[1:51] All right, I've got 5:30, so if we can start, please make sure your microphones [1:55] are turned on. [1:59] Well, we'll wait early, so [2:55] You don't think it's going to work? What do we do then? [3:03] Okay, so All right, so they're recording if we do [3:09] Okay. All right, if we can start we'll [3:13] start with the Pledge of Allegiance. [3:19] » Pledge of Allegiance >> to the flag of the United States of [3:23] America and to the republic for which it stands one nation under God indivisible [3:30] with liberty and justice for all. [3:38] » All right. Perfect. Are you with these chairs and [3:52] All right, we'll go with a roll call. I'll just go down the list. Beverly [3:56] Metz. >> Here. Present. [3:57] » Dr. Engel. Here. Victoria Powell. [4:04] Tim Rippberger. >> Here. [4:07] » Tom Wonke. >> I'm here. [4:08] » Dr. Porter. And Gail LeVan Heim. [4:12] » Here. >> And [4:15] you guys want to go around the table and get your names in on the YouTube. [4:21] Uh Dave Welsh, health officer. >> Britney Schwab, administrator. [4:27] Joni Johnson, public health nurse and school liaison. [4:31] Natalie Shaley, public health nurse. >> Tim Van Meter, with septic and [4:36] environmental. [4:39] » Dave Feilinger, this is environmental and health and food inspector. [4:45] » Lisa Meyer, registrar. [4:49] » All right, thank you. Um [4:55] All right, first thing we need to do is look at our meeting minutes from the [4:59] quarterly meeting of April 21st. And review that and look for [5:06] corrections or approvals. [7:00] » Everybody had a chance to review the minutes? [7:03] Any corrections or discussions? >> I have one correction. [7:07] Uh my name is spelled [7:11] Yeah, and and the text throughout. [7:16] » There's one place where there's no E on any and that's no big deal or whatever. [7:19] » Girl, I thought I got it all right. You know how picky we are. [7:23] » That's okay. >> Trying to make it pretty for the minute. [7:29] » Like it really matters. We got bigger fish to fry, I'm pretty [7:33] sure. >> Your name is fine. [7:38] » It was fine the one time. >> It was tripping. [7:41] » It was tripping wild. [7:47] » Mine's L E but that's all. >> It's L E? [7:51] » Yeah. >> Okay. [7:52] » It's okay. >> Well, I'll make the correction. [7:56] » Yeah, I wasn't going to say anything but >> I wouldn't even thought of [8:00] » [laughter] [8:02] » My [8:05] Oh, Lisa. [8:12] » Well, everything else is spelled correctly. [8:15] » We're going to have to go through it. [8:19] All right. Uh any other corrections or comments? If [8:24] not, we'll entertain a motion to accept or [8:28] » Motion to accept. >> Motion to accept made. Do I have a [8:31] second? >> I'll second. [8:33] » Motion made and seconded to accept the uh [8:37] April 21 meeting minutes with corrections as noted. Uh all in favor, [8:42] say I. >> I. [8:44] » I. Any opposed? Same sign. Motion passes. [8:52] Dr. Engel. >> Thank you. [8:53] » And then Dr. >> And I second. [8:57] » All right, old business. Uh anybody have anything they want to bring up? [9:05] I got a couple items as we saw in the minutes. [9:08] Uh How did the blood drive [9:11] on May 12? >> Um I don't remember how many people [9:15] ended up signing up but they had a pretty decent turnout again this time. [9:19] Um I think our next one will be in November. We haven't planned it yet [9:22] though but I'll be sure to send that out when we [9:24] » That's good work doing that. >> Oh, definitely. [9:26] » I think it's great. >> Yeah. [9:28] » And then right under that we tabled the logo issue or meeting or [9:34] items. So, I don't know if anybody brought their [9:38] stuff from last [9:41] month or not. We had three logos we were looking at and we [9:45] tabled it so that we would have a chance to digest and get [9:48] everybody's opinion this month. So, [9:56] here they are. [10:00] Is that medical symbol is that a caduceus? [10:05] Is that symbol of >> That's like a public health symbol. [10:09] » Okay, public health symbol. [10:24] Um [10:27] So, should we deal with that now? I mean, we had I can pass these around [10:31] again if the board hasn't doesn't remember. You want to pass them down [10:34] there? Then pass them back. [10:37] And we'll send them down this way. There were three logos. One's the [10:41] original logo that you see on your your meeting and then two other logos [10:48] that had the Well, you just have to [10:53] hard to describe. [11:02] Okay. [11:29] What? Okay. [11:31] » I think they're going to sign on this side. They are going to ask you. [11:35] That's tough. [11:44] » Um, sign in. Oh, wait a minute. [11:50] » Those are meeting minutes. >> Everybody went all right, so sign on the [11:54] left. >> Were you present at the last meeting [11:56] minute? You have to be present at a meeting in order to sign the meeting [11:59] » I was there. >> Okay. [12:34] » Thank you. [12:39] Where are you going? The S F D is [12:55] So, these were the logos that were proposed. [12:58] Does the office staff in general have have a general [13:02] opinion or or a preference? Has anybody come up to a [13:06] consensus as to what direction you would like [13:10] the board to head? Where to [13:13] » Um, I think we were favoring the one that had the state of Indiana with the [13:17] gold star. On I don't remember which number it is [13:20] on there. >> I think it's number three. [13:21] » I think it's number three. >> Three? [13:24] » The one that I remember is this one down. [13:27] Down >> here. [13:30] I think you favored that one, Dr. Allen, didn't you? [13:33] Um So, I'll leave it up to the board then. [13:49] Any discussion from the board? Any suggestions? [13:53] The staff was thinking that uh the third one is the one they would [14:06] Okay. Do you want to make a motion for that? [14:11] » Motion to accept number three. >> Motion made to accept the uh [14:16] the third logo as presented. [14:21] And Dr. Porter seconded. Any discussion? [14:28] All in favor, say aye. >> Aye. [14:30] » Aye. >> Any opposed? [14:32] Motion carried. Number three it is then. Um [14:40] Under the new business minutes from last [14:44] month, Margaret Mary Hospital has sent out flyers [14:48] for August 2nd, which is a Sunday, from 11:00 to 3:00, I believe. [14:53] Or 2:00 or 3:00. Um about having an open house. Anybody [14:57] can show up and I don't know if the cafeteria's going to be cooking or not, [15:01] but we'll find out. But you can tour the [15:03] facility. Maybe get a blood draw, I don't know. [15:08] But it's it's open. So, I just wanted to We got one in the mail at home, so I [15:12] didn't know how far they reached with those flyers, but [15:17] are we ready for the uh birth and death certificates? [15:21] » I think so. >> I think it'll I don't [15:24] » I think it's going to be one of those things where you just going to have to [15:27] learn as you go. You'll just [15:31] It's I can't imagine affirming a birth record is going to be a whole lot [15:35] different than affirming a death record. >> Right. And I don't know if there's going [15:39] to be that much of an uptick in in business, but [15:44] Okay. >> I think the biggest thing is going to be [15:46] like paternity tests. That's going to be a new avenue, but [15:50] They've been discussing it quite a bit at some of the conferences I've been at [15:53] recently and some of the virtual trainings that I've been attending. They [15:56] discuss it quite a bit. So, I feel pretty confident. [16:00] » Your system is running well. [16:03] » Mhm. Yeah, it's when records is amazing. >> It's good. Good to hear. [16:11] All right. Uh updates for old business. Any other old [16:14] business? All right. [16:18] Then let's move on to quarterly staff reports and updates beginning with Dr. [16:22] Wells, please. >> Thank you. So, I'll start off with the [16:26] public comments. You know, I I feel the board should hear what the public is [16:30] saying about our health department. Um the nice part is uh it's been all [16:35] positive. Uh very uh good feedback on the health [16:39] department's uh booth at the fair last week. Um also lots of good comments [16:48] about the swimming program that the health department helped sponsor. A lot [16:51] of people in the community sought me out to thank the department and and the [16:56] health board for sponsoring that. Um and then I got a I got a call from [17:01] somebody in the community that uh just within the last 2 weeks had to get [17:07] some business done in the department and uh [17:11] a tough time for her and her family at this time, [17:15] uh but was very happy with um, not not only getting what she needed [17:20] from the department, but also how the department made her feel when [17:25] she came at it at a troubling time. You know, it's never easy when you when you [17:30] lose a family member. And uh, just wanted to [17:35] to let the board know that um, getting good feedback uh, from the community. [17:41] Um, and uh, also wanted to let folks know [17:44] where uh, I think many of you've heard us talk [17:47] before about the rural health transformation program. Um, [17:52] and we've had folks in the department and myself involved with that. So, we're [17:57] in region six. Um, the state's divided up in regions of uh, [18:03] federally designated rural counties. And then there was five work groups of [18:08] different areas. I I worked on the trauma injury reduction part. Um, and [18:13] the work groups came up with ideas for initiatives. And then that went to [18:19] there's several layers within the region's [18:21] committee. And you had to get folks who would um, sign on for some of the [18:27] initiatives. For instance, one of the things we were working on is to get one [18:32] of the hospitals in region six to step up as a a consider being a a trauma [18:37] center. It'd be a level three and Decatur County is thinking about it. So, [18:42] we're try to get we're trying to get some [18:45] funding through rural health transformation to go out and give them [18:48] some seed money to do a look at the plan to see if if they would [18:53] be a good candidate or not. And now that those ideas go to a separate committee [19:00] level at the state. Uh, and folks at the state have been involved in the in the [19:04] process. There was facilitators for each uh, region. Um, [19:09] there was uh, Jonathan Barclay and Hannah [19:13] Putman uh, were some of the facilitators. So they had companies that [19:16] were helped with the facilitation. Um, these these are government technically [19:21] government grants. And they have their own way of doing things. [19:26] It's it's