MID-MICHIGAN DISTRICT HEALTH DEPARTMENT · 2014. 11. 26. · Expenditure Report for October 2014 - Delayed due to year-end closing. e. Mid-Michigan District Health Department's Expenses

MID-MICHIGAN DISTRICT HEALTH DEPARTMENT An Accredited Local Public Health Department www.mmdhd.org

CLINTON

Branch Office 1307 E. Townsend Rd.

St. Johns, MI 48879-9036 (989) 224-2195

GRATIOT Branch Office

151 Commerce Drive Ithaca, MI 48847-1627

(989) 875-3681

MONTCALM Branch Office

615 N. State St., Ste. 1 Stanton, MI 48888-9702

(989) 831-5237

ADMINISTRATIVE OFFICES 615 N. State St. Ste. 2

Stanton, MI 48888-9702 (989) 831-5237

MARK W. (MARCUS) CHEATHAM

Health Officer ROBERT GRAHAM, DO, MPH, FAAFP

Medical Director

BOARD OF HEALTH Bruce Delong

Jack A. Enderle Betty Kellenberger

Jane Keon Tom Lindeman

Laura McCollum

Your Public Health Team,

Connecting with our Communities to Achieve Healthier Outcomes.

BOARD OF HEALTH

REGULAR MEETING

At

Mid-Michigan District Health Department

Clinton County Branch Office

Saint Johns, Michigan

Wednesday, November 26, 2014

10:00 AM

AGENDA

We take action to assure the health and well being of our community and the environment

by responding to public health needs and providing a broad spectrum

of prevention and educational services.

Pledge of Allegiance

A. AGENDA NOTES, REVIEW, AND REVISIONS:

1.

B. CONSENT ITEMS:

1. Meeting Minutes

a. Michigan Association for Local Public Health (MALPH) Board of Directors meeting

held October 21, 2014 - Attached.

3

b. Mid-Michigan District Board of Health Regular Meeting held October 29, 2014 -

Attached.

6

2. Communications

C. PUBLIC COMMENTS:

D. BRANCH OFFICE EMPLOYEES:

E. COMMITTEE REPORTS:

1. Finance Committee - Tom Lindeman, Chair

a. Mid-Michigan District Health Department's Monthly Balance Sheet, Revenue and

Expenditure Report for September 2014 - Attached.

14

b. Financial Status Report, Fiscal Year 13/14 - Handout.

c. FY 13/14 Year-End Summary and Recommendations - Attached. 20

d. Mid-Michigan District Health Department's Monthly Balance Sheet, Revenue and

http://www.mmdhd.org/

Expenditure Report for October 2014 - Delayed due to year-end closing.

e. Mid-Michigan District Health Department's Expenses for October 18 through November

14, 2014 - Attached.

21

f. Environmental Health Software Purchase, Marcus Cheatham, Health Officer and Bob

Gouin, Environmental Health Director - Attached.

34

g. Authorization to Take Bids for a New Agency Telephone System - Attached. 35

2. Personnel Committee - Betty Kellenberger, Chair

a.

3. Program Committee - Bruce Delong, Chair

a.

4. Mid-Central Coordinating Committee - Tom Lindeman, Vice Chair

a.

F. MEDICAL DIRECTOR'S REPORT: Robert Graham, DO, MPH, FAAFP - No Report.

G. HEALTH OFFICER'S REPORT - Mark W. (Marcus) Cheatham, Ph.D., Health Officer

1. Approval of Job Descriptions - Attached. 36

2. Grant Update - Attached. 40

3. Solar Winds Software, presentation by Mario Lucchesi, Management Information Systems

Coordinator

H. OLD BUSINESS:

1. Board of Health Holiday Luncheon, December 17th, 12 noon in Ithaca

2. Public Health Accreditation Board (PHAB) Update

3. Client Satisfaction Survey, FY 13/14 - Attached. 41

I. NEW BUSINESS:

1. Emerging Issues

2. Farm Markets District-Wide, presentation by Charity Little, Environmental Health

Specialist II - Handout.

3. Regionalization

J. LEGISLATIVE ACTION:

K. INFORMATIONAL ITEMS: - Attached.

1. Board of Health Action Items, October 2014 53

2. 2014 National Influenza Vaccination Week Key Points 54

3. Influenza-like Illness Cases Reported to the Mid-Michigan District Health Department,

Week Ending November 16, 2013 (Week 46)

56

4. Percentage of Visits for Influenza-like Illness (ILI) Reported by the US Outpatient

Influenza-like Illness Surveillance Network (ILINet): Michigan, Selected Seasons

57

5. Staffing and Longevity Report 58

L. RELATED NEWS ARTICLES AND LINKS: - Attached.

1. Mid-Michigan District Health Department (MMDHD) News Articles Available Online at:

http://mmdhd.org/boh-news-2014.html

M. AGENCY NEWSLETTERS: - None.

MICHIGAN ASSOCIATION FOR LOCAL PUBLIC HEALTH

(MALPH)

Board of Directors

Meeting Minutes

October 21, 2014

I. Call to Order The meeting was called to order at 12:15pm by Lisa Stefanovsky, President.

II. Roll Call

A quorum was present.

Jurisdictions Represented: Allegan [Angelique Joynes], Benzie-Leelanau [Dodie

Putney], Branch-Hillsdale-St. Joseph [Steve Todd], Calhoun [Jim Rutherford], Central

Michigan [Steve Hall], Delta-Menominee [Mike Snyder], District 2 [Denise Bryan],

District 10 [Linda VanGills], Grand Traverse [Wendy Trute], Huron [Gretchen

Tenbusch], Ionia [Ken Bowen], Jackson [Richard Thoune], Kalamazoo [Gillian

Stoltman], Kent [Adam London], Lapeer [Stephanie Simmons], Lenawee [Patsy

Bourgeois], Livingston [Dianne McCormick], Luce-Mackinaw-Alger-Schoolcraft [Nick

Derusha], Macomb [Bill Ridella], Marquette [Fred Benzie, Harvey Wallace], Midland

[Mike Krecek], Mid-Michigan [Marcus Cheatham], Monroe [Kim Comerzan], Northwest

Michigan [Linda Yaroch], Ottawa [Lisa Stefanovsky], Saginaw [John McKellar],

Shiawassee [Larry Johnson], St. Clair [Annette Mercatante], Tuscola [Gretchen

Tenbusch], Washtenaw [Ellen Rabinowitz],

Others Present: Chelsea Moxlow, [Behavioral Health Sciences Forum], John

Meyers,[Management Information Systems Forum], Michelle Thorne [Nurse

Administrators Forum]

Mikelle Robinson [MDCH]

Staff: Meghan Swain, Jodie Fulk

III. Approve Agenda This action was not taken.

IV. Approve Meeting Minutes Motion by S. Simmons, support by M. Cheatham to approve the July 14, 2014 minutes.

Motion carried.

Motion by S. Todd, support by E. Rabinowitz to approve the August 11, 2014 minutes.

V. Reports of Officers and Staff

President L. Stefanovsky began her president’s term on October 1st, presiding over the executive

committee to start. In addition, the executive committee does continue to work on the

3

revised Total Coliform Rules. It was brought to the executive committee’s attention that

F. Benzie will be retiring in February of 2015; therefore, there will be a vacancy on the

MALPH BOD Meeting Minutes

October 21, 2014

- Page Two -

executive committee. The executive committee makes the recommendation to the full

board to appoint the candidate with the next highest votes to the committee after F.

Benzie’s retirement. Motion by S. Simmons, support by D. McCormick to appoint the

candidate with the next highest votes to the executive committee. Motion carried. N.

Derusha will be appointed in March, 2015.

Secretary/Treasurer M. Swain reported that she and M. Krecek are going over the MALPH’s

financials/internal controls process, as he has recently been elected as treasurer. MALPH

continues to operate within the budget, including money in reserves. The draft budget

was presented to the Board for review and approved the final budget at November’s

meeting. The Michigan Health Endowment Fund grant award may require revisiting the

budget. Motion by F. Benzie, support by M. Cheatham to approve the financial

statements.

Executive Director M. Swain briefly discussed the status of the Michigan Health Endowment Fund.

The focus in Lansing is the election, and the Governor’s race is considered to be very

close.

The Michigan Premier Public Health Conference is underway, and for the third straight

year, it is projected that the conference will make money which will be put in reserves.

Lobbyist There was no lobbyist report at this time.

VI. Topics to be Discussed

Undocumented Children

This particular issue has somewhat subsided, and health departments are working with

agencies locally to the extent possible.

Cloud 9 There continues to be concerns that MDCH should issue a statement or imminent danger

order regarding this drug, similar to that of bath salts and synthetic marijuana. It was

suggested to have Brenda Lawson address the full board at a future meeting.

Ebola There was great discussion about the current status of Ebola nationwide and the state’s

response and preparedness. M. Robinson was present to say that the department is

steadily working on guidance and policies. They will be having a series of phone calls to

address issues and concerns. She wrote down questions that members had and would

follow up with staff at the State level to address.

4

MALPH BOD Meeting Minutes

October 21, 2014

- Page Three -

Regionalization The topic of regionalization came up recently by legal affairs staff of MDCH. Concerns

were shared. The executive committee is working on an appointment with MDCH

leadership staff to talk more openly about this. M. Robinson stated that there has been a

request for $1M for the FY2016 budget to incentivize local health departments to

regionalize, but it is unclear whether that request will be granted.

VII. Reports from State Departments

Michigan Department of Agriculture and Rural Development (MDARD) There was no report given at this time.

Michigan Department of Environmental Quality (MDEQ) There was no report given at this time.

Michigan Department of Community Health (MDCH)

There was no report given at this time.

VIII. Public Comments/Announcements

No public comment at this time.

