Cognition under God, indivisible, with liberty and justice for all.
Welcome everybody. Public portion?
Together. Yeah.
That's true. Okay, we have approval on agenda on agenda.
So moved. Second.
All in motion and second. All those in favor? Aye.
Motion carried. Proof of the Board of Health in minutes from the November 20, 2019 meeting.
Move to approve. All in motion and second. Second.
All those in favor? Aye.
Motion carries.
Okay, we're on page 11 of the packet. Bottom right is page 11.
I just want to share with you some community groups that I've been communicating with for collaboration and partnership.
I was invited to the Kendall, I'll never say it right, Kendall, Grundy, Community Action, December Board Meeting, and they asked for a presentation of our current eye plan, which was 2016 to 2021.
So it was really great conversation, really friendly group, and I guess they have Kendall come every once in a while, but they had never invited Grundy, and so I was really honored to be able to go and just talk with them about what we're doing here.
Ian and I met with Morris Hospital leadership to discuss some areas of cooperation, some behavioral health.
Just the one, but just other areas that were already naturally cooperating in terms of seniors and the social workers and TB and clinical disease and other things.
It was really good meeting, I think. I don't know if you want to say anything about that.
Get on the radar and discuss mutual opportunities. I think one thing Mark brought up was the Will Grundy medical clinic is on the verge of maybe collapse.
So if that happens, then we'll probably have an impact on the health department, I'm sure, because they serve the indigent and other folks that are out there.
I have a reputation, I guess they have a difficulty getting providers to serve it and stuff.
So that was a concern that was brought up in the meeting.
We also talked about seniors program and so good collaborative discussion.
And that was the first I had met, Mark Studham or Kim Lander, so thank you for that introduction to them.
I also met with Missy Durkin of the YMCA that was kind of initiated by Jim Wright, who's helping with their initiatives for a building.
And he said, why don't you go talk to Missy?
And so she kind of walked me through their current building, told me the plans of the upcoming building and kind of talked about, well, what are some of your needs?
What are some of our needs?
How might we work together, especially when they have their new space over there on the west side of town?
So that was really nice.
So there's a lot of chatter about the U.S. Census and the importance of it.
The county, excuse me, the county is in receipt of some grant funding to help get people to participate in the census.
And so I sat through something with a webinar with Matt Melvin and Heidi Miller talking about how we get people to do this.
So libraries, village administrators, other kind of entities, We Care, Help for Hope, us, to try and reach all different people so that they participate in the census.
The senior division also, I think you might have something about that, you know, report time.
So I don't want to steal your thunder, but there's potential or pretty sure there's going to be grant funding from one of our current agencies to help us get out there outreach so that the senior population is participating too.
So, oh, hi.
That's okay.
Hi.
So that's good.
We're participating and we have access to clients that maybe it's a hard to reach population.
And so as they're sitting in our waiting room waiting for WAC or for the psychiatrist, if we can have an iPad available and they can be completing things online, then we're happy to do that.
So the county board, the finance committee has asked that I go monthly regularly, I should say, and so I'm offering to go monthly at the last meeting of every month to the finance committee and share some figures so that there's consistent communication throughout the year.
Dean and I met with George and Matt and Eric Rasmussen and Chris Bulkma Monday afternoon and I just shared preliminary, here's what I think I'm bringing on the 27th and they said, great, just kind of what you'll see here, but a more condensed version, less narrative, more words in terms of where we are with the budget.
Three vacancies currently, we have not yet posted for the outreach and education coordinator that was filled by Kelly Hitt and she left at the end of December to pursue other opportunities, kind of waiting for a little dust to settle with that.
We have the other vacancies that maybe we want to focus our efforts on.
I don't want to steal any attention away from these other two very high priority needs, which are the behavioral health psych nurse and then the senior program care coordinator.
We have two vacancies with that.
Below there are just the numbers. I wanted to show you the actuals of 18 and then 19 where we ended at the end of November with the subsidy of 553.
One of the things we talked about Monday nights meeting that I think I saw some light bulbs for the first time maybe ever in terms of the grant funding.
