gratiot montcalm administrative offices 615 n. state st ... · 10/24/2018 · [rebecca burns],...

MID-MICHIGAN DISTRICT HEALTH DEPARTMENT An Accredited Local Public Health Department www.mmdhd.org

CLINTON Branch Office

1307 E. Townsend Rd. St. Johns, MI 48879-9036

(989) 224-2195

GRATIOT Branch Office

151 Commerce Drive Ithaca, MI 48847-1627

(989) 875-3681

MONTCALM Branch Office

615 N. State St., Ste. 1 Stanton, MI 48888-9702

(989) 831-5237

ADMINISTRATIVE OFFICES 615 N. State St. Ste. 2

Stanton, MI 48888-9702 (989) 831-5237

MARK W. (MARCUS) CHEATHAM

Health Officer

JENNIFER MORSE, MD, MPH, FAAFP

Medical Director

BOARD OF HEALTH George Bailey Bruce DeLong

Betty Kellenberger Tom Lindeman

Sam Smith Dwight Washington, Ph.D.

Advancing Innovative Solutions to Achieve Healthier Outcomes.

BOARD OF HEALTH

REGULAR MEETING

At

Mid-Michigan District Health Department

Montcalm Administrative Offices

Stanton, Michigan

Wednesday, October 24, 2018

9:00 a.m.

AGENDA

We take action to protect, maintain, and improve the health of our community.

Pledge of Allegiance

A. AGENDA NOTES, REVIEW, AND REVISIONS:

1.

B. CONSENT ITEMS:

1. Meeting Minutes

a. Michigan Association for Local Public Health (MALPH) Board of Directors Meeting held

September 10, 2018 – Included.

b. Mid-Michigan District Board of Health Closed Meeting held September 26, 2018 –

Handout.

c. Mid-Michigan District Board of Health Personnel Committee Meeting held September 26,

2018 – Included.

d. Mid-Michigan District Board of Health Regular Meeting held September 26, 2018 –

Included.

e. Mid-Michigan District Board of Health Public Hearing held October 15, 2018 – Handout.

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http://www.mmdhd.org/

f.

2. Communications

a.

C. PUBLIC COMMENTS:

D. BRANCH OFFICE EMPLOYEES:

E. COMMITTEE REPORTS:

1. Finance Committee – Tom Lindeman, Chair

a. MMDHD's Expenses for September 15 – October 12, 2018 – Included.

b. MMDHD's Monthly Balance Sheet, Revenue and Expenditure Report for September 2018 –

Delayed due to year-end closing.

c. New Family Planning Fees – Included.

d.

2. Personnel Committee – Betty Kellenberger, Chair

a.

3. Program Committee – Bruce DeLong, Chair

a. Schedule a Program Committee Meeting for November

b.

4. Mid-Central Coordinating Committee – Tom Lindeman, Vice Chair

a.

5. Well and Septic Stakeholders Committee – Marcus Cheatham

a. Revised Environmental Health Regulations; Septic Management Ordinance Next Steps

b.

F. MEDICAL DIRECTOR'S REPORT: Jennifer E. Morse, M.D. – Included.

1. Food Insecurity and Food Deserts

2.

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G. HEALTH OFFICER'S REPORT: Mark W. (Marcus) Cheatham, Ph.D.

1. FY 17/18 Quarterly Service Report (QSR), Fourth Quarter (July 1-September 30, 2018) –

Included.

2. Grant Update – Included.

3. District-wide In-Service, Friday, November 2, 2018 at Agro-Liquid, Saint Johns – Included.

4. Local Public Health Accreditation, February 4-8, 2019 – Included.

5.

H. OLD BUSINESS:

1. MMDHD Rebranding Update – Handout.

2. PFAS Update – Included.

3. Summary of Michigan’s Premier Public Health Conference, October 9-11, 2018, Bay City, MI

4. Update on Community Sewer Systems for Rural Villages

5. Adopt Revised Environmental Health Regulations, Including Chapter 7, Septic Management

Ordinance – Handout.

6.

I. NEW BUSINESS:

1. FY 18/19 MMDHD Organizational Charts – Included.

2.

3. Emerging Issues

a.

J. LEGISLATIVE ACTION:

1.

K. INFORMATIONAL ITEMS: – Included.

1. Mid-Michigan District Board of Health Action Items, September 2018

2. Staffing Report

3.

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L. RELATED NEWS ARTICLES AND LINKS:

1. MMDHD News Articles Available Online at: https://mmdhd.org/?q=node/146

2.

M. AGENCY NEWSLETTERS:

1.

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https://mmdhd.org/?q=node/14


CLINTON

Branch Office 1307 E. Townsend Rd.

St. Johns, MI 48879-9036 (989) 224-2195



(989) 875-3681



(989) 831-5237


Stanton, MI 48888-9702 (989) 831-5237


Health Officer JENNIFER MORSE, MD, MPH, FAAFP

Medical Director





Board of Health Synopsis of Actions Needed

Item A. 1. AGENDA NOTES, REVIEW, AND REVISIONS

Motion to approve the Agenda as amended.

Item B. 1. & 2. CONSENT ITEMS (MEETING MINUTES & COMMUNICATIONS)

Motion to accept and place on file Meeting Minutes B. 1. a. through e.

Item E. 1. a. EXPENSES FOR SEPTEMBER 15 THROUGH OCTOBER 12, 2018

Motion to approve payment of the Mid-Michigan District Health Department’s Expenses for September 15 through October 12, 2018, totaling $460,652.83.

Item E. 3. a. SCHEDULE PROGRAM COMMITTEE MEETING

Motion to schedule a Program Committee Meeting for November __, 2018.

Item F. 1. MEDICAL DIRECTOR’S REPORT, FOOD INSECURITY AND FOOD DESERTS

Motion to adopt the BOH Monthly Healthy Living Recommendation for November as proposed.

Motion to accept and place the Medical Director’s Report on file.

Item H. 5. ADOPT ENVIRONMENTAL HEALTH REGULATIONS

Motion to adopt the Mid-Michigan District Health Department’s revised Environmental Health Regulations, including the addition of Chapter 7, Septic Management Ordinance.

Item I. 1. FY 18/19 MMDHD ORGANIZATIONAL CHARTS

Motion to approve the Mid-Michigan District Health Department’s FY 18/19 Organizational Charts.

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MICHIGAN ASSOCIATION FOR LOCAL PUBLIC HEALTH

(MALPH)

Board of Directors

Meeting Minutes

September 10, 2018

I. Call to Order

The meeting was called to order at 9:00am by Annette Mercatante, President.

II. Roll Call

A quorum was present.

Jurisdictions Represented: Barry-Eaton [Colette Scrimger], Bay [Melissa Maillette],

Benzie-Leelanau [Lisa Peacock], Berrien [Nicole Britten], Branch-Hillsdale-St. Joseph

[Rebecca Burns], Calhoun [Eric Pessell], Central Michigan [Steve Hall], Chippewa [Karen

Senkus], Delta-Menominee [Mike Snyder], Detroit [Jean Ingersoll], Dickinson-Iron

[Daren Deyaert], District 2 [Denise Bryan], District 10 [Kevin Hughes], District 4 [Denise

Bryan], Grand Traverse [Wendy Hirschenberger], Huron [Ann Hepfer], Ingham [Linda

Vail, Debbie Edokpolo], Ionia [Ken Bowen], Jackson [Richard Thoune], Kalamazoo [Jim

Rutherford], Lapeer [Kathy Haskins], Lenawee [Martha Hall], Livingston [Dianne

McCormick], Luce-Mackinaw-Alger-Schoolcraft [Nick Derusha], Macomb [Bill Ridella],

Marquette [Jerry Messana], Midland [Fred Yanoski], Mid-Michigan [Marcus Cheatham,

Dwight Washington], Monroe [Jamie Dean], Muskegon [Kathy Moore], Northwest

Michigan [Lisa Peacock], Oakland [Leigh-Anne Stafford], Ottawa [Lisa Stefanovsky],

Saginaw [Christina Harrington], St. Clair [Annette Mercatante], Tuscola [Ann Hepfer],

Washtenaw [Jimena Loveluck], Wayne [Carol Austerberry], Western UP [Kate Beer].

Others Present:

Administrative Officers Forum, [Jamie Dean], Health Education and Promotion Forum,

[Julie Weisbrod], Environmental Health Forum, [Kristen Schweighoefer], Nurse

Administrators Forum, [Deidre Reed], Physician’s Forum, [Teresa Frankovich], MDARD,

[Kevin Besey, Sean Dunleavy, Tim Slawinski], MDEQ, [Dan Detweiler, Ian Smith],

MDHHS, [Tracey Belknap, Steve Crider, Laura de la Rambelje, Mary MacQueen, Sue

Moran, Orlando Todd], MPHI, [Jeanette Ball, Jessie Jones], MSU, [Molly Polverento]

Staff: Meghan Swain, Jodie Shaver

III. Approve Agenda

Motion by M. Cheatham, support by K. Hughes to approve the agenda. Motion

carried.

IV. Approve Meeting Minutes

Motion by B. Ridella, support by D. Bryan to approve the August 13, 2018 minutes.

Motion carried.

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MALPH Board Meeting

September 10, 2018

- Page Two -

V. Reports of Officers/Staff/Forums

President

A. Mercatante reported that the Public Health Advisory Council (PHAC) met Friday,

August 10 and three subcommittees have been formed: accreditation, funding, and Health

in All Policies. There are concerns PHAC members have been appointed to the funding

subcommittee with no knowledge of local health department operations or funding. It was

requested that S. Hall, as the incoming president of MALPH, be appointed to that

subcommittee. Questions were asked about the FY 2019 Essential Local Public Health

Services dollars distribution. There is new money, and the old formula will be used;

however, local health departments have not received notice of allocation, which is

concerning. M. Polverento has asked for a few volunteers to discuss and define

“population health”.

Secretary/Treasurer

N. Derusha reported the budget remains on target. The FY 2019 proposed budget will be

available for the October meeting. Motion by R. Burns, support by K. Hughes to accept

the financial report.

Executive Director

M. Swain reported the quarterly leadership discussions with each department. The October

board meeting will be in Bay City on Tuesday, October 9 at 11:00am. State partners will

be invited to discuss PFAS. There was a PFAS webinar, and that will be the basis for

discussion at the board meeting. She shared that local hospitals may contact local health

departments to assist in a water management plan to address Legionella exposure.

Maternal Infant Health Program (MIHP) is seeking two health officers and two nurse

administrators to perform a time and cost study analysis. M. Swain reported that NACCHO

leadership will be discussing filing an amicus brief in the cases against Dr. Eden Wells and

Nick Lyon. The election for MALPH’s executive committee members ends September 19,

2018. M. Swain will be attending the Public Health Law Conference from October 3-6th.

Lobbyist

No report at this time.

Forum Reports

Health Education and Promotion (HEP): J. Weisbrod reported they continue to work

on the Public Health Endorsement for undergraduate and graduate students. There will be

10 modules to complete. A survey has been developed and will be distributed to HEP

forum members, along with Public Information Officers to review the modules.

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MALPH Board Meeting

September 10, 2018

- Page Three -

Public Health Finance and Administration: J. Dean reported that the forum is working

on an Egrams timeline and working with MDEQ about the functionality of Egrams, as they

are considering using it. She also reported that the Admin Conference will be the end of

the week, with a billing component to increase hearing/vision Medicaid billing.

Environmental Health (MALEHA): K. Schweighoefer reported that PFAS has been the

focus of many local health departments. They are also continuing to monitor HB 5752 and

HB 5753 (statewide sanitary code). MALEHA is working on a vapor intrusion toolkit that

will be discussed and distributed at the Environmental Health Director’s Conference. In

addition, they are monitoring the recreational marijuana ballot initiative and impact on

(adulterated) food. They are expecting to see work completed on the Food Code and Food

Law and work with MDARD.

Public health nursing (NAF): D. Reed reported that they worked on NAF’s strategic plan

during the last meeting. Also, they are getting educated on PFAS.

Management information systems: There was no report at this time.

Public health physicians (MAPPP): T. Frankovich reported that MAPPP has drafted a

letter to Rep. Brandt Iden regarding Tobacco 21 (HB 4736). They are doing final edits

on gun violence resolution. They also discussed the PFAS webinar.

VI. Adverse Childhood Experiences Presentation

N. Britten, MPH presented the Adverse Childhood Experiences, equity, and resilience and

the role of the local health department.

VII. Public Health 101 Presentation

Jeanette Ball and Jessie Jones of the Michigan Public Health Institute presented on the

Public Health 101 project they have been working on as part of a (Southeast) Cross

Jurisdictional Sharing grant.

VIII. Reports from State Departments

Department of Agriculture and Rural Development (MDARD)

S. Dunleavy reported that they are working on the impact of PFAS on Michigan’s

agriculture. He also reported that they are concluding the fair pilot project for the second

year. They are looking at vitamin shops that are making smoothies and the role of the local

health department to inspect. They continue to meet with LARA regarding medical

marijuana. They are currently using Cottage Food guidance, but this will address high risk

foods. They continue to build a FAQ sheet. They expect to resume work on the Food

Code including 64 items.

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MALPH Board Meeting

September 10, 2018

- Page Four -

Department of Environmental Quality (MDEQ)

D. Debruyn reported that the department has worked on Septic Smart Week promotional

materials. www.michigan.gov/deqsepticsmart. They are also working with local health

departments to schedule annual evaluation in the non-community water supply program

(January through March). There will be well construction training for local health

department staff. They continue to work on PFAS testing and notification.

Department of Health and Human Services (MDHHS)

M. MacQueen reported that while Hepatitis A incidence has slowed, the CHECC is still

operational. She stated that the situation/vaccine grid is due September 20. They are also

collecting end of year deliverables report. They continue to do San Bernadino follow up

regarding active shooters and monitoring opioid surveillance.

O. Todd reported that they continue to work on crisis communication regarding PFAS. He

also provided an update on the Hepatitis A outbreak. He reminded members of the

USALEEP release today. Local sharing grant reports are due soon, and there will be a pre-

conference session at the Michigan Premier Public Health Conference. He is aware that

all LHDs will be impacted by PFAS in some way. An MPART invite will be sent to all

local health departments. He reported that school data is coming in from PFAS testing.

MDHHS staff (toxicologists, Kory Groetsch, and Steve Crider) are all available to help

LHDs. MDEQ is to develop a plan for communication between the two state departments

and local partners. He extended the deadline for the MDHHS Director’s Award. He

reported that they are still working on the Essential Local Public Health Services formula.

By February 2019, MDHSS is to submit to the legislature the formula they intend to use

for the new monies for FY 2020.

IX. Public Comment / Announcements

There are no public comments at this time.

X. Adjournment

The meeting adjourned at 12:30pm.

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CLINTON


St. Johns, MI 48879-9036 (989) 224-2195



(989) 875-3681



(989) 831-5237


Stanton, MI 48888-9702 (989) 831-5237



Medical Director





BOARD OF HEALTH

PERSONNEL COMMITTEE MEETING

at


Gratiot County Branch Office

Ithaca, Michigan

Wednesday, September 26, 2018

8:45 a.m.

AGENDA


COMMITTEE MEMBERS: Betty Kellenberger (Chair), Sam Smith, and Dwight Washington

STAFF: Mark W. (Marcus) Cheatham, Ph.D., Health Officer; Melissa Bowerman,

Director of Administrative Services

GUESTS: None

B. Kellenberger, Chairperson called the Personnel Committee Meeting of the Mid-Michigan District Board of

Health (BOH) to order at 8:45 a.m. on Wednesday, September 26, 2018 at the Gratiot County Branch Office of

the Mid-Michigan District Health Department (MMDHD), Ithaca, Michigan.

A. Public Comment – None.

B. Consideration to Go into Closed Session for Purposes of Labor Negotiations

B. Kellenberger requested a roll call vote to go into closed session at 8:45 a.m. C. Partlo called the

roll: Sam Smith – Yes, Dwight Washington – Yes, Betty Kellenberger – Yes. Motion carried 3-0.

C. Michigan Nurses Association (MNA) Contract Negotiations

B. Kellenberger indicated that an agreement had been reached between the MMDHD and MNA.

Motion made by B. Kellenberger and seconded by D. Washington to recommend that the full

BOH approve the MNA Contract for the period of October 1, 2018 through September 30, 2021 as

presented. Motion carried.

