Showing posts with label health director. Show all posts
Showing posts with label health director. Show all posts

Friday, October 28, 2011

Road Commission Resolution Referred to Committee, Health Director Appointed, Medical Officer Re-Created, Dentists Hired

To begin my blog this week, I would like to welcome a variety of new readers of my blog. We once again heard from those unhappy with the Road Commission Board, and this time my blog was read during public comment. As the only person that writes a weekly blog on the County Board, I am happy that people are reading it!

As assumed in my blog last week, we again had a personal resolution introduced calling for Road Commissioner Shirley Rodgers to resign. Before I get into that, I would like to address some confusion with what I have written in my blog.

The Road Commission and its employees are not a “Democrat or Republican” issue. I never meant to insinuate that they are. The Ingham County Road Commission employees do a great job getting the roads fixed and cleared, and I am proud of the work they do. But it is a fact that the late resolutions were introduced by the four Republicans on the County Board. In committee last week and on the Board floor, the late and personal resolutions were introduce by Commissioners Dragonetti,Vickers, Schafer, and Dougan. As far as I know, no Democrats were even talked to about these resolutions before they were introduced. So…it is true that the Republicans introducved these resolutions. As for the motivations of the public that show up, I take them at their word that they are not there because someone asked them to be. It is odd, though, that we had no public coming to committee about the Road Commission problems until the late resolution (introduced by the four Republicans) was sprung on us without any notice. But whatever.

At the Board meeting, we heard significant public testimony from several Road Commission employees and from friends and family of Mr. Jim Benjamin, who was fired from the Road Commission. We then had the resolution calling for Shirley Rodgers to resign or face removal proceedings moved for immediate consideration. Board Chair Grebner explained the Board policy that all personal and late resolutions are automatically referred to committee unless they have already been considered at committee or the Board votes to overrule the rules on a 2/3 vote. This is to ensure that the public has the appropriate notice of the resolution because it is on the official agenda, ensure that the attorney can review it and comment on the legality, and to ensure that committee work (language details) can be done in committee. The motion was made to have the resolution not be referred to committee, but it was defeated 5-11. 4 Republicans and 1 Democrat voted to keep the resolution on the Board floor. Personally, I voted against it because I think that this needs to be worked on in committee. I read the resolution. It said a lot of bad things about Shirley Rodgers, but included not one thing that she did wrong. I would like for some of those things to be included so we can at least have the allegations written down before, and any accompanying proof given to us, before considering something like this on the Board floor. I also am not comfortable calling for a resignation. That does nothing and is a waste of everyone’s time. If there is proof of malfeasance or misfeasance of any Road Commissioner, I am willing to consider that. This is the role of the County Commission. Under state law, we cannot overrule decisions made by the Road Commission nor can we reinstate any employees such as Mr. Benjamin. We can take written proof given to us and decide if a Road Commissioner has committed malfeasance or misfeasance in office as according to the conditions in the law and case law.

The resolution was referred to County Services, where it is on the agenda for Tuesday. So I will report more on this next week. Personally, I look forward to actually seeing the evidence that is out there in support of malfeasance. Instead of hearing about police reports and secret investigations, I hope that information is given to us proving these and all other accusations so we can find finality on this resolution. Again, we can’t re-hire Mr. Benjamin. He was terminated with a majority vote by the Road Commission (EDITORS'S NOTE...In the original blog posting, I said that it was ironic that Shirley Rodgers voted against it. That was incorrect and was brought to my attention by a member of the public. Milton Scales voted against it and the other 4 Commissioners voted for it. I confused this vote with another voted taken by the by the road commission. My apologies) and we have no say over their management employees. I have no opinion on whether he should or should not have been terminated. I don’t know him and have never met him. I don’t know if he is a good or bad manager . He clearly has many supporters. He also has some detractors. He has filed a complaint and we will look at it and deem if county policies were violated or not and act accordingly.

