Board of Health

BOARD/COMMISSION: Board of Health DATE: 8/29/2024, at 11:00 AM DIRECTIONS: Fishers Municipal Building, Theater, 1 Municipal Drive, Fishers, IN 46038 The public may stream the meeting online. Members of the public may submit comments online. 1. Meeting Called to Order 2. Announcements 3. Consent Agenda a. Request to approve the previous meeting minutes: Meeting Minutes 5-23-2024. 4. Regular Agenda a. Budget Presentation b. Clinical fees and hardship policy c. School liaison funds 5. Regular Items - Any other Unfinished / New Business 6. Regular Items - Meeting Adjournment Page 1 of 45 BOARD/COMMISSION: Board of Health DATE: 5/23/2024 DIRECTIONS: Fishers City Services Building, 3 Municipal Drive, Fishers, Indiana 46038. REGULAR BOARD OF HEALTH, 11:00 a.m., City Services Building, City Court Room 1. Meeting Called to Order: • The meeting was called to order at 11:05 a.m. by Scott Fadness. Board members: Scott Fadness, Steve Orusa, Shobana Pandian and Kyle Hultgren were present. • Staff present/Legal: Monica Heltz, Josh Robinson, Laura Gropp, Jake Reardon McSoley, Kari Adriano, and Chris Greisl. • Members of the public were able to submit comments to the Board via form submission. Public Comments. 2. Announcements: None 3. Presentations: None 4. CONSENT AGENDA 4a. Request to review the previous meeting memoranda: Meeting Minutes 3-28-24. • Steve Orusa made a motion to approve the consent agenda. Kyle Hultgren seconded the motion. There was no remonstrance and the motion passed 4 in favor, 0 opposed. 5. AGENDA R052324 – Request to approve resolution appointing a health officer. Resolution • Steve Orusa made a motion to approve the consent agenda. Kyle Hultgren seconded the motion. There was no remonstrance and the motion passed 4 in favor, 0 opposed. 6. REGULAR ITEMS 7. Any other Unfinished / New Business 8. Meeting Adjournment • Kyle Hultgren made a motion to adjourn the meeting. Steve Orusa seconded the motion. • There was no remonstrance and the motion passed 4 in favor, 0 opposed. • The meeting was adjourned at 11:10 p.m. This meeting was recorded at http://tinyurl.com/CityOfFishers Respectfully Submitted, Kari Adriano, Board Clerk Page 2 of 45 Form Name: Public Meeting Comment Form Submission Time: April 15, 2024 11:17 am Browser: Chrome Mobile 123.0.0.0 / Android IP Address: 174.224.159.213 Unique ID: 1215202130 Location: 35.1841, -89.8588 Name Linda Clark Address 804 South Rosser Forrest city Arkansas 72335 Forrest city , AR 72335 Email lc3172727@gmail.com Subdivision or business name Department of transportation Please select the meeting to which you Board of Public Works and Safety would like to submit a public comment Board of Zoning Appeals - Fall Creek Board of Zoning Appeals - Fishers City Council Finance Committee Fishers Advisory Committee on Disability Fishers Armed Services Commission Fishers Board of Health Nickel Plate Review Committee Parks Advisory Committee Plan Commission Meeting Planned Unit Development Committee Meeting Plat Committee Redevelopment Authority Redevelopment Commission Technical Advisory Committee Town Hall Building Corporation Meeting Date Apr 15, 2024 Project Name/Resolution Number 8703172727 Comment Blessed is he who comes in the name of the Lord .Serving the people's greater needs in our community also educational programs and activities for our youth Would you like to receive email Yes communications and updates from the City of Fishers? Page 3 of 45 Board ofAugust Health29, 2024 Meeting Page 4 of 45 Agenda 1. Budget Presentation 2. Clinical Fees and Hardship Policy 3. School Liaison Grant Fund Page 5 of 45  2024 Revenue Page 6 of 45  2025 Revenue Page 7 of 45 Health Department 2025 Budget Category 2025 Budget – 2025 Budget- 2024 Budget Increase/ HFI State Local Funds (Local Only) (Decrease) Priorities Funds Local Funds Only Areas of Focus - 2025 Personnel $ 1,332,782 $940,585 $ 923,199 $ 17,386 Supplies $ 90,350 $209,600 $ 109,000 $ 100,600 Expansion of clinical services and community-based health education Professional $512,865 $222,300 $ 154,810 $ 67,490 Moving expenses for move to the Community Center Services Capital $- $- $ 3,000,000 $ (3,000,000) Mental Health Consultant contract moved from Mayor's budget Total Budget $ 1,935,997 $ 1,372,485 $ 4,187,009 $ (2,814,524) Areas of Focus – Future Years Development of school and community partnerships and support Increased communication, collaborative efforts and Culture of Health initiatives Ongoing