C h i l m a r k B o a r d o f H e a l t h
M i n u t e s
Wednesday, July 5, 2017
Chilmark Town Hall
Present: Katie Carroll, Matt Poole, Jan Buhrman
Also Present: Elizabeth Sanderman (CC-VNA), Carrie Fyler
Public Nursing Contract: The Board held a discussion with Cape Cod VNA nurse Liz Sanderman about the home nursing visits which have historically been the central component of the public nursing program in Chilmark. The Board stressed the importance it attaches to having this service. The Board would like to see face-to-face visits to check in on people who may need assistance. The Board felt that elders in particular, benefit from this service, but noted that home nursing visits are not limited to elderly Chilmarkers. Referrals have traditionally come through the Councils on Aging, and from BOH members. Liz Sanderman noted that she has not gotten referrals to many Chilmark residents. In addition, CC-VNA has criteria for eligibility for home nursing visits, and it
appears that not many people in Chilmark match these criteria. The Board noted that its criteria are nowhere near as stringent, and that this question will have to be addressed under the contract.
The Board and Liz Sanderman agreed that the role of a public health nursing visit would include an overall safety assessment, assessment of the person and the residence for falls-risks, and connecting the person with services.
Liz Sanderman noted that, in order to increase the number of nursing visits in Chilmark, she would need to receive referrals. For any follow-up visits, the question of CC-VNA criteria for home nursing visits would come into play, but BOH referrals for initial assessment could be initiated immediately. She also stated that a number of agencies are already doing home visits; the Councils on Aging have outreach workers which visit elders in their homes. The Board noted that it is not informed of which individuals are being visited. While HIPPA may come into play in some cases, it would be useful to have a better overview of gaps and overlaps.
The Board asked Marina Lent to follow up with Ellen Reynolds, the Up Island Regional CoA outreach worker, to determine how to work together on this issue, and to check with the “First Stop” resource center to see how better use could be made of this service. The Board also asked Marina Lent to follow up with Mary Devlin at the CC-VNA to obtain a detailed description of hours billed under the line item of “case management” over the last three months of FY’17.
Tick-Borne Illness prevention project: The Board held a discussion with Carrie Fyler, the Biology teacher at the High School and a Chilmark resident, about representing the Board on a Steering Committee set up to engage in the community process of review and approval of an initiative out of MIT, run by Dr. Kevin Esvelt, to introduce disease-resistant mice on Martha’s Vineyard to interrupt transmission of tick-borne illnesses. Ms. Fyler stated that she is familiar with Dr. Esvelt’s work, and had built a study-project around it for the AP Biology class. She was very interested in being part of this work, and the Board discussed the importance of dialogue with the community throughout the project. The Board also suggested having quarterly review of the work of the Steering
Committee at the Board meeting so as to be fully informed about the complex issues involved. The Board noted that part of the role of the Steering Committee is to bring forward concerns and criticisms of the concept, so as to fully engage the community in the decision-making process. The Board unanimously moved to appoint her to the Committee.
Strane, 36 South Road (11-50) The Board approved a replacement well application submitted by Chris Alley which does not require variances.
Use of chemical ‘cides in Squibnocket The Board reviewed a draft letter to landscapers, exterminators and Squibnocket Homeowners Association regarding the use of chemical products in the Squibnocket District. The Board requested that Marina Lent put in a request with Executive Secretary Tim Carroll to review the letter with Town Counsel.
Seward, 69 Cobbs Hill Rd (11-25.3) The Board reviewed a draft Deed Restriction prepared by Sourati Engineering for the Seward residence which stipulates that the finished basement cannot be used as a sleeping space. The Board approved the deed restriction but noted that this is not a document to be signed by the Board, and that Board signature lines should be deleted.
Brown, 28 Turtle Cove (14-11) The Board made minor corrections to a draft letter to the Brown family summarizing its discussion at the meeting of Jun 21 regarding their efforts to work with the Ghee family to facilitate use of land for a residence.
A/I System Inspection Report: Englert, 31 Flanders Lane (26-29)
Well Completion Report: Freydberg, 12 Hill Land Road (32-40); Bermudes/Cornwell, Tea Lane (12-30)
Recreational Camp for Children: MVFF Filmmaking Camp; Chilmark Community Camp;
Title 5 Official Inspection Report: Rosenbaum / Steinberg, 7 Little Oak Lane (25-65);
Septic System Certificate of Compliance: Lurie main house, 2 Gosnold’s Way (14-1); Negroponte, 9 Signal Hill Lane (34-1.3);
Tent Permit: Cerick, 32 Old Nursery Lane (7-10.4)
Food Establishment Permit: The Homeport Restaurant; Basin Road Farm Stand;
The following invoices were approved for payment:
- CC-VNA June 2017 $1,257.63
The meeting adjourned at 19:15 hours.
_______________________ _______________________ _______________________
Katherine L. Carroll, Chair Matthew Poole Janet L. Buhrman
Chilmark Board of Health Chilmark Board of Health Chilmark Board of Health
A recording of this meeting is on file at the Board of Health office and available for on-site review.