INGHAM COUNTY BOARD OF COMMISSIONERS

Transcription

1 CHAIRPERSON MARK GREBNER CHAIRPERSON PRO TEM CHRIS SWOPE VICE-CHAIRPERSON PRO-TEM MIKE SEVERINO HUMAN SERVICES COMMITTEE JOHN CZARNECKI, CHAIR LISA DEDDEN MICHAEL SEVERINO CURTIS HERTEL JR. VICTOR CELENTINO INGHAM COUNTY BOARD OF COMMISSIONERS P.O. Box 319. Mason, Michigan Telephone (517) Fax (517) THE HUMAN SERVICES COMMITTEE WILL MEET ON MONDAY, NOVEMBER 19, 2001, AT 7:00 P.M., IN THE DAWE AUDITORIUM, GREENLAWN CAMPUS OF THE INGHAM REGIONAL MEDICAL CENTER, 401 W. GREENLAWN, LANSING. (SEE ATTACHED MAP) A DINNER FOR COMMISSIONERS HAS BEEN SCHEDULED FROM 5 PM TO 7 PM. Agenda Call to Order Approval of the October 23 and November 5, 2001 Minutes Additions to the Agenda Limited Public Comment 1. Mid-South Substance Abuse Advisory Committee and Women s Commission Interviews 2. Board Appointments a. Mid-South Substance Abuse Advisory Council b. Womens Commission c. Community Mental Health d. Board of Health 3. Board of Commissioners - Resolution Observing December 1, 2001 as World AIDS Day in Ingham County 4. Controller/CATA - Resolution Authorizing an Agreement Between Ingham County and the Capital Area Transportation Authority 5 Cooperative Extension a. Out of State Travel Notification, Lisa Nassar b. Resolution to Authorize Ingham County MSU Extension to Purchase a Laptop Computer

2 6. Health Department a. Presentation on Patient Visit Redesign project - Dr. Tom Petroff IRMC b. Resolution to Authorize a Local Health Department Agreement for the Use of Data Files with the Michigan Department of Community Health c. Resolution to Authorize an Amendment to the Tobacco Reduction Grant Contract with the American Legacy Foundation d. Resolution to Authorize a 0-3 Secondary Prevention Grant with the Children s Trust Fund for e. Resolution to an Agreement with Capital Area Community Services to Expand the Jump Start Program to Serve Early Head Start Announcements Public Comment Adjournment The County of Ingham will provide necessary reasonable auxiliary aids and services, such as interpreters for the hearing impaired and audio tapes of printed materials being considered at the meeting for the visually impaired, for individuals with disabilities at the meeting upon five (5) working days notice to the County of Ingham. Individuals with disabilities requiring auxiliary aids or services should contact the County of Ingham in writing or by calling the following: Ingham County Board of Commissioners, P.O. Box 319, Mason, MI Phone: (517) A quorum of the Board of Commissioners may be in attendance at this meeting.

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4 HUMAN SERVICES COMMITTEE October 23, 2001 Minutes Members Present:: Members Absent: Others Present: John Czarnecki, Lisa Dedden, Mike Severino, Curtis Hertel Jr. and Victor Celentino None John Neilsen and Bruce Bragg The meeting was called to order by Chairperson Czarnecki at 7:21 p.m. in the First Floor Conference Room, Ingham County Courthouse, Mason. Approval of the August 27, September 18 and October 1, 2001 Minutes MOVED BY COMM. SEVERINO, SUPPORTED BY COMM. CELENTINO, TO APPROVE THE AUGUST 27, SEPTEMBER 18 AND OCTOBER 1, 2001 MINUTES AS SUBMITTED. MOTION CARRIED UNANIMOUSLY. Additions to the Agenda: Limited Public Comment: None None MOVED BY COMM. SEVERINO, SUPPORTED BY COMM. CELENTINO, TO APPROVE A CONSENT AGENDA FOR THE FOLLOWING ITEMS: 1. Health Department a. Resolution to Authorize an Agreement with the Michigan Fitness Foundation b. Resolution to Establish a Clinical Physician Position MOTION CARRIED UNANIMOUSLY. MOVED BY COMM. SEVERINO, SUPPORTED BY COMM. CELENTINO, TO APPROVE THE ITEMS ON THE CONSENT AGENDA. MOTION CARRIED UNANIMOUSLY. Announcements: Public Comment: None None The meeting adjourned at 7:22 p.m. Respectfully submitted, Debra Neff

5 HUMAN SERVICES COMMITTEE November 5, 2001 Minutes Members Present: Members Absent: Others Present: John Czarnecki, Lisa Dedden, Curtis Hertel Jr. and Victor Celentino Michael Severino John Neilsen, Mark Grebner, Bruce Bragg, Dean Sienko and Bruce Miller The meeting was called to order by Chairperson Czarnecki at 7:01 p.m. in the Personnel Conference Room of the Human Services Building, 5303 South Cedar, Lansing. Approval of the October 1, 2001 Executive Session Minutes MOVED BY COMM. CELENTINO, SUPPORTED BY COMM. HERTEL, TO APPROVE THE OCTOBER 1, 2001 EXECUTIVE SESSION MINUTES AS SUBMITTED. MOTION CARRIED UNANIMOUSLY. Absent: Comms. Severino and Dedden Additions to the Agenda 3. Womens Commission - Interviews 4. Public Health Issues - Presentation 6. Substance Abuse Commission - Appointments 7. Womens Commission - Appointments Limited Public Comment: None 1. FIA Board Appointment MOVED BY COMM. CELENTINO, SUPPORTED BY COMM. HERTEL, TO RECOMMEND THE REAPPOINTMENT OF PAT MUNSHAW TO THE FIA BOARD. MOTION CARRIED UNANIMOUSLY. Absent: Comms. Severino and Dedden (Comm. Dedden arrived.) 2. Health Department a. Resolution to Authorize a Lease Agreement with Sparrow Health System for Space to House a Community Health Center MOVED BY COMM. HERTEL, SUPPORTED BY COMM. CELENTINO, TO APPROVE THE RESOLUTION TO AUTHORIZE A LEASE AGREEMENT WITH SPARROW HEALTH SYSTEM FOR SPACE TO HOUSE A COMMUNITY HEALTH CENTER. MOTION CARRIED UNANIMOUSLY. Absent: Comm. Severino b. Resolution to Authorize a Contract for Services with the Kent County Health Department

