1 00:00:11,960 --> 00:00:14,160 Okay. 2 00:00:16,375 --> 00:00:18,395 » [clears throat] 3 00:00:27,440 --> 00:00:30,280 » You got 5 minutes. 4 00:00:37,680 --> 00:00:43,000 Really really appreciates you this year. I think you do a wonderful job. 5 00:00:46,200 --> 00:00:51,440 Yeah, it's nice to see her feel a little 6 00:00:49,000 --> 00:00:51,440 better for you. 7 00:01:01,520 --> 00:01:07,680 She has so much anxiety when their treatments are over because it's like 8 00:01:05,280 --> 00:01:07,680 now 9 00:01:15,720 --> 00:01:19,320 Yeah, maybe okay. 10 00:01:42,880 --> 00:01:49,240 4 and 1/2 and 3 years >> I know, but there's 11 00:01:47,440 --> 00:01:52,120 I I didn't think they were specially Yeah, oh yeah. 12 00:01:50,560 --> 00:01:55,560 » They're fun. Yesterday was Winston was 3, so we had a 13 00:01:54,520 --> 00:02:01,440 party at Carly's and 14 00:01:57,640 --> 00:02:04,680 » So, remember one Guinness pizza We went one time and our oldest was 15 00:02:03,320 --> 00:02:06,600 maybe 15 18 16 00:02:05,440 --> 00:02:11,280 » I wouldn't do the front row unless you're going to use the podium. 17 00:02:09,200 --> 00:02:13,320 » And she said, "Yeah." And I said, "Well, that's what friends were you were 18 00:02:12,560 --> 00:02:16,120 little." >> It was SARS in West Nile virus. 19 00:02:14,920 --> 00:02:17,560 » And we were like, "Okay, you're not eating. We're going to go sit in the 20 00:02:17,200 --> 00:02:21,120 car." >> And we went to the hospital. 21 00:02:18,880 --> 00:02:22,760 » And we were in this bathroom and >> Yeah, things are a lot different 22 00:02:22,280 --> 00:02:24,840 » I know I know. >> They're not as good. 23 00:02:23,480 --> 00:02:26,040 » No, they're not. I'm still saying they're not. 24 00:02:25,160 --> 00:02:26,920 » I walked a couple times. >> Yeah. 25 00:02:26,400 --> 00:02:29,640 » Yeah. >> Yeah. How's it going? 26 00:02:27,840 --> 00:02:32,360 » It's well. >> How about you? 27 00:02:30,640 --> 00:02:35,360 » Yeah, it was SARS that went around the company and stuff. 28 00:02:34,000 --> 00:02:37,720 That's pretty good. >> They never really know. 29 00:02:35,959 --> 00:02:40,120 » Yeah, but we were playing SARS and stuff. 30 00:02:40,520 --> 00:02:44,000 » Well, the way we were doing it was that's why you didn't 31 00:02:44,120 --> 00:02:49,120 » Yeah, and then a lot of times it's like they're sick all the time with their 32 00:02:46,560 --> 00:02:50,760 cancer and stuff. Yeah, but it's my chance. 33 00:02:50,240 --> 00:02:52,840 » Yeah. >> Was that uh 34 00:02:52,200 --> 00:02:55,000 » I went to college. >> So, when you're going in 35 00:02:54,120 --> 00:02:57,680 » She's had all her treatments. >> You know, we're just waiting to go see 36 00:02:56,200 --> 00:03:03,400 her. >> Well, it goes through her whole system. 37 00:03:00,200 --> 00:03:03,400 » She's turned best down and 38 00:03:04,519 --> 00:03:09,440 » Hi Tyler. >> Hi Ian. 39 00:03:07,480 --> 00:03:13,519 » You can't walk in energy like that. >> I think they just 40 00:03:11,640 --> 00:03:17,160 » It's carefully and well I was really playing, you 41 00:03:14,480 --> 00:03:19,959 » But I guess that's how they >> Is Heather going to be here today? 42 00:03:19,160 --> 00:03:23,840 » Yeah, there's >> Okay. I got to talk to her about the 43 00:03:21,800 --> 00:03:26,680 dogs. That's interesting that someone is assuming 44 00:03:25,040 --> 00:03:30,959 » Yeah, he's talking to me. >> So, Heather had a biopsy and he said 45 00:03:29,080 --> 00:03:32,519 Every time they did a biopsy >> What was that under that? 46 00:03:31,920 --> 00:03:35,400 » I thought it was under that. I thought it was under that. 47 00:03:33,480 --> 00:03:37,840 » The other one did. >> No, this is all of Heather's survival 48 00:03:36,959 --> 00:03:42,680 day. They did it right before 49 00:03:40,519 --> 00:03:45,120 And then her lung mass and stuff. >> 12 Okay. 50 00:03:43,640 --> 00:03:50,320 » Yeah, we're Yeah, I I have grandchildren. The boys are just turning 51 00:03:46,959 --> 00:03:50,320 12. Twin boys also. 52 00:03:51,360 --> 00:03:53,959 » Three. >> Well, they're getting 53 00:03:52,959 --> 00:03:57,840 » And it's always >> whatever 54 00:03:56,360 --> 00:03:59,080 » I didn't watch my rabbit. >> That's the first thing. 55 00:03:58,600 --> 00:04:03,600 » Really? >> One make out five to twenty. 56 00:04:02,120 --> 00:04:05,040 » Yeah, yeah, yeah, okay. >> They were 57 00:04:04,200 --> 00:04:07,240 » The other one is just like that. >> Yeah, they were always hot. 58 00:04:06,280 --> 00:04:08,200 » They just kept on going. >> They just kept 59 00:04:07,800 --> 00:04:09,000 » What if >> Yeah. 60 00:04:08,560 --> 00:04:11,320 » I actually >> I got to get caffeine. 61 00:04:09,920 --> 00:04:13,320 » I drink coffee. >> Based on what 62 00:04:12,000 --> 00:04:14,680 » Yeah, you can be our best >> places. 63 00:04:13,840 --> 00:04:16,519 » We both thought that >> She just kept cuz there's no place 64 00:04:16,000 --> 00:04:17,840 » never >> I brought her some daisies. 