Loading...
HomeMy WebLinkAbout1978 Community Health Commission Minutes January to June _ _ . �wQ►v C'G PHONE p� y 48-30 i�aCiHARD E.KREMER t v--',�1� S4a-3Q87 COMMISSIONER BOARD OF HENNEPIN COUNTY COMMISSIONERS 2400 GOVERNMENT CENTER MINNEAPOLIS.MINNESOTA 55487 January 11, 1978 The Honorable James Van Valkenburg Mayor, City of Edina 4801 West 50th Street Edina, MN 55424 Dear Jim, Your letter of December 2 raised some provocative questions on HF 1" and SF 459. I passed it along to Phil Eckhert, Director of the office of Planning and Development, for his comments. The intense amount of research that he has done on these bills gives him a far_ better grasp of the issues than I have despite my serious attempts to keep up to date on this legislation. From the time I first heard about HF 1 before I was officially a member of the County Board, I have felt its impact on Hennepin County would be very great. It is a major piece of legislation and I feel it' s worth the time and effort of all of us to question its ramifications and try to find the answers. I hope Phil' s comments will be of some help to you. I also received the resolution Edina' s Council passed seeking amend C ment of SF 459 to eliminate Community, Health. This has been co sidered in OPD' s research as a possibility and would not be opposed by Hennepin County as far as staff research is concerned. At this time I can't predict the position the majority of the County Board would vote to take. I will continue to follow this matter in the Senate and to communi- Cate with the cities in my district. Sincerely, Richard E. Kremer Commissioner REK:meh Enclosure ''� ''"'� I DATE. January 3, 1978 TO: Commissioner Richard E. Kremer HENNEPiN FROM: Phil Eckhert, Director, OPQ ,,� SUBJECT: Some Reaction to i4to Mayor Van Valkenburg's Letter z ,aff RE HF 1/SF �MES� As you requested, I have reviewed Mayor Van Valkenburg's letter and, like many other items I have read on the subject of HF i/SF 459, I found it to be only partially true on factual matters and included many assumptions about things that might happen if the legislation were enacted, but which by no means would be required to happen. Perhaps it is easiest to react to his letter by simply making a series of points, some of which will support the Mayor's view, others of which will provide other perspectives: .1 . I would agree that a key and very positive feature of Edina's current program is its ability to determine its own needs and priorities and to deliver an effective program of services. I also concur that these services should continue to be available regardless of legislation that might be passed in the near future. 2. The Mayor states that "with the passage and implementation of HF 1 and SF 459, we fear the ability of the local community to respond to the needs of the community will be severely jeopardized." I believe that this statement assumes that (a) the intent and the effect of the pass- age of HF 1 would be to strip municipalities of their independent authority to deliver community health services and levy taxes to sup- port them, and (b) counties, upon becoming the sole authority for delivery and. local taxation for community health services, will exercise this new authority to the disadvantage of existing municipal programs. I If a block grant bill were to deprive municipalities of the independent authority to deliver community health services and levy. taxes to sup- port them, the potential would exist for county government to ignore local needs by establishing its own priorities that jeopardize local programs. It would also be possible, however, for counties -- while maintaining the sole authority for service. delivery and taxation - to nonetheless maintain the integrity of local programs by contract- ing with municipalities for the delivery of community health services and for effectively involving municipalities in the community health services planning process. It is not clear, however, what the intent and effect of HF 1 and SF 459 are with respect to municipal authority for the provision of community health services. 3. The Mayor's letter also reflects the assumption that non-mandated services such as emergency medical services , environmental health services, and health education will not be funded or will be signifi- cantly reduced as mandated services get increasingly large shares of "`� i COMMISSIONER RICHARD E. KREMER JANUARY 3, 1978 PAGE TWO State revenues. This situation would not occur for a minimum of two years simply because of the requirement that for this period each exist ing service be maintained at its current level . After the expiration oon of ndsf the two year period, the legislation would permit toxin effect reduce amounts expended for certain types of services; how- ever, any reduction would not necessarily occur in non-mandated services. Even where services are mandated, the levels of service are not. As a result, we could probably move funds from mandated service areas to non- mandated se rvice areas without violating State law. Further, it should be noted that while it would be possible for funds to be reduced in one or more program areas and channeled into others, this is precisely the intent of the legislation -- to permit units of local government (counties) to be able to most effectively use all existing State aids for human services to meet the areas of greatest need. .4. The Mayor has also raised the question of what happens to local programs such as emergency medical services and environmental health if HF 1 were to be passed. "Will they be transferred to the County or will the muni- cipality retain the programs?" The answer to this question again will hinge on whether or not municipalities will retain independent authority to provide such services. Even if they lose this authority, however, they will nonetheless retain the option to contract with the County for the provision of these services, and it would be my guess that the County would in fact support most, if not all , existing municipal health programs. 5. Concern has been raised about the possibility of double taxation within municipalities if they provide as a local service -the same types of services that are provided by the County in other municipalities and funded via the County-wide tax levy. During the last legislative session, .this concern was raised and HF 1 was subsequently amended to prevent such situations from arising by (a).- transferring all municipal levies for community health services to the County-wide levy, and (b) guaranteeing to these municipalities an equal amount of revenue from the County for a two year period to continue to provide these municipal health services. The effect of these provisions for municipalities such as Edina that now have significant local expenditure for community health services would be a considerable amount of property tax relief because their muni- cipal levy would be reduced by transferring the levy amount to a County- wide levy with no reduction in community health revenues. These provi- sions, however, are not presently in SF .459. 6. The Mayor has also raised some questions about the adequacy of funding. His concerns, however, are based upon an incomplete financial analysis. His letter reflects the assumption that the non-Title XX component of the County block grant (estimated to be $13.9 million in 1978 had HF 1 passed) would be the full amount available for all non-Title XX community health and social services. He fears that the availability of this $13.9 million would not be adequate to supplant the current $2 million �, in community health services funds plus the $6.8 million in municipal COMMISSIONER RICHARD E. KREMER JANUARY 3. 1978 PAGE THREE and County tax money that constitutes the t community health other serviceseprorvices gram, if only $5 million would remain support provided by the County. The error in this assessment is the fact that he has included the local property tax dollars currently channeled into the - community health services program, but has not added the other revenues for social services that will continue to be available in the future and are in excess of $30 million per year. 7. A final point of concern is that there are no requirements for municipal participation in advisory committees established . cern that counties will not be responsive to municipal needs in the establishment of priorities and funding decisions. In response to this concern, it should be pointed out that (a) counties can establish their own requirements for citizen and municipal .participation consistent with the law and that we should expect this County to maintain its high level of municipal improvement typified in the community health services planning process for any broader block grant planning process that might be and (b) secondly, HF 1 does not really provide established in the future, any greater opportunities for counties to influence or override municipal community health services programs/priorities that currently exist. For or example, the County Board presently has review and approval authority not only the County-wide Community Health Services Plan, but also individual municipal plans that are reelected in the County-wide plan. Since the County Board has approved these municipal plans to date, it should be some indication of the manner in which the County Board will respond to municipal participation in future planning processes. I would like to add two additional comments for your consideration. First is the fact that I think it is extremely important not to consider HF 1 and SF 459 as companion bills with similar or identical provisions. They are as law woent - at this point in time as night and day, and if either were to become law would have different impacts on both municipal and county government. Generally, I think HF 1 is in pretty good condition and would be a good bill for Hennepin County. The major exception to this statement is in the area of municipal health authorities, which is very unclear. The second comment I would make is that while .much of what Idhave ed said suggests that the concerns about community health services are commu- nity health services should continue to be included in the bill , the retention of ck community health services is not critical that ao th socialrservucesfblock successful prog�am grant program. I personally believe could be very successful without the inclusion of community health services but that community health could be included without major disruptive effects on either the community health or social services inHennepin the County. If community health services is backed out, however, suspect ula for State aids would be modified and would require careful analysis to 'determine if the bill would continue to be financially advantageous to the County. Please call if I can provide any further information or clarification on this complex piece of legislation. '..