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D. Non-Union Employees’ Wage Proposal (Tabled from August Regular Meeting)

Motion made by B. Kellenberger and seconded by S. Smith to recommend that the full BOH

approve the wage increase for FY 18/19 for the non-union employees as proposed. Motion carried.

E. Health Officer’s Employment Agreement (Tabled from August Regular Meeting)

Motion made by B. Kellenberger and seconded by D. Washington to recommend that the full

BOH approve the Health Officer’s Employment Agreement for FY 18/19 as proposed. Motion

carried.

There being no further business to come before the Personnel Committee, the meeting adjourned at 8:59 a.m.

Respectfully Submitted,

Cynthia M. Partlo

Board Secretary For

Betty Kellenberger, Personnel Committee Chairperson

Mid-Michigan District Board of Health

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CLINTON


St. Johns, MI 48879-9036 (989) 224-2195



(989) 875-3681



(989) 831-5237


Stanton, MI 48888-9702 (989) 831-5237



Medical Director





BOARD OF HEALTH

REGULAR MEETING

at

Mid-Michigan District Health Department (MMDHD)

Gratiot County Branch Office

Ithaca, Michigan

Conference Room B

Wednesday, September 26, 2018, 9:00 a.m.

MINUTES


Members Present: Bruce DeLong (Chairperson), Dwight Washington, Sam Smith, Tom Lindeman (Vice

Chairperson), George Bailey, and Betty Kellenberger

Members Absent: None

Staff Present: Mark W. (Marcus) Cheatham, Ph.D., Health Officer; Melissa Bowerman, Director of

Administrative Services; Cynthia M. Partlo, Board Secretary; Liz Braddock, Director

of Environmental Health; Andrea Tabor, Director of Community Health and

Education; and Jennifer E. Morse, M.D., MPH, FAAFP, Medical Director

Staff Absent: None

Guests: Jamie Travis, Healthcare Administration Intern from the University of Michigan and

Lexi Salisbury, Public Health Intern from Central Michigan University

B. DeLong, Chairperson called the Regular Meeting of the Mid-Michigan District Board of Health (BOH) to

order at 9:04 a.m., on Wednesday, September 26, 2018, at the Gratiot County Branch Office of the Mid-

Michigan District Health Department (MMDHD), Ithaca, Michigan.

Pledge of Allegiance was led by B. DeLong.

A. AGENDA NOTES, REVIEW, AND REVISIONS:

C. Partlo indicated that Montcalm County Appropriation should be added as item E. 1. f.

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Motion made by D. Washington and seconded by S. Smith to approve the Agenda as

amended. Motion carried.

B. CONSENT ITEMS:

1. Meeting Minutes

a. Michigan Association for Local Public Health (MALPH) Board of Directors

Meeting held August 13, 2018

b. Mid-Michigan District Board of Health Regular Meeting held August 22, 2018

Motion made by B. Kellenberger to accept and place on file Meeting Minutes B. 1. a.

and b. Motion seconded by D. Washington. Motion carried.

2. Communications

a. Letter dated September 10, 2018 to Ms. Sara Thelen from U.S. Representative,

John R. Moolenaar regarding national grant award received and recognition of

substance abuse prevention efforts

M. Cheatham stated that Representative Moolenaar acknowledged the work being

done by the Clinton Substance Abuse Prevention Coalition through a Health

Resources and Services Administration (HRSA) grant.

Motion made by B. Kellenberger to accept and place on file Communications B. 2. a.

Motion seconded by D. Washington. Motion carried.

C. PUBLIC COMMENTS: None.

D. BRANCH OFFICE EMPLOYEES: M. Cheatham introduced Jamie Travis, Healthcare

Administration Intern from the University of Michigan-Flint and Lexi Salisbury, Public Health

Intern from Central Michigan University.

E. COMMITTEE REPORTS:

1. Finance Committee – Tom Lindeman, Chair

a. MMDHD’s Expenses for August 18 through September 14, 2018

Motion made by T. Lindeman and seconded by B. Kellenberger to approve

payment of the MMDHD’s Expenses for August 18 through September 14, 2018,

totaling $460,286.47. Motion carried.

b. MMDHD’s Monthly Balance Sheet, Revenue and Expenditure Report for August

2018

Motion made by T. Lindeman and seconded by B. Kellenberger to approve and

place on file the MMDHD’s Monthly Balance Sheet, Revenue and Expenditure

Report including the Amended Budget for August 2018. Motion carried.

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c. Transfer of Funds from the Ingham Health Plan Corporation

M. Cheatham explained that MMDHD had contracted with the IHPC to do contracting

and billing for the Community Health Worker (CHW) Mid-Michigan Pathways

Program stating that the IHPC was unable to obtain remunerative contracts with the

health plans; therefore, the relationship with them has been severed. He said that the

agency was now running the Mid-Michigan Pathways Program on its own. He asked

the BOH to request the remaining fund balance from the IHPC.

Motion made by T. Lindeman and seconded by B. Kellenberger to approve the

transfer of remaining MMDHD funds from the IHPC ($631,989) that was utilized

for the Mid-Michigan Pathways Program. Further, the BOH approved

restricting the funds for the Mid-Michigan Pathways Program. Motion carried.

d. Document Destruction Services

M. Cheatham said that the topic was informational. He said that C. Partlo oftentimes

finds ways for the agency to save money and found a new vendor for the agency’s

document destruction services saving over $631 annually.

e. Retirement System Annual Report

M. Cheatham reported that the Michigan Department of Treasury thought that

MMDHD had an underfunded Other Post-Employment Benefit (OPEB) and asked us

to fill out a request for a waiver. He explained that the BOH eliminated the benefit

November 1, 2016. He said that the BOH was required to review and approve the

waiver request.

Motion made by T. Lindeman and seconded by S. Smith to approve the

Retirement System Annual Report as presented. Motion carried.

f. Montcalm County Appropriation

T. Lindeman indicated that the Montcalm Board of Commissioners approved the

health department appropriation at approximately $38,000 less than requested. M.

Cheatham said Bob Clingenpeel, Montcalm County Administrator, had earlier

indicated that Montcalm County would pay the full appropriation this year; however

they included the contracted funds for the Resource Recovery Program as part of the

appropriation resulting in the deficit. He said that the agency is in the same position as

last year and requested the BOH approve EH surcharges for Montcalm County only,

the same as last year to cover the appropriation deficit.

Motion made by T. Lindeman and seconded by D. Washington to adopt an EH

surcharge of $45 on select new construction services in Montcalm County and a

$10 surcharge on all other services (excluding temporary food licenses for non-

profits and fees for registered septic installers) effective October 1, 2018. Motion

carried.

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2. Personnel Committee – Betty Kellenberger, Chair

a. Update on Michigan Nurses Association (MNA) Contract Negotiations

M. Bowerman stated that the MNA ratified the Contract; however, they will need to

sign it first, so the Personnel Committee can sign the Contract next month.

Motion made by B. Kellenberger and seconded by D. Washington to approve the

MNA Contract for the period of October 1, 2018 through September 30, 2021 as

proposed. Motion carried.

b. Non-Union Employees’ Wage Proposal

Motion made by B. Kellenberger and seconded by S. Smith to approve the non-

union employees’ wage proposal as presented for the period of October 1, 2018

through September 30, 2019 and including the change in the credentialing policy

to mirror the language in the MNA contract starting October 1, 2018. Motion

carried.

c. Health Officer’s Employment Agreement

Motion made by B. Kellenberger and seconded by G. Bailey to approve the

Health Officer’s Employment Agreement for FY 18/19 as proposed. Motion

carried.

3. Program Committee – Bruce DeLong, Chair – No report.

4. Mid-Central Coordinating Committee – Tom Lindeman, Vice Chair – No report.

5. Well and Septic Stakeholders Committee – Marcus Cheatham

a. Public Hearing for Septic Management Ordinance, Monday, October 15, 2018, 6 p.m.

at the Ithaca Branch Office

M. Cheatham reminded the BOH that a Public Hearing has been scheduled for

October 15, 2018, 6 p.m. at the Ithaca Branch office to seek public input on the Septic

Management Ordinance. He reviewed the process stating that the BOH must hold a

Public Hearing, and then the Counties can hold a public hearing if they choose, or

consider the ordinance in a regularly-scheduled meeting. G. Bailey mentioned that

Gratiot County Commissioners approved the language at their last meeting; however,

would need to adopt the ordinance at their next meeting.

F. MEDICAL DIRECTOR’S REPORT: Jennifer E. Morse, MD, MPH, FAAFP

1. Shiga Toxin Producing E.coli (STEC)

Dr. Morse reported on E.coli stating that there have been a few cases within the Central

Michigan District Health Department and District Health Department #10. She explained the

different strains, risk factors and how to prevent getting ill. She mentioned that persons,

especially children are particularly susceptible and should wash hands after touching animals

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(farms, petting zoos, fairs), and do not swallow water from waterparks. She also said that

produce should be washed well and unpasteurized cider should be avoided.

2. Flu Shots Offered

The BOH demonstrated their support of seasonal influenza prevention through vaccination by

receiving the vaccine from Lisa Mikesell, Public Health Nurse.

Dr. Morse reviewed her BOH Monthly Healthy Living Recommendations for October and asked the

BOH to adopt them:

1. While most E. coli are normal and harmless residents of our colon, some strains can cause

serious, even deadly, illness.

2. Children are very susceptible to serious illness due to STEC and HUS. They also do many things

that put them at risk. Teach them the habits that will keep them safe.

Motion made by G. Bailey and seconded by D. Washington to adopt the BOH Monthly Healthy

Living Recommendation for October as proposed. Motion carried.

G. HEALTH OFFICER'S REPORT: Mark W. (Marcus) Cheatham, Health Officer, Ph.D.

1. Local Public Health Salary Survey

M. Cheatham reported that as part of negotiations with the MNA, the membership

requested the Administration compare MMDHD nurse’s salaries to others. M. Cheatham

offered instead to ensure that the agency conduct a comprehensive salary survey for all

positions. He mentioned to the BOH that the agency could work with MALPH to conduct

an analysis of public health wages. He mentioned that this project would be incorporated

into the agency’s Strategic Plan.

2. Citizens Research Council of Michigan, An Ounce of Prevention: What Public Health

Means for Michigan, August 2018

M. Cheatham reviewed An Ounce of Prevention: What Public Health Means for

Michigan, stating the report says that the State has invested little more than what was

needed to draw down Federal funding for public health. The report says Michigan public

health funding has dropped by 16% from 2004. The report also calls out Michigan’s

fractured public health system. He reported that the Governor’s Public Health Advisory

Committee is considering recommending the reunification of State departments. He

summarized that the report was provided for information only.

H. OLD BUSINESS:

1. PFAS Update

L. Braddock provided an update regarding the PFAS contamination stating that sampling has

been completed in all of the three counties. Gratiot County’s test results are now being

received. She reported that the Ithaca Sanitary Landfill residential well sample results should

be received in 3 to 4 weeks. L. Braddock said that a public meeting announcing the test results

is planned.

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2. Update on Hepatitis A Outbreak Response

No report.

3. MMDHD Rebranding Update; Approval of New Logo

M. Bowerman provided an update regarding the agency’s rebranding efforts stating that the

Rebranding Committee selected a new logo for review and approval by the BOH.

T. Lindeman expressed concern regarding the multiple colors used in the logo, stating that a

six-color press would be needed to print documents outside the agency and extra costs would

be incurred. After discussion, the BOH requested that the Rebranding Committee check with

the vendor on if there would be extra costs for printing the logo on items and publications

produced outside the agency.

Motion made by G. Bailey and seconded by B. Kellenberger to approve the new agency

logo allowing the Rebranding Committee to select the best option pending the colors

chosen and the cost to print the logo. Motion carried.

4. Emory University PBB Reduction Research Study

M. Cheatham reported that Emory University visited Gratiot County to work on two studies

1) Orlistat, a drug to remove PFAS from people’s bodies; and 2) Father Study – a study to

determine if a grandfather exposed to PBB affects subsequent generations. He also said that

Emory received a large, five-year NIEHS grant to strengthen the PBB Registry. Dr. Morse

reported that Emory University is working on a CME Program for providers in the area to

educate them about PBB.

Emory University is also working with the University of Michigan School of Public Health to

design educational materials for legislators regarding PBB and PFAS. Central Michigan

University has funded work with the citizen’s action group in St. Louis to create oral histories

of those that lived through the PBB disaster.

M. Cheatham reported that Michigan Department of Health and Human Services (MDHHS)

now knows that Emory University has been funded for the five-year cohort study utilizing the

registry. He said that MDHHS will not allow Emory University to send mailings to those in

the registry and is requiring deceased members in the registry to be removed. MDHHS has

agreed to allow the Centers for Disease Control and Prevention (CDC) to render an opinion

about these issues regarding the PBB Registry.

I. NEW BUSINESS:

1. Michigan Breastfeeding Network Award

A. Tabor explained that the agency received the silver level award from the Michigan

Breastfeeding Network for being a breastfeeding friendly workplace. Additionally, she

reported on the International Board Certified Lactation Consultant® (IBCLC®) Program,

stating that services are beginning to pick up. Angie Martin averages about three visits per

week.

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3. Emerging Issues

a. Type I Water Systems for Rural Villages

L. Braddock received a complaint from Riverdale regarding failed or nonexistent

septic systems are draining into a village or township drain. In order to find the failed

or nonexistent septic systems, the Michigan Department of Environmental Quality

(MDEQ) has asked the township to scope out the drain. L. Braddock reported that two

failures have been confirmed and are attempting to obtain access to another home to

confirm a failure. The MDEQ is coming back to Riverdale in October to investigate

the river to see if there are any other illegal discharges. She summarized that the

MDEQ was considering requiring Riverdale to establish a community septic system to

serve residents.

b. Marijuana Information

M. Cheatham reviewed the information provided on marijuana stating that the

graphics presented in the BOH materials are a part of a social media campaign to

educate the public about the consequences of unregulated access to recreational

marijuana if the ballot initiative passes in November. Educational materials are being

actively circulated in Clinton and Montcalm Counties. Dr. Morse was asked to

coordinate the campaign between the health departments (CMDHD, MMDHD,

DHD10). She reported that a press release has been distributed to the media, and

information shared with nurses and physicians. John Kroneck, from Cherry Health

Promotions, has sent a letter to school superintendents in hopes that it would be

distributed to parents.

J. LEGISLATIVE ACTION: None

K. INFORMATIONAL ITEMS:

1. Mid-Michigan District BOH Action Items, August 2018

2. Staffing Report

L. RELATED NEWS ARTICLES:

1. MMDHD News Articles available online at www.mmdhd.org/?q=node/144

M. AGENCY NEWSLETTERS: None

There being no further business to come before the Board, the meeting adjourned at 10:41 a.m.