65 00:04:17,480 --> 00:04:19,079 » No. >> I brought her 66 00:04:18,440 --> 00:04:20,799 » I brought her >> She was really nice to 67 00:04:20,000 --> 00:04:22,160 » Oh. >> I'm taking 68 00:04:21,239 --> 00:04:23,800 » She said that stuff. >> Nothing more than that. 69 00:04:23,440 --> 00:04:27,080 » Okay. >> You can see them or something. 70 00:04:25,040 --> 00:04:30,080 » We were done through the whole ordeal. >> So, now he's telling 71 00:04:29,320 --> 00:04:31,440 » That's about >> They're really 72 00:04:30,640 --> 00:04:33,840 » Good. >> Very good. 73 00:04:32,280 --> 00:04:37,480 » So, >> But, we don't live over six miles from 74 00:04:35,440 --> 00:04:40,240 where they live, so you know, whatever. We have we have no influence, so we're 75 00:04:39,640 --> 00:04:43,400 » How are you? >> Good. How are you doing? 76 00:04:40,880 --> 00:04:43,400 » I'm good. 77 00:04:45,000 --> 00:04:47,680 » We're closed. 78 00:04:54,919 --> 00:04:58,520 Let's call the meeting to order. 79 00:04:59,080 --> 00:05:03,680 Is everybody ready to announce themselves? 80 00:05:03,280 --> 00:05:04,960 » Sure. >> Sure. 81 00:05:04,480 --> 00:05:06,000 » No, you can start. >> Yeah. 82 00:05:05,400 --> 00:05:09,080 » Start with you. >> Uh Dr. Amy Slaughter. 83 00:05:07,840 --> 00:05:11,720 » Grace Slaughter. >> Bob Sassaman. 84 00:05:10,480 --> 00:05:14,720 » Mike Mayhew order. >> Russell William. 85 00:05:12,919 --> 00:05:17,600 » Carrie Crofford. >> Okay. 86 00:05:16,040 --> 00:05:22,120 First thing is the approval of the minutes. If everybody's had a chance to 87 00:05:19,720 --> 00:05:22,120 look at that. 88 00:05:23,080 --> 00:05:28,640 » I move we approve the minutes. >> Second. 89 00:05:26,880 --> 00:05:31,480 » Is there any discussion? Anybody have any other issues? 90 00:05:29,960 --> 00:05:34,400 » I had a couple things, but I gave them to Laura. Just Just type them up. 91 00:05:33,080 --> 00:05:39,640 » Okay. Yeah, there is one of those. 92 00:05:36,520 --> 00:05:42,600 Uh okay. Everybody in favor of the minutes being passed, say I. 93 00:05:41,600 --> 00:05:45,280 » I. >> Opposed? 94 00:05:43,560 --> 00:05:48,400 » Nay. >> Minutes are passed. 95 00:05:47,800 --> 00:05:51,160 Uh any old business at all? There's nothing 96 00:05:50,200 --> 00:05:55,720 on here. >> We can talk about the budget really 97 00:05:52,800 --> 00:05:55,720 quick. Um 98 00:05:57,080 --> 00:05:59,640 the um 99 00:06:00,280 --> 00:06:07,960 health funds uh for Indiana health funding uh we're going to have some 100 00:06:05,160 --> 00:06:11,640 carryover in this year's budget for 2026. 101 00:06:09,720 --> 00:06:15,720 So, even though we're getting the 178,000 102 00:06:13,480 --> 00:06:20,040 plus for health first and we're giving that to partners, we're going to try to 103 00:06:17,440 --> 00:06:26,400 carry over some money in that fund and do more with that. Up to five partners 104 00:06:23,000 --> 00:06:30,720 now uh confirmed for health first funding with the carryover and the one 105 00:06:28,800 --> 00:06:35,480 money we're getting in January. So, um 106 00:06:32,520 --> 00:06:39,960 when the uh you'll hear in January's meeting if the council approves it, then 107 00:06:38,440 --> 00:06:43,520 I'll be able to give you a a better layout of who's getting what for the 108 00:06:41,880 --> 00:06:49,960 year. You know, we have two school systems that applied. We have the 109 00:06:46,440 --> 00:06:52,080 clinic, we have Hope Center, and we have um 110 00:06:52,840 --> 00:06:59,600 I can't remember the other one, but yes. So, we're doing our best to 111 00:06:57,560 --> 00:07:02,680 We're doing our best to get um everybody 112 00:07:00,800 --> 00:07:07,160 uh all their needs and wishes as best as we can. So, I'll bring I'll be more uh 113 00:07:05,320 --> 00:07:12,400 forthcoming when that gets detailed. But, we're trying to use as 114 00:07:09,240 --> 00:07:15,640 much as we can of that fund to continue. Other than that, that should be the 115 00:07:14,200 --> 00:07:17,400 biggest old business. >> Okay. 116 00:07:16,440 --> 00:07:20,280 » I have a question. >> Yeah. 117 00:07:17,800 --> 00:07:25,280 » Um oftentimes with government funding, if it's not used in one year, it's lost. 118 00:07:23,480 --> 00:07:29,560 And so, that is that's obviously then not the case with this fund? 119 00:07:27,440 --> 00:07:33,480 » No, so uh the the health department and the 120 00:07:31,560 --> 00:07:37,919 assessor's office and some other couple few things in the county are specially 121 00:07:35,680 --> 00:07:42,800 we're not through the county general. We have our own tax levy. So, if you look 122 00:07:40,640 --> 00:07:46,320 at a of pie, there's certain slices. We get a slice every year no matter what 123 00:07:44,600 --> 00:07:51,080 cuz of state code. And so we get a small percentage. Now, 124 00:07:48,880 --> 00:07:55,240 the council can change that percentage every year, but we get a small 125 00:07:52,760 --> 00:07:57,800 percentage, and that stays in our levy no matter what. They can't take it back 126 00:07:56,840 --> 00:08:00,880 out. So, whatever they give to us, it stays 127 00:07:59,280 --> 00:08:05,760 there, and if we don't use it, it stays there for the next year. So, I don't 128 00:08:02,920 --> 00:08:09,400 even have to go