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HomeMy WebLinkAbout1979 Community Health Commission Minutes AGENDA LDINA ADVISORY HEALTH COMMITTEE Meeting January 23, 1979, 7:30 p.m. Edina City Hall Conference Room Linda A. Bjerke, Chairperson, Presiding I. Roll Call II. Minutes III. Announcements and Reports IV. Old Business V. New Business: A. Election of 1979 Edina Advisory Health Committee Officers. B. Appointment of Member to Attend City Council Meetings. C. Coordinated Home Care - Lucille Goodwyne, Administrator and Director of Nursing. VI. Unfinished Business VII. Next Meeting Date: February 27, 1979, at 7:30 p.m. VIII. Adjournment r"� MINUTES OF THE REGULAR MEETING OF THE EDINA ADVISORY HEALTH COMMITTEE HELD TUESDAY, JANUARY 23, 1979, AT 7:30 P.M. EDINA CITY HALL CONFERENCE ROOM Members Present: Chairperson pro-tern Barbara Kresoya, Linda Bjerke, Dr. E. Duane Engstrom, Dr. Walter Krafft, Vern W. Moss Jr., June Schmidt, Dr. C. V. Rockwell Members Absent: Mary Bang, Beverly Harris, Homer Kinney, Dr. Richard Simmons, Tulley Stoppel, Leroy Werges Staff Present: Kenneth Esse, Public Health Sanitarian; David Velde, Public Health Sanitarian; Judy Teichert, Secretary II. Approval of the Minutes Dr. Walter Krafft noted the misspelling of his name in the September 26, 1978 Minutes of the Health Advisory Committee. With that correction being made, Dr. Engstrom moved the minutes be approved. The motion was seconded by Dr. Rockwell. All voted aye; the motion carried. New Business: V. • A. Election of the 1979 Edina Advisory Health Committee Officers Barbara Kresoya explained to the Committee that she, Dr. Engstrom, and Roy Werges had comprised an ad hoc nominating committee to draw up a slate of officers. However, they were not able to contact all the people te; therefore, they suggested an interim Chairperson they had intended to nomina for the February 27, 1979 meeting. She suggested Vern Moss, who had agreed to be the Vice-Chairperson for 1979, take the position for that meeting. Mr. Moss agreed to be the interim chairperson for the February 27, 1979 meeting. The I election of a chairperson will be continued u_rtil the February meeting. B. Appointment 'of Member to Attend City Council Meetings noted that Homer Kinney has been the Advisory Barbara Kresoya ' Committee's representative to attend City Council meetings through the end of December, and it had been agreed that at that time another representative would be appointed to attend the meetings. After some general discussion, it was agreed that the Committee members would attend on a rotating basis. Dr. Krafft agreed to attend the meetings for the month of February, and other representatives will be appointed at the February meeting for the following months. I Edina Advisory Health Committee January 23, 1979 page 2 C. Coordinated Home Care - Lucille Goodwyne, Administrator and Director of Nursing Lucille Goodwyne,Administrator and Director of Nursing for the Coordinated Home Care Program, informed the, Committee about her certified medicare home health agency. She explained that any person receiving Medicare Coverage, Medical Assistance, or Veterans Administration Benefits is eligible for a variety of private health services in their home. Staffed by Registered Nurses, Physical Therapists, Home Health Aides, Occupational Therapists, Psychiatric Nurses, and Speech Pathologists who are experienced professionals, fully trained and licensed in accordance with state and federal regulations, she stated Coordinated Home Care is an alternate source of health services when care in a hospital or nursing home is not necessary. Yvonne Hargens, Director of Bloomington Public Health Nursing Services was also present at the meeting. Dr. Krafft asked Lucille Goodwyne if her services were in direct competition with the public health nursing services. She replied that to some extent they overlapped; however, they also supplemented each other. General discussion followed comparing public health services and private health services, their fee differences, and the regulations governing each. Vern Moss moved the Committee send a letter to Mrs. Goodwyne thanking her for her presentation to the Committee but indicating they could not endorse private agency services. Dr. Krafft seconded the motion. All voted aye; the motion carried. VI. Unfinished Business: Yvonne Hargens approached the Committee in regards to establish- ing a liaison committee between the Advisory Health Committees which would hold one or two joint board meetings a year. She asked that the Committee consider it and discuss it further at the February meeting. No action was taken. 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However, other possible uses should also be considered. Slightly confused or forgetful people - to monitor and assess patients who were alert and oriented prior to being in an institution; Anxious people - to monitor and support patients or their families whose concerns about going home may cause undue stress; Instruction - medication, diet, activity regime, procedures, skin care: - when patient or family uncertain about proper techniques; - when uncertain about proper patient follow through; Assess and reinforce the program of care and therapy established in the hospital ; Terminally ill people - care can increase as needs increase: - teaching of care techniques necessary at home; - assist with adaptation of home and acquisition of equipment; - assessment and support of family's ability to cope with death and dying; - assist family with further community resources; Long term care - for people with: indwelling catheter; - monthly vitamin B12 injections (more often for newly diagnosed) ; inability to draw up insulin; - periodic fecal impactions; - slow healing ulcers or decubiti ; Exacerbations of chronic diseases. fledicare pays for the services of skilled nursing care, physical therapy, or speech therapy as needed; home health aides can then provide supplementary care. Medical Assistance also covers needed home care services. Personnel Qualifications: - PHN certification - Expertise in geriatrics, oncology, psychiatry, rehabilitation, cardiac and diabetes. 210 Washington Ave. N Minneapolis, Mn. 55401 612-338-4848 It is the policy of this Aqency to accept referrals and provide service to all patients regardless of race.color or national origin. COORDINATED HOME CARE a certified medicare provider PSYCHIATRIC NURSING IN THE HOME Possible uses - for persons with: - repeated hospitalizations - could decrease with home intervention; - anxiety in returning to same stress producing environment; - depression - improves in the hospital , but regress when home; - inability of family to cope with patient's needs; - questionable reliability in medication regime. Patient eligibility: Medicare: -under the care of a psychiatrist and has a psychiatric diagnosis ; -is homebound - can not (or will not) leave home without the aide of another person or assistive device; -needs part-time intermittant psychiatric nursing care; -needs care oriented toward improvement of the person or his situation, not purely for maintenance. (Note: Coverage for 2 months is usually possible with additional periods of 2 months as long as some change occurs. ) Medical Assistance: -person needs psychiatric care and is under care of physician. Credentials of Psychiatric Nurses: - Masters degree in Mental Health Nursing; - Extensive experience in: - pain rehabilitation; - supervision of chemical dependency interns; - individual counseling; - continuing education seminars; - nursing home consultation. Visits by other professional personnel - RN, PT or Speech: -, I - some persons with psychiatric problems can receive care by other personnel even though a psychiatric nurse is not necessary. - additional care can be given by home health aides and occupational therapy, if one of the above personnel are needed. j i 210 Washington Ave. N Minneapolis, Mn. 55401 612-338-4848 It is the policy of this Agency to accept referrals and provide service to all patients regardless of rap.color or national origin. i '"1 ."", DI A 4` WEST 50TH STREET, EDINA MINNESOTA 55424 612-927-8861 February 12, 1979 Mrs. Lucille Goodwyne Coordinated Home Care 210 North Washington Avenue Minneapolis, MN 55401 Dear Mrs. Goodwyne: The Edina Health Advisory Committee would like to thank you for appearing before the committee and informing us about your services. We found the information very interesting. Presently, the City of Edina contracts for the delivery of personal health services with Bloomington Public Health Nursing Service. We must be capable of addressing all segments of the population which include the indigent and those capable of paying a fee for services. We understand that the Bloomington Public Health Nursing service does coordinate the delivery of services with other agencies including yours. The Health Advisory Committee does not endorse any private agency. We feel that coordination of services can be accomplished best through the Bloomington Public Health Nursing Service, Sincerely, Verne W. Moss, Jr. Vice Chairperson Edina Health Advisory Committee VM:j t i i �j AGENDA EDINA ADVISORY HEALTH COMMITTEE Meeting March 27, 1979, at 7:30 p.m. Edina City Hall Conference Room I. Roll Call I i II. Minutes I i, III. Announcements and Reports: A. Presentation of 1979 Slate of Officers I B. Joint Meeting with Bloomington and Richfield at Southdale Library, April 17, 1979, at 7 p.m. C. 1978 Nursing Service Statistics - Yvonne Hargens I D. Other f i IV. New Business: I A. 1980-81 CHS Subsidy Awards and Plan Development - Dave Velde V. Unfinished Business: A. Appointment of member to attend City Council Meetings B. Establishment of a Laison Committee between Edina and Bloomington's Advisory Committees VI. Next Meeting Date: April 17, 1979 - JOINT MEETING VII. Adjournment I� f 4 I MINUTES OF THE REGULAR MEETING OF THE EDINA ADVISORY HEALTH COMMITTEE HELD TUESDAY, MARCH 27, 1979, AT 7:30 P.M. EDINA CITY HALL CONFERENCE ROOM Members Present: Mary Bang, Homer Kinney, Barbara Kresoya, Dr. Richard Simmons, Tully Stoppel, Leroy Werges, Dr. C. Rockwell Members Absent: Linda.