9-25-89 agenda
CITY OF RICHFIELD, MINNESOTA
Study Session Letter No. 224
September 25, 1989
F
0 proposed Resolution.
Issue Statement:
Discussion of the Runway Use System for MSP Airport, and a
Resolution in the alternative.
Background:
For the first time since 1970 when the Preferential Runway System
(PRS) went into effect, the matter of a runway use system at MSP
Airport is being considered.
The PRS, which sought to direct as much traffic as possible to
the S.E. and S.W., worked very well until the early 1980's, from
the point of view of Minneapolis and St. Paul. For example, in
July 1979, 85% of takeoffs were to the S.E. or S.W., and 70% of
landings were to the S.E. or S.W. There are three runways to the
S.E. and S.W. and three to the N.E. (St. Paul) and N.W.
(Minneapolis). Because the PRS gave more protection to St. Paul
than Minneapolis, it became clear in 1986 and 1987 that
Minneapolis, who by that time was receiving a large amount of
traffic, could get some relief if traffic were shifted to St.
Paul.
A test was conducted from July 1988 to January 1989 of a revised
plan called the Runway Use System (RUS). The test tried to
reduce traffic over South Minneapolis and North Richfield, and
sent more traffic over St. Paul. The test showed that a small,
but measurable, amount of traffic could be shifted to St. Paul.
Another alternative would be to suggest a different plan which
would provide for more equity in noise distribution. The
attached Resolution does just that. The Resolution would not
allow unlimited flights in certain areas, nor would it allow
total exemptions for other similar areas. Flightsl,would have to
be first contained in designated corridors, then balanced on all
remaining runways.
MASAC will hold hearings on September 26, 1989 and October 3,
1989 on whether to recommend to MAC that the RUS or some other
system, such as that described in the Resolution, be put into
place. MAC will consider the MASAC recommendation later in the
fall and presumably reach a decision by year end.
Unless MAC takes the unlikely action of staying with the present
PRS, there will be strong legal challenges from St. Paul. Any
new system, whether the RUS or other type, will require
considerable environmental evaluation.
Recommended Motion:
It is the recommendation of staff that the council adopt the
Basis of Recommendation:
• Although the RUS has some desirable features, such as giving St.
Paul more traffic, it has some undesirable aspects as well.
1. It calls for sending all possible traffic to the S.E. first,
and secondly placing as much traffic as possible on the crosswind
runway (4/22) in a balanced manner, with South Minneapolis
receiving last priority for traffic.
There is no limit to the amount of traffic the Eagan/Mendota
Heights area could receive, and likewise the South
Richfield/Bloomington and St. Paul areas. It is unlikely, but
under lower traffic levels, flights over South Minneapolis could
be almost totally eliminated under the RUS.
2. If 4/22 is extended, it will be far easier to put traffic on
the Richfield/Bloomington end, and thus we would get an
overwhelming share, despite the fact that the RUS would call for
traffic in a balanced manner.
The RUS, as the PRS before it, will be described as a system to
promote equity in the distribution of overflights. However,
without the traffic objective in the system calling for equal
treatment of similar residential areas, it will simply be the
means of giving one area almost total protection at the expense
of other similar areas when operation levels allow.
• 3. The alternative runway use pattern, as described in the
Resolution, provides more equity in aircraft noise distribution.
The Resolution first limits the amount of traffic in the
Eagan/Mendota Heights area to that which can be contained in the
industrial corridor. Secondly, it seeks to balance traffic on
all four other runways, since those flights all go over similar
residential areas.
Alternative Recommendation:
The Council can choose not to adopt the Resolution. An
alternative to the Runway Use System would not then be offered to
MASAC.
Discussion/Decision Mode:
This matter will be discussed at the September 25, 1989 Council
Meeting, and any action should be taken before the MASAC meeting
on September 26, 1989.
Resp t ully submitted,
Jam D. Prosser
Cit. Manager
0 JDP/mba
•
Resolution Regarding a
Runway Use System
at
Minneapolis/St. Paul International Airport
WHEREAS: Any runway use system at Minneapolis/St. Paul
International Airport (MSP Airport) must recognize that all areas
surrounding MSP Airport benefit from its proximity and all areas
must share in the overflights,
- and -
WHEREAS: Any change from the present system will require
extensive environmental review and thus must be clearly fair to
all involved,
- and -
• WHEREAS: The proposed Runway Use System (RUS) does not correct
the fundamental problem of the present Preferential Runway System
since it still provides for unlimited overflights over some
nearby residential areas and total exemptions for other similar
areas when traffic levels, wind conditions and runway conditions
permit.
NOW, THEREFORE BE IT RESOLVED, that the City of Richfield
requests that MASAC recommend and the MAC approve a runway use
system that within the limits of the safe, efficient operation of
the airport would first direct as much air traffic;Southeast of
the airport (arrive on Runways 29 Left and Right; depart on
Runways 11 Left and Right) as could be contained in the corridors
the affected communities have zoned for overflights, and secondly
place the remaining traffic as equally as possible on the other
four runways, all of which overfly similar nearby residential
areas.
174
0??
CITY OF RICHFIELD
Council Letter No. 223
Agenda September 25, 1989
Issue Statement:
Cancellation of the November 27, 1989 Regular City Council
Meeting.
Background:
During a recent Study Session, three, and possibly four, City
Council Members indicated they would be traveling to the National
League of Cities Conference in 1989. The Conference runs from
November 25 through November 29. If at least three City Council
Members are planning to attend the conference, there will not be
a quorum available for the November 27 City Council Meeting.
Thus, if this is the case, the City Council may want to take
action to cancel the City Council Meeting and/or find a
replacement meeting to cover any City business that may need to
be handled during the second part of November.
Recommended Motion:
City Council cancellation of the November 27,`1989 City Council
Meeting if a quorum will not be available.
Basis of Recommendation:
1. In order for a City Council Meeting to legally occur, a
quorum must be available for the meeting.
2. If at least three City Council Members are planning to
• travel to the National League of Cities Conference, a
quorum will be impossible for November 27.
3. If the meeting is to be canceled, appropriate notice to the
public should be given. This would be done in the form of
a posted and published notice.
Alternative Recommendation:
1. If at least three Council Members plan on attending the
November 27 City Council Meeting, this potential
cancellation should be disregarded.
•
2. If the meeting is to be cancelled and there are Council
Members who feel a meeting is necessary in the later part
of November, an alternative meeting could be scheduled.
Discussion/Decision Mode:
Action to cancel or change the November 27 Regular City Council
Meeting should be taken at the September 25 City Council Meeting
in order to provide adequate notice for any such change.
JDP:ff
Re t ully submitted,
Ja D. Prosser
Ci' Manager
CITY OF RICHFIELD, MINNESOTA
• Council Letter No. 222
Agenda September 25, 1989
Issue Statement:
Approval of the•1989 Labor Contract with the International
Association of Firefighters Local 1215.
Background:
City staff have completed negotiations on a labor agreement,
subject to City Council approval, with the International
Association of Firefighters Local 1215 to cover the period of
January 1, 1989 through December 31, 1989.
The International Association of Firefighters Local 1215
represents the positions of Fire Captain, Fire Lieutenant and
Firefighter. There are presently twenty-four employees
represented within the unit.
The 1989 contract is a one year agreement.
1. An adjustment of 4% over 1988 wage rates for all
classifications, bringing the annual top firefighter wage to
$35,419.97, Fire Lieutenant, $38,962.21 and Fire Captain to
$40,733.06.
• 2. A $10.00 increase in the maximum monthly health insurance
premium. This increases the payment from $173.50 per
employee per month in 1988 to $183.50 per employee per month
in 1989.
3. A $.50 per month increase in employee dental insurance, from
$14.50 per employee per month in 1988 to $15.00 per employee
per month in 1989.
Recommended Motion:
Approve the labor agreement with the International Association of
Firefighters Local 1215.
Basis for Recommendation:
1. Firefighter wage settlements in other communities with a
full-time dominated Fire Division range from 3.0%
to 4%. For the past years, Richfield has maintained a salary
position as the top Firefighter base wage rate. The proposed
wage increase maintains that position.
2. The City insurance contribution increase maintains the
internal comparison between both union employees and non-
union employees.
3. The Firefighters have voted to accept the terms of the 1989
• agreement.
• Alternative Recommendation:
1. Do not approve the labor agreement, requiring further
negotiations and/or arbitration.
Discussion/Decision Mode:
In order to allow the City's accounting personnel to modify
payroll records in a timely manner for January 1, 1989, it is
recommended that the City Council act on September 25, 1989 to
adopt the attached resolution providing for contract changes,
effective January 1, 1989.
Respec u y submitted,
osser
James fager
City JDP:ff
•
0
RESOLUTION NO. _
RESOLUTION APPROVING LABOR AGREEMENT BETWEEN
THE CITY OF RICHFIELD AND THE
INTERNATIONAL ASSOCIATION OF FIREFIGHTERS LOCAL 1215
BARGAINING UNIT FOR THE YEAR 1989
WHEREAS, the City Manager and the International Association
of Firefighters Local 1215 bargaining unit have reached a
complete understanding concerning rates of pay, hours and other
conditions of employment for the year 1989; and
WHEREAS, the Personnel ordinance requires that contracts
between the City and the exclusive representative of the
employees in an appropriate bargaining unit shall be implemented
by Council resolution.
NOW, THEREFORE, BE IT RESOLVED
hereby approve the labor agreement
and the International Association
Bargaining Unit for the year 1989
labor agreement to be implemented
that the City Council does
between the City of Richfield
of Firefighters Local 1215
and order the provisions of the
effective January 1, 1989.
Passed by the City Council of the City of Richfield, this
25th day of September, 1989.
C?
Steven J. Quam Mayor
ATTEST:
Thomas P. Ferber City Clerk
CITY OF RICHFIELD, MINNESOTA
Council Letter No. 221
Agenda, September 25, 1989
• Issue Statement:
Request for division of property; 66th Street and First Avenue
South.
Background:
In 1983 the Lincoln Companies redeveloped the strip shopping
center lying north of 66th Street and between Nicollet and First
Avenue. As part of the redevelopment, Lincoln acquired all of
the properties in the block, except the land on which the Dairy
Queen restaurant is located, and which is owned by David and
Kathy Doll. Lincoln did, however, purchase from the Dolls a
tract of land lying immediately west of the Dairy Queen.
Recently, the Dolls discovered that, because the conveyance to
Lincoln had the effect of splitting their property, they would be
unable to sell the Dairy Queen site without City approval. It
was also discovered that the tax statement for the Dairy Queen
site has been sent to and paid by Lincoln since 1984.
Following these discoveries, the Dolls and representatives of
Lincoln have resolved the question of the previously paid taxes
and both the Dolls and Lincoln are now requesting that the City
take action to approve the lot split.
Recommended Motion:
• Approve the requested lot split by adopting the attached
resolution.
Basis of Recommendation:
1. Approving the lot split will acknowledge the ownership
patterns which exist on the property.
2. Approval will permit each owner to be responsible for its own
property taxes and will permit the owners, should they choose
to do so, to sell and encumber their properties.
Alternative Recommendation:
The Council could deny the requested lot split; however, such
action is not recommended.
Discussion/Decision Mode:
This matter is scheduled for Council consideration at the
September 25, 1989, City Council Meeting. The proposed
resolution is attached.
Respectfully submitted,
James . Prosser
City pager
0 JDP:ff
RESOLUTION NO.
RESOLUTION AUTHORIZING PROPERTY SPLIT
WHEREAS, prior to October 26, 1983, David Duane Doll and
• Kathy Ann Doll ("Dolls"), were the owners of the tracts and
parcels of land lying within the City of Richfield and legally
described in the attached Exhibit A; and
E
WHEREAS, on October 26, 1983, the Dolls conveyed to Lincoln
Development Services Corporation ("Lincoln"), by warranty deed
and tracts and parcels of land lying within the City of Richfield
and legally described in the attached Exhibit B; and
WHEREAS, such conveyance has been recorded among the land
records of Hennepin County and is memorialized upon Certificate
of Title No. 641122; and
WHEREAS, following such conveyance, the Dolls continue to be
the owners of the tract and parcel of land lying within the City
of Richfield and legally described in the attached Exhibit C; and
WHEREAS, the Dolls and Lincoln have requested that the City
approve of the split shown in Exhibits B and C so that separate
real estate tax statements can be generated and so that the
parcel described in Exhibit C can be separately conveyed; and
WHEREAS, the City has reviewed such request and the
provisions of the subdivision regulations of the Richfield City
Code.
NOW, THEREFORE, BE IT RESOLVED by the City Council of the
City of Richfield as follows:
1. The Council finds and determines that an unnecessary
hardship would be created if the Dolls and Lincoln were
required to resubdivide the parcels of land described in
Exhibits B and C; and that a waiver to such requirements
should be and is hereby granted.
