Health & Medical Advisory Commission — Agenda Packet

CITY OF MAYVILLE HEALTH & MEDICAL ADVISORY COMMITTEE MEETING AGENDA AUGUST 4, 2026 4:00 PM MAYVILLE CITY HALL 15 S. SCHOOL STREET 1. CALL TO ORDER AND ROLL CALL 2. CITIZEN COMMENTS Citizen Comments are to be kept to a maximum of five minutes per speaker unless the chairperson allows an extension of time. Each citizen is to make comments at the podium after stating name and address. Each citizen may comment only one time per public hearing / meeting. 3. APPROVAL OF MINUTES 3.1. Approval of Minutes of the July 7, 2026, Health & Medical Advisory Committee Meeting 4. DISCUSS WITH POSSIBLE ACTION 4.1. Update on Discussions with Aambe and Nexus Health 4.2. Update on Dodge County Public Health Partnership Efforts 4.3. Discuss, with Possible Action, Letter of Support for the New EMS Building 5. FUTURE AGENDA ITEMS 6. NEXT MEETING DATE AND TIME 6.1. Next Meeting Date - September 1, 2026, at 4:00 PM 7. ADJOURNMENT Alan Williams, Presiding Officer NOTE: Persons with disabilities requiring special accommodations for attendance at the meeting should contact City Hall at least one (1) business day prior to the meeting. Page 1 of 7 CITY OF MAYVILLE HEALTH & MEDICAL ADVISORY COMMITTEE MEETING MINUTES JULY 7, 2026 4:00 PM MAYVILLE CITY HALL 1. CALL TO ORDER AND ROLL CALL The meeting was called to order at 04:00 PM by Alan Williams, with the following roll call: Present: Julie Staffin, Jaime Gunderson, Alan Williams, Julie Allison (at 4:01 PM) Ald. Kim Olson (at 4:25 PM). Excused: None Absent: None Staff present: TAG Director Jessica Loomans and Clerk/Executive Assistant Anastasia Gonstead. 2. CITIZEN COMMENTS None 3. APPROVAL OF MINUTES 3.1. Approval of Minutes of the May 26, 2026, Health & Medical Advisory Committee Meeting The motion to approve the minutes from the May 26, 2026, Health & Medical Advisory Committee Meeting was made by Julie Staffin and seconded by Jaime Gunderson. Ayes: Julie Allison, Julie Staffin, Jaime Gunderson, Alan Williams Nays: None Vote Count: 4 - 0 Motion has Passed 4. DISCUSS WITH POSSIBLE ACTION 4.1. Presentation from/Discussion with Karen Greenwald with Dodge County Karen Greenwald with Dodge County provided an overview of what Dodge County Public Health has available, with many services by appointment. This included home visit programs, parenting programs and support, a car seat program with an upcoming event on August 4th at the Mayville Fire Department, family support programs, immunizations for uninsured/under-insured children as well as adults, communicable disease follow up, emergency preparedness, environmental health notices and Health Hub screenings. Ms. Greenwald also gave an overview of a quarterly newsletter they release. Discussion amongst the Committee was had on how these services could be communicated with the community, including the website community calendar and collaboration with schools. 4.2. Discussion on Proposed Community EMS Services Page 2 of 7 Roy Smalley with Mayville EMS provided a PowerPoint presentation. Mr. Smalley gave an overview of healthcare "islands" struggles and the uptick of emergency calls. He also gave an overview explaining how limited healthcare access could create larger medical issues because ongoing medical problems may go unmonitored. Mr. Smalley informed the Committee of Community EMS & Mobile Integrated Healthcare — a modern "house-call" model that allows EMS to assist with preventative measures which will fill gaps in healthcare accessibility. Overview of potential partners and Mayville assets. EMS Director Julie Staffin gave an overview on community EMS service training. Looking at community partnerships and grant funding to mitigate cost to residents. Consensus was reached, back to the September meeting. 4.3. Discussion on Status of Residents' Transfer of Medical Services to Other Community Clinics No action was taken. 4.4. Update on Discussions with Aambe and Nexus Health A site visit with Aambe at Hometown Pharmacy took place. With some construction, the Hometown Pharmacy site will work. Overview on information gathering for Aambe so they will be able to do a pharmacy benefits manager analysis to see where they are able to give savings. 5. FUTURE AGENDA ITEMS • Update on Aambe • Update on Dodge County Public Health partnership 6. NEXT MEETING DATE AND TIME 6.1. Next Meeting Date - August 4, 2026, at 4:00 PM 7. ADJOURNMENT The motion to adjourn the meeting was made by Julie Staffin and seconded by Julie Allison. Ayes: Julie Allison, Julie Staffin, Ald. Olson, Jaime Gunderson, Alan Williams Nays: None Vote Count: 5 - 0 Motion has Passed. The Health & Medical Advisory Committee meeting was adjourned at 5:06 PM. Respectfully submitted by Lexi Volbright - Deputy Clerk Page 3 of 7 Page 1 of 2 Request for Letter of Support for Community EMS / Grant Application Dear Members of the Mayville Healthcare Advisory Committee, Thank you for the opportunity to present the Community EMS and Mobile Integrated Health (MIH) concept to the Advisory Committee and for your thoughtful discussion regarding healthcare access in our community. As you may already know, Mayville EMS is currently preparing an application for the Wisconsin Department of Health Services' Coordinating Care Across Wisconsin: Innovating Healthcare Through Partnership planning grant. This grant would provide funding to evaluate, design, and develop a Community EMS and Mobile Integrated Health program intended to address healthcare access challenges facing Mayville and the surrounding communities we serve. The program is being proposed in response to several issues identified by EMS personnel, community stakeholders, and the Advisory Committee, including: • The closure of SSM Health Fond du Lac Regional Clinic in Mayville in September 2025. • Increased travel distances for primary care and other healthcare services. • Transportation barriers faced by many residents. • A growing population of older adults seeking to age safely in place. • Frequent EMS utilization associated with falls, chronic disease, and other preventable health crises. • The need for improved coordination between healthcare providers, public health, EMS, and community support agencies. Because the Healthcare Advisory Committee was formed specifically to explore solutions to local healthcare access challenges, a letter of support from the Committee would be a valuable demonstration of community engagement and stakeholder support for this initiative. If the Committee is willing, we respectfully request a letter indicating: • The Committee's interest