•Bjerke, Dr. Duane Engstrom, Beverly Harris, Dr. Walter Krafft, Verne Moss, June Schmidt Staff Present: David Velde, Public Health Sanitarian; Colleen Hemmingsen, Public Health Sanitarian; Judy Teichert, Secretary; Yvonne Hargens, Bloomington Public Health Nursing. Chairperson pro-tem Barbara Kresoya opened the meeting by presenting the slate of officers for 1979 that the Advisory Health Nominating Committee, consisting of Dr. Engstrom, Roy Werges, and Barbara Kresoya, had drawn up. She presented Homer Kinney for Chairman and Verne Moss for Vice- Chairman. Dr. Rockwell moved that the Advisory Committee accept Homer Kinney as their Chairman and Verne Moss as Vice-Chairman for 1979. Dr. Simmons seconded the motion. All voted aye; the motion carried. Barbara Kresoya then turned the chair over to Homer Kinney. II. Approval of the Minutes Dr. Rockwell moved that the minutes of the January 23, 1979, Edina Health Advisory Committee be approved. Dr. Simmons seconded the motion. All voted aye; the minutes were approved. III. Announcements and Reports B. Joint Meeting with Bloomington and Richfield at Southdale Library, April 17, 1979, at 7 p.m. Mr. Russ Stricker, the Executive Director of the South Hennepin Human Services Council, who has agreed to moderate the joint meeting, was present to give the Committee a general idea as to what would take place and what would be expected of them at the meeting. Mr. Stricker noted that the Committee should decide who they would like to invite to the meeting and recommended the 'City Council and local legislators be invited. Mr. Stricker also indicated that a tentative date of April loth was set for an evening meeting to prepare for the meeting on April 17th. Dr. Simmons noted that the evening of April 17th was very busy with the doctors also having several other conflicting meetings that evening. Mr. Kinney indicated the City Council and local legislators would be invited to attend the meeting, and an advisory committee member would be delegated to speak on behalf of the advisory committee at the joint meeting. The advisory committee also discussed a representative to City Council meetings on behalf of the advisory committee. No action was taken on this matter. i i 7 Edina Advisory Health Committee Meeting March 27, 1979 Page 2 C. 1978 Nursing Service Statistics - Yvonne Hargens Yvonne Hargens gave a brief overview of the 1978 Nursing Service Statistics analysis which gave a service description and evaluation of the services rendered to the three cities of Bloomington, Edina, and Richfield. She stated the full report will be published and distributed at the joint meeting in April. D. Other Yvonne Hargens gave the Advisory Committee an overall legisla- tive report on several bills now being considered in congress that would have some effect on the health program in Edina. IV. New Business: A. 1980-81 Community Health Services Subsidy Awards and Plan Development - Dave Velde David Velde began by making several announcements including the fact that Mr. Esse has been ill and a new employee, Colleen HeamLingsen, is now with the Edina Health Department. Mr. Velde referred to the Planning Assumptions for 1980 Community Health Services Subsidy Entitlements handout that had been sent with the member's packets prior to the meeting. He noted that Edina might have to take a $1,400 cut in their 1980 Community Health Services entitlement. Mr. Velde also covered the tentative date schedule for drafting the plan. V. Unfinished Business: A. Appointment of Member to Attend City Council Meetings Mr. Kinney felt someone should talk with the Mayor regarding attending the Council meetings to see if perhaps a member could just attend when a health-related matter was being discussed. No formal action was taken. B. Establishment of a Liaison Committee between Edina and Bloomington's Advisory Committees Yvonne Hargens explained that the Federal Government requires that each year an external agency's evaluation be done on the Public Health Nursing Committee, and the agency likes to have someone from Richfield and Edina to participate in that process. She cited that last year Mary Bang participated in that program. In addition to this evaluation, the Preventive Practice Spending Committee and Environmental Committee is doing a project on day care centers and have requested a liaison because there are a substantial number of day care-nursery centers in Edina and Richfield. She clarified that they were speaking of two people - one for each area, namely day care-nursery and the agency evaluation. Because of the shortage of members present, this item was tabled to be discussed at a later date. '1 Edina Advisory Health Committee Meeting March 27, 1979 page 3 VI. Next Meeting Date: April 17, 1979 - JOINT MEETING VII. Adjournment: 8:45 p.m. Respectfully Jsubmitted, V Judy Teichert, Secretary "'1 "� '\ 1 PLANNING ASSUMPTIONS FOR 1980 COMMUNITY HEALTH SERVICES SUBSIDY ENTITLFMFNTS The following assumptions will be used in determining the eligibility ak,A _ entitlement of Henne in County and direct share municipalities for 1980 (dcr:unit ty - Health Services (CHS subsidy entitlements: 1. Consistent with M.S. 145.912, Subd. 17, Hennepin County will conduct an annual expenditure survey of all community health services for 1978. 2. The most recent population estimate provided by the State Planning Agency will be used as the official population estimate for Hennepin County as required by M.S. 145.912, Subd. 15. 3. It is likely that the Minnesota Department of Health application of M.S. 145.921 will be inconsistent with M:S. 145.917, Subd. 2, resulting in inconsistency of legal CHS -subsidy entitlement. Hennepin County planning staff will apply the appropriate sections - of the law. These assumptions permit the preliminary estimate of 1980 CHS subsidy entitlements for Hennepin County on behalf of 41 municipalities and for five direct share municipal i ti es: Base $0.25 Per Capita Total 1980 Local Government- Population Entitlement Population 50,000 CHS Entitlement aloomington 74,047 129,582 18,512 148,094 Jina 45,795-- 80,456 -0- 80,456 inneapolis 371,896 1,022,714* 92,974 1,115,688 Richfield 39,706 69,486 -0- 69,486 St. Louis Park 41,859 73,253 -0- - 73,253- 599,431 to** 714,570 to Hennepin County 333,017 915,797 115,139 1,030,36- - 1,974,922 to 2,201,547 to TOTAL 906,500 2,161,835 226,625 2,517,913 *Assumes a maximum proportional share at $2.75. **Assumes range for proportional share of $1.80-2.75 per capita. Comparison of actual 1979 CHS subsidy entitlements to projected 1980 entitle- ments: CHS Entitlements- CHS Entitlements Local- Government 1979 1980 Change- Bloomington 154,050 148,094 ( 5,956) Edina 81,846 80,456 ( 12390) Minneapolis 1,135,435 1,115,688 (19,747) Richfield 72,335 69,486 2,849 `-- St. Louis Park 78,797 73,253 5,544� 7114,570 to 19,585 to Hennepin County 694,985 1,030,936 335,951 2,201,547 to TOTAL . 2,217,448 2,517,913 '"� '� i 4J 3 CL >. C L. .- 0 u N N L N U C•> r 4-1 CCf N rn 00 ►-- -a Z � N 7 C I. r -0 Q r [l V1 •E 4- U C U C 7 -0 .. J L .- •- - •- - n. Cn C U Q7 •L Z N C C) CL 0- 0- Q O Z ¢ N O W N ¢ 2: L) 4J t •L 1 to v O .Q n P`. n. cr% QQJ Z T U- U\ IA v � � r O m r •> -0 C L 41 d C - = Q •- N N ^ J yOj :, p Q to E 1U N N ❑ _ C >-, �+ U tU Z d (a +1 cQY N Q O Q <L O N U 0- CT Z p i _ V { N- tC► Q � N C C J E L'+ 4- ui rl O T Lt_ 7 CL' i •t�. >- y c N C v o p a 0 J U •- N f0 O N 0 N G •- L "O N O .- N ' O CU CD O O (0 L "O a+ U- C v Z Q (p O EEC C Q •E v O C O 7 cn S Ep y � L- p to U (i = U _ 41 'ty �1 Cb L 4- 00 41 1-4 E CA C71 >- •L E N> � N coif N O m L C) CO 0 J (0 'a .