IX. Adjournment

The meeting adjourned at 2:10pm

5


CLINTON


St. Johns, MI 48879-9036 (989) 224-2195



(989) 875-3681



(989) 831-5237


Stanton, MI 48888-9702 (989) 831-5237



Medical Director




Laura McCollum


Connecting with our Communities to Achieve Healthier Outcomes

BOARD OF HEALTH

REGULAR MEETING

at


Montcalm County Administrative Offices

Stanton, Michigan

Conference Room A

Wednesday, October 29, 2014, 10:00 a.m.

MINUTES

We take action to assure the health and well being of our community and the environment

by responding to public health needs and providing a broad spectrum

of prevention and educational services.

Members Present: Jack A. Enderle, Jane Keon, Tom Lindeman, Bruce Delong, Betty Kellenberger, and

Laura McCollum, Chairperson (arrived at 11:17 a.m.)

Members Excused: None

Staff Present: Mark W. (Marcus) Cheatham, Ph.D., Health Officer; Cynthia M. Partlo, Board Secretary;

Melissa Bowerman, Director of Administrative Services; Robert Graham, DO, MPH,

FAAFP, Medical Director; Andrea Tabor, Director of Community Health and Education;

Bob Gouin, Director of Environmental Health Services; Ross Pope, Quality Improvement

Coordinator (arrived at 11:48 a.m.)

Staff Absent: None

Guests: Susan Moran, Senior Deputy Director, Public Health Administration and Mark

Miller, Director, Local Health Services, both from the Michigan Department of

Community Health

B. Delong, Vice Chairperson called the regular meeting of the Mid-Michigan District Board of Health to order

at 10:10 a.m., on Wednesday, October 29, 2014, at the Montcalm County Administrative Offices of the Mid-

Michigan District Health Department (MMDHD), Stanton, Michigan.

Pledge of Allegiance was led B. Delong.

6


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A. AGENDA NOTES, REVIEW, AND REVISIONS:

Introductions were made. M. Cheatham requested to add the following to the Agenda:

1. A letter from the Montcalm Behavioral Health Center as item B. 2. a.; and

2. Public Health Accreditation Board (PHAB) as item H. 3.

3. Legislative Update as item J.

Motion made by J. Enderle and seconded by B. Kellenberger to approve the Agenda as revised.

Motion carried.

B. CONSENT ITEMS:

1. Meeting Minutes

a. Michigan Association for Local Public Health (MALPH) Board of Directors Meeting held July 14, 2014

b. MALPH Board of Directors Meeting held August 11, 2014

c. Mid-Michigan District Board of Health Regular Meeting held September 24, 2014

2. Communications

a. Letter (undated) to Whom it May Concern from Amber, Quality of Work Life Fundraiser Coordinator at The Montcalm Center for Behavioral Health regarding a donation to the Sidney

Dental Clinic in the amount of $122.69.

Motion made by J. Keon to accept and place on file meeting minutes B. 1. a. through c. and

B. 2. a. Motion seconded by B. Kellenberger. Motion carried.

C. PUBLIC COMMENTS: None.

D. BRANCH OFFICE EMPLOYEES: None.

E. COMMITTEE REPORTS:

1. Finance Committee – T. Lindeman, Chair

a. Mid-Michigan District Health Department’s Monthly Balance Sheet, Revenue and Expenditure Report for September 2014 – Delayed due to year-end closing.

b. Mid-Michigan District Health Department's Expenses for September 20 through October 17, 2014

Motion made by T. Lindeman to pay the Mid-Michigan District Health Department’s

Expenses for September 20 through October 17, 2014, totaling $416,907.65. Motion

seconded by J. Enderle. Motion carried.

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c. Change of Bank Signatures

T. Lindeman stated that the Finance Committee recommended the full Board of Health

authorize Bob Gouin, Environmental Health (EH) Director to be added to the agency’s bank

accounts as a signatory, replacing Bonnie Havlicek. T. Lindeman said the Finance

Committee questioned whether two signatures should be required on agency checks. M.

Bowerman stated she would discuss with the auditors to see if they recommend changing to

require two signatures on the checks.

Motion made by T. Lindeman and seconded by J. Enderle to authorize the following

staff on the agency’s bank accounts as proposed: Marcus Cheatham, Health Officer,

Melissa Bowerman, Director of Administrative Services, and Bob Gouin, EH Director.

Motion carried.

d. Epidemiologist Services

T. Lindeman stated that the Central Michigan District Health Department (CMDHD)

requested a change to the Associated Agreement for Epidemiology Services to purchase only

42% of epidemiology services. DHD #10 agreed to purchase 16% of epidemiology services.

He stated that the Finance Committee discovered a typographical error in paragraph 3 that

was corrected by C. Partlo. M. Cheatham added that the health department was left with

paying an additional $5,000 from the previous 50%-50% sharing arrangement. He requested

authorization to have L. McCollum sign the revised Associated Agreement for Epidemiology

Services as revised. M. Cheatham stated that agreeing to this arrangement for shared

epidemiology services effectively salvages the Mid-Central Coordinating Committee. He

added that regionalization was discussed at the Michigan’s Premier Public Health

Conference where it was noted that much more collaboration could be done between health

departments to share resources.

T. Lindeman expressed his concern with sections 3 and 4 being separated and felt that both

sections should be combined into one so that the financial terms were all in one paragraph.

M. Cheatham explained his reason for separating the paragraphs indicating that the

agreement was not a three-way agreement; however, an agreement between CMDHD and the

MMDHD. He wanted it to be a three-way agreement; however, DHD #10 and CMDHD

rejected it. J. Keon added that by combining the financial terms, the Agreement could be

misconstrued as a three-way agreement.

Motion made by T. Lindeman and seconded by J. Keon to authorize L. McCollum to

sign the Associated Agreement for Epidemiology Services as revised, keeping

paragraphs 3 and 4 separated. Motion carried 5-1 (T. Lindeman opposed).

e. Addendum to Associated Agreement for Physician Services

M. Cheatham explained that the Addendum was developed to correct an error in the

calculation of pay weeks. T. Lindeman requested M. Bowerman to check that the number of

pay weeks does not change in the following year to ensure the Associated Agreement is

correct. M. Bowerman replied that the Associated Agreement for Physician Services

terminates September 30, 2015; therefore, no further changes would be needed.

8

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Motion made by T. Lindeman and seconded by B. Kellenberger to authorize L.

McCollum, Chairperson, to sign the Addendum to Associated Agreement for Physician

Services as proposed. Motion carried.

Motion made by T. Lindeman and seconded by B. Kellenberger to approve and place

on file the Finance Committee’s report. Motion carried.

2. Personnel Committee – Betty Kellenberger, Chair – No report.

3. Program Committee – Bruce Delong, Chair – No report.

4. Mid-Central Coordinating Committee – Tom Lindeman, Vice Chair – No report.

F. MEDICAL DIRECTOR’S REPORT: Robert Graham, DO, MPH, FAAFP

1. Ebola Preparedness

Dr. Graham stated that his report was developed in conjunction with M. Cheatham. He reviewed

flow charts for handling suspected Ebola cases and outlined the agency’s process for dealing

with a patient suspected of having Ebola virus disease. He stated that the agency’s role would be

contact tracing and monitoring.

M. Cheatham added that a letter addressed to parents/guardians was sent to school

Superintendents for them to send out at their discretion regarding Ebola listing who they could

call at the health department for more information. He added that the letter explained why and

how schools are closed. T. Lindeman suggested that the 24/7 pager number be included on the

letter. A. Tabor replied stating that she would have the Communicable Disease nurses change

their voice mail to include the 24/7 pager number, as the letter had already been distributed.

M. Cheatham reviewed an agency flow chart for Ebola response stating that response begins

with the hospital systems. The local health departments are then contacted (see tan areas of the

flow chart for health department procedures). He stated that the flow chart he prepared had

hyperlinks so that those using it would be directed to the appropriate information or website. The

transportation of patients would be done in our district by Clinton County EMS and Mobile

Medical Response as they were prepared. McLaren in Mount Pleasant and Sparrow are the

response centers in our district. Additionally, he indicated that he and A. Tabor met with the

Communicable Disease (CD) Nurses and Epidemiologist to discuss the health department’s

response, assess staff readiness, and to ensure that they had an understanding of the process.

M. Cheatham indicated that Lynda Farquharson, Emergency Preparedness Coordinator was on

top of the issue; and he and Lynda intended to discuss the process with Dave Feldpauch,

Montcalm County EMS.

Mark Miller added that as Dr. Graham indicated, the situation was changing on a daily,

sometimes hourly basis. He indicated that the levels of monitoring were different based on the

level of risk. Sue Moran indicated that the Centers for Disease Control and Prevention (CDC)

had just released guidelines around monitoring and movement. She explained that 96% of all

travelers that enter the U.S. are coming through five airports across the U.S. She said that

screening protocols were in place at those airports, indicating that the State Department of

Epidemiology is notified of travelers arriving in Michigan, and then the State notifies the local

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health departments. She stated that she was very pleased with the level of discussion regarding

Ebola and the response within our district.

Mark Miller explained that the Michigan Department of Community Health (MDCH) established

a position on releasing information; namely, that no information would be released regarding

where a patient is located or their county of residence. MDCH will; however, work with the local

health departments to make sure patients are followed-up. He indicated that the health

departments could make a choice of whether they would want to make anything public; however,

his recommendation would be to protect patient privacy; however, stress how well-equipped the

health department is to conduct contract tracing and monitoring.

M. Cheatham stated that there would not be a Board of Health recommendation from Dr.

Graham for the month of November.

Motion made by J. Enderle and seconded by B. Kellenberger to accept and place on file the

Medical Director’s report. Motion carried.

