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10/22/2013 MINUTESParis -- Lamar County Yfeafth Department 400 West Sherman Street Paris, Texas 75460 TF, Voice: 903 - 785 -4561 www.parislamorhealth.com F 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 Tuesday, October 22, 2013. In attendance were Dr. Rick Erickson, Dr. Keith House, Dr. Mark Gibbons, Dr. William George, and Mr. William Collins. Not in attendance were Dr. Lav Singh and Mrs. Kristi Head. Others in attendance were Mrs. Gina Prestridge, Ms. Cheryl Johnson, Mrs. Carla Rhodes, Mrs. Elishia Brothers, Mrs. Nita Johnson, and Mrs. Rebecca Sanders. Meeting was called to order at 5:34 p.m. by Dr. Erickson. Mr. Collins made the motion and was seconded by Dr. Gibbons that minutes from the September 24, 2013 meeting be approved. Mrs. Prestridge, Executive Director, updated the board that Sandy Collard, City of Paris Human Resource Manager, will give Paris -Lamar County Health Department any important City of Paris Policies and Procedures revisions. Dr. Erickson had recently looked over the City of Paris Policies and Procedures; however Mrs. Prestridge recently received some changes from the City of Paris so she will combine the changes and the Paris -Lamar County Health Department Board Members can review at the next meeting. Dr. Erickson talked with Judge M.C. "Chuck" Superville, Jr. about the interlocal agreement and what he would like to see in the agreement and the wording. Dr. Erickson would like for the The interlocal agreement defines how we relate to the City of Paris and Lamar County, how board members are appointed and dismissed, how we are funded by these two entities, and the control they may have over the Paris -Lamar County Health Department. Judge Superville would like for a firm budget figure that Lamar County would pay at the beginning of their budget year and not an estimate figure at the beginning and then the actual shortfall reimbursement amount at the end of the budget year. Mr. Collins had also talked to Judge Superville about a budget figure of $75,000. a year from each entity OR one -half of the actual expenses or $75,000., whichever is greater. Judge Superville wants to keep the ability to review the Paris - Lamar County Health Department budget. Judge Superville also wants the board members to suggest name for replacing any existing board members. The names would be submitted to the City of Paris and Lamar County and they would approve or disapprove the appointments. Dr. Erickson will get with Mr. John Godwin, Mr. Kent Mcllyar, and /or Dr. A. Hashmi before our next meeting. Mrs. Prestridge applied for 1115 waiver money, along with University of North Texas Health Science Center, and both received money. We are partnering with them and they will come to the Paris -Lamar County Health Department and train our clinician and staff on mental health issues and they will also have a psychiatrist on staff that we may contact and some medicines. Mrs. Prestridge went through Hiring Partners and is hiring a part-time employee to credential us and bill for Medicare, Medicaid, and private insurance. The employee will work approximately 20 hours a week for $12. per hour and will be paid with the DSRIP 1115 Waiver money. Mrs. Prestridge advised that we have three billboards up for our Smoke -Free Environment campaign and Tobacco Prevention and on the bottom is a tagline saying sponsored by the Paris -Lamar County Health Department as well as the radio ad. The billboards are located near the Toco area, the Reno area, and on the loop and across from the Paris Regional Medical Hospital. Mrs. Prestridge asked the board members to give her some guidance on the insurance options. We are currently part of TML (Texas Municipal League) and we are part of the pool. Option # 1— if we meet the criteria (Gina is checking to see if we qualify), if so, then we can then stay in the pool and we can be our own little group for 15 full -time employees, but premium may go up. Option # 2 —we can give a stipend, currently we give $425.00 monthly to each employee and they use that money to shop the plans that the City of Paris offers, such as: if they choose to cover the employee only then they may get money back and it is put in an HRA account to be used to pay for prescription drugs, glasses, dental appointments, etc., or if they choose to add their spouse then they must add their own money to cover any premium over the $425.00. stipend amount. Do we stipend the $425.00 and let the employees go into the market place and shop Obamacare and if the premium is more then they must contribute or if it is less then they get to keep it? Obamacare is still up in the air, but there is a provision that if you don't take the City of Paris insurance and if we do the stipend amount but that falls through, then there is a provision that you can get back on the pool at TML. Mrs. Prestridge has requested this provision in writing. Option # 3 - Mackey and Pierson Insurance Agency is sending an insurance quote for her employees. Should we offer only one option to all employees? We will discuss all three options at next meeting. Mrs. Prestridge advised that currently employees contribute 6% and we match 7% to their retirement account. We may want to set up a 401K or HRA account and let the employees contribute the 6% and you decide the match % amount. Mrs. Prestridge advised that she purchased a 2001 Chevrolet Silverado % ton truck to be used for mosquito spraying from Paul Prunty. The truck is being put into the Paris -Lamar County Health Department name with exempt tags and decals and unit #1. The Board Members need to do an annual performance evaluation (See attachment #1) on Dr. Amanda Green and Mrs. Gina Prestridge. Copies of the form will be emailed to all members and will be discussed at next meeting. Board of Health minutes 2013 -10/22 Special Meeting (needing approval) The next meeting will be on the 19th of November, 2013 at 5:30 p.m. at the Paris - Lamar County Health Department. Mr. Collins made the motion and was seconded by Dr. Erickson for the meeting to be adjourned at 6:32 p.m. Respectfully submitted by: &C* Z), fd4O&W Cheryl D. Johnson (See attachment # 1— Employee Evaluation Form) Approval motion made by Dr. George and seconded by Dr. Gibbons at the November 19th, 2013 meeting. Board of Health minutes 2013 -10/22 Special Meeting (needing approval)