back and ask for what's the word where we keep it from 129 00:08:07,680 --> 00:08:10,920 one year to the next. It just goes back in the fund. 130 00:08:10,000 --> 00:08:14,760 » Yeah. >> So, we'll go back and 131 00:08:12,640 --> 00:08:19,800 reappropriate the budget for a different budget in January carryover money that 132 00:08:17,520 --> 00:08:23,040 we would forward to the state. And then we can use that funds going forward from 133 00:08:22,520 --> 00:08:25,720 there. >> Thank you. 134 00:08:23,560 --> 00:08:25,720 » Yep. 135 00:08:27,280 --> 00:08:31,080 » Is there any new business anybody has? 136 00:08:32,760 --> 00:08:38,320 » Well, just I'll use do it now instead of later, but I brought an interesting 137 00:08:36,599 --> 00:08:42,880 editorial in uh by a 138 00:08:39,719 --> 00:08:46,920 a health official, and he teaches, and it's just interesting 139 00:08:44,520 --> 00:08:52,720 uh summarizing the the general view of the United States on the health 140 00:08:49,120 --> 00:08:56,800 departments and overall health. Um along with that, which it's just 141 00:08:55,000 --> 00:09:00,640 interesting contrary, we really have to be proud of our staff 142 00:08:58,560 --> 00:09:04,839 here in our county. They do an exceptional job with limited resources 143 00:09:02,880 --> 00:09:11,000 just like Scott was discussing this balancing act with the budget, but they 144 00:09:08,000 --> 00:09:16,160 all do a great job. They're very devoted and dedicated. And uh we're fortunate to 145 00:09:13,800 --> 00:09:16,160 have them all. 146 00:09:16,560 --> 00:09:24,400 The unsung heroes of our county. >> I fully agree with that. 147 00:09:22,160 --> 00:09:28,720 » Well, then let's go to the reports, Dr. Burkett. 148 00:09:26,480 --> 00:09:34,600 » I have lots of reports, but again, just kind of going along with that theme, 149 00:09:31,839 --> 00:09:37,920 Scott has spent a lot of time trying to look over the of 150 00:09:35,920 --> 00:09:42,520 from these different departments and trying to figure out how to shuffle 151 00:09:40,160 --> 00:09:46,560 the funds in you know what I mean in different directions and set up 152 00:09:44,640 --> 00:09:51,080 budgets for for those different partners. 153 00:09:48,880 --> 00:09:54,000 We in particular we met with 154 00:09:54,840 --> 00:10:02,760 the administration for the free clinic. Um 155 00:09:59,520 --> 00:10:10,240 they have been funded um quite a few dollars particularly to look 156 00:10:05,880 --> 00:10:14,880 at or to treat um early prenatal visits. Um and 157 00:10:12,640 --> 00:10:18,960 that being said, they've had very few prenatal visits. I can probably count 158 00:10:16,960 --> 00:10:27,400 them on one hand the number that they have seen and record what they've done 159 00:10:23,000 --> 00:10:31,360 and report that back to us. Um so we try to 160 00:10:28,680 --> 00:10:38,360 figure out with them how to use that funding and moving forward, how much 161 00:10:34,280 --> 00:10:42,280 funding to give them again. Um it's been I don't want to call it a nightmare, but 162 00:10:39,680 --> 00:10:47,520 kind of a nightmare for for Scott and everybody here to try and 163 00:10:44,720 --> 00:10:53,040 direct those funds and and then prove to the state that we're getting outcomes. 164 00:10:50,640 --> 00:10:57,320 We've We've now they now are wanting to see the outcomes of 165 00:10:54,920 --> 00:11:02,400 the funding that's been handed out. Um so that takes a lot of time to 166 00:11:00,600 --> 00:11:08,480 for them to report the numbers back to us and then for Scott to pass them on to 167 00:11:05,560 --> 00:11:14,040 the state. So the original uh terminology that the state 168 00:11:11,600 --> 00:11:16,800 gave us was that this is just money, no strings attached. 169 00:11:15,720 --> 00:11:20,560 Um but 170 00:11:18,120 --> 00:11:25,680 as as we've seen there's a lot of strings attached and 171 00:11:22,240 --> 00:11:31,200 it's taken a lot of time and um at least several of the partners have 172 00:11:28,200 --> 00:11:36,080 not actually spent that money on what it's been funded for. So that's as the 173 00:11:33,520 --> 00:11:39,560 reason you have extra money carried over into the next year and possibly into the 174 00:11:37,800 --> 00:11:41,840 new year on that. Um, 175 00:11:40,320 --> 00:11:48,000 otherwise, you know, everybody you can see in their reports 176 00:11:43,560 --> 00:11:48,000 as well have been pretty busy and 177 00:11:49,640 --> 00:11:53,840 » What are they looking for in terms of outcome? 178 00:11:51,993 --> 00:11:57,240 » [clears throat] >> They're They're very specific 179 00:11:56,400 --> 00:12:04,560 um data points that that they look at um 180 00:12:02,120 --> 00:12:09,120 for each for each amount of dollars we've handed 181 00:12:06,360 --> 00:12:15,040 out they've they've wanted uh the partners to to record numbers 182 00:12:12,160 --> 00:12:19,120 like again with the with the free clinic um it was it was directed towards 183 00:12:17,080 --> 00:12:24,320 prenatal care. So, they wanted them to record the exact 184 00:12:22,000 --> 00:12:28,440 number of of patients ladies that they've seen uh for prenatal 185 00:12:26,960 --> 00:12:32,080 care. But, they don't do much prenatal care. 186 00:12:30,440 --> 00:12:37,800 And probably the majority of the county doesn't even know that that clinic 187 00:12:33,720 --> 00:12:43,600 exists. Um, so in order to document um that they've used this money 188 00:12:41,080 --> 00:12:49,600 for the the fine reason I'm very difficult. The Boone Center um 189 00:12:47,160 --> 00:12:54,280 funding we gave them quite a few dollars actually was 190 00:12:51,720 --> 00:12:57,839 uh designed to look at smoking cessation. 