Board of Health - February 15, 2019 Minutes
Regular Meeting: Friday, February 15, 2019
Present: Chelsey Matter, Christopher E. Anderson, MD, Lyn Telford, John Strand, Robin Nelson, Chad Peterson, Mike Thorstad
Absent:
Others Present: Desi Fleming, Melissa Perala, Larry Anenson, Justin Bohrer, Heidi Lako-Adamson MD, FAEMS, Anne Hersch, Dee Pritschet, Kim Lee, Wendy Hoyem, Brenton Nesemeier, Erika Stuene, Nyamal Dei, David Olson, Lori Sall
Chelsey Matter, Chair called the meeting to order.
Approve minutes from December 14, 2018: Chad made a motion to approve, John seconded and motion carried.
Desi announced that on Giving Hearts day the Gladys Ray Shelter raised $26000.
Family Planning Site Visit:
January 22-23rd of 2019, the clinic had a site visit as part of their Title X funding requirements. The visit covered the clinical services provided as well financial, administration, and education and outreach services. Some of the positive comments during the review include the following: impressed with the cost analysis in 2017, policies were in place, strong referral process, community outreach and marketing using different venues and media sources, beautiful clean building, excellent holistic care, good documentation in client charts. Larry noted that the clinic appreciated, and thanked, the Board of Health for their continued support. We are the largest family planning clinic in North Dakota. Chad Peterson asked if there were any criticisms. Larry replied there were a few minor recommendations which include to add more detail in our standing orders, to clean up some minor clerical mistakes and omissions, and to make sure things are coded correctly. Nothing consistent just something to be proactive about and refine. No substantive complaints and the areas for improvement may be used as quality improvement project to monitor progress.
Performance Management:
Justin Bohrer passed out handouts regarding the two year Progress Report from the Community Health Improvement Plan and FCPH Customer Satisfaction Survey Results (October-December 2018). The report shows that we are progressing and we will evaluate the current goals when the new CHIP is developed. He encouraged the board to look over the information so they can discuss more in the next meeting.
The customer survey had received 30 responses in October as of that morning they were up to 80 responses. The report information was created straight from survey monkey responses. People are happy with the services. The Performance Management team are discussing tweaks to the survey at the last management meeting. Lyn Telford offered congratulations on the high level of recommendations we have received.
Budget Report through January 31, 2019:
Melissa Perala discussed the budget. We came in just above cost and just under our revenue. John Strand asked how we are doing with the opioid crisis. Melissa Perala reiterated that there has been many changes with harm reduction and we will probably keep running over because there is a multitude of new staff and a lot of time goes into the harm reduction division. John Strand said we could be more proactive in budgeting for it.
Fourth Quarter Statistics:
Noted NFP statistics continue to be inaccurate as they are still having issues with the new data collection system. Jail statistics are partially complete, but we are missing inmate population. Desi Fleming answered a question regarding NFP numbers and stated the referral numbers are good for NFP overall, but we do at times have a training lag time with new staff before they can take clients. NFP has established a good community network referral base. John Strand commented on the harm reduction statistics and the good work they are doing. He would like to see us get more funding through DHS to do more services. Desi did share that DHS will be increasing funds for mobile outreach so instead of eight hrs/day we will be able to increase to 16/hr per day once we receive a contract.
Legislative Update:
Desi Fleming noted staff were unable to attend Public Health Day because of the weather. HB 1004 is the ND Department of Health budget. There was a proposed decrease to local public health in the amount of $525,000 but that has been restored. State Aid is important funding because it helps provide gap services that are not supported by other funding streams. This has passed the House side. Most Tobacco initiatives have failed, including a tobacco tax. There does seem to be some interest still in electronic cigarettes and liquid nicotine with youth use, so may have some success there. Primary seat belt legislation narrowly passed the Senate and will now go to the House side. In addition, there are a few environmental issues in the legislation as well. Robin Nelson requested a copy of the legislative priorities we have as she is going to Bismarck. Desi Fleming was going to send a copy to all the board members the current list of legislation that local public health is tracking.
TB Program Overview:
Heidi Lako Adamson, Anne Hersch and Dee Pritschet presented a slide show and spoke about tuberculosis.
Chelsey adjourned meeting.
Next Meeting: April 12, 2019