Meeting Minutes
Towner County Public Health District
SPECIAL MEETING
MINUTES
September 20th, 2019
@ 7:30am
Discussion began re: SOAR grant application and deliverables as 2 Board members were present and 3rd would be arriving shortly. The award was for $185,083.00 vs the application amount of $189,483.00. Marci Plemel will check with State on this, but the difference can be taken from remodel line item. Plans re: recovery support, peer support and Care coordination, recovery housing, supporting TCMC with their MAT coordinator position were also reviewed. Heartview is also a partner and discussion was held as to how this possible new hire would be able to engage and partner with Heartview.
Motion: Matt Odermann and seconded by Jessica Larson that TCPHS accept the State Opioid Response Grant. Motion Carried.
Discussion re: new hire and lack of success for engaging a Footcare person to assist with those duties. The term position limitation has made it difficult to engage current casual staff. Discussion of increased cost and effects on Footcare budget and flexibility of adding extra days. Sherry was asked to have some numbers at the regular board meeting in November.
Discussion re: having a 3rd signature to have on hand in case other 2 authorized persons are not available. Motion Matt Odermann and seconded by David Lagein that Jessica Larson be added to the signature authority list. Motion Carried.
Special meeting adjourned with next meeting being November 20, 2019.
_______________________________ _________________________________
David Lagein, President Valerie Pederson, Secretary
REGULAR MEETING
MINUTES
August 21st, 2019
A regular board meeting of the board of directors of the Towner County Public Health District was held in the Towner County Memorial Bldg in Cando, ND at 7:00am, Wednesday, August 21, 2019.
The following directs were present: Valerie Pederson, Matt Odermann, Troy Senger and David Lagein. Also present were Denice Hanson and Sherry Walters. Absent was Jessica Larson.
David Lagein, President called the meeting to order. Valerie Pederson made a motion to approve the agenda. Matt Odermann 2nd it. Motion Carried.
Review of the minutes. Matt Odermann made a motion to approve the minutes. Matt Odermann 2nd it. Motion Carried.
Review of the financials. Matt Odermann made a motion to approve the financial report and paying the bills from May 15, 2019 to August 21, 2019. Troy Senger 2nd it. Motion Carried.
Environmental Health Report included sewer code proposals and review of current fees. We will have the first meeting in November in conjunction with regular health board meeting for sewer ordinance updating.
The administrator report was given by Sherry. The tobacco grant has been submitted and accepted, the grant amount is $42,589.00. We plan to advertise our cessation services in the upcoming months. We have patches, procedures and standing orders.
We received $2,867.00 for EPR/HAN funding.
There will be a new Community Prevention Grant and we have to pick one strategy. In talking with the Sheriff's department it was decided to go with Marijuana. The state is okay with this but we need data to support it.
They attended Grand Forks Public meeting about their Syringe Service Program. We continue to provide naloxone, naloxone training and tracking naloxone use.
We continue to put messaging in the Reaper and on Facebook page regarding Safe medication disposal and opioid messaging.
There is a conference in Miami regarding meth, cocaine and other drugs in November and Sherry would like to send someone. Matt Odermann made a motion to approve the out of state travel for someone to attend the conference in Miami. Troy Senger 2nd it. Motion Carried.
Our VFC inspection needs to be scheduled.
The immunization grant is $1,000.00 with an additional grant for $10,000.00 written by Denice to focus on flu vaccination.
A new regional networking grant funding plan was submitted by the collaborative for this year with increased needs to be met but no funding changes.
New Business
New grant is SOAR, which is just more then $71,000.00. Marci has been working hard on this grant.
A nice thank you note was received from Dr. Petty.
Marci has been working with Kathy Benson to assist with financials.
Next meeting will be held on November 20, 2019.
Matt Odermann made a motion to adjourn. Valerie Pederson 2nd it. Motion Carried.
_______________________________ _________________________________
David Lagein, President Valerie Pederson, Secretary
REGULAR MEETING
MINUTES
June 11th, 2019
A regular board meeting of the board of directors of the Towner County Public Health District was held in the Towner County Memorial Bldg in Cando, ND at 7:30am, Wednesday, June 11, 2019.
The following directs were present: Valerie Pederson, Matt Odermann, Jessica Larson and David Lagein. Absent was Troy Senger.
Also present were Kathy Benson and Sherry Walters.
David Lagein, President called the meeting to order.
Review of the minutes from May 15, 2019. Valerie Pederson made a motion to approve the minutes. Jessica Larson 2nd it. Motion Carried.
Review of the financials. Went over 2020 budget. Jessica Larson made a motion to approve the 2020 budget. Matt Odermann 2nd it. Motion Carried.
