HEALTH COMMITTEE AGENDA Government Center, Room 400 Wednesday, August 5, 2015 7:30 a.m.

1) Roll Call

2) Chairman’s Approval of Minutes – None to approve

3) Appearance by Members of the Public

4) Departmental Matters:

A. Walt Howe, Health Department Administrator 1) Items to be presented for action: a) Request for approval of an Emergency Appropriation Ordinance of the McLean County Board Amending the 2015 Combined Annual Appropriation and Budget Ordinance for Fund 0105 Health Fund for the Health Promotion Program 1-2

2) Items to be presented for information: a) Agenda and attachments from the Board of Health May 13, 2015 meeting 3-95 b) Agenda and attachments from the Board of Health July 8, 2015 meeting 96-133 c) General Report d) Other

B. Bill Wasson, County Administrator 1) Items to be Presented for Information: a) Report on Recent Employment Activities 134 b) General Report c) Other

5) Other Business and Communication

6) Recommend payment of Bills and Transfers, if any, to the County Board 135-136

7) Adjournment

E:\Admin (Ann)\Agenda\Health\Health.August.2015.doc An Ordinance of the McLean County Board Amending the 2015 Combined Appropriation and Budget Ordinance for Fund 0105

WHEREAS, Chapter 55, Section 5/6-1003 of the Illinois Compiled Statutes (1992) allows the County Board to approve appropriations in excess of those authorized by the budget; and,

WHEREAS, the McLean County Health Department has requested an amendment to the McLean County Fiscal Year 2015 appropriation in Fund 0105 Preventive Care Fund, and the Board of Health and Finance Committee concur; and,

WHEREAS, the County Board concurs that it is necessary to approve such amendment, now, therefore,

BE IT ORDAINED AS FOLLOWS:

1. The Auditor is requested to increase revenue lines 0105-0061-0067-0407-0150 Breast Health Grant Revenue by $5,000 from $0 to $5,000, 0105-0061-0067-0410-0096 March of Dimes Grant Revenue by $11,250 from $0 to $11,250 and 0105-0061-0067-0407-0062 Komen Grant Revenue by $5,000 from $5,000 to $10,000.

2. That the County Auditor is requested to increase the appropriations of the following line item accounts in Fund 0105, Department 0061, Program 0067, Health Promotion Program as follows: PRESENT INCREASE NEW LINE DESCRIPTION AMOUNT (DECREASE) AMOUNT 0503-0001 Full-Time Employees Salary $64,920 $3,025 $67,945 0599-0001 County’s IMRF Contribution $8,433 $393 $8,826 0599-0003 Social Security Contribution $4,966 $232 $5,198 0630-0001 Postage $50 $100 $150 0612-0003 Educational Materials/Supplies $7,434 $5,000 $12,434 0701-0001 Advertising/Legal Notices $9,245 $8,000 $17,245 0718-0001 Schooling & Conferences $115 $2,500 $2,615 0773-0001 Non-Contractual Services $0 $2,000 $2,000 $95,163 $21,250 $116,413

3. That the County Clerk shall provide a copy of this ordinance to the County Administration, County Treasurer, County Auditor, and the Director of the Health Department.

Adopted by the County Board of McLean County this ______day of ______, 2015

ATTEST: APPROVED:

______Kathy Michael, Clerk of the McLean County Board of Matt Sorensen, Chairman of the McLean the County of McLean County Board

U:/administration/budget/0105 67 Budget Amendment

1 Fund 0105 Budget Amendment Narrative

A budget amendment is needed in Fund 0105 to account for grant amounts that were applied for and received after the completion of the FY 2015 budget. The Health Department received two new grants and an increase in funding from another grant that was not expected. Funds from the grants will be used to support staff time/benefits, purchase educational materials and supplies, advertising of programs, schooling for staff on providing smoking cessation classes, and travel assistance for participants. This budget amendment includes approximately $3,650 in personnel expenses that include salary and all fringe benefits. Despite the modest request for personnel expenses, no formal FTE amendment is being requested. These small one-time limited grants deal with cornerstone public health educational issues of beast health and smoking cessation. Current health promotion staff will satisfy the estimated 160 hours of staff support necessary to carry out the preventive educational components of these programs.

The 3 grants are listed below with descriptions of their programs:

March of Dimes Grant: This grant was received in late September of 2014 for $15,000. $11,250 of this grant will be spent in 2015. This grant program is titled “Freedom From Smoking for Women of Reproductive Age” and is expected to reach approximately 50 women. The grant provides Freedom From Smoking classes to women that are either pregnant or of reproductive age. It also provides carbon monoxide monitors as suggested by the Freedom From Smoking program as well as incentives such as diapers for expectant mothers or mothers of young children that complete the class. The grant also allows for travel assistance to participants. It allows for gas cards (that can only be used for gas) and bus tokens to be given to women that have trouble with transportation to the classes.

Ticket For the Cure Grant: This grant is for $5,000 and ran from January 2015 through July 2015. The purpose of the grant was to provide breast health education to citizens of McLean County, to promote knowledge of healthy lifestyles and breast cancer prevention, and to promote yearly mammograms to all women, 40 years and older. Objectives of grant were carried out through breast health presentations and health fairs throughout the county. We were notified that the grant will continue in State Fiscal Year 16 and have applied to continue with the program.

Komen Grant: Funding from the Susan G. Komen Breast Cancer Grant was increased to $10,000 in March 2015. The grant program this year is called “Worship in Pink,” targets both rural and minority communities and is geared towards raising awareness and aiding a change to people’s misbeliefs and attitudes about breast cancer as well as increase the yearly use of mammography by women over the age of 40. Educational presentations will be given at participating churches covering topics related to risk reduction and the importance of yearly mammograms and screenings for early detection. There will also be additional activities that include asking members to wear pink, handing out pink ribbons to one service, inviting breast cancer survivors to speak to the congregation, and having an educational table or bulletin board at the church with materials for members to share. The Health Department was awarded additional funding because this new program requires more staff time and resources to implement than the previous year’s program.

2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 51 52 53 54 55 56 57 58 59 60 61 62 63 64 65 66 67 68 69 70 71 72 73 74 75 76 77 78 79 80 81 82 83 84 85 86 87 88 89 90 91 92 93 94 95 AGENDA

The Mclean County Board of Health Meeting Wednesday, July 08, 2015, 5:30p.m., at Mclean Coun Health De artment, 200 W. Front Street, Room 322, Bloomin ton Illinois.

Item Packet Page # · 00

--A-.--Gall to Order

B. Establish Agenda 00

· C. Public Participation

D. Approve Minutes of May 13, 2015 01-08

E. Consent Agenda 1. Bills to be Paid May 2015 June 2015 Health Department 112-61 $135,133.62 $169,239.87 Dental Sealant 102-61 25,272.49 27,425.96 WIC 103-61 10,671.58 12,875.46 Preventive Health 105-61 7,656.47 6,248.08 Family Case Mngmt 106-61 18,709.95 33,216.45 AIDS/CD 107-61 6,225.69 12,697.06

F. Committee Reports

G. Old Business 1. Items For Action a. Emergency Amendment, FY15 Drug Court, Chestnut Health Systems A-1, B 2. Items For Discussion a. Resolution- Creating Behavioral Health Coordinating Council A-2, C

H. New Business 1. Items For Action a. July Contracts/Grant Application List A-3, D 2. Items For Discussion · a. NAMI White Paper A-4, E b. lntro to Strategic Plan: Ten Essential Public Health Services A-5, F

I. Director's Report Attachment A

---- - J. Staff Reports 1. IPC/Mental Health 09-16 2. Environmental Health 17-20 3. Administration 4. Maternal/Child Health 21-22 5. Community Health Services 23-24

K. Board Issues

L. Adjourn

96 MINUTES McLEAN COUNTY BOARD OF HEALTH REGULAR MEETING- MAY 13,2015

"___ T\1_E:MBERS PRESENT: .. _Pow~U.,_B_owers., Buchanan, Emm, Ginzburg, Ker:ger:,--Gwens, Tello, Turley, and Wollrab

MEMBERS ABSENT: Naour

STAFF PRESENT: Howe, Anderson K, Anderson T, Beavers, Coverston Anderson, Dreyer, Foutch, Morris, Slater, and Voss

CALL TO ORDER: Powell called the Board of Health meeting to order at 5:30p.m., with no correctiohs to the agenda.

PUBLIC PRESENT: Susan Schafer, Mclean County Board; Edith Brady-Lunny, Pantagraph; and Mary Caisley, Mclean County 377 Board

MINUTES: Powell requested approval for the minutes of March 11, 2015. . -:7 Owens/Buchanan moved and seconded the approval for the minutes of Mar 11, 2015. Motion carried.

CONSENT AGENDA: 1. B[[ls to be Paid March 2015 A[2ril 2015 Health Dept 112-61 $169,787.02 $181,126.05 Dental Sea 102-61 22,903.36 27,769.30

WJC 103-61 12,873.03 23,014.43

Prev Health 105-61" 4,881.60 5,996.57" Family Case 106-61 29,569.10 30,495.38." AIDS/CD 107-61 9,552.55 10,376.02

Tello/Turley moved and seconded the approval for the Consent Agenda as printed. Motion carried.

COMMfTIEE REPORTS: Coverston Anderson reported for fneScbfCCommtssion sn-aring highlights of the meeting held April 8, 2015. The Commission has been reviewing the maternal transportation program. Clients are finding other ways to appointments with the nicer weather. It was noted that during February when it was icy; volunteers had been reluctant to drive during icy and slick weather conditions. Coverston Anderson explained the Scott Commission is developing plans ______:t.o-wo.r-k-G-R-tf=Je-Si:t=ai:e§+e-PlaA-.------

5:32p.m. Wollrab arrived.

Coverston Anderson stated the Scott Commission may be interested in -1- 97 collaborating with the Health Department and both hospitals on a community needs assessment in an effort to avoid duplicating efforts. The outcome of the CHNA Collaborative may provide greater insight into duplication of services and continuing gaps in coverage.