H. HEALTH OFFICER'S REPORT: Mark W. (Marcus) Cheatham, Health Officer, Ph.D.

1. Quarterly Service Report (July 1 – September 30, 2014)

A. Tabor reviewed the Community Health and Education Division Quarterly Division Update.

A. Tabor explained that she was looking at working with the nursing schools to obtain free

nursing tuition credits for our nursing staff through our partnership with the participating

universities. She stated she had approached the Michigan Primary Care Association and the

MALPH to endorse the process.

M. Cheatham reviewed the Quarterly Service Report for the fourth quarter noting that WIC

caseload numbers were lower than expected. A. Tabor reported that she learned about a program

to increase WIC caseloads at the Michigan’s Premier Public Health Conference. M. Cheatham

noted that Family Planning services have declined from last year. M. Cheatham stated that with

the discontinued Planned Parenthood program in Ionia, the numbers might increase in the future.

J. Enderle asked about the numbers of children being tested for blood lead. A. Tabor explained

that the program was mandated by Medicaid and testing was done on children in the WIC

program and Head Start clinics. M. Cheatham added that the program was a huge State program

success story as Michigan’s lead problem has greatly improved over the years. He added that not

a lot of positive blood leads were being found.

T. Lindeman asked why there were so many “TBD” notations in the report. M. Cheatham

explained that some entries have money attached to the goal, so those entries have a goal. He

explained that the goals would need to be strategically important, (e.g., Communicable Disease

Program). He explained that the goals were in place so that staff could track the progress of their

programs. M. Bowerman added that some programs were still developing their challenge goal,

while other programs would never have a goal and were marked “N/A”.

B. Gouin reviewed the Environmental Health Quarterly Division Summary, indicating that

temporary food permits have continued to decline. He reported the demand for water well

permits was the highest since 2007 in Clinton County. J. Enderle asked about the activity of

irrigation wells. B. Gouin replied that he felt activity was down from last year; however, would

provide a report regarding irrigation wells at a future meeting. J. Enderle also asked how the

10

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Resource Recovery Program in Montcalm County was going. B. Gouin stated that the program

had started off slowly, but was getting up to speed with work plans developed.

M. Cheatham explained how the Quarterly Service Report was developed and that the agency

now lets the robots do the work.

2. District-Wide In-Service, Friday, November 7, 2014, Gratiot-Isabella RESD, Ithaca

M. Cheatham encouraged Board of Health members to attend the annual District-wide In-Service

at the Gratiot-Isabella RESD in Ithaca on Friday, November 7th

. He reviewed the draft Agenda

for the day.

3. Employee Survey Results

M. Cheatham reviewed the Employee Survey Results stating that the results showed the agency

has made much improvement in many categories.

4. Public Health Accreditation Board (PHAB)

M. Cheatham explained the process for uploading documents to the PHAB website. He stated

that the agency was ready to submit and asked R. Pope joined the meeting to click the submit

button on the website so the Board of Health could experience the process. He stated that he

should hear from PHAB within two weeks if there were problems with any of the documents. R.

Pope explained that it would be about six months before the agency would be scheduled for a

site evaluation.

H. OLD BUSINESS:

1. Michigan’s Premier Public Health Conference Update

L. McCollum, B. Kellenberger, and J. Keon provided an update regarding their experiences at

the Michigan’s Premier Public Health Conference. B. Kellenberger indicated that J. Keon’s

presentation was the best one. L. McCollum stated that the conference was excellent. J. Keon

indicated that she was impressed that the room was full for her presentation and that those that

attended were attentive. L. McCollum stated the need for future funding of PBB/DDT research

was discussed. She requested Board members to be on the lookout for foundations that may be

interested in funding future research conducted by Emory University.

5. Annual Commissioner Forum Recap

M. Cheatham provided an update regarding the Commissioner Forum stating that more

education and communication should be done in the townships. As noted by the press articles

posted on the website, the communities misunderstood the mission of the Well and Septic

Stakeholder’s Committee. M. Cheatham provided an update regarding the status of the efforts of

the Clinton Conservation District (CCD) to assist the health department in digitizing our well and

septic records. M. Cheatham thanked J. Enderle for bringing together the partnership of the CCD

and the MMDHD to improve the water quality of the Maple River Watershed.

I. NEW BUSINESS:

1. Emerging Issues

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2. Community Health Worker (CHW) Data Presentation

M. Cheatham provided a presentation regarding the CHW program and reviewed the data

collected from the Clinton County Pathway. The data revealed that stigma was a barrier to

accessing mental health and some area agencies haven’t been welcoming our CHW. A. Tabor

mentioned she planned to have a meeting with those agencies in an attempt to improve

communication. Additionally, data showed that transportation was not interconnected and that

agencies were siloed. He indicated that a CHW workgroup should be formed to debug these

issues so that more of the pathways could be completed timely.

3. Amendment and Summary for the Flexible Savings Benefits Carryover for 2014

M. Bowerman explained that the IRS changed the rules for the Flexible Spending Account

allowing a $500 carryover to the next plan year. She requested the Board of Health to authorize

M. Cheatham to sign the Amendment to the Cafeteria Plan of the MMDHD and also authorize L.

McCollum to sign Resolution 02-2014 Modifications to Flexible Benefits Plan as presented.

Motion made by B. Kellenberger and seconded by J. Enderle to authorize M. Cheatham to

sign the Amendment to the Cafeteria Plan of the MMDHD and to also authorize L.

McCollum to sign Board of Health Resolution 02-2014, Modifications to Flexible Benefits

Plan as presented. Motion carried.

J. LEGISLATIVE ACTION:

1. Total Coliform Rule (rTCL) Update

M. Cheatham distributed and reviewed the Legislative Update which included an update

regarding the Total Coliform Rule (rTCL). He reported that a workgroup would be meeting to

discuss the efficiency of the process and advocate for funding to support the requirements.

J. Keon asked B. Gouin if he saw the presentation regarding Michigan’s Water Strategy at the

Michigan’s Premier Public Health Conference. She asked if the rTCL was part of the Governor’s

water strategy. B. Gouin stated he had not seen it; however, explained that the Governor had a

larger, overall water strategy and the rTCL was just one small piece of the strategy. Mark Miller

indicated that he would put something together for the next Board of Health meeting regarding

the Governor’s overall water strategy and how the rTCL is a part of that.

K. INFORMATIONAL ITEMS:

1. Mid-Michigan District Board of Health Action Items, September 2014

2. Staffing Report

L. RELATED NEWS ARTICLES AND LINKS:

1. MMDHD News Articles Available Online at www.mmdhd.org/boh-news-2014.html 2. “EPA and MDEQ Wrap Up 2014 Cleanup in Residential Area”, Environmental Protection

Agency (EPA), October 2014

M. AGENCY NEWSLETTERS: None

12

http://www.mmdhd.org/boh-news-2014.html

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There being no further business to come before the Board, the meeting adjourned at 11:55 p.m.

