Grundy Reporter

Grundy County Board of Health met Nov. 15.

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	Absent
Ann Marie Struck	Board of Health Member	Present
Joan Harrop	Board of Health Vice President	Present
Leticia Setrini-Best	Board of Health Member	Present
Dana Howd	Board of Health Member	Excused
Dean Marketti	Board of Health Member	Present
Kathy Ulivi	Board of Health Secretary	Present

The November 2023 Board of Health Meeting was called to order with the pledge of the flag. Also in attendance 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.

II. Public Portion 

None.

III. Approval of Agenda** 

1. Motion to approve the November 2023 Board of Health Agenda

The November 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 Vice President AYES: Joyce, Struck, Harrop, Setrini-Best, Marketti, Ulivi ABSENT: Rasmusson EXCUSED: Howd

IV. Approval of BOH minutes** 

1. Board of Health - Regular Meeting - Oct 18, 2023 6:30 PM

The November Board of Health Meeting Minutes were approved as presented.

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

V. Health Department Operations Report 

1. Action: Health Department Programmatic and Operations

Administration: Michelle Pruim, Public Health Administrator reported the following to the present Board of Health members. The Grundy County Health Department has the following vacancies: Public Health Nurses (Behavioral Health, PT. Nursing, FT), Finance Associate, Outreach & Education Coordinator, Child and Adolescent Therapist, Senior Programs Associate, Senior Programs Information & Assistance. All interested, qualified candidates are encouraged to apply on the Grundy County website. Last month, the staff of the health department participated in an employee survey. The preliminary results have been reviewed and will be compiled soon to share. Soon, all interested stakeholders will have the opportunity to participate in a stakeholder survey. Once the survey opportunity has ended, preliminary results will be reviewed and will be compiled to share. There has been an increase in service requests for Spanish speaking residents. Currently, our staff has two bilingual English Spanish speaking employees and one contracted translation company that is utilized. Consideration to reach out to other county departments and local entities for information on translation resources will take place to continue assisting Spanish speaking residents. Last night, the Grundy County Board approved the subsidy budget of $447,000 for FY 2024. The budget includes the addition of at least one part-time receptionist and an increase in hours from part-time to full-time for a Nutritionist. Throughout the last few weeks, the administration team has been participating in an annual fiscal survey performed by Mack & Associates, P.C. The County Board approved county staff to proceed with the Building a Future project and to continue efforts establishing an RFP for eligible, interested builders. Outreach, Partnerships, and Collaboration efforts continue with local agencies. The Will County Dental Van will be on-site at the Administration Building every third Thursday of the month. The van assists eligible Grundy residents with dental exams, dental cleaning, x-rays, and sealants. To schedule an appointment with our dental van please contact our Nursing Associate at (815)941-3118. Currently the dental van is booked out until February. Efforts to expand community education are underway as we host training for residents and collaborate with Morris Hospital to implement programs to address the current community health needs assessment.

Nursing: Kathryn Harrison, Director of Nursing reported the following to the present Board of Health members. The division participated in their WIC Program Audit at the end of September. The audit went very well, and the division is working toward improving minor corrective actions suggested by the auditing body relating to charting details and advertisements. The division continues to distribute COVID-19, Flu, Pneumonia, and RSV vaccines to eligible, interested residents. Many residents have been interested in receiving the COVID-19 vaccine. To schedule an appointment or for questions on immunizations please call (815)941-3404. The division is partnering with the Kankakee County Health Department to assist with their genetics program, specifically with genetic referrals for Grundy County. In the area, there aren't many geneticists and genetic services available. The partnership would allow health departments to bridge the gap with lack of genetic services. The Will County Dental Van continues to be on-site at our Health Department assisting residents with dental services. Our Nursing Associate has reached out to school districts in implementing dental education to parents, staff, and students, and she continues to work with the scheduled appointments and residents on the waiting list to assist those in need of Health . We appreciate her coordination efforts with the van, the Administration Building, and the residents.

Environmental Health: Laura Wells, Director of Environmental Health reported the following to the present Board of Health members. Laura has applied for a new FDA grant that will allow them to strengthen the retail program standards and assist them in policy creation and revision. Requirements for this grant were started a few years ago when Laura and staff attended online training and in-person training in New Hampshire. Further preliminary training was completed earlier this year to apply for the grant. The grant would allow for $26,000 in funding to strengthen their programs and services. Last week, the division attended the Illinois Environmental Health Association Conference at Starved Rock. The conference consists of various programs throughout Illinois and assists the division with complete continuing education units needed for their Well and Septic requirements. Soon, the division will send out annual good permit invoices to all vendors. The division will also start Tick Drags, a new program offered, that assists in identifying the types of ticks in our area. Laura reported that our county has familiar ticks found in other local counties and throughout the state. The Little Learners Academy located in Minooka has been approved to open.