� "� i Preliminary Health Related Legislative Summary 1978 �- Prepared by the Office of Community Health Services, Minnesota Department of Health 3-29-78 This summary provides information on bills which were introduced and/or passed through the legislature in the 1978 session. These bills will not become law until they have been signed by the Governor within 3 days after submission to his Office. MINIIES0TA DEPARTMENT OF HEALTH. BILLS Emergency Medical Services Systems Bill H.F. - Not Introduced S.F. 1883 No Hearing. Immunization Services - At':ached i H.F. 1823 S.F. 1733 Expands school irmunization requirements; requires statement from a physician or j public health clinic that immunizations have been administered, will be adminis- tered or that a physical condition prevents immunization, or a statement from the parent or guardian of religious opposition to immunization; required immuni- zations include red measles, german measles, diptheria, tetanus, pertussis, polio and mumps. Effective date following enactment. Handlinq Fees fcr MDH Medical Laboratory Services H.F. 2527 S.F. 2404 Authorizes the Commissioner of Health to charge a $1.50 handling fee for each specimen submitted to the Department of Health for diagnostic purposes by any hospital, private laboratory, private clinic or physician. The fee shall not be charged to any entity which receives direct or. indirect financial assistance from state or federal funds administered by the Department of Health, including but not limited to any public health department, non-profit community clinic, or similar entity. The fee prescribed shall be $1.50 until July 1, 1979 or until the Commissioner promulgates rules pursuant to this subdivision, whichever occurs first. Effective date following enactment. Health Manpower Information H.F. 1825 S.F. 1750 Authorizes the Commissione-^ of Health to require collection of certain infor- mation at the time of lice.:�;inq or license renewal. Effective date following `.. enactment. "� i `� _ 2 _ Omnibus Health Department Bill H.F. 1869 S.F. 2077 Authorizes the Commissioner of Health to contract with public or private entitities to provide statutorily prescribed services; modifies definition of child in Maternal and Child mutrition Act to include age five; expands scope of functions that may be performed by local health agencies; provides injunctive relief for the Commissioner of Health and in addition, the Commissioner of Health or local Board of Health may in its own name bring an action in district court in the county in *.which the activity or practice sought to be enjoined occurs, to enjoin any violation of a statute or rule which the Commissioner of Health or local Board of Health is empowered to enforce or promulgate; any such activity or practice may be enjoined as a public nuisance. Effective July 1, 1978. Health Related Bills Family Planning - Attached H.F. 2098 S.F. 2143 Appropriates $1,300,000.00. Authorizes the Commissions .: of Health to make special grants to provide family planning services; authori, as the Commissioner of Health to promulgate rules for approval of plans and ,•udgets submitted by prospective grant recipients. Effective date following enactment. Certificate of Need H.F. 2527 S.F. 2404 Authorizes the Commissioner of Health to promulgate rules for the Certificate of Need Act (authority transferred from the State Planning Agency); present rules pursuant to N-innesota Statute 145.71 - 145.83 shall remain in full force until modified or repealed by the Commissioner. Effective following enactment date. _ Battered Women H.F. 1904 S.F. 1689 Appropriates $100,000.00. Provides additional funds for emergency shelter and support services for battered women; amends Minnesota Statute, 1977 supplement, Sections 241.62, Subdivision l and 4 by requiring a report to the legislature by January 1, 1979 on the feasibility of creating similar programs for men. Public Health nursing Committee H.F. 1410 S.F. 1282 Allows school superintendents to designate other Persons to serve on county �' nursing boards in their place; amends Minnesota Statute 1976, Section 145.12. -. i Child Abuse Reporting H.F. 1786 S.F. 1917 L Requires a welfare agency receiving a report of a maltreated minor to notify the- local police department or county sheriff. State Government Supplemental Appropriation H.F. 2527 S.F. 2404 Section 26: Health Subd. 1. Appropriates $100,000.00 Provides money to continue the implementation of a statewide licensing system for health related licensing boards. Appropriation available through June 30, 1979. Subd. 2. Appropriates $75,000.00 Provides additional money to furnish migrant health services pursuant to Section 145.922, Subdivision 1. (Community Health Services Act) . Appro- priation available through June 30, 1979. Subd. 3. Appropriates $75,000.00 Provides additional r: _ney to furnish Indian health services pursuant to Section 145.922, Subdivision 2. (Community Health Services Act) . Appropriation available through June 30, 1979. Subd. 4. Appropriates $200,000.00 I For wells, soil and chemical analysis, geological and hydrological studies, well abandoment and laboratory testing for model design. Appropriation available through June 30, 1979. i j Subd. 5. Authorizes the commissioner of health to supervise a monitoring program for transmission lines presently under construction in Minnesota (which shall be directed toward features of the lines posing possible health and safety risks for individuals and livestock). Allows up to $100,000 of appropriation made in Minnesota Laws 1977, Chanter 455, Section 10, Subdivision 2 to be expended under M.S. Section 3.30 for this program. Section 6: State Planning Agency Subd. 1. Authorizes the State Planning Agency to use up to $175,000 for human services board grants to support the development of a human services data a - 4 - base, including, but not limited to, an examination of existing home care �. program; their current funding sources and an estimate of additional services needed. Any money for human services board grants not encumbered by tlovember 1, 1978, may be made available to any county as grants for improving management and planning for the delivery of human services. No grant shall exceed $4,000; grants shall be awarded on the basis of earliest date of application. Applications shall be on forms approved by the state planning officer. Section 23: Department of Education Subd. 4. Appropriates $410,000.00 Provides additional money for payments to school districts for preschool screening programs. Stipulates that the rules adopted by the State Board of Education and the Commissioner of Health to govern the preschool screening mroaram shall hermit registered nurses to perform those components of the screening program that can be performed by a nurse. Stipulates that no preschool screening program shall provide laboratory tests, a health history or a physical exam to any child who has been provided with those laboratory tests or a health history or physical examination within 12 months preceeding a scheduled preschool screening clinic. Miscellaneous H.F. 1750 S.F. 1722 Attached Appropriates to the Department of Education $3,993,200.00 $10,000.00 - Administration $626,300.00 - Transportation Aids $95,000.00 - Education Aids for non-public school children. Provides" educational aids, counseling and health services for children attending non-public schools; authorizes the State Board of Education to promulgate temporary rules to be effective for no more than 180 days following their approval by the attorney general. Section 1-17, 20, 21 and 23 are effective the date following enactment. H.F. 1736 S.F. 1595 Appropriates $4,000,000.00 Stipulates that public buildings constructed or remodeled after July 1, 1963 be accessible to and useable by physically handicapped persons (provided this does not require remodeling of public buildings solely for this reason). Copies of legislation may be obtained by contacting:' A Chief Clerk Secretary of the Senate House of Representatives Senate Capitol Building or Capitol Building Aurora Avenue Aurora Avenue St. Paul, Minnesota 95155 St. Paul, Minnesota 55155 612/296-2314 612/296-2887 ..'