CHAIRPERSON HUMAN SERVICES COMMITTEE MARK GREBNER JOHN CZARNECKI , CHAIR LISA DEDDEN CHAIRPERSON PRO TEM MICHAEL SEVERINO CHRIS SWOPE CURTIS HERTEL JR. VICTOR CELENTINO VICE-CHAIRPERSON PRO-TEM MIKE SEVERINO INGHAM COUNTY BOARD OF COMMISSIONERS P.O. Box 319. Mason, Michigan 48854 Telephone (517) 676-7200 Fax (517) 676-7264 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
Transcript
CHAIRPERSON HUMAN SERVICES COMMITTEEMARK GREBNER JOHN CZARNECKI , CHAIR LISA DEDDENCHAIRPERSON PRO TEM MICHAEL SEVERINO CHRIS SWOPE CURTIS HERTEL JR. VICTOR CELENTINO VICE-CHAIRPERSON PRO-TEM MIKE SEVERINO
THE HUMAN SERVICES COMMITTEE WILL MEET ON MONDAY, NOVEMBER 19,2001, AT 7:00 P.M., IN THE DAWE AUDITORIUM, GREENLAWN CAMPUS OF THEINGHAM REGIONAL MEDICAL CENTER, 401 W. GREENLAWN, LANSING. (SEEATTACHED MAP)
A DINNER FOR COMMISSIONERS HAS BEEN SCHEDULED FROM 5 PM TO 7 PM.
Agenda
Call to OrderApproval of the October 23 and November 5, 2001 MinutesAdditions to the AgendaLimited 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
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 2001-2002 e. Resolution to an Agreement with Capital Area Community Services to Expand the Jump Start Program to Serve Early Head Start
AnnouncementsPublic CommentAdjournment
The County of Ingham will provide necessary reasonable auxiliary aids and services, such as interpreters for the hearingimpaired and audio tapes of printed materials being considered at the meeting for the visually impaired, for individualswith disabilities at the meeting upon five (5) working days notice to the County of Ingham. Individuals with disabilitiesrequiring auxiliary aids or services should contact the County of Ingham in writing or by calling the following: InghamCounty Board of Commissioners, P.O. Box 319, Mason, MI 48854 Phone: (517) 676-7200. A quorum of the Boardof Commissioners may be in attendance at this meeting.
HUMAN SERVICES COMMITTEEOctober 23, 2001
Minutes
Members Present:: John Czarnecki, Lisa Dedden, Mike Severino, Curtis Hertel Jr. andVictor Celentino
Members Absent: None
Others Present: John Neilsen and Bruce Bragg
The meeting was called to order by Chairperson Czarnecki at 7:21 p.m. in the First FloorConference Room, Ingham County Courthouse, Mason.
Approval of the August 27, September 18 and October 1, 2001 MinutesMOVED BY COMM. SEVERINO, SUPPORTED BY COMM. CELENTINO, TO APPROVETHE AUGUST 27, SEPTEMBER 18 AND OCTOBER 1, 2001 MINUTES AS SUBMITTED. MOTION CARRIED UNANIMOUSLY.
Additions to the Agenda: NoneLimited Public Comment: None
MOVED BY COMM. SEVERINO, SUPPORTED BY COMM. CELENTINO, TO APPROVEA CONSENT AGENDA FOR THE FOLLOWING ITEMS:
1. Health Department a. Resolution to Authorize an Agreement with the Michigan Fitness Foundationb. Resolution to Establish a Clinical Physician Position
MOTION CARRIED UNANIMOUSLY.
MOVED BY COMM. SEVERINO, SUPPORTED BY COMM. CELENTINO, TO APPROVETHE ITEMS ON THE CONSENT AGENDA. MOTION CARRIED UNANIMOUSLY.
Announcements: NonePublic Comment: None
The meeting adjourned at 7:22 p.m.
Respectfully submitted,
Debra Neff
HUMAN SERVICES COMMITTEENovember 5, 2001
Minutes
Members Present: John Czarnecki, Lisa Dedden, Curtis Hertel Jr. and Victor Celentino
Members Absent: Michael Severino
Others Present: 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 PersonnelConference Room of the Human Services Building, 5303 South Cedar, Lansing. Approval of the October 1, 2001 Executive Session MinutesMOVED BY COMM. CELENTINO, SUPPORTED BY COMM. HERTEL, TO APPROVETHE OCTOBER 1, 2001 EXECUTIVE SESSION MINUTES AS SUBMITTED. MOTIONCARRIED UNANIMOUSLY. Absent: Comms. Severino and Dedden
Additions to the Agenda3. Womens Commission - Interviews4. Public Health Issues - Presentation 6. Substance Abuse Commission - Appointments7. Womens Commission - Appointments
Limited Public Comment: None
1. FIA Board Appointment
MOVED BY COMM. CELENTINO, SUPPORTED BY COMM. HERTEL, TO RECOMMENDTHE REAPPOINTMENT OF PAT MUNSHAW TO THE FIA BOARD. MOTION CARRIEDUNANIMOUSLY. 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 APPROVETHE RESOLUTION TO AUTHORIZE A LEASE AGREEMENT WITH SPARROW HEALTHSYSTEM FOR SPACE TO HOUSE A COMMUNITY HEALTH CENTER. MOTIONCARRIED UNANIMOUSLY. Absent: Comm. Severino
b. Resolution to Authorize a Contract for Services with the Kent County Health Department
In response to Comm. Celentino, Mr. Bragg explained that the Health Department has enteredinto an agreement with the Kent Health Plan, a not-for-profit corporation. A condition of thecontract is that the County will establish a subcontract with the Kent County Health Departmentto conduct outreach and enrollment services. It is expected the County will earn approximately$200,000 in revenue in FY 2002. Fifty thousand dollars of this amount will be dedicated to thesubcontract.
