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HomeMy WebLinkAbout1978 Community Health Commission Minutes January to April AGENDA EDINA ADVISORY HEALTH COMMITTEE Meeting January 24, 1978, at 7:30 p.m. Edina City Hall Conference Room Linda A. Bjerke, Chairperson, presiding I Roll Call II, Minutes III Announcements and Reports A - Letter to Mayor Van Valkenburg regarding house file 1. 1-Senator W. G. Kirchner 2-Representative Mary Forsythe B - Report, Community Health Services Advisory Committee-Dave Velde IV New Business A - Organization of Health Board. Identification of issues and needs to be considered by Health Board in 1978. B - Qualitative assessment of Bloomington Public Health Nursing Service. C - Other V Next meeting date February 28, 1978 VI Unfinished business VII Adjournment i i ' - l�Mary M. Forsythe � � � - �inneceta District 39A � ' House of Hennepin County le�iVes `ommittees: r Repre�en++ �...ppropriations Division on Health. Welfare Martin Olav Sabo.Speaker and Corrections Health and Welfare Labor-Management Relations Rules and Legislative Administration December 13, 1977 Mayor James Van Valkenburg City of Edina 4801 West 50th Street Edina, Minnesota 55424 Dear Jim: I received the copy of your letter to Dick Kremer. I have been involved in hearings in the last few weeks concerning mandated- services of House File 1 . I am quite sure after talking to some of the powers that be that House File 1 will not be acted upon during the next Session and probably will be changed very much if it ever becomes law. It is my guess that rather than House File 1 , as we know it now, we will be giving block grants -for social services and keeping health services as is. I am sure that the role of those involved with the community health services have been effective in this change. rol I still believe in the philosophy of block emgrants in combining s with thealth on the county level , but I do see the problem and social services. We will work on the problem and come up with a better solution. Sincerely, i Mary M. Forsyth State Represen tive MMF/amg L Reply to: Minnesota Housa±of Fiepaesentativos, state Capitol. St. Paul, Mihnesota 55155 �� WILL1A11 G. KIRCHNER / --- Semtor 37th District 6625 L ndalc Avcnuc South Richfield, Minnesota 55423 SenatePhone: Office: 296.4115 Home. 869-6830 State of .Minnesota December 169 1977 Commissioner Richard E. Kremer Board of Hennepin County Commissioners 2400 Government Center Minneapolis, Minnesota 55487 Dear Dick: I sit on the Senate Health and Welfare Committee and have listened for many hours to a presentation on Senate File 459 as it relates to House File 1. - During the last session I worked with the City Attorney from Bloomington. We formulated an amendment which I had successfully attached to S. F. 459. That amendment would have eliminated the double taxation feature referred to by Mayor Van Valkenburg from Edina. I was a little confused as I followed his letter. I believe he was saying he was for the idea of local control but afraid of the j Hennepin County Welfare administration. To that extent, I agree with him. I Several of us asked enough questions in regard to S. F. 459 that it was laid . over last year. During the interim it has had further hearings. At our last meeting_about a week ago, Senator"Perpich'rather indicated that he was fed 1 up with the issue and 'probably would let the bill die in 1978_ I, too, favor local control of these expenditures but this bill gets down to the question of how we can keep Hennepin County Welfare office from more bureaucratic expenditures and high salaries. Perhaps some more study of the bill will help us to find ways to make home expenditure truly local, within the communities. Most of us do not trust the free spending administrative outlook on the part of the County Welfare Department. I hope as you work with county government over the years you will find ways of restraining their • easy salary-spending attitude. I do feel that the Health Department built up in Bloomington and selling services to Richfield and Edina is a very fine economical operation. I under- stand St.' Louis Park is interested in joining in also. I believe the same. program would be far more expensive if placed in the County. Best wishes. . Sincerely, _ WGi.;lw , V. G. Kirchner cc: Otto Bang Mary Forsythe c Ray Pleasant James Van Valkenburg ve-", ('U�1111'l l Iaa i uruur llcalth, N'rU:ur:uxl Cucrertiun. Transportation !!� '"� '� I AGENDA EDINA ADVISORY HEALTH COMMITTEE Meeting January 24, 1978, at 7:30 p.m. Edina City Hall CoAference Room Linda A. Bjerke, Chairperson, presiding I Roll Call i II, Minutes i III Announcements and ,Reports t A - Letter to Mayor Van Valkenburg regarding house file 1. 