�. i s TTMMARY1 7 0 U N W I D E CO,-, MMUNITY HEALTH S IFE R V IT C E S L A N mg Hennepin County , MN ''1 SUMMARY: 1978 COUNTY-WIDE COMMUNITY HEALTH SERVICES PLAN TABLE OF CONTENTS Page INTRODUCTION Hi story. . . . . . . . . . . . . . . . . . . . . 1 The 1978 County-wide Plan. . . . . . . . . . . . . . 1 COUNTY-WIDE COMMUNITY PLANNING PROCESS 1 COMMUNITY HEALTH SERVICES PROGRAMS Organization and Program Policies. . . . . . . . . . . 2 Distribution of Subsidy Funds. . . . . . . . . . . . . 5 Scope of Services and Allocation of Subsidy Funds . . . . . . . . . . . . . . . . . . 6 Community Nursing Services. . . . . . . . . . . . 6 Home Health Services. . . . . . . . . . . . . . . 7 i Disease Prevention and Control Services . . . 7 Health Education Programs . . . . . . . . . . • • 8 Environmental Health Services . . . . . . . . 9 Emergency Medical Services . . . . . . . . . . . . . 10 Community Health Services Planning and Administration. . . . . . . . . . . . . . . . . 10 American Indian Special Funds.. . . . . . . . . . . . 11 j ; EXHIBITS 1 - Distribution of Community Health Services Subsidy Funds to Local Governments in Hennepin County. . 12 2 - Distribution of Subsidy Funds According to 13 Services Areas in Hennepin County. . . . . . . . APPENDICES Synopsis of 1978 County-wide Community Health Services 14 Plan . . . . . . . . . . . . . . . . Membership List of Boards of Health and Advisory 15-19 Committees . . . . . . . . . . . . . . . . . . ''", I INTRODUCTION HISTORY The impetus for an annual Community Health Services Plan is the Community Health Services Act (Minnesota Statutes 145.911-145.922, 1976) . This Act has enabled Hennepin County and its municipalities to exercise authority for planning and coordinating the provision of public health services to County citizens . It also has made annual subsidy funds available for providing services, such as community nursing services, home health services, disease prevention and control services , environmental health services, emergency medical services and health education programs . The Hennepin County Board of Commissioners , exercising the authority in Minnesota Statutes 145.913, Subd. l (b) , formed themselves. as a County Board of Health December 14, 1976. The 1977 County-wide Community Health Services Plan, approved by the County Board of Commissioners and the Minnesota State Board of Health, distributed $2,018,841 of annual subsidy funds to the Cities of Bloomington, Edina, Minneapolis, Richfield and St. Louis Park, and to Hennepin County Government on behalf of the other 41 municipalities . THE 1978 COUNTY-WIDE PLAN The 1978 County-wide Community Health Services Plan integrates the plans of i five municipalities qualifying for a direct or proportionately-reduced share of State subsidy funds and the plan of Hennepin County Government on behalf of the other 41 municipalities . The Plan, approved by the Hennepin County Board of Commissioners on October 4, 1977, and the Commissioner of Health , Minnesota Department of Health, onNovember .23, 1977, also allocates $2,018,841 of annual subsidy funds for the provision of eligible services . i COUNTY-WIDE COMMUNITY PLANNING PROCESS This County-wide Plan, developed over a four-month period, represents participation by municipal and County advisory committees . Each direct- share municipality had responsibility for conducting their community participation process . The Hennepin County Office of Planning and Development (OPD) provided staff assistance to the Interim Community Health Services Advisory Committee and coordinated the County-wide planning process . Key features of the process -1- included: notification of municipalities and community agencies regarding availability of subsidy funds in 1978, preparation and distribution of guidelines for program proposals, development of criteria for proposal review and recommendations, and preparation of evaluation reports from five program panels . The Office of Planning and Develop tin . also developed and administered a questionnaire to 157 prospective jurors of Hennepin County District Court as a means of obtaining citizen input independent of either professional or special interest group concerns . The questionnaire focused on health education, environmental health services, and emergency medical services . To comply with Minnesota Department of Health rules, the County Board of Commissioners , in cooperation with the direct-share municipalities , sponsored public meetings in four geographic areas of the County August 23 and 24, 1977. The purpose of these formal meetings was to receive citizen comments on the Preliminary Plan. COMMUNITY HEALTH SERVICES PROGRAMS ORGANIZATION AND PROGR,*1 POLICIES County Board of Health The County-wide Community Health Services Plan establishes the responsibilities of the County Board of Health and municipal boards of health. Some respon- sibilities are mandated pursuant to the Community Health Services Act; others have been initiated by the County Board of Health. The County Board of Health has the following responsibilities: i 1 ) Receive a single appropriation from the Minnesota Department of Health for which the County acts as the pass-through agent for those municipalities receiving a direct share of the subsidy funds . 2) Plan, evaluate and coordinate the provision of services identified in the Plan. 3) Review and approve the plans of municipal boards of health. 4) Set standards, where appropriate, for services funded by the Plan. -2- .^'1 I 7 Municipal Boards of Health Municipal boards of health have the following responsibilities : 1) Plan, evaluate and coordinate the provision of services `— identified in their plan. 2) Develop a plan for review and approval by the County Board and Minnesota Department of Health. Organizational Considerations for a County-wide System The 1978 County-wide Community Health Services Plan sets forth these considerations for determining organizational goals for community health services in Hennepin County: 1 ) Certain basic public health services should be available to all citizens, regardless of municipal preference. 2) In order to be responsive to local problems, services/programs should be provided at the lowest level of government feasible, unless there are compelling reasons why the quality or appropriateness of services, either individually or considered within an overall health system context, would be superior if provided at a higher level of government. 3) When the health problems to be addressed extend beyond the boundaries of a single municipality or group of municipalities , the system for services/programs should be planned and coordinated at the County level . 4) Municipalities should have the option of providing services at their own expense; however, citizens of municipalities should not be taxed twice for the same service or level of service. Service Goals The 1978 County-wide Plan establishes the following services goals : 1 1 ) Increase the subsidy support for providing venereal disease diagnosis and treatment services and family planning services at community clinics. 2) Establish a County-wide immunization program to include: --centralized distribution of vaccine --ongoing disease surveillance and monitoring of immunization levels --ongoing and special p.urpose immunization programs -3- „'� I li I --capability for responding to disease outbreaks and conducting programs --health education �-- 3) Increase the availability of health promotion services and community nursing services, as appropriate, to west and northwest County area residents . 4) Continue to develop municipal-based environmental health services in the west and northwest County areas . 5) Improve the criteria, measures and procedures for evaluation of all community health programs . Program Policies The County-wide Cornuni ty Health Services Plan establishes program policies for public health nursing services and environmental health services . The County Board, through the 1978 Plan, recognizes the statutory authority for allowing any city to form a local board of health for the provision of municipal-based public health nursing and environmental health services. The Plan also sets forth the criteria for approving city requests . 0 Public Health Nursing Services: .Suburban Public Health Nursing Service SPHNS lost its current statutory authority December 14, 1977, (the Community Health Services Act transfers all existing statutory authority of boards , committees and commissions to the Hennepin County Board of Health one year following its formation) . A special public health nursing services study examined the issues and alternatives surrounding the best organizational structure for these services . A broad range of alternatives was discussed, including a single County agency, a non-profit association and a joint powers organization. The Interim Community Health Services Advisory Commi ttee recommends the following organizational structure: Create a new joint powers organization for governing and providing public health nursing services in the suburban area . membership in the organization would be open to direct share and non-direct share municipalities. To ensure a smooth transition, suburban Public Health Nursing services would be requested to incorporate as a non-profit association. The Advisory Committee recommends the following municipal tax contribution : That the municipal tax contribution to the organization be $.50 per capita to enable a broad range and basic level of public health nursing services to be available to residents of the geographic area . Concerning the relationship with private providers of nursing services, the following criteria will be used by public agencies for receiving and evaluating proposals from private providers : 1. Demonstrate that various kinds of nursing services would be provided as cost-effectively as public agencies. 