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September 14, 1971 ADVISORY BOARD OF HEALTH MEETING The Advisory Board of Health met at the Paris -Lamar County health Depart- ment Building, Tuesday, September 14, 1971 at 7:30 P.M. with the following members present: Mrs. Ann Norment, Mr. James Deatherage, and Dr. William Hayden. Invited guests also present were: C. L. Walker, City Manager, Harold Greene, City Clerk, L. C. Johnson, County Auditor, W. C. Pursifull, Sanitarian, and Dr. J. R. Bailes, Medical Director, Public Health Region 7. The vice - chairman, James Deatherage, opened the meeting for business. The minutes of the last meeting were not read as they had already been acted upon and were of no interest to this meeting. Mr. Deatherage expressed his regrets in the passing of Dr. Lane B. Cooke and asked Dr. Bailes to speak to the board regarding the possibilities of his replacement. Dr. Bailes gave the three alternatives which he felt would accomodate the needs of the Paris -Lamar County Health Department. A copy of these recommendations is as follows: 1. A full -time, qualified and permanent Physician for the position of Medical Director can probably be found and employed at a minimal annual salary rate of $30,000.00 per year. This approach is somewhat negated in that the salary for the vacant position cannot exceed that which was paid prior to August 14, 1971 until November 14, 1971 - this situation is created by the effect of the Presidential Executive Order 11615 Providing for Stabilization of Prices, Rents, Wages and Salaries. In addition to the immediate salary factor, an unnecessary delay would be experienced through this alternative. 2. A Physician to serve as Acting Director could be employed at a salary rate determined by the availability and qualifications of Physicians willing to accept the position on an acting - and thereby somewhat temporary - basis. Again, the salary rate would be affected negatively by Executive Order 11615 noted in paragraph 1., above. Further, this alternative would not resolve your needs on a long term basis. 3. Public Health Region 7 can provide professional Public Health Medical direction and the necessary administrative and managerial services necessary to the continued operation of your Health Department. Con- junctively, a qualified local Physician could be placed on a monthly retainer and fee for services compensation basis to augment the services rendered by Region 7. A reasonable monthly retainer amount would be approximately $200.00 per month and the fee for services - to be in addition to the retainer - would be at the standard fee for each specific procedure that the retained physician normally charges to his patients. This alternative would be the most economic approach to resolving your problem and would also place the total resources of Public Health Region 7 at your disposal.