STAFF: B. Crosby, Public Health Administrator; S. Kerr, Public Health Department; I. Stein, Office for the Aging Director; W. Skinner, Public Information Coordinator; K. Schickel, Office for the Aging; P. Bonaparte-Krogh, Cooperative Extension

  Chairman Proto called the meeting to order at 11:40 a.m.

 Public Health Department

  Resolution

It was MOVED by Mr. Evans, seconded by Mrs. Schuler, to submit the following resolution to the Budget and Personnel Committee for approval. Ms. Kerr said the Department would like to add this vaccine to the standard vaccines currently offered. Mr. Evans clarified that this vaccine would be combined with the flu clinics.

  Ms. Davis and Ms. Kiefer arrived at this time.

  A voice vote on the resolution resulted as follows: Ayes - 5; Noes - 0. RESOLUTION CARRIED.

 RESOLUTION NO. AUTHORIZATION TO SET PNEUMOCOCCAL VACCINE CHARGE - HEALTH DEPARTMENT

  WHEREAS, the Tompkins County Health Department would like to begin providing pneumococcal vaccinations to senior citizens, as well as children and adults who are medically eligible for the vaccine, and

WHEREAS, the Department is a participating provider with Medicare Part B, and is mandated under the 1991 Mandatory Submission Ruling to bill Medicare for any reimbursable services, and

WHEREAS, the Department is required to charge non-Medicare participants the same rate as Medicare participants in order not to "subsidize" non-Medicare pneumococcal vaccine administration with Medicare funds, now therefore be it

RESOLVED, on recommendation of the Health, Human Services and Education and the Budget and Personnel Committees, That the Department is authorized to charge a fee of sixteen dollars ($16.00) per pneumococcal vaccination and that any future rate setting for pneumococcal vaccination may be set by the Department based on the cost of the vaccine and the rate at which Medicare will reimburse for the service.

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Explanation: Bacterial pneumonia is one of the leading causes of illness and death in the elderly and for the chronically ill. The United States Public Health Service, the National Foundation for Infectious Diseases and the American Lung Association recommend the pneumococcal vaccine to help prevent bacterial pneumonia. The Tompkins County Health Department would administer the vaccine on a year-round basis to persons aged 65 and older; to persons with chronic disease such as a cardiac or lung disease or diabetes; and to those with weakened immune systems.

Resolution

It was MOVED by Mr. Evans, seconded by Mrs. Schuler, to submit the following resolution to the Budget and Personnel Committee for approval. Ms. Crosby distributed a handout that identifies the Department's current programs and proposed reconfiguration of programs. The resolution proposes the Infant Health Assessment Program and Physically Handicapped Children's Case Management be combined with the Planning and Coordination Children with Special Needs program. This program will now include all of the child find and coordination services for the programs listed below that are payment for services only (no staff or indirect expense). Each program will continue to be tracked individually and reports will be made available upon request.

  A voice vote resulted as follows: Ayes - 5; Noes - 0. RESOLUTION CARRIED.

 RESOLUTION NO. AUTHORIZATION FOR PROGRAM RECONFIGURATION - 1999 - HEALTH DEPARTMENT

  WHEREAS, the services offered by the Physically Handicapped Children's Case Management program were the precursor for the Children with Special Care Needs Division, and provide the planning and coordination for all other Children with Special Needs programs (Early Intervention, Education Handicapped Children 3-5, Physically Handicapped Children Treatment), and

WHEREAS, the Infant Child Health Assessment Program is one of the primary child-find services for the Children with Special Needs programs and the staff performs planning and coordination services for children to access programs, and

WHEREAS, the program that reflects the planning and coordination of these services is "Planning and Coordination Children with Special Needs", the department would like to organize the like services under the program Planning and Coordination of Children with Special Needs, thus allowing for more coverage and continuity of care, and streamlined operations for financial and statistical reporting, now therefore be it

RESOLVED, on recommendation of the Health, Human Services and Education and the Budget and Personnel Committees, That the programs Infant Health Assessment Program (1002) and Physically Handicapped Children Case Management (1004) be combined within Planning and Coordination Children with Special Needs (1006) effective January 1, 1999.

