ROLL CALL:Present:Mary Cook

January 11, 2016

TIME AND PLACE:The regular meeting of the Monroe County Board of Health was called to order by Mary Cook at 9:00 a.m. Monday, January 11, 2016 in Room 443of the Community Services Center, Bldg A, 14301 County Hwy B, Sparta.

ROLL CALL:Present:Mary Cook

Jim Rice

Gene Treu

Marlene Sund

Dean Peterson

Kristy Brown

Emma Ledbetter

Excused:Wade Blackdeer

Staff:Sharon Nelson

Pam Rainwater

REVIEW OF MINUTES:Minutes of the December 14, 2015 meeting were reviewed as presented.Motion by Kristy Brown, seconded by Emma Ledbetterto approve minutes as presented; motion carried.

BUDGET REPORTS:Sharon Nelson presented the budget reports for Public Health, WIC, and Loan Closet to the Board.

PROGRAM REPORTS:Pam Rainwater presented the program reports.

STAFF COMP TIME & MILEAGE REPORT: Pam Rainwater presented the staff comp time and mileage reports.

2013, 2014 PRELIMINARY 2015 WISCONSIN MEDICAID COST REPORT (WIMCR) UPDATE:

Sharon informed board members that, based on the 2013, 2014 and preliminary advancements for 2015 Wisconsin Medical Assistance Cost Reports (WIMCR), the health department will be able to recoup $51,736.85. Sharon advised that the health department received a check in the amount of $215,627.18, a portion of which belongs to the human services department. Sharon met with human services finance staff to discuss adjustments needed; a journal entry will be made to reflect a transfer of $163,890.33 to the human services department with a net deposit of $51,736.85 to the health department for prenatal care coordination (PNCC) services. WIMCR payments reimburse the health department for actual incurred and allowable expenditures of public funds made by Monroe County in providing Medicaid covered services.

January 11, 2016

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PREVNAR 13 IMMUNIZATION

Sharon discussed with board members the possibility of purchasing Prevnar 13 vaccine (recommended for persons 65 years and older), effective against 13 strains of pneumococcal pneumonia, for health department use. She stated that the current market price is $152.00 per dose and that the health department has been receiving inquiries regarding availability. Sharon noted that there are two pneumococcal vaccines recommended for adults, Pneumovax 23 (protective against 23 strains of pneumonia), which the health department currently offers, and the Prevnar 13. Sharon provided board members with a CDC handout regarding timing for vaccinating adults with the two different pneumococcal vaccines. Following discussion, the recommendation was made to purchase 10 doses of Prevnar 13 vaccine. Cost to the public will be market price plus a $3.00 administration fee. Motion made by Dean Peterson, seconded by Kristy Brown to purchase 10 doses of Prevnar 13 and to charge market price plus a $3.00 administration fee; motion carried.

PUBLIC HEALTH BUDGET Line Item Transfer:

Sharon requested a 2015 public health expenditure line item transfer as

follows: $500.00 from Mileage account to Preventive Programs. Motion made byKristy Brown, seconded by Emma Ledbetterto approve line item transfer; motion carried.

VACCINES FOR CHILDREN (VFC) IMMUNIZATION ONSITE AUDIT, WI DIVISION OF PUBLIC HEALTH:

Sharon informed board members of the Vaccines for Children (VFC) Immunization onsite audit conducted at the health department on November 17, 2015. Guiding the audit was Jim Zanto of the Western regional office in Eau Claire. Sharon noted that just a few of the components of the audit included review of the health department’s immunization policy and procedure, consent forms and record keeping for refrigerator and freezer temperatures. Sharon was pleased to report that no recommendations or citations were issued and that correspondence was subsequently received from Jim reflective of such.

MEDICAL TRANSCRIPTIONIST/CLERK RESIGNATION:

Sharon informed board members that Sue Trautsch, Medical Transcriptionist/Clerk, has tendered her resignation effective January 13, 2016. Sharon read the e-mail, sent to her by Sue on December 31, 2015, noting that she will begin employment with Business Health at Gundersen Health System on January 18, 2016. Sharon reminded the board of the opening for the part-time WIC Clerk/Health Screener position and her subsequent conversation with the WIC Coordinator regarding the possibility of combining the two part-time positions into one full-time position. The decision was made to hire one full-time individual who would work 20 hours per week in each position. Interviews for a full-time position will be conducted next week.

January 11, 2016

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ADJOURNMENT: The next Board of Health meeting will be held on February 8, 2016, at 9:00a.m. in Room 443 of the Community Services Building. Motion to adjourn the meeting at10:17a.m. made by Kristy Brown, seconded by Dean Peterson; motion carried.

Respectfully submitted by,

Sharon L. Nelson, RNPamela J. Rainwater, RN

Director/Health OfficerRecording Secretary

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