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HomeMy WebLinkAboutCommunity Health Board - Minutes - 11/22/2024 1 | Page Partnership4Health Community Health Board 11/22/2024 9:00 a.m.-11:30 a.m. In Person option: Otter Tail County Government Services Center Otter Tail Lake Room 500 W Fir Ave Fergus Falls, MN 56537 Virtual Option: Microsoft Teams Attendees: Board Members Present Local Public Health Staff ☒ Commissioner David Meyer (Becker County) ☒ Amanda Kumpula ☒ Commissioner Frank Gross (Clay County) ☒ Kathy McKay ☒ Commissioner Wayne Johnson (Otter Tail County) ☒ Jody Lien ☒ Commissioner Rick Busko (Wilkin County) ☒ Kristi Goos ☒ Community Member Katie Vasey (Becker County) ☒ Becky Tripp ☒ Community Member Kathy Anderson (Clay County) ☒ Maggie Wiertzema Alternate Board Member Present ☒ Ashley Wiertzema ☒ David Ebinger (Clay County) ☒ Melissa Duenow ☒ Dan Bucholz (Otter Tail County) ☒ Brandon Nelson ☒ Guests: Lynne Penke Valdes, Jane Neubauer, Kristin Erickson, Erica Keppers, Allie Wells- Shepard Minutes Call to Order • Establish Quorum • Approval of Agenda– November 22, 2024 (action) • Roll Call Vote- Motion to approve made by Commissioner David Meyer, seconded by Commissioner Rick Busko. The motion carried. • Katie Vasey Community Member recognized with being virtual. Approval of Consent Agenda (action) • August 16, 2024, Partnership4Health CHB Meeting Minutes- Motion to approve consent agenda made by Commissioner Wayne Johnson, seconded by Commissioner David Meyer. The motion carried. 2 | Page Regional Dental Access Updates, Jane Neubauer, Dental Outreach Coordinator • Funding: Original grant of $~100,000 from Blue Cross Blue Shield back in 2021. The funds have been renewable and were to expire in 2024, however, with the results we were able to show BCBS has committed to another year of funding through 2025. P4HCHB can spend down funds from prior years of grant funding which will get us into the early parts of 2026. • Increased access opportunities is more than double in 2024 compared to 2020. • Becker County Dental Access Project- multiple organizations meeting weekly and as of September 5th, 2024, Appletree Dental added a permanent outreach clinic in Becker County. • Added mobile sites at multiple school districts o Added nine new school sites- nearly all of our school districts are being served. o Collaboration with our nonprofit school providers and our schools and counties • Education in Schools o 5,273 students throughout 17 different school districts with multiple dental providers o Added dental to school workplans of 17 school districts and 5 have added dental to their wellness policies Financial Update, Brandon Nelson • CHB Risk Assessment o Reviewed the financial risks and mitigations o Managerial risks o Overall Risks • CHB Audit o Audit was commenced in May 2024 and the report was made available on September 20, 2024 o The Audit report found that our financials needed to me unmodified.  This means the auditors don’t need to make any adjustments to our balance sheets or incomes statements. o They didn’t identify any Internal material weaknesses or significant deficiencies. All of our financial statements were compliant. o The Federal Program that was audited was the WIC program and that audit was unmodified as well. o Financial statements findings: there were no matters to be reported o Federal Award findings: there were no matters to be reported • 2024 Grant Funding Details o 2024 Budget with Expenses through September 2024. o New Grants  Cannabis Substance Use Prevention Grant • Started November 1, 2024-October 31, 2025  CDC Public Health Infrastructure Grant • Monies available now until end of 2027  FPHR and Response and Sustainability grant Approve the Financial Report- Motion to approve financial report as presented by Brandon by Commissioner David Meyer, seconded by Commissioner Rick Busko. The motion carried. 3 | Page Approve the CHB Budge Resolution {2025.1} (action)- Motion to Approve by Commissioner Rick Busko, seconded by Commissioner David Meyer. The motion carried. Community Health Assessment Update, Ashley Wiertzema • Focus Group Results at total of 35 participants o Conducted 5 focus groups  Becker (Hawley)  Clay (Moorhead)  Wilkin (Breckenridge)  Otter Tail (Pelican Rapids and Parkers Prairie) o Top 4 Questions asked with the Main Themes of- 1. What brought you here and/or what has motivated you to stay? o Family, quality of life (cost of living, safety and rural environment) and job. 2. What health related issues are you seeing or experiencing in your community? 3. Out of the issues we discussed above, what do you believe are the 2-3 most important ones that must be addressed to improve health in your community? o (2 &3) Healthcare access and affordability (dental, physical, mental), transportation, and community engagement/supports. 