Respectfully Submitted,

Cynthia M. Partlo, Board Secretary

For Laura McCollum, Chairperson

Mid-Michigan District Board of Health

13

1/4 11/21/2014

Mid-Michigan District Health Department September 100% FY 2014 AP: 12

Revenue

Account

Proposed Amended

Budget Current Month Year-To-Date Balance % of Budget

1 Onsite Sewage 127,000.00 11,912.00 128,482.50 -1,482.50 101%

2 Groundwater Quality 136,000.00 8,463.00 135,164.00 836.00 99%

3 Food Service 283,000.00 3,435.00 285,704.00 -2,704.00 101%

4 Campgrounds 3,000.00 289.00 3,190.00 -190.00 106%

5 Swimming Pools 5,000.00 1,100.00 5,586.00 -586.00 112%

6 Waste Haulers 8,000.00 3,640.00 5,380.00 2,620.00 67%

7 DHS Facility Inspections 22,500.00 -203.00 20,424.00 2,076.00 91%

8 Body Art Fees 1,000.00 285.00 1,086.00 -86.00 109%

9 EH Misc Fees 1,300.00 108.44 1,327.04 -27.04 102%

10 Vision Fees 24,000.00 2,297.58 24,252.18 -252.18 101%

11 Hearing Fees 20,000.00 2,274.25 19,693.85 306.15 98%

12 MIHP Fees 72,500.00 -1,931.68 62,896.80 9,603.20 87%

13 Communicable Disease Fees 1,000.00 -1,594.32 302.24 697.76 30%

14 Immunization Fees 113,000.00 19,708.31 124,938.08 -11,938.08 111%

15 Family Planning/STD Fees 108,000.00 8,398.55 113,205.15 -5,205.15 105%

16 Breast Cancer Fees 6,000.00 411.76 6,102.26 -102.26 102%

17 Lead Fees 11,000.00 -386.80 10,356.47 643.53 94%

18 Varnish Fees 10,500.00 1,795.80 9,369.87 1,130.13 89%

19 WIC Varnish Fees 14,000.00 -1,209.43 10,458.16 3,541.84 75%

20 Ched Miscellaneous Fees 0.00 0.00 0.00 0.00 0%

21 Miscellaneous Other Fees 75.00 17.79 92.01 -17.01 123%

22 VFC/317 Vaccine Revenue 250,000.00 18,270.17 207,875.13 42,124.87 83%

23 MDCH Grants 1,491,485.00 148,265.25 1,491,585.00 -100.00 100%

24 Essential Local Public Health Services 704,169.00 108,918.90 704,169.00 0.00 100%

14

2/4 11/21/2014

25 MDCH Fee For Service Revenue 41,000.00 7,992.00 45,417.12 -4,417.12 111%

26 DEQ Grants 74,162.00 13,597.10 75,138.60 -976.60 101%

27 Other Grants/Community Support 365,500.00 129,630.67 460,419.21 -94,919.21 126%

28 Medicaid Full Cost Reimbursement 453,733.00 43,656.53 388,240.45 65,492.55 86%

29 Interest 2,000.00 172.39 2,017.47 -17.47 101%

30 Donations 3,000.00 129.00 2,877.69 122.31 96%

31 Cash Over/Short 0.00 0.00 0.10 -0.10 0%

32 Clinton Co - Appropriation 270,188.00 19,998.25 270,188.99 -0.99 100%

33 Clinton Co - MMHP 120,825.00 12,586.52 120,826.01 -1.01 100%

34 Gratiot Co - Appropriation 131,646.00 7,800.46 131,646.00 0.00 100%

35 Gratiot Co - MMHP 152,151.00 15,848.17 152,150.00 1.00 100%

36 Montcalm Co - Appropriation 229,056.00 15,120.83 229,056.00 0.00 100%

37 Montcalm Co - MMHP 174,527.00 18,180.00 174,527.00 0.00 100%

38 Prior Year Adjustments -900.00 0.00 -865.32 -34.68 96%

39 Space Occupancy 275,000.00 22,781.00 273,452.00 1,548.00 99%

40 Cigarette Tax - Clinton 2,000.00 0.00 2,117.64 -117.64 106%

41 Cigarette Tax - Gratiot 1,000.00 0.00 1,193.64 -193.64 119%

42 Cigarette Tax - Montcalm 2,000.00 0.00 1,779.53 220.47 89%

43 Deferred Revenues 139,500.00 0.00 0.00 139,500.00 0%

TOTAL REVENUE: 5,848,917.00 641,758.49 5,701,821.87 68,717.13 97%

W/O SPACE & VFC 5,323,917.00 600,707.32 5,220,494.74 25,044.26 98%

15

3/4 11/21/2014

Mid-Michigan District Health Department September 100% FY 2014 AP: 12

Expenditure

Account

Proposed Amended

Budget Current Month Year-To-Date Balance % of Budget

1 Board of Health Per Diem 4,000.00 481.00 3,661.00 339.00 92%

2 Salaries 3,090,244.00 262,288.05 3,088,579.01 1,664.99 100%

3 FICA 229,975.00 20,888.56 230,155.45 -180.45 100%

4 Health Insurance 671,830.00 56,595.66 663,426.60 8,403.40 99%

5 Dental Insurance 44,500.00 3,714.91 43,914.77 585.23 99%

6 Retirement 254,495.00 18,715.68 252,463.28 2,031.72 99%

7 Work Comp 56,300.00 4,514.68 56,177.68 122.32 100%

8 Unemployment Comp 7,000.00 5,350.00 6,392.00 608.00 91%

9 Life Insurance 4,500.00 314.19 4,399.42 100.58 98%

10 Physicals 0.00 0.00 0.00 0.00 0%

11 Printed Materials 2,800.00 7,374.96 8,060.83 -5,260.83 288%

12 Postage 36,000.00 2,576.28 33,674.77 2,325.23 94%

13 Office Supplies 62,000.00 11,124.59 58,444.78 3,555.22 94%

14 Computer/Printer Supplies 8,000.00 2,379.14 7,067.60 932.40 88%

15 Medical Supplies 72,000.00 -259.24 61,275.76 10,724.24 85%

16 CD Meds Biologics 70,042.00 20,521.20 64,563.41 5,478.59 92%

17 VFC Supplies 250,000.00 18,270.17 207,875.13 42,124.87 83%

18 Dental Supplies 300.00 37.82 258.77 41.23 86%

19 Contractual Services 121,761.00 18,697.29 119,458.41 2,302.59 98%

20 Legal Expenses 9,000.00 4,014.04 8,070.53 929.47 90%

21 Communications 78,200.00 6,892.74 73,148.62 5,051.38 94%

22 Travel 138,000.00 14,696.18 136,027.83 1,972.17 99%

16

4/4 11/21/2014

23 Advertising & Recruitment 7,000.00 598.63 4,733.14 2,266.86 68%

24 Liability Insurance 33,000.00 2,740.00 32,897.00 103.00 100%

25 Equipment Maintenance/Lease 56,150.00 3,999.42 52,153.27 3,996.73 93%

26 Rent 25,520.00 2,031.50 25,351.00 169.00 99%

27 Space Occupancy 275,000.00 22,781.00 273,341.00 1,659.00 99%

28 Training 18,000.00 2,402.39 17,265.65 734.35 96%

29 Memberships/Certifications/Subscriptions 15,000.00 135.00 13,482.15 1,517.85 90%

30 Tuition Reimbursement 300.00 0.00 294.75 5.25 98%

31 Laboratory 3,000.00 942.96 2,907.23 92.77 97%

32 Behavioral Risk Factor Survey 21,000.00 0.00 20,690.00 310.00 99%

33 Misc Other Expense 0.00 0.00 0.00 0.00 0%

34 Computer Support 65,000.00 0.00 64,720.73 279.27 100%

35 Service Charges 4,500.00 397.69 4,523.70 -23.70 101%

36 Equipment (FB) 33,000.00 0.00 32,780.00 220.00 99%

37 Accreditation Fees (FB) 26,000.00 0.00 25,679.00 321.00 99%

38 Computer Upgrades (FB) 50,000.00 0.00 49,638.82 361.18 99%

39 Facility Development (FB) 5,500.00 0.00 5,300.09 199.91 96%

TOTAL EXPENSES 5,848,917.00 515,216.49 5,752,853.18 96,063.82 98%

W/O SPACE & VFC 5,323,917.00 474,165.32 5,271,637.05 52,279.95 99%

Revenue Over Expenditures (Deficit) 0.00 126,542.00 -51,031.31 -27,346.69 0%

17

MMDHD BALANCE SHEET

AS OF 9/30/2014

CURRENT ASSETS

CASH TO TREASURER 1,704,000.14

CASH ON DEPOSIT/IMPREST CASH 2,730.00

ACCOUNTS RECEIVABLE 189,065.74

DUE FROM GOVERNMENTAL AGENCIES 506,660.68

INVENTORY - VFC IMMS 88,827.70

PREPAIDS 52,232.27

TOTAL ASSETS 2,543,516.53

LIABILITIES AND FUND BALANCE

ACCOUNTS PAYABLE 57,460.56

PAYROLL DEDUCTIONS 2,309.32

PAYROLL PAYABLES 234,014.39

OTHER ACCRUED PAYABLE 11,742.40

TRUST FUNDS 18,378.56

DEFERRED REVENUE PRIOR YEAR 82,419.85

DEFERRED REV - BRFS 0.00

DEFERRED REV DENTAL OUTREACH 87,916.75

DEFERRED REVENUE MCDC 249,000.00

DEFERRED REVENUE-VFC IMMS 88,827.70

FUND BALANCE 288,168.60

FUND BALANCE EQUIPMENT 205,783.74

FUND BALANCE FACILITY DEV 124,580.00

FUND BALANCE SELF INS BONDS 13,949.72

FUND BALANCE-FUTURE RETIREMENT 308,829.80

FUND BALANCE-COMPENSATED LEAVES 522,410.47

18

FUND BALANCE-UNEMPLOYMENT 55,000.00

FUND BALANCE-TRAINING 35,000.00

FUND BALANCE/BRFS 11,522.00

FUND BALANCE-HEALTH INSURANCE 160,000.00

FUND BALANCE-POTENTIAL CLAIMS 12,234.00

FUND BALANCE - NAT'L ACCREDETATION 25,000.00

BALANCE SHEET NET INCOME -51,031.33

TOTAL LIABILITIES 2,543,516.53

TOTAL NET INCOME 0.00

19


CLINTON


St. Johns, MI 48879-9036 (989) 224-2195



(989) 875-3681



(989) 831-5237


Stanton, MI 48888-9702 (989) 831-5237



Medical Director




Laura McCollum



M E M O R A N D U M

TO: Board of Health

FROM: Melissa Bowerman, Administrative Services Division Director

DATE: November 21, 2014

SUBJECT: FY 13/14 Year-End Financial Summary and Recommendations

The agency’s Fiscal Year End 13/14 Revenue and Expenditure Report and Balance Sheet reflect a FY 13/14

deficit (i.e., expenditures over revenues) of $51,031.31 out of the $5.8 million total amended annual

operating budget. As indicated in the report, adjusting for the offsetting “in-kind” vaccines and facility space

items, the expenses were at 99% and the revenues were at 98% of the amended budget. Although there were

variances in line items, overall the outcome was close considering the size and complexity of the agency’s

budget.

One note, Deferred Revenue adjustments were made to the various programs. The deferred revenue is the

accounting of fees not collected in the current (or prior) year within 60 days. That is why there are some

negatives within the current month for the program fees.

The Board of Health approved the use of Fund Balance in the amount of $114,500 for Equipment, Accreditation

Fees, Computer Upgrades and Facility Development (exam tables). Taking that into account, the agency

actually would have ended the year with a surplus of $63,468.69.

I request to use the approved Fund Balance for the Accreditation Fees of $25,000, as well as $26,031.31 of the

approved $33,000 for Equipment to compensate for the deficit.

