1. Call to Order

2. Pledge of Allegiance

3. Comments from Public

4. President’s Commentsa. Welcome New Board of Health Members (Page 2)b. Nominating Committee Updatec. Strategic and Finance & Personnel Committee Recruitment (Pages 3-4)

5. Consent Agenda Itemsa. Approval of November 12, 2018 Minutesb. Approval of November 12, 2018 Executive Session Minutesc. Acceptance of Personnel Report (Page 5)d. Acceptance of Financial Services Report for Period #11/FY2018 (Pages 6-9)

6. Financial Report Summary (Information) (Pages 10-11)

7. Committee Reportsa. Strategic Planning Committee

- 2019 Legislative Proposals (Information)- Strategic Planning 2020-2022 (Information) (Page 12)

b. Finance and Personnel Committee

8. Old Businessa. Food Safety Priority Status and Action Plan (Information) (Page 13)b. Community Development Block Grant Award (Information)c. Approval of Medical Director Contract (Action) (Pages 14-17)d. Vital Records Funeral Home Late Fee (Action) (Page 18)e. Tracking Log (Information) (Page 19)

9. New Businessa. Board of Health Roles (Information) (Page 20)b. 2018 Climate Survey Feedback (Page 21)c. 2018 Employee Recognition Awards (Information) (Page 22)d. Heartland Health Services Partnership (Action)

10. Executive Session-Personnel

11. Approval of Contract Extension for Public Health Administrator (Action)

12. Adjournment

Peoria County Board of Health 2116 N. Sheridan Road • Peoria, IL 61604

December 17, 2018 6:00 PM • Room 125

Agenda

1

2116 N. Sheridan Rd. • Peoria, Illinois 61604 • PH: 309/679-6101 FAX: 309/679-6609 • TDD: 800/526-0844 (hearing impaired use only) • www.pcchd.org

MEMORANDUM

DATE: November 17, 2018

TO: Peoria County Board of Health

FROM: Monica Hendrickson, Public Health Administrator

RE: New Board of Health Members

On December 3, 2018 the Peoria County Board approved the recommendations of the Peoria County Board of Health to appointment Dr. Naresh Agarwal and Mr. Benjamin Brewer to the Board of Health.

Naresh K. Agarwal, MD, FACP, MBA

Dr. Agarwal is the Regional Director Primary Care, Central Region (West) for OSFMG. As an Internist and Primary Care Physician since 1997, Dr. Agarwal completed his MBA in 2016. His current role focuses on managing primary care practices in the Peoria Region.

Appointed: 12/3/2018 Expires 6/30/2021

Benjamin C.W. Brewer, MBA

Mr. Brewer is currently the Operations Director of Specialty Services at UnityPoint Health. Mr. Brewer has extensive experience in EMS and Emergency Services.

Appointed: 12/32018 Expires: 6/30/2020

2

2116 N. Sheridan Rd. • Peoria, Illinois 61604 • PH: 309/679-6101 FAX: 309/679-6609 • TDD: 800/526-0844 (hearing impaired use only) • www.pcchd.org

MEMORANDUM

DATE: November 17, 2018

TO: Peoria County Board of Health

FROM: Monica Hendrickson, Public Health Administrator

RE: Strategic Planning and Finance & Personnel Committee Recruitment

During the January 28, 2019 Meeting, the Board of Health will approve new committee and committee chairs for the Strategic Planning and Finance and Personnel Committees. Below is a summary of the two committees, the scope and responsibilities, current membership and 2019 schedule.

Strategic Planning Committee

Committee Members Rahmat Na'Allah, MD, MPH (Chair)

Scott Anderson, DDS Francesca Armmer, PhD

Joyce Harant, MS Mike Kennedy, MSEd

David Trachtenbarg, MD

The Strategic Planning Committee focuses monitoring, providing guidance and policy decisions for the following areas;

• Strategic Plan

• Community Health Needs Assessmentand Improvement Plan

• Performance Management and QualityImprovement Projects

• Programmatic and Service areas

Additionally, the committee addresses advocacy through position statements, legislative agendas, and proclamations.

2019 Schedule 5:30 pm in the Board Room

January 3rd February 7th

March 7th April 4th May 2nd June 6th July 11th August 1st

September 5th October 3rd

November 7th December 12th

3

2116 N. Sheridan Rd. • Peoria, Illinois 61604 • PH: 309/679-6101 FAX: 309/679-6609 • TDD: 800/526-0844 (hearing impaired use only) • www.pcchd.org

Finance and Personnel Committee

Committee Members Jennifer Groves-Allison, BA (Chair)

Samuel T. Duren, MDIV Kathy Simpson

Sharon K. Williams, BS Vacant Vacant

The Finance and Personnel Committee focuses monitoring, providing guidance and policy decisions for the following areas;

• Annual budget and Finances

• Personnel and Human Resources

• Building and Grounds Improvement andMaintenance.

• Performance Management and QualityImprovement Projects

• Programmatic and Service areas

Additionally, the committee addresses advocacy through position statements, legislative agendas, and proclamations.