- •- C9 CL 00 E •- C Q c.7 > a r t0 a � 44 A CA CL CL;41 41 U Q Q •E OL �0 7 ca cn E C1 C a p O N U U Q 4- U- U C Z ui C P4 6-4-1 LLJ 0- m ►�+ C W N A 'C7 Co L. L +J 4J CO W O mi- 4J ) rn LC] > w Z F O - a► I- Ca .E .r L LU .C� d O LO N a_ CL.p N Q N E Z U �.-y-- _ '"� '1 I i I � MEMORANDUM TO: The Honorable Mayor and City Council Kenneth Rosland, City Manager FROM: David A. Velde, Edina Health Department SUBJECT: Joint Meeting of Edina, Bloomington, and Richfield Health Advisory Committees DATE: March 28, 1979 A joint meeting of the Health Advisory Committees is scheduled to take place on April 17, 1979, at 7:00 p.m. in the Ethel Barry Room at the Southdale Library, 7001 York Avenue South. Russ Stricker, Executive Director of the South Hennepin Human Services Council, has agreed to act as moderator for the meeting. The meeting will consist of a presentation from each advisory committee and a presentation from each health department of the three cities. After a brief presentation, the meeting will be opened to a discussion session during which questions will be answered about the various programs within the three cities. This department will be sending invitations to other public officials `— and would appreciate any suggestions as to other persons or organizations which may be invited. I hope you will be able to attend this meeting. Respectfully, David A. Velde DAV:jkt DIVA 4801 WEST 50TH STREET. EDINA. MINNESOTA 55424 612-927-8861 April 3, 1979 The Honorable Mary Forsythe 4605 Edina Boulevard Edina, MN 55424 Dear Mrs. Forsythe: A joint meeting of the Edina, Bloomington, and Richfield,Advisory Boards of Health has been scheduled on April 17, 1979, at`7:00 p.m. in the Ethel Barry Room at the Southdale library. This meeting will provide a forum to discuss mutual health needs in the three cities, particularly as it relates to the Community Health Services Act. Russ Stricken, Executive Director of the South Hennepin Human Ser- vices Council has agreed to act as moderator of the meeting. The meeting will consist of a presentation from each advisory committee and a presentation from each health department of the three cities. After a brief presentation, the meeting will be opened to a discussion session during which questions will be answered about the various programs within the three cities. I hope you will be able to attend this meeting. Sincerely, David A. Velde Edina Health Department i DAV:j kt i I I �. '1 i , �� E®IRlA 4801 WEST 50TH STREET, EDINA. MINNESOTA 55424 612-927-8861 April 3, 1979 Mr. Otto T. Bang 5200 Duggan Plaza Edina, MN 55435 Dear Mr. Bang: A joint meeting of the Edina, Bloomington, and Richfield Advisory Boards of Health has been scheduled on April 17, 1979, at 7:00 p.m. in the Ethel Barry Room at the Southdale library. This meeting will provide a forum to discuss mutual health needs in the three cities, particularly as it relates to the Community Health Services Act. Russ Stricker, Executive Director of the South Hennepin Human Ser- -vices Council has agreed to act as moderator of the meeting. The meeting will consist of a presentation from each advisory committee and a presentation from each health department of the three cities. After a brief presentation, the meeting will be opened to a discussion session I during which questions will be answered about the various programs within the three cities. I hope you will be able to attend this meeting. i Sincerely, j David A. Velde Edina Health Department DAV:jkt JUIi'!T ADVISORY IBOAf:!)S Ot- EttAL ill riLt-IING <c r BLOO111NGI Oil—LDINA—RICHI'ILLD April 17, 1979 amass Stricker, Director, South Hennepin Human Services Council This is a good opportunity for the three Advisory Boards of Health to discuss mays to better serve the residents of the south hennepin cities. tie is continually impressed by the willingness and concern of individuals, like those "on the Advisory Boards of Health, to work toward improving services. He introduced the elected officials present. James Libby, DVM, Bloomington Advisory Board of Health The Bloomington Advisory Board of Health was established in 1960. The primary purpose is three-fold: 1 . Advise City Council on health issues; 2. Study public health problems; and 3. Act as liaison between community and city health staff. Dr. Libby briefly listed areas the Board has been involved in: Well Child Clinics, food ordinances, visiting nurses, school immunizations, pre-school vision and hearing screening, scoliosis screening, water testing, nuisances , home health aides, family planning, venereal disease, rabies vaccination, community chaplian services, senior citizen issues, drug education and enforcement, hypertension, and proposed legislation. The Board consists of 21 members appointed by the City Council for two year terms. The Board members may serve more than one term. Half of the members are consumers, half are providers. The Board tries to overlap the terms of providers to that no one profession is without representation. The Board is fortunate to have good representation and input from public health and enviornmental staff and the City Council . The meeting is held at 12 noon the last Tuesday of every month. `-- The By-Laws are reviewed annually and presented to the City Council for_approval . This year the Board prepared Rules of Procedure which were adopted by the City Council . There are three elected officials: Chairperson for a two year term, First Vice-Chair Elect, and Second Vice-Chairperson. Linda Bjerke, Edina Advisory Board of Health The Edina Advisory Board of Health was formed in July, 1977. Board members are appointed by the Mayor. The City Council elected to make this the advisory committee to them on health issues. The Board consists of half providers and half consumers. When it is necessary to replace a Board member they are very careful to look at the corciunity and make sure every segment of the population is represented on the Board. Edina has a history of providing excellent health services to their residents. They have provided personal health services for several years, first through a contract { with Suburban Nursing Service and beginning 1977, through Bloomington Public Health. Edina has a very good paramedic program that is a model for the country. Their response time is 2-3 minutes. The residents of Edina appreciate this service. In 1978, the Board dealt with organization. They focused on identifying the needs of the population and possible duplication .of services. In the future their Board expectes to go in a number of directions, including becui;iing more involved in the Community Health Services Plan. At present the Edina city staff carries the major responsibility. They will continue to assess the needs in their community and organize 'nto committees to work on these specific needs. I i i F'age 2 William Seimers, Richfield Advisory Board of Health The Richfield Advisory Board of Health was established two years ago in 1977. Their duties are prescribed in the By-Laws and membership type is stipulated, as well as terms and chairperson. A quorum is a majority of voting members present. Their duties are to advise, consult, and make recommendations in regard to community health issues. Their first Board function ;,,is with House File 1 , this was a very e —iting time for them. The present efforts have been in preparing an annual plan and assembling facts and figures of what happened last year. This plan is submitted to their City Council . They sent out a questionnaire to determine how aware the residents are of the personal health services provided. They had a very small response. P to from the Bloomington Public Health Dept. showed that 35 percent were referred by friend or relative, 3', percent by self. Therefore, the community's awareness is high. The largest age group using public health services is the 20-44 age group. Robert Mood, Director, Bloomington Building and Inspection Department Bloomington's environmental health program began in 1959-60. . Over the years as the city has grown so has the program. They are funded out of general revenue funds and community health service grants The 1973 budget is $265,522. In applying for the next CHS grant they list six categories of service: Enviornmental health administration Community sanitation Housing inspection Pollution control Food service inspection Environmental pollution control Robert Mood listed the various areas their Department inspects: multiple dwellings, rental housing and complaints, food service inspections--churches, hotels, motels, schools, etc. , building codes for new buildings or remodeling, nuisance complaints, water quality, enviornmental pollution--air, water, private wells, swimming pools. A noise code was recently established that is a compliance program rather ,..,an a program of fines. Dave Velde, Edina Environmental Health Dept. Their enviornmental health program began in 1960 with a part-time sanitarian. They hired a full-time sanitarian in the mid 1960s and in 1974, hired two full-time sanitarians. They inspect