S C O T T    C O U N T Y    B O A R D    O F    H E A L T H

REGULAR MEETING                12:00 NOON              April 19, 2001

MEETING HELD AT:      Scott County Health Department
                                         Bicentennial Building
                                         428 Western Avenue
                                         5th Floor
                                         Davenport, Iowa 52801

ROLL CALL:                   Mrs. Mohr, Dr. Keppy, Dr. Sunderbruch, Mrs. Coiner

STAFF:                             Larry Barker, Al Moore, Mary Helfrich, Jim Hagerman, Denny Coon, Karen
                                         Sheppard, JaNan Less, Larry Linnenbrink, Brian Panke, Roma Taylor, Chris
                                         Wightman, Amy Thoreson, Carol Schnyder, Suzanne Davis

OTHERS:                         Mark Postma, Sharon Meister, Rhonda McInroy, Mr. & Mrs. John Boosalis

          Mrs. Mohr, Chairman, called the meeting to order at 12:00 Noon. The Recording Secretary took the roll call. All members were present with the exception of Dr.Garvin, who was unavailable to attend.

          Dr. Keppy moved to approve the Agenda as amended. Motion seconded by Mrs. Coiner. Motion carried unanimously.

          Mrs. Coiner moved to approve the minutes of the March 22, 2001, Board Meeting as corrected. Motion seconded by Dr. Keppy. Motion carried unanimously.

          Mrs. Mohr asked for Public Comment. No one was present for Public Comment.

          On behalf of the Board and the Department, Mrs. Mohr presented a gift to Larry Linnenbrink, in appreciation of his 30 years of service to the Scott County Health Department.

          Larry Barker reported that the Health Department is assuming major responsibilities for the County relative to flood activities out in the County. Larry Linnenbrink has been appointed as the Point Person for the County. He reported to the Board that portable toilets, dumpsters, and water have been delivered out in the County. Flood information sheets have been delivered to all the homeowners affected in the unincorporated areas. The Department has received many calls for information. Due to a tetanus vaccine shortage in the community, Dr. Katz issued a release to physicians advising them to vaccinate only those people who are injured. If physicians do not have vaccine, they are welcome to send their patients to the Health Department. The Board thanked Larry for taking the lead in this endeavor.

          The following reports were reviewed and discussed by the Board:

          1.      Director’s Report of March - April'01 activities.

          Larry Barker and staff reported on an outbreak in the community at an assisted living facility. Of 58 total residents, 27 were sick, along with 9 staff. Symptoms included vomiting, diarrhea, lethargy, and tiredness. Health Department staff collected stool cultures and conducted interviews with staff and residents in an effort to determine the source of the illness. The State Epidemiologist, Dr. Patricia Quinlisk, has been in consultation with Health Department staff. Efforts will continue to determine the source of the illness.

          Larry Barker reported that the Board of Supervisors approved the appointment of Ray Wierson as the new County Administrator.

          Larry Barker reported that a number of meetings have been held on EMS. The Volunteer Task Force and the Systems Task Force each have one more meeting and then will get back together to make recommendations.

          Dr. Sunderbruch stated that he thought it was a great honor for Karen Sheppard to be appointed to a National Committee for school food safety.

          Dr. Sunderbruch stated that he was pleased to see the position of the Public Health Nurse for the Non-Public Schools go to fulltime starting July 1, 2001.

          2.      Core Public Health Activity Report for the month of March, 2001.

          3.      Budget Report for the month of March, 2001.

          Following discussion, Dr. Sunderbruch moved to approve the claims. Motion seconded by Dr. Keppy. Motion carried unanimously.

         Mrs. Mohr recognized Mr. & Mrs. John Boosalis, who arrived to address the Board under Public Comment. Mrs. Mohr stated that Mr. Boosalis had contacted her about a problem with their septic system. Mr. Boosalis stated that he had purchased the home two years ago and has had raw sewage backup in his basement for the last year. The contractor that installed the septic system is no longer in business. After discussion and comments by Deputy Director, Al Moore, Mr. Boosalis agreed to work with staff to help resolve his problem.