6 In response to Comm. Celentino, Mr. Bragg explained that the Health Department has entered into an agreement with the Kent Health Plan, a not-for-profit corporation. A condition of the contract is that the County will establish a subcontract with the Kent County Health Department to conduct outreach and enrollment services. It is expected the County will earn approximately $200,000 in revenue in FY Fifty thousand dollars of this amount will be dedicated to the subcontract. MOVED BY COMM. CELENTINO, SUPPORTED BY COMM. HERTEL, TO APPROVE THE RESOLUTION TO AUTHORIZE A CONTRACT FOR SERVICES WITH THE KENT COUNTY HEALTH DEPARTMENT. MOTION CARRIED UNANIMOUSLY. Absent: Comm. Severino 3. Women s Commission Interviews The Committee interviewed Peggy Wilbur, Ingrid Wadel and Amy Hertel for the vacancies on the Women s Commission. Chairperson Czarnecki informed the applicants that recommendations would be made to the next Board of Commissioners meeting. 4. Public Health Issues - Presentation Mr. Bragg stated public health officials are meeting with the National Security Council to address public health concerns. The NSC believes the terrorists strategy is to hit the East coast repeatedly for political and economical reasons. This strategy could change. Conventional weapons are the major threats to the U.S. Large scale explosives have been identified. However, the explosives have not been disclosed to the public as being as dangerous as they actually are. Anthrax is the other threat concern. It is believed the terrorists are experimenting with various types of Anthrax to determine the most successful type. The aerosolized Anthrax is the most dangerous form to date. The NSC believes this type of Anthrax is homegrown. Biological agents, such as small pox, are also a concern of the NSC. There is a credible and reasonable threat that the terrorists have a small pox virus of Russian variety. Approximately 15 million doses of the small pox vaccine are currently available in the United States. The doses are currently being diluted to create 70 million doses. Experts believe this amount would be 90% effective. Botulism and chemical agents are also public health concerns. Mr. Bragg further explained the New York laboratories were not prepared to deal with the volume of Anthrax they were faced with recently. The laboratories are, however, capable of dealing with the necessary analytical tests. They did not know how to handle the influx of Anthrax specimens. 2

7 The County should have a sense that public health resources are very important at this time. Mr. Bragg encouraged the Committee to support the public health resources needed to deal with possible emergencies. In response to Comm. Hertel, Dr. Sienko explained that a person would become infectious with the small pox virus a few days after he/she breaks out with a rash. Small pox is a very physically pronounced illness. There are more plausible ways for a terrorist to use small pox to infect a population. Dr. Sienko presented information to the Committee regarding Nuclear, Biological and Chemical (NBC) threats to the public by way of an overhead projector. Biological threats involve agents, bacteria, viruses or toxins which can cause illness in humans. Dr. Sienko explained how these biological threats were used in the past. Most recently, the Iraqi s admitted purchasing Anthrax, botulinum toxins and ricin during the Gulf War period. Anthrax is a bacterial illness. Once a person inhales Anthrax, it enters the body and the spores change into the bacteria. The bacteria then release toxins which kills people. In the case of animals, once the infected animal decays, the bacterium is exposed to oxygen. This exposure changes the bacteria into spores which enter the ground and can survive for decades. Dr. Sienko explained that once a person is exposed to inhalation Anthrax, it takes one to six days before the person becomes ill. It has been reported that some people did not become ill until two months after exposure. The onset of the illness mimics the flu. Thereafter, a person will show improvement and then die within 24 to 36 hours. Inhalation Anthrax is a very aggressive organism. A high index of suspicion is used to diagnose Anthrax. A doctor in this community would not suspect a person of having Anthrax. However, a doctor in Washington, D.C. would suspect Anthrax in a Brentwood postal facility employee who presented flu-like symptoms. This person would be placed on the Anthrax vaccine until a confirmed diagnosis can be made. The duration of the treatment is 60 days. An analysis will be conducted on the suspect powder for the presence of Anthrax spores. Over 100 specimens have been referred to the State laboratory from across the State. These specimens tested negative for the Anthrax bacteria. Specimens have not been referred from Ingham County at this time. Dr. Sienko further explained that if the specimen has tested positive for the bacteria at the State level, the FBI will then determine if the bacteria consists of spores. If this determination is positive, the infected person will be treated for Anthrax. Presently, there are 17 cases of Anthrax in the United States. Inhalational Anthrax is usually lethal. Cutaneous Anthrax is treatable. Most experts concur that the manufacturing of aerosolized Anthrax is beyond the capacity of people or groups without access to advanced biotechnology. Dr. Sienko stated intelligence reports should continue to be monitored. Suspect packages should be reported to local law enforcement agencies. If a person suspects Anthrax, he/she should put the package down, 3

