09/21/1987 BOARD OF HEALTH Minutes

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TOWN OF MASHPEE BOARD of HEALTH MEETING SEPTEMBER 21 , 1987 tu b e r s p r e s e n t : Charles F. Buckingham, Fbi and L. X11 I son, George R. Costa Meeting called to order at 4920 p .m . THE TAPE IS NOT TO BE CONSIDERED A PART OF THE -MEETING . - IT IS FOR THE USE OF THE CLERK IN TR'ANSCRIBII G THE MINUTES . !. Warrants signed. 2. Minutes of previous meeting are incomplete, will be available for meeting 9/28/87. 3. - Memo forge Costa on recording and approval of overt irrMe. NOTED 4. Memo, Town Clerk re: Assignment of House hers. CHAIR REQUESTS THAT Til CLERK BE SFT A MM ASKING WHERE DO WE STAND WITH OLD HOUSE WS, NEW FME #IS AND RFD. 5. Mm,, Conservation i Corrm i s s i on re: operation of department w i gout 'sery i ces of Officer. NOTED 6. Jud -Carr, kting D i rector, Upper Cape VNA appeared before the Board at their. i rev i tat i n. Ms. Cara assumed the poi i i ori upon=the.r i gnat i oh f.Rum rt on: y 5th. She-adv i sed;4: _-r r�k rsd that the association with Falmuth Hospital has not affected the operation of VNA, in that there is still a VNA Foundation and that they.,are not a department Of the hospital rather they are under the overall hospital f o'undat i ori. Ruth nne Miller is the current town nurse,, and- Peg Duggan i s-the Maternal Health care nurse. Ruthann is engaged currently setting up the flu clinic. Ms. Carr was adv i sed that part of the concern of th i s off i ce was that in the past prev i ous nurses took the op- portunity to mace use of this office on a regular basis so that communications -between the Agency and the office staff conplemnted each other, Judy a dv i secs members that there has been an increase in Maternal child health care, the biggest change has been the elderly and the .need for fry lea l th care, 85/85 it was ZA and this fiscal year it a l ready is 10%. Mr. Costa asked what const i toted free. hea 1 h care, Judy adv i sed that thea peop 1 e on the case load that have no payment source not having met the guideline for Medicare and not.hair ing Medicaid but yet there is a need. GRC asked if a , client had both Medicare and Medicaid was that acceptable, els. Carr concurred, she explained that Medicare is tightening up to the point arxd people are not receiving care under the system, and that it is increasingly becoming a problem and that if someone needs the care the VNA will go out and do it anyway on a sliding fee. She explained that at one time Medicare was expansive in that if a client were bed bound they would cover services but that is not true now, they pay verb short term. 'THE.PROBLEMS WITH THE ELDERLY IS ABSOLUTELY PHI ANAL.'� %, Darr said that she wou 1 d be interested in cam i ng in before the Board on a regular basis because if the Agency is not common i ty ries pans i ve they are not doing their job. 7. Bob -Burrgnann of Holmes & WGrath appeared before the Board on 520 Triton Way,, the house size if almost being doubled in size, adding 2 bathrooms plus, Mr. Buckingham recamends updating to current %shpee regulations. Bob asked if the Board would aspect his judgerrent if when leaching is excavated and is found to be satisfactory in size, new plans will be submitted upon this de- termination. e- terminati . W. Costa said that because of the treat neat g i very Elias by the owner he you l d stick his original assessment, and asked the Mr. Burman convey that thought to Mr: Cariglia. 8'. Marro, Exec- Sec re:' roof repair. NOTEO . Ngo, CCP EDC re: mamass tour 10/8/87. MR. BUCKIN M AND MR. COSTA TO ATTEND DUE TO CONFLICT. WITH BARNSTABLE COMITY BOARDS OF HEALTH FEETING THAT SAME NICHT MR. WILSON AND ELIAS WILL ATTF THE LATTER. 10. Mmu, CCP SEDC : Taste ti re d i sp sa 1, Battery, t i re and Oi I Di sposa I. Mr. Costa has found a firm that will collect tines and bring than to Conn, for shredding; furter discussion will be held at a future date. . %m, Stetson Ha 1 I re: Annua 1 report. TO BE TAKEN HOME AND PERUSED. 12. Cam of Mass., Dept of Public Health re: Swirrming Pools. TO BE TAS HOME AND STUDIED, THE CHAIR REMINDED OTHER MEMBERS THE THOUGHT SHOULD BE GIVEN TO THE PUBLIC HEARING THAT WAS HELD AND PREPARE A REGULATION.