191 00:12:55,920 --> 00:13:01,600 Well, all of a sudden um when the legislature met 192 00:13:00,120 --> 00:13:05,560 that went away. So, the Boone Center actually had to 193 00:13:03,320 --> 00:13:09,000 give us money back because it had to stop right at that point 194 00:13:07,640 --> 00:13:13,000 uh and they hadn't seen very many people. They'd only gotten what one 195 00:13:11,320 --> 00:13:16,960 quarter's worth of two quarters' worth of the funding 196 00:13:14,560 --> 00:13:22,440 anyway, so they actually gave um money back. So, I mean 197 00:13:19,520 --> 00:13:26,200 and and now um all those numbers they changed the terminology so that they 198 00:13:24,120 --> 00:13:31,840 want to look at outcomes. So, we're looking at numbers Um 199 00:13:29,160 --> 00:13:36,200 and all those get reported to the state. State's got a whole bunch of 200 00:13:34,680 --> 00:13:39,120 I don't want to say young college kids, but 201 00:13:37,160 --> 00:13:43,440 they've got a lot of young kids straight out of college that are looking at all 202 00:13:40,440 --> 00:13:47,800 this data and recording it and then we have to try to figure out at what point 203 00:13:45,560 --> 00:13:50,280 does that data mean something. Does that Does that answer your 204 00:13:48,720 --> 00:13:53,880 question? I don't know. There's There are a lot of 205 00:13:51,840 --> 00:13:56,720 We can We can come up with lists for these things if you want to see them, 206 00:13:55,400 --> 00:14:01,480 but very complicated. 207 00:13:59,480 --> 00:14:04,200 » Sounds like a moving target. >> It is. 208 00:14:02,640 --> 00:14:08,480 Absolutely. Um and but the bottom line is if they 209 00:14:06,720 --> 00:14:12,920 can't record numbers of you know those data points 210 00:14:10,560 --> 00:14:17,760 for each amount of funding, then it's difficult to justify them getting more 211 00:14:15,200 --> 00:14:20,200 money for this next year. Um and 212 00:14:22,120 --> 00:14:25,160 Okay. Thanks. 213 00:14:25,280 --> 00:14:28,440 » Any other questions? 214 00:14:28,680 --> 00:14:33,240 Thank you, Dr. Burken. Didn't you just have a work anniversary, 215 00:14:32,160 --> 00:14:35,200 Scott? >> Uh 216 00:14:33,960 --> 00:14:42,040 coming up uh this next week, I will be here uh 29 217 00:14:38,920 --> 00:14:44,260 years. So. Yeah. 218 00:14:42,600 --> 00:14:46,280 » Impressive. >> [laughter] 219 00:14:48,440 --> 00:14:54,839 » Yeah, 29 years on next uh the 29th. So. >> Congratulations. 220 00:14:53,080 --> 00:14:58,920 » Thanks. >> Heather. 221 00:14:56,600 --> 00:15:01,920 » So, 11 is my normal duties. Um 222 00:14:59,720 --> 00:15:05,280 so, the main thing this quarter is that all of our captains rising. 223 00:15:05,839 --> 00:15:11,800 Pretty much uh not over five. That's the higher 224 00:15:09,920 --> 00:15:18,280 range when Scott has to go to the home and do an assessment. 225 00:15:13,480 --> 00:15:21,520 Um they're between 3.5 and 4.9. So, um 226 00:15:19,520 --> 00:15:24,800 trying to get those parents back into the doctors to get 227 00:15:23,240 --> 00:15:28,640 a recheck or another 228 00:15:26,760 --> 00:15:32,000 We we like to have a venous draw, but a lot of the parents won't do that. 229 00:15:30,680 --> 00:15:37,000 So it just it's constant waiting, checking 230 00:15:34,480 --> 00:15:43,680 to see have they been back? Is the lead level back down? 231 00:15:39,920 --> 00:15:49,200 I think I have probably 20 20-some that's what's levels between the 3.5 and 232 00:15:46,560 --> 00:15:52,880 the 4.5. >> And there's one more number so we get 233 00:15:50,800 --> 00:15:58,600 them from the finger sticks samples. Um which are notoriously 234 00:15:55,320 --> 00:16:01,920 higher. Um so if we get a venous sample typically it's 235 00:15:59,800 --> 00:16:04,360 » My grandson had a little bit higher like that 236 00:16:04,560 --> 00:16:07,400 » I don't I'll call the 237 00:16:06,791 --> 00:16:11,160 » [clears throat] >> leave them a message, they don't call 238 00:16:08,840 --> 00:16:11,160 back. 239 00:16:11,200 --> 00:16:15,720 So it's it's a struggle trying to get them to 240 00:16:14,640 --> 00:16:18,760 come back in. >> Is somebody suing for a dog bite for 241 00:16:17,800 --> 00:16:22,320 $90? >> They are. 242 00:16:20,520 --> 00:16:26,440 » Somebody suing somebody? Was there a bad injury or just somebody mad? 243 00:16:23,760 --> 00:16:30,680 » I I would say honestly it was an average injury compared to all my other bites. 