So I developed, I kind of calculated where were we in terms of the grant money owed to us at November 30th and what our receivables were expected with just grant funding because we were well past our subsidy for 19.
We were over $200,000 owed to us in grant funds at the end of November.
So if all of that had come in, we wouldn't have used all of our subsidy much less gone past it.
So I think maybe the way I presented it was a really beneficial conversation.
Matt's involvement, Dean's involvement certainly lends a lot of expertise in the area and so it went really good.
And so anyway, that's where we are actual of 19.
The budgeted for 20 is 496.
So you can see December year to date where we are in terms of revenue expenses and subsidy and then obviously December is the first month.
So year to date is the same.
So I guess I'll just add to that that since we're on a cash basis and some of us are familiar with a cruel basis, the revenue gets recognized when it's received.
So the timing issue really presents Matt made a comment that it will help him define the cash flow for the county based on this timing issue.
So George was appreciative.
He had a couple of comments to add to the report as well too.
So I thought the report, I know the report that she put together was very, very helpful and is going to bridge a gap for that understanding.
So when it looks like we're not reaching our revenues or the subsidies higher, it's because a lot of it's most of it's from the timing issue.
It is not overspending and that's something year over year that we've really...
So that report was an eye opener as you said.
Yeah, I think so.
I think so.
So we'll be going to share that with the full finance committee on Monday, the 27th.
And before we get to the divisions, I just want to point out that the figures at the top here are for the whole health department.
And then we've modified this report a little bit to include per division.
So you can see the activity at each division level in terms of revenue and expenses and with the program deliverables too.
So some of the updates I had on here, the four bullet points for nursing.
One of them I actually already need to update.
Our health works program, which is a case management program we do with foster children.
The lion eye care was planning to take over that program.
We got an email this week that they will not be taking over as soon as we thought they would be.
So the program will remain at the health department level.
So just the delay?
Yes.
So they will, but they're not doing it.
Right.
They're not currently.
The plan is for a lion eye care to be doing the case management services for foster children in the state of Illinois.
But...
Just the lion eye care.
That's all we've heard as a lion eye care.
So currently with health works, we do case management for all children in the county who are foster kids and they're under six.
So after a lion eye care takes this program from us, it's about, currently we have about 25 children in the program.
So it's not a huge, it won't be a huge funding loss, but they're just trying to get the program together so the transition will be smooth.
And then next, well this summer, WIC, I don't know if any of you have seen the WIC checks, but currently we offer the WIC program, which is paper WIC checks, which have food printed on them for our participants.
In the summer, it's switching over to like a snap card, an EBT type card.
So that'll be better.
We're hoping it'll be easier for participants and again, it's families who are in need financially and they need help with food.
So those are kind of some of the bigger changes.
Otherwise it's just a kind of status quo.
We haven't had any, really anything new.
I do also have my case management review, family case management review tomorrow.
So DHS will come in and audit our case management program.
That'll be all day tomorrow.
I can't wait.
Any underlying issues on some of the drops and stats from 18 and 19?
WIC is always, always kind of an issue and I just statewide, as far as the decrease in participants with that.
We think the need is still there.
I don't think financially people are making more, you know, more money overall.
It would be nice, but you know, we know some of it as due to the paper checks.
People won't like them.
They're easy to identify.
Oh, you're on WIC.
You're on WIC.
So we have seen a decrease in that aspect.
People don't like that so much.
So then maybe with the cards.
Right.
So we're hoping with the cards maybe.
Yeah.
So we're hoping maybe that'll help a little bit.
So the immunizations dropped quite a bit?
The children's immunizations did and the adults, the private increased.
So it kind of balanced out.
And I think with the kids stuff, there are more CHIP kids, which now we're doing CHIP vaccine.
We weren't for all of 2019.
So I'm anticipating it'll probably be bumped up again for 2020.
Thank you.
And the TB test at one point in the summer, the manufacturer actually had run out of the
tuberculin that we used.
So we weren't able to give our TB test for a little bit there.
So we were doing some paper assessments to see who truly needed to have that skin assessment done.