2. The division of the parcels described in Exhibit A into the
parcels described in Exhibits B and C is hereby approved.
3. The City Manager is hereby directed to take such actions and
do such things as are reasonably required to effectuate this
resolution.
Passed and adopted by the City Council of the City of
Richfield, Minnesota, this 25th day of September, 1989.
Steven Quam
ATTEST:
•
Mayor
Thomas P. Ferber City Clerk
EXHIBIT A
PROPERTY DESCRIPTION
•
The East 16.06 feet of Lot 8, except the North 49 feet thereof,
all of Lot 9, except the North 49 feet thereof, Block 9, "Town's
Edge" Village of Richfield, Hennepin County, Minnesota.
•
•
EXHIBIT B
PROPERTY DESCRIPTION
That part of the East 16.06 feet of Lot 8, Block 9, "Town's Edge"
Village of Richfield, Hennepin County, Minnesota lying South of
the North 49 feet thereof;
and
that part of the West 38 feet of Lot 9, Block 9, "Town's Edge"
Village of Richfield, Hennepin County, Minnesota lying South of
the North 49 feet thereof.
0
EXHIBIT C
PROPERTY DESCRIPTION
That part of Lot 9, Block 9, "Town's Edge" Village of Richfield,
Hennepin County, Minnesota lying South of the North 49 feet and
East of the West 38 feet of said Lot.
0
0
• City Of Richfield, Minnesota
Council Letter No. 220
Agenda, September 25, 1989
Issue Statement:
First reading consideration of an ordinance to rezone the
property located at 2232-2236 East 66th Street from "R", single
family residential district to 11C-2" general commercial district.
Background:
Richfield Credit Union has requested the rezoning of 2232-2236
East 66th Street from "R", single family residence district to
"C-2" general commercial district, in order to allow the
construction of a financial institution. Currently, the eastern
two parcels are vacant and a small single family home is located
on the western parcel.
Petitions in favor of the rezoning have been submitted; however,
a number of property owners have also expressed opposition to the
rezoning.
The Planning Commission unanimously recommended approval of the
Credit Union request on July 25, 1989.
Recommended Motion:
Approve first reading of an ordinance to rezone the property at
• 2232-2236 East 66th Street from "R", single family residence, to
"C-2", general commercial district, and schedule the public
hearing and second reading for the October 9, 1989 City Council
meeting.
Basis of Recommendation:
1. The Planning Commission voted 7-0 to recommend approval.
2. Two of the three lots have been vacant for some period of
time as residentially zoned property.
3. The 66th Street corridor has been planned as a medium
density buffer across the entire city. Changes that have
occurred on 66th Street in the past several years have all
increased density or intensity of use. Some of these
changes west of Cedar include the chiropractic office and
the doll museum west of 18th Avenue and the apartment
building at the Mount Calvary Church. The CDP building and
the City liquor store also influence the change.
4. The site is located immediately west of MAC property. To
the south are athletic fields and southwest is the golf
course of the City. To the west of the site are two
fourplexes and to the north is a single family home owned
or optioned by the Credit Union. The Richfield Evangelical
• Free Church is located just west of TH77 on 66th Street.
In the next block, there are two commercial buildings that
housed NECO and North Star Bumper Exchange. At least part
of this is now for lease. Mike's Frame Service was
• approved at 1916 E. 66th Street in 1985 but does not appear
to be in business at this time. The next several blocks on
66th include apartment buildings and two single family
residences. The remainder of NFT is generally single
family. A proposal to permit a heating/air conditioning
business as a home occupation at 20th Avenue and 65th
Street was rejected in 1989.
5. On 66th Street east of TH77, there are several different
zoning designations. The westerly two blocks are zoned
commercial and the remainder is MR, MR-2 and single family
residential. The two lots west of the subject site are
zoned MR-2.
6. Several plans and developments impact this area. The
mega mall will substantially increase traffic on TH77 and
the state has a plan in progress looking at needed changes
to accommodate such. The Transportation Guidelines for
the City show 66th Street and Standish Avenue as a minor
arterial. This is less than a half block from the subject
site. The various airport studies have no short term
effect on this property. Such proposals as the N-S runway
and the Met Council chairman's statement that the whole
City could be taken for the airport are totally rejected by
the City as unfounded. The TH77/New Ford Town Study
Area plan suggests non residential use for NFT but has
• not been officially adopted by the City Council.
7. A special survey form has gone out to all residents of NFT
and the results should be available in the next several
weeks. Expressed sentiment at the public meetings and by
phone and letter to planning staff has been directed in
large part against aircraft noise and its impact on the
living environment.
8. Current noise exposure maps indicate that the subject site
is in the 70-74 Ldn category. (Ldn means the day-night
average level, or the 24-hour equivalent continuous sound
level from midnight to midnight, obtained after the
addition of 10 dBA to sound levels measured from 10 p.m.
to 7 a.m.). Single family, multiplex with individual
entrances and mobile homes are considered to be
incompatible uses in such noise zones. Office, commercial
and retail is considered consistent provided noise
reduction is built in during construction.
9. Buffering and screening is provided on the north and west
sides of the property including an 8 foot privacy fence.
There are numerous mature trees on the site in variable
condition. Applicant proposes to maintain as many trees
as possible and adding considerable plantings and shrubs
•
on all sides of the property. Staff has approved the
landscaping plan.
10. Objectors have noted that there will be increased traffic
at the end of 66th Street and immediately adjacent to the
apartment building. At this time, the only use of this
deadend road are the ball fields and archery range which
are heavily used only in the summer. Applicant has
indicated that most of their business is carried on
through the mails and that people who transact business
in person will probably continue, in large part, to utilize
the facility at Central School because of its convenience
to school personnel. The Central School site will stay
open. The parking lot will be located to the east along
the MAC side and the only traffic along the apartment
building will be to the drive-up windows which are located
at the southwest corner of the building. An 8 foot fence
and other landscaping is provided as a buffer but cannot
totally screen all noise. A tenant with a young child
living in the apartment building suggested that a safety
hazard may be created because her child plays in the south
yard of the apartment building in the absence of any
playground on the property. Consideration should be given
to using an open weave type fence near the sidewalk in
place of the proposed solid four feet high fence at this
location even though there is ten feet between the fence
and the curb cut.
Alternative Recommendation:
• Do not give first reading consideration to the proposed rezoning
ordinance. The denial would be based on the fact that most of the
properties on the block are single family residential uses.
Therefore, the proposal would be incompatible with the
neighborhood.
Discussion/Decision Mode:
First reading is scheduled for September 25, 1989. Notice was
published although not required. The public hearing and second
reading is scheduled for October 9, 1989 and will be published
and notices mailed to the adjoining property owners per
requirements.
JDP:sae
s fu ly submitted,
J D. Prosser
i Manager
REQUEST FOR REZONING FROM MR-2 TO c-2
FOR PURPOSE OF ZONTNG CHANGE
Street Address: 2232_2236 66th StrPPt FRaRt
Legal Description: Lots 12, 13 and 14, Block 7, New Ford'Town, together
with the South 1/2 of the vacated alley accruing thereto.
We, the undersigned, being owners of land within 300 feet of the
land described above, do hereby concur in this rezoning request.
Signature of Owners* Address
0
S`?.? 2 2 /VD v-
*For purposes of determining if petition contains the proper
number of signatures to intitate the rezoning process,
signatures may not be removed once a petition is signed and
returned to the Planning Division.
•
C1
REQUEST FOR REZONING FROM MR-2 TO C-2
FOR PURPOSE OF 7oNTNG CHAN
Street Address: 232-2916 66th Stmt Fact-
Legal Description: Lots 12, 13 and 14, Block 7, New Ford`Town, together
with the South 1/2 of the vacated alley accruing thereto.
We, the undersigned, being owners of land within 300 feet of the
land described above, do hereby concur in this rezoning request.
Signature of Owners*
Address
Co 5i
*For purposes of determining if petition contains the proper
number of signatures to intitate the rezoning process,
signatures may not be removed once a petition is signed and
returned to the Planning Division.
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•
CITY OF RICHFIELD, MINNESOTA
Council Letter No. 219
September 25, 1989 - Agenda
Issue Statement:
Commemorating the Drafting of the Constitution of the United
States of America.
Background:
The President of the United States of America has declared
September 17 - 23, 1989 as Constitution Week. The proclamation,
as found in Public Law No. 915, commemorates the signing of the
Constitution and encourages citizens to study the Constitution.
Recommended Motion:
Adopt the attached Resolution which proclaims September 17 - 23,
1989 as Constitution Week.
Basis of Recommendation:
1. A city resident has requested that the City Council officially
recognize September 17 - 23, 1989 as Constitution Week. By
making the proclamation, the Constitution is recognized as the
superb body of laws.
2. Citizens who study the Constitution become better informed
and more responsible citizens.
Alternative Recommendation:
Do not proclaim September 17 - 23, 1989 as Constitution Week,
since it has already occurred.
Discussion/Decision Mode:
This matter is presented to the council for action.
Respectfully submitted,
James Prosser
City M alter
JDP/mba
0
-E1
RESOLUTION NO.
THE AMERICAN CITIZENS
COMMEMORATING THE DRAFTING
OF THE CONSTITUTION
OF THE UNITED STATES OF AMERICA
WHEREAS, it is the privilege and duty of the American
people to commemorate the two hundred second anniversary of the
drafting of the Constitution of the United States of America with
appropriate ceremonies and activities; and
WHEREAS, Public Law No. 915 guarantees the issuance of a
proclamation by the President of the United States of America,
designating September 17 through 23 of each year as Constitution
Week.
NOW, THEREFORE, BE IT RESOLVED that the Mayor and City
Council do hereby proclaim the week of September 17 through 23,
1989, as
Constitution Week
and urge all citizens to study the Constitution, to express
gratitude for the privilege of American citizenship in our
Republic functioning under the superb body of laws - the
• Constitution of the United States of America.
IN WITNESS WHEREOF, I have hereunto set my hand and caused
the Seal of the City to be affixed this
day of the year of our Lord one thousand nine hundred and eighty-
nine, and of the year of the Independence of the United States of
America, the two hundred thirteenth.
Steven J. Quam, Mayor
(SEAL)
ATTEST:
Thomas P. Ferber, City Clerk
L'
CITY OF RICHFIELD, MINNESOTA
Council Letter No. 218
Agenda September 25, 1989
Issue Statement:
Approval for the Administrative Services Department to enter into
a custody agreement with Norwest Bank Minnesota to provide
custody services for the City of Richfield's investment
portfolio.
Background:
The newly adopted Statement #3 by the Government Accounting
Standard Board (GASB) places municipalities in the position of
disclosing levels related to the custodial status of securities.
Statement #3 discloses the level of risk in the following
categories:
Category 1 includes investments that are insured or registered,
or for which the securities are held by the municipality or its
agent in the municipality's name.
Category 2 includes uninsured and unregistered investments for
which the securities are held by the broker or dealer or its
trust department or agent in the municipality's name.
Category 3 includes uninsured and unregistered investments for
• which the securities are held by the broker or dealer or its
trust department or agent, but not in the municipality's name.
The City's cash and temporary cash investments as of December 31,
1988 were $32,615,834. Of that total, $17,850,279 was listed
under credit risk category #3, which represented 55% of the total
investments.
Legality, safety, liquidity and yield are the prime factors used
when investing City's funds. Diversification of the investment
portfolio as to maturity, investment and financial Institution is
a prime concern as well.
Various banks within the metropolitan provide custody services
for a fee based on the type of services performed., Services
provided include:
1. Safekeeping of securities
2. Collection of all income
3. Remittance of principal and income as directed
4. Settlement of security purchases and sales
5. Use of short-term investment vehicle (cash sweep)
6. Monthly statement of assets, with market values'
7. Option for performance measurement system
8. Monthly transactions statement
• Norwest's Custody Services Division, a part of the Norwest
Capital Resources group, is responsible for the administration of
over 400 institutional custody accounts. The assigned custody
administrator will be responsible for the day-to-day control of
the City's investment portfolio through the close working
relationship of the Finance Manager. As necessary, the
Administrative Services Director may perform the Finance
Manager's duties in the Finance Manager's absence.
Attached to this letter is Norwest Bank Minnesota's custodial fee
schedule for the City of Richfield. An estimated yearly charge
paid quarterly for custodial services will range from $4,000 to
$7,000 depending on the amount of security transactions and the
size of the investment portfolio. The fee schedule is subject to
an annual review and adjustment.
The Custody Agreement may be amended by written agreement of the
parties at any time. This agreement may also be terminated by
either party upon 30 days written notice to the other party.
Recommended Motion:
It is recommended that the City Council authorize the City
Manager to execute a Custody Agreement with Norwest Bank
Minnesota for the City of Richfield's investment portfolio.
Basis of Recommendation:
1. It has been recommended by the City Council and the City's
Auditors that custodial services be used to provide proper
• safekeeping of City investments through a third-party agent.