MOVED BY COMM. CELENTINO, SUPPORTED BY COMM. HERTEL, TO APPROVETHE RESOLUTION TO AUTHORIZE A CONTRACT FOR SERVICES WITH THE KENTCOUNTY 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 onthe Women’s Commission.
Chairperson Czarnecki informed the applicants that recommendations would be made to thenext Board of Commissioners’ meeting.
4. Public Health Issues - Presentation
Mr. Bragg stated public health officials are meeting with the National Security Council toaddress public health concerns. The NSC believes the terrorists’ strategy is to hit the East coastrepeatedly for political and economical reasons. This strategy could change. Conventionalweapons 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 theyactually are. Anthrax is the other threat concern. It is believed the terrorists are experimentingwith various types of Anthrax to determine the most successful type. The aerosolized Anthrax isthe 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 andreasonable threat that the terrorists have a small pox virus of Russian variety. Approximately 15million doses of the small pox vaccine are currently available in the United States. The dosesare currently being diluted to create 70 million doses. Experts believe this amount would be90% effective. Botulism and chemical agents are also public health concerns.
Mr. Bragg further explained the New York laboratories were not prepared to deal with thevolume of Anthrax they were faced with recently. The laboratories are, however, capable ofdealing with the necessary analytical tests. They did not know how to handle the influx ofAnthrax specimens.
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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 withpossible emergencies.
In response to Comm. Hertel, Dr. Sienko explained that a person would become infectious withthe small pox virus a few days after he/she breaks out with a rash. Small pox is a very physicallypronounced illness. There are more plausible ways for a terrorist to use small pox to infect apopulation.
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 thesebiological 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 sporeschange into the bacteria. The bacteria then release toxins which kills people. In the case ofanimals, once the infected animal decays, the bacterium is exposed to oxygen. This exposurechanges 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 daysbefore the person becomes ill. It has been reported that some people did not become ill until twomonths after exposure. The onset of the illness mimics the flu. Thereafter, a person will showimprovement and then die within 24 to 36 hours. Inhalation Anthrax is a very aggressiveorganism.
A high index of suspicion is used to diagnose Anthrax. A doctor in this community would notsuspect a person of having Anthrax. However, a doctor in Washington, D.C. would suspectAnthrax in a Brentwood postal facility employee who presented flu-like symptoms. This personwould be placed on the Anthrax vaccine until a confirmed diagnosis can be made. The durationof the treatment is 60 days. An analysis will be conducted on the suspect powder for thepresence of Anthrax spores. Over 100 specimens have been referred to the State laboratory fromacross the State. These specimens tested negative for the Anthrax bacteria. Specimens have notbeen referred from Ingham County at this time.
Dr. Sienko further explained that if the specimen has tested positive for the bacteria at the Statelevel, the FBI will then determine if the bacteria consists of spores. If this determination ispositive, the infected person will be treated for Anthrax. Presently, there are 17 cases of Anthraxin 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 ofpeople or groups without access to advanced biotechnology. Dr. Sienko stated intelligencereports should continue to be monitored. Suspect packages should be reported to local lawenforcement agencies. If a person suspects Anthrax, he/she should put the package down,
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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 ofeducating the public about Anthrax and to ease their fears. Mr. Bragg stated communication isan important aspect. Dr. Sienko is chairing a committee to develop appropriate responses. Thisissue could be addressed in that committee. The Health Department receives dailycommunications from the Centers for Disease Control. Mr. Bragg stated the concern that printedmaterial may be inappropriate due to the changing nature of the situation. A Website may behelpful.
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 allvarieties of Anthrax. Dr. Sienko addressed additional questions from the Committee. Inresponse to Comm. Dedden, Dr. Sienko stated the local hospitals have developed their own plansfor dealing with possible cases of Anthrax. However, the best plans can have problems. Fundamental mistakes are made. The community should practice steps to avoid possiblemistakes in the event of a terrorist attack. Mr. Bragg stated Ingham Regional Medical Center istaking 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 tothe LEPC. He has addressed many groups throughout Ingham, Eaton and Barry Countiesregarding the current situation.
