Approved 9/13/99

HUMAN SERVICES COMMITTEE

August 16, 1999

Minutes

Members Present: Anne Smiley, John Czarnecki, Mary Stid, Michael Severino and

Alfreda Schmidt

Members Absent: None

Others Present: John Neilsen, Paul Pratt, Bruce Bragg, Marcus Cheatham, David Johnson

The meeting was called to order by Chairperson Smiley at 7:16 p.m. in Conference Room C of the Human Services Building, 5303 South Cedar, Lansing.

Approval of the July 19, 1999 Minutes

MOVED BY COMM. STID, SUPPORTED BY COMM. CZARNECKI, TO APPROVE THE JULY 19 MINUTES AS CORRECTED. MOTION CARRIED UNANIMOUSLY.

Additions to the Agenda: None

Limited Public Comment: None

MOVED BY COMM. STID, SUPPORTED BY COMM. SEVERINO, TO APPROVE A CONSENT AGENDA FOR THE FOLLOWING ITEMS:

1f. Resolution to Authorize an Agreement with MSU WKAR-TV

h. Resolution to Authorize a Letter of Understanding with the Ingham Intermediate School District "Early On" Program

I. Resolution to Authorize a Grant from the Capital Region Community Foundation

k. Resolution to Authorize an Amendment to the Teen Parent Program Grant Agreement with the Family Independence Agency to Extend the Agreement through September 30, 1999

l. Travel Report, Second Quarter

MOTION CARRIED UNANIMOUSLY.

MOVED BY COMM. STID, SUPPORTED BY COMM. SEVERINO, TO APPROVE THE ITEMS ON THE CONSENT AGENDA. MOTION CARRIED UNANIMOUSLY.

1. Health Department

a. Presentation by Dr. David Johnson, Chief Medical Executive for Michigan Department of Community Mental Health Regarding Health Issues

Dr. Johnson stated that several lead members of the Department of Community Health (DCH) have been visiting with Boards of Health around the State, or their equivalent bodies, in an effort to increase communication between the DCH and local department leaderships. He then reviewed information contained in a packet which he distributed to the Committee.

Dr. Johnson reviewed the local health department Accreditation Goals and Objectives. The categorical funding streams noted in the information have quality assurance requirements. The requirements have meant a multiplicity of on-site reviews on an almost continuous basis. Michigan's Department of Community Health is trying to condense those reviews and administer them in a process once every three years. Dr. Johnson explained the review process. Ingham County's Health Department will receive a Self-Assessment in August 2000. The Assessment is to be returned to the DCH in four months. Two months after the Assessment is returned, the appropriate State Agencies will conduct a one-week on-site review. A report will be developed and disseminated to the Commission and the LHD. The Commission will make recommendations to MDCH, MDA and the MDEQ. These agencies will then determine the accreditation status.

In response to Comm. Schmidt, Dr. Johnson explained that plans have not been made to include dental services in the accreditation process. Dental services are not considered to be one of the core programs in the DCH. He further explained the accreditation process to Comm. Stid. Departments who have been through the process agree that there is work involved with the process. However, they believe the process will assure that the health departments are on target with the intended goals.

Mr. Bragg stated that he has received information regarding the accreditation process. He believes the process will involve a tremendous amount of extra work for the Health Department. Mr. Bragg also stated he believes the process will help the Department in some ways. In other ways, the process will generate a lot of paperwork. Dr. Johnson explained that the process will be refined over the next year to address the concerns of the local health departments which have completed the process.

In response to Comm. Czarnecki, Dr. Johnson stated he would consider two basic factors in measuring health care in Michigan. The factors are life expectancy and years of potential lives lost. According to those factors, Ingham County and the State are slowly becoming healthier. The Committee further discussed this issue.

Chairperson Smiley thanked Dr. Johnson for his presentation. She further stated she believes the concept of accreditation is quality assurance. Dr. Johnson stated the Counties which participated in the pilot program were Marquette, Kalamazoo and Branch/Hillsdale/St. Joseph. Chairperson Smiley stated she is concerned the process will involve a lot of administrative time. Dr. Johnson explained that Chairperson Smiley's concern is valid. However, he hopes the process will relieve the County of the administrative burden in the off years.

b. Update - Resolution to Amend the Ingham Interagency Human Services Advisory Committee Letter of Understanding

Mr. Neilsen stated this matter was tabled at a previous meeting pending Mr. Sheahan's review. Mr. Sheahan had informed him the State dropped the request to amend the Letter of Understanding.

c. Resolution to Authorize an Adjustment to the Fee Charged for Immigration Physical Examinations

In response to Comm. Schmidt, Mr. Bragg explained that immigrants under 18 years of age cannot apply for citizenship.

Chairperson Pratt stated his concern that the County will not make a profit from the physical examinations. It is important that the Health Department only charge the actual cost of the service. Mr. Bragg explained that the Public Health Code requires the County to charge only the reasonable cost for delivering the service.

MOVED BY COMM. CZARNECKI, SUPPORTED BY COMM. STID, TO APPROVE THE RESOLUTION TO AUTHORIZE AN ADJUSTMENT TO THE FEE CHARGED FOR IMMIGRATION PHYSICAL EXAMINATIONS. MOTION CARRIED with Comm. Severino voting NO.

d. Resolution to Authorize an Amendment to the 1998-99 Comprehensive Plan Budget and Contract (CPBC) Agreement

Chairperson Smiley stated that she is concerned about the minority health grant. Mr. Bragg explained the Health Department is still involved with selecting the contractor . However, the State will contract directly with the local minority health agent. The Union Missionary Baptist Church is the health agent.