2019 Schedule 6:00 pm in the Board Room

January 14th February 11th

March 11th April 9th May 13th

June 10th July 8th

August 12th September 9th October 14h

November 11th December 9th

4

PEORIA CITY/COUNTY HEALTH DEPARTMENT PERSONNEL REPORT

Effective December 1, 2018

New Hires:

Promotions/Personnel Changes: Tracy Joos, transferred to Public Health Nurse, 11/26/18 Rebecca Hall, transferred to Public Health Nurse, 11/26/18 Amy Roberts, promoted to Administrative Assistant, 11/26/18

Current Posted Open Positions: Disease Specialist, Health Protection (2.5 FTE) Preparedness Planner, Health Protection (0.5 FTE)

Budgeted Vacancies Currently on Hold- Dental Hygienist, Dental Division (1.0 FTE) Lead Safe Program Manager, (1.0 FTE) Office Assistant, Health Protection (1.0 FTE) Director of Community Health Policy & Planning/Assistant Administrator (1.0 FTE) Office Assistant, Community Health Policy and Planning (1.0 FTE)

Agency Separations Maxwell Johnson, Disease Specialist/ Preparedness Planner, (5mos)

Leave of Absence: None

FY 2018 Budget Authorized FTE: Filled FTE's: 71.20 FTEs 63.2 FTEs

5

PAGE NUMBER: 1DATE: 12/05/2018 PEORIA COUNTY, IL EXPSTA11TIME: 09:49:41 EXPENDITURE STATUS REPORT

SELECTION CRITERIA: orgn.fund=’030’ACCOUNTING PERIOD: 11/18

SORTED BY: FUND,DEPARTMENT,1ST SUBTOTAL,ACCOUNTTOTALED ON: DEPARTMENT,1ST SUBTOTALPAGE BREAKS ON: FUND

FUND−030 PEORIA CITY/COUNTY HEALTHDEPARTMENT−030 PEORIA CITY/COUNTY HEALTH 1ST SUBTOTAL−51000 PERSONNEL EXPENSES

PERIOD ENCUMBRANCES YEAR TO DATE AVAILABLE YTD/ACCOUNT − − − − − TITLE − − − − − BUDGET EXPENDITURES OUTSTANDING EXP BALANCE BUD51031 FULL−TIME EMPLOYEES 3,233,112.00 210,598.87 314,477.58 2,545,365.65 373,268.77 88.4551040 PART−TIME EMPLOYEES 17,173.00 3,708.25 5,725.63 10,259.85 1,187.52 93.0851050 TEMPORARY EMPLOYEES 2,500.00 .00 .00 210.00 2,290.00 8.4051060 OVERTIME PREMIUM 26,700.00 2,043.89 .00 24,735.48 1,964.52 92.6451080 LONGEVITY BONUS 22,230.00 400.00 .00 20,988.29 1,241.71 94.4151090 HOLIDAY PAY 20.00 .00 .00 6.29 13.71 31.4551130 EMPLOYEE BENEFITS 11,000.00 643.91 .00 7,388.72 3,611.28 67.1751175 CALL−IN BONUS 2,500.00 135.00 .00 1,995.00 505.00 79.8051241 MEDICAL HEALTH BENEFITS 770,978.00 47,693.20 40,687.66 564,602.24 165,688.10 78.51

TOTAL PERSONNEL EXPENSES 4,086,213.00 265,223.12 360,890.87 3,175,551.52 549,770.61 86.55

1ST SUBTOTAL−52000 COMMODITIES EXPENSES52041 FOOD 3,500.00 −36.33 .00 2,189.26 1,310.74 62.5552091 MAINTENANCE SUPPLIES 20,000.00 221.07 .00 18,674.69 1,325.31 93.3752101 GAS AND OIL PRODUCTS 1,000.00 .00 .00 755.00 245.00 75.5052201 OFFICE SUPPLIES 14,700.00 484.92 .00 12,090.26 2,609.74 82.2552203 BOOKS & PERIODICALS 900.00 .00 .00 347.03 552.97 38.5652205 MEDICAL SUPPLIES 29,700.00 996.34 .00 14,859.92 14,840.08 50.0352206 DRUGS 92,000.00 481.20 .00 29,385.99 62,614.01 31.9452207 CLOTHING/UNIFORMS 1,550.00 .00 .00 1,194.49 355.51 77.0652210 SPECIALIZED OFFICE SUPPL 36,800.00 6,271.91 .00 32,882.80 3,917.20 89.3652320 EDUCATIONAL MATERIALS 35,800.00 .00 .00 29,404.88 6,395.12 82.1452352 NON CAPITAL EQUIPMENT 25,200.00 −1,573.00 .00 11,407.47 13,792.53 45.27

