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HomeMy WebLinkAbout04-20-1972 Board of Health Minutes.1: !I ! The Plainview -Hale County Board of Health met at 12:30 P.M. at the Alcove Restaurant, April 20, 1972. The meeting was called to order by President Felix Crawford, who welcomed Dr. C.L. Busby as a new member, and Mayor John Stoneham, Judge Heck, Marshall Pharr and Bill Mittag. Attending were: Dr. D.J. Truitt, Dr. Gerald Wagner David Oates, Bill Mittag, Dr. Randall Heye, Mary Lou Truesdale, John Stoneham, Sam Langford, Oliver Hamel, Dr. C.L. Busby, Judge Henry Heck, Marshall Pharr, Dr. Felix Crawford and Clara Neis. Motion was made by Oliver Harmel to pay March bills. Motion seconded by Sam Langford. Motion carried. Mrs. Truesdale discussed the air conditioner problem stating that the water bill was $100 a year more the past two years than in previous years and that Barley Refrigeration had given them an estimate of approximately $400 for a recycling unit. After discussion, it was suggested that further investigation be made concerning this. Sam Langford stated that he had met with the Commissioners Court concerning the proposed 1972-73 budget and that action had been tabled until their next meeting April 24, 1972. He said that he gave them the information he had, but they asked for information that he could not supply. It was suggested that Mary Lou Truesdale furnish each Commissioner, County Judge, Councilman, Mayor and City Manager a calendar of meetings and clinics scheduled for the month and invite them to attend these meetings. Budget action was also tabled by the City Council for further study. David Oates reported the Migrant Advisory Board felt that partici- pation on a'voluntary baasof migrants on medical fees should be adopted and that a receipt for any money received would be given; a separate fund would be set up, and money would be expended for needs of the clinic and these expenditures would be approved by Migrant Advisory Board. He presented a sliding income scale with number of persons in family used in Fort Lupton, Colorado. Dr. Busby made a motion to adopt Sliding Income Scale, copy of which is attached, on a trial basis. Dr. Truitt seconded motion. Motion carried. Mr. Oates stated that his work report was included in the written report given to each member. BillijKittag, regional consultant of the Migrant Health Program, stated that the Dallas office was pleased with the "Thihk Paper" submitted and same had been forwarded to Washington. Mrs. Truesdale reported a average of 7.5 persons attending workshop; Kr. Ray is moving to Grayson County and there will be only one sanitarian working for the next month; doing TB testing in the Frisco area because of an active case there, V.D. is a problem; and the office is short one NU student worker. There being no further business, the meeting was adjourned. Felix rawford,President • Clara Neis, Secretary : : • ::.. . _ sr • ^ , . • 1 ) - ' • • - - - --- - •.,-----,-,,,,,-.- --,,,z,..04,,,,,.....,-..-, ',. fq,,, i• 4.,,,, :.• * ,.. , , ,... r. .. kl .(i , , ,„,_, .,. ,i4,.. „,, ,,,,,,, „ • • , „_•,„..,,.,,,,,_,„.„,.,9,..„.„,„3„.„,i,.;,;...,,,:i...::,f,,2 ,.•„.,,,:,,..x.,,„„,_,„,,!„ ,..,:„,..,,„„„-.,„„ :,.,,,,:,„,,,,„„,,„....,,,-..„,„,„..,.....,,„,,,,,.:.,,,,..,.„:.,„„,,;,.,,,,,,:,,.,,,,,T-H3,,,,,,,,,,1",1.73,1,2M .,,,,,Z -V .,,,,,Ii.'3,-,..10I,D.1-t, ....-t-,....47.4.E.,,,,,,,,,,,, , , 4 .• .I" ,.,': -i'.- .. t, _,''') 'Z'CIO 1 '''',I,:::, ,...1 ..r.lf,:1, ±-,,,,,,,4 , .4, , • ..,„, .4 i..... , ,-.. 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R NE4 .4-4.01.9 '2._;•-",-''''..,...1Mdfieat,..MaZgc_r_SE. , Z,,g 17; ALL •.• 3yoe - - • 41(1 3 „ `, • .: • 1 CI "351 ,a7:71,1 LL ALL Lt, ALL . 6 .••••mn= N;,:,•,,, ". ;.,1,:,- -....-, ,-,,,,•:...3 ''..- - ,: .T1, ,,,,,'''wia...,---a.,-.:-.e- k; If LA •.,,,., .-,,r 7i, , , :.., „3kb-:'.. 0.8.', ,,...,,,,,,r. • - „22.i] J -, -- , .:,.. ..., _ ALL TT A Li ALL ,ALL }� � � 44 t+e:2x�cs §+ § 54.#= / ¥ P -AAA 01— ,k1.` ,7,4= Services for the month of ZRSING Sii2WICES: TYPES 07 VISIT: child Crippled Children fifilter* .ty F 4 ivy p •,,, Adult Health .cable Disease Cardivonsataar 4e, OF 'fp -• • • • • • •• .• • • • • • • • ,••,- • , ON SallaCES: • • general &fttj�n Water Supplies X Water Samples Collected Water Supplies Chbrinated Premises Inspected N •-r Conferences on General Sanitation ber Conferences on Vector Control ood 8414 Milk A Utica: N ber Ff-t.' 1111 be r Dairy FInp pie CollectedL Num'. • a •••• • ••••-• :•• ••• • hrNer7vulce c TllblsseaSseervleesaL-"---- New Chezopropktylaxists . ..• New TL Skin Test Faril,y Service Cliniqa_neL=J_R,5L, • • nta rzor.1/4- 2 MSS IN I'M — Month MONTHLY TABULATION t ;tLAIL114.,74r, sinuary Department Reporting Texas State Department of Health Year 1972 Form No. L-1 Revised 1--1--72 A. COMMUNICABTE DISEASE SERVICES 1. Admitted to service on the first visit during the calendar year to provide care Or supervision to a diagnosed or suspicious case of communicable disease other than Leprosy, Tuberculosis or Venereal Disease. On every admission a specific service is provided by a physician or nurse in the home or office of the health department. This service must be recorded on the patient's recOrd. 2. Field visits are fit and repeat visits when a Specific service is rendered and recbrded. on the patient's record. 3. Office visits are 'first and repeat visits 'when a Specific service is rendered and recorded on patientlt Tecord. 4. Referrals a Number referred further service are referrals made by health department personnel for medical and other health related services to private physician, dentist, hospital) faMily planning other than in the health department, welfare, psychological evaluatith) phytical therapy, etc. The name Of service to which the individual is referred must be recorded on the individU8118 record. b Number completing referral are the referrals to medical and other services which have been confirmed and entered on individual' record VENEREAL DISEASE SERVICES 5. Admitted to sery:ice, by category, on the first visit during the calendar year to provide care or supervision to a diagnosed or suspicious case of venereal disease. On every admission a -specific service is provided by a physician or nurse in the home or office of the health department. This service mutt be recorded on the patient's record. 6. Field visits are ilirtt and repeat visits when, a specific service is rendered and recorded on the patient's record. 7. Office visits are first and repeat visits when a 'Specific service is rendered and recorded on the patlett's record. 