Approved 6/19/06

HUMAN SERVICES

June 5, 2006

Minutes

 

Members Present:  Mark Grebner, Rebecca Bahar-Cook, Curtis Hertel, Lisa Dedden, Mike Severino and Board Chairperson Victor Celentino

 

Members Absent:  Andy Schor

 

Others Present:      John Neilsen, Bruce Bragg, Dr. Sienko, Jim Wilson, Diane Gorsch and others

 

The meeting was called to order by Chairperson Grebner at 7:05 p.m. in the Personnel Conference Room of the Human Services Building, 5303 S. Cedar, Lansing.

 

Approval of the May 15, 2006 Minutes

The Minutes were approved as submitted.  Absent:  Comm. Schor

 

Additions to the Agenda

Mr. Neilsen informed the Committee that Mr. Dore, Controller, could not be present at this meeting due to a previous appointment.

 

Limited Public Comment: None

 

MOVED BY COMM. SEVERINO, SUPPORTED BY COMM. BAHAR-COOK, TO APPROVE A CONSENT AGENDA FOR THE FOLLOWING ITEMS:

 

2.       Health Department

d.       Resolution to Amend Resolution #05-307 (Resolution to Authorize an Agreement with the National Association of Child Care Resources and Referral Agencies)

e.       Resolution to Authorize a Child Care Training Agreement with the Michigan 4C Association

f.       Resolution Appointing Suganda Lowhim. M.D. as Deputy Medical Examiner

g.       Resolution to Authorize Subcontracts to the Infant Health Disparities Initiative Grant

h.       Resolution to Establish Positions to Implement the Point of Sale Regulation

 

MOTION CARRIED UNANIMOUSLY.   Absent:  Comm. Schor

 

MOVED BY COMM. SCHOR, SUPPORTED BY COMM. BAHAR-COOK, TO APPROVE THE ITEMS ON THE CONSENT AGENDA.  MOTION CARRIED UNANIMOUSLY.   Absent:  Comm. Schor

 

1.       Interviews – Capital Area District Library

 

The Committee interviewed the following applicants for a position on the Capital Area District Library Board:

          Lynne Lindsay                          Catherine Easley

          Kathleen Atkins                         Sally Trout

 

The Committee did not recommend an appointment at this time.

 

2.       Health Department

a.       Report from Gary Packingham, Vice President – Community Health Ventures

 

Mr. Bragg stated this Committee asked Mr. Packingham to place his observations and recommendations in writing after his May 1 presentation to this Committee.  The report contained in the agenda packet will be forwarded to the Ingham Health Plan Board for consideration. 

 

Mr. Packingham does not make specific recommendations.  He identifies a set of challenges he has found as he attempts to market Ingham County Advantage and similar third-share products around Michigan.  Mr. Packingham’s summary suggests the third-share programs are not insurance products and that they can be modified.  The Ingham County Advantage product is an insurance product, while the Muskegon and the Wayne County models are not.  The Advantage program can only be modified by negotiating with U.S. Health and Life Insurance Company.

 

Comm. Bahar-Cook asked if her concerns regarding Mr. Packingham’s numbers were addressed.  Mr. Bragg stated he has only received the information which is contained in the agenda material.  Comm. Hertel stated that information should be provided to this Committee.  Chairperson Grebner suggested the information be emailed to the Commissioners.  It does not need to be placed on a future agenda. 

 

          b.       Community Meeting on Health and Social Justice

 

Mr. Bragg distributed invitations to the Community Meeting to the Commissioners.  The Meeting will be held on June 14, 2006 from 5:30 p.m. until 8:00 p.m. at the Gier Community Center.

 

c.       Presentation and Dialogue Regarding Food Safety Program – Dr. Dean Sienko and Jim Wilson

 

Dr. Sienko stated there has been a lot of interest in food safety within this community.  The Health Department presented a power-point presentation to the Committee at this time regarding the Department’s Food Safety Program.

 

Mr. Wilson stated Ms. Diane Gorsch has 28 years experience in food safety and other related issues.  Ms. Gorsch stated she is proud of the County’s Program.  The Health Department’s website is Ing.org/HD/ENVHLTH/eh.htm. Follow up inspections will be added to the site.

 

Approximately 90% of the Bureau of Environmental Health’s time is spent on conducting food inspections.  The goal is to prevent food-borne illness.  The Food Safety Program generates approximately $700,000 per year.  The Michigan Department of Agriculture also provides funding to the Program. 

 

The Program includes 7.5 food inspectors, one clerical position and one supervisory position.  Mr. Wilson stated additional people are trained to fill in during an outbreak, if necessary. 