In other business, we bid farewell to our Health Director, Dean Sienko. He has been an incredible Health Director for Ingham County, and is a state and national leader. We also welcomed Dr. Renee Canady, who will be our new Health Department Director. Dr. Sienko had been serving as the Health Officer/Medical Director/Medical Examiner in his role as Director. We recently discovered that we re-created the Health Officer position, as needed, and appointed Dr. Canady to that position. We neglected, though, to re-establish an independent Medical Director position. This needs to be done immediately as we need to have one as soon as Dr. Sienko is retired. We had a late resolution to re-establish this position. Again, because it is a late resolution, we needed a 2/3 vote to consider it that night. Commissioners Vickers and Dragonetti voted against consideration and passage of this resolution because they were upset that this was considered immediately but the Road Commission resolution was not. It did pass, though, on a bi-partisan 14-2 vote (with bi-partisan support).

The only other resolution that was controversial on the agenda was a resolution to authorize dental services contracts with our licensed dentists. Ingham County’s Community Health Center Network (CHCN) operates two dental health centers and uses a mix of employed and contracted dentists to provide services. The Health Department’s 2012 Budget includes $159,120 to pay for contractual dentists. This resolution approved the contracts through the end of 2012. Commissioner Vickers opposed this as well and said that the pay for the dentists is too much compared to the amount that we pay our other employees. While I understand that we are paying our dentists higher than other employees, we also are well aware that dentists are very hard to hire. We have had dentist shortages in the recent years because we can't pay them enough. The result is reduced service to those in Ingham County that have severe dental needs. We are still paying lower than private dentists receive but are at least able to actually hire dentists and provide the service to those who desperately need it in Ingham County. The resolution passed 14-2 (again with bi-partisan support).

Well, that's about it. I hope you are having a great weekend and I will report back again at the end of the week!

Thursday, October 20, 2011

Airport Update, Road Commission, Health Care Costs, Zoo Entrance Fees Increased, Health and Fair Directors selected, Office,Congrats Bob Trezise!

This week was a busy week, as it always is when we have multiple committees meeting.

The most significant, and yet least contentious, thing that we did this week was to pass the 2012 Spending Resolution. This implements our budget for next year. Yay! That's just about done!

In County Services, hear an update from the Capitol Area Airport Authority Executive Director. It was a good presentation. He pointed out many things, including the fact that the airport has a return on investment of $178 for each tax dollar invested. This is a stat used to justify the millage, and is convincing. It is worth noting, though, that the Airport (located in Clinton County) is wholly supported publicly through a millage that Ingham County and City of Lansing residents pay even though it provides benefit for Ingham, Eaton, and Clinton counties. I asked what the return on investment would be if Eaton and Clinton and county resident contributed, and the answer was that there would be about $375 in return on investment per dollar invested!. Other highlights were the great work the Authority is doing attracting airlines and cargo, that we have the only Foreign Trade Zone outside of Chicago and Detroit in the midwest, and that the that Port Lansing Foreigh Trade Zone takes in 8 counties. With the approval of a tax sharing agreement (called a 425 agreement) between Lansing and DeWitt Twp, they are hoping to create a Next Michigan District that will provide incentives to businesses to locate on Airport land and create more revenues for the local units of government.

After hearing this presentation, Commissioners Vickers and Dragonetti attempted to add a resolution to the agenda to call for the resignation of Ingham County Road Commissioner Shirley Rodgers. As background, resolutions are usually presented for the agenda of a committee about a week in advance and placed on that agenda. Because the resolution was introduced at the last minute, I voted against suspending the rules to add it to the agenda. I had not even read it when it came up for a vote about adding it to the agenda. After hearing public comment for the last month, this was not something that needed to be done at the last minute. As such, I voted against this and suggested that this be done through the normal process. The resolution failed 2-4. I expect to see it again introduced as a late item on the Board floor on Tuesday and, if history repeats itself, I expect that the four Republicans will contact the media and tell residents to come because the Road Commisison will be on the agenda. Of course, that is not true and it will simply be the Republicans manipulating the public just to have them be let down...but that seems to be par for the course. They are trying to create anger instead of trying to go through the actual process and govern.