Respectfully Submitted,

Cynthia M. Partlo, Board Secretary

For Bruce DeLong, Chairperson

Mid-Michigan District Board of Health

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http://www.mmdhd.org/?q=node/144

EV 1882 243,445.70$

EV 1883 $217,207.13

TOTAL 460,652.83$

MONTHLY EXPENSES FOR

September 15, 2018 - October 12, 2018

of 70

CK# EV 1882 9/28/2018

Payables

104528

to Quantum Checks & AP Direct Deposits 100,190.37$

104572

Payroll

AFLAC Employee Deduction 585.49$

MERS Employee Electronic Transfer 3,612.47$

Chemical Bank Payroll‐Ameriprise NBS 200.00$

Chemical Bank Payroll‐Nationwide 1,280.00$

Chemical Bank Payroll‐MERS 457 515.00$

Chemical Bank Payroll Tax EFT

Federal 29,912.19$

State 4,736.46$

Direct Deposit Payroll 102,337.20$

Bank Fees

Chemical E‐Banking fee 18‐Aug 77.72$

Chemical Bank Interest ‐ correction 18‐Aug 4.66$

Chemical Bank Interest ‐ actual 18‐Aug (5.86)$

TOTAL 243,445.70$

Mid‐Michigan District Health Department

615 North State Street, Suite 2

Stanton MI 48888

(989) 831‐5237

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RUN DATE: SEP 26, 2018 ‐ 08:14 Mid‐Michigan District Health Department PAGE 0001

ACCOUNTS PAYABLE CHECK REGISTER

CHECK CHECK\VOID REMIT‐TO NAME INVOICE INVOICE VOUCH# P.O.‐NO AMOUNT DISCOUNT CHECK

NO DATE VENDOR‐# NO DATE PAID TAKEN AMOUNT

‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐ ‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐ ‐‐‐‐‐‐‐‐‐‐‐‐‐‐ ‐‐‐‐‐‐‐‐‐‐‐‐‐ ‐‐‐‐‐‐‐‐‐‐‐‐

104526 09/21/18 WEBE95 LYNN WEBER 1818 08/29/18 17704 (50.00)$ ‐$ (50.00)$

VOID CHECK TRANSACTION ‐ Employee paid for training BILLING VENDOR: WEBE95 LYNN WEBER

CHECK TOTALS: (50.00)$ ‐$ (50.00)$

104528 09/28/18 ALPH83 ALPHA FAMILY CENTER 101293 09/24/18 17802 300.00$ ‐$ 300.00$

OCTOBER RENT

COMPUTER CHECK

CHECK TOTALS: 300.00$ ‐$ 300.00$

104529 09/28/18 AQUA87 AQUA‐FLOW 36785 08/06/18 17771 400.00$ ‐$ 400.00$

WATER‐TRICOUNTY MIDDLE SCHOOL

COMPUTER CHECK

36850 08/23/18 17770 75.00$ ‐$ 75.00$


36867 08/28/18 17768 84.00$ ‐$ 84.00$


36870 08/28/18 17769 74.50$ ‐$ 74.50$


36882 08/30/18 17767 96.00$ ‐$ 96.00$


36912 09/06/18 17766 329.50$ ‐$ 329.50$


36934 09/11/18 17765 90.00$ ‐$ 90.00$


CHECK TOTALS: 1,149.00$ ‐$ 1,149.00$

104530 09/28/18 BLU008 BLUE CROSS BLUE SHIELD OF MI 101291 09/09/18 17793 10,459.80$ ‐$ 10,459.80$

OCTOBER HEALTH INSURANCE

COMPUTER CHECK

101292 09/09/18 17794 10,459.78$ ‐$ 10,459.78$


101299 09/09/18 17792 19,864.79$ ‐$ 19,864.79$


CHECK TOTALS: 40,784.37$ ‐$ 40,784.37$

104531 09/28/18 BLU034 BLUE CARE NETWORK 182500075108 09/07/18 17795 6,146.38$ ‐$ 6,146.38$


COMPUTER CHECK

CHECK TOTALS: 6,146.38$ ‐$ 6,146.38$

104532 09/28/18 BLU035 BLUE CARE NETWORK 182500038260 09/07/18 17796 1,707.33$ ‐$ 1,707.33$


COMPUTER CHECK

CHECK TOTALS: 1,707.33$ ‐$ 1,707.33$

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‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐ ‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐ ‐‐‐‐‐‐‐‐‐‐‐‐‐‐ ‐‐‐‐‐‐‐‐‐‐‐‐‐ ‐‐‐‐‐‐‐‐‐‐‐‐

104533 09/28/18 CAP095 CAPITAL AREA UNITED WAY 101296 09/25/18 17816 32.00$ ‐$ 32.00$

9/28/18 EMPLOYEE DONATION

COMPUTER CHECK

CHECK TOTALS: 32.00$ ‐$ 32.00$

104534 09/28/18 CDW016 CDW GOVERNMENT, INC. PCP6682 09/07/18 17734 095590‐00 4,923.84$ ‐$ 4,923.84$

SURFACEPRO, DOCKS, CASES, PENS

COMPUTER CHECK

CHECK TOTALS: 4,923.84$ ‐$ 4,923.84$

104535 09/28/18 CLI092 CLINTON COUNTY ADMIN/ACCT AC‐2018‐021 09/04/18 17799 1,966.66$ ‐$ 1,966.66$

OCTOBER RENT

COMPUTER CHECK

CHECK TOTALS: 1,966.66$ ‐$ 1,966.66$

104536 09/28/18 COH003 COHL, STOKER & TOSKEY 49140 09/10/18 17773 3,159.60$ ‐$ 3,159.60$

AUGUST LEGAL

COMPUTER CHECK

CHECK TOTALS: 3,159.60$ ‐$ 3,159.60$

104537 09/28/18 COV178 COVENANT MEDICAL CENTER 101285 09/06/18 17774 74.36$ ‐$ 74.36$

20940 LABS

COMPUTER CHECK

101286 09/06/18 17775 58.60$ ‐$ 58.60$

21654 LABS

101287 09/06/18 17776 58.60$ ‐$ 58.60$

22412 LABS

CHECK TOTALS: 191.56$ ‐$ 191.56$

104538 09/28/18 DEL007 DELTA DENTAL OF MICHIGAN 0001995605 09/11/18 17797 4,123.70$ ‐$ 4,123.70$

OCTOBER DENTAL INSURANCE

COMPUTER CHECK

CHECK TOTALS: 4,123.70$ ‐$ 4,123.70$

104539 09/28/18 DES011 DES MOINES STAMP MFG CO 1126585 09/12/18 17732 095604‐00 33.40$ ‐$ 33.40$

SIGNATURE STAMP LIZ

COMPUTER CHECK

CHECK TOTALS: 33.40$ ‐$ 33.40$

104540 09/28/18 GRAT92 GRATIOT INTEGRATED HEALTH 101295 09/24/18 17804 100.00$ ‐$ 100.00$

OCTOBER RENT

COMPUTER CHECK

CHECK TOTALS: 100.00$ ‐$ 100.00$

104541 09/28/18 HIL119 HILL ADAM 003753 09/14/18 17777 285.00$ ‐$ 285.00$

REFUND; PAID TWICE

COMPUTER CHECK

CHECK TOTALS: 285.00$ ‐$ 285.00$

104542 09/28/18 IMP002 IMPREST CASH‐MONTCALM 101289 09/14/18 17784 33.30$ ‐$ 33.30$

WD40/RECYCLE STICKERS

COMPUTER CHECK

CHECK TOTALS: 33.30$ ‐$ 33.30$

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‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐ ‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐ ‐‐‐‐‐‐‐‐‐‐‐‐‐‐ ‐‐‐‐‐‐‐‐‐‐‐‐‐ ‐‐‐‐‐‐‐‐‐‐‐‐

104543 09/28/18 INSP25 INSPIRATION STUDIO DESIGN 1744 09/11/18 17761 520.00$ ‐$ 520.00$

6 TALKSOONER BANNERS

COMPUTER CHECK

CHECK TOTALS: 520.00$ ‐$ 520.00$

104544 09/28/18 LIN061 LINCOLN FINANCIAL GROUP 3742708672 09/10/18 17798 1,949.39$ ‐$ 1,949.39$

OCTOBER LIFE/AD&D/LTD

COMPUTER CHECK

CHECK TOTALS: 1,949.39$ ‐$ 1,949.39$

104545 09/28/18 MAL010 MALPH 0733 08/20/18 17808 149.00$ ‐$ 149.00$

ANDREA TABOR TRAINING

COMPUTER CHECK

1629 08/23/18 17807 149.00$ ‐$ 149.00$

SARAH DOAK TRAINING

1631 08/23/18 17805 149.00$ ‐$ 149.00$

DENA KENT TRAINING

1632 08/23/18 17806 149.00$ ‐$ 149.00$

JEN STRATTON TRAINING

1634 08/23/18 17809 149.00$ ‐$ 149.00$

BETTY KELLENBERGER TRAINING

1643 09/07/18 17810 99.00$ ‐$ 99.00$

DWIGHT WASHINGTON TRAINING

1644 09/07/18 17811 149.00$ ‐$ 149.00$

TOM LINDEMAN TRAINING

MPPHC33 09/12/18 17812 149.00$ ‐$ 149.00$

MARCUS CHEATHAM TRAINING

CHECK TOTALS: 1,142.00$ ‐$ 1,142.00$

104546 09/28/18 MCK032 MCKESSON MEDICAL 35549786 09/11/18 17736 095607‐00 251.99$ ‐$ 251.99$

QUANTIFY URINE CONTROLS

COMPUTER CHECK

CHECK TOTALS: 251.99$ ‐$ 251.99$

104547 09/28/18 MCN129 MONTCALM CARE NETWORK 101281 07/16/18 17762 259.65$ ‐$ 259.65$

JUNE MCN PAID CLAIMS

COMPUTER CHECK

101282 08/14/18 17763 242.61$ ‐$ 242.61$

JULY MCN PAID CLAIMS

CHECK TOTALS: 502.26$ ‐$ 502.26$

104548 09/28/18 MED144 MEDIBADGE 789235 08/28/18 17733 095580‐00 179.64$ ‐$ 179.64$

1 CASE/STICKERS

COMPUTER CHECK

790121 09/07/18 17751 095592‐00 51.88$ ‐$ 51.88$

STICKERS

CHECK TOTALS: 231.52$ ‐$ 231.52$

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‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐ ‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐ ‐‐‐‐‐‐‐‐‐‐‐‐‐‐ ‐‐‐‐‐‐‐‐‐‐‐‐‐ ‐‐‐‐‐‐‐‐‐‐‐‐

104549 09/28/18 MEHA40 MEHA 03224 08/23/18 17783 45.00$ ‐$ 45.00$

JOHN‐BRADDOCK MEMBERSHIP RENEWAL

COMPUTER CHECK

CHECK TOTALS: 45.00$ ‐$ 45.00$

104550 09/28/18 MIC007 MICHIGAN PUBLIC HEALTH INST 54592 09/20/18 17813 45.00$ ‐$ 45.00$

ALLISON SCHAFER TRAINING

COMPUTER CHECK

CHECK TOTALS: 45.00$ ‐$ 45.00$

104551 09/28/18 MIL189 MILLER MARK 101284 09/18/18 17772 8,575.30$ ‐$ 8,575.30$

JUNE/JULY CJS

COMPUTER CHECK

CHECK TOTALS: 8,575.30$ ‐$ 8,575.30$

104552 09/28/18 MIS004 MiSDU‐MONTCALM CO FRIEND 101296 09/25/18 17815 197.47$ ‐$ 197.47$

9/28/18 EMPLOYEE DEDUCTION

COMPUTER CHECK

CHECK TOTALS: 197.47$ ‐$ 197.47$

104553 09/28/18 MNA004 MICHIGAN NURSES ASSOCIATION 101296 09/25/18 17814 449.44$ ‐$ 449.44$

SEPTEMBER DUES

COMPUTER CHECK

CHECK TOTALS: 449.44$ ‐$ 449.44$

104554 09/28/18 NAT016 NRFSP 13179 08/31/18 17791 1,275.00$ ‐$ 1,275.00$

9564800‐1 FOOD TESTS

COMPUTER CHECK

CHECK TOTALS: 1,275.00$ ‐$ 1,275.00$

VOID CHECKS ‐ STUBS: 104555 OFFICE DEPOT

104556 09/28/18 OFF015 OFFICE DEPOT 20245553002 09/13/18 17752 095606‐00 74.13$ ‐$ 74.13$

CALENDARS

COMPUTER CHECK

198291182001 09/10/18 17739 095594‐00 119.29$ ‐$ 119.29$

BINDERS, SHEET PROTECTORS, DIVIDERS

199420551001 09/11/18 17742 095598‐00 228.09$ ‐$ 228.09$

INK, BATTERIES, HANGING FOLDERS

199589784001 09/11/18 17737 095600‐00 65.71$ ‐$ 65.71$

LABELS, PENS, CORRECTING TAPE

199589784002 09/13/18 17738 095600‐00 39.87$ ‐$ 39.87$

3 REAMS COLORED PAPER

200098225001 09/10/18 17743 095588‐00 83.91$ ‐$ 83.91$

CALENDARS

200098225002 09/13/18 17744 095588‐00 87.07$ ‐$ 87.07$

CALENDARS

200144868001 09/10/18 17745 095587‐00 59.89$ ‐$ 59.89$

COPY PAPER, PLANNER

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‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐ ‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐ ‐‐‐‐‐‐‐‐‐‐‐‐‐‐ ‐‐‐‐‐‐‐‐‐‐‐‐‐ ‐‐‐‐‐‐‐‐‐‐‐‐

104556 09/28/18 OFF015 OFFICE DEPOT 200144868002 09/13/18 17758 095587‐00 28.43$ ‐$ 28.43$

WALL CALENDAR

200147338001 09/10/18 17757 095587‐00 13.29$ ‐$ 13.29$

PLANNER REFILL

201768337001 09/11/18 17740 095589‐00 86.35$ ‐$ 86.35$

PLANNER, MONTHLY DESK CALENDAR

201768337002 09/13/18 17741 095589‐00 34.54$ ‐$ 34.54$

WALL CALENDARS

202310051001 09/12/18 17749 095603‐00 10.78$ ‐$ 10.78$

DESKPAD CALENDAR

202310051002 09/13/18 17748 095603‐00 88.60$ ‐$ 88.60$

WALL CALENDARS

202310997001 09/12/18 17750 095603‐00 64.30$ ‐$ 64.30$

PLANNERS

202310998001 09/12/18 17756 095603‐00 8.74$ ‐$ 8.74$

PLANNER REFILL

202326057001 09/12/18 17746 095602‐00 39.98$ ‐$ 39.98$

ASSORTED FOLDERS

202327444001 09/12/18 17747 095602‐00 12.86$ ‐$ 12.86$

PLANNER

202455553001 09/12/18 17753 095606‐00 5.39$ ‐$ 5.39$

DESKPAD CALENDAR

202456666001 09/12/18 17754 095606‐00 25.72$ ‐$ 25.72$

WEEKLY PLANNERS

CHECK TOTALS: 1,176.94$ ‐$ 1,176.94$

104557 09/28/18 PER009 PERSPECTIVE ENTERPRISES 57915 09/12/18 17731 095583‐00 86.00$ ‐$ 86.00$

CARRYING CASE

COMPUTER CHECK

CHECK TOTALS: 86.00$ ‐$ 86.00$

104558 09/28/18 QUI003 QUILL CORPORATION 1022330 09/10/18 17759 095595‐00 114.16$ ‐$ 114.16$

FILE POCKETS, BUSINESS CARD 3.5X2

COMPUTER CHECK

1060241 09/11/18 17730 095605‐00 61.57$ ‐$ 61.57$

FOLDERS, LABELS, STAPLER

9442170 08/17/18 17726 095574‐00 9.99$ ‐$ 9.99$

POWERSTRIP

9447485 08/17/18 17728 095574‐00 115.55$ ‐$ 115.55$

UTILITY KNIFE, PADS, STAPLER

9547776 08/22/18 17727 095574‐00 9.18$ ‐$ 9.18$

SCISSORS

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‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐ ‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐ ‐‐‐‐‐‐‐‐‐‐‐‐‐‐ ‐‐‐‐‐‐‐‐‐‐‐‐‐ ‐‐‐‐‐‐‐‐‐‐‐‐

104558 09/28/18 QUI003 QUILL CORPORATION 9944321 09/06/18 17735 095601‐00 51.96$ ‐$ 51.96$

POSTCARDS

CHECK TOTALS: 362.41$ ‐$ 362.41$

104559 09/28/18 SAL227 SALISBURY ALEXIS 101283 09/14/18 17764 38.70$ ‐$ 38.70$

INTERN TRAVEL

COMPUTER CHECK

CHECK TOTALS: 38.70$ ‐$ 38.70$

104560 09/28/18 SHR011 SHRED‐IT USA LLC 8125561835 09/15/18 17785 217.62$ ‐$ 217.62$

SEPTEMBER CBO/GBO SHREDDING

COMPUTER CHECK

CHECK TOTALS: 217.62$ ‐$ 217.62$

104561 09/28/18 SHR226 SHRINERS HOSPITALS FOR CHILDREN 101288 08/28/18 17780 40.00$ ‐$ 40.00$

MEMORY OF DOUGLAS MORGAN

COMPUTER CHECK

CHECK TOTALS: 40.00$ ‐$ 40.00$

104562 09/28/18 TEA001 TEAMSTERS LOCAL 214 101296 09/25/18 17819 1,847.26$ ‐$ 1,847.26$

SEPTEMBER DUES

COMPUTER CHECK

CHECK TOTALS: 1,847.26$ ‐$ 1,847.26$

104563 09/28/18 TEA031 TEAM FINANCIAL GROUP, INC 169639 09/11/18 17800 2,459.37$ ‐$ 2,459.37$

OCTOBER XEROX/SUPPLY FEE

COMPUTER CHECK

169640 09/11/18 17801 1,849.33$ ‐$ 1,849.33$

OCTOBER 3 XEROX

CHECK TOTALS: 4,308.70$ ‐$ 4,308.70$

104564 09/28/18 UNI001 UNITED WAY OF MONTCALM CO 101296 09/25/18 17818 93.00$ ‐$ 93.00$


COMPUTER CHECK

CHECK TOTALS: 93.00$ ‐$ 93.00$

104565 09/28/18 UNI009 UNITED WAY OF GRATIOT CO 101296 09/25/18 17817 56.00$ ‐$ 56.00$


COMPUTER CHECK

CHECK TOTALS: 56.00$ ‐$ 56.00$

104566 09/28/18 UPPE17 UPPER PENINSULA HEALTH CARE 103001 05/24/18 17779 100.00$ ‐$ 100.00$

2018 AFFILIATE MEMBER DUES

COMPUTER CHECK

CHECK TOTALS: 100.00$ ‐$ 100.00$

104567 09/28/18 UPS002 UNITED PARCEL SERVICE 423867378 09/15/18 17778 7.46$ ‐$ 7.46$

CD PACKAGE

COMPUTER CHECK

CHECK TOTALS: 7.46$ ‐$ 7.46$

104568 09/28/18 USA021 USA TODAY NETWORK 0001950227 08/31/18 17788 200.00$ ‐$ 200.00$

HIV COLOR ADS

COMPUTER CHECK

CHECK TOTALS: 200.00$ ‐$ 200.00$

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‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐ ‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐ ‐‐‐‐‐‐‐‐‐‐‐‐‐‐ ‐‐‐‐‐‐‐‐‐‐‐‐‐ ‐‐‐‐‐‐‐‐‐‐‐‐