2. Proposals from three providers were solicited. Norwest has
provided a proposal which is most acceptable to City staff.
Alternative Recommendation:
1. The City Council could decide not to approve the Custody
Agreement. That would not address the level of risk
resulting by not holding securities in the hands of a third-
party custodian bank or depository trust.
2. The City Council could direct staff to negotiate an agreement
with another financial institution.
Discussion/Decision Mode:
It is suggested that this item be considered at the September 25,
1989 City Council meeting so that the conversion process can be
completed by the 1989 year-end financial reporting period.
Within sixty days after conversion an extensive review of all
records must be completed to ensure that all items were properly
transferred.
Re ec f lly submitted,
Jame . Prosser
Cit anager
JDP: jm
cc: Steven Devich, Administrative Services Director
. Jean Mitchell, Finance Manager
NORWEST BANK MINNESOTA, N.A.
Custodial Fee Schedule for
CITY OF RICHFIELD
August 1989
Transaction Charges
$25.00 per each commercial paper transaction including purchases, sales and
maturities.
$15.00 per each securities transaction, including Treasuries, FNMA's and FHLMC
buys, sells, and principal and interest payments
$8.50 per each outgoing money movement such as checks, wires and internal
account transfers.
$8.50 per each incoming cash deposit other than the initial deposits necessary to
establish the account.
Account Charges
$500 per account per year
Extraordinary Services
For any service other than those covered above, a special charge may be made
commensurate with the service provided, time required and responsibility
involved. Such services include but are not limited to unusual reports,
certifications, audits, etc.
Additional Charges
Reimbursement for out-of-pocket expenses such as postage, insurance, shipping,
telephone, supplies, etc.
Fee schedule is subject to annual review and adjustment.
Assumptions
The City of Richfield's investment philosophy involves investing in Treasuries,
FNMA's, FHLMC and commercial paper. Special School District #1's investment
philosophy. The above schedule may be changed if the investment philosophy
40 changes to include other types of investments and holding strategies.
• CITY OF RICHFIELD, MINNESOTA
Council Letter No. 217
September 25, 1989, Agenda
Issue Statement:
Master Purchase •Order for Salt To Be Used in Ice Control During
the 1989/90 Winter Season.
Background:
The city council policy resolution on purchasing provides that
when the purchase of merchandise, materials, equipment or
construction exceeds the amount of $5,000, authority to purchase
shall be submitted to the city council for consideration.
Each year, the city purchases rock salt, which is usually mixed
with sand, to control ice on road surfaces during the winter
season. A recent history of prices for this product is:
Year Unit Price Delivery Total
83/84 16.69/ton 2.00/ton 18.69/ton
84/85 21.41/ton 3.15/ton 24.56/ton
85/86 23.47/ton Included 23.47/ton
86/87 20.05/ton 1.95/ton 22.00/ton
87/88 18.96/ton 1.80/ton 20.76/ton
88/89 24.96/ton 1.43/ton 26.39/ton
• Funding for this purchase is included in the 1989 and 1990
operating budgets for street maintenance.
Recommended Motion:
It is recommended that the city council approve the purchase of
an estimated 1,000 ton rock salt for the 1989/90 Winter season
from International Salt Company, Clarks Summit, Pennsylvania at a
unit price of $26.48/ton plus $1.85/ton delivery for a total
estimated purchase price of $28,330.00.
Basis of Recommendation:
1. The city participates in a joint purchasing agreement with
Hennepin County.
2. Hennepin County solicited bids for all the participants in
the joint purchase agreement.
3. Under this particular joint purchase agreement, the City of
Richfield has an obligation to purchase from the low bidder.
4. International Salt Company was the lowest responsible bidder
for rock salt.
Alternative Recommendation:
None
Discussion/Decision Mode:
The Hennepin County contract information for this salt arrived
• after the last council meeting (September 13, 1989). In order to
take advantage of a $2.00/ton discount offered if orders are
placed by October 15, 1989 and delivery accepted by December 1,
1989, staff is asking approval at this time. With the amount of
• covered storage available at the city garage site, approximately
one-fourth of the estimated tonnage will be received at the
discount rate.
Respectfu.112 submitted,
James aD. Prosser
City ge r
JDP/eja
•
n
U
CITY OF RICHFIELD, MINNESOTA
Council Letter No. 216
Agenda September 25, 1989
Issue Statement:
Payment to the League of Minnesota Cities Insurance Trust
Administrator in excess of $5,000.
Background:
The City purchases general liability insurance from the League of
Minnesota Cities Insurance Trust with GAB Business Services as
Administrator. The City's insurance policy has a $50,000
deductible for liability claims. In 1986, the City significantly
reduced its premium by having a large deductible. The premium
savings and additional monies have been used to create a Self-
Insurance Fund to cover payments made which are under the
deductible as claims arise.
On May 26, 1987, Richfield police officer assisted the
Minneapolis Police Department in an arrest at 77th and Cedar.
The subject of that arrest subsequently alleged an injury caused
by Richfield police officers and a denial of constitutional
rights as a result of the arrest.
After a thorough review of the legal issues involved, the City's
• insurance carrier and legal representation made a demand that
each Richfield defendant be dismissed from the law suit. On May
26, 1989, the stipulation for dismissal was filed by both parties
and accepted by the court. Thus, Richfield is no longer a part
of the law suit.
While Richfield has been dismissed from this suit, a significant
cost was incurred to defend the City. The cost for the defense
of this claim is $31,612.36. Since it falls within our
deductible limit, the City is directly responsible for this
payment.
Recommended Motion:
Approve the payment to GAB Business Services in the amount of
$31,612.36.
Basis of Recommendation:
1. The City's insurance policy provides that the insurance
carrier shall, at its discretion, investigate, settle, or
defend any claim or suit against the City. The insurance
carrier and its attorneys have settled this claim.
2. Funding is provided for defense or payment of 'claims
costing less than the $50,000 deductible.
Alternative Recommendation:
40 None.
• Discussion/Decision Mode:
This item is on the September 25, 1989 regular City Council
meeting consent calendar.
Respectfully submitted,
Jame Prosser
City naaer
JDP:ff
•
•
0
RECEIVED SEP 0 7 )989
GAB Business Services Inc
9531 West 78th Street Suite 220
Eden Prairie, Minnesota 55344
Telephone 612-942-9818
Branch Office
Sep ember 6, 1989
Howard Rowland
City of Richfield
6700 Portland Ave.
Richfield, Mn. 55423
Re: Waryge vs. City of Richfield
GAB file no.: 56527-11449
OVER A CENTURY Of SERVICE
Dear Howard;
Please find enclo -sed copies of all bills and payments made concerning
this file totaling $31,612.30.
Per your contract with the League of Minnesc=t- Cities and in
particular po:iicy MF824038R-7 as issued to the City on 7-1-86 through
7-1-87, ME030 Endorsement applies.
• "-is endorsement states that there is a50.0OO.O0 deductible each
_Iccuri-•erce for general liability, auto liability, uninsured motorist,
under insured motorist. personal injury protection and Public
Officials Personal Liabil.it,,°. This portion would apple to this
particu Lar incident.
It also states that the dam,_-,ges include any legal' defense costs, loss
adjustment expense and claims cost.
Could you please review the enclosed material and'then if it is in
order please see that a draft is issued to GAB Business Cervices in
the amount of V31,612.3c. Your cooperation is appreciate.
Sincerely,
Thomas M. Fe1.cy
y n
Adjuster
TMF/nh
' ,
Encl.
7k,
CITY OF RICHFIELD, MINNESOTA
Council Letter No. 215
Agenda September 25, 1989
• Issue Statement:
Approval of an updated 1990-1991 Community Health Services Plan.
Background:
In 1976, the State Legislature passed the Community Health
Services Act. The purpose of the act is to develop and maintain
a system of community health services under local administration.
Community health services are those services provided to protect
and improve people's health by preventing illness, disease and
disease disability.
Through this Act, Richfield receives community health services
subsidy funds from the State to support the provision of services
such as home health, disease prevention and control, health
promotion, family health, environmental health and emergency
medical services.
Since 1977, Richfield has contracted with the City of Bloomington
for the provision of personal public health services. The
community health services provided in Richfield meet the
requirements of the State Community Health Services Act, and have
continually qualified for a subsidy.
The Community Health Services Act requires an Advisory Board of
• Health to advise, consult with, or make recommendations to the
Board of Health on matters relating to the development,
maintenance, funding, and evaluation of community health
services. The Advisory Board of Health met on September 18, 1989
and evaluated the Community Health Services updated plan for
1990-1991. The Advisory Board of Health approved the plan at
that time.
Recommended Motion:
It is recommended that the Richfield City Council approve the
updated 1990-1991 Community Health Services Plan.
Basis of Recommendation:
1. By approving this plan, the City will meet the requirements
necessary in order to receive a State subsidy for the years
1990-1991.
Alternative Recommendation:
1. The council could decide not to approve the updated 1990-
1991 Community Health Services Plan. This would mean that
the City of Richfield would not meet the requirements
necessary to receive a State subsidy for 1990-1991.
•
•
Discussion/Decision Mode:
The updated 1990-1991 Community Health Services Plan is being
presented for City Council approval at this time.
Respectfully submitted,
James Prosser
City nager
JDP:sae
r]
. PROPOSED 1990-91 CHS PLAN CHANGES
HOME HEALTH
Addition:
ISSUE 7:
With the growth of the population over age 65, along with the trend
to support an individual's ability to live as independently as
possible, a variety of issues arise related to group living options.
Many group community living alternatives are developing outside of
the regulatory system. The role of public health in "ensuring
conditions in which people can be healthy" requires guiding the
evolution of community group living options which promote personal
independence, prevent abuse and neglect of vulnerable adults, provide
adequate care, and deal effectively with city planning concerns.
Method Define and monitor health concerns in unregulated
senior group homes.
Method 2. Develop community guidelines for dealing with health
issues in the variety of community group residential
arrangements.
0 Evaluation
1. Summary of identified health issues related to unregulated
croup living situations for seniors.
2. Presence of developed guidelines.
DISEASE PREVENTION AND CONTROL
Addition to issue 2, Objective 2:
Method 8. Provide support for the initiatives of the Tri-City
HIV Infection Coalition.
HEALTH PROMOTION
Revision of Issue 2, Objectives, Methods and Evaluation:
Cardiovascular disease and cancer are the leading killers of American
adults. Heart disease is the leading cause of death in Bloomington,
Edina and Richfield. In 1986, 700 residents died from cardiovascular
causes. Cancer was the second leading cause of death, killing 248
residents. Many of these deaths can be prevented. Life style
choices are believed to contribute to more than 50 percent of the
premature deaths from heart disease. According to the National
• Cancer Institute, nearly 60 percent of deaths from cancer are related
to life style choices. Life style changes, especially diet, can
significantly impact the health of our cities' residents.
. Elevated cholesterol levels is one of the major causes of
cardiovascular disease that can be modified with a.change in life
style. The blood cholesterol level of most Americans is undesirably
high, in large part because of our high intake of calories, saturated
fat and cholesterol. Appropriate changes in diet will reduce blood
cholesterol and thereby reduce the number of deaths.
It has been recommended by the NHLBI National Cholesterol Education
Program that every adult American should know his/her cholesterol
level and make efforts to monitor and control it. The NCEP has
released guidelines for evaluating cholesterol levels which has led
to numerous cholesterol screenings in the community. Concern has
been voiced that the quality of these screenings is questionable.
The results are not reliable and/or there is little or no education
or follow-up. The following recommendations have been made by NCEP:
- To ensure reliable test results, strict quality control
measures and extensive staff training are necessary.
- To ensure that the screening experience is useful, high
quality education must be provided.
- To ensure medical treatment, appropriate recommendations
should be given to participant and a system of follow-up
should be initiated.
• Another concern is reaching potentially high-risk groups. Certain
groups tend to attend screenings: elderly women who are well-
educated with a higher income, white adults and previously screened
individuals; while men, younger and middle age adults and low
socioeconomic groups attend screenings less often even though these
groups tend to be at higher risk.
Objective Z. To increase awareness of cholesterol leve',,ls by
providing high a'uality public cholesterol screenings; to lower
elevated cholesterol levels by incorporating education and follow-up
activities into screenings and providing additional support services
for people seeking to control cholesterol levels; and to promote
appropriate life style choices to reduce the incidence of heart
disease and cancer.
Method 1. Offer rapid cholesterol screening and education to
the Bloomington, Edina and Richfield residents on a
regular basis at the Bloomington HealthlDepartment.
Method Z. Promote cholesterol awareness through public
education.
Method 3. Target high-risk groups by promoting programs to work
sites that employ predominately young male workers
and/or lower socioeconomic residents.
• Method a. Offer cholesterol education to all participants in
public cholesterol screenings.
