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Galveston County Health District - Providing Credible Service since 1971

 

1207 Oak Street La Marque, Texas 77568 - Phone - 409-938-7221

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Mailing Address:
P.O. Box 939
La Marque, TX 77568
GCHD Monthly
Executive Report
Phone: 409-938-2401
Fax:
409-938-2243
The Executive Report is a monthly summary of key activities and significant happenings in the Health District overall.  This summary of activities and/or happenings may involve: one of many different public health programs, the Galveston Area Ambulance Authority (GAAA), the 4C's federally-funded community health clinics (CHC's), and/or collaborate efforts among community health partners. 

If you have any questions or comments, please contact: Pisa Lewis , Executive Assistant,
at 409 938-2401, by email:plewis@gchd.org; or Kurt Koopmann, Public Information Officer,
at 409-938-2211, by email:kkoopman@gchd.org.

November 17,  2004
Archives
red diamond pic New United Board of Health Member
red diamond pic Texas Association of Community Health Centers
red diamond pic State Association Conference Planning
red diamond pic Public Health Preparedness in 2005 Grant Year
   
red diamond pic Other News Releases and Press Stories
  Community-Associated Methicillin-resistant Staphylococcus Aureus (MRSA)
   
red diamond pic Office of Community Health Programs Updates
  Immunizations
  Seniors Health Program
  Robert Wood Johnson (RWJ) Community Support for Diabetes Self-Management Project
   
red diamond pic 4C’s Clinic Updates
  4C’s Vacancy Updates
  County Indigent Health Care Program Asset Testing
  Case Management Program Review
   
red diamond pic Office of Emergency Medical Services Updates
  Administrative Offices Move
  EMS Operational Policy
  Ambulance Responses
   
red diamond pic Office of Environmental Health Services Updates
  Stress Management Training for Animal Services Employees
  Animal Services Operational Developments
  Multi-Jurisdictional Air Enforcement Task Force
  The Texas Commission on Environmental Quality (TCEQ
   
red diamond pic Other Operational Updates
  Emergency Readiness Exercise
  Office of Volunteer Coordination
  8th Five Star Award to Vital Statistics
   
red diamond pic Contracts Executed
  Bio-watch monitors
  HIV Prevention Services
  Air samplers
   
