Minutes of April 20th, 2023 Regular Meeting

Call to Order and Roll Call

Bob Parsons, Chairman of the Board of Trustees, called the meeting to order at 5:00 p.m.; in attendance were Bob Parsons, Bob Gravley, Dennis Floyd, Zach Moser and Roma Jones.  Board member Kim Smith and Sandra Headrick were not in attendance.

Swearing in of New Trustees

Zach Moser announced that no election was held due to there being the same number of candidates as positions. Robert Gravley was elected to a 4 year term and Dennis Floyd elected to the 3 years remaining on the 4 year term he was appointed to last year.

Zach Moser, notary public, administered the oath of office of trustee to Dennis Floyd and Robert Gravley.

Approval of Oath of Office for 2024

Dennis Floyd moved to officially adopt an oath of office for the board members to be used in future swearing-in ceremonies, reading as follows:

I, Board Member, do solemnly swear that I am a citizen of the United States and a resident taxpayer of Dent County in the State of Missouri, and that I will support the Constitutions of the United States and of the State of Missouri, and that I will abide by and uphold the Dent County Health Center by-laws, and will faithfully demean myself in office, in order to facilitate the improvement and protection of the health of all Dent County residents.

Robert Gravley seconded and the motion carried.

Resignation Letter

Board Chairman, Bob Parsons, read a letter addressed to the Board from Board Member Sandra Headrick, tendering her resignation after 16 years of service to the Dent County Health Center. Dennis Floyd moved to accept the resignation and Bob Gravley seconded. The motion was debated for approximately 15 minutes before being brought to a vote in which the motion carried.

The Board expressed their appreciation for Sandra’s many years of service, which included years of volunteering for the Show Me Healthy Women program and work with the family planning program in years prior. Her medical and nursing expertise has been relied upon by the Board over the years.

Election of Officers

Board Chairman Bob Parsons then opened the floor for nominations for officers, starting with Chairman.

Dennis Floyd nominated Bob Parsons for Chairman. Robert Gravley seconded, and the motion carried.

Dennis Floyd nominated Kim Smith for Vice-Chairman. Robert Gravley seconded, and the motion carried.

Robert Gravley nominated Dennis Floyd for Secretary-Treasurer. Dennis Floyd seconded, and the motion carried.

Minutes and Agenda

The minutes for the March regular board meeting were reviewed. Dennis Floyd moved to approve the minutes.  Robert Gravley seconded, and the motion carried.

Old Business:

SERVICE STATISTICS AND REPORTS:

Communicable Disease Reported by Zach Moser

  • COVID19 – In March, 34 new cases of COVID-19 were reported.
    • Lead – 28 cases were active in March.
    • Sexually transmitted infections – 8 screenings were conducted in March. The Health Center conducts free screenings for common sexually transmitted diseases.
    • Influenza – 2 total influenza cases were reported in March.

Diagnostics – Reported by Zach Moser

  • 241 appointments for blood draws in the lab were held in March. 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.
    • COVID tests – 26 COVID tests were conducted in March.

Immunizations – Reported by Zach Moser

  • 16 COVID-19 vaccine doses were administered in March.
    • Influenza vaccine: 2 doses administered in March. Free flu vaccine is still available at the Health Center.  
    • 100 Other vaccines were given in March.

All Appointments – reported by Zach Moser

  • 495

WIC appointments

  • 327

Other

  • 143 Urine drug screenings for Treatment Court were conducted in March  

Environmental – Roma Jones

  • 10 total inspections, 0 recalls, and 6 environmental questions answered during the month.

Administrator Report – Zach Moser

·        Childcare Assistance

Zach reported that the childcare assistance program is winding down and will run out of money at the same time that the program was originally slated to end, May 31st, 2023. There are currently 328 children enrolled in the program and 22 providers.

·        Accounting

Zach reported that the new procedures were working and provided better insight for management into the Health Center’s finances. He reported that the onsite portion of the 2022 financial audit would be taking place May 4th.

·        Other

Zach Reported that the Title X (Ten) program started accepting patients on April 3rd.

Zach reported that he used spray paint to cover the old lines in the parking lot to reduce confusion for people parking.

Zach reported on the Health Fair as a success, with over 140 people attending altogether. Zach discussed the possibility of having a second Health Fair in October.

Zach reminded Board members of the May 1st deadline for personal financial disclosures to the Missouri Ethics commission.

Expenses

DCHC expenses for March were reviewed. Robert Gravley moved to accept the report. Dennis Floyd seconded and the motion carried.

Expected Budget Overages and Request for Modifications

Zach reported on some categories of revenue and expenditures that need budget adjustments:

CategoryExpense/ RevenueBudgeted AmountAmount RequestedComment
ELC IncomeRevenue10000155,000ELC renewed
CPR IncomeRevenue4001000Expecting More CPR income
Employee Training SuppliesExpense0750Training Supplies not Budgeted. Would like own line item
Biohazard DisposalExpense01200Not budgeted, overlooked.
CPR Materials and SuppliesExpense02000Not Budgeted, growing program
Vehicle InsuranceExpense01500Already spent, not budgeted.

Robert Gravley moved to approve the budget modifications as presented. Dennis Floyd seconded and the motion carried.

New Business:

No New Business was addressed

Closed Session – Not Held

Next Meeting and Adjournment

The next regular board meeting date was set for Thursday, May 18th, 2023 @ 5:00 p.m.

With no further business Dennis Floyd moved to adjourn the meeting at 6:25 p.m. This was seconded by Robert Gravley and all were in favor. Meeting adjourned.