Cirque Meadows by Adam Johnson




The Larimer County Board of Health convened its regular meeting at 7:00 PM at the Larimer County Department of Health and Environment, 1525 Blue Spruce Drive, Fort Collins, CO.


            MEMBERS PRESENT:                                 Teri Olson, R.N., M.S.N.

                                                                                    Dr. Mark Richards, M.D., M.P.H.                  

                                                                                    Lee Thielen, M.P.H.

                                                                                    Judy R. Robinson, B.S.N., M. P.H.

                                                                                    Steve Yurash


      Executive Secretary                                        Adrienne LeBailly, M.D., M.P.H.


OTHERS PRESENT:                                       Marie Macpherson, Gerald Blehm,                                       Averil Strand, and Amy Smith




     1.   Call to order


            The Board of Health meeting was called to order at 7:06 P.M.



    2.     Approval of minutes of the December 17, 2009 Board of Health Meeting.


The minutes of the December 17, 2009 meeting were unanimously approved.



3.   Report on 2009 Goals and Preliminary Discussion of 2010 Goals – Dr. LeBailly,  Division Directors, and Board Members


A.  2009 goals report:


Dr. LeBailly distributed the 2009 report goals to review with the members of the board.


Board of Health goals report:  The Board discussed their desire to build a relationship with Lew Gaiter, our new county commissioner, as well as to thank Commissioner Rennels for her many years of support of the Board of Health and the Department.  They agreed to carry over the goal of doing a self-evaluation into 2010, and discussed some ways that might be done, including having senior staff contribute to the evaluation, using the instrument completed in 2008.  They also wanted to look at most significant population health deficits and address looking at approaches to improve them.  The Board agreed that 2009 was not a year to reduce staff, but we may have to consider if reductions are necessary in 2010 depending on the situation with state and county funding sources.


Department Goals Report: Dr. LeBailly reported that a number of the goals were not completed due to the H1N1 outbreak, but would be completed in the coming year, even though not repeated in the 2010 proposed goals.  They include formalizing a department complaint process and an employee recognition plan. The Department is working on an employee recognition event in February or March 2010.  The Department has participated in the work of the state public health improvement plan. The public health services IT management system (ETHOS) system is progressing well, and running ahead of schedule.  Dr. LeBailly explained a long term goal to be able to exchange information among all health care providers and public health agencies through a Health Information Exchange.  The update of the Department video is nearly complete.


Administrative Goals Report: Marie Macpherson updated the Board on the progress to cross-train staff of multiple duties, and the use of tele-working for increasing numbers of select staff, and the effort to expand Medicaid billing for health department services.


Community Health Goals Report: Averil Strand reviewed the many efforts of the department to find creative ways to help maintain and make up for funding losses in the maternal health programs.  Ms. Strand identified the improved relationships and better communication with the state STD program, which has helped for syphilis and gonorrhea investigations, but there are still some gaps due primarily to lack of resources at both state and local level.  An internal testing policy for employee skin testing for tuberculosis is currently under review.  Our family planning program was able to provide more long-term contraceptive methods to low-income clients though the support of a special state fund donated by an anonymous contributor.


Environmental Health Goals Report: Jerry Blehm advised the Board that the draft state regulations for uranium mining are among the most comprehensive in the country, which will be helpful in dealing with the surge of interest in uranium mining, both in situ leach mining and hard rock mining. He also noted the food licensing revenue did increase in July.  We won’t see most of that until the 2010 licenses are paid for in December and January. He updated the BOH of the new sewer plant at Glacier View, with will be a great benefit to that subdivision.  The Hidden View Estates project is moving forward, with the help of a $300,000 grant.


Teri Olson, President of the Board commended the Department for the successful work done in 2009, including the response to H1N1.



B.  Draft Goals for 2010:


The board quickly reviewed the draft goals for 2010, with most of the focus on the Board of Health’s goals.  The plan is to finalize them at the February Board of Health meeting.  The Board clarified their own goals for 2010, and decided to replace the population health deficits goal with a goal to meet the Board of Health’s responsibilities under the new public health bill, which includes looking at health priorities, doing a community health assessment, and developing a public health improvement plan over the next several years.


            Board of Health Goals:


·  Ensure that the Board of Health and the Department meet the responsibilities of 2008 Public Health Reorganization statute.  

·  Maintain a positive relationship with the Board of County Commissioners. Meet with Lew Gaiter, the new Larimer County Commissioner, to orient him to the role of the Board of Health and the activities of the Department.

·  Continue to do a self-evaluation of the Board of Health and include feedback from the department’s senior managers


            Dr. LeBailly agreed to e-mail the members the evaluation tool used in 2008.


Ms. Thielen extended an invitation to the fellow members of the Board to attend a meeting on January 21 at 4:00-5:00 P.M. to discuss whether local boards of health are interested in forming a state association.  The meeting is sponsored by Commissioner Nicholson at the CCI building, 800 Grant St., Suite 335, in Denver.   


Ms. Macpherson advised the Board that the Department would reimburse their travel to Denver if they wanted to attend.         


4.   Performance Evaluation of the Public Health Director


At 8:53 PM, Judy Robinson moved that the board go into executive session to discuss a personnel matter (the public health director’s evaluation) in accordance with C.R.S. 24-6-402 (4) (f) ( I). The motion passed unanimously.

The board returned from executive session at 9:17 PM.  No action was taken


5.     Next meeting – Feb 11, 2010

6.   Adjourn

The Board of Health Meeting was adjourned at 9:19 P.M.












__________________________                     ____________________________________

Amy Smith, Recording Secretary                    Adrienne LeBailly, MD, Executive Secretary

Background Image: Cirque Meadows by Adam Johnson. All rights reserved.