Grundy Reporter

Grundy County Board of Health met April 20.

Here are the minutes provided by the board:

I. Call to Order

Attendee Name	Title	Status	Arrived
Dick Joyce	Board of Health Vice President	Present
Eric Rasmusson	Board Member	Absent
Ann Marie Struck	Board of Health Member	Present
Joan Harrop	Board of Health Member	Present
Leticia Setrini-Best	Board of Health Member	Late
Dana Howd	Board of Health Member	Present
Dean Marketti	Board of Health President	Present
Kathy Ulivi	Board of Health Secretary	Present

The April 20, 2022 Board of Health Meeting was called to order at 6:30 PM with the pledge of the flag. Also attending were: Michelle Pruim; Public Health Administrator, Megan Black; Director of Office Management, Kathryn Harrison; Director of Nursing, Laura Wells; Director of Environmental Health, Darcy Jasien; Director of Behavioral Health and Tania Schwer; Director of Senior Programs.

II. Public Portion

No Public Portion.

III. Approval of Agenda**

1. approve the April 20, 2022 Board of Health Agenda

The April 20, 2022 Board of Health Agenda was approved as presented.

RESULT: APPROVED [UNANIMOUS] MOVER: Ann Marie Struck, Board of Health Member SECONDER: Dana Howd, Board of Health Member AYES: Joyce, Struck, Harrop, Setrini-Best, Howd, Marketti, Ulivi ABSENT: Rasmusson

IV. Approval of BOH minutes**

1. Board of Health - Regular Meeting - Mar 16, 2022 6:30 PM

The Board of Health Meeting Minutes for March 16, 2022 were approved as presented.

RESULT: APPROVED [UNANIMOUS] MOVER: Joan Harrop, Board of Health Member SECONDER: Dick Joyce, Board of Health Vice President AYES: Joyce, Struck, Harrop, Setrini-Best, Howd, Marketti, Ulivi ABSENT: Rasmusson

V. Health Department Operations Report

Administration: We currently have two nursing vacancies; one full-time Public Health Nurse position and one part-time Psychiatric Nurse position. Additional vacancies that are available are for the Care Coordinator position, the Information and Assistance position and the Safety and Emergency Response Coordinator position. Interested candidates should apply online through our county website. The county continues to move forward with allotting a portion of the American Rescue Plan Act funding for a county building that the Health Department is intended to occupy. Michelle participated in a meeting with county leadership to move forward to speak about space for programmatic and site needs. There was an update provided by the Illinois Department on Aging during a meeting that discussed recruitment and retention funding for our senior programs division staff. There has been brainstorming on how best to use these funds to recruit new employees and ways to retain our current employees. Also, there was discussion on alleviating needs within the Health Department by additional support for administrative duties, compliance and surveyors to allow the leadership team to focus on programmatic and supervisory responsibilities. We are continuing vaccination efforts with mass vaccination clinics, as needed. Within the last month, we've had two mass vaccination clinics with approximately 100 residents vaccinated per clinic. We are fortunate for the opportunity to staff our mass vaccination clinics with temporary nurses and volunteers.

Nursing: The division filled the vacant part-time Public Health Nurse vacancy on April 11, 2022. The new employee will assist with immunizations, communicable disease and lead case management. On Friday April 22, 2022 we will have a COVID-19 booster clinics from 9am-12pm at the Administration Building. The division has received an increase in phone calls regarding the second booster shot for COVID-19. It was discussed that, per the Center for Disease and Control, the primary age to receive your second Pfizer or Moderna COVID-19 booster shot is fifty years old and above. Currently, the Johnson and Johnson second booster isn't approved. Interested residents who are seeking their second booster who received Johnson and Johnson previously, should receive a second booster for Moderna or Pfizer.

Environmental Health: The Environmental Health division remains fully staffed. They are currently looking for an Environmental Health Intern to assist with West Nile Virus services during mosquito season. The mosquito season runs from May to October. The division is offering a larvicide class on April 26 for interested local municipalities. The division will also be holding a Food Management class on May 10 for interested employees in the food industry who would like to obtain their certificate. In June, the division will have their Local Health Protection Grant program review.