Health care costs are always a concern to any local government. In Ingham County, we receive recommendations from a coalition of employers and employees. This week in Finance and County Services, we received the Health Care recommendations for the year. We were recently notified by PHP that our 2012 health insurance premiums would need to be modified to include the 1% state claims tax that was recently passed by the Legislature and signed by the Governor.
Half this cost was borne by the employees and half by the County. Increase in our employee’s contribution levels, though, resulted in a change to the benefits as required under the Federal Health Reform Act. The Act requires that all preventive medical services be provided with no co-pays. We believed our plan was under a grandfather provision which allowed us to delay implementation of these provisions until 2014. This is no longer true, though, because of the increase. As such, we had another small increase (.09%) in our premium rates for 2012. Since this amount is due to the employee’s contribution increase, the County is agreeing to absorb this
portion of the rate increase. Even with both of these changes, we are still in compliance with State requirement that employees must pay at least 80% of their health care costs (the so-called 80/20 law). Both the County and the unions supported this plan for health care for 2012.

Finally, we had a recommendation from the Potter Park Zoo Committee and the Parks Board to increase entrance fees for the zoo. The Potter Park Zoo staff researched zoo admission fees, using other zoos for comparison purposes, and they believe that the fee changes will continue to put the Potter Park Zoo in a favorable position relative to Detroit Zoo, Binder Park Zoo, and John Ball Zoo entry fees. They indicated that the need the additional $90,000 in funding to provide adequate funding for the Potter Park Zoo operations in order to offset rising costs and decreased millage amounts being collected, and to ensure AZA certification.

The resolution presented in County Services included a $2 proposed increase in the Resident Adult (from $4 to $6) and Non-Resident Adult (from $10 to $12) fees, and an increase in Children fees from $2 to $3 in addition to reducing the age from3-16 to 3-12 years of age. I argued against the fee increases. I said that residents are already paying $2.8 million, in additon to paying the parking fees and the entrance fees. I am opposed to increasing the fees again, especially after the millage was just renewed and the parking just went up for daily and yearly passed. In County Services, this opposition was agreed to by all (Commissioner Vickers said he agreed with me and we all had a good laugh!). The resolution failed 0-6.

When the resolution came up in Finance, Commissioner Bahar-Cook argued stongly for the fee increase. She said that the voters have passed two millages and want a strong zoo. She also said that if AZA funding is jeopardized, then the Zoo will be nothing more than a petting zoo and all will be for naught. Commissioner McGrain proposed an amendment that changed the fees around a bit. His amendment changed the Resident Adult fees to only going up $1 (from $4 to $5), had the non-Resident Adult fees going up $4 more (from $10 to $14), and left the Children where there are today with the fee and age staying at $2 for children 3-16 years of age. This amendment passed unanimously. It would generate the same amount as the originally proposed fees and, for those paying the millage, would only have Resident adults paying $1 more than now. With the new language, the fee increase resolution passed on a 4-2 vote. I continued to oppose it because I still think that we shouldn't be raising the fees again.

Finally, we accepted the Health Officer Selection Committee’s recommendation and passed a resolution appointing Renee Canady to the permanent full-time position of Ingham County Health Officer. We also made an offer to a person for the job of the Fair Manager.

And one last thing to mention...I wish to offer congratulations to Bob Trezise, new incoming President of the Lansing Economic Area Partnership (LEAP). Bob has done an excellent job at the Lansing Economic Development Corporation and will be missed by Lansing residents, but he is exactly what the region needs for LEAP to succeed and bring us forward. CONGRATS, BOB! We are all counting on you! (no pressure, though)

Whew...I'm done! Till next week...

Wednesday, August 24, 2011

Fundraiser, Budget, Ingham Health Plan, Health and Zoo Directors, DSH Payment, Veterinarian

Welcome back to the Schor Blog. Sorry for the two week delay!

First, a political note: I invite everyone to my next fundraiser for my State Representative campaign. It is tomorrow (Thursday) from 5:30 - 7:30 at the home of Commissioner Penelope Tsernoglou and Steve Ross at 1197 Prescott in East Lansing. For more details, go to www.andyschor.com.

Now, on to the County Issues...

At the Board meeting, we were given our Controller Recommended Budget. After months of hearing budget projections, meetings with countywide elected officials and department heads at the County, and discussions of direction for staff to take in drafting a budget we now have a starting document. And because our Controller is the best in the state (nation? world?), this is likely going to be very close to the final product. We will now start on budget discussions, with each committee holding budget hearings and the Finance committee (which I chair) putting it all together and recommending a final product for the Board to consider in October. Should be an interesting few months as we solve a $5.5 million budget deficit.

