1. CALL TO ORDER
2. PLEDGE OF ALLEGIANCE
3. RECOGNITIONS
   • Environmental Health Badging
     Jason Garcia, Environmental Health Specialist II
     Tom Sheffer, Environmental Health Specialist II
4. PUBLIC COMMENT: A period devoted to comments by the general public about those items appearing on the agenda. Comments will be limited to five (5) minutes per speaker. Please step up to the speaker’s podium, clearly state your name and address, and spell your last name for the record. If any member of the Board wishes to extend the length of a presentation, this may be done by the Chairman or the Board of majority vote.

5. ADOPTION OF THE SEPTEMBER 28, 2017 AGENDA (for possible action)
6. CONSENT AGENDA: Items for action to be considered by the Southern Nevada District Board of Health which may be enacted by one motion. Any item may be discussed separately per Board Member request before action. Any exceptions to the Consent Agenda must be stated prior to approval.
   1. APPROVE MINUTES/BOARD OF HEALTH MEETING: August 24, 2017 (for possible action)
      
   2. PETITION #27-17: For possible action to adopt Proposed Clinical Services Fee Schedule and Lab Services effective October 1, 2017; direct staff accordingly or take other action as deemed necessary.
   3. PETITION #31-17: For possible action to approve the Competitive Award and Software License  and Support Upfront Agreement (SNHD-9-RFP-16-010) between the Southern Nevada Health District and eClinicalWorks for purchase of an Electronic Health Records and Practice Management system; and Software License And Support Upfront Agreement For Employee Health Electronic Medical Records and Practice Management (SNHD-9-RFP-16-010), between the Southern Nevada Health District and eClinicalWorks, for purchase of an Employee Health Electronic Medical Records And Practice Management system. This is funded through the Capital Project Fund at $245,250 for the Electronic Health Records and Practice Management System and $7,500 for the Employee Health Electronic Health Records and Practice Management System; direct staff accordingly or take other action as deemed necessary.

7. PUBLIC HEARING / ACTION: Members of the public are allowed to speak on Public Hearing / Action items after the Board’s discussion and prior to their vote. Each speaker will be given five (5) minutes to address the Board on the pending topic. No person may yield his or her time to another person. In those situations where large groups of people desire to address the Board on the same matter, the Chair may request that those groups select only one or two speakers from the group to address the Board on behalf of the group. Once the public hearing is closed, no additional public comment will be accepted.
   1. Memorandum #02-17: Consider/Adopt Amendments to District Emergency Medical Services (EMS) Regulations. Public Hearing to consider adoption of proposed amendments.  Staff recommend the Board of Health consider adoption of proposed amendments to the District Emergency Medical Services Regulations; direct staff accordingly or take other action as deemed necessary (for possible action) Tabled from August 24, 2017 Meeting
   2. Variance Request to Operate a Public Bathing Place not in Compliance with the Nevada Administrative Code (NAC) 444.214; County of Clark, dba Sandy Valley Peace Park, located at 650 West Quartz Ave., Sandy Valley, Nevada, 89019; [Assessor’s Parcel Number (APN) 200-36-401-003] for Health Permit PR0124753; Roland Wisdom, for the Owner(s), County of Clark; The variance request would allow the petitioner to construct a spray pool on the grounds of an existing public park without modifying the existing park restroom facilities to meet the fixture requirements of NAC 444.214. Staff is of the opinion that granting the variance will not likely pose an unreasonable danger to public health or safety, and recommends approval of the variance; direct staff accordingly or take other action as deemed necessary (for possible action)
   3. PETITION #30-17: For possible action to approve and authorize the Chief Health Officer to sign the General and Supervisory Units Collective Bargaining Agreement (CBA) Reopener of Article 20 – Wages to provide a 2.5% Cost of Living Allowance (COLA) in FY 2018 and FY 2019, and 2-Step increase in FY 2018 and FY 2019 for Health District employees current and active as of September 28, 2017 and extend the same salary changes to non-union employees not covered by the SEIU General or Supervisory collective bargaining agreements. Payments for FY 2018 will be retroactive to July 1, 2017; direct staff accordingly or take other action as deemed necessary

8. REPORT / DISCUSSION / ACTION
   

9. 1. Review/Discuss Grant Funded Positions; direct staff accordingly or take other action as deemed necessary (for possible action)

9. BOARD REPORTS:  The Southern Nevada District Board of Health members may identify and comment on Health District related issues. Comments made by individual Board members during this portion of the agenda will not be acted upon by the Southern Nevada District Board of Health unless that subject is on the agenda and scheduled for action. (Information Only)
   
   
10. HEALTH OFFICER & STAFF REPORTS (Information Only)
    • Primary Care Briefing – Tabled from August 24, 2017 Meeting
    • Status Update – Sexually Transmitted Diseases – Tabled from August 24, 2017 Meeting
    • Program Update – Office of Epidemiology and Disease Surveillance Jail Intervention Project – Tabled from August 24, 2017 Meeting

11. INFORMATIONAL ITEMS
    1. Board of Health
       Letter from the City of Las Vegas reappointing LeQawn McDowell as the Public Health Advisory Board representative for the term July 1, 2017 – June 30, 2019.
    2. Chief Health Officer and Administration Monthly Activity Report
    3. Clinical Services Monthly Activity Report
    4. Community Health Monthly Activity Report
    5. Environmental Health Monthly Activity Report
12. CLOSED SESSION
    Go into closed session pursuant to NRS 288.220 to discuss matters related to labor negotiations with Health District management representatives; and direct staff accordingly (for possible action)
13. PUBLIC COMMENT: A period devoted to comments by the general public, if any, and discussion of those comments, about matters relevant to the Board’s jurisdiction will be held. No action may be taken upon a matter raised under this item of this Agenda until the matter itself has been specifically included on an agenda as an item upon which action may be taken pursuant to NRS 241.020. Comments will be limited to five (5) minutes per speaker. Please step up to the speaker’s podium, clearly state your name and address, and spell your last name for the record. If any member of the Board wishes to extend the length of a presentation, this may be done by the Chairman or the Board by majority vote.
14. ADJOURNMENT

NOTE: Disabled members of the public who require special accommodations or assistance at the meeting are requested to notify Jacqueline Wells or Michelle Nath in Administration at the Southern Nevada Health District by calling (702) 759-1201.

THIS AGENDA HAS BEEN POSTED IN THE MAIN LOBBY OF THE FOLLOWING LOCATIONS: 1) CLARK COUNTY GOVERNMENT CENTER, 500 S. Grand Central Parkway, Las Vegas, NV, 2) LAS VEGAS CITY HALL, 495 S. Main Street, Las Vegas, NV; 3) NORTH LAS VEGAS CITY HALL, 2250 Las Vegas Blvd North, North Las Vegas, NV; 4) HENDERSON CITY HALL, 200 Water Street, Henderson, NV; 5) BOULDER CITY, CITY HALL, 401 California Avenue, Boulder City, NV; and 6) MESQUITE CITY HALL, 10 E. Mesquite Boulevard, Mesquite, NV; SOUTHERN NEVADA HEALTH DISTRICT, 280 S. Decatur Boulevard, Las Vegas, NV 89107 and on the Nevada Public Notice website at notice.nv.gov. This Agenda is available on the Southern Nevada Health District Internet Website at southernnevadahealthdistrict.org. For copies of agenda backup material, please contact Jacqueline Wells or Michelle Nath at (702) 759–1201. In addition, handouts are available at the date and time of the meeting at 280 S. Decatur Boulevard, Las Vegas, Nevada.