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DUPAGE COUNTY BOARD OF HEALTH
Minutes of Meeting
Wheaton, Illinois June 3, 2004
Board Members Present: Scott Cross, Dr. Peter Doris, Gary Grasso,
Linda Kurzawa, Dolores Kopp, William Maio, Jr., Charlie Thurston, Dr.
Robert Walz and Dr. Lanny Wilson
Board Members Absent: Dennis Brennan and Delores Newman
Board Treasurer: John Novak
Executive Director Present: Leland Lewis
Deputy Executive Director Absent: James Hagen, Ph.D.
Executive Staff Present: David Christiansen, Tad Koeune and Pat
Koepp
Health Department Staff Present: Andy Andrews, Barb Gibson, Dave
Hass, John Kling, Linda Munson, Tom Pankow and Debra Schulz
Public Present: Cathy Bozett (Mental Health Advisory Council), Joe
Evans (McGladrey & Pullen Auditors) and Marni Pyke (Daily Herald)
CALL TO ORDER
President Kurzawa called the June Board of Health (BOH) meeting to order
at 6:27PM with nine members present (see above for the quorum).
SUBCOMMITTEE REPORTS
Executive Subcommittee
The Executive Subcommittee met and discussed the agenda items -
transportation issues, Maximus study, and other items that will be
discussed later in the meeting.
Community Health Services (CHS)
Ruth Todd presented the countywide walking program that the Health
Department hopes to kick-off in July. The BOH Members were to get an
entire package on “Get Your Health Kicks on Route 66” however, as the
American Heart Association was approached, it was discovered that another
enterprise that is using this theme has copyrighted the phrase. The name
of CHS’ program has, therefore, been changed and is now entitled, To Get
Healthy Today, Walk the U.S.A.
A short update was given on the walk to the Statue of Liberty.
An update was given to the subcommittee on the WiseWoman program. DCHD is
the pilot site for the State for this particular portion, which is
cardiovascular wellness intervention.
Environmental Health Services (EHS)
The first quarter statistics on restaurant inspections was distributed to
the BOH Members. Each quarter this report will be given to the BOH
Members.
Secondly, EHS received an additional mosquito surveillance grant of $50K
effective July 1, 2004 through June 30, 2006. There have been positive
mosquito traps and EHS has 40 traps set. There have been seven positive
mosquito pools identified and DuPage County is the only county that has
identified any mosquito pools. DCHD’s EHS Unit has tested a positive bird.
The state has 5 positive birds and there has no human cases so far in the
State.
Mr. Grasso stressed to Mr. Koeune that the DCHD should get some positive
press releases on the additional WNV money that has been received. Mr.
Koeune also mentioned that EHS got $15K in pass through money due to the
flooding of the Des Plaines River basin that will benefit the townships of
Burr Ridge and Downers Grove. Clarke will do the larvaciding and will also
be providing the labor and the helicopter at no cost.
EHS fees were also discussed. EHS will bring substantial fee increases to
the BOH at the next meeting. This is the third phase – EHS has increased
fees very substantially in the last two years.
The DCHD’s website on WNV will show where the positive birds and traps
have been found.
Mental Health Services (MHS)
The subcommittee met and discussed several agenda items, i.e., the SASS
contract and the stopping of staff transporting clients in personal
vehicles.
Intergovernmental Transfers (IGT)
Mr. Grasso said the subcommittee is moving into this approach in using the
Medicaid laws and the IGT’s to try to develop a system to provide more
money and services. Dr. Lenihan presented various options that are
available. The subcommittee will be looking at the CHAPs (expanded
hospital payment program), which the City of Chicago has used for one year
and DCHD will try to learn from their experiences and possibly follow.
Another avenue that the subcommittee will be looking into is the FQHC
status of a private application and possibly have a joint application to
make it a public application wherein the reimbursement rates would be
higher. This process will take another 8 to 12 months. There will be an
update at August BOH meeting.
APPROVAL OF MINUTES
Mr. Cross moved for the approval of the May 6, 2004 amended minutes. Dr.
