Lake County Board of Health met Jan. 15.
Here is the minutes provided by the board:
1. Call to Order
Member Belmonte arrived at 6:20 p.m.
President Sashko called the meeting to order at 6:02 p.m.
Present 10 - Member DeVaux R.N., Member Johnson Jones Ed.D., Member Cesnovar, Member Maine, President Sashko, Member Carlson, Member Hagstrom D.D.S., Member Ehrlich M.D., Member Belmonte D.O. and Member Schultz
Absent 2 - Member Mittl Pollina Psy.D. and Member Rheault Ph.D.
2. Pledge of Allegiance
3. Approval of Minutes
3.1 November 20, 2019 Meeting Minutes
A motion was made by Member Cesnovar, seconded by Member Schultz, that this item be approved. Motion carried unanimously.
Aye: 9 - Member DeVaux R.N., Member Johnson Jones Ed.D., Member Cesnovar, Member Maine, President Sashko, Member Carlson, Member Hagstrom D.D.S., Member Ehrlich M.D. and Member Schultz
Absent: 2 - Member Mittl Pollina Psy.D. and Member Rheault Ph.D.
Not Present: 1 - Member Belmonte D.O.
4. Public Comment to the Board
None
5. Awards, Recognitions, Appointments and Reappointments
None
6. Presentations
6.1 LCHD/CHC Payer Mix and Insurance Considerations - Burke
Kim Burke, Director of Healthcare Operations, gave an informative and insightful presentation on the Health Department's payer mix and insurance considerations as provided in the agenda packet. She informed the Board that as the Director of Healthcare Operations it is her responsbility to evaluate health insurance company contracts, negotiate new contracts, renegotiate existing contracts, and operationalize those contracts within the Health Department for medical, dental, and behavioral health services.
• Member Carslon asked if LCHD is notified when a Medicaid patient enters the 90-day window after their benefits have been terminated. Kim explained that the State is supposed to share that information with the MCO's and the MCO's are then supposed to share that information with the Health Department, but that link is not yet established.
• Member Maine asked that if absolute numbers were given in slide 1 rather than percentages, would they be seeing a shift, that column 1 and 2 are equal every year, or that numbers are lower. Kim explained that amongst all of the columns, a stable trend would be seen. Member Maine noted that patient numbers are then flat and asked if the Health Department is okay with that or are they maxed out or should they be looking for an increased number. Kim stated that more patients can be seen by making operations more efficient.
• President Sashko asked how patients who present with commercial insurance are handled. Kim explained that they are told that the Health Department is out-of-network. They are provided with an estimate of what their bill may be and they are told they may be eligible for a sliding fee if their income meets the slide guidelines. But if it doesn't they are responsible for all billed charges, and they are given the opportunity to meet with a navigator to assist them in finding an in-network provider.
• Member Ehrlich asked if a follow-up appointment for a Medicaid patient is included in the encounter rate of $142.04. Kim explained that for every face-to-face encounter with a provider, nurse practitioner and above, the Health Department receives the encounter rate.
This matter was presented
7. President’s Report
President Sashko reported on the following:
• The theme for 2020 is “Communication, Focus and Accountability.” Board members saw the outstanding staff presentation on the “Organizational Recombobulation” Mark and the Senior Leadership team put together as just one example of “communication” being an important part of our strategic focus for 2020.
• He informed the Board members that the Board of Health and Governing Council Cooperative Operational Agreement is before them for review and will be on the February 26, 2020 agenda for approval.
• He turned the floor over to Mark Pfister to provide an update on the status of the first floor remodeling being done at 3010 Grand. Mark distributed a copy of the architects first floor plan and reviewed the changes to be made. The goal is for all of the remodeling to be completed by September 2020.
• A Town Hall meeting was held Sunday, January 12, 2020, in Gurnee that covered a survey conducted by Dr. Susan Buchanan from the UIC School of Public Health that relates to our on-going review and evaluation of the EtO issue in the county. A survey was done in August 2019 with 93 Lake County residents who self-selected to participate.
• The monthly meeting with Lake Behavioral Hospital was held on Monday, January 13, 2020. Work on their new facility continues to progress and he, Mark, and BH leadership staff will be visiting it in April 2020. Mark added that LBH has expanded their adolescent beds and are now seeing more adolescent patients.
