Cirque Meadows by Adam Johnson




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


           MEMBERS PRESENT:                                   Judy Robinson, RN, MPH

                                                                                    Lee Thielen, M.P.A.

                                                                                    Steve Yurash

                                                                                    C.J. McKinney, M.A.


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

Staff:                                                                Marie Macpherson, Bruce Peters, Janelle Henderson, Doug Ryan, Steve Simonson and Amanda Mozer


 1.    Call to order


The Board of Health meeting was called to order at 7:09 PM.


2.     Approval of the August 25, 2010 Board of Health meeting minutes


            The minutes of the August 25, 2010 meeting were unanimously approved.


3.   Review of new vehicle air emissions testing requirements effective Nov. 1, 2010 for Larimer County – Doug Ryan, Environmental Planner 


Ø  The vehicle emission inspection program starts 11/1/10 and applies to gasoline-powered vehicles and light trucks registered inside the program area

·  There will be four centralized testing locations in the North Front Range (one station in each Loveland and Fort Collins and two stations in Weld County)

·  Testing is required every two years; notified through vehicle registration renewal postcard


Ø  Mr. Ryan distributed and explained “2010 Summer Ozone Season & Vehicle Inspection Update” and “Draft Data for 2010 Ozone Season” document 

·  Over the years EPA has consistently lowered the ozone air quality standards because of the strong statistical association between exposure to ozone and health impacts like hospital admissions for asthma

·  Denver Metro and North Front Range are considered a non-attainment area as two of its monitoring sites are not in compliance with the EPA’s 2008 8-hour standard: 0.075 parts per million

·  If EPA lowers the 2010 8-hour standard to 0.065 or 0.060, half or all of the area’s monitoring stations will not be in compliance

·  Planning has begun on a new Ozone Action Plan to address the 2008 and anticipated 2010 ozone air quality standards with the Regional Air Quality Council (RAQC) , the State, the local air quality technical team and the North Front Range Metropolitan Planning Organization


4.   Resolution of Board of Health approval for Project Public Health Ready plans – Janelle Henderson, Grant Coordinator for the Emergency Preparedness and Response Program


Ø  Ms. Henderson presented the Public Health Emergency Operations Plan and distributed “Plan Annexes” document to Board

·  Under State regulations all local health departments are required to have a Public Health Emergency Operations Plan and are required to review and update their plan every year

·  The Emergency Preparedness and Response Grant requires programs apply for NACCHO’s Project Public Health Ready (PPHR) national certification 

- LCDHE submitted their application for PPHR to the State on September 1st

- State provided feedback on application and one of their suggestions was to include a resolution passed by the BOH adopting the plan in their application packet

- Revised application is due to the State 12/1/10 and sent to NACCHO 3/1/11 


Ø  Ms. Henderson distributed Draft BOH Resolution to Board  

·  At November BOH meeting, BOH would like a presentation on a summary of the plan content including a list of what needs to be completed, how many sections had comments, how many sections did not have comments, what sections are most important, etc.

·  Two amendments were made to the draft resolution: 1) 1st WHEREAS will start with, “Larimer County BOH recognizes the important role Public Health plays in emergency response in the community as part of its responsibility to protect the health of our citizens” and 2) include “BOH also received a presentation from LCDHE on the highlights of the report.”

[November meeting was cancelled due to meningococcal vaccination clinics; revised application submitted without  Board of Health resolution.]



5.   Follow-up discussion of 2011 budget and budget hearing – LCDHE and BOH


Ø  Marie Macpherson, Director of Administrative Services, distributed LCDHE Final Budget, Letter of Budget Transmittal, Budget System Report, Budget Summary and five Proposal for Service documents and explained main differences in the Final Budget to Board

·  LCDHE will use approximately $20,000 more of reserves than projected in August 2010

·  LCDHE’s bottom line expenses for 2011 are $8.9 million versus the projected $8.7 million


Ø  Dr. Richards, Dr. LeBailly, Marie Macpherson, and Bruce Peters met with County Manager, County Budget Director, and Assistant County Manager to review the Letter of Budget Transmittal and proposed performance measurements submitted with our budget

·  Per budget guidelines, LCDHE added performance indicators and budget information to Proposal for Service documents

·  LCDHE reported to the County Manager and Budget Director that: 1) they may have different performance measures by next year as they would like to ask each program what they consider  as meaningful measures of inputs, work load, efficiency, satisfaction and outcomes for their program and that 2) it would be helpful to look at data outcomes longer than three years to see a meaningful trend as public health status measures have expected levels of year to year variation  

·  Once LCDHE receives staff feedback they will propose performance measures for the next round of budgeting in 2011


Ø  County Manager has to propose a balanced budget by 10/15/10

·  County will be holding public budget hearings in Fort Collins on 11/15/10 and in Estes Park on 11/22/10

·  County will have a finalized budget by 12/17/10  

·  LCDHE will be working with staff on prioritization of services; LCDHE will present staff’s recommendations to the BOH in May 2011

*Motion was made to approve the submitted budget

*Motion was unanimously approved


6.   Department acceptance of credit cards – Bruce Peters, Assistant Director of Administrative Services


Ø  LCDHE now accepts VISA, American Express, Mastercard, Discover and Diners Club

·  LCDHE will be working with a vendor through Costco called Elavon

·  Elavon has the lowest transaction fee option (1.44%) with the most available services

·  For 2010 LCDHE budgeted $2,600 for implementation of program (includes start-up fees and hardware) and $200 per month for on-going costs

·  As of 10/7/10 all three LCDHE sites have credit card machines 

·  Machines can also process checks; LCDHE has not implemented check processing yet


7.   APHA meeting - LCDHE presentations and exhibit hall booth activities – Dr. LeBailly


Ø  35 LCDHE employees will be attending American Public Health Association Annual Meeting 

·  LCDHE will be sponsoring a double booth in the exhibit hall where they will be demonstrating the ETHOS Public Health Management System and PHEWR the web registration for Public Health  Event Web Registration system used for our H1N1 clinics


8.   Director’s report – Dr. LeBailly 


Ø  On behalf of the BOH, Dr. Mark Richards published an editorial in the Loveland, Fort Collins and Estes Park local newspapers opposing amendments 60, 61 and proposition 101


Ø  A third death from complications of meningococcal disease occurred this week, involving a hockey player who became ill after a game in June 2010


Ø  Dr. LeBailly distributed Draft LCDHE 2009 Annual Report to Board and requested feedback

·  Report will be made available on LCDHE’s website

·  LCDHE will send draft report to Dr. Richards via email


Ø  On 11/29/10 Colorado Association of Local Boards of Health will be meeting in Colorado Springs

·  Ms. Macpherson will send an electronic version of LCDHE’s travel form to Board members

9.   Next meeting – [November  meeting was cancelled; December 9 will be next BOH meeting]


10. Adjourn

The Board of Health meeting was adjourned at 9:14 PM.





_______________________________                 ____________________________________

Amanda Mozer, Recording Secretary                    Adrienne LeBailly, MD, Executive Secretary

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