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									November 11, 2002

Taylor County Board of Health

November 11, 2002          Ground Floor Conference Room       9:00am-9:54am

The regular meeting of the Taylor County Board of Health was called to order by
George Dums at 9:00am. All members were present except Dr. Meyer. Also in
attendance were Michele Armbrust and Patty Krug.

Approve The Minutes Of The October Meeting. A motion was made by Mary Bix and
seconded by Mary Williams to approve the minutes as mailed. Motion carried.

Approve Monthly Bills. A motion was made by Mary Williams and seconded by Mary
Bix to approve the bills as presented. Motion carried.

Public Health
Update on Programs/Grants. Patty and Michele informed the committee of the
following areas: Flu vaccination clinics and the success of those requiring
additional orders of flu vaccine, school health, school based hepatitis B clinics,
Wisconsin Immunization registry training, monies received for MA programs with
PNCC and home care due to cost reports, 2003 grants have been sent for
signatures, progress on 2002 grants, PH programs assessment cancellation for
today, open house hours for courthouse this weekend, bioterroism and regional
trauma care grant fundings and meetings.
Review Human Hazard Investigations. The committee reviewed open cases.

Communicable Disease Investigations. Cases investigated this past month included
STD’s, animal bites, measles, lymes disease, west nile virus and enteric diseases.

Home Care-Update on Program.        Patty informed the committee of the state
notification of closure of the program, client choice of 6 agencies for services and
other issues related to closure of home care program.
Patty informed the committee some staff will be paid through grant monies for
positions in 2003. She told the committee that after looking at the Maxus study of
nonprofessional staff that she felt it would be justified to maintain a full time
secretary and bookkeeper for the agency but that would have to be discussed in
the future after the assessments are completed.
She also informed the committee that Michael, union personnel and herself had
met in regards to staff layoffs. She informed the committee that there will be a
difference in opinion related to bumping protocols with loss of hours.

Report on Meeting Attended By Committee Members. There were none.

Next Meeting Date is December 16th at 9:00am

Adjournment. With no further business on hand, a motion was made by Lester
Lewis and seconded by Paul Hoffman to adjourn the meeting at 9:54 am. Motion
carried.

Respectfully submitted,
Patricia M. Krug, RN Director
September 16, 2002

Taylor County Health Department

September 16, 2002               3rd Floor Jury Room                9:00am-10:00am

The regular meeting of the Taylor County Board of Health was called to order by
George Dums at 9:00am. All members were present except Paul Hoffman and
Mary Williams. Also in attendance were Luke Klink, Michele Armbrust, and Patty
Krug.

Approve The Minutes Of The August Meeting. It was noted that minutes should say
Mary and not May Bix for approval of bills. A motion was made by Mary Bix and
seconded by Lester Lewis to approve the minutes as corrected. Motion carried.

Approve Monthly Bills. A motion was made by Mary Bix and seconded by Mary
Haider to approve the bills as presented. Motion carried.

Public Health
Update on Programs. Patty reviewed the following items related to public health:
Bioterroism, school health services in Rib Lake and Gilman, west nile virus
including 4 birds have now been diagnosed and that we will not be sending in any
further specimens for testing, flu vaccine, hepatitis B school based clinics, and
gave an update on the amount of hours for jail health. The department has
exceeded the hours spent for jail health last year already through July of this year.
Mary Bix discussed mental health issues related to jail health and the publicity
associated with this issue. Michele will start assisting schools (not Medford school
district) with vision and hearing screening.

Update on Grants. Patty informed the committee of the process with the GAC system
and where we are in the process for year 2003. She reviewed with the committee
that we are still working on 2002 goals. She reported that currently we only have
one provider not on a registered immunization registry in the county and the goal
is to have all health care providers and schools on the registry.

Review Human Hazard Investigations. Patty reported that there have been no new
complaints this past month and continue to work on current complaints.

Communicable Disease Investigations. Cases investigated this past month included
STD’s, aseptic menigitis, animal bites, west nile virus, lymes disease, and enteric
diseases.

