WC CWF Health District Board Minutes - 01/07/2005WICHITA FALLS - WICHITA COUNTY PUBLIC HEALTH BOARD
PLACE: Wichita Falls- Wichita County Public Health D
TIME: 12.15 p.m.
DATE: January 7, 2005
BOARD MEMBERS PRESENT:
BOARD MEMBERS ABSENT:
HEALTH DISTRICT
REPRESENTATIVES:
WICHITA CO. REPRESENTATIVE:
Susan Strate, M.D. I
Beverly Stiles, Ph.D.
Diane Stewart, R.N.
Gregory Stockton
Kathy Sultemeier, D.V.M.
Larry Rains, D.D.S.
Tom Delizio, M.D.
CITY CLERK'S OFFICE
Date
By
Lou Franklin, Assistant Director of Health
Joe Miller, M.D., Wichita County Commissioner
Woody Gossom, Wichita County Judge
WICHITA FALLS CITY COUNCIL: Mike Norrie, Councilor
WICHITA FALLS CITY MANAGER'S OFFICE: Matt Benoit, Assistant City Manager
MINUTES:
I. Call to Order
Susan Strate, Chair, called the meeting to order at 12:15 p.m.
II. Approval of Minutes:
Moved by Greg Stockton and seconded by Beverly Stiles that the October 22, 2004
minutes be approved. The motion passed.
III. Year End Updates
A. Flu Vaccination Report: Lou Franklin, Assistant Director of Health
The Health District originally ordered 3,000 doses of vaccine from Aventis
Pasteur. Half that number was received when the Chrion plant closed.
Eventually the Health District ordered another 1,200 doses when Centers for
Disease Control (CDC) reallocated vaccine. The Health District purchased a
total of 2,700 doses and we received 230 doses from the State Health
Department through the Vaccine for Children program.
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To date, 2,681 doses have been given with 2,466 being to persons over the
age of nineteen (19) and 215 given to persons under the age of 19.
Anyone receiving the vaccine had to fit the CDC criteria for high -risk. All
remaining doses of vaccine have been reserved.
The Health District is participating in active flu surveillance in the community.
As of this date, two positive cases of Influenza A have been reported.
B. Health District Addition: Reuben Warren, Director of Health
The Health District addition project is well underway and the floor plan has
been finalized. Recently our staff and other interested parties met with the
structural and mechanical engineers and we expect the blueprints for those
phases of the project to soon be delivered. The architect has informed us that
the project is on schedule.
C. Approved Annual Budget: Mr. Warren
The overall budget for the Health District has increased approximately
$900,000 for the coming year. The increase is due primarily to the award of
CDBG funds (with Council approval) for the building expansion project.
Some of the District's grants have different budget cycles than the City, thus, in
those instances, parts of two different budgets had to be combined in the
report in order to extrapolate the total grant funds.
Finally, Wichita County provides funds for staff travel and we have some
reserve funds from Medicaid Administrative Claiming that are not reflected in
the budget as presented. So the overall budget funds available for the coming
fiscal year are in excess of $5.5 million.
D. Grant's:
1. Grants - Level Funding:
Level funded grants include Community Rural Health, Early Prevention -
AIDS, Health & Human Services, Ryan White II, Ryan White III, and
STD. WIC and Maternal Child Health (MCH) are Fee - For - Service based
and dependent upon client participation but MCH has been reduced for
various reasons and, over the years, the WIC program has shown an
overall increase in funding.
2. Grants - Reduced Funding:
One declining award was CDBG — Martin Luther King Health Clinic. We
have phased out most clinical services at the location because of
declining client numbers. Those services have not disappeared but have
been moved to the Health District clinics and the staff at MLK has filled
existing vacancies at the main office.
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3. Grants - Added Funding:
Grant awards that increased are Immunization (funded a new outreach
worker), Prevention Counseling Partner Elicitation (PCPE) (awarded
funds for equipment for the new addition); and Public Health Emergency
Response (awarded funds to update the Laboratory to a Bio- Safety
Level 2).
4. CHIP:
The current CHIP grant period is September 1, 2004 — April 30, 2005
with a total grant award of $13, 578. The grant has an option to extend
the agreement for two additional two -month periods. Should this occur,
the grant could potentially run through August 31, 2005.
The grant pays for a part-time outreach worker for a total of 28 hours
weekly.
Currently there is one application for both CHIP and Medicaid. The
completed application is forwarded to Health and Human Services
Commission (HHSC) who determines the applicant's eligibility.
According to HHSC staff, the current CHIP funding is included in the
Integrated Eligibility Request Funding Proposal (RFP). This would fully
integrate CHIP and Medicaid. Currently Maximus HMO is the contractor
for CHIP services. If the RFP is successful, it will be the contractor's
responsibility, not the States, to determine how they want to proceed.
The choice would be between using their own staff or continuing to
contract with Community Based Organizations for services. The future
of the CHIP Grant is unknown at this time.
IV. Recognition of outgoing board members: Mr. Warren
Mr. Warren recognized Diane Stewart, R.N. and Susan Strate, M.D., outgoing
members, with plaques for their outstanding years of service and dedication to the
Board of Health.
V. Board nominees: Mr. Warren
There are two persons who have expressed interest in the vacant positions on the
Board of Health but, as of this date, the City Council has not reviewed applications for
the positions.
VI. Next Meeting Date:
The next meeting will be held on February 25, 2004.
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VII. Adjourn
It was moved by Diane Stewart and seconded by Kathy Sultemeier that the meeting
be adjourned. The motion carried and the meeting was adjourned at 1:10 p.m.
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