Behavioral Health: Many changes continue to happen on a federal, state and local level for the implication of the Mental Health Crisis Response program. Darcy Jasien, Behavioral Health Director and Michelle Pruim, Public Health Administrator have reached out to local entites and are attending meetings in regards to what the federal, state and local implications may look like for our public health department. We've learned that one of our main priorities working with the new program is to be utilized as a, 'warm hand-off. A warm hand-off is when residents utilize our services for behavioral health following their crisis that has taken place at locations identified as 'living rooms'. The living rooms are apart of the crisis model where residents can go if they are in a crisis, however are not a danger to themselves or others around them. New intervention efforts have been considered for local teens and young-adults. We've recently received an endowment from the community foundation that allows our therapists to travel to schools and provide therapy on-site to students. Since the endowment has started, we've provided services to twenty-six students and have worked with them for approximately 100 service hours.

Senior Programs: Temporary Medicaid Changes were made to respond to the COVID-19 pandemic and Public Health Emergency. The Families First Coronavirus Response Act (FFRCA), signed into law March 2020, provided states with an increase in the amount of federal funding contributed to their Medicaid programs provided they agreed to certain requirements surrounding Medicaid eligibility and enrollment. In exchange for accepting the extra federal dollars, FFRCA prohibited states from disenrolling anyone from their Medicaid programs (with limited exceptions). This continuous coverage provision included in the FFCRA is not indefinite and will end with the public health emergency. IDoA has shared we will have 12 months to evaluate the eligibility of everyone in a Medicaid program. The Senior Division is preparing for the upcoming changes so that Seniors continue to receive the supports and services they need without disruption.

1. Health Department Operations Report

The Health Department Operations Report was accepted as presented.

RESULT: ACCEPTED [UNANIMOUS] MOVER: Joan Harrop, Board of Health Member SECONDER: Dick Joyce, Board of Health Vice President AYES: Joyce, Struck, Harrop, Setrini-Best, Howd, Marketti, Ulivi ABSENT: Rasmusson

VI. Claims

1. Motion to approve the April 2022 Health Department Claims in the amount of $1,209.19 The April 2022 Health Department Claims in the amount of $1,209.19 were approved as presented.

RESULT: APPROVED [UNANIMOUS] MOVER: Dick Joyce, Board of Health Vice President SECONDER: Dana Howd, Board of Health Member AYES: Joyce, Struck, Harrop, Setrini-Best, Howd, Marketti, Ulivi ABSENT: Rasmusson

2. Motion to approve the April 2022 Health Department Claims in the amount of $67,540.20 The April 2022 Health Department Claims in the amount of $67,540.20 were approved as presented.

RESULT: APPROVED [UNANIMOUS] MOVER: Joan Harrop, Board of Health Member SECONDER: Ann Marie Struck, Board of Health Member AYES: Joyce, Struck, Harrop, Setrini-Best, Howd, Marketti, Ulivi ABSENT: Rasmusson

VII. Health Department Financial Report

March is 33% through the fiscal year; ($99,313) subsidy is (19%) of total $520,288. Revenue is (46%) of the total $884,177.00. Expenses are (32%) of the total $784,863.00.

1. Health Department Financial Report

The Health Department Financials were approved as presented.

RESULT: APPROVED [UNANIMOUS] MOVER: Dana Howd, Board of Health Member SECONDER: Kathy Ulivi, Board of Health Secretary AYES: Joyce, Struck, Harrop, Setrini-Best, Howd, Marketti, Ulivi ABSENT: Rasmusson

VIII. Old Business

No Old Business.

IX. New Business

1. AM2: Financial Management Policies

The revisions of AM2: Financial Management Policies were approved as presented.

RESULT: APPROVED [UNANIMOUS] MOVER: Leticia Setrini-Best, Board of Health Member SECONDER: Kathy Ulivi, Board of Health Secretary AYES: Joyce, Struck, Harrop, Setrini-Best, Howd, Marketti, Ulivi ABSENT: Rasmusson

2. Acceptance of 2021 Annual Report

The 2021 Annual Report was approved as presented.

RESULT: APPROVED [UNANIMOUS] MOVER: Dick Joyce, Board of Health Vice President SECONDER: Ann Marie Struck, Board of Health Member AYES: Joyce, Struck, Harrop, Setrini-Best, Howd, Marketti, Ulivi ABSENT: Rasmusson

X. Executive Session

XI. Action as Result of Executive Session

XII. Adjournment

1. adjourn the April 20, 2022 Board of Health Meeting

At 7:01 PM, the April 20, 2022 Board of Health Meeting was adjourned. The recording was stopped.

RESULT: APPROVED [UNANIMOUS] MOVER: Joan Harrop, Board of Health Member SECONDER: Ann Marie Struck, Board of Health Member AYES: Joyce, Struck, Harrop, Setrini-Best, Howd, Marketti, Ulivi ABSENT: Rasmusson

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