Wilson seconded the motion. Motion passed.
TREASURER’S REPORT
The May beginning balance in Fund 70 was $10,567,637.52. There were
receipts of $1,742,144.18 and expenditures of $2,975,673.75 leaving a
balance of $9,334,107.95. Within a very short period of time there were
distributions for the property taxes into the general fund of
$3,492,416.00; Social Security fund had a distribution of approximately
$535,000; and IRMF account approximately $550,000. The balance therefore
is increased by $4,577,986.57. Interest earnings for the month of May were
$9,501.70. For the YTD, the Health Department is at $79,112.06, which is
ahead of FY03.
Mr. Cross moved to accept the Treasurer’s Report and place on file for
audit. Mr. Grasso seconded the motion. Motion passed.
PUBLIC COMMENTS
There were no public comments.
PRESENTATION OF FY 2003 AUDIT
Mr. Joseph Evans of McGladrey & Pullen presented the audit of the DuPage
County Health Department financial records for FY 2003. Mr. Evans stated
there have been some changes in the auditing rules as a result of Enron
and other companies. In this light, this has been one of the most
comprehensive audits that the Health Department has ever received. This
required the auditors to look into areas that have not been audited
previously. As part of the audit process, there were adjustments made that
have not previously be done. In the future, the auditors have requested
that management make these adjustments, prior to the start of the audit.
Management has a plan to address this issue. Mr. Lewis stated this would
not require additional staff. There were two areas that Mr. Evans brought
to the Board’s attention: 1) Gift certificate program needs to have the
internal controls strengthened; and 2) Accounts Receivable and the
reconciliation process of Accounts Receivable detailed with the general
ledger. This area needs to be in more detail. This will require a change
in DCHD’s system. Nursing staff and clinicians have been preparing
billings and receivables after client visits. It was recommended that this
work be shifted to Business Operations Services.
Discussion was held. President Kurzawa stated that there was also a
recommendation on employee responsibilities and they are shifting to
Business Operations Services’ Unit. The auditors noticed that staff that
are not accountants are doing accounting functions. The auditors feel that
function should be centralized and let the clinicians do their
professional work.
Mr. Maio asked if the gift certificate program was entirely funded through
grants? The answer is yes. Ms. Koepp gave a further explanation of the
gift certificate program.
Mr. Maio moved the Board of Health receive and place on file the DCHD’s
annual audit. Mr. Cross seconded the motion. Motion passed.
The official report and management letters are included with the meeting
minutes.
PRESIDENT REMARKS
President Kurzawa attended the annual board meeting of Access DuPage on
May 12th. Dr. Wilson, our past BOH member Marylou Crane and Mr. Lewis are
also Board members. At the end of their three-year pilot program, the
Board made the decision to continue Access DuPage in 2005. Access DuPage
Board made changes to their Board make-up. One item, which was enclosed in
the BOH package, was a proposed motion to include membership of a BOH
member on the Access DuPage Board.
Discussion was held.
M O T I O N
The DuPage County Board of Health hereby approves one of their members to
be on Access DuPage Board of Directors, as presented.
Mr. Maio moved for approval of the motion. Dr. Walz seconded the motion.
Motion passed.
This is the time of the budget cycle. President Kurzawa has been talking
to the County’s Financial Director and keeping the Chairman apprised.
EXECUTIVE DIRECTORS REPORT
Mr. Lewis welcomed Marni Pyke as the new representative of the Daily
Herald.
Mr. Lewis sent a letter to Dr. David Brailer, who President Bush named as
Coordinator of the National Health Information Technology section. This
appointment was to announce the creation of a national uniform electronic
medical record system. Dr. Brailer will be in Chicago on June 16th to
attend a national meeting and was informed by letter that the DCHD would
be a wonderful alpha site for them to institute an electronic medical
record system. DCHD has solicited the support of Congressmen Hyde and
Hastert, and Congresswoman Biggert. Congressman Hyde’s office has already
contacted Dr. Brailer.
