The Dent County Health Center Board of Trustees met March 21 for its monthly meeting, and in attendance were Bob Parsons, Carol Lacy, Lori Hasten, Roma Jones, and Zach Moser. Minutes and agenda were approved.
The next regular board meeting date was set for Thursday, April 18 at 5:00 p.m.
An administrative report was given by Moser. Moser pointed out that Feb. is a short month, and there are two holidays when DCHC is closed. This should be kept in mind when reviewing statistics.
• DHSS paid two months of WIC in Feb.
• Adult Immunization grant was awarded for $109,000. An Immunization RN position was posted.
• Due to a new program at the state level, DCHC will soon begin offering free hepatitis B and C testing. Treatment can also be received through the state in some cases. April Greener has also started treating certain patients with hepatitis C.
DCHC financial reports for Feb., including the review from H&R block, were reviewed. Current assets on Feb. 29 were $1,110,566.58. Total assets were $1,747,283.28, total liabilities were $183,972.03, and equity was $1,563,311.25. Revenue for Feb. was $119,874.83, expenses were $97,404.57, and net operating revenue was $22,470.26. After other revenue and expenses, net revenue was $18,538.09.
Hasten moved to approve the financial reports, and the report from H&R Block. Floyd seconded. Motion carried.
All statistics listed are for Feb. 2023.
Communicable diseases:
• 16 reported cases of COVID19,
• 34 cases of lead,
• 21 screenings of sexually transmitted infections
• 37 cases of influenza,
• and two animal bites.
Immunizations:
• 7 COVID-19 vaccine doses were administered.
• Influenza vaccine: 2 doses administered.
• 76 other vaccines were given, including the new RSV vaccine and new formulations of pneumonia vaccine.
Jones presented an environmental report with 11 total inspections, four sewer complaints, and ten environmental questions answered during the month. A town hall meeting and informational session is being planned for information and questions about new regulations.
Regarding maternal and child healthcare, there was one CPR course given, two childcare health consultations, one Show-Me Healthy Women appointment, 27 Title X, five presumptive eligibilities (temporary Medicaid), and 50 WIC appointments.
All appointments other than WIC totaled 483, with 169 nurse practitioner appointments, 85 treatment court visits, 200 lab appointments, and 29 immunization appointments.
Nurse practitioner services included three family planning appointments, 75 well-child appointments, nine online appointments, 6 other physicals, 23 SEMO physicals, nine other visits, and 114 acute illnesses.
For laboratory detail, there were 219 patients for lab draws, 19 appointments for rapid tests (COVID, Flu, RSV, and Strep), two pregnancy tests, and two lead tests.
For new business:
• Quotes for GeneXpert and Biofire Spotfire were presented. Lacy moved to approve the purchase of the Biofire Spotfire for $34,482.76 and adjust the capital budget accordingly. Floyd seconded and the motion carried.
• Quote was presented for a Binx IO analyzer from McKesson. This is a single-source item. Hasten moved to approve the purchase of the Binx IO for $11,500 from McKesson and to adjust the capital budget accordingly. Lacy seconded and the motion carried.
• Two quotes were presented for a countertop autoclave device. Floyd moved to approve the purchase of the automatic door autoclave for $8,039.56 and adjust the capital budget accordingly. Lacy seconded and the motion carried.
• Moser presented the personnel manual which was being revised as a part of the strategic plan and previously discussed needs. The changes were discussed line by line. Floyd moved to approve the content changes. Lacy seconded and the motion carried.
• Moser presented the 2023 annual report. Hasten moved to accept the report. Floyd seconded and the motion carried.
• Moser requested permission to dispose of some assets which were non-inventory assets. A Xerox copier and a medical freezer, as well as surplus balance ball chairs. Moser will make some effort to sell the assets but suggested that if they can’t be sold, they be scrapped. Lacy moved to approve the disposal of the assets. Floyd seconded and the motion carried.
