Grundy Reporter

Grundy County Board of Health met Aug. 16.

Here are the minutes provided by the board:

I. Call to Order

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

The Wednesday, August 16, 2023 Board of Health Meeting was called to order with the pledge of the flag. Also attending was: Michelle Pruim; Public Health Administrator, Darcy Jasien; Director of Behavioral Health, Laura Wells; Director of Environmental Health, Megan Black; Office Coordinator, Tamra Peppler; Director of Operations and Compliance. and Tania Schwer; Director of Senior Programs,

Absent was: Kathryn Harrison; Director of Nursing,

II. Public Portion

None.

III. Approval of Agenda**

1. Motion to approve the Wednesday, August 16, 2023 Board of Health Agenda The Wednesday, August 16, 2023 Board of Health Agenda was approved as presented.

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

IV. Approval of BOH minutes**

1. Board of Health - Regular Meeting - Jun 21, 2023 6:30 PM

The Wednesday, June 21, 2023 Board of Health Meeting Minutes were approved as presented.

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

V. Health Department Operations Report

1. Motion to approve the Health Department Operations Report

Michelle Pruim, Public Health Administrator, updated the present Board of Health Members with Administrative operations. The Grundy County Health Department has the following vacancies: one part-time Public Health Nurse in the behavioral health division, one full-time Public Health Nurse in the nursing division, one Outreach and Education Coordinator, one Senior Programs Associate, and one Child and Adolescent Therapist. Our Health Department continues to post vacancies in various locations to navigate through the national workforce shortage. All interested, qualified candidates are encouraged to apply on the Grundy County website. The Grundy County-Building a Future project continues to develop. The final adjustments in construction and funding are wrapping-up for Phase 1. Funding for phase 1 has not been fully approved. County leadership is continuing to work on Phase 2 with Kluber Architects + Engineers for renovation drafts for the Administration Building. Phase 3 consists of modifying the courthouse building to create a judicial center. Efforts in educating various stakeholders, representatives and legislators continue. This morning, the Administration Building hosted a Grundy County Chamber of Commerce event, Coffee & Company. The event was well attended. Chris Balkema, Grundy County Board Chairman and Michelle Pruim, educated those in attendance on project priorities and the future for the growing needs of Grundy County. The County Board workshop scheduled for Tuesday, August 22, 2023, has been cancelled. Outreach, partnerships, and collaborations continue. On Tuesday, August 1, 2023, the Morris Police Department, City of Morris, and the Grundy County Health Department hosted National Night Out. National Night Out promotes relationships between community members and law enforcement to build resilient, stronger communities. On Wednesday, August 2, 2023, staff members from the behavioral health division and senior program division attended the Senior Health Fair hosted by State Senator Rezin, promoting GCHD services and updating senior citizens on Older Americans Month. This coming Saturday, August 19, 2023, we will be hosting our Annual AnyBODY 5k. The 1st Annual 12- hour Night Run begins on Friday, August 18, 2023, at 9:00pm followed by the Annual AnyBODY 5k race starting on Saturday, August 19th, 2023. The funds raised from the 5k's are utilized by supporting community member needs.

Michelle Pruim, Public Health Administrator, updated the present Board of Health Members with Nursing operations on behalf of Kathryn Harrison, Director of Nursing. We've partnered with the Will County Dental Van to provide dental education and dental services in Grundy County. Upcoming dental van dates for Grundy County include Wednesday, September 27, 2023, and Tuesday, October 10, 2023. To schedule an appointment with the Will County Dental Van, call our main office phone number at (815) 941-3404. The van sees all ages if teeth are present. The division will be participating in a Woman, Infant, Children (WIC) program audit the last week of September 2023. The audit will consist of administrative, financial, and programmatic items. Annual prices have increased for manufactured vaccines. This includes increases in both children and adult vaccines. The health department can immunize children who are covered under the Vaccine for Children (VFC) state program as well as children who have health insurance coverage with a commercial insurance company. We've partnered with the Kankakee County Health Department and have obtained a $2,500.00 grant award to assess genetic providers and to screen for various genetic disorders. We've also been awarded a $9,000.00 oral health grant from the Illinois Department of Public Health (IDPH) to provide dental education, referrals, and oral health kits to the public.