in improving healthcare access in Mayville. • Recognition of the healthcare challenges created by the loss of local primary care services. • The Committee's belief that Community EMS and Mobile Integrated Health represents a promising strategy worthy of further planning and evaluation. • Support for Mayville EMS pursuing grant funding to develop this concept. Page 4 of 7 Page 2 of 2 • A willingness to remain engaged in discussions regarding healthcare access solutions as the planning process moves forward. This grant application is for a six-month planning period focused on needs assessment, partnership development, program design, referral pathways, sustainability planning, and community engagement. It would allow Mayville EMS and community stakeholders to determine the most effective way to implement Community EMS services that meet local needs. Thank you for your continued commitment to improving healthcare access for residents of Mayville and the surrounding area. We appreciate your consideration of this request and would be happy to provide any additional information or answer any questions. Sincerely, Roy Smalley, AEMT-CEMS Mayville EMS Page 5 of 7 July 23, 2026 Coordinating Care Across Wisconsin: Innovating Healthcare Through Partnership Grants Phase 1 Planning Grant Letter of Application Applicant: Mayville Emergency Medical Services 102 Mill Place, Mayville, Wi 53050 920-387-7989 rsmalley@mayvillecity.com Project Title: Mayville Community EMS and Mobile Integrated Health Initiative Mayville EMS seeks planning grant funding to develop a Community Emergency Medical Services (Community EMS) and Mobile Integrated Health (MIH) program serving the City of Mayville and its contracted service areas. The program will address healthcare access barriers, improve care coordination, support aging in place, and bring healthcare support closer to residents' homes. The need for this project became urgent following the closure of SSM Health Fond du Lac Regional Clinic in Mayville in September 2025 due to provider shortages. The closure left Mayville, the second most populous city in Dodge County, without a local primary care clinic. Residents now commonly travel 18 to 30 miles for primary care and hospital services, while transportation options remain limited for many older adults and medically vulnerable residents. These barriers have created a significant healthcare access gap and increased reliance on emergency services as a point of entry into the healthcare system. In response, community leaders established the Mayville Healthcare Advisory Committee in October 2025 to identify sustainable solutions for improving local healthcare access. Following presentations on Community EMS and Mobile Integrated Health, the committee expressed strong support for the concept. Dodge County Public Health has also expressed support for the initiative as a means of improving healthcare access and strengthening care coordination for vulnerable populations. Mayville EMS has unique insight into the healthcare needs of local residents. Analysis of 6,197 EMS incidents occurring between 2021 and mid-2026 identified substantial utilization associated with chronic disease, falls, respiratory illness, altered mental status, weakness, and behavioral health concerns. More than 1,100 EMS incidents originated from five high- utilization nursing, assisted-living, community-based residential, and senior-housing facilities, demonstrating significant opportunities for proactive intervention, chronic disease support, fall prevention, and care coordination. The proposed program will focus on older adults aging in place, individuals with chronic diseases requiring ongoing support, recently discharged patients, and frequent EMS utilizers Page 6 of 7 with unmet healthcare or social service needs. Community EMS personnel will emphasize care coordination, referral facilitation, chronic disease self-management support, fall- prevention initiatives, post-discharge follow-up, and connection to healthcare and community resources. Through improved care coordination and early intervention, the program seeks to reduce avoidable EMS utilization and emergency department visits while improving access to preventative and supportive healthcare services. During the planning period, Mayville EMS will conduct a community healthcare needs assessment; develop partnerships with Dodge County Public Health, the Dodge County ADRC, long-term care providers, community-based residential facilities, senior housing communities, and regional health systems; establish referral pathways and care coordination processes; develop operational and clinical protocols; identify technology and documentation needs; establish performance measures; expand Community EMS training capacity; and develop a long-term sustainability plan. Partnership development will include letters of commitment, collaborative protocols, and operational agreements. Mayville EMS currently has two Wisconsin Community EMS-endorsed AEMTs on staff and intends to expand Community EMS training as the program develops. Long-term sustainability efforts will evaluate support from regional healthcare systems, municipal and county partnerships, shared-service models, reimbursement opportunities where appropriate, and collaboration with organizations specializing in MIH development. This project aligns closely with the goals of the Coordinating Care Across Wisconsin initiative by addressing healthcare access barriers, strengthening partnerships across systems and sectors, bringing care closer to home, and creating a sustainable, community-centered model of healthcare delivery for rural and semi-rural residents. Planning Period Budget: Planning-period funds will support community needs assessment, partnership development, Community EMS and Mobile Integrated Health program design, technology and documentation systems, workforce training, referral pathway development, evaluation planning, and sustainability planning. These activities will establish the infrastructure and partnerships necessary to implement Community EMS services that improve healthcare access and care coordination within the Mayville service area. Mayville EMS requests planning grant funding in the amount of $150,000 for the November 2026 through April 2027 planning period. For the subsequent four-year implementation phase, Mayville EMS anticipates applying under Tier B ($2,000,000- $4,999,999) to support phased implementation and expansion of Community EMS and Mobile Integrated Health services throughout the service area. Page 7 of 7