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Mr. Proto informed Ms. Crosby that Representative Schuler will be putting something together about ultra violet lighting at the Jail to be discussed at a Board of Health meeting.

Ms. Stein introduced Katrina Schickel, Aging Services Specialist, who works in the caregivers resource center and who also coordinates the friendly visiting program. She is also the coordinator for the program Continuing Education Program for Developmentally Disabled Adults. Ms. Stein gave the committee a brief history about the continuing education program. The Office of Mental Retardation and Developmental Disability decided to conduct outreach to identify developmentally disabled adult children who were outside the system. It was also decided that the offices of Aging were the best place to do this because of their experience with outreach and support groups. She said outreach has begun and although money from the State was lost, the program was continued. A caregivers' group continues to meet and is very active. An advisory committee has now been formed to work on this project and applied for a legislative initiative through Assemblyman Luster's office to get the program off the ground.

Discussion followed. Ms. Schickel said a needs assessment survey was sent out and 100 responses were received. Mr. Evans acknowledged that he and his wife attend the meetings and feels it is a critical program that will make a lot of difference. He said this program is important because it maintains and provides the continued level of education needed. Ms. Schickel said there are continuing education programs in other counties. Mr. Proto asked if TC3 has been approached. Ms. Stein said the community college had been approached but did not commit, but she agreed to approach them again. Ms. Stein would like to see TC3 taking over this program at some point. Ms. Schickel said if a formal relationship develops with TC3, Cortland County may wish to get involved. She indicated Ithaca College has an interest in this program and will be providing student volunteers that will serve as mentors. Ms. Stein said she hopes the advisory committee and fees will be able to administer the program. Mrs. Schickel announced a kick-off conference on self advocacy and life-long learning September 12 at BOCES; Classes begin September 29. Three classes are being offered: computers, Jazzercise and cooking. Mr. Evans said there is a problem with this program which is getting the people there or getting the people who care for them to bring them there.

  Mr. Proto asked that the committee be alerted of the timing of the calendar of events. He also asked that the committee receive an update in October or November.

  A voice vote resulted as follows: Ayes - 5; Noes - 0. RESOLUTION CARRIED.

 RESOLUTION NO. AUTHORIZATION TO ACCEPT A GRANT AND TO SIGN A CONTRACT WITH THE STATE OFFICE FOR THE AGING FOR CONTINUING EDUCATION PROGRAM FOR DEVELOPMENTALLY DISABLED ADULTS

  WHEREAS, the Office for the Aging facilitates a support group for caregivers of developmentally disabled adult children, and

WHEREAS, these caregivers have determined that continuing education is a high priority need for their children, and

WHEREAS, the Tompkins County Office for the Aging has been awarded a grant of $12,500 for the period of April 1, 1998 through March 31, 1999 to support implementation of such a continuing education program, now therefore be it

RESOLVED, on recommendation of the Health, Human Services, and Education Committee, That the Tompkins County Office for the Aging be authorized to accept this grant and to execute a contract with the New York State Office for the Aging to offer this program to developmentally disabled adults in Tompkins County.

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  Resolution

It was MOVED by Mr. Evans, seconded by Mrs. Schuler, and unanimously adopted by voice vote, to submit the following resolution to the Budget and Personnel Committee for approval:

 RESOLUTION NO. AUTHORIZATION TO ESTABLISH A FEE FOR STUDENTS IN CONTINUING EDUCATION COURSES FOR DEVELOPMENTALLY DISABLED ADULTS

  WHEREAS, the Office for the Aging is starting a continuing education program for developmentally disabled adult children of caregivers, and

WHEREAS, it is common practice and financially necessary to charge fees for course attendance, and

WHEREAS, $35 per course is consistent with fees for similar courses in the County and Region, now therefore be it

RESOLVED, on recommendation of the Health, Human Services and Education and Budget and Personnel Committees, That a fee of $35 per course be charged each participant in this continuing education program which will commence in September 1998.

