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HomeMy WebLinkAboutbocc.min.spec.11202012 PITHIN COUNTY COMMISSIONERS WORK SESSION AGENDA RIO GRANDE MEETING ROOM TUESDAY,NOVEMBER 20,2012 9:00 AM SPECIAL MEETING- EXECUTIVE SESSION—Plaza 3 • Land Exchange Negotiations • Property Negotiations C.R.S. 24-6-402(4)(e) ADJOURN EXECUTIVE SESSION 10:00 • Memos of Interest • Elephant Mountain Transformer Keplacement Budget Jodi Smith Supplemental Request • Future Agendas/Agenda Requests/Monthly Calendar • BOCC O en Discussion 11:30 Northwest Colorado Council of Governments Presentation Liz Mullen Water Quality and Quantity Presentation 12:00 NOON Special Meeting-BOCC Convenes As Board of Health (brownbag lunch) Public and Environmental Health Quarterly Update and 2013 Public Health Budget Review with the Board of Health Ad'ourn S ecial Meetin -BOCC Adjourns as Board of Health 1:00 Livable and Supportive Community Budget Presentation 3:00 BREAK 3:15 Livable and Supportive Community Budget Presentation 4:15 Citizen Board Interview / Lisa Tasker — Healthy Rivers & Streams John Ely (renewal) 4:30 PM ADJOURN AGENDA SUBJECT TO CHANGE � APPROVED BY BOCC C�N __���a� -- � "Z� MINUTES PITKIN COUNTY BOARD OF COUNTY COMMISSIONERS SPECIAL MEETING (BOARD OF HEALTH) NOVEMBER 20, 2012 RIO GRANDE MEETING ROOM NOTE: For all staff memorandums and associated documents, including additional exhibits submitted to the record, refer to the BOCC PACKET FOR NOVEMBER 20, 2012. CALL TO ORDER: Chairman Michael Owsley called the Board of County Commissioners Special Meeting to order at 12:00 PM. COUNTY COMMISSION MEMBERS PRESENT: Michael Owsley, Jack HatField, Rachel Richards, George Newman and Rob Ittner COMMISSION MEMBERS ABSENT: None Commissioner HatField moved to open the Special Meeting and convene as the Board of Health. Commissioner Ittner seconded the motion. Motion passed 5 to 0 with Commissioners Owsley, HatField, Richards, Newman and Ittner voting aye. PUBLIC AND ENVIRONMENTAL HEALTH QUARTERLY UPDATE WITH THE BOARD OF HEALTH STAFF: LIZ STARK, DIRECTOR OF COMMUNITY HEALTH SERVICES; MITZI LEDINGHAM, ASSISTANT DIRECTOR OF HEALTH AND HUMAN SERVICES; AND DR. MORRIS COHEN, LOCAL HEALTH OFFICER Ms. Sundeen went over her Agenda Item Summary spotlighting the proposed Community Health Services (CHS) Budget for 2013. She informed the board that Dr. Morris Cohen's contract as our local Health Officer expires at the end of December. Dr. Cohen is interested in extending his agreement through June 30, 2013 to give the County and CHS time to find a replacement. Commissioner Richards asked if the BOCC will interview the potential candidates. Ms. Sundeen replied yes, there will be an open and advertised process for that. The board was acceptable to Dr. Cohen's extension to June 30, 2013 and for staff to advertise and bring applicants here to the Board of Health for interviews. BOARD OF COUNTY COMMISSIONERS 1 SPECIAL MEETING NOVEMBER 20,2012 Ms. Stark added that she recently learned that the Office of Planning and Partnerships at the Colorado Department of Public Health and Environment will be working on a job description for the Medical Officer's position. That should be completed in February or March so that might help furnish the board with some guidelines on that position. Ms. Stark began her quarterly update of the Board of Health as outlined in her Attachment A in today's packet material. She then started her Power Point Presentation on the CHS/BOH Budget as attached to staff's packet material. DIRECTION TO STAFF - Regarding the 34% decrease in prenatal clients, Chairman Owsley would like to know the number of births during that same time period to be used in connection with the decrease numbers. Commissioner Newman asked why there were no wellness offerings for men. Ms. Stark said that she could look into this and see if they can do a reach-out for men's wellness programs. They do provide basic men's screening but, she added, men do not seek care like women do for regular services. Commissioner Newman said if there was more education for men on health screenings, perhaps more men would come forward. Commissioner Hatfield had some questions on unfunded mandates and their implementations. Ms. Sundeen said that this was a good issue to discuss as we may step into unfunded mandates with new rules coming out next year. She said that the board may consider and send back to the State because what Commissioner HatField is asking is that the Public Health Improvement Plan will determine the what, but the standards are the how and the how could cost us money. DIRECTION TO STAFF — Commissioner Richards gave the following direction: She said that the board should send a letter to the State rule making body to remind them of the commitments that there would not be unfunded mandates placed on the State and what elaboration is necessary on that. As an example, she said that it is kind of saying that if you're going to offer a flu shot program, you're going to issue this year's flu shot, not last year's flu shot and that's the minimum standard. It could get to a point where you could say we cannot provide that program anymore to those minimum standards. We'll have to drop that from our health improvement plan. If you don't have the money, that may be the only recourse. Commissioner Hatfield moved to endorse the Community Health Services (CHS) Budget for 2013. Commissioner Richards seconded the motion. Motion passed 5 BOARD OF COUNTY COMMISSIONERS 2 SPECIAL MEETING NOVEMBER 20,2012 to 0 with Commissioners Owsley, HatField, Richards, Newman and Ittner voting aye. ADJOURNMENT: The board adjourned the Special Meeting as the Board of Health at 1:52 PM. BOARD OF COUNTY COMMISSIONERS 3 SPECIAL MEETING NOVEMBER 20,2012 RespectFully submitted, � R. ean r t the Board ounty Commissioners � � Je� ette Jones CI k to the Board ` f County Commissioners � �%�/� ichael M. Owsley Chair of the Board of County Commissioners g\bocc\minutes�2012\spec\11202012BOH BOARD OF COUNTY COMMISSIONERS 4 SPECIAL MEETING NOVEMBER 20,2012