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DUPAGE COUNTY BOARD OF HEALTH
Minutes of Meeting
Wheaton, Illinois September 9, 2004
Board Members Present: Dennis Brennan, Scott Cross, Dr. Peter
Doris, Gary Grasso, Linda Kurzawa, Dolores Kopp, William Maio, and Dr.
Lanny Wilson
Board Members Absent: Delores Newman, Charlie Thurston, and Dr.
Robert Walz
Board Treasurer: John Novak
Executive Director Present: Leland Lewis
Deputy Executive Director Absent: James Hagen, Ph.D.
Executive Staff Present: David Christiansen, Pat Koepp and Tad
Koeune
Health Department Staff Present: Rose Armbrust, Greg Buchiet,
Jessica Gerdes, Barb Gibson, Dave Hass, John Kling, Mary Lally, Susan
Miller, Linda Munson, Tom Pankow, Mary Prignano, Susanna Roberts, Claudia
Smogur, Gary Sooter and Jane Wu
Public Present: Tania Becke (UIC-SPH), Cathy Bozett (Mental Health
Advisory Council), Erich Henderson (NIU), Robert Johnson, Carol Scinto and
Leonard Scinto (all representing NAMI)
CALL TO ORDER
President Kurzawa called the August Board of Health (BOH) meeting to order
at 6:27 PM with eight members present (see above for the quorum).
SUBCOMMITTEE REPORTS
Executive Subcommittee
The Executive Committee met and discussed the agenda items.
Community Health Services (CHS)
The CHS subcommittee met and Doris Ferry, Senior Public Health Nurse who
completed her masters in public health, gave a presentation. The
presentation was on her research project, health literacy.
The subcommittee also discussed the article in the Chicago Tribune
regarding chickenpox vaccine. Due to the implementation of the vaccine,
there has been a $100M decrease in hospital cost. In 1993, two years prior
to the government licensing the vaccine for routine use in early
childhood, nearly 14,000 Americans were hospitalized due to chickenpox
related complications at a cost of $161M compared now to 3,700 cases and
$66M in cost. Dr. Chugh’s letter specific to DuPage County experience with
the chickenpox vaccinations was included in the BOH Members’ packets.
There was an update given on pertussis. Normally in DuPage County, there
are 8 – 10 cases of pertussis per year. This year DuPage County has had 8
cases through May and 33 cases from June to August. Blast faxes have been
sent to over 1,300 physicians in DuPage County.
Environmental Health Services (EHS)
The IPLAN Indoor Air Program was discussed at the subcommittee meeting.
Also discussed was another groundwater contamination project at Suburban
Estates in the Woodridge area. This contamination is associated with
Lockformer. There are 108 homes involved. The Ellsworth Industrial Park
area project is near completion. There have been 706 homes that have
connected to Lake Michigan water.
There was a death in DuPage County last month due to West Nile Virus. The
death was a 58-year-old Carol Stream man. It was the only death in the
State due to WNV. There are three new cases in DuPage County.
The last issue discussed was the fee increases that were approved at the
last BOH meeting. These fees will go to Health and Human Services
Committee on 9/14/04.
Mental Health Services (MHS)
Mr. Christiansen thanked Dr. Doris and Ms. Kopp for attending a
tour of our facilities and programs. Mr. Christiansen offered to provide
that service to any BOH Member.
MHS subcommittee covered some agenda items.
The DCHD has been chosen as a pilot sight for fee for service. MHS can go
live as soon as the State is ready; SASS is live now. MHS is approximately
4 months ahead of other health departments.
The subcommittee discussed FEMA and the bad weather in Florida. MHS has
three staff that have been trained by FEMA and have had two staff in
Florida for ten days and one staff person for seven days. All expenses are
paid for by FEMA. The DCHD is getting direct incident command training in
dealing with situations that we might have here at some time.
There is a developing problem situation whereas MHS went for ten days
without having any hospital capabilities recently both at our community
hospitals or Elgin. MHS is calling a meeting with the hospitals to define
the responsibilities of the hospitals when some of the clients show up on
their doorsteps. Mr. Christiansen invited BOH Members to attend the
meeting.
A handout was given to the BOH Members on MHS Volunteer Program.
Intergovernmental Transfers (IGT)
Mr. Grasso gave a summary of the IGT Subcommittee meeting. There were some
setbacks in the State’s budgetary process over the summer. The committee
determined that the subcommittee would try to approach other areas in the
State that are interested in IGTs and team up with them to get legislation
that is needed for the proper funding to finance these IGTs.