Home Care-Update on Program. Patty reviewed with the committee the state survey
results. Patty reported that the 2001 cost report is completed but we are waiting
for the county audit materials to be given to the county. It is expected that the
audit materials should be here this week. The agency needs to have this material
to the Medicare auditors with that information included in the cost report. Patty
informed the committee that based on the report we completed that we should see
a return of $6500 from Medicare.
Patty informed the committee of the resignation of a home health aide and the
decision of personnel to approve replacement. At this time, Mary Bix requested
that this committee also approve the replacement of the home health aide. A
motion was made by Mary Bix and seconded by Pat Mertens to approve the hiring
of a home health aide. Motion carried.
At this time, George Dums requested that the committee be given information for
personnel related to the expenditures associated with homecare. Patty informed
the committee that all expenditures are recorded and that county board members
received that information. George requested that he would like more information
related to hours worked in the programs and related expenditures. This is to be
sent to committee members prior to the next meeting.
HIPAA Compliance for the Health Department. Patty discussed with the committee the
impact of HIPAA on the county. This information is was obtained at the two day
training attended last month. There will be lots of work involved with compliance
and the county will be required to do it. This will require someone who will work
only on this issue because of the demands associated with compliance. This
affects the health department, IS and the department that will have the greatest
impact will be human services. This is a requirement. The initial testing will have
to start by April 2003 and will have to completed by October 2003. There will be
financial penalities for agencies who do not comply. This initiative was to start
October 2002 but the health department did apply for the year extension.

Report on Meeting Attended By Committee Members. There were none.
Next Meeting Date is October 14th at 9:00am
Adjournment. With no further business on hand, a motion was made by Mary Bix
and seconded by Lester Lewis to adjourn the meeting at 10:00 am. Motion
carried.

Respectfully submitted,




Patricia M. Krug, RN Director
Taylor County Health Department

July 22, 2002 County Board Room 9:30am-10:20am

The regular meeting of the Taylor County Board of Health was called to order by
George Dums at 10:00am. All members were present except Mary Bix who was
excused. Also in attendance were Luke Klink, Michele Armbrust, Dennis Jensen,
Ken Floyd, Mary Ann Kropp and Patty Krug.

Approve The Minutes Of The June Meeting. A motion was made by Mary Williams and
seconded by Pat Mertens to approve the minutes as mailed. Motion carried.

Approve Monthly Bills. A motion was made by Paul Hoffman and seconded by Mary
Haider to approve the bills as presented. Motion carried.

Public Health

Update on Programs. Patty reviewed the results of her and Michele’s meeting with
the Rib Lake School District for school health services through 2005. An
agreement has been made to currently pay approximately 320.00 per month
through the end of the contract. An account shall be initiated for these monies at
the county level to utilize for payment of services after the 21st century contract
has been completed. A motion was made by Mary Williams and seconded by Pat
Mertens to approve the agreement. Motion carried. Bike helmets are still
requested by the communities for various events.

Update on Grants. WIC caseload was down this month but usually is during the
summer months. 6 month grant review was completed last week with some of our
grant goals already reached and some of the goals we need to begin work on them
to accomplish the work.

Review Human Hazard Investigations. Patty reviewed the current complaints and gave
the committee the updated report of complaints.

At this time, Dennis Jensen provided pictures and an update on the Bernitt
property in the town of Chelsea and concerns that have been brought to his
attention. Patty provided a past history with contacts by the health department to
Mr. Bernitt. Mary Ann Kropp updated the committee on past taxes that are own on
the property. Discussion ensued about the options available to the committee. A
motion was made by Dr. Meyer and seconded by Mary Williams to notify Mr.
Bernitt that he has 30 days to inform the committee of his plans for the building
which include repairing the building to make it habitable or razing of the building
with appropriate measures to be taken related to hazardous materials. A notice
shall also be posted on the building. Motion carried.

A complaint was noted on Mr. Floyd who was to bring in landfill receipts for the
building he razed in the town of Chelsea. The receipts were due by July 14th . Mr.
Floyd reported that the receipts were at his home and he was requested to deliver
them to the health department today. Mr. Jensen, Mr. Floyd, and Mary Ann Kropp
left at this time.

Patty Krug informed the committee of the complaint involving Mr. Floyd. She
explained the complaints received in the office related to materials burnt on the
property. She requested from the committee permission to issue a citation if the
receipts do not reflect the amount of material for that size of a building to be
delivered to the landfill. A motion was made by Pat Mertens and seconded by Mary
Haider to issue the citation if the landfill receipts do not reflect the amount of
materials that should have delivered. Motion carried.

Patty informed the committee that the DA has requested to negotiate with Mr.
Kowinski for payment of 1 citation instead of 2. A motion was made by Paul
Hoffman and seconded by Lester Lewis to give the DA authority to negotiate the
citation from 2 to 1 forfeiture. Motion carried.