8 evacuate the room and wash his/her hands with soap and water or take a shower. In response to Comm. Hertel, Dr. Sienko stated brochures could be printed for the purpose of educating the public about Anthrax and to ease their fears. Mr. Bragg stated communication is an important aspect. Dr. Sienko is chairing a committee to develop appropriate responses. This issue could be addressed in that committee. The Health Department receives daily communications from the Centers for Disease Control. Mr. Bragg stated the concern that printed material may be inappropriate due to the changing nature of the situation. A Website may be helpful. In response to Chairperson Grebner, Dr. Sienko stated an effective vaccine can be developed. Six doses of the vaccine over 18 months can be effective. The vaccine works against all varieties of Anthrax. Dr. Sienko addressed additional questions from the Committee. In response to Comm. Dedden, Dr. Sienko stated the local hospitals have developed their own plans for dealing with possible cases of Anthrax. However, the best plans can have problems. Fundamental mistakes are made. The community should practice steps to avoid possible mistakes in the event of a terrorist attack. Mr. Bragg stated Ingham Regional Medical Center is taking this situation very seriously and he assumes Sparrow is conducting similar procedures. In response to Comm. Hertel, Dr. Sienko stated he would be happy to give this presentation to the LEPC. He has addressed many groups throughout Ingham, Eaton and Barry Counties regarding the current situation. In response to Chairperson Czarnecki, Mr. Bragg explained that the community has a job to do in the case of an Anthrax or other terrorist threat. Dr. Sienko further explained that the City and the County may act differently in the event of a terrorist situation. Chairperson Czarnecki expressed his concern that everyone should have a plan to react in an organized, step-by-step process. Mr. Bragg stated the community needs to move in the direction of becoming more prepared. In the event of a terrorist situation, the Board of Commissioners should convene to gather information from the appropriate people in order to make good decisions and to provide leadership. In response to Comm. Dedden, Dr. Sienko stated there are a number of things the County can do to be prepared. An allocation of resources would be necessary for things such as training and additional staffing. Mr. Bragg further explained there are two federal initiatives which would provide some funding to local jurisdictions. The County could inform the Senate and the Congress of its concerns. He also stated the Health Department should have resources within its existing budget to provide for an FTE position to deal with the current situation. 5. Discussion on 2002 Community Agency Allocation Process Mr. Neilsen stated the Controller s Office has receive $162,613 in Community Agency requests. The Community Agency Budget consists of $97,737. The discrepancy is $64,876. He further stated the Community Agency Budget Hearing is scheduled for the last Human Services Committee meeting of the year. The Committee will receive an informational packet on the 4

9 agencies prior to the Budget Hearing. Last year, the agencies received a flat appropriation. He recommended this Committee follow the same procedure this year. Chairperson Grebner stated the Committee could follow last year s decision. This decision would be modified if some agencies funded last year were not requesting funds this year. Those additional funds could be appropriated to the new agencies. The existing agencies could receive three or four percent over last year s appropriation. Another approach would be to ask the agencies what they would do with the additional funds. The Committee could then divide the funds among the agencies after listening to their emotional appeals. Chairperson Grebner stated he was in favor of following last year s process. If the Committee decides to follow the first approach, this could be communicated to the agencies. The agencies should also be informed if the Committee decides to follow the second approach. 6. Mid-South Substance Abuse Advisory Council - Appointments The Committee decided to make recommendations after it interviews Elizabeth Imeson during the next meeting. 7. Women s Commission Appointments Mr. Neilsen informed the Committee that the Board Office has not been able to reach Delois Whitaker Caldwell to determine if she wishes to be reappointed to the Commission. The Committee discussed this matter. A letter is to be sent to Ms. Caldwell informing her to contact the Board Office immediately regarding her interest in serving. Mary Finch should be contacted to schedule an interview for the next Committee meeting. Announcements Mr. Neilsen informed the Committee their next meeting will be held at the Greenlawn Campus of the Ingham Regional Medical Center. Dinner will be served from 5:00 p.m. until 7:00 p.m. Public Comment: None The meeting adjourned at 8:55 p.m. Respectfully submitted, Debra Neff 5

10 Introduced by the Human Services Committee of the: Agenda Item 3 INGHAM COUNTY BOARD OF COMMISSIONERS RESOLUTION OBSERVING DECEMBER 1, 2001 AS WORLD AIDS DAY IN INGHAM COUNTY WHEREAS, the global epidemic of HIV infection and AIDS requires a worldwide effort to increase communication, education and united action to stop the spread of HIV/AIDS; and WHEREAS, UNAIDS estimates that over 36 million people worldwide are currently living with HIV/AIDS, with young people under the age of 25 accounting for more than half of all new infections; and WHEREAS, the American Association for World Health is encouraging a better understanding of the challenge of HIV/AIDS nationally as it recognizes that the number of people diagnosed with HIV and AIDS in the United States continues to increase, with up to 900,000 people infected across the nation; and WHEREAS, the Joint United Nations Program on HIV/AIDS (UNAIDS) observes December 1 of each year as World AIDS Day, a day to expand and strengthen worldwide efforts to stop the spread of HIV/AIDS; and WHEREAS, World AIDS Day provides an opportunity to focus local, national and international attention to HIV infection and AIDS and to disseminate information on how to prevent the spread of HIV; and WHEREAS, half of all new HIV infections in the United States are among young Americans under the age of 25, the World AIDS Day 2001 theme, I Care...Do You Youth and AIDS in the 21 st Century urges all youth and those who influence them to increase their awareness of the risk of HIV/AIDS for themselves and to use their influence on their families, among friends and within the community to help in the battle against the HIV/AIDS epidemic. THEREFORE BE IT RESOLVED, that the Ingham County Board of Commissioners designate December 1, 2001 at World AIDS Day in Ingham County and urges all citizens to take part in activities and observances designed to increase awareness and understanding of HIV/AIDS as a global challenge, to take part in HIV/AIDS prevention activities and programs and to join the global effort to prevent further spread of HIV/AIDS.