8. Number prophylaCtic ,reatments will be the goal humber of prophylactic treatments given in the health department and recorded on the illdiVidual retords. 9. Number post treatment observations will be the total number post treatment observations done in the health department and reaordea oh the ihdividual records. SCREENING PROGRAMS NOTE: A screening program for this purpose will ihclade all tests and observations Thr venereal ,diBetse done itt any health departMent pr ram. 10. Number tested ±or venereal disease will include &II individuals tested in any health department prOgram for or in behalf of the care and tontrol of venereal disease. 11. Number positive or zuspiclous findings by di&eas .1A.s1:11t of screening program,. 12. Number referred Tor ftrther services are referrals for medical or other health related services not prOVIaea by the 'health department, This 1116-i include those. individuals who prefer to go to their private phySibli-an. Exclude referrals to Public Health Investigators. \ 13. :Visits will be field and office visits with IndiViduaIs tO refer for screening, or further diagnostic iork-up 'prior to admission to rservice under Item A-5. 2 --- 4 Health Department Reporting Population of area served *Percent Migrant Population Month 19 A. COMMUNICABTE DISEASE SERVICES 1. Admitted to service 2. Field visits 3. Office visits Referrals a. Number referred for further service b. Number completing referral VENEREAL DISEASE SERVICES 5. Admitted to service a. Syphilis b. Gonorrhea c. Other V.D. d. Suspects 6. Field visits '7. Office visits 8. Number prophylactic treatments 9. Number post treatment observations SCREENING PROGRAMS Total this month Total this year 1 1 5 8 2. 2. 10. Number tested for venereal disease 11. Number positive or suspicious findings a. Syphilis b. Gonorrhea c. Other V.D. 12. Number referred for further services 13. Visits (See instructions) 23 1 *Percent, each month, of area population which would be classified as "migrant". For use in areas only where Migrant Health Projects are in operation. 3 .A. CCMMUNI CAD`s E DISEASE SERVICES, CONT. LEPROSY PROGRAM 14. Admitted to service is to be counted when first service is provided by a physician or nurse ilia the home or office of t ,:e Maith department. Admit to service on the first visit during the calendar ylear 14ben a specific service is given and recorded .on the individual's record, a. Diagnosed case - one whfch a qualified p; ysician has determined the specific disease or illness of an individual tram symptoms,=examinations, laboratory findings b. Contact - any person known to have been suffIciently near to an infected individual to have had the opportunity of acquiring the :infection. c. Suspect - a personwith clinical manifestations which .pare suspicious of, but not proven to be leprosy. 15. Field visits are first and repeat visits made by health depar e�nt staff to individuals in their hone, or any place other than. -a station of the :health department, where a specific service is rendered and recorded on the :individual record. 16. Office visits are first and repeat visits nide kv, or in behalf of, individuals to the health department office, or to other stations of the health department, where a specific service is given and recorded on theindividual's record. TlFPROSY CLINIC SERVICE 17 thru 24+ - self explanatory .IDENMICLCGY Include all epidemiological investigations of diagnosed or suspected cases of communicable diseases except venereal diseases and tuberculosis,. =Carriers may also be included. =, phi _:coding may be taken by a ph nurse or sanitarian. Findings of these investigations should he recorded on the Communicable Disease Record, Form C-4, or the Case Epidemiologic Record. No admission to service is to be taken of codings under r Epidem1o:logyt' only. Total this month COMMUNICABLE DISEASE SERVICES, CONT. LEPROSY PROGRAM 14. Admitted to service: a. Diagnosed cases years (1) Under 15 (2) 15 years b. Contacts (1) Under 15 (2) 15 years c. Suspects (1) Under 15 (2) 15 years 15. Field visits 16. Office visits Total this ear and older years and older years and older TEPROSY CLINIC SERVICES 17. Number clinic sessions 18. Number clinic visits 19. Number Index cases 20. Number scrapings 21. Number referred to private physician 22. Number referred for biopsies 23. Number diagnosed cases referred to Carville 24. Number of suspects referred to Carville EPIDEMIOLOGY 25. Cases investigated a. Typhoid fever b. Salmonellosis c. Shigellosis d. Food intoxication e. f. g. h. 1. Diphtheria Hepatitis Poliomyelitis Encephalitis Rabies 1. Number humans bitten 2 Number animals observed for 10 days 3. Number animal heads submitted to laboratory_ 4. Number laboratory - positive heads j. All others A. COMMUNICABTR DISEASE SERVICES, CONT. IMMUNIZATIONS 26 through 34 enter total doses for each vaccine administered as shown on the Summary Sheet for Immunizations, Form No. C-5. 35 through 37 Specify vaccine used and enter total doses administered. 38. Rabies refers to the number of completed series given to individuals by health department physicians. B. HOME HEALTH SERVICES (bedside nursing care of the sick at home) NOTE: This information is to be submitted whether or not the health agency is "Certified" as a provider of service underICARE or whether or not "fees" are collected for the service provided. Code services given to sick patients of any gge in the home by, or under the supervision of, a professional nurse. There must be specific medical orders. These services will NOT include visits made for diagnostic purposes, such as taking throat cultures for diphtheria, obtaining specimens for Pkv]' tests, or administering skin tests for tuberculosis, etc. Also not included, are follow-up visits requested by VA or Tuberculosis hospitals when the patient returns to the geographical area served by the agency, unless the patient received actual bedside nursing care or treatment prescribed by a physician. Services coded in this section should also be coded in the appropriate category of this report. For example, a tuberculosis patient receiving bedside nursing care would also be coded as a visit under the tuberculosis section. Record services given on appropriate basic nursing record. 1. Admitted to service is to be counted when first service is given to a patient during the calendar year. 2. Number of discharges refers to patients whose physicians have terminated. orders for care and the patients are subsequently dropped from service. 3. Number readmitted refers to patients who are readmittedto service after having been officially discharged. 