There was a meeting with Glen Oaks Hospital to work with them in obtaining
an IGT. Also discussed were the continuing efforts to formulate FQHCs
using a combination of public and private leadership to develop another
FQHC in DuPage County.
APPROVAL OF MINUTES
Mr. Cross moved for the approval of the August 5, 2004 minutes. Dr. Doris
seconded the motion. Motion passed.
TREASURER’S REPORT
The August beginning balance in Fund 70 was $12,857,587.85. There were
receipts of $3,636,017.89 and expenditures of $3,080,849.99 leaving a
balance of $13,412,755.75. Interest earnings for the month of August were
$15,447.30. For the YTD, the Health Department is at $124,751.16 which is
far ahead of last year’s earnings.
Mr. Cross moved to accept the Treasurer’s Report and place on file for
audit. Dr. Wilson seconded the motion. Motion passed.
RESOLUTION HONORING ROBERT G. JOHNSON – PAST MEMBER – MENTAL HEALTH
SERVICES ADVISORY COUNCIL
The DuPage County Board of Health is pleased to acknowledge the dedicated
service and contributions of Robert G. Johnson during his tenure on the
Mental Health Services Advisory Council. His active involvement on the
Mental Health Services Advisory Council has helped to foster a new
understanding for the needs of the community.
The signed resolution is attached to the official copy of the minutes.
President Kurzawa requested that Agenda Item 11.a be moved to follow the
above resolution.
PUBLIC COMMENTS
The BOH heard public comments from Cathy Bozett regarding mental health
funding.
PRESENTATION OF MAXIMUS STUDY – BOARD OF HEALTH
President Kurzawa introduced Kathy Selcke, Chief Deputy to the County
Board Chairman, Fred Backfield, the DuPage County’s Chief Financial
Officer, and Robert Heap, Chairman of the DuPage County’s Finance
Committee and a DuPage County Board Member from District #5. Mr. Heap
stated the purpose of the Maximus study was to start a communication
between the BOH and the County Board. Even though things are going well at
the Health Department, the County is facing some economic realities and
these realities are going to get more difficult to continue to do the
things that have been previously done without an infusion of more money or
re-prioritizations of present programs.
In the next three years, the Health Department is going to be faced with
more financial difficulties. The County hopes that the efforts can be
integrated and the Health Department can work with the Chairman in his
preparation of the budget so that we can all work together to solve these
difficult financial issues.
Ms. Selcke stated that she is very interested in looking at all the
programs DuPage County has and how we are going to move forward with the
vision and the future and where the County wants to be in five years.
Mr. Heap introduced Bruce Cowans, Vice President of Maximus.
The DuPage County Board commissioned Maximus to perform an in-depth
analysis of the DCHD to increase the Health Department’s revenues and to
improve the quality of discussion about policy choices within the Health
Department. The DCHD needs to maximize available resources to meet
critical needs and do so productively and efficiently. The Board of Health
must make decisions regarding how to apply limited resources to meet the
essential needs of the County’s residents. Community Health Services was
characterized as high-volume, low intensity services focusing on
prevention and treatment of existing and short-term conditions. Mental
Health Services was characterized as low-volume, high intensity services
focusing on long-term maintenance of client functionality. (Environmental
Health Services was not examined as part of this analysis.) Programs that
the Health Department classifies as “mandates” may not be considered as
mandates by other Illinois health departments although these programs are
often programs that peer counties offer. The interpretation of “mandated
programs” needs further investigation. Outcomes assessments, even if
subjective, will improve the quality of the budget discussions.
There was a question and answer period.
President Kurzawa stated to make good sound decisions in the program
areas, the Planning Department must do programs evaluations and their
findings presented to the Board of Health.
The Maximus report is filed with the official copy of the minutes.
President Kurzawa thanked the guest for coming and the County for the
support they have given us. To the Board and Staff, President Kurzawa
stated she takes her responsibility to advocate for the dollars and for
the services, very seriously. The information given to the Board at the
Retreat regarding the 20% growth increase over the next three years, in
her dual capacity as a County Board Member and BOH President, was alarming
enough that she felt early in the process it was important, especially
since the Health Department has a new budget team, to allow the Chairman
of the Finance Committee and the Chairman of the County Board know that
there were issues approaching that were going to require some significant
debate.
PRESIDENT REMARKS
President Kurzawa introduced Michael Kiep, the new Business Operations
Manager whose position was co-funded with the County. Mr. Kiep is working
with this budget team. If the BOH Members have any Business Operations
questions they should be directed to Mr. Kiep.