104569 09/28/18 VALL25 VALLEY FARMS BAPTIST CHURCH 101294 09/24/18 17803 100.00$ ‐$ 100.00$

OCTOBER RENT

COMPUTER CHECK

CHECK TOTALS: 100.00$ ‐$ 100.00$

104570 09/28/18 WJSZ92 WJSZ‐FM 1880017792 08/31/18 17787 750.00$ ‐$ 750.00$

AUGUST HEP A ADVERTISING

COMPUTER CHECK

CHECK TOTALS: 750.00$ ‐$ 750.00$

104571 09/28/18 WMLM91 WMLM‐AM 10497‐10499 08/31/18 17786 94.50$ ‐$ 94.50$


COMPUTER CHECK

CHECK TOTALS: 94.50$ ‐$ 94.50$

104572 09/28/18 WNEM90 WNEM TV5 877250‐4 08/31/18 17790 095443‐00 4,974.58$ ‐$ 4,974.58$


COMPUTER CHECK

877628‐4 09/24/18 17789 095449‐00 5,666.69$ ‐$ 5,666.69$

AUGUST FP/MALE ADVERTISING

CHECK TOTALS: 10,641.27$ ‐$ 10,641.27$

BANK CODE TOTALS: 100,190.37$ ‐$ 100,190.37$

44 COMPUTER CHECKS

0 MANUAL PAYMENT CHECKS

1 VOID CHECKS ‐ TRX

1 VOID CHECKS ‐ STUBS

0 VOID CHECKS ‐ ERROR

0 VOID CHECKS ‐ FORM ALIGNMENT

0 DIRECT DEPOSITS

46 CHECKS TOTAL

COMPANY TOTALS: 100,190.37$ ‐$ 100,190.37$

of 70

CK# EV 1883 10/12/2018

Payables

104573

to Quantum Checks & AP Direct Deposits $52,321.97

104608

Payroll

AFLAC Employee Deduction $585.49

MERS Employee Electronic Transfer $3,574.76

Chemical Bank Payroll‐Ameriprise NBS $200.00

Chemical Bank Payroll‐Nationwide $1,280.00

Chemical Bank Payroll‐MERS 457 $515.00

Chemical Bank Payroll Tax EFT

Federal $28,762.06

State $4,583.48

MERS Employer Electronic Transfer 18‐Sep $23,185.62

Direct Deposit Payroll $102,191.71

Bank Fees

Chemical Bank Interest 18‐Sep $7.04

TOTAL $217,207.13

Mid‐Michigan District Health Department

615 North State Street, Suite 2

Stanton MI 48888

(989) 831‐5237

of 70

RUN DATE: OCT 10, 2018 ‐ 06:11 Mid‐Michigan District Health Department PAGE 0001




‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐ ‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐ ‐‐‐‐‐‐‐‐‐‐‐‐‐‐ ‐‐‐‐‐‐‐‐‐‐‐‐‐ ‐‐‐‐‐‐‐‐‐‐‐‐

241 10/12/18 DEL057 DELONG BRUCE 101298 09/26/18 17844 125.00$ ‐$ 125.00$

SEPT PER DIEM

DIRECT DEPOSIT

CHECK TOTALS: 125.00$ ‐$ 125.00$

242 10/12/18 KEL038 KELLENBERGER BETTY 101301 09/26/18 17846 85.16$ ‐$ 85.16$

SEPT PER DIEM/TRAVEL

DIRECT DEPOSIT

CHECK TOTALS: 85.16$ ‐$ 85.16$

243 10/12/18 LIN033 LINDEMAN TOM 101300 09/26/18 17845 106.96$ ‐$ 106.96$


DIRECT DEPOSIT

CHECK TOTALS: 106.96$ ‐$ 106.96$

244 10/12/18 WASH83 WASHINGTON DWIGHT 101297 09/26/18 17843 236.83$ ‐$ 236.83$


DIRECT DEPOSIT

CHECK TOTALS: 236.83$ ‐$ 236.83$

104573 10/12/18 ADAM79 ADAMS OUTDOOR ADVERTISING PP09262018 09/26/18 17880 1,250.00$ ‐$ 1,250.00$

OCTOBER DFG ADVERTISING

COMPUTER CHECK

CHECK TOTALS: 1,250.00$ ‐$ 1,250.00$

104574 10/12/18 AGR071 AGROLIQUID cr230 08/27/18 17877 250.00$ ‐$ 250.00$

11/2/18 DISTRICT WIDE RENTAL

COMPUTER CHECK

CHECK TOTALS: 250.00$ ‐$ 250.00$

104575 10/12/18 AQUA87 AQUA‐FLOW 36977 09/19/18 17885 84.00$ ‐$ 84.00$

WATER‐TRI COUNTY MIDDLE SCHOOL

COMPUTER CHECK

36992 09/25/18 17884 212.50$ ‐$ 212.50$

WATER‐TRI COUNTY MIDDLE SCHOOL

CHECK TOTALS: 296.50$ ‐$ 296.50$

104576 10/12/18 BLA111 BLAIR TRINA 101302 09/24/18 17848 148.18$ ‐$ 148.18$

PBB GRANT

COMPUTER CHECK

CHECK TOTALS: 148.18$ ‐$ 148.18$

104577 10/12/18 CAP095 CAPITAL AREA UNITED WAY 101309 10/10/18 17887 32.00$ ‐$ 32.00$


COMPUTER CHECK

CHECK TOTALS: 32.00$ ‐$ 32.00$

104578 10/12/18 CAR210 CARPENTER EDWARD 003893 09/27/18 17856 305.00$ ‐$ 305.00$

REFUND PLAN REVIEW

COMPUTER CHECK

CHECK TOTALS: 305.00$ ‐$ 305.00$

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‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐ ‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐ ‐‐‐‐‐‐‐‐‐‐‐‐‐‐ ‐‐‐‐‐‐‐‐‐‐‐‐‐ ‐‐‐‐‐‐‐‐‐‐‐‐

104579 10/12/18 CDW016 CDW GOVERNMENT, INC. PFJ9112 09/13/18 17826 095615‐00 1,828.57$ ‐$ 1,828.57$

5 ADOBE ACROBAT

COMPUTER CHECK

PHQ9856 09/21/18 17839 095635‐00 131.96$ ‐$ 131.96$

REPLACEMENT HARD DRIVE

CHECK TOTALS: 1,960.53$ ‐$ 1,960.53$

104580 10/12/18 CEN021 CENTRAL MI DIST HEALTH DEPT 101305 10/01/18 17854 5,920.87$ ‐$ 5,920.87$

AUGUST MD

COMPUTER CHECK

CHECK TOTALS: 5,920.87$ ‐$ 5,920.87$

104581 10/12/18 CRY023 CASAIR‐CRYSTAL AUTO SYSTEM 464713 10/01/18 17879 800.00$ ‐$ 800.00$

INTERNET/LIST SERV/FIBER

COMPUTER CHECK

CHECK TOTALS: 800.00$ ‐$ 800.00$

104582 10/12/18 GLO084 GLOBAL COMPLIANCE NETWORK 8576 09/11/18 17881 500.00$ ‐$ 500.00$

UNLIMITED TUTORIALS FY19

COMPUTER CHECK

CHECK TOTALS: 500.00$ ‐$ 500.00$

104583 10/12/18 GSK052 GLAXO SMITH KLINE 8252564945 09/17/18 17841 095637‐00 4,074.84$ ‐$ 4,074.84$

SHINGRIX VACCINE

COMPUTER CHECK

8252567009 09/17/18 17837 095612‐00 3,484.80$ ‐$ 3,484.80$

HAVRIX VACCINE

CHECK TOTALS: 7,559.64$ ‐$ 7,559.64$

104584 10/12/18 IMP002 IMPREST CASH‐MONTCALM 101303 09/27/18 17851 68.05$ ‐$ 68.05$

GBO EH/CHED PETTY CASH SUPPLY

COMPUTER CHECK

CHECK TOTALS: 68.05$ ‐$ 68.05$

104585 10/12/18 JETS37 JETS SPEED PRINTING 41811 08/08/18 17850 150.00$ ‐$ 150.00$

500 MARIJUANA CARDS FOR DFG

COMPUTER CHECK

CHECK TOTALS: 150.00$ ‐$ 150.00$

104586 10/12/18 KEAR53 KEARNS AMANDA P1030 09/26/18 17852 12.11$ ‐$ 12.11$

REFUND MCN CLIENT/PAID TWICE

COMPUTER CHECK

CHECK TOTALS: 12.11$ ‐$ 12.11$

104587 10/12/18 KEN014 KENT COUNTY HEALTH DEPT EH083118‐55555 09/06/18 17859 1,658.00$ ‐$ 1,658.00$

AUGUST WATER LABS

COMPUTER CHECK

CHECK TOTALS: 1,658.00$ ‐$ 1,658.00$

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‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐ ‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐ ‐‐‐‐‐‐‐‐‐‐‐‐‐‐ ‐‐‐‐‐‐‐‐‐‐‐‐‐ ‐‐‐‐‐‐‐‐‐‐‐‐

104588 10/12/18 MCK032 MCKESSON MEDICAL 35457787 09/10/18 17834 095591‐00 52.41$ ‐$ 52.41$

ALCOHOL, NEEDLES

COMPUTER CHECK

36207185 09/19/18 17824 095622‐00 282.78$ ‐$ 282.78$

SHARP CONTAINERS, TISSUE, CAPES

36233457 09/20/18 17842 095614‐00 978.21$ ‐$ 978.21$

CONTAINERS, GLOVES, KLEENEX

CHECK TOTALS: 1,313.40$ ‐$ 1,313.40$

104589 10/12/18 MER016 MERCK & CO INC 7012201140 09/17/18 17828 095611‐00 2,723.15$ ‐$ 2,723.15$

PNEUMOVAX VACCINE

COMPUTER CHECK

CHECK TOTALS: 2,723.15$ ‐$ 2,723.15$

104590 10/12/18 MIC006 MICHIGAN DEPT OF AGRICULTURE 791‐10358488 08/17/18 17860 839.00$ ‐$ 839.00$

AUGUST FOOD FEES

COMPUTER CHECK

791‐10359808 09/18/18 17861 1,394.00$ ‐$ 1,394.00$

SEPTEMBER FOOD FEES

CHECK TOTALS: 2,233.00$ ‐$ 2,233.00$

104591 10/12/18 MIS004 MiSDU‐MONTCALM CO FRIEND 101309 10/10/18 17886 197.47$ ‐$ 197.47$

10/12/18 EMPLOYEE DEDUCTION

COMPUTER CHECK

CHECK TOTALS: 197.47$ ‐$ 197.47$

104592 10/12/18 MON183 MONTCALM CO CONTROLLERS 101306 09/30/18 17855 168.00$ ‐$ 168.00$

SEPTEMBER SOLID WASTE

COMPUTER CHECK

CHECK TOTALS: 168.00$ ‐$ 168.00$

104593 10/12/18 NUR008 HD NURSE ADMINISTRATOR'S 101308 10/02/18 17878 155.00$ ‐$ 155.00$

CHED MEMBERSHIPS

COMPUTER CHECK

CHECK TOTALS: 155.00$ ‐$ 155.00$

104594 10/12/18 OFF015 OFFICE DEPOT 201768337003 09/14/18 17821 095589‐00 227.44$ ‐$ 227.44$

8 WALL CALENDARS

COMPUTER CHECK

202310051003 09/14/18 17827 095603‐00 56.86$ ‐$ 56.86$

2 WALL CALENDARS

205559200001 09/20/18 17822 095616‐00 80.74$ ‐$ 80.74$

STAPLER, STAPLES, STAPLE REMOVER

205561216001 09/20/18 17823 095616‐00 4.59$ ‐$ 4.59$

STAPLE REMOVER

CHECK TOTALS: 369.63$ ‐$ 369.63$

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‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐ ‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐ ‐‐‐‐‐‐‐‐‐‐‐‐‐‐ ‐‐‐‐‐‐‐‐‐‐‐‐‐ ‐‐‐‐‐‐‐‐‐‐‐‐

104595 10/12/18 PAR067 PARAGARD DIRECT 15013684870 09/19/18 17832 095625‐00 1,165.10$ ‐$ 1,165.10$

PARAGARD IUD'S

COMPUTER CHECK

CHECK TOTALS: 1,165.10$ ‐$ 1,165.10$

104596 10/12/18 PER009 PERSPECTIVE ENTERPRISES 57988 09/21/18 17840 095627‐00 32.50$ ‐$ 32.50$

CIRCUMFERENCE MEASURING TAPES

COMPUTER CHECK

CHECK TOTALS: 32.50$ ‐$ 32.50$

104597 10/12/18 R&S005 R&S NORTHEAST LLC 2017 07/16/18 17476 (681.25)$ ‐$ (681.25)$

CREDITS ON FILE

COMPUTER CHECK

165351 06/07/18 17782 10.50$ ‐$ 10.50$

MISSED INVOICE/PART OF CREDIT BALANCE

167082 06/29/18 17442 095526‐00 320.40$ ‐$ 320.40$

NUVARING

173932 09/19/18 17835 095621‐00 880.80$ ‐$ 880.80$

PORTIA, APRI, AVIANE, SPRINTEC

174889 09/28/18 17838 095621‐00 0.25$ ‐$ 0.25$

EPI PENS 25X1

CHECK TOTALS: 530.70$ ‐$ 530.70$

104598 10/12/18 RUSH64 RUSH ORDER TEES 567255 03/12/18 17883 388.20$ ‐$ 388.20$

30 DFG TSHIRTS

COMPUTER CHECK

CHECK TOTALS: 388.20$ ‐$ 388.20$

104599 10/12/18 SAL227 SALISBURY ALEXIS 101304 09/28/18 17853 39.24$ ‐$ 39.24$

SEPTEMBER INTERN TRAVEL

COMPUTER CHECK

CHECK TOTALS: 39.24$ ‐$ 39.24$

104600 10/12/18 SAN020 SANOFI PASTEUR INC 910979010 09/17/18 17829 095610‐00 519.12$ ‐$ 519.12$

MENACTRA VACCINE

COMPUTER CHECK

910979011 09/17/18 17830 095610‐00 7,978.89$ ‐$ 7,978.89$

PREVNAR VACCINE

CHECK TOTALS: 8,498.01$ ‐$ 8,498.01$

104601 10/12/18 STA225 STATCOURIER 1019‐949 08/31/18 17849 856.00$ ‐$ 856.00$

AUGUST LAB PICKUPS

COMPUTER CHECK

CHECK TOTALS: 856.00$ ‐$ 856.00$

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‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐ ‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐ ‐‐‐‐‐‐‐‐‐‐‐‐‐‐ ‐‐‐‐‐‐‐‐‐‐‐‐‐ ‐‐‐‐‐‐‐‐‐‐‐‐