 New United Board of Health Member
red diamond pic Mr. Steven R. Leach, a nurse anesthetist and resident of Bayou Vista, has been confirmed as the municipal representative to the Galveston County United Board of Health by a majority of the member cities of the Health District. The position was previously vacated upon resignation of Rosalie Morales at the April 2004 board meeting. Mr. Leach is currently an Alderman of the City of Bayou Vista and is employed by the University of Texas Medical Branch’s Department of Anesthesia. Mr. Leach’s membership term will extend through 2006. For more information, contact Dr. Mark Guidry, CEO, or W. J. Holland III, Chief Operating Officer at (409) 938-2401 or by email at mguidry@gchd.org or jholland@gchd.org.
 Texas Association of Community Health Centers (TACHC) 
red diamond pic Texas Association of Community Health Centers (TACHC) held their annual membership meeting October 22 – 26, 2004. Dr. Abdul-Aziz Alhassan, 4C’s Medical Director and W. Jay Holland III, Chief Operating Officer attended this meeting. Meeting topics included: (1) developing comprehensive systems of care around behavioral and mental health; (2) strategies for clinical leadership in promoting change; (3) reinventing health care around the access redesign model; (4) changing the health care landscape – challenges and opportunities for CHC in the current economic and political environment; and (5) strategies for successful IT projects. For additional information, presentation slides are available on the TACHC website at www.tachc.org. For more information, contact Abdul-Aziz Alhassan, MD, 4C’s Medical Director at (409) 949-3406 or by email at aalhassan@gchd.org or W. J. Holland III, Chief Operating Officer at (409) 938-2401 or by email at jholland@gchd.org
 State Association Conference Planning
red diamond pic The Health District is working with the Texas Public Health Association (TPHA) to plan their regional conference to be held January 19-21 on Galveston Island. The Health District has developed a tentative agenda, and will be working with TPHA officials to develop the curriculum and identify presenters for the conference. Preliminary themes include: Community Health/Public Health Administration, Preparedness, Environmental/Laboratory Support, and an all hazards response training developed for first responders called Basic Disaster Life Support Class (BDLS) will be offered during the conference. For more information contact Brian Rutherford, Public Health Planner, at (409) 938-2275 or by email at brutherford@gchd.org
Public Health Preparedness in 2005 Grant Year
red diamond pic Public Health Preparedness staff submitted work plans to the state health department for the 2005 grant year. The work plans outline activities and timelines the Health District will undertake to enhance readiness for a public health emergency. The plan calls for additional planning and training related to the Strategic National Stockpile, collaboration in planning with hospitals, mental health, and emergency management agencies, providing training in disease reporting and surveillance to healthcare providers and community leaders, and the exercise of emergency plans to test readiness. On November 8, 2004, Public Health Preparedness staff gave a presentation to 20 attendees at the Bacliff Community Center. Attendees were informed about Public Health Preparedness activities, what they can do to prepare themselves for an emergency, how to protect themselves and others from the spread of disease, and the need for volunteers in an emergency. For more information, contact Brian Rutherford, Health District Planner, at (409) 938-2275 or by email at brutherford@gchd.org
News Releases and Press Stories For more information on any news release or press story, please contact Kurt Koopmann, Public Information Officer, at 409.938.2211 or email kkoopman@gchd.org
red diamond pic The Galveston Daily News contacted the District on October 26, 2004 concerning an outbreak of Community-Associated Methicillin-resistant Staphylococcus Aureus (MRSA) in residents of a La Marque neighborhood. The reporter was provided with a link to a health advisory (http://www.gchd.org/press/2004/04CAMRSA.pdf) previously issued by the District. A link was also provided to a December 2003 story (http://www.gchd.org/press/2003/12MRSA.htm) printed in the Galveston Daily News concerning MRSA. The new story utilizing information provided was published on October 28, 2004 and can be found at (http://www.gchd.org/press/2004/10MRSADNews.htm).
red diamond pic ABC Affiliate KTRK Channel 13 reporter Elma Barrera contacted the District on October 28, 2004 for information on a story she was preparing after learning of the MRSA in La Marque. Ms. Barrera visited the District’s headquarters in La Marque and interviewed epidemiologist, Dr. Dana Beckham. She was provided with the previously issued MRSA advisory and related information.
Office of Community Health Programs Updates  For more information, please contact Susan Studebaker, RNC, Director of Community Health Programs, 409.938.2457 or sstudebaker@gchd.org
red diamond pic Immunizations - The Immunization department provided 6,427 doses of flu vaccines to high-risk individuals at GCHD clinics and through 16 outreach activities and 212 visits to homebound individuals. 1,123 seniors were vaccinated at the county senior centers bringing the total number of seniors vaccinated to approximately 4,400 (compared to 1,600 in 2004). Immunization and other Community Health staff have been working closely with the Texas Department of State Health Services (DSHS) by attending frequent regional and statewide phone conferences and sending weekly immunization availability and needs updates to the DSHS Regional office.
red diamond pic Seniors Health Program - The 2005 Senior Health Fall Fests have begun. Five health fests are scheduled through the end of November. Health information, demonstrations, blood pressure, blood sugar testing, and pneumonia vaccines will be available at these fests.
red diamond pic Robert Wood Johnson (RWJ) Community Support for Diabetes Self-Management Project - On Friday, November 12, the RWJ team celebrated the conclusion of the first series of community classes. This training teaches health professionals and lay people how they can assist individuals with diabetes to make needed changes to improve their health. 17 have completed the training, 5 instructors have completed teaching at least one class, and 12 classes or support groups are currently in progress in Galveston County. The UTMB Stark Diabetes Center and the GCHD RWJ staff are working collaboratively to establish a citywide support group. Focus groups are being held on November 30 and December 7 to determine the scope of the project and interests of persons with diabetes, and their family members and care takers.
4C’s Clinic Updates
red diamond pic 4C’s Vacancy Updates - Interviews are ongoing for qualified applicants of the vacant 4C's Nursing Director position. There remain two vacant dentist positions for the 4C’s Dental clinics, and qualified applicants are being identified for the vacant 4C’s Counselor position. For more information, contact Kathrine Hall, Human Resource Director at (409) 938-2230 or by email at khall@gchd.org
red diamond pic County Indigent Health Care Program Asset Testing – Staff members are working toward the implementation of asset testing for eligibility into the Galveston County Indigent Health Care Program. Positions needed to support the program have been posted and interviews have begun. Current GCIHCP enrollees will be notified at the end of November about the impending change. Current enrollees will also be provided a copy of the request for service form developed by the Texas State Department of Health Services. Asset testing is scheduled to begin January 3, 2005. For more Information, contact Mike Carr, 4C’s Business Manager at (409) 949-3406 or by email mcarr@gchd.org or Wendy Jones, Patient Eligibility Supervisor at (409) 949-3401 or by email wjones@gchd.org
red diamond pic Case Management Program Review – With the loss of HRSA funding of a case management position, the role of Case Management under review to identify resources and areas for enhancement. Information on current Case Management activities has been collected and distributed to Clinic Leadership Team (CLT) Members and the Joint Board Committee on Access to Care. One goals is to the priority populations outlined in the 4C’s competitive grant application, and another is to explore shared funding of a case management position, an issue discussed at the last Joint Board Committee on Access to Care. For more Information, contact Mike Carr, 4C’s Business Manager at (409) 949-3406 or by email mcarr@gchd.org  

