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1978 Community Health Commission Minutes June to December
i CHS ACTIVITY BUDGET DETAIL Pnog-tam: ( ) Home Health Services Activity_-T.it e: Emergency Medical Serv. ( ) Community Nursing Services gudget_PeAi.od: 01/O1/79_to 12 31/79 ( ) Disease Prevention & Control Services -- ------ (x) Emergency Medical Services Ac_ti:v-itu Ca_.teq_e.^y: (if the funds are ( ) Health Education (including nutrition to be used for core than one category, and dental public health) indicate percent of funds in each) ( ) Environmental Health Services % ( } Family Planning Services (x) Maintenance 100 O American Indian Special Grant ( )'Expansion O New s Thi ra ;l Other Party State- Reim- Revenue CHS, Local Fees Federal Private bursement Total ` I Total Funds 16,258 151,138 I 167,396 buageteo GUL ic7 r 1CU�T A Exoenditures CHS Funds Local ost ate pries v� , A o ParticiDation Total n 1. Personnel Paramedics (6) 8,258 103,856 112,114 2. Capital Outlay 2,000 5,088 7,088 3. Supplies 2•,000 2,147 4,147 4. Contractual Services 2,000 4,719 6,719 5. Fixed Charges 2,000 35,328 37,328 (See Note 5) Note (5) - Fixed Charges con- sists of fringe benefit costs and rent for office -space. t ..a...rr m...r..W""so tm on�...raw �..rrr.....w.�a .wasw..,�+... w TOTAL 16,258 ( 151,138 167, 396 b-18 �� I i I '� I CHS ACTIVITY BUDGET DETAIL Pnogn4T: ( ) Home Health Services Actr-'.vity T.i t2e: Adult Health ( ) Community Nursing Services Bu�e-Pehiod: 01/01/79 to 12/31/79 W Disease Prevention & Control Services -- —f---- ( ) Emergency Medical Services Ac_.Zvi ty-Catego.ty: (if the funds are ( } Health Education (including nutrition to be used for more than one category, and dental public health) indicate percent of funds in each) ( ) Environmental Health Services % ( ) Family Planning Services (x) Maintenance 100 ( ) American Indian Special Grant ( )'Expansion ( New Third Other Party State- Reim- Revenue CHS' Local Fees Federal Private 1bursement Total Total Funds 8,262 3,455 111717 'rfaa'3'iw� .rant hlt sJ�i'JlwM-a.' R Budgeted CUD�ci r':lOUHT Exoenditures CHS Funds Locai � Cost ate ories oo Tjst,,j Participation Total Contractual Services 8,262 3,455 11,717g d L i :-�-oy-pw r1 w v.+raafw ma ua�t tee�+oa rsr w o.s10 r4'w �f'e�'!�f'c�A(�c+f-liiB�M�r'i-m-nw�rw uraso�nrr �e1 r+e res fs rt TOTAL 8,262 ( 3,455 11,717 b-19 I - i �..�� i i i i i i i i � � i i i a • CHS ACTIVITY BUDGET DETAIL Pnognam: ( ) Home Health Services Act_tv.i.ty jit2g: Children's Health 44 ) Community Nursing Services Sl et Pod: 01/01/79 to 12/31/79 (x) Disease Prevention &Control Services -- l--------- L- ) Emergency Medical Services Activitl-Catego.tu: (if the funds are Health Education (including nutrition to_be used for more than one category, and dental public health) indicate percent of funds in each) ( ) Environmental Health Services % ( ) Family Planning Services W Maintenance 100 ( ) American Indian Special Grant ( )'Expansion ( ) New Third _ Other Party State- Reim- Revenue CHS" Local Fees Federal Private lbursement Total Total Funds 7,672 3,208 ! 10,880 ' Budgeted GUD�ci r1tU��i Exoenditures CHS Funds Local `- ost Categories o o Particivation Total Contractual Services 7,672 3,208 10,880 r !eK tip-�r er wrrrs wr•er er ew ew a rr r+e w ar aeC cif per waf ue er w a" ow rw se•e TOTAL 7,672 3,208 Feel 10,880 r b-20 i �� i 1 CHS ACTIVITY BUDGET DETAIL P�tegh4T: ( ) Home Health Services Activ.i._ty Ti tee: Counseling - (x) Community Nursing Services gu Pehiod: ' ( ) Disease Prevention & Control Services Suce ------- 2jLO1/79_to 12/31/79 Emergency Medical Services Acavity_Ca.tegorcy: (if the funds are ( ) Health Education (including nutrition to be used ?or more than one category, and dental public health) indicate percent of funds in each) ( ) Environmental Health Services % ( ) Family Planning Services {x} Maintenance 100 ( } American Indian Special Grant ( )'Expansion ( ) New Third Other Party State- Reim- Revenue CHS, Local Fees Federal Private 1bursement Total Total Funds 3 545 1 474 5 019 ?' Budgeted GUGGci rJ4CUNi Expenditures CHS Funds Local r Est aie pries ParticiDation Total } n Contractual Services 3,545 1,474 5,019 v TOTAL 3,545 1,474 5,019 ¢F{ b-21 ` '� i I I i I i --� CHS ACTIVITY BUDGET DETAIL Phogham: ( ) Home Health Services Ac,_ti.v.i ty_7.i t2e: Pub. Inf.. & Ed. ( ) Community Nursing Services Bu et Period: ( ) Disease Prevention & Control Services --`----------- O1/Ol/79 to 12/31/79 Emergency Medical Services ActCv.i,ty_Ca.teao_-iu: (if the funds are (x) Health Education (including nutrition to_5e- used for more than one category, and dental public health) indicate percent of funds in each) ( ) Environmental Health Services % ( ) Family Planning Services (x) Maintenance 100 ( } American Indian Special Grant ( )'Expansion O New Third Other Party Stater Reim- Revenue CHS* Local Fees Federal Private bursement Total Total Funds 2, 351 996 3, 347 : Buageced cUDLE Pj OUNT j Expenditures CHS Funds Local E Cost ate pries A A +o Particioation Total Contractual Services 2,351 996 3,347 r -I�CtdY"mM 6Y eee eafee9.w ea v ea"e®-see ev esf TOTAL 2,351.e,. eM w• �,t"leee net ws e"I eee W ese raA fee rsa 4`. I9967 3,347 ,.. °.�a b-22 a � I i CHS ACTIVITY BUDGET DETAIL P�cogham: ( ) Home Health Services Acti.v.i..ty_T.q, : School Health (x) Community Nursing Services Disease Prevention & Control Services - ' 8udc�etPeriod: p�/01/'7g to 12/31/79 ( ) Emergency Medical Services AWv.i,ty_Catego.w: (if the funds are ( ) Health Education (including nutrition to be used for more than one category, and dental public health) indicate percent of funds in each) ( ) Environmental Health Services % ( ) Family Planning Services (x) Maintenance 100 ( } American Indian Special Grant ( )'Expansion ( ) New Third Other Party State- Reim- , Revenue CPS' Local Fees Federal Private burserent Total cj [Totalunds 365 988 2, 3,353 Budgeted CUDtic i r' fUJ i ,t Exoenditures CHS Funds local ost ate ores a Participation Total Contractual Services 2,365 988 3,353 � E L -�i'411l7+�1 06 vI11BP:serum OW WA so%M F Mw ON t6fD 'l V oft M� TOTAL 2,365 988 3,353 �� . w �� I i, i it i I i I i ,� l CHS ACTIVITY BUDGET DETAIL Pnognam: (x) Home Health Services (67%) Activity T.itee: Home Nursing Community Nursing Services (3 3 0). Bu` et PetZod: o1ZOf79 to 1231 79 ( Disease Prevention & Control Services ------------- Emergency Medical Services Acti.v.ity_Catego a: (if the funds are Health Education (including nutrition to be used for more than one category, and dental public health) indicate percent of funds in each) Environmental Health Services % Family Planning Services W Maintenance 100 ( ) American Indian Special Grant ( )'Expansion ( ) New Third Other Party State- Reim- Revenue CHS Local Fees Federal Private lbursement Tatar Total Funds 29,491 12, 335, 41,826 I Budgeted GubGE "INUUNT Exoenditures CHS Funds Local ` Cost Cateqories p4qu,--t—i Participation Total t` Contractual Services 29,491 12,335 41,826 {A 3 1 - -�e!'1�e17/M Mr eery err eeelme wY ew ecr ees'reewre ese ern Ywe Ymi- �!I"!er eioM aul�r wit W:wie>M 7/tf rrrs - TOTAL 29,491 12, 335 41,826 �._ � _ _ _ 4 1 rs it it 1 ~ CHS ACTIVITY BUDGET DETAIL Pn_ogn T: ( ) Home Health Services Act_tv.Lty T.i,t.Ce: Senior Center Health ( ) Community Nursing Services Bu et Pehi.od: �i (X) Disease Prevention & Control Services --- --------- Ol/Ol/79 to 12/31/79 ( j Erergency Medical Services Activity-Cateeo,w: (if the funds are { ) Health Education (including nutrition to 6e used for more than one category, &nd dental public health) indicate percent of funds in each) ( ) Environmental Health Services % ( ) Family Planning Services (x),Maintenance' 100 O American Indian Special Grant ( )'Expansion O New Third : Other Party' ' State- Reim- Revenue CHS" Local Fees Federal Private bursement Total ,I 5, 314 2,221 535 : Total Funds I Budgeted GUD�cT i'1CJi1T y Exoenditures CHS Funds Local Cost Categories vo , 0 tot Particioation Total-!a r Contractual Services 5,314 2,221 7,535 . i I c L t tia .4 an wwwr ow me o.. Nw.......-re e.r .r,r.rw.rmrEa�72 e ee.w.e'�e ewe e.x..�....e m" TOTAL 5,3141. 7,535 {. . a v !. -'� `� i z N "mwc > r�o • w Z m a p m>'o v a o m w „0C cc y VrL? Q 0 "0 w d CC m m z � Q � ~ m � 21 V) _ a w Emmr_ Z LL p p V'E m O i s O od0 m >C c I 0 a v �aoc� v ¢ h 000=-0 c z w ww w w MM.-c0 I N ^ a w p U J o"m�E I > LL v ��wE O d LL O V O w en Z O LCcy� C N C y U LL U ACa E� - O o y O Q �mdom o o LL E > H aEwm 0 z 0 O Z Q z VjOCN J = >• z Z >m. .c i 7 cCo z w cn O < L tq Q © d� U- cn c°n C7 h t�aC w m m E d 3 F" 0 . o 0 a R G_ �' c w m L � N W 0. C N Ol x .� +' LU c a. o M U CL I o ; J C O 6 ELU N c co > d L (� A U. O m cr O M N in Cl) r- l0 � > m N y0j Y M M r- N d' d> O ,� O_ -0 m N Ln O 0 O I N m M M C�C 'OO Q 1•a Q G CD d V! rV 'D = E H V O OD N 61 r I OD CO 0 'a p cCp 0 -P U) X• O d' d' Ln LO LO Ln v- L." 0 0 LLI d O N t0 r- M N •rl Ln r C i vcc ro f-. co E N N r-I r1 N r{ r- a U W N • .-+ a v v U mIJ .�.. 4-1 N v i -0 co U c _ Ol >1 r I m c ca a co I n � P 00o -4 m o 0 3 cm I o c U �eW a v N :: E dcu .-i t11 0 cu M ° 3 C *' M �1' M 'IT l0 OJ cod O Q. a.. M CO M k.0 m M d` O �O C'w b .. � M to N m r-1 d' i y Y'> �..' E tO . . + M C •fl y ? OL c x � m Ln o f m c E n L C m a C p O a V v v co O .0 C 1 O E O `m O C C '- o C E on- >= v aCi O vs E y m O '^ m co o m v 0 3 w E ` au E ° 0 aci � � � c� V t= v F- `° p � a) O � y v y m 7 >' a`i O v L y .c 'o O L Co C O Q '� C V) d G7 = UJ C N N c cy0 ayi � G co >, N _ CL) uj L L V U p y uVi C L c» `o Q E U pv- v-- O O d .� c CL cc Q L r v V L O i co U. w z c z z z Lu 2 Q ° (nn Q oa to Q U—_ d u» E U. z — N M 4 Lri Cd b•-z 6 — f- 4 ° ,,., •--� .� i i '�� i �i I i i I I i i I� MINUTES OF THE REGULAR MEETING OF THE EDINA ADVISORY HEALTH COMMITTEE HELD TUESDAY, JUNE 27, 1978, AT 7:30 P.M. EDINA CITY HALL CONFERENCE ROOM I. Members Present: L. Bjerke, Chairperson, J. Schmidt, B. Kresoya, B. Harris, M. Bang, C. V. Rockwell, H. Kinney, L. Werges, and V. Moss. Members Excused: E. Engstrom, W. Kraft, R. Simmons, and T. Stoppel. Staff Present: K. Esse, Health Sanitarian, D. Velde, Assistant Health Sanitarian, and N. Rust, Secretary. Ii. Approval of the May 23, 1978, Advisory Health Committee Minutes: Dr. Rockwell moved for approval of the May 23, 1978, Health Advisory Com- mittee minutes. Mrs. Harris seconded the motion. All voted aye. Motion carried. III. Announcements and Reports: A. Welcome to Our New Appointee: Homer R. Kinney. Mrs. Bjerke welcomed Mr. Kinney to the Committee on behalf of the members and all members introduced themselves. B. Public Officials Liability Insurance. Mrs. Schmidt noted the public officials' liability insurance is provided for anyone who is involved in City business, which includes all Committee members. Short discussion followed. C. Progress Report: Compilation of Services Available to Edina Residents (June Schmidt) . Mrs. Schmidt said everyone should have received a copy of an information sheet explaining the services available for senior citizens and referred to the notation at the end asking if anyone had any additional services they wished included on the list. In response to Dr. Rockwell, Mr. Velde said a newsletter had not been sent out since August, 1977, and he was not aware of any scheduled date for the next newsletter to be sent out. Mrs. Schmidt then referred to a letter the City Manager would be sending out regarding these services in the next month or two along with general information for the public. She said no decision had to be made at this meeting as to the services available to the senior citizens. The Committee members could consider other possible services not presently on the list and bring them up at the August meeting. Mrs. Schmidt wished to make a correction on the list of services to change congregate "building" to congregate "dining" on the first page. She felt this was a viable service for the senior citizens at the York Avenue Senior Center and was offered Monday through Friday. She recalled that the newsletter sent out to Edina citizens has been encouraging seniors to come and also lists the menus for the week. There are 80 seats available at one time, and there is transportation available to those who wish to participate in this service. It is sponsored by the Salvation Army, who receives a grant to help with funding the program. Mrs. Schmidt said the public nursing services may be particularly inter- esting to the seniors. She noted the American Cancer Society provided transpor- 'I I I ---sF Minutes of the 6-27-78 Health Advisory Committee Meeting Page 2 tation for those who required cancer treatments. She said STEP was an organi- zation located in St. Louis Park and provided food and clothing for those in need. Also, Mrs. Schmidt said she had talked with Mr. Waldorf from Hennepin County and he commented on "First Call For Help" which is a general information and referral number, and Adult Services, which he said he could not begin to f explain all the services available. However, some services are budgeting, counseling and transportation. He noted that ongoing counseling could not be offered for those without a limited income. Mrs. Schmidt then referred to Adult Protection, a service available to adults who will not seek proper care, and noted this service will only benefit an individual if a friend or relatil:e notified this service because of concern for that individual's welfare. The individuals themselves will generally not have the facilities to contact that service themselves. The action taken by those at Adult Protection is they will take individuals in need of care to the hospital and then to a nursing home if necessary. Mrs. Schmidt further noted that up until this time, the Police were unable to intervene in such situations. Mrs. Schmidt then referred to the Legal Aid Society, saying they offer legal aid to persons of low income. However, she said they have a heavy schedule and it was difficult to receive an appoint- ment. Mrs. Schmidt said AID is also available and offers consultation on alcho- lism and drug abuse. In regard to contacting the County Attorney's Office for mental health, that would be for only extreme cases where the individuals are definitely unstable. Lastly, Mrs. Schmidt said there is a service known as "Meals on Wheels" for which volunteers deliver meals Monday through Friday at a small fee. Dr. Rockwell said immunization clinics is one service not included on the list, but said that is not a day-to-day procedure and notice could be given prior to any upcoming clinic. Mrs. Yvonne Hargens, Bloomington, felt Crisis Intervention was a good service and that we should also include on the list something about our excellent ambulance and paramedic service, housing assistance and rent assistance for low income persons. Mrs. Hargens referred to Minneapolis Age and Opportunity Center offered through Northwestern Hospital (MAO) , saying it also should be added. The person in charge was Ms. Daphne Krause, and they offered a 24-hour service. There was no geographic limitation on this service. Mrs. Hargens said Blooming- ton is also now offering physical fitness, therapy,, counseling, etc. through - the health services program. Mrs. Kresoya felt organizations, such as the Grocery Wagon, who deliver groceries, etc. , should also be included. Mrs. Hargens also noted there was the service offered by the Fire Department wherein they identify homes for the handicapped. Mr. Kinney felt the general transportation to and from the senior center should also be included. In response to Mrs. Hargens, Mrs. Schmidt said Edina does not yet offer VEEP but it is under consideration. Mrs. Hargens then said RSVP was a good service for able-bodied senior citizens to allow them the opportunity to participate in public services. Mrs. Kresoya said there was the Community Resource Pool through which seniors can volunteer their services for such activities as career day in the schools. Mr. Moss said churches in the community also offer services. Examples are Colonial Outreach and Church of Good Shepard. Mrs. Schmidt said Normandale Lutheran Church is also beginning a program. Mrs. Harris felt that for ease of reading services should be grouped according to their function (i.e. transportation, medical, etc.) . ,"� i .-� Minutes of the 6-27-78 Health Advisory Committee Meeting Page 3 Mrs. Hargens offered assistance in the preparation of the compilation of these services. Ms. Kathy Lucas, Bloomington Assistant Home Care Coordinator, noted Normandale Community College also offered dental cleaning and x-rays at a charge of $1.00 for senior citizens. IV. New Business: A. Progress Report: Bloomington Public Health Nursing and Home Care Evaluation Study (Yvonne Hargens) . Mrs. Hargens said she wished to make two points. The first point was in regard to the cost analysis for 1977 in comparison with 1976. She said in 1976 Bloomington was doing the public health programs and on January 1, 1977, expanded the programs to include both Edina and Richfield. The population base, therefore, more than doubled as to that which was served in 1976. By taking on Richfield and Edina, total time applied to home visits increased 307 percent. Annual costs for the home visits increased 314 percent. The cost per minute in 1976 was 34 cents and was maintained at this value in 1977. The total number of visits from 1976 to 1977 increased 237 percent. The number of minutes per visit increased when Bloomington included Richfield and Edina in the program from 60 minutes to 72 minutes, thus increasing by 21 percent. Mrs. Hargens said Edina had a high senior population living with marginal incomes. Cost per visit went up 23 percent because of the time factor andpaperwork involved. Mrs. Hargens said she will request from the Bloomington City Council that, based on these figures, the $20 fee should be raised to $25 as it had not been changed since 1974. This cost will be based on a sliding fee scale as to what the patients pay; therefore, only those individuals in the higher income bracket would be required to pay the $25 fee. The public health nursing services is available to everyone in the three communities and is not a welfare program. Mrs. Hargens felt an import- ant point was that Bloomington wrote off well over $50,000 for the home care services. In the city of Edina, $18,000 was written off. Mrs. Hargens said she had talked with both Richfield and Edina in regard to this raise in fee costs. The second point Mrs. Hargens wished to make is the inclusion of an infant awareness project to help prevent child abuse and neglect. The objective of this program would be to reach people who had recently had a child and get them to see a physician regularly and provide parenting helps. The staff would go to home:, and spend time with the parents who are in the high risk category. She said they hoped to work out a system wherein the State Health Department would send them the name and address off of every birth certificate within the first five days it was issued. Following receipt of these names, they would send out a packet of information on health care and child care. In regard to this type of program, the physicians have given mixed opinions. She felt there was not a great amount presently being done on child abuse and that this would be a viable program. Mrs. Hargens further said this project would be done as a state pilot project. After a period of time, an evaluation would be done to determine the results of the project and it may be made a state-wide project with possible funding through HEW. Mrs. Bjerke noted most of child abuse or neglect-related problems are in relation to drug abuse and alcoholism. She hoped to form a liaison with the police in the juvenile division in the three communities, school staff, and City staff. Project Charlie was referred to as a good program as well as Store Front. '"� I I I i i --� Minutes of the 6-27-78 Health Advisory Committee Meeting Page 4 Ms. Lucas said she was primarily involved in provision of the Home Care Nursing Services. She had recently conducted a survey of the clientele and their reactions to the services. This survey was given to all individuals whose cases were closed in 1977. The total number of cases closed in 1977 in Edina was 41. They were only able to sample 17 out of the 20 they intended to sample from this 41 figure because three were eliminated due to death or un- known addresses. She explained they sent out two forms; one to be filled out by a family member or friend. Also, self-addressed, postpaid envelopes were mailed with them to increase their return. Of the 17 sent out, they received nine responses, giving them a return rate of 52 percent. Of these nine responses, eight were completed by patients and one by a family member or friend. Ms. Lucas then explained the survey results. Comments made by the patients were generally good. B. Application for Community Health Services Subsidy (David Velde) . Mrs. Bjerke asked Mr. Velde to explain the application for the Community Health Services Subsidy. Mr. Velde said the only comment he wished to make is that he hoped all would read it through. He said it was primarily the same as last year's application. This was only the preliminary plan; the final plan would require public hearings and would be sent to Hennepin County in September. He further said presently they are projecting a 5 percent increase in costs over last year. This may change, however, once the budget is formalized. Mr. Velde said he wanted any comments the Committee wished to make. In response to Mrs. Schmidt, Mr. Velde said the areas covered are the same as last year. The Committee can indicate any revisions they wish made. No further discussion. C. Appointment of Edina Representative to the State Community Health Advisory Committee for 1979. Mrs. Bjerke asked Mr. Velde to explain the responsibilities of the Edina Representative to the State Community Health Advisory Committee. Mr. Velde ex- plained the meetings the representative must attend follow the same guidelines as the Edina Health Advisory Committee meetings, which are a minimum of six meetings per year. Mrs. Hargens said she also attends the meetings and that the purpose of the community representatives is to offer advice to the Commissioner of Health. The meetings generally last an entire afternoon because they are held in conjun- ction with other CHS activities. She felt it was a very good way for a community to provide input into the Minnesota Health Department. There was no meeting schedule, however. Mr. Velde said attendance consisted of a large number of County Commissioners, health professionals, and Councilmen. It was a very organ- ized and politically viable meeting. Mr. Velde said a representative must be chosen before the submittal of the final plan in September. Following short discussion on possible nominees for this position, the matter was tabled to the August meeting to allow the Committee further time to consider who they would like as their representative. V. Unfinished Business: A. Appointment of Edina Representative to BPHN Advisory Committee (Yvonne Hargens) . ,"'` jl� i I i i I Minutes of the 6-27-78 Health Advisory Committee Meeting Page 5 Mrs. Bjerke said the Committee still needed to appoint an Edina represent- ative to the BPHN Advisory Committee, and asked Mrs. Hargens to comment on what this position entailed. Mrs. Hargens said Bloomington had an Advisory Board of Health just as Edina did, and over the years had become a substantial body of 20 individuals. Therefore, because