Minutes Archive

Board of Health Minutes

Calhoun County Board of Health
Meeting Minutes
Monday, September 17, 2007

ATTENDEES

Board of Health	Health Department
Larry Anderson	Dottie-Kay Bowersox
Dr. Jeffrey Mitchell	John Eva
Byron McDonald	Paul Makoski
Ken Ponds	Bob Overley
Eusebio Solis	Brigette Reichenbaugh
	Mike Waite

County Administration	Other
Nancy Mullett	Elizabeth Huff
Greg Purcell

Absent
Kathy Foerster, Excused
Rick Tsoumas, Excused

Anderson called the meeting to order at 3:04 pm.

Motion for approval of the agenda. McDonald moved. Mitchell seconded. All in favor.

Consent Agenda

Motion for approval of consent agenda. Ponds moved. Mitchell seconded. All in favor.

McDonald asked that we move the financial report ahead of the annual report due to a prior commitment.

Eva presented 11 month summary. Motion to accept the financial statement. McDonald moved. All in favor.

Resolution 8-2007. CPBC Approval. Eva summarized. Ponds and McDonald supported. All in favor.

Resolution 9-2007. Budget approval. Motioned for approval. Ponds moved for discussion. Mitchell supported. Bowersox reviewed budget assumptions. Anderson distributed a 10-year CCPHD FTE and revenue trend.

Questions regarding budget:
McDonald asked about mandated services’ cost, Fetal Infant Mortality Review (FIMR), and the Medicaid Cost Base Reimbursement.

Purcell noted:

County increase allocation. Noted that they do have programmed into 08 budget. Item for discussion.
Fee increase. Purcell would like to see a 3% increase. Mitchell does not believe that BOC will approve 4%.
Marshall WIC office. Purcell would like to see the Marshall office remain open. Anderson asked for clarification. When Battle Creek staff reports to Marshall for the day, this reduces Battle Creek staff. Purcell recommends closing Battle Creek one day and increase Marshall services. Mitchell noted that keeping Marshall open, when operating with a deficit, is unheard of.
Does not want to see contingency funding.

Solis asked about the $50,000 WIC projected funding and what percentage of staff and funding are for administration.

Discussion about depreciating technology upgrade.

In order to cover the additional $184,000 deficit, would potentially require two, if not three, additional layoffs. Consideration would be one Environmental Health (EH), Clinic clerk, and one other position. CCPHD accreditation scheduled for March 1008, currently at a minimum staff.

Discussion regarding fund balance levels, specifically CCPHD versus County allocation.

Bowersox indicated that potential subcontracting for EH manager temporarily to save money and the technology is currently at least eight years behind and mandatory based on potential staff cuts due to budget.

Anderson recommended the $234,000 deficit, reduce $30,000 for technology in order to potentially amortize through the county over three years, $50,000 for contingency leaving $154,000 deficit. The $154,000 deficit will be funded through fund balance.

Anderson asked for motion to accept the budget with the proposed changes leaving a $154,681 deficit.

Solis motioned for CCPHD budget to be approved to be presented to the BOC as amended. All in favor

Clerk roll call: Ponds: Yes; Anderson: Yes, Mitchell: No, Solis: Yes.

Purcell stated that we need a separate resolution for the fees for the BOC. Email Commissioner Solis

Motion to separately approve the fees as presented. Mitchell moved. Ponds supported. All in favor.

Board Discussion

Bylaws Revision: Article 3, Section 4, Section 7. Article IV, Section 1. Article 5, Section 5. Article 3, Section 1. Confirm that BOH terms are corrected in October 2007. Ponds expressed an interest in continuing with the Board. Solis recommended that we wait for full membership for vote.

Health Officer Report

Bowersox distributed the tobacco regulation and the Behavioral Risk Factor Surveillance Survey (BRFSS) trends.

Anderson noted the Health Officer evaluation review. Add to October agenda. The American College of Health Care Executives (ACHE) officer evaluation was suggested with modifications. Anderson noted that he does not favor the 360 review. Anderson asked the Board to review and add to agenda for discussion in October.

Motion for adjournment. 5:03 pm.

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