TOTAL COMMODITIES EXPENSES 261,150.00 6,846.11 .00 153,191.79 107,958.21 58.66

1ST SUBTOTAL−53000 CONTRACTUAL EXPENSES53021 POSTAGE 17,400.00 2,133.32 .00 14,749.84 2,650.16 84.7753051 MEDICAL SERVICES 4,000.00 61.00 .00 451.00 3,549.00 11.2853071 CONSULTANT SERVICES 6,100.00 366.35 .00 5,701.36 398.64 93.4653280 PROGRAM DEVELOP/COORD 100,000.00 92.16 .00 4,910.63 95,089.37 4.9153301 AUTO REPAIR/MAINTENANCE 1,000.00 .00 .00 338.94 661.06 33.8953600 UTILITIES GAS/ELECTRIC 58,000.00 4,371.39 .00 44,679.21 13,320.79 77.0354000 CONFERENCES & SEMINARS 40,800.00 623.49 .00 16,800.44 23,999.56 41.1854001 CONTRACTUAL SERVICES 5,350.00 99.84 .00 5,312.38 37.62 99.3054304 ATTORNEY FEES 5,000.00 .00 .00 3,715.66 1,284.34 74.3154311 TESTING 1,000.00 .00 .00 .00 1,000.00 .0054312 SECURITY SERVICES 1,000.00 .00 .00 950.25 49.75 95.0354320 TELEPHONE 20,000.00 1,656.02 .00 19,284.45 715.55 96.4254330 TRAVEL 43,900.00 2,677.92 .00 27,078.05 16,821.95 61.6854331 AUTO ALLOWANCE 8,775.00 409.93 .00 5,445.00 3,330.00 62.0554338 CELLULAR PHONE 15,900.00 1,019.68 .00 13,181.87 2,718.13 82.9054341 PRINTING 4,100.00 .00 .00 3,124.74 975.26 76.2154343 ADVERTISING PERSONNEL 4,800.00 .00 .00 2,165.00 2,635.00 45.1054344 ADVERTISING OTHER 59,300.00 85.00 .00 54,678.29 4,621.71 92.2154347 RECOGNITION AWARDS 2,500.00 20.58 .00 441.09 2,058.91 17.6454361 STORMWATER UTILTIY FEE 3,000.00 875.70 .00 1,719.34 1,280.66 57.31

6

PAGE NUMBER: 2DATE: 12/05/2018 PEORIA COUNTY, IL EXPSTA11TIME: 09:49:41 EXPENDITURE STATUS REPORT

SELECTION CRITERIA: orgn.fund=’030’ACCOUNTING PERIOD: 11/18

SORTED BY: FUND,DEPARTMENT,1ST SUBTOTAL,ACCOUNTTOTALED ON: DEPARTMENT,1ST SUBTOTALPAGE BREAKS ON: FUND

FUND−030 PEORIA CITY/COUNTY HEALTHDEPARTMENT−030 PEORIA CITY/COUNTY HEALTH 1ST SUBTOTAL−53000 CONTRACTUAL EXPENSES

PERIOD ENCUMBRANCES YEAR TO DATE AVAILABLE YTD/ACCOUNT − − − − − TITLE − − − − − BUDGET EXPENDITURES OUTSTANDING EXP BALANCE BUD54362 GPSD USER CHARGE 3,000.00 1,961.13 .00 4,283.03 −1,283.03 142.7754363 WATER 7,000.00 693.25 .00 6,897.42 102.58 98.5354364 PEST CONTROL 1,000.00 70.00 .00 770.00 230.00 77.0054366 GARBAGE COLLECTION 7,500.00 .00 .00 5,867.93 1,632.07 78.2454367 HOUSEKEEPING SERVICE 60,000.00 4,833.33 .00 53,166.63 6,833.37 88.6154369 INFECTIOUS WASTE COLL 12,000.00 1,124.12 .00 12,319.08 −319.08 102.6654372 BUILDING REPAIR 40,800.00 6,953.90 20,215.00 21,626.76 −1,041.76 102.5554373 MECHANICAL EQUIP REPR\MA 5,000.00 .00 .00 −535.33 5,535.33 −10.7154377 BLDG/GROUNDS MAINTENANCE 16,000.00 722.38 .00 13,406.83 2,593.17 83.7954380 DUPLICATING EQUIP MAINTE 7,900.00 721.83 .00 5,721.97 2,178.03 72.4354389 DUPLICATING EQUIP RENTAL 6,000.00 433.77 .00 5,444.30 555.70 90.7454401 DUES, MEMBERSHIPS & FEES 10,140.00 −30.00 .00 7,345.00 2,795.00 72.4454402 EDUCATIONAL TRAINING 20,000.00 3,148.12 .00 19,317.55 682.45 96.5954407 MISCELLANEOUS .00 −79.16 .00 .00 .00 .0054412 IT USER FEE 417,492.00 34,791.00 .00 382,701.00 34,791.00 91.6754421 RISK SEVICES FEES 83,820.00 6,985.00 .00 76,835.00 6,985.00 91.6754424 SUBCONTRACTOR SERVICES 1,177,150.00 41,789.51 148,451.00 829,647.83 199,051.17 83.0954491 COFFEE & DONUT PURCHASES 200.00 .00 .00 .00 200.00 .0054497 CHARGE FOR LATE PAYMENT 10.00 .00 .00 3.96 6.04 39.60

TOTAL CONTRACTUAL EXPENSES 2,276,937.00 118,610.56 168,666.00 1,669,546.50 438,724.50 80.73

TOTAL PEORIA CITY/COUNTY HEAL 6,624,300.00 390,679.79 529,556.87 4,998,289.81 1,096,453.32 83.45

TOTAL REPORT 6,624,300.00 390,679.79 529,556.87 4,998,289.81 1,096,453.32 83.45

w/o Encumbrances = 75.45 %

7

PAGE NUMBER: 1DATE: 12/05/2018 PEORIA COUNTY, IL REVSTA11TIME: 09:52:13 REVENUE STATUS REPORT

SELECTION CRITERIA: orgn.fund=’030’ACCOUNTING PERIOD: 11/18

SORTED BY: FUND,DEPARTMENT,1ST SUBTOTAL,ACCOUNTTOTALED ON: DEPARTMENT,1ST SUBTOTALPAGE BREAKS ON: FUND

FUND−030 PEORIA CITY/COUNTY HEALTH DEPARTMENT−030 PEORIA CITY/COUNTY HEALTH 1ST SUBTOTAL−31000 PROPERTY TAXES PERIOD YEAR TO DATE AVAILABLE YTD/ACCOUNT − − − − − TITLE − − − − − BUDGET RECEIPTS RECEIVABLES RECEIPTS BALANCE BUD

