Dent County Health Center Board of Trustees

Call to Order and Roll Call

Dennis Floyd, Vice-chairman of the Board of Trustees, called the meeting to order at 5:01 p.m.; in attendance were board members Bob Gravely, Dennis Floyd, Lori Hasten, and Carol Lacy. Zach Moser, Administrator, Roma Jones, and April Greener were present. Board member Bob Parsons was absent.

Tax Hearing

The tax information was presented, with $201,051,926 in total assessed valuation in the county. The maximum levy according to the State Auditor’s office that DCHC can levy this year is $0.0959 per $100 of assessed valuation for estimated revenues of $192,809.

The floor was opened for public comment on the tax rate. Carol Lacy moved to set the tax rate at $0.0959 per $100 of assessed valuation. Bob Gravely seconded and the motion carried.

April Greener

Employee and Nurse Practitioner April Greener requested an audience with the Board to announce that she is stepping down from full-time to part-time in order to pursue a part-time position as an educator with the Alpha-1 Antitrypsin Foundation, educating on the condition that has closely affected her family. April’s last full time day will be September 13^th.

Minutes and Agenda

The minutes for the July 16^th meeting were reviewed. Carol Lacy moved to approve the minutes.  Bob Gravely seconded, and the motion carried.

Old Business:

SERVICE STATISTICS AND REPORTS:

All statistics listed are for July 2024 and are reported by Zach Moser unless otherwise stated.

Communicable Disease

• COVID19 – 12 reported cases.
  • Lead – 40 active cases
  • Sexually transmitted infections – 26 screening encounters and 92 total tests conducted.
  • Influenza – 0 cases
  • Animal bites – 8

Environmental – Roma Jones

• 4 total inspections, 0 recalls, 0 sewer complaints and 14 environmental questions answered during the month.
  • Zach presented the list of food establishments who have not submitted their inspection fees for the year.

Maternal-Child Health

• Carseats Distributed – 5
  • Cribs Distributed – 1
  • CPR Courses – 1
  • Childcare Health Consultations –2
  • Show-Me Healthy Women – 1
  • Title X -22
  • Presumptive Eligibility (Temporary Medicaid) – 2
  • WIC Appointments – 316

Community-Specific Services Summary

• All appointments other than WIC – 518
  • All Nurse Practitioner Appointments – 122
  • All Treatment Court Visits – 111
  • All Lab Appointments – 202
  • All Immunization Appointments – 57

Nurse Practitioner Service Detail

• Show- Me Healthy Women – 1
• Family Planning – 5
• Well-Child – 7
• Online Appointments (self-scheduled visits not otherwise classified) – 9
• Other well-woman exam – 1
• Other Physicals – 12
• SEMO Physicals -10
• Other Visits – 13
• Acute Illnesses – 64

Laboratory Detail

• Lab Draws: 210 individual patients.
  • Rapid Tests (COVID, Flu, RSV, Strep): 3 appointments.
  • Pregnancy Tests – 21
  • Lead – 9 Lead tests

Immunizations

• 0 COVID-19 vaccine doses were administered.
  • Influenza vaccine: 0 doses administered.
  • 105 Other vaccines were given, including the new RSV vaccine and new formulations of pneumonia vaccine.

Administrator Report – Zach Moser

• Lead Poisoning Townhall – There lead poisoning townhall was held August 1^st, 5:30pm at the armory.
  • Back to School Festival – Immunizations and Teacher Appreciation –  Was Held August 3^rd, 9am to 12pm. About 30 people participated.
  • Healthy Baby Event – Was held August 22^nd and was a successful partnership with the Prevention Consultants and Four Rivers.
  • Future Events –
    • Fall Health Fair – October 11^th, 2024.
    • Drive-through Flu and COVID vaccine clinic – October 17^th, 2024   
  • Strategic Plan – Progress on the Strategic Plan was discussed.  
  • Maintenance – Insurance adjuster said there was no damage to the roof from the hailstorm.
  • Facilities  – Zach emphasized the need for more space and suggested at a minimum of having the carport enclosed and converted to a consolidated storage area.
  • Printers – Need for a second leased printer was discussed.

Expenses

DCHC financial reports for July were reviewed. The H&R Block review had not been forwarded to the Board before the meeting. Current Assets at June 31st were $1,194,415.21. Total assets were $1,885,687.84, total liabilities were $171,682.82, and equity was $1,714,005.02. Revenue for July was $55,512.37, expenses were $92,413.95 for net operating revenue of -$36,901.58. After other revenue and expenses, net revenue was -$39,904.44.

Bob Gravely moved to approve the financial reports. Carol Lacy seconded. Motion carried.

New Business:

• New Position – Zach proposed adding a full time nurse practitioner and keeping April on part time. He also asked for consent to start recruiting for a Family Medicine Physician. There were no objections from the Board.  

Closed Session

No closed session was held.

Next Meeting and Adjournment

The next regular board meeting date was set for Thursday, September 19^th, 2024 @ 5:00 p.m.

With no further business Lori Hasten moved to adjourn the meeting at 6:37 p.m. This was seconded by Bob Gravely and all were in favor. Meeting adjourned.

Recorded by:

_________________________________            ____________________________ Zachary Moser, Administrator                                    Bob Parsons, Chair