McHenry County Board of Health met Sept. 27.
Here is the minutes provided by the board:
1. CALL TO ORDER
Meeting called to order at: 7:00 PM by William Stinson.
PRESENT: McCann, Lorenc, Stinson, Gaffney (7:07 PM - 9:03 PM), Clarke, Morawski, Axman, Trevino, Gugle, Nomm, Schorsch, Howell, Goodlow, Volant
ABSENT: Faccone, Hatch, Lin
2. PUBLIC COMMENT
3. MINUTES APPROVAL
A. Minutes of July 23, July 28 & August 3, 2018 Meetings
RESULT: APPROVED BY VOICE
4. CONSENT AGENDA
A. Disbursements
RESULT: APPROVED [UNANIMOUS]
MOVER: Ted Lorenc
SECONDER: Linnea Axman
AYES: McCann, Lorenc, Stinson, Gaffney, Clarke, Morawski, Axman, Trevino
ABSENT: Faccone, Hatch, Lin
B. Income & Expenses
RESULT: APPROVED [UNANIMOUS]
MOVER: Ted Lorenc
SECONDER: Linnea Axman
AYES: McCann, Lorenc, Stinson, Gaffney, Clarke, Morawski, Axman, Trevino
ABSENT: Faccone, Hatch, Lin
C. Administrator Report
Mr. Gugle stated the Legionella investigation is nearing the end. A link to a single source was not found. Mr. Gugle said a variety of samples were taken with varying results and the final report will be reviewed with the CDC prior to disclosure.
Mr. Gugle stated the interview process for a Public Health Administrator has also concluded.
Mr. Gugle informed the Board that Health Department staff met with County Administration to review the budget. Some recommendations were made by the County and the Health Department is expecting their final copy sometime this week. Mr. Gugle noted that the final copy will be brought to Public Health & Community Services on Thursday, August 30, 2018 and then back to the Health Department for review by the Finance Committee and approval at the Board of Health meeting on September 24, 2018.
It was brought to the Board's attention by Mr. Gugle that the Health Department is again entering into the Healthy Community Study process. This is the needs assessment the Department uses to determine the county's health priorities for the next 3-5 years. Mr. Gugle stated that we will not automatically be using Health System Research, University of Illinois this year. In agreement with our community partners, it would be in our best interests to put this out to bid and see what else is available at lower costs. Mr. Gugle said another issue was the need for a fidiciary organization to take control of the study. Mr. Gugle said in the past Centegra had assumed that role, but due to a pending merger, they would be unable to take that on. Mr. Gugle noted that bid specifications would have to provide separate billing to all organizations that fund the study. Mr. Gugle told the board this is not an unusual procedure and is becoming standard practice.
RESULT: APPROVED [UNANIMOUS]
MOVER: Ted Lorenc
SECONDER: Linnea Axman
AYES: McCann, Lorenc, Stinson, Gaffney, Clarke, Morawski, Axman, Trevino
ABSENT: Faccone, Hatch, Lin
D. ADM Report
RESULT: APPROVED [UNANIMOUS]
MOVER: Ted Lorenc
SECONDER: Linnea Axman
AYES: McCann, Lorenc, Stinson, Gaffney, Clarke, Morawski, Axman, Trevino
ABSENT: Faccone, Hatch, Lin
E. ENV Division Report
RESULT: APPROVED [UNANIMOUS]
MOVER: Ted Lorenc
SECONDER: Linnea Axman
AYES: McCann, Lorenc, Stinson, Gaffney, Clarke, Morawski, Axman, Trevino
ABSENT: Faccone, Hatch, Lin
F. PHN Division Report
RESULT: APPROVED [UNANIMOUS]
MOVER: Ted Lorenc
SECONDER: Linnea Axman
AYES: McCann, Lorenc, Stinson, Gaffney, Clarke, Morawski, Axman, Trevino
ABSENT: Faccone, Hatch, Lin
Dr. Lorenc congratulated Ms. Howell on the selection of the newly hired Veterinary Public Health Assistant Manager and Animal Control Officer.
RESULT: APPROVED [UNANIMOUS]
MOVER: Ted Lorenc
SECONDER: Linnea Axman
AYES: McCann, Lorenc, Stinson, Gaffney, Clarke, Morawski, Axman, Trevino
ABSENT: Faccone, Hatch, Lin
H. Illinois Dept. of Children & Family Services - Healthworks
RESULT: APPROVED [UNANIMOUS]
MOVER: Ted Lorenc
SECONDER: Linnea Axman
AYES: McCann, Lorenc, Stinson, Gaffney, Clarke, Morawski, Axman, Trevino
ABSENT: Faccone, Hatch, Lin
5. CENTEGRA DISBURSEMENTS
1. Centegra Disbursements
RESULT: APPROVED [6 TO 0]
MOVER: Joseph Clarke
SECONDER: Mary McCann
AYES: McCann, Gaffney, Clarke, Morawski, Axman, Trevino
ABSTAIN: Lorenc, Stinson
ABSENT: Faccone, Hatch, Lin
6. FAMILY HEALTH PARTNERSHIP DISBURSEMENTS
1. Family Health Partnership Disbursements
RESULT: APPROVED [7 TO 0]
