Marshall County Board of Health
March 9, 2010
Marshall County Courthouse
Meeting Room 2
Present: Dr. Beaty, Mary Bartine, Deanna Neldeberg-Bachman, Cheryl Little, John
Hughes
Staff: Tina Coleman, Pat Thompson
Guests: Pat Brooks, Denny Grabenbauer, Andrew Potter
Topic
Call to order
Approval of
Minutes
Introduction of
guests
Reports
Environmental
Health
Public Health
Activities
Communicable
Disease
H1N1 Flu
Vaccine and
Clinics
Adolescent
Clinics
Seasonal Flu
Vaccine and
Clinics
Public Health
Activities
Community
Needs
Discussion
Action
The Marshall County Board of Health meeting was called to order at
10:00 a.m. by Dr. Beaty.
Minutes of December 8, 2009, meeting approved.
File as distributed
Cheryl/Deanna/Unanimous
Dr. Beaty welcomed all guests.
No report
Pat reported on communicable disease in Marshall County.
State vaccine allocations continue to be available but Marshall
County is no longer ordering due to abundance of vaccine. Clinics
currently held on Mondays through March at the Salvation Army
from 3:00 p.m. to 8:00 p.m. Staffing assistance provided by
MMSC. Much education to public about H1N1, immunity, safety.
1,100 children still need second dose to develop immunity. More
than 15,000 doses of vaccine given to date. Agency is trying to
reach the children to give the second dose given barriers in the
school system.
Adolescent clinics in East and West Marshall School Districts
vaccinated 29 students since fall, 2009. Gardasil is now available
for males from age 9 through 18 years for Vaccine for Children
program to reduce the likelihood of genital warts.
2009 seasonal flu vaccine available in Home Care Plus for $30 per
shot and has been available at each H1N1 vaccine clinic.
Report filed with
minutes
Informative
Informative
Informative
Due February 26, 2011. Two CD’s from Iowa Department of Public Informative
Health available for use. Work to begin at local level in April, 2010.
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Assessment &
Health
Improvement
Plan
Lead Task
Force
Coalition for
Health
Telefriends
School Audits
Dental Audit
Antivirals
Modernization
of Public
Health
BioEmergency
Bioterrorism
Bioterrorism
Funding
Proposal
Financial
Report
Local Public
Health Services
Contract
Met December 17, 2009, and reports from Jackie Pippin, East
Central Iowa Childhood Lead Poisoning Prevention Program, and
Lisa-Marie Garlich, Grant Manager with the city of Marshalltown
Housing and Community Developing Lead Hazard Control Program
were given. The Lead grant did not receive any funding cuts. The
city received $8,000 from the Martha Ellen Tye foundation.
Working with Community Y on Community Health Assessment
Initiative.
Currently Telefriends has eight patients with a total of 31 to date.
7,607 pre-k through 12th grade students and 422 preschool and Head
Start children were audited.
Report filed with state. A comprehensive final report is at
http://www.idph.state.ia.us/hpcdp/oral_health_school_screening.asp.
Hy-Vee Grocery Store has stock of antivirals. Approximately 24
prescriptions have been received and filled by Hy-Vee since
11/29/09. Home Care Plus completes entry into IRIS. Hy-Vee is
not charging administration fee.
Work continues on public health accreditation at the Iowa
Department of Public Health
Informative
Informative
Informative
Informative
Informative
Informative
Informative
Iowa Department of Public Health applied for Phase IV funding.
Informative
Marshall County requested $2,000. Marshall County received
$1,400 for even split of FY08-09 carryover funds among Region 1
counties. Reminder letters are being sent to parents of children
who need second H1N1 vaccination. Letters are in both English and
Spanish.
Meeting between Iowa Department of Public Health Director Tom
Informative
Newton and representatives of small/medium/large Iowa counties is
requested to assure adequate core funding is flowing to local public
health level through establishing core funding for each county and to
assure adequate per capita funding is available. Tina is on this
committee.
Numbers reflect across the board reduction in funding from the
Local Public Health Services Contract. Two reductions year-to-date
total $16,000. Will have revision to financial report—state assisting
Agency to move billed activities in Social Services Block Grant to
Skilled Nursing/Health Care Aide. Social Services Block Grant will
not be spent but that is okay and will be reallocated at the end of the
Report filed with
minutes
2
fiscal year.
Home Care
Plus Report
1) Agency has been accepted as a Premiere Agency on National QI
Initiative of Best Practices. 2) Public Health, Deanna and hospital
representatives to present at conference in Mason City this week.
Web-based scheduling program has been sold to other public health
agencies in the state. 3) Tina provided sick child care update. MidIowa Community Action (MICA) is pursuing the development of a
referral data base for people who are willing and able to do sick
child care. The possibility of a facility-based sick child care is still
being researched.
Old Business
Update to
Guidelines for
Services –
Exhibit A
2009 Public
Health Goals
New Business
Performance
Measure FY1o
FY10 Local
Public Health
Services
Contract
Amendment #2
Board Member
Code of Ethics
2010 Iowa
Governor’s
Conference on
Public Health
Home Care
Plus Agency
Annual Report
Contract between the Board of Health/Board of Supervisors and
Marshalltown Medical and Surgical Center wording reviewed in
relation to referencing a special committee that was removed in
Exhibit A.
Evaluation of goals presented to the Board of Health.
Tina to work with
Rex and Board of
Supervisors to update
county’s contract
with hospital.
Filed with minutes
$470 Performance Measure Incentive for completion of an
assessment/evaluation by the Local Board of Health to determine if
there is evidence present to support the local criteria listed for each
governance standard. Discussion that accreditation is voluntary and
the state will review the performance measure to gauge where
counties are currently at in relation to the standards.
FY10 Local Public Health Services Contract Amendment #2
decreased our contract by $12,136. Total contract amount is now
$149,187.
Pat to complete
assessment/evaluation
and present to Board
members for
approval.
Annual review of Board of Health Member Code of Ethics.
Each member’s
signed Code of Ethics
on file in MMSC
Home Care Plus
Informative
Invitation to all Board of Health members to attend the 2010 Iowa
Governor’s Conference on Public Health April 13th and 14th in the
Scheman Building at Iowa State University.
Tina presented Home Care Plus Agency Annual Report. Motion to
accept report by Deanna/Cheryl/Unanimous.
Informative
Filed with minutes.
Tina to take to
Marshall Medical &
Surgical Center
Board of Trustees
Next Meeting
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Tuesday, June 8, 2010, at 10:00 a.m., Marshall County Courthouse,
Meeting Room 2
Adjournment
Meeting adjourned at 11:00 a.m.
Respectfully submitted,
Cheryl Little, Secretary
Prepared by Pat Thompson, R.N., BSN
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