In the Board Members’ packet was Press Publications an article entitled
Access for Healthcare for All that throughout the County on Thursday.
EXECUTIVE DIRECTOR’S REMARKS
Mr. Lewis passed on his remarks.
CONSENT ITEMS
PERSONNEL TRANSACTIONS – BUSINESS OPERATIONS SERVICES
All employees hired, excluding contractual and on-call employees, are
filling vacant budgeted positions. Under Changes of Status, all employees
are filling vacant budgeted positions. The Changes of Status have not
caused any increase in the budget. Under Separation of Employees, four
employees accepted other positions, one employee died, two employees
relocated, one employee retired, two employees returned to school, and
seven on-call 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
07/07/04 and 09/03/04.
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 $5,000 from Data
Processing Service to Data Processing Equipment non-capital for the
upgrades of graphic software.
Business Operations Services requests the transfer of $20,000 from
Personnel to Other Professional Services for IGT consulting services.
Business Operations Services requests the transfer of $15,000 from
Personnel to Dues & Memberships for Northern Illinois Consortium
membership dues.
Business Operations Services requests the transfer of $40,000 from
Personnel to Office Machines for the setup of seven Patient Business
Office sites.
Environmental Health Services requests the transfer of $5,000 from
Personnel to Photo Services for microfilming of well and septic files.
Mental Health Services requests the transfer of $150,000 from Medical
Services, Care & Support, Other Professional Services and Personnel to
Drugs/Vaccines to help to cover the payment of increased medication
expense.
Other fund transfers are requested to re-allocate budgeted dollars in
various accounts to properly reflect planned expenditures.
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 #06-04.
POSITION LIST ELIMINATION – DIRECTOR OF BUSINESS OPERATIONS SERVICES –
BUSINESS OPERATIONS SERVICES
The vacant Director of Business Operations Services position is no longer
necessary due to the hiring of the Budget and Administrative Operations
Manager position.
The DuPage County Board of Health was requested to eliminate this
position.
M O T I O N
The DuPage County Board of Health hereby eliminates the Director of
Business Operations Services position, as presented.
Mr. Cross moved for the approval of the consent items. Dr. Wilson seconded
the motion. A roll call vote was taken.
Ayes: Dennis Brennan, Scott Cross, Dr. Peter Doris, Gary Grasso,
Dolores Kopp, Linda Kurzawa, William Maio, and Dr. Lanny Wilson
Nays: None
Motion passed.
OLD BUSINESS
IPLAN INDOOR AIR QUALITY PROGRAM – ENVIRONMENTAL HEALTH SERVICES
Mr. Koeune presented the summary of activities of the IPLAN initiative -
Indoor Air Quality. See the attached report with the official copy of the
minutes.
After a question and answer period, Mr. Koeune recommended to the Board of
Health to discontinue the program.
M O T I O N
The Board of Health hereby accepts staff’s recommendation and approves the
elimination of the Indoor Air Quality Program IPLAN initiative effective
11/30/04 and position #210021 and position #27000 as presented.
Mr. Maio moved for the approval of the motion. Mr. Grasso seconded the
motion. A roll call vote was taken.
Ayes: Dennis Brennan, Scott Cross, Dr. Peter Doris, Gary Grasso,
Dolores Kopp, Linda Kurzawa, William Maio, and Dr. Lanny Wilson
Nays: None
Motion passed.
PRESENTATION OF REVISED ANNUAL FEE SCHEDULE – BUSINESS OPERATIONS
SERVICE
The DuPage County Board of Health policy requires that all fees be
reviewed and updated, if necessary, at least annually and that the Board
of Health be notified of any new fees or changes prior to implementation.
In compliance with this policy, a revised FY05 Schedule of Services and
Fees was presented. Fees shown in red indicate changes that needed to be
approved. (The proposed fees are included with the official copy of the
minutes.)
M O T I O N
The DuPage County Board of Health hereby approves the changes to the FY05
Fee Schedule, as presented.
Mr. Maio moved for approval of the motion. Mr. Cross seconded the motion.
A roll call vote was taken.
Ayes: Dennis Brennan, Scott Cross, Dr. Peter Doris, Gary Grasso,
Dolores Kopp, Linda Kurzawa, William Maio, and Dr. Lanny Wilson
Nays: None
Motion passed.