104602 10/12/18 THE007 THERACOM, A CAREMARK CO 204517809 09/19/18 17833 095624‐00 2,415.44$ ‐$ 2,415.44$

MIRENA IUD'S

COMPUTER CHECK

204517168301 09/19/18 17831 095623‐00 3,128.16$ ‐$ 3,128.16$

NEXPLANON

CHECK TOTALS: 5,543.60$ ‐$ 5,543.60$

104603 10/12/18 UNI001 UNITED WAY OF MONTCALM CO 101309 10/10/18 17889 93.00$ ‐$ 93.00$


COMPUTER CHECK

CHECK TOTALS: 93.00$ ‐$ 93.00$

104604 10/12/18 UNI009 UNITED WAY OF GRATIOT CO 101309 10/10/18 17888 56.00$ ‐$ 56.00$


COMPUTER CHECK

CHECK TOTALS: 56.00$ ‐$ 56.00$

104605 10/12/18 UPS002 UNITED PARCEL SERVICE 0000423867388 09/22/18 17847 6.20$ ‐$ 6.20$

1 CD PACKAGE MAILED

COMPUTER CHECK

CHECK TOTALS: 6.20$ ‐$ 6.20$

104606 10/12/18 VER004 VERIZON 9815285360 09/23/18 17857 99.53$ ‐$ 99.53$

9/24‐9/30 DATA

COMPUTER CHECK

9815285360 09/23/18 17882 1,832.63$ ‐$ 1,832.63$

10/1‐23 DATA

CHECK TOTALS: 1,932.16$ ‐$ 1,932.16$

104607 10/12/18 WIS197 WISINSKI CHRIS 003848 09/25/18 17858 104.00$ ‐$ 104.00$

REFUND PERMIT DIFFERENCE

COMPUTER CHECK

CHECK TOTALS: 104.00$ ‐$ 104.00$

104608 10/12/18 FIR003 FIRST NATIONAL BANK OMAHA 101307 10/02/18 17862 2,020.46$ ‐$ 2,020.46$

SOLARWINDS,HOTEL,RENTAL FEES

COMPUTER CHECK

101307‐1 10/02/18 17863 095597‐00 275.60$ ‐$ 275.60$

GLIDER ROCKER

101307‐10 10/02/18 17872 095633‐00 38.15$ ‐$ 38.15$

MARTIN BUSINESS CARDS‐1

101307‐11 10/02/18 17873 095628‐00 31.79$ ‐$ 31.79$

COMPUTER LOCK BOX

101307‐12 10/02/18 17874 095630‐00 172.89$ ‐$ 172.89$

CERTIFICATE PAPER/FRAMES

101307‐13 10/02/18 17875 095636‐00 9.99$ ‐$ 9.99$

ALL OCCASION CARDS‐HEC

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‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐ ‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐ ‐‐‐‐‐‐‐‐‐‐‐‐‐‐ ‐‐‐‐‐‐‐‐‐‐‐‐‐ ‐‐‐‐‐‐‐‐‐‐‐‐

104608 10/12/18 FIR003 FIRST NATIONAL BANK OMAHA 101307‐14 10/02/18 17876 095642‐00 20.55$ ‐$ 20.55$

CHANGING PAD FOR BABY TABLE

101307‐2 10/02/18 17864 095586‐00 611.40$ ‐$ 611.40$

2 BOXES STAMPED ENVELOPES

101307‐3 10/02/18 17865 095596‐00 17.06$ ‐$ 17.06$

DAYTIMER REFILL

101307‐4 10/02/18 17866 095599‐00 609.15$ ‐$ 609.15$

2 BOXES STAMPED ENVELOPES

101307‐5 10/02/18 17867 095613‐00 13.95$ ‐$ 13.95$

LAPTOP COOLING STAND

101307‐6 10/02/18 17868 095609‐00 24.37$ ‐$ 24.37$

PATHWAY BUSINESS CARDS‐1

101307‐7 10/02/18 17869 095608‐00 27.99$ ‐$ 27.99$

VESA DUAL MOUNT/MONITOR

101307‐8 10/02/18 17870 095626‐00 223.62$ ‐$ 223.62$

BABY CHANGING TABLE

101307‐9 10/02/18 17871 095620‐00 355.81$ ‐$ 355.81$

2 TABLES/ROLLING CART

CHECK TOTALS: 4,452.78$ ‐$ 4,452.78$

BANK CODE TOTALS: 52,321.97$ ‐$ 52,321.97$

36 COMPUTER CHECKS

0 MANUAL PAYMENT CHECKS

0 VOID CHECKS ‐ TRX

0 VOID CHECKS ‐ STUBS

0 VOID CHECKS ‐ ERROR

0 VOID CHECKS ‐ FORM ALIGNMENT

4 DIRECT DEPOSITS

40 CHECKS TOTAL

COMPANY TOTALS: 52,321.97$ ‐$ 52,321.97$

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� 0

(I) First National Bank

ll53

MID MICHIGAN DIST HEAL TH MELISSA BOWERMAN 615 N STATE ST STE 2 STANTON Ml 48888-9702

VISA

First National Bank Omaha P.O. Box 2818 Omaha, NE 68103-2818

4540

S410

Account Number: New Balance: ................................ $4,452.78

Minimum Payment Due: ................... $89.00

Payment Due Date: ....... November 1, 2018

M a ke checks payabl e to Fir,;t N ational Bank Om aha

Amount of Payment Enclosed

$

II •111111 •1I11111 • I •1111 •I I 111 •I• 1 I 1 •1 I• I 111111II11111111

1 I' I 1111

Change of Address? If yes, please complete reverse side.

PLE A S E DETACH HERE AND RETURN TO P PORTI ON WITH Y OUR PAYMENT

Business Edition® Visa®

l:l:B:I Account Summary

Previous Balance ............... $5,736.21 Payments .......................... -$5,736.21 Other Credits ............................ -$0.00 Purchases ........................ +$4,452. 78 Balance Transfers ................... +$0.00 Cash Advances ....................... +$0.00 Fees Charged .......................... +$0.00 Interest Charged ...................... +$0.00 New Balance ..................... $4,452.78

Statement Closing Date ....... 10/02/18 Days in Billing Cycle ....................... 28

Total Credit Limit ............. $12,000.00 Available Credit .................. $7,547.00 Cash Limit ........................... $6,000.00 Available Cash ................... $6,000.00

[R,-JI Payment Information

Account N11mhnr•

Page 001 of 002

New Balance ..................................................................... $4,452.78 Minimum Payment Due .......................................................... $89.00 Past Due Amount ..................................................................... $0.00 Payment Due Date ................................................. November 1, 2018

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8 Customer Service-

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Visit: www .firstnational.com Remit to: First National Bank Omaha, P.O. Box 2818, Omaha, NE 68103-2818

p Transaction Detail

Trans Post Reference Transaction Credits (CR) Date Date Number Description and Debits

9-07 9-07 24692168250100441210120 7 Amazon.com Amzn.com/blll WA $275.60 -9-07 9-10 24445008251600056485260 7 USPS.COM POSTAL STORE eoo-782-6724 MO $611.40

9-11 9-11 24692168254100643297053 7 AMZN Mktp USAmzn.com/blllWA $17.06 9·11 9-12 24445008255600052120594 7 USPS.COM POSTAL STOREeoo-782-6724MO $609.15 9-11 9-12 24692168254100120270490 7 SOLARWINDS 866-53�100 TX $1,050.00 9-11 9·12 24492158254894166832246 7 PAYPAL *EVERYDAYLIF4o2-935-7733CA $10.00 9-11 9-12 24492158254894167027473 7 PAYPAL *EVERYDAYLIF4o2-935-7733CA $10.00 9-11 9·12 24755428255642551126593 7 STATE DEQ WORKSHOPS517-3353153MI $85.00 9-13 9-13 7 4418008256007256008509 ONLINE PAYMENT THANK YOU $5,736.21 (CR) 9-13 9-14 24692168256100244615446 7 STAMPS.COM 855-608-2677CA $89.97 9·14 9-17 24692168257100768978187 7 AMZN Mktp US*MT8ZSOL71 Amzn.comlbillWA $13.95 9-14 9-17 24431068258708290907198 HOLIDAY INN EXPRESS ROCHE STER HILMI $233.92 9-17 9-18 24692168260100359248730 1 VISTAPR*VistaPrint.com 866-8936743 MA $24.37 9-18 9-18 24692168261100583062088 7 AMZN Mktp US*MT9GE1Z90Amzn.comlblllWA $27.99 9-17 9-19 24445008261200160523409 CRYSTAL MTN LODGING THOMPSONVILLE Ml $139.23 9-17 9-19 24445008261200160523573 CRYSTAL MTN LODGING THOMPSONVILLE Ml $115.83 9-18 9-20 24789308262031401090800 7 OTC BRANDS, INC. B00-2280475 NE $17.99 9-20 9-21 24692168263100838198891 7 Amazon .com Amzn.com/blll WA $223.62 9-20 9-21 24692168263100064080490 7 Amazon.com*MT70B13F2 Amzn.comlbill WA $355.81 9-21 9·24 24692168264100542596306 1 VISTAPR*VistaPrint.com 866-8936743 MA $38.15 9-22 9-24 24692168265100123536415 7 Amazon.com*MT4TN8JW1 Amzn.com/billWA $31.79 9-22 9-24 24692168265100126633011 7 Amazon.com*MT1502A60 Amzn.com/bill WA $172.89 9-25 9·26 24692168268100555461766 7 AMZN Mktp US*MT0PP7AZ1 Amzn.com/blllWA $9.99 9-28 10·01 24755428272152724000112 RENT RITE OF ALMAALMA MI $229.52 9-29 10-01 24492158273637917051039 2 JOTFORM INC. HTTPSWWW .JOTFCA $39.00 9-30 10-01 24692168273100387110865 7 Amazon.com*MT52A1 MF0 Amzn.com/blll WA $20.55

Issued by First NaUonal Bank of Omaha See reverse for additional Information. of 70


CLINTON


St. Johns, MI 48879-9036 (989) 224-2195



(989) 875-3681



(989) 831-5237


Stanton, MI 48888-9702 (989) 831-5237



Medical Director





Board of Health Action Sheet

Date: October 24, 2018 Administrator: Melissa Bowerman Director of Administrative Services

Subject: New Family Planning Fees ☐ Information Only ☒ Action Needed

I. Authority For This Action:

☐ Local Policy ____________________________

☒ Law or Rule Public Act 368 of 1978, §333.2444 Fees for Services

II. Summary: (Previous board action relating to this item? Background information and if any future action anticipated.)

New fees need to be approved for Community Health and Education (CHED) Family Planning services because the new fees better describe the services we are providing and are for Medicare.

III. Strategic Objective, Health Issue, or other Need Addressed: (What priority should be given in relation to goals? Include reason for recommending change in priorities and how the need will be introduced into planning process.)

Vision Priority #5 from the agency’s Strategic Plan states that: We effectively manage our fiscal resources while expanding opportunities for financial growth. It is necessary for us to recover our costs to effectively manage our fiscal resources.

IV. Fiscal Impact and Cost: (Immediate, ongoing, and future impact.)

Procedure Code Procedure Name Fee

S0610 ANNUAL GYNECOLOGICAL EXAMINATION, NEW PATIENT $200.00

S0612 ANNUAL GYNECOLOGICAL EXAMINATION, ESTABLISHED PATIENT $150.00

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V. Alternatives Considered: (Scope of options reviewed. Reasons for rejecting alternatives.)

There are no reasons that the MMDHD should not add these new fees for the Family Planning Program.

VI. Recommendation: (Advantages/benefits of proposal. Expected results. Possible problems or disadvantages of proposal. Effect of action on agency. Consequences of not approving recommendation or taking action.)

I request that the full Board of Health approve the new fees for CHED Family Planning services as proposed, retroactive to October 1, 2018.

VII. Monitoring and Reporting Time Line: (Evaluation method and timeline. Next report to the Board.)

The new Family Planning fees are reported on line 15 of the monthly Revenue and Expenditure Report.

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Report to the Boards of Health Jennifer Morse, MD, MPH, FAAFP, Medical Director

Mid-Michigan District Health Department, Wednesday, October 24, 2018

Central Michigan District Health Department, Wednesday, October 24, 2018 District Health Department 10, Friday, October 26, 2018

Food Insecurity and Food Deserts

It is estimated that over 12% of U.S. households dealt with food insecurity at some point in 2016; in rural areas, over 15% were food insecure. According to the Life Sciences Research Office of the Federation of American Societies for Experimental Biology, food security and insecurity are defined as:

Food security: access by all people at all times to enough food for an active, healthy life, and includes, at a minimum: o the ready availability of nutritionally adequate and safe foods, and o an assured ability to acquire acceptable foods in socially acceptable ways (e.g., without resorting to

emergency food supplies, scavenging, stealing, or other coping strategies).

Food insecurity: limited or uncertain availability of nutritionally adequate and safe foods or limited or uncertain ability to acquire acceptable foods in socially acceptable ways.

A food desert is defined by the United States Department of Agriculture (USDA) as “parts of the country vapid of fresh fruit, vegetables, and other healthful whole foods, usually found in impoverished areas”. An area that has limited access to healthy options yet has no lack of access to unhealthy foods, such as fast food, convenience stores, and liquor stores, are referred to as food swamps. Food insecurity is associated with poor health and chronic illness. People that worry about feeding themselves or their families suffer from stress, anxiety, and depression. They are also more likely to be overweight, have poor sleep, chronic disease, and a worse quality of life. This may impact their ability to work, which adds to their struggle with food insecurity. Rural residents are known to have higher rates of chronic disease, disability, and obesity, as well as a lower life expectancy, as compared to urban residents. Approximately 6% of rural U.S. residents have to travel between 10 to 20 miles to get to the nearest supermarket. In rural areas, those that struggle with limited access to food feel that lack of transportation is their biggest barrier. This causes many to rely on more expensive and less nutritious foods, such as is available at nearby gas stations and convenience stores. Children, pregnant women, seniors, people with disabilities, and immigrants and refugees are at higher risk of poor outcomes due to food insecurity. Children dealing with food insecurity struggle with worse school performance, increased school absenteeism, worsened social skills, stunted growth, obesity, and deficiencies such as iron-deficiency anemia. Older adults dealing with food insecurity have high rates of physical and mental deterioration, while pregnant women have more excessive weight gain and gestational diabetes. There are many factors in addition to lack of transportation associated with a higher likelihood of dealing with food insecurity. These include low income, lower education, immigration, depression, anxiety, physical and mental disability, gambling, drug use, number of people in a household, available food storage and preparation areas, food cost, store location, and single-parent households. Source: What is Sustainable Agriculture?, UC Davis

Sustainable Agriculture Research and Education Program

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http://asi.ucdavis.edu/programs/sarep/about/what-is-sustainable-agriculture

of 4

The food supply chain has many steps: production, processing, distribution, retail and market, consumption, and waste recovery.

Gaps anywhere in this chain will affect access to healthy food. Ways to improve and impact food production, processing, and distribution include:

Land Use Policies: policies offering financial credits to food producers can ease the burden of starting and maintaining farmland.

Food Hubs: processors and/or distributors for small farms, which can help them make a profit without expanding their production or land size.

Community Gardens: which provide residents with a space to grow food. School programs exist to help children and adolescents have access to healthy foods. Over 44 million meals are served in U.S. schools each day. School-based models include:

School Breakfast: These programs have been shown to increase attendance, decrease tardiness, and provide quality nutrition to students who lack food at home. Participating students have improved standardized test scores and lower behavior problems during the day. This program is federally reimbursed and many students qualify for free and reduced priced meals.

Afterschool Meals: provided after the school day but during a supervised, educational activity. Afterschool meals are normally implemented through the Child and Adult Care Food Program (CACFP) or the National School Lunch Program.

Farm to School Models: a national program focused on increasing the amount of local, fresh, and healthy foods in schools. The U.S. Department of Agriculture provides grants and funding to help implement Farm to School programs.

Backpack Food Program Models: This program helps to close the gap in meals for children between Friday lunch and Monday breakfast by providing food for children over breaks. Provide kids with whole grains, fruits, vegetables, and micronutrients and is typically implemented with assistance from a sponsor, such as a food bank or local business.

Summer Meals: Provides lunches to students at little or no cost during the summer break. This program increases access to food throughout summer months for students who rely on school meals. Summer food programs can be located at schools or community agencies such as libraries, faith-based organizations, or community centers.