Patty reported on one new complaint received this past Friday related to garbage.

Communicable Disease Investigations. Cases investigated this past month included
STD’s, Hepatitis A, animal bites and enteric diseases.

Home Care-Update on Program. Patty reported that they have not received a final
report on the year 2000 cost report. She informed the committee that the
bookkeeper and one nurse are still on FMLA. She reports that the agency is
currently in a staffing shortage because of the FMLA and vacations but once
everyone is back to work things should be okay. She reported on some services
such as immunization clinics have had to be cancelled because of the staffing
issue but these are advertised in the Star News and on WKEB.

HIPAA Compliance for the Health Department. Patty informed the committee that there
is a meeting about this issue in Chippewa Falls. IS, Human Services and the health
department plan on attending. She will contact the Sheriff Department about this
issue.

Report on Meeting Attended By Committee Members. There were none.

Next Meeting Date is August 20th at 9:00am

Adjournment. With no further business on hand, a motion was made by Mary
Williams and seconded by Lester Lewis to adjourn the meeting at 10:20 am.
Motion carried.

Respectfully submitted,




Patricia M. Krug, RN Director
June 17, 2002

Taylor County Health Department

June 17, 2002 County Board Room 9:00am-9:40am

The regular meeting of the Taylor County Board of Health was called to order by
George Dums at 10:00am. All members were present except Pat Mertens. Also in
attendance were Laurie Sacho, Michele Armbrust and Patty Krug.

Approve The Minutes Of The May Meeting. A motion was made by Mary Bix and
seconded by Mary Williams to approve the minutes as mailed. Motion carried.

Approve Monthly Bills. A motion was made by Mary Bix and seconded by Paul
Hoffman to approve the bills as presented. Motion carried.

Public Health

Update on Programs. Patty and Michele attended the state WPHA conference and
reviewed the information. Patty informed the committee that Rita Clark from
WKEB won the WPHA media award. Michele has been doing the Hepatitis B shots
for the county/forestry service for employees. Marla has started the TB skin
testing programs for inmates in our jail. Patty reviewed the information related to
potential small pox vaccination and the amount of time and staff it will take if this
becomes an optional immunization.

Patty informed the committee that the bookkeeper for the agency is out on family
medical leave as of today. A nurse is still out on family medical leave and Patty
will have jury duty next month.

Update on Grants. Patty informed the committee that there will be two remotes
done with WKEB to give away bike helmets. She is currently working with Pat
Schilling to spend down tobacco control grant monies. Our radon grant has been
renewed but we now will cover Rusk County as part of our consortium. WIC is
close to exceeding our contracted caseload.

Review Human Hazard Investigations. Patty reviewed the current complaints and gave
the committee the updated report of complaints. Patty discussed the case of
Kowinski/Rudolph property. Discussion ensued. A motion was made by Bix and
seconded by Hoffman to issue two separate citations to Mr. Kowinski for
maintaining a human health hazard. A roll call vote was taken (Dums-yes, Bix-yes,
Lewis-yes, Haider-yes, Williams-yes, Hoffman-yes, Dr. Meyer-abstain, one absent).
Motion carried.

Patty reviewed the Higgins complaint forwarded from zoning which was not on the
log.

Communicable Disease Investigations. Cases investigated this past month included
STD’s, Hepatitis A, animal bites and enteric diseases.

Home Care-Update on Program. Patty reported that the medicare cost report was
sent in for year 2000 and we should receive approximately $2600 back for costs.
Patty reviewed staffing issues for the committee. The new HIPPA law will have
some impact on the health department and human services for billing. Patty and
Cindy have asked human services to look at a program that they could potentially
cost share to meet the new criteria.

Report on Meeting Attended By Committee Members. There were none.

Next Meeting Date is July 9th at 9:00am

Adjournment. With no further business on hand, a motion was made by Mary Bix
and seconded by Lester Lewis to adjourn the meeting at 9:40 am. Motion carried.

Respectfully submitted,




Patricia M. Krug, RN Director
May 14, 2002

Taylor County Board of Health

May 14, 2002         County Board Room         9:00am-9:50am

The regular meeting of the Taylor County Board of Health was called to order by
George Dums at 10:00am. Introductions were made of members in attendance.
All members were present except Pat Mertens and Dr. Meyer. Mary Williams
joined the meeting later. Also in attendance were Jim Metz, Michele Armbrust and
Patty Krug.