244 00:16:29,040 --> 00:16:33,400 I've had worse. Um 245 00:16:31,600 --> 00:16:37,600 I believe the individual 246 00:16:35,040 --> 00:16:42,200 thought that this dog I only have one other documented case 247 00:16:39,560 --> 00:16:46,920 from this dog that they have been told that the dog has bit somebody three 248 00:16:43,920 --> 00:16:49,280 other times, three other people. So 249 00:16:48,080 --> 00:16:53,240 I >> Dangerous. 250 00:16:50,120 --> 00:16:53,240 » It's kind of outrageous, 251 00:16:53,720 --> 00:17:00,400 » Any other questions for her? >> Do you have any thoughts about why the 252 00:16:57,080 --> 00:17:06,079 lead levels are higher now? >> No, um honestly 253 00:17:03,440 --> 00:17:10,800 when the state raised the value I feel that's why we're getting all of 254 00:17:08,280 --> 00:17:12,160 these lower. I mean they're they're very low. 255 00:17:11,520 --> 00:17:17,280 » Sure. >> Usually they're just right over 256 00:17:15,680 --> 00:17:22,280 3.5. And the the value used to be five, so we 257 00:17:20,000 --> 00:17:25,720 wouldn't have all of these. >> I think it's probably something that 258 00:17:23,640 --> 00:17:30,600 » Well, you speak but five years ago state mandated that any kid child on Medicaid 259 00:17:28,600 --> 00:17:35,440 had to be tested by age two. So, that jumped us up and then they changed the 260 00:17:32,640 --> 00:17:38,360 level from five down to 3.5 and that jumped us up again. 261 00:17:37,000 --> 00:17:42,080 So, it's not like all of a sudden they're getting they 262 00:17:39,800 --> 00:17:45,200 have consistently been poisoned over the years. We're just now identifying 263 00:17:43,800 --> 00:17:47,360 » like sampling bias. >> Yeah, exactly. 264 00:17:46,840 --> 00:17:49,840 » Yep. >> Makes more sense. 265 00:17:50,280 --> 00:17:54,800 » Anything else? So, it's similar to yours though. I 266 00:17:52,760 --> 00:17:57,840 think we [clears throat] had discussed that all 267 00:17:55,920 --> 00:18:02,960 some of this lead the source of lead was from toys from China and some of these 268 00:18:00,920 --> 00:18:07,160 cribs that were painted. So, that was kind of interesting. 269 00:18:05,640 --> 00:18:09,520 » I'm still concerned about the toys from China. 270 00:18:11,200 --> 00:18:16,960 » I wonder if we were ever checked when we were kids. We had lead-based paint 271 00:18:14,760 --> 00:18:16,960 everywhere. 272 00:18:17,200 --> 00:18:22,040 » Anything else? Thank you, Heather. 273 00:18:20,280 --> 00:18:26,200 Uh Tracy? >> The only thing that I need to add to my 274 00:18:23,560 --> 00:18:29,800 report is Dollar Tree, Dollar General, and Dunkin' Donuts all got remodeled. 275 00:18:28,960 --> 00:18:35,120 Um and then other than that, I've just been 276 00:18:31,160 --> 00:18:35,120 busy with the year end renewals. 277 00:18:37,600 --> 00:18:42,840 » Any questions for Tracy? 278 00:18:41,080 --> 00:18:47,560 Thank you. And we'll go to April. 279 00:18:45,600 --> 00:18:55,160 » I don't remember my report. I will be going out to do another screening at um 280 00:18:51,840 --> 00:19:00,440 Blue River here in town. Um It was a poor turnout and 281 00:18:58,160 --> 00:19:03,840 that was arranged by their so 282 00:19:01,160 --> 00:19:06,240 activity kind of person and 283 00:19:05,160 --> 00:19:09,880 the lady who was in charge of 284 00:19:08,000 --> 00:19:12,680 getting the housing filled and stuff there and 285 00:19:10,920 --> 00:19:17,640 she was not happy. So, she called and asked us if we could 286 00:19:15,160 --> 00:19:21,280 come back out because when she takes care of it, there's a list and she'll go 287 00:19:19,440 --> 00:19:24,760 around and knock on doors and say, "Hey, they're here." 288 00:19:22,560 --> 00:19:28,440 So, we are going to go back out, redo that clinic. 289 00:19:26,480 --> 00:19:31,760 I am going to do a flu clinic at Sherburne School 290 00:19:29,840 --> 00:19:37,240 next week. They called and asked if we would come back and do just flu, so 291 00:19:34,160 --> 00:19:37,240 we're going to do that. 292 00:19:39,200 --> 00:19:43,360 Other than that, um this week and next week I am taking a 293 00:19:42,480 --> 00:19:49,600 peer certified peer recovery coaching course. 294 00:19:47,840 --> 00:19:54,000 So, that's maybe something that we'll be able to offer here in the county and I 295 00:19:51,560 --> 00:19:57,720 want to work with the J-CAP program and work release 296 00:19:55,200 --> 00:20:01,240 on that. Just helping Darcy with 297 00:20:00,360 --> 00:20:05,200 uh CPR, 298 00:20:03,680 --> 00:20:09,560 car seat safety stuff. We've got a couple of 299 00:20:06,760 --> 00:20:09,560 events coming up. 300 00:20:11,560 --> 00:20:18,080 » It look like you've been busy. >> Any questions for 301 00:20:15,960 --> 00:20:25,240 Thank you. Then on to Scott. 