WEBVTT 00:00:00.000 --> 00:00:05.960 - The April 17th meeting of the county board of health to order. 00:00:05.960 --> 00:00:13.570 - Hello, everybody and welcome 1st order of business. Here's approval of previous men meeting minutes. 00:00:13.570 --> 00:00:16.140 - If we could do the March 20th. 00:00:16.140 --> 00:00:20.520 - Meeting 1st, does anybody have any corrections. 00:00:20.520 --> 00:00:28.440 - To those minutes, if not, I would yeah. 00:00:28.440 --> 00:00:33.000 - I would make the approval March 20th. I'll 2nd all in favor. 00:00:33.000 --> 00:00:36.360 - All in favor passes. 00:00:36.360 --> 00:00:42.720 - Now, the special session that we held just to do a vote on 1 thing that ended up being 3 things. 00:00:42.720 --> 00:00:51.360 - I know, right? Does anybody have any corrections to those minutes? 00:00:56.200 --> 00:01:00.880 - If not, I, I will have them at like a meeting. 00:01:00.880 --> 00:01:06.740 - I move that we approve. I will 2nd that motion too. All in favor. 00:01:06.740 --> 00:01:14.500 - I that motion passes the, uh, the next item of business of public comment and we have a. 00:01:14.500 --> 00:01:21.120 - Room full of the public possibly wishing to make comment. 00:01:21.120 --> 00:01:26.800 - So, I am you each there's a limit of 3 minutes. 00:01:26.800 --> 00:01:31.240 - Thank you. Um, if it's okay, we'll just go in order. 00:01:31.240 --> 00:01:39.160 - Allison, and I think I signed them, but there's a part later in the meeting. Well, I get to speak. 00:01:39.160 --> 00:01:45.760 - Yeah. So she is here for one recovery. So, so maybe she didn't go here after the comments. 00:01:45.760 --> 00:01:51.080 - That is she's doing on my recovery. Okay, we will move your. 00:01:51.080 --> 00:01:58.650 - Agenda item up. Do you have another public? Do you have a public comment to make on an issue? That's 00:01:58.650 --> 00:02:04.920 - not line likely recovery. Okay. Then what I will do is we do need to get through the public comment 00:02:04.920 --> 00:02:08.880 - 1st, but I will move your agenda item. 00:02:08.880 --> 00:02:14.120 - Up to the top of the next section so that we don't keep you here all night. 00:02:14.120 --> 00:02:17.360 - Okay, Christine. 00:02:17.360 --> 00:02:23.880 - My name is Christine, and I am a citizen and nurse of Monroe counties or until we get email that if 00:02:23.880 --> 00:02:28.300 - the board of health, well, there was sufficient knowledge to be gained regarding futures family 00:02:28.300 --> 00:02:31.100 - planning clinic. You all are full meetings about it. 00:02:31.100 --> 00:02:36.500 - According to Indiana code 51431, all persons are entitled to full and complete information 00:02:36.500 --> 00:02:38.720 - regarding the affairs of government. 00:02:38.720 --> 00:02:42.880 - The demise of futures is a recent reflection of the mineral carry health departments oversight. 00:02:42.880 --> 00:02:49.170 - So, the clinics last 3 staff members and representatives from Indiana family health council were 00:02:49.170 --> 00:02:50.380 - not involved in. 00:02:50.380 --> 00:02:55.000 - I'm here to share more insight regarding futures because it is also a cautionary tale. 00:02:55.000 --> 00:03:00.230 - During a May, 2024 health board meeting, Dr. Pritchard described future staff as resistant to cross 00:03:00.230 --> 00:03:02.920 - training and inference with their job descriptions. 00:03:02.920 --> 00:03:08.600 - As the last LPN of futures, I recently obtained that my personnel file from county, which contains 00:03:08.600 --> 00:03:12.700 - neither a poor performance review, nor a corrected action plan. 00:03:12.700 --> 00:03:18.660 - Then I asked Dr. Pritchard and Lori Kelly to elaborate on which part of my job description I resisted. 00:03:18.660 --> 00:03:24.540 - Neither of them provided a response to this request. Public records show that on May 30th of 2024, 00:03:24.540 --> 00:03:27.340 - IFC president told Lori via emailed. 00:03:27.340 --> 00:03:31.720 - There are several identified areas where the board has concerns about the futures family planning 00:03:31.720 --> 00:03:36.230 - clinic, yet no one has approached us as the funder. I believe based on what is documented as a 00:03:36.230 --> 00:03:38.880 - false misrepresentation of how we view the clinic. 00:03:38.880 --> 00:03:44.370 - In July and August of 2024, public records show that Lauren was in conversation with health net 00:03:44.370 --> 00:03:47.400 - about the possibility of having them take over title 10. 00:03:47.400 --> 00:03:53.170 - Dr. Pritchard was CC'd on such emails. Lori did not inform future staff about such conversations, 00:03:53.170 --> 00:03:56.440 - and I saw no evidence that Lori included IFC representatives. 00:03:56.440 --> 00:04:01.320 - Before I decided to resign in August of 2024, due to worsening understaffing and increased 00:04:01.320 --> 00:04:07.180 - expectations to absorb management responsibilities, I reached out to Aurora Dr. Ryder Band for help. 00:04:07.180 --> 00:04:12.290 - In her response to my email, Aurora said that after consultation with Dr. Pritchard, board members 00:04:12.290 --> 00:04:16.910 - will not have meetings with health department employees unless Lori is in attendance, claiming it's 00:04:16.910 --> 00:04:19.720 - supported administrative communication procedures. 00:04:19.720 --> 00:04:23.780 - Since then, a county attorney has informed me that they are unaware of any policy that would 00:04:23.780 --> 00:04:28.760 - prevent health board members from meeting with employees without the presence of the administrator. 00:04:28.760 --> 00:04:33.660 - In September 2024, I suggested that the Board of Health could strengthen connections with the 00:04:33.660 --> 00:04:35.720 - experiences of public health workers. 00:04:35.720 --> 00:04:41.660 - Instead, at the October AAR, health department leadership threw future staff under the bus. 00:04:41.660 --> 00:04:46.140 - They acknowledged a need to increase regular communications with county counselors and commissioners 00:04:46.140 --> 00:04:48.260 - only, not with health department staff. 00:04:48.260 --> 00:04:53.030 - An open house for elected officials is something, but developing an ongoing rapport with health 00:04:53.030 --> 00:04:56.460 - department staff could protect public health services for this community. 00:04:56.460 --> 00:05:00.700 - It might also prevent more people from turning into Monroe County Health Department watchdogs and 00:05:00.700 --> 00:05:01.640 - whistleblowers. 00:05:01.640 --> 00:05:06.070 - It would be an act of accountability for Lori Kelly and the 2024 board members to acknowledge the 00:05:06.070 --> 00:05:08.180 - details I shared today. Thank you. 00:05:08.180 --> 00:05:13.020 - Thank you. Ashley Craner. 00:05:13.020 --> 00:05:21.320 - Hi, everybody. Good evening. My name is Ashley Craner and I'm a Monroe County resident and I'm a 00:05:21.320 --> 00:05:25.440 - former member of the Board of Health, which I served for 13 years. 00:05:25.440 --> 00:05:30.820 - I'm here tonight for two different reasons. First, I want to show my continued support for Monroe 00:05:30.820 --> 00:05:36.480 - County Health Department and the health board, but also its current staff and its former staff. 00:05:36.480 --> 00:05:42.080 - I want to recognize and commend Christine for her ongoing efforts to bring transparency and 00:05:42.080 --> 00:05:48.670 - accountability regarding the loss of futures, a program that supported this community for 18 years 00:05:48.670 --> 00:05:51.900 - and was successfully managed with far fewer staff. 00:05:51.900 --> 00:05:58.680 - Her questions have largely gone unanswered, echoing what happened during the last major leadership 00:05:58.680 --> 00:06:04.820 - transition when we lost six long-term staff members when they raised concerns and were shut down 00:06:04.820 --> 00:06:06.860 - and out by this administration. 00:06:06.860 --> 00:06:15.090 - We are nearing 35, 40 employees that have either resigned or been terminated in the last couple of 00:06:15.090 --> 00:06:15.720 - years. 00:06:15.720 --> 00:06:22.360 - This is a serious loss, especially in this particular field where training, relationships, and 00:06:22.360 --> 00:06:25.320 - institutional knowledge are critical. 00:06:25.320 --> 00:06:31.260 - Let me be clear, as Christine mentioned, there is no law preventing the board from speaking with 00:06:31.260 --> 00:06:32.700 - department staff. 00:06:32.700 --> 00:06:35.580 - That's a choice that you all are making. 00:06:35.580 --> 00:06:43.410 - Secondly, I'm here to express my strong objection to the changes and increased funding for the 00:06:43.410 --> 00:06:45.180 - health director's position. 00:06:45.180 --> 00:06:53.010 - As discussed at the April 8th county council meeting, the council has worked hard to build a fair 00:06:53.010 --> 00:06:57.660 - process for classifying positions through PAC and through WIS. 00:06:57.660 --> 00:07:02.660 - It has moved away from funding and grade supervisory roles for a reason. 00:07:02.660 --> 00:07:05.660 - They were very problematic, very expensive. 00:07:05.660 --> 00:07:13.660 - The idea that money equals better candidates will only hold if leadership can retain them. 00:07:13.660 --> 00:07:16.660 - I seriously have concerns about that. 00:07:16.660 --> 00:07:23.320 - I also intend to communicate those concerns in more detail with the county council and to any of 00:07:23.320 --> 00:07:24.660 - you, if you may wish. 00:07:24.660 --> 00:07:33.660 - Finally, when asked at the council meeting, what would happen if state funding is cut or reduced? 00:07:33.660 --> 00:07:38.660 - Ms. Kelly answered essentially, well, I'm not going to get rid of people. 00:07:38.660 --> 00:07:41.660 - I will get rid of programs. 00:07:41.660 --> 00:07:49.540 - I ask you, what is the point of increasing responsibilities and pay for people if they aren't going 00:07:49.540 --> 00:07:51.660 - to be delivering any public health program? 00:07:51.660 --> 00:07:57.660 - I have a whole lot more to say on the current state of leadership, but I'm going to end with this. 00:07:57.660 --> 00:08:03.660 - If you're tired of the constant criticisms, stop circling the wagons. 00:08:03.660 --> 00:08:08.660 - Be accountable and do what's right for this community and the staff. 00:08:08.660 --> 00:08:12.660 - Thanks. Thank you. 00:08:12.660 --> 00:08:16.660 - Debbie Deckard? Hi, my name is Debbie Deckard. 00:08:16.660 --> 00:08:22.660 - I don't have any things, anything written down, but I was an employee of Futures. 00:08:22.660 --> 00:08:29.660 - I worked the front desk and came to understand and know our patients with a great deal. 00:08:29.660 --> 00:08:36.660 - Dr. Pritchard, I was one of your patients for a long time. Kelly, you and I, Ms. Kelly, you and I, 00:08:36.660 --> 00:08:45.660 - I always, I was always fine. I really had to bite my tongue when I got this. 00:08:45.660 --> 00:08:55.720 - I had to request it. I wanted to request my file because it says I am not eligible to rehire part 00:08:55.720 --> 00:08:57.660 - time, 24 hours a week. 00:08:57.660 --> 00:09:05.400 - No, I'm not eligible for rehire, but I put in my two weeks notice. I had nothing, no write ups, no 00:09:05.400 --> 00:09:07.660 - recommends, nothing. 00:09:07.660 --> 00:09:13.660 - And I emailed Lori to ask you if I could please have a meeting with you. 00:09:13.660 --> 00:09:18.660 - Lori emailed me back and said, no, I don't feel comfortable meeting with you. 00:09:18.660 --> 00:09:24.170 - I have never threatened you, Lori. I have never came across negative. I've always been in your 00:09:24.170 --> 00:09:24.660 - corner. 00:09:24.660 --> 00:09:30.880 - And you know that. You could have had the deputy sheriff come in and sat with you or Eric or 00:09:30.880 --> 00:09:31.660 - anybody else. 00:09:31.660 --> 00:09:36.660 - All I want to do is talk about this. I don't like to do this stuff by email. 00:09:36.660 --> 00:09:42.310 - And what rolls off my tongue rolls off my tongue. Then you said you've corrected. Then I got this 00:09:42.310 --> 00:09:42.660 - one. 00:09:42.660 --> 00:09:50.660 - I am eligible to rehire. How many others have you done this to that haven't asked for their file? 00:09:50.660 --> 00:09:59.660 - I am still I have been one and I still have such compassion for our community. 00:09:59.660 --> 00:10:05.050 - And I've tried to hold all of this in. I went back to school, went back to work for the school 00:10:05.050 --> 00:10:05.660 - system. 00:10:05.660 --> 00:10:11.810 - I was a nurse in the school system for eight years. I love patient care. I love our community, the 00:10:11.810 --> 00:10:12.660 - community care. 00:10:12.660 --> 00:10:20.660 - We got to know a lot of them. We all worked. Evan, Emma, the nurse practitioner, Christine, 00:10:20.660 --> 00:10:27.660 - and I all worked together like a hand in a glove. Jane come in with patients. 00:10:27.660 --> 00:10:32.660 - I'm wondering what's happened to her patients. Did they get the health care they needed? 00:10:32.660 --> 00:10:37.660 - Because Jane spoke for them. I am the voice for our community. 00:10:37.660 --> 00:10:43.660 - And I do want you to know I'm upset. Yes, future's closed. We all try to go on. 00:10:43.660 --> 00:10:50.660 - But we need accountability. People have not left because it's time to walk out the door. 00:10:50.660 --> 00:10:55.660 - They have left because things going on in this health office, and you know that, Lori. 00:10:55.660 --> 00:11:01.660 - Dr. Pritchard, you need to be accountable, too, because you know this, too. 00:11:01.660 --> 00:11:06.660 - And you guys can take a deep breath and roll your eyes, but you do. You know what's going on. 00:11:06.660 --> 00:11:14.660 - And the board needs to be accountable just like anybody else, because it's not fair to our patients. 00:11:14.660 --> 00:11:19.660 - It's not fair to me, because you know, Lori, when I had an interview with you, 00:11:19.660 --> 00:11:24.660 - I was passionate about what you were interviewing me for, and this still hurts, 00:11:24.660 --> 00:11:31.660 - because I still see our patients out once in a while at Kroger or out on the street. 00:11:31.660 --> 00:11:36.660 - And they'll say, oh, hi, I remember you. I just love coming in and seeing you. 00:11:36.660 --> 00:11:42.660 - And Gary, the homeless man, he would come in just so I could give him lollipops. 00:11:42.660 --> 00:11:46.660 - Debbie, I'm sorry. I'm sorry, but your three minutes are up. 00:11:46.660 --> 00:11:51.660 - Okay, that's fine. Thank you. We need accountability. 00:11:51.660 --> 00:11:55.660 - Jane Walter. 00:11:55.660 --> 00:11:59.660 - Good afternoon. My name is Jane Walter. 00:11:59.660 --> 00:12:05.660 - I am a longtime resident of Monroe County and a former Spanish-English interpreter 00:12:05.660 --> 00:12:09.660 - at the Futures Family Planning Clinic. 00:12:09.660 --> 00:12:15.660 - I believe that the Futures Clinic was a public health treasure in our community, 00:12:15.660 --> 00:12:18.660 - which was all too easily lost. 00:12:18.660 --> 00:12:25.660 - I think that it is important to understand how our community lost Futures, 00:12:25.660 --> 00:12:29.660 - which, as you know, was a federally funded clinic 00:12:29.660 --> 00:12:37.660 - where truly excellent medical professionals and support staff served patients for 18 years, 00:12:37.660 --> 00:12:41.660 - especially patients with limited funds. 00:12:41.660 --> 00:12:46.660 - I want to thank those who have made comments today about transparency 00:12:46.660 --> 00:12:51.660 - and accountability in our local health department. 00:12:51.660 --> 00:12:59.660 - I do not want our community to lose other local public health treasures. 00:12:59.660 --> 00:13:04.660 - Let's not throw out the baby with the bath water again. 00:13:04.660 --> 00:13:05.660 - Thank you. 00:13:05.660 --> 00:13:08.660 - Thank you, Jim. 00:13:08.660 --> 00:13:12.660 - Is that it for public comment? Those are the only... 00:13:12.660 --> 00:13:13.660 - I haven't signed in. 00:13:13.660 --> 00:13:15.660 - Okay, you will need to sign in. 00:13:45.660 --> 00:13:48.220 - It's okay, it's not a common one, thanks. 00:13:48.220 --> 00:13:49.300 - Husted, Chris Husted. 00:13:49.300 --> 00:13:50.800 - Thank you, Chris Husted. 00:13:50.800 --> 00:13:53.580 - So my name is Chris Husted. 00:13:53.580 --> 00:13:57.620 - Some of you may recognize me as the former clinic manager 00:13:57.620 --> 00:14:02.620 - for Futures from 2015, January of 2015 to October of 2022. 00:14:02.620 --> 00:14:07.620 - I don't have anything prepared as well, 00:14:07.620 --> 00:14:11.820 - but I wanted to come in support of the previous staff members 00:14:11.820 --> 00:14:16.820 - and also give my insight into my experiences with Futures 00:14:16.820 --> 00:14:23.100 - and reasons why I left the Menorah County Health Department. 