Old Business
We went over the sewer code proposals. Matt Odermann made a motion that we propose to follow the state review board work group codes. Valerie Pederson 2nd it. Motion Carried.
Next meeting will be held on August 21, 2019 at 7:30am.
Valerie Pederson made a motion to adjourn. Matt Odermann 2nd it. Motion Carried.
_______________________________ _________________________________
David Lagein, President Valerie Pederson, Secretary
REGULAR MEETING
MINUTES
May 15th, 2019
A regular board meeting of the board of directors of the Towner County Public Health District was held in the Towner County Memorial Bldg in Cando, ND at 7:30am, Wednesday, May 15th, 2019.
The following directors were present: Valerie Pederson, Matt Odermann and David lagein. Also present were Kathy Benson, Denice Hanson and Sherry Walters. Absent were Dr. Petty and Troy Senger.
David Lagein, President called the meeting to order.
Review of the minutes. Valerie Pederson made a motion to approve the minutes with the change of $1700.00 to $170.00 of uncollected debt, (there were 3 accounts receivable invoices from November & December 2017 of $012.00, $34.00 and $34.00). Matt Odermann 2nd it. Motion Carried.
Review of the financials. Matt Odermann made a motion to approve the financial report and paying the bills from February 21, 2019 to May 15, 2019. Valerie Pederson 2nd it. Motion carried.
We reviewed the 2018 Profit and Loss Budget and proposed 2020 Budget.
Candace Carlson and Allan McKay were present for Environmental Health Report. The pool had 100% compliance. Discussion was held on the sewer regulations. There is an on-line training for homeowners to watch.
The administrator report was given by Sherry. There was failure legislatively to address any of the e-cig or ENDS devices and zero movement on tax. Sherry was able to gain her Tobacco Treatment Specialist Certification in December by attendidng a state sponsored training with Mayo educators, but was not able to get Denice into one.
On EPR/HAN funding, we were told there is level funding and small amount of increase from some additional assessment about opioid resources in the communities. Our office played a significant role in helping facilitate and plan the emergency exercise in Rock Lake on April 6.
Sherry continues to work o our Community Prevention Grant and will focus on underage drinking. The opioid grant has ended and we have hired a person for a 1 year term to help with community assessment, identifying community resources and recovery needs with the balance from this grant.
They did hold first community event.
The immunization grant has been used up, the levy funds strongly support this activity.
A new regional networking grant funding plan was submitted by the collaborative for this year with increased needs to be met but no funding changes.
Old Business
Dr. Petty has moved and his position needs to be replaced. He has been a great advocate for public health. Dr. Mark Peterson has consented to be our medical director.
Denise is only working part-time for foot care with her hand concerns. Sherry and Majusta are having to fill in. We are in need of someone for foot care. They have to be a licensed RN.
New Business
New grant is SOAR, which is more then $71,000.00. The new person will be able to help with this as well. One of the main focuses will be supporting efforts for good recovery housing options here as well as trying to increase community support. We have a need for supportive housing so that they have even more support in those early phases of recovery and out patient to follow up.
We welcome Marcine Plemel to our staff as she fills in the Community Coordinator position and other duties as assigned.
Next meting will be held on August 21, 2019 at 7:30am.
Valerie Pederson made a motion to adjourn. Matt Odermann 2nd it. Motion carried.
_______________________________ _________________________________
David Lagein, President Valerie Pederson, Secretary
REGULAR MEETING
MINUTES
November 14, 2018
A regular board meeting o fthe board of directors of the Towner County Public Health District was held in the Towner County Memorial Bldg in Cando, ND at 7:30am, Wednesday, November 14, 2018.
The following directors were present: Matt Odermann, David Lagein, Dr. Petty and Troy Senger. Also present was Sherry Walters.
President, David Lagein called the meeting to order.
Matt odermann made a motion to approve the agenda with additions. Dr. Petty seconded the motion and motion was carried.
Review of the minutes: mInutes from last meeting were reviewed. Motion by Matt Odermann and seconded by Troy Senger to approve the minutes. Motion Carried.
Review of the financials: motion by Matt Odermann and seconded by Dr. Petty to approve the financial report and paying of bills from August 11, 2018 through November 14, 2018. Motion was seconded by Dr. Petty and motion carried. 2018 Profit/Loss Budget performance was reviewed along with the Ramsey County and owner County Footcare budge performance.
The administrator report was given by Sherry Walters. She reviewed the criteria and progress of her current grants as well as the new opoiod grant. Information sharing about the e-cigs and other terminology was shared along with addiction and Parentslead resources.
Regionals EPR meeting was held yesterday and there will be updating of conferencing epquipment to be "cloud" based. This may affect the current internet as theis currently is through the T1 line and through the State. This may be extra cost to the office as may need to get through the local provider.