But then the manufacturer came back and stopped.
We were able to do it.
Any questions?
Katie?
Same programs?
Our grantee agency, the agency on aging, has repriended their name.
They're now age guides.
So if you see that moving forward, know that's the same grantee agency.
As Michelle had mentioned, it looks like we will be receiving some form of funds to participate and help out with the 2020 census.
We're still waiting on service standards to try to figure out what exactly the expectation from our algorithm.
So we'll keep you updated.
And lastly, age guide is providing free internet-connected tablets.
So if you know of any seniors who might be undergoing isolation or could use some social media skills, friendship, whatnot,
age guides collaborating with the Morris Library to provide these free tablets.
And they're being allotted two years of internet service, free of charge.
So they just ask that they participate in three workshops and that they be age 60 and over, no financial status limit.
So, pretty interesting.
There below you'll see the number of assessments we completed in 2018 along with INA units, service units, and what our progress was in 2019.
Keeping in mind that we didn't have two full-time employees, but we did onboard two contractors to help with the influx of clients in service.
So your service unit declined? Any major issue that impacted that?
Service activity minutes.
Yeah.
Is that what you're referring to?
Right.
Yes, but the total number of clients increased.
So you're doing less activities?
With less staff, there was a time when we didn't have contractors.
And so we were hoping to onboard people.
And then we did onboard people and they off-boarded because they didn't want to stick around.
So it's evolving, but we're hopeful for this new 2020.
What's considered a service activity unit?
A service activity unit.
It consists of, it can be, so one unit can be one person that has been serviced.
It depends because we have so many service activities.
So I think of respite.
I think of information and assistance provided over the phone, answering the questions.
Someone can be recorded as a unit.
And per the grant, we have grant deliverables that say, okay, well, if you receive this X amount of funds,
we're hoping that you can service X amount of units.
Any questions for time? Thank you.
Well, interestingly, on Friday, I went over and met with Sean Marconi at Wolverine Medical
tonight, and I was not aware at the time that I wrote this of the kind of dire straits that
they are in. She talked more about wanting to get more services for clients because she
feels like there are a lot more people in Grundy that could benefit from their
services than are getting the services. So we kind of talked about how we could spread
the word here with the health department and try to get them some more people
coming in, but maybe that's not such a good idea. I don't know.
Anyway, it was a good meeting, and she's supposed to be sending over some brochures
and things so that we can let people know that they're there, and she may be
coming to our all staff meeting in March as well. I haven't heard back from
that on that. This is something on the radio, like talking over a show or
something. The Morris radio station with her, I think, and she talked about the clinic.
It's only open one day in Grundy. One day a month. Yeah, one day a month.
So, you know, that might be a problem too. Yeah, yeah, you know.
We're continuing to partner with NAMI to bring more
lead mental health services to the county. They just started today.
We have a list of 10 people that are participating in that, and that's, again,
it's the WRAP group, Wellness Recovery Action Plan for people who are
recovering from a mental illness or a substance use disorder.
And it's been really popular with our clients. They've gotten a lot out of it.
There's something about being led by a peer as opposed to a professional,
you know, somebody that's been through it, that's been really helpful.
Yeah. And whether they don't call that money, they sure...
Excuse me. You know, do they have those funds with the principal?
I think everything's okay. Yeah.
Yeah, okay.
Did you get, are we good?
Yeah, I don't know. Did you catch that, or should I say it again?
You're the only man here, maybe you should go.
No, she gave it back to me.
Yeah.
Yeah, I'm good.
Yeah, there wasn't one tonight.
You know there wasn't, because they're usually not clear during our meeting.
What? They're usually not clear during our meeting.
She'd apologize for talking so long.
Are we unworthy?
No, of the Morris Hospital.
Oh.
Did you catch on that? No, I probably need to start with a no.
We started today actually with our third RAP session.
RAP stands for Wellness Recovery Action Plan, and that's a peer led support program
for people recovering from mental illnesses and substance use disorders.
It's been really popular with our clients and other community members that have come to it,
and we're just really glad to have them back again.