An update on the Maximus Study – the study is moving ahead; a great deal
of material has been presented to Maximus; President Kurzawa and Mr. Lewis
had a meeting with them today and the study is moving right along.
The Village of Addison has tentatively approved the design for the mental
health group home.
Mr. Maio asked the location of the group home and if there was going to be
a groundbreaking ceremony? The property is located at 875 Ardmore,
Addison. President Kurzawa said that yes we could have a groundbreaking
ceremony.
Mr. Lewis is pleased with the May budget numbers that Andy Andrews will
discuss later.
DEPUTY EXECUTIVE DIRECTORS REPORT
President Kurzawa told the BOH that Dr. Hagen has family obligations that
precluded him from attending the meeting. His report was distributed to
the Board of Health members.
The report is included with the official copy of the minutes.
CONSENT ITEMS
PERSONNEL TRANSACTIONS – BUSINESS OPERATIONS SERVICES
All employees hired, excluding on-call and seasonal employees, are filling
vacant budgeted positions. Under Changes of Status, all employees are
filling vacant budgeted positions. Under Separation of employees, one
employee was dismissed, one employee voluntarily resigned, two employees
returned to school, one employee resigned due to family care, two
employees were dismissed while on probation, two employees relocated, and
six on-call and seasonal employees were taken off payroll.
M O T I O N
The DuPage County Board of Health hereby approves the hiring, changes of
status, and separations as listed below, falling within the dates of
03/30/04 and 05/18/04.
The DuPage County Board of Health further authorizes the Personnel Manager
to sign these Status Change forms on behalf of the Board.
FUND TRANSFERS - BUSINESS OPERATIONS SERVICES
Business Operations Services requests the transfer of $20,000 from Regular
Salary to Other Professional Services for medical transcription services.
Business Operations Services requests the transfer of $3,000 from
Technical Supplies, $2,537 from Data Processing Equipment, and $148 from
Other Communication Devices to Other Professional Services for
Bioterrorism Preparedness grant contract.
Mental Health Services requests the transfer of $11,000 from Other
Professional Services to Biologics to cover the increased adult medication
costs.
M O T I O N
The DuPage County Board of Health hereby approves the transfer of funds to
the designated line items in the FY 2004 budget as set forth in Fund
Transfer #04-03.
Mr. Grasso moved for approval of the Consent Items. Mr. Cross seconded the
motion. A roll call vote was taken.
Ayes: Scott Cross, Dr. Peter Doris, Gary Grasso, Dolores Kopp,
Linda Kurzawa, William Maio, Charlie Thurston, Dr. Robert Walz and Dr.
Lanny Wilson
Nays: None
Motion passed.
REAL ESTATE CONTRACT PURCHASE – BUSINESS OPERATIONS SERVICES
At the May Board of Health meeting an Executive Session was held to
discuss the purchase of real estate. Formal action was requested to
authorize the purchase of real estate. The purchase price of the Bruckner
house is $330,000.00.
M O T I O N
The DuPage County Board of Health hereby gives the Executive Director
authorization to purchase the West Chicago property, as presented.
Dr. Wilson moved for approval of the motion. Mr. Cross seconded the
motion. A roll call vote was taken.
Ayes: Scott Cross, Dr. Peter Doris, Gary Grasso, Dolores Kopp,
Linda Kurzawa, William Maio, Charlie Thurston, Dr. Robert Walz and Dr.
Lanny Wilson
Nays: None
Motion passed.
PRESENTATION – UPDATE ON MENTAL HEALTH FEE FOR SERVICES CONTRACTS
Mr. Christiansen gave a report on how the State funded Mental Health
Services up through June 2004 and how they intend to fund MHS after July
1st. Mr. Christiansen pointed out the adjustments that the Unit is making
to accomplish the change.
Last year the State held money back 2% ($155,000) from the unit. Several
weeks ago, the State gave that money to Mental Health Services. The State
is not talking about a hold for next year.
