BOARD OF HEALTH
April 7, 2008
** NOT APPROVED **
Members Attending
C. Richmond,
D.
Others Present
L. Ballengee,
T. Hull, J. Heady
Approval of Minutes
The minutes of March 3, 2008 were
approved with motions from Ms. Richmond and second from Dr. Cusumano. Motions carried.
Public Health
Ms. Ballengee requested approval to
apply for a Licensed Home Care Service Agency operating certificate. This is needed to continue doing home visits
for things such as Well Baby visits. Ms.
Richmond and Dr. Brubaker moved on the request and the motions carried.
Dr. Cusumano
would like the Health Department to administer the different vaccines, instead
of individuals having it through their doctor’s offices. The cost is a factor for both the
physicians and the individuals depending on their insurance coverage.
Dr. Brubaker would like a listing of
the services that the Health Department provides. It was mentioned that the department has been
discussing the changes that would be needed on our current pamphlet.
Home Care
Ms. Ballengee distributed a list
that shows the number of visits per day being performed by the department’s
nursing staff. It has improved
considerably.
It was also noted that M. Muhleisen’s last day with the department is April 10, 2008.
The Management Contract with Willcare needs to be addressed. Willcare wants to use
their own nurses.
They were told to they needed to contact our nursing union
representative, Karen Wida to discuss this issue.
Ms. Heady distributed information on
acute care hospitalizations,
and improvement with oral medications information to the
committee members. These issues have
shown improvement due to more scrutiny on the part of management and
teaching. Start of Care notations in
primary diagnosis, vital signs, drainage and dressing, and medications need to
be documented more thoroughly.
On actual medication sheet received
from a hospital
was shown. Along with this, a medication
profile completed by nursing staff upon visiting the patient was
presented. It is noted that the patient
is on a number of medications not listed on the discharge med sheet received
from the hospital. Also there were a few more allergies that were not listed on the
discharge papers. This issue needs to
be addressed. Some suggestions were
offered.
Ms. Ballengee reported that while
attending the NYSACHO meeting, every agency that was present is not making
money on their home care agencies. The
A request to approve the Family
Planning Fee Schedule was made. Dr.
Brubaker and Ms. Richmond made the appropriate motions. Motions carried.
In reference to the department’s Cancer
Screening grant, the State has directed the department to combine these
services with
Article 28
Mr. Hull has been working on the
Policy and Procedure Manual for Article 28.
Previously sections 1 – 11 were distributed to this board for review. Mr. Hull asked for board approval of these
sections. Doctors Brubaker and Cusumano made the appropriate motion approving Sections
1-11. Motions carried. Sections 12 and 13 were distributed to board
members for review and they will be addressed at a future meeting.
Other Business
Discussion
took place regarding an Alfred Student who passed away suddenly. An autopsy may be performed. Everyone at the School was given assurance
that there was not a contagious disease present.
Briefly discussed was a water
pressure problem in Friendship, and a couple septic systems that have not been
corrected.
It was reported to the Health
Department that there was a broken milk jug full of needles in a ditch along a
roadway. Ms. Ballengee and Mr. Hull went
to the location and retrieved all of the needles.
Adjournment
There being no further business to
come before this board, the meeting was adjourned at 8:05 pm.
Respectfully
submitted,
Teresa
Claypool