School Food Pantries: schools devote space specifically for a food pantry to provide relief to hungry students and staff.

Retail-based models focus on providing or improving places where people buy food. Retail-based models include:

Food Assistance: This includes programs such as Supplemental Nutrition Assistance Program (SNAP) and the Special Supplemental Nutrition Program for Women, Infants, and Children (WIC).

Mobile Markets: These work similar to food trucks and have a set schedule and route where they make stops and deliveries. Transportation barriers are reduced by bringing a food market to rural and underserved areas. The USDA authorizes the use of SNAP and WIC benefits at mobile markets.

Healthy Corner Stores (or convenience stores): Helps small food retailers stock more fruits and vegetables. Programs that increase store capacity to sell and market healthy food and beverage items, provide training and technical assistance for store owners, in-store community nutrition lessons, youth education efforts in schools near targeted corner stores, and connecting store owners with community partners, local farmers, and fresh food suppliers to encourage healthy food sourcing.

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Farmers Markets: organized, scheduled, recurring gatherings where producers can sell their food products directly to consumers. Participating farmers markets accept SNAP and WIC benefits.

Community Supported Agriculture: direct farmer to consumer market, similar to farmers markets. Consumers buy “shares” in the harvest and prepay before the growing season for a certain amount of produce and/or other farm products during the harvest season. Once the food is ripe or produced, the farmers deliver the food directly to the consumer or a predetermined pick-up site, or customers pick up their shares at the farm. Participating farmers can accept SNAP and WIC benefits.

Recommendations:

1. Food insecurity is more common in rural areas and is known to have many negative impacts on health. 2. Food insecurity is a complicated, multi-factorial issue; there are numerous programs and resources

available to address different aspects of the problem.

RESOURCES: Rural Health Information Hub Rural Food Access Toolkit https://www.ruralhealthinfo.org/toolkits/food-access

2015 Food Access Map

Source: USDA Economic Research Service https://www.ers.usda.gov/data-products/food-access-research-atlas/go-to-the-atlas/

Low Food Access: At least 500 people or 33% of the population lives farther than 1 mile (urban) or 10 miles (rural) from the nearest supermarket

Low Vehicle Access: More than 100 households have no access to a vehicle and are more than 1/2 mile from the nearest supermarket.

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https://www.ruralhealthinfo.org/toolkits/food-access

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Using Food Policy Councils to Address Rural Food Issues https://extension.purdue.edu/extmedia/EC/EC-795-W.pdf

Food Policy Council Directory http://www.foodpolicynetworks.org/directory/online/index.html

Drafting a Resolution to Create a Food Council http://www.publichealthlawcenter.org/sites/default/files/resources/Drafting%20a%20Resolution%20to%20Create%20a%20Food%20Council.pdf

The CSA Farmer’s Nationwide Guide to Accepting SNAP/EBT Payments http://eorganic.info/sites/eorganic.info/files/u461/2013-3%20National%20SNAP%20CSA%20Guide.pdf

Community Food Systems Farm to School Grant Program https://www.fns.usda.gov/farmtoschool/farm-school-grant-program

Local Food Promotion Program (USDA Food Hub grant) https://www.ams.usda.gov/services/grants/lfpp

Community Food Projects (grant) http://sustainableagriculture.net/publications/grassrootsguide/local-food-systems-rural-development/community-food-project-grants/

Louisville Grows Community Garden Toolkit http://www.louisvillegrows.org/wp-content/uploads/2016/11/LGCommunityGardenToolkit.pdf

Backpack Food Program Starter Toolkit https://www.northwestharvest.org/stuff/contentmgr/files/0/f0906a71cb000d92cf0f9e9a83912eed/files/how_to_start_a_backpack_program.pdf

MSU Center For Regional Food Systems New Funding Sources For Food-Related Businesses http://www.canr.msu.edu/foodsystems/uploads/files/food_business_funding.pdf

Local Food Directories: Food Hub Directory https://www.ams.usda.gov/local-food-directories/foodhubs

Local Laws and Policies That Promote Access to Healthy Food: A Food System Crosswalk https://www.vermontlaw.edu/sites/default/files/2017-09/HFPP-Crosswalk_final.pdf

Healthy Food Access Research and resources for communities that are working to increase access to healthy food for everyone. https://www.rwjf.org/en/library/collections/healthy-food-access.html

Rural Grocery Tool Kit (from Kansas State University) http://www.ruralgrocery.org/resources/

USDA Healthy Corner Stores Making Corner Stores Healthier Places to Shop https://fns-prod.azureedge.net/sites/default/files/snap/Healthy-Corners-Stores-Guide.pdf

A Guide to Healthy Small Food Retailer Certification Programs http://changelabsolutions.org/publications/health-on-the-shelf

A Guide About Rewarding Small Food Stores For Healthy Improvements http://changelabsolutions.org/small-food-stores-incentives

Model Ordinance and Guide for Licensing Healthy Food Retailers http://changelabsolutions.org/publications/HFR-licensing-ord

Finding Public Funding For Healthy Food Retail http://changelabsolutions.org/publications/green-for-greens

Rural Childhood Obesity Prevention Toolkit https://www.rwjf.org/en/library/research/2014/10/rural-childhood-obesity-prevention-toolkit.html

Federal Food Assistance Programs https://www.nutrition.gov/subject/food-assistance-programs

Michigan Good Food Fund http://migoodfoodfund.org/about/ : a $30 million public-private partnership loan fund, provides financing to food enterprises working to increase access to affordable, healthy food in low-income and underserved communities in Michigan.

Sources Hoflund, A. Bryce, Jones, John C., Pautz, Michelle C..; The Intersection of Food and Public Health : Current Policy Challenges and Solutions Rural Health Information Hub and Rural Health Information Hub Rural Food Access Toolkit https://www.ruralhealthinfo.org/toolkits/food-access USDA Economic Research Service https://www.ers.usda.gov/data-products/food-access-research-atlas/go-to-the-atlas/

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https://extension.purdue.edu/extmedia/EC/EC-795-W.pdf

https://extension.purdue.edu/extmedia/EC/EC-795-W.pdf

http://www.foodpolicynetworks.org/directory/online/index.html

http://www.publichealthlawcenter.org/sites/default/files/resources/Drafting%20a%20Resolution%20to%20Create%20a%20Food%20Council.pdf

http://www.publichealthlawcenter.org/sites/default/files/resources/Drafting%20a%20Resolution%20to%20Create%20a%20Food%20Council.pdf

http://eorganic.info/sites/eorganic.info/files/u461/2013-3%20National%20SNAP%20CSA%20Guide.pdf

https://www.fns.usda.gov/farmtoschool/farm-school-grant-program

https://www.fns.usda.gov/farmtoschool/farm-school-grant-program

https://www.ams.usda.gov/services/grants/lfpp

http://sustainableagriculture.net/publications/grassrootsguide/local-food-systems-rural-development/community-food-project-grants/

http://sustainableagriculture.net/publications/grassrootsguide/local-food-systems-rural-development/community-food-project-grants/

http://www.louisvillegrows.org/wp-content/uploads/2016/11/LGCommunityGardenToolkit.pdf

http://www.louisvillegrows.org/wp-content/uploads/2016/11/LGCommunityGardenToolkit.pdf

https://www.northwestharvest.org/stuff/contentmgr/files/0/f0906a71cb000d92cf0f9e9a83912eed/files/how_to_start_a_backpack_program.pdf

https://www.northwestharvest.org/stuff/contentmgr/files/0/f0906a71cb000d92cf0f9e9a83912eed/files/how_to_start_a_backpack_program.pdf

http://www.canr.msu.edu/foodsystems/uploads/files/food_business_funding.pdf

https://www.ams.usda.gov/local-food-directories/foodhubs

https://www.vermontlaw.edu/sites/default/files/2017-09/HFPP-Crosswalk_final.pdf

https://www.rwjf.org/en/library/collections/healthy-food-access.html

http://www.ruralgrocery.org/resources/

https://fns-prod.azureedge.net/sites/default/files/snap/Healthy-Corners-Stores-Guide.pdf

https://fns-prod.azureedge.net/sites/default/files/snap/Healthy-Corners-Stores-Guide.pdf

http://changelabsolutions.org/publications/health-on-the-shelf

http://changelabsolutions.org/small-food-stores-incentives

http://changelabsolutions.org/small-food-stores-incentives

http://changelabsolutions.org/publications/HFR-licensing-ord

http://changelabsolutions.org/publications/green-for-greens

https://www.rwjf.org/en/library/research/2014/10/rural-childhood-obesity-prevention-toolkit.html

https://www.rwjf.org/en/library/research/2014/10/rural-childhood-obesity-prevention-toolkit.html

https://www.nutrition.gov/subject/food-assistance-programs

http://migoodfoodfund.org/about/



https://www.ers.usda.gov/data-products/food-access-research-atlas/go-to-the-atlas/

MID-MICHIGAN DISTRICT HEALTH DEPARTMENT

QUARTERLY SERVICE REPORT

FY 17/18

Fourth Quarter, July 1, 2018 - September 30, 2018

This report provides information regarding essential programs operated by the Mid-Michigan District Health Department, on a county-by-

county and a district-wide basis. Planned and actual service activities by program are included. Data is also organized in columns to provide

comparisons of program data over two (2) periods: 1) Current Quarter and 2) Year-To-Date/Same Period, Previous Year. For additional

information or clarification of the data presented in this report, please contact the Health Officer at (989) 831-3614.

COMMUNITY HEALTH AND EDUCATION PROGRAMS .................................................. Pages 1 & 2

ENVIRONMENTAL HEALTH PROGRAMS .................................................................................... Page 3

Dated: October 24, 2018 ______________________________

Mark W. (Marcus) Cheatham, Ph.D.

Health Officer

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Program Listing

Revised: July 2018

Community Health and Education Division Programs

WOMEN, INFANT AND CHILDREN (WIC) NUTRITION PROGRAM: The WIC program is a federally-funded health and nutrition program designed to improve health outcomes for eligible women, infants and children. This is accomplished by providing nutritious food, nutrition education, breastfeeding promotion and support, and referrals to health and other services. Each year, the clients spend approximately $2.7 million worth of benefits in the local stores and food panties throughout our district. FLUORIDE VARNISH PROGRAM: The Fluoride Varnish program provides dental screenings and fluoride varnish applications to children 0-5 years of age. Fluoride varnish is a material that is painted on teeth to prevent decay. The services are provided in the WIC clinics, Head Start centers and Great Start Readiness Preschools. FAMILY PLANNING (FP) PROGRAM: FP services help women and men determine if and when they want to have a child. Services include screening for breast and cervical cancer, sexually transmitted infections (STI’s) and other health issues, in addition to providing a full range of birth control information and supplies. The program promotes maternal health through client education, counseling and referral to community resources for social and medical issues. Services are strictly confidential and provided on a sliding fee scale. CHILDRENS SPECIAL HEALTH CARE SERVICES (CSHCS): The Mid-Michigan District Health Department (MMDHD) serves as the local representative for the Michigan Department of Community Health CSHCS program. CSHCS are for children and some adults with special health care needs. Family-centered services include case management and care coordination to assist families in accessing and navigating complex medical specialty systems. Clients are assessed and referred to community resources. INTERNATIONAL BOARD CERTIFIED LACTATION CONSULTANT®: Providing expert breastfeeding support and education. Serving pregnant and breastfeeding women with or without insurance. Client can be seen in our office or the comfort of their own home. Lactation consultant has personal breastfeeding experience. IMMUNIZATION PROGRAM: The Immunization Program provides vaccinations for preventable diseases for children, teens and adults. The Vaccines for Children (VFC) program provides vaccines at no cost to eligible children, from birth through 18 years of age, who are on Medicaid, have no health insurance, or meet other qualifying conditions. ACUTE COMMUNICABLE DISEASE/TB CONTROL PROGRAM: The Communicable Disease (CD) program provides surveillance, reporting, controlling and preventing infectious diseases in the community. The TB Control program provides diagnosis, treatment and prevention of tuberculosis in cooperation with the family physician and or the MMDHD Medical Director. Medication is provided for treatment and prevention of TB.

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Program Listing

Revised: July 2018

SEXUALLY-TRANSMITTED INFECTIONS (STI)/HIV COUNSELING, TESTING and CONTROL PROGRAM: STI services include diagnosis, treatment, counseling and partner notification for STI exposures. STI prevention education is provided with the goal of decreasing costly complications from infections, and saving substantial public and private healthcare dollars. Services are strictly confidential. Anonymous and confidential HIV counseling and testing is also provided. Clients needing treatment or follow-up are referred to the regional provider of these services. HEARING SCREENING PROGRAM: By law, all children must be screened for hearing at least once between the ages of three and five years old, in kindergarten, second, and fourth grades. Early identification of hearing problems can prevent developmental, social and emotional delays. Children identified with hearing problems are referred to physicians for further evaluation. VISION SCREENING PROGRAM: Vision screening takes place at least once between the ages of three and five years old, first, fifth, and seventh grades. Early identification of vision problems can enhance academic achievement and prevent permanent loss of vision. Children identified with vision problems are referred for follow-up. PATHWAYS TO BETTER HEALTH: Home visits by a Community Health Worker to provide referrals to community services, link clients with primary care and preventive health care services, as well as reduce unneeded hospitalizations and emergency room visits. The goal is to connect clients to services to enhance health outcomes.

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Program Listing

Revised: July 2018

Environmental Health Division Programs

FOOD SERVICE SANITATION PROGRAM: Periodic inspections of food service establishments, and mobile food units for compliance with public health standards; includes recommendations for licensures, review of plans and specifications for new and remodeled establishments, educational activities, and inspections of temporary food service events. ON-SITE SEWAGE DISPOSAL PROGRAM: Assures the adequate and proper disposal of wastewater in areas not served by public sewage systems; accomplished through proper design, inspection and management of various methods of sewage effluent disposal. WATER QUALITY CONTROL (PRIVATE, PUBLIC, AND NON-COMMUNITY WATER SUPPLY PROGRAM): Protects sources of drinking water, assures proper plugging of abandoned wells, and assures private/public water supplies are constructed, maintained, and operated in compliance with state and federal safe drinking water supply standards. Inspections, consultations, and water system approvals are activities included within the program. NUISANCE ABATEMENT PROGRAM: Investigation and management of complaints alleged, including public or private nuisances or unsanitary conditions.