STAFF REPORTS: Coverston Anderson reported for the Community Health Services Division and explained the quarterly report was on packet pages 8 through 10. She also distributed ~---ffiePreliminary Quarterly Report, which wasn't available during printingofthe-packet. Coverston i Anderson highlighted that during the first quarter of 2015 there was an increase in the number of 1 VFC immunizations given with 2,676 compared to 1 ,841. in the first quarter of 2014. This was during · a staff vacancy due to a transfer into the CD program. In addition there was a 36% increase in the first quarter of 2015 of private pay/insurance immunizations given with 159 compared to 50 in 2014 (this program began in January 2014). Coverston Anderson explained more about the Vaccines for Adults (VFA) program which is the new IDPH Adult Immunization initiative which offers free vaccine to local health departments to provide individuals who are under-insured or not insured for immunizations. Staff received training on April 23, 2015.

Coverston Anderson stated the community outreach program provided immunizations at the BJHS 6th grade orientation nights which were held April 6 and 7. The goal at the event was to do 23 vaccinations and a total of 45 vaccinations were administered. During recent events with the Health Promotions program, a total of five vaccinations were given at the Employee Health Fair and during the Women's Health night staff provided education materials regarding adult immunizations and staffed a booth. All services and materials provided by a vendor booth at the event must be free so no vaccinations were provided.

Coverston Anderson reported the CD program was fully staffed and during the first quarter staff performed active monitoring for two clients exposed to Ebola. Both clients were monitored by staff and did not show signs of Ebola.

Coverston Anderson explained the Collaborative Assessment group agreed to work together and share resources to produce one needs assessment and health plan to be used by all entrties required to submit by September 2016.

Beavers informed members the IPC reports were on packet pages 11 through 13. She explained that the IPC Program will be ending June 15, 2015.

Beavers indicated the Behavioral Health reports were on packet pages 14 through 67. She explained the copies of the quarterly reports were submitted by contracted agencies. The Health Department is working with the County I.T. Department to provide a link for Board members to select that wi!l havethe-pested reportson-!ine,+F1is~will-elimiAate-t:heneed to provide paper copies as part of the Board of Health packet. Beavers shared the need for expanded discussions about the needs of the behavioral health program and the coordinated efforts with the Mental Health Advisory Board (MHAB). This developed into the decision to add bi-monthly work group meetings to be held on even numbered months beginning in June, to discuss behavioral health topics, included outcome --measur-es.-Staff-f-esi-S-tl:!.a-t.....e.Gl-uca-tir:~g-a.g.e.r-Jcies-b!-p-fFG-R-t-and better defining needs will make a collective impact on behavioral health outcome reporting issues. Buchanan inquired if 377 Board members could also be given a chance to discuss these issues. Beavers responded that it could work. She wHI invite 377 members to attend. -.-

-2- 98 Howe also noted this approach could reduce the administrative burden of staff in copying reports, making calls, and working through issues of reporting. Working with the IT Department for a cloud based system for data and report templates would greatly enhance program efficiency. Standardized reporting from one agency to another would also be a benefit. The every other month meetings would stream fine Board of Health meetings by allowing sufficient time for discussion of mental hE?glth issues in se12arate meetings. This will allow foradditLo_oa[ time for other ---public-health issues. Tello shared her anticipation of the possibility to use the data effectively and allow for statistical analysis. Buchanan inquired about the data collection. Howe stated data formats and collection procedures can be developed at the workgroups. Owens totally agreed. He would also like minutes of these meetings to be available, even if there isn't a quorum. The benefit of having one to two meetings before the funding decisions, would give time to reinforce with agencies the need for exploring every available funding source, to support these programs. Buchanan stated that clear guidelines would be beneficial. Beavers introduced, Phaedra Morris, Office Support Specialist, who is supporting the mental health programs. She will be available to assist making items posted in a timely fashion. Beavers also distributed a proposed meeting schedule. The first one is schedule for June 10, 2015 and will be alternate months from the Board of Health meetings. Those interested in attending are welcome. Wollrab inquired If it would be possible to get information from agencies before the June 1oth meeting. Beavers explained short notice has made that difficult, but agreed that she would explore it with the funded agencies. Powell reminded all Board of Health members that these are not mandatory meetings and she recognizes that not all Board Members are free during the day to attend these meetings.

Owens inquired about posting the Board of Health Agenda on-line, including the attachments. Voss provided the results of a recent survey of Board members on the topic. A majority wished to receive the packet through the mail. Many stated they couldn't print the packet at home and didn't have the equipment to bring the information to the meetings. Howe explained IT support could be helpful with this is$ue. He also explained that the IT Specialist position, approved in the 2015 Budget, has not been hired as planned. The individual selected for the position was unwilling to accept the position at the salary offered. Staff is planning to request approval of making the position Grade 11 instead of 9 to attract candidates with the experience and education needed. Owens stated if we aren't able to get the IT Support that we need, he could assist with asking the County Administrator for assistance. For transparency reasons, the agenda and attachments need to be posted so members of the public attending the Board of Health meetings could make comments. Howe explained staff will work through the issues to publish on­ nne.

Dreyer noted the Administration report was on packet pages 69 through 72. Dreyer explained as ofMarch 31;;1, 5% oHhe budgeted revenne-had-heen-colle-cted-:-The amount is low because property tax revenue, which is 70% of the budget, has not been collected. However, revenue is up from this time period in 2014 due to an increase in intergovernmental revenue and a significant increase from charges for services, which is related to an increase in fees collected from immunizations and revenue from billing private insurance. Dreyer explained expenses as of March 31st are at 18% of the budget __w:b.id::J-is-less-t!=taR-~rojeGtee-fGr:-tf::le-eR-El-ef-t11e-ft-rst-qtJafter and level with this time last year. Tello appreciated the good report.

-3- 99 Anderson T reported that the Environmental Health report was on packet pages 73 through 76 and stated that the food program is stable with a variety of different restaurants proposed for opening. Anderson explained the number of new food permits could be reflective of the Town of Normal's policy on taverns and gambling places which must have a kitchen and serve food which requires a food permit. Anderson T introduced Linda Foutch, program supervisor, who oversees the food program.

----·------~-·---··--- · Anderson T reported they are beginning to see increased activity in the Private Sewage program which could be reflective of th~ warmer weather. He noted there have not been any issues with the new changes involving the NPDES requirements.

Anderson T discussed the decreased number of active facilities in the Tanning program. The program is down to 15 licensed Tanning facilities in Mclean County. He noted that at one time there were over 30 Tanning establishments.

Anderson T explained the Geothermal Exchange program has not had a lot of activity. He noted there is no tax incentive offered this year for installing them. He also noted the Health Department received a letter from lDPH approving the Geothermal ordinance with the provision to register closed loop well contractors.

Wollrab inquired why some food permits are issued without a fee. Anderson T explained that those are tax exempt entities such as churches, not for profit organizations, etc. A question was stated as to why gambling parlors require a food permit. Foutch explained the Illinois' gambling laws state a gambling facility "shall serve alcohol" and Normal's Town Ordinance has taken it a step further and required that the gambling establishments serve food.

Anderson T reported page 77 of the packet contains the proposed grading system from the IDPH that must be utilized if a local health department requires a food .establishment to physica!ly post their inspection scores. He explained Foutch is on the State Food Safety committee that is reviewing current rules and proposals for changes. Foutch explained another local health department uses a matrix system, which is similar to the one included in the packet. Foutch explained the placard system is only required to be used if the health department chooses to require the posting of inspection results at the estabfishment. She noted that it will take a lot of education for the system to work. Mclean County doesn't use the placard system proposed by IDPH because it is difficult for the public to understand .. ln Mclean County, Environmental Health posts the inspection scores on-line so that anyone can view them and it is a truer representation of the establishment's overall performance. Tello inquired as to the other Health Departments and how they handle scoring:· Foutch noted scoring-varies. Some of themscoreby-startiRg-atzer:G-ta-Rd--gi-vepoints for correct items. Our County starts at 100 and deducts for deficiencies. Emm clarified that the County can choose not to post a placard. Foutch responded that we choose not to placard. TeHo inquired as to what most counties in Illinois do. Foutch responded that most counties do not placard. Bowers asked what the plan for public education would be if we decided to require placards be used. Foutch noted that the department would have to provide the education ___._,"oLMcLean_C.ouni:1-r_c.Ltizens_Giozhurgjoqulr:edabnutmaking the establishment scores easier to find on the Website. Foutch offered putting score on social media. She will check with Health Promotion. Howe explained that the Health Department is putting together a workgroup to make the Website more accessible. The Board thanked Anderson T and Foutch for the fofrow up.

-4- 100 Anderson K reported that the Maternal Child Health Services report was on packet pages 78 through 81. She explained that the MCH division had program reviews in March for FCM, and May for HWLA and WIC of this year. Anderson K noted that some minor deficiencies in the written report from the FCM review and were easily corrected and that preliminary exit meetings for both the WIC and Health Works programs reviews were positive. Staff is waiting for the final written reports for W!C and HWLA. ;------Anderson K spoke about the quarterly numbers on page 80 and - stated that the WIC program has an initiative to increase program participation, or number of clients provided benefits; the numbers are higher for the first quarter this year compared to 2014 numbers. Increasing clinic availability has made modest improvements. The Family Case Management program numbers show a small decrease in client contacts but there were two nurse vacancies and two staff members on maternity leave during the first quarter.

Buchanan inquired about the program evaluations and who does the evaluatiohs. Anderson K noted that it was the state regional consulting staff.

DIRECTOR'S REPORT: Howe introduced Lisa Slater, Public Health Communication Speciafist who shared with the Board a report on how the Health Department celebrated Public Health Week. Slater shared the events of National Public Health Week, April 6 through April 12. She explained that with Nicole Aune, Health Promotion Manager, they wanted to raise awareness of National Public Health Week and the cal! to keep moving toward the goal of making the U.S. the healthiest nation in a generation and connect it the health department's "I Am Public Health" campaign. Slater explained that four separate events were planned- each one aimed at different audience within our community and there was also an employee breakfast held for staff, to commemorate the event. Junior high aged students were challenged, as part of the Healthy Visions Photo Contest, to photograph the positive things being done in the community that move us in the direction toward better health. WlC participants were encouraged to share their favorite recipes using WIC food ingredients for a cookbook that would become a resource in the WlC clinic. Students from ISU were videotaped responding to questions about how we can make the U.S. the healthiest nation by 2030 and how they see themselves as part of public health. And, the entire downtown community was invited to join us in the Downtown Walk Around, a walk for health that took place over the lunch hour in the heart of downtown Bloomington. Slater said that she and Nicole planned a very ambitious schedule of events and were pleased with the results of their efforts. Slater ended her presentation with the showing of a video shot at the lSU event. Howe noted the July issue of Nations Health will include an article about the week events. Howe expressed his appreciation to both Slater and Aune for their efforts and explained the barriers of explaining what public health is and does. Owens inquired if next year the mental health program would be included. Howe explained that he wasn't sure because the Health Department has 68 programs and normally the "hot to~io issues" or newest-programs are-used forthe-Pubtrc-Ftealth-W~eK:-agenda. But it most certainly may be included.