not like you like if you go everybody knows how to go buy a car or [19:30] get a bank loan. This is government and it's [19:34] another level. And so that was that was an interesting [19:37] but all the initiatives and things are now at the state level. [19:42] Uh, and if they approve the initiatives then then they will initiate contracts [19:47] with the different groups. Uh, one of the initiatives that we had looked at [19:50] was trying to get more ambulance vehicles [19:53] within region six. And um, the first step will be uh, to to do a [20:01] survey of all of the EMS agencies within region six to find [20:06] out what the capacity is, how often are they not at capacity. Uh, you know, they [20:11] might have a vehicle out because of maintenance, they might have a vehicle [20:14] out because it was in an an accident. Uh, or maybe they don't have the [20:18] personnel to man it. Um, and then the idea is we were hoping over the five [20:22] years of the uh, rural health transformation to try to get three [20:26] vehicles within the counties of region six. Um, [20:30] those are just some of the some of the things and also trying to get more stop [20:34] the bleed kits, um, helmets and um, more education for folks in in the area [20:41] uh, when it comes to injury reduction. Um, so that that's that's moving along. [20:47] Um, kind of along that same lines there's [20:50] several different ways that you can get education um, when it comes to emergency [20:55] management or EMS. Uh, today I actually spent much of the day on a virtual [21:01] meeting of what's called uh, basic disaster life support. And um, [21:07] it I it was very beneficial. I was talking to the the staff before we met. [21:12] I think it may be something beneficial for interested folks in the staff to [21:16] take. Um the one I took today was actually funded through the trauma [21:21] commissions uh what's called the southern track. And that or that group [21:26] of the trauma commission is helping to pay for education whether it's ATLS, [21:30] whether it's um they help pay for some specialty trauma care and maternity [21:36] cases for folks in Decatur County ED. Um and if that uh if we have more [21:44] opportunities, I'll let the staff know so they can uh participate because if we [21:49] if we have um that [21:53] course handles everything from if you have a tornado or a flood or [21:59] um there's a you know uh a spill of everything from ammonia to radioactive [22:06] uh materials and we know in in uh particularly in our county when there is [22:12] a disaster, that's when the staff steps up. So I I thought it [22:17] might be nice if if next opportunities coming forth where it's uh the education [22:23] fee is is covered um [22:26] that we see who in the department um is interested. On a On a funny note, I I [22:32] got my ebook and I'm just looking through it. [22:35] Boy, this book looks familiar. And then I realized um I actually helped put the [22:39] thing together a few years ago. So that was that was kind of a nice uh nice [22:44] refresher. Um we're always learning new stuff um [22:49] in the health department. Our latest interesting question came when [22:53] apparently there's a part of the county with quite a few feral cats. [22:57] And um that might be on our list of things to [23:02] think about and possibilities um if when we get the HFI funds restored [23:09] um and I would invite the board to be thinking uh [23:13] in the spring um the when they had the public health day at the state house, I [23:17] had a chance to uh talk with the governor and Dr. Weaver. [23:22] And uh he assured me that there would be definitely more resources in '27 coming [23:29] through the state house uh through the for the HFI funding. [23:33] And to top that off, he then got on the podium and spoke to the group and he [23:37] said the same thing. So, I'm very hopeful that we will get some of those [23:41] funds restored if not all and I would be asking the the not only the staff but [23:47] the board members to be thinking about projects [23:50] um expand some projects and maybe start some new projects [23:54] uh that we hadn't had done um [23:57] and when we're doing stuff like this, I have [24:00] to tell you I I I do take it to my colleagues at the national level [24:05] and I was talking about some of the things we have done in this county in [24:08] this health department uh when I was at my uh AMA Board of Trustees meeting over [24:13] the weekend. Um [24:15] they they think they they know public health [24:18] is is a a good thing and they but they don't [24:22] understand all the all the things that it that covers. [24:25] Uh and I it's nice to get in front of some of these folks who [24:30] are at these uh big institutions across the country and [24:33] and brag about Franklin County. Uh [24:37] and one of one of the things that Franklin County has had done before was [24:40] to help with the pre-hospital transfusion and that idea is spreading [24:44] across southern Indiana. Uh so, health department is helping [24:49] fund, southern track is helping fund um [24:53] So, lots of good stuff, lots of good comments. I'm really proud of of the [24:57] staff and I'm appreciative of the board that [25:01] helps us get get good work done. I [25:04] If anyone has any questions, I'm happy to [25:07] to answer. That was great. Excellent. Um any questions from the board? [25:12] Comments? [25:15] Thank you, Dr. Wilson. We'll move on to Natalie, the nurse. [25:23] » All right. Um so, just a few things I'll highlight. I won't read everything since [25:28] you guys have it all on here. Um I attended the community um [25:34] it's QPR training, but it's what those [25:39] initials stand for is question, persuade, and refer. [25:43] Um it's a gatekeeper training, so and to help kind of identify in some mental [25:48] health cases. Um Another big thing I um completed my um [25:54] lead investigation, so I can do the cases for in the county that come [25:58] through along with Joni's help. [26:00] Um and then I also attended a 4-day training. [26:06] Um I am now a certified car seat in tech um for the county, so if [26:12] um mother or family member or somebody comes in [26:17] needing um a car seat, if they have an unsafe one or whatever, if I do the [26:22] inspection, um help them install it correctly. [26:26] Um and then I also attended the um 2-day public [26:32] health nurse conference in Indianapolis. Learned a lot there. [26:36] And was participating in different um learning sessions. [26:41] And then the next week we attended a 2-day um IHS conference in Indy. Um [26:47] that's more of like the school-based one. [26:50] Um learned a lot of um, examples for awareness and management. Especially, [26:56] they had a very interesting thing for type 1 diabetic children. [27:01] And also handle with care, which we're hoping to bring to the county. Would [27:05] really beneficial to the school system. Um, and then also we [sighs] have been [27:13] doing our normal vaccines. Um, Joni and I were talking earlier. We feel like [27:19] there's been actually a lot of TB testing increase in the last at least [27:22] month, um, which is a good thing. Um, and still continuing to do our B12 [27:27] injections. And then I'm still working on I've had a [27:31] lot on my plate since I started. Um, [27:35] feel like I'm doing satisfactory. Um, [27:39] I wanted to get my CPR training um, certification so I can help [27:44] um, do CPR classes for the community. Um, and then we are [27:50] um, still trying to get our maternal child health program, especially with us [27:53] taking on the hospital now. Want to have that to be able to provide. [27:58] Um, and then we also [28:00] this weekend we are getting ready to have our first community baby shower to [28:05] help um, the community and first time moms and guardians and stuff that are [28:10] out there so we can help with different things and um, [28:14] providing car seat inspections there and um, [28:18] hoping to have our safe sleep class there. [28:23] And then just helping starting to help prepare to transition [28:28] to the new hospital. [28:35] » Sounds good. Any questions? I've got one. Could you explain this [28:39] community baby shower? What the function's going to be? [28:43] And what our participation is really going to [28:46] » Yep. We're co-sponsoring it with the [28:49] Southeastern Indiana Fetal Infant Mortality Review Coordinator. Her name [28:53] is Kirsten. She works out of the Ripley County Health Department. [28:56] Um and it's a baby shower for people who [29:00] are expecting or have little ones maybe under a year or two old. So, we have [29:05] different vendors. I call them vendors. Nothing is for sale. Um who will be [29:10] there, who have different resources for people with young children or people who [29:14] are expecting such as health care, um like Natalie said they'll have a car [29:18] seat safety check. Um and if they do the car seat check, [29:23] they can get a car seat for free that um [29:26] FIMR has paid for. Um they'll also have a safe sleep class. [29:31] Uh we'll be giving out uh water and some of our resources like [29:36] summer safety, water safety, things like that. Um and then I know like the [29:40] pregnancy center will be there. Um [29:44] I forget some of the other ones that will be there, too. She just sent me the [29:48] email this morning and I forgot. Um but basically anything related to [29:53] pregnancy, infants, um they'll all be there. And it's open for the community, [29:58] so anyone can come, stop by, and see what we have. [30:03] » Is this new? >> Yeah, we've never done one before. [30:07] » Cool. Who set this up? [30:09] » Um it was mostly Kirsten out of Ripley County, but I helped her with the FIMR [30:15] team. So, we kind of like did a joint collaboration. And she has also helped [30:20] host one. I think she did one in Ripley County and Decatur County, also. And [30:23] they had pretty good luck there, so we want to try one here, too. [30:27] » Well, I hope it goes well. Sounds great. >> Yeah. [30:30] » Good. >> It'll be at the library. [30:33] Yep. >> That's Saturday, right? [30:35] » Yep. >> Thanks for working overtime. [30:38] » Yeah, of course. >> Good. [30:42] All right. [30:44] Thanks, Natalie. >> Yes. [30:46] » Um Johnny? >> I kind of feel like I'm [30:50] piggybacking on a lot of what Natalie said. Um [30:54] we are a good team, yes. Um I also attended the public health [30:58] nurse conference in Indianapolis um for 2 days, and one of the sessions that I [31:03] participated in was um learning how to perform