At the Board meeting, we passed several important resolutions. One resolution we passed authorizes a Public Health Service Agreement for 2011-2012 with the Ingham
Health Plan Corporation (IHPC). For those that don't know, we contract with the IHPC to provide public health services to low income residents of Ingham County. The IHPC amount this year is for services up to $2,603,118. The services include:
- Public Health Nursing
- Adult Dental
- Outreach and Enrollment
- Support for the Ingham Community Health Center Network

The Ingham Health Plan is a tremendous success in providing health care to the uninsured. If you are unfamiliar, go to www.ingham.org and follow the page to the Health Department and you can get all the info. I am very proud of this program and our support for it.

We also transferred funds to the State of Michigan for the purpose of supporting
Disproportionate Share Hospital (DHS) payments to Ingham Regional Medical Center and Sparrow Health System. The federal government allows for an “Indigent Care Agreements Pool” for hospitals which qualify for Medicaid Disproportionate Share (“DSH”)payments and allows them to receive DSH payments under the Indigent Care Agreements Pool so long as: (a) the hospital had an Indigent Care Agreement with a local health care entity, such as Ingham Health Plan Corporation; and (b) the Indigent Care Agreement stipulated that direct or indirect health care services be provided to low-income patients with special needs who are not covered under other public or private health care programs. Both Ingham Regional Medical
Center and Sparrow Health are qualified to receive these special payments.
The Ingham Health Plan Corporation was created in 1998 as a non-profit corporation for the purposes of promoting, arranging, and managing an effective system of health care in a manner which decreases the cost of health care services to the community at large and persons unable to pay for such care. The Corporation also supports certain public health services which are directed at low-income, uninsured persons, including services delivered by the Ingham County Health Department. We transferred up to $3.8 million for the year from the Health Fund to support Disproportionate Share Hospital Payments to Ingham Regional Medical Center and Sparrow Health System.

The Board also passed a resolution calling on the State Legislature to oppose efforts to make Michigan a right-to-work state. After hearing that other counties were providing resolutions (both for and against), we decided Ingham County should weigh in to ensure that our legislators and our countywide association know the opinions of the elected commissioners of Ingham County. There was no discussion on the Board floor, and the resolution passed on a 13-2 vote. The resolution (and all others) can be read here.

We passed a resolution to form a special committee to look at hiring a new Health Director. Unfortunately, our Health Director - Dean Sienko - is retiring. He has been tremendous as a Health Director, and will be missed. We have a world class Health Department due to his leadership, and he will be hard to replace. The task force has a tough job ahead of them. We are also going to have to replace the director of the Potter Park Zoo. We learned that Gerry Brady is retiring and we will need to fill that post as well. Tough times, but new leadership is always an opportunity for new ideas and innovation!

The final resolution I will mention is the hiring of a part-time veterinarian. Ingham County Animal Control has historically contracted for veterinary services at the shelter to examine and treat sick and injured animals and prescribe medications. The annual renewal of the contract has always been tenuous as few, if any, applicants apply. We had persuaded a local veterinarian to apply until a more permanent vendor could be contracted; however, that permanent vendor has eluded us. Each time the position is up for renewal it struggles to attract candidates based
on the wage amount, hours and contract requirements. The current vendor (veterinarian) accepted the bid on a short term basis simply to help the shelter
out. However, due to his busy practice he has expressed his desire to opt out but will continue until a replacement is found. However, he proposed to double the current contract. We couldn't accept that, so we decided to hire a part-time veterinarian (instead of contracting) for 20 hours per week. We included in the job description spaying and neutering of animals and other medical procedures to be required as part of the service conducted at the shelter at no additional cost. Animal Control will have the equipment and facilities to conduct such treatments. In addition to creating a more stable position, it ensures better training of animal care staff by a veterinarian, increases the quality of care, provides much needed veterinary care of the high volume of sick injured and abused animals brought into the county’s animal shelter, and results in long term savings on funds and resources currently spent on injured animal care, surgical, spay/neuter and veterinary costs.

I will remind those that read this blog by getting the facebook email that facebook is eliminating the group at some point. So, if you want to continue to get notifications, please "like" my facebook fan page. You can go here to do it - http://www.facebook.com/#!/andyschor.

I hope you have a great week!