1-Senator W. G. Kirchner 2-Representative Mary Forsythe r B Report, Community Health Services Advisory Committee-Dave Velde �f IV New Business I A - Organization of Health Board. Identification of issues and needs to be considered by Health Board in 1978. B - Qualitative assessment of Bloomington Public Health Nursing I Service. i C - Other i V Next meeting date February 28, 1978 VI Unfinished business VII Adjournment I '-� ''1 I i Working Draft t i EDINA PUBLIC SCHOOLS INDEPENDENT SC i iDOL DISTRICT 273 5555 WEST 7OTH STREET • EOINA, MINNESOTA 55435 612-944-3613 Dear Parent, The Edina Schools are offering a free Pre-School Health and Developmental Screening Program for your child who will be 4 or 5 years old by September 1, 1978. This ser- vice is provided, by the District in compliance with the 1977 Minnesota State Legis- lation which also provided the necessary funds. ( The purpose of the screening is to assure you that your child is developing normally and has no delays that could hinder his/her learning or social development upon enrollment in Kindergarten.) This screen- ing is designed for your child's benefit and is voluntary and not required for entry into Kindergarten. The screening procedures will include the following components: 1. An individual interview to review past and present health data of your child. 2. The Developmental Indicator for the Assessment of Learning (DIAL) screening tests of the child's development in areas of coordination (fine and gross motor skills) , communication (speech and language) , 'concepts, socialization and self-help skills. 3. Hearing and Vision «�, 4. An unclothed Tca1 1 5. Laboratory tests as recommended by the Department of Health (urinalysis and- Hemoglobin) 6. Immunizations 7. Nutritional Suggestions 8. An Exit Interview to share all the information with you. An appropriate follow-up process is available upon identification of a potential condition in need of further diagnosis or assessment. You may elect to participate in only a part of the screening program. The complete screening will take approximately 1;� to 2 hours. A play area with snacks will be provided for your child's enjoyment. The screening will be. performed by qualified nurses from the City, of Edina Health Services who will perform the physical and lab components of the screening. School Speech Clinicians and volunteers fmoathe &eke� e trained to administer the DIAL by the School Psychologist and Pre-.,School Coordinator will cover the develop- mental areas in a play-like atmosphere./��Volunteers i�ro i the"r3orn ngside`Vomen's Club will be trained to serve as vision technicians. Many volunteers from the community are giving time to insure the success of this program. The location of all screenings is Normandale Lutheran Church, 6100 Normandale Road. The following dates have been designated for each elementary school from 9:30-2:30: February 21 & 22 Cornelia Health Chairperson Phone March 6 & 7 Cahill " it " March 9 & 10 Concord it if if March 13 & 14 Creek Valley is " if March 16 & 17 Wooddale it " it April 3 & 4 Countryside " " it April 6 & 7 Highlands " " if April 5 Open Session " This is an opportunity for your child. CALL NOW! Your child must have an assigned appointment time. The Health Chairperson of your child's attendance area zone as -of February 1, 1978 will be taking calls the week of -( - - ) to make your. appointment and answer questions. If you call and make an appointment, you'will then receive a confirmation of your appointment with the necessary Health Forms. Please fill out the forms before your child's appointment. Review carefully the instructions which will be included for the complete screening process. Marilyn Nichols Pre-School Coordinator 941-3402 i MINUTES OF THE REGULAR MEETING OF EDINA ADVISORY HEALTH COMMITTEE HELD JANUARY 24, 1978, at 7:30 P.M. EDINA CONFERENCE ROOM I. Members Present: Linda Bjerke, Chairperson, E. D. Engstrom, L. Wergess, T. Stoppel, B. Kresoya, M. Bang, C. V. Rockwell, J. Schmidt, V. Moss, B. Harris, R. K. Simmons Staff Presents K. Esse, Health Sanitarian, D. Velde, Assistant Health Sanitarian, K. Sorensen, Secretary II. Approval of December 6, 1977 Edina Advisory Health Committee Minutes Mrs. Bang moved for approval of the December 6, 1977 Health Committee Minutes as submitted. Dr. Rockwell seconded the motion. All Voted Aye. Motion Carried. III. Announcements and Reports A. Letters to Mayor Van Valkenburg regarding House File 1 Chairwoman Bjerke announced that letters had been received from Representative Mary Forsythe and Senator W. Kirchner relative to House File 1. It was the general feeling that House File 1 would either be toned down from its present state or else not acted upon at all. Mrs. Schmidt stated that the welfare department has joined in the opposition to the bill. i No action taken. B. Report. Community Health Services Advisory Committee. D. Velde. Mr. Velde reported that the Advisory Committee met on January 15, 1978 and at that meeting, several State legislative bills were presented to the Committee which were coming before the 1978 Legislature. The first to review was a revision to Chapter 144 which would allow the Commissioner of Health to enter into agreements with the public and private agencies to deliver children's camp site inspections, sanitary facilities and food service inspections. These duties would be delegated to private or public agencies under the CHS Act. Chapter 144 would also allow the Commissioner of Health to charge fees for diagnostic lab services, but this will not affect the agencies who receive aid from the State. Charges will be made to hospital labs and clinics for State Health services. Section 122. 