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Minutes
CITIZENS ADVISORY HEALTH BOARD
May 21,2003
Corpus Christi-Nueces County Public Health District
1702 Home Road,Administration Conference Room
Members Present: Rose Caballero,Blanca R. Garcia, Tony C. Diaz,Melinda Gonzales,R.N., Karen Beard,
Amanda Stukenberg
Members Absent: Gloria Farias, Leo Barrera, Larry Bittle
Health District: Annette Rodriguez and Dr. Boostrom
Timeline/
Meeting Outline Minutes Action Taken Responsible Party
Call to Order Rose Caballero, Vice Chairperson, called the
meeting to order at 12:08 p.m.
Opening Remarks Minutes from April 16, 2003 are approved as Board agreed on need Minutes will be noted
written. Ms.Caballero comments that the minutes for utilization of format. using correct format.
are very thorough. She adds that she would like
to see the format utilized for which it was
intended: columns, action taken,
timeline/responsible party. This would help in
moving forward. The Vice Chairperson also
invited the committee to the 4th Annual Reception The Public Health
honoring Boards, Commissions, and Committees District will absorb the
for their volunteering efforts which will be on cost for committee
Thursday June 5,2003 between the hours of 5:30- members.
7:00pm.
Absences Amanda Stukenberg, Melinda Gonzales, and Committee agreed to Angelica, the secretary,
Karen Beard were absent at the last meeting due excuse their absence. will add to future
to emergencies. Committee agreed to excuse all Add absences as part of agendas.
absences. the agenda after
approval of minutes.
Community Dr. Boostrom: Immunizations has a $43,000
Collaboratives shortfall and will not have sufficient funds to hire
a clerk.
Rose Caballero: What kind of work does the clerk
do?
Dr. Boostrom: The clerk enters immunization
records into a State wide database. The Robstown
personnel is adjusted to help here at the main
office. Immunization rates affect absences in
schools. Dr. Boostrom is seeking assistance from
local organizations within the community for this SCANNED
position. The campaign will be held the last week
in July through the first two weeks in August.
Ms. Caballero suggested tapping into school Dr. Boostrom to follow
PTA's for volunteers. up on availability of
PTA and volunteers.
Karen Beard: Handicap and Junior League could Compose a letter to the Angelica will produce
possibly do the data entry. Junior League asking for within one week.
their assistance.
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Tony Diaz: The Volunteer Center could also be of
assistance.
It was also suggested that the City Wide PTA and
G.Johnson could possibly provide assistance.
Tony Diaz asked if the budget cut is the reason for
not filling the clerk position
Dr. Boostrom replied: The City of Corpus Christi
provided raises to its employees; we are Grant
funded, and there is not sufficient funds to supply
the raises and.
Tony Diaz: Are we getting $43,000 less than
before?
Dr.Boostrom: We are receiving the same amount
of State funds. The City gave employee increases
to match those paid from the General fund. They
did not make allowances for those increases
which are Grant funded. By not filling the clerk
position, we may break even, maybe $8,000 off.
We receive half a million dollars in Medicaid
which we can use to buy supplies. We will not
reduce our services; the August Immunization
project will go on.
Amanda Stukenberg: What grant funds the
Immunization Program?
Dr.Boostrom: It is funded by State funds.
Ms. Stukenberg: What is Grant funding? Is it the
same amount no matter the number of persons
served?
Dr. Boostrom: The State will be doing a four
month budget. Funding of Immunization is
yearly, and then we will do a four year budget.
We have submitted a four month budget through
12-31.
Ms. Stukenberg: Volunteers are good for short
term. If the State does not give enough funding,
we need to look to City and County to ask for
additional funding. The public should be able to
get in quickly and efficiently.
Ms. Caballero: I would recommend volunteers for
what's coming up in July and August.
Ms. Stukenberg: I think the city needs to prioritize
having immunizations quick and efficient.
Melinda Gonzales: How much more is needed to
adequately serve the public?
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Dr. Boostrom: I'm going to hedge; we need to
seriously evaluate our programs: Immunizations
and Communicable Diseases are the priority.
Ms. Caballero: I agree with Mandy, I am
distressed to see where our money is going. It is
primarily going to Animal Control which does not
show well for our community.
Ms. Stukenberg: Animal Control had complaints,
and you (Dr. Boostrom) were told to put funds
there. I think we should have parent and people
complaints as a way of showing our priority.
Karen Beard: I think we should look to our local
PTA's.
Ms. Stukenberg: The issue is not having sufficient
moneys for supplies and staffing for clinics.
Melinda Gonzales: What is the ideal funding
necessary for staff and supplies?