of this great size, to increase the efficiency the Board was broken down into various standing committees. The particular standing committee for which they would like an Edina representative is the one involving home services. She said if the Committee wished to send a representative to the regular Bloomington Advisory Board of Health, that would be a good idea. In response to Mrs. Bang's question regarding time involved in this meeting, Ms. Lucas said meetings are only over a period of two to three months and are generally luncheon meetings. Mrs. Hargens extended an invitation to everyone to come to theirHealth Board meetings which are held the last Tuesday of every month and' said the location of the meetings alternates between the Northwestern Financial Center and Creekside Community Center. The July meeting would involve all the services available at the Creekside Community Center. Mrs. Bang said she would accept the position as Edina Representative for the BPHN standing committee on home services. No further discussion. VI. Next Meeting Date: August 22, 1978, at 7:30 p.m. VII. Adjournment. Respectfully submitted, Nancy J. Rust, Secretary "` I I -� it I i MINUTES OF THE REGULAR MEETING OF THE I EDINA ADVISORY HEALTH COMMITTEE HELD TUESDAY, AUGUST 29, 1978, at 7:30 P.M. EDINA CITY HALL CONFERENCE ROOM I I. Members Present: Linda Bjerke, Chairperson, Mary Bang, Dr. E. Duane Engstrom, Beverly Harris, Homer Kinney, Barbara Kresoya, V. W. Moss, Dr. Richard K. Simmons, Mrs. K. J. Stoppel, Leroy Werges. Members Absent: Dr. Walter Kraft, June Schmidt, Dr. C. V. Rockwell. Staff Present: Ken Esse, Health Sanitarian; David Velde, Assistant Health Sanitarian; Judy Teichert, Secretary. IL A royal of the June 27 1978 Advisor Health Committee Minutes: Chairperson Bjerke noted that Dr. Engstrom was present at the June 27, 1978, meeting, but was, indicated as absent in the minutes. This correction being made, the minutes were approved as corrected. III. Announcements and Reports: A. Application for Community Health Services Subsidy. Chairperson Bjerke explained that all the Advisory Committee members previously received a preliminary copy of the application, but the final application had not been sent out as it had not been finalized yet. 1. Report on South Hennepin Public Hearing - August 23, 1978. Chairperson Bjerke and Mr. Homer Kinney attended the South Hennepin Public Hearing which was held on August 23, 1978, at the Southdale library. They reported that a slide presentation was shown, and a few comments were made. Mrs. Bjerke noted one bit of information she learned was that there was a rather substantial increase in community nursing services in the county wide plan. This was the only factual informa- tion brought out at that meeting. There was no further discussion. 2. Comments: David Velde. Mr. Velde commented that the final plan of the Community Health Services Subsidy application had not yet been drafted as the budget was still being put together. He said on September 1, 1978, all the budget information on the allocation of monies must be, in to Hennepin County, and on September 11, 1978, the unsigned plan must be submitted to the County. Mr. Velde further said the City Council meets on the evening of September 11; therefore, the signed copy will be forwarded to the County on September 12, 1978. The final signed plan must be submitted by September 18, 1978. On October 3, 1978, Hennepin County Health Board will act on the overall plan submitted to the State. Mr. Velde further informed the Advisory Committee that the only changes he could forsee that would vary from the preliminary plan would be the budget information. In the preliminary plan, $79,258.00 was approximated as the sum required in subsidy funding Minutes of the 8-29-78 Health Advisory Committee Meeting Page 2 from the State, but now $80,552.00 is being requested. Mr. Velde said a resolution recommending approval of the plan to the City Council was required from the Board. A copy, similar to last year's resolution, was drafted. Mrs. Bang asked if there was anything markedly different in the plan. Mr. Velde replied the only difference was in the budget report forms and the amount of subsidy being requested. Mr. Velde also commented that another category, maternal and child health, will be added. Mr. Esse questioned Mr. Velde as to how much Bloomington Health Services would ask for the contracting of services for next year. Mr. Velde answered that while no concrete figures had been discussed with Bloomington, the projection was about a five percent increase in cost. The contract will be negotiated again in January, and if there are' any changes at that time, a revised budget can be filed with the State. At this point, Dr. Engstrom moved approval of the Community Health Services Application. Mr. Leroy Werges seconded Dr. Engstrom's motion. All voted aye, and the resolution for the approval of the Community Health Services Subsidy Application carried. B. Committee Member to Attend City Council Meetings. Mr. Mark Bernhardson, Administrative Assistant, commented that one representative from each of the Boards should be sent to the bi-monthly City Council meetings. .� Chairperson Bjerke explained that at the next City Council meeting, September 11, the Council would consider the Community .Health Services Subsidy Application; therefore, she was interested in attending that meeting. However, she felt the Advisory Committee should decide what procedure should be used to choose their representative: sign-up for each meeting, assign one delegate per month, or elect a permanent member. Mr. Esse suggested Mr. Kinney be appointed the permanent member to attend City Council meetings. Mr. Kinney replied that he would be glad to attend on occasion, but he frequently had to travel out of town. He consented, however, to take the position until the middle of December. Both Mrs. Bjerke and Mr. Kinney would attend the September 11, 1978, City Council meeting. All other Advisory Committee members were also invited to attend for the discussion of the Community Health Services Subsidy Application. Mr. Kinney's term will expire the end of December, and a replacement for 4 his position will be named at that time. Chairperson Bjerke then introduced Mr. Mark Bernhardson, an Administrative Assistant for the City of Edina. It was explained that on occasion he would be iden- tified with the committee as he was working with Mr. Velde on the Community Health i Services Application. C. Fairview Southdale Hospital Family Renewal Center HEW Application. Mr. Esse explained that he had received the letter and HEW application in the mail with the recommendation that the Health Advisory Board examine it to see if the program was conflicting in any way with already established programs, and then send l it on to the Edina Human Relations Board. i Minutes of the 8-29-78 Health Advisory Committee Meeting Page 3 i Dr. Engstrom commented that the Fairview Southdale Hospital has a program called the Family Renewal Center, which treats chemically dependent families. It is primarily I an outpatient facility. One of the surprising facts they had uncovered when working with families of chemically dependent individuals was that sexual abuse was a great problem. Because of the magnitude of the problem and the need to do some studies to gain more information on it, the application for this grant has been made. Since the institution falls within the city limits, it is appropriate for the application to be passed on by the Boards and City Council to give their approval saying this program does not run against, interfere, or undermine some other community effort. Dr. Simmons added that many people think this only happens in the inner city, but this HEW grant request is to study what is going on in the nice section of town, and what can be done to give support to the individuals and children who are effected. Mr. V. Moss was concerned with the proliferation of boards, agencies and centers dealing with drug abuse. Dr. Simmons agreed that there has been an apaucity of studies in the drug abuse area. However, he felt the sexual abuse area had not been researched to any extent. Dr. Engstrom felt that the Family Renewal Center would primarily be dealing with their existing referral group. Mr. Homer Kinney asked who would administer this particular program. Dr. Engstrom answered that a Board exists to govern the center. Mr. Kinney continued to question if there was a specific administrator. Dr. Engstrom replied that it would fall under the jurisdiction of the hospital administrator, Kirby Erickson. Mrs. Bjerke stated that obviously Kirby Erickson is not going to be administering the grant in the sense of having control and touch with that. Mr. Kinney said that he had been interested in whether or not this would be a well supervised study program. Dr. Engstrom shared that knowing the people involved in the program, he personally felt comfortable supporting the program even though he could not answer specific questions thoroughly. Mr. Kinney stated he felt the -tangent of discussion was not applicable to the Advisory Committee's review as their concern was merely to decide if it conflicted with a previously established program. Chairperson Bjerke, however, felt the discussion was apropos because it would affect Edina, which she felt was the Advisory Committee's concern. Mrs. Bang asked if matching local funds were necessary with an HEW grant. Mr. Velde explained that HEW is a block grant. It was pointed out that question 13 on the application regarding proposed funding was incorrectly totaled. Mrs. Bang then queried why question 14 regarding congressional districts was fifth and fifth when the Southdale area is in third and third. She felt someone should correct or point out these dis- crepancies in the application. Continuing, she asked if there were HEW funds available for this particular topic. Dr. Simmons affirmed that there were funds available. Mr. Moss wondered if there was a time limit on when the Advisory Committee must act. Chairperson Bjerke stated that she liked the idea of pursuing the matter further. She felt not enough information was given the Advisory .Committee to answer their questions. She wondered how to go about getting more information before the September �, meeting, and if that would be soon enough to have an impact on the request for comment. Minutes of the 8-29-78 Health Advisory Committee Meeting Page 4 Dr. Engstrom stated that if a motion was in order, he would move that the Advisory Committee support the concept. However, some questions arose on the informa- tion on the application, and he moved the Advisory Committee recommend further information accompany the application to the Human Relations Board so that they would have some data on which to base a decision. Chairperson Bjerke felt the Advisory Committee had more expertise in looking at this type of grant application. She asked Dr. Engstrom if he was suggesting the Advisory Committee refer this matter to the Human Relations Board with no further action on the matter. He replied that if there was a time factor, the Committee could give them this recommendation and still continue their study. Upon reviewing Dr. Engstrom's motion, Dr. Simmons seconded it. Mr. Moss felt the Committee needed to know who would administer the grant, specifically what the program consisted of, and how they are proposing to use the HEW funds. Chairperson Bjerke suggested follwing through with the motion to send the application to the Human Relations Board with the Advisory Committee's concern that there be more information that they consider. All voted aye on the motion. Motion carried. Mrs. Bjerke asked if John Rutford, the