31110 PROPERTY TAX 1,222,412.00 .00 .00 1,178,771.70 43,640.30 96.43TOTAL PROPERTY TAXES 1,222,412.00 .00 .00 1,178,771.70 43,640.30 96.43

1ST SUBTOTAL−32000 LICENSES AND PERMIT FEES32130 FOOD LICENSES 420,000.00 151,120.00 .00 585,090.00 −165,090.00 139.3132131 FOOD LICENCES RECHECK 10,000.00 275.00 .00 8,395.00 1,605.00 83.9532132 TEMPORARY FOOD LICENSES 56,000.00 495.00 .00 52,100.00 3,900.00 93.0432133 FOOD LICENSE LATE FEE 8,500.00 135.00 .00 11,025.00 −2,525.00 129.7132134 FOOD SERVICE PLAN REVIEW 23,000.00 545.00 .00 21,155.00 1,845.00 91.9832135 LIQUOR LICENSE INSPECTIO 30,000.00 .00 .00 26,925.00 3,075.00 89.7532224 SEPTIC SYSTEM PERMITS 21,000.00 600.00 .00 16,800.00 4,200.00 80.0032225 WELL PERMITS 6,500.00 100.00 .00 4,527.00 1,973.00 69.6532227 SUBDIVISION REVIEW 500.00 .00 .00 200.00 300.00 40.0032228 SEWAGE CONTRACTOR REG 2,000.00 .00 .00 1,500.00 500.00 75.00TOTAL LICENSES AND PERMIT FEE 577,500.00 153,270.00 .00 727,717.00 −150,217.00 126.01

1ST SUBTOTAL−33000 INTERGOVERNMENTAL REVENUE33120 FEDERAL GRANT 1,000,000.00 .00 .00 530,483.38 469,516.62 53.0533380 STATE SERVICE GRANT 11,000.00 .00 .00 10,406.00 594.00 94.6033401 MED MATCH 35,000.00 .00 .00 43,354.71 −8,354.71 123.8733406 WIC GRANTS 755,000.00 45,417.26 .00 553,858.97 201,141.03 73.3633407 COMM DISEASES GRANTS 5,500.00 .00 .00 5,760.96 −260.96 104.7433408 LOCAL HEALTH PROT GRANTS 334,808.00 .00 .00 118,983.67 215,824.33 35.5433411 ORAL HEALTH GRANTS 30,000.00 .00 .00 14,510.00 15,490.00 48.3733412 PREPAREDNESS GRANTS 165,000.00 .00 .00 109,679.83 55,320.17 66.4733413 HEALTH EDUCATION GRANTS 117,578.00 .00 .00 95,779.20 21,798.80 81.4633414 ENVIRONMENTAL HLTH GRANT 40,000.00 .00 .00 15,316.40 24,683.60 38.2933415 LEAD PREVENTION GRANTS 44,700.00 .00 .00 30,350.00 14,350.00 67.9033520 PERSNL PROPERTY REPLC TA 496,892.00 .00 .00 486,006.50 10,885.50 97.81TOTAL INTERGOVERNMENTAL REVEN 3,035,478.00 45,417.26 .00 2,014,489.62 1,020,988.38 66.36

1ST SUBTOTAL−34000 CHARGES FOR SERVICES34111 FEES AND CHARGES 40,000.00 .00 .00 57,510.00 −17,510.00 143.7834195 RENT−BUILDING 10,000.00 .00 .00 10,030.00 −30.00 100.3034231 BIRTH CERTIFICATE FEES 95,000.00 5,229.00 .00 92,274.00 2,726.00 97.1334232 DEATH CERTIFICATE FEES 35,000.00 1,963.00 .00 28,298.00 6,702.00 80.8534233 FUNERAL HOME CERT FEES 150,000.00 .00 .00 118,076.00 31,924.00 78.7234239 CERTIFICATE OVERPAYMENTS .00 2.00 .00 17.00 −17.00 .0034621 PATIENT INC−PUBLIC AID 450,500.00 11,965.49 .00 372,163.66 78,336.34 82.6134631 PATIENT INC−PRIVATE PAY 135,500.00 1,634.71 .00 44,894.76 90,605.24 33.1334821 RETURNED CHECK FEE 300.00 .00 .00 375.00 −75.00 125.00TOTAL CHARGES FOR SERVICES 916,300.00 20,794.20 .00 723,638.42 192,661.58 78.97