auditory and visual screening to [31:08] help the schools when it comes time for them [31:11] the school nurses to do their auditory screenings and visual screenings. Um if [31:15] they need assistance, I can now do that. Um I too also became a QPR gatekeeper [31:23] um a little later than Natalie did, but um got that done. Um I'm also now part [31:29] of the suicide and fatality or suicide and overdose fatality um team. [31:35] And um we just had our first meeting last week. [31:41] And I I as my first meeting, I think it went [31:46] good. But [31:49] I guess my boss will tell me if it didn't. [31:54] » [laughter] >> Um and like I said, echoing off of [31:57] Natalie's things, I really do feel like we did a whole lot of um TB testing [32:01] um blood draw and skin testing, so um yeah, I think bringing awareness and [32:08] that kind of thing helps. Um our normal vaccinations, our normal B12s, um [32:14] some of the goals that I look forward to doing um [32:18] is continuing to work with Natalie to develop our maternal child health [32:21] programs. Um that's never really happened for us, at [32:26] least since I've been at the health department. And um I'm really excited [32:30] about that. Once again, preparing for the community baby shower. [32:34] And um the biggest thing for me probably is [32:37] preparing for our upcoming school vaccination clinics um and just helping [32:41] the school nurses. It's kind of a passion. [32:45] And they keep pointing I [32:51] » She thinks it's not an honor, but I think it's a great honor out of how many [32:55] health departments there is in the state of Indiana, she got an award. For 94 [32:59] health departments. >> 94. [33:05] I just kind of feel like I like my job and I like what I do and [33:10] that goes along with it. I don't feel like I went above and beyond. [33:13] But >> That's excellent. Good. [33:15] » But thank you very much. >> Any questions for Joey? Discussion? [33:20] » I got >> No, good. [33:26] » We do not. >> We can't hear you on Zoom. [33:32] » You did Did you hear me? >> I did. [33:33] » Okay. >> And we do not [33:35] » have any We have one that we are waiting on additional testing for, but I don't [33:40] believe it's going to turn out to be anything. [33:42] » Good. Good. Good. [33:45] » What does the uh your work with the schools on vaccination clinics? Could [33:50] you kind of explain what's how that's all coordinated? [33:54] » Um I get with um all the school nurses. They give me kind of reports on um which [34:00] children are behind, what's needed, which children need, what's required. Um [34:06] I developed and I did it last year, I developed a permission slip consent form [34:12] that they can send home with the kids um explaining what shots are needed for [34:18] grade levels and that kind of thing. Um and then parents sign and giving me [34:23] permission. I will call each child's parents to sign up for this service um [34:30] to explain to them what's needed. All that, you know, things like that. [34:35] Um, then I will go to the schools and provide them at the schools. So that [34:40] that way if you know, a parent can't get to the health department, you know, they [34:44] live in Laurel or Andersonville, sometimes it's a hardship to drive a [34:48] half an hour or have the money to put gas. So if you're, you know, [34:53] if it's a question of having gas money to get to Brookfield to get those [34:55] vaccinations or to the grocery store, you don't have to question it. We'll do [34:59] it at school. >> I think that's an excellent program. Is [35:03] this common throughout Indiana or is this kind of unique or [35:06] » Um, I think it's somewhat common. Um, I don't think it's common for us. Last [35:10] year was the first year that it had been done in several years, I believe. [35:15] Um, but we there's always going to be kinks [35:18] to work out, but I think it went really well. [35:20] » What's a great way to connect. Make things happen. Good. [35:26] That's the nursing reports. Move on to Dave. [35:30] The environmental. [35:39] » Uh, the the numbers are right in front of you on the inspections. If you have [35:44] any questions about those, um, couple notes uh, that act that aren't in [35:49] here. They might be in next quarter, but uh, [35:54] I did go over and uh, recently look at the cafe in the [35:59] hospital. Uh, they were having some drain issues that they resolved [36:06] uh, on August 5th. We're going to do the final inspection [36:12] for the cafe and not and not anything else. [36:15] Uh, and then I did have a meeting with Dr. [36:19] Macy. I don't know if anybody knows her. She's with BOA, Board of Animal Health. [36:24] Uh, Dr. Caitlin Macy. And talked about uh [36:31] cat uh there's been a lot of bats, dead bats found, and she was going to look [36:35] into it. That's not really her forte, but she was going to [36:39] get with the uh DNR to see what's going on. [36:43] And then we also talked about the uh [36:47] the cat problem, which I think is a cat problem. [36:51] But I'm not a cat person, so there we have lots of cats in town uh [36:57] in all the communities, driving most people crazy. [37:01] Um she said that another uh I think it was [37:05] Decatur County's has the neuter uh spay [37:10] program that works great. Uh [37:14] she didn't have any other uh [37:17] suggestions. Anyway, down the road, we're going to [37:23] we're going to uh She said she's going to come. We'll try [37:26] to work with the Humane Society. We'll see if they'll [37:32] help, you know. At a minimum, you know, get them fixed [37:35] so there's not a million more in 2 years, you know, so. [37:40] Uh and then uh [37:43] we got some uh resolution on the hoarding behind my house, [37:48] which is nice. It's not totally done, but uh [37:52] the gal that had the problem, she is seeing a psychiatrist uh [37:58] regularly to hopefully [38:03] get her mind and you know, quit collecting pizza boxes [38:07] and everything else that uh goes along with that, but uh [38:11] so that's work working out. Uh Send some tick information to [38:17] county medical facilities. That was just some updates that were sent from [38:21] the state uh [38:27] sent a letter to the a family in New Trenton about [38:30] they didn't want to pay for their garbage to be picked up, so they were [38:33] storing it in their garage, and their neighbor was complaining, and [38:38] I sent the letter, she called me, and and uh said, "We'll get taken care of." [38:42] And they did. And that's not always how it goes, but uh [38:47] And then we had a sewage issue with the uh [38:51] which Tim took a look at, too, but I was involved because it was behind [38:57] uh Lakeside Shell, uh Subway, [39:02] the pizza place over there, uh Gilman's. I think they're all [39:08] I don't know the whole layout, but they're all hooked in together, and they [39:11] run to a pump system behind Goff's Automotive. [39:17] Uh Anyway, [39:21] I think the pumps that the pumps that were in there were from when the lake [39:25] was put in, so it's pretty old, and they fixed them. [39:29] They didn't want to because it was about $40,000 for the pumps, but uh [39:34] So, supposedly, that's from that point, it's pumping into the [39:38] town sewer going down, you know, down the other end of town, so [39:43] uh for I haven't been over there lately, but supposedly, there's [39:47] that's a res- That's fixed. Supposedly. [39:54] » You know, that one that Lakeside Shell made uh [39:58] Excuse me. Franklin County Observer, so [40:02] if I remember right, they had a picture in [40:05] on the news article on the So, [40:09] glad it's fixed. >> See, just wanted to go uh follow up on [40:13] the um feral cat situation. It [40:16] It that's a a problem in adjacent counties, too, like Ripley. [40:22] » I was going to >> When when we [40:25] get the increase in HFI funds, that may be something that we can look at it [40:29] project-wise. Maybe working with neighboring counties like Decatur and [40:34] and Ripley. I was We were talking before about program they have on the east side [40:39] of Indianapolis. They have Believe it or not, they have a similar problem in [40:42] Indianapolis. But they have a a group that goes and gathers the cats, gets [40:47] them fixed, and then they make sure that they're fed and watered. [40:52] » Yeah, and then in small counties, that is harder to do cuz you can't get people [40:55] to do it. >> And there's There's one other thing I [40:59] want to make sure the board knew about that um [41:03] he started um We always get calls about people who are [41:07] having trouble whether it's maintaining the house or [41:11] they they just get overwhelmed by some of the [41:14] roofs leaking and whatnot, and there was somebody that um [41:21] We had gotten a lot of calls and and somebody in [41:24] in town and Dave had reached out to try to [41:30] help get this person some assistance and they [41:33] um person turned it down, but then they had [41:37] a medical condition came up and [41:42] finally help was gotten for this individual. [41:45] And I I don't think it would have worked had [41:48] it not been for the foundation that Dave set with interacting with this [41:53] person. I just wanted to publicly thank Dave for [41:57] taking the time to go reach out to this person and [42:00] uh you know, they say if you don't succeed first, try, try again. And I [42:03] think you're reaching out >> And sometimes I need to try more and [42:07] more and >> Well, but because because you reached [42:09] out when this person had some medical trouble and others tried to help. I [42:15] think she that person was more receptive because of of your efforts. I just [42:19] wanted to thank you. >> Oh, you're welcome. [42:26] Yeah. >> One more comment about the cats. [42:30] Uh since I I love them so much, [42:35] uh I wish they were edible. [42:37] They're not edible. Oh, they are. [42:40] All right. >> Remember this is a public [42:44] » We had uh We had at one point uh it's been several [42:50] years and I forget who the county uh [42:55] dog catcher I That's the title, but they do cats and dogs or whatever, but [43:00] and they were they had purchased a bunch of box traps [43:04] for the to to help the citizens that were [43:08] complaining about too many cats. [43:12] You know, and nobody claimed them, you know, they're just roaming around eating [43:15] whatever they feel like eating. So, they went and caught them all, but [43:20] the people I don't know who did it, [43:24] but people would go and see where those traps were and they would crush them. [43:30] So, it was costing