Currently under the State grant system, MHS receives approximately $8M
from DHS in grants. These funds are spread out over several different
programs (RU’s). Then MHS will bill Medicaid on top of the grant that is
given. Standards are set by the grantor as to what is to be done – the DHS
service program book, which is largely evidence-based practice. In prior
years, during the July timeframe MHS went to “The Network” (Elgin
Hospital) and negotiated by RU how many people the unit would serve and
the services to be offered. These items would be reported monthly.
Rule 132 establishes the standards (and audits) for what Medicaid will
reimburse. The State of Illinois reimburses MHS 50%. The State also sets
the rate. This is the only state that maintains this type of system. The
State is going to a fee-for-service and the number of areas that will be
supported by grants have been cut to 15 areas. The State will pay for 100%
of the SASS Wrap Program, Psychiatric and Psychiatric meds program. Lake
County missed doing the Psychiatric Program and cost them $400,000.00 last
year. There is a reduction in Crisis and Residential services. The
probable contract will be for $12,068,711.00. The remaining dollars MHS
will bill up to the caps. This is why the productivity issues are real
crucial.
Separate from this process was the SASS Proposal that was submitted. The
State awarded DCHD the SASS contract. This is not additional revenue; MHS
staff have to earn this money through volume of services provided. This
equates to a $2.4M grant. The total service delivery revenue is
approximately $12M.
The Agency Plan is on negotiated volume. If MHS operated on the volume
delivery, MHS would not make it. The State has not informed DCHD regarding
the Medicaid and the indigent cost. It is between $4M and $3.6M. The Unit
does not want to draw down the indigent pot fast. New clients coming in do
not have Medicaid benefits. MHS screens all the clients coming out of the
hospitals. Previously, there has not been a way to bill Medicaid for these
services.
Today there was a ruling handed down on an interpretation from the State
officials on Medicaid which said if you do “this” and add this form, you
can bill. That is a major impact on keeping the screening services going.
It will also allow MHS additional services to bill for at the Crisis
Center. The other change is the billing of Case Management to Medicaid.
Presently, if the MHS unit bills Case Management now, the Unit would bill
$38 and receive $19. Next year we will get $38 whether we bill Medicaid or
indigent. There will be up-front cash flow support in both the adult and
SASS programs. There is some start-up expenses in the SASS program. Those
expenses taper off in a two-year time period.
Rule 132 allowed more services to be billed as PSR activities. MHS opposed
the bundling of services. They lowered some of the staff training and
educational levels. MHS opposed that also. The MHS Unit started last
November with David Lloyd, a productivity expert. There were two
initiatives: 1) client flow – getting people into the system faster; and
2) reduction of paperwork. There have been 4 teams with 70 staff involved.
They are: 1) Enhanced Cost Effectiveness; 2) Standardized Documentation;
3) Clinical Quality Leadership; and 4) Financial Teams. This involves a
collaborative effort to change the culture in MHS and therefore changing
the direction of MHS. Productivity expectations have been established for
staff. The Enhanced Cost Effectiveness Team is in-charge of this and
incorporated all client flow into a new patient business office model. The
Standardized Documentation Group is working on paperwork reduction and
simplifying the billing form. The CPIT Team measures outcomes for staff.
The expectation is 60.5% of their working time is direct billable time.
The managers have been given a productivity tool to measure the billable
time. When Mr. Christiansen came the staff was at 22%. Now the MHS Unit is
running at 40% and the 60.5 % level, more than meets the fee-for-service
demands. This is where the cultural change comes into play. Staff may be
asked to change their work location; change their patterns of work
everyday and to produce more billable time.
Mr. Maio asked, “How is staff receiving this?” Mr. Christiansen replied
that there is an anticipation that 7% of staff will leave. There is a lot
of turmoil. We are getting the buy-in from staff. The normal attrition
rate is lower than that.
Medication protocols have been given to the doctors – what medicines are
best for the specific diagnosis. There are very good models on these
protocols.