2. Evidence of the capability to identify and serve medically indigent populations. -4- r"`� 3. Evidence of the proper staff ratio of licensed public health nurses, registered and practical nurses, and other nursing specialities, consistent with the services needs and priorities of the population groups. 4. Evidence that the overall delivery system would not be fragmented by increasing the number of nursing vendors and that the overall quality and efficiency of services by the public nursing agencies would not be reduced. e Environmental Health Services: Start-up subsidy funds have been set aside in the 1977 County-wide Community Health Services Plan. for the development of environmental health services in those municipalities without formal programs (west and northwest areas) . To clarify the policies and timetables for assuring the availability of basic environmental health services on a County-wide basis , these policies and procedures are recommended: 1. By July 1, 1978, municipalities must notify the Hennepin County Board of Commissioners of their intent to provide services, singly or in combination with other municipalities, or relinquish their authorities to the County Board of Health. 2. Municipalities must have the capability for providing these i services by no later than January 1, 1979. 3. The Hennepin County Board of Commissioners should make arrangements for providing environmental health services in those municipalities without local services. The process for determining the most suitable method of delivering services should include consideration of the following: service could be provided through contractual agreement with another municipality or group of municipalities. • services could be provided directly by Hennepin County Government. 4-. The per capita method should be established for distribution of subsidy funds for environmental health services in 1978. DISTRIBUTION OF SUBSIDY FUNDS Exhibit 1 shows the distribution of the $2,018,841 of annual subsidy funds to local governments: Bloomington, Edina, Minneapolis, Richfield, St. Louis Park and Hennepin County Government. Hennepin County Government distributes its funds to the other 41 municipalities (municipal programs) and for programs serving a. County-wide population. -5- SCOPE OF SERVICES AND ALLOCATION OF SUBSIDY FUNDS The common threads among all programs in the County-wide Plan are to prevent L the occurrence of disease, illness, disability, or premature death; to detect at early stages potential or existing health problems; and to extend health services into the community. Puny community health services will be avail- able on a County-wide basis through municipalities and other community health agencies. Other services will only be available in certain geographic loca- tions. An overview of the kinds of services, the geographic location, and the municipalities and community health agencies which will provide these services follows. Exhibit 2 displays all services in the County-wide Plan and the allocation of subsidy funds by program areas. Community Nursing Services Community nursing services offer a variety of services which emphasize family-centered nursing, disease prevention and control through education and counseling, case-finding, follow-up and referral . Included are health promotion services in the home, school-health services and counseling, and health consultation to selected day care centers. BLOOMINGTON 015 School Support $ , Health Promotion and Counseling 28,829 29 33,844 EDINA School Health $ 2,365 3545 Counseling 9, Health Promotion Home Visits ,732 32 15,642 MINNEAPOLIS Health Promotion $230,510 Day Care Center Health Consultation Program- 46,223 276,733 RICHFIELD School Support $ 4,500 Health Promotion and Counseling 6,677 11,177 ST. LOUIS PARK Health Promotion Home Visits $ 12,497 Group Health Promotion 16,972 29,469 -6_ ,m „"� i �_ HENNEPIN COUNTY GOVERNMENT (MUNICIPAL PROGRAM) Health Promotion $ 84,709 GRAND TOTAL $451 ,574 Home Health Services Home health services to ill and older persons--provided by public health nurses, registered nurses, licensed practical nurses and home health aides--includes skilled nursing care, health teaching and counseling and in-home aide services. BLOOMINGTON Home Nursing $ 21,929 EDINA Home Nursing $ 19,759 MINNEAPOLIS Home Health Services $ 24,000 RICHFIELD Home Nursing $ 9,636 'I ST. LOUIS PARK Home Health Care Visits $ 10,400 5131 Therapeutic Support Services , 429 19,825 Health Care Aide Services , 25 HENNEPIN COUNTY GOVERNMENT (,'jUNICIPAL PROGRAM) Home Health Services $ 70,791 GRAND TOTAL $165,940 Disease Prevention and Control Services Disease prevention and control services include activities relatina to prevention of communicable disease through. education, immunization, case-finding, referral and follow-up. Immunization clinic services, venereal disease diagnosis c�inics wlbe provided This services - and Plan includes udesd and senior citizen health family planning services in this program category. -7- BLOOMINGTON Adult Health $ 10,037 Senior Center Health 12,746 Children's Health 12,858 35,641 EDINA Adult Health $ 8,262 Children's Health 7,672 Senior Center Health 5,314 2'1,248 MINNEAPOLIS Maternity, Family Planning, Child Health Services (Minneapolis Health Department) $252,019 Acute Communicable Disease (Minneapolis Health Department) 24,850 Venereal Disease Services 7,000 Community-University Health Care Clinic 35,789 Immunization Services (Minneapolis Health Department) 36,520 Coordinated Health Problem Identification and Follow-up (Minneapolis Public Schools) 47,775 Family Planning (Teenage Medical Services) 26,500 430,453 RICHFIELD Adult Health $ 6,801 Children' s Health 6,800 Senior Center Health 6,800 20,401 HENNEPIN COUNTY GOVERNMENT (COUNTY-WIDE PROGRAMS) 4,000 Provision of Vaccine 39693 $ " Venereal Disease Diagnosis and Treatment 52,975 96, 68 Family Planning Services ,668 GRAND TOTAL $604 ,411 Health Education Programs Health education programs emphasize individual responsibility for health behavior and lifestyle through a variety of programs. -8- r��� EDINA Public Information and Education $ 2,351 MINNEAPOLIS Health Education (contracted programs) $208,500 HENNEPIN COUNTY GOVERNMENT (MUNICIPAL PROGRAM) Health Education (contracted programs) $ 42,951 HENNEPIN COUNTY GOVERNMENT (COUNTY-WIDE PROGRAMS) School Dental Health Education $ 49,000 Community Health Education Planning and Development 29,389 E78,389 GRAND TOTAL $332 ,191 Environmental Health Services Environmental health services are those services designed to achieve an environment conducive to man health, comfort, safety, and well-being. These services include food protection, hazardous substances and product safety, water supply sanitation, septic tank and soil absorption type sewage disposal , water pollution control , noise pollution control , air pollution control , institutional sanitation, recreational sanitation, including swimming pool sanitation and safety, housing code enforcement for health and safety purposes, and general nuisance control . BLOOMINGTON Housing Inspection $ 6,009 Food Service Inspection 25,766 Community Sanitation. 4,164 Environmental Pollution Control 19,041 Environmental Health Administration 11,844 66,824 EDINA Food Service Inspection/Housing Maintenance/ Community Sanitation/Environmental Pollution Control/Public Health Laboratory $ 4,000 -9- y� I � � i MINNEAPOLIS Institutional Sanitation $ 27,330 �.. Housing and Hygiene Services 24,560 51,890 RICHFIELD Community Sanitation $ 4,377 Food Service Inspection 4,435 Housing Maintenance 3,053 Environmental Pollution Control 2,675 14,540 ST. LOUIS PARK Food Service Inspection/Housing Maintenance/ Community Sanitation/Environmental Pollution Control/Public Health Laboratory $ 19,000 HENNEPIN COUNTY GOVERNMENT (MUNICIPAL PROGRAMS) New Program Development $ 95,624 Existing Municipal Programs 34,813 130,437 HENNEPIN COUNTY GOVEPaYMENT (COUNTY-WIDE PROGRAM) Environmental Health Services Planning and Development $ 31,657 GRAND TOTAL $318,348 Emergency Medical Services Emergency medical services provide rapid and effective medical treatment for persons beset by life threatening situations at the scene of the emergency, enroute to a treatment center and in the emergency department of that treatment center. EDINA Public Safety Program $ 16,258 GRAND TOTAL $ 16,258 -10 _�"1 i �- Community Health Services Planning and Administration Community health services planning and administration includes the preparation of the annual plan, the development and administration of contracts , evaluation of programs and development of new programs . MINNEAPOLIS Administration (Community Health Services Programs) $ 51,785 ST. LOUIS PARK Administration (Community Health Services Programs) $ 12,000 HENNEPIN COUNTY GOVEP-MMENT (COUNTY-WIDE PROGP.AMS) Community Health Services Planning and Administration $ 66,334 GRAND TOTAL $130,119 ANERICAN INDIAN SPECIAL FUNS The County-wide Plan includes an 18-month appllcati.on for American Indian Special funds to be awarded to three agencies providing services to American Indians without a county of residence. These agencies were selected after proposals from community agencies were requested and a review process conducted. Hennepin County is eligible for $104,700 for the pariod January 1 , 1978, through June 30, 1979. These special funds will be distributed as follows : Community University Health Care Center $ 24,990 Hennepin County Family Practice Clinic $ 16,380 Indian Health Board Clinic $ 63,330 TOTAL $104,700 ''1 i EXHIBIT 1 : DISTRIBUTION OF COMMUNITY HEALTH SERVICES SUBSIDY FUNDS TO LOCAL GOVERMIENTS IN HENNEPIN COUNTY County-wide Programs. ••or•o•••°•°• o Minneapolis eeeee•o•'e'•'e'e°e'e • $1,043,361 $273,048 0 • • s • • • • • • e / t • • • • • • e o • • • o • e o • e • • e •'• • • • o • • HENNEPIN COUNTY •o•••o °•'e°•'• •'•°•`o`•`�v° GOVERNMENT • • • • • • • • e • e • • • • • o•oe♦•♦•eoeeevee�•ee♦•e•°•°•'eae®. \ \ • • o • • • o • *see* s • • • • • • Municipal Programs • • + • • e w • • e • • • • • o 4• • • s • s e • e • s e • • • • • • s $328,$88 \ • 0 0 go 04,e 0 0,00 • • e s 0 0 • • e 4, e ' • e • o • ,o • • v • • • • • • • o • • a•eeeee••e.