AGENDA. CALL TO ORDER 11:30 am Jane Weber. Action Items:

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1 BOARD of HEALTH MEETING November 5, 2014 City-County Health Department Lge. Conference Rm - Meeting 11:30 a.m th Street South, Great Falls AGENDA CALL TO ORDER 11:30 am Jane Weber Roll Call: Jane Weber Action Items: 1. Approve Minutes from October 2014 Meeting Jane Weber 2. Environmental Health Report Sandy Johnson 3. Prevention Services Report Trixie Smith/Jill Boettcher a. Communicable Disease Report 4. Finance Report Casey Mohler 5. Health Officer s Report Tanya Houston a. Ebola Update b. Strategic Planning Process Update c. Upcoming Events and Staff Changes 6. Public comment on any public matter that is within the Board of Health s jurisdiction MCA MEMBER COMMENTS ADJOURNMENT

2 Members Present: Jane Weber, Chair Sue Anne Warren, Vice Chair Bill Bronson Ray Geyer, DO Matt Martin, DDS Tammy Lacey Tanya Houston, Secretary Board of Health Meeting Wednesday, October 1, 2014 MINUTES Staff/Visitors Present: Trixie Smith Marcella Weingarten Casey Mohler Jill Boettcher Ms. Weber called the meeting to order at 11:30 a.m. and stated a quorum was present. ACTION ITEMS: 1. Approve Minutes from September 3, 2014 BOH meeting: Jane Weber Ms. Lacey moved to approve the minutes as provided; Mr. Burke seconded the motion, and with all in favor the motion passed. 2. Prevention Services Report: Trixie Smith/Jill Boettcher a. Communicable Disease Report Ms. Smith shared the communicable disease report. There were two, same type Shigella reports in a four and seven year old. No causal link had been found. One of the two cases tested positive for Campylobacteriosis (mother provides in-home daycare; tested negative). Ms. Lacey asked whether or not any children in the daycare had been affected. Ms. Smith reported that all parents were contacted and questioned about any possible symptoms; none were reported. b. Flu Vaccine Supply Ms. Smith shared that PS (Prevention Services) has received and accepted the flu vaccine, Quadrivalent, as ordered. She also mentioned that the HD (Health Department) will also offer Trivalent as a less expensive option. Dr. Martin arrived at 11:35 a.m. 1 P a g e

3 With the cancellation of the drive-by immunization clinic, Ms. Weber questioned if a budget modification is needed to accommodate less revenue being collected than originally projected in the budget. Ms. Houston stated she would like to wait a month or two; as the CCHD will be making a concerted effort to entice clients to visit the CCHD for their immunization. Ms. Houston advised that she will keep a close eye on the revenues to determine whether a future budget modification is needed. Ms. Smith informed members that PS has received inquiries from businesses regarding onsite flu vaccinations; PS nursing staff provides the vaccination with no site visit fee. Ms. Warren arrived at 11:37 a.m. Ms. Houston mentioned the county has received their first confirmed case of Enterovirus and the HD has been able to get information out to residents. She also stated there have been information mailing packets, which included a fact sheet and basic prevention measures which were sent to schools and daycares. Ms. Lacey added GFPS (Great Falls Public Schools) had sent information from the CDC (Center for Disease Control) home with children to increase awareness. Ms. Weber asked if the media has contacted the Health Officer regarding the Ebola virus. Mr. Bronson mentioned he shares the same concerns. They both agreed there should be one voice for responses to the public. Ms. Smith stated that there have been no inquiries from any outside entity. Board members asked that Ms. Houston, Dr. Geyer, and Ms. Smith, along with assistance from the State; prepare a script on how to respond. All agreed that any questions BOH members receive from the media regarding Ebola should be referred to the Health Officer, Tanya Houston, to ensure one voice is representing the City-County BOH. 3. Finance Report: Casey Mohler Ms. Houston informed the board that the HD is actively working through the county system and the HD s rollover accounts don t line up with the fiscal year. She reported the expenses will be in the finance report, while salaries and wages are omitted. Ms. Mohler has created tracking spreadsheets so they can provide the board with more accurate figures in future meetings. Ms. Mohler specified for the County Fiscal Year the HD should be around 17 percent received or spent. The finance report for August: Where there is a zero percent, the accounts are based on deliverable and/or invoiced quarterly. Majority of the negative numbers will disappear in September s report due to payments received, with an exception to MCH (Maternal Child Health) which may 2 P a g e

