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 5:06 p.m.; in attendance were board members Bob Gravley, Carol Lacy, Bob Parsons, Dennis Floyd and Lori Hasten. Also present were Zach Moser, Administrator, Roma Jones, Assistant Administrator.

Minutes and Agenda

The minutes for the January Meeting were reviewed. Carol Lacy Moved to approve the minutes. Bob Gravley seconded and the motion carried.

By suggestion of the auditor, another change to the November 21^st meeting minutes were also reviewed. Lori Hasten moved to reconsider the approval of the 11/21 minutes. Carol lacy seconded. The motion carried. Bob Gravely then moved to approve the revised minutes. Dennis Floyd seconded and the motion carried.

Old Business:

SERVICE STATISTICS AND REPORTS:

All statistics listed are for January 2025 and are reported by Zach Moser unless otherwise stated.

Communicable Disease –

• COVID19 – 5  
  • Lead – 44 active cases
  • Sexually transmitted infections – 12 encounters, 2 treatments, 55 total tests
  • Influenza – 83, all influenza A, highest number since December of 2022.
  • Animal bites – 3

Environmental – Roma Jones

• 7 total inspections, 0 recalls, 0 sewer complaints and 17 environmental questions answered during the month.

Maternal-Child Health

• Carseats Distributed – 1
  • Cribs Distributed – 0
  • CPR Courses – 0
  • Childcare Health Consultations –0
  • Show-Me Healthy Women –0
  • Title X – 20
  • Presumptive Eligibility (Temporary Medicaid) –4
  • WIC Appointments – 345

Community-Specific Services Summary

• All appointments other than WIC – 446
  • All Provider Appointments – 251
  • All Treatment Court Visits – 115
  • All Lab Appointments – 183
  • All Immunization Appointments – 46

Nurse Practitioner Service Detail

• Show- Me Healthy Women –0
• Family Planning – 8
• Well-Child – 2
• Online Appointments (self-scheduled visits not otherwise classified) – 11
• Other well-woman exam – 4
• Other Physicals – 2
• SEMO Physicals -0
• Other Visits – 22
• Acute Illnesses -69

Physician Service Detail

• Well-Visits – 0
• Online Appointments – 5
• Other Physicals – 5
• SEMO Physicals – 0
• Other Visit – 41
• Acute Illness – 82

Laboratory Detail

• Lab Draws: 185 individual patients.
  • Rapid Tests (COVID, Flu, RSV, Strep): 22 appointments.
  • Pregnancy Tests – 5
  • Lead –9

Immunizations

• 16 COVID-19 vaccine doses were administered.
  • Influenza vaccine: 23 doses administered.
  • 37 Other vaccines were given.
  • 76 Total doses given

Administrator Report – Zach Moser

• Health Fair Scheduled – May 2^nd, 2025.
  • Snow/Weather – Zach discussed the impact of the winter that hit Dent County on February 18^th.Community Health Assessment – Process is underway, there is a meeting with community leaders scheduled for March 12^th. This will be followed by a survey and data collection, then a priority setting meeting.
• • Grants – Zach announced the approval of a grant from Dent County / Opioid Settlement Fund to support a transportation program. DCHC will use their existing van to give rides around town, primarily for non-medical reasons. A proposed fee schedule was discussed.  Robert Gravely moved to approve the addition of the position of driver. Carol Lacy seconded and the motion carried.
• • Wastewater monitoring – Zach discussed a NACCHO grant that DCHC was awarded to facilitate a wastewater monitoring program in Dent county.
  • Audit – Zach discussed the progress on the audit and brought to the Board’s attention items that would have normally been adjusted from the prior month but could not be because of the audit.

Expenses

DCHC financial reports for January were reviewed. Current Assets at end of the month were $1,397,358.89. Total assets were $2,297,639.24, total liabilities were $389,924.24, and equity was $1,907,715.00. Revenue for the month was $260,344.38, expenses were $111,077.76 for net operating revenue of $149,266.62. After other revenue and expenses, net revenue was $144,816.51.

Bob Gravley moved to approve the financial reports. Lori Hasten seconded. Motion carried.

New Business:

• Shared Providers with SMDH – Zach reported that Brooke Bollman, CEO of SMDH, had approached him about sharing providers. DCHC would lease providers to SMDH to see patients in the SMDH clinic for a few hours a day, to assist with walk-ins. Dennis Floyd moved to authorize Moser to negotiate and finalize an agreement with SMDH regarding provider leasing. Carol Lacy seconded. Lori Hasten called for a roll-call vote, which was granted by the chairman. A roll call vote was held as follows:

Carol Lacy – Yes; Bob Parsons – Yes; Lori Hasten – Abstained; Bob Gravely – Yes; Dennis Floyd – Yes. Motion carried.

Closed Session

No closed session was held.

Next Meeting and Adjournment

The next regular board meeting date was set for Thursday, March 20^th, 2025 @ 5:00 p.m.

With no further business Dennis Floyd moved to adjourn the meeting at 6:39 p.m. This was seconded by Lori Hasten and all were in favor. Meeting adjourned.

Recorded by:

Zachary Moser, Administrator                                    Bob Parsons, Chairman