The FIIST Team is working on a patient business office. The proposal the
team wants to roll out is a centralized business office at the Central
Office with staff at each site. Mr. Christiansen has offered 8 current
employee slots to start the process. This office would do billing and
collections but also check for the eligibility of new clients. One other
item that will be instituted is a centralized scheduling system. This will
schedule not only clients but also staff.
The impact is that there are a lot of changes especially on staff.
Decisions will be made about some programs but it will not be a cause for
more County tax dollars. MHS will expect the same level of tax dollars as
in the prior years. The bottom line is that MHS will serve more clients
more efficiently.
The last item Mr. Christiansen covered was the billable hours by
physicians and what the services were. See the chart attached to the
minutes.
DUPAGE COUNTY HEALTH DEPARTMENT POLICY NUMBER 216 TRANSPORTATION
REQUIREMENTS – BUSINESS OPERATIONS SERVICES
As requested by the DuPage County Board of Health, the current policy
regarding transportation, Policy No. 216, has been revised. Effective
immediately, employees in the performance of their assigned duties shall
not transport clients in their own automobiles. Transportation of clients
shall only be done in Health Department-owned vehicles.
Further, employees who are required to provide their own personal
automobiles shall possess a valid driver’s license and carry automobile
liability insurance at all times at their own expense. Employees will be
required to show proof of a valid driver’s license and liability insurance
at the time of employment and must notify their supervisor immediately
should they not be able for any reason to fulfill their job requirement at
all times during employment.
Further, any approved driver of Health Department-owned vehicles must
notify their supervisor immediately of a loss of a valid driver’s license.
The Board of Health was requested to approve the above changes in Policy
No. 216 which will take effect immediately.
M O T I O N
The DuPage County Board of Health hereby approves the changes in Policy
No. 216, as presented.
Discussion was held. It was suggested that in the second to the last
paragraph first sentence “and carry liability insurance” be changed to
state …and “provide proof of automobile liability insurance” and a new
last paragraph be added: “The Health Department shall randomly check 20%
of existing employees each year for current valid driver’s license and
liability insurance.”
Mr. Maio moved for the approval of the amended motion. Mr. Cross seconded
the motion. Motion passed. President Kurzawa said this will be
communicated to the employees that there will be random checks. Mr. Maio
stated that immediate dismissal for failure to be able to produce this
coverage and a current driver’s license is not proper. The statement
should read “up-to and including dismissal through appropriate
disciplinary guidelines”. All agreed.
STATE OF ILLINOIS EMPLOYMENT BACKGROUND CHECKS – BUSINESS OPERATIONS
SERVICES
As per the request of the Board of Health, information has been obtained
regarding the options available to purchase criminal background checks on
all Health Department new hires. Three options are available:
• Illinois State Police
• Verify
• Background Network
The Department is currently required for certain mental health staff to
obtain criminal background checks in accordance with the Health Care
Worker Background Check Act. These checks are currently obtained from the
Illinois State Police.
It was recommended that criminal background checks be performed on all
employees at their time of hire. Since the current Illinois State Police
background checks meet the minimum requirements, are reasonably complete,
and are available within 24 hours - which would not hamper the hiring
process, this choice meets all of the Department’s present needs. The
Board of Health was requested to approve performing criminal background
checks on all new employees at their time of hire using a State of
Illinois recognized and licensed service that is in the business of
providing such services. If adopted, this policy will be implemented
immediately and formalized in a written policy, which would be presented
for formal approval at the next Board of Health meeting.
Discussion was held.
M O T I O N
The DuPage County Board of Health hereby approves criminal background
checks be performed on all employees at the time of hire using the
Illinois State Police, as presented.
Dr. Wilson moved for the approval of the motion. Mr. Grasso seconded the
motion. Motion passed.
DUPAGE COUNTY HEALTH DEPARTMENT POLICY NUMBER 460 – VEHICLE
REPLACEMENT – BUSINESS OPERATIONS SERVICES
In order to assure that DuPage County Health Department owned vehicles are
utilized to their potential, the Board of Health was requested to adopt
the attached Business Operations Services Policy No. 460, Vehicle
Replacement. This policy follows the guidelines established by the DuPage
County vehicle replacement policy.
