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HomeMy WebLinkAbout1992/11/02 - Board of Health MASON COUNTY BOARD OF HEALTH — NOVEMBER 2, 1992 The Board of Health was called to order at 4:08 p.m. by Chairperson Laura E. Porter. ATTENDANCE: Laura Porter, Chairperson Joel R. Myer, Board Member J. Joanne Hoover, M.D., Health Officer Brad Banner, Health Services Director Sharon Bisser, Personal Health Services Director APPROVAL OF MINUTES: Corrections for the October 5, 1992 minutes were received from Sharon Bisser, Dr. Hoover, Board Members Bill Hunter and Laura Porter. Board Member Myer/Porter moved and seconded to adopt the October 5, 1992 minutes as corrected. Motion carried unanimously. H-absent; M-aye; P-aye. PERSONAL HEALTH FEE SCHEDULE REVISION Brad Banner,Health Services Director,presented the first draft of the Personal Health Fee Schedule and noted 4 the second draft would be presented at next Mondays briefing. His goal is to update the fee schedule by the v end of the year. They discussed that they will not make a lot of money off the revision of the fee schedule, but they anticipate to recoup some of the costs. They are selling some vaccines for less than what they are paying for them. They would like to have it written into the fee schedule they will charge the cost of the material rounded up to the nearest dollar. For example, if the vaccine is $2.40 they would charge $3.00. This would allow flexibility with the many increases. Chairperson Porter commented they can set the fee and waive it down to the cost. Dr. Hoover responded that the RCW's state you can't charge more than the service actually costs. (including administration) Chairperson Porter noted that the Board of Health needs to discuss the health aspects separate from the financial aspects. That reason for the two boards is to look at both perspectives. Board Member Myer interjected they should look at a deadline so the Board can announce a public hearing two weeks prior to the Commission meeting which follows the Board of Health meting. Chairperson Porter added if they weren't finished with the discussion at the Board of Health they could continue with it. Mr. Banner stated he would proceed that way. TUBERCULOSIS NEWS Dr.Hoover commented on the news article Chairperson Porter had passed on to them relating to Tuberculosis. l MASON COUNTY BOARD OF HEALTH NOVEMBER 2, 1992 - PAGE 2 She commented that it has not gone unnoticed from the Public Health field in general. Since April there has been three special editions dealing with prevention and control of TB in US communities with at-risk minority populations and homeless persons and the national action plan to combat multi-drug resistant TB. There are two issues in TB to be aware of. One, we hit a low in 1985/86 and have seen a gradual upswing. They feel several reasons have contributed to this: The aging population (immunity falls off); AIDS patients (immune systems are down); and immigrants from countries where TB is common, as well as the possibility of (falsifying records); and complacency. She added there now appears to be a new strain of TB that is not sensitive to antibiotics and their life expectancy is a matter of weeks. A lot of the individuals are hispanic and the Personal Health Services Department doesn't have anyone that speaks Spanish. Chairperson Porter interjected,one issue of Rural Health Committee is to try to consolidate the language banks which are available in the Counties, to network the resources. OPENING DOORS - PUBLIC HEALTH NURSING Sharon Bisser, Personal Health Services Director, supplied each Board Member with a copy of the Opening Doors - Public Health Nursing book which was just recently made available at the WSPHA annual meeting. HEALTH PROGRAMS Ms.Bisser wanted to comment on the recent article in the Shelton Mason County Journal. These services that are now being provided by the Tribal Center have been provided by the Personal Health Services Department; however,it wasn't cost effective. The individuals would not come in to get vouchers their vouchers or recertified. She commented they still go out to the Skokomish Tribe to do immunizations. They no longer go to Squaxin Tribe, as they buy their own vaccine. HEALTH SURVEY Tom McManus is conducting a children's health survey within the limits of the City of Shelton. This is a legitimate survey; however, the County has nothing to do with it. Chairperson Porter directed the Health Services Department to notify the City of Shelton(Mike McCarty)since the County does contract with them. CONSOLIDATED CONTRACTS The Board was presented with the consolidated contract. Brad Banner noted it is similar to the 1992 contract. Sharon Bisser commented there are procedural changes reflecting the immunization grant monies received. Board Member Myer/Hunter moved and seconded to recommend to the Board of County Commissioners to sign the Consolidated Contract. Motion carried unanimously. H-absent; M-aye; P-aye. Mr. Banner noted the contract for feasibility determination for child health tracking system would be an addendum to the Consolidated Contract. The Board of Health previously gave direction to talk to the Health Planning Committee and they were supportive of the prospects. The 1992 funding is $993; and 1993 is $3,972. The Board of Health agreed to the first part of the contract for 1992 and now the Health Services Department is requesting an amendment to the 1993 contract. i MASON COUNTY BOARD OF HEALTH NOVEMBER 2, 1992 - PAGE 3 Board Member Myer/Porter moved to amend the Consolidated Contract for 1993 to include participation in the feasibility determination for child health tracking system. (request to the State Department of Health to amend the Consolidated Contract) Motion carried unanimously. H-absent; M-aye; P-aye. HEALTH OFFICER'S REPORT Dr.Hoover will be gone next Monday and through the week to an American Public Health Association meeting to present a paper on University of Washington outreach programs. ENVIRONMENTAL HEALTH PERMIT REQUIREMENT POLICY Will brief the Board on Tuesday, November 3, 1992 at 2:00 p.m. WATER CONTACT FACILITY CONTRACT WITH DOH Mr. Banner informed the Board about the contract with Department of Health relating to the County's water recreation program. The contract notes that Health Services Department shall administer and enforce RCW/WAC pertaining to issuance of operating permits for water recreation program. Board Member Myer/Porter moved and seconded to recommend to the Board of County Commissioners to authorize the Health Officer to sign the contract with Washington State Department of Health for the water recreation program. Motion carried unanimously. H-absent; M-aye; P-aye. SOLID WASTE LETTER Will discuss with Board in briefing. ADJOURNED The meeting adjourned at 4:51 p.m. Respectfully Submitted, ebecca S. Rogers Clerk of the Board MASON COUNTY HEALTH BOARD Laura . Porter, ChairpeT r�so Absent 11/2/92 William O. Hunter, Board Member el R. yer, Board ember