. No one is turned away. She expressed a concern for the patient in regards to the fast discharges from the hospitals. It appears that these patients are being lost in the shuffle. It is important to make the consumer aware of the services available in the home. Gayle Hallin, Coordinator of the Disease Prevention and Control Programs, highlighted some of the key programs in this area. * Disease prevention and control. Efforts are made on .� the work sites with the employees, such as hearing conservation programs, back injury prevention programs, and health days seminars. * Health Education. Together with the United Way an attempt to prevent teenage pregnacy in the community is made. The program tries to meet such challenges as providing educational guidance to mentally retarted young people and human sexuality decision making for sex offenders at Store Front, which is a counseling service that is financially supported by the four cities. In closing, discussion ensued regarding such topics as: the present and future directions of the Community Health Program; a more positive image for the public health nurse; possible ways of advertising the system as a referral service; and elderly care. IV. ADJOURNMENT: The meeting was adjourned at 10: 00 p.m. MINUTES OF THE REGULAR MEETING OF THE EDINA HEALTH ADVISORY COMMITTEE HELD ON WEDNESDAY, OCTOBER 11, 1984 , AT 7 : 30 P.M. EDINA CITY HALL MANAGER' S CONFERENCE ROOM MEMBERS PRESENT: Barbara Reynolds, Stephen Sinykin, Walter Wilder, Clemens Peterson, Joyce Omelianchuk, Kristofer Hagen, Effie McKearson, Deb Tande, Jim Hansen , June Schmidt and David Velde APPROVAL OF THE MINUTES ; Mrs. Schmidt moved for approval of the June 13 , 1984 , minutes and Effie McKearson seconded the motion. All were in favor; the minutes were approved . BUSINESS: Mrs. Reynolds introduced Mr . Tom Esser , Executive Director of South Hennepin Human Services, and Gayle Hallin, Bloomington Public Health Department explaining that they would be the guest speakers for the evening. Mrs. Reynolds stated that the Committee should decide what their role was and what needs should be addressed and met by �- the Committee. Information should be collected and reviewed and a position paper constructed. This would be presented to the City Council . She asked for discussion from the other members. Upon discussion such questions arose as follows : What is the power limits of the Committee? Why is it set up as an advisory committee? How do other cities utilize their Health Committee? It was noted that City Council cut $5,000 from the 1985 Bloomington Public Health Nursing budget. Where or what should be cut from the current program now becomes an issue and a problem. Discussion ensued regarding this situation. Perhaps the Committee should return to the Council and ask for reconsideration. Mrs. Schmidt stated that the Council was very interested in the Committee' s recommendations as well as the opinions of the citizens. Mrs. Reynolds suggested that each City Council member be questioned as to what they wanted the Health Committee to accomplish. The Committee talked about issues which might be addressed. Education programs for the Community would prepare and inform citizens regarding such items as child or spouse abuse. Ms. Hallin reported that Bloomington Health set up a identification program with the Bloomington and Richfield Police Department. When the police receive a domestic call which warrant reporting to the legal system, they are recorded and labeled as "high risk" . The Health Department contacts those referrals and offers services or advice. She expressed that the response is positive from those contacted. Mr. Esser suggested that Edina meet with other surrounding Health Committees and exchange ideas. Mrs. Reynolds said that two people could go to Richfield and two could visit Bloomington and report back to the Committee. She hoped that each person on the Committee would have a task of collecting data on which to report to the other members. A possibility would be for a Committe member to spend and afternoon with one of the health nurses. Ms. Hallin reported on the Health Service Plan. She talked about basic planning and strategic planning, explaining that many of the issues cannot be anticipated and must be dealt with as they arise. Bloomington' s Health Committee faces many of the same frustrations by being an advisory committee. She recommended task forces as opposed to standing committees which may not be needed each year . It was asked if Richfield, Bloomington and Edina should have one Health Committee. Ms. Hallin stated that the three communities were different enough that they each have their own Committees . Mrs. Reynolds asked for volunteers to speak with Richfield and Bloomington Board Chairman or go to one of their meetings. She also asked if anyone would be interested in looking at the needs of the elderly, particularly in the low-middle income high rises. This would be possible through the nurses who visit those high rises. Mr. Esser spoke regarding the elderly. South Hennepin Human Services has done studies in this area and have a program called the Home Project, household and outside maintenance for the elderly. The goal of this program is to assist the elderly to enable them to stay in their homes instead of having to enter a nursing home. Dr. Hagen expressed interest in being on a task force for the elderly study. He suggested that the group be broken up into two task forces; one for the elderly and one for the young. Ms. Hallin commented that Edina with its aging population is in a key position to become involved with a program that will allow the elderly to live out of their homes. Discussion continued as to different ways of assisting the elderly. I r Mr. Sinykin noted that there were alot of ideas and suggestions brought forth. These ideas could be summarized in an article in the Edina Sun which would make citizens aware of the purpose and options that the Health Board has available. The Board divided into two task forces . It was decided that the task forces would meet and collect data before the January meeting of the Health Committee at which time they would report back in order to assess needs and identify resources. Clem Peterson will chair the committe to assess the needs of the older adults and indentify the services designed to address those needs. Joyce Omelianchuk and Dr. Stephen Sinykin will also serve on that Task Force. Debbie Tande will chair the committe to assess the needs of children and youth and identify the services available to address those needs. Jim Hansen, Dr. Kris Hagen and Dr . Wilder will also serve on that Task Force. Mr. Velde prepared an expenditure information sheet for the Committee and presented it for their review. He also presented the Health Department Budget. ADJOURNMENT Dr . Hagen moved for adjournment and Mr. Peterson seconded the motion. All were in favor; the meeting was adjourned. -"1, '