4. What ideas do you have that could help your community move forward with addressing these health priorities? o Expand public transportation options and hours, increase access to care (physical and mental/behavioral), and provide more community education on services/resources in plain language. SCHSAC October 9-10, 2024, Retreat Report, Wayne Johnson/Jody Lien • SCHSAC Updates • Commissioner Wayne Johnson shared his observations from a presentation by Dr. Brian Castrucci from the de Beaumont Foundation. Some highlights from Dr. Castrucci's talk included: - The importance of partnerships between elected officials and public health organizations. - Effective public health messaging and communication. - Building trust and partnerships within communities. He emphasized that trust in public health is developed by consistently engaging with communities and building relationships during times of stability, not just during crises. Otter Tail County CHB Assessment Update, Wayne Johnson/Jody Lien • Otter Tail County held work sessions to assess the Community Health Board o Jody Lien went over a PowerPoint that presented the Information around the work sessions • Session 1- Invited members of MDH o Roles of a Community Health Board o Orientation for Commissioners/Board • Session 2 4 | Page o History of P4H o Review of governance documents and bylaws • Session 3 o Public Health Framework o P4H Directors SWOT o Impacts of staffing, founding, workflow • Session 4 o Reviewed governance board structure options o Opportunities/efficiencies of proposed structures o Determined next steps Jody Lien explained that the Otter Tail County Board of Commissioners was seeking commitment to change from P4H CHB rooted in the directors' SWOT analysis from April with implementation of these changes in 2025. Key focus areas include improving decision-making processes, enhancing shared services and charter agreements, reviewing the Co-CHS Administrator role, and increasing transparency in finance and grant reporting. At the director level, it was previously discussed the need to review and update the Joint Powers Agreement and bylaws, advance cross-jurisdiction shared services charters, explore CHS Administrator models in other Community Health Boards, and enhance financial and grant reporting. Otter Tail County recommended improving clarity around decision-making authority and processes at both the director and Joint Powers Board levels. This includes establishing clear action steps for meetings, defining the role of the CHS Administrator, determining the frequency of financial reports, and ensuring greater transparency regarding finances. Wayne Johnson explained that assessments have been conducted in Otter Tail across five different departments and operations within the County. This systematic process allows Otter Tail County to ensure it operates as efficiently as possible while being responsible with taxpayer dollars. The Otter Tail County Board feels that the Co-Administrator role is not functioning effectively. It has become difficult to determine the hierarchy and responsibilities among the staff. The by-laws need to be reviewed and updated to provide clarity on everyone's duties. Financial reporting has been a significant frustration. The Otter Tail County Board is currently discussing whether the current CHB partnership is the right fit. If no changes are made and no one is willing to commit to these necessary adjustments, then Otter Tail County will have a decision to make. Commissioner Rick Busko commented that when he first joined the board, he noticed that the budget report needed to be more detailed to better understand how funds are being spent. A discussion was held regarding the budget presentations to the Community Health Board (CHB). Commissioner David Ebinger inquired about the Co-Administrator roles, asking what the concerns are and if they could be resolved. Lynne Penke-Valdes, Deputy Administrator from Otter Tail County, asked Kristin Erickson from the Minnesota Department of Health (MDH), where this board fits among others and what the best practices are. 5 | Page Kristen Erickson noted that this is the only CHB in the state with Co-Administrator roles. It was suggested the current bylaws do not indicate the presence of two administrators and should be reviewed. Further discussion took place regarding the Co-CHS Administrators. No action was taken and no recommendation made. Appointment of Authorized Agents, Kathy McKay (action) • Authorized Agents Resolution {2025.2} o CHS- Administrator  Jody Lien o Fiscal Agent  Kathy McKay o SCHSAC  Representative: Wayne Johnson  Alternate David Meyer Motion to approve authorized agents by Commissioner David Meyer, seconded by Commissioner Wayne Johnsson. The motion carried. 2025 At Large Community Member, Becky Tripp (action) • Wilkin County presented Dave Sailor- retired Social Services Director in Wilkin County for 38 years. Motion to approve community representative by Commissioner Rick Busko, seconded by Commissioner Wayne Johnson. The motion carried. 2025 Officers, Administrative & Program Management, Jody Lien (action) Officers • Chair Wayne Johnson motioned for Commissioner Dave Ebinger to serve as Board Chair, seconded by Commissioner Frank Gross. The motion carried. • Co-Chair Rick Busko motioned for Commissioner Wayne Johnson to serve as Board Vice Chair, seconded by Commissioner Frank Gross. The motion carried. • Executive Secretary Executive Secretary roll will continue to be staffed by Otter Tail County Public Health. Annual By-Laws Review, Jody Lien • Article II o Section 2 " made by January 31 of each year" to o “the first meeting of each year.” • Article III o Section 1 From "at the last meeting of the calendar year" to “at the annual meeting.” • Article VI o Section 1,2,3,4 From "prior to December 31st“ to "at the annual meeting” From "set forth in a separate document" to “set forth in appendix A” • Article VIII o Section 2 Review CHB determination "administrative fee" 6 | Page 2025 P4H CHB meeting dates, Kathy McKay • Feb 21, 2025, Clay • May 16, 2025, Wilkin • August 15, 2025, Becker • November 21, 2025, Otter Tail Other General Updates & Discussion • Updated P4HCHB webpage to house all documents P4HCHB webpage Adjourn Meeting Adjourned at 11:35 by Chair Frank Gross Next Meeting Date: 2/21/2025 Location: Clay County