Lake County Board of Health met March 23.
Here are the minutes provided by the board:
1. Call to Order
President Sashko called the meeting to order at 6:03 p.m.
Present 8 - Member-at-Large Hagstrom D.D.S., Vice President Ehrlich M.D., Member Schultz, Member Mittl Pollina Psy.D., Secretary DeVaux, Member Johnson Jones Ed.D., Member Cesnovar and President Sashko
Absent 4 - Member Rheault Ph.D., Member Belmonte D.O., Member Maine and Member Simpson
2. Pledge of Allegiance
This matter was presented
3. Approval of Minutes
3.1 February 23, 2022, Meeting Minutes
President Sashko called for a motion to approve the minutes of the February 23, 2022, meeting. Motion by Member Johnson Jones, second by Member Pollina. Voice vote, all in favor, motion carried.
Aye: 8 - Member-at-Large Hagstrom D.D.S., Vice President Ehrlich M.D., Member Schultz, Member Mittl Pollina Psy.D., Secretary DeVaux, Member Johnson Jones Ed.D., Member Cesnovar and President Sashko
Absent: 4 - Member Rheault Ph.D., Member Belmonte D.O., Member Maine and Member Simpson
4. Public Comment to the Board
None
5. Awards, Recognitions, Appointments and Reappointments
5.1 Environmental Health Advisory Committee (EHAC) Reappointments - Mackey Attachments: EHAC Reappt Applications - Kolb, Metzler, Schwall
President Sashko called for a motion to approve the reappointments to the Environmental Health Advisory Committee. Motion by Member Hagstrom, second by Member Cesnovar. Voice vote, all in favor, motion carried.
6. Presentations None
Aye: 8 - Member-at-Large Hagstrom D.D.S., Vice President Ehrlich M.D., Member Schultz, Member Mittl Pollina Psy.D., Secretary DeVaux, Member Johnson Jones Ed.D., Member Cesnovar and President Sashko
Absent: 4 - Member Rheault Ph.D., Member Belmonte D.O., Member Maine and Member Simpson
7. President’s Report
President Sashko reported that the final meeting of the Public Health Emergency Operations Center (PHEOC) was held this morning and the demobilization process has begun. He thanked the PHEOC members, leadership team, and all staff, on behalf of the Board, for their dedicated and hard work over the last two years the results of which have brought this agency closer together as a team and with community partners. Through the great communication by staff he was able to keep the Board well informed and engaged throughout the process. The Health Department leadership team excelled above and beyond in this crisis management intervention and he has been involved with quite a few. The things that we do in preparation and protection of Lake County are taken very seriously and we are very blessed to have staff that excels at the level they do, and that includes our partner agencies.
8. Action Items
8.1 COVID-19 FY 2022 Crisis Grant (Recovery Phase) - Grant Approval - Kritz
President Sashko announced that he will have Director Kritz present items 8.1 through 8.5 and will then call for the motion, second, and vote on all five items.
Lisa Kritz, Director of Prevention, reviewed the information provided in the agenda packet for items 8.1 through 8.5.
This matter was approved
8.2 COVID-19 Response Grant - Grant Approval - Kritz
Attachments: COVID-19 Response Grant
This matter was approved
8.3 FY 2022 IBCCP-Illinois Breast and Cervical Cancer Program Grant Approval - Kritz Attachments: IBCCP Grant $170K
This matter was approved
8.4 Substance Use Prevention Services (SUPS) - Grant Approval - Kritz
This matter was approved
8.5 Protecting Our Patients (POP) Affirming Care Grant Funded Training - Grant Approval - Kritz Attachments: POP Affirming Care Grant $15K
President Sashko called for a motion to approve items 8.1 thru 8.5, as presented. Motion by Member Cesnovar, second by Member Johnson Jones. Motion carried by the following roll call vote:
Aye: 8 - Member-at-Large Hagstrom D.D.S., Vice President Ehrlich M.D., Member Schultz, Member Mittl Pollina Psy.D., Secretary DeVaux, Member Johnson Jones Ed.D., Member Cesnovar and President Sashko
Absent: 4 - Member Rheault Ph.D., Member Belmonte D.O., Member Maine and Member Simpson
8.6 Illinois Primary Health Care Association Pandemic Health Navigator Grant - McMillan-Wilhoit
President Sashko announced that he will have Director McMillan-Wilhoit present items 8.6 and 8.7 and will then call for the motion, second, and vote on both items.
Jefferson McMillan-Wilhoit, Director of Health Informatics and Technology, reviewed the information provided in the agenda packet for items 8.6 and 8.7. Mark noted that there is a scrivener's error in the file name of the attachment for item 8.6 and that it is actually $1,090,800 and not $1.9M.