swimming pools, food, noise, and nuisance complaints. Their city has 111 licensed establishments, 73 are routinely inspected twice a year and the rest are inspected four times a year. They have 80 public swimming pools. They average 150 nuisance complaints annually. I They have a lab for the testing of food 'and water which is used jointly with I E loornington and St. Louis Park. i Their emergency medical service consists of six paramedics. Two to each ambulance. The police and fire departments have staff trained in Emergency Medical Training. i i � I I i i . I '"� i ,.. Page 3 nianuel Roesler, Richfield Environmental Department Richfield has a very good program. They began providing personal health services in 1950 and environmental health services in 1960. The Richfield City Council passed a food ordinance in 1962 that expanded the previous program. The new program is a plan review that enabled them to upgrade restaurants and food establishments. -It also provides for teaching good food handling techniques to food handlers. Many of their food chain establishments are rated as top in the nation. In 1968 they began inspecting housing, since that time home values have increased tremendously in Richfield. They are concerned about noise and air pollution from the airport and work closely with the Environmental Pollution Control Agency. They have 123 noise ordinances that are enforced. Yvonne Hargens, Director, Bloomington Division of Public Health Yvonne Hargens stated everyone had received a copy of the two-year report of personal health services provided to the three communities by the Public Health Division. The first half of this report is a description of services. Each section has a service index because of the City's budget system. There are eleven individual budgets for the Division of Public Health services. The second half of the report is a composite of nursing statistics. Of the entire staff, 75 percent are RNs or LPNs who fill out dailies that go into a computer. The bulk of this report was prepared by Gayle Hallin, Administra- tive Assistant. GENERAL DISCUSSIOA Kristen Kurtz, St. Louis Park Health Advisory Committee: How did the three advisory boards determine their community's needs? Linda Bjerke, Edina: They did a needs assessment. The State Health Dept. has a format for this. Dave Velde, Edina: They looked at the morbidity and mortality reports. These identify what people die from but do not identify what chronic illness people are suffering from. The State Health Dept. is working on statistics that will identify chronic illnesses. The Metro Council was also a good resouce on community needs. Yvonne Hargens, Bloomington: The SHHSC did a complete survey of residents in j the south hennepin area and what they felt were needs in their community. Things happen that help identify. needs, i .e. , legislation, citizen requests, funding becomes available, etc. James Libby, Bloomington: The advisory boards of health are one of the best resources for determining a community's needs because it is a large representation of the various segments of each community. Just one of the Bloomington Advisory Board standing committees came up with 30 areas that niay have a need. Immanuel Roesler, Richfield: Experience is the best teacher. The State Health Dept. recognized the fact there was a need for personal health services and initiated regulations to establish nursing services. Agencies with experience can determine trends, state and federal government recognizes a need and makes funding available, or a growth in a segment of the population encourages the development of a new program. w Page 4 Russ Stricker: How many things cross over cityi~. and does this causeproblems? James Libby, Bloomington: Bloomingtc�r, `: I> ; s control program has caused a few problems because the surrounding comlilun es do -not have this ordinance and not all the local veterinarians :,el a rabif, ntrol pro(Iram is necessary. There needs to be more program coor-Jination betweei, three co;;anunities. Robert Mood, Bloomington: The ideal situation would be for the three cities to work together and make their ordinances similiar. This would make it much easier for citizens and industry going from one community to another, i .e. , a company that delivers meat must deal with three different city ordinances. Yvonne Hargens, Bloomington: Day care and nur-ery schools need regulation coordination. The Bloomington Division of Public Health provides services to the three communities and each has a different ordinance. Immanuel Roesler, Richfield: It is difficult to have similar ordinances in some cases, for example, Richfield does not really need a rabies control program because it is surrounded on all boundaries by freeways or major highways, however, Bloomington has many wooded areas. There are areas where coordination on ordinances is possible. Why does Edina provide EMT services to its residents and the other two communities do not? Linda Bjerke, Edina: This is a program that has been developed by Edina and �- the residents really appreciate knowing this service is available. Bloomington and Richfield have adequate emergency medical services. The county is responsible for providing emergency medical care. Since their program is not s«fficient, the individual cities may supplement as they wish. There is a issue at present whether the county should be the sole provider of medical care services to Hennepin County. The Edina residents would prefer to keep their own paramedical program. Russ Stricker: What do the elected officials think of the Advisory Boards of Health, are they important? Robert Darr, Bloomington: The City Council assigned a task force to study the city's boards and commissions. It was a very good learning experience.. The only changes recommended for the Board of Health were technical changes which + 'I have already been done. The Bloomington City Council has a high regard for the Advisory Board of Health and seriously considers all recornrrendations. June Schmidt, Edina: The Board of Health is dole to ;provide a completely different point of view to subjects and problems th-L come before the City Council , a different insight. Juanita Colin, Richfield: Since she is fairly new to Council can only say that board members she has met are very interested and concerned about the needs of the community and how to serve there,. Chuck Bredesen, Richfield: Same position as Juanita. Very pleased with what he has seen of Advisory Board of Health. Would like to see heoi + h services r considered a community problem, not a county, state or federal overnwent problem. f '� IL Page 5 Ken Roland, City Manager, Edina : Advisory boards of are the backbone of good receptive government. This volunteer help is needed to keep government in balance. i ve city council members are not a large enough representation of an entire community. William Seimers, Edina: The advisory boards are only as good as the relationship they have with their city council . There has to be good cooperation and coordination. Russ Stricker, South Hennepin Human Services Council : Community has to be involved in planning process. The closer we get to community needs the better in-put we can give to Hennepin County. The health boards are a means to better community involvement. Adjournment: 9:25pm I i I f i i i � I ( r i '"t i. A 1 ENDANCE J01 iiT AO%'IC}( Y C�Or'�f�DC OF Donna Adams Rita Nelson .� Donna Anderson Charles Officer Dorothy Backstrom Pat Reichert Mary Bang Ruth Renz W. Ii. Bi tti ck, MD 1. Roesler Linda Bjerke Ken Rosland Diane Brady June S( i:; ii dt, Edina City Council Chuck Bredesen Bill Siemer-, Mark Bernhardsen A. Simmons, MD Ralph B. Campbell Luce,, Stoppel Juanita Colin, Richfield City Court i kuss Stricker Robert Darr James Truax Joseph DeAntonni L. D. Vanderhoef Ellen Dennis David Velde Kathryn Dewey Joyce Wilde Kitt Eiler Nat Wisser Gayle Hallin Helen Yates Yvonne Hargens Bev Harris Arvid Kingsriter Homer Kinney Barbara Kresaya I Kristen Kurtz i Vi Lehtinen f Jaynes Libby i Kathy Lucas i Iv:In Ludeman, Richfield City Council Johanna I"ti l l I Robert Food t i AGENDA Edina Advisory Health Committee Meeting May 29, 1979, at 7:30 p.m. Edina City Hall Conference Room Homer Kinney, Chairperson I. Roll Call II. Approval of the Minutes: March 27, 1979 i III. Announcements and Reports: A. Presentation of 1980-81 Preliminary Community Health Services Plan B. Joint Meeting Report (Edina, Bloomington & Richfield) C. Other IV. New Business: A. Analysis of Community Health Services Questionnaire B. Ad Hoc Study Committees I C. House File 782 (SF 1414) Licensing of Home Health Agencies V. Unfinished Business: A. Appointment of Committee Member to Attend City Council Meetings B. Establishment of Liaison Committee between Edina and Bloomington Advisory Committees VI. Next Meeting Date: July 24, 1979, at 7:30 p.m. VII. Adjournment ,� "1 MINUTES OF THE REGULAR MEETING OF THE