Board of Health

City of Columbia, Missouri Meeting Minutes Board of Health Thursday, March 10, 2016 Public Health and Regular Human Services 5:30 PM 1005 W Worley Columbia, MO 65203 I. CALL TO ORDER With a quorum present, the meeting was called to order at 5:30 pm by Dr Szewcyk. II. APPROVAL OF AGENDA Dr. Szewczyk made a motion to add information Ms. Phillips sent on the “1-2-3-4-5 Fit-Tastic Meet & Eat” meeting under New Business. This meeting will be taking place April 14th at the Health Department, the same time as the Board of Health’s meeting. The agenda was approved. III. APPROVAL OF MINUTES Dr. Lyon made a motion to approve the minutes, which Dr. Hussey seconded. Motion carried IV. PRESENTATIONS City of Columbia, Missouri Page 1 Printed on 5/18/2016 Board of Health Meeting Minutes March 10, 2016 Update on Children’s Services - Kelly Wallis, Director of Boone County Community Services Ms. Wallis reported that the Children’s Services Board just completed their second round of contracts. She further explained that the first and second rounds of contracts were open to all statutorily eligible service areas. Please refer to the “ 2014-2015 Combined Summaries of Funded Proposals in Relation to Statutorily Eligible Service Areas” for information on Children’s Services funded programs. Ms. Wallis explained that the programs had to submit anticipated outcomes when applying for funds and currently, Children’s Services is compiling information from all the programs’ 2015 year end reports to create the Children’s Services yearly report. This report and more detailed information on each program will be available, by March 17th , on their website at: <http://www.showmeboone.com/communityservices/> Ms. Wallis touched on all the programs being funded. The Boone County Schools Mental Health Coalition was the largest pilot program funded. The University of Missouri, along with all the superintendents from every Boone County school district submitted this proposal. This program screens every student grades K-12, in Boone County, by using an informational checklist to decide which students are at risk. There are evidence-based interventions that are put into place either on an individual, classroom, or school level. She explained that students with the most pressing needs get individual wrap around services. The school staff works with the Mental Health Coalition staff so the teachers and parents are involved with the process. Ms. Wallis discussed how Boone County has multiple resources available, but there is a disconnect with many people and providers not aware of all of the services. In 2015, Children’s Services put out a targeted request for proposal for an Access to Services program. They decided on the University of Missouri’s Family Access Center, where a referral could come from any source or a family could come in on their own. The child would receive an evidence-based assessment and screening. The family would then get a choice of their provider that would be catered to their needs. There is also a case management component to the program and an integrated data management system will be in place. This system will allow data to be shared easily between all parties to better serve the families and also allow for quality improvement. Additionally, if there are referrals to the Access Center and no providers to address those needs, there will be training with evidence-based practices to help better serve the community. The stakeholders in the community that see children and families on a first hand basis oversee the Family Access Center. Ms. Wallis briefly touched on who was on the Board. A faith-based representative and an early City of Columbia, Missouri Page 2 Printed on 5/18/2016 Board of Health Meeting Minutes March 10, 2016 childhood expert will be added eventually. The Family Access Center will be located on the ground floor of the United Way building, which has good accessibility, having its own parking lot and is also close to a bus line. Ms. Wallis explained that Children’s Services and the Boone County Public Health and Human Services will be partnering to do outreach for the rural communities. Ms. Wallis asked if there were any questions from the Board. It was asked if these programs were self-sustainable. Ms. Wallis explained that, as part of the programs’ proposals, each program had to submit a sustainability plan. Additionally, the programs are expected to become a Medicaid-eligible provider. Since the services are available for everyone, it was asked if there is a sliding scale for individuals who are able to pay. Ms. Wallis said all services are free, so the programs can establish themselves as a Medicaid-eligible provider. The pilot programs will last for three years, and if they re-apply for funds, then a sliding scale will be put into place. I t was recommended to add a pediatrician to the Board. Ms. Wallis clarified that the Family Access Center plans to open its doors to clients in the summer, and the goal is to become a coordinated effort and not a duplication of efforts. It was emphasized that if more information was needed, either about funding amounts or more details about each program, the Children’s Services website would be a good resource. Ms. Wallis clarified that when a program falls under more than one statutorily eligible service area, they receive funding for each of those services. A question was asked how many programs were using the Community Health fund. Ms. Wallis reported that it touched each of the ten programs funded. Overall, there has already been an increase in coordination between agencies, which is allowing families to be served to a greater extent. Some programs have been able to cut down on wait times. It was explained that Children’s Services is now putting out only targeted requests for proposals only. They are currently focusing on early childhood initiatives but will also be looking at how to help homeless youth. Ms. Wallis explained that the Children’s Services fund statute is to serve Boone County children ages zero to nineteen