OLD BUSINESS: Howe referred the Board to Attachment D, which described the duties and responsibilities for members to be appointed to the Mental Health Advisory Board (MHAB). Howe explained that the comments received by the Board and discussions with the Executive __Comrn-Lttee.-enGap.s-ulate-th-e-GGRrept-.--GweAs-!TlaEfe f~ference to the membership and stated that he felt that there should be a County Board representative. Wol!rab commented about stating that the MHAB be responsible for assisting to develop outcome measures. Howe_ explained that this is a summary of responsibilities. This is a working document. Tello noted the document may be amended. The Executive Board felt that the document was a good starting point and that it will be -5- 101 reviewed at 6 months and at a year. Buchanan inquired about a summary. Howe noted the Board will review semi annually. Beavers stated that initially 1/3 of the board members will be appointed for one year, 1/3 for 2 years, and 1/3 for 3 years. She felt that the Board should move forward with approval, it is definitely progress with having a board. Beavers alerted the Board of Health members the County Board Mental

I Health review committee is having a meeting on May 19th which will outline the findings of their work ~---ana-will have a report to sh-are. Cotin1y -Board member, Shafer, stated hopefully fhis wifl get people

I thinking and the groundwork to move forward. She also noted Chairman Sorenson will discuss this issue at the next County Board meeting. Owens reporte9 there will be a motion and on the table for further discussion. · Owens also shared that at the County Board Finance and Executive Committees it wi!f be discussed that all County Departments contribute towards the mental health issues.

BUchananffello moved and seconded the approval for the Mclean County Mental Hea!th Advisory Board. Motion carried.

Howe requested approval for the Bylaws for the Mental Health Advisory Board (MHAB). He asked that any suggestions to the document prepared and reviewed by the Board of Health Executive Committee be submitted to Beavers for discussion at the bi-monthly work group. As suggested by Owens, Article Ill, Section 1 should include that 1 member of the Board of Health and 1 member of the County Board should be included in the membership. Tello agreed but also noted that members should have expertise and interest in the field of mental health. Wollrab inquired about a chairperson to run the meetings. Tello explained that the MHAB will be a working group for the Board of Hea!th and the intent was to have the lead staff person be the Behavioral Health Coordinator. · After further discussion,

Owens/Tello moved and seconded the approval for the Bylaws for the Mental Health Advisory Board (MHAB), with the additiOn of having a County Board representative included in the membership. Motion carried.

NEW BUSINESS: Howe requested approval for the FY16 Mental Health & Substance Abuse Funding Recommendations sharing a grid explaining funding scenarios. Teflo explained that careful consideration went into the development of the funding grid and the final product was a result of and many meetings between Executive Board and County Board members. Howe noted that one of the issues to consider was that the State payment cycle for funding is different from the County Budget cycle. A recommendation was made to approve flat funding for 6 months (July 1, 2015 through December 31, 2-01-5). Thiswowldallowthe ability todetermine-'FblttJFe-fuA4~R§-With a more solid EAV figure. Bowers inquired when the final EAV growth is reported. Howe explained that it is usuaHy in November. However, this funding for 6 months should not negatively impact currently funded programs and new agencies that applied would need to wait untH December for new funding. Owens noted it appears that 6 months or 18 months funding may show if any additional amount may be available. Howe responded that there is an additional available __$£.8..,-4-4.S-Gf.w.e-tG-d.ef-er-red-Gost=-D-f=do.ing=D-us-i~=t-ess-aHowance not utilized. Howe noted that if the Board prefers flat funding for 6 month could be implemented for current agencies and start up programs could be funded with a share of the available amount. Howe noted that the downside to flat funding is minimal. The only downside would be making new applicants wait b~tWeen now and end of December to get to new funding cycle.

-6- 102 Wo!lrab inquired if the agencies are reimbursed monthly. Howe noted that they were. Tello appreciated the handout depicting the funding scenarios. Beavers thanked everyone involved and shared a graph of FY15 Funded Programs and FY16 Funding Proposals, as well as the FY16 Funding Recommendations. She explained that during the 25 years that the Health Department has funded mental health agencies i there were smaller needs~TQd

Owens/Wollrab moved and seconded the approval for giving the current agencies flat funding for the next 6 months and approves Yz of the Labyrinth request for the next 6 months. Motion carried. Howe explained the New Contracts/Grant Applications included in the packet as Attachment B.

Tello/Buchanan moved and seconded the approval for the New Contracts/Grant Applications for May 2015. Motion carried.

Howe shared the IDHS Better Birth Outcome Performance Report January 1, 2015 through March 31, 2015. Howe explained thatthe report from State of IHinois, DHS gives a summary of the status of all BBO programs statewide as it applies to primary measurement standards for the program. The report shows that Mclean County is doing comparatively well at meeting these standards. Howe also noted that the State is looking at cutting the Family Case Management program significantly and it is the mirror image of BBO but fund Yz State and Yz Federal for lower intensity clients.

Howe discussed the Community Based Dental Clinic and referred the Board to Attachment G. Howe explained that he and other staWnas been researchmg this program. Since its inception 17 years ago, the Dental program has been supported by fees and Medicaid to provide seNices to clients. Howe noted that we are at a point where we have a 30 to 35% no show rate. The Health Department is at a point where the cHnic may have to reduce hours in the dental clinic. When he heard about the Community Health Care Clinic (CHCC) wanting to provide dental clinic for their clients at no-cost he had a meeting with CHCC to partner for IPA and clients with no --GieR-tal-~R-S-l::!-FaA-ee-:-8-eweFS-i-A-EIH-i-Feef-abeuHhe-rro-sh·owTate--before. Howe stated it was 15 to 20%. Tello reported that the CHCC doesn't take Medicaid. Ginzburg explained that the decision when they opened CHCC that they woufd rotate physicic:ms, etc on a volunteer basis to keep the costs down and they do not take Medicaid clients. Ginzburg also shared that specialists are also on the rotation system. Howe explained that 70% of the low income population is -7- 103 on Medicaid. Immanuel Health takes Medicaid and he has spent time with them and found out that they overbook. As he stated before this is only informational and staff is trying to come up with a solution before making programmatic adjustments. WoHrab inquired if the Board members can do anything. Howe noted that the biggest problem is getting the Medicaid clients to show up. Tello suggested some reasonable incentive might be an option.

BOARD ISSUES: Tello inquired if the Health Department was going to share the Strategic Plan. Howe stated that staff has been working to identify objective to address the 10 essential services. Plans are to start with a presentation to the Board at the July meeting and plan a working session of the Board in August.

Tello shared that she had recently looked into what a Scent increase would cost an average homeowner if the total mental health tax levy was applied. The average Homeowner of a $165,000 house would see an increase from $20.83 jump to $27.50. Owens noted that the current County Board is conservative. If this increase was approved something else would have to be cut because the County budget policy calls for no tax increase. Tello noted that there is only $453,000 to share and it is only a small piece ·of the budget.

ADJOURN: Buchanan moved and the Board of Health meeting was adjourned at 8:00p.m.

-8- 104 In Person Counselor Program July 2013- June 2015 Final Report

Year 1- July 2013 -June 2014

752 Enrollments

450 400 3SO 300 250 200 150 100 50 0 IL Medicaid Marketplace

II Complete: Medicaid 384- Marketplace 189

23 Incomplete: Medicaid 16- Marketplace 163

IL Medicaid vs. Marketplace

lil Marketplace- 47%

- 9 - 105 Year 2- July 2014- June 2015

453 Enrollments

Medicaid , Marketplace

Incomplete: Medicaid 7- Marketplace 74 D Complete: Medicaid 232- Marketplace 140

ll Medicaid vs. Marketplace

!i~IL Medicaid -52%

•0!! Marketplace- 48%

- 10 .:.. 106 JPC Program Totals- July 2013- June 2015

1205 Enrollments

IL Medicaid Marketplace Incomplete: Medicaid 23- Marketplace 237

a Complete: Medicaid 616- Marketplace 329

ll Medicaid vs. Marketplace

1l1l: IL Medicaid- 53%

:c:JJ Marketplace- 47%

- 11 - 107 What's happening now?

The In Person Counseling Program successfully provided services within McLean County for the past two years. Year Two of grant funding began on September 2, 2014 and concluded on June 15, 2015. With a shorter enrollment and-funding-period, Year Two enrollment numbers were slightly-l-ower; however, IPC Staff found themselves assisting more consumers with more detailed questions vs. overall consumer enrollments.

Unfortunately, grant funding for this service is no longer available after June 15, 2015. Sadly, the IPC Program closed its doors on June 15, 2015. June 30, 2015 marks the final date of employment for program staff. We send our heartfelt thank yo us to all staff that made this program a success within our community.

Enrollment

Year 1-752 Year 2-453 Program totals- 1205

Education

IPC's provide educational presentations and materials during outreach events, health fairs, staff trainings, and individually with consumers. The education component includes information on the Federal and State law (ACA), the impact of the law on consumers (varies by audience), how to apply for coverage, and where to get help.

Outreach

Throughout the second year ofthe IPC program, outreach remained a fundamental aspect of the program. On a weekly basis, the IPC staff conducted outreach at various sites in the Bloomington-Normal community and surrounding areas.

There remained strong, ongoing success with community partners such as Home Sweet Home Ministries and the Community HealthCare Clinic. New relationships were formed with other businesses and healthcare organizations during the second year. Western Avenue Community Center and the Bloomington Public Library became regular sites where consumerscould receive on.::Site education and have the opportunity to schedule an enrollment appointment. Western Avenue provided the venue for our Open Enrollment final weekend on February 14th and 15th.

During flu season, we continued our partnership with Walgreens, offering "free" flu shots and enrollment assistance at multiple locations in Bloomington- Normal including Home Sweet Home Ministries, Loaves and Fishes, and the Community Health Care Clinic.