20


EV 1778 245,133.38$

EV 1779 175,642.46$

TOTAL 420,775.84$

MONTHLY EXPENSES FOR

October 18, 2014 - November 14, 2014

21

CK# EV 1778 10/31/2014

Payables

101171

thru Quantum Checks & Direct Deposits 99,030.67$

101205

Payroll

AFLAC Employee Deduction -$

MERS Employee Electronic Transfer 3,497.65$

Chemical Bank Payroll-Ameriprise NBS 380.00$

Chemical Bank Payroll-Nationwide 1,725.00$

Chemical Bank Payroll-MERS 457 240.00$

Chemical Bank Payroll Tax Electronic Transfer

Federal 30,396.72$

State 14,121.15$

MERS Employer Electronic Transfer 14-Sep -$

Chemical E-Banking fee 14-Sep -$

Chemical Bank Interest 14-Sep -$

Direct Deposit Payroll 95,742.19$

State of Michigan Unemployment 4Q FY13 -$

TOTAL 245,133.38$


615 North State Street, Suite 2

Stanton MI 48888

(989) 831-5237

22

RUN DATE: OCT 29, 2014 - 15:57 Mid Michigan District Health Department PAGE 0001

ACCOUNTS PAYABLE CHECK REGISTER

CHECK CHECK\VOID REMIT-TO NAME INVOICE INVOICE VOUCH# P.O.-NO AMOUNT DISCOUNT CHECK

NO DATE VENDOR-# NO DATE PAID TAKEN AMOUNT

------------------------------------------------- -------------------------------------------- -------------- ------------- ------------

101171 10/31/14 4IM001 4IMPRINT, INC 3605032 10/21/14 11878 016005-00 833.71$ -$ 833.71$

POWER CLIPS,PENS

COMPUTER CHECK

CHECK TOTALS: 833.71$ -$ 833.71$

101172 10/31/14 BLU008 BLUE CROSS BLUE SHIELD OF MICH 11/1/14 10/08/14 11860 10,579.32$ -$ 10,579.32$

NOVEMBER HEALTH INS

COMPUTER CHECK

NOV 2014 0001 11/01/14 11862 2,485.55$ -$ 2,485.55$

NOVEMBER HEALTH INS

NOVEMBER 2014 11/01/14 11861 (11,809.26)$ -$ (11,809.26)$

CREDIT HEALTH INS

CHECK TOTALS: 1,255.61$ -$ 1,255.61$

101173 10/31/14 BLU034 BLUE CARE NETWORK 142830005831 10/10/14 11855 53,231.58$ -$ 53,231.58$

NOVEMBER 2014 HEALTH INS

COMPUTER CHECK

CHECK TOTALS: 53,231.58$ -$ 53,231.58$

101174 10/31/14 CAP095 CAPITAL AREA UNITED WAY 10/31/14 10/28/14 11883 36.00$ -$ 36.00$

EMPLOYEE DONATION

COMPUTER CHECK

CHECK TOTALS: 36.00$ -$ 36.00$

101175 10/31/14 CDW016 CDW GOVERNMENT, INC. PZ89437 10/10/14 11833 016052-00 137.64$ -$ 137.64$

COMPUTER MONITOR

COMPUTER CHECK

QD93942 10/17/14 11877 016070-00 28.42$ -$ 28.42$

LINKYS 5PT GIGABIT SWITCH

CHECK TOTALS: 166.06$ -$ 166.06$

101176 10/31/14 CEN021 CENTRAL MI DIST HEALTH DEPT 083114 10/06/14 11843 4,897.40$ -$ 4,897.40$

AUG 2014 MD

COMPUTER CHECK

07/31/14 08/20/14 11844 4,356.31$ -$ 4,356.31$

JULY 2014 MD

9/30/14 09/30/14 11842 4,541.26$ -$ 4,541.26$

SEPT 2014 MD

CHECK TOTALS: 13,794.97$ -$ 13,794.97$

101177 10/31/14 CHA166 CHARTER BUSINESS 101814 10/18/14 11869 135.99$ -$ 135.99$

CLINTON INTERNET

COMPUTER CHECK

CHECK TOTALS: 135.99$ -$ 135.99$

101178 10/31/14 CIT014 CITIZENS BANK 11/1/14 10/27/14 11851 6,672.73$ -$ 6,672.73$

NOVEMBER 2014 LEASE

COMPUTER CHECK

CHECK TOTALS: 6,672.73$ -$ 6,672.73$

23





------------------------------------------------- -------------------------------------------- -------------- ------------- ------------

101179 10/31/14 COL140 COLLADO TRANSLATIONS LLC 10/13/14 10/13/14 11848 90.00$ -$ 90.00$

SPANISH MMDHD BROCHURES

COMPUTER CHECK

CHECK TOTALS: 90.00$ -$ 90.00$

101180 10/31/14 COO064 COOPER SURGICAL 3603016 10/21/14 11879 016066-00 164.23$ -$ 164.23$

PIPELLES

COMPUTER CHECK

CHECK TOTALS: 164.23$ -$ 164.23$

101181 10/31/14 COU009 COUNTRYSIDE PHARMACY 3930 10/20/14 11870 19.10$ -$ 19.10$

RX FOR S.K.

COMPUTER CHECK

CHECK TOTALS: 19.10$ -$ 19.10$

101182 10/31/14 DAI009 DAILY NEWS 14/15 44019 10/27/14 11852 148.50$ -$ 148.50$

SUBSCRIPTION RENEWAL

COMPUTER CHECK

CHECK TOTALS: 148.50$ -$ 148.50$

101183 10/31/14 DEL007 DELTA DENTAL OF MICHIGAN 644351 10/14/14 11854 4,374.51$ -$ 4,374.51$

NOVEMBER 2014 DENTAL

COMPUTER CHECK

CHECK TOTALS: 4,374.51$ -$ 4,374.51$

101184 10/31/14 DOU055 DOUBLETREE BY HILTON HOTEL 82429942 09/30/14 11871 166.50$ -$ 166.50$

STRATTON HOTEL STAY

COMPUTER CHECK

CHECK TOTALS: 166.50$ -$ 166.50$

101185 10/31/14 FRO027 FRONTIER 1-10/20/14 10/20/14 11873 38.02$ -$ 38.02$

989-875-7707 10/1-10/19/14

COMPUTER CHECK

10/13/14 10/13/14 11864 822.00$ -$ 822.00$

989-224-2195 10/13-11/12/14

10/19/14 10/19/14 11874 94.06$ -$ 94.06$

989-875-2952 10/19-11/18/14

10/20/14 10/20/14 11872 22.00$ -$ 22.00$

989-831-7707 9/20-9/30/14

CHECK TOTALS: 976.08$ -$ 976.08$

101186 10/31/14 GRA083 GRATIOT COUNTY ANIMAL SHELTER MEMORIAL 10/27/14 11863 40.00$ -$ 40.00$

ROBERT "BOB" LITTLE

COMPUTER CHECK

CHECK TOTALS: 40.00$ -$ 40.00$

101187 10/31/14 HUC020 HUCH'S FINE JEWELRY 809 10/08/14 11850 70.00$ -$ 70.00$

HOWARD RETIREMENT CLOCK

COMPUTER CHECK

CHECK TOTALS: 70.00$ -$ 70.00$

24





------------------------------------------------- -------------------------------------------- -------------- ------------- ------------

101188 10/31/14 LAK014 LAKEVIEW AREA NEWS FY14/15 10/27/14 11865 45.00$ -$ 45.00$

SUBSCRIPTION RENEW

COMPUTER CHECK

CHECK TOTALS: 45.00$ -$ 45.00$

101189 10/31/14 LIN061 LINCOLN FINANCIAL GROUP 11/1/14 10/10/14 11853 530.03$ -$ 530.03$

NOVEMBER LIFE/LTD

COMPUTER CHECK

CHECK TOTALS: 530.03$ -$ 530.03$

101190 10/31/14 MCK032 MCKESSON MEDICAL 48370207 10/08/14 11834 016041-00 150.06$ -$ 150.06$

SPECS VAGINAL SPECULUMS

COMPUTER CHECK

48764049 10/17/14 11880 016069-00 191.92$ -$ 191.92$

LIDOCAINE,SERUM,BAGS

49016236 10/23/14 11881 016069-00 54.49$ -$ 54.49$

ZIPLOC BAGS

CHECK TOTALS: 396.47$ -$ 396.47$

101191 10/31/14 MIC006 MICHIGAN DEPT OF AGRICULTURE 54444 10/11/14 11849 611.00$ -$ 611.00$

DISTRICT WIDE FOOD FEES

COMPUTER CHECK

CHECK TOTALS: 611.00$ -$ 611.00$

101192 10/31/14 MIS005 MiSDU/FRIEND OF COURT 10/31/14 10/28/14 11882 234.68$ -$ 234.68$

PAYROLL DEDUCTION

COMPUTER CHECK

CHECK TOTALS: 234.68$ -$ 234.68$

101193 10/31/14 NOV039 NOVARTIS VACCINES/DIAGNOSIS 91951361 10/15/14 11819 016045-00 307.39$ -$ 307.39$

FLUVIRIN

COMPUTER CHECK

CHECK TOTALS: 307.39$ -$ 307.39$

101194 10/31/14 OFF001 OFFICEMAX INCORPORATED 277351 09/30/14 11835 016020-00 11.65$ -$ 11.65$

AA COPPER BATTERIES

COMPUTER CHECK

578054 10/03/14 11832 016037-00 579.13$ -$ 579.13$

MONTHLY PLANNERS,COPYPAPER

578813 10/03/14 11840 016040-00 122.48$ -$ 122.48$

PAPER 3 PART MULTI

578818 10/03/14 11822 016043-00 122.48$ -$ 122.48$

PAPER 3 PART

658178 10/08/14 11829 016047-00 263.21$ -$ 263.21$

PENCILS,STAPLES,MANILA FOLDERS

658571 10/08/14 11828 016047-00 19.84$ -$ 19.84$

REFILL PENS

665467 10/08/14 11830 016051-00 69.29$ -$ 69.29$

CERTIFICATE PAPER,FRAMES

25





------------------------------------------------- -------------------------------------------- -------------- ------------- ------------