Approve The Minutes Of The April Meeting. A motion was made by Mary Bix and
seconded by Mary Haider to approve the minutes as mailed. Motion carried.

Approve Monthly Bills. A motion was made by Mary Bix and seconded by Paul
Hoffman to approve the bills as presented. Motion carried. Patty informed the
committee that the department has requested a bid from IS for a computer for the
person doing the tobacco grant. This will be paid for through grant dollars and the
request will be addressed at the executive committee meeting next Monday.

Public Health
Update on Programs. Patty asked the committee if there were any questions related
to the packet of information the committee received in regards to statutory
requirement for the Board of Health and the Health Department, staffing of the
agency, programs and budget. There were no questions at this time.

Michele explained the health department’s role with the 21st century grant for Rib
Lake and Gilman schools. She informed the committee of her conference in
Cleveland, Ohio as a representative of the Rib Lake School District. Patty
explained that she currently is working on a contract with Rib Lake to offer school
health services once the 21st century grant is not available for funding.

Patty informed the committee of two meetings she attended since the last BOH
meeting related to bioterroism and what the effect it will have on the health
department related to weapons of mass destruction, food and water induced
bacteria, small pox and the flu pandemic. She stated the meetings were very good
and did offer good information.

Patty informed the committee that she has been invited to the town’s association
meeting this coming Thursday to discuss what are the responsibilities of the
health department and how can we help communities with some of the issues
related to health issues.

Patty informed the committee that almost all the designated county employees
from human services and the sheriff’s department have completed the hepatitis B
vaccination program. The department has received authorization from human
resource director to order more vaccine so we can have 20 doses in stock.

Update on Grants. All 3rd grade students in Taylor County will have received their
bike helmets by the end of this week. No other updates at this time.

Review Human Hazard Investigations. Patty reviewed the current complaints and
gave the committee the updated report of complaints. She informed the committee
that another letter has been received related to the outdoor wood burning furnace
in Chelsea. This issue has become a problem statewide when these are placed in
populated areas. The issue is really one of an ordinance by the townships or
zoning whether they will allow such type of furnaces in a populated area. This
needs to be determined by each township rather than the board of health.
Discussion ensued. A motion was made by Lester Lewis and seconded by Mary Bix
that this issue should be sent back to the governing board of that township to
decide what should be done. Motion carried.

Communicable Disease Investigations. Patty and Michele updated the committee on
the diseases that each are responsible for investigating. Patty and Michele
reported on the activities of the last month. Patty reported on a dog bite case that
the owners wanted the animal destroyed rather than waiting the 10 days. Patty
did not authorize the fee exempt testing for rabies because the request does not
follow the state requirements and the animal is to be observed for the 10 days.

WALDAB Meeting Notice. Information for the committee. Patty will be attending the
meeting if any committee members are interested in attending.

Letter from NALBOH. This was for information only.

Home Care-Update on Program. Patty reported that we just got the information to do
our year 2000 Medicare Cost Report which is due June 17th. The home care
licensure report for the state was sent in last week. Patty did sign a contract with
Security Health Plan to be a Medicare Choice provider. A nurse will be on FMLA
starting this Thursday.

Report on Meeting Attended By Committee Members. There were none.

Election of Vice Chair. A motion was made by Paul Hoffman and seconded by Mary
Bix for Mary Haider to be vice chair. Motion carried.

Next Meeting Date is June 17th at 9:00am

Adjournment. With no further business on hand, a motion was made by Mary Bix
and seconded by Lester Lewis to adjourn the meeting at 9:50 am. Motion carried.

Respectfully submitted,




Patricia M. Krug, RN Director
April 9, 2002

Taylor County Health Department

April 9, 2002 County Board Room 10:00am-11:18am




The regular meeting of the Taylor County Board of Health was called to order by
Mary Bix at 10:00am. All members were present except Diane Albrecht who was
excused. Patty Krug, Anthony Fraundorf and Laurie Sacho were also in attendance.

Approve The Minutes Of The March Meeting. A motion was made by Mary Williams and
seconded by Judy Troyk to approve the minutes as mailed. Motion carried.

Approve Monthly Bills. A motion was made by Judy Troyk and seconded by Pat
Mertens to approve the bills as presented. Motion carried.