°•e••.•o•e•®°e°e'♦'e'e' e•- 16.3% . . . ♦ e • . . . . . . e. V! • • ° • • • • • • • • • e • a • \ r • • • • • • • o v • got a gee • • e f • • • • • • • • • • • •• ♦ • e •• • o • • • • • • e • • o • • e•• • • • • e • • • • • • s e • • • • • •• • • oe. • • • • s • • • • • • • s • • e o • •• C 0 ♦ • • • • • • • Opp • • • s • • e • •Richfield 0 ee . e . , ` eo p e • $55,754 :':�OQc�Cc 0'e'.e`0°eo eo e••o o•••••••••••••.•�♦• ': 0p 000 • • • • • o • • •. 0000000. •. • • • e • •••es•s•00 . •Edina op00 0 • • •••• 0o0 °0 o • • •v•.••e oe•• •••• e•• ••• $79,258 00000 e •0000 ' • • • •••e•••o•000 ooc 0 00 ••••o••••••••••o go go••• •• • oC4.O%)Oo - • • e • • • • s • e o e • • St. Louis Park 0 - 0 ` • • ° • • • • • • e • • • • ♦ e • o • • ♦ •$80,294 • • • • g7 8%: "t• • • . • • e . . • e • e • s e • e Bloomington • • • . e • e • $158,238 -12- i I t__ EXHIBIT 2 DISTRIBUTION OF SUBSIDY FUNDS ACCORDING TO SERVICES AREAS IN HENNEPIN COUNTY 6 4p o0 •® 00o s® , 010 op•° °•3 oQ n 'K 77 40/ Oo ®� °p• �p9 , •o ®•�!94�•o.p®e9 � . ON ® °•15.8° •® °°° °a9 00�� •o • p 0• •Q ° °01° 0 A � 4•"s• 0o° � o• •® °° 0 °e® • 0° °•• ® p`° 04aoo ` •I - �°t t ¢!p e•o0o° �® ©o°o ° �o00Ogoo � , I ® °° o ® ° °�, 4 4 4p A 9 °• •° p® Og oa p ®°® 9 Q, � � 4 p ®4s ::::::: x .2c ro r ??2=r 16.5 i 29.9% KEY 1. Community Nursing Services . . . . $ 451,574 22.4% 2. Home Health Services . . • . . . . $ 165,940 8.2% 3. Disease Prevention & Control Services . . . . $ 604,411 29.9% 4. Health Education Services $ 332,191 16.5% ■' 5. Environmental Health Services . . . . . . . $ 318,348 15.8% ■ 6. Emergency Medical Services . . . . . . . . . . $ 16,258 0.80 7. Planning & Administration . . . $ 130,119 6.4% TOTAL $2,018,841 100.0% -13- •-•.. i i i i i I I APPENDICES SYNOPSIS OF 1978 COUNTY-WIDE COMM LAITY HEALTH SERVICES PLAN The 1978 County-wide Community Health Services Plan is available for review at the administrative office or the Cities or Bi uum1 rig wii, LUMC, Minneapolis, Richfield and St. Louis Park; the County Board of Commissioners' office and the Office of Planning and Development in the Hennepin County Government Center; the Minneapolis Public Library; and the Rockford County Library. A summary of the Plan organization and content follows : PREFACE: List of Public Health Services Which Are Appropriate For Government Involvement SECTION I : Summary: 1978 County-wide Community Health Services Plan (this document) SECTION II : Identifications and Authorizations SECTION I I I : Community Participation: This section presents five features of the County-wide planning process for Plan development, and references the 1977 County-wide Plan for the description of health problems , priorities and major existing resources . SECTION IV: Community Health Services Organization and Programs Part A• County-wide Organizational Perspectives The responsibilities of the County Board of Health and municipal boards of health are outlined. The considerations for establishing goals for the develop- ment of a County-wide community health services system are presented. Services goals for 1978 are identified. Program policies for public health nursing services and environmental health services are detailed. The 1977- 1978 planning and development studies are described. Part B• Hennepin County Government Programs. - The programs for 1978 subsidy funding are described. Part C: Municipal Programs - The programs for 1978 subsidy funding of municipalities qualifying for a direct or proportionately-reduced share (Bloomington, Edina, Minneapolis, Richfield and St. Louis Park) are described. -14- I HENNEPIN COUNTY GOVERNMENT HENNEPIN COUNTY BOARD OF COMMISSIONERS/BOARD OF HEALTH John E. Derus, Chairman (District 4) Richard Kremer (District 3) Nancy Olkon (District 7) E. F. Robb, Jr. (District 5) Sam Sivanich (District 6) Jeff Spartz (District I) Thomas Ticen (District 2) i i i 1 I INTERIM COMMUNITY HEALTH SERVICES ADVISORY COMMITTEE Ellen Alkon, M.D. (Health Provider)* Arnold Anderson, M.D. (HeaZth Provider) Barbara Dols (Cons=er) Tracy Whitehead (Conswner) Jack Irving (LocaZ Goverment Official) Charlee Hoyt (LocaZ Goverment OfficiaZ) Harlyn Larson, Chairman (LocaZ Government OfficiaZ) John Pidgeon (LocaZ Government OfficiaZ) Vacancy (LocaZ Goverment OfficiaZ) *Dr. Alkon is currently serving in a dual capacity as health provider and local government official . i I i -15- �, i s i �� l CITY OF BLOOMI NGTON i 1977 CITY COUNCIL/BOARD OF HEALTH James H. Lindau, Mayor . William V. Belanger, Jr. Robert W. Darr Adrian E. Herbst Mark Mahon John E. Malone James E. O 'Neil Thomas P. Spies i i A 1977 ADVISORY BOARD OF HEALTH Providers Consumers Robert C. Barron, Ph.D. Donna Adams j Ann Connor, R.Ph. Donna Anderson Ellen Dennis, R.N. Dorothy Backstrom i kathryn Dewey, R.N. Michael Brucciani Arthur K. Larson, M.D. Pat Heimkes J. Lee, M.D. Helen Hoaglund James Libby, DVM Patti Jacobs (Youth) Charles D. Officer, M.D. Rev. Craig Nelson Nat Wisser Pat Reichert L. D. Vanderhoef, D.D.S. George Ryan Local Government officiaZ Robert W. Darr, City Council i � I -16- �. l CITY OF EDINA 1977 CITY COUNCIL/BOARD OF HEALTH James Van Valkenburg, Mayor C. Wayne Courtney, Councilman Fred Richards, Councilman June Schmidt, Councilwoman Willis F. Shaw, Councilman I i 1 i 1977 ADVISORY BOARD OF HEALTH Providers Consumers Mary Bang, R.N. Linda A. Bjerke Dr. James Cardle Beverly Harris Dr. E. Duane Engstrom Verne W. Moss, Jr. , Attorney Dr. Walter E. Krafft Barbara Kresoya Dr. C. V. Rockwell Leroy Werges Dr. Richard K. Simmons Ex-Off f cio, Von-voting Members June Schmidt, City Council Kenneth Esse Tully Stoppel -17- w r l ,.r i I t r I I \_,_ CITY OF MINNEAPOLIS 1977 CtITY COUNCIL/BOARD OF HEALTH Walter Dziedzic Earl T. Netwal , Jr. Thomas L. Johnson Lee W. Munnich, Jr. Richard R. Miller Thomas Ogdahl Alice W. Rainville Zollie Green Louis G. DeMars Dennis W. Schulstad Keith J. Ford Charlee Hoyt Walter H. Rockens tei n II 0 1977 PUBLIC HEALTH ADVISORY COMMITTEE Consumers Providers Mrs. Ann Solensky Max A. Boller, M.D. Mrs. Carolyn Clemmons Roger J. Fredsall , D.D.S. Mr. Henry Baur John C. Cushing Mrs. Shirley Perkins Mrs. Norma Prosnick, R.N. Ms. Katy Goodell James B. Kenney, Ph.D. Mr. Kenneth S tomski Ms . Jane Phillips , R.N. Mr. Harry Rosenthal Ms. K. C. Spensley Mrs. Dorothy Pi theon Professor Richard G. Bond Ms Barbara L. Mattson Mrs. Frances Lynch Mrs. Barbara Dols (Vacancies in Fifth and Eleventh ward representation as of August 23, 1977.) i -18- I i I i i I i i i �. CITY OF RICHFIELD 1977 CITY COUNCIL/BOARD OF HEALTH 1977 ADVISORY BOARD OF HEALTH Loren L. Law, Mayor A. P. Anderson (Local Official) A. P. Anderson Dr. W. H. Bittick (Provider) Eugene E. Jacobsen Mrs. Kathryn Dahlgren (Provider) Ivan Ludeman Mr. Robert Lien (Consumer) Vern L ue tti nger Mrs. Mildred Stake (Consumer) Mrs . Roger Stern (Provider) Ms . Joyce Wilde (Local Official) Mr. William Si emers (Consumer) Mr. Ray Swanson (Consumer) CITY OF ST . LOUIS PARK 1977 CITY COUNCIL/BOARD OF HEALTH 1977 ADVISORY BOARD OF HEALTH Irving M. Stern, Mayor Dale Anderson, M.D. (Licensed Provider) Seymour Druskin Gerald Dokka (UnZicensed Provider) Lyle Hanks Sandra Dratler (Unlicensed Provider) Keith J. Meland Sharon Fingerhut (Consumer) Rose-Mary Griak 4 Marion Hume (Consumer) Ronald Backes Sue Larson (Consumer) Leonard J. Thiel Bonnie Marsh (Licensed Provider) Margaret Sandberg (UnZicensed Provider) Norman Sterri e, M.D. (Licensed Provider) i i -19- i 4 z MINUTES OF THE REGULAR MEETING OF THE EDINA ADVISORY HEALTH COMMITTEE HELD TUESDAY, APRIL 25, 1978 at 7:30 P.M. �..