- 12 - 108 After the conclusion ofthe 2.015 Marketplace Open Enroflment, a speciafTaxSeason Special Enrollment Period (SEP) for Marketplace coverage was announced. This SEP began March 15th and concluded April 30th during which, we partnered with VITA as well as AARP to conduct outreach at· various tax l------· - preparation sites in BleemiAgt-en-such as Mt. Moriah Christian Church, BloomingtmrPuofic Library, and I - I Bloomington Housing Authority. I

Ongoing Assistance

Individuals needing assistance with enroiiment can get it several ways:

·Apply online:

www.getcoveredillinois.gov

· Apply over the phone;

Get Covered Illinois Hotline- (866) 311-1119

· Apply In-Person:

Chestnut Health Systems (Medicaid or Marketplace) 720 W. Chestnut St., Bloomington, IL (309) 557-140D--Choose option #1

Department of Human Services (Medicaid) 501 W. Washington St., Bloomington, IL (309) 451-6000

Open Enrollment 2016

~------2016 Open Enrollment for the Health Insurance Marketplace will begin November 1st, 2015, and extend until January 31st, 2.016.

-13- 109 Behavioral Health Report I June 2015 Community Mental Health Planning I ~----

1 The McLean County Board recently released the McLean County Mental Health Action Plan. The plan can be located on line at hrtp://wwvv.mc!eancountviLgov/DocumentCenter/View/5959

Mental Health Advisory Board

Becky Powell and Laura Beavers will be mailing letters to potential advisory members with the goal of August appointment.

Board of Heath and 377 Joint Working Meetings

During the May 2015 Board of Health Meeting, it was determined it would be beneficial for the Board of Health to meet and discuss behavioral health reporting and program outcomes. The 377 Board expressed a desire to join these meetings. The two boards began meeting on June 10, 2015 and will continue meeting every other month to review agency reporting requirements, program outcomes, and agency quarterly reports. The meeting schedule is as follows:

• August 5, 2015 2:00-3:00 pm • October 26, 2015 2:00-3:00 pm • December 2, 2015 2:00-3:00 pm

To assist with this process, the MCHD has developed an agency tour schedule. Funded agencies will be offering agency tours on Friday mornings. For dates, please see the Agency Tour Schedule.

MCDC/CHS/MCHD

The McLean County Detention Center, The Center for Human Services, and the McLean County Health Department continue to meet at !east quarterly to review the referral process for high risk incarcerated individuals. Thus far, in 2015, the MCDF has made 5 referrals. The McLean County Center for Human Services continues to provide timely appointments. The majority of

. ~ -- - -· - ~-. all appointments scheduled are next day appointments. Labyrinth will be joining future meetings. Our goal remains expedited access to services for high risk, incarcerated individuals.

Agency Updates

Fourth Quarter Agency Quarterly reports are due on Ju_ly 15, 2015. A statistical report will be shared at the September Board of Health Meeting.

-14- 110 Chestnut Health Systems

Chestnut officials recently indicated they have found alternate funding sources for Drug Court Treatment servicesfer-t-f1e-Hme-period of July 1, 2015 through Decemb·e·r 3·1;-z-r:n-o.--·However, Chestnut officials have requested that the Board of Health allow for funding reallocation in the :• amount of $287A25.00 for the Crisis Stabilization Cent~r. This amount corresponds with the funds the Board of Health initially indicated it would provide to Chestnut for the Drug Court Services component of their program. CFO, Alan Sender indicated that funds are needed to cover Life Safety expenses that could not be reimbursed through the State of Illinois. This amount covers a portion of the Crisis Stabilization Center's construction expenses. The County Board has approved this reallocation request. In light of Chestnut's ability to find alternate funding for the services component of the Drug Court Program, long-term use of tax payer support of this program may not be necessary.

·-15- 111 Agency Tour Schedule

.... Agency ,·; · .Address .. ·• ... ··oate·· •. ·• -Time ---·--~ Marcfirst 1606- P!UnfDr,--7117/15 9:30AM Normal

Labyrinth 616W. 7/24/15 9:00AM Monroe St., BloomingtQn

LifeCIL 2201 Eastland 7/31/15 9:00AM Dr., Ste 1, Bloomington

Chestnut 1003 Martin 8/14/15 9:00AM Luther King Dr., Bloomington

Project Oz 1105 W. Front 8/21/15 9:00AM St., Bloomington

Center for 108W. 8/28/15 9:00AM Human Market St., Services Bloomington

Easter 2404 E. 9/4/15 9:00AM -Seals Empire St. Bloomington

United 816 S. 9/11/1~ 9:00AM Cerebral · . Eldorado, Ste. Palsy 2, Bloomington

The Baby 612 Oglesby 9/18/15 9:00AM Fold Ave, Normal

PATH 201 E. Grove 9/25/15 9:00AM St., Bloomington

CYFS 502 S. Morris, 9:00AM 10/9/15 : --- Bloomington

-16- 112 ENVIRONMENTAL HEALTH DIVISION

Activity Report

May 1, 2015- June 30, 2015

-- - ~FOOD INSPECTION PROGRAM

Full-Time Food Establishments

Active Food Permits - With Fees ...... 683 682 Active Food Permits- No Fees ...... 137 135 Total Active Food Permits ...... 820 817

New Food Permits Issued for Report Interval ...... 19 10 New Food Permits Issued for Year-To-Date ...... 50 43

Food Permits Inactivated for Report Interval ...... 14 9 Food Permits Inactivated for Year-To-Date ...... 51 42

Temporary Food Establishments

Single Event Temp. Food Permits Issued for Report Interval ...... 87 80 Single Event Temp. Food Permits Issued for Year-To-Date ...... 166 166

Multiple Event Temporary Permits Issued for Report Interval ...... 26 27 Multiple Event Temporary Permits Issued for Year-To-Date··························:···················· 34 33

Total Temporary Food Permits Issued for Report Interval ...... 113 107 Total Temporary Food Permits Issued for Year-To-Date ...... 200 .199

---·· FOOD ESTABLISHMENT COM:PLAINTS

Food Est. Complaints Received for Report Interval ...... 12 17 Food Est. Complaints Received for Year-To-Date ...... 44 45

FOOD PRODUCT INQUIRIES

__---.~.F .o-Od-::g_:mdu.-Gt--fuGJ:~S-R-€G&i.:v-&i-fer-Repe-rt-mteff-a:1: ...... :.-:~.--:: ...... 1 0 Food Product Inquiries Received for Year-To-Date ...... 1 1

-17- 113 FOOD ESTABLISHM:ENT PLAN REVIEWS

Plans Received For New/Remodeled Food Est. for Report Interval ...... 7 4 Plans Received For New/Remodeled Food Est. for Year-To-Date ...... 30 16

PRIVATE SEWAGE DISPOSAL PROGRAM

Permits Issued for New Construction for Report Interval ...... 8 15 Permits Issued for New Construction for Year-To-Date ...... 20 21

Permits Issued for Repairs or Additions to Existing Systems for Report Interval...... 2 3 Permits Issued for Repairs or Additions to Existing Systems for Year-To-Date ...... 4 9

Permits Issued for the Replacement of a Previous Legal System for Report Interval ...... 2 6 Permits Issued for the Replacement of a Previous Legal System for Year-To-Date ...... 3 7

Permits· Issued for the Replacement of a Previous Illegal Syster;n for Report Interval ...... 12 7 Permits Issued for the Replacement of a Previous Illegal System for Year-To-Date ...... 16 8

Permits Issued for Systems Probed by Sanitarians for Report Interval ...... 0 0 Permits Issued for Systems Probed by Sanitarians for Year-To-Date ...... 0 0

Permits Issued for "Information Only" Systems for Report Interval ...... 1 3 Permits Issued for "Information Only" Systems for Year-To-Date ...... 4 3

Permits V aided for Report Interval...... ~ ...... 1 1 Permits V aided for Year ...... 1 1

Total Private Sewage Disposal System Permits Issued for Report Interval ...... 26 35 Total Private Sewage Disposal System Permits Issued for Year-To-Date ...... 67 49

. Septic System Evaluations Received and Reviewed for Report Interval ...... J······ 50 51 Septic System Evaluatio:ris Received and Reviewed for Year-To-Date ...... 128 109

Licensed Private Sewage System Installers for Report Interval ...... 1 0 Licensed Private Sewage System Installers for Year-To-Date ...... 26 29

2015 2014 ----b-i:eensecl-P-ri-v-ate-8-ewag~s-y-s-t-em-P.1::l:EB:per-s-fe-r-Repert-mt-erval ...... 0 0 Licensed Private Sewage System Pumpers forYear-To-Date ...... 17 14

-18- 114 PRIVATE SEWAGE SYSTEM CO:MPLAINTS

Private Sewage System Complaints for Report Interval ...... _::·~~~::=:::::::·· I 1 --Private Sewage System-CoriipTamtsT6r-Year-To-Date ...... 6 1

OTHER SEWAGE RELATED CO:MPLAINTS

Other Sewage Complaints Received for Report Interval...... 0 0 Other Sewage Complaints Received for Year-To-Date ...... 2 1·

POTABLE WATER PROGRAM

Private Water Reports Sent Out for Report Interval ...... :...... 23 44 Private Water Reports Sent Out For Year-To-Date ...... 106 107

New Non-Community Water Supplies for Report Interval ...... 1 1 Non-Community Water Supplies Year-To-Date ...... 31 32

WATER WELL PROGRAM

Water Well Permits Issued for Report Interval ...... 12 12 Water Well Permits Issued for Year-To-Date ...... 28 16

Abandoned Water Wells Properly Sealed for Report Interval ...... 8 13 Abandoned Water Wells Properly Sealed Year-To-Date ...... 14 18

------

GEOTHERMAL EXCHANGE SYSTEM PROGR.A_l\1

Geothermal Exchange System Registrations for Report Interval...... 9 4 ------

-19- 115 TANNING FACILITY INSPECTION PROGRAM

Number ofiDPH Licensed Tanning Facilities in McLean County ...... 15 16

SOLID WASTE, NUIS:.I\NB-ES, PEST CONTROL AND OTHER-E-N¥IR:ON.MENTAL COM:PLAINTS

Complaints Received for Report Interval ...... 8 8 Complaints Received for Year-To-Date ...... 10 16

May-June 2015 05/11

-20- 116 Maternal Child Health Services Division July 8, 2015 Board of Health Meeting Highlights for May- June 2015

Staffing: • Katie Phillips 0/lf!C nurse) transferred to CD on May 26 and Chrystal Hernandez (FCM nurse case manager) transferred to the Juvenile Detention Center on June 29 and Karen Bressner (WIC OSS I) transfeFFee-teEnvironmental Health on June 29, 2015. • The division said good bye to Alana Scope! 0/lfiC nutritionist) on May 4 and Angela McCrary (FCM nurse case manager) on June 2, 2015. • The division welcomed Caroline Moss (WIG nutritiorrist) to the.W!C program on June 1, 2015.

