The Floyd County Board of Supervisors met for a workshop meeting at 9:00 a.m. on Monday, April 4, 2011 in the Board Room of the Floyd County Courthouse with the following in attendance: Supv. Kamm, Vice Chair, and Supv. Kuhn; Absent:Chairman Dunkel
Kuhn/Kamm moved to approve the agenda as presented.Motion carried 2-0.
There were no updates on various boards/commissions.
Gail Arjes, Public Health/Home Health Care Director, presented information on the Local Public Health Services Contract.For FY11, the original contract amount was $68,650 and was subject to a 3% reduction.For FY12, the proposed contract is $61,546 with the following services provided:homemaker, personal care, skilled nursing, screening and assessment, and disease outbreak investigation.Arjes commented that Floyd County offers more hours for homemaker services than many other counties.Of Public Health services, the Home Health Care portion of the budgeted expenses exceeds the revenues.Because of continued reduction in state and other grant revenue sources and the need to tap property tax revenues to cover Home Health Care services, Arjes has reduced hours to clients who receive Home Health Care services.Even though hours funded through LPHS to subsidize the program may not be available, clients can continue services but not at the reduced sliding scale rate. The Board will need to take action on the FY12 services covered through the LPHS contract at the next regular meeting. The Board would like Arjes to provide information on home health care services used by clients and expected cuts to those clients.
Arjes was notified that HomePro9, medical records software, is no longer going to be supported and needs to be upgraded to HomePro10 starting July 1.Arjes previously spoke to the Board about dropping HomePro and switching to CareFacts to meet future electronic medical records compliance issues.CareFacts was proposed to be brought in with three phases of components offered over three budget years and required the purchase of their software program initially at a cost of more than $50,000 for phase 1, plus certain IT requirements, and a monthly service fee.CareFacts was recently purchased by Health Care First, a much larger provider, who offers a web-based program hosted out of Springfield, MO. Health Care First has a one-time fee of $6,000, a monthly cost of approximately $1,300 with a 24-month commitment, plus certain training expenses and includes all the components of CareFacts that would previously have taken three budget years to acquire due to cost.Arjes will have a contract with Health Care First available for the April 12 meeting.
The Auditor updated the Board on a conversation with Mike Wendel, Charles City Police Chief, regarding setting up Shieldware at the Communications Center.Implementation started last Thursday and will take about 60 days.Starting implementation prior to April 1 saved one month of certain maintenance costs with Emergitech.They are working on coordinating training with Shieldware personnel.Supv Kamm signed the revised contract prior to today’s meeting; Chief Wendel will provide the contract to Supv Dunkel for his signature tomorrow.
Bridget Edson, Emergency Management Coordinator, provided the Board with proposed courthouse procedures for fire, tornado, lock down and medical emergencies.This information will be provided at tomorrow’s employee group meetings and employees will also be notified of upcoming drills.Discussion included evacuation of persons confined to wheelchairs and lack of participation in past drills. The Board assured Edson that they will support mandatory drills including participation of all departments and customers of the courthouse.
The Auditor updated the Board on the north sidewalk project, the proposed location of the additional handicap parking place in the lower west log, a bid for painting lines for the handicap spots and an area in the north parking lot, and waiting to hear back from Mid American Energy regarding an energy assessment of the courthouse building.The Board requested the Auditor check on the status of the Court Street and Jackson Street parking/sign issues.Supv Kamm commented that he spoke with one department about employees smoking on courthouse property; Supv Kuhn will visit with another department on this subject.During the meeting, an electrician with Perry Novak Electric stopped in to let us know that additional wiring is necessary for upgrading the fire alarms with strobe lights on each floor.
Future agenda items:Next Monday Auxiant representatives will be here to provide a 3-month health insurance review and information on the new brokered service arrangements; Supv Kamm suggested meeting with the Board of Health to discuss the Iowa health care rankings.
Gary Losee stopped in the Board meeting to ask questions regarding flooded property near Marble Rock and his interest in purchasing the property for farming purposes.The Auditor informed Losee that due to the FEMA buyout, the property is mandated to be used as “green space” and could be converted to a park but cannot be sold or otherwise used for 100 years.Losee is concerned about it becoming a weed infested area. The Board will need to visit with Doug Schroeder, Conservation Director, about maintaining the grounds once the buildings have been demolished.The Auditor informed the Board that the demolition is on hold until a corrected deed can be recorded.
A motion was made by Supervisor Kuhn and seconded by Supervisor Kamm to adjourn.Motion carried 2-0.