This matter was approved
8.7 Schreiber Foundation Grant - Grant Increase - McMillan-Wilhoit
President Sashko called for a motion to approve items 8.6 and 8.7, as presented. Motion by Member Ehrlich, second by Member Schultz. Motion carried by the following roll call vote:
Aye: 8 - Member-at-Large Hagstrom D.D.S., Vice President Ehrlich M.D., Member Schultz, Member Mittl Pollina Psy.D., Secretary DeVaux, Member Johnson Jones Ed.D., Member Cesnovar and President Sashko
Absent: 4 - Member Rheault Ph.D., Member Belmonte D.O., Member Maine and Member Simpson
8.8 Request for Proposals (#22024) to Assess the Current FQHC Management Structure, Leadership Roles, and Operations - Nordstrom
Jerry Nordstrom, Director of Business Operations, reviewed the information provided in the agenda packet.
President Sashko called for a motion to approve RFP 22024, as presented. Motion by Member DeVaux, second by Member Pollina. Motion carried by the following roll call vote:
Aye: 8 - Member-at-Large Hagstrom D.D.S., Vice President Ehrlich M.D., Member Schultz, Member Mittl Pollina Psy.D., Secretary DeVaux, Member Johnson Jones Ed.D., Member Cesnovar and President Sashko
Absent: 4 - Member Rheault Ph.D., Member Belmonte D.O., Member Maine and Member Simpson
8.9 Sign-on Bonus Program Pilot - Nordstrom
Jerry Nordstrom, Director of Business Operations, reviewed the information provided in the agenda packet. He noted the following changes to the attached program description and agreement:
- Page 2, Implementation: the 2 occurrences of the word "introductory" will be changed to "waiting"
- Page 3, Sign-On Bonus Agreement, numbered paragraph 2: the language "Illinois Municipal Retirement Fund (IMRF) contributions and other required contributions" will be added
- Page 3, Sign-On Bonus Agreement, numbered paragraph 4: this paragraph will be removed in its entirety
President Sashko asked how this would work with grant funded positions. Mark stated that the State's Attorney's Office has not indicated that this would impact our grants. The sign on bonus would come from the property tax dollar portion of our levy, but after the person came on board their position would be paid through the grant.
Member Johnson Jones asked if the positions listed in the attachment were prior to COVID or due to the Great Resignation. Jerry stated that it is both depending upon the position. The positions listed in the attachment are, after a two month review, those thought to benefit the most from the program because they provide direct service and are posing the greatest challenge to recruit for. Mark reminded the Board of the change in pay recently made to our Certified Medical Assistant (CMA) positions which has already had a positive impact as less are leaving and more are applying. In a recent meeting with the hospital presidents it was shared that their hiring challenges did not improve after implementing a sign-on and/or retention bonus program, which is why we are calling it a "pilot program." As an example, nurses can now receive traveling nurse rates of $150-200/hour which a sign-on bonus alone can't touch.
Member Ehrlich asked why paragraph 4 was removed from the Sign-On Bonus Agreement. Jerry stated there had been some concern with that language so it was thought best to remove it. The possibility of adding it back will be revisited if and when the program is taken out of pilot status.
President Sashko called for a motion to approve the sign-on bonus program pilot, as presented. Motion by Member Hagstrom, second by Member Schultz. Motion carried by the following roll call vote:
Aye: 8 - Member-at-Large Hagstrom D.D.S., Vice President Ehrlich M.D., Member Schultz, Member Mittl Pollina Psy.D., Secretary DeVaux, Member Johnson Jones Ed.D., Member Cesnovar and President Sashko
Absent: 4 - Member Rheault Ph.D., Member Belmonte D.O., Member Maine and Member Simpson
8.10 FY 2021 Budget Carry Forwards - Riley
President Sashko announced that he will have Director Riley present items 8.10 and 8.11 and will then call for the motion, second, and vote on both items.
Pam Riley, Director of Finance, reviewed the information provided in the agenda packet for items 8.10 and 8.11.
This matter was approved
8.11 Sliding Fee Schedule of Discounts - Riley
President Sashko called for a motion to approve items 8.10 and 8.11, as presented. Motion by Member DeVaux, second by Member Ehrlich. Motion carried by the following roll call vote:
Aye: 8 - Member-at-Large Hagstrom D.D.S., Vice President Ehrlich M.D., Member Schultz, Member Mittl Pollina Psy.D., Secretary DeVaux, Member Johnson Jones Ed.D., Member Cesnovar and President Sashko
Absent: 4 - Member Rheault Ph.D., Member Belmonte D.O., Member Maine and Member Simpson
8.12 Request for waiver of public hearing requirement for non-substantive revisions to Lake County Code of Ordinances Chapter 172, Animals - Mackey
Larry Mackey, Director of Environmental Health, reviewed the information provided in the agenda packet.