Metropolitan Council Referral CeIrdinator who had written the letter to Mr. Esse, should be contacted to find out whether there was a deadline or whether it could be further considered at the September meeting with more information in terms of who is administering the grant specifically, what their research credentials are, and answers to other questions that rose. She also suggested that they might make a presentation to the Committee and have the person most closely associated with the grant available to answer questions. Chairperson Bjerke moved that the Advisory Committee contact John Rutford. Secondly, she moved- that if more time were available until the next Committee meeting in September, that the Advisory Committee obtain copies of the application and invite a representative from the Grant at Fairview Southdale to come and discuss it and answer questions. The Committee felt that their concerns should be answered regardless j of the time limit imposed. Mr. Moss seconded the motion. All voted aye, and the motion j carried. I D. Metro Health Board Report - David Velde. Mr. Velde reported the Metro Health Board had been designated as the Health System agency for the Metro area, and was in the process of reviewing community health services plans in the Metropolitan area. Their aim was to establish better planning and delivery systems for community health needs in the Metro area. They hoped to aid in identification of gaps or duplication of efforts in the review of State Health j' Services plans. Also, they will attempt to serve as a forum for discussion in the relationships of community health services plans for the metropolitan area. Mr. Velde continued that the Metro Health Board meets every other week on Wednesdays from noon to 1:30 at the Metropolitan Council. The representative from the Edina area is Steve Kumagai. Mr. Velde further stated that the Metro Health Board had requested copies of the advisory committee meetings. They, in turn, will mail copies of their minutes to the Advisory Committee. i Minutes of the 8-29-78 Health Advisory Committee Meeting Page 5 The Metro Health Board has power to review and comment on any health services application. They would also control any Federal funding coming into the area; how- ever, they typically would not have much control over State subsidy funding other than to review and comment. IV. Old Business: A. Appointment of Edina Representative to the State Community Health Advisory Committee for 1979. Mr. Velde commented that the State Community Health Advisory Committee met about four times a year, not at regularly scheduled meetings. The delegate would get a notice about two weeks prior to the meetings which are held during the weekday for about an hour. Mr. Velde explained that this committee had been very instrumental in making some changes to the Community Health Services Bill. One of those would be the two year plan cycle with one year budget review. Mr. Velde felt it was a good committee to serve on as it gave the opportunity to voice an opinion on what changes should be made in health services. The committee consists of representatives from all of the Boards in the State, which includes city and county. Chairperson Bjerke asked if there was anyone interested in serving with this ,group, that would have the time to serve about four times a year during the week with a two week notice. The 'question was raised as to whether it must always be the same person. Mr. Velde explained that it would have to appear on the plan, and the person designated on the plan would be the only voting member. Substitute members could attend but only in a non-voting status. Mr. Leroy Werges indicated interest in serving on the committee. Mr. V. Moss moved that Mr. Werges be appointed for one year. Mr. Velde commented that Mr. Werges would be identified as the new delegate for 1979, and would automatically begin receiving the information at the end of this year. V. New Business: A. Home Health Care Services Probe Mrs. Bev Harris was concerned about a newsclipping from the July 12, 1978, issue of the Edina Sun entitled "Medical 'House Calls' Available to Oldsters". Mrs. Harris explained that the article advertised free medical services for the elderly; free because it is paid for by Medicaid. It is run by Don and Anne Furlong. Mrs. Harris was concerned about what this program actually does and if any of the Advisory Committee members knew more about the program. Dr. Engstrom said the article sounded exactly like the public health nursing ser- vice. Mrs. Bang added that the article might be a privately organized public health nursing service. She felt it would be worth further investigation. Mrs. Bang and Mr. Kinney agreed to follow through with the investigation of the article. Chairperson Bjerke added that if anything was uncovered which should be handled �- before the next meeting, to contact David Velde or herself. Minutes of the 8-29-78 Health Advisory Committee Meeting Page 6 Chairperson Bjerke asked if there was any further business to discuss. Mr. Moss commented that he had never seen a copy of the Edina Senior's News before, and he was really impressed with it. Dr. Simmons brought out the hepatitis issue and much discussion followed. Many people had asked Dr. Simmons why Edina citizens must go to Bloomington for their im- munizations. Mrs. Harris questioned who made the arrangements for the Edina Country Club to reopen. Mr. Velde explained that the club was never closed down by the City or the State. The Country Club voluntarily closed. After the epidemiologists from the State had examined the epidemiological curve of the outbreak, considered the administration of gamma globulin, and looked at the last onset of illness within the personnel from the. club, they had determined that it probably would be safe as of August 27, 1978, to start working again and preparing food. However, there were some restrictions placed on the food handlers at the Club. One of the restrictions was attending a one hour food school; another was their handwashing would be supervised. Finally, they would be required to wear plastic disposable gloves for any food preparation. Mr. Velde said that even if there is further outbreak within the employees of the Club including food handlers, if they have been following these guidelines, there should not be a transfer of the virus to the food. Mr. V. Moss asked if there was a relatively simple test that could be given to people to determine whether they are hepatitis carriers or not. Mr. Velde explained that blood samples had been done on all of the food handlers. Mike Osterholm of the State Health Department was fairly confident that they could determine how long ago the employees contracted hepatitis. There were, however, mixed feelings as to the . reliability of the test. Mrs. Bang said blood could not be given for transfusion purposes after having hepatitis, but it was valuable for research purposes. Chairperson Bjerke shared that she had been working with the South Human Services Council. The Mental Health Planning Committee was very interested in attending the next Health Board meeting and presenting some recommendations that they have been working on. The Advisory Committee agreed they would be interested in hearing their presentation. Mrs. Bjerke also suggested that if anyone on the Advisory Committee had suggestions about some similar presentation like this to better inform the Committee about health issues in the area, it could be adopted into the meeting format. VI. Next Meeting Date: September 26, 1978, at 7:30 p.m. VII. Adjournment. Respectfully submitted, Judy K. Teichert, Secretary AGENDA EDINA ADVISORY HEALTH COMMITTEE Meeting September 26, 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. September 15, 1978 Meeting with Metro Health Board Executive Director - Linda Bjerke and David Velde B. News Article on Home Health Care Services, Follow-up Report - Mary Bang and Homer Kinney C. Other IV. Old Business: A. Fairview Southdale Hospital Family Renewal Center HEW Application - Presentation by Pat Karnes, Director of the Fairview Southdale Family Renewal Center V. New Business: A. South Hennepin Human Services Council - Goals and Objectives for Community Based Mental Health Services — Russ Stricker, Director of the South Hennepin Human Services Council VI. Next Meeting Date: to- be determined VII. Adjournment i i i I -�., i '� --�. 1 MINUTES OF THE REGULAR MEETING OF THE EDINA ADVISORY HEALTH COMMITTEE HELD TUESDAY, SEPTEMBER 26, 1978, AT 7:30 P.M. EDINA CITY HALL CONFERENCE ROOM i Members Present: Chairperson Linda Bjerke, Mary Bang, Dr. Engstrom, Beverly Harris, Homer Kinney, Barbara Kresoya, Vern W. Moss Jr. , June Schmidt, Tulley Stoppel, LeRoy Werges Members Excused: Dr. Kraft, Dr. Simmons, Dr. Rockwell Staff Present: Kenneth Esse, Public Health Sanitarian; David Velde, Public Health Sanitarian; Judy Teichert, Secretary II. Approval of the Minutes The August 28, 1978 Health Advisory Committee Meeting Minutes were corrected on page two, item B to read,"Mr. Kinney agreed to attend City Council meetings through December, and at that time a replacement will be named." Mary Bang moved the minutes stand approved as corrected. Her motion was seconded by Beverly Harris. All voted aye; the motion. carried. � III. Announcements and Reports A. September 15, 1978 Meeting with Me Health Board Executive Director - Linda Bjerke and David Velde David Velde explained the Metro Health Board had been designated a Health Systems Agency for the Metropolitan Region and is in the process of developing guidelines for the Community Health Services Plan. He continued ' that there would be a public hearing on these guidelines when they come out in the near future. B. News Article on Home Health Care Services, Follow-up Report Mary Bang and Homer Kinney Homer Kinney stated that he had talked with an RN Nursing Supervisor, Barbara Smith, who told him they furnish care on an intermittent basis under calls limited within the social security period within two weeks out of the hospital. He continued that the people who do the work for them are Registered Nurses and therapists who work only under doctors orders. There is no charge to the patients because they accept social security payments in full payment. Mary Bang said her investigations uncovered that the service was actually in home health care which has been certified by the State Department of Health. Edina Advisory Health Committee September 26, 1978 Page 2 The Committee expressed concern over the fees and method of funding utilized and that the client may neverknow the cost -which is billed directly to the government. The matter was continued in order that more, infor- mation could be obtained about the services. C. Other Mary Bang reported she attended the Advisory Board of Health Public Health Nursing Committee meeting in Bloomington on September 22, 1978, where she stated they reviewed the annual report. IV. Old Business: A. Fairview Southdale Hospital Family Renewal Center HEW Application Presentation by Pat Karnes, Director of the Fairview Southdale Family Renewal Center. Pat Karnes introduced Myriam Engebretson, the Aftercare Coordinator and Mike O'Brien, a Family Therapist at the Family Renewal Center who accompanied him to the meeting. Pat Karnes gave some history as to how the project developed along with some general information about the Family Renewal Center'. Myriam and Mike followed the general information with the specifics on the grant and the program itself.. After general discussion Mary Bang moved the Advisory Health Committee acknowledge the request on the part of the Metro Health Board that they did review the program and approved of it. She further moved the Committee