HomeMy WebLinkAbout02-14-2008 Board of Health MinutesBoard of Heath Minutes
February 14th, 2008
Board Members Present: Sidney Ontai, M.D., Belinda Pena, Neal
Burnett, Rita Robertson, RN, Stacie Hardage, Judy Shannon, RN,
Don Williams.
Others Present: Bryan Peeler M.D.
Staff Members Present: John Castro, Director of Community
Services, Kelli Shurbet, RN (Nursing Supervisor), and Sheila Carter
Secretary.
Dr. Sidney Ontai called the regular scheduled meeting of the
Plainview -Hale County Board of Health meeting to order at the
Unger Memorial Library on February 14th, 2008 at 12:30 p.m..
First Item on Agenda: Invocation, The invocation was given by John
Castro.
Second Item on Agenda: Administer oath of office to Dr. Peeler, Dr.
Sidney Ontai gave the Oath of Office to Dr. Bryan Peeler.
Third Item on Agenda: Approval of October 11th, 2007 minutes. Dr.
Ontai asked if there were any additions or corrections to the
minutes. The minutes were approved as written with no objections.
Fourth Item on Agenda: Review of Expenditures. John said the
expenditures for November 2007 and December 2007 are all
normal. You won't see it too much on November or December
expenditures but beginning in January 2008 there is a deal in there
showing the percentage of the budget that has been spent on
Department 52, 53, and 56. Don't get worried right now we should
be at 66.67 percent of salaries in all of the budgets straight across
the board. January's print out shows that Department 52 is under
that and 56 is over that. This is the reason I want to explain it to
you.
Up until this year we had a letter on file back in 1996 when I was
moved to become the director of Community Services and I kept the
Health Department as one of the departments I was over. We talked
to Region One at that time and they gave us a letter that we put in
our file and it said that 30% of John's salary would come out of
budget 53. That went along fine until the State decided they wanted
to see how they were spending their money. They sent someone out
from the Grants Management Department to audit the books and see
what was happening. We were ok on everything except they want to
know why we were taking 30% of the Directors salary out of that
budget. We told them we had a letter from Region One saying we
could do it. The auditors said what we have to do and this pertains
to Kelli and my salary is to account for the amount of time you
spend doing things that pertain to budget 52 which is the overall
operations of the Health Department Budget 53 which pay's for
environmental health and all sorts of various things. Budget 56,
which is immunizations. We have a computer spread sheet that
Vannesa our Financial Specialist made out and we put down how
much time we spend on doing things for Dept 52, 53, and 56. We
have to turn this in on every pay period. Those 3 things define
different areas in the Health Department so we have to keep track
of that. What has happened and what you will see on the budget is
that 53 which when the year started we programmed 30% of John's
salary into that budget. It is at 83.2% spent. It has 20% more than
what it should have in there. Budget 52 is at 53.3 percent spent, so
it has about 16 to 20 percent less than what is should have. Budget
56 is at 58% that is about 12% less than what it should have. We are
hoping by the end of the year that the excess in budget 53 will
cover the overage in department 52 and 56. As you know the State
gives us $112,000.00. The budget at the Health Department is
$360,000.00 plus, so $112,000.00 is only one third if it so budget 53
and 56 are both funded with city funds. We use up all of the grant
money and we still have to put city funds in to make everything
come out. Next year we will project for those salaries to be dealt
with appropriately. We are not over spending the money is there.
Fifth item on Agenda: Update and Discuss Communicable Disease.
Kelli said the main thing is influenza. We had 581 total cases
reported up to February 14th. It was 211 this week and 370 last
week. We have ran an ad in the paper that the CDC sent us that it is
not to late to get a flu shot. We even recommend a second flu shot if
they got it early in the season. We have dropped the price down to
$10.00 and if they need it and can't afford it we will go ahead and
give it to them. We have had a lot of people come in and gotten
another flu shot.
Rita Robertson asks if it was true that the flu shots are not helping
the strain of flu that is going around now. Dr. Ontai stated he has
seen a lot of folks get the flu that had taken the flu shot. John said
when the flu vaccine is created it is created on the assumption of
somewhere in east China where the flu season starts so they see
the strain that is popping up so they develop the vaccine based on
the strain at that time. Dr. Ontai said that they have to set
production schedule like 6 months in advance.
SID'S has decreased for the time being.
Sixth Item on Agenda: Health Department news: John Castro said he
was going to start working on the ordinance for dogs biting other
dogs. I will be finalizing that and will be sending it to the City
Attorney to have her to review it and then we will send it to the City
Council based on the recommendation from this board. John said
that Dr. Ontai had asked him about the connection between dogs
biting other dogs then biting humans. There are no published
documents on the connections between dogs biting other dogs how
likely it would be for that dog to bit a person.
Kelli stated that the health department had signed a contract with
South Plains College to help their nursing students with there
clinical's. They have been coming in and doing there clinical's and
doing really well. They have been getting a lot of good experience.
Next year it will help us to do a drive thru flu clinic.
Kelli stated that this year we started electronic billing for Medicare
for reimbursement for the flu and pneumonia vaccines and to date
we have received $8,282.14 for the flu and $981.86 for the
pneumonia, compared to last year we only received $2,834.00 for
both. Sheila has done a really good job in getting the electronic
billing off the ground.
Seventh Item on Agenda: Other Health concerns the Board would
like to address: Dr. Ontai ask if we had gotten anything back from
Homeland Security on the POD exercise that we had done last year.
John said he had not heard anything on it. However he said from
everything that he heard Region One was very pleased the way we
were able to get people in and out. We were successful to the point
we run out of things to do. Dr. Ontai ask if there was anyone from
the State that would be of some help in giving us directions. John
said we would have to go thru Region One.
Eight Item on Agenda: Board member a000lntments/rea000lntments:
We have several terms of office that expired the last day of
December. If you wish to remain on this Board and we really want
you to, you will need to fill out an application to be reappointed.
Cinde Ebeling and Judy Shannon has been reappointed by the
County. There terms will expire on January 1st, 2010.
Ninth item on Agenda: Next proposed meeting: Will be April 10tH
2008.
Tenth Item on Agenda: Adjourn: Dr. Ontai adjourned the February
meeting of the Board of Health after inquiring if there was any
further business to discuss.
Sheila Carter
Secretary, Plainview -Hale County Health Department