�" EDINA CITY HALL CONFERENCE ROOM I. Members Present: Linda Bjerke, Chairperson; J. Schmidt, Council Representative, V. Moss, Tully Stoppel, B. Harris, R. K. Simmons, M.D. , B. Kresoya, C. V. Rockwell, M. D. Members Excused: Mary Bang, Leroy Wergess Staff Present: K. Esse, Health Sanitarian, D. Velde, Assistant Health Sanitarian, K. Sorensen, Secretary II. Approval of January 24, 19.78 Advisory Health Committee Minutes Chairperson Bjerke noted that she had received a letterfrom Dr. Kraft regarding corrections to the January 24, 1978 Advisory Minutes. On page 2, fourth paragraph from the bottom should read as follows: "Dr. Kraft noted that this program is somewhat the same as the breast and pap smear programs. He stated there was poor communication between these programs and physicians and many physicians feel the programs are not cost effective. He also asked what the smaller communities were doing who have only one or two physicians. Dr. Kraft also stated that hi name had been deleted from the list of those present. Mrs. Bjerke also noted that Mary Bang submitted the following correction on page 4, the first paragraph should have the name Norma Dom deleted and Bonnie Marsh inserted. Dr. Rockwell moved approval of the January 24, 1978 Committee Minutes as corrected. Mrs. Harris seconded the motion. All Voted Aye. Motion Carried. III. Announcements and Reports A. A Report from Evaluation Subcommittee on Bloomington Public Health Nursing` Chairperson Bjerke noted that Committee members had received in their mailing, the letter received from Yvonne Hargens, Director of the Department of Community Services, with an attachment which is a summary of what is being done in Home Care ttee has been concerned about looking at the Evaluation. She stated that the Commi quality of service Edina is receiving from Bloomington and ascertaining whether Edina residents are satisfied with the services that they have been receiving. This letter describes an evaluation that Bloomington is doing and they are now ready to mail out a questionnaire and Edina is included as part of the sample. Mrs. Bjerke asked if Committee members have any thoughts about where the subcommittee should proceed from this point. Mrs. Harris stated that Mrs. Bank, who is the chairperson of the subcommittee, does feel that she would like to review the Bloomington evaluation and proceed from there. Mrs. Bjerke stated that the charts are color coded from each city for anonymity. Mrs. Schmidt felt that the home care area was the place we needed the evaluation as the Committee does not have any real feedback in that area. Advisory Health Committee Minutes Page 2 April 25, 1978 Chairperson Bjerke noted that Yvonne Har_gens was willing to attend the Committee's June meeting to update this material and explain it in more detail. No Action Taken. B. Material Received on Education Program at Methodist and Fairview Southdale Hospitals - Linda Bjerke Chairperson Bjerke noted that Dr. Engstrom suggested that the Committee get some material on community educational programs available at Methodist and Fairview Southdale Hospitals. She stated that she had received mailings from Methodist Hospital, giving the Committee materials relative to the programs that they currently have as well as providing a telephone number for those who would desire additional information. The pamphlets sent from Methodist were circulated among the Committee members. No response was received from Fairview Southdale Hospital. The Committee generally agreed that Mrs. Bjerke should contact Kirby Erickson at Fairview Southdale Hospital and request the materials. No Action Taken. C. Summary Comments on BPHN Statistics- Dave Velde Mr. Velde presented the statistics for the first quarter (Jan. thru March, 1977-1978). The submitted report is a gross comparison of the statistics that Edina receives from Bloomington. The comparison is between the first quarter of 1977 and 1978. It is self.-explanatory. He noted that the 65 and over age group is definitely receiving the majority of the services. He also noted that we will have a much better idea of things at the end of the year and we will be able to see what the trends are, however, the trend seems to be increasing in all areas. Mrs. Schmidt asked Mr. Velde if there was a way to determine who was making the referrals. She wanted to know where the increase was coming from. Dr. Rockwell stated that obviously some of the referrals were coming from private physicians and also from hospitals and it would be difficult to track down each source. Mrs. Bjerke noted that under the Medical-Surgical category, there was a 20% increase and that most likely is a physician referral. Physician orders would be needed under that category, whereas, some of the other, such as Growth and Develop- ment, patients can visit the Clinic without physician orders. Dr. Simmons noted that there must have been a number of categories under Utilization of Services if the categories listed represent 55% of them all. Mr. Velde noted that there were approximately 40 categories noted on the computer sheets. Mr. Velde noted that he would be able to get some information on where the monies are being paid under the contract. The Committee noted that they would like to have that information. No Action Taken. FIRST QUARTER NURSING STATISTICS (BPHNS) (January - February - March) 1977 - 1978 Total Nursing Records Submitted 1977 1978 620 880 (+41.9%) First Visits/New Patients (All Locations) 121 148 (+22.3%) Total Visits 509 584 (+14.7%) Total Visits by Program Activity Maternal Health 47 45 Growth and Development 28 38 Mental Health 49 40 Communicable Disease 4 1 Medical - Surgical 370 446 (+20%) School Health - General Health _11 14 Total 509 584 (+14.7%) Utilization of Services by Reason (Top Six) Arthritis 23.2% 13.0% Cardiovascular 11.2 24.9 Stroke 9.0 1.3 Emotional Health 6.3 6.0 Family Planning 6.3 4.3 Multiple Sclerosis 5.9 4.0 Home Health Aide Visits 65 124 (+90.8%) Total Home Health Visits (Including Nursing Visits) Health Promotion 94 116 (+23.4% Illness 337 386 (+14.5% Total 431 502 (+16.5%) Percentage of Service Used By Age Group - 0 - 1 1.8% 4.6% 1 - 4 2.4 1.2 5 - 19 4.9 3.3 20 - 44 10.0 7.3 45 - 64 14. 1 12.7 65+ 66.8 70.8 Total % 100.0% 99.9% Advisory Health Committee Minutes Page 3 April 25, 1978 ' IV. New Business A. Continuing Assessment of Community Health Needs Chairperson Bjerke noted that at the time the original CHA Bill was passed, Edina did do a needs assessment which involved a brief look at where the needs were in our community. It is felt that this is something the Committee should be sensitive to as to where the needs are changing in the community and recognize it. She stated that she was not sure just how this could be done. We have some ideas and Mr. Velde knows about one study that is being done, but asked the Committee to offer suggestions. Mr. Velde stated that the South Hennepin Human Services Program does have a grant to study morbidity, mortality and social economics in the South Hennepin area. The data that is being compiled will be available to us when it is completed. We have not yet received any material relative to this study. It was the intent of the South Hennepin Human Services Board to provide these statistics for the 1979 plan. Perhaps the material will be received for the May meeting. Dr. Simmons stated that the counseling of teen agers has been identified as an area for need. Quite a few steps have been -aken in this area to meet that need. Mrs. Stoppel noted that there is a workshop in June relating to child abuse, which is another area of concern. Mrs. Schmidt stated that the schools could be very valuable to us in this respect. She stated that she had contacted an individual at Creekside Center in Bloomington, a satellite office of the Red Cross, and asked the individual to keep a sheet for us for a three month period to see what calls come into the Red Cross to see what the needs are from Edina. One of the problems is transportation. The Red Cross will have a van available for the South Hennepin area soon. Dr. Simmons noted that there is also a need for radiation therapy transpor- tation. It was suggested that Cecelia Smith, who works at the Senior Citizens Center in Edina be contacted as she may be a good source of information. Dr. Rockwell asked if there was anything available indicating that these services were available so that people can make use of it. Mrs. Schmidt suggested that a mailing, listing these services go out with the Park Board information or the homestead applications as they go into every home in the City. It was also suggested that something could go out with the City Manager's newsletter. Chairperson Bjerke stated that what the Committee wanted to do was to compile a list with phone numbers for people to call to get in touch with the services. Mr.. Moss stated that there were a number of specialized educational programs and those should be included along with the services. 1 Advisory Health Committee Minutes Page 4 April 25, 1978 Dr. Simmons moved that the Advisory Health Board recommend to the Council that an Advisory Health Committee educational/informational sheet be prepared and included with the next City Manager's newsletter, which sheet would list services available and educational programs available. Mrs. Harris seconded the motion. All Voted Aye. Motion Carried. Mrs. Schmidt volunteered to help gather the information for this project. B. Request For Edina Representative to Bloomin ton Public Health Nursing Advisory Committee Chairperson Bjerke noted that a verbal request came from Yvonne Hargens that an Edina representative be appointed to sit on the Bloomington Public Health Advisory Committee. The representative can be either a consumer or a provider. Mr. Moss moved that the Committee recommend that Mary Bang serve as Edina`s representative to the Bloomington Public Health Advisory Committee. Dr. Rockwell seconded the motion. All Voted Aye. Motion Carried. C. Resignation of Dr. James Cardle D. Health Consumer Replacement for Dr. Cardle. (Senior Citizen) Mrs. Bjerke stated that she had received a letter from Dr. Cardle indicating that he would have to resign from the Committee due to a number of pressing committments. We will have to have a replacement for Dr. Cardle. It has been suggested that the replacement be a senior citizen and a health consumer since we have enough providers at the moment. Mrs. Bjerke asked if the Committee members might have a suggestion at this time. Since that age group is the one that receives most of the services, a