2
• Method 5. Follow-up on all high-risk individuals by mail or
phone encouraging them to seek medical attention.
Method 6. Provide individual or small group education to all
participants in cholesterol screening.
Method' 7. Or'fer additional nutrition education to participants
in screening and to all residents through regularly
scheduled nutrition workshops.
Method 8. Offer the Health Risk Assessment Program to
individuals seeking more complete blood analysis,
screening and education.
Method 9. Provide environmental support for healthy dietary
choices by providing the Shop Smart Program to local
grocers.
Method 10. Offer health risk assessment and education to
individuals through the Bloomington Health
Department.
Method 11. Offer health promotion talks focused on nutrition and
chronic diseases to the community.
• Method 12. Provide nutrition counseling on an individual or
grouo basis.
Method 13. Collaborate with the Bloomington Heart and Health
Program on a community smoking cessation campaign.
Method 14. Work with the Bloomington Heart and Health, Program in
providing work site smoking consultation.'-
1. Number of participants in cholesterol screening and
education program.
2. Number of community nutrition workshops conducted and number
of participants attending sessions.
3. Number of work sites requesting screening services and
number of employees screened.
4. Percent of high-risk individuals utilizing services.
5. Number of high-risk individuals receiving follow-up.
6. Number of individuals receiving complete lipid analysis and
• education through the Health Risk Assessment Center.
Number of grocers utilizing the Shop Smart Program.
• 8. Number of Health Risk Assessment Center programs offered and
number of participants attending.
9. Number of health promotion talks presented and number of
participants attending.
10. Percent of high-risk participants utilizing service.
Addition:
ISSUE 8:
Effecting desired healthy behavior choices in school-aged children
requires the mobilization of many community groups to work
cooperatively both inter-organizational and inter-disciplinary. We
know from experience that well-conceived, community-based health
promotion programs can enable the community to encourage and support
healthy behaviors and can have an important impact on life styles and
risk factors in the population; and when programs are sustained, that
it 1S pOSSIble to maintain the behavior changes over time.
Objective 8. Demonstrate collaboration with the schools and other
community constituents in supporting the model learner outcomes
(behaviors) for health education.
• Method 1. Participate as a program leader in the Minnesota
Department of Education's Health and Wellness
Education Program Planning Project.
Method 2. Develop and implement School-based Cholesterol
ProJject.
"'
Fva iilarTnn
1. Application of the project.
2. Identification of learner outcomes.
EMERGENCY MEDICAL SERVICES
Replacement:
PR08LEM STATEMENT
Sudden illness and injury can occur at any time. Timely intervention
of emergency medical services is needed to provide a rapid means for
recovery.
STATEMENT OF NEED
Individuals who experience emergency medical needs require immediate
• intervention of trained EMS and support personnel. Response
requirements may involve one victim of illness, or a very large group
of trauma victims followine a disaster. These needs must be met on a
1
24-hour basis.
The police department responds to medical calls, 24 hours a day, with
First Responder trained individuals on every call and EMT trained
individuals on many. The fire department provides 24-hour-a-day
assistance if needed in the areas of: fire suppression, auto
extraction; hazardous materials, and large scale search and rescue
(2k-hour ambulance service is provided by a private company). The
rescue squad supports the police and fire departments when available
with additional EMT personnel and EMS equipment.
Each of the response groups are managed by their Department Head.
Coordination of the public safety emergency services is the
responsibility of the Emergency `tanager.
Needs exist to:
1. Continue personnel training.
2. Ucdate and develop inter-department planning.
3. Upgrade and maintain EMS communications equipment.
4. Develop public awareness of EMS resources and how to access
• them.
5. Continue overall system management.
COAL I: To increase the abilities of EMS response through training,
planning, communications, public awareness, and system management.
Objective 1 Respond to medical emergencies 24 hours a day.
Method 1. Ensure availability of trained personnel,to meet
medical emergency needs around the clock.
C-I..ter;-
1. Training to First Responder level or higher.
2. Number and tyres of response.
3. Average response time.
Objective Z. Develop and update inter-department training.
Method 1. Prepare city-wide emergency plan including the
integration of-all medical services including EMS
response.
• evaluation
:Distribution or plan.
• 2. Test and exercise plan during training.
Objective 3. Upgrade and maintain EMS communications.
Method 1. Develop inter-agency communications for both field
and Emergency Operations Center to enhance EMS
abilities.
1. Obtain and use radio equipment.
Objective 4. Develop public awareness of EMS resources.
Method 1. Meet with community leaders and groups to train in
the use of 911 System to activate EMS.
1. Number of meetings.
Objective System Management.
Method 1. Use the Office of Emergency Management to plan and
coordinate EMS activities.
• Evaluation
1. Participate in planning activities with Board of Wealth.
2. Monitor EMS response activities.
DELEGATION AGREEMENTS: None
REQUESTED MINNESOTA DEPARTMENT OF HEALTH ASSISTANCE: None
M
TABLE OF CONTENTS
Page
Home Health ................................ 2
Family Health ............................... 6
Family Health Resource Bibliography......... 14
Disease Prevention and Control, Health
Promotion Resource Bibliography............ 31
Envir^,r.*nen Health Serv4Ces ...............
SeT_"7=Ces.. ... . .
U
C.
A,
HOME HEALTH
0 PROBLEM STATF?tFVT
Proliferation of home health services and products with minimal
measures of quality and ineffective coordination creates the
potential for misuse of personal and public funding as well as
unnecessary health problems.
Limitation of home health for the low income or chronically ill
can cause personal hardship and inappropriate use of nursing
home.
GDAr,. To ensure that persons whose illnesses or disabilities
require health care but do not necessitate institutional services
will gain access to care that will improve or maintain the
maximum health status for their conditions.
STAT yr `rT nF N777- mu^ QVEF?7TFT+7
T" ag-ag current- dr_ve towards
ccr_ta_._.;,e--, hac ant _mpacr or_ acme health care.
- a - -?z t -?--: _- by ` a t- - Research 7-r-ccra -_on, hcme health
==e pad t- -=5- of l.nat consumers say
t.hev need. _ e-c?ca_?_ng this fu pure mare-, most health care +
organizations are "getting to home care. In Hennepin County
alone there are now at least 29 Medicare-certified home care
agencies. Increasing need requires increased services, but with
increasing services--many of which are publicly financed--comes
the need to create standards of quality and community
coordination to protect the population in need.
Recognizing the potential for confusion among residents about
home health services as well as documented events 'of residents
being "sold" services and products that fail to meet their health
needs, public health has an important role in providing residents
with useful information on home health options. This information
should be targeted towards population segments likely to be faced
with home health decisions. The population of 21,592 individuals
over age 65 in Bloomington, Edina, and Richfield, and their
children, will be faced with the majority of home 'health care
decisions. Outreach to this group organizing cost-effective home
health care.
QhI Pn-H VP 1 Tnn-r=Agp awarpnacc of and arrnnQPmeI is fnr
a,anrnnriat'P hnmP e-ArP GPrVi rec Amen= targpt g-rn ing
Method 1. Active personalized marketing of public health
home care services to specific groups of
consumers and providers.
•
PAGE 2
}
0 Method 2. Provide information and referral services to
residents via intake system.
Method 3. Provide home health assessment and consultation
for residents in organizing care.
Evaluation
1. Number of outreach encounters.
2. Target group surveys of service awareness.
3. Source of referrals.
ISSUE 2:
Public health has a chang4ng role in home health care, from an
emphasis on short-term therapeutic care to loncer term chronic
conet_ors. ?_. adds ?. _
_e='S is c=Ow
_ y.ng r=74 - Oi c a en s
_ ? care. 73-cause cff _nVerJe
r e,a ionsn_^ "bet We=:' - 21'_:rne and cost, i is important ro ac-i re-V
keel t:le TIC-S ume C= care as high as cossiiule. or .. - reaSCn
marketing continues tC be important-
Objective 2. Provide intermittent arofessional health care in
t1afthome setting regardless of inability of oav to those who
n health intervention or sunnort.
Method 1. Public health nursing services will be provided
based on an integrated plan of care and utilizing
nursing outcome criteria.
Method 2. Home health aides /homemakers will provide
intermittent personal care and supportive
homemaking as needed or through supplemental fee-
for-service.
Method 3. Physical, occupational, and speech therapy will
be diracted towards specific patient problems.
Method 4. Psychiatric nursing services will be utilized to
enhance/ extend nursing service.
Method 5. Medical social services through an agreement
with Lutheran Social Services.
Evaluation
1. Number of patients and visits by discipline.
02. Quarterly record reviews.
Page 3
I A_
3. Patient evaluation of quality/satisfaction of services.
4. Medicare certification.
ISSUE 3•
During the past 30 years, public health agencies have developed a
cost-effective home care service that would be valuable as
adjuncts to HMO or employer health packages. In order to be
considered, public health agencies need to have a standardized
system. Through the Public Health Nursing Cooperative, Transcare
can serve as such a vehicle.
Objective 3. Provide a metropolitan public health home care
model as an option ?o :MOs and em-plovers.
Method 1. For .al
Public
v?ethod 2. ??a=ke
`^e -, cd 3.
E'v alua J_on
ize the operational structure of the
Health Cooperative Transcare project.
'_anscare services to providers.
.„y arscare services to group purchasers
• 1. Case-based cos- measurement
2. Patient outcomes.
TQCTT7 d•
Because of the curr_nt trend of horizontal and vertical
integration, service alignments need to be established in order
to be a part of coordinated service delivery.
Objective 4. Establish collaborative relationships which are in
the best interests of the community.
Method 1. Participate with Presbyterian Homes and H.O.M.E.
in providing coordinated Home Services of South Hennepin.
Method 2. Participated with the Hennepin CountvCommunity
Health Department as a provider in the PAS/ACG program.
Evaluation
1. Compile utilization statistics.
2. Assess patient satisfaction and perceived benefit of
continuity of care.
ISSUE 5:
Page 4
4 ile there is a need for multiple services and providers in both
te public and private sector to meet the growing need in the
home health care field, organizations which have entered the
market for primarily profit motives have demonstrated instances
of misusing private and public funds. To protect individuals
from being sold misdirected "goods" and to protect the taxpayer
from misuse of their tax dollars, the public policy which guides
the development of a system of cost-effective home health care.
Uojeczive o. Promote public health olicv which (1) addresses
accountability for use public funds in home health services, (2)
promotes cost-effective services, and (3) minimizes fragmentation
of care.
Method 1. Document home health system problems.
Method 2. Document cost-effectiveness of the public health
model for home care. Continuity of care.
Me Cnod 3. Pa_ ___^a ?e _ developmenz or S,,
- in 1andar s of
a?
-ssurance for home heal. care agenc4es.
-vaIuan
1. Development- of oublic policy which protects consumers
• and maximizes effective and efficient use of public
funds.
TS.7TTF F
The future of public health is partially reliant on the extent to
which students have an opportunity to gain an understanding of
the role of public health in the health care delivery sys4em.
While they can acquire experiences in community health in'.
multiple settings, the public health setting offers a more
comprehensive overview of the role of the public health
professional.
Objective 6. Facilitate the devel
nursing knowledge and sk411s among
within the community nursinq set ti
a select number o
health
students
Method 1. Provide home visit experiences to students with
clients who have a variety of needs.
Method 2. Provide involvement with community health
services such as screening clinics and special
programs.
Evaluation
1. Input to clinical instructor from coordinators and
primary nurses regarding each student's follow-through
with assignments.
nt of ccmmuni
Page 5
A.-
•
FAMILY HEALTH
PROBLEM STATEMENT
Timely, affordable health care is needed to promote family well-
being and ensure hea'_t::y child growth and development.
GOAL: To enhance t^e opportunity for optimum health among
parents and children by promoting access to and utilization of
_nd health promo-_or_ ser-' _,.=s .
F Vim- -
W
vtaP.v yaC7OrS ^paC =..^_e =am4'v's abilit,7 t0 successfully +
nurture
the,r cr.,_dran a:.c the__+child to develop op__mum potential.
• ISSUE 1.
Prenatal care reduces prematurity, low bit;-.h
ortali+v. The _ ns-= - •,?=e of ,,,T _ ei?ht, and infant
:n Medicine, part o--,: t• the National
Academy of Science, reccrts that each "$1 spent on prenatal care
saves 53.38 in the batv's first year alone." Health education,
including proper nutriticn, steps to prevent problems,-and
emotional /psvchosccial support have been shown to decrease pre-
term labor and improve birth outcomes. The earlier prenatal care
is initiated, the likelihood of a birth of a healthy b'.abv will be
increased. A total of 11.5% of all Bloomington, Edina'„ and
Richfield births started prenatal care in the second or third
trimester or received no care at all. Individual services
directed at prcmoting early and continuous prenatal care and
connecting with, providers of prenatal care to improve access to
them can imprcve birth outcomes to Bloomington, Edina,', and
Richfield residents.