4. Field visits is a total of first and repeat visits to all patients. Total Doses This Month Total Doses This Year COMNU IC.ABT,F DISEASE SERVICES, CON D. IMMUNIZATIONS 26. DTP 321 27. DT/Td 149 189 28. Poliomyelitis 29. Smallpox 30. Measles 31. Rubella 32. Measles -Rubella Combined 33. Mumps phi 94 29 3)4. Mumps -Measles -Rubella Combined 35. Other (specify) 36. Other (specify) 37. Other (specify) 38. Rabies B. HOME HEALTH SERVICES (bedside nursing care of the sick at home) 1. Admitted to service a. Under 65 years of age b. 65 years and over 2. Number of discharges a. Under 65 years of age b. 65 years and over 3. Number readmitted a. Under 65 years of age b. 65 years and over Field visits a. Under 65 years of age b. 65 years and over Total This Month Total This Year 7 C. TUBERCULOSIS CONTROL SERVICES • 1. Admitted to service on the first visit of the calendar year to provide care or supervision for Tuberculosis Control. On every admission a specific service is provided by a physician or nurse in the home, clinic or office of the Health Depart -r ment. This service must be recorded on the patient's record. Screening programs are not to be counted as admission to service. Item I will be the total of a. through e. a. Case is a diagnosed case in which a qualified physician has determined the specific disease or illness of an individual from symptoms, examination, and laboratory findings. b. Contacts are persons known to have been sufficiently near to a diagnosed case to have had the opportunity of acquiring the infection. c. Suspects are persons with pulmonary or other findings which are suspicious of, but not proven to be, tuberculosis. This will include those with symptoms suggestive of tuberculosis, but without x-ray findings. d. Positive reactors are persons having a reaction of 10 min or more to the Mantoux test, or 4+ Heaf reaction. e. Others includes associates and all individuals who do not fit into the categories defined above (associates are individuals in close association with a positive tuberculin reactor and not in close association with a diagnosed case of tuberculosis). 2. Field visits are made to individuals in their home, or any place other than a station of the Health Department where a specific service is rendered and recorded on the patient's record. Item 2 will be the total of .a. through e. 3. office visits are visits made by, or in behalf of, individuals to the Health Department office, or to other stations of the Health Department. A specific service must be given and recorded on the patient's record. Clinic visits will not be counted as office visits. 1 and 5. Field and office visits made by the Tuberculosis Investigator. Item. 4 will be the total of a. through e. 6. and 7. Will be used to reflect the tuberculin testing services. 8a. Number nursing clinic sessions will be the total number of nursing clinics held during a calendar month. This is a scheduled nursing clinic with no physician in attendance. 8b. Number nursing clinic visits should be an actual count of people receiving nursing services during a scheduled nursing clinic session. 9a. Number of medical clinic sessions will be the total number of medical clinics held during a calendar month. A medical clinic is a scheduled session operated for consultation, diagnosis, treatment or follow-up care, with a physician in attendance. 9b. Number of medical clinic visits should be an actual count of people receiving one, or more, services during a scheduled medical clinic. 10. Number x-rays taken will be total number x-rays taken, all sizes, in a health department, clinic, or provided by Tuberculosis Control Services. 11. Educational services includes any individual giving educational services to organizations, schools, workshops and others. Do not include individual counseling. Total this month Total this ear C. TUBERCULOSIS CONTROL SERVICES 1. Admitted to service (total number) a. Cases b. Contact c. Suspects d. Positive reactors e. Others 2. Field visits a. Cases b. Contacts c. Suspects d. Positive reactors e. Others Office visits 3. total number Tuberculosis Investigators -1. Field visits (total number) a. Cases b. Contacts Suspects Positive reactors 5. c. d. e. Others Office visits TUBERCULIN TESTING SERVICES 6. Heaf tests (total number) a. Number read. b. Number 4+ Mantoux tests (total number a. Number read. b. Number 5-9 mm c. Number 10 mm and larger 7, - CLINIC SERVICES 8. a. b. 9. a. b. Number nursing clinic sessions Number nursing clinic visits Number medical clinic sessions Number medical clinic visits X-RAY SERVICES 10. Number x-rays taken EDUCATIONAL SERVICES Organizations Schools Workshops Others . • . . . . , ' •7-7.- • . ••• . • .. • • D. MATERNITY SERVICES 1. Admitted to service is to be counted when first service is provided by a physician or nurse in the home, office or Maternity/Family Planning Conference. Admit to service on the first visit during the calendar year. 2. Carried over from last year is to be counted when the patients receive their first service during the current year and are continuing services from the previous year. Note: Services in the Maternity/Family Planning Conference are not counted on this report -- only admission to service. Conference service should be tabulated from the file copy of the conference report form and kept current for local use. The accumulative reports will be available to each local health department upon request from the Maternal and Child Health Division. Conference visits will not be counted as office visits. 3. Field visits are first and repeat visits made by health department staff to individuals in their home, or any place other than a station of the health depart- j ment, where a specific service is rendered and recorded on the individual record. -. Office visits are first and repeat visits made by, or in behalf of, indivi- duals to the health department office, or at other stations of the health depart- ment, where a specific service is given and recorded on the individual record. 5. Number of classes for expectant parents - self explanatory. 6. Number referred for further service are referrals made by health department personnel for medical and health related services to private physician, dentist, hospital, family planning other than in the health department, welfare, physical therapy, psychological evaluation, etc. The name of the service to which the individual is referred must be recorded on the individual's record. 