Grand Forks Public Health Department

Board of Health Minutes
January 12, 2012


Thursday, January 12, 2012

I. Call Meeting to Order

The Grand Forks Board of Health met at 4:20 p.m. on Thursday, January 12, 2012, at the Public Health Department conference room. Dana Sande conducted the meeting in the absence of Cynthia Pic. The members present did discuss the items on the agenda without having a quorum. Members that were present: Don Shields, Dr. Sally Pyle, and Dana Sande. Others present: Debbie Swanson, Timothy Haak, Marlene Johnson, Joni Tweeten, Theresa Knox, and Keith Westerfield (all from Public Health).

II. Approval of Minutes of Regular Meeting, October 14, 2010

Since no quorum existed for an official meeting, approval of the minutes from the last meeting on October 6, 2011, was deferred until the next quarterly meeting in April 2012.

III. Old Business

A. Community Health Center (CHC) Planning Grant Update: Debbie S. briefed on the update:

· It was reported at the last meeting that the City had received a planning grant to help establish a CHC in Grand Forks. This work is being done through the Alliance for Health Care Access. Mara Jiran, MPH, the CHC Project Coordinator, started the beginning of November 2011, and has hit the ground running. The Alliance would not have been able to do all the amount of planning it has done without someone paying attention to the day-to-day details that Mara has done.

· There have been a flurry of activities, including Executive Committee meetings, Alliance meetings, and subcommittee meetings. There are six subcommittees that are meeting: Facilities, Budget, Workforce, Services, Communications, and Outreach. Mara is currently working with the Communications and Outreach subcommittees to get more information out into the community soon by doing community presentations. Three alliance members attended CHC training in Austin, TX in December.

· The Alliance is currently working on obtaining a logo, with over 50 designs submitted to them.

· The Alliance expects to work with a grant writer to submit a federal grant, as well as other private grants to support the CHC.

· The former Jewel Box building at 701 DeMers Avenue, or space in the former Deaconess Hospital building, where the Dental Clinic is located, are two locations that have been explored. It is felt that the CHC should be located in downtown Grand Forks to best serve their clients by being near a bus stop. They also have an obligation to be located where the medically under-served population reside, which is north and south of the downtown area.

B. Environmental Health Data Management System Update: Timothy H. gave an update:

· They have been working with Garrison Enterprise Management and finally have a long-term facilitator with the company, Jonathan Yen. All data has been entered onto their website, and Environmental Health is in the process of proofing and testing their data and forms in the system.

· Javin Bedard, one of the health inspectors, has been appointed the administrator of the system. Javin will be doing day-to-day technical updates and data management. They have been leaps and bounds since his appointment.

· The final detail adjustments are being done prior to starting the live process of the system and training staff, hopefully in February 2012. They will go through a probation period with the system while doing inspections with the computer system, and go full-tilt with the system in July 2012.

C. Grand Forks Food Code Update: Timothy H. gave an update on the new city code:

· As of January 1, 2012, Grand Forks has a new Food Code, which was adopted from the State Food Code. Each food facility will receive a copy. After completing inspections, health inspectors will discuss with the food facility managers any violations found. The managers can now check the violations with their own copy of the Food Code.

· The idea behind the new Food Code was to require food facilities to have additional training in food safety. An eight-hour food safety course is now required. Facilities will also have a copy of the Food Code book on hand for education. There will be a six-month grace period for food facilities to get up-to-speed on the new Food Code.

· There has been about a five percent increase in food facilities in Grand Forks, with about another five percent of existing food facilities doing major renovations.

D. CHAMP Software Update: Debbie S. provided the following update:

· Training has started with the CHAMP Software product, which is specific to public health.
It will allow public health to have an electronic health record, plus be able to collect data for various programs. There will be a couple hours of training every other Thursday mornings, with a few hours of homework in-between training. This training involves all of the Administrative support staff, State Health Tracks staff, nursing and nutrition staff.

· Bismarck-Burleigh Public Health has already implemented the CHAMP Software, and Grand Forks Public Health Department (GFPHD) can benefit from their experience on the technical aspect of it, such as putting forms into the software.

· Allen Anderson has updated all computers for training. This training will be completed by webinar and teleconferences. They expect to go live with the software the beginning of June 2012.

