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:                      Lee Thielen, M.P.A

                                                                        Teri Olson, R.N., M.S.N.

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

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

                                                                        Blair Trautwein, J.D.


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


OTHERS PRESENT:                         Marie Macpherson,     Gerald Blehm, Janna West-Kowalski, Darlene Huang, and Amy Smith                                                                      

                                                                        Commissioner Kathay Rennels, via telephone


1.    Call to order


The meeting was officially called to order at 7:07 pm.


2.    Approval of minutes of August 21, 2008


The minutes of the August 21, 2008 meeting were unanimously approved.


3.    Presentation and request for Board resolution regarding free tobacco product distribution and promotion at the Ranch


Janna West-Kowalski, the Health Education Supervisor, and Darlene Huang, a Health Educator, reviewed the activities of the Tobacco Free Larimer County program and presented a packet of information to the board.  It Included a timeline of accomplishments of tobacco prevention efforts in Larimer County over the years, and a matrix of policies that can be or have been implemented to reduce tobacco use. Ms. Kowalski and Ms. Huang asked the Board to pass a resolution asking the County Commissioners to prohibit  giving away tobacco incentive products at public events at The Ranch, as well as to place restrictions on tobacco company sponsorships of events held in county facilities.


Dr. Richards asked if passing such a resolution would create problems for the Commissioners.  Discussion ensued regarding the best place to initiate such a policy (city vs. county) since The Ranch is in the Loveland city limits and a recent tobacco-giveaway event had occurred at the Harley Davidson facility in Loveland, rather than on county property, during the “Thunder in the Rockies” event.



Ms. Kowalski commented they wanted to focus on county-owned facilities and property first before expanding to the city level.  Ms Thielen  and Mr. Trautwein asked about the recent ordinance passed by Greeley.  The Greeley ordinance covered the “A” Section of the resolution only, and our staff had learned from that experience that free tobacco products had been replaced by free tobacco-promoting products such as T-shirts and other items; for this reason the proposed resolution also covered such promotional items. 


Commissioner Rennels shared some concerns about potential problems that sections C and D of the resolution could create for the Ranch, which must support itself financially without county tax dollars.  Ms. Thielen shared her concerns that only the Ranch and Budweiser Events Center are specifically mentioned in the resolution, rather than recommending a policy that covers all county-owned or -leased property.  She also wanted to look at modifications to the language of the resolution that would make it successful for both the Board of Health and the Board of County Commissioners.  Mr. Trautwein felt there were potential unintended consequences to parts C and D, and felt the Board of Health needed a better understanding of these before he could vote on those sections.  


Commissioner Rennels suggested that Bob Herrfeldt, the Fairgrounds & Events Center Director, be invited to the next meeting to hear his concerns.  The Tobacco-Free staff will broaden the resolution to apply to all county owned/leased facilities, and look at possibly modifying sections C and D, and send draft revisions to the Board of Health and Mr. Herrfeldt in advance for review. 


4.   Implementation of the Board of Commissioners resolution re-designating the public health agency for Larimer County and re-appointing the Board of Health


        Approve new Board of Health by-laws                     


The County Commissioners had passed a resolution on October 7 dissolving and re-designating the Health Department as the public health agency for Larimer County, and re-appointing the Board of Health.  This resolution will not go into effect until the Board of Health meets tonight to implement it.  Dr. LeBailly distributed a draft copy of proposed new by-laws, which include a few new sections referencing the new public health statutes, and some discussion questions about some potential minor changes to a few items. 


Based on this discussion, the Board made a few minor changes and were ready to adopt the bylaws.


*Motion was made to adopt and accept the by-laws with the discussed changes.

 Motion was unanimously approved.


Elect  Board of Health Officers:


Lee Thielen was nominated for the Board of Health President and Teri Olson was nominated for Vice-President of the Board.


Motion was made for Lee Thielen to be the President of the Board of Health.

Motion was unanimously approved.


Motion was made for Teri Olson to be the Vice-President of the Board of Health.

Motion was unanimously approved.