Dr. Boostrom: I think that's what we have on the
June agenda. The clinic needs to be remodeled
for effective operations.
Ms. Beard: We need to know the staff and
supplies needed in order to ask for additional
funding.
Rose Caballero: Will you bring us the money Supply information Dr. Boostrom by June
needs, staff needs, and supply needs for the June requested to committee. meeting.
meeting?
Dr. Boostrom: We will have the opportunity to do
a 4 year Grant; we can ask for more money at that
time.
Ms. Caballero: You may have covered this, and I
may have missed it. Did you say you were
leaving out the nursing position?
Dr. Boostrom: The nurse position is a County
position and will be filled.
Other items Blanca Garcia: Have we asked technological
experts if we are at the most efficient data entry
process,or if we need to modify to another type of
data entry system.
Dr.Boostrom: The software is Statewide.
Ms. Garcia: Maybe the data entry process can be
managed differently. Consider, entering the data
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• after appointment so that it is more efficient to the
public.
Dr. Boostrom: We will look at the whole process
and see how we can do it better.
Ms. Caballero: Will you (Dr. Boostrom) be
contacting someone?
Dr. Boostrom: There is no money to hire a
consultant we can look to the academic world,
someone working on his/her Masters.
Ms. Gonzales: Pre-K registration is August 4th;
school starts August 18.
Dr. Boostrom: That is good information. There is
also a County position for Safe Kids Coordinator.
Mr.Diaz:Larry Bittle offered nurses to assist with
the vaccinations.
Nutrition in Mr. Diaz: I'd like to discuss schools and proper
Public Schools nutrition and possibly eliminating cokes in the
vending machines.
Ms. Stukenberg: CCISD Health Advisory
Committee has a position statement to limit cokes,
supply water, and other appropriate drinks. I
think we need a letter from this Committee to
CCISD School Board to support nutrition is
vending machines.
Rose Caballero: Would you like to make a motion
to create a letter?
Ms. Stukenberg: I would like to make a motion
through a letter form our Board or the Health
Department that diabetes and obesity are an
important issue in our children. We would like to
ask to please monitor the policy on what is sold in
vending machines.
Discussion Rose Caballero: Is there a volunteer who would Create letter to School Amanda Stukenberg
like to draft a letter on behalf on the Advisory Board about concern on will create by next
Board? Mandy will you do the letter? I think it diabetes and obesity in week with Melinda's
should come from the Board. children. help. Angelica will
create letterhead.
Karen Beard: A copy of the letter should go to the Board requests statistics. Dr. Boostrom to supply
Super indent. statistics to Board.
Ms. Caballero: Consider sending a copy of the
letter to Jaime Capelo, so that he knows our stand
on the matter.
Ms. Stukenberg: It failed at Legislature, but that
does not mean we can't do it within the district.
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• Ms. Caballero: We have a motion and a second to
send a letter to Jaime Capelo and the
Superintendent,all in favor say I.
Mr.Diaz:Before taking a vote,consider sending a
copy to Vilma Luna and other representatives.
Ms. Caballero: I was looking at Jaime Capelo
because he was the one who spearheaded this.
Amanda Stukenberg: City Council PTA's as well.
Rose Caballero:All in favor. Board members agreed. Letter will be drafted
by Amanda and is to be
Last Item of Ms. Garcia: Last on Collaborative is wellness. sent to parties as
Collaboratives requested.
Ms. Stukenberg: Dr. Reed said the Adolescent
Health Clinic in Robstown is shutting.
Dr. Boostrom: All Title V funded facilities are
being affected.
Ms. Stukenberg: Do we know when and how
these cuts will affect us?
Dr. Boostrom: Communication is a big issue.
Ms. Garcia: There should be a local list of centers
that will be affected; it all tickles down to the
Health Department.
Dr. Boostrom: We need to put that on our long Health Department to
range of things to do. follow up on lines of
communication.
Rose Caballero: Maybe Annette can follow up on
this.
Amanda Stukenberg: Once we know who has
been affected, we will look to the Health
Department to lead in coordination.
Karen Beard: A letter to hospitals and
organization to see what local agencies are doing;
maybe have a big brain storming meeting to help
each other.
Dr. Boostrom: Would you want to sponsor that as
a Board?When would you want to host it?
Amanda Stukenberg: We need to plan a
conference.
Karen Beard: If we sponsor, maybe we all can
form an informal coalition.
Rose Caballero: Karen, would you sponsor the A letter to hospitals and Karen Beard.
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draft letter? Will anyone help her? Does anyone organizations to brain
have a problem if Karen drafts the letter? storm.
Melinda Gonzales: Good meeting as she leaves at
1:05 for another commitment.