President Sashko called for a motion to approve item 8.12, as presented. Motion by Member Hagstrom, second by Member Johnson Jones. Voice vote, all in favor, motion carried.
Aye: 8 - Member-at-Large Hagstrom D.D.S., Vice President Ehrlich M.D., Member Schultz, Member Mittl Pollina Psy.D., Secretary DeVaux, Member Johnson Jones Ed.D., Member Cesnovar and President Sashko
Absent: 4 - Member Rheault Ph.D., Member Belmonte D.O., Member Maine and Member Simpson
8.13 Provider Reappointments - Maine
Member Pollina, Credentialing Committee Vice Chair, reviewed the information provided in the agenda packet.
President Sashko called for a motion to approve item 8.13, as presented. Motion by Member Pollina, second by Member DeVaux. Voice vote, all in favor, motion carried.
Aye: 8 - Member-at-Large Hagstrom D.D.S., Vice President Ehrlich M.D., Member Schultz, Member Mittl Pollina Psy.D., Secretary DeVaux, Member Johnson Jones Ed.D., Member Cesnovar and President Sashko
Absent: 4 - Member Rheault Ph.D., Member Belmonte D.O., Member Maine and Member Simpson
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 there are no updates on new members and that the Council is still at 9 members, which is the minimum required by HRSA. The potential new member reported at the February Board of Health meeting has since withdrawn her application. He reminded the Board that the majority of the Governing Council membership has to be consumers which is always a challenge to recruit, but what makes it even harder is that the consumers have to represent the majority of the population the Health Department serves which is why the recruitment focus is on Latinas.
He added his thanks to the Board for approving the FQHC management consultant as this is something we really need to assure that our management structure and the individuals in those management positions understand what their roles are as we move towards Value-based Care. HRSA ARPA funding is being utilized so this is at no cost to the Lake County property taxpayers other than the federal tax dollars through the ARPA funds.
This matter was presented
12. Lake County Tuberculosis Board Update
No update.
This matter was presented
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 into Executive Session. Motion by Member Cesnovar, second by Member Schultz, to enter into Executive Session at 6:31 p.m. for the purpose of discussing personnel matters. Motion carried by the following roll call vote:
Aye: 8 - Member-at-Large Hagstrom D.D.S., Vice President Ehrlich M.D., Member
Schultz, Member Mittl Pollina Psy.D., Secretary DeVaux, Member Johnson Jones
Ed.D., Member Cesnovar and President Sashko
Absent: 4 - Member Rheault Ph.D., Member Belmonte D.O., Member Maine and Member Simpson
Executive Session
President Sashko called for a motion to come out of Executive Session. Motion by Member Johnson Jones, second by Member Pollina, to come out of Executive Session at 7:09 p.m. Voice vote, all in favor, motion carried.
Aye: 8 - Member-at-Large Hagstrom D.D.S., Vice President Ehrlich M.D., Member Schultz, Member Mittl Pollina Psy.D., Secretary DeVaux, Member Johnson Jones Ed.D., Member Cesnovar and President Sashko
Absent: 4 - Member Rheault Ph.D., Member Belmonte D.O., Member Maine and Member Simpson
16. 1 Personnel Matters - Sashko
In accordance with 5 ILCS 120/2(c)(1), discussion was held in Executive Session.
President Sashko called for a motion to approve personnel matter #1, as discussed in Executive Session. Motion by Member Cesnovar, second by Member Johnson Jones. Motion carried by the following roll call vote:
Aye: 8 - Member-at-Large Hagstrom D.D.S., Vice President Ehrlich M.D., Member Schultz, Member Mittl Pollina Psy.D., Secretary DeVaux, Member Johnson Jones Ed.D., Member Cesnovar and President Sashko
Absent: 4 - Member Rheault Ph.D., Member Belmonte D.O., Member Maine and Member Simpson
In accordance with 5 ILCS 120/2(c)(1), discussion was held in Executive Session.
President Sashko called for a motion to approve personnel matter #2, as discussed in Executive Session. Motion by Member Hagstrom, second by Member DeVaux. Motion carried by the following roll call vote:
Aye: 8 - Member-at-Large Hagstrom D.D.S., Vice President Ehrlich M.D., Member Schultz, Member Mittl Pollina Psy.D., Secretary DeVaux, Member Johnson Jones Ed.D., Member Cesnovar and President Sashko
Absent: 4 - Member Rheault Ph.D., Member Belmonte D.O., Member Maine and Member Simpson
17. Adjournment
President Sashko called for a motion to adjourn. Motion by Member Ehrlich. President Sashko adjourned the meeting at 7:18 p.m.
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