BOARD OF HEALTH

Wednesday, January 8, 2025 · 5:00 PM AM · City Hall, 200 E Wells St, Rm 303

TL;DR

The Milwaukee Health Department discussed its 2025 strategic planning, focusing on Public Health 3.0 and budget priorities. The department is preparing to implement a new electronic health record system in April and exploring community health initiatives around racism, health equity, economic security, and voter engagement.

Key Decisions

  • New Electronic Health Record (EHR) Implementation Scheduled to go live in April 2025
  • Community Health Improvement Plan Priorities
  • Lead Enforcement Strategy Developing universal child blood lead testing recommendations
  • Communicable Disease Response Increased masking in client-facing clinics and active wastewater surveillance
  • Meeting Schedule Confirmed monthly meetings on Wednesdays from 5-6pm
Agenda PDF Minutes PDF

Agenda

  1. This meeting will be in-person with a virtual option. Please join from your computer, tablet or smartphone using the link provided below or by calling the number provided. Join Zoom Meeting: https://zoom.us/j/99209923533?pwd=OEJ1MXRyWVk5eWtUUDBteTllYlZLZz09 Meeting ID: 992 0992 3533 Passcode: 337213 One tap mobile +13017158592,,99209923533#,,,,*337213# US (Washington DC) +13126266799,,99209923533#,,,,*337213# US (Chicago)
  2. Untitled item
  3. Call to Order
  4. Roll Call
  5. Approval of Meeting Minutes from November 7, 2024
  6. Community Updates
  7. Communication from Health Commissioner Dr. Mike Totoraitis
  8. MKE Elevate (CHIP) Presentation on Racism and Health Equity (Steering Committee)
  9. Branch Collaboration Updates
  10. Board Meeting Scheduling
  11. Future Agenda Items
  12. Adjournment
  13. 241393 Communication relating to the documents submitted to the Board of Health for its meetings in 2025.
    Communication
  14. Untitled item
  15. In the event that Common Council members who are not members of this committee attend this meeting, this meeting may also simultaneously constitute a meeting of the Common Council or any of the following committees: Community and Economic Development, Finance and Personnel, Judiciary and Legislation, Licenses, Public Safety and Health, Public Works, Zoning, Neighborhoods & Development, and/or Steering and Rules. Whether a simultaneous meeting is occurring depends on whether the presence of one or more of the Common Council member results in a quorum of the Common Council or any of the above committees, and, if there is a quorum of another committee, whether any agenda items listed above involve matters within that committee’s realm of authority. In the event that a simultaneous meeting is occurring, no action other than information gathering will be taken at the simultaneous meeting.
  16. Upon reasonable notice, efforts will be made to accommodate the needs of persons with disabilities through sign language interpreters or auxiliary aids. For additional information or to request this service, contact the City Clerk's Office ADA Coordinator at 286-2998, (FAX)286-3456, (TDD)286-2025 or by writing to the Coordinator at Room 205, City Hall, 200 E. Wells Street, Milwaukee, WI 53202.
  17. City Hall and the Zeidler Municipal Building are accessible by "The Hop" City Hall Stations, the MCTS Green Line, Connect 1, 14, 15, 18, 19, 30, 33, and 57 bus routes. Visit https://www.ridemcts.com/ for more information. Bike racks are available on Water Street, Market Street, and Broadway, and a Bublr Bike Share station is located on the northeast corner of Kilbourn Avenue and Water Street. Limited parking for persons attending meetings during normal business hours is available at reduced rates (5 hour limit) at the Milwaukee Center on the southwest corner of Kilbourn Avenue and Water Street. You must present a copy of the meeting notice to the parking cashier.
  18. Persons engaged in lobbying as defined in s. 305-43-4 of the Milwaukee Code of Ordinances are required to register with the City Clerk's Office License Division. Registered lobbyists appearing before a Common Council committee are required to identify themselves as such. More information is available at http://city.milwaukee.gov/Lobbying.
  19. Board Member Dr. Ian Martin motioned to adjourn, Board Member Penelope Stewart seconded the motion, and it passed with all in favor. The meeting was adjourned at 6:06 pm.
  20. Chair Dr. Wujie Zhang reported that most board members preferred a monthly meeting, according to the survey. The Wednesday 5-6pm time slot was confirmed. Commissioner Totoraitis will bring vouchers for parking to the next meeting.