HIGHLIGHTERS,PAPER

745047 10/13/14 11839 016050-00 347.15$ -$ 347.15$

MONTHLY CALENDARS,APPT.BOOKS

745060 10/13/14 11831 016057-00 346.46$ -$ 346.46$

INK, COPY PAPER

791170 08/27/14 11836 015095-00 23.30$ -$ 23.30$

COPPER AA BATTERIES

798380 08/27/14 11837 015095-00 43.45$ -$ 43.45$

BLACK TONER

CHECK TOTALS: 2,307.46$ -$ 2,307.46$

101195 10/31/14 PAT052 PATTERSON DENTAL 575/2476209 09/26/14 11841 016027-00 37.82$ -$ 37.82$

MIRROR REFILLS

COMPUTER CHECK

CHECK TOTALS: 37.82$ -$ 37.82$

101196 10/31/14 QUI003 QUILL CORPORATION 6780430 10/07/14 11824 016046-00 34.99$ -$ 34.99$

MULTI FOLD TOWELS

COMPUTER CHECK

CHECK TOTALS: 34.99$ -$ 34.99$

101197 10/31/14 SHE021 SHERIDAN VILLAGE MARKET 807270 10/22/14 11868 52.79$ -$ 52.79$

HOWARD RETIREMENT

COMPUTER CHECK

CHECK TOTALS: 52.79$ -$ 52.79$

101198 10/31/14 SHR011 SHRED-IT USA LLC 9404311795 10/10/14 11866 108.56$ -$ 108.56$

CLINTON SHREDDING

COMPUTER CHECK

9404343135 10/17/14 11867 83.01$ -$ 83.01$

GRATIOT SHREDDING

CHECK TOTALS: 191.57$ -$ 191.57$

101199 10/31/14 SOL198 SOLARWINDS IN192081 11/09/14 11818 016056-00 2,682.00$ -$ 2,682.00$

NETWORK PERFORMANCE LISCENSE

COMPUTER CHECK

CHECK TOTALS: 2,682.00$ -$ 2,682.00$

101200 10/31/14 STA002 STATE OF MICHIGAN/DEQ 878649 09/30/14 11845 692.00$ -$ 692.00$

GRATIOT WATER LABS

COMPUTER CHECK

878657 09/30/14 11847 569.00$ -$ 569.00$

CLINTON WATER LABS

CHECK TOTALS: 1,261.00$ -$ 1,261.00$

26





------------------------------------------------- -------------------------------------------- -------------- ------------- ------------

101201 10/31/14 TEA031 TEAM FINANCIAL GROUP, INC 114077 10/12/14 11846 3,769.44$ -$ 3,769.44$

XEROX PRINTERS & COPIERS

COMPUTER CHECK

CHECK TOTALS: 3,769.44$ -$ 3,769.44$

101202 10/31/14 THE007 THERACOM, A CAREMARK CO 108946460-301 10/17/14 11876 016068-00 2,229.50$ -$ 2,229.50$

NEXPLANON 68MG

COMPUTER CHECK

CHECK TOTALS: 2,229.50$ -$ 2,229.50$

101203 10/31/14 UNI001 UNITED WAY OF MONTCALM CO 10/31/14 10/28/14 11885 63.00$ -$ 63.00$

EMPLOYEE DONATION

COMPUTER CHECK

CHECK TOTALS: 63.00$ -$ 63.00$

101204 10/31/14 UNI009 UNITED WAY OF GRATIOT CO 10/31/14 10/28/14 11884 64.00$ -$ 64.00$

EMPLOYEE DONATION

COMPUTER CHECK

CHECK TOTALS: 64.00$ -$ 64.00$

101205 10/31/14 WINN73 WINN TELECOM 1652963BB 10/15/14 11875 1,936.80$ -$ 1,936.80$

BUSINESS LINES/LONG DISTANCE

COMPUTER CHECK

SEPT 1652963 10/15/14 11876 100.16$ -$ 100.16$

BUSINESS LONG DISTANCE

CHECK TOTALS: 2,036.96$ -$ 2,036.96$

BANK CODE TOTALS: 99,030.67$ -$ 99,030.67$

35 COMPUTER CHECKS

0 MANUAL PAYMENT CHECKS

0 VOID CHECKS - TRX

0 VOID CHECKS - STUBS

0 VOID CHECKS - ERROR

0 VOID CHECKS - FORM ALIGNMENT

0 DIRECT DEPOSITS

35 CHECKS TOTAL

COMPANY TOTALS: 99,030.67$ -$ 99,030.67$

27

CK# EV 1779 11/14/2014

Payables

101206

thru Quantum Checks & Direct Deposits 18,362.04$

101233

Payroll

AFLAC Employee Deduction 401.31$

MERS Employee Electronic Transfer 3,478.94$

Chemical Bank Payroll-Ameriprise NBS 380.00$

Chemical Bank Payroll-Nationwide 1,725.00$

Chemical Bank Payroll-MERS 457 240.00$

Chemical Bank Payroll Tax Electronic Transfer

Federal 29,202.12$

State -$

MERS Employer Electronic Transfer 14-Oct 28,203.16$

Chemical E-Banking fee 14-Oct 69.98$

Chemical Bank Interest 14-Oct (5.36)$

Direct Deposit Payroll 93,585.27$

State of Michigan Unemployment 4Q FY13 -$

TOTAL 175,642.46$


615 North State Street, Suite 2

Stanton MI 48888

(989) 831-5237

28

RUN DATE: NOV 12, 2014 - 13:44 Mid Michigan District Health Department PAGE 0001




--------------------------------------------------------------------------- -------------------------------------------------------- -------------- ------------- ------------

58 11/14/14 KEL038 KELLENBERGER BETTY OCTOBER 2014 10/29/14 11912 386.48$ -$ 386.48$

TRAVEL/PER DIEM

DIRECT DEPOSIT

CHECK TOTALS: 386.48$ -$ 386.48$

59 11/14/14 LIN033 LINDEMAN TOM OCTOBER 2014 10/29/14 11923 78.60$ -$ 78.60$

TRAVEL/PER DIEM

DIRECT DEPOSIT

CHECK TOTALS: 78.60$ -$ 78.60$

101206 11/14/14 21ST 21ST CENTURY MEDIA-MICHIGAN 413353 11/02/14 11907 243.36$ -$ 243.36$

GBO PHR

COMPUTER CHECK

CHECK TOTALS: 243.36$ -$ 243.36$

101207 11/14/14 BAI014 BAILEY'S 14.11553 10/22/14 11898 016072-00 56.00$ -$ 56.00$

CHLORINE VIAL

COMPUTER CHECK

CHECK TOTALS: 56.00$ -$ 56.00$

101208 11/14/14 CEN012 CENTER MEDICAL SUPPLY CO 1261815 10/29/14 11897 016078-00 273.90$ -$ 273.90$

URINE CONTROLS

COMPUTER CHECK

CHECK TOTALS: 273.90$ -$ 273.90$

101209 11/14/14 CEN114 CENTRAL MONTCALM SPORT BOOSTER 28782 09/02/14 11904 106.00$ -$ 106.00$

REFUND AP2 #1 TEMP FOOD

COMPUTER CHECK

CHECK TOTALS: 106.00$ -$ 106.00$

101210 11/14/14 CHE172 CHERRY STREET HEALTH SERVICE NOVEMBER 2014 11/04/14 11905 125.00$ -$ 125.00$

RENT

COMPUTER CHECK

CHECK TOTALS: 125.00$ -$ 125.00$

101211 11/14/14 CLI092 CLINTON COUNTY ADMIN/ACCT AC-2014-040 11/03/14 11917 1,675.00$ -$ 1,675.00$

DECEMBER RENT

COMPUTER CHECK

CHECK TOTALS: 1,675.00$ -$ 1,675.00$

101212 11/14/14 CRY023 CASAIR-CRYSTAL AUTO SYSTEM 162553 11/01/14 11919 1,500.00$ -$ 1,500.00$

BUSINESS INTERNET

COMPUTER CHECK

CHECK TOTALS: 1,500.00$ -$ 1,500.00$

101213 11/14/14 FRO027 FRONTIER 10/28/14 10/28/14 11916 71.28$ -$ 71.28$

989-224-4300 10/28-11/27/14

COMPUTER CHECK

CHECK TOTALS: 71.28$ -$ 71.28$

101214 11/14/14 GLO084 GLOBAL COMPLIANCE NETWORK 4824 10/31/14 11920 500.00$ -$ 500.00$

ONLINE TRAININGS

COMPUTER CHECK

CHECK TOTALS: 500.00$ -$ 500.00$

29





--------------------------------------------------------------------------- -------------------------------------------------------- -------------- ------------- ------------

101215 11/14/14 GRA009 GRATIOT COUNTY HERALD 118 10/31/14 11906 23.00$ -$ 23.00$

GBO PHR

COMPUTER CHECK

CHECK TOTALS: 23.00$ -$ 23.00$

101216 11/14/14 IMP002 IMPREST CASH-MONTCALM 10/31/14 10/31/14 11922 44.05$ -$ 44.05$

MONTCALM EH PETTY CASH/POSTAGE

COMPUTER CHECK

CHECK TOTALS: 44.05$ -$ 44.05$

101217 11/14/14 KEO043 KEON JANE OCTOBER 2014 10/29/14 11913 383.56$ -$ 383.56$

TRAVEL/PER DIEM/MEALS

COMPUTER CHECK

CHECK TOTALS: 383.56$ -$ 383.56$

101218 11/14/14 KIL044 KILE SARAH M 11/10/14 11/10/14 11936 250.00$ -$ 250.00$

11/7/14 BRIDGES OUT OF POVERTY

COMPUTER CHECK

CHECK TOTALS: 250.00$ -$ 250.00$

101219 11/14/14 LIT005 LITWILLERS TRACY & KATHY 046822 11/07/14 11909 922.50$ -$ 922.50$

11/7/14 DISTRICT WIDE

COMPUTER CHECK

CHECK TOTALS: 922.50$ -$ 922.50$

101220 11/14/14 MCC164 McCOLLUM LAURA OCTOBER 2014 10/29/14 11911 367.44$ -$ 367.44$

TRAVEL/PER DIEM

COMPUTER CHECK

CHECK TOTALS: 367.44$ -$ 367.44$

101221 11/14/14 MIS005 MiSDU/FRIEND OF COURT 11/14/14 11/12/14 11937 234.68$ -$ 234.68$

EMPLOYEE DEDUCTION

COMPUTER CHECK

CHECK TOTALS: 234.68$ -$ 234.68$


WASTE BASKET,8 TAB WRITE ONS

COMPUTER CHECK

073378 10/29/14 11892 016077-00 241.07$ -$ 241.07$

INK,FOLDERS

073666 10/29/14 11891 016077-00 137.80$ -$ 137.80$

INK

073766 10/29/14 11887 016074-00 88.98$ -$ 88.98$

FOLDERS

073772 10/29/14 11890 016079-00 445.92$ -$ 445.92$

ENVELOPES,PENS,HILIGHTERS

919670 10/29/14 11895 016076-00 7.26$ -$ 7.26$

WASTEBASKET

970615 10/23/14 11896 094671-00 74.73$ -$ 74.73$

POP UP NOTE DISPENSER,PLANNER

CHECK TOTALS: 1,130.37$ -$ 1,130.37$

30





--------------------------------------------------------------------------- -------------------------------------------------------- -------------- ------------- ------------