          Rhonda McInroy from the Family Medical Center was present to give the Board an overview of the University of Iowa Clerkship Program. This program has been in the community for several years. It requires all third year medical students at the University of Iowa to do a six week rotation with physicians and/or Health agencies in Iowa communities. The Board thanked Ms. McInroy for her informative presentation.

          Mrs. Coiner moved to approve all the reports. Motion seconded by Dr. Keppy. Motion carried unanimously.

          Mark Postma, Executive Director of MEDIC Emergency Medical Services, was present at the request of the Board of Health to update the Board on MEDIC activities for Calendar Year 2000. He presented the Board members and staff present with a copy of his Annual Report and reviewed it in detail with the Board and answered questions. Following his presentation and Q & A, the Board thanked Mr. Postma and asked him to discuss with them his request for funding for operations in LeClaire.

          Mr. Postma explained to the Board that the County asked MEDIC EMS to respond to the area assigned to LeClaire Ambulance Service when the State of Iowa suspended LeClaire's license to operate. MEDIC covered the area from their Bettendorf station, but on January 11, 2001, decided to move a vehicle and two staff out to LeClaire for 24 hour, 7 days a week coverage to enhance response times.

          Mr. Postma reported that the cost of providing this service has caused additional financial burden on his organization. Larry Barker stated that he and Glen Erickson, County Administrator are recommending that the County pay MEDIC $5,000.00 a month, retroactive to January 1, 2001, for their services in the LeClaire Ambulance Service area. Prior to this recommendation being authorized, it is necessary to receive Board of Health and Board of Supervisor approval. Following discussion, Mrs. Coiner moved to approve the recommendation to pay MEDIC EMS $5,000.00 a month, retroactive to January 1, 2001, for services in the LeClaire Ambulance Service area, and to continue this funding for as long as services are necessary. Motion seconded by Dr. Keppy. Motion carried unanimously.

          Carol Schnyder discussed the SFY'02 Single County Contract Application (Iowa Department of Public Health Community Services Application for Home Care Aide/Chore, Public Health Nursing, and Senior Health Programs and Board of Health Infrastructure) with the Board, reviewing outcome objectives:

  •  Board of Health Infrastructure Funds

     1.     Conduct a survey of private providers to determine immunization status of Scott County 
             children 2 years of age and under.
     2.     Conduct focus groups among the senior adult population in Scott County about their 
             perceptions of health and senior adults.
  •  

  •  Public Health Nursing Funds
           1.     TB patients receiving drug therapy will demonstrate 90% compliance with medication   
                     regime during FY'02
           2.    90% of preventable maintenance patients will not exhibit preventable side effects of INH
                   therapy as the result of TB patient education during FY'02
  •  Public Health Nursing Tobacco Funds
  •  Maintain or decrease the frequency in which pain interferes with activity or movement for  
     80% of the disease and disabled patients during FY'02
  •  Home Care Aide Funds
  •  Maintain or improve ability to bathe for 75% of home health aide patients during FY'02
  •  Home Care Aide Tobacco Funds
  •  Prevent nursing home placement of 97% or more of total cases during FY'02
  •  Chore Funds
  •  90% of the clients served by the Chore Program will still be in their home at the end of FY'02
  •  Home Care Aide Funds for Protective Services
  •  Prevent out-of-home placement of the children of 96% or more of the families served by the Family
     Life Specialist program during FY'02
  •  Home Care Aide Funds for Court-Ordered Protective Services
  •  Prevent out-of-home placement of the children of 90% or more of the families served by the
     Family Life Specialist Court Ordered program during FY'02

          Following discussion, Mrs. Coiner moved to approve the Single County Contract Application for FY'02. Motion seconded by Dr. Keppy. Motion carried unanimously.

          Following discussion, Dr. Keppy moved to approve and authorize the Director to sign the Memorandum of Understanding with Iowa State University for Mosquito Surveillance. Motion seconded by Mrs. Coiner. Motion carried unanimously.

          Mrs. Coiner moved to approve the staff educational request as submitted. Motion seconded by Dr. Keppy. Motion carried unanimously.

          It was noted that the May Board of Health Meeting date has been changed to Wednesday, May 16, 2001.

          There being no further business before the Board, the meeting adjourned at 1:34 p.m.

Respectfully submitted,

Mary Helfrich
Recording Secretary