county quite a bit at that time [43:33] because they always crushed all our box traps. So, [43:36] uh so, that's probably [43:41] uh where a meeting with the BOA Humane Society [43:46] such and such had that good plan where they're all on [43:50] the same page instead of one [43:54] ruining the efforts of the other, you know. [43:56] So, we'll see how it goes, but hopefully we can get that going. [44:00] » Can I ask a question? Can you [44:04] clarify what the problem is with the cats? I don't have I'm not advocating [44:09] either way. I'm just saying are they just a nuisance? We don't like them. Are [44:12] they keeping people causing [44:15] » They just have so many that they complain constantly about the cats [44:20] pooping and peeing all, you know, around their flower beds, their house, their [44:23] porch, on their chairs. And they're not there, so they're just roaming. [44:28] And they're just And cats do whatever they want normally, you know. [44:32] » No, I just wanted to be very specific what the problem is other than there's [44:36] just people that are seeing cats. >> Oh, no, it's not what they do with their [44:43] you know, their where they go to bathroom. [44:46] Uh what they may what they may [44:50] eat or leave behind or what they kill. Most cats hunt and kill certain things. [44:55] Uh But [44:59] the main complaints I've had are more uh [45:06] urine and feces on porches. >> Okay. [45:10] » And in flower beds and But there's other things, but [45:15] » Yeah, I just wanted to be specific about what the problem is. [45:17] » that I've had lately. That's what And they, you know, they uh [45:23] Basically, they don't want to have to go out and buy traps and do it themselves, [45:26] you know, so >> I just feel like if we're specific about [45:29] the problem, it makes the solution a little bit easier to target so that, you [45:33] know, we we're not basing it on number of cats or I don't know how you would [45:37] quantify the uh progress in this, but you [45:41] » I mean, I guess it would be you would have to almost go with areas [45:45] that have the problems. >> Yeah. Uh well, and then also to Dr. [45:50] Walsh's point, do we need to wait for HFI funds? I mean, if it's an issue [45:53] There are There are groups in town in the county, I think that they might have [45:59] funding for this or is there another I just don't want to [46:03] wait till 2027 if there's a problem now and trying to understand [46:07] » Oh, that's well, I I haven't talked to I was out of town, but I haven't talked to [46:11] Dr. Macy, but she said she wanted to go down to the dog pound and [46:15] and then maybe set something up with the Humane Society to see [46:19] uh if we can [46:21] » We can circle back to this when we get to new business because we're going to [46:25] need ideas on spending the previous years HFI funds. [46:28] » You got it. >> That's coming down the pipeline that um [46:31] we cannot use that as like a savings. We have to spend it. [46:35] » Okay. >> So, we can circle back to that topic [46:38] when we get there. [46:42] » Okay. [46:50] Any Any other questions for Dave? [46:55] I guess. Move it over to Tim. [47:02] » This last quarter uh [47:07] we issued 16 septic permits. [47:11] Although there were many that came in that uh [47:18] Um they're going to go in this summary yet. Got kind of a late start because it [47:22] was so wet this spring. The ground has to be so dry [47:27] uh to install. Uh [47:31] I also brought in this these photos so maybe you'd have a [47:35] little more understanding about uh and one of those is somebody's in [47:40] this room. Uh one of those sand systems. [47:45] Uh the top row is our sand ATLs and the [47:50] bottom are chamber systems. Uh [47:55] » See the picture there up there so you can see what I'm talking about. [47:58] » Well, I'm not going to do much talking. But I also brought in a completed soil [48:05] report that are issued to people when they want [48:09] to do a septic. It's got uh what we require. It's there's a septic [48:16] application here. Uh minimum specification sheet that we [48:22] figure and give to the homeowner who gives it to their installers [48:28] and photographs here and drawing. So, it's kind of a [48:34] a lengthy process to get a septic. Uh [48:40] and it's kind of interesting um once you learn, you know, what all this [48:47] and and to to install. But uh and Lisa's been a big help. [48:54] Uh with the computer [48:57] and downloading everything. Uh a big help. So, [49:03] uh anyway, there's going to be a lot more [49:06] this summer as it weather heats up. [49:11] But if anybody has any questions about anything. Does anybody want to [49:16] know who's on that board back there? [49:20] » So, your your pictures are showing typical [49:24] septic installations for what we see in this county. [49:27] » Yeah, this is >> So, you've got elevated mound with [49:49] » It looks great. >> [laughter] [49:54] » You got to fill that one up. you got to permit for that. [50:43] » Define chamber for us, would you? What's a chamber? [50:52] Are they septic tanks? The actual septic tank? [51:47] No. [51:52] » In your septic tank we got laid. Every 6 months you want to pull that [51:56] filter out. >> Yeah. [51:58] » About this long. >> Uh-oh. [52:00] » Straight out in the water. And what I heard them say was a good [52:03] idea is take a large big heavy garbage bag, [52:08] set that down in that garbage bag, and then spray it. [52:11] » Mhm. >> And put it back there. I'll keep all [52:14] that debris. >> Mhm. [52:17] I don't know. [52:20] » I don't know. They get so wet there. Floating objects that that filter for [52:25] the cabin. >> Really? [52:27] » Your your system your lines are going to be [52:30] last much longer. >> Look, nothing falling. [52:33] » Now, when these good towns say we can run them [52:36] uh uh uh uh new trend [52:40] they don't have a lot of power. Most of them don't have opportunity. [52:44] That bottom of my old back. [52:47] We'll keep sand out of them. This this is for a two-bedroom here. [52:52] This is 13 by 52. Typically, most of y'all [53:01] with a small sand filter. And you can you can make them longer and [53:06] narrower, wider, shorter. [53:09] So, they'll you know they'll be good somebody. [53:13] See what they get. Uh all of you don't have any idea. [53:19] That's right. And [53:22] also, they Everybody thinks their grandfather went because he did. [53:26] And they're all going to go back. >> Mhm. [53:29] » I don't have any of my grandfather in it. [53:34] Very few grandfathers would do what he did in the past. [53:37] » Mhm. Right. >> Also, a lot of times we don't do [53:40] anything. They can They can call and make them fine. [53:44] They also need to fill out a thing. Fill this out. [53:50] Anybody can say they have to come by, but it's your responsibility. [53:54] Why is that? See what I mean? [54:00] I didn't know. Oh, [54:03] any questions? >> You know that [54:06] green on the lower left, is that a septic tank inlet or a [54:11] chamber? Okay, so the filter goes on the septic [54:16] tank, which is everything from the house goes into that first. [54:24] And then it goes to the distribution field. Okay. [54:27] » All right. Three risers. [54:32] » Yeah. >> Yeah, right there. Three. [54:42] And then the distribution box. That's another thing. [54:45] Uh sand systems typically don't require a distribution [54:50] box unless it's pumped. [54:54] Uh Well, [54:57] but anyway, any questions? [55:02] » No, that was very helpful. Appreciate the intro [55:06] information. >> Yes. [55:10] Septic soil reports and photographs and marked out everybody. [55:15] » Now, soil reports, you don't do the soil report. You every That's [55:22] soil scientist has to. >> They should do it cuz people call in. [55:27] Got to fix stuff before she can email them [55:31] uh five pages of stuff. >> It's a packet that It of walks it. [55:36] We have a septic packet available that kind of walks them through like the [55:40] process. So, there's a list of qual- that are certified installers for the [55:44] county and a list of soil scientists that typically work in the county. And [55:49] it's up to them to call them and make the appointment with them. We don't [55:52] recommend anybody. We just provide a list. [55:54] » And we do that with with the soil. Uh [55:59] there's uh pamphlets on all of it that we go by. [56:03] And uh from these from these companies. [56:06] » Mhm. >> Uh [56:08] they tell how big it has to be. Well, but it all goes by how many bedrooms [56:12] there are. It does it [56:15] I tell you got four or five bathrooms, doesn't matter. It's the bedroom. [56:21] » Mhm. >> And this application that's in here [56:26] is uh you know, there and I'm not going to [56:30] point any fingers, but there are people that want to save money by telling that [56:35] there's less bedrooms than there really are. [56:39] So, that's a lot of [56:42] for the application. Write it down on the application how many bedrooms so [56:46] that in a few years when it starts backing up with believe me on the [56:50] ground, you got 12 people living in that house [56:53] and you said you got three bedrooms. That's exaggeration. [56:56] » A little bit. >> But that's a lot. [57:00] » It happens. >> Yeah. [57:03] » Thank you. >> Thank you. Very good. [57:05] » Thank you. [57:08] » Uh who's going to cover for Sierra Bergen? [57:12] » I can. Um she wasn't able to make it tonight, but you can see on her [57:16] quarterly report that um she attended the South Regional Health Integrated [57:22] Preparedness Plan Workshop in April. Um she went along with [57:28] the three of us to the Firefly Celebration in the Park um that was [57:32] hosted by Firefly, which is a organization [57:36] um, who specializes in like, uh, children's health and welfare. So, we [57:41] went as a health department and set up and shared some resources. We had little [57:46] snacks and stuff for the kids there. Um, [57:50] and then she had a few discussion-based exercises that she either attended or [57:54] hosted. Um, she [57:57] was on one of the local health department calls. She attended a few [58:01] meetings and June 30th was the last day of her grant year, so she got all of the [58:05] deliverables done. We've already invoiced the state for it. And we're [58:10] just waiting to get our reimbursement from there, but uh, we had a meeting [58:14] with Alan, which is our regional coordinator for FEP. Uh, we met with him [58:18] on Friday and he said everything looks good on his end for us and that she's [58:22] doing a great job. >> So, she's [58:26] been