EDINA ADVISORY HEALTH COMMITTEE HELD TUESDAY, MAY 29, 1979, AT 7:30 P.M. EDINA CITY HALL CONFERENCE ROOM Members Present: Chairman Homer Kinney, Linda Bjerke, Dr. Engstrom, Beverly Harris, Barbara Kresoya, Dr. Rockwell, June Schmidt, Dr. Simmons, LeRoy Werges Members Excused: Mary Bang, Dr. Krafft, Vern Moss, Tully Stoppel Staff Present: David Velde, Public Health Sanitarian; Colleen Paulus, Assistant Sanitarian; Judy Teichert, Secretary II. Approval of the Minutes LeRoy Werges moved that the minutes of the Mar. 27, 1979, meeting of the Edina Advisory Health Committee be approved. Dr. Rockwell seconded the motion. All voted aye; the minutes were approved. Chairman Kinney noted the minutes from the April 17, 1979, Joint Advisory Boards of Health meeting would be distributed at a later date. ` i III. Announcements and Reports_ i A. Presentation of the 1980-81 Preliminary Community Health Services Plan i Each member of the Committee received a copy of the 1980-81 Community Health Services Preliminary Plan for review prior to the meeting. Mr. Velde explained the plan is very similar to last year's except two new categories have been added: animal control and weed control. He indicated that the budget figures may change as these were preliminary estimates of the budget and increases, and that the nursing services activity descriptions would be incorporated in Bloomington's proposal but the budget figures would be shown on Edina's plan. Many of the programs were questioned as to content and allocation of funding. Dr. Simmons moved that the Advisory Board of Health approve the resolution recommending approval of the Preliminary Community Health Services Subsidy Plan for 1980 and 1981. LeRoy Werges seconded the motion. All voted aye; the motion carried. Homer Kinney questioned how the Advisory Committee could determine if this budget was thoroughly consistent with the needs of the com- munity. The Committee was especially concerned about the services Bloomington Public Health Nursing Service provides. Linda Bjerke added she felt the Committee should be better informed about the specifics of the programs so the Committee would know what they were buying for the citizens of Edina. Bev Harris voiced her concern about the duplicaiton of services that may occur. Dr. Engstrom felt it would be helpful if the Advisory Committee could get a better breakdown on services from Bloomington. Mr. Kinney suggested that a small ad-hoc committee be formed to do an in-depth study of Bloomington's services. Mr. Velde also pointed out that the Advisory Committee could ask to review or audit their records under the contract. _ 4 Edina Advisory Health Committee May 29, 1979 page 2 An ad-hoc committee was formed consisting of Chairperson Bev Harris, June Schmidt, and Linda Bjerke to more closely examine the services that the Bloomington Public Health Nursing Service is providing to Edina. B. Joint Meeting Report (Edina, Bloomington and Richfield) The Advisory Committee discussed the Joint Meeting on April 17, 1979, of the Health Boards and Advisory Committees from Bloomington, Edina, and Richfield. They commended Linda Bjerke for her presentation at the meeting. In general they felt the meeting was very informative and successful. IV. New Business A. Analysis of Community Health Services Questionnaire Because the members of the Advisory Committee had not had the chance to consider and fill out the Community Health Services Questionnaire, it was decided that they would be discussed at the next meeting, and if possible, the Committee should,fill them out and return them to the Health Department prior to the next meeting. C. House File 782 (SF 1414) - Licensing Home Health Agencies David Velde explained that House File 782 is new legislation that is being held over for interim study providing for licensing of home health agencies by the Department of Health. He continued that a home health agency was defined as one which provides any two of the following at a patient's residence: nursing, physical therapy, speech therapy, occupational therapy, nutritional services, home health and/or medical social services. He pointed out that the act makes appropriations in blank, and gives rules for applications for license, licensing requirements, license renewals, inspections, denials of licenses, appeals, and exemptions. Dr. Simmons, after general discussion on the act, stated he would speak to a lobbyist for the Minnesota Medical Association to get more of the background on the act. V. Unfinished Business A. Appointment of Committee Member of Attend City Council Meetings. Homer Kinney stated he had talked with the Mayor, and the Advisory Committee should have representation to the City Council meetings. It was decided that Dr. Simmons would attend the June City Council meetings and Dr. Engstrom would attend July City Council meetings, and at the next Advisory Committee meeting, volunteers would be solicited for the remaining months. Edina Advisory Health Committee May 29, 1979 page 3 B. Establishment of Liaison Committees between Edina and Bloomington Advisory Committees Homer Kinney stated that there were two committees, Day Care/ Nursery and Agency Evaluation, that were being formed between Edina and Blooming- ton Advisory Committees and solicited volunteers to serve on the committees. Tully Stoppel agreed to serve on the Day Care/Nursery committee and the ad-hoc committee that was established to examine Bloomington's services consisting of Bev Harris, June Schmidt and Linda Bjerke agreed to cover the agency evaluation committee meetings. i I C. Other j General concerns of the. Committee members were discussed which included Edina Day Care Centers, the dog ordinance being considered by the City Council, and a summary of findings regarding an opinion poll which was conducted in February of 1978 reflecting the perceptions of health and social service problems. No action was taken on these concerns. i VI. Next Meeting Date: July 24, 1979, at 7:30 p.m. VII. Adjournment: 9:05 p.m. Respectfully submitted, C' Judy Teichert, Secretary i '•� AGENDA Edina Advisory Health Committee Meeting July 24, 1979, at 7:30 p.m. Edina City Hall Conference Room Homer Kinney, Chairperson I. Roll Call II. Approval of the Minutes: May 29, 1979 III. Announcements and Reports: A. Meeting with Yvonne Hargens of BPHNS - Bev Harris and Linda Bjerke a B. South Hennepin Human Services Poll, 1978 - Dave Velde C. Subsidy Award Adjustment - Dave Velde D. House File 782 (SF 1414) - Dr. Simmons Licensing of Home Health Agencies E. Public Hearing on Policies and Expectations of the Metropolitan Health Board Regarding Roles and Responsibilities in Community Health Services, July 31, 1979, at 7:00 p.m. Crystal City Hall. 42nd and Douglas Drive. IV. Unfinished Business: A. Discussion of Community Health Services Questionnaire B. Appointment of Committee Member to Attend City Council Meetings V. Next Meeting Date: August 7 or 14, 1979?? I VI. Adjournment I i i I i "r`1 e MINUTES OF THE REGULAR MEETING OF THE EDINA ADVISORY HEALTH COMMITTEE HELD TUESDAY, JULY 24, 1979, AT 7:30 P.M. EDINA CITY HALL CONFERENCE ROOM Members Present: Chairman Homer Kinney, Linda Bjerke, Beverly Harris, June Schmidt, Dr. Simmons, Dr. Rockwell Members Excused: Mary Bang, Dr. Engstrom, Dr. Krafft, Barbara Kresoya, Vern Moss Jr, Tully Stoppel, Leroy Werges Staff Present: David Velde, Public Health Sanitarian; Colleen Paulus, Assistant Sanitarian; Judy Teichert, Secretary II. Approval of the 1linutes ILinda Bjerke moved that the minutes of the May 29, 1979 meeting of the Edina Advisory Health Committee be approved. Dr. Rockwell seconded the motion. All voted aye; the minutes were approved. III. Announcements and Reports A. Meeting with Yvonne Hargens of BPHNS - Beverly Harris, Linda Bjerke, June Schmidt Beverly Harris, chairperson of the ad hoc committee formed to more closely examine the Bloomington Public Health Nursing Service, opened the meeting with a presentation explaining a more detailed breakdown of the services Edina utilized from the Bloomington Public Health Nursing Service. She referred to a handout entitled "1978 Services Index" (which you find at the con- elusion of the minutes) in her report of their findings. She responded to several questions that had been voiced at the previous meeting. In reply to the question of how the Bloomington Public Health Nursing Service was staffed, Bev Harris answered that the committee felt it was very efficient with 20 full time nurses, 50 past time nurses which are paid by an hourly rate, 2 full time secretaries, and services contracted out for occupational therapy, physical. therapy, and speech therapy. In. explanation of how the fees are. determined, Bev informed the Advisory Committee that the Certified Public Health Nurse determines the level of care needed and assigns someone capable of that level of care to the case. She stated the ad hoc committee felt this team concept was very cost ef- f.eeti_ve. Bev Harris indicated that the cost per visit was $28.96. Linda Bjerke. and June Schmidt aided. Bev Harris in clarifying how the monies are used by Bloomington, and they concluded that the budget did seem to be consistent with Ed_ina' s needs. The Advisory Committee agreed that a more detailed report of the findings should be sent to the City Council for their review. i I i Edina Advisory Health Committee July 24, 1979 page 2 --� B. South Hennepin Human Services Poll, 1978 - David Velde David Velde presented the South Hennepin Human Services Poll from 1978 in. which Hennepin County polled the jurors -regarding their perceptions of various health or social. services and also asked them about their support for the various programs. From this survey, the South Hennepin Human Services Council extracted the responses made by jurors living in the South Hennepin Human Services area, and these were then tabulated and used to determine priorities and support for programs in South Hennepin County. Mr. Velde stated that this poll would be used in the final plan as basis for needs assessment. C. Subsidy Award Adjustment - David. Velde Mr. Velde informed the Advisory Committee that an extra award of $2,865.00 has been received for the last half of the year which made the total award $84. 