MOVER: Ted Lorenc
SECONDER: Mary McCann
AYES: McCann, Lorenc, Stinson, Gaffney, Clarke, Morawski, Trevino
ABSTAIN: Axman
ABSENT: Faccone, Hatch, Lin
7. CONTRACTS AND AGREEMENTS - NEW
A. Elgin Recycling Inc.
Ms. Nomm explained to the board that the Elgin Recycling Contract is in response the Illinois Consumer Recycling Act that will be implemented on January 1, 2019. Elgin Recycling will operate 1 permanent site in Crystal Lake and (4) 1 day events for McHenry County residents. Ms. Nomm stated Elgin Recycling will collect, load and transport electronics to a recycler and will be reimbursed by the recycler.
Ms. Nomm also informed the board that there are no fees to the county. A fee will be collected from residents who recycle a computer monitor or television. Fees are based upon the size of the unit.
RESULT: APPROVED [UNANIMOUS]
MOVER: Mary McCann
SECONDER: Cindy Gaffney
AYES: McCann, Lorenc, Stinson, Gaffney, Clarke, Morawski, Axman, Trevino
ABSENT: Faccone, Hatch, Lin
B. Prairieland Disposal Inc.
RESULT: APPROVED [UNANIMOUS]
MOVER: Ted Lorenc
SECONDER: Cindy Gaffney
AYES: McCann, Lorenc, Stinson, Gaffney, Clarke, Morawski, Axman, Trevino
ABSENT: Faccone, Hatch, Lin
C. Michael Eisele-Licensed Environmental Health Practitioner
Dr. Stinson asked Ms. Nomm to explain the purpose of the contract for Michael Eisele, who has recently retired from the McHenry County Department of Health, Environmental Health Division.
Ms. Nomm explained that Environmental Health has several inspectors out on leave, and we are required to complete a minimal number of inspections per facility based upon the risk classification. Ms. Nomm said that since we have moved into the new Illinois food program, food inspections now take approximately 30% longer. Michael Eisele would be hired on a short term contractual basis to perform food inspections on our behalf and by prioritizing certain inspections that need to be completed by certain dates, we can complete the requirements to maintain our certification. Mr. Eisele is fully trained, familiar with the area and our facilities and this would maximize our efficiency in fulfilling our inspection requirements.
RESULT: APPROVED [UNANIMOUS]
MOVER: Ted Lorenc
SECONDER: Mary McCann
AYES: McCann, Lorenc, Stinson, Gaffney, Clarke, Morawski, Axman, Trevino
ABSENT: Faccone, Hatch, Lin
8. PROGRAM HIGHLIGHTS
A. Mobilizing For Action Through Planning & Partnership (MAPP) Update
MAPP Update
In 2018, the Obesity workgroup and the Cardiovascular/Diabetes workgroup continued their focus on their objectives. As a result of increased interest in active communities, the MAPP Core Team added the Active Communities workgroup this year. This new workgroup has 24 partners committed to working on the defined initiatives. Each group has developed long and short term goals with tasks to accomplish each strategy. Below are the 2018 goals for each workgroup:
Obesity Workgroup:
Overall Objective: By the year 2027, increase the proportion of adults in McHenry County who are at a healthy weight to 40.92 (Target: 10 percent improvement over 10 years, Healthy People 2020). Baseline: 37.2 percent of persons age 18 years and older are at a healthy weight/underweight (BRFSS, 2014).
Impact: Desired impact is to decrease the number of McHenry County adults who are considered obese and increase the number of adults who fall in the normal weight category.
Strategy 1: By January 2019, maintain the Garden Connect program at the 2017 level (Baseline in 2017 was 32 families/plots) and increase the number of participants who demonstrate an increased consumption of daily servings of produce.
Strategy 2: By January 2019, complete at least 5 healthy community education and outreach efforts.
Cardiovascular/Diabetes Workgroup:
Overall Objectives: By the year 2027, reduce the death rate from heart disease in McHenry County to no more than 65.0 per 100,000 based on the Healthy People 2020 target of 20% improvement (Baseline: 80.7 per 100,000).
By the year 2027, decrease the proportion of adults in McHenry County who have been diagnosed with diabetes based on the Healthy People target of 10% improvement over 10 years (Baseline: 18,790 people have been diagnosed with diabetes)
Impact: To reduce the death rate related to cardiovascular disease and diabetes by lowering and managing high blood pressure, body weight, cholesterol and other risk factors.
Strategy 1: By January 2019, complete 800 Heart Age Screenings.
Strategy 2: By January 2019, provide diabetes prevention education classes to at least 50 completed participants.