In response to Chairperson Czarnecki, Mr. Bragg explained that the community has a job to doin the case of an Anthrax or other terrorist threat. Dr. Sienko further explained that the City andthe County may act differently in the event of a terrorist situation. Chairperson Czarneckiexpressed his concern that everyone should have a plan to react in an organized, step-by-stepprocess. Mr. Bragg stated the community needs to move in the direction of becoming moreprepared. In the event of a terrorist situation, the Board of Commissioners should convene togather information from the appropriate people in order to make good decisions and to provideleadership.
In response to Comm. Dedden, Dr. Sienko stated there are a number of things the County can doto be prepared. An allocation of resources would be necessary for things such as training andadditional staffing. Mr. Bragg further explained there are two federal initiatives which wouldprovide some funding to local jurisdictions. The County could inform the Senate and theCongress of its concerns. He also stated the Health Department should have resources within itsexisting 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 furtherstated the Community Agency Budget Hearing is scheduled for the last Human ServicesCommittee meeting of the year. The Committee will receive an informational packet on the
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agencies prior to the Budget Hearing. Last year, the agencies received a flat appropriation. Herecommended this Committee follow the same procedure this year.
Chairperson Grebner stated the Committee could follow last year’s decision. This decisionwould be modified if some agencies funded last year were not requesting funds this year. Thoseadditional funds could be appropriated to the new agencies. The existing agencies could receivethree or four percent over last year’s appropriation. Another approach would be to ask theagencies what they would do with the additional funds. The Committee could then divide thefunds among the agencies after listening to their emotional appeals. Chairperson Grebner statedhe was in favor of following last year’s process. If the Committee decides to follow the firstapproach, this could be communicated to the agencies. The agencies should also be informed ifthe 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 duringthe next meeting.
7. Women’s Commission Appointments
Mr. Neilsen informed the Committee that the Board Office has not been able to reach DeloisWhitaker Caldwell to determine if she wishes to be reappointed to the Commission. TheCommittee discussed this matter.
A letter is to be sent to Ms. Caldwell informing her to contact the Board Office immediatelyregarding her interest in serving. Mary Finch should be contacted to schedule an interview forthe next Committee meeting.
AnnouncementsMr. Neilsen informed the Committee their next meeting will be held at the Greenlawn Campusof 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
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Agenda Item 3Introduced by the Human Services Committee of the:
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 toincrease 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 withHIV/AIDS, with young people under the age of 25 accounting for more than half of all newinfections; and
WHEREAS, the American Association for World Health is encouraging a better understandingof the challenge of HIV/AIDS nationally as it recognizes that the number of people diagnosedwith HIV and AIDS in the United States continues to increase, with up to 900,000 peopleinfected across the nation; and
WHEREAS, the Joint United Nations Program on HIV/AIDS (UNAIDS) observes December 1of each year as World AIDS Day, a day to expand and strengthen worldwide efforts to stop thespread of HIV/AIDS; and
WHEREAS, World AIDS Day provides an opportunity to focus local, national and internationalattention to HIV infection and AIDS and to disseminate information on how to prevent thespread of HIV; and
WHEREAS, half of all new HIV infections in the United States are among young Americansunder the age of 25, the World AIDS Day 2001 theme, “I Care...Do You” Youth and AIDS inthe 21st Century urges all youth and those who influence them to increase their awareness of therisk of HIV/AIDS for themselves and to use their influence on their families, among friends andwithin the community to help in the battle against the HIV/AIDS epidemic.
THEREFORE BE IT RESOLVED, that the Ingham County Board of Commissioners designateDecember 1, 2001 at World AIDS Day in Ingham County and urges all citizens to take part inactivities and observances designed to increase awareness and understanding of HIV/AIDS as aglobal challenge, to take part in HIV/AIDS prevention activities and programs and to join theglobal effort to prevent further spread of HIV/AIDS.
Agenda Item 4
RESOLUTION STAFF REVIEW DATE November 3, 2001
Agenda Item Title: Resolution Authorizing an Agreement Between Ingham County and theCapital Area Transportation Authority
Submitted by: Capital Area Transportation Authority/Controller’s Office
Summary of Proposed Action: This resolution will authorize a contract with CATA through the countywide publictransportation millage level of 40/100 (.40) of one mill to be used for the purpose of funding atransportation 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 AreaTransportation Authority to provide the transportation services for the terms of the Millagethrough December of 2005.
Financial Implications: These operational funds will come from any surplus funds from previous years and from theSpecial Millage authorized from 1996 through 2000. The annual contract is extended fromOctober 1, 2001 through September 30, 2002. The millage was authorized from January 1, 2001through December 31, 2005.
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 staterevenue, before the County contracted millage revenues are utilized. It is estimated that themillage 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, 2001through September 30, 2002. CATA is proposing that up to $60,000 will be used to purchase asecond spare vehicle in addition to the one spare that is used to complement the 17 that areproviding service
Staff Recommendation: JA DE JN * HH This resolution should be approved.