711.00. He indicated that the extra award had been allocated under Emergency Medical Services. D. House File 782 (SF 1414) - Dr. Simmons Licensing of Home Health Agencies Dr. Simmons explained that he had spoke with Jim Sova, a lobbyist for the Minnesota Medical Association, who informed him that the bill was introduced to set standards for home health agencies. He continued that proprietary home health agencies. do not get reimbursed for medi-care unless they are licensed so they are attempting to be licensed for reimbursement. Dr. Simmons stated this would also hold true for the nursing services. A general discussion followed but no action was taken. E. Public Hearing on Policies and Expectations of the - Metropolitan Health Board Rewarding Roles and Responsibilities In Community Heal-th Services, .July 31, 1979, at 7:00 p.m. Crystal City Hall. 42nd and Douglas Drive. David Velde asked the Advisory Committee to note this hearing and stated he would report its results to them at the next meeting. IV. Unfinished Business: A. Discussion of the Community Health Services Questionnaire Because all the members of the Advisory Committee had not filled out and returned the Community Health Services Questionnaire, it was decided that they would be discussed at the next meeting. B. Appointment of Committee Member to Attend City Council Meetings R\ Edina Advisory Health Committee July 24, 1979 page 3 June Schmidt volunteered to act as the Advisory Committee representative at the August City Council meetings. Volunteers to attend for the following months will be solicited at the August 14th meeting. V. Next Meeting Date: August 14, 1979, at 7:30 p.m. V1. Adjournment: 9: 15 p.m. Respectfully submitted, Judy Teichert, Secretary t97a SLi:V'1CC II;DCX[S i httlUti. CO1!111 PI-ClIV. 6201 Illness PLS. -"l.11 160 101 472 Ilov:e visits 3 1S`t 1086 116 ' i 6202 Pat-ients-��-- 1,914 65 271 2,l_50 family Pl:n. Visit 1,321 t15 5t;3 5,019 Well tdu1t_V'i;its---- -----i'082— ---12 -----2b- --1�120 - 6203 i'atien If,s - - hell Child Visits 594 110 91__ --L'0�1 ;• [PS 2,003 745- - 6i5 3,362 I,IC -„7 640 10 j''.0----HODD -- 620i Group Sessions 559 104 33 696 Class 2,756 307 184 3,247 Indiv. Co,aat. 1,649 295 310 2,2-" Ilealth center 2,296 2t�4 196 2,733 _- ----------- 2'91-3 -----1,`I1/ 6,514 i'L,374 6205 StudentG(c4r- Visits 668 235 3``-16 1,?59 Group Visits 221 241 351 813 Indiv. SCrccned 1,n7 68/ 3,580 7,123 Indiv. ltach/Counsel 1,287 2,101 2,63(i 4,795 _ I;urser'/(i?� Care 7!;5 721 1?! 1,603 6205 Individuals `erved 3,614 215 697 4,526 Nursing Visits 9,305 •1 L,OL;S 1'2,1£;7 /rlco./Drug Pcl. Visits 461 12 18 553 G.otional I!ralth Vis.it.s 752 94 41 1,O1,7 _ _I!eaIIll Pro.,!. Vi:,i ts_ ----9,007 ----_-_706_- -_-2.0('9----1(t,57? 6l.^II_In Sividual trued ^---- — 6,150 ?,464 2 C 4 10,6GII Uell Itdults (Client ) 391 176 Zoe 775 ihtrapcutic Visits 1,555 '599 307 2,'[Gl Out-peach (ontr.cLs ?3;7 MI) 163 639 J;att-n- --.. _._ 7412 ?P? 301' 6210 V.O. Visits E29 48 46 937 lu.nur,izatipns !i%!S 3,1;70 647 5,(145 l ,-I'c"Im lir;ts7tt0 ?2 2?7 ,1 ni (Sloud f•r .�u.t.= 5, .., 1,r,44 1,!:`8 8,J60 � i AGENDA Edina Advisory Health Committee Meeting August 14, 1979, at 7: 30 p.m. Edina Police Training Room Homer Kinney, Chairperson I. Roll Call I L Approval of the Minutes: July 24, 1979 III. Announcements and Reports: A. Final Community health Services Plan - Dave Velde B. House File 782 (SF 1414) - Linda Bjerke Licensing of Home Health Agencies C. Report on the Metropolitan Health Board Public Meeting for their Policy Statements Regarding Roles and Responsibilities in Community Health Services - Dave Velde IV. Unfinished Business: j A. Appointment of Committee Member to Attend City Council Meetings i V. Next Meeting Date: i VI. Adjournment i i i i II !l r f MINUTES OF THE SPECIAL MEETING OF THE EDINA ADVISORY HEALTH COMMITTEE HELD TUESDAY, AUGUST 14, 1979, AT 7:30 P.M. EDINA CITY HALL POLICE TRAINING ROOM Members Present: Chairman Homer Kinney, Mary Bang, Linda Bjerke, Dr. Engstrom, Beverly Harris, Vern Moss, Jr. , Dr. Rockwell, June ,Schmidt, Dr. Simmons, Tully Stoppel, Leroy Werges Members Excused: Dr. Krafft, Barbara Kresoya Staff Present: David Velde, Public Health Sanitarian II. Approval of the Minutes Dr. Rockwell moved that the minutes of the July 24, 1979, meeting of the Edina Advisory Health Committee be approved. Beverly Harris seconded the motion. All voted .aye; the minutes were approved. III. Announcements and -Reports: A. Final Community Health Services Plan - David Velde i David Velde announced that there has been an increase in the subsidy allocation to Edina for 1980 making the total that will be received $90,641; in 1981, $96,986 will be received. He also noted that the public hearing had been held, and no comments had been directed at Edina's plan. I Copies of the final plan were distributed to the Advisory Committee members prior to the meeting. Mr. Velde pointed out that the City Council has not taken any action on the 1980 budget which means the plan is just an estimate, and if any changes should be made, a revised budget would be submitted to Hennepin County and the State. After general discussion, Dr. Rockwell moved that the following resolution be adopted: A RESOLUTION RECOMMENDING TO APPROVE THE COMMUNITY HEALTH SERVICES SUBSIDY PLAN FOR 1980 AND 1981 WHEREAS, the Advisory Board of Health of the City of Edina is an official advisory body to the City Council, which is the official Board of Health; and WHEREAS, the Advisory Board of Health is charged by the City Council to study public health needs in the City and recommend to the Council l policies and ordinances and.programs necessary to meet these needs; and WHEREAS, the Advisory Board of Health has reviewed the plan and application for 1980 and 1981 Community Health Services Act subsidy funds prepared by the Staff of the City of Edina and finds it thoroughly consistent with the needs and priorities of the community as determined by this Advisory Board and as expressed in citizen's participation; Edina Advisory Health Committee i August 14, 1979 Page 2 NOW, THEREFORE, BE IT RESOLVED by the Advisory Board of Health of the City of Edina, in regular meeting assembled, that the plan and application for the 1980 and 1981 Community Health Services Act subsidy be approved and forwarded to the City Council of the City of Edina with a recommendation for approval. Passed and adopted this 14th day of August, 1979. Chairman, Advisory Board of Health ATTEST: Minutes Secretary Motion for adoption of the resolution was seconded by Beverly Harris. All voted aye; the motion carried. B. House File 782 (SF 1414) - Linda Bjerke Licensing of Home Health Agencies Linda Bjerke recalled that the Advisory Committee at its previous meeting had discussed this bill which provides for licensing of proprietary home health agencies. She presented several handouts including a draft of the bill and a copy of a legislative analyst's view of the bill. Some of the facts Linda Bjerke brought out were: there are approximately 15 to 20 proprietary home health agencies located in Hennepin and Ramsey counties that are not regulated; regulation certification or licensure is no guarantee of quality of care; abuse could occur when an agency, which received reimbursed payments., sends a home health aide into the home instead of a more expensive nurse and then pockets the difference in fee charged; and it does promote duplication of the same kinds of services which are already available to the same group of people. A general discussion followed. The Advisory Committee felt they should talk to the author of the