101223 11/14/14 POS043 POSTER COMPLIANCE CENTER 14/15 RENEWAL 11/10/14 11910 207.00$ -$ 207.00$

1 YR COMPLIANCE POSTERS

COMPUTER CHECK

CHECK TOTALS: 207.00$ -$ 207.00$

101224 11/14/14 PRE084 PREIN & NEWHOF 1410641 10/24/14 11921 25.00$ -$ 25.00$

MONTCALM WATER LAB

COMPUTER CHECK

CHECK TOTALS: 25.00$ -$ 25.00$

101225 11/14/14 R&S005 R&S NORTHEAST LLC 61244 10/17/14 11889 016067-00 3,101.46$ -$ 3,101.46$

DEPO PROVERA,ORTHO EVRA

COMPUTER CHECK

61331 10/20/14 11888 016067-00 1,417.50$ -$ 1,417.50$

NUVA RINGS

CHECK TOTALS: 4,518.96$ -$ 4,518.96$

101226 11/14/14 SAN020 SANOFI PASTEUR INC 903816861 10/22/14 11899 016075-00 954.36$ -$ 954.36$

IMOVAX RABIES

COMPUTER CHECK

CHECK TOTALS: 954.36$ -$ 954.36$

101227 11/14/14 SOC176 SOCIETY FOR HUMAN RESOURC 01006773 10/30/14 11918 185.00$ -$ 185.00$

DEC 2014-NOV 2015 RENEWAL

COMPUTER CHECK

CHECK TOTALS: 185.00$ -$ 185.00$

101228 11/14/14 STA009 STATE OF MICHIGAN CORRIGAN 11/21 11/01/14 11931 50.00$ -$ 50.00$

IMMS CONF

COMPUTER CHECK

DOAK 11/21 11/01/14 11935 50.00$ -$ 50.00$

IMMS CONF

FELTON 11/21 11/01/14 11925 50.00$ -$ 50.00$

IMMS CONF

FOX 11/21 11/01/14 11933 50.00$ -$ 50.00$

IMMS CONF

GROSSKOPF 11/21 11/01/14 11930 50.00$ -$ 50.00$

IMMS CONF

HALL 11/21 11/01/14 11926 50.00$ -$ 50.00$

IMMS CONF

KENT 11/21 11/01/14 11924 50.00$ -$ 50.00$

IMMS CONF

MIKESELL 11/21 11/01/14 11932 50.00$ -$ 50.00$

IMMS CONF

SAGE 11/21 11/01/14 11928 50.00$ -$ 50.00$

IMMS CONF

SIEDLIK 11/21 11/01/14 11929 50.00$ -$ 50.00$

IMMS CONF

31





--------------------------------------------------------------------------- -------------------------------------------------------- -------------- ------------- ------------

101228 11/14/14 STA009 STATE OF MICHIGAN SIMON 11/21 11/01/14 11934 50.00$ -$ 50.00$

IMMS CONF

SORGENFREI 11/2 11/01/14 11927 50.00$ -$ 50.00$

IMMS CONF

CHECK TOTALS: 600.00$ -$ 600.00$

101229 11/14/14 STA089 STATE OF MICHIGAN-MGMT 15-000822 10/31/14 11908 300.00$ -$ 300.00$

10/1/14-3/31/15 RADIOS

COMPUTER CHECK

CHECK TOTALS: 300.00$ -$ 300.00$

101230 11/14/14 VER004 VERIZON 9734188133 10/21/14 11903 806.30$ -$ 806.30$

OCTOBER CELL PHONES

COMPUTER CHECK

9734364811 10/23/14 11914 218.81$ -$ 218.81$

MIHP BROADBAND

CHECK TOTALS: 1,025.11$ -$ 1,025.11$

101231 11/14/14 WIN053 WINTER NANCY 20141103 11/03/14 11915 100.24$ -$ 100.24$

SIGN LANGUAGE INTERPRETER

COMPUTER CHECK

CHECK TOTALS: 100.24$ -$ 100.24$

101232 11/14/14 WRI074 9/17/14 09/30/14 11900 5.28$ -$ 5.28$

TRAVEL THRU 9/17/14

COMPUTER CHECK

CHECK TOTALS: 5.28$ -$ 5.28$

101233 11/14/14 FIR003 FIRST NATIONAL BANK OMAHA 1 9571 OCT 2014 10/31/14 11938 500.56$ -$ 500.56$

STAMPS.COM/HOTEL

COMPUTER CHECK

1-OCTOBER 2014 11/03/14 11901 3.42$ -$ 3.42$

PAGER

2 9571 OCT 2014 11/03/14 11939 016038-00 67.99$ -$ 67.99$

BUSINESS/APPOINTMENT CARDS

2-OCTOBER 2014 11/03/14 11902 807.26$ -$ 807.26$

8046 LUNCH/TRAINING

3 9571 OCT 2014 11/03/14 11940 016039-00 12.70$ -$ 12.70$

PETERMAN APPT BOOK

4 9571 OCT 2014 11/03/14 11941 016071-00 29.98$ -$ 29.98$

LAPTOP BATTERY

5 9571 OCT 2014 11/03/14 11942 016063-00 315.98$ -$ 315.98$

CHAIRS FOR EH PHR/2

6 9571 OCT 2014 11/03/14 11943 016073-00 24.99$ -$ 24.99$

BUSINESS CARDS/SMALTZ

7 9571 OCT 2014 11/03/14 11944 016080-00 157.99$ -$ 157.99$

OFFICE CHAIR/BOWERMAN

32





--------------------------------------------------------------------------- -------------------------------------------------------- -------------- ------------- ------------

101233 11/14/14 FIR003 FIRST NATIONAL BANK OMAHA 8 9571 OCT 2014 11/03/14 11945 016087-00 42.99$ -$ 42.99$

BUSINESS CARDS M SMITH/PRATT

9 9571 OCT 2014 11/03/14 11946 016053-00 19.02$ -$ 19.02$

GBO APPOINTMENT BOOK

OCTOBER 2014 11/03/14 11900 86.99$ -$ 86.99$

3709 TABOR LUNCH/DINNER/PARKING

CHECK TOTALS: 2,069.87$ -$ 2,069.87$

BANK CODE TOTALS: 18,362.04$ -$ 18,362.04$

28 COMPUTER CHECKS

0 MANUAL PAYMENT CHECKS

0 VOID CHECKS - TRX

0 VOID CHECKS - STUBS

0 VOID CHECKS - ERROR

0 VOID CHECKS - FORM ALIGNMENT

2 DIRECT DEPOSITS

30 CHECKS TOTAL

COMPANY TOTALS: 18,362.04$ -$ 18,362.04$

33


CLINTON


St. Johns, MI 48879-9036 (989) 224-2195



(989) 875-3681



(989) 831-5237


Stanton, MI 48888-9702 (989) 831-5237



Medical Director




Laura McCollum



M E M O R A N D U M

TO: Board of Health

FROM: Marcus Cheatham, Health Officer


RE: Authorization to Take Bids on Components for a New Software System for

Environmental Health (EH)

This is a request for authorization to take bids on components for a new software system for EH.

As we have explained in the past, our EH program uses outdated technology. While it uses several software

systems (Sword, WaterTrack, CMHC, etc.), most of these systems use very outdated technology; and all of

them are siloed. We use software for some of our work, but our records are still in paper; meaning we cannot

do anything that would involve bulk use of data such as mapping, mass-mailing, etc. Because of this, we use

staff time inefficiently and cannot undertake activities that would be beneficial to the public that require

modern technology. This is why obtaining new technology for EH is part of our strategic plan. There are three

things that EH needs:

1. A system that will permit us to manage digitized records. This would enable us to create and manipulate a database of all of our EH records.

2. A software system that will enable us to do our work in a unified electronic environment. The software system will be connected to and will update the records.

3. A web-based portal that will allow residents to see their records and interact with us. This will enable them to request and pay for permits on-line, for example.

Some of the systems we are considering offer more than one of these components.

This is a good time to make significant investments in our infrastructure in EH. As you recall, the Clinton

Conservation District wants to help us modernize our Water Program and has written us into the renewal

application of their 319 Grant from the Michigan Department of Environmental Quality (MDEQ). They are

requesting $70,000 for this purpose. Furthermore, we have a one-time windfall from the Medicaid full-cost

reimbursement. I recommend the Board of Health authorize us to obtain bids for software for EH. When we

obtain the bids, we will come back to you with a recommendation for how to proceed.

34



CLINTON


St. Johns, MI 48879-9036 (989) 224-2195



(989) 875-3681



(989) 831-5237


Stanton, MI 48888-9702 (989) 831-5237



Medical Director




Laura McCollum



M E M O R A N D U M

TO: Board of Health

FROM: Marcus Cheatham, Health Officer


RE: Authorization to Take Bids for a New Telephone System

This is a request for authorization to obtain bids on a new phone system for the Mid-Michigan District Health

Department.