Objective 1. To promote positive birth outcomes through
increasing access to utilization of timely, continuous
comprehensive, quality prenatal care as measured
- by an increase in the percent of women who receive early and
continuous prenatal education and care;
increase in the percentage of babies weighing 5.5 or more
• pounds at birth.
Method I. Extend nursing care to target populations:
Page 6
W.E.C. clinic clients
• Family Plaftni=ig-STD clinic clients
Hennepin County Community Health Department
prenatal clinic
C.E.C. program
High risk referrals
Method 2. Connect clients with appropriate clinical
services.
Develop collaborative relationships with local
service providers.
Support the Hennepin County Community Health
Department South Suburban Prenatal Clinic.
Method 3. Provide prenatal/postpartum nutritional guidance
and support.
Maintain W.I.C. clinic services.
Extend individualized nutritional guidance for
defined needs.
1. Number of Bloomington, Edina, and Richfield residents
receiving prenatal care in the first trimester.
• 2. Percentage of babies weighing 5.5 pounds or more.
3. Percentage of W.I.C. caseload of pregnant women.
4. Number of clients accepting services.
5. Number of visits.
Routine and periodic screening services can identify deviations
from normal growth and development before they become severe and
more costly to treat. Early identification of these deviations
can prevent long-term costs to the family, schools, and community
as a whole. Data from the South Hennepin Human Services Survey
indicate that health care services are very important to the
residents of South Hennepin.
- "73.2% of the clients using the energy assistance program
said low cost health care was a very important',service."
- "255 of the low income respondents had serious health
problems."
0 Page 7
A comparison of income to insurance status and type reveals that
after excluding women receiving Medical Assistance, 41% of
persons with incomes below $5,000 have no health insurance, and
2196 of those with incomes over $15,000 have no insurance. In
. addition, 38,000 Minnesota children living in families with
income below the poverty level have no health coverage. An
additional 62,000 above the poverty level do not have health
insurance. Many of Minnesota's children and women of
childbearing age are either uninsured or underinsured. The
working poor are the most vulnerable because they do not qualify
for Medical Assistance.
The Children's Defense Fund reports that when the family income
is limited, routine well child care is often discontinued. It is
viewed as a financial burden, but, when compared to what the
costs would be to let a potential problem that can be dealt with
in early intervention may turn into one that needs expensive
medical and educational intervention, the savings are not there.'
As an example, ear infections are a common childhood experience.
If left untreated, hearing loss and speech changes can occur.
Treating an ear infection is relatively cheap compared to costs
of hearing and speech therapy and special education. Well child
services are being provided by the Bloomington Health Division
currently. But, due to the increasing numbers of the uninsured,
establishment of more comprehensive clinical services will need
to be explored.
In addition to screening services, nutritional services are also
a necessary component in the promotion of health children.
• "Infants with inadequate food are more likely to be mentally
retarded, learning disabled ...or have more behavior problems than
other infants. Poor nutrition is one of the major causes of
mental retardation. Women, Infants, and Children, or W.I.C., is
a food supplement program for low income children to age 5 and
pregnant or breast-feeding women. Studies have shown that W.I.C.
participants have diets that are higher in iron andl,key vitamins
than non-participants, and children on the W.I.C. program are low
income and, therefore, are uninsured or underinsured and are at
risk to not use routine health care. Children enrolled in the
W.I.C. program are more likely to have a reqular source of health
care and were better immunized.
The individualized promotion of healthy and constructive
parenting can impact the growth and development of the child.
These home visits provide individualized health education,
emotional support, and positive parenting practices. Public
health nursing services can effectively impart health knowledge
to high risk mothers and can effect positive changes in maternal
attitudes and parenting practices. These changes may be
associated with positive changes in health and development for
infants."
0 Page 8
Y
• Method 1. Provide low cost, comprehensive Child and Youth
Clinic screening services.
Method 2. Explore the establishment of a south suburban
satellite clinic for comprehensive, low cost
children's clinical services.
Method 3. Provide preschool screening services according to
defined contracts.
Method 4. Provide W.I.C. services according to contract.
Method 5. Promote healthy, constructive parenting through
individualized guidance targeted towards:
"family support" referrals
C.E.C. teen mothers
Parents reques-4-g guidance
:? . . C. mot ers
care parents
tar
- acenc,7 r-erra s
:"i4 and out.. C14n1C parents
?am-4_v Center participants.
• Evaluation
1. Number of
2. Number of
3. Follow-up
outcome.
4. Outcome o:
ISSUE 3:
individuals served by nature of service.
visits by nature of service.
on clinic referrals to determine referral
parenting support services.
Fifty percent (50°s) of teens in Bloomington, Edina, and Richfield
indicate having engaged in sexual relations by age 18. The most
recent available statistics indicate an annual total of 314
pregnancies to Bloomington, Edina, and Richfield teen-age girls
in 1982. With two-thirds of these teen pregnancies ending in
abortion, the extent of the problem remains largely hidden.
While much community energy has been directed towards stopping
abortion, little has been directed towards preventing the need
for abortion. The 1987 South Suburban Coalition for the
Prevention of Teen Pregnancy spring conference, "Insights and
Intervention," corroborated the importance of public health
leadership in developing broad-based community support 'for
parents and youth. Five thousand
(5,000) Minnesota have chi
.each year. Babies born to Minnesota teens are almost twice asren
likely to be born under 5.5 pounds or to die in their first year.
Four out of five Minnesota teens who give birth at 17 or younger
Page 9
1
never finish high school. Teen moms are likely to be
. undernourished and to suffer from complications. a total of 3.2%
of Bloomington, Edina, and Richfield births are-to individuals 19
and younger. Ten percent (10%) of all teen births received
prenatal care in the second or third trimester or no care at all
in Bloomington, Edina, and Richfield.
Community education to promote delayed sexual activity among
teens and awareness of responsible sexuality is vital. Parents
are held responsible for sexual education but lack the support
and the "how-to". Imparting human sexuality information needs a
full focus approach. The community, schools, and most of all,
the family need the technical assistance of how to relay values,
responsibility, and how to improve communications with teens.
Affordable family planning services will be provided for those
choosing to be sexually active.
Method 1. To provide community education which promotes
delayed sexual activity among teens and awareness
of responsibility for family planning methods for
the sexually active.
Method 2. Continue to provide family planning and basic
• gynecological clinical services with a sliding
fee scale.
Method 3. To extend supportive services in the community
through leadership in the South Suburban Teen
Pregnancy Prevention Coalition.
Eval up-H on
1. Number of clinic patients.
2. Number of clinic visits.
3. Evaluation of clinic participants.
4. Number of community education sessions.
5. Number of education participants.
6. Evaluation of learner outcomes.
7. Accomplishments of the "Coalition"
TSSiT
is Child care services are increasing in south Hennepin County.
This is in response to the need for child care. It is estimated
Page 10
that 60$ of all mothers work outside the home. There has been an
increase of 26 child day care facilities over the past year in
South Hennepin. Children in day care are at an increased risk
for communicable diseases. Public Health consultation is one way
to reduce spread of communicable diseases as well as promote
healthy child care provider/child relationship.
The school age population is among the healthiest of all age
groups. It is also a population where targeted health
interventions can yield the greatest benefits. Students are a
captive population for developmental screening as well as
promoting patterns of healthful living. School health programs
need to be directed towards the common needs of age groups as
well as targeting special problems.
Children in other group settings are a population that could
benefit from developmental screening. These children may have
routine health care but may be at risk for a developmental delay.
Group development screening is a cost-efficie.^.t wav to identi-Fv
these ch_4 7 _dr-an _.. _ -ck. -
New _ za..e and _ece_ a1 - I eC- J-C _on Gs mCrC.
_ -..-d 1
:......? ?? !? - mande--e- that 'he school
d-; S ?..r.4 c s as
T
-vi -?lCar en icn needs
of 3-year-o7 cs.- ?ec_slaV^-orV?s pending .,_rth-to 2.) Mu't;-
disci_ lirar-,T _ -70lvement _s also mandated. ?,,.:-14c Health hasl_u ?
takenUa leadership role in designing this system and ensuring
• that it will be family-focused and in the best interest of the
child. A formal system will be in place by September, 1987, for
3-year-olds.
Objective 4. _omota we " ^ess among children in croup settings.
Method 1. Provide consultation visits to day care/nursery
sch ools for health promotion. and disease
prevention and control.
Method 2. Provide guidance to family day dare providers.
Method 3. Provide school health services to parochial
schools on contract with the school district.
Method 4. Extend development screening to children in group
settings:
a. day care
b. battered women's shelters
c. schools.
Method 5. Build in a public health nursing component to the
• schools' Interagency Learning Program
Evaluation
Page 11
i
0 1. Number of visits.
2. Number of children screened.
3. Outcomes of screenings.
4. Number of group sessions.
5. Number of group participants.
6. Learner outcomes.
ISSUE 5:
Family dysfunction can have many causes. Providing services to
children and their families when an injury, disease or disability
exists is necessar:T. Reducing the long-term effects of the
S cc Lens.-a , -and -preventing
. ... er -.-+-
_S- cas_c public health.
'SS
Y?• Cris_ .: ,ir lCSs are al. riSK
?.r e dove=^c^en-
cfd_sease, manual ore'ku child
and nee-' ec- J??, ?v ?p or abuse
7? ?• .,__ Health nursing intervention -oc ses on
assessment and short-term counseling for matching the family with
. an appropriate resource. When families are stressed, they are
often not-
ot able to access helping agencies without support.
Public Health intervention is also offered to families following
a police call. Services are extended to these families as a
means to increase functional communication and decrease repeat
rPolice calls. Officer safety is jenrnardi'-ed SJi1'.'^, each repeat
call. Children in homes where domestic violence'; exists are at
risk for child abuse and neglect. The Public Health Division
received 236 referrals in 1986; 60% of the families accepted the
help offered.
Suicide is also a symptom of family dysfunction. It accounts for
25% of the deaths in the 15- to 24-year age bracket. The suicide
rate for teen.-ace mothers is ten times that of the general
population. A community-wide venture will be initiated to
explore the problem and possible solutions.
Objective 5. Provide Public Health services to children and
parents experiencing disease, disability or crisis
Method 1. Nursing services will be made available to assist
parents in providing appropriate health care for
children affected by injury, disease or
disability and/or for health promotion and
• disease prevention and control.
Method 2. Public Health nurses will extend counseling to
families experiencing a health-related crisis or
loss.
Page 12
• Method 3. Families at risk for domestic violence will
receive serviceq through the family support team.
Method 4. Collaborative community ventures for suicide
prevention will be initiated.
Evaluation
1. Number of clients by nature of the problem.
2. Number of nursing visits.
3. Outcomes of interventions as indicated in periodic chart
reviews.
4. Community-specific suicide data will be collected.
CJ
t
0
Page 13
A
c
0
FAMILY HEALTH RESOURCE BIBLIOGRAPHY
1Preventing Low Birth Weight, Institute of Medicine, National
Academy of Sciences
2Minnesota Department of Health, Center for Health Statistics.
3Human Service Needs in South Hennepin, 1987.
4Analysis of Health Insurance Coverage and Health care
Utilization and Expenditures in Minnesota for 1985.
5Health of Minnesota's C:^_? r=_n, Investing in the Future, League
or Women Voters.
F,
"Chi_ .r e_^.'s Lef=nse . -::? - .._^nescta _ Project, 1986
7Pub1_c Heal,... Currer._s Jo-l. 46, No. 4 1986
8Agectiveness s-Orme, Terri, Janet Reis and Lydia Dantes Ward,
of Home Visits by Public Health Nurses in
Maternal and Child Health, "Public Health Reports, Sept.-Oct.
1985, Vol 100, No. 5, p-. 490-49.9.
9'I'een Perspectives on Sexuality, Bloomington Public Health
Division, 1985.
Domestic Abuse Project, Minneapolis.
1Levering, Carol Swanton, "Teen-age Pregnancy and Parenthood",
Childhood Education, Vol. 59, No. 5, 1983.
0
Page 14
•
PROBLEM STATEMENT
Failure to identify, prevent, and control communicable disease
endangers the well-being of individuals and the community.
GOAL: To diminish the incidence of and problems related to
communicable diseases where cost-effective prevention and control
measures are available.
ISSUE 1:
Communicable diseases have a significant impact on the population
including days of restricted activity for persons of all ages,
decreased work ^rcduct?<r?-v loss of income, increased heal
car e ccs mss, an= Increased th
JC'Cial COS "s .
_7cidemiolcc_c ___v__es ccns-strnc primari communic -e
c-sense surve_-_ance and ?nves iga-z_-n are i and
assent_._- elsimen,s c_ in-fec`ious disease *""° t.7cn` ? tioer. and control.
• Communicable diseases occur when bacteria, viruses, parasites and
other pathogenic organisms gain entry and cause damage to the
bcdv. They are transmitted through a variety of mediums
including air, water, food, animals or contact with an infected
person.