00:14:23.100 --> 00:14:28.460 - So to give you a little bit of background, 00:14:28.460 --> 00:14:30.740 - as you can see, I was with Futures 00:14:30.740 --> 00:14:35.340 - for approximately eight years, almost eight years. 00:14:35.340 --> 00:14:40.220 - When I came on board, I was able to increase revenue 00:14:40.220 --> 00:14:44.100 - to be able to support a part-time person. 00:14:44.100 --> 00:14:47.140 - When I came on board, the funding wasn't there, 00:14:47.140 --> 00:14:51.620 - I was under penny, I was able to streamline the billing 00:14:51.620 --> 00:14:53.020 - and bring a part-time person. 00:14:53.020 --> 00:14:57.220 - That was very important because as it stood, 00:14:57.220 --> 00:15:00.060 - staffing was severely limited. 00:15:00.060 --> 00:15:04.380 - Clinic manager was doing the reception, 00:15:04.380 --> 00:15:07.780 - was doing the billing, was doing all of the reports, 00:15:07.780 --> 00:15:12.700 - doing pretty much everything except for the clinical side. 00:15:12.700 --> 00:15:16.500 - And from the experiences that they have had 00:15:16.500 --> 00:15:20.300 - where they did not have a clinic manager for four months, 00:15:20.300 --> 00:15:24.420 - where there was not a job listing, 00:15:24.420 --> 00:15:27.940 - I know how stressful that is. 00:15:27.940 --> 00:15:32.940 - And to hear that I have heard something about cross-training, 00:15:32.940 --> 00:15:37.020 - that they did not wanna do cross-training, 00:15:37.020 --> 00:15:39.380 - and there is a significant difference 00:15:39.380 --> 00:15:43.980 - between a temporary absence versus a four-month absence, 00:15:43.980 --> 00:15:47.300 - and with no expectation for that to end. 00:15:47.300 --> 00:15:50.940 - And so it does upset me to know 00:15:50.940 --> 00:15:54.580 - that they were being penalized 00:15:54.580 --> 00:15:59.580 - for something that was not sustainable. 00:15:59.580 --> 00:16:02.060 - One of the major reasons that I left 00:16:02.060 --> 00:16:07.060 - is frankly due to Lori's leadership or lack thereof. 00:16:07.060 --> 00:16:09.700 - Anytime that there was, 00:16:09.700 --> 00:16:12.580 - you would think that with almost eight years experience, 00:16:12.580 --> 00:16:17.580 - that there would be some recognition of my expertise 00:16:17.580 --> 00:16:20.220 - in a grant-funded clinic. 00:16:20.220 --> 00:16:23.540 - But there were instances multiple times 00:16:23.540 --> 00:16:26.180 - where I tried to provide my input, 00:16:26.180 --> 00:16:31.180 - such as being able to order supplies, 00:16:32.060 --> 00:16:33.380 - within a certain timeframe, 00:16:33.380 --> 00:16:36.300 - because we have to in advance provide IFHC 00:16:36.300 --> 00:16:41.300 - with that funding that in advance. 00:16:41.300 --> 00:16:46.420 - And I was told basically stay in your lane. 00:16:46.420 --> 00:16:48.420 - I felt it was very disrespectful 00:16:48.420 --> 00:16:52.220 - and it was not something that I wanted to leave, 00:16:52.220 --> 00:16:54.500 - but I felt that I had to leave at that point. 00:16:54.500 --> 00:16:56.480 - Thank you, Chris. 00:16:56.480 --> 00:17:00.820 - I understand we have someone online 00:17:00.820 --> 00:17:03.240 - who would like to be heard. 00:17:03.240 --> 00:17:08.500 - David Henry, if you could please, thank you. 00:17:08.500 --> 00:17:12.380 - Thank you, thank you, Aurora and board. 00:17:12.380 --> 00:17:13.220 - My name is David Henry. 00:17:13.220 --> 00:17:14.660 - I'm a county counselor. 00:17:14.660 --> 00:17:17.400 - I'm one of the two liaisons to the health department. 00:17:17.400 --> 00:17:19.100 - I was calling in today on a different matter 00:17:19.100 --> 00:17:20.900 - than what's been addressed in public comment. 00:17:20.900 --> 00:17:22.300 - And I wanted to speak to that first 00:17:22.300 --> 00:17:26.560 - before I go pine on what I just heard. 00:17:26.560 --> 00:17:27.900 - I wanted to remind the Board of Health 00:17:27.900 --> 00:17:30.700 - that as we're approaching the tail end 00:17:30.700 --> 00:17:32.500 - of the state house session 00:17:32.500 --> 00:17:34.180 - with Senate bill one passing this week, 00:17:34.180 --> 00:17:36.660 - that the county counselors individually 00:17:36.660 --> 00:17:38.420 - as well as collectively will be reaching out 00:17:38.420 --> 00:17:40.300 - for boards and commissions and offices 00:17:40.300 --> 00:17:42.260 - to really get ahead of our budget planning cycle 00:17:42.260 --> 00:17:45.220 - as we're trying to negotiate cuts 00:17:45.220 --> 00:17:47.900 - that we're anticipating for the next fiscal year. 00:17:47.900 --> 00:17:51.740 - Which means that when we look at appropriations, 00:17:51.740 --> 00:17:54.460 - forecasting and reversions from budgets 00:17:54.460 --> 00:17:57.340 - to really make sure we're using all of our dollars well 00:17:57.340 --> 00:18:00.220 - and all of our departments and boards on that. 00:18:00.220 --> 00:18:02.260 - And so I just wanted to put that for you 00:18:02.260 --> 00:18:05.340 - as we get ahead here into the fall. 00:18:05.340 --> 00:18:09.940 - Secondly is a ask of all of you 00:18:09.940 --> 00:18:11.180 - as you're having your meeting today. 00:18:11.180 --> 00:18:13.980 - And I know that we have a position that we're reviewing 00:18:13.980 --> 00:18:16.020 - and the health service director role 00:18:16.020 --> 00:18:19.060 - before the next county council meeting 00:18:19.060 --> 00:18:22.020 - that I think that based on some of the comments 00:18:22.020 --> 00:18:24.220 - I've heard today about the futures clinic, 00:18:24.220 --> 00:18:28.260 - we really need to find a close up this conversation. 00:18:28.260 --> 00:18:30.100 - As you know, the health service director role 00:18:30.100 --> 00:18:31.860 - was attempted to be merged 00:18:31.860 --> 00:18:33.940 - with what would have been the futures director position 00:18:33.940 --> 00:18:37.860 - last year that did not happen through the WISP process. 00:18:37.860 --> 00:18:40.300 - I know that some of you are frustrated with our WISP process 00:18:40.300 --> 00:18:42.620 - but as I've heard a public comment made, 00:18:42.620 --> 00:18:45.180 - it is really the way we have to assure equity 00:18:45.180 --> 00:18:46.620 - across director roles, 00:18:46.620 --> 00:18:49.180 - not only in the board of health purview, 00:18:49.180 --> 00:18:51.300 - but across the county, 00:18:51.300 --> 00:18:53.580 - but to really come prepared to speak to some of the things 00:18:53.580 --> 00:18:57.180 - that I've heard today as we review that second reading 00:18:57.180 --> 00:18:58.660 - for that position. 00:18:58.660 --> 00:19:00.220 - Of course, I would remind the board 00:19:00.220 --> 00:19:04.260 - that under Indiana code 36-2-5-3, 00:19:04.260 --> 00:19:06.380 - the county council has a unique shared governance 00:19:06.380 --> 00:19:08.860 - responsibility with all of our boards and commissions 00:19:08.860 --> 00:19:11.260 - to oversee fiscal oversight and making sure 00:19:11.260 --> 00:19:14.260 - that we're expending our dollars well. 00:19:14.260 --> 00:19:15.980 - In the moment I have at the end, 00:19:15.980 --> 00:19:19.540 - having met a former public health employee 00:19:19.540 --> 00:19:21.140 - in this department 20 years ago, 00:19:21.140 --> 00:19:23.780 - having worked with NACCHO in my career, 00:19:23.780 --> 00:19:25.460 - I think it's probably time for the board 00:19:25.460 --> 00:19:27.220 - to consider releasing all the notes it has 00:19:27.220 --> 00:19:30.380 - regarding the futures clinic closure to the public. 00:19:30.380 --> 00:19:31.900 - There are documents that have been redacted 00:19:31.900 --> 00:19:33.460 - that should perhaps shed more light 00:19:33.460 --> 00:19:35.780 - on what we're hearing here and move on. 00:19:35.780 --> 00:19:39.380 - It is not lost on me that the wound I'm dressed will fester. 00:19:39.380 --> 00:19:42.540 - And I gotta say, I'd like to move forward 00:19:42.540 --> 00:19:44.360 - as a community on this issue. 00:19:44.360 --> 00:19:45.580 - I think we can do that together 00:19:45.580 --> 00:19:49.080 - if we finally see some of the additional notes come to light. 00:19:49.080 --> 00:19:50.740 - Thank you, and I look forward to working with you all 00:19:50.740 --> 00:19:52.100 - on the budget in the future. 00:19:52.100 --> 00:19:53.160 - Take care. 00:19:53.160 --> 00:19:54.900 - Thank you, David. 00:19:54.900 --> 00:19:59.900 - That closes the public comment portion of the meeting. 00:19:59.900 --> 00:20:01.980 - Thank you all for coming. 00:20:01.980 --> 00:20:04.140 - Thank you. - Thank you. 00:20:04.500 --> 00:20:07.420 - (faintly speaking) 00:20:07.420 --> 00:20:23.760 - Department updates, Lori. 00:20:23.760 --> 00:20:32.300 - So I'll start with some updates with environmental. 00:20:32.300 --> 00:20:35.540 - The county has received a total of 62 applications 00:20:35.540 --> 00:20:39.260 - for the ARFA septic repair program. 00:20:39.260 --> 00:20:42.560 - Four systems have been installed at this time. 00:20:42.560 --> 00:20:46.980 - We have an additional 15 contracts that have been approved, 00:20:46.980 --> 00:20:51.060 - and the goal is to have all systems installed this year. 00:20:51.060 --> 00:20:54.140 - Wastewater is hoping that this type of program 00:20:54.140 --> 00:20:58.860 - could continue in the future, but on a smaller scale, 00:20:58.860 --> 00:21:03.860 - looking at trying to replace two to three systems annually, 00:21:03.860 --> 00:21:06.780 - just on an ongoing basis, 00:21:06.780 --> 00:21:09.980 - just because the program has had so much success. 00:21:09.980 --> 00:21:12.100 - Foods is updating their processes 00:21:12.100 --> 00:21:14.560 - to align with changes to the state code. 00:21:14.560 --> 00:21:17.980 - I plan on having additional information in the May 00:21:17.980 --> 00:21:21.540 - board packet and someone, either Mike or staff, 00:21:21.540 --> 00:21:24.820 - that they will be providing information on those updates. 00:21:26.180 --> 00:21:29.220 - Christina, our behavioral health and wellness coordinator, 00:21:29.220 --> 00:21:31.940 - has completed PEARLS training. 00:21:31.940 --> 00:21:35.420 - So PEARLS is an evidence-based program 00:21:35.420 --> 00:21:37.860 - that helps older adults with depression 00:21:37.860 --> 00:21:40.820 - create happier, healthier lives. 00:21:40.820 --> 00:21:45.460 - The program focuses on problem-solving treatment 00:21:45.460 --> 00:21:48.580 - and is designed to provide care for older adults 00:21:48.580 --> 00:21:51.580 - with limited access to depression care. 00:21:51.580 --> 00:21:55.700 - Essentially, once trained, coaches meet one-on-one 00:21:55.700 --> 00:21:59.460 - with individuals for six to eight one-hour sessions, 00:21:59.460 --> 00:22:02.340 - typically over a five-month period. 00:22:02.340 --> 00:22:07.660 - Christina has also started conducting Tai Chi classes. 00:22:07.660 --> 00:22:10.660 - So this is part of her KPI initiative 00:22:10.660 --> 00:22:15.660 - to address trauma and injury prevention related to falls. 00:22:15.660 --> 00:22:18.140 - She's also been working really hard 00:22:18.140 --> 00:22:19.380 - on some food and nutrition, 00:22:19.380 --> 00:22:20.940 - which I'll talk to you about later today 00:22:20.940 --> 00:22:22.460 - with the Fresh Connect program. 00:22:23.500 --> 00:22:26.740 - Aubrey, maternal child health coordinator, 00:22:26.740 --> 00:22:30.100 - will be soon beginning her maternal nutrition program 00:22:30.100 --> 00:22:35.100 - from bump to baby in collaboration with Purdue Extension. 00:22:35.100 --> 00:22:37.600 - They're finalizing dates and locations, 00:22:37.600 --> 00:22:39.540 - but looking at one of the libraries 00:22:39.540 --> 00:22:41.080 - to be able to conduct those. 00:22:41.080 --> 00:22:46.020 - The program combines education and cooking demonstrations. 00:22:46.020 --> 00:22:48.220 - And at some point within the next few months, 00:22:48.220 --> 00:22:50.140 - I'll have her be able to come to the board 00:22:50.140 --> 00:22:52.900 - and talk more about that program. 00:22:52.900 --> 00:22:55.180 - But we have been able to, 00:22:55.180 --> 00:22:58.180 - we were looking at the Purdue Extension 00:22:58.180 --> 00:23:01.300 - for some of that nutrition late last year, 00:23:01.300 --> 00:23:03.500 - but we really were able to just come together 00:23:03.500 --> 00:23:04.380 - and collaborate. 00:23:04.380 --> 00:23:06.140 - They're going to partner with Aubrey 00:23:06.140 --> 00:23:09.620 - on conducting the classes, do the cooking demonstration, 00:23:09.620 --> 00:23:11.140 - cover some of the nutrition. 00:23:11.140 --> 00:23:13.180 - She'll be providing education 00:23:13.180 --> 00:23:15.740 - and we'll be covering program costs 00:23:15.740 --> 00:23:19.100 - instead of going into an actual contract agreement with them. 00:23:20.700 --> 00:23:23.580 - We currently have one disease intervention specialist 00:23:23.580 --> 00:23:26.860 - job opening posted at this time. 00:23:26.860 --> 00:23:30.420 - We are waiting to receive additional grant funding 00:23:30.420 --> 00:23:33.820 - for an additional position if that is approved. 00:23:33.820 --> 00:23:37.540 - And let's see. 00:23:37.540 --> 00:23:39.980 - There have been discussions of changes 00:23:39.980 --> 00:23:41.860 - to Health First Indiana. 00:23:41.860 --> 00:23:44.820 - So some major changes, 00:23:44.820 --> 00:23:48.020 - talking about changing the funding split 00:23:48.020 --> 00:23:51.180 - to 90% of the funds to be used 00:23:51.180 --> 00:23:53.700 - on preventative poor health services 00:23:53.700 --> 00:23:58.700 - and only up to 10% on regulatory services. 00:23:58.700 --> 00:24:04.100 - A waiver can be submitted by local health departments 00:24:04.100 --> 00:24:07.820 - requesting to exceed that 10% cap. 00:24:07.820 --> 00:24:12.180 - So I have reached out to the Indiana Department of Health 00:24:12.180 --> 00:24:15.340 - if this does move forward to begin the process 00:24:15.340 --> 00:24:17.900 - of being able to complete and submit that waiver. 00:24:17.900 --> 00:24:21.980 - Additional changes to Health First Indiana, 00:24:21.980 --> 00:24:25.580 - they're talking about removing public health preparedness 00:24:25.580 --> 00:24:29.820 - and tobacco cessation from the list of poor services. 00:24:29.820 --> 00:24:32.540 - And this would mean that Health First Indiana funds 00:24:32.540 --> 00:24:36.380 - could not be used at all on those services. 00:24:36.380 --> 00:24:42.020 - Lastly, the big one, discussions of mandating 00:24:42.020 --> 00:24:45.460 - that Health First Indiana dollars be used 00:24:45.460 --> 00:24:48.900 - on Indiana citizens only. 00:24:48.900 --> 00:24:51.660 - So having a lot of meetings just to try to stay 00:24:51.660 --> 00:24:52.860 - on top of all of that. 00:24:52.860 --> 00:24:56.340 - The COVID supplemental grant funding 00:24:56.340 --> 00:24:58.860 - has completely gone away now. 00:24:58.860 --> 00:25:01.140 - There's currently some uncertainty 00:25:01.140 --> 00:25:04.620 - of our standard immunization grant funding. 00:25:04.620 --> 00:25:09.620 - Our next grant cycle would be set to begin July 1st. 00:25:09.740 --> 00:25:14.460 - The award letter that was an anticipated amount 00:25:14.460 --> 00:25:16.940 - was right around $30,000. 00:25:16.940 --> 00:25:21.460 - In the state is saying there's just a lot of uncertainty 00:25:21.460 --> 00:25:24.780 - about whether counties will receive that, 00:25:24.780 --> 00:25:27.540 - less, more, and so that's something 00:25:27.540 --> 00:25:29.460 - that's just unknown right now. 00:25:29.460 --> 00:25:36.100 - Let's see, along with that a little bit though, 00:25:36.100 --> 00:25:40.980 - we recently found around $67,000 of old grant funding 00:25:40.980 --> 00:25:43.540 - doing some auditing going through our funds. 00:25:43.540 --> 00:25:46.700 - So this dates back to 2021. 00:25:46.700 --> 00:25:51.700 - So working on reaching out to the state 00:25:51.700 --> 00:25:55.820 - to ensure that we can use those funds 00:25:55.820 --> 00:25:58.300 - since the work was completed, 00:25:58.300 --> 00:26:00.980 - even though the grant cycle has passed. 00:26:00.980 --> 00:26:05.580 - We've also identified additional COVID funding 00:26:05.580 --> 00:26:08.220 - negative cash balances from that time 00:26:08.220 --> 00:26:10.500 - that we're working on making corrections 00:26:10.500 --> 00:26:16.380 - and a grant dating back actually to futures from 2014 00:26:16.380 --> 00:26:20.500 - that has some issues that we're working to correct. 