11 Agenda Item 4 RESOLUTION STAFF REVIEW DATE November 3, 2001 Agenda Item Title: Resolution Authorizing an Agreement Between Ingham County and the Capital Area Transportation Authority Submitted by: Capital Area Transportation Authority/Controller s Office Committees: Ad.Ser/Per., H.S. *, Law & Cts., Finance * Summary of Proposed Action: This resolution will authorize a contract with CATA through the countywide public transportation millage level of 40/100 (.40) of one mill to be used for the purpose of funding a transportation system to be used primarily by elderly and disabled persons in Ingham County. The revenues generated as a result of the millage levy would be contracted to the Capital Area Transportation Authority to provide the transportation services for the terms of the Millage through December of Financial Implications: These operational funds will come from any surplus funds from previous years and from the Special Millage authorized from 1996 through The annual contract is extended from October 1, 2001 through September 30, The millage was authorized from January 1, 2001 through December 31, The previous and current millage authorizations were both for.40 of one mill. The basic formula is CATA Expenses, less fare box revenue, less federal revenue, less state revenue, before the County contracted millage revenues are utilized. It is estimated that the millage will raise about $2,330,564 for its first year. Other Implications: The Scope of Services is attached for the time period of October 1, 2001 through September 30, CATA is proposing that up to $60,000 will be used to purchase a second spare vehicle in addition to the one spare that is used to complement the 17 that are providing service Staff Recommendation: JA DE JN * HH This resolution should be approved.

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13 Agenda Item 4 Introduced by the Human Resources and Finance Committees of the: INGHAM COUNTY BOARD OF COMMISSIONERS RESOLUTION AUTHORIZING AN AGREEMENT BETWEEN INGHAM COUNTY AND THE CAPITAL AREA TRANSPORTATION AUTHORITY WHEREAS, an agreement was authorized with the Capital Area Transportation Authority for the period ending September 30, 2001, and the main agreement was extended until December 31, 2001; and WHEREAS, on August 7, 2001 the electorate approved a countywide public transportation millage level of 40/100 (.40) of one mill to be used for the purpose of funding a transportation system to be used primarily by elderly and disabled persons in Ingham County; and WHEREAS, the Board of Commissioners envisioned that the revenues generated as a result of the millage levy would be turned over primarily to the Capital Area Transportation Authority and used to provide the transportation service; and WHEREAS, it is desirable that the main contract be authorized effective January 1, 2002, and continuing until December 31, 2005, at which time the millage level approved August 7, 2001, will expire. THEREFORE BE IT RESOLVED, that the Ingham County Board of Commissioners approves an agreement with the Capital Area Transportation Authority (CATA) which authorizes the County to pay CATA the expenses incurred for providing a public transportation system to be used primarily by elderly and disabled persons in Ingham County from revenue generated as a result of the 2001 public transportation millage of 40/100 (.40) of one mill. BE IT FURTHER RESOLVED, that for the period October 1, 2001 through September 30, 2002, the County shall reimburse CATA as set forth in the attached Scope of Services. BE IT FURTHER RESOLVED, that the actual term of the main agreement shall be January 1, 2002 through December 31, BE IT FURTHER RESOLVED, that the Chairperson of the Board and the County Clerk are hereby authorized to sign the appropriate agreements and documents necessary to implement the above, subject to approval as to form by the County Attorney.

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15 Agenda Item 5b RESOLUTION STAFF REVIEW DATE November 13, 2001 Agenda Item Title Resolution to Authorize Ingham County MSU Extension to Purchase a Laptop Computer Submitted by Cooperative Extension Office Committees: Ad.Ser/Per., H.S. *, Law & Cts., Finance * Summary of Proposed Action: This resolution authorizes an increase in the Cooperative Extension budget by accepting a grant from MSU and the purchase of unbudgeted equipment. It further authorizes Ingham County MSU Extension to use up to $2,100 to purchase a Laptop Computer and software for use by the Extension Agricultural and Natural Resources Agent for the purpose of educational program presentation, farm financial analysis, remote and work assignments, and on farm visits with one-on-one computer use. Financial Implications: This increases the Ingham County MSU Extension Office budget up to $420, Michigan State University Extension will provide a matching grant of 20 % of the total cost equaling $420. The remaining $1,680 to purchase the computer equipment and software are available in the Ingham County MSU departmental budget supply line item. The total cost is $2,100. Other Implications: The computer equipment and software (Pentium III 850 or 900MHZ Laptop, 256MB Ram, 20GB Hard Drive, 3.5 Floppy Drive, 12XCD-RW Drive, 3D Accelerated Video, w/8mb Ram, PCMCI 56K Modem, and Windows 98) has been determined through MIS to total $2,100. Staff Recommendation: JA JN * HH This resolution should be approved