Re-adopt  Board of Health’s Governing Policies:

Dr. LeBailly distributed the revised “Ends” section of the Board of Health’s Governing Policies Manual for approval.  The only changes were the new statutory references and the table showing the Board’s, the Department’s, and the Director’s statutory authorities.  The other
sections of the policy governance document are unaltered, except that the term “Public Health Administrator” was changed to “Public Health Director” (these sections were not printed out). When the state Board of Health defines the services to be provided by all local public health agencies, that section of the policy governance document will need to be revised and a copy of the entire document will be printed for Board Members.


Motion was made to approve the Larimer County Board of Health Governing Policies Manual.

Motion was unanimously approved.


Appoint Public Health Director:


The newly re-appointed Board of Health then fulfilled their obligation to appoint the Public Health Director for the Department.


Motion was made for Dr. Adrienne LeBailly to be re-appointed as the Public Health Director.

Motion was unanimously approved.


As the Public Health Director, Dr. LeBailly re-appointed all employees of the Larimer County Department of Health and Environment, with no changes in their salaries, benefits, longevity, or privileges.


The Commissioners and the Board of Health are now in compliance with the new public health statutory requirements that must be completed by July, 2009.


5.    Review of policy governance report for 2008


Dr. LeBailly distributed the 2008 Policy Governance annual report to the members of the Board which Director is obligated to present to the Board every October.  The report had been sent out to the Board in advance, and there were no questions about the content.  The members of the Board unanimously agreed to accept the report.  The Board thanked Dr. LeBailly for the extraordinary job done running the Department.


6.    Follow-up discussion of Board of Health self- evaluation and further discussion of process for Public Health Director evaluation


Ms. Thielen updated the members of the Board with the revised calculation of the Board’s self evaluation.  She suggested that, in addition to talking about the director evaluation, the Board may want to discuss their role in communicating with key leaders about the department, in reviewing existing policies, in tracking community health indicators, and in learning more about department programs.


Mr. Trautwein suggested further discussion at a later date regarding community health indicators, and what the BOH may want to do with these in considering department resources and programs.  Dr. Richards suggested the Board approach this task by choosing a limited number of indicators that are of particular importance.  Ms. Thielen informed the Board that once the State develops their public health improvement plan, every local public health agency be required to have develop a local public health improvement plan, which will

require this type of discussion between the Board and Department staff.  Dr. Richards offered to create a list of indicators for consideration. 


Ms Thielen offered to bring some director evaluation tools to the Board for their consideration, as she did for the Board self-evaluation, however, since she will be out of town for the November meeting, she would prefer not presenting these until December.


7.    Director’s Report


Dr. LeBailly recognized that 2008 was not only the 40th Anniversary of the Department but also that Sept. 23 was the 40th anniversary of Jerry Blehm as a Health Department employee. We had intended to do an earlier celebration of both, but now we will likely recognize both events at the Employee Recognition Breakfast on January 7, 2009.  The Board was encouraged to get the date on their calendars now so they can attend (about 8:00 AM to 9:30 AM)


Ms. Thielen informed the Board of the upcoming Public Health Summit Dec 1-2 in Golden and the kick-off of the Public Health Bill-required state improvement plan. She encouraged the Board members to attend if they are interested, but said that slots were filling up quickly.


Dr. LeBailly attended an informational meeting on options for regional control of West Nile Virus (WNV) with Larimer, Weld, and Boulder municipal and county governments .  She said she learned of a statute, that she was previously unaware of, that allows counties to define mosquito control areas of the county (in unincorporated areas), and to charge property owners a fee for mosquito control done in these areas.  This might be a long-term option for WNV control efforts when the 2004 “emergency West Nile fund” is spent down.  Because if is a fee, it would not require a vote of the people in the defined control area to approve it. However, collecting the fee may be more difficult for a county than for a city that can include such fees in their utility bills.


Dr. LeBailly distributed the federally-produced Community Health Status Indicator report for Larimer County, and discussed the contents.  The report is interesting but contains data that are relatively old (2001-2003).  She has added some more recent Larimer County data to some of the pages.  An electronic copy of the Health Snapshot for Larimer County, shared at the BOH-BCC meeting in June, was also requested by the Board.


The Boards and Commissioners Reception will be held October 27, 2008; however, no one from the Board of Health will be attending and Dr. LeBailly will be out of state.


8.    The next Board of Health meeting will be held on November 13, 2008


9.    The meeting was adjourned at 9:03 P.M.





__________________________                      __________________________________

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

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