70 is a proposal which will bring immunizations of all pre-schoolers up to date and this includes mumps, rubella and DPT. These immunizations should be done before entering school. I Advisory Health Committee Page 2 January 24; 1978 Section 144.781. The Commissioner of Health will be charged with the responsibility of developing a comprehensive plan for emergency medical services in Minnesota. The State Advisory Committee asked the Commissioner to reword the section in the CHS Act about spending the entire subsidy amount. The Committee felt this was a restrictive section. If you do not spend the whole subsidy amount, it has to be turned back to the State Health Department and it is redistributed. It is one way they can generate some extra funding toward the end of the year, but it is detrimental to planning a full. expenditure of your money. The Committee also asked the Commissioner to revise the annual plan submission and annual financing plan. It would be easier to submit every two years rather than every year. C. Report.__Update on Pre-School Screening. T. Stoppel Mrs. Stoppel reported that the Edina Schools are offering a free pre-school health and development screening program for children who will be 4 or 5 years old by September 1, 1978. The service is provided in compliance, with the 1977 Minnesota State Legislation which is also providing the necessary funds. The Bloomington Health Service will do most of the screening. The screening process will include an individual interview to review past and present health data of the child; screening test of coordination, communication concepts, socialization and self-help skills; hearing and vision screening; an unclothed screening; laboratory tests; immunizations; nutritional suggestions; and an exit interview to share the information with the parent. The screenings will be held at Normandale Lutheran Church and will begin February 21 through April 7. Dr. Engstrom inquired if it was felt that there would be a reluctance about bringing a child in for screening. Mrs. Stoppel stated that she felt the program would be successful and that this screening was a way to identify a problem and then have the problem rectified before the child began school. Dr. Krafft noted that this program is somewhat the same as the breast and pap smear programs and it seems to be difficult to get people in for these examinations. He also asked what the smaller communities were doing who have only one or two physicians. Dr. Simmons didn't feel that the program would work and he also felt that the people who really needed the program would not get it. He felt that the physicians were dubious of the program's viability in the long run. Chairwoman Bjerke stated that she had read about Outreach persons who discovered those who need this type of program and brought the individual in for treatment. Mrs. Stoppel stated that the Edina Schools had a similar program. First, letters were sent to families with 4 and 5 year old children. All who i Advisory Health Committee Page 3 January 24, 1978 do not respond to the letter will be contacted by telephone. No other contact arrangements have been made at this time. She said they would wait to see what the letter and phone response was before any other action was taken. Dr. Simmons stated that one of the problems associated with this type of program was that when an identifiable problem was found and a follow up was done the following year, nothing had been done to correct the problem. He noted that this was one of the things wrong with the program. Mrs. Stoppel replied that the Bloomington Health Department would follow up with home visits for those families whose child had an identifiable problem and help that family get the proper help for the child. Chairwoman Bjerke asked Mrs. Stoppel to keep the Committee advised of the program and how it was going along. No action taken. 