REVISED APPROVAL FOR PURCHASE OF COMPUTER EQUIPMENT – BUSINESS
OPERATIONS SERVICES
The DuPage County Health Department budgeted for the purchase of various
computer items. A formal bid was prepared. The Board approved and awarded
this bid at its August board meeting. Since the bid award, two suppliers
have rescinded sections of the bid. Micro City and PC Plus have rescinded
sections of their bids. The DuPage County States Attorney was consulted
and advised the Health Department to award the rescinded sections of the
bid to the next lowest bidder. Recommendations for award of these sections
are as follows:
Network File Servers – Section II SSI $63,874.00
Printers – Section VII Info Serve Tech $ 9,941.00
These changes will result in an additional expenditure of $2,597, which is
available in the FY04 budget.
M O T I O N
The DuPage County Board of Health hereby awards the purchase of computer
equipment from the following suppliers in the amounts noted.
Network File Servers – Section II SSI $63,874.00
Printers – Section VII Info Serve Tech $ 9,941.00
Furthermore, the Board authorizes and directs its Executive Director to
sign all documents to complete this purchase.
Business Operations Services requests the Board of Health approve the
additional expenditure and award the bid for Network File Servers and
Printers to SSI and Info Serve Technology, respectfully.
Dr. Wilson moved for the approval of the motion. Mr. Brennan seconded the
motion. A roll call vote was taken.
Ayes: Dennis Brennan, Scott Cross, Dr. Peter Doris, Gary Grasso,
Dolores Kopp, Linda Kurzawa, William Maio, and Dr. Lanny Wilson
Nays: None
Motion passed.
NEW BUSINESS
M O T I O N
The DuPage County Board of Health moved to combine Agenda Items #11c,d, e,
g and h.
Dr. Doris moved for the approval of the motion. Dr. Wilson seconded the
motion. Motion passed.
POSITION LIST ADDITIONS – RESIDENTIAL SUPPORT STAFF – MENTAL HEALTH
SERVICES
Mental Health Services requested the DuPage County Board of Health approve
the addition of nine (9) residential support staff (Level 107, Midpoint
Annual Salary $24,167) to provide nighttime coverage and supervision at
the six 24-hour supervised group home sites.
These positions will perform data entry and record reviews, provide backup
to MHS intake functions, as well as group home safety inspections,
cleaning, and other site related functions. Individuals, currently under
contract with the Health Department, provide 24-hour coverage although
they are not required to be awake during the nighttime period. Currently,
in return for being on-site overnight, the contracted individuals live
on-site for no charge. These new positions, if approved, will not live
on-site.
It has also, in recent years, become increasingly more difficult to
recruit qualified individuals to live in the group homes and be on-site
overnight. These new positions should increase our ability to find staff
to fill these positions.
The Board of Health was requested to approve the hiring of nine (9)
Residential Support Staff, as presented. The hiring of these staff will
increase headcount by nine (9) and the cost of the positions would be
covered by fee for service.
M O T I O N
The DuPage County Board of Health hereby approves the hiring of nine (9)
Residential Support Staff, as presented.
POSITION ELIMINATIONS – PARTNERSHIP FOR BEHAVIORAL HEALTH – MENTAL
HEALTH SERVICES
Central DuPage Health has provided funding for the Partnership for
Behavioral Health Program for the past three (3) years. This has been an
excellent collaboration between a number of community partners. Much has
been accomplished in the area of mental health depression. A final report
was presented to the Board of Health at the end of the meeting. Since the
funding for this program has reached the end of the grant period, the
program is being discontinued. Three (3) vacant positions were eliminated.
The remaining filled positions will be eliminated in approximately ninety
(90) days when the last of the funding will be used.
The Board of Health was requested to eliminate the following vacant three
(3) positions:
Position # 108016 Administrative Clerk III
Position # 205002 Mental Health Worker
Position #207002 Clinician/Consultant
M O T I O N
The DuPage County Board of Health hereby eliminates the three (3) vacant
positions, #108016, #205002 and #207002, as presented.
POSITION LIST ADDITIONS – TOBACCO PROGRAM – COMMUNITY HEALTH SERVICES
Community Health Services requested to hire two (2) full time (37.5 hours
per week) Health Educators (Level 207, Midpoint Annual Salary $47,780) and
one (1) part-time (30.0 hours per week) Health Educator (Level 207,
Midpoint Annual Salary $47,780) in order to resume program activities in
the Tobacco Prevention & Control Program. These positions were placed on
layoff July 2, 2004, when tobacco funding ended for the State fiscal year.
Upon receipt of the FY05 Tobacco Grant from the State in the amount of
$311,696.00, one (1) full time Health Educator was recalled from the
layoff, but the other full time Health Educator took another position.