M O T I O N
The DuPage County Board of Health hereby adopts Policy No. 460, Vehicle
Replacement, as presented.
Dr. Wilson moved for the approval of the motion. Mr. Cross seconded the
motion. Motion passed.
FY04 SIX MONTH BUDGET UPDATE – BUSINESS OPERATIONS SERVICES
Andy Andrews, Financial Manager, presented the status of the FY04 Budget.
For the first six-month period in FY04, the DuPage County Health
Department has made 40.2% of their revenue forecast. In 3-4 days, the
DuPage County Health Department will be receiving the property tax
distribution. Revenues will then be at the 50% level. The expenses are at
46.4% of the budgeted expense figure.
BUDGET GUIDELINES FY05 – BUSINESS OPERATIONS SERVICES
Business Operations Services requested guidance from the Board of Health
in establishing guidelines for the preparation of the Department’s Fiscal
Year 2005 budget.
Proposed budget guidelines were presented for discussion. Mr. Grasso
stated that he would like to see the Contingency Fund be fully funded at
$250,000. The Board agreed. That bullet point will be added to the
guidelines.
APPROVAL FOR LANDLINE TELEPHONE SERVICE – BUSINESS OPERATIONS
SERVICES
DuPage County Health Department currently utilizes DuPage County’s
telephone provider for Health Department telephone service. Discussion
with DuPage County regarding upcoming changes in the County’s landline
telephone service prompted the Health Department to investigate costs for
landline telephone service independent from the County system. Currently
the Health Department utilizes 77 Centrex lines provided by the County’s
bid supplier, SBC. Current total monthly costs are approximately $7,000
per month, or $84,000 per year.
Both the proposed County system and the proposed Health Department system
will no longer utilize Centrex lines but, instead, will implement a newer
technology, the T-1 PRI. This new configuration will provide the capacity
that was available on the 77 lines Centrex system but will be
significantly less expensive. Three T-1’s will be used for all incoming
and outgoing telephone service. A one-time expenditure of approximately
$5,200 will be needed to modify the Health Department system to accept
T-1’s. This expenditure would need to take place to accommodate any
proposed vendor, including the County’s proposal. No Health Department
current telephone numbers will need to be changed.
Bids for a three-year contract for landline telephone service were sent to
four suppliers. Additionally, a proposal was received from DuPage County
to add the Health Department usage to their new system. Four suppliers
responded. Bid results indicated significant cost savings would be
achieved if the Health Department would contract with a telephone provider
other than the County supplier, SBC.
Staff recommended that the bid to provide landline telephone service to
the Health Department be awarded to XO Communications. XO Communications
is a direct provider of telephone service. XO has their own line system
and are not reselling lines that are leased from SBC. XO Communications is
a national company that has been in business for 10 years. Base monthly
service costs would be $525.00 per each T-1 PRI line for a total monthly
cost of $1,575.00 or $18,900 per year. This cost translates into a yearly
savings of about $65,000 over current expenditures, excluding the one time
charge of $5,200.00.
M O T I O N
The DuPage County Board of Health hereby awards the purchase of landline
telephone service to XO Communications for a base monthly cost of $525.00
for each of three T-1 PRI lines for a period of three years.
Furthermore, the Board authorizes and directs its Executive Director to
sign all documents to complete this purchase.
Dr. Wilson moved for the approval of the motion. Dr. Doris seconded the
motion. Discussion was held. A roll call vote was taken.
Ayes: Scott Cross, Dr. Peter Doris, Gary Grasso, Dolores Kopp,
Linda Kurzawa, William Maio, Charlie Thurston, Dr. Robert Walz and Dr.
Lanny Wilson
Nays: None
Motion passed.
APPOINTMENTS TO THE MENTAL HEALTH ADVISORY COUNCIL – MENTAL HEALTH
SERVICES
The Mental Health Advisory Council requested the Board of Health to
consider the reappointments of two members to the Mental Health Advisory
Council. The individuals being submitted for reappointments are Eliane G.