7. Number completing referral are visits to medical or other services which have been confirmed and information entered on individual record. FAMILY PLANNING SERVICES 8. Admitted to service is to be counted when the first service is provided by a physician or nurse in the home, office or conference of the health department. Admit to service (new or carry-over) on the first visit during the calendar year when a specific service is given and recordedon the individual's record. Note: When Family Planning Services are provided as a part of a regularly scheduled Maternity Conference all services will be recorded on the same Maternity/Family Planning Conference Report, Form M-5. When Family Planning Services are provided in a separate conference, the the services will be recorded on the Family Planning section of Maternity/Family Planning Conference Report, Form M-5. 9, 10, 11 and 12 definitions same as items 3, )4 6, and 7 shown above. CONFERENCE SERVICES 13. Number conference sessions will be the total number of scheduled Maternity/ Family Planning Conferences held as reported on Form M-5. 14. Total attendance will be the total as reported on Maternity/Family Planning Conference Report, Form M-5, Item +. 10 Total this month Total this year D. MATERNITY SERVICES 1. Admitted to service a. 1 thru 3 months of pregnancy b thru 6 months of pregnancy c. 7 months plus d. Postpartum (not admitted as AP 2. Carried over from last year a. Previously admitted as AP b Not previously admitted as AP 3. Field visits 4. Office visits 5. Number classes for expectant parents 6. Number referred for further services 7. Number completing referral FAMILY PLANNING SERVICES 8. Admitted to service a. New this year 32 b. Carried over from last year 9. Field visits 10. Office visits 11. Number referred for further services 12. Number completing referral CONFERENCE SERVICES 13. Number conference sessions 14. Total attendance 3 32 34 28 45 3 1 11 E. CHILD HEALTH SERVICES 1. Admitted to service is to be counted when the fj.rst service is provided by a physician or nurse it the home, office or Well C . ld Conference. Screening programs are not to be counted. as admission to service. Admit to service on the first vi s,t during the calendar year Note: services in the Well Child Conference are not counted on this report -_ only admission to serveoe. Conference services should be tabulated from the fie copy of the conference re- port form and kept current for local use. The aceu nulative Well Child ' Conference reports will be available to each local health department upon request from the Maternal and Child Health Divi son. Conference visits will not be counted as office visits. 2. Field visits are first and repeat visits made by health department staff to individuals in the: -.r home, or any place other than a station of the health depart- ment, where a specific service is rendered and recorded on the individual record. 7 3 . office visits are first and repeat visits lade by, or in behalf of individuals to the health department ' office, or to other stations of the health department, where a specific service is given and recorded on the indavitua1 record. 4. Number patients referred for further service are referrals trade by health department personnel for medical and health related services to private physician, dentist, hospital, family planning other than in the health depart- ment, welfare,physical therapy, psychological evaluation, etc. The name of the service to which the individual is referred must be recorded on the individual record. 5. Number completing referral - Visit to medical or other service must be confirmed and information entered on individual record. CONFERENCE SERVICES 6. Number conference sessions will be total number of Well Child Conferences held. This includes all sessions reported on Form No. M-3. 7. Total attendance will be the total as reported on Well Child Conference Report, Form No. M-3, Item 8. SCHOOL HEALTH EXAMINATIONS AND SCREENING 8. Number school children having medical service include the number of school children examined and screened by a physician during the school year ending in the report year. 9 and 10. Number referred for further diagnosis and completing referral -- self explanatory. 11 and 12. Visual screening and audiometer testing includes children screened for vision and hearing by health department staff other than a physician. CHILD CARE CENTEES AND FOSTER HOMES 13 and i4. Number under supervision and visits. -- self explanatory. 12 r Total this month Total this year E. CHILD HEALTH SERVICES 1. Admitted to service a. Premature infants b. Under 1 year c. 1 thru 4 years d. 5 thru iL years 01* e. 15 thru 17 years f. 18 thru 20 years 2. Field. visits 3. Office visits 2.1 fir, 45 4+. Number referred for further services 5. Number completing referral CONFERENCE SERVICES 6. Number conference sessions 7. Total attendance 4 39 27 s 35 SCHOOL HEALTH EXAMINATIONS AND SCR.WNING 8. Number school children having medical services (examinations and screenings) a. With parents present b. Without parents present 9. Number referred for further diagnosis a. With parents present b. Without parents present 10. Number completing referral a. With parents present b. Without parents present Screening by personnel other than a physician 11. Visual screening a. Number tested b. Number referred for medical service c. Number completing referral 12. Audiometer testing a. Number tested b. Number referred for medical service c. Number completing referral CHILD CARE C ENT.R S AND FOSTER HOMES 13. Number under health department supervision 1+. Number visits to centers and homes 3 E. CHILD HEALTH SERVICES, CONT. CRIPPLED CHILDREN 15. Admitted to service is, to be counted when the first service is provided by a physician or nurse in the home or office of the health department. Items a thru e - self explanatory. 16. Field visits are first and repeat visits made by health department staff to individuals in their home, or any place other than a station of the health department, where a specific service is rendered and recorded on the individual record. 17. office visits are first and repeat visits made by, or in behalf of individuals to the health department office, or, to other stations of the health department, where a specific service is given andrecorded on the individual record. 18. Number children diagnosed as congenital heart defects and cystic fibrosis - Take this code as the Patient is admitted to service. 