00:26:20.500 --> 00:26:23.140 - So hopefully once we get all of that straightened out, 00:26:23.140 --> 00:26:25.140 - we'll still be in a positive 00:26:25.140 --> 00:26:27.820 - with having some additional old COVID money 00:26:27.820 --> 00:26:30.300 - that we can actually use. 00:26:30.300 --> 00:26:33.100 - So that will help us through kind of this whole. 00:26:35.020 --> 00:26:40.020 - Let's see, Linnea is going to be transferring 00:26:40.020 --> 00:26:43.940 - to the Director of Public Health Preparedness Position 00:26:43.940 --> 00:26:44.940 - May 19th. 00:26:44.940 --> 00:26:47.380 - So she's still gonna be assisting 00:26:47.380 --> 00:26:50.300 - with some of the duties currently being performed 00:26:50.300 --> 00:26:53.260 - and there is a full-time administrative assistant job 00:26:53.260 --> 00:26:56.300 - that has been posted and she's willing 00:26:56.300 --> 00:26:58.980 - and going to help train that individual 00:26:58.980 --> 00:27:00.620 - once we would find someone. 00:27:00.620 --> 00:27:05.580 - So there have been discussions on posting 00:27:05.580 --> 00:27:08.140 - a part-time environmental position. 00:27:08.140 --> 00:27:10.140 - We're gonna kind of hold off on that right now 00:27:10.140 --> 00:27:12.260 - until we have some more understanding 00:27:12.260 --> 00:27:16.100 - about changes coming with Health First next year. 00:27:16.100 --> 00:27:22.060 - The last thing I would say is I would like to ask 00:27:22.060 --> 00:27:25.340 - that maybe we can start some of the conversations 00:27:25.340 --> 00:27:28.980 - about contracts amounts in the budgets 00:27:28.980 --> 00:27:33.340 - maybe at the next meeting just because come July, 00:27:33.340 --> 00:27:36.740 - the state's gonna be wanting us to have that state budget 00:27:36.740 --> 00:27:38.900 - to be able to submit to them. 00:27:38.900 --> 00:27:40.700 - So maybe we can start thinking about it. 00:27:40.700 --> 00:27:42.500 - I think at our next meeting, 00:27:42.500 --> 00:27:46.820 - we will know a lot more about our financial situation 00:27:46.820 --> 00:27:48.300 - and so we'll be in a better position 00:27:48.300 --> 00:27:51.700 - to actually talk about those things in the next decisions. 00:27:51.700 --> 00:27:54.700 - I also wanna congratulate Linnea. 00:27:54.700 --> 00:27:57.580 - We don't wanna lose you though. 00:27:57.580 --> 00:28:01.260 - We're excited for you, but we don't wanna lose you at all. 00:28:01.260 --> 00:28:02.220 - Just as an aside, 00:28:02.220 --> 00:28:04.220 - that's what you're talking about financing. 00:28:04.220 --> 00:28:07.180 - I heard on the news last night 00:28:07.180 --> 00:28:10.820 - that Indiana is going to probably have 00:28:10.820 --> 00:28:15.380 - a $2 billion shortfall from what they expected. 00:28:15.380 --> 00:28:19.220 - So yeah, I think we can count on our budget 00:28:19.220 --> 00:28:21.980 - not being one of the ones. 00:28:21.980 --> 00:28:24.740 - Laurie, I wanted to ask in your report, 00:28:24.740 --> 00:28:26.940 - you were talking about the thing with Purdue 00:28:26.940 --> 00:28:31.940 - and doing the Aubrey, how are we, are we, or can we? 00:28:31.940 --> 00:28:34.500 - Three questions in one. 00:28:34.500 --> 00:28:37.780 - Collaborate with the WIC programs. 00:28:37.780 --> 00:28:39.780 - Oh, okay. 00:28:39.780 --> 00:28:43.700 - Because to me, it seems like a natural partnership 00:28:43.700 --> 00:28:47.380 - and we were just at a meeting with IU Health Community 00:28:47.380 --> 00:28:48.700 - and I was talking about partnerships 00:28:48.700 --> 00:28:53.700 - and I just think it would be good to work WIC in if possible. 00:28:55.180 --> 00:28:57.300 - That's a great idea, I'll move on. 00:28:57.300 --> 00:28:58.540 - Thank you. 00:28:58.540 --> 00:29:02.620 - Any other questions or comments about Laurie's report? 00:29:02.620 --> 00:29:07.140 - Okay, I would like to move an agenda item 00:29:07.140 --> 00:29:09.180 - under old business, which is number five, 00:29:09.180 --> 00:29:11.580 - limelight recovery to the top 00:29:11.580 --> 00:29:15.340 - so that Ms. Greider may do other things. 00:29:15.340 --> 00:29:19.660 - So I'm just gonna start. 00:29:19.660 --> 00:29:24.980 - And I'm a co-founder of limelight recovery 00:29:24.980 --> 00:29:29.300 - and last year I was able to come into the health department 00:29:29.300 --> 00:29:30.940 - and did like a lunch and learn, 00:29:30.940 --> 00:29:33.460 - talking about what harm reduction therapy is 00:29:33.460 --> 00:29:37.820 - and what this evidence-based treatment looks like. 00:29:37.820 --> 00:29:40.000 - Apart from what we think about traditionally 00:29:40.000 --> 00:29:42.560 - with what harm reduction supplies 00:29:42.560 --> 00:29:45.700 - and other health programs in our community, 00:29:45.700 --> 00:29:49.420 - the treatment itself is I think where we're heading 00:29:49.420 --> 00:29:50.900 - for substance use treatment. 00:29:50.900 --> 00:29:53.500 - It's really about how the person sees themselves 00:29:53.500 --> 00:29:55.660 - and with having a substance use disorder 00:29:55.660 --> 00:29:58.180 - or their relationship to substances 00:29:58.180 --> 00:30:01.660 - and it allows people to be empowered 00:30:01.660 --> 00:30:03.660 - because of who they want to be, 00:30:03.660 --> 00:30:05.420 - who they believe that they can be 00:30:05.420 --> 00:30:07.980 - instead of identifying with the problem 00:30:07.980 --> 00:30:10.140 - as like having an addiction. 00:30:10.140 --> 00:30:14.860 - And so last year I was awarded with limelight recovery 00:30:14.860 --> 00:30:17.600 - a $5,000 with the health first grant 00:30:17.600 --> 00:30:22.600 - to do this group treatment in the local harm reduction 00:30:23.600 --> 00:30:27.360 - organization to engage with participants 00:30:27.360 --> 00:30:29.160 - and other members of the community 00:30:29.160 --> 00:30:31.360 - who wanted to come in for this treatment 00:30:31.360 --> 00:30:35.840 - and it's a 12 week group and it was amazing. 00:30:35.840 --> 00:30:39.660 - We used all the money, we've been doing group. 00:30:39.660 --> 00:30:41.880 - Now we've added a second day a week 00:30:41.880 --> 00:30:44.380 - where we're trying to get more participants. 00:30:44.380 --> 00:30:47.760 - And this year you all have approved 00:30:47.760 --> 00:30:50.960 - for us to also include an individual program. 00:30:50.960 --> 00:30:53.120 - So we're going to be able to, 00:30:53.120 --> 00:30:54.720 - and I've already started meeting with people 00:30:54.720 --> 00:30:55.960 - even before the approval. 00:30:55.960 --> 00:31:00.220 - So it's amazing to know that this can continue to go on 00:31:00.220 --> 00:31:02.880 - for people who don't have insurance, 00:31:02.880 --> 00:31:04.520 - for people who are losing their Medicaid. 00:31:04.520 --> 00:31:06.920 - It's happening a lot with many of our clients. 00:31:06.920 --> 00:31:12.440 - But so this individual program will include 10 sessions 00:31:12.440 --> 00:31:14.420 - and we'll have a mental health 00:31:14.420 --> 00:31:18.200 - and substance use evaluation and then can engage 00:31:18.200 --> 00:31:22.400 - in individual therapy, family therapy. 00:31:22.400 --> 00:31:24.400 - We're working with two different people 00:31:24.400 --> 00:31:27.200 - who are finishing up their peer recovery certification, 00:31:27.200 --> 00:31:30.240 - hoping to add that into the mix 00:31:30.240 --> 00:31:33.040 - with what we can offer folks and also case management. 00:31:33.040 --> 00:31:38.040 - So we're really able to kind of lose some of those barriers 00:31:38.040 --> 00:31:41.760 - that keep people from accessing care 00:31:41.760 --> 00:31:45.760 - and really provide them with what they need. 00:31:45.760 --> 00:31:49.320 - If that's like case management with getting other services 00:31:49.320 --> 00:31:53.800 - in the community or if that's working on like the safety 00:31:53.800 --> 00:31:56.560 - inside themselves, like dealing with mental health issues 00:31:56.560 --> 00:31:59.360 - and a chaotic relationship with substances, 00:31:59.360 --> 00:32:00.400 - that can be the hardest thing, 00:32:00.400 --> 00:32:02.280 - it's just being alone with yourself. 00:32:02.280 --> 00:32:05.120 - And it's really a privilege to get to like work 00:32:05.120 --> 00:32:06.820 - with this population. 00:32:06.820 --> 00:32:08.480 - We have people who are unhoused, 00:32:08.480 --> 00:32:11.000 - we have people who are employed at different, 00:32:11.000 --> 00:32:12.840 - like at the Harm Reduction Organization 00:32:12.840 --> 00:32:14.700 - who are engaging in this service. 00:32:15.540 --> 00:32:17.740 - And then we also at Limelight Recovery 00:32:17.740 --> 00:32:22.100 - have a partnership with Marion County Probation. 00:32:22.100 --> 00:32:23.580 - But just in the last year, 00:32:23.580 --> 00:32:25.780 - Monroe County has reached out to us 00:32:25.780 --> 00:32:28.620 - and wanted to start sending us some materials as well. 00:32:28.620 --> 00:32:32.220 - So it will be an option now 00:32:32.220 --> 00:32:35.420 - for a few at least mandated folks 00:32:35.420 --> 00:32:37.620 - who have to engage in some kind of treatment 00:32:37.620 --> 00:32:42.500 - to get this most evidence-based progressive way 00:32:42.500 --> 00:32:45.340 - of seeing themselves in their relationship with substances 00:32:45.340 --> 00:32:46.740 - and they'll have that opportunity 00:32:46.740 --> 00:32:49.020 - that they're going to have to do anyway, 00:32:49.020 --> 00:32:53.180 - but we can provide it for them without it, 00:32:53.180 --> 00:32:55.220 - creating more barriers in their lives financially. 00:32:55.220 --> 00:32:56.780 - So it's incredible. 00:32:56.780 --> 00:32:58.660 - And I know you had a question 00:32:58.660 --> 00:33:01.060 - that I responded to via email, 00:33:01.060 --> 00:33:03.980 - just wondering what the percentage of people 00:33:03.980 --> 00:33:06.820 - that might be from the Probation Department. 00:33:06.820 --> 00:33:09.900 - And I just wanna reiterate that I'm hopeful 00:33:09.900 --> 00:33:11.820 - that we get like a really good balance 00:33:11.820 --> 00:33:12.780 - of different people, 00:33:12.780 --> 00:33:15.780 - like people just hearing about this programming community, 00:33:15.780 --> 00:33:19.260 - people who are participants of the Indiana Recovery Alliance, 00:33:19.260 --> 00:33:21.940 - who may be continuing to use substances 00:33:21.940 --> 00:33:24.860 - but are feeling safe enough to actually meet with someone 00:33:24.860 --> 00:33:27.660 - and be honest and evaluate that relationship with drugs 00:33:27.660 --> 00:33:30.940 - and see what changes they might want to make, 00:33:30.940 --> 00:33:33.860 - or even just work on their trauma or whatever, 00:33:33.860 --> 00:33:35.580 - to have that opportunity is huge. 00:33:35.580 --> 00:33:39.820 - And then, yeah, anyone else that hears about it 00:33:39.820 --> 00:33:42.660 - from the community, I've put some flyers up 00:33:42.660 --> 00:33:44.060 - and spoken to some people. 00:33:44.060 --> 00:33:45.940 - Groups recover together, 00:33:45.940 --> 00:33:48.420 - the Medication for Obesity Disorder Clinic, 00:33:48.420 --> 00:33:52.780 - and we also have a peer mutual support group too 00:33:52.780 --> 00:33:55.500 - that's like separate where it's kind of like AA or NA 00:33:55.500 --> 00:33:57.700 - but uses that harm reduction lens. 00:33:57.700 --> 00:34:00.340 - So we're really like doing so many different things 00:34:00.340 --> 00:34:04.860 - to meet a lot of varying people's needs 00:34:04.860 --> 00:34:08.620 - all within, you know, housed in the Indiana Recovery Alliance. 00:34:08.620 --> 00:34:11.300 - So it's really exciting, really beautiful 00:34:11.300 --> 00:34:14.700 - to see the spectrum of care that is taking place there. 00:34:14.700 --> 00:34:18.020 - And a lot of that is because of you all believing in me 00:34:18.020 --> 00:34:21.100 - and allowing this program to grow. 00:34:21.100 --> 00:34:24.900 - So I didn't prepare, like I didn't know exactly. 00:34:24.900 --> 00:34:26.660 - I was like, I wish I would have looked at the numbers 00:34:26.660 --> 00:34:28.820 - last year. - It's good. 00:34:28.820 --> 00:34:30.740 - We appreciate the update. 00:34:30.740 --> 00:34:31.580 - Thank you. 00:34:31.580 --> 00:34:32.980 - It sounds like you're doing great work 00:34:32.980 --> 00:34:36.340 - and we're happy to support it. 00:34:36.340 --> 00:34:39.780 - It's important for citizens of Monroe County. 00:34:39.780 --> 00:34:41.580 - So thank you for doing that. 00:34:41.580 --> 00:34:42.700 - Thanks, Alison. 00:34:42.700 --> 00:34:45.060 - Any questions? 00:34:45.060 --> 00:34:48.820 - Alison, do you have a sense at all 00:34:48.820 --> 00:34:53.460 - of any kind of recidivism rates in your program? 00:34:53.460 --> 00:34:58.380 - This is something that actually Laurie and I 00:34:58.380 --> 00:35:00.340 - have talked about, like getting together 00:35:00.340 --> 00:35:03.540 - and how to do some more research around it. 00:35:03.540 --> 00:35:05.860 - And when it comes to this model, 00:35:05.860 --> 00:35:08.180 - it is a bit different because the metrics 00:35:08.180 --> 00:35:10.940 - are not like return to use. 00:35:10.940 --> 00:35:14.140 - It's more of like quality of life improving. 00:35:14.140 --> 00:35:16.460 - And so I think we might have a better idea 00:35:16.460 --> 00:35:18.340 - with the individuals who are coming 00:35:18.340 --> 00:35:20.380 - from the mandated side of like, 00:35:20.380 --> 00:35:22.580 - if they end up having a return to use 00:35:22.580 --> 00:35:25.380 - and if they're re-referred into some kind of treatment. 00:35:25.380 --> 00:35:27.100 - So we might be able to see it a little bit better 00:35:27.100 --> 00:35:28.220 - in that regard. 00:35:28.220 --> 00:35:31.100 - But when it comes to like the values of this model, 00:35:32.100 --> 00:35:36.220 - I don't have a lot of data. 00:35:36.220 --> 00:35:40.460 - The other question I have for you is in this model, 00:35:40.460 --> 00:35:44.020 - is there a place for family therapy as well? 00:35:44.020 --> 00:35:46.620 - Yes, and I hope I mentioned it, 00:35:46.620 --> 00:35:49.260 - but family therapy is also part of that. 00:35:49.260 --> 00:35:53.620 - That we can, again, it'd be nine units after their intake, 00:35:53.620 --> 00:35:54.860 - like their assessment. 00:35:54.860 --> 00:35:58.180 - And if that is one of the main areas in their life 00:35:58.180 --> 00:36:00.300 - that was disrupted based on their relationship 00:36:00.300 --> 00:36:03.020 - the substance is we want to do family therapy, 00:36:03.020 --> 00:36:05.340 - which is incredible that that's part of this grant. 00:36:05.340 --> 00:36:07.700 - So I'm really hopeful to bring in the children, 00:36:07.700 --> 00:36:10.300 - bring in the parents, bring in the partners 00:36:10.300 --> 00:36:14.900 - and have that space to talk about how to support this person. 00:36:14.900 --> 00:36:18.860 - Also how to like mend things that have occurred 00:36:18.860 --> 00:36:23.260 - and really wrap around the person and support them. 00:36:23.260 --> 00:36:26.020 - And not with that shame that I think traditionally 00:36:26.020 --> 00:36:31.020 - in like accidents only programs not intentionally give 00:36:31.020 --> 00:36:32.100 - but it comes with that. 00:36:32.100 --> 00:36:34.140 - There's a lot of internalized shame. 00:36:34.140 --> 00:36:37.380 - There's a lot of different rhetoric about enabling 00:36:37.380 --> 00:36:38.860 - when it comes to loved ones. 00:36:38.860 --> 00:36:43.040 - And so we really want to, I guess, kind of change 00:36:43.040 --> 00:36:46.540 - the language and figure out how to like radically love 00:36:46.540 --> 00:36:49.740 - these people who are hurting and going through this 00:36:49.740 --> 00:36:53.140 - so that we can continue to like prevent death 00:36:53.140 --> 00:36:56.540 - and loss of family and community. 00:36:56.540 --> 00:36:58.000 - I don't think you're also just trying 00:36:58.000 --> 00:36:59.700 - to build self-esteem in the process. 00:36:59.700 --> 00:37:01.420 - Yes, yeah. 00:37:01.420 --> 00:37:05.540 - Thank you, it's so great to have you in community. 00:37:05.540 --> 00:37:08.580 - Yeah, we're really happy you're doing this work. 00:37:08.580 --> 00:37:09.420 - Thank you so much. 00:37:09.420 --> 00:37:11.780 - Thank you, thank you for coming. 00:37:11.780 --> 00:37:13.220 - Cool, we appreciate it. 00:37:13.220 --> 00:37:14.320 - Anything else? 00:37:14.320 --> 00:37:17.160 - No, thank you. 00:37:17.160 --> 00:37:18.000 - Thank you guys. 00:37:18.000 --> 00:37:18.980 - Nice meeting you. 00:37:20.680 --> 00:37:23.060 - Okay, so under old business, 00:37:23.060 --> 00:37:24.500 - then we're going back to number one. 00:37:24.500 --> 00:37:27.100 - So we're coming back to IHI that we talked about 00:37:27.100 --> 00:37:28.900 - at our last meeting. 