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Jeff Sherman, Director
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Board of Health:
Dr. Lisa Kapler, Chair
Rosemary Tobin, Co-Chair
Dave Tice
Pat McDonnell
Dr. Jodie Buehler

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Meeting Minutes


MAY 12, 2008

7:00 pm – 8:45 pm


Members Present:  Barb Quam, Gaylen Hicok, Pat McDonnell and Dr. Lisa Kapler.


Others Present:  Jeff Sherman, Floyd County Sanitarian, Lori Cajthaml, Advisory Board Member, Gail Arjes, Director of Public Health and Kim Schrage.


Members Absent:  Dr. Bruce Dietrich.


Guest:  Ken Dieke



Meeting called to order at 7:00 pm by Chairman Pat McDonnell.


Introduction of members, non members, and introduction of new administrator for the Floyd County Public Health/Home Health Care Agency, Gail Arjes, R.N.


Agenda approved – Motion by Pat McDonnell, second by Dr. Kapler to accept amended agenda:  Immunization Audit and approval of FY09 Local Public Health Services Contract.   Motion carried.


Minutes of the January 14th, March 10th and April 4th 2008 reviewed and approved by
Board. Motion made by Gaylen Hicok, second by Barb Quam.  Motion carried.


Gail Arjes – Floyd County Public Health/Home Health Administrator


  1. New Smoking Ordinance – Gail Arjes informed Board of the Smoke Free Air Act.
  2. Immunization Audit – Gail Arjes informed Board of the Immunization Audit by the State of Iowa.  Audit percentage was down due to Hepatitis B intervals.  Will correct.
  3. Quarterly Chart Audit – Percentages improved.  Will continue to work in areas needed.
  4. Approval FY09 Local Public Health Services Contract – Reviewed upcoming State Grant, Immunization and Communication was added to grant. Motion made by Barb Quam, second by Dr. Lisa Kapler, all ayes, motion carried. 





  1. New Job Descriptions for Nurse, Homemaker, and Home Care Aide – Job descriptions were written by previous Administrator Jennifer O’Brien to add as policy.  Pat McDonnell suggested reviewing job descriptions with Gloria Carr, Auditor.  Motion made by Dr. Lisa Kapler, second by Barb Quam.
  2. New Policy for illness and absence from work – policy reviewed by Board of Supervisors and Gloria Carr.  Motion made by Gaylen Hicok, second by Dr. Lisa Kapler. 
  3. Education Contract with the Home Care Aides – Has been a policy but has not been enforced.  Review with Board of Supervisors.
  4. FY 07/08 Budget Review – Financial Report reviewed. Income at 105.38%, expenses at 80.27%.  Gail commented that referrals are down.  Dr. Kapler suggested making visit to her office and other Dr. offices/hospital explaining our services that Floyd County Public Health provides. 
  5. Post Board of Health Minutes on Floyd County Website – Minutes can be posted on the Floyd County Public Health website.  Will send reminders to BOH members when posted on website. 
  6. Medicare complaint and results – April 29, 2008 to May 1, 2008 surveyor made a visit to Floyd County Public Health regarding complaint #17497-C.  Surveyor found the complaint allegations related to CFR 42 484.48 Clinical Records issues to be unsubstantiated with no identified related or unrelated deficient practices.
  7. FY07 Medicaid Tentative Cost Settlement – IME reviewed our Medicaid Cost Report for the FYE: June 30, 2007 for purposes of a tentative settlement.  After reviewing it was determined our agency was overpaid $23,641.  A refund was submitted to the Iowa Department of Human Services.  Also, effective 2/1/08 based on interim rate test, our agency’s Medicaid interim payment rate was changed to 74%.  
  8. Ethics Presentation for BT Grant – Signatures required/received from BOH members.  Ethics books were available for review.  The books will be handed out to Hospital. 
  9.  Linda Wirtjes, HCA resignation – Linda Wirtjes resigned effective 5/11/2008. 
  10. Staff openings – Gail informed Board Dale Gillespie/HCA will start on 5/19/2008.  Also hired a full-time RN, Wanda Mueller.  She will start 5/27/2008.  Part-time nurse still needed but will wait before advertising.
  11. Contract with Critical Care Systems – Contract required with signature from BOH Chairperson.  Motion by Dr. Lisa Kapler, second Gaylen Hicok.






Jeff Sherman – Sanitarian


  1. YTD Budget – Financial Report reviewed, 65.96%.  Purchased GIS program.  Mileage up due to use of own vehicle during time of county pickup repaired. 
  2. Contractor Certification – Ken Dieke spoke on the importance to be certified for septic installations.  Training and education must be regulated.  Jeff sent letters to contractors regarding this matter.  BOH approved Ordinance.  Motion made by Gaylen Hicok, second by Barb Quam.
  3. Nuisance Complaints X2 – Jeff updated Board on the complaint made in January on a resident at 2070 110th St.  Pictures taken in January 2008, compared to May 2008 show some improvement.  This resident is also working with the DNR.  Jeff will continue to monitor.  Second complaint brought to the BOH is regarding a residence located at 510 15th Ave., Charles City.   Jeff will investigate further and report to the board at the next BOH meeting in July 2008.
  4.   Cryptosporidiosis – Informational letters are being delivered to schools regarding Cryptosporidiosis.  All pools have been informed and information given regarding this matter.
  5. Time of Transfer Inspections – passed by state goes into effect July 1 of 2009. 


Old Business:            No old business to discuss.


New Business:         No new business to discuss


Next meeting will be held on Monday, July 7th at 7:00 P.M., Assembly Room of the Floyd County Courthouse.  


Motion to adjourn made by Pat McDonnell, second by Gaylen Hicok , motion carried.


Meeting adjourned at 8:45 P.M.




Kim Schrage


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