 

Office of Emergency Medical Services: For more information, please contact Greg Kunkel, GAAA Operating Chief, 409.765-2512 or gkunkel@gchd.org     
red diamond pic Administrative Offices Move – the administrative offices of Galveston EMS have moved to the Island Community Center building located at 4700 Broadway in Galveston. The move will provide EMS with additional space to better coordinate its staff and improve training capabilities. Greg Kunkel, Chief of Operations, Janet Hatch (Quality Improvement Officer), Thomas Leigh (Training/ Safety Officer), and Destin Simmons (Administrative Assistant) will be headquartered at the new location.
red diamond pic EMS Operational Policy – is being developed by staff for approval by the Board. It is expected to be presented for board review and approval in early 2005.
red diamond pic Ambulance Responses – remain at a record pace, topping the 10,000 mark at the end of October (10,786 total responses). October had the second busiest October in the history of EMS, last year being the busiest. Galveston EMS remains one of the busiest per capita services in the State.
 Office of Environmental Health Services Updates  For more information, contact Ronnie Schultz, Director of Environmental Health Services, 409.938.2214 or rschultz@gchd.org
red diamond pic Stress Management Training for Animal Services Employees - On October 13, 2004, the Animal Services employees participated in their first quarterly stress management training event. This stress management training was one of many recommendations that came out of the Animal Services Division internal review and the Animal Summit held in March of 2004. A local stress management counselor who contracts with the Health District's employee assistance program provided the counseling session and has agreed to conduct these sessions on a quarterly basis.
red diamond pic Animal Services Operational Developments. Dana Beckham, DVM, Health District Epidemiologist, has agreed to provide veterinarian consultation to Animal Services in the area of regulatory compliance and animal care. A salary survey was completed and salary adjustments were given to various positions within the division. The Department of State Health Services (DSHS) conducted a follow-up inspection to the one conducted in March of 2004 at the Animal Shelter. Violations noted in the March inspection were corrected. The Health District was able to secure additional money from Galveston County during this year's budget process to fund the much needed repairs to the shelter and to purchase shelter and field equipment. The Animal Services Task Force was assembled and provided valuable comments on the draft Animal Services Inter-local Agreement. The draft agreement was submitted to the County Legal Division for review. The phone system at the shelter has been upgraded and now better serves our customers. The Friends of the Galveston County Animal Shelter continue to assist shelter staff on a daily basis in the area of pet adoptions and pet rescues. Our next steps in the improvement plan includes drafting of a priority list outlining shelter repairs and equipment purchases, completing the draft Inter-local Agreement and recommending it to the United Board of Health, creating an Animal Services Advisory Committee, developing division standard operating procedures, drafting an employee professional development program to address training and certifications, continuing our adherence to all state laws, rules, regulations and guidelines and drafting an Animal Services Operational Policy for approval by the Board.
red diamond pic Multi-Jurisdictional Air Enforcement Task Force – The Air Services Division is currently assessing a proposal originally drafted by the Mayor’s Office at the City of Houston. The proposal aims at enhancing the enforcement of the current State Implementation Plan (SIP). The plan was drafted by the State in response to the federal mandate requiring the reduction of ozone pollution in the region by meeting established federal air pollution standards. If the proposal is agreed upon by all entities, the City of Houston, Harris County and Galveston County would assemble a multi-jurisdictional task force who are trained and equipped to address complex air related issues not currently addressed under the SIP. This task force would target facilities within the region and conduct a comprehensive compliance inspection aimed at reducing the chemicals that form ozone pollution. This would require an Inter-local Agreement between the three governmental entities allowing for staff members to work outside their established jurisdiction. In addition, this task force would share air monitoring equipment and personnel to enhance the current monitoring programs in the region. The vision of the program is to develop a comprehensive region-wide State Implementation Plan compliance and enforcement strategy that will be timely implemented to ensure attainment of the ozone National Ambient Air Quality Standards in the Houston region. The attainment date established by federal legislation to meet the ozone standard is 2007. The Health District will continue to monitor the progress of this program and will be updating the County Judge, Commissioner’s Court and the Mayor of Texas City.
red diamond pic The Texas Commission on Environmental Quality (TCEQ) has approved the Health District's request to amend the On-Site Sewage Facility (OSSF) rules that allow us to enforce the state rules. In August of 2004, the United Board of Health passed a resolution requesting this approval along with changes to the local requirements for the design and construction of on-site sewage facilities and along with changes to the current fee schedule. As required under TCEQ rules and regulations, in order for a local governmental agency to enforce state rules, the TCEQ Commissioners had to approve and sign a resolution. The new rules, regulations and fee schedule went into place on November 15, 2004.