Public Health

Update on Programs. Michele continues to be at Gilman and Rib Lake School Districts
1x/week. The agency will participate in Medford Child Development Days, which
will be held on Thursday and Friday only this year. We are finishing the 3rd
hepatitis B shots for the schools.

There are two meetings scheduled within the next month. The first meeting is on
April 16th, as an informational meeting related to a potential large gathering of
individuals (over 19,000) in the Chequamegon National Forest. The exact site will
not be known until June 2002. The other meeting is scheduled for May 1st at Clark
County Health Center put on by the FBI related to Weapons of Mass Destruction.
Patty reports she is attempting to finish a grant for Drug Free Communities. Patty
informed the committee of jail health issues.

Update on Grants. Patty reported that we are unsure yet of the health departments
receiving monies from the tobacco control board for next year. We are attempting
to do more outreach for the Wisconsin Well Woman Program. We received an
additional $4900.00 for the immunization grant. Patty and Tony attended the
environmental health seminar on April 3rd. Patty reviewed some of the
information. Patty will be setting up the bike helmet programs for each of the
schools in the next month.

Review Human Hazard Investigations. Patty reviewed the current complaints and gave
the committee the updated report of complaints. Tony Fraundorf, EHS answered
questions in reference to the cases listed. Tony reported on the Town of Chelsea
meeting with their board and discussion on outdoor wood burning furnaces in a
populated area. Discussion ensued. It is recommended to bring this back to next
month’s meeting.

Patty reported on the enforcement hearing held with the DNR in reference to
Gilman Head Start and the Rudolph property. She reported the hearing for Taylor
County on April 16th and provided committee members a copy of the notice of
violation.
Communicable Disease Investigations. Patty updated the committee on investigations
related to enteric diseases, Hepatitis C and animal bites.

Home Care-Update on Program. Patty reported on the impact of the new HIPPA
regulations. She reported the Security Health Plan has asked the agency to assist
them with learning the requirements for Medicare forms, regulations, paperwork
and billing requirements. Sue Breneman has resigned from her position. Patty will
request replacement of these hours as needed for staffing.

Report on Meeting Attended By Committee Members. There were none.

Next Meeting Date is May 14, 2002 at 10:00 am.

Adjournment. With no further business on hand, a motion was made by Mary
Williams and seconded by Judy Troyk to adjourn the meeting at 11:18 am. Motion
carried.

Respectfully submitted,




Patricia M. Krug, RN Director
March 12, 2002

Taylor County Board of Health

March 12, 2002     County Board Room        10:00am-11:00am

The regular meeting of the Taylor County Board of Health was called to order by
Mary Bix at 10:00am. All members were present except Diane Albrecht who was
excused. Patty Krug, Michele Armbrust, and Laurie Sacho were also in
attendance.

Approve The Minutes Of The February Meeting. A motion was made by Mary Williams
and seconded by Pat Mertens to approve the minutes as mailed. Motion carried.

Approve Monthly Bills. A motion was made by Mary Haider and seconded by Mary
Williams to approve the bills as presented. Motion carried.

Public Health
Update on Programs. Michele gave an update on her school health activities, which
included issues on child development days, speeches for Head Start, and the
communities on radon and smoking. She reported on the Breastfeeding
conference she attended.
Patty reported her discussion with Michael Lambrecht on the practice of
purchasing breast pumps. The agency can continue to purchase breast pumps for
sale out of public health dollars because we are reimbursed for our costs.
Patty reported on the meeting attended by a nurse in reference to the Baby Drop
Off Law.
Patty reported her participation at the Steps to Adulthood programs with Medford
School District. She reported on the HIPAA conference she attended and the
ramifications this will have on the county for certain departments. She reported
that she has informed Michael Lambrecht of this issue.
Patty reported that the agency is continuing to provide the OSHA services for
Hepatitis B for county employees.
Patty reported that she is in the process of investigating two situations involving
cheese and white powder.

Update on Grants. Patty reported on the request for Pat Schilling to do the pig lung
demonstration in reference to tobacco smoke. Patty and Tony attended the
seminar on the new rules for Lead-Free and Lead-Safe certificates for properties.
Patty reported that the state would receive some monies back for the WWWP
grant because we were unable to attain one of the negotiated goals for this
program. Patty reported that the Bike Helmets have been ordered to present to
3rd graders in Taylor County. She also ordered some smaller sizes for daycare age
children. She was able to order more this year due to a decrease in the price of
$2.00/helmet if purchased in February.