Agenda Item 4
Introduced by the Human Resources and Finance Committees of the:
INGHAM COUNTY BOARD OF COMMISSIONERS
RESOLUTION AUTHORIZING AN AGREEMENT BETWEEN INGHAM COUNTYAND THE CAPITAL AREA TRANSPORTATION AUTHORITY
WHEREAS, an agreement was authorized with the Capital Area Transportation Authority forthe period ending September 30, 2001, and the main agreement was extended until December31, 2001; and
WHEREAS, on August 7, 2001 the electorate approved a countywide public transportationmillage level of 40/100 (.40) of one mill to be used for the purpose of funding a transportationsystem 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 ofthe millage levy would be turned over primarily to the Capital Area Transportation Authorityand used to provide the transportation service; and
WHEREAS, it is desirable that the main contract be authorized effective January 1, 2002, andcontinuing 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 approvesan agreement with the Capital Area Transportation Authority (CATA) which authorizes theCounty to pay CATA the expenses incurred for providing a public transportation system to beused primarily by elderly and disabled persons in Ingham County from revenue generated as aresult 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, 2005.
BE IT FURTHER RESOLVED, that the Chairperson of the Board and the County Clerk arehereby authorized to sign the appropriate agreements and documents necessary to implement theabove, subject to approval as to form by the County Attorney.
Agenda Item 5b
RESOLUTION STAFF REVIEW DATE November 13, 2001
Agenda Item Title Resolution to Authorize Ingham County MSU Extension to Purchase aLaptop Computer
Summary of Proposed Action: This resolution authorizes an increase in the CooperativeExtension budget by accepting a grant from MSU and the purchase of unbudgeted equipment. Itfurther authorizes Ingham County MSU Extension to use up to $2,100 to purchase a LaptopComputer and software for use by the Extension Agricultural and Natural Resources Agent forthe purpose of educational program presentation, farm financial analysis, remote email and workassignments, 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 totalcost equaling $420. The remaining $1,680 to purchase the computer equipment and software areavailable 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 900MHZLaptop, 256MB Ram, 20GB Hard Drive, 3.5 Floppy Drive, 12XCD-RW Drive, 3D AcceleratedVideo, w/8MB Ram, PCMCI 56K Modem, and Windows 98) has been determined through MISto total $2,100.
Staff Recommendation: JA JN * HH This resolution should be approved
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 TOPURCHASE A LAPTOP COMPUTER
WHEREAS, an up-to-date laptop/notebook computer is an essential tool for the ExtensionAgricultural and Natural Resources Agent for the purpose of educational program presentation, farmfinancial analysis, remote email and work assignments, and on farm visits with one-on-one computeruse; and
WHEREAS, the laptop/notebook computer currently used by the Agricultural /Natural ResourcesAgent is obsolete in its capacity to accept and run software and to store data necessary for the aboveresponsibilities; and
WHEREAS, the Ingham County MIS Department has been apprised of MSU Extension’s interestin purchasing a laptop computer for the agricultural agent position, and which meets current MSUrecommendations; and
WHEREAS, the specific purchase price of the computer equipment and software (Pentium III 850or 900MHZ Laptop, 256MB Ram, 20GB Hard Drive, 3.5 Floppy Drive, 12XCD-RW Drive, 3DAccelerated Video, w/8MB Ram, PCMCI 56K Modem, and Windows 98) has been determinedthrough MIS to total $2,100; and
WHEREAS, Michigan State University Extension will provide a matching grant of 20 % of thetotal cost equaling $420 for the purchase of a new laptop computer and software to support theagricultural agent position; and
WHEREAS, the remaining $1,680 to purchase the computer equipment and software are availablein the Ingham County MSU departmental budget supply line item.
THEREFORE BE IT RESOLVED, that the Ingham County Board of Commissioners accepts amatching grant from MSU Extension up to $420 towards the purchase of a new laptop computer andsoftware to support the Agricultural Agent position.
BE IT FURTHER RESOLVED, that the Ingham County Board of Commissioners authorizesIngham County MSU Extension to use up to $1,680 in funds from the Ingham County MSUdepartmental budget supply line item, along with the matching funds from MSU Extension for atotal of $2,100 to purchase a laptop computer and specified software for the Agricultural Agent.
Agenda Item 5b
BE IT FURTHER RESOLVED, that the County Controller is authorized to amend the 2001 InghamCounty MSU Extension budget and to amend the County MSU Extension capital improvement fundin accordance with this resolution.
BE IT FURTHER RESOLVED, that the Chairperson of the Board and the County Clerk are herebyauthorized to sign the appropriate agreements and documents necessary to implement the above,subject to approval as to form by the County Attorney.