302 00:20:21,880 --> 00:20:27,880 » Um it was really busy until it rained. I was 303 00:20:26,200 --> 00:20:31,240 You know, it's been extremely dry, so it's great for septic system 304 00:20:29,120 --> 00:20:34,240 installation, so I was busy every day with that. That's slowed down a little 305 00:20:32,800 --> 00:20:38,440 bit since then. I had a couple coroner interactions for 306 00:20:36,960 --> 00:20:42,200 homes. Uh it's slowed down slightly for them, 307 00:20:40,560 --> 00:20:47,160 but it's still a big issue of um 308 00:20:44,680 --> 00:20:51,880 men, single men dying in homes, especially over the age of 65. So, 309 00:20:49,720 --> 00:20:55,480 that's something that we're looking at, trying to address with the uh 310 00:20:53,880 --> 00:21:01,640 the senior center about maybe doing something like a morning coffee 311 00:20:57,720 --> 00:21:04,800 uh for gentlemen that are widowed and uh could come in and 312 00:21:03,520 --> 00:21:09,240 be around other people, maybe get a better meal, things like that. That's 313 00:21:06,520 --> 00:21:14,520 what we're finding issues there. So, um just the normal things uh that end of 314 00:21:11,880 --> 00:21:20,520 the year is a lot because of the health first funding. Uh there's many things we 315 00:21:16,960 --> 00:21:25,680 have to go in online and complete uh budgets to finish, uh paperwork to sign 316 00:21:23,360 --> 00:21:30,000 off on. So, we're trying to do that when they open up the portal for 317 00:21:27,840 --> 00:21:33,360 me to go in take a look. So, there's a lot involved in that. 318 00:21:31,880 --> 00:21:39,080 Like Dr. Burke was saying, there's now 14 key performance outcomes uh that they 319 00:21:36,920 --> 00:21:42,800 want us to track. And that's why we choose the certain partners that we 320 00:21:40,400 --> 00:21:46,920 choose because they take care of certain things that we can trace back to those 321 00:21:45,240 --> 00:21:51,520 outcomes. And so, that's why we choose them because they're doing clinical work 322 00:21:49,120 --> 00:21:54,920 that we don't do so that we can follow that throughout the county. And so, 323 00:21:53,280 --> 00:22:00,320 that's the partners that we try to choose to do some of those things. 324 00:21:57,440 --> 00:22:03,560 And um then we have three specific key performance outcomes that we've been 325 00:22:02,120 --> 00:22:11,360 assigned to Whitley County, which would be uh maternal child care, um 326 00:22:07,280 --> 00:22:14,920 opioid and mental health issues, and um chronic disease, which we focus on 327 00:22:12,960 --> 00:22:17,000 diabetes at that point. So, there are certain 328 00:22:16,200 --> 00:22:21,080 um like 329 00:22:18,480 --> 00:22:25,120 how many cases of diabetes, you know, or can we be referred to programs? You 330 00:22:23,440 --> 00:22:28,800 know, how many mothers and child things like that that we're trying to they sign 331 00:22:27,400 --> 00:22:34,840 specifically. And if you go to our website, uh you can see on the health 332 00:22:31,640 --> 00:22:39,440 plan there what uh it is for this year, then it'll change for 2026. 333 00:22:37,400 --> 00:22:42,240 Uh as they refine those numbers, we look at different things, they take different 334 00:22:40,720 --> 00:22:46,520 data points, and go from there. Um a lot of data's 335 00:22:44,520 --> 00:22:52,480 not available locally, so they have to use CDC or state data. 336 00:22:49,080 --> 00:22:57,360 Sometimes that's 3 4 years off. And so, sometimes you don't get a lot 337 00:22:55,160 --> 00:23:01,160 right down good data with that. Um and then every quarter or half a 338 00:22:59,920 --> 00:23:05,360 year, depending on what partner we're using, uh they have to report their 339 00:23:03,320 --> 00:23:09,200 numbers to us. So, we give them money to use for their project, but then they got 340 00:23:07,560 --> 00:23:12,920 to give us numbers back. How many people they see, what are they spending their 341 00:23:10,840 --> 00:23:17,000 money on, things like that. So, all that's sent back to me and I put stick 342 00:23:15,320 --> 00:23:21,760 it in the computer and then I'll spin it back out to the state when they want it. 343 00:23:18,960 --> 00:23:25,200 So, I think a lot of why we're doing a lot of this, why Health First Indiana's 344 00:23:24,080 --> 00:23:28,760 here, uh you know, Indiana's reported as being 345 00:23:26,800 --> 00:23:33,280 the 45th worst state when it comes to health. 346 00:23:30,320 --> 00:23:38,280 And I think most of it's a numbers game. The state didn't really get a lot of 347 00:23:35,000 --> 00:23:42,680 good feedback on really what's going on for health in with in Indiana. 348 00:23:40,480 --> 00:23:48,400 And so, this is an attempt to get real-time numbers, see how we really 349 00:23:45,960 --> 00:23:53,320 that bad or we just have a bad reporting system. You can only be gauged on what 350 00:23:51,960 --> 00:23:56,480 level you're at depending on what the information is. So, I think it's a 351 00:23:55,360 --> 00:24:00,080 better choice, you know, going county by 352 00:23:57,800 --> 00:24:05,320 county, trying to get better data so that we can actually see where Indiana 353 00:24:01,840 --> 00:24:09,520 is truly health-wise. So, I think uh end of this year will be 2 full years 354 00:24:08,080 --> 00:24:12,920 of it. They'll have to report to the state and so, hopefully or to the 355 00:24:11,480 --> 00:24:16,440 legislator and the governor. So, hopefully 356 00:24:14,360 --> 00:24:21,720 we'll see a better increase in where Indiana ranks health-wise. 357 00:24:19,000 --> 00:24:26,840 Uh last thing, uh next Thursday, if you didn't get the invite, uh 30th, 358 00:24:24,360 --> 00:24:30,760 upstairs, we're having the state come in. Unfortunately, Dr. Weaver can't 359 00:24:28,760 --> 00:24:34,400 attend. Uh the governor took her away, but the deputy 360 00:24:32,400 --> 00:24:38,320 commissioner, Pam Patonus, who's been with the state for 35 years, will be 361 00:24:36,400 --> 00:24:41,520 here in her place. But they're still going to come in. We'll have everybody 362 00:24:39,600 --> 00:24:46,280 that's been invited. So, if you can make it at 11:00 363 00:24:42,760 --> 00:24:46,280 on the 30th, we'll be upstairs. 