Ms.Caballero: Feels good to have a good meeting
to move ahead. Our priority is people. It bothers
me that the focus continues to be Animal Control.
Dr. Boostrom: We requested additional money to
spray for West Nile Virus in the proposed budget.
The public can comment on the proposed budget.
Ms. Caballero to Ms. Garcia: Will you be the
spokesperson to address Council?
Ms. Garcia: I will be out of the country three
weeks in July.
Dr. Boostrom: I believe public comment starts in
June.
Ms. Caballero to Ms. Garcia: I feel you can give
the information in a concise and prospective
manner.
Amanda Stukenberg: I think each of us should
talk to our Council Member.
Dr. Boostrom informs General Fund overview is Voice Committee Blanca Garcia upon
June 10°' and will inquire and inform committee concerns at Council receiving date if no
date for public comment. meeting during public conflict with schedule.
comment.
Bond Process Blanca Garcia: Is remodeling part of the Bond?
Amanda Stukenberg: We need to make up a wish
list for the Bond Proposal.
Dr. Boostrom: I'm working on annual report of
where we are, and I welcome your input for
planning.
Ms. Garcia: I don't know that we can wait that
long. We need to be upfront for necessary
changes; you need to have created a concept
drawing by the time you go out for bonds.
Dr.Boostrom: We've worked on 2004,05,06.
Ms. Garcia: Have they worked with anyone
outside of City? Was the Health Department part
of it?
Dr. Boostrom: I'm thinking we're not; their
priority is community draining issues.
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Amanda Stukenberg: We need to be part of the
pipeline.
Dr. Boostrom: Can we find out exactly where we
are in the Bond process with any Health related
issues?
Ms. Caballero & Ms. Stukenberg agree we don't
have a master plan.
Ms. Caballero asks if anyone is planning on
attending the June 5s' reception. She adds that
would be an opportunity to address some
concerns.
Dr. Boostrom suggested gutting out the clinical
area and making it a"One Stop Shop."
Ms.Caballero: Cross-training would allow service
to come together. However,there is a problem in
getting staff to cross train.
Dr. Boostrom: The facility does not promote
efficiency.
Amanda Stukenberg: We need to think big.
Blanca Garcia: The direction for Dr. Boostrom is Talk to as many people All members who
where the City has our current need to be more as possible on June 5s'. attend the reception.
efficient.
Rose Caballero suggested that all members to
contact their City Council Representative.
Dr. Boostrom thanks everyone for a great
meeting.
Other business
Ms. Caballero: I would like to get follow up on
some statistics for STD/HIV. The report I have
has only one month.
Dr. Boostrom: I've found reports that show trend Board requested data. Dr. Boostrom to supply
data. data.
Ms. Caballero: We all received memo from Jorge
in March on the Director search. What is the
status at this time?
Dr. Boostrom: Resumes and nominations are due
to Maximus on Friday, May 23, 2003. I don't
know how long it will be; I have a conflict of
interest in having knowledge of the process
details.
Ms. Caballero: Back in December, the election of
officers should have taken place; however, due to I
the retreat it was delayed. We still have an
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election pending. Mandy was to get nominations
together.
Amanda Stukenberg will gather the nominations Amanda to provide
for the June meeting. nominations.
Ms. Caballero: The previous process was: in
October, the nomination committee would be
appointed, November names would be brought to
body, and in December voting would take place.
That's as best as I can recollect. The new Bylaws
do not stipulate how the board elects its officers.
Karen Beard: If she brings slate, will that only be
till December?
Amanda Stukenberg: Can you vote if I give you a
slate before meeting?
Tony Diaz: Going back to the Director search, do
we have any input on the selection?
Rose Caballero: That's why I was asked what the
status is. No follow up with the Board as to what
input the Board will have.
Amanda Stukenberg: Karen and I have
recommended instead of changing Bylaws, vote
on slate now and re-elect the same.
Mr.Diaz agreed.
Ms. Caballero: What will be on agenda, the Place vote of committee Angelica will include
nominations or the vote? We never received a on agenda. on agenda for June
clear copy of Bylaws. meeting.
Angelica will also
supply copy of Bylaws.
Amanda Stukenberg: If Bylaws don't specify; I Board agreed to have Amanda to send slate to
will send on e-mail. election of officers Board prior to June
meeting.
Ms. Caballero: If no other business; good meeting
and input from all.
Amanda Stukenberg: If anyone would like to
serve on Committee,call or e-mail me.
Adjournment Meeting adjourned at 1:30 p.m.
Next Meeting June 18,2003
Ms. Caballero asked if anyone knew of schedule
conflict.
Amanda Stukenberg will be away on business.