1ST SUBTOTAL−35900 INTEREST INCOME35960 INTEREST 10,000.00 .00 .00 30,287.35 −20,287.35 302.87

8

PAGE NUMBER: 2DATE: 12/05/2018 PEORIA COUNTY, IL REVSTA11TIME: 09:52:13 REVENUE STATUS REPORT

SELECTION CRITERIA: orgn.fund=’030’ACCOUNTING PERIOD: 11/18

SORTED BY: FUND,DEPARTMENT,1ST SUBTOTAL,ACCOUNTTOTALED ON: DEPARTMENT,1ST SUBTOTALPAGE BREAKS ON: FUND

FUND−030 PEORIA CITY/COUNTY HEALTH DEPARTMENT−030 PEORIA CITY/COUNTY HEALTH 1ST SUBTOTAL−35900 INTEREST INCOME PERIOD YEAR TO DATE AVAILABLE YTD/ACCOUNT − − − − − TITLE − − − − − BUDGET RECEIPTS RECEIVABLES RECEIPTS BALANCE BUD

35970 INTEREST−INVESTMENTS 3,500.00 .00 .00 3,047.33 452.67 87.07TOTAL INTEREST INCOME 13,500.00 .00 .00 33,334.68 −19,834.68 246.92

1ST SUBTOTAL−36000 MISCELLANEOUS REVENUES36050 GRANT PROCEEDS−OTHER 48,000.00 373.50 .00 36,214.50 11,785.50 75.4536200 LEAD MITIGATION WRK−MATC 150,000.00 28,131.60 .00 142,352.65 7,647.35 94.9036300 MISCELLANEOUS (UNANTICIP 1,000.00 66.00 .00 1,324.16 −324.16 132.4236850 DONATIONS/CHARITABL CNTR 30,000.00 1,222.37 .00 34,743.67 −4,743.67 115.81TOTAL MISCELLANEOUS REVENUES 229,000.00 29,793.47 .00 214,634.98 14,365.02 93.73

TOTAL PEORIA CITY/COUNTY HEAL 5,994,190.00 249,274.93 .00 4,892,586.40 1,101,603.60 81.62

TOTAL REPORT 5,994,190.00 249,274.93 .00 4,892,586.40 1,101,603.60 81.62

9

Fiscal Year Financial Report

Beginning Balance (1/1/18)

2018 Revenues (11/30/18)

YTD/

BUD

Tax Levy 1,178,772 96%

Licenses & Permits 727,717 126%

Grants & Contracts 2,193,057 68%

Service Fees 723,638 79%

Other (Misc.) 69,403 156%

Total 4,892,586 82%

2018 Expenditures (11/30/18)

Personnel 3,175,552 77%

Commodities 153,192 68%

Contractual 1,669,547 74%

Total 4,998,290 75%

Change to Reserve Fund

Ending Balance (11/30/18-Unaudited)

2,552,176

-105,703

2,446,473

96%

126%

68% 79%

156%

91.67%

0%

20%

40%

60%

80%

100%

120%

140%

160%

180%

Tax Levy Licenses &Permits

Grants &Contracts

Service Fees Other (Misc.)

YTD 2018 Revenues

YTD

77%68%

74%

91.67%

0%

20%

40%

60%

80%

100%

120%

Personnel Commodities Contractual

YTD 2018 Expenditures

YTD

10

2018 Revenues by Percentage

Tax Levy 24.1%

Licenses & Permits 14.9%

Grants & Contracts 44.8%

Service Fees 14.8%

Other (Misc.) 1.4%

100%

2018 Expenditures by Percentage

Personnel 63.5%

Commodities 3.1%

Contractual 33.4%

100%

24%

15%45%

15%

1%Revenues

Tax Levy

Licenses & Permits

Grants & Contracts

Service Fees

Other (Misc.)

64%

3%

33%

Expenditures

Personnel

Commodities

Contractual

11

2020 – 2022 Strategic Plan

Time line

• December 2018 - Strategic Planning BOH Committee Meeting agenda – review

timeline for the 2020-2022 Strategic Plan.

• January 2019 – Strategic Planning BOH Committee Meeting agenda – review

draft plan of implementation for the 2020-2022 Strategic Plan.

• January 2019 – January all staff training; Nicole will conduct overview of SP.

• February 2019 – Form 2020 – 2022 SP committee.

• March – May 2019 – Conduct Phase 1 implementation of data collection (staff,

BOH, outside stakeholders).

• June – August 2019 – Conduct Phase 2 processing of data (mission, vision,

goals).

• October 2019 – Due to Strategic Planning BOH Committee for approval.

• November 2019 – Due to full BOH for approval.

12

Risk CategoryTotal #

Establishments

1st Inspections

Completed (#)

1st Inspections

Comlpeted (%)

2nd Inspections

Completed (#)

2nd Inspections

Completed (%)

3rd Inspections

Completed (#)

3rd Inspections

Completed (%)

Category I (High) 573 573 100% 566 99% 283 49%

Category II (Medium) 376 374 99% 280 74%

Category III (Low) 192 192 100%

* Seasonal establishment or new establishments are included in the values.

Inspection Requirements; Peoria County Chapter 10 Food Safety Ordinance

Category I (High) Three (3) times per calendar year.

Category II (Medium) Two (2) times per calendar year.

Category III (Low) One (1) time per calendar year.

Reduction of time between inspections from 75 days to 60

Flexible Scheduling; increasing ability to start and end in the field, examining overtime opportunities.

