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HomeMy WebLinkAbout1984-03-27 Health Center Committee Minutes1n PIINU'fEH HEAb1H CENTER COWITTEE There was a meeting of the Bangor City Council Health Center Committee on 3/27/84 at 8 a.m. in the office a the City Manager. present were: Health Center Committee: James Cox: Marshall Frankel and Edger Brown: Chairman. City Administration: John Flynn: City Manager; Mary A:n Chalila: Director of Health and Welfare! Judith Rossetti: Administrator of Bangor City Nursing Facility. Health & Hospital Advisory Committee: Dr. T. Jazefowics: Barbara Stone and Bereari Miller, Councilor Brown opened the meeting with remarks concerning correspondence with the State about public Health Nursing services. He feels we have made progress in our negotiations with the State toward their assuming more of their responsibility in Public Health Coming and that we must continue to work with them on this matter. He feels this is a role that the public Health Advisory Committee should be involved in. He expressed his views on what he seeas the role of the Advisory Committees. He feels that City Administration would refer problem areas: policy or procedure changes to the Health Center Committee and who would then: if they felt expertise and outside advise were needed, would seek this from the Advisory Committee. Be cited as an example o4 this, the study done by Affilliated Management Services of the Nursing Facility. He feels the recommendations in this report are an area the Advisory Committee should review and advise on. He expressed strongly his feelings that the Nursing Facility and the public Health Department need to have separate identitus. He then asked the City Manager to review the proposed ordinance changes relating to the reorganization of the Health and Hospital Departments and the Health ard Hospital Advisory Committee. The City Manager gave each member present a copy of the proposed changes. in the Health Department the main change before the committee is in the creation of a new Health Advisory Committee and the structure of that committee. For the Nursing Facility, changes involve mainly renaming the City Hospital to the City Nursing Facility. This is to reflect mora accurately the true function a the facility. It is offering long—term nursing care, not acute hospital care. The other change is in the creation of a separate Nursing Facility Advisoty Committee and the structure of that Committee. A general discussion followed concerning membership of both committees. Dr. Josefowicz felt there was an inconsistency in the number of physicians suggested on the committees. He felt 3 physicians for the Nursing Facility was xcessive but if 3 were needed than certainly mom were needed on the Health Department Advisory Committee which comes a much broader base In the Community. - (continued) Minutes continued: Darbare Stone felt there definitely needed to be nursing representation on the Health Department Committee. She also suggested representation by area agencies on aging might be apprepriate on the Nursing Facility Committee. Mrs. Roseetti felt 3 physicians was not excessive and certainly the Nursing Facility was an important enough service to warrant representation and advise from 3 physicians within the commodity. She also commented that although representation from area agencies on aging was a good idea but that we serve long term and chronically ill of all ages not just the elderly and did not want representation just for the elderly. At this point the City Manager excused himself from the meeting due to a prior comeittment at 8:30 a.m. The discussion on the membership structure continued and turned to the initial proposal by the Health and Hospital Advisory Committee an 2/29/84 that theta be Just one large Health Advisory Committee with sub -committees on each separate area. A lively discussion followed about this, ending with a proposal to consider again having just one large Health Advisory Committees which would also encompass the Deatal Health Advisory committeet and would subdivide into committees for the Nursing Facility, Health Department and Dental Clinic. Approximately 17 members were suggested for this, 5. physicians,. 2 pharmacists, 1 rouse, 1 lawyer, 3 dentists and 5 lay members. Councilor Brown asked for advise from the Advisory Committee on the Maternal and Child Health Grant that the Health Dept. will submit to the State Public Health Dept. Dr. Jozefowiez, Barbara Stone and Bernard Miller all expressed willingness to review this. They also suggested Dr. leader_ would be the best member to review this. Due to the fact that this was March 27th and the grant needed to be submitted by April 1, there was not enough time £or the narrative to be mailed to the members and returned with input before the deadline. Bernard Miller agreed -to meet with Mrs. Chalila on this this week and offer his thoughts. Barbara Stora and Dr. Josef owles excused themselves from the meeting at 9:oo a.m. due to previous committments. Councilor Brown stated he would contact the Dental Health Advisory Committee for their feelings an merging into 1 large committee. The Health. Center Committee will take all of the suggestions made by the Advisory Committee wood City Administration on this matter into consideration before making a final decision. The current ordinance before the council with these proposed changes would be tabled until the Health Center Committee meets again and re- evaluates the situation: --- The meeting was adjourned at 9:15 a.m. Respectfullyubm�i "th Roscetti hdministrator Dental Health Advisory Committee Dr. Daniel McCarthy 261 French Street Judy Guay, 8 