Amended 10/17/05
HUMAN SERVICES
October 3, 2005
Minutes
Members Present: Curtis Hertel, Tina Weatherwax-Grant, Victor Celentino, Lisa Dedden, Dianne Holman, Mike Severino and Board Chairperson Mark Grebner
Members Absent: None
Others Present: John Neilsen, Bruce Bragg, Dr. Sienko and Stefanie Zin
The meeting was called to order by Chairperson Hertel at 7:00 p.m. in the Personnel Conference Room of the Human Services Building, 5303 S. Cedar, Lansing.
Approval of the September 19, 2005 Minutes
MOVED BY COMM. CELENTINO, SUPPORTED BY COMM. DEDDEN, TO APPROVE THE SEPTEMBER 19 MINUTES AS SUBMITTED. MOTION CARRIED UNANIMOUSLY. Absent: Comms. Weatherwax-Grant and Severino
Additions to the Agenda
4. Revised Request
Limited Public Comment: None
1. Interviews
b. Department of Human Services Board
Chairperson Hertel informed the Committee that Anthony Snyder withdrew his application for this Board.
(Comm. Severino arrived at 7:03 p.m.)
The Committee interviewed Donna Hufnagel and Adrian Johnson for a vacant position on the Human Services Board.
Chairperson Hertel expressed this Committee’s appreciation for the applicants’ interest in serving on the Human Services Board. They are both well qualified for the position. Comm. Holman stated her preference to recommend the appointment of Adrian Johnson.
(Comm. Weatherwax-Grant arrived at 7:08 p.m.)
Chairperson Hertel stated this Committee will make a recommendation to the full Board next Tuesday evening.
MOVED BY COMM. SEVERINO, SUPPORTED BY COMM. CELENTINO, TO RECOMMEND THE APPOINTMENT OF DONNA HUFNAGEL TO THE DEPARTMENT OF HUMAN SERVICES BOARD. MOTION CARRIED with Comm. Holman voting NO.
a.
The Committee interviewed Donia Walker for a position on the Community Health Center Board.
MOVED BY COMM. CELENTINO, SUPPORTED BY COMM. SEVERINO, TO
RECOMMEND THE APPOINTMENT OF DONIA
Comm. Dedden expressed her support for the motion. She then wanted these minutes to reflect that the other applicant interviewed tonight is also very impressive. She requested that he be sent a letter notifying him of other commission vacancies within the County. The Committee held a brief discussion regarding the applicants in this item.
MOTION CARRIED UNANIMOUSLY.
MOVED BY COMM. SEVERINO, SUPPORTED BY COMM. CELENTINO, TO APPROVE A CONSENT AGENDA FOR THE FOLLOWING ITEMS:
2. Health Department
a. Resolution to Authorize a Preventive
Medicine Residency Program Agreement with the
c. Resolution to Authorize a Teen Parent Program Grant Agreement with the Michigan Department of Human Services
3. Controller’s Office – Resolution Authorizing Adjustments to the 2005 Ingham County Budget
MOTION CARRIED UNANIMOUSLY.
MOVED BY COMM. SEVERINO, SUPPORTED BY COMM. CELENTINO, TO APPROVE THE ITEMS ON THE CONSENT AGENDA. MOTION CARRIED UNANIMOUSLY.
2b. Health Department – Resolution to
Authorize Staffing Changes in the Adult Health, Sparrow and St.
MOVED BY COMM. SEVERINO, SUPPORTED BY COMM. DEDDEN, TO
APPROVE THE RESOLUTION TO AUTHORIZE STAFFING CHANGES IN THE ADULT HEALTH,
SPARROW AND
Comm. Weatherwax-Grant asked which Health Centers would be eliminating positions. Mr. Bragg stated the proposed changes will be made at the Adult Health Centers. The changes are being made in an effort to increase efficiency and effectiveness. He further stated the proposed positions are currently vacant. Functions will be more properly aligned with the skill and training of employees. It will also reduce the cost of a medial visit. The appropriate union has been informed of this proposal.
MOTION CARRIED UNANIMOUSLY.
4. Board of Commissioners Referral – Gateway Community Services, July 29, 2005 Communication
The updated request is dated September 27, 2005. Ms. Zin explained Gateway’s Clinic services were discussed at a recent roundtable meeting. It was clear from the discussion that the current model Gateway Clinic was operating under was not one that would ensure ongoing financial sustainability. To be considered for any funding increase, the Clinic would have to change its operating model. Ongoing financial sustainability as well as an ability to meet contract numbers are necessary requirements for other health care community partners to consider providing supplemental financial support for the Clinic.
After further consideration by Gateway’s Board of Directors, it became evident that a significant amount of agency time and resources would need to be deployed to develop the infrastructure necessary to develop and maintain a viable operation model. Ms. Zin stated the Clinic does not have adequate resources to undertake such an initiative at this time. The Board of Directors has directed staff to cease any further efforts to invigorate the Medical Clinic Program as operated by Gateway Community Centers.
Ms. Zin further explained the Center needs to provide transition services to its patients. This effort is called the “Medical Clinic Patient Transition Program.” Program services include securing written releases of information and confirming the identity of the patient requesting the records, retrieving medical records, photocopying medical records, contacting patients regarding lab results, etc.
Ms. Zin stated Gateway does receive funding support from the County, and, that Gateway does have a 2006 Community Agency funding request on file with the County.
The Committee held a general discussion regarding the provision of medical records to patients. Mr. Bragg stated Gateway most likely should maintain the original medical records for a long period of time.
In response to Comm. Dedden, Ms. Zin stated Gateway has contracted with the County for the provision of different programs. Gateway received approximately $97,000 for FY 05. As of the end of August, Gateway realized approximately $83,000 in expenses.
Chairperson Hertel requested that Gateway provide the County with a detailed breakdown of other categories for verification purposes regarding patients’ geographical residences. Ms. Zin stated she would provide that information to the County.
Comm. Severino suggested Gateway obtain costs estimates for professionals to maintain its medical records. Gateway should also determine the legal timeframe for keeping medical records on file.
Comm. Dedden asked where Gateway was referring its patients. Ms. Zin stated many are being referred to Dr. Saltman and some to the Ingham County Health Plan.
Mr. Neilsen asked if this is a one-time request from Gateway. Ms. Zin explained Gateway may have space rental issues. Gateway will pursue all other options to defray the costs associated with closing the Clinic.
MOVED BY COMM. CELENTINO, SUPPORTED BY COMM. DEDDEN, TO ALLOCATE FUNDING TO THE GATEWAY MEDICAL CLINIC IN THE AMOUNT OF $9,567.60.
Chairperson Hertel stated he would make an effort with the landlord of the rental property regarding the remainder of the lease costs.
Comm. Dedden suggested an amendment to allocate $4,200 to Gateway. This motion may be amended further by the Finance Committee on Wednesday evening. The Committee accepted this suggestion as a FRIENDLY AMENDMENT to the motion.
MOTION CARRIED UNANIMOUSLY.
Mr. Neilsen stated he would prepare a resolution in this matter for the Finance Committee’s consideration.
Announcements: None
Public Comment: None
The meeting adjourned at 7:58 p.m.
Respectfully submitted,
Debra Neff