Agenda Item 6b
RESOLUTION STAFF REVIEW DATE November 13, 2001
Agenda Item Title: Resolution to Authorize a Local Health Department Agreement for the Useof Data Files with the Michigan Department of Community Health
Summary of Proposed Action (see attached letter of explanation) This resolution will authorize a Local Health Department Agreement for the Use of Data Files withthe Michigan Department of Community Health (MDCH). The MDCH acts as the repository forvital records in Michigan. The Public Health Code establishes a mechanism by which data files canbe shared with local health departments for administrative and research purposes. The process setout in the Public Health Code requires an agreement between the State and the local healthdepartment
Financial ImplicationsThere are no costs associated with this agreement.
Other Implications
Staff Recommendation: JA JN * HH This resolution should be approved
Agenda Item 6b
MEMORANDUM
To: Human Services CommitteeFinance Committee
From: 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 DataFiles with the Michigan Department of Community Health (MDCH). The MDCH acts as therepository for vital records in Michigan. The Public Health Code establishes a mechanism by whichdata 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 Countyresidents 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 InfantMortality Review Team in Ingham County. This team, lead by Dr. Sienko, reviews casesof infants that have died of causes that may be preventable. The intent is to review thesecases 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 theAll Children Connected to Succeed Program. In this situation, Health Department staff willutilize the birth record to invite families of newborns to participate in these local programsintended to support proper growth and development of young children, to prepare them tosucceed in school and in life.
The process set out in the Public Health Code requires an agreement between the State and the localhealth department. I recommend that the Board of Commissioners adopt the attached resolution andauthorize the agreement with the Michigan Department of Community Health.
Attachment
cc: Elaine Tannenbaum w/attachment
Agenda Item 6bIntroduced by the Human Services and Finance Committees of the:
INGHAM COUNTY BOARD OF COMMISSIONERS
RESOLUTION TO AUTHORIZE A LOCAL HEALTH DEPARTMENT AGREEMENT FORTHE USE OF DATA FILES WITH THE MICHIGAN DEPARTMENT OF COMMUNITY
HEALTH
WHEREAS, the Michigan Department of Community Health acts as the repository for vitalrecords in Michigan; and
WHEREAS, the Public Health Code establishes a procedure whereby vital records may beutilized by local health departments for administrative and research purposes; and
WHEREAS, the Ingham County Health Department has requested that copies of birth recordsfor Ingham County residents be provided to the Department, for the purposes of identifyingfamilies that can be assisted through the Ready to Succeed and All Children Connected toSucceed Programs, and to assist Fetal and Infant Mortality Review Team in identifyingpreventable deaths; and
WHEREAS, the Health Officer recommends that the Ingham County Board of Commissionersauthorize the agreement with the Michigan Department of Community Health to facilitate thesharing of these records.
THEREFORE BE IT RESOLVED, that the Ingham County Board of Commissioners authorize aLocal Health Department Agreement for the Use of Data Files with the Michigan Department ofCommunity Health.
BE IT FURTHER RESOLVED, that the Board Chairperson is authorized to sign the agreementafter review by the County Attorney
Agenda Item 6c
RESOLUTION STAFF REVIEW DATE November 13, 2001
Agenda Item Title Resolution to Authorize an Amendment to the Tobacco Reduction GrantContract with the American Legacy Foundation
Summary of Proposed Action (see attached letter of explanation) This resolution will authorize an amendment to an existing agreement, as proposed by theFoundation, to adjust the start and end dates of the agreement. The amendment changes the startdate for the agreement from February 1, 2000 to February 1, 2001. It changes the end date of theagreement from September 30, 2004 to January 31, 2005. The attached resolution will authorizean amendment to implement these changes. The resolution also authorizes amendments to thesubcontracts with the Circle of Indigenous Races for Community Leadership & Empowerment(CIRCLE) and the African American Health Institute. The amendments will make theappropriate changes in the start and end dates of the subcontracts and will insert a requirementfor appropriate oversight and involvement of advisory boards for both groups. All other termsand conditions of the agreement with the American Legacy Foundation and with the twosubcontractors will remain unchanged.
Financial Implications None from this resolution
Other Implications
Staff Recommendation: JA JN * HH This resolution should be approved
Agenda Item 6c
MEMORANDUM
To: Human Services CommitteeFinance Committee
From: Bruce Bragg
Date: November 14, 2001
Subject: Amendment to the American Legacy Foundation Tobacco Reduction GrantAgreement
In Resolution No. 01-60, the Board of Commissioners authorized a grant agreement with theAmerican Legacy Foundation. This is a recommendation to authorize an amendment to theagreement, 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 theHealth Department. During 2000, the County had the opportunity to apply to the AmericanLegacy Foundation for grant funding to enhance our efforts to address tobacco use problems invulnerable population groups. This opportunity came because Ingham County has a KelloggFoundation Community Voices Grant.
The $500,000 grant was awarded for a four year period. The proposal that was submitted andfunded has four major parts:
1. Thirty percent of pregnant women who participate in the Ingham County WIC programsmoke. There are very few smoking cessation resources for these women. The Legacy grantwill provide for smoking cessation counseling, and nicotine replacement therapy, as appropriate.