All Our Kids (AOK) Network: • Maureen Sollars (AOK Program Coordinator) was asked by the State AOK Coordinator to participate in the ABLe Change Pilot Project and act as a mentor along with another local agency AOK Coordinator and the State Coordinator for the newer AOK Coordinator at South Chicago Metro. If successful, a second mentor project will begin in January 2016. Goals of the project are (1) to develop a common language and tools, (2) to assist the new coordinator in building capacity within their network and (3) align efforts through common training and technical assistance. ABLe Change framework is a conceptual tool utilizing simple rules for promoting systems change by: engaging in diverse perspectives; thinking systematically to target underlying systemic conditions causing the problems; implementing change effectively by assessing and building a climate for implementing the proposed strategies; incubating change such as fostering small actions across multiple community layers as well as leveraging systemic feedback loops to reinforce the change; adapting quickly through an ongoing and dynamic process of identifying and quickly responding to emerging problems and opportunities; and pursuing social justice to understand disparities in outcomes and opportunities and tackling the inequities that exist.

HealthWorks Lead Agency (HWLA): • Brian Goodwin, Health Policy Administrator from the DCFS Office of Health Policy, used HWLA of Mclean County as an example during the June 1 downstate phone conference; he remarked that we have a good system to verify if a child is still seeing the documented physician as their PCP. Mandy McCambridge (HWLA OSS I) sends a list to each office of the children that we have as using that office on a quarterly basis. If the list is not correct, the office will contact Mandy with corrections.

A day in the life... HealthWorks Lead Agency: Marie McCurdy (Health Works Lead Agency Coordinator) and Sabrina Lawrence (FCM Medical Case Manager) were instrumental in assisting a substitute care giver (SCG) in getting her foster child's broken arm set. The child was sent home from the hospital without getting her broken arm set because the hospital was waiting for permission from DCFS. The accident had occurred on Wednesday and the child was taken for treatment that day but permission had not been gained; no one had talked with the SCG yet on Thursday and the DCFS caseworker was out of the office for the day on Thursday. The SCG called Marie Thursday afternoon to ask for her assistance. -Marie maaecaHs to fhe local office. It appeared that the ch.ild would have to wait until at feast Friday to have her arm cared for as local staff were not available to assist with granting permission for medical treatment. Marie and Sabrina made numerous called to DCFS to reach out to the appropriate DCFS staff to get the permission necessary to allow the child to receive treatment. By the time Marie and Sabrina left at 4:30 on Thursday, permission had been received and by 5:45pm Thursday evening the arm had been set. The SCG was very thankful for our assistance.

Special Supplemental Nutrition Program for Women, Infants and Children (WI C) and Family Case Management {FCM) & Better Birth Outcomes Program {BBO): • Karen Miles Jones 0/lf!C OSS f) came up with an outreach idea to target daycare centers. She developed a display showing the foods available on a typical toddler package and savings

-21- 117 associated with receiving WIC over a year's time. She plans to rotate the display every two weeks to a different daycare center to reach as many eligible clients as possible. • Sarah Berglund (Breastfeeding Peer Counselor) was personally invited by the state breastfeeding coordinator to attend the WlC breastfeeding leadership conference fn June. She was one of three local agency peer counselors invited to attend because 'she is a recognized leader during the breastfeeding peer counselor activities.' • The WIC and FCM programs collaborated to keep clinic open through the lunch hour in the month of June. In the 17 days that they piloted the noon hour staffing, 59_ participants received WIC benefits. Several clients voiced that the noon hour was the only time during the day that fit with their work schedule. The programs suspended the noon hour staffing at the end of June until both programs are fully staffed again.

• FCM and WIC have coordinated outreach efforts; newly seen around town on the curb side of a Connect Transit bus is an ad promoting the WIC and FCM programs to support healthy pregnancies, healthy babies and healthy kids as seen in the photo above. In addition, five busses will feature interior ads and 100 outreach posters will go out into the community in coming weeks to promote the programs.

A day in the life ... MCH Clinic: A postpartum mom presented to clinic with her 2 month old infant and a toddler at 3:40pm in mid-June. The mom told the front desk staff that she didn't have time to wait and couldn't stay long, thinking she only had to pick up WIC coupons. The family's WIC benefits had expired so all would need to be certified before additional benefits could be given. The mom was very unhappy with this news and asked "why government programs have-to beso-diffictllt?" Two WIC OSS prepared charts and completed the intake in 10 minutes. As they were moving her from intake to an exam room, the mom asked about Regional Office of Education and what time they closed. The front desk OSS called and discovered they also closed at 4:30 and mentioned that she needed to be up there before 4:15 in order to be seen; it was now 3:50pm. Since ROE took precedence for the woman, she left clinic with the instructions that she would still be seen in WIC if she could return by ______,4_,__: 1,_,5,_,t.h.at g_gy__,_A_14_:_1§_,__~be still had not_returned §!l_d t[ie clinic door was locked for the day. However, WIC staff remained close by to watch for her if she returned before 4:30, not wanting the children to go without food benefits. At 4:16, the mom returned, found the door locked and not seeing the WIC staff, fell to the floor in a defeated heap. The OSS went and. unlocked the door, mom was sobbing on the floor. The OSS helped her up and gather her belongings and took her back to an exam room to finish the appointment. The mom thanked the WIC staff several times for helping her. -22- 118 COMMUNITY HEAlTH SERVICES DIVISION Board of Health Report For July 8th, 2015

Highlights and Service Trends:

Community Health:

Dental Program: . • Grant Application: staff applied, for the first time, for a Delta Dental Wisdom Tooth Grant ($100,000 over a 2-year period) on 5/13/15. Funding from this grant would have assisted with contract costs and supplemented outreach events. • Adult Dental: The state's fiscal crisis and budget impasse has left it unclear regarding the coverage of dental care for adults on Medicaid. The FY'16 year began 7/1/15. • Children's Dental: MCHD was once again awarded a Dental Sealant grant ($8,600) which allows MCHD, through a contract with Orland Park Dental Services (OPDS), to apply sealants on vulnerable teeth of eligible children at their school.

• Immunizations

II • Private Insurance Billing: Blue Cross/Blue Shield continues to be the primary insurance for the majority of clients; others include Health Alliance, Cigna and Health Link. In the first 5 months of 2015, 3-6 requests per month for titers were received from clients to assess need for measles, mumps or rubella vaccination.

• Vaccines for Adults (VFA): By June 2015, the IL Department of Public Health (IDPH) issued final procedures for how to order and maintain inventory for the new VFA vaccines. Through Federal 317 funding, this new IDPH initiative offers free vaccine to local health departments to administer to individuals who are under-insured or not insured for immunizations. Health departments may still charge a vaccine administration fee (either $16.00 or $23.00).

• Community Outreach Program

• Fall Flu Clinics Promotion: Prior to the end of the school year, contact was made with the Regional Office of Education, school nurses and other contacts to encourage bqoking flu clinics at their schools for the fall of 2015. These contacts resuf~ed in the booking of 28-30 clinics already, well ahead of 2014.

• Other new activrties: occurring over late spring and summer include: • Participation in a high school freshman orientation event to promote MCHD services; • Provision of back-to-school irr1munizations at a high schpol registr:atiQn_e-"LentJn_/tugust; • "Pop-Up" events (1 per week) to promote "f am Public Health": this activity has received national attention from the National Association of City and County Health Officials (NACCHO); • Outreach to children through several mechanisms: 1) using an Emergency Preparedness intem and AmeriCorps Member to provide educational activities to groups of children at various venues throughout the summer; and, 2) using Health Promotion staff and others to ------rprovi-aeeaucationalacfivftles at 4IJistrict 87 summer lunch sites. • Promotion of immunizations and other MCHD services at the Sugar Creek Arts Festlval on Saturday, July 11th, 2015.

-23- 119 Personnel: • Personnel changes since first quarter: • New hires: • Kara Donaldson, OSS-1, Community Health Services (3/30/15) • Daniefle Wolfe, OSS-1, Dental (4/9/15) • Michele Bar, RN, to Communicable Disease Program (5/4/15) • Transfers: Katie Phillips, RN, from WIC to Communicable Disease (5/26/15) • Resignations: Melissa--Graver:~,f{N (4/3/15); Rode! Desamu-Thorpe, M9-f6/-1-2:-f15}

Communicable Disease:

• HIV: a grant proposal for a new Quafity of Life (QOL} grant was submitted early in 2015 for $75,000. At the end of June, MCHD was notified that it was awarded the grant, which provides for additional testing services for high risk men. A site review was conducted by state QOL personnel on 5/28/15. Staff members assigned to QOL were commended for their efforts; in addition it was noted that QOL clients demonstrated a positivity rate of over 10%-indicating that staff was able to bring in the targeted high risk clients for services. This rate was an increase over the 2014 QOL rate of 5.7%. State expectations are for a 3-4% rate. • Hepatitis C Surveillance Project: Since the project was instituted in May 2015, approx. 40 clients have received free testing using IDPH-supplied rapid screening tests. • Ebola: MCHD remains ready to provide active monitoring as needed. Several active monitoring clients were identified by !DPH this spring but did not remain in Mclean County to be monitored. • INEDSS: 2 new CD staff members received training in June by IDPH on Illinois' version of the National Electronic Disease Surveillance System.

PH Emergency Planning and Response (PHEPR) Program:

• Ebola: Staff continue to produce a weekly Incident Action Plan (lAP} for the Ebola response, attend webinars and read JDPH and CDC alerts regarding this ongoing outbreak. • Interns: 2 unpaid interns are working in the Public Health Emergency Planning and Response Program throughout the sumn1er to support program activities within the building as well as at outreach events. • Summer Outreach: Outreach to children is occurring this summer to promote emergency preparedness awareness through staff (employees, intern, and AmeriCorps Member) presence at VBS events, school lunch sites, and other venues.