19. Number referred to orthopedic or other special study - referrals to specialists or diagnostic clinics for orthopedic study, or other specialized study, as cardiac, speech, hearing, etc. 20. Number completing referral - Visits to diagnostic clinic or specialized study must be confirmed and information entered on individual record. F. ADULT HEALTH SERVICES 1. Admitted to service is to be counted when first service is provided by a physician or nurse in the home, office or conference of the health department. Admit to service on the first visit during the calendar year when a specific service is given and recorded on the individual's record. 2. Field visits are first and repeat visits made by health department staff to individuals in their home, or any place other than a station of the health department, where a specific service is rendered and recorded on the indivi- dual's record. 3. office visits are first andrepeat visits made by, or inbehalf of individuals, where a specific service is given andrecorded on the individual's record. 4. Number referredfor further service are referrals made by health department personnel for medical and other health relatedservices to private physician, dentist, hospital, family planning, welfare, physical therapy, psychological evaluation, etc. The name of the service to which the individual is referred must be recorded on the individual's record. 5. Number completing referral are referrals to medicaland other services which have been confirmed and information enteredon the individual's record. 1' E. CHILD til HEALTH SERVICES CONT. CRIPPLED CHILDREN SEEVICES 15. Admitted to service a. Under 1 year of age b. 1 thru 4 years c. 5 thru i1 years Total this month Total this year a. 15 thru 17 years e. 18 thru 20 years 16. Field visits 17. Office visits 3 18. Number children diagnosed as: a. Congenital heart defects b. Cystic fibrosis 19. Number referred to special study orthopedic or other 20. Number completing referrals F. ADULT HEALTH SERVICES 1. Admitted to service 2. Field visits 3. Office visits 4 . Number referred for further services 5. Number completing referral 15 a4,11.1- G. CANCER CONTROL SERVICES 1. Admitted to service on first visit during the calendar year to provide care or supervision to a diagnosed or suspicious case on an on-going basis. On every admission a specific service is provided by a physician or nurse in the home or office of the health department. This service must be recorded on the patient's record. 2. Field visits are first and repeat visits when a specific service is rendered and recorded on patient's record. 3. Office visits are first and repeat visits when a specific service is rendered and recorded on patient's record. 4. Number referred for further service are referrals made by health department personnel for medical and other health related services to private physician, dentist, hospital, family planning other than in the health department, welfare, psychological evaluation, physical therapy, etc. The name of service to which the individual is referred must be recorded on the individual's record. Number cam feting referral are the referrals to medical and other services which have been confirmed and entered on individual's record. SCREENING PROGRAMS NOTE: A screening program for this purpose will include pap smears and observations done in any health department program. When positive and suspicious results are reported, the health department staff is expected to make a patient contact visit to refer patient for further medical evaluation or treatment. 6. Number pip smears will be the number of pap smears taken in health department programs. a. Eyalotr_positive or supicious reports received as result of pap smear examination. b. Number referred for medical evaluation of positive or suspicious reports. c. Number new cases found will be the number of new cases diagnosed as a result of the pap smear screening program. d. Number dia nosed cases bro ht to treatment as a result of screening program. 7 . Number other passible malignant conditions will include individuals with tumors or other cancer danger signals which are suspicious of malignancy. a. Number positive or suspicious reports received as result of examination. b. Number referred for medical evaluation of possible malignant conditions. c. Number new cases found following medical evaluation. d. Number diagnosed cases brought to treatment as result of screening program. 8. Patient contact visit is made when necessary to refer patient for medical evaluation, whether or not the service is available in the health department, after receiving a positive or suspicious report as a result of the screening program. The visit is made to the patient outside the health department or station of the ,health department Neither an admission to service code nor field visit code is to be taken. Lab reports will be retained in a file in the health department office. Total this Month Total this Year G. CANCER CONTROL SERVICES 1. Admitted to service 2. Field visits 3. Office visits 4. Number referrals for further service 5. Number completing referral SCREENING PROGRAMS 6. Number pap smears 1110110111MM.11=110, a. Number positive or suspicious b. Number referred for medical evaluation c. Number new cases found d. Number diagnosed cases brought to treatment 7. Number other.possible malignant conditions a. Number positive or suspicious b. Number referred for medical evaluation c. Number new cases found d. Number diagnosed cases brought to treatment 8. Patient contact visit as result of screening 17 H. CARDIOVASCULAR DISEASE CONTROL SERVICE 1. Admitted to service o n first visit during the calendar year to provide care or supervision to a diagnosed c=ase, or individual showing evidence of CVD, on an on-going leas. is. On every admission, a specific service is provided by a physic' ®r nurse in the home or office of the health department. This service must be recorded on the patient's record. 2. Field visits are first and repeat visits when a specific service is rendered and recorded on the patient's record. �. 2evsitS are first and repeat visits when a specific service is rendered and recorded on the patient's record. 4. Number referred .for. further service are referrals made by health department personnel. for m;117;1713; other health related services to private physician, dentist, hospital, family planning other than in the health department, welfare, � evaluation, physical therapy, etc The name of service to which psychological eva � p y the individual is referred must be recorded on the individual' s record. 