-cod-borne diseases, crimarily of a gastrointestinal nature and
often caused by enteric bacteria (e.g., salmonella, shigella, or
staphylococcus), viruses (e.g., hepatitis A. Norealk), result
from infected food handlers and/or improper --cod handling
techniques, and generate hundreds of citizen complaints each
year. i
When water-borne diseases occur in this area they are caused by
individual water supply problems as opposed to municipal water
contamination.
Currently, more than half of mothers with young children are
working outside of the home with their children cared for in day
care settings. A variety of infections have been documented in
children being cared for in these settings, sometimes with spread
to caregivers and to others at home. The most common infections
found are those of the respiratory or gastrointestinal tracts.
There are several factors that place children attending day care
at increased risk of infection, including close physical contact
for extended periods of time; poor hygiene habits; and immature
immune systems. In addition, when there are young children in
diapers, diarrheal disease may occur and be spread when
handwashing and environmental sanitation practices are
Page 15
inL"equate. For these reasons, surveillance of communicable
di ase is especially important in day care settings to-decrease
the risk of transmission and the severity of outcomes.
In 1986, there were 184 investigations and reports completed of
confirmed (laboratory confirmed and/or ipi-linked) cases of
reportable disease, excluding sexually transmitted diseases and
tuberculosis, in Bloomington, Edina, and Richfield. This number
does not reflect, however, an almost equal number of
investigations conducted where confirmation was not possible or
the disease was not a reportable disease (e.g., head lice), but
where education disease was not a reportable disease (e.g., head
lice), but where education was provided and prevention and
control recommendations were made.
Objective 1. To assume or-ncical resconsibility for communicable
disease surveillance, ;.nves-_cat_,;on, consultation, inror_nation,
and training within our g=ven Jurisdiction.
Method 1. Too A
^ass?.ve ?._sease sur-re-__a^ce systam
slanca?
"u in-forma;-on an all
_?cr ,.??__ .._s?ases ?r?m ?::ose re^u=red ?o
reocr ,.. `?
Method 2. To investigate all reportable diseases (except
• gonorrhea, syphilis, chlamydia, and
tuberculosis) .
1. Conduct interviews related to the
investigation and complete State/Centers,for
Disease Control surveillance form.
2. Obtain specimens and samples for laboratory
analysis when appropriate.
3. Make prevention recommendations and implement
control measures.
Method 3. To investigate cases of reportable and non-
reportable illness in excess of what is normally
expected and may be derived from a common source
(outbreak investigation).
1. Conduct interviews related to the
investigation and complete State/Centers for
Disease Control surveillance form.
,2. Obtain specimens and samples for laboratory
analysis when appropriate.
0 3. Make prevention recommendations and implement
control measures.
Page 16
•
4. Collect, analyze, and interpret outbreak
data.
5. Prepare and disseminate summary report.
Method 4. To provide consultation, information, and
training concerning infectious diseases.
1. Provide technical assistance and consultation
to staff and other health professionals by
telephone and in person.
2. Provide training seminars and inservices for
staff and other health professionals.
•
3. Provide information (research findings and
educational materials) upon request.
4. Develop and provide audiovisual
Rva
l tiat- i nn instructional/educational pieces.
1. Number and kind of disease-specific reports by city.
2. Number and kinds of disease investigations by city.
3. Disease investigation outcomes.
4. Number and kind of professional education provided by
city.
5. Number and kind of public education provided by city.
6. Number and kind of educational materials requested and
provide d.
Lyme Disease is a newly recognized disease caused by bacteria and
passed to humans by the bite of a very small tick called Ixodes
dammini. This tick lives in wooded, grassy areas and is most
active and feeding from April through October. Although Lyme
Disease is not life-threatening, later symptoms of the untreated
disease can include complications of the heart, nervous system or
joints. Most patients, particularly if treated with an
antibiotic early in their infection, do not develop these
symptoms.
AIDS is a major public health and human service problem and was
accordingly named the number one priority of the United States
• Page 17
Public Health Service. The consequences of this disease are
devastating, not only physically, but also emotionally, socially,
and economically. The only way to stop this disease now, is to
prevent infection in the first place. This requires a long-term
prevention strategy of health education and behavior
intervention.
AIDS-related illness is a very serious and widespread problem
pandemically, nationally, and here in Minnesota and our
communities. As of May 18, 1987, Minnesota had 201 cases of
AIDS. Thirty-eight (38) of these 201 cases had as their
residence at onset the seven-county metropolitan area (excluding
Minneapolis and St. Paul); 5 of the cases resided in Bloomington,
Edina, and R4chfield at onset. The Centers for Disease Control
estimate that for each case of AIDS there are 50-100 persons
infected with the virus. Most of these individuals are gay and
bisexual men, and probably only 1,500 of the 20,000 know that
they are infected. Nationally , the estimate is 1.5 million
infected.
In ?'=-•= e=cc?, ve ro'ec_ ?60 new cases cf A,_nS in 1990 of which
43-=5 ca =-1 be the result c= heterosexual sex.
The eco cmic predict-ions for AIDS are also staggering. The
Minnesota Depar-ment of Health predicts "From 1986 through 1990
• the estimated impact of AIDS on Minnesota in terms of combined
direct health care costs and estimated disability costs will
range from S78- to $155 million. With the inclusion of indirect
mortality costs as a measure of the value of life lost to the
disease, the complete economic impact of AIDS for the interval
1986 through 1990 may range from $430- to $840 million."
(Minnesota Department of Health, 1986: 82-83)
It is appropriate for public health to assume a leadership role
in the development of a coordinated community effort to minimize
the impact of the AIDS epidemic.
Objective 2. To focus on special communicable disease concerns
such as Lvme Disease and AIDS prevention.
Method 1. Inform the community through printed material
and telephone contact about the emergence Lyme
Disease.
Method 2. Provide education on AIDS risk reduction
practices through clinical services, schools,
community organizations, and businesses.
Method 3. Provide epidemiologic teaching, inservice
education and consultation for health
• professionals concerning AIDS medical research,
epi trends, infection control, HIV antibody
testing, and counseling.
Page 18
Method 4. Provide consultation/technical assistance to
schools and businesses developing HIV infection
policies,
Method 5. Provide accurate AIDS information to the public.
Method 6. Make referrals to knowledgeable and concerned
providers of medical and psychosocial
professional services.
Method 7. Provide space and support for an alternate test
site as an adjunct to family planning/sexually
transmitted disease services.
Evaluation
1. Results of knowledge, behavior and attitude surveys.
2. Number and kind of educational services provided to
sc^cols, ccmmuni?-T organizations, businesses, and
3. Number and k_nd of epidemiologic inservices provided to
healt professionals.
• 4. Kind of technical assistance/consultation requested and
provided to schools and businesses.
5. Number of public requests for AIDS information.
6. Number of referrals made.
ISSUE 3:
Reproductive health includes any factor affecting males and
females-of reproductive age that may influence their ability to
produce children and to affect the health of their offspring.
Untreated sexually transmitted disease can lead to such problems
of infertility. One problem is those with no symptoms. With
gonorrhea, for example, up to 80 96 of females and 20 $ of males
may experience infection without symptoms. Without symptoms, the
infection is likely to spread and result in permanent sterility.
In 1984, there were 113 reported cases of gonorrhea among
Bloomington, Edina, and Richfield residents. "Although not
reportable, the incidence of chlamydia is estimated to be two to
four times that of gonorrhea."
According to the American Social Health Association (ASHA) more
than four million people are infected with chlamydia each year
and the disease is four times as frequent as gonorrhea.
It is estimated, said the ASHA, that about 30$ to 50$ of the one
million women who have pelvic inflammatory disease annually are
Page 19
• infected with chlamydia. The disease may cause 100,000 women per
year to become infertile and may be responsible for 20,000
ectopic pregnancies each,year.
As there are no other low cost, confidential screening, diagnosis
and treatment services for sexually transmitted diseases in
southern Hennepin County, the Bloomington Public Health Clinic
plays a significant role in increasing accessibility to services.
Timely outreach and education to high risk groups is essential in
preventing sexually transmitted disease as fear and ignorance are
two major enemies in preventing them. Seventy percent (70%) of
respondents in the Hennepin County Public Opinion Poll saw
sexually transmitted disease amchg teen-agers and young adults as
a significant problem that needs more attention. Once diagnosis
is make, it is essential to work towards preventing further
spread through education and epidemiologic follow-up.
Objective 3
trarsm_ ..-Sa
`^e -ncd , . To _ rovi de communes lr educa-,cn on preventing the
acguisiticr_ and spread of ST--s.
Method 2. To provide low fee, confidential, biweekly
• clinical services for prevention, diagnosis, and
treatment of STDs.
Method 3. Report cases of gonorrhea, syphilis, chlamydia,
ar_d AIDS/HIV infection to the state with sex
partner(s) locating information when possible.
Evaluaticn
1. Monitor the frequency of reportable STDs.
2. Number of individuals receiving clinical services.
3. Number of visits.
4. Frequency of diseases diagnosed.
5. Number of education sessions.
6. Number of participants in education sessions.
7. Education participant evaluation.
ISSUE 4:
The seven major vaccine preventabel diseases (diphtheria,
tetanus, pertussis, polio, measles, mumps, rubella) can all cause
permanent disability or death. With mandatory immunization
currently in place for school children in Bloomington, Edina, and
TO prevent and control the spread of sexuall
-- S CCSe ( ST... , .
Page 20
Richfield, children have documented full immunization histories
upon entering school. The major problem area with these seven
vaccines is that of rubella outbreaks among college age and young
adults who were inadequately immunized. Active efforts need to
be made to identify and immunize this population while
maintaining the high immunization level among preschoolers. As
the base cost for the entire series of childhood immunizations
has risen from $4.88 to $19.54, access to low cost immunization
needs to be maintained. "The federal government estimates the
benefit-cost ratio for the mumps, measles, and rubella
immunization program as approximately 14:1. The Centers for
Disease Control indicated that the $1.3 billion in medical and
long-term care by reducing hearing impairment, retardation, and
other problems." The Bloomington Public Health Center offers the
only low fee immunization clinic in southern Hennepin County.
For elderly and the chronically ill, influenze and the consequent
potential for pneumonia can be life threatening. Research
indicates that vaccination of this population with the
appropriate vaccine in advance of the influenza season results in
a 70% to 90% lower chance of contracting influenza. However,
only about 20% of persons at high risk receive the vaccine.
Method 1. Educate targeted population groups on the need
• for immunization and access points.
Method 2. Hold monthly low cost immunization clinics at the
Public Health Center. Offer vaccines for seven
vaccine-preventable diseases (diphtheria,
tetanus, pertussis, polio, measles, mumps,
and rubella.)
Method 3. Offer flu immunizations at senior centers in
Bloomington, Eding, and Richfield)
Method 4. Adult initiatives:- rubella, measles, tetanus,
diphtheria, influenza, pneumococcal disease, and
hepatitis B.
Method 5. Provide epidemiological surveillance,
investigation, and counselijng of reported cases.
0 Page 21
• Evaluation
1. Number of immunizatign given by type.
2. Number of reportable diseases.
3. Investigation summaries.
•
Page 22
•
•
r?
LJ
HEALTH PROMOTION
PROBLEM STATEMENT
Inadequate health-related knowledge, attitudes, and behaviors
contribute to a diminished level of well-being and/or the
presence of preventable disease or disability.
GOAL: To promote life style choices which decrease risk for
injury,disease or disability.
ISSUE 1°
Minnesotans have the second longest life expectancy in the
nation, surpassed only by Hawaiians. At age 65, Minnesotans can
expect to 1_4ve an add:ticnal 17 years. This population over age
65 is grow_^c a? a s_47nif_cant rate. In Blccmingtcn, Edina, and
Richfield e is - ^ro;ectad increase of 4,730 yndividuals over
ace 66 betNeenv_98C and 1086.
Charge in ?cpulaticn Over 65 - 1980-1986
BLOOMINGTON EDINA RICHFIELD TOTAL
1980 4,589 6,691 3,966 15,246
1986 6,422 8,441 5,113 19,976
Increase 1,833 1,750 1,147 4,730
With the shift towards keeping the elderly in the community comes
the challenge of promoting systems and personal choices that
support maximum independence. That support includes increasing
awareness of some of the primary contributors to accidents among °
the elderly.
Objective 1. Promote the ability of residents over age 65 to
retain their independence through adoption of behaviors
incorporated in the educational program, "A Healthy Old Age."
Method 1. Market the program to groups of seniors in
Bloomington, Edina, and Richfield.
Page 23
Method 2. Tailor the sessions on fitness, nutrition, and
• health care to participant needs.
Method 3. Adapt the Health Risk Assessment program to
senior groups.
Evaluation
1. Participant descriptors.
2. Session objectives.
TCCTTT7 '?