Administrative Activities:

• !PlAN/Community Assessment Collaboration Efforts: Several meetings in April- June 2015 took place with representatives present from both local hospitals, the United Way, and other community stakeholders to work towards the development of one community needs assessment during 2015/2016, followed by the creation of a community health plan by July of 2016. • Implementation of a new electronic medical record (EMR): throughout April- June 2015, CHS and MCH staff have been receiving demonstrations and trainingfh the use of a new ErvrR-;ezETVfRX\vendor: COP} to be installed on July 9th. The conversion has required the purchase of additional equipment and licensing of all users. The use of an EMR

-24- 120 Attachment A DIRECTOR'S REPORT July, 2015

1. Attachment B. is an Emergency Amendment whereby the Board of Health was asked to amend FY15 Drug Court contracting with Chestnut Health Systems to reallocate funding directed to drug court services to provide local compensation of unreimbursed start-up costs in the provision of the crisis stabilization facility. In the emergency request, the Board of Health was notified that alternative funding for drug court services ---concurrent with the start-up of the new community crisis stabilization/medical d-efox unit is available. Conversely, Chestnut Health Systems was notified by the State of Illinois that start-up costs for the new unit were not included in the original grant supplied for the intended purpose. Since it was determined by the Board of Health that the Crisis Stabilization Unit was a key element of an improved mental health services plan for Mclean County and the fact that alternative funding has become evident to support current and future drug court services, the Executive Committee of the Board of Health made the determination that this emergency appropriation met the best needs of the community for current and future mental health needs. Item for Action, Old Business. Staff recommends approval of the Emergency Appropriation.

2. Attachment C is a copy of a Resolution of the Mclean County Board creating the Mclean County Behavioral Health Coordinating Council. The County Board Chair shall convene a Behavioral Health Coordinating Council (BHCC), comprised of a diverse team of leaders and decision makers from multiple agencies within the Community such as healthcare, housing, social services, education, justice and government, regularly to assist the County Board in establishing community vision and policy decisions relating to behavioral health services, developing measurable outcomes, and identifying state and local policy and funding barriers to providing behavioral health treatment and support in the community. Item for Information, Old Business.

3. Attachment D. is a listing of all new contracts and grant applications requiring Board action that have been received or submitted since the last Board of Health meeting on May 13, 2015. Six new contracts and one renewal application are on file for this reporting period. A summary of changes are listed at bottom of Attachment D. New Business, Items for Action. Staff recommends approval of the 6 new contracts and 1 application.

4. Attachment E is an excerpt from the NAMI White Paper entitled Making the Case for Funding and Supporting Comprehensive, Evidence-Based Mental Health Services in Illinois. The full white paper is available upon request. The bottom line is Governor Rauner's proposed 2016 budget cuts, if approved, will further strain our already fragile mental health system and will result in a significant number of local individuals living with serious mental illness to lose psychiatric, care coordination, and housing supports. One local example is the CHS Psychiatric Leadership Capacity Grant is targeted for elimination to the tune of $353,000. This program enables community mental health agencies to hire psychiatrists who can't afford the low Medicaid reimbursement rates that have not been raised since 1996. Item for Information, Old Business.

5. Attachment F is a copy of the Ten Essential Public Health Services and a listing of examples of how the Mclean County Health Department currently works on satisfying each of the elements. The plan is to conduct an introductory session on the public health system in order to more clearly define the objectives that are being proposed as part of the new strategic directives for coming 5-year period. This introduction to the Essential Services and their relationship to the Three Core Functions: Assurance, Policy Development, and Assurance will act as the backdrop for our ongoing discussion and development of the 2015- 2019 Strategic Plan. It is important to understand the components of the public health system and how they work together to improve our community's health. Item for discussion, New Business.

Ten Essential Public Health Services

Monitor and Evaluate health status to identify community health problems It is essential for public health organizations to monitor and evaluate the health status of populations in order to identify trends and to target health resources. Components of this service include: utilization of appropriate tools to interpret and disseminate data to audiences of interest; collaboration in integrating and managing public health; and accurate and periodic assessment of the community's health status. Specifically, public health 121 organizations can monitor and evaluate the health status of their populations by creating a disease reporting system, community health profiles, and health surveys

Diagnose and Investigate health problems and health. hazards in the community In order to appropriately allocate public health resources, it is essential to diagnose and investigate health problems and hazards in the community. Components in this service include: population-based screening of _____diseases; access to public _h~3:!!g_labora!Q!i~~ <:;apable of completing rapid screening ~d high volume testing; and epidemiologic investigations of disease outbreaks and patterns of disease

Inform, Educate, and Empower people about health issues Once public health priorities have been established through monitoring and investigation of health problems in the community, educational activities that promote improved health should be disseminated. Components in this service include: both the availability ofhealth information and educational resources and the presence of health education and health promotion programs.

Mobilize community partnerships to identify and solve health problems Public health organizations on the local, state and national level can mobilize community partnerships to identify and solve health problems. Components of this service include: building coalitions to utilize the full range of available resources; convening and facilitating partnerships that will undertake defined health improvement projects; and provide assistance to partners and communities to solve health problems. Of particular importance is identification of potential stakeholders who will contribute to or benefit from public health activities

Develop Policies and Plans that support individual and community health efforts Policies can be effective in modifying human behavior and reducing negative health outcomes. Components in this service include: development of policy to guide the practice of public health; alignment of resources and strategies for community health efforts; and systematic health planning strategies to guide community health improvement.

Enforce laws and regulations that protect and ensure public health and safety It is important that individuals and organizations comply with existing laws and regulations in order to ensure the overall health and safety of the general public. Components of this service include: reviewing, evaluating, and revising laws and regulations put in place to protect the health and safety of the public; educating persons and organizations about these laws and regulations to improve compliance and encourage enforcement of them; and enforcing actions that protect the health of the public (e.g., protection of drinking water; enforcement of clean air standards; enforcement of laws prohibiting the sale of alcoholic and tobacco products to minors, of laws concerning seat belt and child safety seat use; mandating childhood immuni~atis>Il.~; facilitating timely follow-ups in the event of hazards and outbreaks of exposure-related diseases; monitoring quality of health services; conducting the timely review of new drugs, biologics, and medical devices; ensuring food safety; and enforcing housing and sanitation codes).

Link people to needed personal health services and assure the provision of health care __when.otherwise unavailable ______----- Having access to care when it is needed is important in helping individuals prevent and avoid unfavorable health outcomes and medical costs. At the local level, components ofthis service include: identifying populations that face barriers to accessing health services and addressing their personal health needs, assuring the linkage of these populations to appropriate health services by coordinating provider services, and developing and implementing interventions that address the barriers they face in attempting to access care. At the state and 122 governance levels, components of this service include: assessing access to and availability of state health services; partnering with public, private, and non-profit sectors to provide a coordinated system of health care; assuring access to this coordinated health care system by using outreach efforts that link individuals to the health services they need; developing and implementing a continuous improvement process to assure the equitable distribution of resources for those in greatest need of these services.

Assure a competent public and personal health care workforce Health care workers and staff who are competent (i.e., skilled in the core principles of public health practice) are more likely to provide care and other services more effectively and efficiently compared to those who are not. Components of this service include: making sure that the workforce meets the health needs of the population, maintaining public health workforce standards by developing and implementing efficient licensure and credentialing processes and incorporating core public health competencies into personnel systems, and adopting continuous quality improvement methods and long-term learning opportunities for public health workforce members.

Evaluate Effectiveness, Accessibility, and Quality of Personal and Population-Based Health Services Given scarce resources, it is important to keep track of whether or not programs and/or policies end up producing intended outcomes. Components of this service include: assessing the accessibility, quality and effectiveness of services and programs delivered; providing policymakers with the information they need in order to make well-informed decisions regarding the allocation of scarce resources; tracking efficiency, effectiveness, and quality of services analyzing data on health status and service utilization; and striving to improve the public health system's capacity to well serve the population.

Research for New Insights and Innovative Solutions to Health Problems Through research, the health and health care problems that individuals face can be better understood, and therefore be better and more appropriately addressed given the evidence provided by such research efforts. Components of this service include: fostering the development of a continuum of innovative solutions for health programming in terms of both practical field-based efforts as well as academic efforts, establishing a consortium of research institutions and other institutions of higher learning to encourage more collaborative and cross­ cutting efforts, and ensuring the public health system's capacity to perform timely epidemiological and health policy analyses.

----~------~---~----.~-~-·--

123 Attachment B

An EMERGENCY APPROPRIATION Ordinance Amending the McLean County Fiscal Year 2015 Combined Annual Appropriation and Budget Ordinance Fund 0112 Health Fund , Health Department 0061-0069

WHEREAS, the McLean County Board, on November 18, 2014, adopted the Combined Annual Appropriation and Budget Ordinance, which sets forth the revenues and expenditures deemed necessary to meet and defray all legal liabilities and expenditures 'to be incurred by and against the County of McLean for the 2015 Fiscal Year beginning January 1, 2015 and ending December 31, 2015; and

WHEREAS, the Combined Annual Appropriation and Budget Ordinance includes the operating budget for the Health Department 0112; and - I

WHEREAS, the ·community need for a mental health crisis residential unit was a.key element of the report completed by the County Board Mental Health Advisory Groups; and

WHEREAS, the Health Department 0061-0069 Drug Court Program has been advised that alternative funding for drug court services concurrent with the start-up of the new community crisis stabilization/medically monitored detoxification program in the State of Illinois 2015 Fiscal Year (SFY2015) and McLean County's Fiscal Year 2015 is available; and

WHEREAS, the McLean County Board acknowledges that the provision of the crisis stabilization/ medically monitored detoxification program facility is an asset to the community's behavioral health capacity and options related to Drug Court goals and objectives; and

WHEREAS, it is appropriate to reallocate funding directed to drug court services during SFY2015. and budgeted for the County's Fiscal Year 2015 to provide local compensation of unreimbursed start-up costs in the provision of the community crisis stabilization/medically monitored detoxification facility in Fiscal Year 2015; and

WHEREAS, the Finance Committee, on Wednesday, June 3, 2015, approved and recommended to the County Board an Emergency Appropriation to amend the Combined Annual Appropriation and Budget Ordinance for Fiscal Year 2015 to appropriate and budget this additional revenue in the Fiscal Year 2015 Adopted Budget; now, therefore,

124 ,,

(2)

BE IT ORDAINED by the McLean County Board as follows:

1. That the County Auditor is directed to amend the appropriated budget of the Health Fund 0112, Health Department 0061, Drug Court Services Program 0069:

ADOPTED AMENDED BUDGET CHANGE BUDGET 0112-0061-0069-0706.0005 Drug Court/Chestnut Health $196,393.00 ($196,393.00) $0.00

0112-0061-0069-0706.0002 Mental Health Services $0.00 $196,393.00 $196,393.00 Total $196.393.00 $ 0.00 $196,393.00

2. That the County Clerk shall provide a copy of this ordinance to the County Auditor, County Treasurer, Director of Health Department, and County Administrator.