5. Number c onTle ting referral are the referrals to medical and other services which have been confirmed and entered on individual's record. SCREENING PROGRAMS NOTE: A. screening program . for this purpose will include those individuals showing evidence of CVD on . x. ray :, or evidence of CVD other than on x-ray, taken in any health department.program. rog ram. -healthdepartment staff is -expected to make patient contact visit to refer patient for further medical evaluation or treatment. 6. Number of ind ,�showing ivi-du&ls evidence of CVD on x-ray taken in any health department program. Number referred for medical evaluation of evidence of CVD on x-ray a. .�,� b. Number new cases found as result of x-ray program. c. 'Number diagnosed cases brou ;t to treatment either in health department g -facilities or other facilities. individuals showin evidence of CVD other than on x-ray found in any 7, Number of �.ndiv�. � health departmentprogram. ro ram. Example:; high blood pressure, overweight, diabetes, etc. a. Number referred for medical evaluation of evidence of CVD. 4• b. Number new. cases found as result of screening in other programs. c. Numb nosed cases brought . to treatment either in health department facilities or. other facilities. 8. Patient contact visit is made when necessary to refer patient for medical evaluation, who they or not the service is availabl=e in the health department, after report receivingort of evidence of •CVD as a re=sult of the screening program. p Neither an admission to service code nor field visit, code is to be taken. X-ray and other reports will be retained in a file in the health department • of five . The patient contact visit is made to the. patient outside the health department or station of the health department Th r CARDIOVASCULAR DISEASE CONTROL SERVICE 1. Admitted to service 2. Field visits 3. Office visits Total this month Tota this ear 4+. Number refer10175,77177Ner service 5. Number completing referral SCREENING PROGRAMS 6. Number of individuals showing evidence of CVD on x-ray a. Number referred for medical evaluation b. Number new cases found c. Number diagnosed cases brought to treatment 7. Number of individuals showing evidence of CVD other than on x-ray e. mer referred for medical evaluation b. Number new cases found c. Number diagnosed cases brought to treatment 8. Patient contact visit as result of screening 19 I. ETHER CHRONIC DISEASES 1. Admitted to medical services Is to be counted when such service is provided by Pte siiars employed full or part time, or supervised by the health department. Medical services provided in clinics or conferences will.. not be coded as admission. Diagnosed cases, carriers, contacts, and suspects are admitted to service if seen by a physician in the home or office of the health department for the purpose of care or control, and provided a record is made recording the service given. Immunization service only are not counted as an admission to serviced 2. Admitted to nursing service includes all individuals who receive field or office visits y nurses in t e ealth department in the interest of health supervision. Admit to service on first visit only. 3. Medical visits refers to all field and office visits made by health department physicians to individuals for medical service. 4. Nursing field visits refers to visits by nurse to individuals in the home, or elsewhere other than a station of the health department, a � � artment where specific P service is given and recorded on the individual's record. c visits refers to visits by,or in, behalf of individuals to the 5. Nursing office office of the nurse, or to other stations of the health department, where a specific service is rendered and recorded on the individual's record. 6. Number referred d for medical services are referrals made by health department per=r77771Faical and other health related services to other health department services, private physician, dentist, hospital, family planning, Welfare, psychological evaluation,physical therapy, etc. The name of service to which the individual is referred must be recorded on the individual's record. 7. Number completing referral are the referrals to medical and other services which have been confirmed and entered on the individual's record. 8. Conferences -- consultative and educational are interpreted as individual cone7=7-11eld with phys cians, dentists, teachers, and others regarding patients, programs, etc. Conferences with health department personnel are not to be coded under this item. NURSING AND CUSTODIAL HOMES FOR THE AGED 9. Number homes under health department supervision - self explanatory. 10. Number visits made to homes - self explanatory. 20 Total this month I. OTHER CHRONIC DISEASES 1. Admitted to medical service 2. Admitted to nursing service a. Diabetes 1 Total this year 1110101111.11MIMMIIIIIMMI, 1 1 b. Arthritis c. Glaucoma -- d. Obesity or other nutrition cases e. Others 3. Medical visits 4. Nursing field visits 5. Nursing office visits 6. Number referred for medical services 7. Nuthber completing referral 8. Conferences - consultative and educational NURSING AND CUSTODIAL HOMES FOR THE AGED 9. Number homes under health department supervision 10. Number visits to home MEW 21 S. SUPPORTIVE STAFF SERVICES (non-professional) Tabulate visits according to appropriate category. Do not code more than one type of service per visit except for Item 6, Home Health Services. For this coding, also code the appropriate categorical item, such as cancer, tuberculosis, etc. Each non-professional worker will complete Nurse' s Daily Report, Form No. L-2, showing services for the day. If non-professional staff assists in a visit, clinic, etc., submit daily showing assisted in clinic or visit", but do not take code. LIONS] VOCATIONAL NURSE 1 thru 17. Do not admit to service. Professional staff will make first visit to assess needs of patients and admit to service. LVN may make subsequent visits and record services on patient record. HEALTH ASSISTANTS (AIDES, ETC.) 1 thru 17. Do not make entries on the individual patient record. Submit Nurse's Daily Report, Ford. No. L-2, showing"assisted in clinic, field or office visit" if accompanied by other . staff. When Health Assistants or Aides make a field or office visit, list name of patient and code on daily report for tabulation. VISITS a thru d. Enter total number field and office visits made by category and worker. These figures will be for the report month only. TOTAL Add, each column down and across to obtain totals. NUTRITION e. Indicate the number of visits made that included nutritional information. Example: An LVN makes a field visit to a maternity patient. The visit includes nutritional information. The coding would. be: . S8ae . 