16 Agenda Item 5b Introduced by the Human Services and Finance Committees of the: INGHAM COUNTY BOARD OF COMMISSIONERS RESOLUTION TO AUTHORIZE INGHAM COUNTY MSU EXTENSION TO PURCHASE A LAPTOP COMPUTER WHEREAS, an up-to-date laptop/notebook computer is an essential tool for the Extension Agricultural and Natural Resources Agent for the purpose of educational program presentation, farm financial analysis, remote and work assignments, and on farm visits with one-on-one computer use; and WHEREAS, the laptop/notebook computer currently used by the Agricultural /Natural Resources Agent is obsolete in its capacity to accept and run software and to store data necessary for the above responsibilities; and WHEREAS, the Ingham County MIS Department has been apprised of MSU Extension s interest in purchasing a laptop computer for the agricultural agent position, and which meets current MSU recommendations; and WHEREAS, the specific purchase price of the computer equipment and software (Pentium III 850 or 900MHZ Laptop, 256MB Ram, 20GB Hard Drive, 3.5 Floppy Drive, 12XCD-RW Drive, 3D Accelerated Video, w/8mb Ram, PCMCI 56K Modem, and Windows 98) has been determined through MIS to total $2,100; and WHEREAS, Michigan State University Extension will provide a matching grant of 20 % of the total cost equaling $420 for the purchase of a new laptop computer and software to support the agricultural agent position; and WHEREAS, the remaining $1,680 to purchase the computer equipment and software are available in the Ingham County MSU departmental budget supply line item. THEREFORE BE IT RESOLVED, that the Ingham County Board of Commissioners accepts a matching grant from MSU Extension up to $420 towards the purchase of a new laptop computer and software to support the Agricultural Agent position. BE IT FURTHER RESOLVED, that the Ingham County Board of Commissioners authorizes Ingham County MSU Extension to use up to $1,680 in funds from the Ingham County MSU departmental budget supply line item, along with the matching funds from MSU Extension for a total of $2,100 to purchase a laptop computer and specified software for the Agricultural Agent.

17 Agenda Item 5b BE IT FURTHER RESOLVED, that the County Controller is authorized to amend the 2001 Ingham County MSU Extension budget and to amend the County MSU Extension capital improvement fund in accordance with this resolution. BE IT FURTHER RESOLVED, that the Chairperson of the Board and the County Clerk are hereby authorized to sign the appropriate agreements and documents necessary to implement the above, subject to approval as to form by the County Attorney.

18 Agenda Item 6b RESOLUTION STAFF REVIEW DATE November 13, 2001 Agenda Item Title: Resolution to Authorize a Local Health Department Agreement for the Use of Data Files with the Michigan Department of Community Health Submitted by Health Department Committees: Ad.Ser/Per., H.S. *, Law & Cts., Finance * Summary of Proposed Action (see attached letter of explanation) This resolution will authorize a Local Health Department Agreement for the Use of Data Files with the Michigan Department of Community Health (MDCH). The MDCH acts as the repository for vital records in Michigan. The Public Health Code establishes a mechanism by which data files can be shared with local health departments for administrative and research purposes. The process set out in the Public Health Code requires an agreement between the State and the local health department Financial Implications There are no costs associated with this agreement. Other Implications Staff Recommendation: JA JN * HH This resolution should be approved

19 Agenda Item 6b MEMORANDUM To: From: Human Services Committee Finance Committee Bruce Bragg Date: November 14, 2001 Subject: Local Health Department Agreement for Vital Records This is a recommendation to authorize a Local Health Department Agreement for the Use of Data Files with the Michigan Department of Community Health (MDCH). The MDCH acts as the repository for vital records in Michigan. The Public Health Code establishes a mechanism by which data files can be shared with local health departments for administrative and research purposes. Staff in the Health Department have proposed to the MDCH that birth records for Ingham County residents be shared with the Ingham County Health Department for two purposes: To assist in the identification of infant deaths that should be reviewed by the Fetal and Infant Mortality Review Team in Ingham County. This team, lead by Dr. Sienko, reviews cases of infants that have died of causes that may be preventable. The intent is to review these cases to learn how to prevent such deaths in the future. To identify families appropriate to be invited to participate in the Ready to Succeed and the All Children Connected to Succeed Program. In this situation, Health Department staff will utilize the birth record to invite families of newborns to participate in these local programs intended to support proper growth and development of young children, to prepare them to succeed in school and in life. The process set out in the Public Health Code requires an agreement between the State and the local health department. I recommend that the Board of Commissioners adopt the attached resolution and authorize the agreement with the Michigan Department of Community Health. Attachment cc: Elaine Tannenbaum w/attachment

20 Introduced by the Human Services and Finance Committees of the: Agenda Item 6b INGHAM COUNTY BOARD OF COMMISSIONERS RESOLUTION TO AUTHORIZE A LOCAL HEALTH DEPARTMENT AGREEMENT FOR THE USE OF DATA FILES WITH THE MICHIGAN DEPARTMENT OF COMMUNITY HEALTH WHEREAS, the Michigan Department of Community Health acts as the repository for vital records in Michigan; and WHEREAS, the Public Health Code establishes a procedure whereby vital records may be utilized by local health departments for administrative and research purposes; and WHEREAS, the Ingham County Health Department has requested that copies of birth records for Ingham County residents be provided to the Department, for the purposes of identifying families that can be assisted through the Ready to Succeed and All Children Connected to Succeed Programs, and to assist Fetal and Infant Mortality Review Team in identifying preventable deaths; and WHEREAS, the Health Officer recommends that the Ingham County Board of Commissioners authorize the agreement with the Michigan Department of Community Health to facilitate the sharing of these records. THEREFORE BE IT RESOLVED, that the Ingham County Board of Commissioners authorize a Local Health Department Agreement for the Use of Data Files with the Michigan Department of Community Health. BE IT FURTHER RESOLVED, that the Board Chairperson is authorized to sign the agreement after review by the County Attorney

21 Agenda Item 6c RESOLUTION STAFF REVIEW DATE November 13, 2001 Agenda Item Title Resolution to Authorize an Amendment to the Tobacco Reduction Grant Contract with the American Legacy Foundation Submitted by: Health Department Committees: Ad.Ser/Per., H.S. *, Law & Cts., Finance * Summary of Proposed Action (see attached letter of explanation) This resolution will authorize an amendment to an existing agreement, as proposed by the Foundation, to adjust the start and end dates of the agreement. The amendment changes the start date for the agreement from February 1, 2000 to February 1, It changes the end date of the agreement from September 30, 2004 to January 31, The attached resolution will authorize an amendment to implement these changes. The resolution also authorizes amendments to the subcontracts with the Circle of Indigenous Races for Community Leadership & Empowerment (CIRCLE) and the African American Health Institute. The amendments will make the appropriate changes in the start and end dates of the subcontracts and will insert a requirement for appropriate oversight and involvement of advisory boards for both groups. All other terms and conditions of the agreement with the American Legacy Foundation and with the two subcontractors will remain unchanged. Financial Implications None from this resolution Other Implications Staff Recommendation: JA JN * HH This resolution should be approved