Strategy 3: By January 2019, complete 350 community diabetes screenings.
Strategy 4: By January 2019, implement the Stanford Diabetes classes in McHenry County. Active Communities Workgroup
Overall Objective: Improve community health through expanded use of active transportation and recreation by 2025.
Strategy 1: By January 2019, acquire baseline data of community members walking, biking and using public transportation to school, work, and other activities.
Strategy 2: By January 2019, develop and support 2 educational programs that promote active communities.
Strategy 3: By January 2019 promote a county-wide adoption of a complete streets program.
RESULT: PRESENTED
9. OLD BUSINESS
A. Public Health Administrator-Terms & Conditions of Employment
It was recommended to the board by Ms. Gaffney to go into Executive Session for discussion.
RESULT: APPROVED [UNANIMOUS]
MOVER: Cindy Gaffney
SECONDER: Juliana Morawski
AYES: McCann, Lorenc, Stinson, Gaffney, Clarke, Morawski, Axman, Trevino
ABSENT: Faccone, Hatch, Lin
10. NEW BUSINESS
Ms. Gaffney brought up the issue of the law changing to have cats registered and vaccinated for rabies starting Janaury 1, 2019.
Ms. Howell stated that this requirement was originally written in the law and then was removed. Ms.
Howell said that on September 14, 2018 there will be a state-wide administrative meeting and this issue would be discussed and the current law in effect can be verified.
Mr. Gugle informed the board that Gov. Rauner vetoed the law to ban selling tobacco products to people under the age of 21. The Northern Illinois Public Health Consortium is unhappy with the veto and will continue to work to get this issue.
11. BOARD ISSUES
Ms. Mc Cann said she has concerns with the Health Department Administration Office located in a corner office on the second floor. Once the reorganization takes place in Annex A and the Administration building, the Health Department will no longer have the opportunity to interact with some of the divisions as they currently do now. It is important the Health Department Administration office be in a central area that will allow close communication with Environmental Health and easy access to the public. Ms.McCann suggested to the county board to move the Administration Office into the Veterans Affairs office is located on the first floor. At this time, Ms. McCann is unsure if the office will be moved to the first floor and would like the board to give their input regarding changing the location to the Chairman and county board members within the next two weeks.
Ms. McClain Trevino agreed that it is important for the health administration office to have a central location, especially with the start of a new Public Health Administrator.
Mr. Clarke asked if the bids have gone out for reconstruction and Mr. Gugle said they had. Mr. Clarke noted there would likely be additional monetary costs if we were to request a change in office location at this point.
Dr. Stinson asked Ms. McCann if there would be adequate space where the Veterans office is now for the Health Administration office. Ms. McCann said the office has 2500 square feet and originally had 14 employees. The Veterans office now has 3 employees, so the extra space should accommodate the amount of people in the Department of Health Administration office.
Ms. McCann also mentioned speaking with Human Resources regarding the low entry level pay and if the recent pay increase to entry level positions would keep employees for a longer period of time. Ms. Nomm said that pay is one of the reasons people in Environmental Health leave. The problem her division encounters, said Ms. Nomm, is that Environmental Health hires many recent college graduates, fully trains them and then they move on to other positions for more money. Ms. Nomm said it would take time to see if the pay increases impact the amount of turnovers.
Mr. Gugle pointed out that when the minimum pay level was raised, it was compressed from the top, which leaves employees that have worked here for some time and who are fully trained making slightly more than the new hires. Mr. Gugle said the compressions issue is supposed to be addressed in the future.
Ms. McCann stated this top compression is a problem because you don't want to lose the people that have been employed here for a long time. Mr. Gugle informed the board that the compression issues were brought up to the County Administration and Chairman at the recent Employee Forums.
12. INFORMATION AND COMMUNICATIONS
13. OTHER BUSINESS
14. EXECUTIVE SESSION (AS NECESSARY)
Motion made by Ms. Gaffney, second by Ms. Morawski to adjourn the regular meeting at 8:10 pm to enter into Executive session to discuss Personnel. The motion passed unanimously with a voice vote.
Motion made by Ms. McCann, second by Ms. Gaffney to go out of Executive Session. The motion passed unanimously with a voice vote.
Motion made by Mr. Clarke, second by Ms. McCann to go into Regular Session at 8:55 pm. The motion passed unanimously with a voice vote.
15. APPENDIX
A. Media Detail
RESULT: PRESENTED
B. Webstats
RESULT: PRESENTED
C. ENV Activity Report
RESULT: PRESENTED
D. ENV Well/Septic Report
RESULT: PRESENTED
E. ENV Lab Report
RESULT: PRESENTED
F. PHN Reports
RESULT: PRESENTED
G. VPH Reports
RESULT: PRESENTED
16. ADJOURNMENT
Motion made by Dr. Axman, second by Dr. Lorenc to adjourn the meeting at 9:03 pm. The motion passed unanimously with a voice vote.
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