Loading...
HomeMy WebLinkAboutMinutes Citizens Advisory Health Board - 07/16/2003 Goo • Minutes CITIZENS ADVISORY HEALTH BOARD July 16,2003 Corpus Christi-Nueces County Public Health District 1702 Home Road, Administration Conference Room Members Present: Rose Caballero, Tony C. Din,Melinda Gonzales,R.N., Karen Beard, Gloria Farias, Leo Barrera,Larry Biddle Members Absent Blanca R. Garcia, Ph.D.,R.N. and Amanda Stukenberg Health District: Annette Rodriguez, Dr. Boostrom, and Jorge Cruz-Aedo Timeline/ Meeting Outline Minutes Action Taken Responsible Party Call to Order Rose Caballero, Vice Chairperson, called the meeting to order at 12:03 p.m. with notation that there was no quorum. Shortly after, Leo Barren and Larry Biddle arrive; a quorum was now present. Opening Remarks Minutes from May 21, 2003 are requested to be Amend minutes of May Angelica amended in the following areas: 1) to reflect work 21,2003 related absences for Amanda Stukenberg and Melinda Gonzales, family related absence for Karen Beard.2)Karen Beard was a family related absence. A couple of typos and verbiage were also addressed. 3) The sentence that read: I think we need a letter from this Committee to CCISD School Board to support nutrition is vending machines. 4) Correct the sentence: I think we need a letter from this Committee to CCISD School Board to support nutrition in vending machines. The sentence that read: 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. Sentence will be corrected to read: I would like to make a motion to submit a letter from the Board or the Health Department that diabetes and obesity are an important issue in our children. 5) The sentence that read: A copy of the letter should go to the Super indent.; will be corrected to read: A copy of the letter should go to the Superintendent. Absences Amanda Stukenberg and Blanca R. Garcia were A motion was made to Board members to call absent for the June meeting because of work excuse absences; board Angelica prior to related issues and both requested Board to excuse agreed to excuse meeting date to notify their absence. absences. if will be attending meeting. If no quorum Mr. Barren asked to be excused for his absence at A suggestion is made for will be met, the the prior meeting due to a work related out of the Board members to secretary can notify the town trip. Gloria Farias' absence was due to a keep the secretary at the Board ahead of family related issue. Larry Biddle also asked to Health Department scheduled meeting be excused for his absence related to a medical informed of any known time. issue. absences or schedule conflictsforany SCANNED upcoming meetings. 4 V Nomination& Nominations were received for Rose Caballero for A motion was made and Election of Chair and Melinda Gonzales for Vice Chair. seconded for Rose Officers Nominations were requested from floor, none Caballero to become received. Chair and Melinda Gonzales to become Ms. Caballero resumed chairing meeting and Vice Chair. Motion thanked Mr. Barters for his extended term as passed. Chair of the Board. Departmental Rose Caballero: Discussion review and discussion Dr Boostrom will Dr. Boostrom Program regarding immunization reports. Concerns provide correct Evaluation: expressed regarding accuracy of statistics information to Board Immunizations provided. Concern was expressed regarding the lack of administrative staff within the Immunization Clinic. Mr. Cruz-Aedo commented that the bottleneck was within the administrative staff. There is an excess capacity administering shots; perhaps,the capacity should be the administrative staff and less staff administering shots. Ms. Caballero agreed, stating there was a disproportion where the staff was being utilized. Dr. Boostrom added that the persons administering injections should not be overworked. They provide injections to children of all ages, if overworked; this could become a liability issue. She further added that the supervisor was involved in assisting with the clerical work. Ms. Caballero requested clarification on job description, job duties, and the number and frequency of audits performed by each individual in the Immunization Clinic and the purpose of the audits. Dr.Boostrom clarified the staff checks for immunization records at schools and daycares. Ms. Caballero inquired on the number of man hours required to conduct the audits. Current data was not available. Dr. Boostrom informed the board that the Health Department would be able to ask for additional funding for the Immunization Clinic as a result of an upcoming four year plan with the Texas Department of Health(TDH). Mr. Cruz-Aedo validated the concerns of the board to be as follows: the amount of man hours, how they are being used, and if the resources are being allocated correctly. Dr. Boostrom stressed the importance of conducting a time study. Ms. Caballero stressed the necessity to have more current and accurate statistics. Clarification of VCF (Vaccine for Children Funds) up to age 19 was provided by Dr. V Boostrom. Rose Caballero inquired what role staff had in the storage of VCF. Dr. Boostrom explained: look at yearly plan, make sure a contract has been signed, security not to lose vaccine in power outage. Ms. Caballero further asked of the staffing and man hours necessary to perform this tasks. Further questions were asked regarding adequate staffing for daily tasks. Dr. Boostrom informed the board there was one vacant LVN position. July and August are the busiest months for immunizations; during these months we are short staffed. Melinda Gonzales suggested consideration of substitutes assisting during periods of being short staffed. Rose Caballero asked about upgrading the database as discussed at previous meeting. Dr. Boostrom clarified that the Health Department is linked to a Statewide system. Medicaid funds will be used to upgrade computers to be HIPAA compliant. Ms. Caballero addressed Dr Boostrom's concern (as expressed at previous meeting) about the physical layout of the immunization area being a bather to expedient flow for