22 Agenda Item 6c MEMORANDUM To: From: Human Services Committee Finance Committee Bruce Bragg Date: November 14, 2001 Subject: Amendment to the American Legacy Foundation Tobacco Reduction Grant Agreement In Resolution No , the Board of Commissioners authorized a grant agreement with the American Legacy Foundation. This is a recommendation to authorize an amendment to the agreement, proposed by the Foundation, to adjust the start and end dates of the agreement. The County implements a number of tobacco use prevention and cessation programs through the Health Department. During 2000, the County had the opportunity to apply to the American Legacy Foundation for grant funding to enhance our efforts to address tobacco use problems in vulnerable population groups. This opportunity came because Ingham County has a Kellogg Foundation Community Voices Grant. The $500,000 grant was awarded for a four year period. The proposal that was submitted and funded has four major parts: 1. Thirty percent of pregnant women who participate in the Ingham County WIC program smoke. There are very few smoking cessation resources for these women. The Legacy grant will provide for smoking cessation counseling, and nicotine replacement therapy, as appropriate. 2. Environmental Tobacco Smoke (ETS) causes a variety of health problems, some are life threatening like lung cancer and heart disease. The Department will work to reduce ETS in the workplace and in homes. The grant will help the Board of Health publicly recognize workplaces that have gone smoke free. The Department will try to reduce ETS in homes by a.) working with primary care providers, to help patients stop smoking at home; and b.) through a community education campaign about ETS aimed at the general audience. 3. The Circle of Indigenous Races for Community Leadership & Empowerment (CIRCLE) and the African American Health Institute will develop and implement plans to reduce tobacco use in their respective communities.

23 4. The Department will work with area youths to develop and implement tobacco prevention activities. Youth activities will be based on successful work of others across the country, including youth prevention activities sponsored by the Legacy Foundation. Agenda Item 6c The amendment changes the start date for the agreement from February 1, 2000 to February 1, It changes the end date of the agreement from September 30, 2004 to January 31, The attached resolution will authorize an amendment to implement these changes. The resolution also authorizes amendments to the subcontracts with the Circle of Indigenous Races for Community Leadership & Empowerment (CIRCLE) and the African American Health Institute. The amendments will make the appropriate changes in the start and end dates of the subcontracts and will insert a requirement for appropriate oversight and involvement of advisory boards for both groups. All other terms and conditions of the agreement with the American Legacy Foundation and with the two subcontractors will remain unchanged. I recommend that the Board of Commissioners authorize the amendments. Attachment cc: Bob Glandon w/attachment John Jacobs w/attachment

24 Agenda Item 6c Introduced by the Human Services and Finance Committees of the: INGHAM COUNTY BOARD OF COMMISSIONERS RESOLUTION TO AUTHORIZE AN AMENDMENT TO THE TOBACCO REDUCTION GRANT CONTRACT WITH THE AMERICAN LEGACY FOUNDATION WHEREAS, the Ingham County Board of Commissioners authorized an agreement with the American Legacy Foundation, in Resolution No , to implement a tobacco reduction program; and WHEREAS, the American Legacy Foundation is proposing to amend the original agreement to change the start and end dates of the agreement; and WHEREAS, the Health Officer recommends that the Board of Commissioners authorize the proposed amendment. THEREFORE BE IT RESOLVED, that the Ingham County Board of Commissioners authorizes an amendment to the Ingham Community Voices: Tobacco Use Cessation and Prevention Initiative agreement authorized in Resolution No BE IT FURTHER RESOLVED, that the agreement period start date which was originally established as February 1, 2000 shall be revised to be February 1, BE IT FURTHER RESOLVED, that the agreement end date which was originally established as September 30, 2004 shall be revised to be January 31, BE IT FURTHER RESOLVED, that the Board of Commissioners authorizes amendments to the subcontracts using grant funding with the African American Health Institute (with St. Stephens Community Church acting as fiduciary) and with the Circle of Indigenous Races for Community Leadership and Empowerment (with Small Folks Child Development Center acting as fiduciary), to accommodate the changes in start and ending dates and to assure that appropriate oversight is provided to the grant activity by community advisory boards representing the African American Health Institute and the Circle of Indigenous Races for Community Leadership and Empowerment. BE IT FURTHER RESOLVED, that the other terms and conditions of the agreement and the subcontracts shall remain unchanged. BE IT FURTHER RESOLVED, that the Board Chairperson is authorized to sign the grant amendment and the subcontract amendments after review by the County Attorney.