representative should be chosen from the senior citizen population. Mr. Moss asked if there was a senior citizen organization as such in or near Edina. It was reported that there is a Senior Citizens Center on York Avenue, and perhaps Cecelia Smith at the Center could be of some help. Dr. Rockwell suggested Dr. Richard Tudor, who is a senior citizen. After some additional discussion, the secretary was directed to prepare the Resolution of Appreciation for Dr. Cardle, which will be signed at the May meeting. No other action taken. E. Other Business Mrs. Stoppel stated that she would report on the pre-school screening at the May Meeting. She noted that Dr. Cardle had been instrumental in designing the project. She also stated that the project was a success. V. The next meeting date is May 23, 1978 at 7:30 P.M. Advisory Health Committee Minutes Page 5 April 25, 1978 VI. Unfinished Business Mrs. Bjerke noted that she had a letter from Dr. Kraft stating that he was having a conflict with the fourth Tuesday of the month. He noted, in his letter, that the Health Committee had met at one time on the first Tuesday of the month and he asked if the Committee could meet again the first Tuesday. Mr. Esse reported that the meeting day was changed because there was a conflict with the meeting room with another board that met the same day and time. After some additional discussion, the Committee indicated that the fourth Tuesday was convenient and a change should not be made at this time. VII. Mrs. Harris moved for adjournment at 8:20 P.M. Dr. Rockwell seconded the motion. All Voted Aye. Motion Carried. Resp ctfully submitted, Karen Sorensen, Secretary 5/9/78 AGENDA EDINA ADVISORY HEALTH COMMITTEE Meeting May 23, 1978, 7:30 P.M. Edina City Hall Conference Room Linda A. Bjerke, Chairperson, Presiding 1. Roll Call II. Minutes III. Announcements and Reports A. Resolution of Appreciation - Dr. J. Cardle B. Letter to Kirby Erickson, Fairview Southdale Hospital C. Progress Report: Compilation of Services Available to Edi _a Residents - June Schmidt D. Kindergarten Pre-Screening Report - T. Stoppel E. Meeting Night Change Report - L. Bjerke IV. New Business A. Continuing Assessment of Community Health Needs - D. Velde V. Unfinished Business A. Appointment of Edina Representative to BPHN Advisory Committee VI. Next Meeting Date - June 27, 1978 I VII. Adjournment i i &X--oty of Bloomington �riesota 2215 WEST OLD SHAKOPEE ROAD-55431-1612)881-5811 Date: 5/4j78 TO: Cecelia Smith, Edina Senior Center Dan Dunsmore, Richfield Community Center FROM: Ruth Anderson, Division of Public Health REGARDING: 1978 ORAL CANCER SCREENING CLINIC REPORT Enclosed is a cumulative report of the evaluations which were returned to us after the Oral Cancer Screening program. Use it for what it's worth. Periodically we will send you feedback about the health programs as we get it on these evaluations. If you have any questions, please call me at 881-5811 , ext. 286, or Katy Thompson at 881-5811, ext. 318. i I AN AFFIRMATIVE ACTION/EQUAL OPPORTUNITY EMPLOYER :1978 OPAL CANCER SCREENING CLINIC REPORT r Total number residents screened: 208 Bloomington: 59 Edina: 82 Richfield: 67 Total number of referrals: 56 Bloomington: 10 Edina: 32 Richfield: 14 Evaluation forms available to Bloomington and Richfield residents only totaling 126 Evaluations returned: 45 (35.6%) Responses to Question #1 ("What are the two things you like the best about the clinic/ program?") reveal a high regard for courtesy, information exchange, efficiency and organi- zation on the part of the professional staff involved. This includes thoroughness of the exam and friendliness of dentists and staff. Convenience of location and no-fee aspects of the screening clinic appear to be desirable and appreciated. No negative responses were elicited from Evaluation Question #2 ("What two things do you like least and how could they be changed?"). The amount of information received from the screening (Question #3) seemed adequate. 43 out. of 45 responded with information "just right". in terms of frequency (Question #4), over half of the evaluators (26) expressed interest �. repeating similar clinics at yearly intervals. Fifteen desired repeats within six months and two thought it necessary to repeat only every 5 yearn. The responses to Question #5 (Future Programs/Clinics) indicate lack of knowledge on the part of the evaluators about what our agency offers. A breakdown of future program interests follows: GI - 1 Respiratory & Vital Capacity - 2 Chest X-Ray - 4 Glaucoma & Vision - 2 -BSE - I Arthritis - 1 Cancer - 1 BP/Hypertension - 5 Blood Sugar, Cholestrol, & Diabetes 5 Hearing - 4 (anything - 4) (does not know - 1) Of the 10 categories listed, 7 are in part, if not totally, incorporated in this agency's community service of Public Health. '� ''1 '1 AGENDA PRE-SCHOOL SCREENING C0111^•'i 1 TTEE Evaluation of -the PSS program: I . Number and percent of children screened. Total of 507 children screened (61-1 is total number of children on school- census who were 4 or 5 by September I , 1978) . Percent screened: 77% It . Nurnner and percent of children who participated in_ each component offered- at the screening. Number Percent Developmental 489 96.4 (coordination, communication, concepts) Hearing 457 95. Vision 460 95.4 Unclothed Physical 235 48.8 Height & Weight 422 87.7 Blood Pressure 350 74.9 Dental 300 62.3 Nutrition 334 69.4 Lab. Hemoglobin 269 55.5 Urinalysis 279 58 Intake and Exit Interviews 507 100. �- I mnun i zai i ons DPT .87 OPV 89 Tine Mtx 75 Mumps I MMR Ill . Number and percent of children referred for follow-up and' in which area. Number Percent Language, Speech, Psychological 93 19 G Hearing 75 16 Vision 9 1 .9 De-}al 8 2.6 La ". 13 4.6 P, -ate Medical Doctor 12 5. 1 V. F:�I l Y-up pr,-,.cedures. Lois Engel - School Public Health Nurse V. Tess =s of Cevelopmental testing on the DIAL with computerized norms for Edirj children screened this year. Jean M;i I ter - School Psychologist '"'1 "`�'t i' 1 -2- V1 . Number of vol-unteers needed to help screen. 12 volunteer stations per day - 15 sessions - 180 Developmental : 34 - administered the DIAL test Vision & Hearing: II - voIun ~ed from Morningside 1^iomen's Club F:ecept i on & H i sp i to I i ty: 12 - .�'-A: volunteers Nutritionists: 10 7 Telephone Chairpersons PSS .Screening Committee VII . Reports from volunteer groups regarding further participation. . Bucket Brigade Edina Special Children's Group PTA PTA Council Medical Survey - Morningside Women's Club Vlll . Parents written evaluation of the program. (See attached sheet) IX. Financial Report. Budget report - Marilyn Nichols X. Decisions for next year regarding outreach, time, place and staff. Outreach Telephone Nursery Schools- News Media Time: Jan. ?3,. 25, 26 c�- Feb. 27 March 1 , 2 Jan. 30, Feb. 1 , 2 M.arch 6 " 8, 9 Place: Nc,—,,andale Lutheran Church 0 t h.a-? Staff Vision/Hearing - DIAL - Health Components I i i j\ V RESOLUTION OF APPRECIATION WHEREAS, DR. JAMES CARDLE has been a member of the Edina Advisory Health Committee of the City of Edina since his appointment by the City Council on April 18, 1977, and WHEREAS, DR. JAMES CARDLE has brought to the Edina Advisory Health Committee the benefit of his experience and has given of his time, knowledge, and talents to the duties and responsibilities of the Edina Advisory Health Committee, and WHEREAS, DR. JAMES CARDLE has, by his actions, contributed greatly to the growth and development of the Advisory Committee and has deservedly held the full respect and regard of his fellow members of the Committee, NOW, THEREFORE, the members of the Edina Advisory Health Committee on this 23rd day of May, 1978, extend their sincere appreciation for his services and contribution and express their personal thanks to DR. JAMES CARDLE for his devotion to the fulfillment of his duties and responsibilities as a member of the Edina Advisory Health Committee, and order that a copy of this Resolution be transmitted to him and to the City Council. Linda Bjerke, Chairperson E. Duane Engstrom, M. D. Walter E. Kraft, M. D. Richard K. Simmons, M. D. Mary Bang Beverly Harris V. W. Moss, Jr. June Schmidt, Council Representative C. V. Rockwell, M. D. Tully Stoppel Barbara Kresoya Leroy Wergess MINUTES OF THE REGULAR MEETING OF THE EDINA ADVISORY HEALTH COMMITTEE ' HELD TUESDAY, MAY 23, 1978 at 7:30 P.M. EDINA CITY HALL CONFERENCE ROOM I. Members Present: Linda Bjerke, Chairperson, B. Kresoya, J. Schmidt, B. Harris, C. V. Rockwell, M. D. , M. Bang, T. Stoppel, R. K. Simmons, M. D. , E. D. Engstrom, M. D. , W. E. Krafft, M. D. Member Excused: - Leroy Wergess Staff Present: K. Esse, Health Sanitarian, D. Velde, Assistant Health Sanitarian, K. Sorensen, Secretary II. Approval of April 25, 1978 Advisory Health Committee Minutes Mrs. Schmidt moved that the April 25, 1978 Health Committee Minutes be approved with the correct spelling of Mrs. Bang's name on the first page, second paragraph from the bottom. Mrs. Harris seconded the motion. All Voted Aye. Motion Carried. III. Announcements and Reports A. Resolution of Appreciation - Dr. James Gardle Chairperson Bjerke announced that Dr. James Cardle had resigned from the Health Advisory Board and offered the following resolution for acceptance: RESOLUTION OF APPRECIATION WHEREAS, DR. JAMS CARDLE has been a member of the Edina Advisory Health Committee of the City of Edina since his appointment by the City Council on April 18, 1977, and WHEREAS, DR. JAMS CARDLE has brought to the Edina Advisory Health Committee the benefit of his