8. Action Items
8.1 Lake County Forest Preserve District (LCFPD) Contract Increase, $5,000 - Mackey
A motion was made by Member Carlson, seconded by Member Johnson-Jones, that this item be approved. Motion carried by the following roll call vote:
Aye: 10 - Member DeVaux R.N., Member Johnson Jones Ed.D., Member Cesnovar, Member Maine, President Sashko, Member Carlson, Member Hagstrom D.D.S., Member Ehrlich M.D., Member Belmonte D.O. and Member Schultz
Absent: 2 - Member Mittl Pollina Psy.D. and Member Rheault Ph.D.
8.2 Illinois Department of Public Health, Comprehensive Health Protection Grant, Additional $12,000 - Kritz
A motion was made by Member Belmonte, seconded by Member DeVaux, that this item be approved. Motion carried by the following roll call vote:
Aye: 10 - Member DeVaux R.N., Member Johnson Jones Ed.D., Member Cesnovar, Member Maine, President Sashko, Member Carlson, Member Hagstrom D.D.S., Member Ehrlich M.D., Member Belmonte D.O. and Member Schultz
Absent: 2 - Member Mittl Pollina Psy.D. and Member Rheault Ph.D.
8.3 Illinois Department of Human Services, Substance Use Prevention Services Grant, Additional $5,750 - Kritz
A motion was made by Member Belmonte, seconded by Member DeVaux, that this item be approved. Motion carried by the following roll call vote:
Aye: 10 - Member DeVaux R.N., Member Johnson Jones Ed.D., Member Cesnovar, Member Maine, President Sashko, Member Carlson, Member Hagstrom D.D.S., Member Ehrlich M.D., Member Belmonte D.O. and Member Schultz
Absent: 2 - Member Mittl Pollina Psy.D. and Member Rheault Ph.D.
8.4 Illinois Department of Public Health, Comprehensive Health Protection Grant, Additional $15,000 for Narcan Distribution - Johnson-Maurello
A motion was made by Member Johnson Jones, seconded by Member Hagstrom, that this item be approved. Motion carried by the following roll call vote:
Aye: 10 - Member DeVaux R.N., Member Johnson Jones Ed.D., Member Cesnovar, Member Maine, President Sashko, Member Carlson, Member Hagstrom D.D.S., Member Ehrlich M.D., Member Belmonte D.O. and Member Schultz
Absent: 2 - Member Mittl Pollina Psy.D. and Member Rheault Ph.D.
8.5 SAMHSA Mental Health Awareness Training, Additional $20,833 - Johnson-Maurello
A motion was made by Member Johnson Jones, seconded by Member Hagstrom, that this item be approved. Motion carried by the following roll call vote:
Aye: 10 - Member DeVaux R.N., Member Johnson Jones Ed.D., Member Cesnovar, Member Maine, President Sashko, Member Carlson, Member Hagstrom D.D.S., Member Ehrlich M.D., Member Belmonte D.O. and Member Schultz
Absent: 2 - Member Mittl Pollina Psy.D. and Member Rheault Ph.D.
8.6 Illinois Department of Human Services, New Funding to Existing Behavioral Health Grants, $299,412 - Johnson-Maurello
A motion was made by Member Maine, seconded by Member Belmonte, that this item be approved. Motion carried by the following roll call vote:
Aye: 10 - Member DeVaux R.N., Member Johnson Jones Ed.D., Member Cesnovar, Member Maine, President Sashko, Member Carlson, Member Hagstrom D.D.S., Member Ehrlich M.D., Member Belmonte D.O. and Member Schultz
Absent: 2 - Member Mittl Pollina Psy.D. and Member Rheault Ph.D.
8.7 Healthcare Foundation of Northern Lake County (HFNLC) Dietitian - Dr. Zun
A motion was made by Member Belmonte, seconded by Member DeVaux, that this item be approved. Motion carried by the following roll call vote:
Aye: 10 - Member DeVaux R.N., Member Johnson Jones Ed.D., Member Cesnovar, Member Maine, President Sashko, Member Carlson, Member Hagstrom D.D.S., Member Ehrlich M.D., Member Belmonte D.O. and Member Schultz
Absent: 2 - Member Mittl Pollina Psy.D. and Member Rheault Ph.D.
8.8 Proposed Changes to Health Department Employee Policies - Hagstrom
A motion was made by Member Maine, seconded by Member Hagstrom, that this item be approved. Motion carried unanimously.
Aye: 10 - Member DeVaux R.N., Member Johnson Jones Ed.D., Member Cesnovar, Member Maine, President Sashko, Member Carlson, Member Hagstrom D.D.S., Member Ehrlich M.D., Member Belmonte D.O. and Member Schultz
Absent: 2 - Member Mittl Pollina Psy.D. and Member Rheault Ph.D.
