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Paris —Lamar County Health District <br />400 West Sherman Street, Paris, Texas 75460 -5646 <br />C Health District: (903) 785 -4561 <br />Par, dAMAR COUNIY Women, Infant and Children (WIC): (903) 784 -1411 <br />nuTM oamrcr <br />Fax: (903) 737 -0978 <br />www.parislamarhealth.com <br />Minutes of SPECIAL Meeting <br />Paris - Lamar County Board of Health <br />The Paris - Lamar County Board of Health held a SPECIAL meeting at 5:30 p.m. on Monday, February 16tH, <br />2015. <br />In attendance were Dr. Mark Gibbons, Dr. Lance Wyche Dr. Keith House, Dr. William George, Dr. Rick <br />Erickson and Mrs. Kristi Graham. Others in attendance were Mrs. Gina Prestridge and Ms. Cheryl <br />Johnson. Mr. Bill Collins was not in attendance. <br />Dr. Gibbons called the meeting to order in open session at 5:33 p.m. <br />No minutes presented for approval. <br />Mrs. Prestridge advised she took a check in the amount of the lease payoff to New Hope to present to <br />their board. Mrs. Prestridge advised that she had not heard anything from Mrs. Charlene Dirks or her <br />attorney. Mrs. Prestridge is dealing with a few issues with Elda Francis, FNP, since she returned to work, <br />including combative and insubordination. Currently only seeing approximately one patient per hour and <br />does not want to double book appointments. The Paris -Lamar County Health District hired Mrs. Kristi <br />Carter to replace Mrs. Charlene Dirks as the clinical LVN and he first day was February 16th. We saw <br />approximately 1594 WIC patients, 313 clinical patients, 11 restaurants and 6 septic permits during the <br />month of January. The clinical numbers are down from 601 during January of 2014 to only 313 during <br />January of 2015. We must see at least 15 patients a day to keep our numbers up and our funding. We <br />currently have approximately a 50% no -show ratio, so we need to start doing a walk -in clinic. Mrs. <br />Francis does not see walk -in patients and does not like to fill any cancelled appointments. All patients are <br />called and reminded of their appointments the day prior if we have working telephone numbers. All <br />patients need to be seen for the one problem that they came for and then other appointments need to <br />be made. Our numbers were up last year and we had the same nurse practitioner and two nurses, so we <br />should be able to keep our numbers up and delegate some of the responsibilities out to the nurses. Mrs. <br />Prestridge and Dr. Amanda Green talked and decided to advertise for a part -time, 2 -days a week, nurse <br />practitioner to do a walk -in clinic. Dr. Wyche made the motion and was seconded by Dr. Erickson to <br />revise the by -laws to state the regular Paris -Lamar County Health District meeting will be held monthly <br />on the third Monday of each month. All approved. <br />The next meeting will be April 20th, 2015 at 5:30 p.m. at the Paris - Lamar County Health District. <br />Dr. Gibbons made the motion and was seconded by Dr. House for the meeting to be adjourned at 6:00 <br />p.m. <br />Respectfully submitted by: <br />e6etyfg. 906nson <br />Approval motion made by Dr. Erickson and seconded by Mr. Collins at the March 23rd, 2015 meeting. <br />