4 post in October; the State in some cases submits payments via electronic form without notification. Three budget appropriations are scheduled to be reviewed/approved by county commissioners in October; Air Quality, Air Quality Emissions, and MIECHV SafeCare. HD revenue budgets will be monitored closely due to the Drive-Thru Flu Shot Clinic being cancelled; a budget modification will be done, if needed. Expenses are almost all underspent. To ensure money is being spent appropriately, and not being left on the table, monthly meetings between the Accountant and Health Officer are held. Dr. Geyer arrived at 11:43 a.m. The AIDS/HIV program is one that has not underspent; Ms. Smith and Ms. Mohler are watching this budget closely as it is under a calendar year contract and should only be at 67 percent compared to last year, not at 71. Ms. Weber wondered why BUMT s (Buckle Up Montana) revenue was only at 24 percent with the contract ending on September 30, Ms. Mohler stated this account had switched to electronic payments and the revenue should increase exponentially in upcoming months. Ms. Weber also mentioned that FAS NM (Fetal Alcohol Syndrome New Mexico) showed expenditures at 91 percent and asked how the remainder of the budget would be expensed. Ms. Houston stated the contract allows the budget to rollover to the next year and she is attempting to get FAS NM s contract process expedited to avoid the usual latency. Ms. Houston confirmed with board members that the finance report included enough information and asked if they would like to see any additions. None were given. 4. Health Officer s Report: Tanya Houston a. Strategic Plan Ms. Houston began by thanking the board members for their attendance and the suggestions that were made for the plan, during the retreat. She noted that the additions were in red for easier navigation. No questions from the board, HD staff, or from the public were given. Ms. Weber stated there is an Agenda Action Report provided and asked for a motion. Dr. Geyer moved that the board approve the Cascade City-County Health Department Strategic Plan. Ms. Warren seconded and with all in favor, the motion passed. Ms. Weber closed by thanking BOH (Board of Health) members for their 100 percent participation at the Strategic Planning Retreat. She knows it required a large commitment of time, but felt it showed the commitment to the BOH and the work that everyone does. Ms. Weber continued by thanking staff for their work involved in the development of the Strategic Plan. 5. Other/Public Comment 3 P a g e

5 Ms. Weber reminded everyone from the Board of Health to refer any media contacts regarding Ebola to the Public Health Officer. Dr. Geyer gave a brief synopsis on viral hemorrhagic fever, its origin, transmission, and mortality rates. He also informed everyone of basic preventive measures. Board members continued to discuss different viruses and trends throughout history and their effects. Ms. Houston, Ms. Smith, Ms. Olberding, and Ms. Boettcher recently participated in a table top exercise held at the Great Falls International Airport, which included the communicable disease component. The HD will be developing a plan that compliments the airports and will work together to possibly streamline the communicable disease component. Mr. Bronson provided an article from the Wall Street Journal to members about vaccinations and trends in our society. Ms. Weber also mentioned a story done on PBS addressing young mothers and the lack of vaccinations for children in these times. Mr. Bronson moved to adjourn the meeting. Ms. Lacey seconded the motion, and with all in favor, the meeting was adjourned. Respectfully Submitted, Jane Weber, Chair Date 4 P a g e

TO: CITY COUNCIL DATE: January 26,2009

Agenda Report TO: CITY COUNCIL DATE: January 26,2009 FROM: CITY MANAGER THROUGH: FINANCE COMMITTEE SUBJECT: ADOPT A RESOLUTION AMENDING FISCAL YEAR 2009 GENERAL FEE SCHEDULE FOR PUBLIC HEALTH DEPARTMENT