Current Status (Updated 12/10/2018)*

2018 Food Safety Inspection Program Status Update

Action Steps (Effective 8/2/2018)

EH Staff Activities; limited committee/meeting participation, utilizing new hires for temporary reviews, and clerical coverage done by other agency staff and not

EH Specialists/Practitioners.

Prioritizing Mandated Services; includes minimal vector surveillance, postponed liquor inspections till January 2019, and limited outreach.

C. Panier/ M. Hendrickson

8/30/1813

1

AGREEMENT BETWEEN PEORIA COUNTY BOARD OF HEALTH AND

GREGG STONER, M.D.

In consideration of the promises contained herein, the Peoria County Board of Health, by

and through the Peoria City/County Health Department (hereafter "DEPARTMENT") and Gregg

Stoner, M.D. (hereafter "MEDICAL CONSULTANT"), agree as follows:

WHEREAS, the DEPARTMENT's current Public Health Administrator is not a licensed

physician; and

WHEREAS, State law requires that in such event, the Board of Health make available

medical supervision by a physician licensed in Illinois to practice medicine in all its branches (55

ILCS 5/5-25013(A) 10; 77 Ill. Adm. Code 600.300); and

WHEREAS, the MEDICAL CONSULTANT possesses said necessary professional

qualifications.

NOW THEREFORE, it is agreed by the parties hereto as follows:

I. PRIOR AGREEMENTS

This agreement supersedes and takes the place of all prior agreements between the

parties hereto, including but not limited to, the agreement between the parties dated January 1,

2019.

II. DUTIES OF MEDICAL CONSULTANT

The MEDICAL CONSULTANT shall:

A. Provide required medical guidance and consultation to the

DEPARTMENT's Division Directors and Public Health Administrator as needed.

B. Review the protocols for the DEPARTMENT and amend them from time

to time in keeping with current trends in medical practice and all applicable laws.

C. Review the protocols as amended with the DEPARTMENT'S professional

staff at a minimum of once per year.

D. Sign standing orders for medical procedures conducted in the

DEPARTMENT's clinics in conformance with sound medical practice and all applicable laws.

E. The MEDCIAL CONSULTANT understands that because of the services

being provided, the DEPARTMENT must be consistently available to contact him within twenty-

four (24) hours notice. The MEDICAL CONSULTANT shall provide a preferred method of

communication to contact him to the Public Health Administrator's Administrative Assistant.

F. Comply with the provisions of Paragraph III.A herein.

14

2

G. Provide current copy of Illinois physician license annually to the

DEPARTMENT.

III. DUTIES OF DEPARTMENT

A. The DEPARTMENT shall ensure that communication with the MEDICAL

CONSULTANT are originated by only its Division Directors

B. Provide professional liability insurance for the MEDICAL

CONSULTANT to cover services rendered to the DEPARTMENT only, in amounts and with

companies at the DEPARTMENT's sole discretion.

IV. COMPENSATION

DEPARTMENT shall compensate the MEDICAL CONSULTANT on the

following monthly basis:

Three Hundred Fifty Dollars ($350.00) per month for the services specified herein.

V. GOVERNING LAW

This Agreement shall be governed in all respects by the laws of the State of

Illinois.

VI. INDEMNIFICATION

MEDICAL CONSULTANT hereby agrees to defend and to indemnify the Peoria

County Board of Health and the County of Peoria, their employees, officers and officials and to

hold them harmless from, for and in respect of any liability, damages, claims, demands or expenses

(including but not limited to Court costs, reasonable Attorney fees and other costs of defense)

arising out of or in connection with MEDICAL CONSULTANT's acts or omissions or the acts or

omissions of MEDICAL CONSULTANT's agents or employees.

The DEPARTMENT hereby agrees to defend and to indemnify MEDICAL

CONSULTANT and to hold him harmless from, for and in respect of any liability, damages,

claims, demands or expenses (including but not limited to Court costs, reasonable Attorney fees

and other costs of defense) arising out of or in connection with the DEPARTMENT's acts or

omissions hereunder.

VII. INDEPENDENT CONTRACTOR RELATIONSHIP

The parties specifically agree and understand that MEDICAL CONSULTANT is

an independent contractor except for purposes of any immunities provided by the Illinois Local

Governmental and Governmental Employees Tort Immunity Act, 745 ILCS 10/1-101 et. seq., and

is not now nor shall he be deemed to be an employee of the DEPARTMENT or the County of

Peoria, and employees or agents of the DEPARTMENT or the County of Peoria are not now nor

shall they be deemed to be employees of MEDICAL CONSULTANT.

15

3

VIII. NOTICE

Any and all notices shall be in writing and sent to the parties' representatives

designated and at the addresses appearing at the end of this Agreement.

IX. TERM

The term of the Agreement shall commence on January 1, 2019 and shall expire on

December 31, 2021.

X. TERMINATION

This Agreement may be terminated upon sixty (60) days written notice to the other

party with or without cause, or upon mutual written agreement.

XI. TAXES AND BENEFITS

MEDICAL CONSULTANT understands that he is liable to pay all City/ County/

State/ Federal Income, FICA and FUTA and Unemployment Compensation taxes on any money

paid to him by DEPARTMENT.

XII. PROHIBITION AGAINST ASSIGNMENT

MEDICAL CONSULTANT and DEPARTMENT agree that this Contract and the

respective rights hereunder, shall not be sold, assigned, transferred, pledged or hypothecated except

as expressly set forth herein.

