HomeMy WebLinkAboutMinutes Citizens Advisory Health Board - 04/16/2003 •
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Minutes
CITIZENS ADVISORY HEALTH BOARD
April 16,2003,
Corpus Christi-Nueces County Public Health District
1702 Home Road, Administration Conference Room
Members Present: Rose Caballero, Blanca R. Garcia, Tony C. Diaz,Gloria Farias, Leo Barrera, Larry Bittle
Members Absent: Amanda Stukenberg,Melinda Gonzales,R.N.,Karen Beard
Health District: Annette Rodriguez
Guest: Emily Martinez
Timeline/
Meeting Outline Minutes Action Taken Responsible Party
Call to Order Rose Caballero, Vice Chairperson, called the
meeting to order at 12:20 p.m.
Opening Remarks Discussion regarding packets. It was explained
that the packet from the previous meeting was
required because the last meeting was cancelled
due to a lack of quorum.
Health Discussion regarding the Health Department
Department Budget. A question was asked how was the
Budcet allocation of funds this year as opposed to last
year. Annette responded that level funding was
being requested, for the city budget. The
positions here were not affected by freezes or
R.LF.'s. A 5% cut from the State is expected,
although this could go up. The county has frozen
some positions. Our county positions are
reimbursed 100%by the Hospital District, and we
will be requesting to unfreeze these positions with
commissioner's court.
Question: Are their any open positions that may
cause disruption to the service.
Reply: Yes, our LVN and clerk position does
impact our immunization program.
Question: Can we find out the total number on
staff here at the Health Department?
Reply: Yes we can get that for you.
Leo Barren, Chairperson,arrives. There is now a
quorum. Mrs. Caballero tells Mr. Barrera where
they are at and that the minutes have not been
approved yet.
Minutes Minutes from February 19, 2003 are approved as
written. Mr. Barrera requested that he hand over SCANNED
the chair to Ms. Caballero as he is currently in
jury duty. She preferred not to take over. She
requested that Mr. Barren continue chairing until
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he needed to leave and at that time she would take
back over if needed. Mr. Barren continued
chairing the meeting.
Discussion re
Budget continues Rose Caballero referred back to the position
involving immunizations; this position should be
reinstated not frozen. This is a critical area. Rose
asked what action was to be taken about these
positions.
Reply: Discussions had taken place with the
Hospital District with regard to the frozen
positions. The Hospital District reimburses the
county for the county positions at the health
department, and therefore we should not be
affected by cuts. It will be taken to
commissioner's court requesting to unfreeze these
positions.
Larry Biddle offered using industries occupational
health nurses to assist if needed in vaccination
programs.
Rose Caballero asked about the hours at the
immunization clinic for vaccinations. If there
were new hours of operation to accommodate the
public.
Reply: Monday nights are extended hours.
Rose commented that more may be needed. She
is interested in long term hours of operation.
Possibly on weekends, working at schools or
events or even the mall for immunizations. It had
apparently been discussed previously by the
Board that the hours of operation should be
extended permanently.
Question was asked: Which positions had been
approved under the bioterrorism grant, and why
they could not have hired a nurse as an educator
through this grant to assist with immunizations?
Reply: The grant has several positions approved,
an Epidemiologist, two Information Specialist, a
PC Tech, an Infectious Disease Coordinator,
which is a nurse and an intermediate clerk. By
definition (job description) and pay scale the
Information Specialist really could not be a nurse,
this would have been difficult to do.
Emily from the City was kind enough to explain
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City the compensation study to the board.
Compensation
Study The City had recently implemented a 5-year
compensation plan. It had been many years since
this had been done. The plan had to be
implemented over a 5-year period because there
was not enough money in the general fund to
implement all at once.
A matrix was created to stagger the increases
fairly over the 5-year period. All city employees
received something, even if it was only a I%
increase,since implementation of this plan.
The system was explained to all city staff in
several meetings. The study was done to make
sure that the City remains competitive and can
retain their employees.
Many areas were looked at to make decisions on
the compensation plan including:
Education
Experience
Freedom to Act
Complexity
Working conditions
Human relations
Interaction with outside agencies etc.
Although the City has a good benefit package,
employees look at the bottom line which is take
home pay.
Local outcome measures were discussed. Rose
Other items Caballero mentioned possibly adding Family
Planning to the outcomes. She also inquired on
Health Education if the number of presentations
versus the number of calls for health information
could be broken out. Annette told her most
definitely; it just was written together for this
particular performance measure.
The Director's r port was given.
Annette asked the committee if they would fill out
the surveys which were part of their handouts, and
give their input. These were from a student as a
school project. The committee did not wish to do
this.
Rose Caballero made comments to the Board and
requested they be included in the minutes: Last
month the Board met with only 4 members
present, therefore not having a quorum. Dr.
Boostrom informed the attendees they could meet
but no minutes could be recorded. Mrs. Caballero
explained that in the past, minutes had always
been kept regardless of quorum or not. Annette
Rodriguez communicated that Dr. Boostrom had
given her clarification on the matter, and it is that
the Advisory Board can meet and can have
discussion but a person should be appointed from
the group to take minutes if there is not a quorum
present. The Board understood there could not be
any action taken but could conduct the meeting.
Dr. Boostrom was insistent that the Board could
discuss but no minutes could be kept. Mrs.
Caballero closed the meeting. The Board
members volunteer their time and for the Director
to expect the members to just visit without benefit
of any Board activity is not what the members
intend.
Mrs. Caballero expressed concern that neither Dr.
Boostrom nor Jorge Cruz-Aedo responded to her
after assuring her they would check and get back
to her about keeping of minutes without a
quorum. Neither provided a response. It is a lack
of concern for the Board members who did show.
She expressed concern that the committee does
not seen to be going anywhere and Dr. Boostrom
should have listened to the members and not
dismissed the person who was to take the minutes.
Annette apologized on behalf of Dr Boostrom and
commented that the agenda's are set as decided in
the retreat in January. Maybe there should be a
discussion section at the meeting for other items.
Dr. Tony Diaz commented on the disrespect
shown to the committee by the Director. Also that
everyone needs to be encouraged to attend the
meeting next month to ensure a quorum.
Adjournment Meeting adjourned at 1:25 p.m.
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Next Meeting May 21,2003