2. Environmental Tobacco Smoke (ETS) causes a variety of health problems, some are lifethreatening like lung cancer and heart disease. The Department will work to reduce ETS in theworkplace and in homes. The grant will help the Board of Health publicly recognize workplacesthat have gone smoke free. The Department will try to reduce ETS in homes by a.) working withprimary care providers, to help patients stop smoking at home; and b.) through a communityeducation campaign about ETS aimed at the general audience.
3. The Circle of Indigenous Races for Community Leadership & Empowerment (CIRCLE) andthe African American Health Institute will develop and implement plans to reduce tobacco use intheir respective communities.
Agenda Item 6c
4. The Department will work with area youths to develop and implement tobacco preventionactivities. Youth activities will be based on successful work of others across the country,including youth prevention activities sponsored by the Legacy Foundation.
The amendment changes the start date for the agreement from February 1, 2000 to February 1,2001. It changes the end date of the agreement from September 30, 2004 to January 31, 2005. The attached resolution will authorize an amendment to implement these changes. Theresolution also authorizes amendments to the subcontracts with the Circle of Indigenous Racesfor Community Leadership & Empowerment (CIRCLE) and the African American HealthInstitute. The amendments will make the appropriate changes in the start and end dates of thesubcontracts and will insert a requirement for appropriate oversight and involvement of advisoryboards for both groups. All other terms and conditions of the agreement with the AmericanLegacy Foundation and with the two subcontractors will remain unchanged.
I recommend that the Board of Commissioners authorize the amendments.
Attachment
cc: Bob Glandon w/attachmentJohn Jacobs w/attachment
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 REDUCTIONGRANT CONTRACT WITH THE AMERICAN LEGACY FOUNDATION
WHEREAS, the Ingham County Board of Commissioners authorized an agreement with theAmerican Legacy Foundation, in Resolution No. 01-60, to implement a tobacco reductionprogram; and
WHEREAS, the American Legacy Foundation is proposing to amend the original agreement tochange the start and end dates of the agreement; and
WHEREAS, the Health Officer recommends that the Board of Commissioners authorize theproposed amendment.
THEREFORE BE IT RESOLVED, that the Ingham County Board of Commissioners authorizesan amendment to the Ingham Community Voices: Tobacco Use Cessation and PreventionInitiative agreement authorized in Resolution No. 01-60.
BE IT FURTHER RESOLVED, that the agreement period start date which was originallyestablished as February 1, 2000 shall be revised to be February 1, 2001.
BE IT FURTHER RESOLVED, that the agreement end date which was originally established asSeptember 30, 2004 shall be revised to be January 31, 2005.
BE IT FURTHER RESOLVED, that the Board of Commissioners authorizes amendments to thesubcontracts using grant funding with the African American Health Institute (with St. StephensCommunity Church acting as fiduciary) and with the Circle of Indigenous Races for CommunityLeadership 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 isprovided to the grant activity by community advisory boards representing the African AmericanHealth Institute and the Circle of Indigenous Races for Community Leadership andEmpowerment.
BE IT FURTHER RESOLVED, that the other terms and conditions of the agreement and thesubcontracts shall remain unchanged.
BE IT FURTHER RESOLVED, that the Board Chairperson is authorized to sign the grantamendment and the subcontract amendments after review by the County Attorney.
Agenda Item 6c
SUBSTITUTE ADOPTED - FEBRUARY 27, 2001Agenda Item No. 13
Introduced by the Human Services, Administrative Services/Personnel and Finance Committees ofthe:
INGHAM COUNTY BOARD OF COMMISSIONERS
RESOLUTION TO AUTHORIZE A TOBACCO REDUCTION GRANT CONTRACTWITH THE AMERICAN LEGACY FOUNDATION
RESOLUTION #01-60
WHEREAS, tobacco use causes substantial disease, disability and early death in Ingham Countywhich disproportionately affects vulnerable population groups; and
WHEREAS, the County participates in a number of efforts to prevent tobacco use and to assist inthe cessation of tobacco use; and
WHEREAS, the American Legacy Foundation has awarded a Tobacco Use Cessation andPrevention Initiative grant of $500,000 over four years; and
WHEREAS, the Health Officer has recommended that the Board of Commissioners accept the fouryear grant award and make the authorizations necessary to implement the first year of the grantproposal;
WHEREAS, the Health Officer has advised that this grant award and the implementation of theproject proposal will not require the commitment of any additional Ingham County funds.
THEREFORE BE IT RESOLVED, that the Ingham County Board of Commissioners authorizes theIngham Community Voices: Tobacco Use Cessation and Prevention Initiative grant contract withthe American Legacy Foundation.
BE IT FURTHER RESOLVED, that period of the grant contract shall be February 1, 2001 throughSeptember 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 theperiod February 1, 2001 through September 30, 2001; $141,740 during the period October 1, 2001through September 30, 2002; $143,537 to be available during the period October 1, 2002 throughSeptember 30, 2003; and $148,291 to be available during the period October 1, 2003 throughSeptember 30, 2004.