Behavioral Health: Darcy Jasien, Director of Behavioral Health reported the following programs and operations to the present Board of Health Members. Our auditing body, CARF (Commission on Accreditation of Rehabilitation Facilities), was onsite last week. The audit provided suggestions for improvement in various areas. Darcy reported that 121 clients are receiving medication management services at this time and shared numerical breakdowns of common diagnosis. Community Behavioral Health continues with Case Coordination, where community partners come together to discuss community needs and related situations to better serve the public. The Assistant State's Attorney has recently attended case coordination meetings and has been helpful in providing new information for complicated cases. Tania Schwer, Director of Senior Programs reported the following to the present Board of Health members. The division has received an influx of phone calls related to Medicare mailers, specifically for the differences in the Medicare Savings Program and Extra Help (Part D). The Medicare Saving Program is also known as, QMB, is a Medicare savings cost that assists with premiums, deductibles, and co-insurance. Extra help is a Medicare prescription plan that can assist with premiums, deductibles, and co-insurance. Each plan assists with similar items, however, they each have their own criteria with eligibility and there is no guarantee for the programs until you apply. For interested residents, the senior programs division staff can assist you with applying for the programs during your SHIP appointments with prescriptions. A Triad Interest Meeting will be held on Thursday November 30, 2023, from 9:30am to 10:30 am at the Morris Area Public Library. Recently, there have been a series of events where complicated cases that need chronic case management have taken place. Building a Triad in Grundy County will allow for regular conversation to assist chronic cases. Police Departments, the Morris Hospital and Adult Protective Services have been contacted to provide collaborate efforts to assist these cases. Tamra Peppler, Director of Operations and Compliance reported the following to the present Board of Health Members. Assisting clients with Medicaid coverage and renewals continues in our divisions. Krista Stevens from the Northern Illinois Food Bank continues to be on-site, by appointment, assisting residents with applying for Medicaid insurance, renewing Medicaid coverage, and applying for SNAP benefits. All residents who need to reinstate Medicaid coverage are encouraged to visit: ABE.gov for further assistance. For the month of September, it was reported that approximately 90% of Behavioral Health Claim Submission Payments were reported. This allows a return rate of over $40,000.00. Tamra has been working with the Nursing Associate to confirm Medicare Part D coverage for clients with immunization appointments by utilizing a website to review coverage.

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

VI. Claims 

1. Motion to approve the November 2023 Health Department Claims

The November 2023 Health Department Claims were approved as presented.

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

VII. Health Department Financial Report 

1. Action: Health Department Financial Report

October is 92% through the fiscal year; ($346,247.00.) subsidy is 87% of the total $400,598.00. Revenue is 94% of the budgeted 2024 total of $1,933,764.00. Expenses are 93% of the budgeted 2024 total of $2,446,294.00. The Board of Health approved the Health Department Financial Report as presented.

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

VIII. Old Business 

IX. New Business 

1. Informational: Community Health Plan (IPLAN) Update

Michelle Pruim, Public Health Administrator, presented the agenda item "Informational: Community Health Plan (IPLAN) Update" to the present Board of Health Members. This agenda topic was for information purposes only. No action was taken.

RESULT: INFORMATIONAL ONLY

2. Informational: GCHD Organizational Chart

Michelle Pruim, Public Health Administrator, presented the agenda item "Informational: GCHD Organizational Chart" to the present Board of Health Members. This agenda topic was for information purposes only. No action was taken.

RESULT: INFORMATIONAL ONLY

3. Action: Revised AM1 Employment Procedures and Personnel Documentation

Michelle Pruim, Public Health Administrator, presented the agenda item "Action: Revised AM1 Employment Procedures and Personnel Documentation" to the present Board of Health Members. The agenda topic was approved as presented.

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

4. Action: Revised AM45 Field Safety and Float Phones

Michelle Pruim, Public Health Administrator, presented the agenda item "Action: Revised AM45 Field Safety and Float Phones" to the present Board of Health Members. The agenda topic 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, Struck, Harrop, Setrini-Best, Marketti, Ulivi ABSENT: Rasmusson EXCUSED: Howd

5. Action: Revised AM51 Expedited Referral to Behavioral Health Services

Michelle Pruim, Public Health Administrator, presented the agenda item "Action: Revised AM51 Expedited Referral to Behavioral Health Services" to the present Board of Health Members. The agenda topic was approved as presented.

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

6. Action: Revisions CM24 Case Management

Michelle Pruim, Public Health Administrator, presented the agenda item "Action: Revised CM24 Case Management" to the present Board of Health Members. The agenda topic was approved as presented.