  21. (1) 2025 Planning Commissioner Totoraitis presented on DHS 140 (MHD is completing its 5-year renewal review in March) and the PIE Deputy Commissioner vacancy (an internal hire will be announced soon). Commissioner Totoraitis presented on highlights of the Strategic Plan to be implemented in 2025, including (1) the new EHR implementation that is scheduled to go live in April and (2) Public Health 3.0 through Priority Based Budgeting for the 2026 budget. Board Member Penelope Stewart inquired about Public Health 3.0 stakeholder survey results. Commissioner Totoraitis said the results would be available early February. Board Member Ruthie Burich-Weatherly inquired about how MHD will work with community partners to implement future investment and divestment in programs under PH 3.0; Commissioner Totoraitis said this will be addressed during a future budgetary planning exercise that will investigate partnerships, forecasting federal changes to public health funding, engaging the Board to tap into its networks, and potential funding from national foundations. Board Member Ruthie Burich-Weatherly asked about the potential to refuse government funding that comes with conditions. Commissioner Totoraitis said that the budget exercise would investigate how MHD might respond to those situations through an analysis of the current funding structure. (2) Lead Enforcement Commissioner Totoraitis also presented an update on lead enforcement, including universal child blood lead testing recommendations and future investigation into recommendations for pregnancy screenings, a sample enforcement timeline, and enforcement metrics. Board Member Caroline Gomez-Tom asked about the success rate for punitive actions actually resulting in lead remediation. Commissioner Totoraitis will follow up that information. Board Member Ruthie Burich-Weatherly asked for clarification on the tax roll impact. Commissioner Totoraitis said that tax roll impact could be found by subtracting citation fees issued by the Court from the amount of reinspection fees issued. (3) Communicable Disease Lastly, Commissioner Totoraitis gave a Communicable Disease update. Commissioner Totoraitis shared that respiratory viruses are trending up, masking will soon be implemented in MHD’s client-facing clinics, and that there is active wastewater surveillance of H5N1.
  22. Board Member Ruthie Burich-Weatherly motioned to approve, Board Member Ald. JoCasta Zamarripa seconded, and the motion passed with all in favor and none opposed.
  23. Chair Dr. Wujie Zhang called the meeting to order at 5:03 PM.
  24. An update from Board Member Dr. Darlene Beck will be shared via email.
  25. -State Legislative Package -Rotation of branch presentations & MKE Elevate Generally, Board Member Ruthie Burich-Weatherly highlighted WALHDAB membership & resources. Board Members were reminded that Economic Interest forms will be due soon. Chair Dr. Wujie Zhang reminded the Board to reach out if they wanted their website bios updated.
  26. Strategy Director Marques Hogans presented on an overview of the Community Health Improvement Plan (including vision, timeline, roles) and introduced the overarching priority of racism and health equity. Strategy Director Marques Hogans also presented on the main focus areas of Household Income (including Economic Security projects), Life Expectancy (including plans for a research brief), and Civic Engagement (focusing on increasing voter registration and voting). Strategy Director Marques Hogans spoke to ways the Board to could get involved in this work (including sharing educational materials, connecting MHD to partners, identifying focus group participants for life expectancy research, as well as communication methods like social media and email lists). Board Member Caroline Gomez-Tom suggested MHD look at the County’s Youth Commission as a model for youth civic engagement. Board Member Penelope Stewart inquired about focus groups with young people on these issues. Strategist Anneke Mohr responded that there had been on the topic of mental health, but not for racism & health equity. Board Member Ald. JoCasta Zamarripa requested information on the zip codes for voter turnout. Staff will follow up with the map. Board Member Ald. JoCasta Zamarripa inquired about life expectancy for the Hispanic/Latinx community. Strategist Anneke Mohr responded with the results of the 2022 Community Health Assessment and also the potential to investigate this further in focus groups. Board Member Ald. JoCasta Zamarripa also suggested staff update the presentation to include the Hispanic/Latinx data. Board Member Ruthie Burich-Weatherly asked about working with the state on the issue of voter registration, including the idea of automatic voter registration. Strategy Director Hogans responded that MHD was not currently involved with the state on this but would investigate the suggestion. Board Member Dr. Ian Martin inquired about voter turnout data. Staff will follow up with that information.
  27. Chair Dr. Wujie Zhang shared that MKE Elevate celebrated its End of Year event on December 12th. There were no further updates.