25 Agenda Item 6c SUBSTITUTE ADOPTED - FEBRUARY 27, 2001 Agenda Item No. 13 Introduced by the Human Services, Administrative Services/Personnel and Finance Committees of the: INGHAM COUNTY BOARD OF COMMISSIONERS RESOLUTION TO AUTHORIZE A TOBACCO REDUCTION GRANT CONTRACT WITH THE AMERICAN LEGACY FOUNDATION RESOLUTION #01-60 WHEREAS, tobacco use causes substantial disease, disability and early death in Ingham County which disproportionately affects vulnerable population groups; and WHEREAS, the County participates in a number of efforts to prevent tobacco use and to assist in the cessation of tobacco use; and WHEREAS, the American Legacy Foundation has awarded a Tobacco Use Cessation and Prevention Initiative grant of $500,000 over four years; and WHEREAS, the Health Officer has recommended that the Board of Commissioners accept the four year grant award and make the authorizations necessary to implement the first year of the grant proposal; WHEREAS, the Health Officer has advised that this grant award and the implementation of the project proposal will not require the commitment of any additional Ingham County funds. THEREFORE BE IT RESOLVED, that the Ingham County Board of Commissioners authorizes the Ingham Community Voices: Tobacco Use Cessation and Prevention Initiative grant contract with the American Legacy Foundation. BE IT FURTHER RESOLVED, that period of the grant contract shall be February 1, 2001 through September 30, 2004 and that the American Legacy Foundation shall provide Ingham County with $500,000 over the four years to implement the proposal, with $66,432 to be available during the period February 1, 2001 through September 30, 2001; $141,740 during the period October 1, 2001 through September 30, 2002; $143,537 to be available during the period October 1, 2002 through September 30, 2003; and $148,291 to be available during the period October 1, 2003 through September 30, BE IT FURTHER RESOLVED, that contracts using grant funding are authorized during each year of the grant period with the African American Health Institute (with St. Stephens Community Church acting as fiduciary) and with the Circle of Indigenous Races for Community Leadership and Empowerment (with Small Folks Child Development Center acting as fiduciary), with each

26 RESOLUTION #01-60 Agenda Item 6c ADOPTED - FEBRUARY 27, 2001 Agenda Item No. 13 organization to receive $10,500 in FY 2001; $20,000 in FY 2002; $20,000 in FY2003; and $20,000 in FY2004. BE IT FURTHER RESOLVED, that a contract to evaluate the project, as set out in the project proposal, is authorized with the organization to be selected through a County Request For Proposal process, with grant funding during the four year period not to exceed $27,525. BE IT FURTHER RESOLVED, that a full-time, grant funded, Health Educator II position (ICEA P5) is established for the duration of the grant. BE IT FURTHER RESOLVED, that the Controller is authorized to adjust the Health Department s 2001 budget to increase total revenues and expenses by $66,423 and make the line item adjustments to implement the grant budget. BE IT FURTHER RESOLVED, that the MIS Director is authorized to purchase computer equipment and software to support the implementation of the grant agreement, not to exceed $3,200. BE IT FURTHER RESOLVED, that the Board Chairperson is authorized to sign the grant agreement and contracts authorized by this resolution after review by the County Attorney. HUMAN SERVICES: The Human Services Committee will meet on 2/26/01 ADMINISTRATIVE SERVICES/PERSONNEL: Yeas: Stid, Celentino, Minter, De Leon, Swope Nays: None Absent: None Approved 2/20/01 FINANCE COMMITTEE: Yeas: Czarnecki, Hertel, Schafer, Minter, Swope, Lynch, Krause Nays: None Absent: None Approved 2/21/01

27 Agenda Item 6d RESOLUTION STAFF REVIEW DATE November 13, 2001 Agenda Item Title: Resolution to Authorize a 0-3 Secondary Prevention Grant with the Children s Trust Fund for Submitted by: Health Department Committees: Ad.Ser/Per. *, H.S. *, Law & Cts., Finance * Summary of Proposed Action (see attached letter of explanation) This resolution will authorize a grant agreement with the Children s Trust Fund intended to improve maternal and child health and prevent child abuse and neglect. The Health Department worked with a coalition of public and non-profit agencies in the community to develop a proposal in response to a Request For Proposal issued by the Family Independence Agency. The proposal represents a continuation of the JumpStart Program, with some small modifications. The attached resolution will authorize the grant agreement, authorizing an additional part-time position and authorize a subcontract. Financial Implications The State will provide up to $164,000 during FY The $50,000 of local match will come from contributions from Sparrow Health System, Ingham Regional Medical Center and funds already included in the Health Department s FY 2001 budget. This program and the grant funding is included in the Health Department s 2002 budget. Other Implications Staff Recommendation: JA JN * HH This resolution should be approved

28 Agenda Item 6d MEMORANDUM TO: FROM: Human Services Committee Finance Committee Administrative Services/Personnel Committee Bruce Bragg DATE: November 12, 2001 SUBJECT: Authorization to Accept a 0-3 Secondary Prevention Program Grant (JumpStart) This is a recommendation to authorize a grant agreement with the Children s Trust Fund intended to improve maternal and child health and prevent child abuse and neglect. The Health Department worked with a coalition of public and non-profit agencies in the community to develop a proposal in response to a Request For Proposal issued by the Family Independence Agency. The proposal represents a continuation of the JumpStart Program, with some small modifications. The Children s Trust Fund has notified us that the proposal has been funded. The attached resolution will authorize the grant agreement, authorizing an additional part-time position and authorize a subcontract. The State will provide up to $164,000 during FY The $50,000 of local match will come from contributions from Sparrow Health System, Ingham Regional Medical Center and funds already included in the Health Department s FY 2001 budget. This program and the grant funding is included in the Health Department s 2002 budget. I recommend that the Board adopt the resolution and authorize the contract. Attachment: cc: John Jacobs w/attachment Bruce Miller w/attachment Elaine Tannenbaum w/attachment Stacy Meyer w/attachment