364 00:24:47,400 --> 00:24:50,800 » Any questions for Scott? 365 00:24:51,240 --> 00:24:59,120 Thank you very much and then we're going to Danielle. 366 00:24:56,480 --> 00:25:01,800 » I had a busy quarter. So, it was full of breastfeeding week in 367 00:25:00,520 --> 00:25:05,520 August. So, the first Friday of the downtown. 368 00:25:04,000 --> 00:25:11,360 Um I did a couple classes at the hospital on nutrition. 369 00:25:08,960 --> 00:25:15,800 And then, my food to table class started solids. 370 00:25:12,760 --> 00:25:19,400 Um I also have a class at the library. Attended a baby fair at the library and 371 00:25:17,800 --> 00:25:25,640 the hospital. Um Darcy and I started with Laura Tucker 372 00:25:23,240 --> 00:25:30,760 at Baby Started the Circle to close part of the group support group 373 00:25:28,560 --> 00:25:34,600 twice a month and it's been fabulous. 374 00:25:32,760 --> 00:25:36,160 We definitely needed Um 375 00:25:35,440 --> 00:25:39,880 it's just really fun. 376 00:25:38,680 --> 00:25:43,852 Um and that's most, I guess, of what I've 377 00:25:41,920 --> 00:25:46,040 done. We have also >> [snorts] 378 00:25:44,280 --> 00:25:50,520 » started going around to the providers in the area. 379 00:25:48,160 --> 00:25:53,320 We visited Dr. Sadler. So, um we're going to get through all of 380 00:25:51,560 --> 00:25:58,360 them, hopefully, through November, I 381 00:25:56,200 --> 00:25:58,360 So. 382 00:25:58,920 --> 00:26:06,000 » Any questions? >> Thank you. 383 00:26:03,280 --> 00:26:11,160 And then, Darcy. >> So, I need to clarify. Jacob doesn't 384 00:26:08,640 --> 00:26:14,280 help me with CPR and car seats. I help April with CPR and car seats. I just got 385 00:26:13,480 --> 00:26:16,600 to make that clear. 386 00:26:15,680 --> 00:26:19,200 Um So, 387 00:26:17,840 --> 00:26:23,520 for the next few weeks, I'm really going to focus on grant writing just so we 388 00:26:21,080 --> 00:26:27,800 have, hopefully, funds available for programming and just because 389 00:26:25,400 --> 00:26:31,120 everything's so limited. Um when Danielle and I go out, we're 390 00:26:29,600 --> 00:26:34,160 visiting all the providers with a resource guide that we put together. I 391 00:26:32,880 --> 00:26:36,160 hope it's beneficial. >> It's amazing. 392 00:26:34,960 --> 00:26:39,240 » Yeah. Um so, 393 00:26:37,600 --> 00:26:43,400 we just found that there were so many things available to people in the 394 00:26:40,760 --> 00:26:46,920 Whatcom County, but we didn't They don't know about them. So, it's a a notebook 395 00:26:46,000 --> 00:26:52,640 with There's probably 25 resources in it that 396 00:26:50,040 --> 00:26:57,320 And most of it is free to individuals in the county. So, we still 397 00:26:54,800 --> 00:27:01,440 have two more weeks of visits to get in, but every provider and Dr. Lee, if you 398 00:26:59,640 --> 00:27:03,640 would like one, I have an extra up in the office for 399 00:27:03,160 --> 00:27:06,520 you. >> I know. 400 00:27:04,000 --> 00:27:10,640 » I have it scheduled to come visit you. Or we haven't. 401 00:27:08,840 --> 00:27:13,560 As far as the prenatal visits are concerned, 402 00:27:12,680 --> 00:27:17,120 I don't [clears throat] know if I shared this with you that last time, but we I 403 00:27:15,240 --> 00:27:21,200 have a bachelor's in nursing and public health student 404 00:27:19,040 --> 00:27:26,520 with me. And she is working on it. How do we get the word out to let women know 405 00:27:24,000 --> 00:27:30,480 here are some resources available? Um 406 00:27:27,520 --> 00:27:36,800 and so she has been going around to the retailers that sell pregnancy tests and 407 00:27:33,680 --> 00:27:41,440 asking them if we can either hang a flyer or wrap the pregnancy test with 408 00:27:39,280 --> 00:27:45,840 information because they have been finding women are coming in and they're 409 00:27:43,600 --> 00:27:51,280 5-6 months along and they have had no prenatal care. And that puts women at 410 00:27:48,080 --> 00:27:55,120 higher risk of a poor outcome. So, um she is working on that and a lot of the 411 00:27:52,800 --> 00:27:59,000 retailers have been agreeable. Dollar General said yes, the IGA and Sherbusco 412 00:27:57,560 --> 00:28:02,880 said yes. Um I was at a Kroger this week, they 413 00:28:00,800 --> 00:28:07,800 were very supportive. So, um she's working on that. 414 00:28:04,880 --> 00:28:12,880 Um the American Heart Association, our um service member we had Ashley. We were 415 00:28:10,920 --> 00:28:17,360 