Cardiovascular disease, Primarily heart attack and stroke, is the
number one killer of American adults between the ages of 24 65.
Together, hear- attacks and strokes kill more Americans than all
other causes of death combined, including accidents and cancer.
Hear-_ disease _-ad=n cause of dea t . _.^. B 1
T, and- 7 _ g cau Com?ngton,
a, a .. 1986, 70C (324 B_cc,,ingtor. 186 Edina,
and 19C resider--;Cs died from CarA_cvascular causes
Mest heart at-!:acXS and strokes could be prevented. According to
the National c..^1C1e5terQl EA
ucation Program ever half of the
adult population should be concerned about their cholesterol
level because of an elevation (greater than 200). Life style
choices are believed to contribute 54s to premature deaths from
heart disease. The kev risk factors of cigarette smoking
hvpertersicn, and elevated blood cholesterol cani,be significantly
decreased by changes in behavior. Risk factors measured among
Bloomington adults by the University of Minnesota Division of
_ Epidemiology in 1982 showed that: -
- 12.63 of men and 10.5% of women had a serum cholesterol
greater than 250 mg;
35.13 of men and 28.4% of women were currently smokers;
- 1496 of men and 10% of women were hypertensive and on no
treatment; and
- 4% of men and 43 of women were being treated for
hypertension but were not controlled.
Education in personal risk factors, along with nutrition, weight
control, fitness, and smoking cessation, have been shown to
relate to behavior changes which decrease the risk for heart
disease.
Evaluation of several worksite programs indicates that
participants do change eating habits and reduce risk factors
(i.e., weight and blood cholesterol levels) during the program.
Inclusion of nutrition counseling in the program is useful in
maintaining long-term adherence to changes in life style.
Page 24
• Objective 2. To stimulate reduction of health risks,
contributing particularly to heart disease, through blood
chemistrv screenings linked with health education
Method 1. Offer health risk assessment and education to
individuals through the Public Health Center.
Method 2. Adapt the Health Risk Assessment program to the
interest of community groups including worksites
and churches.
Method 3. Work with the Bloomington Heart Health Program on
a community cholesterol reduction initiative.
Method 4. To provide nutritional counseling on an
individual or group basis.
Evaluation
1. Number cf part-icican_s in the Health Risk Assessment
prccram from churches, wcrksites, other organizations,
anc caneral public.
2. Number of eating patterns weight management, fitness,
smck=ng cessation classes conducted.
• 3. Number and kind of educational sessions conducted and
number of participants in each.
4. Survey public awareness of the Health Risk Assessment
program.
- 5. Survey works ite/church awareness of the Health Risk
Assessment program.
6. Results of Bloomington Health Health Program/Bloomington
Public Health Division cholesterol campaign.
7. Number of Bloomington organizations (worksites and
schools) assisted with smoke-free policy development.
S. Number of clients receiving nutrition counseling.
ISSUE 3:
An individual's occupation or place of employment can serve as a
potential source of disease or disability. While: no complete,
accurate data collection system on occupational illness and
injury is available at the local level, application of available
data indicates the occurrence of a substantial incidence of
potentially preventable disease or disability at the worksite.
•
Page 25
Barriers to effective injury and illness prevention activities
include:
•
1) inadequate surveillance systems which are!`_linked to
employer fears of related costs in the possible
identification of work-related problems;
2) limited availability of non-regulatory consultation
through legislated programs;
3) marginal supportive attention to small and mid-sized
worksites.
Through its group norms, worksites can also serve as a primary
contributor to an individual's choice in personal behaviors
related to health which recent studies have identified as
contributing to 75.' of one's health status. While it is clear
that the worksite is an important environment for stimulating
positive choices in health and life style, there are multiple
barriers to the inclusion. of health promotion ir_terventions at
the work site. These 'tarriers include:
1) the politic, that it is not "the business to be meddling
in emplovee life style choices;
2) inadequate cost benefit analyses;
• 3) availability of designated program resources.'
Because of the geographically fluid nature of residency and place
of employment with the county, it is valuable to aooroach
occupational health initiatives with a county-wide perspective.
Objective 3. To enhance the health of employees through cost-
effective occupational health initiatives provided on a fee-for-
service basis.
Method 1. To work with Hennepin County Community Health
Department and Minneapolis Health Department in
the development and utilization of a tool to use
in assisting management in determining areas of
health risk or cost.
Method 2. To work with Hennepin County Community Health
Department and Minneapolis Health Department in
establishing a resource directory of worksite
health programs available to Hennepin County
emplovers.
Method 3. Provide employers with cost-effective worksite
health programs including:
• 1) Back Injury Prevention
Page 26
2)
3)
• 5)
6)
Evaluation
Hearing Conservation
Blood Pressure Control
Health Risk Assessment
Nonsmoking Initiative
Employees Assistance Program.
1. Outcome of employer consultation provided.
2. Number of worksites and employees served.
3. Evaluation of worksite health programs provided.
•
ISSUE 4•
In its 1982 survey of Bloomington residents, the University of
Minnesota Division of Epidemiology found that 1496 of men and 1016
of women were on treatment but uncontrolled. One of the greatest
challenges o hvpertensicn control lies in supporting the
individual i- adhering to what may be unpleasant or costly
t_ ea tment raq_4 mess when - e byy per-eansign i?ger doesnr
t make them
feel sick. ?_.ause of the freguercv at whic. ^. hypertension itself
r
doesn't make :em feel sick. Because of the freauencv at which
hypertensive '_ndividuals may have no svmptoms and, therefore,
seek no medical care, it is par"4cularly important to uncover
hidden cases and assist individuals in accurately monitoring and
effectively controlling their blood pressure.
Objective 4. Prevent essential hypertension
Method 1. Offer standardized blood pressure screening,
education, counseling, and follow-up through:
1) free community sessions
2) fee-for-service individualized assessment and
counseling
3) routine clinical services
4) worksites.
Method 2. Build collaborative relationships with other
individuals and organizations in 'the community
capable of enhancing blood pressure control:
Evaluation
1. Number screened:
2.
•
over age 65 and 65 and under
Of those screened with elevated blood pressures:
Page 27
a. number previously diagnosed with high blood
pressure;
• b. number previously unaware of high blood pressure;
c. Follow-up calls on outcome of screening among those
with elevated blood pressures.
ISSUE 5
Accidents are the fourth leading cause of death in the
metropolitan area. From age 1 through 40, accidents are the
leading cause of death and disability. Motor vehicle accidents
account for 61°s of all accidental deaths in individuals under age
65. In suburban Hennepin County, car crashes increased 5.4 $
between 1980 and 1983. However, injuries decreased 1.6%s and
deaths 34.5°x. The overall decrease in deaths and injuries (with
the exception of Richfield where injuries increased by 5.2$) may
be attributable in part to increased use of automobile
restraints. There is, however, significant improvement yet to be
made as 67. :iennepin County residents Surveyed continue to
use seat begs _.._reauently or never. Yours people are the
drivers in a i=spr-ccrtionate percent of fa-z:a_ accidents. Nearly
%°s cr motor ve:cle fatali,.=_
es in Minnesota in 1983 were males
between the ages of 15 and 24. Alcohol is frequently related to
these events. A total of 6.6$ of the population sampled in
Hennepin County report that they have driven having had too much
to drink one or more times in the past month.
• Age is an important variable in approaching causes. The greatest
hazard to the chvsical health of children and youth are accidents
and injuries which move beyond automobiles to include fall, fire,
poisonings, and drownings. While the world cannot be
childproofed, there are simple precautions which can eliminate
immeasurable pain. Sports injuries have recently been
acknowledged as a significant source of injur-s. Dr. Paul
Gunderson, Minnesota Department of Health Center, for health
Statistics, noted that 100$ of hockey players sustain an injury
requiring medical treatment each season. Also, he noted that
all-terrain vehicles are an increasing source of injury. For the
older population, sensorideprivation creates needs for making
adjustments in one's living environment to avoid accidents due to
falls, burns, and medication misuse.
Objective 5. Heighten awareness among target populations of
actions that can be taken to reduce frequency of accidents.
Seniors - falls, burns, medications
Adults - auto accidents, recreational injuries
Youth - sports injuries, recreational injuries, auto
accidents
Children - auto accidents, household accidents, water
accidents, fire, poisonings
Page 28
Method 1. To incorporate timely, population-specific
accident prevention messages throughout agency
programs.
Evaluation
1. Surveys of client knowledge, attitudes, behaviors.
2. Accident morbidity/mortality reports.
ISSUE 6:
The success of public health initiatives is dependent on the
i?
extent they are able to reach
the target populations with
timely, meaningful messages and connect individuals with the
appropriate services or behavior choices. Marketing plans need
to be designed through which the most cost-effective means can be
utilized to reach defined populations.
Objective 6. Enhance oublfc awareness of health issues and
connection w_- Public Health services.
Met cd Mortzly cable television specials, "Healthy
Living."
Method 2. Special "Health Edition" brochures.
• Method 3. Timely media communications.
Method 4. Intake nurse availability during office hours.
Method 5. Personalized "Community Caseload" system.
Evaluation
1. Telephone surveys.
2. Focus group sessions.
3. Program participant surveys.
ISSUE 7•
."Approximately one out of ten women will develop breast cancer at
some time during her life." In addition, "an estimated 48,000
new cases of uterine cancer were diagnosed" in the United States
in 1986. Many of these cases can be effectively treated through
early diagnosis and treatment. For low income women, cost of
preventive screening may be a significant barrier.
Objective 7. Reduce the incidence of morbidity and mortality
from cervical and breast cancer.
Page 29
Method 1. Provide low cost clinical services for well-women
• screening and education.
Method 2. Provide community education on cancer risks and
warning signs.
Evaluation
1. Number of pap tests.
2. Number of abnormalities.
3. Number of education sessions.
0
2
0
Page 30
DISEASE PREVENTION AND CONTROL,
HEALTH PROMOTION RESOURCE BIBLIOGRAPHY
1Maternal Child Health Plan, 1985.
2The Nation's Health, May-June 1987.
3Bloomington Public Health Division 1986 Annual Report.
4Hennepin County Public Opinion Poll, 1984.
SBloomington, Edina and Richfield Demographic and Statistical
invent-cry, _987.
?P escri rions for Health.:
Promoting Heap: and Preventing
Disease _r. t::e Twin Cities Metropolitan Area, Metropolitan
Area, Metropolitan Council, 1985.
70pportunities for Success: Cost-Effective Programs for
• Children, U.S. Government, 1985.
81986 Minnesota Health Profiles, Minnesota Center for Health
Statistics.
9T
L
en
eading Causes of Death, Center for Disease Control, 1978.
10National Institute of Health, Lowering Blood Cholesterol, 1984
11S
ummary Report on the Study of the Hennepin County Community
Health Department's Role in Occupational Health, 1984.
12C
ancer Facts and Figures - 1987, American Cancer Society.
13
S
"
umner, Sheron, et al.,
A Weight Control and Nutrition
Education Program for the Insurance company Employees", Journal
of Nutritional Education, 18:560, 1986.
I 14Journal of Chronic Diseases, 1978, 31:201, Pooling Project
Research Group.
15Motor Vehicle Facts, Minnesota 1983
s
Page 31
0
ENVIRONMENTAL HEALTH SERVICES
HOUSING MAINTENANCE
Problem Statement
Diminished health resulting from conditions or illnesses
associated with substandard housing.
Statement of Need
Although the total impact of substandard housing on health cannot
be fully determined, certain parameters of unsound housing have a
definite ralatj.orship 'Co an individual's health status. Many
researchers believe that the irritations, frustrations, and f
invasions o; pr_vacv tha. occur in some residential environments
are leading or contributing factors of mental illness.
Respirator, infections, such as cold, bronchitis, and influenza,
are related to inadequate heating or ventilation and inadequate
and crowded sleeping arrangements. Digestive-tract diseases are
usually related to crowding, inadequate water and sewage
facilities. Other potential problems include carbon monoxide
poisoning due to faulty home heating devices, rodent and insect
infestation, accidents due to crowding, unsafe electrical
connections, unsafe lighting, and structural problems.
Goal: To minimize the public health problems associated with
substandard housing.
Objective. By systematic inspection and education ensure that
housing code violations are documented and corrected.
Method 1. A minimum of one survey will be,conducted for
each multiple dwelling within the city.
Follow-up inspections will be made to
ensure compliance with the building, fire
and housing maintenance codes.
Method 2. All complaints regarding rental housing will be
investigated and abated when necessary.
Method 3. A Code Compliance Officer will investigate
substandard housing conditions noted during
- routine patrol.
Page 32
Method 4. Referred requests from Hennepin County Welfare
and/or the Minnesota State-Welfare Department
will be promptly investigated and reported to
the responsible agency.
Evaluation
The housing inspection program is evaluated on the basis of how
well each housing unit complies with code requirements.