development of preventative mental health initiatives Public Health Accreditation CITY OF FISHERS BUDGET PRESENTATION 2025 Page 8 of 45 Clinic Fees and Hardship Policy Page 9 of 45 Clinic Fiscal Analysis Page 10 of 45  Current Fee Schedule Service Current Fee Administrative fee for clinic services $20 Immunizations At rate set by contracted supplier TB Skin Test* $20 QFT At rate set by contracted supplier Other contracted lab services At rate set by contracted lab *administrative fee does not apply to TB skin test visit. Immunizations submitted through 3rd party billing agency, or other visit types when prohibited by funding source. Hardship policy may apply. Page 11 of 45 Additional Services Planned/Proposed Service Medicare Rate Market Rate Proposed Fee Pregnancy Testing/HIV testing $8.61/$24.08 $25/$99-$139 $0/at cost STI testing (nurse visit plus cost of test) $21.70+$35.09=$56.79 Other LHD’s $0-$21. At cost STI diagnosis and treatment (NP visit) $116.52 $99-$139 At Medicare 15 min new patient visit, risk reduction counseling, Risk Rate Assessment, Venipuncture LTBI diagnosis and treatment (NP visit) $53.09-$169.42 $99-139 At Medicare Rate Rapid Flu/Covid/RSV testing $14.13/35.33/13.10 $73-$149/$70/$33- At Medicare $45 Rate COVID PCR Test $51.31 $91-$149 At cost Will provide at home test kits for free Flu/Covid/RSV diagnosis and treatment (NP $99-$139 plus cost of At Medicare visit) $53.09-$120.72 drugs Rate (10 min. est patient-30 min. est. patient) $68-$105.12 (15 min. new patient-30 min. new patient) Page 12 of 45  Additional Services Planned/Proposed Service Medicare Rate Market Rate Proposed Fee Chronic disease testing (glucose, $3.93, $4.35 $59-$69 $0 cholesterol) TB testing (intradermal/QFT) $9.11/$61.98 $35-$139(private) at rate set by contracted lab Air quality monitoring N/A $290-$582 At cost Lead testing (childhood blood)includes specimen $45.23 N/A At Medicare Rate handling office to lab fee & preventative medicine counseling) Lead testing (household items) N/A $8-$10 testing kits from $5/item hardware store Travel Vaccine Consultation N/A $94-$298 $60 plus cost of vaccine Community Health Advocate $26.56 N/A At Medicare Rate Training/Education Page 13 of 45 Hardship Policy Discussion 1. Purpose- serve as a vehicle to allow waivers or reduced fees to be received in return for medical services. 2. Establish fair and consistent criteria for all patients. 3. Policy would be simply- no financial information required. 4. Patient could sign form agreeing to the fee waiver and a referral to a CHA as well as offering an envelope to donate at a later time when they can make payment. But there is never a requirement to pay if there is a hardship. Page 14 of 45 School Liaison Grant Fund Partnership with HSE Schools Page 15 of 45 School Liaison Grant Fund Partnership with HSE Schools and Hamilton Southeastern School Foundation. 01 02 03 Preparing Our Kids Training Fund for for Success Youth Serving Expansion of Truancy Program Clinicians Project Hope Partnering Solutions program is a 1 time 2 ½ hour class offered FHD would hold a training periodically throughout the school development fund with an Scholarship available to HSE year with the goal to offer 2 students who work with application process for classes per semester. funding to attend a training Community Health School- Based therapist. Classes would be free to families or conference for youth- and bring important education & serving clinicians in Scholarship limited to 7 tools to help prevent ongoing Fishers. sessions or $1,000 per student. attendance issues. Propose to fund $20,000 Propose funding for $50,000 per Propose funding $2,800 for 4 for the Professional year for 3 years classes during the 24-25 school Development Training year. fund. Page 16 of 45 Thank You! Page 17 of 45 Board ofAugust Health29, 2024 Meeting Page 18 of 45 Agenda 1. Budget Presentation 2. Clinical Fees and Hardship Policy 3. School Liaison Grant Fund Page 19 of 45  2024 Revenue Page 20 of 45  2025 Revenue Page 21 of 45 Health Department 2025 Budget Category 2025 Budget – 2025 Budget- 2024 Budget Increase/ HFI State Local Funds (Local Only) (Decrease) Priorities Funds Local Funds Only Areas of Focus - 2025 Personnel $ 1,332,782 $940,585 $ 923,199 $ 17,386 Supplies $ 90,350 $209,600 $ 109,000 $ 100,600 Expansion of clinical services and community-based health education Professional $512,865 $222,300 $ 154,810 $ 67,490 Moving expenses for move to the Community Center Services Capital $- $- $ 3,000,000 $ (3,000,000) Mental Health Consultant contract moved from Mayor's budget Total Budget $ 1,935,997 $ 1,372,485 $ 4,187,009 $ (2,814,524) Areas of Focus – Future Years Development of school and community partnerships and support Increased communication, collaborative efforts and Culture of Health initiatives Ongoing development of preventative mental health initiatives Public Health Accreditation CITY OF FISHERS BUDGET PRESENTATION 2025 Page 22 of 45 Clinic Fees and Hardship Policy Page 23 of 45 Clinic Fiscal Analysis Page 24 of 45  Current Fee Schedule Service Current Fee Administrative fee for clinic services $20 Immunizations At rate set by contracted supplier TB Skin Test* $20 QFT At rate set by contracted supplier Other contracted lab services At rate set by contracted lab *administrative fee does not apply to TB skin test visit. Immunizations submitted through 3rd party billing agency, or other visit types when prohibited by funding source. Hardship policy may apply. Page 25 of 45 Additional Services Planned/Proposed Service Medicare Rate Market Rate Proposed Fee Pregnancy Testing/HIV testing $8.61/$24.08 $25/$99-$139 $0/at cost STI testing (nurse visit plus cost of test) $21.70+$35.09=$56.79 Other LHD’s $0-$21. At cost STI diagnosis and treatment (NP visit) $116.52 $99-$139 At Medicare 15 min new patient visit, risk reduction counseling, Risk Rate Assessment, Venipuncture LTBI diagnosis and treatment (NP visit) $53.09-$169.42 $99-139 At Medicare Rate Rapid Flu/Covid/RSV testing $14.13/35.33/13.10 $73-$149/$70/$33- At Medicare $45 Rate COVID PCR Test $51.31 $91-$149 At cost Will provide at home test kits for free Flu/Covid/RSV diagnosis and treatment (NP $99-$139 plus cost of At Medicare visit) $53.09-$120.72 drugs Rate (10 min. est patient-30 min. est. patient) $68-$105.12 (15 min. new patient-30 min. new patient) Page 26 of 45  Additional Services Planned/Proposed Service Medicare Rate Market Rate Proposed Fee Chronic disease testing (glucose, $3.93, $4.35 $59-$69 $0 cholesterol) TB testing (intradermal/QFT) $9.11/$61.98 $35-$139(private) at rate set by contracted lab Air quality monitoring N/A $290-$582 At cost Lead testing (childhood blood)includes specimen $45.23 N/A At Medicare Rate handling office to lab fee & preventative medicine counseling) Lead testing (household items) N/A $8-$10 testing kits from $5/item hardware store Travel Vaccine Consultation N/A $94-$298 $60 plus cost of vaccine Community Health Advocate $26.56 N/A At Medicare Rate Training/Education Page 27 of 45 Hardship Policy Discussion 1. Purpose- serve as a vehicle to allow waivers or reduced fees to be received in return for medical services. 2. Establish fair and consistent criteria for all patients. 3. Policy would be simply- no financial information required. 4. Patient could sign form agreeing to the fee waiver and a referral to a CHA as well as offering an envelope to donate at a later time when they can make payment. But there is never a requirement to pay if there is a hardship. Page 28 of 45 School Liaison Grant Fund Partnership with HSE Schools Page 29 of 45 School Liaison Grant Fund Partnership with HSE Schools and Hamilton Southeastern School Foundation. 01 02 03 Preparing Our Kids Training Fund for for Success Youth Serving Expansion of Truancy Program Clinicians Project Hope Partnering Solutions program is a 1 time 2 ½ hour class offered FHD would hold a training periodically throughout the school development fund with an Scholarship available to HSE year with the goal to offer 2 students who work with application process for classes per semester. funding to attend a training Community Health School- Based therapist. Classes would be free to families or conference for youth- and bring important education & serving clinicians in Scholarship limited to 7 tools to help prevent ongoing Fishers. sessions or $1,000 per student. attendance issues. Propose to fund $20,000 Propose funding for $50,000 per Propose funding $2,800 for 4 for the Professional year for 3 years classes during the 24-25 school Development Training year. fund. Page 30 of 45 Thank You! Page 31 of 45 Board ofAugust Health29, 2024 Meeting Page 32 of 45 Agenda 1. Budget Presentation 2. Clinical Fees and Hardship Policy 3. School Liaison Grant Fund Page 33 of 45  2024 Revenue Page 34 of 45  2025 Revenue Page 35 of 45 Health Department 2025 Budget Category 2025 Budget – 2025 Budget- 2024 Budget Increase/ HFI State Local Funds (Local