Fort Knox Avenue Karen Ingraham 102 Harvard. Street Susan Marsh' 80 Sunset Avenue Jack Brookings 63 Summit Avenue Dr. Thomas Braids Main Road Hampden Dr. Sohn Brookings 39 Grove Street Joanne Norris 44 Brewster Street MINOTES HEALTH CENTER CE4NITMS There was a meeting a the Bangor City Council Health Center Committee an 3/27/E4 at 8 a.m. in the office of the City Manager. Present were: Health Center Committee: James Cox: Marshall Frankel and Edgar Brown, Chairman. City Administration: John Flynn, City Manager; Mary Ann Chalila, Director of Health and Welfare; Judith Roscetti, Administrator of Bangor City Nursing Facility. Health & Hospital Advisory Committee: Dr. T. Jorefowlcs: Barbara Stone and Bernard Hiller. Councilor Brown opened the meeting with remarks concerning correspondence with the State about Public Health Nursing services. He feels we have made progress in our negotiations with the State toward their assuming more of their responsibility An Public Health Nursing and that we most continue to work with them on this matter. He feels this is a role that the Public Health Advisory Committee should be involved in. He expreased his views on what he sees as the role of the AdvlSory Committees. He feels that City Administration would refer problem areas, policy or procedur" changes to the Health Center Comdttee and who would then, if they felt expertise and outside advise were needed: would seek this from the Advisory Committee. He cited as an example of this: the study dorm by Affilliated Management Services of the Nursing Facility. He feels the recommendations in this report are an area the Advisory Committee should review arta advice on. He expressed strongly his feelings that the Nursing Facility and the Public Health Department need to have separate identitus. He then asked the City Manager to review Urs proposed ordinance changes relating to the reorganisation of the Health and Hospital Departments and Us Health ani Hospital Advisory Committee. The City Manager gave each member present a copy of the proposed changes. In the Health Department the main change before Lha committee is in the creation of a new Health Advisory Committee and the structure of that committee. For the Nursing Facility: changes involve mainly renaming the City Hospital to the City Nursing Facility. This is to reflect more accurately the true function of the facility. It is offering long-term nursing care, not acute hospital care. The other change is in the creation a a separate Nursing Facility Advisoty Committee and Us structure of that Committee. A general discussion followed concerning membership of both committees. Dr. Josefowicz felt there was an inconsistancy in the member of physicians suggested an the committees. He felt 3 Physicians for the Nursing Facility s excessive but if 3 were needed than certainly more were needed on the Health Department Advisory Committee which serves a much broader base in Us Community. (continued) Minutes continuedi Barbaaa Stam felt there definitely needed to be nursing representation on the Health Department Committee. She also suggested representation by area agencies on aging might be appropriate on the Nursing Facility Committee. Mrs. Hoscetti felt 3 physicians was not excessive and certainly the Nursing Facility was an important enough service to warrant representation aM advise from 3 physlcdaue within the community. She also commented that although representation from area agencies on aging was a good idea but that we serve long term and chronically ill of all ages amt just the elderly and did not want representation just for the elderly. At this point the City Manager excused himself from the meeting due to a prior comittment at 8:30 a.m. The discussion on the membership structure corR.inued and turned to the irdtial proposal by the Health end Hospital Advisory Committee on 2/29/84 that there be just are large Health Advisory Committee with eub-ccmmittees on each separate area. A lively discussion followed about this: ending with a proposal to consider again having just one large Health Advisory Committee: which would also encompass the Dental Health Advisory Commattee: end would subdivide into committees for the Nursing Facility: Health Department and Dental Clinic. Approximately 17 members were suggested for this. 5 physicians. 2 pharmacists, 1 aurae: 1 lawyer: 3 dentists used 5 lay members. Councilor Brown asked for advise from the Advisory Committee on the Maternal and Child Health Grant that the Health Dept. will submit to the State Public Health Dept. Dr. Jozefowicz: BarboreStone and Bernard Miller all expressed willingness to review this. They also suggested Dr. Laegei would be the best member to review this. Due to the fact that this was March 271le and the grant needed to be submitted by April 19 there was not enough time for the normative to be mailed to the members and returned with input before the deadline. '1W_rnaad Miller agreed to meet with Mrs. Ctalila on this this week and offer his thoughts. Barbara Store and Dr. Jozefewiez excused themselves from the meeting at 9:oo a.m. due to previous committments. Councilor Brown stated he would contact the Dental Health Advisory Committee for their feelings on merging into 1 large committee. The Health Center Committee will take all of the suggestions made by the Advisory Committee and City Administration on this matter into consideration before making a final decision. The current ordinance before the council with these proposed changes would be tabled until the Health Center C ttee greets again and re— evaluates the situation. The meeting was.; adjourned at 9:15 !.a. Respactlhlly submit 'thsRoscetti Erato VMS