 

Other Operational Updates
red diamond pic Emergency Readiness Exercise - On the evening of Thursday, October 28th, Health District staff participated in an exercise to test the Health District’s after-hours contact numbers and protocols for notification of state and local response partners. The scenario was designed with a local physician initiating notification of the Health district epidemiologist of several patients with SARS-like symptoms. As a result of this exercise, staff was able to clarify the contact protocol and verify contact information for those who might be called upon to respond to an emergency. For more information contact Brian Rutherford, Public Health Planner, at (409) 938-2275 or by email at brutherford@gchd.org
red diamond pic Office of Volunteer Coordination - During the month of November, four volunteers were recruited through the Office of Volunteer Coordination to provide services in Medical Records, EMS, and Animal Services. Shirley Carr, Volunteer Coordinator, has been working very closely with representatives from the Mainland and Island Work Source offices in an effort to increase the Health District's volunteer capacity. The Health District provides training and experience for Work Source clients that volunteering in order to meet a requirement. In an effort to reach out to more diverse populations, volunteer fliers have been placed at the COMWellness Center, A Cut Above hair salon, Best Nails & Tan 11 salon, and three area churches. Three of the senior volunteers are assisting with the Senior Health Fests, which are scheduled throughout the month of November. For more information, contact Shirley Carr, Volunteer Coordinator at (409) 938-2438 or by email at scarr@gchd.org
red diamond pic 8th Five Star Award - Vitals Statistic Services received their 8th "Five Star" award from the Department of State Health Services. The five star award recognizes vital statistic programs throughout the state of Texas that demonstrate superior performance and far exceed standards in rejection rates, accuracy and timely submission of records sent to DSHS, issuance of vital statistic documents, and training qualifications. For additional information, contact Dana Beckham, DVM, Chief Epidemiologist, at (409) 938-2322 or by email at dbeckham@gchd.org.

Contracts Executed For more information, contact Kathy Barroso, Chief Financial Officer at (409) 938-2257 or by email at kbarroso@gchd.org

red diamond pic A contract with Texas Commission on Environmental Quality (TCEQ) in the amount of $84,880 was renewed for the period covering January 1, 2005 through December 31, 2005 to support the operation and maintenance of the Bio-watch monitors, and included an increase of $21,220 from last year.
red diamond pic A contract with the Texas Dept. of State Health Services (DSHS) to provide HIV Prevention Services to clients identified through the Prevention Community Planning Process was renewed in the amount of $218,017 for the period covering 1/1/05 to 12/31/05. Funding remained at the same level as the previous year.
red diamond pic On October 29, 2004, a contact amendment with TCEQ for continued funding to operate and maintain two whole air samplers in Galveston County was signed.