22 Licensed Vocational Nurses Field Office (a) (b) S. SUPPORTIVE STAFF SERVICES (N0N-PROiSSI0NAL) SERVICE CATEGORY 1. Communicable Disease 2. Immunization Program 3. Venereal Disease 4. Leprosy Health Assistants (Aides, etc.) Field Office (c) (a) TOTAL VISITS NUTRITION (e) 5. Epidemiology 6. Home Health Services 7. Tuberculosis Control 8. Maternity Services 9. Family Planning 10. Child Health Services 11. Crippled Children's Services 12. Adult Health 13. Cancer Control 14. Cardiovascular Control 15. Other ChronicrDiseases 16. Dental Services 17. Other (specify) TOTALS Assisted With Wal had Conference co Clinic F ti 9 23 3. DENTAL HEALTH SERVICES 1. Admitted to service is to be counted when first service is provided by a yg dentist or dental hygienist in the office of the health department. Admit to service on the first visit during the calendar year when a specific service is given and recorded on the individual's record. Screening programs are not to be counted as admissions to service •visits are first and repeat visits to dental clinic sponsored 2. Dental clinicvZ M.. or co-sponsored by the health department.. 3. Dental Services a thru g - self explanatory e s(specify)means to specify type of service given such as endodon ic, h, nth r :.: -., osthodontic biopsy, anesthetics} x-ray,: scaling, pulp cap, pulpotomy, etc. pr � Dental �t • Types. o f ,services Provided dby. Hygieris' a and b - self explanatory SCREENING PROGRAMS VOTE: Screening programs' g�:enin - rams` are not to be_ counted as admissions to service g or as dental clinic visits. 5. Number school surveys includes screening, programs in a place other than a dental clinic a thru c self explanatory.- r of children receiving topical rtde applications includes only C . Num�ae in those childrenwho receive the complete series given by dentists or dental , � hygienists in mass school screening: pragrsms Do not include those children receiving topical to. ical fluoride in dental clinic, they rill be coded under "Dental Services". 24 J. DENTAL HEALTH SERVICES 1. Admitted to service a. 1 thru 4 years b. 5 thru 14 years c. 1.5 thru 17 years d. 18 thru 20 years e. 21 years plus f. Maternity 2. Dental Clinic Visits 3. Dental Services a. Fillings (total) (1) Deciduous (a) 1 surface (b) 2 surface (c) 3 surface (2) Permanent (a) 1 surface (b) 2 surface (c) 3 surface b. Extractions (total) (1) Deciduous Total. Total this this month ear (2) Permanent c. Crowns (total) (1) Deciduous (2) Permanent d. Periodontic e. Prophylaxis f. Fluoride treatment g. Oral pap smear h. Others (specify) 4. Types of services provided by Dental Hygienist a. Treatment b. Education SCREENING PROGRAMS 5. Number school surveys a. Number children inspected b. Number children referred for further diagnosis or treatment c. Number children completing referral 6. Number of children receiving topical fluoride applications a. 1 thru 4 years b. 5 thru 14 years c. 15 thru 17 years d. Others 25 ., p ayrs '4 r ,g{'�', yam} s `I. gal' � ^'J'�� �' �' •pan S'"��iiYsl.' :*£..' .. ,�°^:.' .— ori i 411301-48. a` t+ ,-.......--.........,—....—...7.,,-.,„--, 96/ • %.Y ....„.....„,,,..„, „,.._,,,..,,,„„ �• L 1 it' ySYae e10 ��.'r••xvr. tar ��.-. 447 t btgli vice C �. 39-,262.2) gra K S �SSi • .ter a: r." -147-1 r K. GENERAL SANITATION WATER 1. Water supplies installed a. Pub if c b. Semi-public c. Private 2. Number water supplies chlorinated 3. Water samples collected for analysis 4. Water supplies a. Inspections b. Corrections or improvements SEWAGE 5. Pit privies a. Number of privies b. Number of privies inspected c. Pit privies eliminated Total thi s month d. Number of sanitary privies installed e. Number of corrections or improvements 6. Septic tanks a. Inspections b. Number installed c. Number of corrections or improvements 7. Sewage system a. Inspections b. Number of corrections or improvements c. New sewer connections obtained OTHER 8. Premises a. Inspections b. Corrections or improvements 9. Motels and trailer parks a. Listed for supervision b. Inspections c. Corrections or improvements 10. Swimming pools a. Listed for supervision b. Inspections c. Corrections or improvements d. Number water samples collected 11. Barber shops and beauty parlors a. Listed for supervision b. Inspections c. Corrections or improvements 12. Schools a. Listed for supervision b. Inspections c. Corrections or improvements 27 K. GENERAL ,S,.,ANI TAT ION CONT. oTHKEI a. Listed for supervision is the coding used on the first inspection of the calendar year and entered under the respective heading. At this time the regular inspects or sheet is executed. b. Inspections is the code used on the first and repeat inspections when the findings are recorded on the respective inspection form. c. Corrections or improvements should be taken when definite outstanding improvement has been made in line with recommendations made in accordance with specifications and standards established by the State Department of Health, or in accordance with local ordinances. NOTE Under Item 13, 14 and 15, special initial and subsequent surveys are for a State license. Forms for this purpose are furnished and must be completed before taking credit for these surveys. 17. - 20. Self explanatory. VECTOR CONTROL 21. Self explanatory. 28 �f f . - -- . :_ • .1._-:-_�.. -- GOAL SANITATION CONT. OTHER 13 Nursing homes a. Listed for supervision b. Initial survey c. Physical facility survey d. Inspections - routine e . Corrections or improvement s 1+. Maternity homes a. Listed for supervisio b . Initial survey c . Physical facility survey d. Inspections -- routine e. Corrections or improvements 15. Nu ber hospitals in jurisdiction a . Number surveyed for tate license b . Number subsequent surveys; c Corrections or improvements 16. Public rest rooms a. Listed for supervision b. Inspections c . Corrections or improvement s 17. Nuisances and complaints a. Investigations �'- Total this month Total this year b . Corrections or improvemments c . Complaints of no public health significance 18 . Plumbing a . Inspe ctions b. Corrections or improvements 19. Occupational health a. Industrial hygiene inspections b. Air pollution inspections c. Radiological health inspections d . Technical field study e. Samples collected for laboratory f. Field determinations made g. Corrections or improvements 20. Conference s - general sanitation a. Promotional b . Consultative VECTOR CONTROL 21. Chemical applications for vector control a . Nuaaber premises dusted and/or poisoned for rodent control b. Premises residual sprayed c. Acres fogged, or space sprayed d. Acres larvicided e . Number surer manhole s treated f. Number privies treated for fly control Number privies treated for other insect or vector control r- 29 K. GENERAL SANITATION COT VECTOR conRoL 22-24 Self-explanatory L. FOOD AND MILK SANITATION 2 Food establishments shall be listed for supervisim on the first inspection of the calendar year of any establishment where food or beverage is produced, stored, processed, or dispensed, and over which the health department regularly exercises sanitary control. Such places can be listed for supervision but once each report year and then only if a complete inspection is made and the findings recorded. 