BE IT FURTHER RESOLVED, that contracts using grant funding are authorized during each yearof the grant period with the African American Health Institute (with St. Stephens CommunityChurch acting as fiduciary) and with the Circle of Indigenous Races for Community Leadership andEmpowerment (with Small Folks Child Development Center acting as fiduciary), with each
Agenda Item 6c
ADOPTED - FEBRUARY 27, 2001Agenda Item No. 13
RESOLUTION #01-60
organization to receive $10,500 in FY 2001; $20,000 in FY 2002; $20,000 in FY2003; and $20,000in FY2004.
BE IT FURTHER RESOLVED, that a contract to evaluate the project, as set out in the projectproposal, is authorized with the organization to be selected through a County Request For Proposalprocess, 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 (ICEAP5) is established for the duration of the grant.
BE IT FURTHER RESOLVED, that the Controller is authorized to adjust the Health Department’s2001 budget to increase total revenues and expenses by $66,423 and make the line item adjustmentsto implement the grant budget.
BE IT FURTHER RESOLVED, that the MIS Director is authorized to purchase computerequipment 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 grantagreement and contracts authorized by this resolution after review by the County Attorney.
HUMAN SERVICES: The Human Services Committee will meet on 2/26/01
Summary of Proposed Action (see attached letter of explanation) This resolution will authorize a grant agreement with the Children’s Trust Fund intended to improvematernal and child health and prevent child abuse and neglect. The Health Department worked witha coalition of public and non-profit agencies in the community to develop a proposal in response toa Request For Proposal issued by the Family Independence Agency. The proposal represents acontinuation of the JumpStart Program, with some small modifications.The attached resolution will authorize the grant agreement, authorizing an additional part-timeposition and authorize a subcontract.
Financial ImplicationsThe State will provide up to $164,000 during FY 2001-2002. The $50,000 of local match will comefrom contributions from Sparrow Health System, Ingham Regional Medical Center and fundsalready 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
Agenda Item 6d
MEMORANDUM
TO: Human Services CommitteeFinance CommitteeAdministrative Services/Personnel Committee
FROM: 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 improvematernal and child health and prevent child abuse and neglect. The Health Department worked with a coalitionof public and non-profit agencies in the community to develop a proposal in response to a Request For Proposalissued 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 willauthorize the grant agreement, authorizing an additional part-time position and authorize a subcontract. TheState will provide up to $164,000 during FY 2001-2002. The $50,000 of local match will come fromcontributions from Sparrow Health System, Ingham Regional Medical Center and funds already included in theHealth Department’s FY 2001 budget.
This program and the grant funding is included in the Health Department’s 2002 budget. I recommend that theBoard adopt the resolution and authorize the contract.
Attachment:
cc: John Jacobs w/attachmentBruce Miller w/attachmentElaine Tannenbaum w/attachmentStacy Meyer w/attachment
Agenda Item 6d
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 THECHILDREN’S TRUST FUND FOR 2001-2002
WHEREAS, staff from the Ingham County Health Department has worked with persons representing other publicagencies and community organizations to develop a proposal in response to a Family Independence Agency requestfor 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 periodOctober 1, 2001 through September 30, 2002; and
WHEREAS, the Health Officer has recommended that the Board of Commissioners accept the grant award andauthorize the grant agreement with the Children’s Trust Fund and advises the Board that the local cash and localin-kind funds are already available in the Health Department’s FY 2002 budget and have been committed bySparrow Health System and Ingham Regional Medical Center.
THEREFORE BE IT RESOLVED, that the Ingham County Board of Commissioners authorizes a 0-3 SecondaryPrevention Grant Agreement with the Children’s Trust Fund for Fiscal Year 2001-2002.
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 InghamCounty for up to $164,000 in expenditures consistent with the budget and plan and with $50,000 to be provided asin-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 theCounty Attorney.
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 theJump Start Program to Serve Early Head Start
Summary of Proposed Action (see attached letter of explanation) This resolution will authorize an agreement with Capital Area Community Services to provide para-professionaloutreach services to the Early Head Start population through the Ingham County Jump Start Program. Thisresolution also establishes two positions: one Family/Child/Infant Advocate and one Family/Child/Infant AdvocateII. The second level position will act as a lead worker, assisting the Jump Start Coordinator to perform certainquality assurance activities and assist with training.
Financial Implications : Capital Area Community Services will provide Ingham County with up to $35,773 tosupport 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
Agenda Item 6eMEMORANDUM
To: Human Services CommitteeAdministrative Services/Personnel CommitteeFinance Committee
From: Bruce Bragg
Date: November 14, 2001
Subject: Agreement with Capital Area Community Services to provide outreach services to the EarlyHead Start Program
This is a recommendation to 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.
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 theJump Start Program to deliver those services. CACS has proposed an agreement with Ingham County, which willprovide the County with the resources to hire two additional Jump Start employees and provide the CACS EarlyHead 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 anotherorganization. I am pleased to recommend to the Board of Commissioners that it adopt the attached resolution andauthorize the agreement with CACS.