00:37:28.900 --> 00:37:30.620 - And I think the only question, 00:37:30.620 --> 00:37:33.780 - at least the only question I could find on minutes 00:37:33.780 --> 00:37:36.060 - that we needed an answer to before we could vote 00:37:36.060 --> 00:37:38.060 - on whether or not to pursue the contract 00:37:38.060 --> 00:37:41.100 - had to do with what Monroe County's IT folks said 00:37:41.100 --> 00:37:44.180 - about the confidentiality of the data. 00:37:44.180 --> 00:37:46.740 - Do you have an update for us on that? 00:37:46.740 --> 00:37:50.340 - Yes, so our Director of Technical Services Department 00:37:50.340 --> 00:37:53.660 - back shared the information with him that has been reviewed 00:37:53.660 --> 00:37:57.140 - and we are all could you get an offer about. 00:37:57.140 --> 00:37:59.420 - So the only other question I had was, 00:37:59.420 --> 00:38:01.220 - if you're looking at it from a patient standpoint, 00:38:01.220 --> 00:38:03.140 - if my data is in your database 00:38:03.140 --> 00:38:05.380 - and we know it's safe technically, 00:38:05.380 --> 00:38:07.620 - do I know if it's being used in a research study? 00:38:07.620 --> 00:38:09.340 - And have I given permission for my data 00:38:09.340 --> 00:38:11.420 - to be used in research study? 00:38:11.420 --> 00:38:13.300 - Because they're not gonna be looking at aggregate, 00:38:13.300 --> 00:38:15.460 - they're looking at individual people's names, 00:38:15.460 --> 00:38:17.020 - addresses, phone numbers. 00:38:17.020 --> 00:38:18.900 - That's pretty personal stuff. 00:38:18.900 --> 00:38:21.820 - And so I think we mentioned this to her, 00:38:21.820 --> 00:38:23.660 - she was gonna ask whether or not, 00:38:23.660 --> 00:38:26.020 - if there was research being done using our data, 00:38:26.020 --> 00:38:30.620 - whether our patients had an option to opt out or opt in. 00:38:30.620 --> 00:38:31.980 - I never heard the response. 00:38:31.980 --> 00:38:36.980 - In terms of patients, we don't really have patients. 00:38:36.980 --> 00:38:39.340 - We will, I mean, we may, yeah. 00:38:39.340 --> 00:38:43.620 - D.I.S. have patients. 00:38:43.620 --> 00:38:46.460 - That's it, we don't operate any clinics. 00:38:46.460 --> 00:38:48.660 - Except for the work that the disease intervention 00:38:48.660 --> 00:38:50.900 - specialist might do. 00:38:50.900 --> 00:38:51.740 - We don't have-- 00:38:51.740 --> 00:38:55.020 - Do we give vaccines to people in our clinics? 00:38:55.020 --> 00:38:56.420 - That's healthcare. 00:38:56.420 --> 00:38:57.740 - Well, they use paper. 00:38:57.740 --> 00:38:58.580 - We don't really. 00:38:58.580 --> 00:38:59.420 - Yeah. 00:38:59.420 --> 00:39:00.580 - It's community health. 00:39:00.580 --> 00:39:06.540 - So this program here would be used with our D.I.S. program 00:39:06.540 --> 00:39:10.340 - just to essentially try to speed up 00:39:10.340 --> 00:39:11.940 - when they're trying to find out. 00:39:11.940 --> 00:39:14.180 - They would be going to search and look for records 00:39:14.180 --> 00:39:15.020 - and information. 00:39:15.020 --> 00:39:16.340 - On individual patients? 00:39:16.340 --> 00:39:17.180 - Mm-hmm. 00:39:17.180 --> 00:39:18.020 - Yes. 00:39:18.020 --> 00:39:18.860 - And that's the data we're going to be shipping to them 00:39:18.860 --> 00:39:21.020 - that they're going to share with Regenstrief, 00:39:21.020 --> 00:39:22.860 - which is a research facility. 00:39:22.860 --> 00:39:25.780 - So my concern is if it gets passed from there to there 00:39:25.780 --> 00:39:29.180 - and there to there, is my patient, is me and my still 00:39:29.180 --> 00:39:31.980 - protected if it's used in a research project? 00:39:31.980 --> 00:39:35.300 - I have not heard from-- 00:39:35.300 --> 00:39:37.380 - Yeah, so we answered the technical problem. 00:39:37.380 --> 00:39:39.340 - Yes, technically we're good. 00:39:39.340 --> 00:39:40.900 - The other problem we have to have, 00:39:40.900 --> 00:39:43.020 - we would have to hear from-- 00:39:43.020 --> 00:39:45.900 - They were going to get back to us about 00:39:45.900 --> 00:39:47.780 - how would we use in research 00:39:47.780 --> 00:39:51.540 - and how we would protect them from being exposed. 00:39:51.540 --> 00:39:56.540 - And another piece of that is when they sign up, 00:39:56.540 --> 00:39:59.020 - or rather when they become part of that program, 00:39:59.020 --> 00:40:01.380 - do they sign a HIPAA waiver? 00:40:01.380 --> 00:40:05.780 - I mean, I assume they do, it's their private information. 00:40:05.780 --> 00:40:09.540 - And so the HIPAA waiver, we need to be able to look at that. 00:40:09.540 --> 00:40:12.180 - It needs to say that they have the option 00:40:12.180 --> 00:40:15.820 - and what recourse they have to opt out of their data 00:40:15.820 --> 00:40:19.020 - being shared, or their specific individual data 00:40:19.020 --> 00:40:22.220 - being shared with an organization, 00:40:22.220 --> 00:40:25.020 - because that's part of, that's part of HIPAA. 00:40:25.020 --> 00:40:33.100 - But our situation is no different than all of the data 00:40:33.100 --> 00:40:35.620 - that's currently going to Registration. 00:40:35.620 --> 00:40:38.060 - It's just adding to it. 00:40:38.060 --> 00:40:42.580 - That's currently collected by every healthcare provider, 00:40:42.580 --> 00:40:43.700 - but we as a state. 00:40:43.700 --> 00:40:46.420 - So when I was in IU Health, 00:40:46.420 --> 00:40:48.500 - and my patient's data was being used, 00:40:48.500 --> 00:40:51.300 - it was going through IHI for the purpose of another provider 00:40:51.300 --> 00:40:52.580 - to be able to see what I did. 00:40:52.580 --> 00:40:54.940 - And then when she saw the patient, she knew what I did. 00:40:54.940 --> 00:40:57.380 - But on occasion, they would send me a special form 00:40:57.380 --> 00:41:01.580 - saying your patient is going to be in a research study. 00:41:01.580 --> 00:41:03.380 - I had to go back to the patient and say, 00:41:03.380 --> 00:41:05.500 - are you sure you want me to share your data? 00:41:05.500 --> 00:41:10.540 - So you were given, you as the healthcare provider 00:41:10.540 --> 00:41:11.820 - were given-- 00:41:11.820 --> 00:41:12.660 - I was notified. 00:41:12.660 --> 00:41:15.100 - You were notified and then the form, 00:41:15.100 --> 00:41:17.340 - whatever form you got said your patient 00:41:17.340 --> 00:41:19.180 - has the opportunity to opt out. 00:41:19.180 --> 00:41:23.700 - They had to be made aware that their data might be used. 00:41:23.700 --> 00:41:24.740 - Okay. 00:41:24.740 --> 00:41:29.740 - So it's good that that system is already in place, right? 00:41:29.740 --> 00:41:30.780 - Well, that's why you held. 00:41:30.780 --> 00:41:31.620 - And it's working. 00:41:31.620 --> 00:41:34.820 - Not here, but eventually, we may be seeing patients here. 00:41:34.820 --> 00:41:38.460 - We may, our focus may change. 00:41:38.460 --> 00:41:40.980 - And we may have a futures clinic in the future. 00:41:42.020 --> 00:41:42.860 - I don't know. 00:41:42.860 --> 00:41:43.680 - I mean, something like that. 00:41:43.680 --> 00:41:46.220 - Where are, we do have any patients in there. 00:41:46.220 --> 00:41:49.860 - So I just have to advocate for the patients here. 00:41:49.860 --> 00:41:53.460 - So we would need, it sounds like we would need to find out 00:41:53.460 --> 00:41:56.460 - under what circumstances are we having, 00:41:56.460 --> 00:42:00.620 - are we providing those things for people to sign? 00:42:00.620 --> 00:42:01.700 - Back to another meeting. 00:42:01.700 --> 00:42:03.560 - Well, you know, what we might do, 00:42:03.560 --> 00:42:10.260 - just a suggestion is if that question was answered 00:42:10.260 --> 00:42:12.300 - in a satisfactory way, 00:42:12.300 --> 00:42:16.100 - would we be willing to vote yes on this? 00:42:16.100 --> 00:42:16.940 - I think so. 00:42:16.940 --> 00:42:19.220 - So we could provisionally accept this. 00:42:19.220 --> 00:42:24.060 - If we want, if it's the will of the board to move forward, 00:42:24.060 --> 00:42:28.260 - pending the correct answer, you know, 00:42:28.260 --> 00:42:29.980 - that the answer that would satisfy, 00:42:29.980 --> 00:42:31.420 - which basically just means, 00:42:31.420 --> 00:42:35.200 - does the patient have an opportunity to opt out? 00:42:35.200 --> 00:42:38.460 - I mean, that's basically what we're asking, right? 00:42:38.460 --> 00:42:43.300 - I don't feel like it's a check the box, yes, no question. 00:42:43.300 --> 00:42:45.020 - I think it's a discussion. 00:42:45.020 --> 00:42:48.300 - So I think it would be hard to, I don't know. 00:42:48.300 --> 00:42:49.700 - I think it'd be difficult to, 00:42:49.700 --> 00:42:52.420 - maybe Julie can just come speak to us 00:42:52.420 --> 00:42:54.460 - at the next board meeting or... 00:42:54.460 --> 00:42:56.180 - So one way out of this is to say, 00:42:56.180 --> 00:42:58.140 - they can only use aggregated data. 00:42:58.140 --> 00:42:59.620 - So they can look at a big picture thing, 00:42:59.620 --> 00:43:02.580 - how many people in this county had this disease or whatever, 00:43:02.580 --> 00:43:04.900 - but they want individual data. 00:43:04.900 --> 00:43:07.020 - They're asking for something very, very different 00:43:07.020 --> 00:43:10.140 - than aggregated looking at population health. 00:43:10.140 --> 00:43:11.500 - And you're talking about, 00:43:11.500 --> 00:43:13.660 - the example that you're talking about 00:43:13.660 --> 00:43:16.740 - is a specific research study. 00:43:16.740 --> 00:43:19.940 - It's not the situation where one of our workers 00:43:19.940 --> 00:43:22.140 - has to find somebody or understand 00:43:22.140 --> 00:43:23.460 - what their test history is, 00:43:23.460 --> 00:43:25.220 - so they're gonna look at data. 00:43:25.220 --> 00:43:27.060 - So I, you know, if they were gonna, 00:43:27.060 --> 00:43:28.380 - let's say the study was gonna involve 00:43:28.380 --> 00:43:31.540 - 40 to 50 year old women who are Caucasian. 00:43:31.540 --> 00:43:33.100 - They would, their computer would just pull up a list 00:43:33.100 --> 00:43:35.300 - of all the women who are 40 to 50 in the database, 00:43:35.300 --> 00:43:38.300 - and then that's their data set. 00:43:38.300 --> 00:43:41.500 - And so, you know, if one of my patients gets in that data set, 00:43:41.500 --> 00:43:43.620 - they have a right to either not be in it 00:43:43.620 --> 00:43:47.060 - or to at least know what their data's being used for. 00:43:47.060 --> 00:43:48.460 - So we're gonna be in that position. 00:43:48.460 --> 00:43:51.420 - You know, I think IHIE is not the same 00:43:51.420 --> 00:43:53.700 - as a big aggregator of data. 00:43:53.700 --> 00:43:56.180 - It's a, it gets down to the nitty gritty, 00:43:56.180 --> 00:43:58.660 - and she can look up my patient's hemoglobin last month 00:43:58.660 --> 00:44:00.540 - and it's there, even though I ordered it. 00:44:00.540 --> 00:44:01.380 - Right, right. 00:44:01.380 --> 00:44:03.660 - I mean, that's fairly granular. 00:44:03.660 --> 00:44:05.900 - And so when you get to that kind of data, 00:44:05.900 --> 00:44:08.700 - it's treated differently than it is aggregated. 00:44:08.700 --> 00:44:10.660 - 'Cause you can go back and find that person. 00:44:10.660 --> 00:44:14.080 - So do we wanna table the entire thing again 00:44:14.080 --> 00:44:16.500 - until next month and ask Joe to come back or? 00:44:16.500 --> 00:44:20.340 - I'll defer to these two because they're treating patients. 00:44:20.340 --> 00:44:22.420 - So you know, whatever they decide. 00:44:22.420 --> 00:44:23.900 - I'm okay with it, except for that. 00:44:23.900 --> 00:44:26.240 - That's the only thing that I had a concern about personally. 00:44:26.240 --> 00:44:28.860 - Or do we wanna do Steve's idea of the provisional? 00:44:28.860 --> 00:44:33.860 - Yes, we'll approve it if we get confirmation. 00:44:33.860 --> 00:44:36.260 - I would like her to come and address the board 00:44:36.260 --> 00:44:38.620 - and so we can have our conversation about it publicly 00:44:38.620 --> 00:44:43.440 - and then we can vote on it right away at the next meeting. 00:44:43.440 --> 00:44:46.500 - I think we give her some guidance ahead of time. 00:44:46.500 --> 00:44:48.580 - And you know, our concern is really 00:44:48.580 --> 00:44:51.300 - patient confidentiality once again. 00:44:51.300 --> 00:44:54.340 - It's not just, is the system safe, 00:44:54.340 --> 00:44:58.660 - but is the patient aware that their data is being used? 00:44:58.660 --> 00:45:02.380 - Do they have any say over their own data? 00:45:02.380 --> 00:45:06.100 - I just wish as a procedural or process 00:45:06.100 --> 00:45:09.780 - that we would have stated these two questions, 00:45:09.780 --> 00:45:10.900 - which are separate questions. 00:45:10.900 --> 00:45:13.420 - Last time when we tabled this idea, we did. 00:45:13.420 --> 00:45:16.100 - We did, she was asked that question. 00:45:16.100 --> 00:45:18.240 - Because I did not see that in the minutes. 00:45:18.240 --> 00:45:21.640 - All I saw was the IT. 00:45:22.200 --> 00:45:24.040 - I can't find the minutes. 00:45:24.040 --> 00:45:25.400 - Okay, very good. 00:45:25.400 --> 00:45:33.120 - I'll certainly remember sharing the- 00:45:33.120 --> 00:45:35.320 - Board members expressed concern with patient privacy 00:45:35.320 --> 00:45:38.280 - and confidentiality, and Mr. Schilling advised, 00:45:38.280 --> 00:45:40.560 - confirming with the county tech and services 00:45:40.560 --> 00:45:44.360 - that those data safeguards are sufficient. 00:45:44.360 --> 00:45:45.200 - Yeah. 00:45:45.200 --> 00:45:48.320 - But that's not privacy and confidentiality. 00:45:48.320 --> 00:45:49.560 - Yeah, I agree with that. 00:45:49.560 --> 00:45:51.560 - That's not privacy and confidentiality, 00:45:51.560 --> 00:45:55.040 - and that's to prevent hacking and things like that. 00:45:55.040 --> 00:45:57.240 - That's what you want to say. 00:45:57.240 --> 00:45:59.080 - It's information, Julie. 00:45:59.080 --> 00:46:00.440 - Yeah, and look- 00:46:00.440 --> 00:46:03.380 - This has to do with HIPAA, what's- 00:46:03.380 --> 00:46:06.240 - The IT, the IT portion. 00:46:06.240 --> 00:46:09.760 - So there's nothing in here about the situation 00:46:09.760 --> 00:46:10.840 - that you got up, right? 00:46:10.840 --> 00:46:12.880 - So HIPAA, but this is not HIPAA. 00:46:12.880 --> 00:46:14.080 - When you start doing research, 00:46:14.080 --> 00:46:15.280 - this is under something else. 00:46:15.280 --> 00:46:17.440 - This is under Investigational Review Board, 00:46:17.440 --> 00:46:19.000 - and I asked her if they had an IRB, 00:46:19.000 --> 00:46:21.760 - she said, "No, but you have to have an IRB 00:46:21.760 --> 00:46:23.640 - "to do research on human subjects." 00:46:23.640 --> 00:46:25.200 - Well, they don't need to have the IRB. 00:46:25.200 --> 00:46:26.040 - The researchers have to- 00:46:26.040 --> 00:46:28.120 - If they're selling the data to Reg and Streeve, 00:46:28.120 --> 00:46:29.840 - Reg and Streeve needs to provide- 00:46:29.840 --> 00:46:31.520 - So essentially, there's actually two issues. 00:46:31.520 --> 00:46:33.040 - We're getting a little off topic. 00:46:33.040 --> 00:46:36.040 - It's not off topic though, I feel. 00:46:36.040 --> 00:46:39.800 - So there's really two questions that we have to answer. 00:46:39.800 --> 00:46:46.720 - In HIPAA, are the patients having to sign a HIPAA agreement? 00:46:46.720 --> 00:46:48.920 - Then in the HIPAA agreement, you have to have 00:46:48.920 --> 00:46:53.920 - that the patients agree to having their data in an exchange 00:46:53.920 --> 00:46:57.240 - where their individual data can be looked at. 00:46:57.240 --> 00:46:59.840 - And then the second, is that true? 00:46:59.840 --> 00:47:04.840 - And then the second issue is if IHI doesn't have an IRB, 00:47:04.840 --> 00:47:09.040 - but then they're selling the, or rather, 00:47:09.040 --> 00:47:13.560 - giving the patient's data in this way for a research study, 00:47:13.560 --> 00:47:18.560 - then those safeguards are not in place 00:47:18.560 --> 00:47:22.240 - and we need to be aware of that to make decisions 00:47:22.240 --> 00:47:25.040 - about how we proceed. 00:47:25.040 --> 00:47:25.880 - Yep. 00:47:25.880 --> 00:47:32.960 - So the gal, her name is Julie? 00:47:32.960 --> 00:47:36.960 - Well, surely these issues have come forward from other-- 00:47:36.960 --> 00:47:38.880 - Yeah, I imagine this is other-- 00:47:38.880 --> 00:47:40.880 - The difference is she's, I mean, we can't actually-- 00:47:40.880 --> 00:47:44.440 - We can't be the first people in front of this. 00:47:44.440 --> 00:47:45.280 - No. 00:47:45.280 --> 00:47:47.960 - Just had this discussion with them actually 00:47:47.960 --> 00:47:52.960 - as a private practitioner and so this is a real concern 00:47:52.960 --> 00:47:54.560 - with IHI. 00:47:54.560 --> 00:47:56.520 - Oh, okay. 00:47:56.520 --> 00:47:58.440 - Usually it's just IHI, now we have a third party. 