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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 11, 2009


7:00 PM – 9:00 PM



Members Present:  Gaylen Hicok, Rosemary Tobin, Pat McDonnell, Jodie Buehler, and Dr. Lisa Kapler.


Other Present:  Jeff Sherman, Floyd County Sanitarian, Gail Arjes, Director of Public Health, and Kim Schrage.


Guests:  Amy Markham, Prevention Specialist, Larry Stewart, Realty, Ann Kaeble, and Lori Stewart.



Meeting called to order at 7:00 pm by Pat McDonnell.  Guests acknowledged.  Jodie Buehler was introduced as a new board member to fulfill Dr. Bruce Dietrich’s seat on the Board of Health for the remainder of the term ending December 31, 2010. 


Agenda approved – Motion to approve agenda by Dr. Lisa Kapler, seconded by Rosemary Tobin.  Motion carried.


Minutes from March 9, 2009 reviewed and approved by the Board. 


Gail Arjes, Floyd County Public Health/Home Health Administrator


  1. YTD FY09 Budget – Budget on target at 72.95% expenses. Gail informed Board the 1% of the State Grant withheld by the State is now released back to the agency. 


  1. Amy Markham, Prevention Specialist for Prairie Ridge gave a presentation on gambling.  In 2001 “Bets Off” was started and the program has steadily shown an increase in services over the years. 


  1. Marketing Plan – Gail informed the Board she visits the local radio station on Friday mornings and she has received positive comments.  Mercy Home Care still is advertising in this area.  Board made suggestion to use the Charles City Press as more advertising.  Gail will check into the cost. 




  1. Chart Audits – Chart audits are presently done in-house every three months by our agency nurses.   It is budgeted for next fiscal year to have an outside agency do the chart audits. 


  1. Immunization Audit – Report was given to the Board on the audit done by the State.  The agency holds one clinic per week for the under insured, no insurance, and TXIX clients.  All physician clinics in Floyd County are given a schedule of the clinics. See attachment for detailed presentation of the audit


  1. H1N1 update – No know case of H1N1 has been reported in Floyd County.  Conference calls are held weekly by the State to keep all Public Health officials updated; all Board of Health members are invited to attend.  Public Health will inform on time and dates.   Antiviral will be distributed if there should be an out break.  Bridget will find the housing for the stock pile.  The Board of Health is to decide how it will be distributed.  Dr. Kapler made motion it be divided by clinic depending on number of providers in each clinic.  Should an outbreak occur in a certain part of the county, clinics would give up their allocation to the part of the county experiencing the out break.  Public Health will track this on the Iris program. Rosemary seconded, motion carried.



Jeff Sherman – Floyd County Sanitarian


  1. YTD Budget – YTD budget is at 79% for the year.  A budget amendment was done on Zoning.


  1. Training – Misty attended the Sanitation Conference that was held in Des Moines which was very informative. 


  1. Time of Transfer – Discussion was held regarding Time of Transfer.  Guests Larry Stewart, Lori Stewart and Ann Kaeble suggested that the Board of Health require a new approach that will protect all rural systems and be fair in making all systems compliant.  Larry Stewart suggested Floyd County not just wait for the Time of Transfer but perhaps township by township or completely random in the method of selection.  He also suggested it be done in a timely fashion and set a goal of 10 to 15 years.  Pat McDonnell recommended Jeff contact Cero Gordo County to see how they have their program set up and how it is working. 




Jeff suggested a special meeting be held in June.  Board of Health members will be contacted with the date and time.


Old Business – None


New Business – None


Next meeting will be held on July 13, 2009 at 7:00 pm in the Assembly Room of the Floyd County Courthouse.


Motion made to adjourn the meeting by Rosemary Tobin, seconded by Gaylen Hicok.


Meeting adjourned at 9:00 pm. 


Minutes taken by:




Kim Schrage


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