And then with our nurse leaving, we have that nurse,
the person in the nurse's position is part of the treatment alternative court,
which in other words is mental health court.
She's part of that team, so we've talked with them and informed them of what has happened,
and that we're not going to have any disruption of services because our nurse is no longer here,
because Katie and her team have been very helpful with filling in those gaps.
Other than our nurse not being present at court,
they'll be getting all the other services that they've always gotten,
and once we have a new nurse, that nurse will be going to court again,
and they're fine with that.
And then you can see the stats from Behavioral Health, our new CIS system.
There's no 2018 stats provided because we didn't start with CIS until October,
so really it wouldn't be much for us to see and compare.
2019 stats so far are listed there,
or actually all of 2019, because 2019's over, isn't it?
So you can kind of see where we're at with those things.
System working okay?
Working really well. We're very happy with it.
Good.
And the developers are very accessible.
We talked to them regularly, which is nice.
And usually we would have that relationship, but we do.
Good to hear.
Any other questions for Dice?
Thank you.
So as of January 1st, our staff is now doing their inspections on a phone.
So we're using a face program, so still with CVPs, still the same program.
They're just no longer taking their surface pros or their tablets out in the field.
Because they had their tablets and a Wi-Fi, so they could connect to the internet.
Now we have upgraded them to phones.
So they're out there on their phones about this size doing their inspections.
And when we're all set and done, when we upload the report,
it looks just like the paper report that we've been handing out.
So it's nice. They liked it. We have good feedback from them.
It makes them a little bit more mobile.
And we've also eliminated one more step from their daily process.
So because we had to, once they uploaded the inspection the old way,
then they had to come back in the office, open it, and then email it.
Now with the phone, it's all kind of included in this program.
And when we finish it, it automatically emails it,
as long as we have an email on file.
So we're just becoming a little bit more efficient.
And so far I've heard good things, so happy about that.
I think we're all used to using an app, so it's just a little bit easier.
It's normal for them.
Also invoices went out in the middle of December at this time.
So I think I wrote this last week.
So we had about 38% of the annual permit payments in.
Payments are due by January 31st.
And if they were not received by then, then we sent out a late invoice
and it's a 25% late fee.
We also sent out private sewage disposal contractors
and body art technician reminders.
Those are an annual fee that they pay.
They're typically supposed to pay by December 31st,
but if you're a private sewage disposal contractor
and you're not doing work until April,
you'll probably pay in April when you want to get a permit.
So there's our program numbers for the year 18 and 19.
We're relatively comparable.
Just starting off, and then December,
our numbers are always a little bit lower.
It's kind of, we purposely do that with our inspection
so that if we are missing something,
we still have the time to catch up on everything.
And then we're just, because of state year,
we still do our inspections on this calendar year,
January through December.
That's how we keep track of them.
So we just want to make sure everything's completed
by the end of December.
So that's why our numbers are a little bit on the lower side.
So if we've missed something,
we have time to catch it off.
And then just for January, just a little FYI,
I've been here 11 January.
Now I think I have sat here and it's been March
before we've issued a well accepted permit.
I think we've issued eight so far this year.
So numbers are looking good for that.
It's not frozen.
Yeah, it's not frozen, people wanted to work.
So that's it for environmental health.
So I'll quickly talk about public health
and emergency preparedness.
There's a statewide full scale exercise scheduled
for October 26th through the 30th.
The scenario is pandemic flu.
We're still determining our level of participation in this
and extent of play agreements will be sent out in the January.
I still do not have that.
So we're just waiting.
So I point out that it's supposed to be a pandemic clue.
It's a scenario because we're a CRI jurisdiction.
We're required to do an anthrax based scenario.
So we're still trying to figure out
how we're going to participate in this full scale exercise
and still meet one of our grant deliverables.
So more to come.
It's just the organization at the state, right?
The direction from them.
And the extent of play agreement
is supposed to be signed by us
return to the state by January 31st.
But we don't have it yet.
We're still trying to figure out the cannibals.
That's what they're trying to do.
Fill the inventory.
Inventory, sure.