00:47:58.440 --> 00:48:00.480 - That's the problem is the third party 00:48:00.480 --> 00:48:01.920 - that they don't have control over 00:48:01.920 --> 00:48:03.840 - that's gonna be getting our data. 00:48:03.840 --> 00:48:04.680 - It's not IHI. 00:48:04.680 --> 00:48:06.880 - It's not them, it's the registry. 00:48:08.240 --> 00:48:11.960 - Do you understand all of that well enough to ask Julie? 00:48:11.960 --> 00:48:14.160 - Well, I was gonna ask if somebody could write 00:48:14.160 --> 00:48:16.120 - the questions out, but if she's gonna come, 00:48:16.120 --> 00:48:17.400 - then I've asked a question. 00:48:17.400 --> 00:48:22.400 - Yeah, just tell her that we still have privacy issues 00:48:22.400 --> 00:48:29.000 - because the data is being given to a third party researcher. 00:48:29.000 --> 00:48:31.360 - And the good news is we have it on recording. 00:48:31.360 --> 00:48:33.360 - So we know what the issues are. 00:48:33.360 --> 00:48:35.920 - Hey, good, thanks for reminding us. 00:48:35.920 --> 00:48:38.720 - Okay, so we're gonna table this until next time. 00:48:38.720 --> 00:48:41.840 - We're going to ask Julie to come speak with us 00:48:41.840 --> 00:48:44.840 - at our May meeting. 00:48:44.840 --> 00:48:49.840 - And maybe legal, maybe she has her legal, somebody. 00:48:49.840 --> 00:48:54.240 - And he also, our lawyer, makes some comments 00:48:54.240 --> 00:48:56.680 - that he was gonna look into, not just HIPAA, 00:48:56.680 --> 00:48:58.780 - but the second part, right. 00:48:58.780 --> 00:49:04.040 - The STD peached grant amendment 00:49:04.040 --> 00:49:08.480 - to add the additional position to cover the counties 00:49:08.480 --> 00:49:12.160 - no longer covered by Marion County District 5. 00:49:12.160 --> 00:49:16.920 - Yes, so this is pretty basic here. 00:49:16.920 --> 00:49:20.560 - So originally when we agreed to take on 00:49:20.560 --> 00:49:24.000 - the additional four counties with the new grant, 00:49:24.000 --> 00:49:26.900 - the plan was that we would have three 00:49:26.900 --> 00:49:28.440 - that would be grant funded, 00:49:28.440 --> 00:49:31.560 - and then we would have one that would be funded through HFI. 00:49:31.560 --> 00:49:35.200 - We'd already previously had one position providing services 00:49:35.200 --> 00:49:38.240 - just in Monroe County that was HFI funded. 00:49:38.240 --> 00:49:42.640 - So that was kind of the plan that I had in place. 00:49:42.640 --> 00:49:47.040 - I was contacted by our council liaison, David Henry, 00:49:47.040 --> 00:49:50.040 - and he had requested that I ask the state 00:49:50.040 --> 00:49:55.040 - for additional grant funding to support all four positions. 00:49:55.040 --> 00:49:58.600 - So I did reach out to the Indiana Department of Health 00:49:58.600 --> 00:50:00.840 - making that request. 00:50:00.840 --> 00:50:05.840 - They graciously agreed to that through just a virtual, 00:50:05.840 --> 00:50:08.200 - asked me to submit a budget revision, 00:50:08.200 --> 00:50:10.920 - which you'll see there in your packet, which was submitted. 00:50:10.920 --> 00:50:15.080 - So I'm just waiting on the new grant to come, 00:50:15.080 --> 00:50:16.240 - but if you're... 00:50:16.240 --> 00:50:18.840 - So you would be approving this additional funding. 00:50:18.840 --> 00:50:20.840 - Once the amended grant comes, 00:50:20.840 --> 00:50:22.600 - then I would be able to provide an update 00:50:22.600 --> 00:50:23.840 - and take that through 00:50:23.840 --> 00:50:27.160 - just our normal counting processes for approval. 00:50:30.440 --> 00:50:32.120 - Does anybody have any questions? 00:50:32.120 --> 00:50:33.920 - If not, we can make a motion. 00:50:33.920 --> 00:50:36.120 - I move we approve. 00:50:36.120 --> 00:50:38.920 - Any additional funding? 00:50:38.920 --> 00:50:40.960 - Second? 00:50:40.960 --> 00:50:42.280 - I'll second. 00:50:42.280 --> 00:50:43.460 - All those in favor? 00:50:43.460 --> 00:50:44.600 - Aye. 00:50:44.600 --> 00:50:45.440 - Opposed? 00:50:45.440 --> 00:50:51.040 - Lisa, board priorities update. 00:50:51.040 --> 00:50:51.880 - Yes. 00:50:51.880 --> 00:50:57.800 - So we decided to stay with two priorities for the board, 00:51:00.360 --> 00:51:02.960 - which is chronic disease management, 00:51:02.960 --> 00:51:07.600 - including obesity, diabetes, and hypertension, 00:51:07.600 --> 00:51:12.600 - and addressing vaccines, specifically measles vaccination, 00:51:12.600 --> 00:51:17.520 - given the recent increase in cases. 00:51:17.520 --> 00:51:20.520 - And unfortunately now there were cases in Indiana, 00:51:20.520 --> 00:51:22.080 - but not here as yet. 00:51:22.080 --> 00:51:28.000 - So we had a, the state came and did a mobile unit vaccination 00:51:28.120 --> 00:51:33.120 - clinic, and Linnea has been great about giving information 00:51:33.120 --> 00:51:42.260 - on social media and updating the public. 00:51:42.260 --> 00:51:48.960 - I would like to see working further and talking about 00:51:48.960 --> 00:51:51.680 - keeping this conversation open so that people in the 00:51:51.680 --> 00:51:53.480 - community know what to do with their, 00:51:53.480 --> 00:51:55.240 - if they think they have it or exposed it, 00:51:55.240 --> 00:51:56.440 - where to go, et cetera. 00:51:57.280 --> 00:52:01.120 - I attended the vaccination clinic and talked to some of 00:52:01.120 --> 00:52:04.080 - the people and they said they had eight people show up. 00:52:04.080 --> 00:52:06.880 - And what they really needed was to go to seven Oaks and 00:52:06.880 --> 00:52:10.240 - some other private schools where they were concerned that 00:52:10.240 --> 00:52:12.080 - that was a bigger need. 00:52:12.080 --> 00:52:13.960 - Will they be able to get in? 00:52:13.960 --> 00:52:14.800 - So that was my question. 00:52:14.800 --> 00:52:16.960 - That's one of our other things today we're gonna talk about 00:52:16.960 --> 00:52:21.760 - is this MCPHC update is it mentions that they cover MCCSC 00:52:21.760 --> 00:52:24.960 - and RBV, but do we cover other schools in the county that 00:52:24.960 --> 00:52:27.080 - are not public? 00:52:27.080 --> 00:52:28.120 - Or a vaccination clinic? 00:52:28.120 --> 00:52:29.680 - Or anything? 00:52:29.680 --> 00:52:32.040 - So it's offered to the schools. 00:52:32.040 --> 00:52:35.640 - Some of them take up the interest of some of that support 00:52:35.640 --> 00:52:37.960 - and some of them do not from my understanding. 00:52:37.960 --> 00:52:39.400 - Are we offered to all? 00:52:39.400 --> 00:52:40.240 - Yes. 00:52:40.240 --> 00:52:41.080 - Okay, good. 00:52:41.080 --> 00:52:45.640 - What is the vaccine clinic in the 21st and Ellsville? 00:52:45.640 --> 00:52:46.480 - Say it again. 00:52:46.480 --> 00:52:49.320 - There's an MMR vaccine clinic set up for the end to six 00:52:49.320 --> 00:52:50.600 - in the 21st at the Ellsville. 00:52:50.600 --> 00:52:51.880 - Ellsville, yeah. 00:52:51.880 --> 00:52:53.680 - I'm gonna be going to that one too. 00:52:54.560 --> 00:52:56.320 - Give 'em some support. 00:52:56.320 --> 00:52:59.880 - It's hard to sit there all day and give eight vaccinations. 00:52:59.880 --> 00:53:01.080 - I think they ended up doing, 00:53:01.080 --> 00:53:02.880 - I thought they ended up doing 15. 00:53:02.880 --> 00:53:03.720 - 15. 00:53:03.720 --> 00:53:06.320 - And the last one. 00:53:06.320 --> 00:53:11.320 - And just to revisit the chronic disease management 00:53:11.320 --> 00:53:15.900 - and impact for the community. 00:53:15.900 --> 00:53:20.460 - I think as a board, 00:53:22.000 --> 00:53:25.400 - we're again gonna be under budgetary constraints 00:53:25.400 --> 00:53:30.080 - and I think we need to utilize the folks 00:53:30.080 --> 00:53:35.080 - that we have in place to be doing this important work 00:53:35.080 --> 00:53:36.840 - and gathering data. 00:53:36.840 --> 00:53:41.840 - I think Christina in our health department 00:53:41.840 --> 00:53:46.240 - and then the clinic on Miller Drive. 00:53:46.240 --> 00:53:51.680 - And I think that we as a board need to push 00:53:51.680 --> 00:53:55.840 - to get data as we talk about data, 00:53:55.840 --> 00:54:00.840 - just the individual blood pressures, et cetera. 00:54:00.840 --> 00:54:06.640 - And then getting pushing IU, 00:54:06.640 --> 00:54:11.640 - we have these contracts with them to get us KPI related data 00:54:11.640 --> 00:54:16.240 - and really pushing to get that information 00:54:16.240 --> 00:54:17.800 - so that we can give that to the public 00:54:17.800 --> 00:54:19.700 - that we're making an impact. 00:54:19.700 --> 00:54:24.700 - All right, Beth, questions, discussion, anything? 00:54:24.700 --> 00:54:33.660 - Thank you very much, both of you for your work on it. 00:54:33.660 --> 00:54:36.020 - Open house planning. 00:54:36.020 --> 00:54:45.980 - Is anybody doing anything with you? 00:54:45.980 --> 00:54:48.940 - Are we gonna have some refreshments? 00:54:48.940 --> 00:54:52.100 - Are we gonna, we did the slides. 00:54:52.100 --> 00:54:53.820 - Thank you, thank you. 00:54:53.820 --> 00:54:55.420 - More slides need to be done. 00:54:55.420 --> 00:54:56.820 - These guys are working on more. 00:54:56.820 --> 00:54:58.580 - I'll put together a couple more. 00:54:58.580 --> 00:55:03.020 - We need to, I guess. 00:55:03.020 --> 00:55:06.940 - So, I know you're doing slides. 00:55:06.940 --> 00:55:09.580 - Diane and I, Diane and I worked on it together. 00:55:09.580 --> 00:55:12.460 - We got the help of Kathy Hewitt 00:55:12.460 --> 00:55:15.700 - because she had done our 82 page thing anyway. 00:55:15.700 --> 00:55:17.300 - And so she knew it back and forward. 00:55:17.300 --> 00:55:21.980 - And so she picked out three that were pretty aggressive. 00:55:21.980 --> 00:55:25.260 - They talked about what we did, who we asked, 00:55:25.260 --> 00:55:27.260 - and then what they said, basically. 00:55:27.260 --> 00:55:29.500 - So that's what we're responding. 00:55:29.500 --> 00:55:31.620 - Sarah and Lori are going to put together 00:55:31.620 --> 00:55:34.340 - a couple of slides on HFI to explain 00:55:34.340 --> 00:55:35.420 - what's going on with them. 00:55:35.420 --> 00:55:39.580 - So what I'm thinking is we talk about HFI, 00:55:39.580 --> 00:55:41.860 - we talk about the community health needs assessment, 00:55:41.860 --> 00:55:44.900 - we talk about the priorities that stemmed 00:55:44.900 --> 00:55:47.340 - from the community health needs assessment 00:55:47.340 --> 00:55:49.460 - and what our plans are. 00:55:49.460 --> 00:55:55.900 - And any other content that you guys feel 00:55:55.900 --> 00:56:00.900 - needs to be presented to council or commissioners, 00:56:00.900 --> 00:56:05.420 - I don't want it to be overly long. 00:56:05.420 --> 00:56:09.420 - You know, I'm gonna keep their attention. 00:56:09.420 --> 00:56:11.860 - But I want to just give them a snapshot 00:56:11.860 --> 00:56:16.580 - of what we're working on that maybe they didn't get 00:56:16.580 --> 00:56:18.820 - from meeting with the individual departments 00:56:18.820 --> 00:56:20.180 - when they walked through. 00:56:20.180 --> 00:56:23.700 - So more of a board kind of perspective of, 00:56:23.700 --> 00:56:25.340 - you know, here's what we're working on. 00:56:25.340 --> 00:56:29.940 - And to me, the HFI stuff captures it well, 00:56:29.940 --> 00:56:32.980 - the community needs assessment, 00:56:32.980 --> 00:56:35.520 - our priorities that we're gonna focus on. 00:56:35.520 --> 00:56:41.220 - Is it too touchy to talk about 00:56:41.220 --> 00:56:43.940 - the effect of this memorandum with them 00:56:43.940 --> 00:56:45.620 - because they're the ones who voted. 00:56:45.620 --> 00:56:48.060 - So the memorandum basically says the county 00:56:48.060 --> 00:56:50.180 - does not need to do a levy as in previous years 00:56:50.180 --> 00:56:53.100 - because of the money you're getting from HFI. 00:56:53.100 --> 00:56:56.780 - And the intent of HFI was to grow public health 00:56:56.780 --> 00:56:59.300 - because we're 49th in the country. 00:56:59.300 --> 00:57:01.060 - And yet they're falling back the money 00:57:01.060 --> 00:57:02.540 - that you got from the state. 00:57:02.540 --> 00:57:04.420 - Is that an effective? 00:57:04.420 --> 00:57:05.540 - Here you go. 00:57:05.540 --> 00:57:08.420 - Because I would say, I see it. 00:57:08.420 --> 00:57:10.260 - Thank you, thank you. 00:57:10.260 --> 00:57:11.900 - Yeah, I mean, maybe that's too touchy a thing 00:57:11.900 --> 00:57:13.820 - to talk about, but you know. 00:57:13.820 --> 00:57:16.760 - I think it's a fine thing to, I mean, I would go for it. 00:57:16.760 --> 00:57:17.860 - What do you all think? 00:57:17.860 --> 00:57:22.860 - Yes, so this would, so can I ask you guys then 00:57:22.860 --> 00:57:27.860 - when you're doing your HFI slides to work this in 00:57:27.860 --> 00:57:33.780 - like as an informational, oh, and you understand 00:57:33.780 --> 00:57:38.140 - from the December 4th memo that blah, blah, blah, blah, 00:57:38.140 --> 00:57:41.780 - things, understand this is not the intent of HFI 00:57:41.780 --> 00:57:46.780 - and it will work to decrease the attainment 00:57:46.780 --> 00:57:48.980 - of those health outcomes. 00:57:48.980 --> 00:57:54.700 - Thank you for pointing that out, I haven't read that yet. 00:57:54.700 --> 00:58:04.460 - Yeah, I mean, I've seen this before, so. 00:58:04.460 --> 00:58:09.460 - The amount of money they're saying of course, you know, 00:58:09.460 --> 00:58:16.860 - that the $681,000 distribution of property tax 00:58:16.860 --> 00:58:23.820 - of that nearly 1.6 million cash balance fund 00:58:29.820 --> 00:58:34.820 - and that 681 is close to what we typically got from it, 00:58:34.820 --> 00:58:38.260 - wasn't there, or did they give us nine? 00:58:38.260 --> 00:58:42.340 - Nine, but previous to that, it was over 1 million. 00:58:42.340 --> 00:58:45.620 - Yeah, and plus they use this term, 00:58:45.620 --> 00:58:47.220 - and once the cash balance is spent 00:58:47.220 --> 00:58:50.420 - down to an appropriate level, what does that mean? 00:58:50.420 --> 00:58:52.300 - I mean, we should be 50% higher than we are 00:58:52.300 --> 00:58:54.020 - if we wanna be on the average 00:58:54.020 --> 00:58:56.580 - with county health departments in the United States, 00:58:56.580 --> 00:58:59.060 - we're way, we're at the bottom, we're 49. 00:58:59.060 --> 00:59:01.900 - We don't have ways to go to even be average. 00:59:01.900 --> 00:59:04.340 - So I think they have, you know, 00:59:04.340 --> 00:59:06.140 - whatever this appropriate word means, 00:59:06.140 --> 00:59:07.700 - I don't know what that means. 00:59:07.700 --> 00:59:09.100 - I don't think they know what appropriate is 00:59:09.100 --> 00:59:12.220 - for public health to grow. 00:59:12.220 --> 00:59:16.220 - I think you give the floor to a council meeting. 00:59:16.220 --> 00:59:19.780 - You just talked to yourself, Mr. Councilor. 00:59:19.780 --> 00:59:21.780 - And I love the idea of right sizing. 00:59:21.780 --> 00:59:25.220 - It says, you know. 00:59:25.220 --> 00:59:30.100 - Yes, to right size the apportionment. 00:59:30.100 --> 00:59:34.180 - It's really sad. 00:59:34.180 --> 00:59:39.580 - On the other hand, we also know that the state 00:59:39.580 --> 00:59:44.460 - is in financial trouble. 00:59:44.460 --> 00:59:45.940 - And so is the county. 00:59:45.940 --> 00:59:52.220 - So obviously to me, it looks like everybody is trying 00:59:53.820 --> 00:59:58.820 - to scramble and that once again, 00:59:58.820 --> 01:00:05.260 - and it's part of what I've suggested before 01:00:05.260 --> 01:00:09.980 - of our making a point, perhaps. 01:00:09.980 --> 01:00:13.100 - And I'm not advocating any actions. 01:00:13.100 --> 01:00:15.220 - However, it'd be really great 01:00:15.220 --> 01:00:18.780 - for board members periodically to show up at council 01:00:18.780 --> 01:00:21.820 - and make it clear to the public 01:00:21.820 --> 01:00:25.260 - who may not be watching or listening 01:00:25.260 --> 01:00:28.300 - what the diminishment in funding 01:00:28.300 --> 01:00:33.300 - to the health department means for our future as providers. 01:00:33.300 --> 01:00:41.460 - And that it is council, again, that holds up our funding. 01:00:41.460 --> 01:00:47.260 - That we may have all this money in our balance, 01:00:47.260 --> 01:00:50.340 - but if they don't release it for our use 01:00:50.340 --> 01:00:53.500 - in the ways that this board determines 01:00:53.500 --> 01:00:56.820 - are in the best interests of the public, 01:00:56.820 --> 01:01:01.820 - then, you know, yeah, we'll keep having a high balance, 01:01:01.820 --> 01:01:04.820 - but we won't be able to provide the services 01:01:04.820 --> 01:01:07.820 - that this board determines. 