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Minutes
CITIZENS ADVISORY HEALTH BOARD
September 17,2003
Corpus Christi-Nueces County Public Health District
1702 Home Road,Administration Conference Room
Members Present: Rose Caballero,Chair,Melinda Gonzales, Vice-Chair,Karen Beard,Gloria Farias,Leo
Banera, and Larry Bittle
Members Absent: Blanca R. Garcia,Ph.D.,Tony C. Diaz, Ph.D, and Amanda Stukenberg
Health District: Dr. Silvers
Timeline!
Meeting Outline Minutes Action Taken Responsible Party
Call to Order Rose Caballero,Chair,called the meeting to order at Leo Barren arrived at
3:05pm,noting that there was not a quorum present. 3:06pm;a quorum was now
present.
Opening Call for approval of minutes. Ms.Caballero requested A motion was made and
Remarks the sentence on the second page,third paragraph of seconded to approve the
the minutes that read:Ms.Beard asked Dr. Silvers minutes as written with the
what he thought the role of the Board was,how the amendment;the minutes
committee could help,and how much involvement were approved.
the Board should have?;to be amended to read: Ms.
Beard asked Dr. Silvers what he though the role of
the Board was,how the Board could help,and how
much involvement the Board should have?
Board Business Dr. Silvers spoke about the capital needs,
infrastructure, and technology of the health
department. He informed the board that the
department received twenty five computers that were
purchased through the county. He also related that
the current software system, ICES,would be updated
to TWICES which would enable the department to
communicate directly with TDH, Austin. The
divisions, including Immunizations and Family
Planning, that communicate with Austin received
new computers in order to expedite communication.
A few of the computers replaced were salvageable; Dr. Silvers further informed
all others will be properly disposed. Furthermore, a the Board that he intended
total of twelve additional computers were purchased to purchase additional
from the remaining program income of the computers,copiers,and a
Environmental Health and TB divisions. high speed scanner for Vital
Statistics which has been
ordered. The scanner
would serve as a backup
system for vital statistics'
record keeping.
Ms. Caballero asked for the secretary if anyone
would like to volunteer in transcribing the minutes of The board agreed that the
the meeting. Dr. Silvers explained that the secretary secretary would continue
provided administrative support to five boards. The transcribing the minutes
concern was that this board required a preview of the without a preview prior to
minutes prior to distribution for editing. distribution.
SCANNED
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The board business continued.
Ms. Caballero asked Dr. Silvers to elaborate on the Dr. Silvers elaborated on
changes and restructure he planned for the health his vision of restructure of
department. Dr. Silvers' explanation is a follow up the health department.
to Ms.Caballero's e-mail to those board members
with e-mail.
Dr. Silvers explained to the board his plan to
restructure was to create three divisions within the
health department. The first division would be an
Administration division which would incorporate
finance,purchasing,personnel,switchboard,
environmental health,and lab. The second division
would be AnimallVector Control. County Animal
Control would cooperate with City Animal Control
and Vector Control upon moving to the new facility.
The consolidation would allow more manpower for
work orders and citizen concerns. Commissioner
Ortiz has collaborated with Dr. Silvers regarding the
consolidation.
Ms.Caballero asked Dr.Silvers how the board could Karen Beard stated she
assist in vocalizing and supporting his efforts outside supported Dr.Silvers'
of the meeting. Dr. Silvers said the board's support efforts,as well.
is all that is needed at the time.
Dr.Silvers informed the board that Community
Health would be the final division. This division
would encompass WIC,family planning,nursing,
communicable diseases,and anything else that may
require physician assistance.
Karen Beard asked Dr. Silvers if the positions for the
three division directors would be posted. Dr. Silvers
commented that his thoughts were to reclassify
existing positions. The community health position,
however,would most likely be recruited.
Ms. Caballero clarified for the board that this
dialogue was still in the planning process. Dr.
Silvers concurred,and added that the process was
moving quite quickly.
Dr. Silvers added that the new Animal Control Dr. Silvers informed the
facility would be open in November. The Animal board that Mr.Cruz-Aedo
Control Manager would be coordinating and was targeting an open
supervising the move. house in December,once
the facility was in full
operation.