years of age and their families. She explained that if a family issue is prohibiting a child from being well, they are able to serve the family. However, the Community Health fund dollars are helping to fund some of the areas that the Children’s Services fund dollars can’t reach. V. REPORTS City of Columbia, Missouri Page 3 Printed on 5/18/2016 Board of Health Meeting Minutes March 10, 2016 Assistant Director’s Report: Mr. Clardy started off explaining that Dianna Ledgerwood will not be able to prepare future minutes for the Board and he re-introduced Brittany Klusman as her replacement. He also explained that the City is switching to a new system for entering agendas and minutes for all the Boards and Commissions. This new system is called Granicus and will be mandatory come this May. Furthermore, the city’s sales tax revenues are not reaching the point they were projected to reach. Mr. Clardy said City Departments have been instructed to have plans in place to make three percent cuts from the General Fund for their 2017 budget. This amounts to just over $109,000 for PHHS. Mr. Clardy mentioned a workshop called, “Healthy Lives - Healthy Communities”, which will be held on April 29th at the Marriott Courtyard hotel in Columbia. It will be $50 per person and is from 8:00 AM to 4:30 PM. Theresa Finley will send out the information to the Board in case anyone is interested in attending. City of Columbia, Missouri Page 4 Printed on 5/18/2016 Board of Health Meeting Minutes March 10, 2016 County Commissioner Report: Ms. Thompson also touched on how the sales tax revenues are down. She explained that seventy percent of the County’s budget is derived from sales tax. This directly affects everything that the County is able to do. Ms. Thompson added to Ms. Wallis’ presentation by bringing up the Apricot system, which is part of the collaboration between the programs. This system allows information from the providers to be shared easily among the different parties, which has many benefits. Ms. Thompson gave an update on the Stepping Up initiative. In the next month, a new process should be in place in our court system that will help to reduce Boone County’s jail population numbers. This same process is being utilized in Johnson County, Iowa. The program involves doing a weekly meeting of the cases presenting the most significant mental health issues in the jail. Basically, the parties involved in this process start looking at these cases quickly and try finding better results. Ms. Thompson explained that Johnson County was able to reduce their jail population back to capacity just by enacting this program. Ms. Thompson spoke briefly about Terry Cassil, the Director of Emergency Management for the County, obtaining packs of medical supplies that can be distributed to schools and/or other organizations if there should be an active shooter event in Boone County. Mr. Cassil has also obtained supplies to be used by various agencies in the event of an infectious disease outbreak, primarily looking at a Zika virus outbreak. Ms. Thompson touched on Crisis Intervention Team (CIT) Training and how law enforcement officers in Boone County are increasing their officers’ participation in this training. This allows the officers to be more prepared when responding to a call that could possibly have a mental health component. 911 dispatchers are also able to become CIT trained, so upon receiving this type of call they can try to de-escalate the situation through conversation before the first responders arrive. The CIT annual conference will be held at the Executive Center on March 29th, and will be an all- City of Columbia, Missouri Page 5 Printed on 5/18/2016 Board of Health Meeting Minutes March 10, 2016 Mr. Clardy handed out a list of current legislation that may have an impact on Public Health. The first column of the handout is the number of the bill, the second column is the sponsor of the bill, and the third column gives you a short description of what the bill does along with what the last action was. He explained the process of how a bill is introduced. The bill would be introduced on the floor of the House and read twice. Then the speaker could choose to assign the bill to a committee. The committee chair could then have a hearing and choose to vote on the bill, sending it back to the house recommending to either pass or not pass. If the bill were passed it would go to the Senate. This process could also start in the Senate with bills working their back to the House. Mr. Clardy discussed the highlighted the bills that seemed to draw the most interest from the last Board meeting. Please refer to the attached handout for additional information. There was an in-depth discussion over bill number HB 1679, focusing on concerns of women not getting an annual gynecological exam if this bill passed. VI. NEW BUSINESS Dr. Szewczyk brought up the “1-2-3-4-5 Fit-Tastic Meet and Eat” that will be held at the same time as April’s Board of Health meeting. He stated that Ms. Phillips wanted to supplement the Board of Health meeting with the Fit-Tastic meeting. Mr. Clardy explained that this program is a nutrition and exercise initiative to try to get kids more active and eating healthier. Community Health Promotion and Women, Infants, and Children (WIC) are working together with families on this initiative. Mr. Clardy believes this meeting will be geared towards working with families on eating healthy but he will have Ms. Coy, who is in charge of the program, send him more information to send out to the Board for a decision on attending during their regular meeting. VII ADJOURNMENT There being no additional business the meeting was adjourned at 7:00 p.m. Members of the public may attend any open meeting. For requests for accommodations related to disability, please call 573-874-7214. In order to assist staff in making the appropriate arrangements for your accommodation, please make your request as far in advance of the posted meeting date as possible. City of Columbia, Missouri Page 6 Printed on 5/18/2016