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 5:07 p.m.; in attendance were Bob Parsons, Dennis Floyd, Robert Gravley, Carol Lacy, Roma Jones, and Zach Moser. Trustee Lori Hasten was absent.  

Minutes and Agenda

The minutes for the October regular board meeting were reviewed. Bob Gravely moved to approve the minutes.  Carol Lacy seconded, and the motion carried.

Old Business:

SERVICE STATISTICS AND REPORTS:

All statistics listed are for October 2023 and are reported by Zach Moser unless otherwise stated.

Communicable Disease

• COVID19 – 48 reported cases.
  • Lead – 37 cases
  • Sexually transmitted infections – 9 screenings
  • Influenza – 0
  • Animal bites – 4

Diagnostics

• Lab Draws: 238 appointments.
  • COVID tests – 29 COVID tests.
  • Lead – 14 Lead tests

Immunizations

• 178 COVID-19 vaccine doses were administered. New formulations of COVID vaccines are now readily available.  
  • Influenza vaccine: 262 doses administered.
  • 76 Other vaccines were given.

Other Statistics

• All Appointments other than WIC: 785
  • WIC: 316
  • Treatment Court Urine Drugs Screenings – 80
  • Show-Me Healthy Women – 2
  • Title X Family Planning – 6

Environmental – Roma Jones

• 2 total inspections, 0 recalls, 2 sewer complaints and 10 environmental questions answered during the month.

Administrator Report – Zach Moser

• Door Replacement – Zach reported that Miller Glass has materials ordered, but they have not been delivered yet.
  • Lead (Pb) Project Manager Hired  
  • Youth Vaping Townhall – December 14^th at Salem Community Center. More information at https://www.vapetalkmo.com

Expenses

DCHC financial reports for October, including the review from H&R block, were reviewed.

Discussion was held on the balance sheet, income statement, and budget statement.

After these questions were addressed, Robert Gravely moved to approve the financial reports, and the report from H&R Block. Carol Lacy seconded. Motion carried.

New Business:

• Food Regulation – Public comments were reviewed on the regulation. 2 comments were opposed and 2 were in favor. The “Good” and “Okay” rating system was questioned in several comments, and the licensing period renewing at the beginning of the year was noted to be difficult due to it being a busy time of year. DCHC Staff recommended to the Board to keep the rating system as Good/Okay and to change the licensing period to being in July instead of January. Carol Lacy moved to approve the food regulation with the change of from January to July as beginning of the licensing period.  Bob Gravely seconded, and the motion carried.
• 2024 Budget – Zach introduced the budget for discussion. Secretary/Treasurer Bob Gravely discussed the importance of diving deep into the assumptions and the sources of those numbers. He will work with Zach to critically evaluate the budget. A budget meeting was tentatively scheduled for December 18^th at 5pm.
• Election Filings – Filing dates are December 5 through 26. Lori Hasten and Carol Lacy’s seats are up for this election cycle. April 2^nd, 2024 is election day.
• Lab Draw Fee – Due to increased personnel costs and the ending of grant funding that subsidized the cost of labs, a budget shortfall was predicted in the lab department. To offset this, a change in the lab draw fee is needed. Lab order prices will remain the same. Bob Gravely moved to increase the lab draw fee to $25 effective December 1^st. Carol Lacy seconded and the motion carried.
• Services Offered – Discussion was held on what services the nurse practitioner should be authorized to provide. No action was taken.

Closed Session

At 7:07 pm, Dennis Floyd moved to enter into closed session pursuant to RSMO 610.021 (2)(3)(13)

A roll call vote was held with results as follows: Bob Parsons – Aye, Dennis Floyd – Aye, Robert Gravely – Aye, Carol Lacy – Aye.

At 7:23 pm, the board exited closed session having approved a revised bid from Evapar regarding the generator.

Next Meeting and Adjournment

A Local Public Health Agency meeting hosted by DHSS via zoom regarding accreditation will be on November 28^th at 3:30pm. Board Members were invited.

The next regular board meeting date was set for Thursday, December 21^st, 2023 @ 5:00 p.m.

The Budget Meeting is set for Monday December 18^th, 2023 at 5pm.

With no further business Dennis Floyd moved to adjourn the meeting at 7:27 p.m. This was seconded by Carol Lacy and all were in favor. Meeting adjourned.

Recorded by:

_________________________________            ____________________________

Zachary Moser, Administrator                                    Bob Parsons, Chairman