ADOPTED by the County Board of McLean County this 16th day of June, 2015.

ATTEST: APPROVED:

Kathy='<~ Michael} clefkOthe~u'~ ~Matt Sorensen, Chairman County Board of McLean County, lllinois McLean County Board

125 Attachment -C

Resolution of the McLean County Board Creating the McLean County Behavioral Health Coordinating Council

Whereas, in February, 2014 the Chair of the McLean County Board created two advisory groups, one to identify community mental health needs, and one to identify best practices in community mental health services; and,

Whereas, upon completion of these two advisory group reports, a third advisory group was tasked to work with community members to develop short and long term action plans to improve County mental health services based upori the work of the previous two groups; and,

Whereas, on May 19,2015, the third McLean County Mental Health Advisory Group issued an Action Plan identifying significant challenges with the County's mental health system and making recommendations for significant improvements to the system; and,

Whereas, through the three separate advisory groups, numerous stakeholders have worked to develop plans, priorities and options for restructuring the public mental health system in McLean County; and,

Whereas, the Advisory Group's report, on May 19, 2015 recommended that the County Board of Health create a Mental Health Advisory Board to provide guidance and assistance to the Board ofHealth in the delivery of mental health services; and,

Whereas, the Advisory Group's report, on May 19, 2015 recommended that the County Board create a Behavioral Health Coordinating Council to assist the County Board in establishing a vision for the mental health system; and,

Whereas, The Community has made substantial changes in the last 12 months to improve services including the following: start-up of a Crisis Stabilization Center; utilizing a private­ public partnership to begin planning for a new Federally Qualified Health Center with behavioral health services; Board of Health initiation of improved reporting processes to track progress using data and information systems and to report on successes; and,

Whereas, despite these improvements, there continue to be gaps in service and a need to reconfigure the public mental health system in order to increase and improve services and conform to the Community's vision for mental health provisions; now, therefore,

BE IT RESOLVED,

1. That the County Board expresses its deep appreciation to participants of the Mental · ---~·····- -· --~- ~~--HealthAdvi-sory-Groups--fortheir-tremendems dedication and hard work; and,

126 2. That the County Board expresses thanks to the dedicated staff members who work to provide high quality services to people with mental illness in spite of many obstacles; and, ·

3. That the County Board expresses its gratitude to the County Board of Health for beginning the process to implement an Advisory Board for Mental Health Services to provide guidance and assistance in the implementation/delivery of those services.

4. Pursuant to County Board Rule 20-14 E(l), The County Board Chair shall convene a Behavioral Health Coordinating Council (BHCC), comprised of a diverse team of leaders and decision makers from multiple agencies within the Community such as healthcare, housing, social services, education, justice and government, regularly to assist the County Board in establishing community vision and policy decisions relating to behavioral health services, developing measurable outcomes, and identifying state and local policy and funding barriers to providing behavioral health treatment and support in the community.

PASSED AND APPROVED on this 16th day of June, 2015. By~.s;:_ Matt Sorensen Chair, McLean County Board

ATTEST: By:-'<:~~~ Kathy Michael~ · Clerk of the County Board of McLean County, Illinois

127 ATIACHMENT D

CONTRACTSIGRANT APPLICATION LIST BOARD OF HEALTH July 8, 2015

DOCUMENj TYPE FUNDING AGENCY FUNDING PERIOD NEW.OR RENEWAL PRIOR FUNDING NEW REQUEST TOTAL DESCRIPTION

1 CONTRACTi IDPH 4/01115-3/31/16 RENEWAL $38,841.00 34,678.00 Vector Surveillance Grant 2 CONTRACTj IDPH 7/01115-6130116 RENEWAL $8,600.00 8,600.00 Dental Sealant 3 CONTRACT! DHS 7/01/15-6/30/16 RENEWAL $1,000 $1,000 Farmer's Market 4 CONTRACT! DHS 7/01/15-6/30/16 RENEWAL $60,000 $60,000 HCCI 5 CONTRACl] DHS 7/01115-6/30/16 RENEWAL $436,402 $421,399 WIG 6 CONTRAC~ DHS 7101115-6130116 RENEWAL $31,600 $7,100 Peer Counselor (1 quarter)

I 7 APPLICATIONI IDPH 7/01/15-6/30/16 RENEWAL $5 .000 .00 10,000.00 Ticket For a Cure

1 IDPH Vector! Surveillance Grant has been reduced by $4,163 due to reallocation of used Tire Fund by State for alternative purposes. 2 Dental Sealljnt Grant remains at same level. 3 Farmers Manfket Grant remains at same level. 4 HCCI Grant emains at same level. · 128 5 WIG Grant is reduce by %15,003. This reduction was anticipated. Case load forWIC is down across the countyy and reduction is an attempt to aJsist with balancing the state budget. 6 Peer Couns~lor Grant reflects only 114 of year award. Balance of contract comes in October. 7 Ticket For a ~ure application is twice the current year award due to fact current contract only covered 6 month period and FY16 request is for full 12 months.

All contracts and/or grant applications may be reviewed in their entirety upon request. Attachment E

Excerpt from NAMI Chicago White Paper: Making the Case for Funding and Supporting Comprehensive, Evidence-Based Mental Health Services in lllinois.-----May 2015

NEW CHALLENGE: GOVERNOR RAUNER'S PROPOSED FY2016 BUDGET . Governor Rauner's proposed FY2016 budget cuts will further strain our already fragile mental health system. The proposed $1.5 billion cut to Medicaid-the largest source of funding for mental health services in Illinois-will further decimate the system and be devastating to people living with mental illness, including the thousands who are newly-eligible for Medicaid under the ACA. The governor's proposed cuts includes the $27 million cut to services that completely eliminates the Psychiatric Leadership Capacity Grant, the program that enables community mental health agencies to hire psychiatrists who can't afford the low Medicaid reimbursement rates that haven't been raised since 1996. This cut, along with proposed changes to the SMART Act to include psychotropic medications in the four-medications-per-month limitation, will make it even harder for people living with mental illness to get their medications. Other proposed mental health cuts include a $5.5 million cut to state psychiatric hospital services, and an $18.5 million cut to care coordination services.

Affordable housing options for people living with mental illness are in short supply, and if Governor Rauner's proposed cuts to housing services go through, housing options will dwindle down to next to nothing. The proposed $14.1 million cut to Supportive Housing Services means that 10,311 households-3,330 of whom are estimated to have at least one household member living with a mental illness-that were just recently housed will lose services and be at increased risk of experiencing homeless once again. If the $1 million cut to the Homeless Prevention Program is enacted, 2,474 individuals-792 of whom are estimated to be living with mental illness-will lose services and supports that help them live independently in the community. In all, nearly 4,100 people living with mental illness will be at increased risk for homelessness if these cuts to housing supports take place.

The take home message is this: If Governor Rauner's proposed budget cuts go through an estimated 16,533 individuals living with serious mental illness will lose psychiatry, care coordination, evidence-based mental health services and housing supports.

129 ATTACH:MENT :F

Mclean County Health Department Current Essential Public Health Service Activities

The McLean County Health Department (MCHD) monitors the health status of the community to identify and solve community health problems. MCHD currently fulfills this essential public health service by:

• Utilizing Illinois National Electronic Disease Surveillance System, syndromic surveillance tools, Illinois Project for Local Assessment of Needs (I PLAN) and other data sets, and the behavioral health plan to regularly monitor the community's health status and disease trends • Conducting a community health needs assessment (CHNA) and maintaining a Community Health Advisory Committee made up of key community stakeholders every 5 years as a component of I PLAN • Contributing to community needs assessments, such as those conducted by United Way of McLean County (UWMC), Advocate BroMenn and OSF St. Joseph • Beginning process of establishing a collaborative CHNA with Advocate BroMenn, OSF St. Joseph, and UWMC • Serving as the repository for all reportable communicable diseases through mandated reporting requirements • Staying aware of gap trends in the community by way of continual networking and participating in community coalitions, groups, and committees

·------~ ~- --- ~- ~- -- -~- ---·-----~~~~-~-·------..,--,...,------~-~~------~ ------~ _, ------· Essential Public Health Service #2: Provide Public Health Protection

- ~ ~- - MCHD diagnoses and investigate? health problems and health hazards in the community. MCHD currently fulfills this essential public health service by:

• Conducting arborvirus surveillance, as well as supplying public health risk reduction information and medical provider education in line with available state resources • Assessing the organizational impact of non-mandated services such as tanning facility inspection, West Nile virus surveillance, and grease trap manifest programs • Regulating on-site wastewater managementsystems-and inspecting private sewage disposal systems, water wells, abandoned water wells, non-community water systems; and geo-thermal exchange systems • Establishin a recreational water ordinance and conductin recreational waters stem ins ections

130 • Conducting routine restaurant inspections and maintaining scores on MCHD's website for public access • Regulating tanning facilities through inspection and subsequent approval • Planning for and responding to public health emergencies • Enforcing the Smoke-Free Illinois Act • Analyzing reportable disease data to identify trends and areas of concern ----- • Providing adult and child immunizations in effort to maintain a satisfactory level of herd immunity • Conducting communicable disease testing (HIV, STD, TB, Hepatitis C) and investigation, as well as providing services to those tested as positive to reduce transmissior:J of disease • Providing preventive dental health services to children and pain control measures to adults of low-income families • Providing low-income families with nutrition education and access to nutritious foods through the Women, Infants & Children Nutrition, Education & Supplemental Food Program (WIC) • Providing services to at-risk pregnant women to improve birth outcomes • Conducting screenings such as vision, hearing, and lead • Providing genetic consultation services for families with concerns of inherited conditions • Providing technical assistance to child care providers to assure safe and healthy learning and growing environments • Providing community-wide risk reduction and preventive education programming covering a variety of health issues such as asthma, breast health, tobacco, oral health, nutrition, and HIV/AIDS • Maintaining a proactive website and utilizing social media and traditional communication methods to regularly disseminate public health information and positive health messages to the community at-large

