Dukes County Health Council
March 27, 2003
Present: C. Knowles, T. Walsh, M. Dutton, M.J. O’Connor-Rapp, C. Mitchell,
N. Gilfoy, I. Klein, K. Rose, J.A. Murphy, J. Cage, P. Moon, M. Frank,
J. Steward, D. Seklecki, L. Andrade, J. Cleare, E. Membrano, C. Silberstein, B. K. Logue, C. Brennan, B. Tonti, N. Robinson-Lynch, T. Crawford
Absent: M. Bergstrom, F. Case, D. Greenberg, P. Hickey, M. Lazerow, M. Lipke,
S. Lothrop, P McCornack, F. Rundlet, P. Strock, S. Kuh
Guest: S. Kelly
Next meeting – April 24, 7:30 a.m.
Minutes' approval was deferred to next meeting.
Election of Health Council members – Coordinating Committee recommends slate of officers:
President – Tad Crawford, Vice President – Jacque Cage, Secretary – Kathy Rose,
Treasurer – Kathy Logue.
Motion made and seconded – All were in favor.
Selection of LHAA Steering Committee members – 2 vacancies exist, one with Kevin Burchill leaving and the other due to split of Council and IHP. It is recommended that T. Crawford and J. Cage fill the two vacancies. N. Robinson-Lynch and M. Frank continue to serve. It was moved and seconded to approve these nominations. Alternates can be named as well. All were in favor with one abstention of appointing T. Crawford and J. Cage.
Retreat follow-up.
Revised Mission Statement was crafted from previous discussions and was circulated via E-mail. Careful deliberation was made of the use of specific words to convey our wishes. The new draft incorporated the sense of the old Mission Statement. The committee was in consensus and seeks consensus from the Council membership. The good work of the committee was noted. It was moved and seconded to approve. All were in favor. See attached content in the attachments.
Repeat goals and objectives – Dr. Klein commented that the working group role was to summarize retreat flip charts. Categories for time frames were attached to the priority listings. It is our task to agree with the priority list at this point in time. Two categories were determined: process and content. These can be separated out at a later time. See attached listings in attachments of 9 goals/objectives. Items #3 and #7 will need the Council to determine time frames.
Additional visions and priorities were recognized. (See listing.) T. Crawford makes the following point: This effort synthesizes retreat output and does not represent specific task force or committee goals/objectives. This represents work for the Council to accept the priorities and have them potentially guide our ongoing work. The Coordinating Committee is looking for input from Council members. P. Moore questioned the rationale for establishing one community health campus. T. Walsh commented this seems like a “bricks and mortar” intent. N. Gilfoy remembered this as being a figurative issue or “dream” but felt it represented a desire of members to enact a seamless system of health delivery. J. Cleare remembers fairly
specific details having to do with individual organizations. T. Walsh suggested changing word “campus” to “network. Underlying this was the notion also of a community health center possibility. C. Mitchell suggests use of “virtual” to qualify the intent of this issue. C. Knowles remembers it as a “bricks and mortar” issue. T. Crawford commented that the existing consensus is that we are a network and will work towards a future entity.
Another discussion was raised re: “Changing culture of the Council”. K. Logue suggested this meant clarifying organizational structure as a circle rather than a hierarchical structure. D. Klein clarified that a short-term goal is to clearly delineate the operational and organizational structure. Time for sufficient discourse is wanted. We recognize need for committees to have more time to present their work. J. Cleare urges that we recognize the time of change and unrest that existed when we drafted these goals/objectives. They may not still represent where we are today.
T. Crawford presented drafts from each Council committee. It would be helpful if each group completed this listing. Organizational charts are available for any members. We believe this helps us to think more clearly about the delineation of our operational and organizational structure. It needs to be integrated with drafts of goals and objectives. At the next Coordinating Committee meeting members will begin active work on these issues. Next Coordinating Committee meeting is April 3 at 7:30 a.m. and is open to all Council members.
Liaison work document will be recirculated in advance of next meeting to facilitate completion of this work group function. J. Steward will follow up.
Island Health Plan updates prepared by C. Mitchell will be a part of reporting mechanism for Council meetings. Committees and task group will be afforded reporting time but the development of tools of effective communication would be very valuable.
Treasurer’s Report and Budget – K. Logue
Current FY03 budget allocations were explained (see attached report). Very little funding is available for discretionary spending. Most funds are specifically defined for special use.
New format for reporting is evident to make reporting more understandable
Access Program will devise a spreadsheet report to capture its full funding perspective.
Budget Report: See attached draft. Note columns for grant funding and one line for Vineyard Health Care Access Committee which presents its details directly to the County. K. Logue reviewed specific requests by each committee, task force, program, or joint venture and explained the rationale for various allocations. The Council received notice of the County process and deadline for the first time this year. We expect to have a chance to present our budget in person.
A motion to approve the proposed budget was approved, seconded and voted unanimously.
K. Rose spoke regarding the VHCAP budget which is being submitted at 40% of total expenses of $160,000 as a strategy to have the County accept more responsibility for this essential County-based agency. This agency essentially needs broader sponsorship via its revenue streams. S. Kuh will present the specific details of the VHCAP budget to the County. A motion was made, seconded and voted unanimously to accept VHCAP budget.
Posting of committees/task groups meetings will now be done by K. Rose. All chairpersons are asked to submit information to her monthly about time, date, and place for meetings.
8 E. Membrano reported re: plans for a Retired MD/RN free clinic effort which is underway. We will maintain contact about this endeavor.
Letter from G. Jones asking for lists of Island organizations who serve bereaved or disabled individuals for accepting patients in the Free Sail Program. All are asked to respond to her re: potential patients.
The meeting adjourned at 10:00 a.m.
Respectfully submitted,
Kathleen F. Rose, R.N.
Secretary
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