29 Introduced by the Human Services, Administrative Services/Personnel and Finance Committees of the: INGHAM COUNTY BOARD OF COMMISSIONERS RESOLUTION TO AUTHORIZE A 0-3 SECONDARY PREVENTION GRANT WITH THE CHILDREN S TRUST FUND FOR Agenda Item 6d WHEREAS, staff from the Ingham County Health Department has worked with persons representing other public agencies and community organizations to develop a proposal in response to a Family Independence Agency request for a proposal, intended to develop services to reduce child abuse and neglect in Ingham County; and WHEREAS, the coalition has recommended and the Ingham County Human Services Committee has supported, the continuation of the JumpStart Program operated by the Health Department; and WHEREAS, the Children s Trust Fund has advised Ingham County that the proposal has been funded for the period October 1, 2001 through September 30, 2002; and WHEREAS, the Health Officer has recommended that the Board of Commissioners accept the grant award and authorize the grant agreement with the Children s Trust Fund and advises the Board that the local cash and local in-kind funds are already available in the Health Department s FY 2002 budget and have been committed by Sparrow Health System and Ingham Regional Medical Center. THEREFORE BE IT RESOLVED, that the Ingham County Board of Commissioners authorizes a 0-3 Secondary Prevention Grant Agreement with the Children s Trust Fund for Fiscal Year BE IT FURTHER RESOLVED, that the period of the agreement shall be October 1, 2001 through September 30, 2002, and that the total project budget shall be $214,000 with the Children s Trust Fund to reimburse Ingham County for up to $164,000 in expenditures consistent with the budget and plan and with $50,000 to be provided as in-kind and local cash match from Ingham County, Sparrow Health System and Ingham Regional Medical Center. BE IT FURTHER RESOLVED, that the Board Chairperson is authorized to sign the agreement after review by the County Attorney.

30 Agenda Item 6e RESOLUTION STAFF REVIEW DATE November 13, 2001 Agenda Item Title: Resolution to Authorize an Agreement with Capital Area Community Services to Expand the Jump Start Program to Serve Early Head Start Submitted by: Health Department Committees: Ad.Ser/Per. *, H.S. *, Law & Cts., Finance * Summary of Proposed Action (see attached letter of explanation) This resolution will authorize an agreement with Capital Area Community Services to provide para-professional outreach services to the Early Head Start population through the Ingham County Jump Start Program. This resolution also establishes two positions: one Family/Child/Infant Advocate and one Family/Child/Infant Advocate II. The second level position will act as a lead worker, assisting the Jump Start Coordinator to perform certain quality assurance activities and assist with training. Financial Implications: Capital Area Community Services will provide Ingham County with up to $35,773 to support para-professional outreach services to the Early Health Start Program. Other Implications: The two grant positions will be funded for the duration of the grant contract. Staff Recommendation: JA JN * HH This resolution should be approved

31 MEMORANDUM Agenda Item 6e To: From: Human Services Committee Administrative Services/Personnel Committee Finance Committee Bruce Bragg Date: November 14, 2001 Subject: Agreement with Capital Area Community Services to provide outreach services to the Early Head Start Program This is a recommendation to authorize an agreement with Capital Area Community Services to provide paraprofessional outreach services to the Early Head Start population through the Ingham County Jump Start Program. Through Federal grants, CACS is developing programing for a younger population of low-income, at-risk children. One of the components of the programing is home-visiting. CACS proposes to utilize the model created in the Jump Start Program to deliver those services. CACS has proposed an agreement with Ingham County, which will provide the County with the resources to hire two additional Jump Start employees and provide the CACS Early Head Start Program enrollees the outreach services of the Jump Start Program. This is an excellent example of using service models in one organization to support the service needs in another organization. I am pleased to recommend to the Board of Commissioners that it adopt the attached resolution and authorize the agreement with CACS. The resolution authorized the agreement and establishes two positions: one Family/Child/Infant Advocate and one Family/Child/Infant Advocate II. The second level position will act as a lead worker, assisting the Jump Start Coordinator to perform certain quality assurance activities and assist with training. Attachment cc: Stacy Meyer w/attachment Bruce Miller w/attachment John Jacobs w/attachment Teri Younger, w/attachment

32 Agenda Item 6e Introduced by the Human Services, Administrative Services/Personnel and Finance Committees of the: INGHAM COUNTY BOARD OF COMMISSIONERS RESOLUTION TO AUTHORIZE AN AGREEMENT WITH CAPITAL AREA COMMUNITY SERVICES TO EXPAND THE JUMP START PROGRAM TO SERVE EARLY HEAD START WHEREAS, Capital Area Community Services (CACS) is expanding the Head Start Program to provide early education and growth programming to younger at-risk population; and WHEREAS, CACS has approached the Health Department about incorporating a para-professional outreach component to the programing; and WHEREAS, the Health Department has proposed to implement such programing as part of its Jump Start Initiative; and WHEREAS, the CACS grant will support two new para-professional positions, to operate as part of the Jump Start Initiative in the Health Department and to serve the Early Head Start population; and WHEREAS, the Health Officer has recommended that the Board of Commissioners authorize the proposed agreement with Capital Area Community Services. THEREFORE BE IT RESOLVED, that the Ingham County Board of Commissioners authorizes an agreement with Capital Area Community Services to provide para-professional outreach worker services to support the Early Head Start Program. BE IT FURTHER RESOLVED, that the period of the agreement will be March 1, 2002 through July 31, BE IT FURTHER RESOLVED, that Capital Area Community Services will provide Ingham County with up to $35,773 to support para-professional outreach services to the Early Health Start Program. BE IT FURTHER RESOLVED, that a grant funded Family/Child/Infant Advocate position be established, UAW TOPS C, for the duration of the agreement. BE IT FURTHER RESOLVED, that a grant funded Family/Child/Infant Advocate II position be established, with the salary grade to be recommended by the Human Resources Department upon review of the position questionnaire, for the duration of the agreement. BE IT FURTHER RESOLVED, that the Controller is authorized to amend the Health Department s 2002 budget to implement this resolution and that the Board Chairperson is authorized to sign the agreement after review of by the County Attorney.