experience and has given of his time, knowledge, and talents to the duties and responsibilities of the Edina Advisory Health Committee, and WHEREAS, DR. JAMES CARDLE has, by his actions, contributed greatly to the growth and development of the Advisory Committee and has deservedly held the full respect and regard of his fellow members of the Committee, NOW, THEREFORE, the members of the Edina Advisory Health Committee on this 23rd day of May, 1978, extend their sincere appreciation for his services and contribution and express their personal thanks to DR. JAMES CARDLE for his devotion to the fulfillment of his duties and responsibilities as a member of the Edina Advisory Health Committee, and order that a copy of this Resolution be transmitted to him and to the City Council. '" Advisory Health Committee Minutes Page 2 May 23, 1978 Mrs. Bang moved, Dr. Rockwell seconded and it was unanimously carried that the fore- going Resolution be, and the same hereby is, adopted this 23rd day of May, 1978. B. Letter to Kirby Erickson, Fairview Southdale Hospital Chairperson Bjerke noted that she had written to Mr. Erickson at Fairview Southdale Hospital. to follow up the original letter sent to Chaplain Nohre, which was not answered, regarding the educational programs available at Fairview Southdale Hospital. A letter has been received containing a summary of the health education programs that are available at Fairview Southdale Hospital. The information was circulated among the Committee Members for their perusal. No action taken. C. Progress Report: Compilation of Services Available to Edina Residents - June Schmidt Mrs. Schmidt reported that she had met with Ken Esse and Dave Velde and they discussed the different areas that they felt the Committee might be interested in. We thought we would make up a list and some descriptive materials, bring it back to the Committee and have each member decide what their priorities are and then we will compile it. She also noted that she will be meeting with Cecelia Smith on June 3 at the Senior Citizens Center and a report should be ready for the June meeting. D. Kindergarten Pre-Screening Report - T. Stoppel Mrs. Stoppel reported that there were a total of 611 children on the school census who were 4 or 5 by September 1, 1978 and 507 of these children were screened, so 77% of the children were screened. Parents could choose any or all of the components offered at the screening. She submitted the following report: PRE-SCHOOL SCREENING CQ.',iITTEE Evaluation of the PSS program: I . Number and percent of children screened. -To--al of 507 chiIdreb screened (61-1 is total number of children on school Census who were 4 or 5 by September 1 , 1978). Percent screened: 77 t t . !tiu.r^ber and percent of ch-i I dren who part i c i pated i n each component of fered at the screening. Developmenfial Number Percent489 96.4 (coordination, communication, concepts) Hearing 457 95. Vision 460 95.4 Unclothed Physical 235 48.8 Height b 1'le i ght 422 87.7 .-..,, Blood Pressure 350 74.9 Dental 300 62.3 Nutrition 334 69. Lfib. Hemoalobi.n 269 55.5 Urinalysis 279 58 Advisory Health Committee Minutes Page 3 May 23, 1978 ^� Intake and Exit Interviews 507 I0O. Immunizations DPT .87 OPV 89 Tine Mtx 75 Mumps 1 1.4 4R I 111 . Number and percent of chi-ldren referred for follow-up' and' in which area. Number_ Percent Language, Speech, Psychological 93 19 He< ri ng 75 16 Vision 9 1 .9 Ds--ta l 8 2.6 Lab. 13 4.6 Private Medical Doctor 12 5. 1 IV. Foils ,-up procedures. Lois 'Engel —School Public Health Nurse V. Results of Deg:e ':opmenta l -testing on the DIAL with computerized norms for Edina children screened this year. Jean MiIIer - SchooI Psychologist . VI . Number of vol-unteers needed to help screen. 12 volunteer stations per day - 15 sessions - 180 Developmental : 34 - administered the DIAL test Vision Hearing: II volun ee--d from Pforningside Women Club Reception & Hispitality: 12 volunteers Nutritionists: 10 7 Telephone Chairpersons PSS Screening Committee V11 . Reports from volunteer .groups" regarding further participation. . Bucket Brigade Edina Special Children's Group PTA - PTA Council Medical Survey - Morningside Women's Club Vllt . Parents writ-ten evaluation of the proirarn. (See attached sheet) IX. Financial Report. Budget report - Marilyn Nichols i Advisory Health Committee Minutes Page 4 May 23, 1978 X. Decisions for next year regarding outreach, time, place and staff. Outreach Telephone Nursery Schools News Media Time: Jan. 23, 25, 26 er Feb. 27 March 1 , 2 Jan. 30, Feb. 1 , 2 P-'.arch 6 " 8, 9 Place: Ncrrandale Lutheran Church Other? Staff: Vision/Nearing - DIAL - Health Components The development screening was the one area that most parents had their children participate in. Any children who did not cooperate or were too tired or appeared ill, did not participate in the developmental screening. We did discourage the unclothed physical for those who were entering school in the Fall because we explained to the parents that this did not take the place of the, medical physical. Dr. Krafft stated that a tabulation was kept of the volunteers and their time and he inquired about the cost. Mrs. Stoppel reported that Bloomington was paid $6.00 per child by the State and there was a small fee for immunizations. Mrs. Stoppel stated that the Bloomington staff was cooperative, well trained and were caring people. Dr. Simmons reported that this pre-screening program is stimulating interest in the medical circles and there will be a program at Southdale to introduce how physicians offices can intertwine with this program. There will be the option that the physical can be done at the physician' s office to complement the screening procedure, if the School Boards will agree. He hoped that the Bloomington and Edina School Boards would agree to it so they can work cooperatively so there isn't a fragmentation of health care. He also noted that the State Medicai Association has put out a packet for the physicians regarding how they can cooperate with the school boards throughout the State. Beginning July 1, all lab tests done by the State Health Department will cost $1.50 charged to the organization requesting it, except welfare recipients. Dr. Krafft asked who did the lab work at the pre-screening and Mrs. Stoppel replied that a lab technician from the Bloomington Health Department brought along her instruments and was able to perform these tests. Next year, the pre-screening testing will be a requirement for Kindergarten entry. The State will pay $23 per child next year and a physician may be doing the physical at the pre-screening testing, however, the parent has the option of taking the child to a physician's office for that part of the screening. Mrs. Stoppel reported that the parents were asked to comment about the pre-screening program and most of them felt that the program was excellent. 1 i Advisory Health Committee Minutes Page 5 May 23, 1978 E. Meeting Night Change Report - L. Bjerke Chairperson Bjerke noted that this item relates to Dr. Krafft who has a conflict during some months with the fourth Tuesday meeting night. The calendar has been consulted and there is just not another available evening for the Advisory Health Committee to meet. IV. New Business A. Continuing Assessment of Community Health Needs - D. Velde Mr. Velde reported that he had not as yet received a report from the South Hennepin Human Services Program regarding the data they had compiled. V. Unfinished Business A. Appointment of Edina Representative to BPHN Advisory Committee Chairperson Bjerke reported that Mrs. Bang had been selected as the representative to the BPHN Advisory Committee, but she now finds that she will be unable to fill that position. Edina's representative should be able to attend each meeting and develop a liason between Bloomington and Edina. This would allow us an opportunity to offer suggestions and feedback to Bloomington's Advisory Board relative to the service that the Bloomington Public Health Nursing Service provides for the Edina residents. After some discussion, it was generally decided to wait until the Committee meets with Yvonne Hargens at the June meeting and get additional information I from her about the Advisory Committee. VI. Next Meeting Date - June 27, 1978 at 7:30 P.M. j VII. Adjournment at 8: 15 P.M. Respectfully s bmitted, Karen Sorensen, Secretary 5/24/78 j i 1 i "'�... i { t i --�„ r June 20, 1978 Dr. James Cardle 4720 Phlox Lane Edina, Minnesota 55435 Dear Jim: on behalf of the Edina Health Advisory Committee, Z wish to convey to you the enclosed ResoluaiofLn of Appreciation. we are most appreciative of your time ani effort on the commit- tee and invite you to visit us at any time. Sincerely, LAnda B j erke Chairperson LB:nr Enclosure '"� --� r, �. �:; �. , --�. AGENDA EDINA ADVISORY HEALTH COMMITTEE Meeting June 27, 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. Welcome to Our New Appointee: Homer R. Kinney. B. Public Officials Liability Insurance. C. Progress Report: Compilation of Services Available to Edina Residents - June Schmidt. IV. New Business: A. Progress Report: Bloomington Public Health Nursing and Home Care Evaluation Study Yvonne Hargens. B. Application for Community Health Services Subsidy - David Velde. C. Appointment of Edina Representative to the State Community Health Advisory Committee for 1979. V. Unfinished Business: I' A. Appointment of Edina Representative to BPHN Advisory Committee Yvonne Hargens. VI. Next Meeting Date: August 22, 1978, at 7:30 p.m. VII. Adjournment.