Stefango and Sidney Weissman. Copies of their resumes are attached.
The Mental Health Advisory Council requested the Board of Health to also
consider the appointment of one new member to the Mental Health Advisory
Council. The individual being submitted for a new appointment is Augusta
R. Clarke. The addition of this member will bring the total Advisory
Council membership to fourteen.
The terms for all three candidates will begin July 1, 2004 through June
30, 2007.
M O T I O N
The DuPage County Board of Health hereby approves the appointment of
Augusta Clarke and the reappointments of Eliane Stefango and Sidney
Weissman to the Mental Health Advisory Council, as presented.
Mr. Thurston moved for the approval of the motion. Dr. Wilson seconded the
motion. Motion passed.
FUNDING, PLANNING, TRAINING and EXERCISING CONTRACT AGREEMENTS – BOARD OF
HEALTH
The DuPage County Board of Health was requested by the DuPage County
Health Department for the authority to formally transfer the payment of
$45K to DuPage County, Office of Homeland Security, to pay for
bioterrorism training, extend the existing contracts and to fund
additional contracts for bioterrorism planning.
DuPage County Health Department
Resolution
(BOH #04-001)
Funding Emergency Planning, Training, and Exercising Contracts
Agreement Board of Health
WHEREAS, the DUPAGE COUNTY HEALTH DEPARTMENT is statutorily charged
to respond to public health emergencies including those that may be
man-made or terrorist-created; and
WHEREAS, the DUPAGE COUNTY HEALTH DEPARTMENT has received funds
from the Centers For Disease Control through the Illinois Department of
Public Health, to prepare plans to prepare for various public health
emergencies; and
WHEREAS, DUPAGE COUNTY is empowered and has the duty to provide for
emergency management and to cooperate and coordinate with State and
Federal officials in emergency, disaster and public health emergency
situations including man-made or terrorist-created incidents; and
WHEREAS, DUPAGE COUNTY has received funds from the Federal
Emergency Management Agency, through the Illinois Emergency Management
Agency, to assist in the development of plans and procedures designed to
increase public safety; and
WHEREAS, in fulfillment of its duties aforesaid, DUPAGE COUNTY,
through its Office of Homeland Security and Emergency Management has
entered into various emergency planning, training and exercising contracts
designed to prepare DuPage County and its municipalities to deal with the
effects of a range of disasters including bioterrorism; and
WHEREAS, it is in the best interest of the people of the County of
DuPage that the consulting contracts extend through August, 2004; and
WHEREAS, DUPAGE COUNTY is currently funding these contracts through
grants that will expire on June 30, 2004; and
WHEREAS, the DUPAGE COUNTY HEALTH DEPARTMENT has monies available
to continue funding the contracts through August 30, 2004;
NOW THEREFORE BE IT RESOLVED, that the County of DuPage and the
DuPage County Health Department will both receive the benefits of the
aforementioned consulting contracts and DUPAGE COUNTY and the DUPAGE
COUNTY HEALTH DEPARTMENT will share the costs of the contracts with DuPage
County paying with its grant funds through June 30, 2004 and the DuPage
County Health Department paying with its grant funds through August 30,
2004.
NOW THEREFORE, in consideration of the mutual agreements and
covenants contained in this RESOLUTION AGREEMENT, DUPAGE COUNTY and the
DUPAGE COUNTY HEALTH DEPARTMENT agree as follows:
THE DUPAGE COUNTY HEALTH DEPARTMENT will provide grant funds in the amount
of $45,400.00 to DUPAGE COUNTY to extend the following existing contracts
and fund additional contracts entered into by the Office of Homeland
Security and Emergency Management. Said funds will be divided and added to
each of the existing and additional contracts as necessary to complete the
development of plans, training and exercise programs.