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Explanation: This program to be called "College for Life-Long Learning" was organized through COFA's support group for caregivers of adult developmentally disabled children. COFA provided planning and development support. It is intended to offer three courses in the two semesters per year. Introduction to Computers, Exercise and Cooking classes will be the first semester curriculum. The fee of $35 was determined on the basis of fees for similar courses: Onondaga Community College charges $33 per course in its continuing education program for this same population; BOCES' classes range from $14 to $102; Jazzercise, a national chain, charges $49. The Advisory Committee to this project felt that $35 was affordable for potential applicants, and at the same time, in line with market prices.

Budget Adjustment

It was MOVED by Ms. Davis, seconded by Mrs. Schuler, and unanimously adopted by voice vote, to submit the following budget adjustment to the full Board for approval:

Revenue: 6794.43808 State Revenue $3,479

6794.43808 State Revenue 835

6794.43808 State Revenue 170

6794.43808 State Revenue 180

6794.43808 State Revenue 96

6794.43808 State Revenue 28

6794.42770 Miscellaneous Income 1,260

Appropriation: 6794.5100 Salary $3,479

.58800 Fringes 835

.54442 Professional Services 170

.54400 Program Expense 180

.54452 Postage 96

.54330 Printing 28

.54442 Professional Services 1,260

 Human Services Coalition

  This item was deferred. Mr. Proto said he would like to possibly have a special meeting prior to the regular meeting in July to discuss this. He said committee members should have received copies of the report concerning the 1997 salary survey.

 Next Agenda(s)

  Mr. Proto announced the following items he would like to have discussed at upcoming meetings:

  Foodnet - Presentation/Discussion (July)

Family and Children's Service - Presentation (August)

Human Services Cabinet - Report

Day Care Study - Update

 Approval of Minutes

  May 28, 1998

It was MOVED by Mr. Evans, seconded by Ms. Davis, to approve the minutes of the May 28, 1998 meeting with the changes submitted by Ms. Kiefer. A voice vote resulted as follows: Ayes - 4; Noes - 0; Abstentions - 1 (Representative Schuler was absent from said meeting). MINUTES APPROVED.

  March 26, 1998

It was MOVED by Mr. Evans, seconded by Mrs. Schuler, and unanimously adopted by voice vote, to approve the minutes of the March 26, 1998 meeting with the changes submitted by Ms. Kiefer. MINUTES APPROVED.

 Next Meeting

  The committee scheduled an informal meeting to review and evaluate departments/agencies goals for June 15 at 11:30 a.m. in the Courthouse Conference Room.

 Liaison Reports

  Alcoholism Council

Mr. Proto has requested copies of the there minutes, but has not received them. He said he is awaiting for the Council's State Report.

  Mental Health Services Board

Mr. Evans gave the committee an update on methadone treatment. Five representatives from Krauss Irving Hospital in Syracuse attended the Substance Abuse Subcommittee and stated there are 23 Tompkins County residents currently receiving methadone treatments. Mr. Evans said the first issue is the Hospital will not submit an application to have the treatments here unless approved by the Mental Health Services Board. However, if space were provided, the Hospital would be willing to set up a clinic here three times a week, but any individual receiving the treatment and requiring counseling, the counseling which in some cases is done daily would have to be continued in Syracuse. The second issue is the treatment is taken daily. The individual would be given extra shots to take on the off days and twice on weekends which raises concerns about selling it on the streets.

  Dewitt Historical Society

Mrs. Schuler reported last Friday an exhibit opened "Made in Tompkins County".

  Economic Opportunity Corporation

Mrs. Schuler said she has a conflict with their meeting schedule. However, she was able to attend the annual meeting May 15 where various awards were handed out.

  Public Library

Ms. Kiefer reported on their 20/20 vision committee which is gathering information on how rural libraries in the County work together with the County Public Library. She reported the Trustees approved a resolution in support of the Woolworth's site for a new library.

  Human Rights Commission

Ms. Davis updated the committee on the Commission's activities.

  Greater Ithaca Activities Center

Ms. Davis said the Center is in the process of changing its hierarchical structural reporting in the City which may make it more palatable for county funding. It will become a stand alone agency.

Youth Board

Mr. Evans said the Transition Task Force continues to work on the requests. Special meetings will be held this summer to meet with various departments to discuss what their decisions are versus their requests.

 Adjournment

  The meeting adjourned at 1:11 p.m.