Review Human Hazard Investigations. Patty reviewed with the committee the human
health hazard log. She reviewed the letter from a gentleman in reference to
junkyards and ways to raise revenue and our reply. She informed the committee
of a discussion with Attorney Krug, herself and Tony in reference to a letter sent
by our agency related to a rental property and the ramifications related to
landlord/tenant issues.
Tony was requested to attend the Town of Chelsea board meeting related to our
letter about outdoor wood burning furnaces. This meeting was last evening.
There is an enforcement hearing with the DNR related to the Gilman Head Start
and the Rudolph property that Tony and Patty will attend.
Discussion ensued in reference to the Rudolph property. Patty is to discuss the
issue with corporation counsel in reference to the county’s position of who is the
owner of the property. Patty will bring this to the next meeting.

Communicable Disease Investigations. Patty updated the committee on investigations
related to enteric diseases, and animal bites.

Home Care-Update on Program. Patty reported an increase in admissions for the
program. She reported on the meeting planned with Walgreen’s Health Initiative
related to a contract to provide home care services. Patty reported on 3
employees work issues related to resignation, surgery and death in the family.

Report on Meeting Attended By Committee Members. There were none.

Budget Issues. Patty reported on items that will affect our budget. There will be
cost savings related to worker resignation and not replacing that employee. The
agency bookkeeper will be on family medical leave this summer and Patty will
assume those additional duties. In reference to seminars the agency is already
attending those that are actually required to perform their jobs. Patty asked the
committee what is their preference in reference to seminars and overnight stays.
It was determined that the director shall decide what is the most cost savings of
paying mileage or cost of hotel for seminars.

Next Meeting Date is April 9, 2002 at 10:00 am.

Adjournment. With no further business on hand, a motion was made by Joe Sweda
and seconded by Mary Williams to adjourn the meeting at 11:35am. Motion
carried.

Respectfully submitted,



Patricia M. Krug, RN Director
February 19, 2002

Taylor County Health Department

February 19, 2002 County Board Room 10:00am-11:35am




The regular meeting of the Taylor County Board of Health was called to order by
Mary Bix at 10:00am. All members were present. Patty Krug, Michele Armbrust,
Terri Timmers(Northern Regional Office) and Laurie Sacho were also in
attendance.

Approve The Minutes Of The January Meeting. A motion was made by Diane Albrecht
and seconded by Judy Troyk to approve the minutes as mailed. Motion carried.

Approve Monthly Bills. A motion was made by Judy Troyk and seconded by Pat
Mertens to approve the bills as presented. Motion carried.

Public Health

Update on Programs. Michele gave an update on her school health activities which
included issues on health screenings, dental care, lice, pertussis, eating disorders,
and policies and procedures. Patty reported the numerous phone calls and time
required to followup on unusual questions from the public related to
communicable disease issues.

Update on Grants. Discussion ensued in reference to the tobacco settlement dollars
and what would happen if the governor uses the tobacco monies to offset the
shortfall in the state budget.

Review Human Hazard Investigations. Patty reported on the current status of all old
and new complaints. Discussion ensued on the complaint related to the former
A&W building on Hwy 13. A motion was made by Judy Troyk and seconded by Pat
Mertens to send an order to correct to the property owner recorded at the Register
of Deeds office. Motion carried.

Patty showed the committee the letter given to the city of Medford related to
asbestos that should be given to anyone who comes in for a building permit.

Communicable Disease Investigations. Patty updated the committee on investigations
related to enteric diseases, and animal bites.

WALHDAB MEETING NOTICE. The agenda for the meeting was noted.

WALHDAB Letter of support for Local Public Health Funding. Patty reviewed the
information that was sent to committee members related to this issue. Discussion
ensued. A motion was made by Joe Sweda and seconded by Judy Troyk that a
letter from the Board of Health and individual members should be sent in support
of this action. Motion carried.

Letter from the Wisconsin Tobacco Control Program. Discussion ensued related to this
matter.
Terri Timmers-Regional Director Update. Terri discussed the issues of the tobacco
monies and bioterroism issues.

Home Care-Update on Program. Patty reported that there is some decrease in staffing
hours for home care related to census for the home care program. She informed
the committee of a workman’s comp injury.