XIII. HEALTH INSURANCE PORTABILITY AND ACCOUNTABILITY ACT

COMPLIANCE

MEDICAL CONSULTANT shall comply with the applicable provisions of the

Health Insurance Portability and Accountability Act (HIPPA), including, but not limited to statute,

42 USC 132d, and applicable regulations, 45 CFR 160, 162, and 164, as may be promulgated or

amended over time.

XIV. SEVERABILITY

If any portion of this Agreement shall be, for any reason, invalid or unenforceable,

the remaining portion or portions shall, nevertheless, be valid and enforceable and carried into

effect, unless to do so would clearly violate the present legal and valid intention of the parties

hereto.

XV. ENTIRE AGREEMENT

This Agreement contains the entire agreement between the parties with respect to

the subject matter hereof. No changes or modifications of the Agreement shall be valid unless the

same is in writing and signed by the parties.

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4

IN WITNESS THEREOF, the parties hereto have executed this Agreement on

______________________________.

PEORIA COUNTY BOARD OF HEALTH GREGG STONER, M.D. PEORIA CITY/COUNTY HEALTH DEPARTMENT By: ___________________________________ ________________________________

MONICA HENDRICKSON, MPH GREGG STONER, M.D. Public Health Administrator 2116 N. Sheridan Road Address: _________________________ Peoria, IL 61604 _________________________________

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PEORIA COUNTY BOARD OF HEALTH AGENDA BRIEFING

COMMITTEE: Board of Health MEETING DATE:December 17, 2018 MEETING TIME: 6:00 PM

ISSUE: Funeral Home Late Fee

BACKGROUND/DISCUSSION: Funeral Homes that frequently request death certificates from Peoria City/County Health Department are invoiced on a monthly basis. Currently, Peoria City/County Health Department does not issue any death certificates to Funeral Homes that are more that 30 days late in paying prior invoices. To encourage prompt payment, Peoria City/County Health Department seeks to include a $25 late fee on all Funeral Home invoices not paid within 30 days. No death certificates will be issued until all past due invoices, including late fees, are paid in full.

STAFF RECOMMENDATION: Approve

COMMITTEE ACTION: BUDGET IMPACT:

YES NO

STRATEGIC PLAN ALIGNMENT: YES

NO

PREPARED BY: Brian Gulley, Director of Financial Services DATE: 12/13/18

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PEORIA COUNTY BOARD OF HEALTH TRACKING LOG

ITEM/ISSUESUGGESTED BY/

RESPONSIBLE PARTY

DATE INITIALLY

DISCUSSESD

DATE OF MOST

RECENT

DISCUSSION

REVISIT

DATESTATUS Committee

State requiring that schools be

checked for lead in water fountains Sharon Williams/Carey Panier 12/12/2017 4/17/2017

on hold for rules

from State

BOH informed by Wil Hayes that rules for how to

implement the bill have not been developed or

released by the State. SP

Possible collaboration with Heartland Monica Hendrickson 9/17/2018 12/17/2018

Working on presenting a preliminary model.Early

discussions occurring regarding what this would

look like & feasibility. FP

Kaizen Continuous Improvement

Process Nicole Ingold 5/15/2017 5/15/2017

Performance

Management

2018-2019

Information regarding training costs to be obtained;

consideration will be explored by Strategic Planning

Committee. SP

Progression of the American Health

Care Act & its local impact Jennifer Groves-Allison 6/19/2017 7/11/2017 In progress Discussed at Strategic Planning Committee SP

Lead Testing Results/posting on

website

Joyce Harant/Monica

Hendrickson & Carey Panier 11/13/2017 11/13/2017

on hold for rules

from State

Monica & Carey to see how other health

departments are handling this issue SP

Track staff time spent on UIC Lead in

Drinking Water Research Project

Todd Baker/Monica

Hendrickson & Carey Panier 12/11/2017 12/11/2017 In progress

Monica & Carey to determine if possible to track

staff time SP

FY2019 Budget Planning Monica Hendrickson 12/11/2017 9/17/2018 11/12/2018 County Approving Budget 11/8/2018 SP

Reserve Policy Monica Hendrickson 6/11/2018 6/11/2018 11/12/2018 Updated County Fiscal Policy for 11/8/2018 meeting FP

Cell Phone Tower Monica Hendrickson 6/25/2018 7/16/2018 12/17/2018 Monica continues to discuss details with T-Mobile FP

Retiree Health Insurance Costs

Sharon Williams/Monica

Hendrickson 8/13/2018 9/17/2018 12/17/2018

SAO referred for further discussion to outside

counsel. FP

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Board of Health Oversight Powers and Duties

• Meeting routinely to conduct Board of Health business and elect officers. • Maintain offices, facilities, and appliances for the health department. • Publish and annual report including at minimum is the fiscal reporting and statistics. • Within its jurisdiction, enforce and observe all State laws pertaining to the preservation of

health. • Appoint a public health administrator as the executive officer for the department, provided

that the board of health shall make available medical supervision (Medical Director) which is considered adequate by the Director of Public Health.

• Prescribe the powers and duties of all officers and employees, fix their compensation, and authorize payment of the same and all other department expenses form the County Health Fund of the county or counties concerned.

