The Larimer County Board of Health (BOH) convened its regular meeting at 7:00 PM at the Larimer County Department of Health and Environment (LCDHE), 1525 Blue Spruce Drive, Fort Collins, CO


           Members Present:                   C.J. McKinney, Ph.D.

                                                Steve Yurash

N. Mark Richards, MD, MPH

Jennifer Lee


Executive Secretary:               Adrienne LeBailly, M.D., M.P.H.

Staff:                                         Marie Macpherson, Avie Strand, Gerald Blehm,

                                                  Christy Bush, Paula Lady



1.   The Board of Health meeting was called to order at 7:00 PM.

2.   Minutes of the August 23, 2012 meeting were amended to correct a typographical error.  The minutes of the August meeting were then unanimously approved.

3.   Status of Community Health Assessment (CHA) and revised timeline for Public Health Improvement Plan – Christy Bush presented an update of the Community Health Assessment activities and the revised timeline for completing the Public Health Improvement Plan.  There are two phases: the Community Health Assessment phase occurring between January and October 2012 and the Prioritization and Planning phase between January – May 2013.  The committee has emphasized that this is not a plan intended just for the local public health department, but a plan for the community that a broad array of stakeholders will help to create.  Expected products of the plan include a written Community Health Assessment report, a written Public Health Improvement Plan, and possibly a web tool to report current health data, trends, goals, progress, and local resources.  Dr. LeBailly reported that one of the challenges faced when creating the CHA involves comparisons of data which were collected using different methods, e.g., phone survey or mail survey.    Dr. LeBailly wants to avoid including in the community assessment any data points based on very small samples, as they can suggest trends over time that aren’t real.  Dr. LeBailly reports that CHA participants viewed two web systems to display the data, and were most interested in considering the “Network of Care.” To be able to implement and sustain the project, we would have to split the cost of the website among several partners.  The website will automatically pull available data from the federal health databases and display it so that it is easy for the public to access and understand.  It can be customized with Health District survey data as well, and communicate information about local efforts and initiatives and the research evidence behind local interventions. [For an example of this tool, see]

4.   Review of final submitted Budget and Budget Letter – Ms. Macpherson distributed the budget letter, summary of the budget, graphs of the budget and reports by account.  In summary, the 2012 revision is about $25,000 more than the original budget.  For 2013 our budget is about 3 1/2% higher than revised 2012.  Our estimated budget for 2013 is approximately $8.7 million.  Ms. Macpherson gave the BOH a thorough review of the budget for 2013.  She reported that the budget review meeting with the County Manager went well, and Mr. McKinney, who had also attended the  review meeting, echoed that assessment. Our estimated budget for 2013 is approximately $8.7 million.   The budget will be presented by the County Manager to the County Commissioners at a work session on October 22nd, followed by public hearings in November.  After any needed changes, the Commissioners accept  the budget on or before December 15th.   Ms. Macpherson will send an e-mail to the BOH members after this meeting with the dates/times/locations of the public hearings.    

5.   Director’s Report – Dr. LeBailly talked about the Health District analysis of Amendment 64, the marijuana amendment.  This analysis incorporated some of the information from Rand Corporation researchers who also wrote the book “Marijuana Legislation: What Everyone Needs To Know”.   This is a policy analysis considering the available research findings and does not make a recommendation for either side. 

Transition of Medical Reserve Corps -  Dr. LeBailly stated that we won’t be sponsoring the Medical Reserve Corps any longer.  The Red Cross has opportunities for volunteers and we can direct interested volunteers to them as well as to the CARE team that focuses on behavioral health.  We will be working with other partners to support the development of  a Health Care Coalition for this area to facilitate joint planning and collaboration in health emergencies.

Dr. LeBailly reported that Jeff Basinger has resigned from NCAP.  He will be returning to Grand Junction working with WestCAP as the Director.  Dr. LeBailly will be working with Lauren, the prevention specialist at NCAP, on the details of the MOU for the Syringe Exchange Program and implementation of the SEP.

Dr. LeBailly reported to the BOH that she has recently informed local healthcare providers that beginning January 1, 2013 we will be unable to provide federally-purchased vaccines to people with health insurance that covers immunizations, except for children on Medicaid and possibly Child Health Plan Plus.  Federally-purchased vaccines can be used for the uninsured.  It is likely that this will leave some people without a source for vaccination (e.g., those with high deductibles are considered “insured,” even if their insurance won’t pay for the vaccines; some private providers don’t carry infrequently used vaccines and refer their patients to us.)   Ms. Macpherson indicated that we are currently looking into options to do commercial billing, which will require maintaining a separate stock of vaccine for the insured.  It is unclear at this time whether we will get sufficient reimbursement to move forward with offering vaccines to those that are fully insured.  Travel clinic won’t be impacted as those vaccines are not federally-purchased and most insurance companies do not cover vaccines for international travel.

Other – there was a brief discussion regarding the fungal meningitis outbreak in the news recently.  None of these medications are believed to have been shipped to Colorado.

6.   Next meeting – November 8, 2012.

7.   Adjourn – the meeting was adjourned at 9:25 PM.







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Paula Lady, Recording Secretary                      Adrienne LeBailly, MD, MPH, Executive Secretary