Director of Agency Annual Performance Review. A motion was made by Mary Williams
and seconded by Judy Troyk to go to closed session for the purpose of job
performance review for the director. Roll call vote taken. All members voting yes.
Motion carried. Close session began at 11:02am. At this time, the following
individuals left the meeting: Patty Krug, Michele Armbrust, Pat Mertens, Joe
Sweda, Terri Timmers and Laurie Sacho.

A motion was made by Diane Albrecht and seconded by Judy Troyk at 11:28am to
go open session. All members voting yes. Motion carried.

At this time Patty Krug and Michele Armbrust rejoined the meeting. A review of
the evaluation was discussed with Patty Krug. A motion was made by Mary
Williams and seconded by Mary Haider to approve a step increase in salary for the
director. Motion carried.

Report on Meeting Attended By Committee Members. There were none.

Next Meeting Date is March 12, 2002 at 10:00 am.

Adjournment. With no further business on hand, a motion was made by Diane
Albrecht and seconded by Judy Troyk to adjourn the meeting at 11:35am. Motion
carried.

Respectfully submitted,




Patricia M. Krug, RN Director
January 15, 2002

Taylor County Health Department

January 15, 2002 West End Conference Room 10:00am-11:03am

The regular meeting of the Taylor County Board of Health was called to order by
Mary Bix at 10:00am. All members were present except Mary Haider who was
excused. Patty Krug, and Michele Armbrust were also in attendance.

Approve The Minutes Of The December Meeting. A motion was made by Mary Williams
and seconded by Judy Troyk to approve the minutes as mailed. Motion carried.

Approve Monthly Bills. A motion was made by Judy Troyk and seconded by Pat
Mertens to approve the bills as presented. Motion carried.

Patty informed the committee that some bills were not presented today that were
referred to other committees such as IS for a printer for approval.

Public Health

Update on Programs. Patty showed the committee the resource directory completed
by the Prevention Council. MCH block grant dollars were used to assist with the
cost of mailing. Committee members have heard positive comments related to the
directory and its usefulness. The agency will be participating on Jan 17 with
Industry Outreach at the hospital on a seminar on Bioterroism. The agency did not
remember the satellite immunization clinic in Gilman. One person came for it.
Michele went to the daycare provider and gave the immunization the next time she
was in the area. The nurse who does the PNCC clients will be gone for two weeks
due to FMLA.

Michele gave an update on her school nurse activities. Patty informed the
committee that Dan Boxx had called expressing that Michele is doing a great job at
both schools and that the schools are very happy with the services being provided
to them.

Update on Grants. Patty has submitted the tobacco objectives for this year. She has
started to comply the data for 2001 grant objectives. January 31st at 9 a.m. is the
time for 2001 grant review with our grant monitor and Patty informed committee
members that they can attend. At next month’s meeting she plans to review with
the committee the objectives approved for 2002 consolidated contracts.

Review Human Hazard Investigations. Patty reported on the current status of all old
and new complaints. She gave the committee a copy of the environmental health
report for the last quarter related to investigations. She reported that the Mr.
Truman had asked for an extension for the order to correct and this was not
granted. She explained the reason for not granting the extension.

Discussion ensued related to a complaint concerning outdoor wood burning
furnaces in a populated area. A recommendation was made to have a letter sent to
the township to ask them to address this issue. The committee is in agreement
with this recommendation.
Communicable Disease Investigations. Patty updated the committee on investigations
related to enteric diseases, and animal bites. Patty reported that a communicable
disease report incident this past Friday when her or Michele was not available.

WALHDAB MEETING NOTICE. The agenda for the meeting was noted.

Home Care-Update on Program. Patty reported that the cost report for our agency
has been delayed again per Medicare. Our 2000 cost report is not due till August
2002. We will be getting a new upgrade with our software. Patty reported that the
agency was notified that it will be moving again due to the construction. The plans
are the agency will be moved to the 3rd floor DA"s office after they are put in their
new offices.

Director of Agency Annual Performance Review. A motion was made by Mary Williams
and seconded by Judy Troyk to table this till next month’s meeting. Motion
carried.

Report on Meeting Attended By Committee Members. There were none.

Next Meeting Date is February 12, 2002 at 10:30 am.

Adjournment. With no further business on hand, a motion was made by Diane
Albrecht and seconded by Judy Troyk to adjourn the meeting at 11:03am. Motion
carried.

Respectfully submitted,




Patricia M. Krug, RN Director

								
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