The resolution authorized the agreement and establishes two positions: one Family/Child/Infant Advocate and oneFamily/Child/Infant Advocate II. The second level position will act as a lead worker, assisting the Jump StartCoordinator to perform certain quality assurance activities and assist with training.
Attachment
cc: Stacy Meyer w/attachmentBruce Miller w/attachmentJohn Jacobs w/attachmentTeri Younger, w/attachment
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 SERVICESTO EXPAND THE JUMP START PROGRAM TO SERVE EARLY HEAD START
WHEREAS, Capital Area Community Services (CACS) is expanding the Head Start Program to provide earlyeducation and growth programming to younger at-risk population; and
WHEREAS, CACS has approached the Health Department about incorporating a para-professional outreachcomponent to the programing; and
WHEREAS, the Health Department has proposed to implement such programing as part of its Jump StartInitiative; and
WHEREAS, the CACS grant will support two new para-professional positions, to operate as part of the JumpStart 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 proposedagreement with Capital Area Community Services.
THEREFORE BE IT RESOLVED, that the Ingham County Board of Commissioners authorizes an agreementwith Capital Area Community Services to provide para-professional outreach worker services to support theEarly Head Start Program.
BE IT FURTHER RESOLVED, that the period of the agreement will be March 1, 2002 through July 31, 2002.
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 positionquestionnaire, for the duration of the agreement.
BE IT FURTHER RESOLVED, that the Controller is authorized to amend the Health Department’s 2002budget to implement this resolution and that the Board Chairperson is authorized to sign the agreement afterreview of by the County Attorney.
Agenda Item 6eJUMPSTART Early Advantage Program
Program SummaryOverview: The project will improve coordination and increase access to home-based services for children aged 0to 3 in Ingham County.
Problem Statement: In Ingham County, an array of services are available to newborn infants and their parents. Nine local programs designed to prevent subsequent child maltreatment currently provide home visits, groupsupport, mentors, hands-on parenting instruction, food and nutrition education, health care advocacy, prenatalnutrition and counseling, nursing, and social work services. While the procedures whereby newborns and theirparents access these programs are fairly adept at targeting high-risk clientele, it is widely acknowledged thatsome at-risk infants are likely to go unserved. There are three principal reasons for this failure: 1) parents' lackof awareness of available services, because existing assessment procedures fail to identify and target those atgreatest risk; 2) parents' reluctance to access services, believing it may reflect negatively on their adequacy asparents; and 3) fragmentation in the delivery of multiple services to families at greatest risk. What is needed,therefore, is centralized coordination of available services based on careful observation of parent/childinteractions, and additional personnel to engage and work directly with at-risk families in such a way that servicesare framed as building on strengths rather than compensating for deficits.
According to 1996 Health Department data, there were 3,921 babies delivered in the county and 31 infant deaths,or 8 deaths per thousand. Seventeen of these were due to conditions that could be improved by better maternalhealth; 4 resulted from congenital anomalies, possibly preventable by prenatal care; 5 were attributed to"ill-defined conditions" such as SIDS. Last year's FIA data reveals that there were 4,422 child abuse/neglectcomplaints received in Ingham County, 2,053 of which were investigated and 463 substantiated. Substantiatedcases included 766 child victims, 30% of whom were under age 5 and 10% under one year of age. In the currentyear-to-date, CPS has investigated a total of eight suspicious child deaths, seven of which involved infants.
Target Population: The initial target population for this project will be newborns delivered to first-timeparents at the two hospital systems that deliver the majority of births in the Capital Area. In Ingham County,there were 1,736 first births in 1996 (43.8% of all births). Future plans include expansion of the targetpopulation to include all births, prenatal care, and children to the age of 5 years.
Services: The program will include: 1) an initial record-review screening by hospital nurses; 2) a home-basedassessment gauging parent/child interactions for those initially screened at risk; 3) assignment of at-risk infantsby a Program Coordinator to an appropriate existing service, or one of three Family Support Workers (FSWs); 4)within seven days of discharge, engagement of identified parents for weekly home visits and resourcecoordination, or referral to other available programs; 5) assistance in locating resources to meet the individualizedneeds of target families as those needs are identified.
Goals and Objectives: Project activities are designed to: 1) foster positive parenting skills; 2) improveparent-child interaction; 3) support healthy family environments that discourage alcohol, tobacco, and drug use;and 4) improve school readiness. The sustained achievement of these outcomes will consequently reduce theincidence of infant mortality, child deaths, child abuse and neglect, out-of-home placement of children, andchildren entering school with learning, emotional, and social deficits in Ingham County. For the specific groupof families directly engaged by Family Support Workers, project activities will improve scores for 1)
Agenda Item 6e
responsivity, 2) acceptance, 3) organization, 4) learning materials, 5) involvement, and 6) variety, as indicatedby parent/child interactions gauged by Caldwell's Infant/Toddler Home Inventory.
