DRAFT
Michigan Association of Local Public Health
Nurse Administrators Forum
NURSE ADMINISTRATOR’S FORUM
Meeting Minutes
Tuesday, Sept 10, 2013
9:30 am - 12:30 pm
Location: Okemos Conference Center, Okemos, MI
1. Call to Order: The meeting was called to order by Bobby Peacock at 9:37 am.
2. Roll Call: Sue Thuma, Jackie Anderson, Kathleen Janer, Michelle Thorne, Mari Pat Terpening, Renee
Crays, Debbie Poquette, Joyce Ziegler, Ann Marie Young, Toni McCrum, JoAnne Eakins, Mary
Ricciardello, Lynne Norman, Bobby Peacock (Chair), JoAnne Hoganson, Elaine McDonald, Elaine Brown,
Bridget Huss, Pat Fralick, Lynn McDaniels (Secretary), Lisa Hahn, Janine Chittenden, Sue Schryber, Dawn
Dotson, Tawnya Simon, Courtney Herrick (guest).
3. Administrative Items
A. Approval of the Agenda: Motion by Tawnya Simon, support by Mari Pat Terpening to accept
the agenda with the following new business items: Hearing & Vision business concerns; APHA
Meeting; WIC breastfeeding peer counselor grant reductions.
B. Approval of the Minutes: Motion by Pat Fralick, support by Tawnya Simon, to approve the
August 10, 2013 minutes. Motion approved.
C. Treasurer’s Report: Report submitted by Ann Hepfer by email. Motion to receive the August
report made by Mari Pat Terpening and supported by Elaine Brown.
D. Chair’s Report:
MALPH Board Meeting Summary
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Discussion regarding LPH’s role in Medicaid expansion with Navigators and Certified
Application Counselors.
Congratulations to Central Michigan District Health Department on being the first LHD
in Michigan to achieve national accreditation.
On-line registration is NOT available for the Premier Public Health conference.
MDCH is working to standardize how data is uploaded into EGrams between the
various programs.
WIC Peer Counseling funds have been restored. Stan Bine will be also covering for
Alethia Carr’s position.
Public Health Code is open; the Board sent proposed changes in.
Slate of MALPH Board Executive Committee candidates presented.
Discussion regarding FQHC and LHD collaborations; will look different for each
community and should focus on quality.
The purpose of the Nurse Administrators Forum is to enhance the health of Michigan citizens, based on our knowledge
of Public Health Nursing practice, by providing effective leadership, collaboration, legislative outreach and professional
mentoring for Public Health Nurse Administrators.
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Melanie Brim presented on SIMS: State Innovative Model for Health
DEQ – Moved offices, phone numbers have changed; experiencing staff shortages;
MPR revision process going on, will share with MALEHA at October meeting.
MDARD – New Deputy Director, Terry Filabeck; budget reduction due to
sequestration.;
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4. Old Business
A. PHN Display- Bonnie Havlicek demonstrated a sample display that is very lightweight and
portable. Bonnie and Angelique Joynes will develop cost options for NAF consideration.
B. Public Health Code Rules: Nursing Classifications5. Speakers
A. Meghan Swain, MALPH Executive Director:
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The Premier Public Health Conference brochure notes the sessions that are approved for
continuing education units.
Medicaid expansion has been approved. The effective date for enrollment is still up in the
air, but will be sometime in Spring, 2014. LPH departments are the logical agencies to act
as navigators to facilitate client enrollment. MALPH is coordinating a conference call to
discuss this opportunity. LPH agencies are encourages to send Meghan stories on how we
assist clients to overcome barriers and obtain resources.
Several issues are still pending in the legislature: roads infrastructure, auto no-fault,
hospital certificate of need, and well inspections. It is anticipated that any legislation that
is considered will happen in the December timeframe to avoid controversy in the 2014
election cycle.
Bobby asked if there is any plan or effort to consolidate or merge smaller LHDs. Meghan
stated that the barrier to consolidation is the local county commissioners.
Michelle Thorne asks if Meghan knows the funding formula for the STD allocations to
LHDs. She has been unable to get any information from MDCH. Only one quarter of the
annual allocation has been released to the LHDs. Meghan will check with Mark Miller.
6. Reports
A. NAF Committee Reports
1. Awards- The 2013 NAF Leadership Award has been awarded to Michelle Thorne!
Congratulations, Michelle!
2. Bylaws- No report.
3. Data- No report.
4. Education & Orientation: No report.
5. 2013/14 Nominating- Tawnya Simon reports that the election is complete. The following
members were elected:
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Chair-Elect: Ann Marie Young
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 Secretary: Lynn McDaniels
 Treasurer: Ann Hepfer
 Members-at-Large: Michelle Thorne, Mary Ricciardello
Tawnya reports that with Ann’s election to Chair-Elect, there is a vacancy in the Member-atLarge position. The Executive Committee can appoint a member to complete her term.