Inspections are recorded and violations are noted for correction.
Follow-up information is recorded to ensure compliance with each
violation. Those housing units that require repairs are given
more emphasis by means of increased inspections.
C
Page 33
•
ENVIRONMENTAL POLLUTION CONTROL
Problem Statement
Diminished health resulting from exposure to polluted air, water,
or noise.
Statement of Need
Air pollution is
ailments such as
the common cold.
disease and abno
irritation.
reported to be a major factor in respiratory
lung cancer, emphysema, chronic bronchitis, and
Data indicates it may be a factor in heart
anal human behavior. It also causes eye
Noise pollution can affect human health. The effects fall into
two overlapping categories, consciously perceived and insidious
effects. Consciously perceived effects are those recognized by
the recipient or person. They usually have a subjectively
irritating cr a nuisance character, but they are nevertheless
imncrtant _?^.C-ionailV, producing such effects as interference
with thong rocesses, communication disruption, performance
impairment, sleep disturbance, and general mental stress. Excess
noise can also result in permanent hearj.ng loss.
Water has many uses; the potential threat of contaminated
is drinking water and polluted recreational waters is increasing.
Such facilities include public and semi-public water supplies,
private wells, swimming pools, on-site sewage disposal units,
storimwater discharge, cross-connections and unprotected backflow.
Goal: To minimize the health effects attributable to air, water,
and noise pollution.
Method 1. All air, water, and noise complaints will be
promptly investigated and abated when valid.
Method 2. A continuing effort will be made, in cooperation
with the PCA, to continue air monitoring within
the city.
•
Page 34
Method 3. A minimum of one inspection per year will be
conducted on industries with a valid "Operating
Permit" to ensure that pollution equipment is
operating as designed.
Method 4. Permits will be issued and inspections conducted
on all new, repaired or abandoned wells, public
or private, within the city.
Method 5. Permits will be issued and inspections conducted
on all new or remodeled individual sewage
systems.
Method 6. Routine sampling will be conducted in all
underground garages and arenas for CO
concentrations.
Method 7. All complaints involving formaldehyde gas will be
_nvesticated and air samples will be taken.
Method S. All commur._t-y noise complain -s will be
_nvesti?ated and measurements taken to determine
:f violations exist.
Method 9. Plars will be reviewed on all new or remodeled
buildings to determine if air, water, or noise
• pollutions will be a potential problem.
Method 10. Noise measurements will be taken (weather
permitting) on city streets to tag motor
vehicles not in compliance with the Noise Code.
A Compliance Test Center will be operated to-
test all violators for compliance.
Method 11. Routine water sampling will be conducted for
individuals with private wells on request. The
city water distribution systems will be sampled
and analyzed as required by the State Health
Department. All newly extended water mains will
be sampled to insure potability prior to
placement into service.
Evaluation
The environmental pollution activity will be evaluated mainly on
the basis of output as a result of maintaining detailed
statistics as to number of inspections and compliance results.
Air pollution activities will be evaluated on the basis of air
•
Page 35
sampling and effectiveness of pollution control equipment. Noise
• control enforcement activity will be evaluated by review of daily
statistics, effects from applying abatement%?procedures such as
li barriers, on-street enforcement, and educational efforts. Water
pollutants will be evaluated through routine inspection coupled
with laboratory analysis procedures.
•
I
U
Page 36
. FOOD PROTECTION
Problem Statement
Diminished health resulting from food-borne illness caused by the
consumption of food contaminated with chemical substances or
micro-organisms.
Statement of Need
Contamination of foods may occur from unsanitary conditions or
improper handling during food manufacture, processing, delivery,
or service. In addition, problems associated with contamination,
food spoilage and loss or nutrients may result from improper
storage or excessive shelf-life. Some of the more common
underlying causes of food-borne disease outbreaks are inadequate
refrigeration, poor personal hygiene, failure to hold readilv
perishable foods at legal refrigerated temperature, failure to
hold hot foods at legal holding temperatures, and inadequate
cooking.
At the Prase::,. Lme, there are 15z0 food establishments in
Richfield. As the population increases or is redistributed, the
number of food establishments will increase correspondingly. The
National Restaurant Association reports that the restaurant
is business in M4nreapolis-St. Paul metropolitan. statistical area
has a sales volume of $484,355,000 in 1975. The U.S. Public
Health Service has suggested that a rough estimate for
utilization of food service establishments is about 250 persons
per establis:.ment per day. Assuming this figure is applicable,
it is estimated that approximately 37,500 persons are served
daily by Richfield food establishments. During the school year,-
the Richfield School System food service provides meals for
4,350.
When proper food handling procedures are followed, most food-,
borne illnesses can be prevented. Food protection programs are
intended to prevent illnesses attributed to the consumption of
foods. This program includes inspection of all food
establishments, sampling and analysis of selected food and
environmental samples, and education of food service personnel in
the safe and proper food-handling techniques.
Goal: To achieve, through education and enforcement, compliance
with the various laws, ordinances, and policies which will
ensure all citizens of Richfield a healthful and aesthetically
pleasing food consumption experience.
•
Page 37
4
. Objective. By systematic inspection and education, ensure that
all food, while being transported, stored, prepared, displayed,
served, or sold to the public is protected from all forms of
contamination or adulteration consistent with the Richfield
ordinances to ensure safe consumption and minimize the
possibility of food-borne disease episodes.
Objective. To ensure, through the plan review process, that each
building or parts thereof, that are intended for food production
or storage, is constructed according to compliance with the
provisions of the Richfield ordinances to ensure that the
structure and equipment is designed to provide a durable, easily
cleanable, and aesthetically appealing environment in which to
store, display, or serve food to the consuming public.
Method 1. A minimum of two comprehensive surveys will be
conducted for each facility along with the
necessary follow-ups to ensure compliance with
written orders.
Method 2. A minimum of one inspection per year will be
conducted on all licensed, readily perishable
food vehicles.
Method 3. Prompt attention will be given to all citizen
complaints involving food.
Method 4. Prompt attention will be given to all
investigation and reporting of all food-borne
episodes.
Method 5. Routine sampling and analysis of food samples-
will be accomplished to compliment our inspection
efforts.
Method 6. A continuing effort will be made to ensure that
all food management personnel receive Quality
Assurance Training.
Method 7. Each new or remodeled food facility will receive
a comprehensive plan review along with the
necessary field follow-ups to ensure compliance.
Evaluation
The inspection process will be evaluated using several methods.
The environmental health specialists will have access to policy
statements which will aid them on the uniform interpretation of
the ordinances. This is coupled with routine staff meetings to
clarify those items of the ordinances in question'. Another
evaluation method will be to maintain detailed statistics whereby
Page 38
all work activity is recorded on a daily basis and analyzed so
that administrative support personnel can keep the environmental
health specialist informed of his or her progress. Periodic field
visits will be made by supervisory personnel to determine levels
of compliance and uniform application of the code. In addition,
Richfield supervisory personnel will meet with the Bloomington
supervisory personnel to provide routine feedback for the
environmental specialists. The overall evaluation will be based
in terms of "output."
The evaluation of the plan review process will be evaluated
through review of daily records, field inspection follow-up, an
periodic review of the plan reviewers' work. Correspondence and
meetings with builders and owners will be reviewed and supervised
to determine uniformity of effort.
0
Page 39
0 COMMUNITY SANITATION
Problem Statement
Diminished health resulting from exposure to environmental
contaminants, hazards, or conditions in the physical environment
of the community.
Statement of Need
Community sanitation covers a variety of environmental problems
which provide a link in the transmission of disease to man.
Included are problems related to rodent, insect, weed control,
improper refuse storage, animal control, and a variety of public
health nuisances. Many sanitation problems are interrelated so
that a practical approach to control involves looking at the
total community sanitation picture rather than each component
separately. In addition to being public health nuisances,
communitv san_ ?a ?? cr. problems are offen evescres which lessen the
aesthetic app y - e c_tv and ccntr_buts tc, decline in
p= opert-v Val--:eS.
Goal: Either by citizen complaint or observation in the
community, =den-i_y and abate all nuisance consistent with state
• laws and local ordinances.
Objective. Respond to all complaints to determine validity and
write specific orders for each, specifying a compliance date.
All complaints will be followed up to determine compliance.
Method 1. Complaints received from the public or
environmental health specialists! are recorded,
assigned a number, and assigned to specific
individuals for investigation. The
environmental health specialist determines at
the time of his or her initial visit if the
C7
Page 40
complaint is valid. If the complaint does
• constitute a violation of state or local
ordinancq, an order is written specifying a
timetable of compliance. A follow-up
inspection is made on the compliance date to
verify compliance, grant an extension, if
warranted, or issue a violation tag when
appropriate.
Evaluation
The evaluation of this activity is mainly achieved by performance
output. Statistics are complied on each complaint regarding all
inspections and completion of a report for each complaint
including a follow-up phone call to each complaint and to
determine the degree of public satisfaction.
•
U
Page 41
c
,f
•
EMERGENCY MEDICAL SERVICES
PROBLEM STATEMENT
Failure to provide timely intervention for emergency medical
needs results in unnecessary morbidity and mortality.
STATEMENT OF NEED
Individuals who experience emergency medical trauma require
immediate intervention by individuals competent in emergency
medical intervention service. The community fire squad does not
respond to medical calls. The police department has their
responsibil--r divided between care for the injured, safety of
others, anG in,.7 estigaticn of an accident or crime. The ambulance
service cove=s a wide geocraphical area and, therefore, has an
extended emergency response time. Therefore, the need exists for
a community-'ased emergency service which can provide expert
first response intervention as support to the police department.
The 280 program, begun in 1977, provides this support by
• furnishing trained EMTs from the Rescue Squad in?a fully equipped
basic life support unit 65 hours a week. The needs for this
service as a supplement to police response are:
1. one of the two police officers normally assigned to EMS
calls is able to pursue more conventional police
activity; -
2. sophisticated EMS equipment not practically transported
routinely by a police officer;
3. a vehicle capable of transporting victims in the case of
difficulties with ambulance coverage; and
4. in the case of a community disaster, rescue squad
members would provide the bulk of emergency medical
services as well as victim transportation.
Timely intervention can be provided by individuals who are
present at the time of the trauma, if they have been adequately
trained in the provision of services. The need exists for
training of community residents in emergency medical response.
Goai: To decrease the incidence of morbidity and mortality
resulting from medical emergencies in select situations.
i Objective 1. Maintain the average of 3.0 minutes aver
response time to medical emergencies in the community.
Page 42
W
. Method. Utilize the current response system.
Evaluation
1. Average response time.
2. Number and kinds of responses.
Objective 2. Provide ambulance service in select situations
Method. Utilize protocols in screening for ambulance
services.
Evaluation
1. Service is within existing protocols.
2. Number of runs.
Objective 3. ?rcvide "first aid coverage for selected city
ecJ en l.s .
Method i. Maintain guidelines for selecting events for
coverage.
• Method 2. Provide staff.
Evaluation
1. Number of events.
2. Number of staff.
Objective 4. Provide support for fire and rescue services
through the utilization of the 280 program
Method. Maintain current guidelines and staffing.
Evaluation
1. Number of responses.
2. Number of staff involved.
Objective 5. Provide training in first aid and cardio ulmonas-Y
resuscitation.
Method. Field and respond to requests according to
available staff.
• Evaluation
1. Number of sessions.
Page 43
,o
v,4
A
2. Kind of sessions.
3. Number of participants.
0
•
Page 44
0
RESOLUTION NO.
A RESOLUTION AUTHORIZING SUBMISSION OF A
PLAN IN APPLICATION FOR A COMMUNITY HEALTH
SERVICES ACT SUBSIDY FOR 1990-1991
WHEREAS, the City Council
official governing body of the
the official Board of Health o
WHEREAS, the City Council
and maintain the health of the
level; and
of the City of Richfield is the
City of Richfield and functions as
f the City of Richfield; and
is committed to promote, support,
entire community at the highest
WHEREAS, the Community Health Services Act provides for
subsidies in support of public health services on the local level
throughout the State of Minnesta; and
WHEREAS, the Advisory Board of Health of the City of
Richfield has reviewed and approved the plan for the provision of
public health services in the City of Richfield, and recommends
that the City Council authorize its submission in application for
a grant; and
WHEREAS, the City Council finds this plan consistent with
the needs and priorities of the community as determined by the
Advisory Board of Health and as expressed by the citizens of
Richfield;
NOW, THEREFORE BE IT RESOLVED BY THE CITY COUNCIL OF THE
CITY OF RICHFIELD, that the 1990-91 Community Health'Services
Plan for the City of Richfield is approved and authorization is
hereby given to submit said plan in application for a Community
Health Services Act subsidy for 1990-91.
Passed and adopted this 25th day of September, 1989.
Steven J. Quam Mayor
ATTEST:
Tom Ferber City Clerk