endorse the program as a good candidate for the funding. Vern Moss, Jr. seconded the motion. All voted aye; the motion carried. i V. New Business: A. South Hennepin Human Services Council - Goals and Objectives for Community Based Mental Health Services Russ Striker, Director of the South Hennepin Human Services Council. The Advisory Committee received a memorandum with an attached document from Mr. Striker explaining the role of the Mental Health Advisory Committee to the South Hennepin Human Services Council. Mr. Striker briefly reviewed what was set out in the memorandum, and then discussed the goals and objectives for the development of community based mental health services in the South Hennepin area. He concluded with a job description which described the role of the Advisory Committee to the South Hennepin Human Services Council, along with some recommendations regarding the activities and services that both j "Now Edina Advisory Health Committee September 26, 1978 Page 3 are involved with. Following the presentation there was some general discussion. Mr. Vern Moss, Jr. moved the Advisory Committee endorse the activities of the South Hennepin Human Services Council but in so moving he recommended to the Human Services Council that they make a part of their activities the function of interfacing the public sector and the private sector. Dr. Engstrom seconded the motion. All voted aye; the motion carried, VI. Next Meeting Date: January 23, 1979, at 7:30 p.m. VII. Adjournment Respectfully submitted, Judy Teichert, Secretary ''\ i I i II i 1 S H H SOUTH HENNEPIN HUMAN SERVICES COUNCIL I ' S ' Servinc Bloorn`-igton Eden P-airie Edina Richfie;d September 21, 1978 M E M O R A N D U M I �I I TO: Health Advisory Boards, Bloomington, Edina, Richfield City Councils FROM: Russ Stricker, Executive Director ---------------------- ---------------------------------------------------------- . I Attached is a document defining the role of the Mental Health Advisory Committee to the South Hennepin Human Services Council anda number of goals and objectives and recommendations for the development of community based mental health services in the South Hennepin area. We appreciate your consideration and endorsement of these materials and look forward to your support for our efforts. if you have any questions regarding the Advisory Committee, our goals for mental health services, or any of the activities of the Human Services Council, please feel free to contact me. Thank you. Enclosure 9801 Penn Avenue South 0 Room 100 9 Bloomington. Minnesota 55431 • (612) 888-5530 I � SOUTH HENNEPIN MENTAL HEALTH ADVISORY COMMITTEE H I STORY The South Hennepin Mental Health Advisory Committee evolved out of the efforts of a �11_previous South ,Hennepin task force which developed a model of day service delivery for people with mental health problems and for those who are mentally retarded and have associated behavior problems. At the conclusion of these efforts and because of the diversity of concerns and problems of the two target groups, the task force refocused its efforts to emphasize the mental health population only. (An existing task force on developmental disabilities has addressed the concerns of the mentally retarded,) PHILOSOPHY The Committee adopts a broad philosophy related to mental health/emotional wellness and therefore focuses its efforts on such concerns as: promotion and enhancement of good mental health/emotional wellness -prevention -early intervention -treatment appropriate to client need (hospitalization, medication, support, counseling, etc.) education i The Committee adopts the philosophy of community based services for people with emo- tional or mental health problems. The community zervices concept involves the provision of a broad range of services in the least restrictive setting possible--counseling, social, recreational, residential, living skills, support, etc.--and located in the person's own community (for example, medications dispensed at a community hospital) . The Mental Health Advisory Committee is also committed to developing an integrated service continuum involving both public and private organizations. COMPOSITION The Mental Health Advisory Committee and its subcommittees are made up of represen- tatives -of numerous public and private agencies, clergy, consumers, and interested community representatives of the South Hennepin area. Additional members are re- cruited as the committee continues to clarify its goals and responsibilities. ROLE The Mental Health Advisory Committee acts in an advisory capacity to the South Hennepin Human Services Council in its planning/coordinating activities for Bloomington, Edina, Eden Prairie and Richfield. The committee is currently involved in defining short and long range goals for developing a comprehensive mental health continuum of care in the South Hennepin area. 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Hennepin County, in implementing the Community Support Project, is requested to use the South Hennepin Human Services Council in its capacity as a clearing house for planning, coordinating, and communicating with local agencies regarding mental health services. 2 The South Hennepin Human Services Council requests representation on the Hennepin County Community Support Project Implementation Committee. 3. The Hennepin County Mental Health Department is requested to assign all South Hennepin residents to the South Hennepin CSP Casemanager and should transfer those now assigned outside the area. 4. Hennepin County, with assistance from the South Hennepin Human Services Council, should locate office space in the South Hennepin area for the - - CSP Casemanager and related project personnel by January 1, 1979. 5. Hennepin County is requested to clarify outreach and casefinding respon- sibilities among Community Support Project staff and other agencies. 6. The South Hennepin Mental Health Advisory Committee will assist the Community Support Project in outreach and casefinding in South Hennepin via its representation by private agencies. 7. Hennepin Councty is requested to clarify the eligibility and intake process by the South Hennepin Community Support Project Casemanager for residents of South Hennepin. 8. Hennepin County is requested to work with the Mental Health Ad- visory Committee to establish an interagency referral mechanism in South Hennepin during October through December, 1978. United Way 1. The South Hennepin Human Services Council invites a representative rcare Study Implementation Committee to of the Mental Health Afte serve on the South Hennepin Mental Health Advisory Committee. i 2. The United Way is requested to meet with the South Hennepin Human j Services Council to clarify responsibilities for community planning in the suburban area. Municipalities -��1. Each City Health Board and City Council is encouraged to review and endorse the South Hennepin Human Services Council's goals for the development of comprehensive mental health/emotional wellness services. 2. Each city is requested to meet with the South Hennepin Human Services Council (and MHAC) to clarify their role in implementing and/or supporting the implementation of the goals of the committee. 3. The Human Rights/Relations Commissions of the four Cities are en- K�� couraged to name one representative to the Committee who can provide input and share information and concerns regarding human rights with the other city's commissions. '"1 "', Agencies 1. Public and private agencies are encouraged to cooperate with the South Hennepin Human Services Council (and MHAC) in its efforts to define need and identify appropriate service alternatives. 2. Ageniies located in or serving residents of South Hennepin are en- couraged to name a representative to the South Hennepin Mental Health Advisory Committee with specific representation by the administration of the Hennepin County Mental Health Department, private practitioners, and consumers. 3. Other agencies or organizations not able to attend meetings are requested to assign responsibility for reading the minutes of the Advisory Committee and acting as a liaison to the Committee. � I i '"1 JOB DESCRIPTION Mental Health Advisory ConL-nittee to South Hennepin Human Services Council Composition: The Mental Health Advisory Committee is comprised of representatives. from public and private human services agencies in or serving the South Hennepin area, other agencies which provide services associated with human needs, (e.g. schools, churches, etc.), private business, and consumer groups. Responsibilities: , 1. Advisory Committee members and South Hennepin Human Services Council staff recruit members to the committee to secure representation by the aforementioned groups and to replace membership as appropriate and to recruit additional members to issue-specific subcommittees. I 2. Convene at regularly scheduled meetings and periodically when Advisory Committee action is needed. 3. Solicit input from the organization represented regarding needs for mental health services and the activities of the Advisory Committee. 4. Assist in the development of goals and objectives for the South Hennepin Human Services Council regarding mental health services. 5. Solicit support from each represented agency. 6. Assist the Council in drafting and presenting appropriate recommendations to public and private agencies. 7. Members provide technical consultation to area agencies in developing mental health services and to the Council regarding specific issues. Operation: The Advisory Committee will operate as a-standing committee to South Hennepin Human Services Council and will work directly with the staff of the Council. The Advisory Committee may form subcommittees to accomplish specific tasks or to address specific mental health issues. Additional members may be recruited accordingly. The staff of the Council is responsible for educating new committee members and for providing support services to the Committee (minutes, etc.) . The Committee may assign a Committee Chairperson whose responsibility would be to act as immediate advisor to the Human Services Council regarding issues relevant to convening the Advisory C on ittee. ''\, I I i I '� e { e C�„za Wed., July 12, 1978 — Page B1 Medical. house calls : ava la ble to oldsters If you are over 65 and in need of ,lifts ....help to recover from an acci- medical attention it's only as for dent, or additional medical attention away as the telephone. after a stint in the hospital or blood Home Health Care Services at pressure and insulin intake moni- 781-8081 makes "house calls". ' tored—and it won't cost them a cent. ' There's a legion of oldsters living in Don and Anne Furlong started the their own homes who need medical service after contracting with physi- cal therapists,nurses and other med- ical personnel who agreed to visit in- dividuals in their homes. !ill costs are paid by Medicare — anyone 65 or older on Medicare is eligible. Also, anyone who has been disabled for two years, or just out of the hospital (if they contact Home Health Care within 14 days) can be helped—free of charge. In many cases transportation to a doctor's office is painful and impos- sible. Often a therapist can speed up recovery with hot packs and massage after a patient has suffered a stroke. �— According to Anne Furlong if their service is unable to lend a hand they can assist patients in finding an agency that can help. She added that all too few know about the service. There are no strings attached—no paper work or red tape. Uncle Sam is eager to aid the elderly get well and hopefully to keep out of a nursing home as long as possible. 4 Mrs. Furlong will cheerfully ans- wer all questions over the phone.Call 781-8081. p t i �\ "^`t �� �� .