• Submit an annual budget to the county board or boards. • Establish and carry out programs and services in mental health, including mental

retardation and alcoholism and substance abuse, not inconsistent with the regulations of the Department of Human Services.

• Consult with all other private and public health agencies in the county in the development of local plans for the most efficient delivery of health services.

Roles & Responsibilities Set Direction

• Hire Public Health Administrator and conduct periodic reviews. • Develop and maintain focus on mission and vision. • Establish and oversee implementation of strategic development. • Delegate authority for organizational management. • Articulate, safeguard, model, and promote organizational values.

Ensure Resources

• Identify human and financial resources needed for implementation of mission. • Establish policies for how these resources will be acquired, including policies for board

member participation. • Ensure that the necessary resources are made available.

Provide Oversight

• Establish financial policies and ensure accountability, approving and annual budget to the county board, and long-range financial planning.

• Ensure compliance with applicable law and ethical standards. • Monitor progress and evaluate outcomes. • Focus on policy issues, not operational issues.

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2018 Climate Survey Follow-up

Historically, PCCHD staff complete an annual climate survey to allow Administration to track the engagement and morale of staff. Since 2012 the agency has enjoyed between a 95% and 100% participation rate in the annual survey, and therefore trust the data gathered is an accurate representation of the workforce. This year, Administration sent a follow-up climate survey to staff roughly half way through the review period to gauge our progress, or lack thereof, this far. The results are shown below. Recognition: RESULT 2017 2018a 2018b Employee Receives Recognition from Supervisor: SAME 61% 72% 72% Employee Participates Peer to Peer: up 2% 86% 87% 89% Professional Development/ Training: Employee Provided Appropriate Training: up 3% 89% 84% 87% PCCHD Culture supports prof. development: up 16% 76% 71% 87% Training has increased employee expertise: up 5% 86% 83% 88% My supervisor is interested in my development: up 7% 72% 71% 78% Communication: Trust information from Administration is shared: up 15% 75% 61% 76% Trust information from Supervisor is shared: ALL TIME HIGH 71% 71% 79% Understand how position fits with mission: up 3% 99% 96% 99% My supervisor is approachable & available: ALL TIME HIGH 79% 80% 97% Overall: I feel PCCHD values employees: up 34% 70% 42% 76% On average, how often are you overwhelmed: down 5% 49% 55% 60% Rate average co-worker morale: up 24% 63% 52% 76% Rate your average morale: up 11% 78% 64% 76% Overall job satisfaction: up 17% 72% 61% 77% The results from the October follow-up survey show that every area has gone up except for staff feeling overwhelmed, which went down by 5%. While the increase in staff feeling overwhelmed is not the intended direction, the result was expected as this year the agency has gone through major reorganization. Moving forward, Administration expects to see the percentage of staff feeling overwhelmed to decrease due to becoming more comfortable in new roles and with new software/processes.

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Peoria City/County Health Department 2018 Excellence Award Recognition Program

Peoria City/County Health Department is proud to recognize and reward the excellent results and contributions of our staff. Program Description The recognition program was enhanced with the addition of the Excellence Award program in response to Goal 1 Workforce Development of the Strategic Plan. This award is intended for individual employees or teams/project groups that make exceptional contributions around PCCHD values—such as providing outstanding service, implementing a new idea that saves significant time or money, completing a significant project, contributing to the success of a team initiative or contributing above and beyond what is expected. The awards were consistent with Peoria City/County Health Department values.

• Trust: Expect that everyone believes in the organization’s vision and performs in the best interest of the client, the community, and the agency.

o Regina Haynes “It is impossible to list all of the reasons she should receive this award.” “She embodies the value of Trust” and “She is what we all strive to be more like”

• Mutual Respect: Everyone should be treated with dignity and courtesy. o Regina Haynes “I have always had a great deal of respect and admiration for her

as a model employee.” “She has a welcoming spirit that puts others at ease” “Even when she may personally like others more- she treats everyone with the same dignity, respect, and kindness.” “She is someone we all look up to”

• Commitment: Dedicated to fulfilling our vision while embracing the challenges of the future to assure the public’s health.

o Renae Ballard “Has shown remarkable initiative this year” and “She is committed to providing support for the agency” “She is very thorough in all projects assigned”

• Teamwork: People working together toward a common goal can achieve results exceeding those which individuals can achieve independently.

o Environmental Health Staff “They know how to work together toward a common goal.” “I have seen how they support one another, even during difficult times.” “Despite a challenging year, they have worked hard and persevered and I am very proud of them and appreciate all of their time and efforts!”

• Learning: Learning is fundamental to our individual and organizational growth and success.

o Jason Marks “The agency was afforded the opportunity for a new designation this year which was only possible based on the continuous learning and drive he has.” “He is a champion for our community!” and “He has not only created his program but immersed himself in it to take it to the next level”

• Open Communication: Timely sharing of information is essential to the understanding

of our vision and goals. o Angela Lollock “She goes above and beyond in this area.” “She is constantly

making sure we are all on the same page.” And “She sends out clarification daily to ensure our group is all on the same page.”

• Collaborative Partnerships: Partnering with other providers is essential to enhancing the public’s health.

o Lisha Smith “She has impressed me with her community partnerships” “She has spent a lot of time in the community building relationships and teaching clients.” “The new milk depot at PCCHD was opened due to her ability to make connections, coordinate with providers, and turn information into action”

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