07/10/2017 Minutes�
CITY OF GRAND ISLAND, NEBRASKA
MINUTES OF JO1NT HEALTH SPECIAL MEETING
July 10, 2017
Pursuant to due call and notice thereof, a Special Joint Meeting of the City Council of the City of
Grand Island, Nebraska, the Hall County Board of Supervisors, the Hamilton County Board of
Commissioners, the Merrick County Board of Commissioners, and the Central District Health
Department was conducted at the Grand Island Police Department, 111 Public Safety Drive,
Grand Island, Nebraska on July 10, 2017. Notice of the meeting was given in the Grand Island
Independent on July 5, 2017.
Central District Health Department (CDHD) Board member Shelly Graham called the meeting to
order at 6:00 p.m. The following Health Board members were present: Sandra Barrera, Brandon
Bowley, Traci Dieckman, Jane Richardson, David Stoddard, Shay McGowan, Becky Richter and
Tom Weller. Hall Co. Supervisors Pam Lancaster, Jane Richardson, Gary Quandt, Scott Arnold,
Karen Bredhauer, and Hall County Clerk Marla Conley; Merrick Co. Supervisor Tom Weller;
and Hamilton County Commissioner Becky Rickter. The following Grand Island City
Councilmembers were present: Linna Dee Donaldson, Vaughn Minton, Michelle Fitzke, Chuck
Haase, Mitch Nickerson, Roger Steele, City Administrator Marlan Ferguson, and City Clerk
RaNae Edwards. Health Department employees: Teresa Anderson, Colette Evans, Jeremy
Collinson, Lisa Boeke, Cindy Valdez, and Ryan King.
Year in Review. Central District Health Department (CDHD) Executive Director Teresa
Anderson welcomed those attending and gave an overview of the 2017-2018 budget which was
approved by the Health Board. This year's budget was $3.9 million which was down from last
year's request due to grants. Revenue sources were presented with the City/County portion at 8%
of total revenue which was approximately $110,000.00. She stated they appreciated the local
support. Reviewed were the revenues and expenses over the last 4 years. Commented was the
funding from the City and Counties which were very important.
Currently the Health Department employed 34 Full Time Equivalent's with a cost of $2.3
million. Federal grants for 2017-2018 were $1,034,536 and State grants were $431,838. The
budget had grown from 2011-12 from $2.3 million to $3.9 million in 2017-18. Fees projected to
be generated in 2017-18 were $1,831,144.
Lisa Boeke reviewed the Women, Infant and Children (WIC) Program. Discussion was held
regarding vaccinations for children and adults and how that was paid for. Presented was the
history of WIC which was funded through the US Department of Agriculture. In Nebraska funds
come through the Department of Health and Human Services to the local agencies. WIC started
in the 1960's. Ms. Boeke talked about the changes in the program over the years. Dollars from
WIC spent in the community were $1,339,323 for this Fiscal Year.
Ms. Boeke answered questions concerning how people found out about the program. She stated a
lot of doctors referred patients to the CDHD. Third City Clinic, Grand Island Public Schools, and
Page 2, City Council Special Meeting, July 10, 2017
St. Francis Hospital were some of the partnerships formed with CDHD. She stated funding from
the state for WIC should stay level for the next fiscal year.
Ryan King presented Epidemiology and reviewed the history of public health. The following
programs were available at CDHD: water testing laboratory; disease surveillance; immunization;
restaurant, swimming pool and childcare inspections; health education; preparedness and
response program (quarantine & isolation); and Public Health Policy (community design)
Complete Streets.
The following programs in the future were uncertain as to funding:
• WIC
• Breast Feeding/Peer Counseling
• Preparedness and Response
• Public Health/Prevention Funds (ACA)
• Every Woman Matters
• Vaccine for Children — Adult and Children
ADJOURNMENT: The meeting was adjourned at 6:58 p.m.
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RaNae Edwards
City Clerk