�„� ttie city of Bloomington rru-riescma S 2215 WEST OLD SHAKOPEE ROAD-55431—(612)881-5811 BLOOMINGTON DIVISION OF PUBLIC HEALTH s , HOME CARE EVALUATION x; A random sample survey was designed to provide consumer evaluation of home nursing care provided by the Bloomington Division of Public Health to residents of Edina, Bloomington, and Richfield. The study includes all cases closed in 1977 of clients receiving home nursing care. This includes 41 from Edina, 40 from Richfield, and 126 from Bloomington. The charts from each city were color coded and numbered separately. Using the table of random numbers, 10 percent from each group were selected for a pretest. Thirty percent of the identified group received no questionnaire. These individuals were typically those who had either moved and left no forwarding address or expired and left no significant other to send a questionnaire. Of those mailed, 50 percent were returned. From the results of the pretest, several modifications were made in the questionnaire. Most significant was the decision to mail two separate questionnaires--one to be filled out by the client, the other to be filled out by a respondent who is a friend or family member. A total sample of 100, or 50 percent of the entrie population, was selected for the evaluation. Utilizing the table of random numbers, 50 percent of the charts from each city were selected at random. The questionnaire mailed to this population is color coded so that results can be analyzed separately for each city. AN AFFIRMATIVE ACTION/EQUAL OPPORTUNITY EMPLOYER ,., ,"'� "�., 1 SERVICES AVAILABLE FOR SENIOR CITIZENS IN EDINA Edina Senior Citizens Center, 7151 York Avenue South, Edina, Minnesota Telephone Number: 835-3010 835-2999 The Center provides a full range of education, entertainment, and health services for all senior citizens. Listed below are some of the specific items provided: 1. Congregate Dining (call ahead for reservations at 835-5039) . 2. Public Health Nursing Service, 881-5811, Extension 288. The following services are available: Home Care Service Blood Pressure Well Woman Clinic Senior Screening Clinic Injection and Dressing Changes Outreach, which may include a home visit by a nurse to determine one's needs In addition to the above, one may contact the Center to make arrangements for other services which may be available such as light housekeeping, legal counseling, transportation, etc. Edina Branch, American Cancer Society Call 871-2111 for details. Transportation for treatments can be ar- ranged by calling 926-5459. S.T.E.P., will provide food and clothing by calling 925-4899. Hennepin County 1. "First Call Help," 340-7431, which is the general information and referral number. 2. Adults Service, 348-8587, which provides a wide variety of ser- vices including, but not limited to: Budgeting Counseling Transportation '�-.. '� I I 3. Adult Protection, 348-8526. This is a service available for crisis intervention into situations where an adult will not seek the proper care on his own. This service is usually called upon by a family member or neighbor who is concerned about the safety and welfare of an individual. 4. Legal Aid Society, 332-1441. Provide legal aid for low income persons by appointment. 5. AID, 347-6141. Consultation on alcoholism and drug abuse. 6. County Attorney's Office for Mental Health, 347-3395. Meals on Wheels, 929-0871. Meals will be delivered Monday through Fri- day at a nominal expense. DAV:nr 6-21-78 Note: Please add any services that you think may be helpful. • i...„v..... 1 e APPLICATION FOR COMMUNITY HEALTH SERVICES SUBSIDY LAWS OF MINNESOTA, 1976, CHAPTE-R 9 IDENTIFICATION AND AUTHORIZATIONS APPLICANT DO NOT WRITE IN THIS SPACE FOR MDH USE ONLY C City of Edina CONTROL NUMBER DATE RECEIVED 2. SPONSORING UNITS OF GOVERNMENT 3. FUNDING PERIOD City/County Date.Approved Jan. 01 1979 Month Day Year City of Edina to Dec. 31 1979 Month Day Year 4. FISCAL MANAGEMENT OFFICER 5. AUTHORIZED OFFICIAL if different from 4. Name J. N. Dalen Name Kenneth Rosland Title Finance officer Title City Manager Agency City of Edina Agency City of Edina Street 4801 West 50th Street Street 4801 West 50th Street City Edina City Edina State/Zip Minnesota 55424 State/Zip Minnesota 55424 area code) Phone Number 612 927-8861 area code) Phone Number 612 927-8861 t1_ ALL APPROPRIATE REGIONAL REVIEW 7. DOES THE SPONSORING UNITS) OF AGENCIES RECEIVED COPIES OF GOVERNMENT MAINTAIN A WRITTEN EQUAL THIS APPLICATION. EMPLOYMENT OPPORTUNI T Y PROGRAM? Yes No Date ( x ) Yes ( ) No If yes, has it been certified by Minnesota HSA Department of Human R ights? ( x ) Yes ( ) No RDC Date Certified March 15, 1976 8. SUBSIDY REQUEST $ (Total) Name of County(s)/City(s) Local Participation State Share City of Edina $ 253,448 $ 79,258 Application is made for a subsidy under the Minnesota State Board of Health Rules MHD 451-455 in the amount and for the purposes stated herein. By signature, the Authorized Official agrees and has the authority to agree to comply with the conditions and reporting requirements, consistent with anplicable MHD rules and the Community Health Services Act as may be stipulated by the Board. In addition, by signature below, and signature affixed on page A-2 of these forms, the authorized official assures full compliance with all items stated herein. Authorized Official (Signature) Title City Manager Date r I I I i i 1 I TABLE OF CONTENTS Page No. Assurances and Agreements . . . . . . . . . . . . . . . . . b-1, 2 Membership List of Edina Community Health Services Advisory Committee . . . . . . . . . . . . . . . . . . . . b-3 i Summary of the Activities of the Edina Community Health Services Advisory Committee . . . . . . . . . . . . . . . . b-4 i Guidelines and Manuals Related to Family Planning, Child Health, and Maternity Services . . . . . . . . . . . . . b-5 I Edina Community Health Services Programs: Food Service Facility Sanitation (Env. Health) . . . . . . . b-6 Community Sanitation (Env. Health) . . . . . . . . . . . . . b-7 Housing Maintenance (Env. Health) . . . . . . . . . . . . . b-7, 8 Environmental Pollution Control (Env. Health) . . . . . . . b-8, 9 Public Health Laboratory (Env. Health) . . . . . . . . . . . b-10 Senior Citizen Health . . . . . . . . . . . . . . . . . . b-10, 11 Adult Health . . . . . . . . . . . . . . . . . . . . . . b-11, 12 Children's Health . . . . . . . . . . . . . . . . b-12, 13 Counseling . . . . . . . . . . . . . . . . . . . . . . . . . b-13 School Health . . . . . . . . . . . . . . . . . . b-13, 14 Home Health Nursing . . . . . . . . . . . . . . . . . . . . b-14, 15 Public Information and Education . . . . . . . . . . . . b-15, 16 Emergency Medical Services . . . . . . . . . . . . . . . . . b-16 CHS Activity Budget Details: Environmental Health Services . . . . . . . . . . . . . b-17 Emergency Medical Services . . . . . . . . . . . . . . . . b-18 Adult Health . . . . . . . . . . . . . . . . . . . . . . . . b-19 Children's Health . . . . . . . . . . . . . . . . . . . b-20 Counseling . . . . . . . . . . . . . . . . . . . . . . . b-21 z r �� I 1 i C 'w Page No. Public Information and Education . . . . . . . . . . . b-22 School Health . . . . . . . . . . . . . . . . b-23 Home Health Nursing . . . . . . . . . . . . . b-24 I Senior Center Health . . . . . . . . . . . . . . . . . . . b-25 Budget/Expenditure Report . . . . . . . . . . . . . . b-26 i I I k I r ti I i i i' I I AMA. ASSURANCES AND AGREEMENTS BY SIGNATURE, THE AUTHORIZED OFFICAL AGREES AND ASSURES THAT: 1 . The agency will comply with state and federal requirements for equal opportunity employment. 2. The agency will comply with state and federal requirements relating to confidentiality of patient information. i 3. The agency will comply with all standards relating to fiscal account- ability that apply to the Minnesota Department of Health. a. The local matching funds identified in the budget submission (PART IV A and B meets the following tests as well as rule MHD 45i : 1 . Cash Contributions are cash outlays, including the outlay of money contributed by other public agen- cies and institutions and private organizations and individuals. 2. In-Kind Contributions represent the value of non- cash contributions provided by (1 ) the applicant, (2) other public agencies and institutions, (3) private organizations and individuals. Such goods and services directly benefit and are spe- cifically identifiable to the Community Health Services programs, and are identifiable from the applicant's records. Specifically, the number of hours of volunteer services are supported by the same methods used by the agency for its employees and the basis for determining charges for personnel services, supplies and expenses are documented. b. Budget revisions will be submitted to the Minnesota Department of Health for prior approval whenever: 1 . The revision results from changes in the objective or methods employed in the subsidy supported activity. 2. The revision involves the addition of personnel not previously approved in the award. 3. The cummulative amount of transfers among/between activities exceeds or is expected to exceed 10 percent or $2,500.00 whichever is greater, of the subsidy budget. b-1 r i i I ASSURANCES. AND AGREEMENTS c. Reports of expenditures will be filed with the Minnesota Department of Health on forms provided by the M DH no later than 45 days following June 30 and December 31 each year. d. Subsidy funds are used as payment for services only after third party payments , such as Titles XVIII, XIX, and XX and' private insurance resources are utilized. e. Financial Management Systems provide for: I 1 . Accurate, current, and complete disclosure of the financial results of each activity. 2. Records which identify adequately the source and application of funds for subsidy supported activi- ties. These records contain information pertaining ` to subsidy awards and authorizations, obligations, unobligated balances, liabilities (encumbrances) , outlays, and income. f 3. Effective control over the accountability for all funds, property and other assets. Subsidy appli- cants adequately safeguards such assests and assures that they are used solely for authorized purposes. 4. Comparison of actual obligations with budget amounts for each subsidy. 5. Accounting records which are supported by source documentation. 6. Audits which will be made by or at the direction of the subsidy applicant/Department of Health to determine, at a minimum, the fiscal integrity of financial transactions and reports. 