here what, since, since November? [58:31] » She started in November. >> November, okay. [58:33] So, and everything's going well and and she's going to remain, uh, or the [58:39] position still a part-time? >> Correct. [58:41] » And it's going to stay that way? >> Yep. [58:43] » Okay. Any any other questions for the emergency coordinator [58:48] report? [58:52] All right, Brittany, you want to keep going? [58:55] » Lisa, do you want to go or do you want me to go? [58:57] » It doesn't matter. I'll buzz through mine pretty quick. [59:00] » Okay. >> Uh, a lot of mine is just kind of like [59:03] the continuing responsibilities and duties that I have. Um, [59:07] I want to take a quick note that I have been working pretty diligently with Win [59:11] Win records to get a lot of data entry to keep us digital. Um, I would like to [59:16] see the department be more relying on the digital portion of things, so [59:21] everybody has access to it. Anybody can look up something. Uh, septic permits [59:26] were a big one. Uh, that's going to take a while. That's probably going to take [59:32] probably several years if we're going to go back as far as the '70s and upload [59:36] permits. But so far, I have all permits from 2021 [59:41] to current uploaded digitally. Tim can go into a drive that we have [59:46] specifically for WIN records. He can just go to the year and he can go to not [59:51] non-permitted or permitted. Type in a last name and boom, it pulls up the [59:55] permit just like that. And he can have it readily available for someone. [1:00:00] Um, what a lot of people don't realize is they'll come in um looking to [1:00:05] renovate or upgrade or do some remodeling to a home. They want to make [1:00:09] it bigger and uh, they don't know where their [1:00:12] septic's located at. So anything older than 50 55 years, we're probably not [1:00:19] going to have record of it. The health department did not start keeping records [1:00:22] until the '70s when the health department was established. [1:00:26] Um, I've had multiple virtual meetings with the new um system that we're using [1:00:32] for um doing our [1:00:36] registering for patients and stuff. It's called My Visit through the state. [1:00:40] And what we learned recently is if we can get credentialed [1:00:45] uh, through billing, the state will take care of all the billing for us and flip [1:00:50] our revenue from right now we go through VaxCare and they're keeping 90% of the [1:00:56] revenue and we're only getting 10%. That would flip [1:01:00] and we would get 90% and the state would only get 10%. So we're going to need [1:01:05] some assistance from you, Dr. Welsh. There's a lot of information that we [1:01:08] have to have with you being the health officer in order to get that [1:01:12] credentialing done, but that would definitely make a huge impact on our [1:01:15] revenue and hopefully get us some extra funding. [1:01:18] Um I did receive another large donation of [1:01:22] hygiene products. If you come into my office, I have it hidden so you can't [1:01:26] see it, but the minute you open up the door, you're like, "Whoa, what's all [1:01:29] this?" Um [1:01:31] but there's a lot of shampoo that we're putting out to the public. Um [1:01:36] there was a lot of other different types of hygiene, a lot of dental stuff that [1:01:40] we're making available to the public. I was also able to put together six [1:01:44] hygiene kits uh for the veterans office and I took it downstairs to our local [1:01:48] veteran service lady and she's going to pass them out to [1:01:51] local veterans. I attended the national child passenger [1:01:55] safety training course, passed with a 100% score. I'm now a certified [1:01:59] technician so I can perform the car seat checks. It was a four-day course and it [1:02:03] was held at the Batesville Fire Department. I assisted Tim and Dave with [1:02:07] letters and contacting the attorney Jean Stewart with the violation at Lakeside [1:02:11] Shell. I also assisted, this was a new one for [1:02:14] me. Um I actually reached out to Ripley County to have her give me some guidance [1:02:20] and between her and reaching out to the [1:02:23] state, I assisted with an overseas death record. [1:02:27] And what I learned with that is when you have a death that happens on the seas, [1:02:32] uh you have to go to whatever the closest embassy is. [1:02:35] So, they they don't even deal with the state at all on that level. You have to [1:02:40] refer them to the embassy. So, I was able to look up a number for the embassy [1:02:45] that um this person needed and try to help her out as much as I could. So, we [1:02:50] had the funeral director involved. We had Ripley County helping in the state [1:02:54] and we were able to kind of get her in the right direction. I haven't heard [1:02:58] back from her so I'm hoping that's a good sign that that all helped. [1:03:01] Um you can see the different meetings that I attended virtually. [1:03:05] And on the back side of my report, you can kind of see the numbers for the [1:03:09] death records, birth records, [1:03:13] um CPR cards that were issued, workbooks [1:03:16] that were issued, VaxCare reimbursements for this quarter, you'll see that [1:03:20] they're down. Um our VaxCare reimbursement usually spikes during flu [1:03:24] season, so right now we're kind of like not in flu season, so there's not going [1:03:28] to be a whole lot of reimbursement. And VaxCare is who we use for our [1:03:34] private insurance. So if somebody comes to us and they have their own insurance [1:03:38] through an employer, we run everything through VaxCare. [1:03:42] Um that can sometimes pose as a challenge because sometimes the [1:03:46] insurance companies don't want to pay, and it falls back on us. And [1:03:51] technically, we are supposed to be the ones to reach out and get that [1:03:54] reimbursement. So if we can get hooked up with MyVisit, [1:03:57] that would take that off of our plate as well, too. [1:04:01] We wouldn't have to reach out to um either the insurance company or the [1:04:07] resident and say, "Hey, there's a balance due." [1:04:10] The state would take care of all of that for us. [1:04:15] That's all I got. [1:04:18] » Questions for Lisa? I've I've got one on the death records. [1:04:23] Uh I know people usually ask for multiple [1:04:26] death records, like 10 or 15. So I'm just trying to [1:04:31] correlate the four births compared to how many deaths in the last quarter. [1:04:37] » It varies with death records. Um just in like just we'll say this week, I [1:04:42] had a request for five for one person, five for another, and just one for one [1:04:47] person. I've actually had an order as large as 20. [1:04:52] But it was a larger family, and every family member wanted a copy. [1:04:56] » So it's clear that uh death records are [1:04:59] way above the number of birth records that are issued. [1:05:03] » So death records are typically used for like insurance purposes. [1:05:08] Um if they have to clean up anything statewide, they're used for that. And a [1:05:12] lot of times when you're cashing in on an insurance policy, they want a [1:05:16] physical copy. They don't want They want a certified copy. They don't want a [1:05:21] photocopy. So, that's usually why there are more [1:05:24] death records issued over birth records. Most people only get one birth record [1:05:28] unless they lose it or it gets destroyed, [1:05:31] they won't necessarily get another one. >> Is there a charge for the death records? [1:05:36] » Yes. It's $20 per record. >> Okay. [1:05:41] » And a lot of times the death records are usually purchased through the funeral [1:05:46] home. They take care of all of that, so that's kind of all. [1:05:50] » So, you don't get any requests online for birth or death records? [1:05:55] » If we do, they're usually via email, and then we typically have them pull the [1:06:00] application off of our website, and they mail in the application along with the [1:06:05] photo ID, and um the $20 payment, and a [1:06:09] self-addressed envelope. And then we just send it back out. [1:06:12] » So, is there a statewide or national database where you can [1:06:16] » There is, but anything prior to 2008 is not a guarantee to be in that database. [1:06:22] » Okay. >> So, a lot of times when you're working [1:06:26] with some of these birth records, and and the increase of birth records, I [1:06:28] will tell you, the first time I was at the health department 4 years ago, we [1:06:32] didn't issue a lot of birth records. But, since that star is so prevalent on [1:06:36] your driver's license, the BMV is extremely picky about birth records. [1:06:41] Like, they've got They want them done a certain way. All [1:06:44] blanks have to be filled in. Um so, a lot of people are coming back [1:06:49] to me saying they don't they won't accept my birth record. I have to get a [1:06:51] new one. And then if it's an older one from the [1:06:54] '40s, '50s, some of them I've even had to go back as far as the '30s and the [1:06:59] '20s. Um I have to pull the legacy records, [1:07:02] put them into WIN records, and then I can issue them. [1:07:08] » There are a lot of a lot of people think that the [1:07:11] they used to I mean, I'm old enough that the hospital issued Here's your birth [1:07:17] certificate. Well, that's not >> Yeah, that's not acceptable. [1:07:20] » [laughter] >> That's You got to go to the county [1:07:21] health department. So, any other questions [1:07:25] issues for me? >> Maybe random question, but just in my [1:07:28] brain, do we Is there data on number of births versus number of deaths in the [1:07:33] county? Um and this is the certificates that are [1:07:36] issued, but this isn't how many people died in and how many people are [1:07:40] » I can probably look into WIN records and look and see how I can pull a report. [1:07:45] » Dr. Walsh, does it Who Who tracks that data? What Where does that go? [1:07:50] » Typically, the state. >> The state does? [1:07:51] » Okay. [1:08:01] » [clears throat] [1:08:27] » Well, and also even in the recent years, it wasn't [1:08:31] until HFI funding that they finally allowed local health departments to [1:08:34] issue birth records. I had all five of mine at Margaret Mary and I had to go [1:08:38] all the way over to Ripley County and pick up those records. [1:08:41] » I just think I don't know if at the our level that's interesting or data we [1:08:46] could use, but I just find it fascinating to be able to look at, okay, [1:08:49] why are people in Franklin County like what what are How are they dying? What's [1:08:53] the leading cause of death? What is you know, how many people are being born? [1:08:57] Um just interesting data, but I don't know who deals with that or who tracks [1:09:01] that. >> That is something we can do with wind [1:09:03] records. I would just have to be kind of specific and I can talk to Mark about [1:09:08] how to write that, but he even talked about it and brought that to my [1:09:10] attention that like if we got to the point where we were pretty comfortable [1:09:13] with the system, we can categorize the deaths and pull a report on it so that [1:09:19] you can kind of see what your leading cause is. [1:09:35] » Cuz that's that's a good way to look at what initiatives we are interested in. I [1:09:40] mean >> Absolutely. So [1:09:42] » I didn't know I didn't know what we were doing. [1:09:45] » Lorraine, would you let me know what the process is a hospital [1:09:50] delivers a newborn. Then they're going to want a [1:09:54] birth certificate pretty quick. So how do you get that information? [1:09:58] » At the hospital, they have a folder. So just from experience and now it's been [1:10:03] almost 5 years since I've had a child there, but you usually get like a [1:10:07] welcome packet through the hospital and it usually has that information in there [1:10:11] along with like a birth application, how you go about obtaining it. I'm sure it [1:10:15] changed in the last 5 years because you can now get a birth record at any health [1:10:20] department. Um but prior to that you did you had to I had to drive all the way [1:10:24] out to Ripley County and get it. >> So do they say here's my application for [1:10:29] a birth certificate >> Mhm. [1:10:30] » for my newborn, does somebody have to send that in? [1:10:32] » Ripley County was always amazing to work with. All I had to do was call and say, [1:10:36] "Hey, I'm planning on coming down here to get my birth record. This is what [1:10:40] child I need it for and I needed to get another one for this another child at [1:10:44] the same time cuz I had all of mine about 2 years apart. [1:10:48] So I'd never made it down there. I'm like, "So I'm going to go ahead and get [1:10:50] both of them." And let me tell you she had them ready. [1:10:53] I walked in, I handed her the application, paid the money and she [1:10:56] handed them to me. She had them done, completed, ready to go. [1:11:00] » I'm I'm just wondering how the how the county gets that information from the [1:11:04] hospital to begin with. [1:11:07] » It goes into the database. It goes into drive. [1:11:10] Into the state department's database, and then it's there that I can pull it. [1:11:14] » WIN record? >> It's through the It's through drive, [1:11:17] which is the state's database. And then I have the capability of pulling all of [1:11:23] those records into WIN record. >> By downloading a report. [1:11:26] » So, somebody at the hospital puts >> Yes, somebody at the hospital inputs it, [1:11:30] and then it will bounce to me, and I will have to affirm it and make sure [1:11:34] everything's correct. And then it can be issued. [1:11:38] » Thank you. >> You're welcome. [1:11:41] » There he goes. Thank you. I needed to know or wanted to [1:11:46] know. Whitney. >> All right. I'll just highlight a couple [1:11:50] of things I did last quarter. Um in April, [1:11:54] uh a few of us went to the Stay Alive Drug Take Back event, where we had a [1:11:58] table with some resources and stuff as people came. It was like a drive-thru [1:12:02] take back event. Um so, we were there for that. Um and like I mentioned [1:12:06] before, uh we went to the Firefly event at the Brookville Park. [1:12:11] Um in May, we went to the Indiana Immunization Coalition Awards Ceremony [1:12:14] for Joni. Um about halfway through May, I attended [1:12:18] the IDOH Leadership Symposium up in Indianapolis. [1:12:22] Uh let's see. In June, I attended the Public Health Nurse Conference and the [1:12:26] Indiana School Health Network Conference with Joni and Natalie. [1:12:30] And we set up a table at the Batesville Pride event, where we gave out resources [1:12:35] and information to the community. Um and then I just wanted to mention a [1:12:40] couple of new things um that we've recently started. We found [1:12:44] out today actually that we are an official Cribs for Kids Partner. And [1:12:48] Cribs for Kids is a safe sleep initiative. It's national. So, now that [1:12:53] we're a partner, we're able to use some of their branding and some of their [1:12:56] educational information uh [1:12:59] » [clears throat] >> to talk about safe sleep in the [1:13:01] community. And we're also able to purchase some of their branded items [1:13:04] that remind people what safe sleep is. The baby needs to be alone, on their [1:13:08] back, in a crib, without anything in it. Um [1:13:13] this year we were able to fund 100 swim lessons for kids in the county. That [1:13:17] just started this week, so it'll be this week and next week. And we also gave [1:13:20] them safe water safety bags. Um and we stuffed them. We had um [1:13:28] water bottles, we had sunscreen, sunglasses, and then [1:13:31] some little like brochures and information about water safety, more so [1:13:35] for their parents to read. Um [1:13:38] and then we also started a drug take-back program through the [1:13:42] Southeastern Indiana Recycling District, who also does our um [1:13:47] yeah, our sharps containers. They come and get those for us. [1:13:51] Um and then last week we were at the 4-H Fair, where we gave out emergency [1:13:55] radios, first aid kits, water bottles, um a bunch of different resources. We [1:13:59] had tick removal kits, and we gave out a bunch of bottled water to the community [1:14:03] for free. [1:14:07] » So, for take-back, does that mean that you guys are open for taking back any [1:14:11] medication, including controlled substances? Cuz my I've been told that [1:14:16] only the jail does that. Um is that true? [1:14:21] » Um as far as I know, we're able to I know we can't do anything that is under [1:14:24] like we can't do inhalers or um if it's [1:14:29] needles, it has to go in our sharps container. We can't take that back [1:14:33] into there. >> If it helps, the Ripley County Health [1:14:36] Department also If it helps, Ripley County Health [1:14:40] Department has a take-back of all things except what she mentioned. [1:14:45] Um and that unit actually used to be at the Sheriff's [1:14:49] uh department previous but now it's in the annex and for sales and it's [1:14:54] connected with the health department. So >> We just have to keep it in hand. It's [1:14:58] not anytime a patient can't just walk in here and drop off. [1:15:01] » They can come in and we just have to keep it locked up. Like we don't have it [1:15:04] out in the lobby. We have we keep it it's within our office which that [1:15:09] section of the office is locked anyway and then it's behind a storage door that [1:15:13] is also locked. So it just has to be behind two locked doors at all times. [1:15:17] » And then where does where does that go eventually? [1:15:20] » When it's filled or whenever we need it exchanged we call the company and they [1:15:23] come and for us. >> I'll start letting patients know they [1:15:27] can come here as well. >> Yes. Yes, please do. [1:15:29] » They try to bring it to me all time or they can I go to the pharmacy and give [1:15:32] this back? >> No. [1:15:33] » [laughter] >> Yep, you can send them to us. [1:15:39] » Anybody in the county ever have any issues with sharps? [1:15:42] Trying to get rid of them. You know needles, etc. [1:15:46] » Um they can bring them to us. We can accept them but [1:15:50] » uh needles and I thought I wonder if there's an issue in the [1:15:54] county at all. >> I have patients ask me about that too [1:15:57] and what I looked up online you can as long as it's in a container you can put [1:16:00] them in like an old uh yeah or bottle [clears throat] like this [1:16:04] and then you just put it in the trash and you can also dispose of controlled [1:16:08] substances in the trash as well. They recommend you crush it up and put it in [1:16:12] kitty litter or coffee grounds, yeah. So that's what I usually tell patients but [1:16:16] I think they would feel very comfortable bringing it to the health department. [1:16:19] That gives them some reassurance. So >> And we also have empty sharps [1:16:23] containers. So if you bring us one that is full we'll give you an empty one to [1:16:27] replace it. And then some people get them through their pharmacy but if you [1:16:30] don't for whatever reason or you just need an extra one we have those too. [1:16:34] » Very good. >> Margaret Mary also offers that too. You [1:16:37] can go there and get sharp containers and take your full [1:16:40] ones. >> Okay, [1:16:42] good to know. [1:16:44] I had one other question. Um you said last day of grant year was [1:16:49] uh June 30. >> Yeah, [1:16:51] the grant year for what? >> anything, we gain anything? [1:16:54] » Actually, from the 25-26 [1:16:58] to the 26-27 grant year, I think we're getting an extra like $5,000 with FEP, [1:17:04] so we're excited about that, but that's [1:17:07] really the only difference between the two grant years. [1:17:11] » Okay. Anything else for ready? All right. [1:17:16] That's the end of the staff reports. Uh [1:17:19] I'll accept or entertain a motion if we can get one to accept the reports [1:17:25] as discussed. [1:17:29] Motion made to accept the reports as presented and discussed. Second? [1:17:35] » Second. >> Dr. Engel, second. [1:17:37] All in favor say I. >> I. [1:17:40] » Any oppose? Same sign. Motion carried. [1:17:45] Now, we go on to new business, right? [1:17:52] All right. You Lisa brought up ideas for spending [1:17:57] previous years HFI fund. >> Do you want to present that, Britney? [1:18:04] » Yeah, uh basically the state let us know that we can't hold on to those funds as [1:18:08] like a rainy day funds or to use just however we want, but those [1:18:13] funds need to be spent. Um [1:18:16] and their suggestion was to talk it over with the board and the health officer, [1:18:21] talk it all over together and kind of figure out a plan for how we want to [1:18:23] spend those funds. Uh we have I think it's just over [1:18:27] $300,000 with previous years HFI funds that we [1:18:31] can spend. Um [1:18:34] and we don't have to pick anything definitive today, obviously, but we just [1:18:37] wanted to get that conversation started. So, when the state asks what our plans [1:18:40] are, we don't just say I have no idea. So, if anyone