The 3COM phone system we have now is no longer supported, and phones that work with the system are no

longer manufactured. Although we have obtained some replacement phones, we must purchase a new phone

system, or we will soon experience phone system failures or encounter a shortage of phones.

Getting a new phone system will improve productivity. Modern Internet Protocol (IP) phones are connected to

your data network and are fully programmable from any computer on the network. This will make activities

like scheduling, automating reminder calls and customizing phones very easy. We expect a new phone system

will cost approximately $150,000. Options available on the market are currently being researched to find the

system that will best meet our needs. The agency also has the option of considering hosted systems.

Strategically, this is a good time to buy a new phone system. As we have explained in the past, our Medicaid

Full Cost Reimbursements have not been paid for several years. Our Medicaid Full Cost Reimbursement was

just received for Fiscal Year 11/12 in October of 2014. The Medicaid office is working to get these all paid up

to date. However, we are also receiving interim payments for Fiscal Year 14/15. Therefore, as the funds are

received, the agency will have one-time money that will replace some of the local money in specific programs.

This will allow us to use the one-time funding to make one-time purchases that are long overdue.

I recommend the Board of Health authorize the agency to obtain bids on a new phone system. Once the bids

are received, I will bring them back to the Board with a recommendation on which system to purchase.

35



CLINTON


St. Johns, MI 48879-9036 (989) 224-2195



(989) 875-3681



(989) 831-5237


Stanton, MI 48888-9702 (989) 831-5237



Medical Director




Laura McCollum



M E M O R A N D U M TO: Board of Health FROM: Melissa Bowerman, Director of Administrative Services DATE: November 21, 2014 SUBJECT: Approval of Job Descriptions The Workforce Development Committee comprised of Melissa Bowerman, Andrea Tabor, Ross Pope, and Holly Stevens, has been meeting for the past year. The Committee has developed a Workforce Development Plan that addresses specific workforce needs of the agency. The Committee adopted the Public Health Foundation’s core competencies as the tool that will be used in addressing the competencies of our workforce. The Committee decided that in order to have these competencies more recognizable by staff, they should be included in the job descriptions of the agency. Additionally, it had been many years since our job descriptions have been updated, so the timing was good to complete an update on all of our job descriptions. The process to update the job descriptions involves many staff members. The job descriptions are updated by the Workforce Development Committee. Then they are sent to the Supervisor, at least one Employee in that classification, and then the Union for approval. Once everyone has approved the job description, it is ready for Board of Health or Health Officer approval. In order to streamline the process, we are requesting that the Health Officer review and make the final approval and sign the job descriptions for the agency. In order for the Board of Health to have an understanding of the new job descriptions, we have attached the Nurse Practitioner Job Description that is currently ready for final approval. Therefore, I am requesting that the Board of Health authorize Marcus Cheatham, Health Officer to sign all updated job descriptions for the agency.

36


(revised on 6/10/14)

MID-MICHIGAN DISTRICT HEALTH DEPARTMENT

CERTIFIED NURSE PRACTITIONER JOB DESCRIPTION

Wage Band: MNA 11 Division: Community Health & Education

FLSA: Non-Exempt Union: MNA

GENERAL DESCRIPTION:

The Certified Nurse Practitioner will be fully responsible for the initiation and maintenance of health care to clients served

at the Mid-Michigan District Health Department.

CORE COMPETENCIES:

Under general supervision and/or as part of various workgroups and teams, the Certified Nurse Practitioner performs the

following essential functions within the framework of Mid-Michigan District Health Department’s provision of the core

competencies and essential functions of public health:

Analysis & Assessment

Reviews and interprets the medical and social history of family planning clinic clients.

Performs appropriate nursing/medical health assessments, including but not limited to: EENT, skin, mouth, neck, chest, breast, heart, lungs, abdomen, musculoskeletal, extremities, and pelvic exams. Pelvic examination can

include speculum examinations, rectal examination, bimanual examination, obtaining specimen for STI testing,

cytolologic smears, other specimen and specialized screening procedures as indicated by clinical

protocols/policies.

Interprets laboratory data and orders appropriate additional laboratory tests when indicated. Evaluates clients based on criteria listed above and suggests and implements treatment regimens (including

contraceptive choice) for clients.

Refers clients with abnormal conditions or other medical problems found on examination to the appropriate medical provider when not covered by protocols.

Adheres to ethical principles in the collection, maintenance, use and dissemination of data and information. Uses information technology to collect, store and retrieve data.

Policy Development & Program Planning

Attends staff meetings and conference/workshops as appropriate. Apply strategies for continuous quality improvement. Participates in program planning. Incorporates policies and procedures into program plans and structures. Develops new policies and protocols for program changes and updates existing policies and protocols as the

nursing and medical environment warrants.

Communication

Provides counsel and advice on pregnancy and family planning methods to patients. Receives and handles client questions and problems relating to these issues.

Carries out group and individual teaching demonstrations, interprets prepared instructions to clients and provides clarification and reinforcement of instructions for clients.

Ensures the health literacy of populations served is considered throughout all communication strategies. Incorporates strategies for interacting with persons from diverse backgrounds Recognizes the role of cultural, social and behavioral factors in the accessibility, availability, acceptability and

delivery of public health services.

Communicate in writing and orally, in person and through electronic means with linguistic and cultural proficiency. Applies communication and group dynamic strategies in interactions with individuals and groups.

37


Cultural Competency

Incorporates strategies for interacting with persons from diverse backgrounds. Recognizes the role of cultural, social and behavioral factors in the accessibility, availability, acceptability and

delivery of public health services.

Community Dimensions of Practice

Makes and follows up on other appropriate medical and social referrals as indicated and serves as a liaison with other available community resources.

Participates in a team approach to client care, being cognizant of and responsive to the needs for nursing, social services, nutrition and other disciplines and personnel in the clinic setting.

Informs the public about policies, programs and resources. Identifies stakeholders and community assets and resources.

Public Health Sciences

Participates in any research or clinical trials that may, from time to time, involve clinic activities within the programs.

Maintains and participates in monitoring the quality of client records and insures inclusion of all appropriate findings and recommendations.

Understands and adheres to HIPAA and confidentiality policies.

Financial Planning & Management

Adheres to the agency’s policies and procedures.

Leadership & Systems Thinking

Participates in nursing/medical and other conferences. Participates in the educational activities of the agency and the community. Delegates functions to clinical personnel as is appropriate for the continuity of client care. Incorporates ethical standards of practice as the basis for all interactions with organizations, communities and

individuals.

Uses individual team and organizational learning opportunities for personal and professional development. Utilizes available learning opportunities from other agency staff.

Performs other duties as assigned…

KNOWLEDGE, SKILLS & ABILITES REQUIRED:

Education, Licensure, Certifications, Experience

Possession of a Bachelor’s Degree or Master’s Degree in Nursing from an accredited college or university. Graduation from a school of nursing approved by the State Board of Nursing. Possession of a current license and certification to practice as a nurse practitioner in Michigan. Completion of a Women’s Health, Family or Adult nurse practitioner program, or nurse midwife program with an

interest/focus in women’s health care.

Possession of a valid Michigan vehicle operator’s license, own transportation and ability to travel as required.

Note: The qualifications listed above are guidelines. Other combinations of education and experience, which could

provide the necessary knowledge, skills, and abilities to perform the job, should be considered.

Knowledge & Skills

Knowledge of the core functions and essential services of public health. Excellent customer service skills. Knowledge of assessment, particularly in relationship to sexuality, human reproduction, pregnancy, pre- and post-

menopausal clients.

Knowledge of human growth and development and ability to recognize deviations from normal. Ability to establish and maintain effective working relationships with clients, their families, co-workers and other

38


professionals.

Commitment to further increase knowledge of public health and nursing skills through continued education. Acceptance of supervision.

May serve as the agency’s First Responder in emergency situations:

All employees to comply with requirements from the OSHA Blood borne Pathogen Standard, 29 CFR 1910.1030, as

well as receive annual blood borne pathogen training.

Due to the need for all Health Department personnel to respond to public health emergencies, the employee must

be assessed for his/her ability to meet the physical demands of performing the following activities: (MMDHD Policy

#126.0 entitled, "Emergency Preparedness for Chemical, Biological, Radiological, Nuclear and Explosive Events".)

Engage in the following movements: Climbing, balancing, stooping, kneeling, crouching, reaching, standing, walking, lifting and writing and repetitive motions.

Exert up to 50 pounds of force occasionally, and/or a negligible amount of force constantly to move objects. Hearing ability sufficient enough to communicate with others effectively in person and over the phone

The employee must be able to perform the essential job functions as outlined in the position description with or without a

reasonable accommodation.

WORKFORCE COMPOSITION:

Management retains the right to determine the composition of the workforce including the number of positions established

and appointed with this job classification.

APPROVALS AND DATES:

__________________________________

Name (Health Officer or Board Chair)

__________________________________

Title

__________________________________

Date

39

Mid-Michigan District Health Department (MMDHD)

Grant Funding Update

November 26, 2014

MMDHD has received the following:

Expansion of the Sidney Dental Clinic – Fundraising for the expansion is going well. Grants or pledges received to date are: $42,500 from the Michigan Community Dental

Clinics (MCDC); $5,000 from the Central Montcalm Community Foundation (CMCF);

$5,000 from the Western Michigan Dental Foundation (WMDF); $25,000 fro

Documents

MID-MICHIGAN DISTRICT HEALTH DEPARTMENT · 2014. 11. 26. · Expenditure Report for October 2014 - Delayed due to year-end closing. e. Mid-Michigan District Health Department's Expenses