I ' I -·) Essential Publi~ Health Service #3: Provide Information Needed to Make Healthy Choices 1 ~-~-~ MCHD informs and educates people about health issues and empowers people to make healthy choices. MCHD currently fulfills this esse.ntial public health service by:

• Conducting health education programming throughout the community under the provision of current gr~nts • Advocating for policy, system, and environmental change to improve the community's health landscape such as smoke-free parks and smoke-free multi-unit housing • Promoting MCHD and public health practice through the "I am Public Health" campaign • Engaging in risk communication efforts as part of MCHD's emergency public health preparedness function • Conducting community-wide campaign to empower individuals to make healthy choices such as West Nile Virus 0JVNV) protection, immunizations for children and adults, getting children to the dentist by the age of 1, and obesity prevention • Expanding and coordinating the County Government Employee Wellness Program • Utilizing social media, website, radio, newspaper, billboards, TV commercials, bus advertisements, and other communication methods to disseminate information needed to make healthy choices

'------' Essential Public Health Service #4: Engage the Community in Identifying and Solving Health :

' Problems 1

~- - ~ ------~ ---- -~- - -- - ~~------~------~- -~------~ ------~ __,_- --- -....l MCHD mobilizes community partnerships to identify and solve commuhTtynealffi proolems. MCHD currently fulfills this essential public health service by:

• Expanding community outreach services to the private sector such as providing flu shot clinics at schools and local businesses/organizations • Engaging a wide-variety of community stakeholders in the development and implementation of I PLAN

______._.::.:M"':-'a='in.c..:t:::.:a:.c-in~ing active memberships in professional public health associations such as IPHA, Illinois Association 1 of Public Health Administrators (IAPHA), and American Pu6Hc Health Association (APHA) • Participating in local coalitions, workgroups, and committees addressing local health issues • Facilitatin the All Our Kids Network AOK and Mclean Count Asthma Coalition

131 • Working with Accountable Care Entities and Managed Care organizations to better serve county residents • Holding open Board of Health meetings • Engaging local employers, including school districts, in public health by supplying onsite immunization clinics • Creating and maintaining a question and response component of the website

------~------• ------~------~------1 Essential Public Health Service #5: Develop Public Health Policies and Plans

------~-~------~------~------~------~------~------___ _. MCHD develops policies and plans that support individual and community health efforts. MCHD currently fulfills this essential public health service by:

• Engaging in selected public health policies, as warranted • Reviewing legislative reports provided by IPHA and advocating for legislature supporting public health's and MCHD's mission • Developing a community health improvement plan involving key community stakeholders every five years • Beginning a partnership with Advocate BroMenn, OSF St. Joseph, and UWMC to develop a collaborative community-wide and community-owned health improvement plan • Annually reviewing needed revisions of local public health-related ordinances • Maintaining active memberships in professional public health associations influencing local and statewide policy such as IPHA and IAPHA

1 Essential Public H~al~b Service #6: Enforce Public ~ealth Law and Reg~ I I I

MCHD enforces laws and regulations that protect the health of the public and ensure safety. MCHD currently fulfills this essential public health service by:

• Acting in the role as delegate agent of Illinois Department of Public Health (IDPH) to enforce state public health laws • Enforcing over 28 statutes, rules, and ordinances to reduce the incidence of food-borne illness, disease. transmitted by improperly disposed sewage or contaminated drinking water, and regulate tanning facilities • Implementing revisions to food code as needed • Implementing changes brought about through Illinois Environmental Protection Agency requirements for National Pollutant Discharge Elimination System coverage and revised state sewage code • Educating key stakeholders on changes brought about in state and local statutes/rules/codes pertaining to public health • Acting as the information and enforcement agent for the Smoke-Free Illinois Act • Enforcing communicable disease control statutes

------¥ ------< - ' Essential Public Health Service #7: Help People Receive Health Services

MCHD links people to needed personal health services and assures the.prmtJsion_oLhealtb_care when otherwise unavailable. MCHD currently fulfills this essential public health service by:

• Expanding community outreach services to the private sector such as providing flu shot clinics at schools and local businesses/organizations • Delivering assertive maternal and child health programming: WIC, Family Case Management (FCM), AOK, HealthWorks, and Child Care Nurse Consultant ---1--GeAtiAUiAg-ssr-eeniRg-ser-v:ices-witl:liR-bouRds-oUllinois-Depaliment of Health and Family Services resources • Cultivating the medical network serving medically indigent women and children • Monitorin the medical! indi ent o ulation and assistin individuals with access to healthcare covera e

132 • Providing preventive oral health care to children and pain control measures to adults on Medicaid • Keeping service costs low by subsidizing costs with local tax resources and federal claiming funds • Accepting public and private insurance to cover service fees • Aggressively pursuing outside resources to provide expanded programming • Providing transportation vouchers and paying travel costs for FCM - Better Biftnoatcomes participants to eliminate transportation as a barrier to service • Referring and connecting participants to other local resources and services • Utilizing social media, website, text messaging, radio, newspaper, billboards, TV commercials, bus advertisements, and other communication methods to increase awareness of MCHD's available services

Essential Public Health Service #8: Maintain a Competent Public Health Workforce

------~ ------~ ------~ - - -- ~ ------~ MCHD assures a competent public and personal healthcare workforce. MCHD currently fulfills this essential public health service by:

• Providing continuous staff development through in-service trainings and drills/exercises • Assessing the need for additional human resources and adaptations in the service delivery model as the health landscape evolves • Reviewing physical facilities and determining changes needed to meet the current service demand • Sending staff to mandated and non-mandated trainings/conferences • Supporting on-site training and the development of the public health workforce by hosting Mennonite College of Nursing externs and public health interns • Discussing and demonstrating additional resources needed to support and retain a competent public health workforce

- -...,~ - -- ~ ------~ ------~ - ,-,--.------~- ----r------Essential Public Health Service #9: Evaluate and Improve Programs

. - - "- - - ~ - - - - MCHD evaluates the effectiveness, accessibility, and quality of personal and population-based health. services. MCHD currently fulfills this essential public health service by:

• Regularly exploring additional outcome evaluation processes • Maintaining and analyzing program statistics in order to improve program performance and quality assurance • Implementing pre- and post-test evaluations to determine effectiveness of health promotion programming • Satisfying the state's measures under the Local Health Protection grant and Department of Human Services programs • Continuing to work with stakeholders to demonstrate the effectiveness of community programs

r-~-~~c~~~c-~~~~~~---_ -~--~_ ~~~---~~~...... ,- ----~ ------~---~'! i e$s~Atial Pu:f:llie Heallh S~,moe #:If()~ eontrim,lte tQ and ~"'PI'¥ lh~ Evidene~ Bas~ Q;f J?'ltblic Health ] ~-- ~~~---~-~c.':_--~~---~· ------~-~~---- -~~~--- -- ~-·-• ~----~-~- ~~---- ______d MCHD researches new insights and innovative solutions to health problems-.-MGI=ID-GUI"I"ently fulfills this essential public health service by:

• Researching and utilizing evidence-based practices in the development and implementation of public health programming • Continually strengthening relationships with local universities and other institutions conducting research on local public health ·-tJtrlizing-college"'level-co~:~rses-and-gr-adttate-stw:lents-te-eenduet research projects on behalf of MCHD

133 OFFICE OF THE ADMINISTRATOR

(309) 888-5110 FAX: (309) 888-5111

115 E Washington St, Room 401, Bloomington, IL 61701

July 27, 2015

To: Honorable Members of the Executive Committee, Finance Committee, Land Use and Development Committee, Property Committee, Transportation Committee, Justice Committee, and Health Committee

From: Bill Wasson, County Administrator

Re: Positions filled from June 21 – July 25, 2015

Department Oversight Committee Position Number of Hires Health Department Health Network Specialist 1 Circuit Clerk Justice Office Support Specialist I 1 County Sheriff Justice Office Support Specialist I 1 Public Defender Justice Legal Assistant I 1 MetCom Justice Telecommunicator 1 Building Maintenance Facilities/Maintenance Property Worker 1 Nursing Home Property Social Services Assistant 1 Nursing Home Property Registered Nurse 1 Nursing Home Property Licensed Practical Nurse 2 Nursing Home Property Accounting Specialist I 1 Nursing Home Property CNA 3

134 RECEIVED nnrnnri:>tinn Transfer JUL 1 7 2015

AUDITOR 'S OFFICE

Fund: 0112 Department: Health Department Date: 7/15/2015 8J9!~

0061 -0111 10503-0001 Full-Time Employee Salary $11 ,75o.ooii0061-0111 1o515-ooo1 Part-Time Employee Salary $11 ,750.00 135

Reason for the overdraw and resulting need to transfer funds: (Identify overdraw/transfer explanation by numbering to correspond with transfer listed above.) Due to staff turn-over part-time employees have been used to fill in until vacancies are filled . Also, an employee that was originally budgeted as full-time is now part-time.

*Signature of a Department Head is required. dJ/1;~v v ------r Signature of Department Head ,i':~:; rc"crt· ... . iVED ! ~ '· ~~ .J L- nnrnnri:>tinn Transfer JUL 2 1 2015

/\UDITOR'S OFFICE Fund: 0112 Date: 7/20/2015

$4 ,905.00

136 1 p 1 pitalized Assets 1 $24,7oo.oo l oo61 -oo64 11s-ooo1 chooling & Conferences $2 ,080.00 0061-0064 0750-0004 oftware License Agrmt $10,475.00 ~----+------~------~----~ 706-0001 ontract Services $12 ,145.00

0061-009610850-0001 pitalized Assets $5,225.00 Schooling & Conferences $440.00 Software License Agrmt $2,216.00 ontract Services $2,569.00

1 1 50-0001 1 apitalized Assets 1 $7,600.00 1 0061-0111 0718-0001 Schooling & Conferences $640.00 0061 -0111 ~750-0004 Software License Agrmt $3 ,224.00 ~----~------4------~------~ 0061-0111 0706-0001 r.ontract Services $3,736.00 Reason for the overdraw and resulting need to transfer funds: (Identify overdraw/tra nsfer explanation by numbering to correspond with transfer listed above.)

In 2015 the Health Department budgeted $50,000 to purchase an Electronic Medical Record Syste~. arly 2015, the Illinois Public Health Associated purchased an EMR system and leased it to local health departments. Therefql}3 i ~1k ad of purchasing the software/program we are leasing it on a monthly basis and need to transfer the funds from Cc/AitM ~ szdss ttJ Contractual Services.

*Signature of a Department Head is required.