HARRISON COUNTY BOARD OF HEALTH MINUTES. Roll Call: BOH members Vern Henrich, Dr. Jack Gochenour and Robert Smith. Dr. Carrie Grady, absent.

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1 HARRISON COUNTY BOARD OF HEALTH MINUTES Date: March 23, 2010 Meeting called to order by Robert Smith at 6:45 PM. Roll Call: BOH members Vern Henrich, Dr. Jack Gochenour and Robert Smith. Dr. Carrie Grady, absent. BOH employees: Nicole Carritt, Matt Pitt, Kathy Baer and Kristi Rife. Motion made by Dr. Jack Gochenour to approve the agenda as presented. Seconded by Vern Henrich all ayes motion carried. Motion made by Dr. Jean Griesel to approve the January 18, 2010 minutes as presented. Seconded by Vern Henrich all ayes motion carried. SANITARIAN REPORT: 1. FY11 budget revised to reflect a 3% wage increase. 2. Matt has been asked to be placed on the ballot to serve as secretary for the Iowa Environmental Health Association. Board was supportive of this. HOMEMAKER REPORT: 1. FY11 budget revised to reflect a 3% wage increase. 2. Homemaker agency currently has five full time and five part time employees. 3. Diane Anderson, State Consultant, came in March for a compliance review. Kathy has been working on a few changes to meet the standards required for the state grant. 4. Currently have 100 clients. Kathy has asked Southwest 8 for the same funding as last fiscal year.

2 5. Kathy informed the Board there was some concern about the on call pay being to low. Currently the on call aide is paid $10 a day (Saturday and Sunday) for carrying a pager. Board questioned Kathy on how often this service was used and after discussion the Board questioned whether or not it was actually a necessary expense. Kathy then asked Nicole Carritt, Administrator, if she felt if was necessary to have an on call aide as the home health aide services are contracted by the Home and Public Health Agency. She did not feel this would be a concern. The Board then agreed this service should be eliminated. Dr. Jack Gochenour made a motion to discontinue the on call program and the pager expense. Seconded by Vern Henrich all ayes motion carried. PUBLIC HEALTH NURSING REPORT: 1. Nicole presented the performance measure for the Local Public Health Services Contract. After reviewing, Dr. Jack Gochenour made a motion to approve the performance measure as presented. Seconded by Vern Henrich - all ayes motion carried. 2. Nicole requested the Board s approval to apply for the LPHSC state grant funds for FY11. Motion made by Vern Henrich to apply for the funds. Seconded by Dr. Jack Gochenour all ayes motion carried. 3. FY11 budget revised to reflect a 3% raise increase. 4. Staff update given. Diane Meeker, RN, was hired March 1, 2010 as a full time home health nurse. 5. Agency update handed out and discussed regarding programs and funding. I-Smile school dental screening report presented. 6. Nicole informed the Board that the cost report for FY09 reflected a cost of $ for a skilled nursing visit. Currently the charge for a skilled nursing visit is $ After discussion the Board and Nicole felt the charge should be increased to $ Vern Henrich Made a motion to increase the charge for a skilled nursing visit to $ effective July 1, Seconded by Dr. Jack Gochenour all ayes motion carried. 7. Dr. Jack Gochenour made a motion to accept the updated fee for services policy as presented in the Advisory Board meeting which changes the home care aide charge from $48 a visit to $48 an hour. Seconded by Vern Henrich all ayes motion carried.

3 Motion made by Dr. Jack Gochenour to accept the revised budgets with the 3% salary increase as presented by each department. Seconded by Vern Henrich all ayes motion carried. Motion to adjourn meeting made by Dr. Jack Gochenour. Seconded by Vern Henrich all ayes motion carried. Meeting adjourned at 7:55 PM. Robert Smith, Chairman Kristi Rife, Recording Secretary

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