immunization services.Mr.Cruz-Aedo had not been informed of there being a problem in the layout. Dr. Boostrom offered a tour of the clinic to the board to assess potential improvements. She added that the clinic should allow for privacy. Mr. Cruz-Aedo said the issue will be evaluated. The Texas Department of Health and neighboring counties will be conducting "Shots Across Texas." Dr. Boostrom suggested gathering a group of volunteers in case of an outbreak. Tony Diaz suggested consideration of retired military as volunteers as well. Detailed screening of volunteers will be necessary due to liability issues. Mr. Cruz-Aedo asked the board to consider the budget restraints within the Health Department. He informed the board that the City, County, and State were all under budget restraints. Karen Beard expressed her disbelief and frustrations on behalf of the Board concerning the attention and funding provided to Animal Control. She also stated that people matter more than animals. Leo Barrera suggested a joint meeting with Animal Control; Mr. Cruz-Aedo encouraged this meeting as well. Dr. Boostrom added that the perception of the Health Department reflects its weakest link. Ms. Gonzales commented that 4 V Animal Control has made a good point of making their needs heard. Ms. Caballero asked for clarification regarding the immunization budget in reference to payroll. Dr. Boostrom reviewed report and informed the board the amount listed was payroll for the division supervisor, two LVN positions, and a clerical support staff. Dr. Boostrom notified the board that the Health Department would be asking City and County to allow the Director of the Health Department to review and set the fees and co pays for the clinic annually. Leo Barrera believed in the past that the immunization clinic was producing program income. Dr. Boostrom and Ms. Caballero both attested that the immunization clinic has never been profitable. Dr. Boostrom clarified that the State furnishes the Health Department with funds for all individuals who are Medicaid eligible. Mr. Cruz-Aedo stated that the Health Department is a subsidized operation and has never been profitable. Tuberculosis Rose Caballero reviewed reports for TB division regarding cases and resources. Dr. Boostrom informed Board of staff: one nurse supervisor, one LVN,two clerical staff,and three support staff. Rose Caballero was concerned with the number of clerical staff in TB versus the number of clerical staff within the immunization clinic. Dr. Boostrom assured the Board each of the clerical staff in TB is always working. Pat Otto, tuberculosis supervisor, provided clarification of reports. Pat explained that the TB staff visits patients of age five or less in their home, a CSA goes to the schools, and every medication dose is signed for by a parent. A staff member goes into the jail to administer the dosage. There has not been a case of TB in the jails in quite a long time. Each inmate is skin tested upon arrival at the jail. Question regarding the length of time for DOT? Usually a six month, but can be a nine or ten month treatment. Referencing back to the TB report, the cumulative number must be referring to the number of visits not individuals according to previous statistics. Ms. Caballero thanked Pat for doing a good job with the TB program. Ms. Gonzales added she has done an excellent job with the schools. Melinda Gonzales, Tony Diaz and Leo Barren left the meeting at approximately 1:15 pm. Mr. 4 r„i Cruz-Aedo noted: No quorum; No official action will be taken. Nursing: Ms. Caballero and Ms. Beard discussed the Maternity& reports provided reflects overstaffing and Family Planning questioned the work output versus the number of employees. Rose Caballero expressed need to invest and allocate our resources efficiently and effectively as to the community needs. Dr. Boostrom commented that she would like to verify the numbers reported. She often visits the clinics within the Health Department and has not seen employees standing around with nothing to do. Had this situation occurred, the individuals would be directed to assist in busier areas. Case Management Ms. Caballero adamantly stressed the importance of providing and verifying accurate reporting before distributing to board members. The information provided does not appear to be accurate and consistent. Ms. Caballero asked about case management. Larry Biddle questioned whether the Boards' function was to look at such detail about staffing and services. He asked whether the Board has determined what the needs of the community are. Rose Caballero explained the Board responsibilities and long term goals had been determined at the January 2003 Board retreat. One way to best serve the community was for the Board to be informed of what resources the HD has and what services are actually being provided and the goal was to have accurate information to determine community needs. Mr. Cruz Aedo explained the purpose of the Board is to provide the City with a balance of reporting. He reminded the Board that the Board is responsible and reports to the City Council, not to the HD Director. Dr. Boostrom reiterated that the Health Department provides support to three boards; therefore, the Health Department must review the reporting process and produce reports in an understandable manner. Discussion about each Board member reviewing Dr. Boostrom will Dr. Boostrom for the information packets prior to the Board meeting address and answer July 16,2003 meeting. would facilitate a more expedient meeting. questions concerning the Having accurate reports would also prevent nursing evaluation having to spend so much time clarifying content. process and reporting Ms. Farias suggested that Ms. Caballero, due to issues. her knowledge and background, could get clarification from Dr.Boostrom prior to meetings. Mrs. Caballero was agreeable to getting with Dr Boostrom and suggested that each Board member could also get clarification prior to the meeting. ie Adjournment Meeting adjourned at 2:07 PM. Next Meeting' July 16,2003