1. Eating and drinking establishments 2. Other than eating or drinking establishments 3. Dairy farms 4. Milk and milk products processing plants b. Intetzum11 the code used on the first and repeat inspections when the findings are recorded on the respective inspection form. c. Corrections or improvements should be taken when definite outstanding improvement has een made in line with recommendations made in accordance with specifications and standards established by the State Department of Health, or in accordance with local ordinances. 5. Number milk and milk roducts sales collected for aria sis - coding may be taken may when samples are collected in an accepta le manner according to the rules prescribed for this operation. (Th 6. Number cows tested is self-explanatory. A veterinarian's. report must be on file in the local health department. 7. Self-explanatory. 30 Total this Total this VECTOR CONTROL 22. Vector control sanitation a. Number anti -rat sanitation corrections b. Number anti -fly sanitation corrections c. Number anti -mosquito sanitation corrections d. Premises ratproofed e. Linear feet drainage f. Number corrections for other insects or vectors 23. Garbage handling a. Number storage corrections b. Number new enclosed collection vehicles 24. Conferences - vector control a. Promotional b. Consultative L. FOOD AND MILK SANITATION 1. Eating and drinking establishments a. Listed for supervision b. Inspections c. Corrections or improvements 2. Other than eating or drinking establishments a. Listed for supervision b. Inspections c. Corrections or improvements 35 3. Dairy farms a. Listed for supervision b. Inspections c. Corrections or improvements 4. Milk and milk products processing plants a. Listed for supervision b. Inspections c. Corrections or improvements 5. Number milk and milk products samples collected for analysis 6. Number cows tested a. Tuberculosis 17 17 3 3 53 53 b. Bang's disease c. Others T. Number unhealthy cows eliminated from dairy herds 31 L. FOOD AND MILK SANITATION CONT & 11 - a. Listed for su ervisior is the code taken on the first inspection of The calendar year of any establishment where food or beverage is produced, stored, processed, or dispensed, and over which the health department regularly exercises sanitary control. Such places can be listed for supervision but once each report year and then only if a complete inspection is made and the findings recorded. b. Inspections is the code used on the first and repeat inspections when the findings are recorded ori the respective inspection form. c. Corrections or improvements should be taken when definite outstanding improvement has been made in line with recommendations made in accordance with specifications and standards established by the State Department of Health, or in accordance with local ordinances. & 10 - Self -explanatory 12. Conference s - promotional and consultative refers to conferences held for urging action or change for tie etterment of environmental conditions, or may be a consulting or advisory conference at the request of the party or parties to be assisted. Ni. PENALTIES AND REINSTATEMENTS 1 - 2 D�.iry faxms degraded end reinstated is to be used only in areas orating under milk regulations requiring grading. - 4 Food establishment permits revolted and reinstated is to be used only in cities or areas operating under local ordinances. 5 - 6 Self-explanatory. X. EDUCATIONAL SERVICES 1. A pr ogram is any lecture, talk, or film showing made to any group in the interest of public health. a. Attendance refers to total number of persons ons present . 2. Foodhandler' s Schools a. Number of schools held for the training of workers in food establishments in food handling methods b . Number com Teti course refers to the number of individuals receiving certificates of completion. • • • • • • • •• .• • • • .• • : •• .• • . •- _ L. FOOD AND MILK SANITATION COM 8. Slaughter houses and poultry plants a. Listed for supervision b. Inspections c. Corrections or improvements 9. Number animals slaughtered under supervision 10. Carcasses condemned in whole or in part (no. lbs.) 11. Ice plants a. Listed for supervision b. Inspections Total this month Total this ear ANIMEM.P. c. Corrections or improvements 12. Conferences - food and milk sanitation a. Promotional b. Consultative 1111111111.11Z=.01111=1., M. PENALTIES AND REINSTATEMENTS 1. Dairy farms degraded 2. Dairy farms reinstated 3. Food establishment permits revoked 4. Food establishment permits reinstated 5. Cases filed in court___________ 6. Pounds of food, milk7-17—Eili=57:aucts removed from food channels 37 X. EDUCATIONAL SERVICES 1. Number programs presented a. Attendance total 2. Foodhandler's Schools a. Number held b. Number completing course 1 10 33 • • •••• ."•• ••• BRIEF NARRATIVE REPORT (activities not covered in this report) Fainily Service Clinics have continued to increase during Januar,* with an average of 31 patients seen. The addition of the Willi -lab has greatly improved the overall operation. Gixming operations had nearly ceased b7 the end of the month with Ism families returning to their homebase. The Athrisorl Counei3. meeting was well attended with much interest being evidenced b those in attendane, Several policy elects* rts were m3de will enable personnel to their work in a more efficient manter. Project e,xpenditures have reached a critic level and every effort is be made to conserve funds, A budget, revision has been submitted requesting a start ing funds to the ee.forservice category and the authorization to purchase additional laboratory eq, Project personnel began work on the annual progress reporb which a due date of March 10 1972. This report will be accompanied by our new grant a. cation. aervice meeting in by a roundtable Several of the :project personnel at ed. a reglonal Lubbock this month. The a luded en interest discussion. Date 2-8-72 liaie Count• Heal De Department Reporting ....•....•-•-.••• • •