The Board of Health was requested to approve the hiring of the above
positions, as presented, which will increase headcount by three (3).
M O T I O N
The DuPage County Board of Health hereby approves the hiring of two (2)
full-time and one (1) part-time Health Educators, as presented.
POSITION ELIMINATION - ADMINISTRATIVE CLERK I - COMMUNITY HEALTH
SERVICES
Community Health Services recommended the elimination of one (1) vacant
part-time Administrative Clerk I (Level 106 - Position #106036, Midpoint
Annual Salary $21,323) from the Children’s Clinic program budget. Due to
decreased demand for Children’s Clinic services, the position is no longer
needed. Elimination of this currently vacant position will result in
savings of $11,401 annually.
The Board of Health was requested to approve the elimination of this
position, as presented.
M O T I O N
The DuPage County Board of Health hereby approves the elimination of one
(1) Administrative Clerk position, position #106036, as presented.
POSITION LIST ELIMINATION – ADULT OUTPATIENT PROGRAM – MENTAL HEALTH
SERVICES
The vacant part-time Clinician Consultant position in the Adult Outpatient
Program has been evaluated and was recommended that the position be
eliminated.
The Board of Health was requested to eliminate position #207064, Clinician
Consultant.
M O T I O N
The DuPage County Board of Health hereby approves the elimination of
position #207064, Clinician Consultant, as presented.
Mr. Cross moved for the approval of the combined motions. Mr. Brennan
seconded the motion. Motion passed.
NORTHERN ILLINOIS PUBLIC HEALTH CONSORTIUM BIOTERRORISM GRANT –
BUSINESS OPERATIONS SERVICES
The Northern Illinois Public Health Consortium is an organization
incorporated in the State of Illinois dedicated to promoting effective
health policy and improving the local public health system in the Region.
One specific area the Consortium has focused on is regional bioterrorism
preparedness. Effective regional bioterrorism preparedness is built around
having the capacity to coordinate response activity within the member
agencies. In order to enhance the bioterrorism capacity of the region, the
Consortium submitted a joint grant proposal to the State of Illinois. The
State of Illinois recognized the significance of the proposal and granted
the Consortium $545,000.00 to carry out the proposed agreed upon
activities. The $545,000.00 will be distributed proportionally to each
member of the Consortium who will in turn give the funds to the Consortium
so they can be combined to carry out the proposed activities.
The DuPage County Health Department will receive $96,543.00. The Board of
Health was requested to authorize the transfer of these funds to the
Consortium pending approval of the transfer method by the DuPage County
States Attorney’s Office.
M O T I O N
The DuPage County Board of Health hereby authorizes its Executive Director
to transfer grant funds received by the Department for the sole purpose of
regional projects to be performed jointly by the members of the Northern
Illinois Public Health Consortium in the amount of $96,543.00, as
presented.
Mr. Maio moved for the approval of the motion. Dr. Wilson seconded the
motion. A roll call vote was taken.
Ayes: Dennis Brennan, Scott Cross, Dr. Peter Doris, Gary Grasso,
Dolores Kopp, Linda Kurzawa, William Maio, and Dr. Lanny Wilson
Nays: None
Motion passed.
ILLINOIS PUBLIC HEALTH MUTUAL AID SYSTEM (IPHMAS) INTERGOVERNMENTAL
MUTUAL AID AGREEMENT – BUSINESS OPERATIONS SERVICES
The DuPage County Board of Health was requested to recommend to the DuPage
County Board that DuPage County enter into an Intergovernmental Agreement
permitting the DuPage County Health Department to participate in an
Intergovernmental Mutual Aid Agreement to establish and operate the
Illinois Public Health Mutual Aid System (IPHMAS).
Since the DuPage County Health Department does not have statutory
authority to enter into Intergovernmental Agreements, it is necessary to
obtain approval from the DuPage County Board. (The signed resolution is
included with the official copy of the minutes.)
Mr. Maio moved to approve the resolution. Mr. Cross seconded the
resolution. Resolution was approved.
PRESENTATION – PARTNERSHIP FOR BEHAVIORAL HEALTH PROGRAM – FINAL REPORT
- MHS
Marjory Lewe-Brady gave a presentation of the effectiveness of the IPLAN
depression initiative. (The report is attached with the official copy of
the minutes.)
ADJOURNMENT
Mr. Maio moved for adjournment. Mr. Cross seconded the motion. The meeting
adjourned at 8:30 P.M.
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