S11226 John Phillabaum
S11128 Dr. Michael Fagel
S11354 Marta Bliech
S11352 Patricia Hayden
S11353 D3 Inc
This AGREEMENT shall be effective upon the date of approval and shall
remain in effect until such time as the AGREEMENT is terminated by either
party upon (30) days written notice.
BE IT FURTHER RESOLVED, that the Secretary transmit copies of this
RESOLUTION AGREEMENT to the Treasurer, Finance Director, Office of
Homeland Security and Emergency Management, and the County Board.
IN WITNESS WHEREOF, the DUPAGE COUNTY HEALTH DEPARTMENT has hereby
caused this AGREEMENT to be executed on the date below.
Dr. Wilson moved for the acceptance of the resolution. Mr. Cross seconded
the motion. The signed resolution was approved and is included with the
official copy of the minutes.
PREVAILING WAGE RATE – BUSINESS OPERATIONS SERVICES
The State of Illinois has enacted “An ACT regulating wages of laborers,
mechanics and other workers employed in any public works by the State,
County, City or any public body or any political subdivision or by anyone
under contract for public works.
The Act requires that the DuPage County Health Department investigate and
ascertain the prevailing rate of wages as defined in the Act for laborers,
mechanics and other workers in the locality DuPage County Health
Department has employed such personnel in performing construction of
public works, for the DuPage County Health Department.
The attached resolution and Exhibit A were presented for approval to be in
compliance with the terms of the Act.
Dr. Wilson moved for the acceptance of the resolution. Ms. Kopp seconded
the motion. Motion approved.
PRESENTATION – TUBERCULOSIS
Dr. Chugh gave a presentation on the current status of TB. All handouts
are included in the official minutes of the meeting.
Mr. Maio discussed the demographics of DuPage County and questioned TB of
the current Indian population. Dr. Chugh stated that the majority of
foreign-borne cases are not necessarily the TB cases in patients that
recently immigrated. It is actually in patients that have been here for at
least five years, but frequently visit their country of origin. It is also
U.S. born who travel and have increased exposure at a global level. Dr.
Chugh continued saying that the Indian population is the fastest growing
ethnic population in DuPage County.
EXECUTIVE SESSION
M O T I O N
The DuPage County Board of Health, in compliance with the provisions of
the Open Meeting Act, declare this portion of its regularly scheduled
meeting closed to the public for the purpose of consideration of
information regarding the appointment, employment, or dismissal of an
employee or officer.
Mr. Cross moved for the acceptance of the motion. Mr. Maio seconded the
motion. A roll call vote was taken.
Ayes: Scott Cross, Dr. Peter Doris, Gary Grasso, Dolores Kopp,
Linda Kurzawa, William Maio, Charlie Thurston, Dr. Robert Walz and Dr.
Lanny Wilson
Nays: None
Motion passed.
The meeting went into closed session at 8:40 PM.
The meeting reconvened at 8:50 PM.
PERSONNEL MATTERS – BOARD OF HEALTH
M O T I O N
The DuPage County Board of Health hereby approves a 2.5% merit increase
for the Executive Director to be awarded in June, 2004.
Mr. Maio moved for the approval of the motion. Dr. Wilson seconded the
motion. A roll call vote was taken.
Ayes: Scott Cross, Dr. Peter Doris, Gary Grasso, Dolores Kopp,
Linda Kurzawa, William Maio, Charlie Thurston, Dr. Robert Walz and Dr.
Lanny Wilson
Nays: None
Motion passed.
M O T I O N
The DuPage County Board of Health hereby approves a 2.5% merit increase
for the Deputy Executive Director to be awarded in June, 2004.
Mr. Grasso moved for the approval of the motion. Mr. Cross seconded the
motion. A roll call vote was taken.
Ayes: Scott Cross, Dr. Peter Doris, Gary Grasso, Dolores Kopp,
Linda Kurzawa, William Maio, and Dr. Robert Walz and
Nays: Charlie Thurston and Dr. Lanny Wilson
Motion passed.
Mr. Maio moved that the meeting be adjourned. Mr. Grasso seconded the
motion. The meeting was adjourned at 8:57 PM.
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