8.9 2020 Board of Health Committee Appointments
A motion was made by Member Maine, seconded by Member Cesnovar, that this item be approved. Motion carried unanimously.
Aye: 10 - Member DeVaux R.N., Member Johnson Jones Ed.D., Member Cesnovar, Member Maine, President Sashko, Member Carlson, Member Hagstrom D.D.S., Member Ehrlich M.D., Member Belmonte D.O. and Member Schultz
Absent: 2 - Member Mittl Pollina Psy.D. and Member Rheault Ph.D.
9. Discussion Items
None
10. Attachments for Board Review
10.1 Media Placement Highlights - Nordstrom
This matter was presented
11. Lake County Community Health Center Governing Council Update
Mark informed the Board that the Governing Council met at 5:30 p.m. on Tuesday, January 14, 2020. On the agenda for their February 11, 2020, meeting will be an item asking for approval to move their regularly scheduled monthly meeting to the second Tuesday of the month at 5:30 p.m. in order to improve the recruitment of consumer members. He also provided a summary of the presentation given by Dimitry Petion, Director of Physical Health, on the work being done at the North Chicago Health Center by The Coleman Associates.
12. Lake County Tuberculosis Board Update
Lisa Kritz, Director of Prevention, informed the Board that the TB Board next meets on Thursday, January 16, 2020, therefore she will have an update at the February 26, 2020 meeting.
13. Added to Agenda Items
None
14. Old Business
None
15. New Business
None
16. Executive Session
President Sashko called for a motion to enter in to executive session. A motion was made by Member Hagstrom, seconded by Member Belmonte, to enter in to executive session at 6:59 p.m. for the purpose of discussion personnel matters and review of executive session minutes. Motion carried by the following roll call vote:
Aye: 10 - Member DeVaux R.N., Member Johnson Jones Ed.D., Member Cesnovar, Member Maine, President Sashko, Member Carlson, Member Hagstrom D.D.S., Member Ehrlich M.D., Member Belmonte D.O. and Member Schultz
Absent: 2 - Member Mittl Pollina Psy.D. and Member Rheault Ph.D.
Executive Session
Discussion was held in executive session.
President Sashko called for a motion to come out of executive session. A motion was made by Member Carlson, seconded by Member Hagstrom, to come out of executive session at 7:29 p.m. Motion carried unanimously.
Aye: 10 - Member DeVaux R.N., Member Johnson Jones Ed.D., Member Cesnovar, Member Maine, President Sashko, Member Carlson, Member Hagstrom D.D.S., Member Ehrlich M.D., Member Belmonte D.O. and Member Schultz
Absent: 2 - Member Mittl Pollina Psy.D. and Member Rheault Ph.D.
16.1 Personnel Matters - Sashko
In accordance with 5 ILCS 120/2(c)(1) discussion was held in executive session.
A motion was made by Member Belmonte, seconded by Member Johnson Jones, that this item be approved. Motion carried by the following roll call vote:
Aye: 10 - Aye: Member DeVaux R.N., Member Johnson Jones Ed.D., Member Cesnovar, Member Maine, President Sashko, Member Carlson, Member Hagstrom D.D.S., Member Ehrlich M.D., Member Belmonte D.O. and Member Schultz
Absent: 2 - Member Mittl Pollina Psy.D. and Member Rheault Ph.D.
16.2 Review of Executive Session Minutes
In accordance with 5 ILCS 120/2.06(d) discussion was held in executive session.
A motion was made by Member DeVaux, seconded by Member Maine, that this item be approved. Motion carried unanimously.
Aye: 10 - Member DeVaux R.N., Member Johnson Jones Ed.D., Member Cesnovar, Member Maine, President Sashko, Member Carlson, Member Hagstrom D.D.S., Member Ehrlich M.D., Member Belmonte D.O. and Member Schultz
Absent: 2 - Member Mittl Pollina Psy.D. and Member Rheault Ph.D.
17. Adjournment
A motion was made by Member Carlson, seconded by Member Ehrlich, that this meeting be adjourned. Motion carried unanimously. Meeting adjourned at 7:25 p.m.
Aye: 10 - Member DeVaux R.N., Member Johnson Jones Ed.D., Member Cesnovar, Member Maine, President Sashko, Member Carlson, Member Hagstrom D.D.S., Member Ehrlich M.D., Member Belmonte D.O. and Member Schultz
Absent: 2 - Member Mittl Pollina Psy.D. and Member Rheault Ph.D.
https://lakecounty.legistar.com/View.ashx?M=M&ID=757660&GUID=19B69692-57A7-4DE3-93E5-FA764AC38137
Alerts Sign-up