7. Financial records and supporting documentation pertinent to the Community Health Services subsidy which will be retained until audited, with the following qualifications: a. The records will be retained beyond this period if audit findings have not been resolved. b. Records for non-expendable property which was acquired with subsidy funds will be retained for three years after its final disposition. AUTHORIZED OFFICIAL TITLE City Manager b-2 DATE "'�. '� i i S , ADVISORY BOARD OF HEALTH City of Edina Providers Consumers Mary Bang, R.N. Beverly Harris 5200 Duggan Plaza 4812 W. 66th Street Edina, MN 55435 941-4754 Edina, MN 55435 927-9508 Linda A. Bjerke Verne W. Moss, Jr. , Attorney 6600 Nordic Drive 5705 Woodlane Road Edina, MN 55435 941-2058 Edina, MN 55424 922-7508 f Dr. E. Duane Engstrom Barbara Kresoya 4300 Philbrook Lane 6720 Galway Drive Edina, MN 55424 926-6252 Edina, MN 55435 941-4410 i Dr. Walter E. Krafft Leroy Werges 5608 highland Road 5241 Edenmoor Street Edina, MN 55436 929-2564 Edina, MN 55436 929-3796 Dr. C. V. Rockwell 5129 Mirror Lake Dr. (Additional appointment await- Edina, MN 55436 922-5956 ing confirmation) Dr. Richard K. Simmons 4800 Dunberry Lane Edina, MN 55435 927-4832 Ex-Officio, Non-Voting Members June Schmidt, City Council 7005 Bristol Boulevard Edina, MN 55435 922-1183 Kenneth Esse 5136 Russell Ave. So. Minneapolis, MN 55410 922-0239 Tully Stoppel 6238 Upton Avenue So. Minneapolis, MN 55423 866-6719 994-2110 State Community Health Advisory Committee Member b-3 r The Edina Health Advisory Committee has been seeking information about and attempting to evaluate existing programs in the community. Present- ly they are addressing the area of home health care as provided by the contract with Bloomington Public Health Nursing Services. From this information, it is hoped that the advisory committee will be able to offer suggestions for this service that will help in the del- ivery of home health care for the community. Other areas that have been suggested for further study are: counsel- ing of teenagers; child abuse; transportation for therapy and medical care; and development of informational material on services available. It is anticipated that there will be additional activities in these areas and that the results from these activities will be incorporated in developing the final 1979 Edina Community Health Services Plan. i I I i b-4 �� i i i 4 i i STATUTES, GUIDELINES, AND MANUALS RELATED TO FAMILY, MATERNAL AND CHILD HEALTH ACTIVITIES SOURCE 1. Family Planning State Plan - 5/74 (to be revised) Minnesota Depart- ment of Health 2. Instruction Manual for Preschool and School Hearing Conservation - 1973; Instruction Manual for Pre- school and School Vision Conservation - 1973 (to be revised) 3. Early Detection of SCOLIOSIS by School Screening - n 8/76 4. Guidelines for Early Periodic Screening - Final 9/76 (0-21 years) 5. Early Periodic Screening Manual - 8/76 (to be re- vised) 6. School Health Guide for Use in Minnesota Schools, 1973 (to be revised) 7. Community Nursing Manual/Guidelines - November, 1974 8. Immunization Clinic Manual and Guidelines - June, 1975 9. Parent Education Guidelines (draft #1) 2/76 10. EPS Cost Sharing Plan - 4/76 b-5 . � _ f � l I 1 EDINA PROGRAMS TITLE OF PROGRAM: FOOD SERVICE FACILITY SANITATION (ENVIRONMENTAL HEALTH) Problems Addressed: Diminished health may result from consuming food con- taminated with chemicals or microorganisms. Contamination of foods may occur from unsanitary conditions or improper handling during food manufacture, processing, delivery, or service. Some of the more common underlying causes of food-borne disease outbreaks are inadequate refrigeration, poor personal hygiene, failure to hold readily perishable foods at legal refri- geration temperatures, failure to hold hot foods at legal holding tempera- V tures and inadequate cooking. Goals j f To achieve, through enforcement and education, compliance with the various laws, ordinances and policies which will insure all citizens of Edina a healthful and aesthetically pleasing food consumption experience. I Objectives 1. By systematic inspection and education, insure that all food while being transported, stored, prepared, displayed, served or sold to the public is protected from all forms of contamination or adulteration con- sistent with the Edina Food Code to insure safe consumption and minimize the possibility of food-borne disease episodes. 2. To insure, through the plan review process, that each building or parts thereof, that are intended for food production or storage, is constructed to comply with the provisions of the Edina Food Code to insure that the structure and equipment is designed to provide a durable, easily cleanable and aesthetically appealing environment in which to store, prepare, display or serve food to the consuming public. Methods: Specific methods used to achieve the objectives are: • Objective 1: A minimum of two (2) comprehensive sanitary surveys will be conducted on each food service facility annually. Along with the sanitary surveys, necessary follow-up surveys will be conducted on a pre-determined, mutually agreeable timetable. • Objective 2: All new or remodeled food establishments will require that detailed plans and specifications be submitted and approved prior to issuance of a building permit. The plans will be systematically reviewed detailing all areas of the structure or equipment not in conformance with the Edina Food Code. Follow-up field inspections will be conducted, as required, to determine if construction is pro- ceeding according to the approved plans. Evaluation • 1. Routine checks will be performed to determine if the twice annual sanitation surveys are being conducted on a timely basis. The b-6 F 1 i r performance of the inspection process will be evaluated by certi- fied inspectors from the State Department of Health. The certified inspectors will evaluate the interpretation and appli- cation of the food code during periodic field visits. This evaluation will also be carried through the administrative aspects of the inspection and enforcement process. • 2. The evaluation of the plan review process will primarily be judged by field evaluation and review of all correspondence with- in the process to determine uniformity of interpretation and enforcement. TITLE OF PROGRAM: COMMUNITY SANITATION (ENVIRONMENTAL HEALTH) Problems Addressed: Diminished health may result from exposure to hazards or conditions in the physical environment of the community. Community sani- tation covers a variety of environmental health problems which provide a link in the transmission of disease in mar.. Included are problems related to rodent, insect, and weed control, improper refuse storage, animal control and a variety of public health nuisances. Many sanitation problems are inter-related so that a practical approach to control involves looking at the total community sanitation picture rather than each component separately. Goal Either by citizen complaint or by observation in the community, identify and abate all nuisance conditions consistent with State laws and local ordi- nances. Objective 1. Prevent the accumulation of refuse and weeds, destroy rodent and vermin harborages and control domesticated animals that constitute a nuisance. Methods: Specific methods used to achieve the objectives are: f In response to complaints, investigate all community sanitation nuisances and issue orders to correct situations which are hazardous. Complete follow-up inspections to determine compliance with written orders. Evaluation • The Community Sanitation program will be evaluated by viewing the effectiveness of the abatement process. TITLE OF PROGRAM: HOUSING MAINTENANCE (ENVIRONMENTAL HEALTH) Problems Addressed: Diminished health may result from conditions if ill- ness associated with substandard housing. Although the total impact of b-7 I I substandard housing on health cannot be fully determined, many researchers believe that the irritations and frustrations that occur in some residen- L tial environments are leading or contributing factors of mental illness. Respiratory infections, such as colds, bronchitis, and influenza, are re- lated to inadequate heating or ventilation and inadequate and crowded sleeping arrangements and food handling facilities. Other potential pro- blems include carbon monoxide poisoning due to faulty home heating devices, rodent and insect infestation, accidents due to crowding, poor electrical connections, poor lighting and structural problems. Goal Minimize the public health hazards associated with substandard housing. Objective Prevent irritants or impairments that may result from substandard or over- crowded housing. Method: The specific method used to achieve the objective is: • In response to complaints or during periodic inspections, determine the conformity of housing with minimum housing standards. Issue orders to correct unsafe or substandard conditions and perform follow-up inspection to insure compliance with written orders. Evaluation • It is difficult to measure the outcome of a housing program, but with compliance with minimum housing codes there should be an in- crease in the general welfare within the community. The abatement of hazardous or unhealthy conditions in itself will be the measure of the outcome, because the specific unhealthy or hazardous condition will no longer be in existence. PROGRAM TITI:E: ENVIRONMENTAL POLLUTION CONTROL (ENVIRONMENTAL HEALTH) Problems Addressed: Diminished health may result from improperly maintained recreational areas such as swimming pools. If not properly maintained, accidental injury or contamination may result for persons using the recrea- tional facility. Also, polluted water or unwanted noise may cause diminished health. Water is used for a variety of activities and pollution of the water may effect wells, stormwater discharge and recreational areas. The effects of noise on the health of the population may be either of two types; (1) they are consciously perceived effects or (2) insidious effects. Con- sciously perceived effects are those recognized by the recipient or person. They usually have a subjectively irritating or nuisance character, but they are nevertheless important functionally, producing such effects as interference with the thought process, communication disruption, performance impairment, sleep disturbance and general mental stress. Excessive noise can also result in permanent hearing loss. b-8 '1 Goals To minimize the health effects attributable to water and noise pollution. Objectives 1. Prevent accidental injury or disease resulting from use of swimming pools. 2. Eliminate the entrance of pollutants into surface or ground water. 3. Reduce the occurrence of unwanted noise in the community. Methods: Specific methods used to achieve the objectives are: 0 Objective 1: Continue the routine inspections of swimming pools to determine compliance with minimum health and safety standards. Issue orders to correct any health or safety situation, and if necessary, close the swimming pool to the public until necessary corrective measures have been taken. Develop educational aids to assist swimming pool operators in providing a safe and sanitary recreational environment for the community. • Objective 2: Continue the surveillance of on-site sewage disposal systems. Wherever feasible, encourage conversion of on-site sewage disposal systems to sanitary sewer. Continue routine sampling and surveillance of the city water supply. Continue sampling individual well water supplies as requested by the community. Continue monitoring surface water. • Objective 3: In response to complaints, investigate all noise nuisances and require compliance with accepted noise standards. Evaluation • 1. The effectiveness of the swimming pool inspection program will be evaluated by meeting the monthly inspection schedule and ob- serving the conformance with minimum public health safety stan- dards. Emphasis within the program will be re-assessed to cope with new hazardous situations. • 2. The evaluation of the water pollution prograr, will be based on observing the changes in number of on-site sewage disposal systems, the prevention of contamination within the city water supply and the change in the quality of the surface water. • 3. The abatement of unwanted noise source will result in the re- duction of irritation to the complainant. The evaluation of this program can be assessed by the number of successful noise abatements or noise reductions. b-9 '� '1 I 4 PROGRAM TITLE: PUBLIC HEALTH LABORATORY (ENVIRONMENTAL HEALTH) Problems Addressed: Problems addressed by this program include food-borne illness, food quality, water quality (public water supply, lakes, ponds, and streams) , air quality and miscellaneous analysis from all areas of environmental health. Goals Assist the Environmental Health Services in controlling the quality of food and water thereby preventing adverse health conditions in the com- munity. Objectives Analyze the samples promptly and report the results to the appropriate En- vironmental Health Services. Methods • By using specific chemical and microbiological tests, perform an- alysis on samples submitted to the laboratory. All tests be per- formed using Standard Methods. Evaluation i The laboratory and personnel performing the analysis must meet the appropriate certification by the Minnesota Department of Health. TITLE OF PROGRAM: SENIOR CITIZEN HEALTH Problems Addressed: According to the 1970 census, 8.0 percent of Edina's popula- tion is 65 years of age and older. The aged are on fixed incomes and suffer b-10 from various problems associated with old age. They may suffer from acute or chronic conditions and in some cases are physically incapable of contact- ing proper medical care personnel. Goals Establish and maintain the optimum level of health; physically and psycho- socially. Objectives To offer senior health clinics and counseling that will provide services in health promotion and 'health maintenance, early detection and referral for treatment. Methods: Specific methods to be used in achieving the objective are: 0 Individual and group counseling or teaching for physical fitness and nutrition. 