bill and try to examine it from an objective view- point. Vern Moss agreed to talk with Representative Waldorf and Senator Kirschner, co-authors of the bill and report his findings back to the Advisory Committee. C. Report on the Metropolitan Health Board Public Meeting for their Policy Statements Regarding Roles and Responsi- bilities in Community Health Services- David Velde � r Edina Advisory Health Committee August 14, 1979 page 3 Mr. Velde noted that several issues or concerns had been raised about the Metropolitan Health Board's policies, expectations, and responsibilities. A general discussion followed expressing concern about immunization or community health programs sponsored by volunteer organizations which would have to be included in the Plan under the requirements of the Metropolitan Health Board. David Velde pointed out that one of the suggestions made at the meeting he attended was that the Metropolitan Health Board use some of their staff time in providing information to different agencies as far as getting some statistics for developing plans; however, nothing came of the suggestion at that meeting. The Advisory Committee felt they should at this time comment on the roles and responsibilities of the Metropolitan Health Board. An ad-hoc committee consisting of Dr. Engstrom, Homer Kinney, Leroy Werges, and Linda Bjerke was formed to draft a position statement. IV. Unfinished Business: A. Appointment of Committee Member to Attend City Council Meetings. Vern Moss agreed to be the Advisory Health Committee representative to the September City Council meetings, and Leroy Werges agreed to take the October meetings. B. Other: The Advisory Committee expressed a concern about a practicing podiatrist advertising in the Senior Newsletter. They felt that if one doctor advertises, all would need equal time, and the situation would get out of hand. They also noted that many of the services to the senior citizens such as glaucoma testing are done on a volunteer basis, and the podiatrist should practice on a volunteer basis to the senior citizens. or cease advertising. This item will be discussed further at the next meeting. V. Next Meeting Date: October 23, 1979, at 7:30 p.m. VI. Adjournment: 9: 10 p.m. Respectfully submitted, �- Judy Teichert, Secretary � i Y _�`� .� 1 e MEMORANDUM FOR INFORMATION T0: City Council Members FROM: Health Advisory Committee SUBJECT: Bloomington Public Health Nursing Services DATE: September 10, 1979 On May 29, 1979, the Advisory Health Committee was presented with the 1980-81 Preliminary Community Health Services Plan. At that time, the question arose as to how the Advisory Committee could determine if the budget presented was consistent with the health needs of the community as a whole. The Committee was especially concerned about the various services the Bloom- ington Public Health Nursing Service provides and noted that they would like to be better informed about the specifics of the different programs so that the Committee would know more about what they are recommending the Council buy for the citizens of Edina in the area of health. Dr. Engstrom suggested that the Advisory Committee obtain a more detailed breakdown of services from Bloomington Public Health Nursing Service. This prompted the formation of an ad-hoc committee consisting of Beverly Harris, Linda Bjerke, and June Schmidt to do a study of Bloomington's services. On July 24, 1979, the ad-hoc committee reported to the Advisory Committee with a detailed breakdown of the health services ,Edina receives from the Bloomington Public Health Nursing Service. They referred to the following handout entitled "1978 Service Indexes" in the report of their findings. 1978 SERVICE I11DC3ES ELM. EMMA It�n.1F,. -TDiAL 6201 Illness Pts. 211 160 101 472 Nome visits 3,153 2,046 1 536 6 775 6202 Patients 1.914 65 271 2.250 family Plan. Visits 4.321 •11S SO 5,019 Well Adult Visits 1 082 12 26 1,110 6203 Patients 996 82 236 1.314 ��o Nell Child Visits 594 120 EPS 2,008 745 3.318 R Ric 640 20 340 1.000 6204 group Sessions 5S9 104 33 696 Class 2.756 307 184 3.247 Indiv. CMcn. 1.649 295 310 2,254 Health Center 2.298 244 196 2.738 Study 2,340 1,282 350 3,972 - 620S Studentrt r,(Odj - 2.913 2,947 6.514 12,374 . Visits 668 235 356 1.2S9 group Visits 221 241 351 - 313 Indic. Screened 1.727 697 3.580 7.123 ladiv. Teach/Counsel 1.287 2.101 2.636 4.795 Nunerr/Oar Carc 75S 721 127- 1,603 .6206 Individuals Served 3.614 •215 697 4.526 pursing Visits 9.305 814 2.068 12,187 Alto./Drug Rel. Visits 461 12 111 553 Emotional health Visits 7S2 94 41 1.062 Health Prom. Visits 9,,007 7116 2,009 10.S72 6208 Individuals Served 6.15o 2.464 2.054 10.668 v Nell Adults (Clingyca) 391 176 20L 77S .Therapeutic Visits 1,S55 399 307 2.761 Out-Reach Conucts 2' 189 163 639 Counsel Teach. lwtri. 742 282 309 1,333 6210 V.D. Visits $39 48 46 $37 leaamtaationt S28 3.370 $47 5.045 Tuberculin.1. 2.11 700 227 3,122 (flood P.•rssures S.308 1,444 1.S:8 9.360 $ Crocnines 760 �••_1_47 1.179 2.9116 '1 Memorandum for Information page 2 To City Council Members From Health Advisory Committee September 10, 1979 To begin with, Beverly Harris, Chairman of the ad-hoc committee answered several questions that the Advisory Health Committee had raised at their previous meeting: * Why do the figures seem to differ from print out to print out on the print outs we receive from the Bloomington Public Health Nursing Service? A: The budget is allocated according to the Community Health Services Act which defines the four basic areas as Community Nursing, Health Education, Disease Prevention and Control, and Home Health. This is how the state categorizes them. However, in Bloomington they use different categories for record keeping which explains why the figures on the two reports do not match. It is an accounting difference. * How is the Bloomington Clinic staffed? A: The ad-hoc committee felt it was staffed very efficiently with 20 full time nurses, 50 part time nurses which are paid at an hourly rate, 2 full time secretaries, and all the lab technicians are part time. They contract out for all of their occupational therapy, physical therapy, and speech therapy. * How are the home visit fees determined? A: Bloomington works on a Team Concept. The Certified Public Health Nurse determines the level of care needed and assigns someone capable at that level of care to the patient. The ad-hoc committee agreed that this system was very cost effective. The cost per visit, $28.96, is the composite average of all the services rendered by the Team. They noted that in a Twin Cities agency the minimum cost per visit would be around $35. * How are the costs of the home visits by the nursing service determined? i A: Bloomington uses the figure of $28.96 times the number of home visits. Then they take all the reimbursed fees for home visits such as those received from the Veterans Administration, Medicare and Medicaid, and insurance companies and credit these funds to the general account which includes all three cities: Bloomington, Richfield, and Edina. They subtract these fees from their cost. Then they subtract from the total fees all of the grants that they receive from any government programs. The dollars remaining are then charged back to the three i cities. i '1 ^1 Memorandum for Information page 3 To City Council Members From Health Advisory Committee September 10, 1979 * What amount does Bloomington Public Health Nursing Service actually bill and get back from third parties such as Veterans Administration? A: Bloomington Public Health Nursing Service projected that from the three municipalities they would recover about $77,000. From Bloomington and Richfield they recover about $50,OOO which means about $27,000 comes from Edina. • Is the budget consistent with Edina's needs? A: The ad-hoc committee felt the "1978 Service Indexes" chart seemed to show that the profile of needs are being met. Following is the breakdown explanation of the 1978 Service Indexes Chart: B E R T 6201 Illness Pts. 211 160 101 472 Home visits 3,153 2,086 1,536 6,775 Out of the 6,775 total visits under this category, Edina had 2,086 home visits. This category is the most expensive because it involves a one- to-one visit at home with an ill patient. They noted that Edina is getting a greater share of the expensive help due to the greater number of senior citizens in Edina. i B E R T 6202 Patients 1,914 65 271 2,250 Family Plan. Visits 4,321 115 583 5,019 Well Adult Visits 1,082 12 26 1,120 Edina is substantially lower in this category than the other muni- cipalities probably due to the fact that most of its residents have their own private, family physicians. i I B E R T 6203 Patients 996 82 236 1,314 Well Child Visits 594 120 94 808 EPS 2,008 745 615 3,368 WIC 640 20 340 1,000 The well child visits listed in this category consist of infants under one year old. Out of the 745 Edina children listed under Early and Periodic Screening, 