has any ideas, that would [1:18:45] be great. >> So, to begin with, there's 300,000 and [1:18:48] how long do you have to [1:18:51] » I don't think they gave us a timeline, did they, Lisa? [1:18:54] » Oh, really? >> I don't think there's a time limit. I [1:18:56] think they just want a plan in place so that they can report back to the state [1:18:59] why we need these funds. I think if the idea was if the funds are just sitting [1:19:03] there, then we really don't need them. But, if we're using them and we're [1:19:06] spending them, then it shows the state that it's showing them at the state [1:19:10] level that these funds are crucial. We've got to have these funds in place. [1:19:14] So, if we get some projects started and some things rolled out, and we they see [1:19:19] a benefit to it, then there's a bigger chance of us [1:19:22] retaining those funds back. >> So, are we brainstorming now for ideas [1:19:28] on >> I think that is the general idea, yes. [1:19:31] I know we've been getting a lot of requests for AEDs, like how we did in [1:19:36] the past when we had the funding. So, I think that would be a good place [1:19:39] to start is um continuing our AED program. [1:19:44] We already have a list of probably what, five or six different organizations that [1:19:48] are looking for AEDs. >> Well, that was very popular when you got [1:19:53] it going. >> Yes, it was. [1:19:55] » Um Dave, you know, you can start looking at a cat collection program with some of [1:20:01] this money. >> There you go. [1:20:03] » It In the past, we also had talked about [1:20:06] and I I'm always blanking on if it's Metamorph or or Laurel [1:20:10] uh that the county got a building and there was talk about upgrading it to [1:20:15] where it could be used for a shelter in disasters or um [1:20:20] you know, a health outreach clinic type of situation. [1:20:24] Um and I previously we had had discussions with Mr. Palmer um at the [1:20:30] county and that may be [1:20:34] an an option if the county's wanting us to help. [1:20:37] I think it needed to be brought up to to code as far as ADA access and [1:20:42] Menominee. Yeah, okay, you're right. Um [1:20:46] and then uh the other thing we had talked about before was the [1:20:50] electrical hookups for different buildings so the EMA can [1:20:55] when there's a disaster can back their generator up and hook into that building [1:20:59] firehouses and the building Menominee. They're called the pigtails. It's a [1:21:04] special electrical hookup uh and I I know there was um discussions [1:21:08] and before the HF1 funds got cut um to line that up to get it [1:21:13] to get uh structures uh around the county [1:21:17] um able to hook up and looking at the fire [1:21:21] departments first cuz those are >> [clears throat] [1:21:23] » usually in a disaster we really need the fire department folks. [1:21:27] Um you can use it for cooling centers. You [1:21:29] can use it for um heating centers. Um if if shelters um [1:21:37] and um we may may be able to talk to some of [1:21:42] the schools to do the same thing. Um because the schools, you know, is [1:21:46] another common place people used to go into for [1:21:49] assistance. Um but just I'm just talking off off my [1:21:52] head now. Um [1:21:55] but we can we can see where things are at and talk [1:21:58] to our EMA person cuz that was uh somebody we had [1:22:02] talked to before. Um [1:22:05] » [clears throat] >> One of the other things we had talked [1:22:07] previously was trying to get um some sort of telehealth set up at the county [1:22:12] jail. Um and then again the funds got cut. Um [1:22:17] interesting enough there was some telehealth related funding [1:22:21] that we might be able to apply for uh but it's kind of a short turnaround [1:22:25] time. Um and originally when we thought we were [1:22:30] going to have more consistent funds telehealth for some of the schools [1:22:33] um so they can connect to doctor's offices. [1:22:38] Um they had a really good program at South [1:22:40] Ripley uh but that kind of went away when uh [1:22:43] when one of the nurses moved on to other things. [1:22:47] Uh she was the one who kind of have spearheaded that. [1:22:51] Um but she's now a nurse practitioner in a different location. [1:22:55] Uh but any any sort of telehealth services and um I know the [1:23:01] previously the the sheriffs had some interest [1:23:04] um in that. Um was there anything else on our wish list [1:23:09] that we had to sideline [1:23:12] when they cut the funds? I mean certainly we can reach out to the [1:23:16] schools to find out if there's any unmet needs [1:23:21] um when it comes to public health stuff. >> I was wondering if there if there could [1:23:26] be a needs assessment um performed. I don't know who would do that, how we [1:23:31] would do that, but have some sort of way to assess what are the needs. Um and [1:23:38] then we can look at those and kind of decide, okay, what's the I don't and I [1:23:43] don't know exactly how that would be conducted or who would do that or how [1:23:47] you would decide any of that. I just think it would be nice. I want to have a [1:23:51] needs assessment. But the other thing I I'll just throw out there from my own [1:23:54] personal point of view is that uh transportation medical transportation is [1:23:58] a huge need. Um that's what most of what I hear a lot [1:24:01] is people can't get to the doctor. They'll Yeah. [1:24:05] » That That actually is one of the items on the rural health transformation and [1:24:10] that um we were going to be eligible for so many [1:24:13] vouchers for transportation. Um [1:24:17] and I don't know what the final number is, but that again that that's gone to [1:24:20] the state to approve. And then so so that is that was part of the [1:24:25] RHT uh program. Um we also may want to reach out to the [1:24:31] LET'S. We we help with that with the pre-hospital transfusion. There's there [1:24:36] may be additional needs that they have with that. We can reach out to um fire [1:24:41] departments and see if if there is [1:24:45] any particular needs they might have. [1:24:51] » Well, I know patients can use their insurance and then there's Franklin [1:24:54] County transportation, but other than that it it's fairly limited. Um I think [1:24:59] that I also see people struggle with um just in-home health services, wound [1:25:05] care, um being able to uh [1:25:08] basic nursing needs, but also organize their medications. I know there was the [1:25:12] paramedic program where they were going out and trying to do assessments, but um [1:25:16] there's a lot of older people who are just really isolated without [1:25:20] transportation or medical knowledge and don't have an understanding of how to [1:25:26] take care of themselves, you know, and follow complicated medical instructions. [1:25:30] So, that's my other personal experience with that. [1:25:33] » I wonder if we would be better off getting like a task force together to [1:25:38] decide what the most important things are to address on this list and put [1:25:44] something into motion to where the funding is still going to be we can [1:25:48] stretch the funding out um and then hopefully see enough impact [1:25:53] with the projects that we pick so that at the state level they can see, oh wow, [1:25:57] this is making a big difference and maybe supply some data to them and [1:26:03] you know, try to move forward there. But I just it might be easier to do [1:26:08] something like that um if you call it a workshop, I think [1:26:11] that you can have meetings pretty regularly [1:26:16] um that can be kind of closed doors. There couldn't be more than four [1:26:20] board members. So, only three of you could be in attendance at a time for the [1:26:25] workshop. But, you may even want to consider [1:26:28] pulling in a county commissioner, too. On that task force. [1:26:32] » Good idea. >> Good idea. [1:26:40] » I agree that public transportation is the worst thing for me. I don't know. [1:26:45] There's always like people tied up. There's not enough vehicles. I don't [1:26:48] know. This is a lot more than even supply a [1:26:53] new vehicle for Franklin County or whatever. [1:26:56] Um Does the jail you mentioned [1:26:59] telemedicine? Do they not have a staff [1:27:03] nurse or physician that regularly visits or [1:27:08] » It was That had to do with somebody's leaving [1:27:11] and they might need consultation on something that to line [1:27:15] them up. Do they need to go get started on some something now and then have an [1:27:21] office visit or do they need to have more of acute care response [1:27:29] particularly with mental health-related things. [1:27:32] » I got you. They have someone that signs off all [1:27:34] their medicines and stuff when they get >> Right. I just This was the discussion [1:27:39] with previously with the sheriff that >> Okay. [1:27:41] » that there was a unmet need. [1:27:44] » I got you. I had to deal doctor for a while, so. [1:27:48] » Oh, cool. >> Does every cop car have AED in it? [1:27:54] » Yeah, there there was a program through the [1:27:58] um Franklin County Foundation Ripley County [1:28:02] Foundation where in Christ Hospital Margaret Mary and [1:28:06] contributions from our health department and the Ripley County Health Department [1:28:09] to supply law enforcement in both counties. [1:28:13] With AEDs. [1:28:16] It's good. >> Question for you. [1:28:20] That building, the community building we have in Metamora. [1:28:23] » Yes. >> I mean, we were talking about adding [1:28:25] pigtails and emergency supplies. Is all all that where is that at? [1:28:31] » Well, that's where I things kind of got slowed down when the [1:28:33] HFI funding fell back, but I'll have to reach back [1:28:37] out to I know we were we were working with John [1:28:41] Palmer and our EMA specialist and and that's certainly something as as [1:28:47] that definitely needed especially when we need shelters for folks when [1:28:52] times of bad weather and disaster. [1:28:55] And and see where see where we're at with that. [1:28:59] » That'll still be on the list and >> And and previously had talked about you [1:29:03] could carry over a certain percent of capital for the HFI funding and we were [1:29:08] uh up until now we were we had been working [1:29:12] with banking that. So, it would if one year's capital funds you [1:29:16] couldn't really do a lot, but if you put several years together, you could [1:29:20] actually get the project completed. So, I'll have to circle back with with [1:29:25] uh with the county to find out if we