Beneath that is just some outreach and education events
just to keep you informed of kind of what we're doing
and where we are.
Narcan, the dental clinic from Well County
is coming to Cold City and then Manuka
in the coming month.
And then the family, that's your family's office.
Any questions regarding the operation report?
Any motions to accept that?
Yeah.
Entertain a motion?
Second?
Second.
All those in favor?
Aye.
All those in carries?
Move on to the financial report.
So this is all of the detail.
This is the summary that kind of highlights the revenue
and the expenses that we went through
before the operation report.
The bottom biggest figure there shows
that the total year to date subsidy is 55,000.
And then behind that is all of the detail
in terms of how we're spending the money
and what kind of revenue we're receiving.
This is as of December 31st.
I don't feel like anything is unusual
and worth pointing out here.
But please let me know if you have any questions.
The first couple of pages are the fund restricted
or what comes out of the general fund, 083.
And then the last few pages here are out of fund 500,
which is the grant money.
Any questions regarding the financial report for Michelle?
Entertain a motion to approve finance report?
Bada?
Second.
All those in favor?
Aye.
All those in carries?
Claims.
You're signing on the left.
I got it.
I saw you.
Left-handed, left-sided.
That's right.
Anyone have an answer?
15.
I do.
Wow, I understand.
Yeah, I'll take one.
I'll take two.
Take two, they're small.
One, two, three.
Okay, great.
Two, three.
I'll sign for the resolution next month.
Okay.
I'll sign for resolution next month.
What do I do?
I don't know.
Good.
Behavioral Health Alliance is a group kind of organized under areas of community foundation,
but there's probably 30 or more different provider groups in Behavioral Health and Grundy
that need time off the basis to talk about issues especially about lack of news.
Mm-hmm.
Are you collecting them or are they coming again?
Soon.
They're all signed.
I just want to point out that Tanya jumped through several hoops to make that happen.
We were contacted that there was a person in the community who needed a roof repair and
didn't have the funding.
We were getting contacted by several agencies and so she went to our funding agency and
asked to do extra paperwork and go above and beyond kind of to secure 8,000?
6,800?
Something like that.
Very nice.
To do that.
Team effort.
Was that the first time we've done that?
That amount.
Was that?
And not all 6,800 came from us.
No, $500 did come from WeCare.
WeCare.
We'll see.
Yeah.
I'm sorry.
And $400 from anybody, but okay.
All right.
Anybody 5K Pat?
And then the rest was from Grant.
Sure.
Mm-hmm.
Good work.
Okay.
Got them all in?
Yeah.
Bill's in the amount of $2,202.60.
Make a motion, second.
We need a roll on that.
No, fine.
All in favor?
Aye.
Same sign, nay.
Motion carries.
Okay, no business.
Neal business.
No number? No? Okay.
New business, policy 5.12.
Policy 5.12a is management's benefit parallel union contract.
So I've just added it to this policy.
Union contract states that they get eight personal days.
Currently nonunion people get five personal days.
Personal days aren't anything extra.
It's not extra time to get anything.
It's just that you can use eight of your sick time for personal business
versus what we have right now is five of our sick time for personal business.
So we'd like to match the union contract and you and of ours to eight personal days
for nonunion employees also.
So that's basically what I've done on here.
Just underline what's exactly the union contract.
Doesn't increase any time.
That's just classification when they take that data.
Yeah, because six months for sickness.
Personal time you can use for Cubs games.
Cubs games.
Personal.
And I don't know if Joan or anybody that's been on the board
longer can kind of lend to some history.
I think it's kind of typical that a lot of the benefits are adopted then for management.
And maybe we think this one just kind of slipped through the cracks.
Yeah, it did.
In terms of vacation.
Try to keep everyone sort of equal.
Right.
So now I believe all of the benefits mirror the union contract.
Right.
For union.
The time off.
Okay.
Entertain a motion to approve.
It is presented with change policy 5.12.
The moved.
Second.
Those in favor?
Aye.
Motion carries.
Any need to multi-execute the session?
No.
Motion to adjourn.