01:01:07.820 --> 01:01:10.660 - And I think the other thing that worries me 01:01:10.660 --> 01:01:15.460 - as your health officer is that, you know, 01:01:15.460 --> 01:01:20.460 - the health board is indeed, as any board is, 01:01:20.460 --> 01:01:24.340 - fiscally responsible to the public. 01:01:24.340 --> 01:01:28.780 - That's the action of any board. 01:01:28.780 --> 01:01:33.780 - And so for council to say, yeah, but we have final say, 01:01:33.780 --> 01:01:38.540 - well, that's true, but it's still our money. 01:01:38.540 --> 01:01:40.820 - And what is the point? 01:01:40.820 --> 01:01:42.900 - And maybe I'm just terribly naive, 01:01:42.900 --> 01:01:46.220 - what is the point of having a health board 01:01:46.220 --> 01:01:51.220 - that looks at the budget, examines the budget, 01:01:51.220 --> 01:01:55.700 - determines piece by piece what goes into the budget 01:01:55.700 --> 01:02:00.220 - and how our personnel are distributed 01:02:00.220 --> 01:02:04.020 - if we're constantly fighting against council. 01:02:04.020 --> 01:02:10.780 - And again, I'm new to this position, 01:02:10.780 --> 01:02:14.980 - but I have a really hard time understanding 01:02:14.980 --> 01:02:16.820 - how that works. 01:02:16.820 --> 01:02:21.300 - I hope that when we have our open house 01:02:21.300 --> 01:02:24.340 - that we have a little time to speak one-on-one 01:02:24.340 --> 01:02:28.820 - with a couple of the council persons, 01:02:28.820 --> 01:02:32.500 - 'cause I certainly, you know, 01:02:32.500 --> 01:02:34.820 - we never really have a chance to talk 01:02:34.820 --> 01:02:37.060 - except in formal meetings. 01:02:37.060 --> 01:02:41.540 - And I think there's, and that's for good reason, 01:02:41.540 --> 01:02:44.340 - 'cause we want the public to be aware 01:02:44.340 --> 01:02:46.820 - of what's happening in our government. 01:02:46.820 --> 01:02:53.220 - But it would be nice to have a couple of frank conversations 01:02:53.220 --> 01:02:59.700 - and find out exactly what their expectation is, 01:02:59.700 --> 01:03:04.300 - what they'd like to see happen, 01:03:04.300 --> 01:03:08.780 - and to see how we can make those things happen 01:03:08.780 --> 01:03:11.740 - without having to reduce services 01:03:11.740 --> 01:03:16.740 - in view of what our constraints are. 01:03:16.740 --> 01:03:23.740 - So I have some high hopes that they'll have some time. 01:03:23.740 --> 01:03:27.780 - It's kind of why I want our presentation to be short 01:03:27.780 --> 01:03:29.780 - so that, and to have refreshments, 01:03:29.780 --> 01:03:32.100 - because usually if you feed people, 01:03:32.100 --> 01:03:34.800 - they tend to stay around and talk a little bit. 01:03:34.800 --> 01:03:39.620 - So will there be a problem getting somebody 01:03:39.620 --> 01:03:42.320 - to get some type of refreshments at hand? 01:03:42.320 --> 01:03:45.380 - Do you have anybody that can work on that? 01:03:45.380 --> 01:03:47.940 - Do you have a party plan in your sleeve? 01:03:47.940 --> 01:03:50.020 - We can certainly have refreshments. 01:03:50.020 --> 01:03:51.500 - How are we paying for them? 01:03:51.500 --> 01:03:54.180 - I guess, but-- 01:03:54.180 --> 01:03:58.140 - Do we have anything in the budget for that? 01:03:58.140 --> 01:03:59.940 - We can't use it. 01:03:59.940 --> 01:04:01.100 - I'd be happy to make a donation. 01:04:01.100 --> 01:04:03.100 - Yes, we will do that. 01:04:03.100 --> 01:04:07.280 - So I guess we'll do a pension party plan. 01:04:07.280 --> 01:04:15.140 - Is there a board member who would volunteer 01:04:15.140 --> 01:04:20.140 - to be responsible for collecting money and possibly-- 01:04:20.140 --> 01:04:22.060 - Well, we can decide what we want 01:04:22.060 --> 01:04:23.540 - to find out how much it's gonna cost 01:04:23.540 --> 01:04:27.940 - and then we can figure it out. 01:04:27.940 --> 01:04:31.380 - Okay, so between now and next Friday, 01:04:31.380 --> 01:04:36.060 - to get figured out, which is what I'm saying, 01:04:36.060 --> 01:04:37.540 - I would have-- 01:04:37.540 --> 01:04:41.580 - Okay, we'll talk about what we want to have. 01:04:41.580 --> 01:04:45.460 - Directly following the meeting, how's that? 01:04:45.460 --> 01:04:46.940 - We'll talk about what we want to have 01:04:46.940 --> 01:04:48.480 - directly following the meeting. 01:04:48.480 --> 01:04:52.380 - Yes, we'll do an executive session. 01:04:52.380 --> 01:04:56.620 - Another question that I have, I wish Dave were here, 01:04:56.620 --> 01:04:58.700 - and maybe you all know, okay. 01:04:58.700 --> 01:05:04.220 - Do we need to advertise the open house under open door 01:05:04.220 --> 01:05:05.660 - since we're all gonna be here 01:05:05.660 --> 01:05:08.420 - and then council and commissioners have to do the same thing? 01:05:08.420 --> 01:05:10.060 - Yes. - Okay, okay. 01:05:10.060 --> 01:05:13.860 - So just making us all aware of that. 01:05:13.860 --> 01:05:21.180 - And is it possible for you to have someone in your office 01:05:21.180 --> 01:05:25.620 - do something a couple, well, a couple days before, 01:05:25.620 --> 01:05:28.060 - maybe phone call them or email them 01:05:28.060 --> 01:05:30.860 - or some type of reminder, 01:05:30.860 --> 01:05:33.540 - we're looking forward to seeing you at the open house, 01:05:33.540 --> 01:05:35.260 - please be sure to come. 01:05:35.260 --> 01:05:36.100 - Yes. 01:05:36.100 --> 01:05:37.380 - 'Cause I think that would help a ton. 01:05:37.380 --> 01:05:38.660 - Food and beverage, right? 01:05:38.660 --> 01:05:40.420 - Food and beverage, right? 01:05:40.420 --> 01:05:42.160 - And we won't lecture you too long. 01:05:42.160 --> 01:05:43.000 - Yes. 01:05:43.000 --> 01:05:45.660 - Thank you, thank you. 01:05:45.660 --> 01:05:49.840 - Any other thoughts about the open house? 01:05:49.840 --> 01:05:53.580 - So we're gonna show those slides on, 01:05:53.580 --> 01:05:56.580 - we're just gonna show them one time to the whole group, 01:05:56.580 --> 01:05:59.220 - or are we gonna have them on kind of a, 01:05:59.220 --> 01:06:01.920 - where it rotates and just continually plays? 01:06:01.920 --> 01:06:09.340 - In my head, it was one of us or several of us 01:06:09.340 --> 01:06:11.340 - would do a PowerPoint presentation 01:06:11.340 --> 01:06:15.000 - and speak along with the slides. 01:06:15.000 --> 01:06:16.880 - So simply. 01:06:16.880 --> 01:06:19.060 - Stinctly. 01:06:19.060 --> 01:06:21.220 - (silence) 01:06:21.220 --> 01:06:27.020 - New business. 01:06:27.020 --> 01:06:28.820 - It looks like we have to vote on Fresh Connect 01:06:28.820 --> 01:06:31.020 - and the HIV Prevention Grant Award letter. 01:06:31.020 --> 01:06:35.700 - Yes, so the Fresh Connect program 01:06:35.700 --> 01:06:38.900 - is one that Christina has been working on developing. 01:06:38.900 --> 01:06:41.340 - She did create a PowerPoint. 01:06:41.340 --> 01:06:44.780 - So I don't wanna, I'm gonna try not to take up 01:06:44.780 --> 01:06:46.980 - a whole lot of your time with this 01:06:46.980 --> 01:06:49.180 - 'cause I'm sure there probably will be some questions. 01:06:49.180 --> 01:06:52.900 - But she did do a really nice job on the PowerPoint. 01:06:52.900 --> 01:06:58.580 - So just to kind of start off here. 01:06:58.580 --> 01:07:02.960 - So we do as part of Health First Indiana 01:07:02.960 --> 01:07:04.840 - need to have a program that is focused 01:07:04.840 --> 01:07:07.340 - on addressing obesity. 01:07:07.340 --> 01:07:09.780 - And since we are working on trying to address 01:07:09.780 --> 01:07:12.780 - chronic disease as well and increasing access 01:07:12.780 --> 01:07:14.860 - to fresh fruits and vegetables, 01:07:14.860 --> 01:07:18.320 - this is really just, I think, a pretty exciting opportunity. 01:07:18.320 --> 01:07:21.260 - Wow, that's kind of hard to see. 01:07:21.260 --> 01:07:23.900 - That is really hard to see. 01:07:23.900 --> 01:07:32.940 - I could walk up there. 01:07:32.940 --> 01:07:35.260 - Okay, you think that's better? 01:07:35.260 --> 01:07:36.100 - That's better, yeah. 01:07:36.100 --> 01:07:41.100 - Yes, so we would, we have been talking with Health Net. 01:07:41.100 --> 01:07:43.500 - So typically this program is designed 01:07:43.500 --> 01:07:46.140 - that local health departments are working 01:07:46.140 --> 01:07:48.580 - with a health provider. 01:07:48.580 --> 01:07:52.500 - And the health providers are providing care. 01:07:52.500 --> 01:07:54.980 - Health Net does already provide screening 01:07:54.980 --> 01:07:57.700 - to identify food insecurity. 01:07:57.700 --> 01:08:00.420 - But essentially, it's really to be able 01:08:00.420 --> 01:08:02.380 - to help cover some of those gaps. 01:08:02.380 --> 01:08:06.240 - Let's see, I'm gonna move. 01:08:06.240 --> 01:08:10.460 - So eligibility requirements for this program 01:08:10.460 --> 01:08:11.900 - in development with Christina, 01:08:11.900 --> 01:08:15.540 - this would be for Monroe County residents. 01:08:15.540 --> 01:08:20.060 - And they would have to be identified as an eligible client. 01:08:20.060 --> 01:08:22.620 - So Health Net as the provider, 01:08:22.620 --> 01:08:26.020 - so someone who has food insecurity, 01:08:26.020 --> 01:08:29.860 - and then is diabetic, high cholesterol, obesity, 01:08:29.860 --> 01:08:33.140 - hypertension, or for their maternal patients 01:08:33.140 --> 01:08:36.420 - in need of access to fresh fruits and vegetables. 01:08:36.420 --> 01:08:39.460 - So Health Net would be identifying these individuals, 01:08:39.460 --> 01:08:43.040 - essentially prescribing them this service, 01:08:43.040 --> 01:08:46.080 - and then referring them to us to be able to work with them 01:08:46.080 --> 01:08:49.940 - on setting up the program and the enrollment. 01:08:49.940 --> 01:08:53.080 - We would be capturing data as well as Health Net. 01:08:53.080 --> 01:08:55.840 - So part of the agreement for individuals, 01:08:55.840 --> 01:09:00.020 - they would have to be willing to provide baseline data. 01:09:00.020 --> 01:09:05.020 - So weight, their cholesterol, A1C, blood pressure screening, 01:09:06.860 --> 01:09:11.860 - so enrollment, and then a three-month period with Christina, 01:09:11.860 --> 01:09:15.280 - and then at a six-month period. 01:09:15.280 --> 01:09:18.540 - Any information that Health Net is gathering 01:09:18.540 --> 01:09:23.460 - as far as data, they would be able to share with us 01:09:23.460 --> 01:09:25.340 - kind of in those gaps in between. 01:09:25.340 --> 01:09:29.020 - Some of the administrative details, 01:09:29.020 --> 01:09:32.220 - there is a one-year minimum commitment with Fresh Connect 01:09:32.220 --> 01:09:37.220 - and 150 individuals or whatever the lifetime 01:09:37.220 --> 01:09:41.640 - of the program is that you use. 01:09:41.640 --> 01:09:46.640 - The goal was to be able to start the program in June 01:09:46.640 --> 01:09:52.660 - and ideally have 150 enrolled in December, 01:09:52.660 --> 01:09:56.160 - and then be able to translate that into next year. 01:09:56.160 --> 01:09:59.860 - I guess that kind of gives you a breakdown there 01:09:59.860 --> 01:10:03.200 - of some of the information I just went over. 01:10:03.200 --> 01:10:09.380 - So I have spoken with our IT department, 01:10:09.380 --> 01:10:12.980 - we're good to go on the privacy side. 01:10:12.980 --> 01:10:17.320 - It is a HIPAA compliant platform that we would be using. 01:10:17.320 --> 01:10:24.660 - And yes, sorry, information about just programming. 01:10:28.020 --> 01:10:32.420 - And so the cards are loaded at the first of each month. 01:10:32.420 --> 01:10:38.660 - And funds, if any funds that are not used 01:10:38.660 --> 01:10:42.220 - do not roll over to another month and we are not charged 01:10:42.220 --> 01:10:45.640 - for those that typically rolls back into our account. 01:10:45.640 --> 01:10:50.940 - And the Fresh Connect program, 01:10:50.940 --> 01:10:53.260 - once someone is enrolled in the program, 01:10:53.260 --> 01:10:55.860 - they actually contact those individuals 01:10:55.860 --> 01:10:59.480 - to explain the card, explain how they should be using it 01:10:59.480 --> 01:11:01.420 - and are there as a support system 01:11:01.420 --> 01:11:05.120 - for any troubleshooting or issues that arise with the card. 01:11:05.120 --> 01:11:10.700 - Can be used nationwide here. 01:11:10.700 --> 01:11:11.780 - Looks like a credit card. 01:11:11.780 --> 01:11:14.020 - You can use it at Walmart or Trover. 01:11:14.020 --> 01:11:16.820 - Again, just as long as it's only limited 01:11:16.820 --> 01:11:18.900 - to fresh fruits and vegetables. 01:11:18.900 --> 01:11:21.300 - They are working on expanding the program 01:11:21.300 --> 01:11:25.580 - to be able to start including some frozen fruits 01:11:25.580 --> 01:11:27.920 - and vegetables and that's something that they're working on. 01:11:27.920 --> 01:11:31.420 - But right now this is just limited to produce. 01:11:31.420 --> 01:11:35.100 - They work with food banks too or just with Trover and? 01:11:35.100 --> 01:11:37.540 - Trover and Walmart. - Walmart, that's it. 01:11:37.540 --> 01:11:38.940 - That's what we do. 01:11:38.940 --> 01:11:41.080 - There's a map that you can look on online 01:11:41.080 --> 01:11:43.400 - but those are the ones that we saw. 01:11:43.400 --> 01:11:46.460 - Let's see. 01:11:46.460 --> 01:11:49.860 - So able to address any additional language needs 01:11:49.860 --> 01:11:52.220 - as the clients support. 01:11:52.220 --> 01:11:55.980 - They do engage in reminders. 01:11:55.980 --> 01:12:00.420 - If someone has not used a card within 30-day period, 01:12:00.420 --> 01:12:03.320 - they will attempt to contact the individual 01:12:03.320 --> 01:12:05.100 - to kind of figure out some of the reasons why 01:12:05.100 --> 01:12:06.300 - and work through that. 01:12:06.300 --> 01:12:13.900 - And that just kind of, this breaks down some of the costs. 01:12:13.900 --> 01:12:20.480 - So there is a $5,000 annual administration fee. 01:12:21.460 --> 01:12:23.600 - There's some support fees. 01:12:23.600 --> 01:12:26.660 - I thought they said 10. 01:12:26.660 --> 01:12:29.100 - But we're a government agency. 01:12:29.100 --> 01:12:32.900 - So there's a different reduction in a rate for that. 01:12:32.900 --> 01:12:33.740 - Thank you. 01:12:33.740 --> 01:12:39.860 - So what we were thinking of and we've talked to 01:12:39.860 --> 01:12:42.540 - Marion County and some other individuals, 01:12:42.540 --> 01:12:46.540 - single individuals offering them $50 per month. 01:12:46.540 --> 01:12:50.260 - Individuals who could be considered either a single adult 01:12:50.260 --> 01:12:54.740 - with children or two adults offering them $80 per month 01:12:54.740 --> 01:12:55.580 - on the card. 01:12:55.580 --> 01:12:59.380 - Yeah, I saw something in there that said you could tie it 01:12:59.380 --> 01:13:01.620 - to Medicaid enrollment and other things, 01:13:01.620 --> 01:13:03.980 - which I think is a really bad idea, 01:13:03.980 --> 01:13:07.060 - because with so many people losing Medicaid, 01:13:07.060 --> 01:13:09.020 - you don't want to also shut them out of other programs 01:13:09.020 --> 01:13:10.260 - because they're not Medicaid. 01:13:10.260 --> 01:13:11.100 - Right. 01:13:11.100 --> 01:13:14.540 - Let's see. 01:13:14.540 --> 01:13:16.740 - So it's just some estimated costs here. 01:13:16.740 --> 01:13:21.740 - If we had all 150 participants at that maximum $80 for six 01:13:21.740 --> 01:13:29.700 - months, so the range, so minimum and maximum, 01:13:29.700 --> 01:13:33.540 - we're looking at roughly 61,000 to 88,000 01:13:33.540 --> 01:13:37.100 - if the individuals were using the full amount 01:13:37.100 --> 01:13:40.940 - that's loaded on their card, depending on single or family. 01:13:45.500 --> 01:13:47.460 - And if we do it for six months, 01:13:47.460 --> 01:13:50.140 - do we have to continue or can we do it for six months 01:13:50.140 --> 01:13:52.100 - and see how it works and then not in the red? 01:13:52.100 --> 01:13:54.060 - So it's a one, it's a one year. 01:13:54.060 --> 01:13:57.380 - So our goal was if start in June, 01:13:57.380 --> 01:14:00.980 - get your 150 enrolled by the end of the year 01:14:00.980 --> 01:14:03.460 - to get them cycled through that one year. 01:14:03.460 --> 01:14:05.860 - We can essentially, we'll be piloting that then 01:14:05.860 --> 01:14:07.500 - to know whether we want to keep enrolling. 01:14:07.500 --> 01:14:08.540 - Thank you. 01:14:08.540 --> 01:14:10.580 - There's gonna be a whole year commitment. 01:14:10.580 --> 01:14:13.500 - That it is with the Fresh Connect, yes. 01:14:13.500 --> 01:14:17.460 - So the 60 to 80,000, would that be the contract amount 01:14:17.460 --> 01:14:19.940 - basically that we'd be building on? 01:14:19.940 --> 01:14:22.300 - For six months, it would be twice that, right? 