Environmental Health reports from July through September were reviewed. Lake Region District Health has been asked to compare and report changes between their sewer regulations and the State Code. Lake Region District Health will be reviewing and updating their code to better align to the State Code in January. Sherry asked them to attend the February 2019 Health Board meeing to share these changes.
New Business
A quick review of preemption with discussiong and review of what that would mean to our local public health and local communities. A discussion was held about an anti-preemption motion or resolution of support. Sherry will bring more information to the next meeting.
Discussiong was held about those meember whose term was due to expire: David Lagein and Valerie Pederson. Sherry will check with Val to see if she would be willing to serve another term and if so, Sherry with submit the names to the County Auditor for the Commissioners to approve. A discussion was also held regarding having an additionals signature person for the checks and no one had replaced the previous Board member who had this role. Thsi would then have another person available in case of one of the two current signers were unavailable.
The meeting was adjourned after the completion of the community surveys. Next meeting will be held February 20, 2019
_______________________________ _________________________________
David Lagein, President Sherry Walters, Substitute Secretary
REGULAR MEETING
MINUTES
August 15, 2018
A regular board meeting of the board of directors of the Towner County Public Health District was held in the Towner County memorial Bldg in Cando, ND at 7:30am, Wednesday, August 15, 2018.
Dr. Petty made a motion to approve the agenda. Matt Odermann 2nd it. Motion Carried.
The following directors were present: Valerie Pederson, Matt Odermann, David Lagein, Dr. Petty and Troy Senger.
Also present were Kathy Benson, Denice Hansen, Sherry Walters.
David Lagein, Present called the meeting to order.
Review of the minutes. Matt Odermann made a motion to approve the minutes. Troy Senge 2nd it. Motion Carried.
Review of the financials. Matt Odermann made a motion to approve the financial report and paying the bills from May 16 to August 15, 2018. Valerie Pederson 2nd it. Motion Carried.
We reviewed the 2018 budget year to date and balance sheet.
Candace Carlson was present for LR Environmental Health. She explained how they are trying to develop statewide sewer regulations. It was suggested that they have an on-line video that homeowners can watch to install their own. We will review sewer draft at the November meeting.
The pool inspection was completed two times during the season, the pool is in need of repairs for the deck, it was suggested they contact Kristi McDonald from Sarles as they just replaced their pool.
The administrator report was given by Sherry. We have our Tobacco grant for this year and we did not expend the contracted amount over the past year. There will be SYNAR visits beginning which will check retail businesses for sales to minors. Sherry with be attending the Smokeless Tobacco conference in October, which is in California.
The EPR regional meeting will be held later this month. FIT testing of nursing staff has been completed this year. FIT testing tests the proper for of H1N1 masks.
The substance abuse community prevention grant is about $69,000.00. The Sheriff's and law enforcement statewide are working on implementing a Statewide anonymous tip text line with the focus on drug crimes. It is called Project Stand Up.
WIC continues to come every 2 months. There will be a car seat check with WIC day in September.
We are in the process of reviewing our fee list for private pay/cash transactions. It will likely be updated and may include a fee for printing an immunization certificate. We are also working on getting billing running through Electronic Health Record, which we hope to have in place by flu season.
Denice's hard work paid off with receiving an award for our Shingles Immunization Rate Award. The shingles vaccinations is available.
Old Business
The Footcare income and expense budgets were reviewed. A special meeting was held in June and Sherry also attended the July county commissioners meeting.
New Business
The prevention video will be table until the next meeting.
Next meeting will be held on November 21, 2018 at 7:30am.
Valerie Pederson made a motion to adjourn. Matt Odermann 2nd it. Motion Carried.
_______________________________ _________________________________
David Lagein, President Valerie Pederson, Secretary
REGULAR MEETING
MINUTES
May 16, 2018
A regular board meeting of the board of directors of the Towner County Public Health District was held in the Towner County memorial Bldg in Cando, ND at 7:30am, Wednesday, May 16, 2018.
The following directors were present: Valerie Pederson, Matt Odermann, David Lagein and Dr. Petty.
Absent was Troy Senger.
Also present were Kathy Benson, Denice Hansen, Sherry Walters and guest Chuck Paulson.
David Lagein, Present called the meeting to order.
Review of the minutes. Matt Odermann made a motion to approve the minutes for regular meeting on February 21 and special meeting on March 21. Dr. Petty 2nd it. Motion Carried.
Review of the financials. Matt Odermann made a motion to approve the financial report and paying the bills from February 21 to May 15, 2018. Dr. Petty 2nd it. Motion Carried.
The 2019 proposed budget was reviewed. Valerie Pederson made a motion to approve the proposed 2019 Budget. Matt Odermann 2nd it. Motion Carried.