can [1:29:28] proceed as with the plans. That will help considerably. [1:29:32] » I I feel like when we were talking about the snowstorms and we're talking about [1:29:36] disaster preparedness that there was sort of a there's a different entity [1:29:41] within the county that also helps with that. Or what is our scope of support as [1:29:47] the health board in disaster management? >> Oh, that's actually that's actually one [1:29:52] of our KPIs when HFI was was started is to be involved with [1:29:58] um disaster response. Um there was things that we did with the [1:30:02] EMA. Um I know they got some [1:30:06] crates and things because when there's disaster [1:30:10] you have to think of the pets, too. And then what do you do with the pets? You [1:30:13] can't let them run free or add to the cat problem. Um [1:30:17] but uh yeah, we we've worked with with the EMA director on a number of on [1:30:23] a number of uh projects. When they when they had the flooding, we [1:30:28] were we were working hand in hand with EMA and the other rescue folks from [1:30:32] around that came in to help. [1:30:36] » Are we the primary [1:30:40] support for that? Or I just feel like if if I don't understand our scope in the I [1:30:46] understand I totally understand how disaster [1:30:48] im- or impacts health. So, are we 100% responsible for that? Cuz I don't think [1:30:54] we have >> We're a partner. [1:30:55] » We're a partner with >> We're a partner with the Yeah, there's [1:30:58] funds come from a lot of different sources. Uh [1:31:01] EMA, from us, from FEMA, uh there's a whole litany of of groups. Um [1:31:08] that Homeland Security Security is another one that funding comes for [1:31:12] disaster response. Um [1:31:15] I I can tell you there was um special funding grants in Ripley County [1:31:21] when they had that drowning a few years ago um at Versailles State [1:31:27] Park Lake. And there was some special equipment [1:31:30] that was obtained. And that's shared with by a number of [1:31:34] different counties. And that that came from [1:31:36] combining resources from several sources. [1:31:40] » And maybe I was looking about when we had the snow storms, there was [1:31:43] discussion about the sort of an action plan, like um [1:31:49] who determines those plans, like for this for the county? Do you guys [1:31:53] remember talking about that? Cuz it was the previous uh [1:31:57] disaster >> The EMA director is takes the lead on [1:32:01] that. >> Okay. [1:32:01] » And we would we would >> EMA being the American Medical [1:32:04] Association, Amy who? >> No, EMA. [1:32:07] » Oh, okay. Okay. EMA. I was like, why has the American Medical Association [1:32:11] involved in this situation? >> actually they actually do something with [1:32:14] disaster, especially the EMA Foundation. >> Oh, okay. [1:32:17] » They do have a response um capability. >> So, when we have a disaster, [1:32:23] we being Franklin County, who do we call? [1:32:26] » Well, um we would everything kind of starts [1:32:30] becoming together, so the EMA director, uh health department, um county [1:32:35] commissioners are involved, EMS is involved, [1:32:39] um there's a whole there's a group that that works together and [1:32:44] um they they're when you watch them in in action, they're pretty impressive. [1:32:59] » I had a question for Lisa. What about uh using [1:33:02] or trying to secure some of these funds to help you with your wind record [1:33:06] program? Put in data. Like you'd get temporary [1:33:10] personnel add data to the system. [1:33:16] » I think that there's more important things to use that funding towards. [1:33:20] Um this is something that I can use to fill in some downtime. [1:33:24] » Perfect. >> Um [1:33:26] if it gets to the point where it I feel like I'm not getting anything done, then [1:33:30] we can revisit that, but I really think these funds need to be used towards [1:33:34] » Quick note. >> more important things in the county. [1:33:37] » I heard there was a gap there, so I thought may as well ask. [1:33:42] What uh next steps then? We we're going to look [1:33:45] at generating a task force. Would that be the smart thing to do? [1:33:50] And who's going to volunteer to reach out to [1:33:54] the commissioners and board members and open it up and try to get Brittany. [1:34:00] » Thank you. Dr. Walsh, yes. [1:34:04] Um anybody on the board specially [1:34:08] interested in joining up the task force? [1:34:14] I think you you'll get some responses so from [1:34:17] us. [1:34:20] Okay. So really we're not going to make any [1:34:23] decisions on what we just discussed, right? We're [1:34:27] going to wait and do a task force and proceed. [1:34:30] Is that [1:34:33] Sounds good to me. Are we done with the [1:34:36] HFI funding? [1:34:40] If so [1:34:44] move on to the community baby shower on July 25th. [1:34:48] The flyer is attached. I think you've already discussed. [1:34:50] » Yep. >> Any other [1:34:53] ideas on that? I think it's great ideas so. [1:34:57] Okay. Dr. Weaver from the Indiana Department of Health is visiting [1:35:02] Franklin and Ripley County on August 21st [1:35:06] in Batesville. >> It'll be at the library. [1:35:11] » You think it'll be at the Batesville library? [1:35:13] » No, it'll be at the library. I I actually arranged for meeting to be at [1:35:16] the hospital the new hospital but folks the state had already reached out to [1:35:20] somebody and at and the library's got a nice [1:35:24] it's got a nice facility to to meet at. [1:35:28] » Well, um will you be able to send out a notice to [1:35:33] what time and and exactly is it going to be in the [1:35:36] » I can send out a separate email that just has that with the time, date, [1:35:41] location and everything so everyone gets it. [1:35:49] » So then last time we were she was here it very helpful for some board members [1:35:54] to be there and I mean, she really spews out a lot of [1:35:58] information. They they take everything's [1:36:04] data-driven and they collect a lot of data from all these programs that we do [1:36:09] and they churn it and throw it right back at you [1:36:12] and compare you to all the other counties in [1:36:15] in the state, so you're either number one or 92. I think [1:36:19] we had some good scores and some that could be improved last time, but uh [1:36:26] I look forward to that. Any questions or issues? So, anybody that [1:36:30] can attend, that would be >> What was the date again? [1:36:33] » April August 21st. >> Oh, August 21st. [1:36:36] » Great uh Okay. [1:36:38] » All right. [1:36:42] » Okay. Health Department sponsored swimming [1:36:46] lessons for 2026 and provided water safety bags [1:36:52] to each participant, 100 this year. So, that's Is it done? That was the [1:36:57] number? >> Yeah, I kind of mentioned that with my [1:36:59] report, but those lessons are going on this week and next week. [1:37:03] » That was a excellent. >> Yeah. [1:37:05] » And then the 4-H Fair handwashing sinks? >> Yeah, we used our H5N1 grant funds that [1:37:11] we got at the beginning of 2025 to purchase [1:37:14] uh handwashing sinks, stations, whatever [1:37:18] you would like to call them, um and decontamination mats to put outside of [1:37:21] the poultry um [1:37:24] barn at the fair for this year. So, we we talked to Purdue Extension and asked [1:37:29] them we told them we have this funding and it's to help prevent any potential [1:37:33] spread of disease from birds, essentially. Um and they thought that [1:37:38] was the best way to use some of those funds, so we purchased those and they [1:37:41] helped set them all up at the fair and they got to use this year. [1:37:45] » Very well done. Good. Um [1:37:50] I've got one to add. Um you sent out an email, Brittany, you sent out an email [1:37:54] about these septic rules being updated, right? [1:37:58] Who was that? That was you. I'm sorry, Lisa. [1:38:01] Uh so the [1:38:04] septic and I know earlier we've we've got a food rule update from the state [1:38:09] that's in progress. So both those rules are coming through. [1:38:12] I don't know >> Well, I think the food is in place. [1:38:14] Didn't that go into effect in April, Dave? [1:38:17] The new food rule? [1:38:20] » Food rule? >> The new food code. It went into [1:38:23] effective in April. Okay. [1:38:28] I think it was this past April. Um and then the septic is up at the state right [1:38:33] now. They're it's going through legislation right now. [1:38:35] » through another public hearing and then probably [1:38:39] adoption. So I I don't know if Tim, are you up on those and any [1:38:44] issues with the state or do you think [1:38:48] » information Uh actually for a new [1:38:52] um [1:38:55] um ordinance, aren't we? [1:38:59] And that's >> Yeah, that's that's what he was asking [1:39:00] about. So when I got the information from Alice Quinn that where they were at [1:39:05] on it, I just forwarded that information to the board members so that they would [1:39:08] understand where they were at with that new rule. [1:39:12] So >> Nothing new. [1:39:14] » I don't have anything new other than outside of that. Alice is really good [1:39:17] about keeping us updated on that. And letting us know where we're at. [1:39:21] » And Dan Mossburger, you know, who I deal with with state a lot. [1:39:26] He helps us a lot. Um [1:39:31] » So they're going to be passed in the next [1:39:33] two quarters anyway, right? >> I think so. [1:39:36] » Probably. So do we I'm I'm just throwing this out. Do we need to get our [1:39:40] attorney, Jean Stewart, uh involved in updating our [1:39:45] food and septic regulations to adopt these. [1:39:49] » I think that's all we need to do is just make a motion to adopt. [1:39:53] I mean, it's a state rule, so we just probably need to rescind our old [1:39:58] ordinances and and just going forward using the state rule. [1:40:02] So, yeah, I think reaching out to him and finding out what [1:40:06] ducks need to be in a row for that. >> Okay. [1:40:09] That'll be the way to go this way to go cuz [1:40:12] we've already been through all the public hearings and [1:40:15] adoptions. Okay. Any other new business? [1:40:23] All right. Next quarterly meeting scheduled for [1:40:26] October 20th at 5:30 p.m. right here. So, if that's it, then I'll [1:40:37] » [clears throat] >> look for a motion to adjourn. [1:40:41] » I make a motion to adjourn. >> A motion's been made to adjourn. Is [1:40:45] there a second? >> Second. [1:40:47] » Motion's made and seconded to adjourn. All in favor, say I. [1:40:52] » I. >> I. [1:40:53] Thank you, everybody. Great meeting.