Dent County Health Center Board of Trustees

Call to Order and Roll Call

Bob Parsons, Chairman of the Board of Trustees, called the meeting to order at 5:20 p.m.; in attendance were Bob Parsons, Dennis Floyd, Kim Smith, Zach Moser and Roma Jones. Board Member Sandra Headrick was not present.  Board member candidate, Robert Gravley, and public observer, Representative Ron Copeland, were also present.

Informal discussion and introduction of Representative Copeland took place before the meeting. Zach reported that Representative Copeland had spent time before the meeting getting to know Health Center staff and learning about our services. Board Members thanked Ron for attending and for representing Dent County in Jefferson City.

Minutes and Agenda

The agenda for the meeting was adopted by unanimous consent.

The minutes for the January regular board meeting were reviewed. Kim Smith moved to approve the minutes.  Shirley Larson seconded, and the motion carried.

Old Business:

SERVICE STATISTICS AND REPORTS:

Communicable Disease Reported by Zach Moser

• COVID19 – In February, 34 new cases of COVID-19 were reported.
  • Lead – 33 cases were active in February.
  • Sexually transmitted infections – 4 screenings were conducted in February. The Health Center conducts free screenings for common sexually transmitted diseases.
  • Influenza – Cases have increased early in the season. 5 total influenza cases were reported in February.
  • CD Cases – Zach reported on the Pertussis outbreak in which over 30 individuals were investigated but only two individuals had pertussis.
  • Animal Bites – 6 animal bites were reported.

Diagnostics – Reported by Zach Moser

• 147 appointments for blood draws in the lab were held in February. The Health Center can conduct most blood tests at a reduced cost for those without insurance. Anyone can have their labs done at the Health Center.
  • Rapid tests – 34 COVID tests were conducted in February. Zach explained that the “rapid test” category includes all testing done in our Rapid Testing room, which can be COVID, influenza, strep, and RSV.

Immunizations – Reported by Zach Moser

• 16 COVID-19 vaccine doses were administered in February.
  • Influenza vaccine: 3 doses administered in February. Free flu vaccine is still available at the Health Center.  
  • 82 Other vaccines were given in February. A flyer will be distributed to school aged children regarding back-to-school vaccinations.

All Appointments – reported by Zach Moser

• 354 appointments were conducted in February. Zach explained the reduction in visits was due to the short month with two holidays and April Greener being out of the office for almost two weeks.

WIC appointments

• 329 visits.

Other

• 124 Urine drug screenings for Treatment Court were conducted in February  

Environmental – Roma Jones

• 12 total inspections, 1 recalls, and 19 environmental questions answered during the month.

Administrator Report – Zach Moser

• Childcare Subsidy Program – Zach reported on 312 total children in the program and 21 providers. Nearly $600,000 has been dispensed so far.
  • Zach discussed the changes in the accounting procedures. Joan Raulston is taking information from Square Point of Sale as it comes into the Accounting software. Zach adds in expenses and prints checks and runs payroll. The accountant calculates depreciation, pays LAGERS bill, and provides general appraisal of books once a month.
  • Zach announced the Title X family planning program accepting patients on April 3^rd. This program offers free and reduced cost birth control, IUDs, STD testing and treatment, basic infertility consultations, and more. It was pointed out that Title X does not pay for abortion or sterilization services and that DCHC would not provide these services even if they were paid for. Abortion is currently illegal in Missouri.
  • Zach reminded the Board of the April 13^th Health Fair and discussed the public awareness campaign that had begun.
  • Zach reminded the Board of the May 26^th deadline for the personal financial disclosure to the Missouri Ethics Commission. Zach Moser, Dennis Floyd, and Robert Gravley have submitted their reports. Robert Parsons, Sandra Headrick, and Kim Smith have not.

Expenses

DCHC expenses for February and January were reviewed. Zach explained the several changes in the presentation of the report due to the move to new accounting software. The new reports are easier to read and interpret.  Dennis Floyd moved to accept the reports. Shirley Larson seconded and the motion carried.

New Business:

Zach presented the 2022 Annual Report as required by the bylaws. Zach discussed the last minute change of the list of employees and board members that was inspired by his discovery and review of the first annual report in 1963. The foreword by long-time employee Joan Raulston was discussed since it provides a unique perspective of the change in the department over 25 years.

Ron Copeland commented that the report was a great resource and that he would be happy to share the report if he could get a copy in electronic form. Zach agreed to email it to him.

Bob Gravley commented on the need for page numbers. Zach said he could easily add them and would. Kim Smith then moved to approve the report with the page number addition. Shirley Larson Seconded and the motion carried.

A sliding scale for the Title X (Ten) program was discussed, with individuals under the federal poverty level paying zero dollars and a graduated scale for individuals between 100% and 250% of the federal poverty level. Questions were asked about how verification of income would take place. Zach explained that proof from a W2 or bank statement was preferred but not required. The goal is to get people the services they need, not deter them due to paperwork.  Kim Smith moved to approve the scale. Dennis Floyd seconded.

Zach presented a Capitalization policy recommended by the accountant and auditing firm. In the policy, purchases over $5000 with a life expectancy of over 2 years will be placed on the balance sheet. Purchases less than $5000 but more than $500 with a life expectancy of 2 years or more will be expensed, but will be tracked on an inventory list. Items less than $500 with a life expectancy of 2 years or more will not be tracked and will be expensed. Kim Smith moved to approve the policy. Shirley Larson seconded and the motion carried.

Zach presented a revised 2021 Agreed Upon Procedures report in which the statement regarding the FDIC insurance as of 12/31/21 was revised to include the fact that the Bank of Salem had pledged securities to cover 100% of Dent County Health Center’s deposits that were not covered by FDIC.

Shirley Larson moved to approve the revised report. Kim Smith seconded and the motion carried.

Closed Session pursuant to RSMo 610.021 (3) Personnel

At 6:11 pm, Kim Smith moved to enter closed session pursuant to RSMo 610.021 (3) to discuss personnel. Dennis Floyd seconded. A roll call vote was held with results as follows: Bob Parsons – Aye, Dennis Floyd – Aye, Shirley Larson – Aye. Kim Smith – Aye

At 6:18 pm, the board resumed open session having taken no action.

Zach then thanked Shirley Larson for her service on the board for the past 14 years. Roma Jones served cheesecake in recognition of her service. Shirley’s term ends on election day (April 4^th, 2023). At that time Robert Gravley will officially take her place on the Board.

Next Meeting and Adjournment

The next regular board meeting date was set for Thursday, April 20th, 2023 @ 5:00 p.m.

With no further business Shirley Larson moved to adjourn the meeting at 6:22 p.m. This was seconded by Kim Smith and all were in favor. Meeting adjourned.