MOVED BY COMM. STID, SUPPORTED BY COMM. SEVERINO, TO APPROVE THE RESOLUTION TO AUTHORIZE AN AMENDMENT TO THE 1998-99 COMPREHENSIVE PLAN BUDGET AND CONTRACT (CPBC) AGREEMENT. MOTION CARRIED UNANIMOUSLY.

e. Resolution to Authorize an Amendment to Family Care Participation Agreement Between Physicians Health Network and Ingham County

In response to Chairperson Smiley, Mr. Bragg explained that "IPA" stands for Independent Participation Agreement. The Committee discussed the financial implications of this Amendment.

MOVED BY COMM. SCHMIDT, SUPPORTED BY COMM. SEVERINO, TO APPROVE THE RESOLUTION TO AUTHORIZE AN AMENDMENT TO FAMILY CARE PARTICIPATION AGREEMENT BETWEEN PHYSICIANS HEALTH NETWORK AND INGHAM COUNTY. MOTION CARRIED UNANIMOUSLY.

g. Resolution to Authorize an Agreement with the City of Lansing to Jointly Develop an Internet Based Service

Mr. Bragg explained that the City and the County have been awarded grants to develop Internet-based systems designed to provide citizens with access to indicators of community well-being. The purpose of the grant is to create a stronger network between the Lansing Police and area service providers. The system will also link low-income families to information related to crime prevention, food, shelter and clothing. The County has been awarded a W.K. Kellogg Foundation "Community Voices" grant which includes a project to provide health related information to the public in user friendly ways, including the use of the Internet.

In response to Chairperson Smiley, Mr. Cheatham explained the County will begin with mapping. The mapping system will be implemented early next year.

Mr. Neilsen explained that once the system is running, someone will have to maintain the system. Mr. Bragg stated the system would be maintained with Community Voices funds.

MOVED BY COMM. STID, SUPPORTED BY COMM. CZARNECKI, TO APPROVE THE RESOLUTION TO AUTHORIZE AN AGREEMENT WITH THE CITY OF LANSING TO JOINTLY DEVELOP AN INTERNET BASED SERVICE. MOTION CARRIED UNANIMOUSLY.

I. Resolution to Authorize a Grant from the Capital Region Community Foundation

In response to Mr. Neilsen, Mr. Bragg explained that he is not sure if the $5,000 will be given directly to Otto Middle School. The details have not yet been determined.

This item was approved on the consent agenda.

j. Resolution to Authorize an Amendment to the Abstinence Partnership Grant Agreement with the Michigan Health Council

In response to Comm. Czarnecki, Mr. Bragg explained that the legislature has adopted boiler plate language in the Michigan Department of Community Health 2000 Appropriations Bill. This language would prohibit any family planning organizations from acting as a fiduciary agent for an abstinence coalition.

Mr. Bragg explained to Comm. Severino that the Grant focuses on sexual abstinence. However, the Grant also addresses drug and violence prevention.

k. Resolution to Authorize an Amendment of the Teen Parent Program Grant

Agreement with the Family Independence agency to Extend the Agreement

Through September 30, 2000

Mr. Nielsen stated the date on the Resolution should read September 30, 2000. The date on the Resolution was September 30, 1999. This item was approved on the consent agenda.

MOVED BY COMM. STID, SUPPORTED BY COMM. SCHMIDT, TO APPROVE THE RESOLUTION TO AUTHORIZE AN AMENDMENT TO THE ABSTINENCE PARTNERSHIP GRANT AGREEMENT WITH THE MICHIGAN HEALTH COUNCIL. MOTION CARRIED UNANIMOUSLY.

2. Appointments

a. Veterans Affairs Committee

Chairperson Smiley stated the Committee would wait to appoint a Gulf War veteran when applications are received from those vets.

MOVED BY COMM. CZARNECKI, SUPPORTED BY COMM. SEVERINO, TO REAPPOINT BARRY DAMON TO THE VETERANS AFFAIRS COMMITTEE. MOTION CARRIED UNANIMOUSLY.

b. Women's Commission

Comm. Stid explained that it is not critical to make appointments to the Commission at this time.

Mr. Neilsen stated that Ms. Bennett will schedule the three applicants, as well as any new applicants, for interviews on September 13. Comm. Severino requested that notations be made next to the names of applicants who have been interviewed. Comm. Stid also stated the Women's Commission meets on the second Wednesday of the month. The agenda packet states the Commission meets on the fourth Thursday.

3. Board Referral - Letter from Kalkaska County Regarding Use of Tobacco Settlement

Funds

The Board Referral was received and placed on file.

Announcements

Mr. Neilsen informed the Committee that the Human Services Budget Hearing will be held on August 30.

Chairperson Smiley suggested that this Committee hold a meeting at the Ingham Regional Medical Center in the near future. Mr. Neilsen stated he would make the necessary arrangements.

Chairperson Pratt stated that Joan Jackson Johnson is requesting assistance from the County for an air conditioner for the Loaves and Fishes facility.

Public Comment: None

The meeting adjourned at 9:04 p.m.

Respectfully submitted,

Debra Neff

HUMAN SERVICES COMMITTEE

August 16, 1999

WOMENS' COMMISSION INTERVIEWS

Members Present: Anne Smiley, John Czarnecki, Mary Stid, Michael Severino and

Alfreda Schmidt

Members Absent: None

Others Present: John Neilsen, Paul Pratt, Debra Sandercock, Gwen Geml, Christine Timmon and Sara Basso

The Committee interviewed the following individuals for the Women's Commission:

Sara Basso

Gwen Geml

Debra Sandercock

Christine Timmon