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07/30/2018 MinutesCITY OF GRAND ISLAND, NEBRASKA MINUTES OF JOINT HEALTH SPECIAL MEETING July 30, 2018 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 30, 2018. Notice of the meeting was given in the Grand Island Independent on July 24, 2018. Central District Health Department (CDHD) Board President Shelly Graham called the meeting to order at 6:00 p.m. Present for the meeting were: CDHD Board members: Sandra Barrera, Karen Bredthauer, Brandon Bowley, Holly Solt, Shelly Graham, Chuck Haase, Tom Weller, Traci Dieckmann, and Teresa Anderson; Hall County Supervisors Pam Lancaster, Jane Richardson, Gary Quandt, Scott Arnold, Karen Bredhauer, Hall County Clerk Marla Conley; Merrick Co. Supervisor Tom Weller; City Councilmembers Linna Dee Donaldson, Vaughn Minton, Chuck Haase, Mitch Nickerson, Mark Stelk, City Administrator Marlan Ferguson, and City Clerk RaNae Edwards. Health Department employees: Teresa Anderson, Colette Evans, Jeremy Collinson, Lisa Boeke, and Cindy Valdez. Year in Review. Central District Health Department (CDHD) Executive Director Teresa Anderson welcomed those attending and gave an overview of the following strengths, weaknesses, opportunities and challenges (SWOC): Strengths: Financial Status Flexibility of Organization History Local Partnerships Consistent Leadership Staff Opportunities: Accreditation CDC and DHHS grants Local funding requests Weaknesses: Uncertain funding future Fairly new leadership team Staff retention Staff communication/collaboration Challenges: Reduced budget for FY 2018-2019 Additional funding cuts Retaining staff Low visibility of impact Mentioned were future issues such as: • Impact of social determinants of health • Increasing present and severity of lifestyle-related health conditions • Emergence of new threats to health • "Iffy" access to health care • Accreditation Page 2, City Council Joint Health Meeting, July 30, 2018 • Increse in collaborative work on shared goals • Opportunities far new funding/new projects • Stable staff Budget Overview. Executive Director Teresa Anderson gave an overview of the 2018-2019 Budget which was approved by the Health Board. This year's budget was $3.4 million which was down $500,000.00 from last year's request due to grants ending. They were requesting a 3% increase in revenue sources from the interlocal partners: City of Grand Island, Hall, Merrick and Hamilton Counties. The CDHD served 78,602 clients with total interlocal revenues of $249,098 or 6% of their total budget. Environmental Supervisor Jeremy Collinson explained the Strategic National Stockpile (SNS) and how that would work during a disaster or epidemic. The SNS is a stockpile of drugs, antidotes and medical supplies pre-positioned around the country for use in the event of local or state public health emergencies available within 12 to 24 hours. Lisa Boeke with the Community Health Division reviewed services her department provided through immunizations. Women, Infant and Children (WIC) Program served 2,500 to 3,000 clients per month. Colette Evans with the Health Projects Division talked about grants and health fairs they had been a part of. Their focus was on obesity, blood pressure and diabetes. Mentioned was the Nebraska Teeth Forever grant that had ended after two years. ADJOURNMENT: The meeting was adjourned at 7:05 p.m. �. , , � • �_ RaNae Edwards City Clerk