Laura Wells, Director of Environmental Health, updated the present Board of Health Members with Environmental Health operations. On July 28th, 2023, the EH Intern completed internship hours, assisting with the West Nile Virus Program. The division has trained in local pool and beach inspections and has concluded the season by completing the last few inspections in Grundy County. Laura indicated that some items they look for during an inspection, is to see if the bottom of the pool is clear and the drain is secure, to see if beaches have proper ropes and rings in the water, and to see if the proper signage is posted. The season running May-August, will resume next spring. The division will conduct approximately 20 local beach and pool inspections. The first positive West Nile specimens were collected at the end of July, located in Morris. Four mosquito traps are placed throughout Grundy County: two in Morris, one in Minooka and one in Coal City.

Darcy Jasien, Director of Behavioral Health, updated the present Board of Health Members with Behavioral Health operations. Earlier this week, the division participated in a SUPR Peer Review. The review consists of SUPR selecting agencies to review, to adhere to auditing requirements set forth by the federal government. The review went well. At the beginning of September, an additional four hours of service will be provided to clients for psychiatric care. Morris Hospital Leadership and Grundy County Health Department Leadership collaborated to assess the psychiatric needs throughout the community. Engagement continues between the Grundy County Health Department and County agencies to assess gaps in community behavioral health.

Tania Schwer, Director of Senior Programs, updated the present Board of Health Members with Senior Program operations. The division has recently received notification from AgeGuide and the Illinois Department on Aging (IDOA), that IDOA has received funds for TRAID, a movement to create a support group community network for senior citizens. Collectively law enforcement, persons who service senior citizens, and senior citizens participate in promoting well-being, fraudulence, and immediately connect them to resources. Based on the recommendation from AgeGuide, on August 28th, 2023, local law enforcement and non-profit organizations who service senior citizens in Grundy County, will meet to discuss interest in the TRIAD initiative. The division has one vacancy for a Senior Programs Associate that is posted to our website for interested candidates to apply. The Centers for Medicaid and Medicare Services (CMS) had a data breach, effecting residents of Grundy County. Letters have been mailed to all residents that were affected by the breach. CMS has provided the option of a no-cost 24-month credit monitoring for those affected by the breach.

Tamra Peppler, Director of Operations and Compliance updated the present Board of Health Members on current operations. The vacant Receptionist position has been filled. On the first Tuesday of every month, a member from the Northern Illinois Food Bank comes on-site to assist clients and residents renew their Medicaid information. On Tuesday, August 2nd, it was reported that 47,000 Illinois residents lost Medicaid coverage. 13,000 Illinois residents lost coverage due to no longer being eligible and approximately 34,000 Illinois residents indicated they did not receive a renewal letter in the mail. Engagement continues to alert our clients to renew their Medicaid information to alleviate loss of coverage. It was reported that 94% of insurance claims for behavioral health services were paid back for the month of July. Inter-divisional and cross-divisional learning continues with the Behavioral Health, Environmental Health, Nursing, and Senior Programs division.

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

VI. Claims

1. Motion to approve the August 2023 Health Department Claims

The Board of Health approved the August 2023 Health Department Claims as presented.

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

VII. Health Department Financial Report

1. Action: Health Department Financial Report

July is 66% through the fiscal year; $193,266 subsidy is 37% of total $521,530.00. Revenue is 85% of the budgeted 2023 total of $1,933,764.00. Expenses are 75% of the budgeted 2023 total of $2,455,294.00. The Board of Health approved the Health Department Financial Report as presented.

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

VIII. Old Business

1. FY24 Budget

Michelle Pruim, Public Health Administrator, presented agenda item, FY24 Budget to the present Board of Health Members. This agenda item was for informational purposes only. No action was taken.

RESULT: INFORMATIONAL ONLY

IX. New Business

1. Action: Revised Nursing Division Fees

Michelle Pruim, Public Health Administrator, presented agenda item Revised Nursing Division Fees to the present Board of Health Members. The agenda item was approved as presented.

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

2. Action: CPT Code Pricing Updates

Michelle Pruim, Public Health Administrator presented agenda item, CPT Code Pricing Updates to the present Board of Health Members. The agenda item was tabled as presented.

RESULT: TABLED [UNANIMOUS] Next: 9/20/2023 6:30 PM MOVER: Leticia Setrini-Best, Board of Health Member SECONDER: Eric Rasmusson, Board Member AYES: Joyce, Rasmusson, Struck, Harrop, Setrini-Best, Howd, Marketti, Ulivi

3. Action: WIC Procedure Manual 2023

Michelle Pruim, Public Health Administrator, presented agenda item WIC Procedure Manual 2023 to the present Board of Health Members. The agenda item was approved as presented.

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

4. Information: Community Health Plan Progress

Michelle Pruim, Public Health Administrator, presented agenda item Community Health Plan Progress to the present Board of Health Members. This agenda item was for informational purposes only. No action was taken.

