LARIMER COUNTY BOARD OF HEALTH – April 11, 2013
The Larimer County Board of Health (BOH) convened its regular meeting at 7:00 PM at the Larimer County Department of Health and Environment (LCDHE), 1525 Blue Spruce Drive, Fort Collins, CO
Members Present: C.J. McKinney, Ph.D.
N. Mark Richards, M.D., M.P.H.
Lee Thielen, M.P.A.
Executive Secretary: Adrienne LeBailly, M.D., M.P.H.
Staff: Marie Macpherson, Paula Lady
1. The Board of Health meeting was called to order at 7:00 PM.
2. Minutes of the March 14, 2013 meeting were unanimously approved.
3. Election of Board of Health officers for 2013-2014 - There is a two-year limit for Board of Health officers, and CJ McKinney has been president for 1 year and is eligible for another term. Dr. Richards nominated Mr. McKinney as President again for 2013-2014, who accepted the nomination.
All BOH in attendance voted approval for Mr. McKinney as President; Ms. Thielen nominated Dr. Richards as Vice-president, all BOH in attendance voted approval for Dr. Richards as vice-president.
4. Brief overview of Year End financial status for 2012 – Ms. Macpherson handed out a fund balance review, a high level financial review, and a 2012 year-end summary by account line item codes. She discussed with the BOH the close-out of the 2012 budget. She reported that the Department had needed to use only a portion (about 60%) of the reserves that we that we projected in the revised 2012 budget. We will be able to carry forward into 2013 approximately $73,000 more in our beginning fund balance. The savings came from position vacancies as well as budgeted supplies that our Family Planning Program did not purchase. Ms. Macpherson is being cautious with the projection of the budget as we do not know what the federal sequestration will do to our department’s budget. At this time we do not think we will expend the amount of fund balance that is budgeted for 2013. Dr. Richards asked if we know what the federal sequestration may mean to us. Ms. Macpherson acknowledged that some programs may need to make cuts and that we may need to seek advice and guidance from the BOH of where cuts need to be made when if effects whether or not services can be able to be maintained. There was a small increase on the State per capita funding for public health which could mean we may be getting 3% more money from the State in this contract. Ms. Macpherson said we are waiting for our federal allocation levels for a number of programs which should be coming within the next couple of weeks. Guidance from the County on the budget will most likely not come until July.
5. County Survey of Larimer County Residents’ Priorities for 2014 – Dr. LeBailly informed the BOH that the Commissioners recently conducted a survey about what services citizens think is important; the County contracts with CSU to conduct the survey. Dr. LeBailly distributed bar graphs showing the findings of the survey and discussed the results with the board. The survey asks both how important is the service and how well the service is being done by the County. All Health Departments’ services are summarized in two categories: 1) Providing public health services such as immunization clinics, tracking infectious disease, home visits and health screenings, and 2) Conducting restaurant inspections and other services related to food safety and water quality. The first was considered of moderate importance, the second of high importance. 600 surveys were sent out and about 45% of recipients responded. Nearly everyone surveyed considered Health Department services adequate or better (20% responded “better than required). The Commissioners will use some of this information when deciding the new vision and strategic plan for Larimer County.
6. Board of Health Self-Evaluation –Four board members responded to the self-evaluation. Mr. McKinney indicated that everything that is scored below a 3 should be addressed, suggesting needed improvement. Ms. Thielen indicated that she believed some improvement could come when the Community Health Improvement Plan is finalized. Dr. LeBailly asked whether the board’s assistance with orienting new BOH members to the BOH would be helpful. Dr. LeBailly asked the board to clarify what is meant by “Board participates in board education activities.” There was brainstorming of ideas by the BOH on what could be educational opportunities available to the BOH. There was also discussion of having all three Commissioners come to a BOH meeting. Ms. Thielen also said that it would be interesting to have a program representative come to a BOH meeting to summarize programs.
7. Brief update on Amendment 64 discussion with the Commissioners - Dr. LeBailly distributed copies of the presentation made to the Commissioners and Larimer County’s three local school board superintendents. It summarized the public health issues raised by the legalization of marijuana and the potential impacts on youth. Ms. Thielen said that the Commissioners would be holding community meetings regarding Amendment 64, in Fort Collins on April 30th and May 1st in Loveland. It was decided that the BOH would take a stand and write a resolution encouraging the board to prohibit edible forms of non-medical marijuana if the BCC decides to allow retail stores in unincorporated Larimer County. Dr. LeBailly will draft the resolution and bring the draft to the BOH meeting in May.
8. Legislative Update – Dr. LeBailly reported on two bills introduced by local legislators, one to study of the health impacts of fracking in Colorado communities, and another to require local public health agencies to review unexpected or unexplained child deaths due to injuries, violence, or other preventable causes. About 10 deaths per year in Larimer County would fall under this rule.
9. Director’s Report –
- Brief update on Community Health Improvement Plan – Each of the two task forces (Healthy Children and Mental/Emotional Well-being) will be meeting 8 – 10 times between now and October. If you have given your name to Christy Bush to serve on a task force, you should be hearing from her soon.
- CDC Public Health Associate Application with Health District – The Health District has written an application in partnership with us to allow a recent college graduate to gain public health experience by working in local agencies while being paid by the CDC. If selected, the associate would work the first year with the Health District on their next tri-annual community survey, and the second year with our Emergency Preparedness Program and the Communicable Disease team.
- The Health Department and the Dept. of Human Services have also partnered with the Health District on a grant to help uninsured people navigate and apply for health insurance coverage through the Colorado health benefit exchanges or the expanded Medicaid program, beginning this fall. This grant is expected to last about 18 months grant. The Health Department would focus on the Loveland and Estes Park areas, while the District would serve northern Larimer County. If the grant is successful, the funding should begin in July. It is estimated that as many as 168,000 people in Larimer County that may need assistance.
10. Confirmation of next meeting date – May 9, 2013. An award ceremony and reception will start at 6:30 pm on the first floor in the main waiting room area to present Dr. Austin Bailey the Joseph Jabaily Public Health Hero Award for 2013. The regular board meeting will begin about 7:15- 7:30 pm in the usual location in the conference room on the second floor east wing.
11. Adjourn – The meeting was adjourned at 9:35 PM.
Paula Lady, Recording Secretary Adrienne LeBailly, MD, MPH, Executive Secretary