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 6:34 p.m.; in attendance were board members Bob Gravley, Carol Lacy, and Bob Parsons. Zach Moser, Administrator, Roma Jones. Board members Dennis Floyd and Lori Hasten were absent.

Minutes and Agenda

The minutes for the September 19th meeting were reviewed. Carol Lacy moved to approve the minutes.  Bob Gravley seconded, and the motion carried.

Old Business:

SERVICE STATISTICS AND REPORTS:

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

Communicable Disease

• COVID19 – 21 reported cases.
  • Lead – 46 active cases
  • Sexually transmitted infections – 11 screening encounters and 40 total tests conducted.
  • Influenza – 0 cases
  • Animal bites – 1

Environmental – Roma Jones

• 9 total inspections,  0 recalls, 1 sewer complaints and 11 environmental questions answered during the month.
  • All food establishment fees have been paid.

Maternal-Child Health

• Carseats Distributed – 0
  • Cribs Distributed – 0
  • CPR Courses – 1
  • Childcare Health Consultations –0
  • Show-Me Healthy Women – 2
  • Title X – 21
  • Presumptive Eligibility (Temporary Medicaid) – 1
  • WIC Appointments – 332

Community-Specific Services Summary

• All appointments other than WIC – 538
  • All Nurse Practitioner Appointments – 104
  • All Treatment Court Visits – 128
  • All Lab Appointments – 163
  • All Immunization Appointments – 147

Nurse Practitioner Service Detail

• Show- Me Healthy Women – 1
• Family Planning – 4
• Well-Child – 1
• Online Appointments (self-scheduled visits not otherwise classified) – 17
• Other well-woman exam – 1
• Other Physicals – 4
• SEMO Physicals -8
• Other Visits – 17
• Acute Illnesses -51

Laboratory Detail

• Lab Draws: 150 individual patients.
  • Rapid Tests (COVID, Flu, RSV, Strep): 29 appointments.
  • Pregnancy Tests – 2
  • Lead – 6 Lead tests

Immunizations

• 71 COVID-19 vaccine doses were administered.
  • Influenza vaccine: 52 doses administered.
  • 123 Other vaccines were given.

Administrator Report – Zach Moser

• Fall Health Fair – October 11^th, 2024. – 76 participants.
  • Drive-through Flu and COVID vaccine clinic – October 17^th, 2024   – over 100 vaccines given.
  • Community Health Assessment – Updates shared on the initiative to perform a formal CHA.
  • New Opportunities – Zach shared with the board three potential new grants.
  • Strategic Plan – Progress on the Strategic Plan was discussed.
  • Facilities  – RFQ Published

Expenses

DCHC financial reports for September were reviewed. Current Assets at end of the month were $1,290,727.95. Total assets were $1,972,576.23, total liabilities were $180,196.45, and equity was $1,792,379.78. Revenue for the month was $95,977.07, expenses were $99,579.75 for net operating revenue of -$3,602.68. After other revenue and expenses, net revenue was $-4629.64.

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

New Business:

• BCBH Active Transportation Purchases
  • Bob Gravley moved to approve the purchase of 10 bike racks from Focus Welding. Carol Lacy seconded and the motion carried.
  • Carol Lacy moved to approve the purchase of 6 benches for the Tiger trail plus installation from Lollis Contracting. Bob Gravley seconded and the motion carried.
• IT Management – Bob Gravely moved to establish a budget line for IT management services and authorize the administrator to enter into an agreement with a subcontractor to provide the service. The motion included up to 920 a month for ongoing maintenance and support. Carol Lacy seconded and the motion carried.
• New Position – Accreditation Assistant/ CHW – Carol Lacy moved to approve the creation of a new position pending final contract award by DHSS. Bob Gravley seconded and the motion carried.
• CDs – Quote from several banks were reviewed. Bob Gravley moved to approve the investment of $200,000 in a 1 year CD at the Bank of Salem for 4.25%. Carol Lacy seconded and the motion carried.

Closed Session

At 8:00pm, Carol Lacy moved to close the meeting pursuant to subsections 3,12,13 of 610.021 RSMo. Bob Gravley seconded. A roll call vote was held as follows: Bob Parsons – Aye, Bob Gravley – Aye, Carol Lacy – Aye, Lori Hasten – Absent, Dennis Floyd – Absent.

At 8:55 pm, the board returned to open session having discussed personnel and the RFQ, but having taken no votes other than approving minutes. It was agreed that a full board was needed in order to move forward on these issues.  

Next Meeting and Adjournment

The next regular board meeting date was set for Thursday, November 21^st, 2024 @ 5:00 p.m.

A special meeting to discuss the RFQ and personnel hiring was tentatively scheduled for October 23^rd pending responses from the absent board members.

With no further business Carol Lacy moved to adjourn the meeting at 8:56 p.m. This was seconded by Bob Gravley and all were in favor. Meeting adjourned.