Dr. Silvers informed the board that the Immunization Melinda Gonzales is owed
Clinic would be held on Friday, September 26th and a debt of thanks for her
Saturday, September 27th at the National Guard assistance in coordinating
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Immunization Armory. The Health Department,CCISD,TDH,and the event,said Dr. Silvers.
Clinic many other sponsors have come together to make this
event possible. Melinda Gonzales informed the Melinda Gonzales
board that 10,000 children have yet to be immunized. commented that she was
According to Ms.Gonzales,CCISD would be non- indebted to Dr. Silvers for
compliant should an audit be conducted. Flyers his receptiveness to put on
promoting the immunization clinic were posted in the the mass immunization
schools as well as being distributed to the students to clinic.
take home. All children's records would be
accessible through the TEQ Center.
Dr. Silvers noted that some thanks were due to Jaime
Capelo in getting TDH involved and allowing us to
use their staff.
Board Ms.Caballero requested that the Director's Report be
Comments include in future agendas. The board agreed.
Leo Barren expressed that the consolidation plan
would be important and a key factor in moving
forward. He did agree,however,that it should not be
a territorial issue.
Karen Beard had a question concerning grants being
denied. Ms.Beard asked if it would have an effect
on the health department.
Dr. Silvers shared with the board that the health
department would lose a total of twelve positions.
The department lost three vacant county positions,
and will lose nine state positions by the end of
August 2004. The health department also took a
$70,000 budget cut.
Ms. Caballero commented that she fully supported Dr. Silvers noted that he
Dr. Silvers'plans. Melinda added that she too was would need the assistance
really encouraged by the efforts of the consolidation. of the board; the board is
Ms. Beard concurred,and asked Dr. Silvers to keep respected among the
the board educated in order for them to support his community and by elected
cause. officials.
Ms. Caballero said before a year ago,the board was
not sure of their role in the community. She further
added that she found the future of the board very
exciting and challenging by its new direction.
Larry Bittle informed Dr. Silvers when he was ready
to publish some of his ideas;Larry knew of the editor
of"Fuel for Thought"which is a publication of Port
Industries.
Next Meeting Next meeting scheduled will be the third Wednesday
of October at 3:00pm.
Ms.Caballero asked if anyone had any agenda items
to be included on the agenda.
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Mr. Barrera asked if the topics of the retreat had
relevance to be discussed now that the board had a
new direction.
Ms.Gonzales suggested reviewing the remaining
agenda items from the retreat and either revising the
list or starting anew.
Ms. Caballero commented that she did not feel any Mr.Barrera asked how the
progression from covering the previous items of the board could receive more
retreat. public exposure and
visibility.
Mr.Bittle voiced that the board's presentations Ms.Caballero appointed
should have a purpose. Leo Barrera to head an
Adhoc committee to look at
various topics and agencies
to address.
Ms. Caballero asked Dr. Silvers to provide the board Dr. Silvers agreed.
with the education and content for presentations. Dr.Silvers suggested
Melinda Gonzales noted that the board needed to identifying the needs at one
identify the needs of the community before of the board's upcoming
addressing the various agencies with presentations. meetings. He did add,
however,that it was a good
idea to determine what type
of audiences would be
addressed.
Dr. Silvers and Rose Caballero would continue to Leo Barren will provide Next meeting.
identify the concept and issues the board would like the forum"circuit,"and the
to provide the community. content will be provided at
a later time.
A discussion took place on how to address the
audience;the board agreed that it depended on the
topic and the audience as to how each presentation
would be addressed.
Ms. Beard suggested the board inform and promote
the director's changes to the community. She felt the
community would place faith and trust in the board's
programs if the community was aware that Dr.
Silvers was making the health department a more
efficient place.
Ms.Caballero disagreed. She clarified that Mr.
Barrera was referring to a more general type of
information to present to the community.
Adjournment Meeting adjourned at 4:15 PM.
Next Mediae Next meeting November 19,2003 at 3 PM.
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