 

Ms. Gorsch reviewed the Progressive Compliance Process.  Four or more critical violations will put a food establishment on the Department’s list for routine inspections.  The violation fee appears to be an effective tool. 

 

Ms. Gorsch explained that a history of three or more non-compliance violations will result in an office conference between the Health Department and the food establishment.  Subsequent non-compliance violations will result in an informal hearing.  Chronic non-compliance may lead to a formal hearing with the Health Officer and corporation counsel to discuss license revocation. 

 

The Committee held a general discussion regarding this presentation.  Mr. Bragg stated no more than five food establishments have had to close down during the past 30 years due to food safety violations.  

 

The incident at Bravo Restaurant illustrates what can happen when the system fails.  The Health Department received 460 reports of illness relating to the incident.  An investigation was conducted.  The investigation revealed the norovirus was found in workers and patrons of the Restaurant.  The norovirus is equal to the common cold.  There are 25 million cases of the virus per year.  Forty-percent of those cases resulted from food-borne causes. 

 

Ms. Gorsch reviewed the Program Enhancement Options during this presentation. 

 

Chairperson Grebner asked how the Department checks on reports of employees who have called in to work to indicate they were ill.  Ms. Gorsch stated that is a critical issue.  Law requires a policy be in place at each establishment and that employees be made aware of the policy that if they are ill, they are not to show up for work.

 

Chairperson Grebner stated large food establishments should periodically send employees home due to illness.  Ms. Gorsch stated the larger establishments do have logs of that information.  She then explained that people with health benefits still report to work ill.  It is a truth that some food establishments do not let their employees go home when they are ill because the establishments do not have adequate staffing to cover for the absence.

 

Comm. Severino thanked Mr. Bragg for emailing information to him regarding how to research restaurants on line.  Comm. Bahar-Cook asked if the results of most recent inspections are included on the website.  Ms. Gorsch stated that information is not available online due to ongoing controversies regarding this matter. 

 

i.        Communication – Possible Lease Agreement with Lansing Community College

 

Mr. Bragg informed the Committee that the Lansing Community College Board of Trustees will consider a lease agreement with the County at its June 19, 2006 meeting.  He further stated he reported this possibility to the Committee at its May 1 meeting.

 

Issues still need to be resolved before the Health Department will present a recommendation to enter into a lease agreement.  Mr. Bragg then explained the fact that since the County is considering this action; it may be reported to the media after the LCC Board’s consideration. 

 

The Health Department is seeking to consolidate two of its community health centers into a single site in the area of central Lansing.  LCC has proposed the County utilize approximately 8,000 square feet of space in the new Health and Human Services Building. 

 

Comm. Severino addressed Mr. Bragg regarding agenda item 2h.  He asked how the Department determined the number of applications it would take to fulfill the obligation.  Mr. Wilson explained the Department looked at other comparable counties that have this type of program. Realtors were also asked about the turn-over rate in homes with well and septic systems.  The realtors indicated these homes experience a 10% to 15 % turn over per year.  The Department is being conservative with its figures. 

 

Comm. Severino, speaking as a realtor, stated he conducted a search on sales of homes with septic systems.  He learned that 275 to 290 homes sell per year over the last five years.  A determination can be made using the MLS listing on the web.  This issue was discussed further.  Comm. Severino stated he would provide Mr. Wilson with his information.

 

3.       Controller’s Office – Resolution Updating Various Fees for County Services

 

MOVED BY COMM. HERTEL, SUPPORTED BY COMM. DEDDEN, TO APPROVE THE RESOLUTION UPDATING VARIOUS FEES FOR COUNTY SERVICES. 

 

Mr. Neilsen informed the Committee that the agenda packet contains information from Mr. Bragg regarding how the Department determines its rate of fees.  Additional information is included in the packet to address other questions of the liaison committees. 

 

If the fee adjustments are passed as proposed, additional annual revenue would total approximately $163,016.  Any additional revenue will be recognized in the 2007 Controller’s Recommended Budget.

 

The Committee held a brief discussion regarding tobacco licensing and tobacco vending machines.

 

MOTION CARRIED with Comm. Severino voting NO.  Absent:  Comm. Schor

 

4.       Board Referral – Resolution from Bay County Addressing the Need for Congress to Prioritize Health Care for Uninsured Americans

 

The Board Referral was received and placed on file.

 

Announcements:    None

Public Comment:   None

 

The meeting adjourned at 8:34 p.m.

 

Respectfully submitted,

 

 

 

Debra Neff