E. Influenza Update: Debbie S. gave an update on the influenza season:

· Flu activity in ND has been extremely low with only 12 confirmed cases to date, compared to 474 at this time last year. There have been only two confirmed cases in Grand Forks County.

· GFPHD received 230 doses of state flu vaccine, with all but 30 given. There were 1,500 private doses of flu vaccine available, and 1,314 individuals were vaccinated. Late in the year, a vaccine manufacturer donated 100 doses of flu vaccine, which was used for uninsured and low-income individuals. It was also used at a clinic at the Grand Forks Mission and to immunize the inmates at the Grand Forks County Correction Center.

· In response to a question from Don S., Debbie S. stated that the norovirus usually peaks around this time of year, and is particularly a problem in long-term facilities. It is mainly transmitted due to a breakdown in hand washing. Health facilities and schools seem to get hit the hardest. Timothy H. noted that many food-borne illness complaints, upon investigation seem to have the same symptoms as those caused by the norovirus.

IV. New Business

A. Welcome New Public Health Personnel: Debbie S. welcomed the new staff (see Issue Listing attachment):

· Grace Hornbacker was hired for a new LPN position at the GF Jail.

· Mara Jiran is the Project Coordinator with the CHC Planning Grant.

· Ashley Howard was just hired this week for the Care Coordination Program and will also work with the Disease Prevention Team. She comes to GFPHD from Altru and teaches at the University of ND (UND) College of Nursing.

B. Welcome Dr. Sally Pyle, BOH Member: Dana S. welcomed the newest board member (see Issue Listing attachment), and asked Dr. Pyle to give a brief history on herself:

· Dr. Pyle moved to Grand Forks and has worked at UND since 1977. In 2006, she took over as Director of the UND Honors Program. She has a Bachelor Degree in Horticulture, a Master’s Degree in Toxicology, and a Ph.D. in Experimental Pathology and Toxicology.

C. Post Smoke-Free Ordinance Impact Study: Theresa K. briefed on the enhanced Smoke-Free Ordinance of August 2010 (see Issue Listing attachment):

· The City Council voted in April 2010 to expand the local smoke-free ordinance to include bars, casinos, and truck stops, and was implemented in August 2010. When a community adopts or expands an ordinance, a study is done a year later to assess how things are going. The study monitors opinions and attitudes toward tobacco use and control.

· The study was completed in December 2011 and is still being reviewed. The results should be forthcoming shortly, and will be available at the Grand Forks Tobacco-Free Coalition website: They will also be sent to the Board of Health members.

· They are looking at completing a Revenue Impact Study next year.

D. Adult Home Visiting Community Assessment: Joni T. wanted to brief the board on the population-specific community assessment of the GFPHD’s Adult Home Visiting Program clientele she completed as part of her Master’s of Science in Nursing Program (see Issue Listing attachment).

· Data was collected from five groups; chart review, client interviews, family member interviews, health care providers and community agency representatives that work with the clients, and Adult Home Visiting nurses (see attached brochure).

· The results summary showed two main community problems: A lack of adequate transportation for older adults living in private residences in Grand Forks County, and a lack of awareness of programs and services available to older adults living in private residences in Grand Forks County. Joni focused on the awareness problem, utilizing a system that the North Dakota Department of Human Services' Aging Services Division already had through their website:, or at: This database can be searched for organizations and services that are available in the community. Joni worked on making more agencies aware of the system by getting them to utilize and list what services they provide in the database.

V. Next Regular Scheduled Meetings – 4:15 p.m., Thursday, April 12, July 12, and October 11, 2012, at the Public Health conference room.

VI. Other: Debbie S. handed out a flyer for the Oral (Dental) Health Community Forum being held on February 6, 2012, at the Grand Forks Herald from 5:30 p.m. to 7:30 pm (see attachment).

VII. Adjournment: The meeting ended at 5:00 p.m.

1. Adult Home Visiting Program Community Assessment Brochure
2. Oral (Dental) Health Community Forum Flyer

Respectfully submitted,

James Hargreaves, MD, Secretary
by: Keith Westerfield
Office Specialist, Senior
Public Health Department