01:14:22.300 --> 01:14:24.220 - Well, so you'd be voting on the contract, 01:14:24.220 --> 01:14:26.660 - but then yes, that the, whatever the, 01:14:26.660 --> 01:14:29.540 - because we don't have an exact dollar amount. 01:14:29.540 --> 01:14:33.020 - So whatever the associated fees are then with the contract, 01:14:33.020 --> 01:14:38.020 - but those, that's the maximum amount for all 150. 01:14:38.020 --> 01:14:42.180 - And so we'd be kind of, 01:14:42.180 --> 01:14:44.540 - and I've done it a couple of ways with budgeting 01:14:44.540 --> 01:14:46.740 - for this year and then how many for next year. 01:14:46.740 --> 01:14:50.900 - So I would be allocating funds in our next year's budget 01:14:50.900 --> 01:14:52.660 - to make sure that we have that set aside. 01:14:52.660 --> 01:14:53.620 - That was my next question, 01:14:53.620 --> 01:14:55.300 - we do have the money for this, right? 01:14:55.300 --> 01:14:56.580 - Yes, yes. 01:14:56.580 --> 01:14:57.420 - And- 01:14:57.420 --> 01:14:59.420 - It's going to the money while we have the money. 01:14:59.420 --> 01:15:01.860 - Yes, and I will say that was brought up 01:15:01.860 --> 01:15:03.420 - on a meeting today actually, 01:15:03.420 --> 01:15:05.900 - that if you're thinking about holding on 01:15:05.900 --> 01:15:08.180 - to a lot of your funds as a cushion, 01:15:08.180 --> 01:15:10.220 - you better use them because they could. 01:15:10.220 --> 01:15:11.940 - Yeah, yeah, well, yeah. 01:15:11.940 --> 01:15:13.980 - And I'd rather get something in place. 01:15:13.980 --> 01:15:21.980 - So the 90,000, roughly 90,000 that we see for six months, 01:15:21.980 --> 01:15:27.700 - that, does that include all of those fees? 01:15:27.700 --> 01:15:28.540 - Yes. 01:15:28.540 --> 01:15:29.360 - As well? 01:15:29.360 --> 01:15:30.200 - Yes. 01:15:30.200 --> 01:15:33.980 - Other questions? 01:15:33.980 --> 01:15:39.860 - Well, I think the only thing that I find that's, 01:15:39.860 --> 01:15:41.540 - yeah, this is great. 01:15:41.540 --> 01:15:46.540 - And I guess I'm glad that the city doubles people's SNAP 01:15:46.540 --> 01:15:55.260 - so that they can get fresh fruits and vegetables there. 01:15:55.260 --> 01:16:00.260 - So they basically, if they have SNAP already, 01:16:00.260 --> 01:16:03.100 - they may get more than... 01:16:03.100 --> 01:16:05.220 - Well, SNAP disqualifies them from this. 01:16:05.220 --> 01:16:06.060 - It's their own SNAP. 01:16:06.060 --> 01:16:10.260 - Well, so Christina, we have talked about trying 01:16:10.260 --> 01:16:12.340 - to focus on those individuals first 01:16:12.340 --> 01:16:15.180 - who don't have any eligibility to be, 01:16:15.180 --> 01:16:18.740 - but who still are maybe just over that amount, 01:16:18.740 --> 01:16:20.660 - but still need help and assistance 01:16:20.660 --> 01:16:22.580 - and try to capture those populations. 01:16:22.580 --> 01:16:25.460 - And then we can kind of expand it from there. 01:16:25.460 --> 01:16:30.460 - And I hope that in the process that they're also steering, 01:16:30.460 --> 01:16:33.820 - if the people don't know about it, 01:16:33.820 --> 01:16:35.420 - places like Mother Heaven's Cupboard 01:16:35.420 --> 01:16:37.540 - where they can get healthy foods 01:16:37.540 --> 01:16:41.900 - that indeed supplement what this allows them 01:16:41.900 --> 01:16:45.860 - and also get some training in how to cook this stuff 01:16:45.860 --> 01:16:49.140 - and what to do with it and how to manage. 01:16:49.140 --> 01:16:53.300 - So part of the welcome package when the referral comes 01:16:53.300 --> 01:16:56.900 - and we are getting the individual signed up. 01:16:56.900 --> 01:16:58.980 - So Christina would be developing a welcome gift 01:16:58.980 --> 01:17:00.660 - that has like some recipes 01:17:00.660 --> 01:17:02.180 - and these are the types of foods maybe 01:17:02.180 --> 01:17:03.140 - that you should look for. 01:17:03.140 --> 01:17:05.020 - And these are how to prepare that 01:17:05.020 --> 01:17:09.380 - and some of that education that's also tied to, 01:17:09.380 --> 01:17:10.580 - if this is your condition, 01:17:10.580 --> 01:17:13.980 - maybe focus on these types of meals and foods 01:17:13.980 --> 01:17:16.580 - to try to build in some education with it. 01:17:16.580 --> 01:17:20.700 - Related question, how does this play into any interaction 01:17:20.700 --> 01:17:25.700 - with WIC, the farmer's markets, purchasing programs 01:17:25.700 --> 01:17:30.900 - and things, I guess the credit card will work 01:17:30.900 --> 01:17:32.100 - more than the farmer's market. 01:17:32.100 --> 01:17:33.500 - All right, from my understanding, 01:17:33.500 --> 01:17:36.100 - there's kind of a different program called Fresh Box 01:17:36.100 --> 01:17:37.420 - that are targeted for-- 01:17:37.420 --> 01:17:39.840 - (indistinct) 01:17:39.840 --> 01:17:43.580 - And I guess because they are meeting 01:17:43.580 --> 01:17:46.460 - with IU Health Community Health Israelis, 01:17:46.460 --> 01:17:51.140 - still in my mind, are there any opportunities 01:17:51.140 --> 01:17:54.140 - for collaboration or partnership that you can see here 01:17:54.140 --> 01:17:56.860 - so that they can have a role? 01:17:56.860 --> 01:17:58.740 - Like, I guess I'm thinking hearing them talk 01:17:58.740 --> 01:18:03.420 - about nutritionists, sure they have nutritionists on staff, 01:18:03.420 --> 01:18:08.420 - maybe they could have someone do a cooking class 01:18:08.420 --> 01:18:13.180 - or talk to people about if you have this condition. 01:18:13.180 --> 01:18:15.980 - There's a lot, 'cause sometimes people receive information 01:18:15.980 --> 01:18:17.580 - and then don't read it. 01:18:17.580 --> 01:18:20.660 - Yeah. (laughing) 01:18:20.660 --> 01:18:22.180 - So I guess I would just say, 01:18:22.180 --> 01:18:28.900 - ask Christine, investigate those 01:18:28.900 --> 01:18:31.300 - collaborative relationships. 01:18:31.300 --> 01:18:33.220 - Can I ask one other? 01:18:33.220 --> 01:18:35.620 - It looks like David really is up there, right? 01:18:35.620 --> 01:18:39.420 - Just turn yourself. 01:18:39.420 --> 01:18:44.420 - I just, I wanted to ask whether, if it passes 01:18:44.420 --> 01:18:49.780 - and indeed our HFI funding can only be used 01:18:49.780 --> 01:18:54.780 - for our U.S. citizens, how will this impact the program 01:18:58.140 --> 01:19:03.140 - and will it end, will we just say, 01:19:03.140 --> 01:19:07.940 - hey, of course that there are U.S. citizens. 01:19:07.940 --> 01:19:09.700 - Of course there are U.S. citizens. 01:19:09.700 --> 01:19:11.300 - I just thought I would ask 01:19:11.300 --> 01:19:14.900 - because it was one of the ugliest things that I've seen yet 01:19:14.900 --> 01:19:17.040 - in the bills that are coming forward. 01:19:17.040 --> 01:19:20.260 - Dave, did you want to say something? 01:19:20.260 --> 01:19:21.100 - Hi, Dave. 01:19:21.100 --> 01:19:27.380 - I had just something to say about the IHI contract. 01:19:28.140 --> 01:19:29.900 - When you get a chance. 01:19:29.900 --> 01:19:33.660 - Well, we weren't going back to it, 01:19:33.660 --> 01:19:35.100 - but we'll go back to it again. 01:19:35.100 --> 01:19:37.180 - What did you want to say? 01:19:37.180 --> 01:19:39.540 - Well, I just started scrolling 01:19:39.540 --> 01:19:43.580 - through the terms and conditions and on page 21, 01:19:43.580 --> 01:19:45.740 - it says conditions for disclosing 01:19:45.740 --> 01:19:49.580 - individually identifiable health information. 01:19:49.580 --> 01:19:52.780 - And it says that if that's going to be used, 01:19:52.780 --> 01:19:57.780 - that there has to be a disclosure agreement 01:19:57.780 --> 01:20:04.820 - obtained from the individuals. 01:20:04.820 --> 01:20:06.060 - I mean, let me just read it, 01:20:06.060 --> 01:20:10.860 - 'cause if PHI is requested for a research project, 01:20:10.860 --> 01:20:14.140 - Regenstrief shall not use or disclose the PHI 01:20:14.140 --> 01:20:18.060 - unless authorizations that comply with the privacy rule 01:20:18.060 --> 01:20:20.940 - allowing the use or disclosure of the PHI 01:20:20.940 --> 01:20:23.620 - for the specific research purpose 01:20:23.620 --> 01:20:26.140 - have been obtained from all individuals 01:20:26.140 --> 01:20:29.280 - whose PHI will be used or disclosed. 01:20:29.280 --> 01:20:33.820 - I don't know if that addresses your concerns. 01:20:33.820 --> 01:20:36.420 - It seems to totally address the question, doesn't it? 01:20:36.420 --> 01:20:37.740 - Yep, I didn't see that. 01:20:37.740 --> 01:20:41.660 - Okay, that's why you're a lawyer and we're not. 01:20:41.660 --> 01:20:42.500 - Thank you. 01:20:42.500 --> 01:20:43.940 - Look at all those details. 01:20:43.940 --> 01:20:46.380 - Sorry, I didn't get to that earlier. 01:20:46.380 --> 01:20:47.220 - Thank you. 01:20:47.220 --> 01:20:49.700 - Do we wanna circle back then to the IHI contract? 01:20:50.580 --> 01:20:51.740 - Okay, hang on a second. 01:20:51.740 --> 01:20:53.580 - Let's do Fresh Connect first. 01:20:53.580 --> 01:20:55.100 - I need a motion on Fresh Connect 01:20:55.100 --> 01:20:57.340 - and let's hop it up here first. 01:20:57.340 --> 01:21:01.740 - I would move that we move forward 01:21:01.740 --> 01:21:04.300 - with the Fresh Connect program. 01:21:04.300 --> 01:21:05.780 - And I would second it. 01:21:05.780 --> 01:21:07.060 - All those in favor? 01:21:07.060 --> 01:21:07.980 - Aye. - Aye. 01:21:07.980 --> 01:21:09.020 - All opposed? 01:21:09.020 --> 01:21:11.000 - Okay, Fresh Connect is okay. 01:21:11.000 --> 01:21:12.380 - Let's go back to IHI. 01:21:12.380 --> 01:21:13.500 - I would like a motion. 01:21:13.500 --> 01:21:18.500 - Given the new information we received, 01:21:18.500 --> 01:21:23.500 - I would move that we approve the IHI contract. 01:21:23.500 --> 01:21:25.460 - Is there a second? 01:21:25.460 --> 01:21:26.460 - Second. 01:21:26.460 --> 01:21:28.020 - All those in favor? 01:21:28.020 --> 01:21:28.980 - Aye. - Aye. 01:21:28.980 --> 01:21:30.180 - All opposed? 01:21:30.180 --> 01:21:31.020 - Aye. 01:21:31.020 --> 01:21:31.860 - Thank you. - Aye. 01:21:31.860 --> 01:21:35.220 - What are you? 01:21:35.220 --> 01:21:36.340 - I am opposed. 01:21:36.340 --> 01:21:37.560 - Okay. - Yeah. 01:21:37.560 --> 01:21:40.260 - Okay, so one, two, three, four. 01:21:40.260 --> 01:21:41.080 - Okay. 01:21:41.080 --> 01:21:45.060 - Approve HIV prevention grant award letter. 01:21:46.260 --> 01:21:50.620 - So this grant supports the salary expenses 01:21:50.620 --> 01:21:54.460 - for the harm reduction specialist there. 01:21:54.460 --> 01:21:58.280 - This will just cover salary and fringe. 01:21:58.280 --> 01:22:02.960 - They pretty much just said that funds were tight with this, 01:22:02.960 --> 01:22:06.820 - so we're happy to see that they granted us this amount. 01:22:06.820 --> 01:22:09.900 - The grant cycle will begin here in June. 01:22:09.900 --> 01:22:12.940 - And so once we receive that grant, 01:22:12.940 --> 01:22:16.260 - I will just take it through the normal county processes 01:22:16.260 --> 01:22:17.500 - with the board's approval. 01:22:17.500 --> 01:22:21.300 - Can I get a motion? 01:22:21.300 --> 01:22:24.440 - I thought I've read that it was tabled or something. 01:22:24.440 --> 01:22:29.640 - The DIS, so that's a different grant. 01:22:29.640 --> 01:22:33.280 - So STD, shortening prevention is tabled. 01:22:33.280 --> 01:22:42.060 - So you're asking for him. 01:22:42.060 --> 01:22:43.940 - I'm asking for a motion. 01:22:43.940 --> 01:22:47.420 - Okay, so moved. 01:22:47.420 --> 01:22:51.900 - You're a second. 01:22:51.900 --> 01:22:53.740 - I will second that motion. 01:22:53.740 --> 01:22:57.260 - All in favor of approving the HIV Prevention Grant Award, 01:22:57.260 --> 01:22:58.100 - say aye. 01:22:58.100 --> 01:22:58.920 - Aye. - Aye. 01:22:58.920 --> 01:23:00.580 - All opposed? 01:23:00.580 --> 01:23:02.180 - Thank you, that carries. 01:23:02.180 --> 01:23:04.780 - Board member and health officer comments. 01:23:04.780 --> 01:23:08.540 - I have a lot, but I wanna open it up 'cause I'm talking. 01:23:11.580 --> 01:23:15.820 - Hey, one thing I noticed that was in our packet 01:23:15.820 --> 01:23:18.900 - was the communication drill that was done 01:23:18.900 --> 01:23:20.060 - within the department. 01:23:20.060 --> 01:23:22.380 - That was really neat and done in 30 minutes 01:23:22.380 --> 01:23:24.340 - and I wanted to compliment them on that. 01:23:24.340 --> 01:23:29.340 - But eons ago, we also had a tree set up 01:23:29.340 --> 01:23:33.620 - or a bone tree for the board 01:23:33.620 --> 01:23:35.940 - in case of emergencies and so forth. 01:23:35.940 --> 01:23:38.940 - And I just wanted to bring forth that to see that. 01:23:38.940 --> 01:23:40.340 - Yeah, that would be great. 01:23:41.100 --> 01:23:45.380 - Yes, so we have a department bone tree, 01:23:45.380 --> 01:23:48.780 - but we'll have to see about- 01:23:48.780 --> 01:23:51.020 - We have new members in the board. 01:23:51.020 --> 01:23:53.900 - Are you guys on the Monroe County Alert System? 01:23:53.900 --> 01:23:55.180 - Do you get the phone calls? 01:23:55.180 --> 01:23:56.180 - And I do, things like that. 01:23:56.180 --> 01:23:59.500 - And I mean, I do, 'cause that would be something. 01:23:59.500 --> 01:24:01.860 - If you wanna get them, I'm gonna tell you. 01:24:01.860 --> 01:24:03.940 - Don't make me regret that. 01:24:03.940 --> 01:24:04.780 - The middle of the night. 01:24:04.780 --> 01:24:07.500 - Yes, the middle of the night, 3 a.m., yes. 01:24:07.500 --> 01:24:10.300 - Bone tree with all those different trees. 01:24:10.300 --> 01:24:12.700 - With all the phone numbers and such. 01:24:12.700 --> 01:24:16.060 - But there've been a couple of emergency kinds of things 01:24:16.060 --> 01:24:20.220 - where the board had to all of a sudden get together or- 01:24:20.220 --> 01:24:24.580 - No, it's a good idea to have it, for sure. 01:24:24.580 --> 01:24:26.460 - Other board member comments? 01:24:26.460 --> 01:24:30.220 - I would like, in view of the previous public comments 01:24:30.220 --> 01:24:34.000 - concerning the Futures Clinic, I have three things to say. 01:24:34.000 --> 01:24:37.060 - The services that, first of all, 01:24:37.060 --> 01:24:39.900 - the services that were being provided by the Futures Clinic 01:24:39.900 --> 01:24:43.100 - in case someone's listening who doesn't know this, 01:24:43.100 --> 01:24:47.580 - are currently being provided by the very granting agency, 01:24:47.580 --> 01:24:49.660 - the Indiana Family Health Council, 01:24:49.660 --> 01:24:53.660 - that was previously funding our Futures Clinic. 01:24:53.660 --> 01:24:56.220 - And their clinic began operation within a short period 01:24:56.220 --> 01:24:57.860 - following the closing here. 01:24:57.860 --> 01:24:59.060 - A period of weeks. 01:24:59.060 --> 01:25:01.260 - Yeah, so they're, excuse me. 01:25:01.260 --> 01:25:07.380 - So those very services, as I had hoped, 01:25:07.380 --> 01:25:11.420 - and I'm sure Aurora and everyone else, 01:25:11.420 --> 01:25:16.420 - had hoped resumed in a fairly short period of time. 01:25:16.420 --> 01:25:21.540 - That being said, Councilman Henry also mentioned 01:25:21.540 --> 01:25:26.820 - a couple of points in previous comments to the board 01:25:26.820 --> 01:25:30.380 - in a previous meeting while he was online. 01:25:30.380 --> 01:25:33.580 - And I wanna try to address these really quickly 01:25:33.580 --> 01:25:36.380 - in these very short comments. 01:25:36.380 --> 01:25:38.900 - Individual employee performances 01:25:38.900 --> 01:25:41.420 - will never be discussed in public. 01:25:41.420 --> 01:25:44.740 - So in the after action report, 01:25:44.740 --> 01:25:47.300 - there were redactions that were made prior 01:25:47.300 --> 01:25:50.380 - to the release of the after action report 01:25:50.380 --> 01:25:53.460 - because those were private matters. 01:25:53.460 --> 01:25:57.900 - Names, performance, things are not going to be discussed 01:25:57.900 --> 01:26:01.000 - because those are personnel matters and those are private. 01:26:02.700 --> 01:26:06.500 - And he mentioned today the redaction, the after action report 01:26:06.500 --> 01:26:08.900 - was released with redactions. 01:26:08.900 --> 01:26:10.440 - Those redactions will remain. 01:26:10.440 --> 01:26:15.660 - While the purpose was not to make a profit in this clinic, 01:26:15.660 --> 01:26:18.660 - the clinic was requiring more county support 01:26:18.660 --> 01:26:22.380 - beyond the grant because of declining patient income 01:26:22.380 --> 01:26:24.340 - and ongoing billing issues related 01:26:24.340 --> 01:26:29.340 - to the timely insurance claims being submitted or untimely, 01:26:30.020 --> 01:26:33.160 - that will be more correct. 01:26:33.160 --> 01:26:38.160 - This was a personnel issue and there were other 01:26:38.160 --> 01:26:43.460 - performance factors that again will not be discussed 01:26:43.460 --> 01:26:46.500 - that entered into the decision. 