200 pre-school children are included. This category I i ''1 i Memorandum for Information page 4 To City Council Members From Health Advisory Committee September 10, 1979 generally includes children ages one to four years old. The final category, Women/Infants/Children, is nutrition counseling. B E R T 6204 Group Sessions 559 104 33 696 Class 2,756 307 184 3,247 Indiv. Comm. 1,649 295 310 2,254 Health Center 2,298 244 196 2,738 Study 2,340 1,282 350 3,972 Funded by the United Fund, this category covers health education. B E R T 6205 Student Contacts 2,913 2,947 6,514 12,374 Visits 668 235 356 1,259 Group Visits 221 241 351 813 Indiv. Screened 1,727 687 3,580 7,123 Indiv. Teach/Counsel 1,287 2, 101 2,636 4,795 Nursery/Day Care 755 721 127 1,603 The total number of student contacts made in this category 2,9479 were seen in 235 visits which indicates that groups of about 100 were seen on each visit. Individual Teaching and Counseling included dental screening, mental health or emotional problem counseling. This included both the private and parochial school district. B E R T 6206 Individuals Served 3,614 215 697 4,526 Nursing Visits 9,305 814 2,068 12,187 Alco/Drug Rel. Visits 461 12 18 553 Emotional Health Visits 752 94 41 1,062 Health Prom. Visits 9,007 706 2,009 10,572 This category included the Mental Health areas of Health Promotion and Counseling. A surprising fact surfaced that showed that most of the emotional health visits made were for marital counseling. Also, over fifty percent of those seen were after-care follow-ups. B E R T 6208 Individuals Served 6,150 2,464 2,054 10,668 Well Adults (Clinics) 391 176 208 775 Therapeutic Visits 1,555 399 307 2,261 Out-Reach Contacts 287 189 163 639 Counsel, Teach. Nutri. 742 282 309 1,333 Memorandum for Information Page 5 To City Council Members From Health Advisory Committee September 10, 1979 This activity provides health services at the community centers through individual teaching and counseling, health supervision clinics and injections and treatments to ambulatory patients as prescribed by private physicians. B E R T 6210 V.D. Visits 889 48 46 937 Immunizations 528 3,870 647 5,045 Tuberculin Tests 2,825 700 227 3,122 Blood Pressures 5,388 1,444 1,528 8,360 Screenings 760 847 1,379 2,986 This activity provides services for prevention and control of communicable diseases and adult screening clinics for early identification and referral of chronic diseases. SUMMARY After the facts had been submitted and each category discussed, -the ad-hoc committee concluded that the team concept used by the Bloomington Public Health Nursing Service was very cost effectivet and that the budget profile was, in their opinion, consistent with Edina's needs at this time. The largest amounts being allocated are spent in the area of home nursing visits and care due to the greater number of senior citizens in Edina. I i i I JIB I f I 4 I i _� '� i AGENDA `-- EDINA HEALTH ADVISORY COMMITTEE Meeting October 23, 1979 Edina City Hall Conference Room, 7:30 p.m. Homer Kinney, Chairman I. Roll Call II. Approval of ,Minutes: August 14, 1979 III. Announcements and Reports: A. Subsidy Award Adjustment and Allocation: David Velde B. House File 782 (SF 1414); Licensing of Home Health Agencies: Vern Moss; Mary Forsythe C. Metropolitan Health Board; Roles and Responsibilities: David Velde IV. New Business: A. Nominations for 1980 Officers V. Unfinished Business: A. Apointment of Committee Member to Attend City Council Meetings B. Senior Citizens Newsletter Podiatrist Advertising VI. Next Meeting Date VII. Adjournment i I ..._.o _�_ _. ,MINUTES OF THE REGULAR MEETING OF THE EDINA ADVISORY HEALTH COMMITTEE HELD TUESDAY, OCTOBER 23, 1979, AT 7:30 P.M. EDINA CITY HALL CONFERENCE ROOM I. Members Present: Dr. Engstrom; Dr. Krafft; Dr. Simmons; Mary Bang; Linda Bjerke; Vern Moss Jr. ; June Schmidt: Barbara Kresoya; Leroy Werges; Homer Kinney Members Excused: Beverly Harris; Dr. Rockwell; Tully Stoppel Staff Present: David Velde, Colleen Paulus II. Approval of the Minutes: June Schmidt moved that the minutes of the August 14, 1979, meeting of the Edina Advisory Health Committee be approved. Dr. Simmons seconded the motion. All voted aye; the minutes were approved. III. Announcements and Reports: A. Subsidy Award Adjustment and Allocation: David Velde David Velde announced that Hennepin County sent a notice stating that Edina would receive an additional $3169.00 for the 1980 subsidy entitle- ment. He recommended that the $3169.00 be added to the Emergency Medical `- Services. The correction would be submitted to the county if the committee approved to do so. June Schmidt made the motion to approve the recommendation. Dr. Engstrom seconded the motion. All voted aye the motion carried, i B. House File 782 (SF 1414); Licensing of Home Health Agencies: Mary Forsythe; Vern Moss, Mary Forsythe discussed the purpose of House File 782. She stated that licensing of the Home Health Agencies is notvery critical, because certification of the agency would be provided under the Federal Program. She pointed out that there are private agencies that provide excellent service and she would like to see more become involved. The senate is not moving the bill and the chances of it being passed are slim. Paul Camarout from Up John, a proprietary Home. Care Ayency, spoke about` the services the agency renders. UpJohn has 240 offices throughout the United States and employs between 70,000-80,000 people (full and part-time) . ' They charge $29. 00 per visit for a Registered Nurse, one and a half hour visit and $22.00 per visit for a Licensed Practical Nurse visit. The patients either pay the bill themselves, through an insurance company or sometimes through government funding, such as, V.N.A., or public health agencies. � 1 i "1 ''\ !: A Edina Advisory Health Committee October 23, 1979 Page Two �.- Mr. Camarout stated that UpJohn wants standards set regulating the quality of service rendered and those standards enforced. A general discussion followed. No further action was taken in regards to the bill. C. Metropolitan Health Board; Roles and Responsibilities: David Velde Dave Velde attended a meeting on July 31, 1979, at which an Information Forum discussed the roles and responsibilities of the Metropolitan Health Board in community health services. As a result of the meeting and public input the Metropolitan Health Board adopted an alternative charge. They have asked for more representation on their committee by going to the different health agencies and asking some of the CHS administrators to be on that committee. They will be assessing their original roles and responsibilities. If their roles and responsibilities develop as they plan, then the City of Edina and any other city who receives subsidy will have to include in their own health plan the plans of the private and voluntary organizations in the community. Each organization would have to be included whether they receive subsidy funding from the state or not. Dave Velde felt that this would triple the size of the plan and require more manpower. He also felt that if this does occur, then the City should look �- seriously at giving the subsidy money back and letting the county take care of it. The Metropolitan Health Board has forwarded the CHS plan from Hennepin j County to the State Health Department recommending approval. A hearing was held on October 24, 1979 at 3:00 p.m. I A general discussion followed. i+ I IV. New Business: A. Nominations for 1980 officers: A chairman and vice chairman needed to be nominated. June Schmidt asked if a nominating committee needed to be appointed. Homer Kinney felt that it was necessary, and asked for two volunteers. } The nominating committee will be Homer Kinney and Mary Bang. V. Unfinished Business: A. There was a general discussion regarding committee members attending the City Council meetings. There was a suggestion to send a letter to the Mayor asking if the committee could possibly be excused from attending the meetings. Homer ,Edina Advisory Health Committee October 23, 1979 Page Three Kinney felt that the group should continue to attend and volunteered to attend the City Council meetings in November. B. Senior Citizens Newsletter Podiatrist Advertising: June Schmidt will inquire in regards to the Senior Citizens Newsletter. VI. Next Meeting Date: Dave Velde pointed out that the by-laws state that the January meeting is the time when the new officers are nominated and elected. He did not think that it was necessary to have a January meeting just for the election of officers. Vera Moss made the motion that the committee grant authority to the present chairman, Mr. Kinney, to consult with Dave Velde and to advise the committee when the next meeting should be held which will be some time after the first of the year. -- Mary Bang seconded the motion. All voted aye; the motion carried. VII. The meeting adjourned. -"\ i � i i I �.