03/23/2015 MINUTES - Laserfiche WebLink

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Paris - -Lamar County Health District 400 West Sherman treet, Paris, Texas 75460 -5646 C erman Health District: (903) 785 -4561 ' a� Women, Infant and Children (WIC): (903) 784 -1411 WAM Fax: (903) 737 -0978 www.parislamarhealth.com Minutes of SPECIAL Meeting Paris - Lamar County Board of Health The Paris - Lamar County Board of Health held a SPECIAL meeting at 5:30 p.m. on Monday, March 23rd, 2015. In attendance were Dr. Mark Gibbons, Mr. Bill Collins, Dr. Lance Wyche, Dr. William George, Dr. Rick Erickson and Mrs. Kristi Graham. Dr. Keith House was not in attendance. Others in attendance were Mrs. Gina Prestridge, Ms. Cheryl Johnson. Mrs. Emily Neeley, Mrs. Elda Francis and Dr. Amanda Green. Dr. Gibbons called the meeting to order in open session at 5:32 p.m. Dr. Erickson made the motion and was seconded by Mr. Collins to approve the minutes from the meetings on January 26th and February 16th, 2015. All approved. Mrs. Francis addressed the board members and stated that she thought they had been misled from their last meeting about her practice and the method that she did her practice was discussed and she wanted to address the members and answer any questions they may have. Mrs. Francis advised that she did not do the referral forms, that she delegated this responsibility to her nurses. Mrs. Francis also stated that the number of patients being seen is out of her control and if a patient walks in then she tries to see them but she does want the nurse to advise her of any add -ons or walk -ins. Mrs. Francis had the RN and LVN write down the duties that they do for the FNP. Mrs. Francis advised that we have a high rate of no- shows and reschedules, but most of the time her patients are double- booked. Mrs. Francis advised that there is a lot of paperwork that the nurses have to do to comply with the grants and this reduces the number of patients that can be seen. Mrs. Francis advised that the Paris -Lamar County Health District has a huge absenteeism, so therefore she is working short- staffed a lot of the time. Mrs. Francis advised that the type of patients that she sees also takes a lot of time, such as bi- polar, depression, and lack of medical treatment for long periods of time. Also, Mrs. Francis advised that her numbers could be down during the month of March, due to weather days and the office being closed and well as spring break. Mrs. Francis also presented the board with a complaint on Mrs. Gina Prestridge, Paris -Lamar County Health District Executive Director. Mrs. Francis advised that Mrs. Prestridge had given her a letter dated March 12, 2015 and the letter stated that Mrs. Francis' weekly hours had been reduced from 35 hours per week to 20 hours per week. Mrs. Francis thinks the letter is very disrespectful and did not appreciate this conduct since she feels she has contributed a lot to the clinic. Mrs. Francis would like for the board members to consider adjusting her hours back to 35 or 40 hours per week and she would like their feedback. Dr. Gibbons asked how Mrs. Francis handles walk -ins. Mrs. Francis advised that she does them if at all possible, but advises the patient that they may have to wait. Also, Mrs. Francis advised that a lot of the time she does not know about walk -ins because the receptionist may have told them that we do not have any openings for that day, but if they are there and Mrs. Francis can work them in then she will. Mrs. Francis advised that if we have patients that are late, then she tells them that we will see them but she will see the patients that arrived at their appointed time and then she will work you in.