Only) (Decrease) Priorities Funds Local Funds Only Areas of Focus - 2025 Personnel $ 1,332,782 $940,585 $ 923,199 $ 17,386 Supplies $ 90,350 $209,600 $ 109,000 $ 100,600 Expansion of clinical services and community-based health education Professional $512,865 $222,300 $ 154,810 $ 67,490 Moving expenses for move to the Community Center Services Capital $- $- $ 3,000,000 $ (3,000,000) Mental Health Consultant contract moved from Mayor's budget Total Budget $ 1,935,997 $ 1,372,485 $ 4,187,009 $ (2,814,524) Areas of Focus – Future Years Development of school and community partnerships and support Increased communication, collaborative efforts and Culture of Health initiatives Ongoing development of preventative mental health initiatives Public Health Accreditation CITY OF FISHERS BUDGET PRESENTATION 2025 Page 36 of 45 Clinic Fees and Hardship Policy Page 37 of 45 Clinic Fiscal Analysis Page 38 of 45  Current Fee Schedule Service Current Fee Administrative fee for clinic services $20 Immunizations At rate set by contracted supplier TB Skin Test* $20 QFT At rate set by contracted supplier Other contracted lab services At rate set by contracted lab *administrative fee does not apply to TB skin test visit. Immunizations submitted through 3rd party billing agency, or other visit types when prohibited by funding source. Hardship policy may apply. Page 39 of 45 Additional Services Planned/Proposed Service Medicare Rate Market Rate Proposed Fee Pregnancy Testing/HIV testing $8.61/$24.08 $25/$99-$139 $0/at cost STI testing (nurse visit plus cost of test) $21.70+$35.09=$56.79 Other LHD’s $0-$21. At cost STI diagnosis and treatment (NP visit) $116.52 $99-$139 At Medicare 15 min new patient visit, risk reduction counseling, Risk Rate Assessment, Venipuncture LTBI diagnosis and treatment (NP visit) $53.09-$169.42 $99-139 At Medicare Rate Rapid Flu/Covid/RSV testing $14.13/35.33/13.10 $73-$149/$70/$33- At Medicare $45 Rate COVID PCR Test $51.31 $91-$149 At cost Will provide at home test kits for free Flu/Covid/RSV diagnosis and treatment (NP $99-$139 plus cost of At Medicare visit) $53.09-$120.72 drugs Rate (10 min. est patient-30 min. est. patient) $68-$105.12 (15 min. new patient-30 min. new patient) Page 40 of 45  Additional Services Planned/Proposed Service Medicare Rate Market Rate Proposed Fee Chronic disease testing (glucose, $3.93, $4.35 $59-$69 $0 cholesterol) TB testing (intradermal/QFT) $9.11/$61.98 $35-$139(private) at rate set by contracted lab Air quality monitoring N/A $290-$582 At cost Lead testing (childhood blood)includes specimen $45.23 N/A At Medicare Rate handling office to lab fee & preventative medicine counseling) Lead testing (household items) N/A $8-$10 testing kits from $5/item hardware store Travel Vaccine Consultation N/A $94-$298 $60 plus cost of vaccine Community Health Advocate $26.56 N/A At Medicare Rate Training/Education Page 41 of 45 Hardship Policy Discussion 1. Purpose- serve as a vehicle to allow waivers or reduced fees to be received in return for medical services. 2. Establish fair and consistent criteria for all patients. 3. Policy would be simply- no financial information required. 4. Patient could sign form agreeing to the fee waiver and a referral to a CHA as well as offering an envelope to donate at a later time when they can make payment. But there is never a requirement to pay if there is a hardship. Page 42 of 45 School Liaison Grant Fund Partnership with HSE Schools Page 43 of 45 School Liaison Grant Fund Partnership with HSE Schools and Hamilton Southeastern School Foundation. 01 02 03 Preparing Our Kids Training Fund for for Success Youth Serving Expansion of Truancy Program Clinicians Project Hope Partnering Solutions program is a 1 time 2 ½ hour class offered FHD would hold a training periodically throughout the school development fund with an Scholarship available to HSE year with the goal to offer 2 students who work with application process for classes per semester. funding to attend a training Community Health School- Based therapist. Classes would be free to families or conference for youth- and bring important education & serving clinicians in Scholarship limited to 7 tools to help prevent ongoing Fishers. sessions or $1,000 per student. attendance issues. Propose to fund $20,000 Propose funding for $50,000 per Propose funding $2,800 for 4 for the Professional year for 3 years classes during the 24-25 school Development Training year. fund. Page 44 of 45 Thank You! Page 45 of 45