RESULT: INFORMATIONAL ONLY

5. Action: Revised AM8 Non Discrimination

Michelle Pruim, Public Health Administrator, presented agenda item Revised AM8 Non Discrimination to the present Board of Health Members. The agenda item was approved as presented.

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

6. Action: Revised AM20 Client Payments

Michelle Pruim, Public Health Administrator, presented agenda item Revised AM20 Client Payments to the present Board of Health Members. The agenda item was approved as presented.

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

7. Action: Revised AM21 Cultural Competency, Diversity and Inclusion Plan

Michelle Pruim, Public Health Administrator, presented agenda item Revised AM21 Cultural Competency, Diversity, and Inclusion Plan to the present Board of Health Members. The agenda item was approved as presented.

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

8. Action: Revised AM22 Annual Training

Michelle Pruim, Public Health Administrator, presented agenda item Revised AM22 Annual Training to the present Board of Health Members. The agenda item was approved as presented.

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

9. Action: Revised AM23 Conflict of Interest

Michelle Pruim, Public Health Administrator, presented agenda item Revised AM23 Conflict Interest to the present Board of Health Members. The agenda item was approved as presented.

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

10. Action: Revised AM24 Designated Health and Safety Staff

Michelle Pruim, Public Health Administrator, presented agenda item Revised AM24 Designated Health and Safety Staff to the present Board of Health Members. The agenda item was approved as presented.

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

11. Action: Revised AM27 Disposal of HazMat

Michelle Pruim, Public Health Administrator, presented agenda item Revised AM27 Disposal of HazMat to the present Board of Health Members. The agenda item was approved as presented.

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

12. Action: Revised AM32 Stigma Reduction

Michelle Pruim, Public Health Administrator, presented agenda item Revised AM32 Stigma Reduction to the present Board of Health Members. The agenda item was approved as presented.

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

13. Action: Revised AM35 Staff Qualifications

Michelle Pruim, Public Health Administrator, presented agenda item Revised AM35 Staff Qualifications to the present Board of Health Members. The agenda item was approved as presented.

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

14. Action: Revised AM36 Management and Evaluation

Michelle Pruim, Public Health Administrator, presented agenda item Revised AM36 Management and Evaluation to the present Board of Health Members. The agenda item was approved as presented.

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

15. Action: Revised AM37 Public Requests for Information

Michelle Pruim, Public Health Administrator, presented agenda item Revised AM37 Public Requests for Information to the present Board of Health Members. The agenda item was approved as presented.

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

16. Action: Revised AM38 Client Abuse

Michelle Pruim, Public Health Administrator, presented agenda item Revised AM38 Client Abuse to the present Board of Health Members. The agenda item was approved as presented.

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

17. Action: Revised AM40 Use of County Vehicles

Michelle Pruim, Public Health Administrator, presented agenda item Revised AM40 Use of County Vehicles to the present Board of Health Members. The agenda item was approved as presented.

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

X. Executive Session

1. Motion to Enter into Executive Session

At 7:15pm, the Board went into Executive Session for the purpose of discussing Personnel 5 ILCS 120/2 (c)(1) matters on a motion made by D. Marketti and seconded by J. Harrop. On a roll call vote said, motion prevailed by the following vote: Ayes Board of Health members: Joyce, Howd, Rasmusson, Ulivi, Setrini-Best, Struck. Nays: none. Absent: none. Excused: none. Motion carried.

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

2. Personnel 5 ILCS 120/2 (c)(1)

3. Motion to Enter back into Open Session

At 7:30pm, the Board conducted a motion to exit executive session and enter open session made by A. Struck and seconded by J. Harrop. On a roll call vote said, motion prevailed by the following vote: Ayes Board of Health members: Joyce, Howd, Rasmusson, Ulivi, Setrini-Best, Marketti. Nays: none. Absent: none. Excused: none. Motion carried.

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

XI. Action as Result of Executive Session

1. Motion to approve Executive Session Recommendations

Action as a result of Executive Session on matters discussed relating to Personnel 5 ILCS 120/2 (c)(1) were approved on a motion made by Board of Health Member J. Harrop and seconded by Board of Health Member K. Ulivi. On a roll call vote said, motion prevailed by the following vote: Ayes Board of Health members: Joyce, Howd, Rasmusson, Struck, Setrini-Best, Marketti. Nays: none. Absent: none. Excused: none. Motion carried.

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

XII. Adjournment

1. Motion to adjourn the Wednesday, June 21 2023 Board of Health Meeting

At 7:33PM the August 16, 2023 Board of Health Meeting was adjourned. The recording was stopped.

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

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