Heidi summarized. Ben moved; Jeff seconded.
| -Resolution 2-2004 |
Approval of the Marshall Health Department Space
Agreement. |
Heidi summarized. Ben moved; Jeff seconded. A question was asked if
the Health Department has determined how much the actual move cost. Greg
Purcell stated that there was approximately an $8,000 renovation cost
that’s included with the lease. There was no separate charge for the
move.
| -Resolution 3-2004 |
Approval of the Family Planning/BCCCP Physician
Agreement between the Health Department and Mehmet Ismailoglu, M.D |
Heidi summarized. Dr. Ismailoglu assists the Health Department for
about 4 hours per week. Mac approved. Jeff seconded.
| -Resolution 4-2004 |
Approval of CPBC Amendment #1. |
Kathy summarized. This amendment includes Emergency Preparedness
Coordinator details that were not included in the original contract.
Jean approved. Jeff seconded.
| - Resolution 5-2004 |
Approval of the Behavior Risk Factor Surveillance
Survey (BRFSS) Agreement. |
Ginger summarized. The BRFSS survey measures risk factors. We expect
approximately 600 interviews during 2004. Ben moved; Mac supported. A
Board member asked about the $23,000. Heidi stated it will come out of
the administrative budget as budgeted.
| - Resolution 6-2004 |
Approval of HCAP Subcontracts with Partner
Organizations. |
Heidi summarized. Each organization has boilerplate language and an
attachment reflecting workplan and budget specifics (workplans and
budgets were created by each individual organization). The Board was
asked if they would like a copy of the workplans. Workplans tie each
organization into specific outcomes that they are responsible for. The
boilerplate contract places the Health Department in compliance with
state laws. There will be an evaluation subcontract.
The question was raised how the dental piece ties in with other
dental programs within the county.
Heidi stated that this includes dental operatories/equipment,
specifically at Fountain Clinic and at the Family Health Center in
Albion. This will pay for the first operatory of five at the Family
Health Center in Albion. A question was also raised if there is a
timetable for reports and about the governor’s recent announcement of
drugs. Heidi indicated that we can not speculate about the governor’s
initiative, however, we were notified in October by the Federal
Government that the HCAP initiative started September 1 but did not get
the official notification that allowed us to draw down these Federal
funds until November. While in Washington, staff learned that other HCAP
programs are behind us or at the same point within their individual
projects. We can also carryover funds, so the community won’t lose
available funds.
Mac moved; Ben seconded.
Larry withdrew himself from speaking and voting on this resolution
because the Health Care Call Center is a subcontractor.
| - Resolution 7-2004 |
Approval of the Agreements with School Districts
for School-Based Community Nursing. |
Health Officer Report
▪ Ted Havens, EH Director:
• Environmental Health presentation on Appeal process.
Ted summarized the appeals process due to a request by the BOH to be
briefed in the event they should need to hear an appeal. Ted passed
around the Calhoun County sanitation code. The appeal process and the
BOH’s authority to conduct one is from the Public Health Code. All
processes are in writing. In the case of septic systems, EH presents
paperwork to each individual and on the back of that paperwork is the
appeal process. Any appeal must be in writing along with a $50 fee. They
have 30 days in which to appeal. It must be determined that no health
hazard will occur from that appeal being granted. Typically, an engineer
provides the BOH with the details/specifics. We try to approve all
requests and have no advantage to deny an appeal.
Ted summarized the type of soils and/or water that will be denied. It
is possible to have a well- drained soil (sand). However, when EH sees
wet patches, this indicates that the soil is leaking and/or wet. That
could contaminate the particular groundwater, especially if it’s close
to lakes or streams. EH tries to avoid appeal situations and will try to
persuade a customer to use another location on the site before reaching
the appeal stage. We take multiple borings and backhoe drillings to make
determinations. Today, for example, we bore down several feet (can be as
deep as 15’) to determine that the groundwater is not unduly influenced
by the septic system. Nitrates are also a determination of soil
contamination, particularly on farm ground due to fertilizers, for
example.
Calhoun County also has low groundwater yields, meaning that there
might be an acceptable septic system, but not an acceptable water
supply. The lowest acceptable supply rate is five (5) gallons per
minute. Permits will be denied if: there isn’t flow of at least five
gallons per minute, nitrates are in the soil, or ground water is highly
susceptible to contamination due to its level in the ground.
EH issues about 600 septic tank approvals per year (new and
replacement). The question was asked how often the code is updated. The
last major revision was in 1998; however, minor revisions occur
regularly. Ted stated that there is quite a bit of discussion for the
development of a statewide code. Heidi stated that Michigan is the only
state that does not have a statewide code; therefore, there is a lot of
push for the development of a statewide code.
Board Business
▪ Election of Board Officers
▪ Approval of Ends Policies
▪ Review of Bylaws
Election of Board Officers. Those Board members whose term expired
December 31, 2003 were reappointed by the BOC in December.
Larry opened nominations for the Chairperson. George nominated Larry
Anderson. Jean and Jeff supported. All in favor. Larry opened
nominations for Vice Chair. George nominated Jean Cook-Hughes for Vice
Chair. All in favor.
Larry asked Heidi to give an update on the NCBC and its
organizational status. Heidi stated that on December 23rd a meeting was
held to bring closure to NCBC’s leadership/organizational status. They
will incorporate a separate community Board for the NCBC including
homeless individuals. Larry has discussed with Chris Christ and Franky
Johnson about the setup of the Board. Heidi will be receiving new
guidelines in order for the community Board to assist the NCBC and its
role.
Jeff asked for clarification on the responsibilities of the BOH for
the NCBC. At this time, the BOH operates as the NCBC Board. We will
start looking at how the BOC and BOH would delegate certain
responsibilities to a NCBC policy Board. We will have at least one BOH
member on the NCBC Board. The NCBC Board will be a policy board, not a
board dealing with the day-to-day operations due to federal guidelines.
Once we get the federal report we will discuss further with the BOH.
Heidi will provide the BOH with a summary of federal guidelines. Jeff
asked for an overview of the NCBC and its role in the community (i.e.,
what they do, who they serve, federal guidelines) to be presented at the
next BOH meeting.
Larry identified items that need to be corrected in the bylaws.
Health Department representation at the BOC meetings is strongly
encouraged.
Larry reviewed his comments on the BOH bylaws (see attached). Nancy
stated that there is no limit/standard on the number of board members.
Jeff expressed an interest in increasing the number to nine to allow for
more ethnicity and diversion into the group. There was discussion about
quorum numbers. Jean suggested that if by Noon on the Friday before the
BOH meeting, we do not have a quorum, the meeting be cancelled. Larry
stated that there is an option to teleconference also.
Reference to bylaws must be approved by the BOC whereas Board
policies are adopted internally.
Bylaws should include a recommendation to the BOC for removal of a
Board member due to attendance (unexcused absences) or other.
Does every contract need to be approved by the Board of Health and
the Board of Commissioners, based on legal review? Nancy stated that she
wasn’t sure if that was a bylaw or Board policy, but will look into
this. Members suggested a particular dollar amount might be used to
decide.
The BOH is required to set the schedule of meetings; however, the
number of meetings is not mandatory. Whether than having standing
committees, we appoint specific individuals to specific tasks.
Summarize meeting minutes rather than providing an extensive amount
of detail.
Date, members present, and action taken. Bylaws will be on the agenda
for further discussion next month.
Jeff asked if there are training classes for local public health
boards. Larry recommended the Policy Governance Network trainings that
are available. Heidi will also seek out public health training
opportunities for board members and will pass the information along.
Minutes Archive
Several photos included in this 