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QTR Verified by Div Dir

1st 2nd 3rd 4th

x x x x

1st 2nd 3rd 4th 1st 2nd 3rd 4th 1st 2nd 3rd 4th 1st 2nd 3rd 4th 1st 2nd 3rd 4th

WOMEN, INFANTS & CHILDREN

A. Clients Served 861 820 802 810 1118 1120 1092 1104 1626 1643 1622 1591 3605 3583 3516 3505 3552 3700 3874 3844 3750 3665

B. Client Visits 856 758 818 849 1128 1125 1101 1124 1752 1700 1725 1614 3736 3583 3644 3587 14550 14800 3436 3810 3883 3526

FAMILY PLANNING

A. Clients Served 91 72 73 95 104 114 107 112 101 102 114 91 296 288 294 298 694 750 307 283 300 285

B. Client Visits 103 85 83 106 114 130 124 124 111 112 136 100 328 327 343 330 1328 1500 340 338 346 313

IMMUNIZATION

A. Clients Served 292 189 258 356 274 186 105 165 324 227 229 309 890 602 592 830 2583 3000 1007 405 344 754

B. Client Visits 314 205 272 374 295 198 112 172 342 242 248 331 951 645 632 877 3105 3200 1056 440 371 785C. Immunizations Administered 584 375 491 599 507 350 235 326 711 507 531 659 1802 1232 1257 1584 5875 5700 1861 1081 831 1363

CHILDREN SPECIAL HEALTH CARE

A. Clients Served 129 136 140 147 47 90 94 93 177 171 188 166 353 397 422 406 894 720 329 290 393 385

B. Billable Client Contacts 18 26 20 16 15 25 17 17 38 30 27 12 71 81 64 45 261 400 85 50 96 86

C. Non-Billable Client Contacts 269 295 280 248 83 153 185 131 232 232 262 218 584 680 727 597 2588 2000 467 444 611 602

COMMUNITY HEALTH WORKER

A. Active Clients 62 46 43 55 35 34 0 0 27 33 18 17 124 113 61 72 61 N/A N/A 90 84 103

B. In Person Client Contacts 85 108 105 35 40 54 38 30 47 49 51 31 172 211 194 96 673 N/A N/A 142 168 244

COMMUNICABLE DISEASE/TB

CONTROL

A. Case Count 149 223 152 171 77 91 75 93 134 151 133 171 360 465 360 435 1620 N/A 337 446 450 406

SEXUALLY TRANSMITTED DISEASE

CONTROL

A. Clients Served 20 13 9 26 23 17 16 21 10 18 21 16 53 48 46 63 210 N/A 45 66 32 40

B. Client Visits 20 13 9 26 23 17 16 21 10 18 21 16 53 48 46 63 210 N/A 50 66 32 40

DW Prev. Year to Date

2016/2017

Quarterly Service Report


Community Health & Education Services

District Wide (DW)

COMMUNITY HEALTH &

EDUCATION PROGRAMS

Clinton 2017/2018 Gratiot 2017/2018 Montcalm 2017/2018DW Year To Date

2017/2018FY

Goal

YTD FY

Total

Note: due to Molly's departure and the way data is pulled from the HUB, we know CHW is not accurate for the 3rd & 4th

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1st 2nd 3rd 4th

x x x x


HEARING SCREENING

A. # of Screenings 813 1031 902 115 872 826 258 103 1536 1354 497 363 3221 3211 1657 581 8670 8000 3505 3265 1348 294

VISION SCREENING

A. # of Screenings 1523 1532 1173 109 829 1272 997 141 1999 2013 1084 394 4351 4817 3254 644 13066 12200 4229 5130 3185 270

FLUORIDE VARNISH

A. # of Clients Served during Clinic 0 9 1 1 1 35 42 67 57 133 90 101 58 177 133 169 479 300 25 177 141 184

BLOOD LEAD

A. Clients Served 60 59 68 103 77 90 72 81 136 143 130 151 273 292 270 335 1152 1000 273 343 288 311

BREAST & CERVICAL CANCER

CONTROL

A. Clients Served 5 2 4 4 3 4 5 4 8 6 9 8 31 35 6 8 6 11

HIV SCREENING

A. Clients Served 2 1 0 3 6 1 3 3 4 4 10 4 12 6 13 10 41 N/A 18 11 10 15

LACTATION CONSULTANT (IBCLC)

A. Clients Served 0 2 4 9 0 2 4 13 17 15 N/A N/A N/A N/A

B. Client Visits 0 3 5 17 0 2 5 22 27 20 N/A N/A N/A N/A


2016/2017



Community Health & Education Services

District Wide (DW)

COMMUNITY HEALTH &

EDUCATION PROGRAMS

Clinton 2017/2018 Gratiot 2017/2018 Montcalm 2017/2018DW Year To Date

2017/2018YTD FY

Goal

FY

Goal

Note: IBCLC had two (2) clients with three (3) visits total that were not included as they were outside of our district for the

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1st 2nd 3rd 4th

x x x x


FOOD SERVICE SANITATION

A. # of Licensed Establishments (Fixed,

Vending, Mobile) 186 199 202 206 132 140 141 144 188 192 194 196 506 531 537 546 546 530 529 530 534 541

B. # of Temporary Food Licenses 8 0 11 34 18 8 10 10 11 4 19 43 37 12 40 87 176 170 49 16 36 97

C. # of Completed Inspections (Fixed,

Vending, Mobile) 133 68 125 91 79 58 74 62 83 101 86 100 295 227 285 253 1060 N/A 252 287 198 117

1. Routine 117 56 119 77 76 50 69 59 76 84 81 94 269 190 269 230 958 N/A 218 227 168 99

2. Follow-up 16 12 16 14 3 8 5 3 7 17 5 6 26 37 26 23 112 N/A 34 60 30 18

E. Licensed Establishment Plan Review 2 5 4 4 2 4 1 1 3 3 5 6 7 12 10 11 40 30 4 11 15 5

F. Enforcement Activities 0 1 0 0 0 0 1 0 0 2 2 0 0 3 3 0 6 N/A 2 4 3 1G. # of Advanced Food Training

Participants 11 0 1 35 12 15 7 3 24 0 51 6 47 15 59 44 165 TBD 34 35 10 38

ON-SITE SEWAGE DISPOSAL

A. # of Permit Applications Issued 41 17 49 39 18 8 18 24 51 34 109 86 110 59 176 149 494 347 79 98 171 154

B. Parcels Evaluated (vacant lands) 44 29 73 59 16 7 26 26 61 41 116 98 121 77 215 183 596 130 39 37 64 50

C. Inspections Conducted during and/or

after construction 31 13 52 69 15 5 31 22 72 21 67 115 118 39 150 206 513 N/A 278 76 232 243

WATER QUALITY CONTROL

(Private, Public, Non-Comm)

A. # of Permit Applications Issued 25 14 44 51 26 16 25 32 75 65 120 121 126 95 189 204 614 540 121 113 166 176

B. # of Site Inspections of Completed

Water Well Systems 41 19 20 21 26 21 12 19 57 58 57 72 124 98 89 112 423 100% 104 99 75 184

C. # of Approvals Issued for Newly

Completed Water Well Systems 25 24 12 12 15 14 14 6 41 52 45 45 81 90 71 63 305 80% 112 87 66 163

NUISANCE ABATEMENT

A. # of Complaints Submitted 17 2 9 9 20 11 8 10 22 16 32 22 59 29 49 41 178 N/A 60 81 88 77

1. Initial Visit 9 3 8 7 12 12 13 11 18 9 22 19 39 24 43 37 143 N/A 30 43 54 41

2. Follow-up Visit 8 5 12 15 8 29 20 22 4 9 7 21 20 43 39 58 160 N/A 30 38 34 36


2016/2017



Environmental Health Services

District Wide (DW)

ENIVRONMENTAL HEALTH PROGRAMSClinton 2017/2018 Gratiot 2017/2018 Montcalm 2017/2018

DW Year To Date

2017/2018FY

Goal

YTD

FY

Total

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Mid-Michigan District Health Department (MMDHD)

Grant Funding Activity

October 24, 2018

Michigan Department of Health and Human Services (MDHHS) – The MMDHD

participated in year three of a Cross-Jurisdictional Sharing grant awarded to District Health

Department #10 (DHD10). The agency was paid $2,155 for staff participation in a customer

service training held on August 3, 2018 in Big Rapids with Central Michigan District Health

Department, MMDHD, and DHD10.

Montcalm County Food Hub Grant – The MMDHD received funding in the amount of

$46,000 from the Greenville Area Community Foundation to improve the nutritional health

of Montcalm County residents by launching a non-profit organization called a food hub that

will buy fresh produce from local growers, bundle it together and sell it to institutions like

schools, restaurants, and hospitals. We plan to use part of this grant as local match to apply

for a $100,000 grant for planning for farm-to-school projects which could be District wide.

Clinton County Drug Free Communities (DFC) Grant – MMDHD was funded for year

five of this up-to-ten year grant in the amount of $68,000. This year the coalition has focused

on working with youth in the areas of suicide prevention, opioid abuse and the marijuana

ballot initiative. In year six, we become eligible to apply for the highest level of funding

allowed, $125,000.

Water Quality Improvements in the Flat River Watershed Grant – MMDHD pledged its

support valued at $30,000 for a grant proposal made by the Montcalm Conservation District.

MMDHD’s role would include mapping areas at high risk for septic system failure and

education and intervention with those property owners.

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`

MID-MICHIGAN DISTRICT HEALTH DEPARTMENT

District Wide In-Service Agro-Liquids

Friday, November 2, 2018 8:30 a.m. to 4:30 p.m.

Agenda

8:00 – 8:30 Registration (Fruit provided) 8:30 – 9:00 Welcome & Employee Introductions 9:00 – 9:15 EH Division Information

9:15-9:20 CHED Maternal Block Grant

9:20-9:45 Rebranding Roll-out 9:45 – 10:45 Internal Survey & Communication Brainstorming Session 10:45 – 11:00 Break: 50/50

11:00 – 11:30 Division Awards, ACE Nomination recognition 11:30 – 12:00 Finance Update 12:00 – 1:00 Lunch: 50/50 1:00 – 3:00 Dave Weinandy 3:00 – 3:15 Break: 50/50 3:15 – 4:15 Marijuana- Dr. Morse/Liz 4:15 – 4:30 Evaluation Sheets 50/50 Drawing Closing Remarks

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From: Jessie Jones [mailto:[email protected]]

Sent: Monday, October 1, 2018 2:44 PM To: Marcus Cheatham

Cc: Kristy Medes; Ross Pope Subject: Michigan Local Public Health Accreditation Program - Mid-Michigan District Health Department

Dear Marcus,

Welcome to the seventh cycle of the Michigan Local Public Health Accreditation On-Site Reviews! This email contains the information you and your health department staff needs to prepare for your On-Site Review.

On-Site Review: In accordance with the historical local health department (LHD) review sequence, the Mid-Michigan District Health Department On-Site Review will occur the week of February 4, 2019. To prepare for the On-Site Review, you can access the Cycle 7 – 2019 Tool and materials on the Michigan Local Public Health Accreditation Program Website.

Pre-materials to MPHI: Your first step to prepare for the On-Site Review is to complete your Pre-materials (Health Department Information – Profile Information Form, Exit Conference requests, and the On-Site Review Schedule). Your pre-materials are due to MPHI on or before December 5, 2018, and can be completed in the Accreditation Web Module, please be sure to select Cycle 7 in the drop down menu in the ribbon along the top. You can find guidance on how to complete the pre-materials in the LHD Users Guide.

***Please complete the attached form and return to Kristy Medes at [email protected] no later than two weeks before your pre-materials are due, so that we can set up user accounts for staff from your health department. Once you complete the form and return it to Kristy, you and anyone else you indicate on the form will receive an email with a user name, and link to set your password for the Accreditation Web Module.

Technical Assistance Technical Assistance (TA) is available at each stage of the Accreditation process. For reviewed programs, TA contact information is located on each page of the section-specific MPR Indicator Guide, as well as in Appendix VII of the Local Health Department Users’ Guide. LHDs are encouraged to communicate with listed TA contacts whenever questions or concerns arise.

In closing, as we seek to continuously improve the Michigan Local Public Health Accreditation Program, there will be additional opportunities for process improvement. We look forward to sharing more information with you as it becomes available. If you or your staff have questions, please contact me at [email protected] or 517-324-8387. I wish you success in the Accreditation process and look forward to our continued collaboration.

Thank you, Jessie Jessie Jones, MPA, ASQ-CQIA Program Coordinator CHC, Office of Accreditation and Quality Improvement Tel: 517.324.8387 Cell: 517.281.9305 Fax: 517.324.1220 www.mphi.org www.mphiaccredandqi.org

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mailto:[email protected]

https://accreditation.localhealth.net/accreditation-tools-timeline/2018-tool/

https://webreport.accreditation.localhealth.net/


https://accreditation.localhealth.net/accreditation-tools-timeline/lhds/

https://accreditation.localhealth.net/accreditation-tools-timeline/lhds/


http://www.mphi.org/

http://www.mphiaccredandqi.org/

Accreditation Web Module Account Request Form Please provide the following information for each person for which you would like an Accreditation Web Module account created.

Please ensure that the Health Officer and the Accreditation Coordinator are included in order for accounts to be set up for pre-

material submission and corrective plan of action (CPA) approval. In addition, please provide information for your local governing

entity representative, as they will need an account to access the On-Site Review Report once it is finalized. Please return this form

to Kristy Medes via email at [email protected] no later than two weeks prior to your pre-materials due date.

Each user listed will receive an email that contains their user name, and prompts them to create a password. This user name and

password will allow them to log in to the Accreditation web module and access the health department’s site visit report and CPA

forms. Only the Health Officer’s account will be able to approve CPAs.

Please contact Jessie Jones at [email protected] or 517-324-8387 if you have any questions or concerns.

Name Email Phone Role (Health Officer, Accreditation Coordinator, Program Lead, Etc.)

Ex. Kristy Medes [email protected] 517-324-6072 CD Department Staff

1 Health Officer

2 Accreditation Coordinator

3 Local Governing Entity Representative

4

5

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Public Water Supply PFAS Testing Summary10/11/2018 (Counts as of 10/5/2018)

Supplies to be Sampled* Supplies SampledSupply Samples

ReceivedNon-Detect Total PFAS

< 10 ppt Total PFAS (non ND)

10 - 70 ppt PFOA/PFOS (> 10 ppt Total PFAS)

> 70 ppt PFOA/PFOS Letters Sent**

CWS 1,111 878 594 516 62 15 1 511

Schools 460 357 254 230 13 11 0 233

Tribal Entities 14 7 2 2 0 0 0 2

Total 1,585 1,242 850 748 75 26 1 746

*AECOM and MDEQ have designated 1,540 unique CWS sample locations (entry points) for this study. The numbers here are a result of cross-checking these locations against unique supply WSSN values, and removing supplies without their own source.

**Tribal entity results are provided directly to the supply and EPA Region 5. No letter is issued.

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Alcona(0 / 7)

Alpena(0 / 5)

Arenac(0 / 11)

Bay(0 / 2)

Clare(0 / 11)

Crawford(0 / 7)

Grand Traverse(22 / 40)

Iosco(0 / 10)

Isabella(0 / 20)

Kalkaska(0 / 5)

Lake(7 / 7)

Mason(0 / 9)

Midland(0 / 7)

Missaukee(0 / 7)

Monroe(5 / 5)

Montmorency(0 / 6)

Newaygo(20 / 20)

Ogemaw(0 / 11)

Oscoda(0 / 5)

Presque Isle(0 / 9)

Wayne(6 / 6)

Antrim(26 / 26)

Benzie(21 / 21)

Branch(21 / 21)

Cheboygan(14 / 20)

Gladwin(0 / 10)

Hillsdale(19 / 20)

Huron(0 / 22)

Ionia(37 / 37)

Lapeer(20 / 20)

Leelanau(24 / 24)

Macomb(0 / 21)

Manistee(20 / 20)

Mecosta(21 / 22)

Oceana(0 / 15)

Ottawa(23 / 23)

Roscommon(0 / 28)

Saginaw(14 / 14)

St. Clair(0 / 18)

St. Joseph(37 / 38)

Sanilac(0 / 22)

Tuscola(0 / 34)

Wexford(12 / 12)

Barry(27 / 27)

Cass(23 / 24)

Charlevoix(32 / 32)

Clinton(19 / 19)

Emmet(45 / 46)

Gratiot(14 / 14)

Lenawee(39 / 39)

Montcalm(34 / 34)Muskegon

(39 / 39)

Osceola(28 / 28)

Otsego(16 / 17)

Shiawassee(34 / 34)

Van Buren(36 / 36)

Allegan(90 / 90)

Berrien(51 / 52)

Calhoun(28 / 28)

Eaton(27 / 27)

Genesee(66 / 75)

Ingham(44 / 46)

Jackson(45 / 46)Kalamazoo

(51 / 51)

Kent(66 / 66)

Livingston(74 / 81)

Oakland(164 / 165)

Washtenaw(38 / 38)

Project #: 60570309

Drawn: JS 10/10/2018

0 50 10025Miles

G:\GrandRapids\DCS\GIS\ArcMap_GeoDB_Projects\ENV\GIS_Data\GIS\MDEQ CWS\MXD\CWS_overview_Final_Rank_Samples_Collected.mxdSource: ESRI USA Topo Maps

PFAS SAMPLING OFCOMMUNITY WATER SUPPLIES

SAMPLING PRIORITY

MICHIGAN COUNTIESApproved: DB 10/10/2018

LegendMichigan Counties - County Name (Collected/Sampling Locations)Sampling Priority

LowMediumHighVery High

Alger(9 / 9)

Baraga(3 / 3)

Chippewa(15 / 15)

Delta(12 / 12)

Dickinson(11 / 11)

Gogebic(7 / 7)

Houghton(9 / 9)

Iron(17 / 17)

Keweenaw(4 / 4)

Luce(7 / 7)

Mackinac(9 / 9)

Marquette(30 / 30)

Menominee(9 / 9)

Ontonagon(8 / 8)

Schoolcraft(3 / 3)

Lower Peninsula

Upper Peninsula

*Sampling Locations = Entry Points + Schools*Sampling Priority Rank Determined using a Combination of Potential PFAS Sources, Geologic Sensitivity, and Population