During the meeting, Mari Pat Terpening volunteered to complete Ann’s term. The members
of the Executive Committee affirmed her appointment as Member-at-Large during the full
meeting.
6. Strategic Planning: Bobby reports that there will not be a meeting this afternoon due to
schedule demands. Individual work groups are encouraged to work off-line on their sections.
B. NAF Representative Reports
1. COMON: No report.
2. MPHA: Janine Chittenden reports that MPHA-PHN Section has new officers:
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Chair: Alice DeYoung (WMU)
Chair-Elect: Janine Chittenden (Ottawa County HD)
Secretary: Karen Flowerday
Treasurer: Sandy Walls
Members-at-Large: Kathy Bappert (MSU), Sue Clemen-Stone (U-M), Polly Jantzen
(Oakland County HD), Susan Harrington (GVSU), Suzanne Keep (UDM)
Past Chair: Naomi Ervin (Rush Univ)
The 2013 PHN Section Annual Meeting: “Public Health Nursing Power: Our Future is
NOW” is scheduled for Friday September 13, 2013; Ramada Lansing Hotel and Conference
Center; Cost $50.
3. MPHA PHN/NAF Task Force on Clinical Experiences: Bobby and Kathy Bappert are
trying to schedule the next meeting during the Premier Public Health Conference.
C. MALPH Committee Reports:
1. Governance- No report. The last meeting was cancelled.
2. Premier Conference- October 17-18, 2013 Bay City MI Premier Public Health
Conference:
Hotel accommodations: DoubleTree by Hilton Hotel Bay City- Riverfront
1.989.891.6000 $99.00 per night
The next meeting is scheduled for September 4, 2013
D. MDCH Committee Reports:
1. CSHCS Advisory: Add report
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2. Family Planning- Bonnie Havlicek was unable to attend the July meeting and will update
NAF when she receives the notes.
3. Local Maternal Child Health4. MACI – Sue Schryber reports that MDCH applying for CDC grant to hopefully increase
the uptake of HPV vaccine due to the low HPV rates in Michigan.
CDC continues to reduce 317 vaccine funds: 2014 is a 46% reduction from 2013; MDCH still
feels that we can cover the underinsured in private provider offices even with this reduction.
There has been no movement in the 7th grade immunization bill since May MACI meetings. It
is still in House Health Policy subcommittee as they have made changes to the bill. Once it
passes, it needs to go back to the Senate.
Reverse HL7 (MCIR sending immunization dates to EMRs) target date is 1st quarter of 2014.
MDCH is looking at the possibility of allowing pharmacies to be VFC providers to try to
increase our state’s immunization rates (especially for 6th grade imms). Parent would still
need to be present to give consent for child’s/teen’s immunizations. Same VFC
rules/responsibilities would apply to pharmacies as apply to provider offices. Refer to the
discussion in New Business regarding this topic.
5. Michigan Education Nursing Council- no report.
6. MIHP- No report.
7. Body Art- No report.
7. New Business
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A. VFC Provider Status: Sue Schryber reports that MDCH is considering allowing
pharmacists to apply for eligibility to the VFC Program, as a strategy to increase the
adolescent vaccination rate for HPV. The concern is that the low vaccination rate is not
related to access, but to the perception that the vaccine promotes sexual activity in teens. This
misperception indicates a need for more community-wide education to parents and physicians
(similar to the program to promote the hepatitis B vaccine). Lynne Norman has a conversation
with the regional Walgreens representative who stated that they would designate specific sites
to provide immunizations to ages 11 and above. They would hire specific staff to manage this
population. In addition, Walgreens is also expanding into travel vaccines.
MACI is asking for NAF to provide a recommendation to allow pharmacies to provide
adolescent vaccines including HPV. Sue and Mari Pat will draft a letter for NAF Executive
Committee consideration.
Some issues related to allowing pharmacists VFC eligibility:
o Pharmacists will have to carry all vaccines, not just HPV (both private and VFC stock)
o MCIR entry
o Ability for appropriate screening
o Pharmacist turnover requiring continued training
o Adequate staffing to meet need in pharmacies
o Ability to manage medical emergencies
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o Who will monitor storage compliance?
o Additional funding for IAPs to manage the additional sites?
8. Free Forum (Open Discussion):
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Bobby received the WIC funding allocation for Kent County contingent on meeting caseload
expectations. Courtney Herrick reported that she did not meet caseload expectations last year,
and still received full funding. However, she changed her outreach strategies and will send a
summary of her outreach efforts out on the Listserve.
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Lisa Hahn states that Oakland is seeing clients from surrounding counties for TB testing due
to the shortage of test reagents. Oakland’s supplies will be depleted within one week.
The next NAF meeting is scheduled for October 15, 2013.
The meeting was adjourned at 12:04 pm.
Submitted by Lynn McDaniels, Secretary
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