0 Blood pressure, well adult and screening clinics. 0 Therapeutic visits. 0 Emotional or mental health counseling. 0 Services will be provided by a Contract for Services Agreement with BPHNS and by Paramedics. Projected Timetable The contract will require services begin on or about January 1, 1979, and continue through December 31, 1979. Evaluation 0 A statistical record of visits will be required and used for compari- son with previous records to evaluate the use and need for this pro- gram. TITLE OF PROGRAM: ADULT HEALTH Problems Addressed: According to the 1970 census date, 52.2% of Edina's population are between 20 and 64 years of age. This group may for some reason fail to seek and find or use appropriate preventative adult health services. Goals Provide health services and supervision for well adults. Objectives To offer adult health clinics that will provide services in health promotion, early detection and referral for treatment. b-11 ''"1 "'� a 1 Methods: Specific methods to be used in achieving the objective are: 0 Family planning clinic - contraceptions and pregnancy diagnosis. L A Venereal disease detection and treatment. 0 Adult gynocological clinic, including cancer screening. 0 Hypertension screening. 0 Adult immunization and tuberculin screening. • All services will be provided for by a Contract for Services Agreement with BPHNS. Projected Timetable The contract will require services begin on or about January 1, 1979, and continue through December 31, 1979. Evaluation • A statistical record of visits will be required and reviewed for comparison with previous records to evaluate the use and need for this program. TITLE OF PROGRAM: CHILDREN'S HEALTH Problems Addressed: According to. the 1970 census data, a 39.5% of Edina's population is under 20 years of aye. Early diagnosis of apparent well children may avert chronic problems that may arise in lacer life if not treated properly. Goals Provide health supervision of well infants and children. Objectives To offer children's health clinics that will provide services in health promotion, early detection, and referral for treatment. Methods: The specific methods to he used in achieving the objective are: 0 Well child clinics for children (birth - 6 months) to include physicians physical assessment, health history, developmental assessment, dental observation, immunizations and family health counseling. 0 Early and periodic screening for children 6 months - 21 years. A Home visits when indicated will be reflected in home nursing indexes. 0 Infant and child immunizations and tuberculin screening. 0 All services will be provided for by a Contract for Services Agree- ment with BPHNS. b-12 Projected Timetable The contract will require services begin on or about January 1, 1979, and continue through December 31, 1979. Evaluation 0 A statistical record of visits will be.required and used for compari- son with previous records to evaluate the use and need for this program. TITLE OF PROGRAM: COUNSELING Problems Addressed: Because of emotional problems, chemical dependencies ox emotional illness, individuals may suffer a diminished ability to cope with stress and interpersonal relationships. Goals Optimum emotional health. Objectives Provide counseling, support, evaluation and referral for mental illness, emo- tional problems and chemical dependencies to individuals and families. Methods: Specific methods to be used in achieving the objective are: S Counseling by mental health counselors and psychiatric consultants. 0 Referrals to appropriate county or state agencies. 0 These services will be provided for by a Contract for Services Agreement with BPHNS and by Youth Action. Projected Timetable The contract will require services begin on or about January 1, 1979, and continue through December 31, 1979. Evaluation A statistical record of visits will be required and used for comparison, with previous records to evaluate the use and need for this program. TITLE OF PROGRAM: SCHOOL HEALTH Problems Addressed: According to the 1970 census data, 33% of Edina's popu- lation is of school age. School children have numerous public health pro- blems. This is the area where many communicable diseases are spread. Goals Provide child health supervision for the school age child within the school b-13 "1 "�, f setting. Objective Provide direct school nursing services to all private schools and consulta- tive service to all public schools. Methods: Specific methods to be used in achieving the objective are: 0 Vision, hearing and scoliosis screening. • Individual health counseling and teaching. 0 Assessment of physical and emotional status in cooperation with school staff and appropriate referral. 0 These services will be provided for by Contract for Services Agreement with BPHNS. Projected Timetable The contract will require services begin on or about January 1, 1979, and con- tinue through December 31, 1979. Evaluation d A statistical record of visits will be required and used to compare with previous records to evaluate the use and need for this program. TITLE OF PROGRAM: HOME NURSING Problems Addressed: According to the 1970 census data, there are over 200 persons in Edina who are disabled and unable to work. This population group also may have difficulty in managing their personal health concerns or act- ivities of daily living. Goals Enable individuals to live a more satisfying and healthful life in their home environment when appropriate. Objective Provide professional home health services to individuals and families. Methods: Specific methods to be used in achieving this objective are: 0 Home visits will be provided by professional nurses at all lev- els of preparedness and hone health aids. 0 Encourage referrals through continual outreach with appropriate resources. 0 Provide visits for both illness and health promotion. b-14 x 0 When indicated, the services of physical therapy, speech thera- py, occupational therapy or medical social services will be arranged. 0 All requirements for Title XVIII Home Health Providers will be maintained. 0 Services will be provided by a Contract for Services Agreement. Projected Timetable The contract will require services begin on or about January 1, 1979, and continue through December 31, 1979. Evaluation 0 A statistical record of visits will be required and used to com- pare with previous records to evaluate the use and need for this program. TITLE OF PROGRAM: PUBLIC INFORMATION AND EDUCATION Problems Addressed: Many disabling or chronic health problems can be averted by practicing good preventive health measures. Goal Encourage positive health practice through individual and group health edu- cation. Objective Extend health education opportunities to citizens through direct service and assist organizations in program development. Methods: Specific methods to be used in achieving the objective are: 0 Provide a Public Health Nurse-Educator to develop and implement health educational programs. 0 Utilize the agency professionals as speakers within their speci- alty. 0 Provide outreach to local schools, churches, and community organizations. • Have literature available to advise one of positive health practices. Have information available on existing resources. 0 Services will be provided by a Contract for Services Agreement with BPHNS and Youth Action. Projected Timetable The contract will require services begin on or about January 1, 1979, and continue through December 31, 1979. b-15 4 , Evaluation • A statistical record of visits will be required and used to com- pare with previous records to evaluate the use and need for this program. TITLE OF PROGRAM: EMERGENCY MEDICAL SERVICES Problems Addressed: Sudden life threatening situations such as accidents are a constant threat to the health of the citizens within the community. The morbidity and mortality associated with these situations can effective- ly be altered by quick, professional delivery to a health care facility. Goals 1. Provide ambulance service for the sick and injured. 2. Provide emergency medical treatment for the sick and injured. Objectives 1. Provide one advanced life support emergency ambulance, staffed by para- medics and Emergency Medical Technicians (EMT's) . 2. Provide a back-up ambulance staffed by EMT's. 3. Provide cardio-pulmonary resuscitation classes for various groups in the city of Edina. Methods The Fire Department shall have six personnel trained as para- medics, with two assigned to each shift. ® There shall be no less than one paramedic on duty at a time. • All Fire Department personnel shall be trained as EMT's and assist the paramedics as necessary. All Police Department patrolmen shall be trained as EMT's and assist the Fire Department as necessary. Evaluation • The City of Edina will be a member of the Hennepin County Emergency Medical Services, who will review the training, methods, procedures and equipment used by the City of Edina for providing emergency medical services. Timetable This program is in effect now and will be on-going. Services will be Pro- vided as needed. b--16 CHS ACTIVITY BUDGET DETAIL Home Health Services Ac,_t._i.v.ity_j.gg: Environmental Health Community Nursing Services gu et PvJu od: w Disease Prevention & Control Services --- --------- 01/01/79 to_ 12+/31/79 ( ) Emergency Medical Services Act�i.vi V_Cate_go.ty: (if the funds are ( ) Health Education (including nutrition to be used for more than one category, and dental public health) indicate percent of funds in each) (x) Environmental Health Services % ( ) Family Planning Services (x) Maintenance 100 ( ) American Indian Special Grant ( )'Expansion —"s ( ) New Third Other Party State-- Reim- A Revenue CH Local Fees Federal Private bursement Total Total Funds 1 4,000 154,633 23,000 81,633 `y - Buageted CUDGcT ,-"Cu,l1 Expenditures —4CHS Funds Local ` Cost ateaories cA o o4 Participation Total f% 1. Personnel 1 f Sanitarian 21,622 21,622 Secretary O 5,269 5,269 Medical Officer 300 300 Assistant Sanitarian 17,472 17,472 Lab Technician (1/3) 6,125 6,125 Summer Help 1,000 1,700 2,700 2. Travel 270 270 3. Supplies 1,960 1,960 Water Treatment Chem. 1,000 7,465 8,465 4. Contractual Services 450 450 • r. 5. Fixed Charges 2,000 15,000 17,000 (See Note 5) Note (5) - Fixed charges con- sists of frings benefits costs and rent of office space at the ; City Hall and rent for the laboratory. "M1�I.71!'Ml M w w am""ins me ra ree-a"MW ri wramr.e" -at7et-1 wf wr s�u�r rfps w F TOTAL 4,000 77,633 F87,7*37 h-17 r- "'� '� '"O