LARIMER COUNTY BOARD OF HEALTH – August 23, 2012

 

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.

                                                Lee Thielen, M.P.A.

Steve Yurash

N. Mark Richards, MD, MPH

Jennifer Lee

 

Executive Secretary:                 Adrienne LeBailly, M.D., M.P.H.

Staff:                                         Marie Macpherson, Avie Strand, Paula Lady

                                       

 

1.   Call to order - The Board of Health meeting was called to order at 7:00 PM.  

 

2.   Introduction of new Board of Health member Jennifer Lee – Ms. Lee was introduced.

 

3.   Approvals of July 19, 2012 meeting minutes - Minutes of the July 19, 2012 meeting were unanimously approved.

 

4.   Budget review – Ms. Macpherson handed out preliminary information regarding the 2013 budget.  The financial/budget systems and tools that we have used in the past have changed, creating more work for the staff when putting together this budget. There will be a reduction in our county funding of $79,510 in 2013. 

In 2012, two long-term employees resigned, so we will realize some savings in 2013 due to the rehire of replacements with lower longevity with the department and lower salary costs. (approx. $24,000 in the Community Health Division and about $12,000 in the Environmental Health Division.  In addition, there will be another $7,000 saved  by 0.15 FTE of a vacant nursing position that will not be filled to help meet budget constraints. 

 

There are additional costs in 2013 that Ms. Macpherson says the BOH should be aware of.  Per the Board of County Commissioners approval of Human Resources recommendations, there will be a 1% increase in most position salary ranges as well as a 2% merit increase for eligible employees with a successful evaluation (up to the top of any given position range).  We will also be reviewing internal and external nurses salaries, with the assistance from Human Resources, to look at a recommended plan to bring several positions in line with the market and internal equity.   We are not sure what changes may need to be made or how much they may cost, but we plan to put an initial $15,000 in the 2013 budget to cover them. While there may be some one-time increases to establish appropriate salary levels, any such changes will increase personnel expenditures in subsequent years.

 

We will see a reduction in the use of our originally budgeted fund balance usage for 2012.  Ms. Macpherson said the savings are due primarily to two factors: a) vacancy savings from hiring delays (some intentional, and some delays caused by system changes and waiver request requirements) and b )the receipt of additional grant funding during the year (such as the High Park Fire supplement to our Preparedness grant) whose obligations were met mostly by existing staff.  In the last part of 2012 and into 2013, certain grant programs will have increases (new Tobacco grant program and new nurse program) and decreases (WIC, some immunization special projects). Ms. Macpherson said the difference in the 2012 and 2013 budget is anticipated to be small. 

 

Ms. Macpherson handed out an Expense Summary for the Department for the High Park Fire activities.  The department will continue to track hours spent directly to the recovery efforts of the fire. Dr. LeBailly reported that the County is working on applying for Natural Resources Conservation Service (NRCS) grant funds for recovery efforts in the HPF area.  

 

Ms. Macpherson intends to send to the BOH more details of the 2013 proposed budget via email as soon as it is complete.  The budget review meeting with the County Manager and County Budget Manager is September 27th, but she will still have time to make changes to the budget after that if there are some concerns by the BOH.  Mr. McKinney will plan to attend the budget review meeting.. 

 

5.   Review of Memorandum of Understanding with NCAP for Approval – Adjustments have been made to the MOU as suggested.  Dr. LeBailly does not see anything in the MOU that is concerning.  There was discussion regarding the Syringe Exchange Program and the information being collected.  The BOH requested that NCAP share data with them regarding HIV/Hep C initial positives and seroconversion rates, but that need not be part of the MOU.  A report will be shared with the BOH quarterly according to the MOU.  Dr. Richards made a motion that the MOU be accepted as written.   Ms. Thielen seconded the motion.  The motion passed unanimously. 

 

6.   Communicable Disease update – Pertussis, West Nile, Rabies, Anthrax, et al.  Dr. LeBailly asked the BOH if there were any questions about the National Health alerts regarding pertussis and variant H3N2.  Pertussis is a problem both nationally and locally.  Instead of slowing done during the summer when school was it, it continued to increase in the county. There are schools in our area with dangerously high vaccine exemption rates. 

 

Fort Collins and Loveland  do extensive West Nile surveillance.  Recently, mosquito trapping and testing in Fort Collins has demonstrated a “vector index” in some areas from 0.50 to 0.75  which reflects levels at which the City of Fort Collins will consider spraying. After further analysis, Dr. LeBailly will convey her recommendations to the city.

 

Anthrax has been found in cattle in Logan County.  The cattle were pastured in late July .  Within 1 week 62 head of cattle had died.  A  couple of these cattle were sent to CSU for necropsy.   Our department was involved in assessing the risk to about 25 people involved in the necropsies, since anthrax had not been suspected and respiratory protection had not been worn. 

 

7.   Director’s Report –Dr. LeBailly said that we currently have a couple challenging tuberculosis cases that we are following, including directly observed taking of TB meds. 

Ms. Macpherson mentioned that in the fall she will have a report on 2012 customer service issues that have occurred in the department.

 

8.   Next meeting – October 11, 2012 at 7:00 PM.

9.   Adjourn – the meeting was adjourned at 8:55 PM.

 

 

 

 

 

_________________________________    _____________________________________________

Paula Lady, Recording Secretary                      Adrienne LeBailly, MD, MPH, Executive Secretary