As of October 5, 2018

DRAFT

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Alcona0%

Alpena0%

Arenac0%

Bay0%

Clare0%

Crawford0%

Gladwin0% Huron

0%

Iosco0%

Isabella0%

Kalkaska0%

Macomb0%

Mason0%

Midland0%

Missaukee0%

Montmorency0%

Oceana0%

Ogemaw0%

Oscoda0%

PresqueIsle0%

Roscommon0%

St. Clair0%

Sanilac0%

Tuscola0%

Allegan100%

Antrim100%

Barry100%

Benzie100%

Berrien98% Branch

100%

Calhoun100%

Cass96%

Charlevoix100%

Cheboygan70%

Clinton100%

Eaton100%

Emmet98%

Genesee88%

GrandTraverse

55%

Gratiot100%

Hillsdale95%

Ingham96%

Ionia100%

Jackson98%Kalamazoo

100%

Kent100%

Lake100%

Lapeer100%

Leelanau100%

Lenawee100%

Livingston91%

Manistee100%

Mecosta95%

Monroe100%

Montcalm100%Muskegon

100%

Newaygo100%

Oakland99%

Osceola100%

Otsego94%

Ottawa100%

Saginaw100%

St.Joseph97%

Shiawassee100%

Van Buren100%

Washtenaw100%

Wayne100%

Wexford100%

Project #: 60570309

Drawn: JS 10/10/2018

0 50 10025Miles

G:\GrandRapids\DCS\GIS\ArcMap_GeoDB_Projects\ENV\GIS_Data\GIS\MDEQ CWS\MXD\CWS_overview_Sampling_Percentage_PercentLabels.mxdSource: ESRI USA Topo Maps

PFAS SAMPLING OFCOMMUNITY WATER SUPPLIES

& SCHOOLS

MICHIGAN COUNTIESApproved: DB 10/10/2018

Alger100%

Baraga100%

Chippewa100%

Delta100%

Dickinson100%

Gogebic100%

Houghton100%

Iron100%

Keweenaw100%

Luce100%

Mackinac100%

Marquette100%

Menominee100%

Ontonagon100%

Schoolcraft100%

Lower Peninsula

Upper Peninsula

DRAFT

Sampling Completion Percentage - County Name, Completion PercentageAs of October 5, 2018

0% (No Samples Taken)>0% - 25%>25% - 50%>50% - 75%>75% - 99.9%

100% (Sampling Completed)* Completion % = Locations Sampled / Total Locations

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9/3 9/10 9/17 9/24 10/1 10/8 10/15 10/22 10/29 11/5 11/12 11/19 11/26

Allegan 100% 90 90 0Alcona 0% 7 0 7Alpena 0% 5 0 5Antrim 100% 26 26 0Arenac 0% 11 0 11Bay 0% 2 0 2Barry 100% 27 27 0Berrien 98% 52 51 1Benzie 100% 21 21 0Branch 100% 21 21 0Calhoun 100% 28 28 0Cass 96% 24 23 1Charlevoix 100% 32 32 0Cheboygan 70% 20 14 6Clare 0% 11 0 11Clinton 100% 19 19 0Crawford 0% 7 0 7Eaton 100% 27 27 0Emmet 98% 46 45 1Genesee 88% 75 66 9Gladwin 0% 10 0 10Grand Traverse 55% 40 22 18Gratiot 100% 14 14 0Hillsdale 95% 20 19 1Huron 0% 22 0 22Ingham 96% 46 44 2Ionia 100% 37 37 0Iosco 0% 10 0 10Isabella 0% 20 0 20Jackson 98% 46 45 1Kalamazoo 100% 51 51 0Kalkaska 0% 5 0 5Kent 100% 66 66 0Lake 100% 7 7 0Lapeer 100% 20 20 0Lenawee 100% 39 39 0Leelanau 100% 24 24 0Livingston 91% 81 74 7Macomb 0% 21 0 21Manistee 100% 20 20 0Mason 0% 9 0 9Mecosta 95% 22 21 1Midland 0% 7 0 7Missaukee 0% 7 0 7Monroe 100% 5 5 0Montcalm 100% 34 34 0Montmorency 0% 6 0 6Muskegon 100% 39 39 0Newaygo 100% 20 20 0Oakland 99% 165 164 1Oceana 0% 15 0 15Ogemaw 0% 11 0 11Osceola 100% 28 28 0Oscoda 0% 5 0 5Otsego 94% 17 16 1Ottawa 100% 23 23 0Presque Isle 0% 9 0 9Roscommon 0% 28 0 28Saginaw 100% 14 14 0Sanilac 0% 22 0 22Shiawassee 100% 34 34 0St. Clair 0% 17 0 17St. Joseph 97% 38 37 1Tuscola 0% 34 0 34Van Buren 100% 36 36 0Washtenaw 100% 38 38 0Wayne 100% 6 6 0Wexford 100% 12 12 0

Alger 100% 9 9 0Baraga 100% 3 3 0Chippewa 100% 15 15 0Delta 100% 12 12 0Dickinson 100% 11 11 0Gogebic 100% 7 7 0Houghton 100% 9 9 0Iron 100% 17 17 0Keweenaw 100% 4 4 0Luce 100% 7 7 0Mackinac 100% 9 9 0Marquette 100% 30 30 0Menominee 100% 9 9 0Ontonagon 100% 8 8 0Schoolcraft 100% 3 3 0

1652In Progress Projected

Upper Peninsula

Total Locations Completed:

Lower Peninsula

Projected Public Water Supply Sampling ScheduleThis schedule is subject to change.

PercentageCompleted

Total LocationsLocations

Completed asof 10/5/2018

Remaining

Week of Week of Week ofSeptember October November

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Section 1 - discharge permit for any premises

1.1 The Health Officer shall require all sewage disposal systems in the District to operate under the

requirements of a discharge permit.

1.2 The Health Officer is authorized to require an inspection of any premises to ensure that it has a

sewage disposal system that is operating as designed and that prevents sewage from entering the

watersheds of the District. The Health Officer shall issue a discharge permit to any sewage disposal

system that meets the requirements of this code (Sections 3 and 7).

1.3 Application for Permits: An application for a discharge permit shall be made by the property owner

or authorized representative to the Health Officer at the following times:

a) When notified in writing by the Health Officer

b) Upon submittal of a septic system inspection report

or

c) As requested by the property owner

1.4 A discharge permit shall be issued automatically with the issuance of a final inspection of a sewage

disposal system permit.

1.5 Application Exemption: The Health Officer may exempt an owner from making an application for a

discharge permit if documentation can be provided that demonstrates the property has been vacant

or unused for a period of 36 consecutive months in a 5 year period.

1.6 A discharge permit shall be issued upon review and approval of a discharge permit application and a

septic system inspection report submitted with a pass designation by a Registered Septic System

Inspector as described in Section 3 of this chapter.

1.7 Transfer of Permits: Should the ownership for the property for which a permit has been issued

change, the permit maybe transferred to the new owner. Such transfer must be requested in

writing on forms to be provided by the Health Officer.

1.8 Rescinding of Permits: If conditions exist that indicate an imminent health hazard, the Health Officer

shall rescind a permit. A permit may be reinstated if corrective actions are completed and verified

by the Health Officer.

1.9 Denial of Permits: The Health Officer may deny the issuance of a permit under one or more of the

following conditions that has been identified by a Registered Septic System Inspector and reported

to MMDHD;

a) No sewage disposal system can be located that serves the dwelling

b) A portion of the sewage disposal system is not located on the property

c) The condition of the sewage disposal system is a hazard and a threat to public safety

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d) Evidence of effluent discharging to the ground or in to any lake, river, waterway, county

drain or storm drain

e) Evidence of a sewage disposal field or tile system that will not effectively treat wastewater

f) Evidence of a direct connection between a septic tank and a waterway

g) Sewage failure exists at a location where public sewer connection is available

h) Imminent health hazard exists at a location where public sewer connection is available

i) The permit application contains false information that is material to the decision to issue a

permit

1.10 Correction Notice: The Health Officer may issue corrective orders where conditions exist that

prevent the issuance of a discharge permit.

1.11 Expiration of Permits: Any permit issued pursuant to the requirements of the preceding

sections shall be valid for the term of 10 years from the date of issuance, unless rescinded as

provided in Section 1.5 of these regulations. The Health Office shall issue a permit for a period of

less than 10 years if an inspection indicates marginal site conditions for supporting onsite

wastewater disposal or the system is at risk for failure.

Section 2 – System Maintenance

2.1 Pumper’s Reports: Licensed Septage Haulers shall provide pumper’s inspection reports to the

Health Department on a form provided by the Health Department when septic tanks are pumped as

part of periodic maintenance.

2.2 The Health Officer shall require a septic system inspection if a pumper’s report suggests a sewage

disposal system failure.

2.3 Alternative Sewage Disposal Systems: Existing Alternative Sewage Disposal Systems that continue

to meet Chapter 3, Section 5.2 of these Regulations shall not be required to obtain an additional

septic system inspection but will be required to apply for a discharge permit.

2.4 Properties that have a deed restriction indicating yearly maintenance requirements shall provide

copies of yearly maintenance to MMDHD. Maintenance reports shall be reviewed as part of the

property’s application for a discharge permit.

Section 3 – Inspection and Registration

3.1 Registration: All individuals performing work under this Regulation within the counties of Clinton,

Gratiot and Montcalm shall apply for and pay a registration fee to be registered with the Mid-

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Michigan District Health Department as a Registered Septic System Inspector. Registration shall be

valid for 5 years from date of issuance.

3.2 The Health Department shall maintain a list of Registered Septic System Inspectors.

3.3 The Health officer may revoke the registration of a Registered Septic System Inspector when failure

to abide by Environmental Health Regulations occurs.

3.4 Persons seeking to become a Registered Septic System Inspector must demonstrate knowledge of

construction practices, operational standards and know the causes and indicators of On-site sewage

disposal system failures. Documentation of successful completion of a current training course

approved by the Health Department shall be presented to the Health Officer at time of Registration.

3.5 Candidates that meet the registration requirements will be required to attend a consultation

meeting with the Health Officer prior to the issuance of a Registration.

3.6 Periodically during each registration period, the Health Department shall conduct Quality Assurance

and Quality Control review of Registered Septic System Inspectors files and field work review.

3.7 Designated representatives of the Health Department who hold an RS or REHS credential or are

endorsed by the Health Officer may conduct septic system inspection as directed by the Health

Officer.

3.8 A Registered Septic System Inspector shall collect sufficient information through a site inspection to

determine whether a sewage disposal system is properly treating sewage effluent. The Health

Department will review this information and issue a pass or fail determination.

3.9 A Registered Septic System Inspector shall report the results of their inspection electronically to the

Health Department promptly following the date of inspection.

3.10 A Registered Septic System Inspector shall notify the Health Officer within 5 days if an imminent

public health hazards exists at a property being inspected.

3.11 A Registered Septic System Inspector who is also registered as a septic installer at MMDHD shall

not install a replacement septic system on a property without the homeowner or authorized

representative applying for a permit to construct, alter or extend a sewage disposal system

3.12 A Registered Septic System Inspector who is also registered as a Septic Installer at MMDHD shall

not install a replacement sewage disposal system on the same property in an effort to obtain a

discharge permit.

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3.14 A Registered Septic System Inspector may perform limited work during an inspection at the

discretion of the homeowner with or without being a septic installer in MMDHD as long as such work is

limited to above ground or tank enhancement.

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10/01/2018

FY 18-19 Mid-Michigan District Health Department

MMDHD Board of Health Six County Commissioners

(2 Clinton, 2 Gratiot, 2 Montcalm)

Mid-Central Coordinating Committee

Health Officer Medical Director

Division Director Community Health

and Education Main Office, DW, 1.0

Division Director Environmental Health Main Office, DW, 1.0

Data Specialist Main Office, DW, 1.0

Public Information Officer Main Office, DW, 1.0

Division Director Administrative Services

Main Office, DW, 1.0

Legal Counsel (Labor)

Legal Counsel (General)

Emergency Preparedness Coordinator


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Administrative Services Division

Division Director Administrative Services


Quality and Process Improvement Coordinator


Information Technology Coordinator


Information Technology

Specialist Main Office, DW, 1.0

Accounting Clerk II Main Office, DW, 1.0

P.H. Representative II Main Office, DW, 0.8

Executive Administrative Assistant


Human Resources Specialist


Financial Specialist


10/01/2018 of 70


Community Health and Education Division Director

DW, 1.0 Main Office

Supervisor Montcalm, 1.0

Supervisor Gratiot, 1.0

Supervisor Clinton, 1.0

Epidemiologist Gratiot, DW, 1.0

WIC Peer Counselor Gratiot, 0.5

MCIR Coordinator Clinton, DW, 1.0

P.H. Nurse II Clinton, 1.0

P.H. Representative II Clinton, 1.0

P.H. Representative I Clinton, 1.0


P.H. Nurse III Gratiot, 1.0

P.H. Nurse II Gratiot, 1.0

P.H. Representative II Gratiot, 1.0

P.H. Nurse II Montcalm, 1.0


P.H. Representative III Gratiot, 1.0


Registered Dietitian Gratiot, 0.9


P.H. Representative II Montcalm, 1.0

Registered Dietitian Montcalm, 0.4

H/V Tech Clinton, DW, 0.7

H/V Tech Gratiot, DW, 0.7



H/V Tech Montcalm, DW, 0.7

Oral Health Coord.

Montcalm, 0.6

P.H. Nurse III Clinton, 1.0

P.H. Representative II Montcalm 1.0



Registered Dietitian Clinton, 1.0

WIC Peer Counselor Montcalm, 0.7 Comm. Health Worker

Clinton, 1.0

WIC Peer Counselor Clinton, 0.5

10/01/2018

Health Educator II Montcalm, 1.0

CNP Gratiot, DW, 0.8

Comm. Health Worker Montcalm, 1.0 Prevention Coordinator

Clinton, 0.6

Comm. Health Worker Gratiot, 1.0

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Environmental Health Division

Division Director DW, 1.0

Main Office

Supervisor DW, 1.0 Gratiot

Supervisor DW, 1.0

Montcalm

E.H. Specialist I Montcalm, 1.0

E.H. Specialist I Gratiot, 1.0

E.H. Specialist III Clinton, 1.0



P.H. Representative III Gratiot, 1.0


P.H. Representative I Gratiot, 0.6


P.H. Representative II Montcalm 1.0

E.H. Specialist II Clinton, 1.0


E.H. Specialist I Clinton, 1.0

E.H. Specialist I Gratiot, 1.0

10/01/2018 of 70

MID-MICHIGAN DISTRICT BOARD OF HEALTH

ACTION ITEMS

SEPTEMBER 2018

The Board of Health (BOH) approved the transfer of the remaining Mid-Michigan District Health Department (MMDHD) funds held by the Ingham Health Plan Corporation ($631,989) for the Mid-Michigan Pathways Program. The BOH further approved restricting the funds to that program.

The BOH approved the Retirement System Annual Report and waiver request for the Michigan Department of Treasury.

As Montcalm County approved their appropriation to the health department at approximately $38,000 less than requested, the BOH adopted surcharges on selected services in Montcalm County effective October 1, 2018.

The BOH adopted the following Monthly Healthy Living Recommendation for October 2018:

1. While most E. coli are normal and harmless residents of our colon, some

strains can cause serious, even deadly illness. 2. Children are very susceptible to serious illness due to STEC and HUS.

They also do many things that put them at risk. Teach them the habits that will keep them safe.

The BOH approved the Michigan Nurses Association (MNA) Contract for October 1, 2018 through September 30, 2021.

The BOH approved the non-union wage proposal for October 1, 2018 through September 30, 2018, including the change in the credentialing policy mirrored in the MNA Contract.

The BOH approved the Health Officer’s Employment Agreement for FY 18/19.

The BOH approved the new agency logo allowing the Rebranding Committee to select the best option pending the colors chosen and the cost to print the logo.

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STAFFING CHANGES

OCTOBER - 2018

AS

STATUS POSITION BRANCH

OFFICE

No changes

CHED


OFFICE

SEPARATION OF

EMPLOYMENT Allison Stec, FT Community Health Worker, Gratiot Branch Office

effective October 12, 2018

Gratiot

VACANCY FT Community Health Worker, Gratiot Branch Office effective

October 15, 2018

Gratiot

EH


OFFICE

No changes

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gratiot montcalm administrative offices 615 n. state st ... · 10/24/2018 · [rebecca burns],...

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