01:26:46.500 --> 01:26:48.100 - I would like to remind the public 01:26:48.100 --> 01:26:51.380 - that we did not actually close that clinic. 01:26:51.380 --> 01:26:54.980 - That clinic was actually, the grant was removed 01:26:56.460 --> 01:27:00.340 - at a time when the clinic was not performing well. 01:27:00.340 --> 01:27:02.500 - And I'm talking about not performing well 01:27:02.500 --> 01:27:07.500 - in patient numbers and in income production. 01:27:07.500 --> 01:27:13.180 - And again, it's not a for-profit, it was never meant, 01:27:13.180 --> 01:27:17.220 - that was not the purpose of it was to make a profit. 01:27:17.220 --> 01:27:22.220 - But being good stewards of county money also was important 01:27:23.580 --> 01:27:26.720 - and there was a trend to developing. 01:27:26.720 --> 01:27:32.620 - And I'm just going to leave it with those three points. 01:27:32.620 --> 01:27:35.900 - I don't want to, I wish there were, 01:27:35.900 --> 01:27:38.260 - sometimes I wish there were more things 01:27:38.260 --> 01:27:43.260 - that I could say concerning the clinic. 01:27:43.260 --> 01:27:46.160 - I'm happy that I'm not happy about the criticism, 01:27:46.160 --> 01:27:48.500 - I'm not happy about the clinic closing. 01:27:49.960 --> 01:27:53.660 - And I am sorry that some employees feel 01:27:53.660 --> 01:27:57.220 - that they were unfairly treated. 01:27:57.220 --> 01:28:01.240 - I'm not convinced that that is the case, 01:28:01.240 --> 01:28:05.660 - but nevertheless, the clinic is closed, 01:28:05.660 --> 01:28:07.720 - but those services are being provided 01:28:07.720 --> 01:28:11.220 - in the community at this time. 01:28:11.220 --> 01:28:12.220 - Thank you. 01:28:12.220 --> 01:28:16.040 - I would like to say something because it matches 01:28:16.040 --> 01:28:17.620 - with what Steve just said. 01:28:18.120 --> 01:28:23.120 - The requirement for cross-training that was mentioned 01:28:23.120 --> 01:28:27.240 - has truly nothing to do with the family planning. 01:28:27.240 --> 01:28:29.480 - The clinic, this was in Monroe County, 01:28:29.480 --> 01:28:33.720 - all county, all department-wide initiatives. 01:28:33.720 --> 01:28:37.640 - Cross-training was required of all employees 01:28:37.640 --> 01:28:40.320 - because as we learned during COVID, 01:28:40.320 --> 01:28:44.800 - you cannot run any business if several people are out 01:28:44.800 --> 01:28:47.360 - and another person doesn't know how to answer a phone 01:28:47.360 --> 01:28:50.280 - or how to take care of basic stuff. 01:28:50.280 --> 01:28:55.040 - So that wasn't Laurie's decision or initiative. 01:28:55.040 --> 01:28:56.440 - It wasn't a Title X. 01:28:56.440 --> 01:28:58.680 - It had nothing to do with the Board of Health. 01:28:58.680 --> 01:29:02.800 - That was a Monroe County government initiative. 01:29:02.800 --> 01:29:07.240 - I also wanna say that we as a board, 01:29:07.240 --> 01:29:09.480 - continually through this process, 01:29:09.480 --> 01:29:15.600 - have and continue to support our public health administrator. 01:29:15.680 --> 01:29:19.200 - She came on at a difficult time. 01:29:19.200 --> 01:29:22.480 - She's been doing an exemplary job. 01:29:22.480 --> 01:29:23.360 - Is she perfect? 01:29:23.360 --> 01:29:26.120 - No, none of us are. 01:29:26.120 --> 01:29:28.960 - Did she have some things to learn? 01:29:28.960 --> 01:29:30.680 - Yes, well, that's what happens 01:29:30.680 --> 01:29:33.880 - when you have a new employee in a job. 01:29:33.880 --> 01:29:37.080 - But she's done an outstanding job. 01:29:37.080 --> 01:29:40.920 - And I just wanted to say the board continues 01:29:40.920 --> 01:29:43.320 - to be supportive of that. 01:29:43.320 --> 01:29:46.480 - And on the third issue that I particularly 01:29:46.480 --> 01:29:50.520 - have been repeatedly taken to task over, 01:29:50.520 --> 01:29:55.360 - which is stating my position that board members 01:29:55.360 --> 01:29:58.320 - should not directly interact with employees 01:29:58.320 --> 01:29:59.760 - of the health department. 01:29:59.760 --> 01:30:01.360 - This is because those employees 01:30:01.360 --> 01:30:03.880 - do not report to the board of health. 01:30:03.880 --> 01:30:06.480 - There is a chain command in place 01:30:06.480 --> 01:30:09.640 - in every department in Monroe County. 01:30:09.640 --> 01:30:13.320 - And the proper channel for concerns, 01:30:13.320 --> 01:30:16.760 - if an employee has one, is their direct supervisor. 01:30:16.760 --> 01:30:18.520 - And if that is not successful, 01:30:18.520 --> 01:30:20.280 - the supervisor above that person. 01:30:20.280 --> 01:30:23.120 - But it is not appropriate for board members. 01:30:23.120 --> 01:30:26.520 - Even though the law does not prohibit that from happening, 01:30:26.520 --> 01:30:29.600 - there is no reason for that to happen. 01:30:29.600 --> 01:30:32.120 - So-- - It's also an internal-- 01:30:32.120 --> 01:30:34.480 - There's also a human resources department. 01:30:34.480 --> 01:30:36.000 - Yeah, there are plenty of avenues 01:30:36.000 --> 01:30:38.920 - for employees that feel they would like 01:30:38.920 --> 01:30:40.640 - to discuss their performance 01:30:40.640 --> 01:30:44.720 - or their job expectations or whatever. 01:30:44.720 --> 01:30:46.360 - I'm sorry, I have a couple more things to say, 01:30:46.360 --> 01:30:47.400 - but not on this topic. 01:30:47.400 --> 01:30:50.280 - So does anyone else want to make a-- 01:30:50.280 --> 01:30:51.800 - I'll just throw into that, 01:30:51.800 --> 01:30:56.000 - that while it may not be a regulation, 01:30:56.000 --> 01:30:58.240 - it is good board governance 01:30:58.240 --> 01:31:01.440 - that there is an invisible wall 01:31:01.440 --> 01:31:06.160 - between the board and the department. 01:31:06.160 --> 01:31:10.960 - And the one person who kind of sits between that 01:31:10.960 --> 01:31:15.400 - is Lori and kind of maybe me, certainly Lori. 01:31:15.400 --> 01:31:19.480 - She is the only one who can direct employees 01:31:19.480 --> 01:31:23.000 - and can approve employees doing anything 01:31:23.000 --> 01:31:26.640 - that a board member may request. 01:31:26.640 --> 01:31:30.400 - That's just how it has to be 01:31:30.400 --> 01:31:34.240 - because otherwise everything turns to crap. 01:31:35.720 --> 01:31:36.560 - Thank you. 01:31:36.560 --> 01:31:38.320 - Otherwise, every problem that develops, 01:31:38.320 --> 01:31:41.360 - people don't like Lori and what she tells them, 01:31:41.360 --> 01:31:43.640 - they go directly to somebody on the board. 01:31:43.640 --> 01:31:44.760 - Yeah, afford governance. 01:31:44.760 --> 01:31:48.280 - Thank you, that's exactly the phrase I would have used. 01:31:48.280 --> 01:31:53.280 - Lisa, I think there is a lot of displaced anger from, 01:31:53.280 --> 01:31:55.760 - I think there's anger at the board. 01:31:55.760 --> 01:32:00.640 - I do think that, I think that's displaced to Lori unfairly. 01:32:00.640 --> 01:32:04.640 - And we are behind you and support you 01:32:04.640 --> 01:32:07.160 - and thank you for all that you do. 01:32:07.160 --> 01:32:08.000 - Thank you. 01:32:08.000 --> 01:32:10.600 - Couple of quick things. 01:32:10.600 --> 01:32:15.400 - There have been some requests for board members 01:32:15.400 --> 01:32:18.160 - to get their meeting packet information 01:32:18.160 --> 01:32:20.560 - in the agenda earlier. 01:32:20.560 --> 01:32:24.800 - I just wanna kind of from my perspective 01:32:24.800 --> 01:32:28.700 - and then ask you all what your preference would be. 01:32:28.700 --> 01:32:32.240 - We could, for example, 01:32:32.240 --> 01:32:34.000 - for every month that we have a meeting, 01:32:34.000 --> 01:32:39.000 - we could cut off folks contributing things like this report 01:32:39.000 --> 01:32:41.800 - and this contract and blah, blah, blah. 01:32:41.800 --> 01:32:46.440 - For example, on the Friday before our next Thursday, 01:32:46.440 --> 01:32:50.280 - that would allow us to send you your board packet 01:32:50.280 --> 01:32:53.080 - Friday or Monday, you'd have more time to read it. 01:32:53.080 --> 01:32:57.220 - The downside of that would be any item coming in late 01:32:57.220 --> 01:32:58.920 - would go until next month. 01:32:58.920 --> 01:33:01.820 - Or if it's a contract and it's timely, 01:33:01.820 --> 01:33:04.420 - we would have to have a special session. 01:33:04.420 --> 01:33:07.760 - So everything is weighing. 01:33:07.760 --> 01:33:14.080 - Additionally, we have tried to strike a balance 01:33:14.080 --> 01:33:17.640 - between sending out the whole packet, 01:33:17.640 --> 01:33:20.320 - what we thought was the whole packet too early. 01:33:20.320 --> 01:33:22.640 - And then these things come in and you guys, 01:33:22.640 --> 01:33:25.000 - instead of getting one mailing for a meeting, 01:33:25.000 --> 01:33:28.400 - you got like five, oh, well, here it is. 01:33:28.400 --> 01:33:30.120 - Oh, but then there's this and then there's this 01:33:30.120 --> 01:33:34.120 - and believe me, I share your frustration. 01:33:34.120 --> 01:33:38.960 - I am not sure how to resolve this, 01:33:38.960 --> 01:33:41.600 - but I wanted to tell everybody, yeah, I hear you. 01:33:41.600 --> 01:33:46.160 - Somebody can think of a great way to do this. 01:33:46.160 --> 01:33:48.440 - We compromise and just make it three days 01:33:48.440 --> 01:33:50.680 - before the next meeting rather than a week. 01:33:50.680 --> 01:33:53.040 - So that you only delay one more day. 01:33:53.040 --> 01:33:54.920 - That would give us a little more time to read them. 01:33:54.920 --> 01:33:58.160 - We got it on like Monday or something, Monday. 01:34:00.000 --> 01:34:03.120 - So you wanna get it Monday, all right. 01:34:03.120 --> 01:34:05.440 - And then what happened when late breakers come in? 01:34:05.440 --> 01:34:07.920 - Well, I would say, I mean, send it. 01:34:07.920 --> 01:34:10.600 - You don't have to get it all at once, but you're right. 01:34:10.600 --> 01:34:12.280 - A whole bunch of mailings would be good, 01:34:12.280 --> 01:34:17.280 - but if we could count on getting the bulk of the stuff 01:34:17.280 --> 01:34:21.080 - by the meeting and by the Monday prior 01:34:21.080 --> 01:34:26.080 - to the Thursday meeting, then that it's something else 01:34:26.080 --> 01:34:29.600 - that has to come in late, but it's easier to read one thing 01:34:29.600 --> 01:34:31.280 - at this for three to all. 01:34:31.280 --> 01:34:33.680 - That's what we'll shoot for then. 01:34:33.680 --> 01:34:36.760 - It would reduce the confusion factor by a good deal. 01:34:36.760 --> 01:34:38.480 - Okay, thank you. 01:34:38.480 --> 01:34:40.040 - And then I just had a question. 01:34:40.040 --> 01:34:41.240 - I don't know if Dave's still with us. 01:34:41.240 --> 01:34:42.960 - Did we, and some of you might know. 01:34:42.960 --> 01:34:44.080 - Yes. 01:34:44.080 --> 01:34:46.440 - Regarding the Medical Reserve Corps, 01:34:46.440 --> 01:34:48.840 - because this also came up at our meeting 01:34:48.840 --> 01:34:50.160 - and I just wanted to check back. 01:34:50.160 --> 01:34:52.320 - I know that we have been told 01:34:52.320 --> 01:34:55.320 - we can't really do anything with the MRC. 01:34:55.320 --> 01:34:58.040 - It has to do with liability and my understanding, 01:34:58.040 --> 01:35:02.640 - and I could be wrong, is that the liability insurance 01:35:02.640 --> 01:35:06.040 - can kick in as long as they're activated. 01:35:06.040 --> 01:35:07.680 - And that may or may not be true, 01:35:07.680 --> 01:35:11.160 - but it seems like for two years now anyway, 01:35:11.160 --> 01:35:16.160 - we have had a non-functioning Medical Reserve Corps. 01:35:16.160 --> 01:35:19.840 - And I think we've had several board meetings 01:35:19.840 --> 01:35:21.320 - discussing this liability issue 01:35:21.320 --> 01:35:23.080 - and I'm not sure it's resolved. 01:35:23.080 --> 01:35:28.080 - And I would just, I'd like to take whatever steps we could 01:35:28.080 --> 01:35:31.520 - to either get them going or to say, 01:35:31.520 --> 01:35:33.640 - okay, we're not gonna have a Medical Reserve Corps 01:35:33.640 --> 01:35:36.040 - because right now it feels like we're in limbo. 01:35:36.040 --> 01:35:41.040 - Are we receiving federal dollars to have that MRC? 01:35:41.040 --> 01:35:42.160 - I don't think so. 01:35:42.160 --> 01:35:43.880 - How do we support it? 01:35:43.880 --> 01:35:45.880 - Just from our general budget? 01:35:45.880 --> 01:35:48.560 - I have not come across that, so I am not-- 01:35:48.560 --> 01:35:49.960 - So I think it's a federal program. 01:35:49.960 --> 01:35:51.680 - It is a volunteer program. 01:35:51.680 --> 01:35:54.400 - It's similar to volunteer, we have a staff person 01:35:54.400 --> 01:35:56.400 - who kind of, I'm a member too. 01:35:56.400 --> 01:35:59.040 - We have a staff person who coordinates it. 01:35:59.040 --> 01:36:01.200 - Oh yes, but that, their salary is just part 01:36:01.200 --> 01:36:02.800 - of the general fund of the person? 01:36:02.800 --> 01:36:03.640 - Preparedness. 01:36:03.640 --> 01:36:04.920 - It's unpreparedness. 01:36:04.920 --> 01:36:05.760 - Right, yeah. 01:36:05.760 --> 01:36:06.880 - The preparedness person did it. 01:36:06.880 --> 01:36:10.320 - The funds which are being cut because of liability. 01:36:10.320 --> 01:36:11.160 - Dave? 01:36:11.160 --> 01:36:15.560 - Is he still there? 01:36:15.560 --> 01:36:16.960 - Yes. 01:36:16.960 --> 01:36:17.780 - Hi. 01:36:17.780 --> 01:36:20.200 - So can you shed any light on what's going on 01:36:20.200 --> 01:36:23.040 - with the liability for Medical Reserve Corps? 01:36:23.040 --> 01:36:24.480 - I cannot. 01:36:24.480 --> 01:36:30.180 - I have actually never heard of the Medical Reserve Corps. 01:36:30.180 --> 01:36:31.020 - So I will check. 01:36:31.020 --> 01:36:32.880 - Maybe Molly had been working on that. 01:36:32.880 --> 01:36:34.680 - I'm not sure. 01:36:34.680 --> 01:36:35.880 - Like simple events. 01:36:35.880 --> 01:36:37.280 - Jeff. 01:36:37.280 --> 01:36:38.120 - Jeff. 01:36:38.120 --> 01:36:38.940 - Jeff was? 01:36:38.940 --> 01:36:40.260 - Okay, yeah. 01:36:40.260 --> 01:36:43.960 - Yeah, because it makes no sense for us 01:36:43.960 --> 01:36:46.960 - to maintain this group of volunteers 01:36:46.960 --> 01:36:49.520 - if we can't give them anything to do ever. 01:36:50.480 --> 01:36:54.680 - And I think if we have another-- 01:36:54.680 --> 01:36:56.000 - It's kind of like a feel-good thing. 01:36:56.000 --> 01:36:56.840 - Right? 01:36:56.840 --> 01:36:57.660 - If we have another-- 01:36:57.660 --> 01:36:59.200 - They did stop a belief program last week. 01:36:59.200 --> 01:37:01.080 - And we need to, you know, 01:37:01.080 --> 01:37:03.500 - we need to use these volunteers. 01:37:03.500 --> 01:37:06.240 - We need to have a working group 01:37:06.240 --> 01:37:09.320 - that has liability insurance and the county says, 01:37:09.320 --> 01:37:10.960 - okay, you can go out and do your work now. 01:37:10.960 --> 01:37:14.200 - So we'd appreciate you checking on that. 01:37:14.200 --> 01:37:15.040 - Will do. 01:37:15.040 --> 01:37:15.860 - Thank you. 01:37:15.860 --> 01:37:17.000 - Thank you. 01:37:17.000 --> 01:37:18.000 - Anything else? 01:37:18.360 --> 01:37:20.160 - Not too bad. 01:37:20.160 --> 01:37:22.120 - We're only seven minutes over night 01:37:22.120 --> 01:37:23.200 - when I was shooting for it. 01:37:23.200 --> 01:37:24.040 - So it's o'clock. 01:37:24.040 --> 01:37:27.400 - Do you have a motion to adjourn? 01:37:27.400 --> 01:37:29.120 - I move the re-incorporation. 01:37:29.120 --> 01:37:30.440 - I second. 01:37:30.440 --> 01:37:31.640 - All those in favor? 01:37:31.640 --> 01:37:32.480 - Aye. - Aye. 01:37:32.480 --> 01:37:35.400 - Okay, if you could turn this off. 01:37:35.400 --> 01:37:36.240 - Unplug us. 01:37:36.240 --> 01:37:46.600 - (orchestral music) 01:37:47.600 --> 01:37:50.520 - (orchestral music) 01:37:51.080 --> 01:37:54.000 - (orchestral music) 01:37:54.000 --> 01:37:56.920 - (orchestral music) 01:37:56.920 --> 01:37:59.840 - (orchestral music) 01:37:59.840 --> 01:38:02.760 - (orchestral music) 01:38:02.760 --> 01:38:05.680 - (orchestral music) 01:38:05.680 --> 01:38:08.600 - (orchestral music) 01:38:08.600 --> 01:38:11.520 - (orchestral music) 01:38:11.520 --> 01:38:14.440 - (orchestral music) 01:38:14.440 --> 01:38:17.360 - (orchestral music) 01:38:18.320 --> 01:38:21.240 - (orchestral music) 01:38:21.240 --> 01:38:24.160 - (orchestral music) 01:38:24.160 --> 01:38:27.080 - (orchestral music) 01:38:27.080 --> 01:38:30.000 - (orchestral music) 01:38:30.000 --> 01:38:32.920 - (orchestral music) 01:38:32.920 --> 01:38:35.840 - (orchestral music) 01:38:35.840 --> 01:38:38.760 - (orchestral music) 01:38:38.760 --> 01:38:41.680 - (orchestral music)