We're approved, right Scott, to bring somebody back full time for another 416 00:28:14,840 --> 00:28:20,520 year. So, that was up in the air. It's it's going to look a little bit 417 00:28:18,440 --> 00:28:24,120 different, but there's still lots of work to do there. I don't know if I put 418 00:28:22,480 --> 00:28:31,080 this on my report, we launched NeighborLink. Um and that Sonya Rubrake 419 00:28:28,720 --> 00:28:35,520 um that works with April kind of took that on, but that's a program. So, if a 420 00:28:33,880 --> 00:28:40,880 older adult needs their light bulbs changed or they need a ramp, um 421 00:28:39,200 --> 00:28:46,600 there's volunteers that will do those services for free. So, we're going to um 422 00:28:44,360 --> 00:28:50,640 hopefully get some individuals that will utilize those 423 00:28:48,520 --> 00:28:55,160 And then we wrap up the Women's Wellness next week and I did start teaching at 424 00:28:52,720 --> 00:29:00,240 JCAP this week, um which is a great program. Statistically, individuals that 425 00:28:57,520 --> 00:29:04,440 go through JCAP have a 37% chance of not re-offending. And so I've just been 426 00:29:02,440 --> 00:29:10,080 working with them on um this week we did um 427 00:29:07,720 --> 00:29:13,880 you know, when you're when you leave the jail, what your health care will look 428 00:29:12,200 --> 00:29:18,920 like. And um interestingly, none of them had a 429 00:29:15,520 --> 00:29:22,560 provider before they were um incarcerated. So, that was one thing I 430 00:29:20,920 --> 00:29:26,040 really encouraged them, find a health care provider when you leave. So, you 431 00:29:24,360 --> 00:29:29,920 have that safety net. And then as far as the resource guides, 432 00:29:27,920 --> 00:29:33,960 everybody gets credit for that because the entire department helps put that 433 00:29:31,920 --> 00:29:38,880 together. So, I appreciate that. 434 00:29:35,560 --> 00:29:42,985 Any questions? I just keep finding new things to do. 435 00:29:40,965 --> 00:29:42,985 » [laughter] 436 00:29:44,960 --> 00:29:51,400 » Looks pretty busy, so. Um thank you and then we're down to 437 00:29:50,120 --> 00:29:56,160 Laura. >> Um my report pretty much speaks for 438 00:29:53,720 --> 00:30:01,040 itself. We have had two home births uh this week. I did get a phone call from a 439 00:29:58,400 --> 00:30:05,240 father who delivered on 30. So, we're trying to figure out how that birth will 440 00:30:03,240 --> 00:30:10,880 be recorded. I think it's going to have to be recorded as a home birth 441 00:30:07,320 --> 00:30:15,320 unintended. Um however, he did tell me he had a midwife. The midwife was the 442 00:30:13,120 --> 00:30:19,800 one who sent him on to Fort Wayne after 3 hours of labor. So, I did send 443 00:30:18,040 --> 00:30:23,680 him back to the midwife. I talked to Allen County and they said send him back 444 00:30:21,840 --> 00:30:27,200 to the midwife to see if she'll start the process because most of the 445 00:30:25,680 --> 00:30:33,040 questions that need to be answered in the form are from the provider. Um and 446 00:30:30,520 --> 00:30:37,280 then she would just file it as a um home birth unintended with the 447 00:30:35,160 --> 00:30:42,240 address that he provides. He would be the sort of the um attending. 448 00:30:40,120 --> 00:30:45,920 If she won't do that, then he's to come back to me and get the packet and we'll 449 00:30:44,040 --> 00:30:51,160 do that through the health department. I was fearing that we would start to have 450 00:30:48,080 --> 00:30:54,800 births on 30 because they're going to Fort Wayne, they're not 451 00:30:52,520 --> 00:31:01,600 going to Kosciusko. Um deaths have remained high. Um if you could keep the 452 00:30:57,800 --> 00:31:05,200 staff at Smith's in in your prayers, they are overwhelmed. They're not 453 00:31:03,280 --> 00:31:08,320 getting a break. They're just doing one funeral right after another. They've 454 00:31:07,160 --> 00:31:11,840 worked, I think, >> 17 days. 455 00:31:09,240 --> 00:31:17,080 » 17 days without break. Um so, they are overwhelmed. Um I'm 456 00:31:14,920 --> 00:31:21,800 seeing that we have an increase in prostate cancer 457 00:31:19,360 --> 00:31:26,480 um in our deaths. And then we did have two suicides and three car crash 458 00:31:24,120 --> 00:31:31,240 victims. We just had a car crash victim yesterday though. It's not in the 459 00:31:28,960 --> 00:31:34,000 statistics. It'll be in next my next report, so. 460 00:31:36,240 --> 00:31:39,680 » Any questions for Laura? 461 00:31:40,560 --> 00:31:47,840 » Thank you. I think everybody does a great job. It 462 00:31:44,480 --> 00:31:52,840 looks like there's a lot going on, so. Anything else to come before the board 463 00:31:50,160 --> 00:31:52,840 with anybody? 464 00:31:53,520 --> 00:31:59,760 Well, is there a motion to adjourn now? >> So moved. 465 00:31:58,080 --> 00:32:02,240 » A second? >> Second. 466 00:32:01,040 --> 00:32:05,560 » Okay. Uh 467 00:32:03,440 --> 00:32:08,960 then all in favor say aye. >> Aye. 468 00:32:06,400 --> 00:32:11,720 » Opposed, nay. Motion carried. 469 00:32:46,960 --> 00:32:49,000 » I