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

7. Action: Risk Management Assessment (Annual Requirement)

Michelle Pruim, Public Health Administrator, presented the agenda item "Action: Risk Management Assessment (Annual Requirement)" to the present Board of Health Members. The agenda topic was tabled as presented.

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

8. Action: Revised Grundy County Health Department Accessibility Plan

Michelle Pruim, Public Health Administrator, presented the agenda item "Action: Revised Grundy County Health Department Accessibility Plan" to the present Board of Health Members. The agenda topic was approved as presented.

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

9. Action: Environmental Health Fees (Revised)

Michelle Pruim, Public Health Administrator, presented the agenda item "Action: Environmental Health Fees (Revised)" to the present Board of Health Members. The agenda topic was approved as presented.

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

10. Action: Nursing Division Fee Schedule

Michelle Pruim, Public Health Administrator, presented the agenda item "Action: Nursing Division Fee Schedule" to the present Board of Health Members. The agenda topic was approved as presented.

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

11. Action: Continued Service on the Board of Health

Dick Joyce, Board of Health President, presented the agenda item "Action: Continued Service on the Board of Health" to the present Board of Health Members. The agenda topic was approved as presented.

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

12. Action: After Hours Contact

Dick Joyce, Board of Health President, presented the agenda item "Action: After Hour Contacts" to the present Board of Health Members. The agenda topic was approved as presented.

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

13. Action: Board of Health FY2024 Executive Rotation

Dick Joyce, Board of Health President, presented the agenda item "Action: Board of Health FY2024 Executive Rotation" to the present Board of Health Members. The agenda topic was approved as presented.

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

14. Action: Stand-In Administrator FY 2024

Dick Joyce, Board of Health President, presented the agenda item "Action: Stand-In Administrator FY 2024" to the present Board of Health Members. The agenda topic was approved as presented.

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

15. Action: Program Designee 2024 FY Form

Dick Joyce, Board of Health President, presented the agenda item "Action: Program Designee 2024 FY Form" to the present Board of Health Members. The agenda topic was approved as presented.

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

16. Action: Comm. Disease Control Designee 2024 FY Form

Dick Joyce, Board of Health President, presented the agenda item "Action: Comm. Disease Control Designee 2024 FY Form" to the present Board of Health Members. The agenda topic was approved as presented.

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

17. Action: DEA Registrant 2024 FY Form

Dick Joyce, Board of Health President, presented the agenda item "Action: DEA Registrant 2024 FY Form" to the present Board of Health Members. The agenda topic was approved as presented.

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

18. Action: Medical Supervisor 2024 Form

Dick Joyce, Board of Health President, presented the agenda item "Action: Medical Supervisor 2024 Form" to the present Board of Health Members. The agenda topic was approved as presented.

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

19. Action: Board of Health Meeting Dates FY 2024

Dick Joyce, Board of Health President, presented the agenda item "Action: Board of Health Meeting Dates FY 2024" to the present Board of Health Members. The agenda topic was for informational purposes only. No action was taken.

RESULT: INFORMATIONAL ONLY

X. Executive Session 

A. Action: Exit Open Session/Enter Executive Session 

1. Motion to Exit Open Session/Enter Executive Session

At 7:20pm, 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 K. Ulivi. On a roll call vote said, motion prevailed by the following vote: Ayes Board of Health members: Joyce, Harrop, Setrini-Best, Struck. Nays: none. Absent: E. Rasmusson. Excused: D. Howd. Motion carried.

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

B. Personnel 5 ILCS 120/2 (c)(1) 

C. Action: Exit Executive Session/Enter Open Session 

1. Motion to Exit Executive Session/Enter Open Session

At 7:45pm, the Board conducted a motion to exit executive session and enter into open session made by J Harrop and seconded by A. Struck. On a roll call vote said, motion prevailed by the following vote: Ayes Board of Health members: Joyce, Marketti, Setrini-Best, Ulivi. Nays: none. Absent: E. Rasmusson. Excused: D. Howd. Motion carried.

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

XI. Action as Result of Executive Session 

1. Motion to Action as Result of Executive Session

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 A. Struck and seconded by Board of Health Member J. Harrop. On a roll call vote said, the motion prevailed by the following vote: Ayes Board of Health members: Joyce, Howd, Marketti, Setrini-Best. Nays: none. Absent: E. Rasmusson. Excused: D. Howd. Motion carried.

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

XII. Adjournment 

1. Motion to Adjourn the November 2023 Board of Health Meeting

At 7:47 PM the November 2023 Board of Health Meeting was adjourned. The recording was stopped.

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

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