3V. New Business A. Organization of Health Board Chairwoman Bjerke asked the Committee members if they had.any matters they wanted to consider during the year. Mr. Moss stated that it seems to him that Bloomington seems to be doing a good job for us in all directions. He stated that as a lay person he was quite interested in the comments regarding the pre-school testing and stated that the program seems to be a valid one and he can understand how difficult it must be to administer to and find the families that really do need aid. There is that element in our community and we should do what we can to see that they receive the treatment they need. Dr. Simmons inquired about water purity. After the publicity about the creosote plant in St. Louis Park and the possibility of phenols in the water, we should gather further information. Mr. Velde replied that there is one city well in Edina which has ble concentration of phenols in the water. more than the minimum detecta Concentrations of phenol less than 2 or 3 parts per billion cannot be detected I by the state. As of this date, the State Department of Health has not yet developed the capabilities for detecting benzepyrene. The benzepyrene is the chemical which may be carcinogenic. The assumption has been made by the Minnesota Pollution Control Agency and the State Department of Health that the phenols in our wells are originating from the abandoned Republic Creosote Plant site and if this is the case, there may be harmful levels of benzepyrene along with the phenols. The shallower residential wells in Edina may have different, maybe higher concentrations of phenols in them. The State Department of Health is presently testing for phenols in several residential wells. Dr. Engstrom suggested that the Committee inquire about mental health, chemical dependency education in the two area hospitals. We should be informed of these programs. He suggested that the Committee write a letter to Advisory Health Committee Page 4 January 24,' 1978 them and inquire about the programs they provide to the community and make the comments available to the Committee. Ms. Norma Dom is the Director of Community Services at Methodist Hospital and Chaplain Al Nohre is the Director of Community Services at Fairview-Southdale Hospital. This information would be helpful as physicians are not always aware of the community services that are available. It would be a good idea to let the physicians know what these services are. B. Qualitative Assessment of Bloomington Public Health Nursing Service Mrs. Bjerke noted that at the last meeting she indicated that the Committee should be responsible to look at the services that we are contracting for and receiving from Bloomington Public Health Service. We have not yet received the latest computer print3ut of services, but it should be ready and available to us at the next meeting. When it is available, we can see what services are being provided for us. Bloomington is in the process of administering a questionnaire which will look at a qualitative evaluation of the service provided to the home health care clients by the Bloomington Public Nursing Service. A questionnaire could be brought by the nurse to the client and the client could fill it in and mail it so that some information may be received. The Nursing Service could supply the questionnaire and that would be helpful. Mrs. Schmidt stated that there is a lot of money being spent and we should know if the client is happy with the service. The questionnaire could be worked out by the Committee and delivered by the nurse and the nursing service. However, if the Committee is to be responsible for the questionnaire, the Council will have to approve any expenditures. The home care service is where we do not get the feed back, and that is where we should start. Mrs. Bang stated that we should get assistance from Yvonne Hargens, the Director of the Nursing Service so that it will be done properly. After some additional discussion, Mrs. Bang moved to have a committee study a method of health care services delivered by the Bloomington Nursing Service. Dr. Engstrom seconded the motion. All Voted Aye. Motion Carried. Mrs. Bjerke then called for volunteers to serve on the committee. Mrs. Bang and Mrs. Harris volunteered to serve. V. The next meeting date is February 28, 1978. VI. Unfinished Business. All business is current. VII. Dr. Krafft moved for adjournment and Mrs. Harris seconded the motion. All Voted Aye. TIotion Carried. Respectfully submitted, Karen Sorensen, Secretary i y . AGENDA EDINA ADVISORY HEALTH COMMITTEE Meeting.April.25, 1978, 7:30 P.M. Edina City Hall Conference Room Linda A. Bjerke, Chairperson, Presiding I. Roll Call. II. Minutes. III. Announcements and Reports A. A report from Evaluation Subcommittee on Bloomington Public Health Nursing - Mary Bang B. Material received on Education Program at Methodist and Fairview Southdale Hospitals — Linda Bjerke - I C. Summary Comments on BPHN Statistics - Dave Velde IV. New Business A. Continuing Assessment of Community Health Needs B. Request for Edina representative to Bloomington Public Health Nursing Advisory Committee. M C. Resignation - Dr. James Cardle f D. Health consumer replacement for Dr. Cardle (Senior Citizen) Recommendations to go onto City Council for appointment E. Other Business V. Next Meeting Date - May 23, 1978, 7:30 P.M. VI. Unfinished Business VII. Adjournment '6� "`•1 M� 4 I I I �«