The administrator report was given by sherry. There was a quarterly meeting for Tobacco the end of April, the quit line entities were there with great discussion. They continute to check and educate regarding compliance with ND smoke free law.
The EPR regional meeting with be held May 15 in Devils Lake. The state wide call/IVN was on May 8 and they are unsure about grant funding for the next year.
The substance abuse community prevention grant is about $69,000.000 and runs from November 1 through October 30. There was a collaboration between TCMC and Heartview that funded 4 people to attend the RX SUMMIT in Atlanta. There was a community take back event ant the end of April. Sherry found out that the states got money from CDC to purchase Narcan. She is working on getting reimbursed and purchasing more.
WIC continues to come every 2 months. Denice has helped with some baby sitting training this week at NDSU.
They are scheduled for our VFC site visit and evaluation at the end of this month.
The Footcare income and expense budgets were reviewed.
New Business
Matt Odermann attended the on-site technical review board. They are pushing for standardized failed system state wide.
Next meeting will be held on August 15, 2018 at 7:30am.
Dr. Petty mad e amotion to adjourn. Matt Odermann 2nd it. Motion Carried.
_______________________________ _________________________________
David Lagein, President Valerie Pederson, Secretary
SPECIAL MEETING
MINUTES
March 21st, 2018
A special meeting of the board of directors of the Towner County Public Health District was held in the Towner County Memorial Building in Cando, ND at 7:30am, Wednesday, March 21st, 2018.
The following directors were present: Valerie Pederson, Troy Senger, Matt Odermann and David Lagein.
Absent was Dr. Petty.
Dave Lagein, Preside called the meeting to order.
Discussion was held on the Environmental Health Services agreement. We would like to see some updating of the on site sewer ordinance, to see clearer definition of a failed system, and to also review the current appeals process to ensure that it is clear and is a local based process.
Matt Odermann made a motion to approve the Memorandum of Understanding To Provide Environmental Health Services with LR Health District Agreement. Troy Senger 2nd it. Motion Carried.
It was also brought up that there is an on site sewer septic review board, we would like to know what this group's function is.
Valerie Pederson made a motion to adjorn.
_______________________________ _________________________________
David Lagein, President Valerie Pederson, Secretary
REGULAR MEETING
MINUTES
February 21st, 2018
A regular board meeting of the board of directors of the Towner County Public Health District was held in the Towner County Memorial Building in Cando, ND at 7:30am, Wednesday, February 21st, 2018.
The following directors were present: Valerie Pederson, Troy Senger and Matt Odermann. Absent were David Lagein and Dr. Petty.
Troy Senger, Vice President called the meeting to order.
We welcomed Matt Odermann as new board member.
Valerie Pederson made a motion to approve the agenda. Matt Odermann 2nd it. Motion Carried.
Minutes of the last meeting were presented. Valerie Pederson mad a motion to approve the minutes. Matt Odermann 2nd it. Motion Carried.
Review of the financials. Matt Odermann made a motion to approve writing off a bill of $80.00 as uncollectable. Valerie Pederson 2nd it. Motion Carried.
Valerie Pederson made a motion to adjust the 2017 Budget by $1069.78. Matt Odermann 2nd it. Motion Carried.
Valerie Pederson made a motion to approve paying the bills from November 15th, 2017 to February 8th, 2018. Matt Odermann 2nd it. Motion Carried.
Sherry had a copy of the audit that was complete.
The administrator report was given by Sherry. Denice and Sherry attended the Tobacco Free ND meeting. The EPR meeting was just held in Cando on February 13th, there are some upcoming training's and laptop exercises sponsored by the ND Department of Health. The community prevention grand is up and running, a coordinator has been hired and media campaign has been finalized. There is a prevention video that has been shown to the North Star staff. There was not enough time for it to be shown to the Health District board at this time. The emergency response entities have all benn trained in administring Nasal Narcan/Naloxone. Discussion was held on using TCPHD funds to purchase initial doses for first responders. Matt Odermann mad a motion to approve with Sherry proceeding with execution with purchasing Narcan through Neumann Drug for the First Responders. Valerie Pederson 2nd it. Motion Carried.
They have done vision screening 2nd and 4th graders and preschool screening is scheduled for February 21st. The school vaccination requirements have changed and are going to require MCV4 vaccine when entering 11th grade. The foot care income and expense budgets were presented for 2017 for Towner and Ramsey County.
Old Business
The environmental health service agreement was discussed. We will table until we can hold a special meeting and more discussion can be held before approving.
Office remodeling has restarted.
New Business
Review of Hi Tech and Fraud policies.
Next meeting will be held on May 16th, 2018 at 7:30am.
Valerie Pederson made a motion to adjourn.
_______________________________ _________________________________
Troy Senger, Vice President Valerie Pederson, Secretary