1971-1989September 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.
Page 2
After this presentation, there was a general group discussion.
Dr. Hayden made the motion that the Advisory Board of health recommend
to the City Council and the Commissioners Court, the appointment of
Dr. J. R. Bailes as Director of the Paris -Lamar County Health Department.
Mrs. Norment 2nd the motion. The motion carried unanimously.
There being no further business, the meeting was adjourned.
Dr. Gilmore came in just as the meeting adjourned. He was briefed on
the activities of the meeting and was in agreement.
Submitted by;
ss M. Bolton, Secretary
MAY 29, 1979
ADVISORY BOARD OF HEALTH MEETING
The Advisory Board of Health met at the City Police Municipal Court
Room on May 29, 1979 at 6:30 P.M. with the following members present:
Mrs. Ann Norment, Mr. James Deatherage, Dr. William Hayden, Dr. C.D.
McMillan and Dr. John Barnett. Also Present were: Dr. Joe F.
Hillhouse, Acting Director, W.C. Pursifull, Sanitarian, and other
representatives of the Paris -Lamar County Health Dept. Also
attending was Mike Koch, Administrative Assistant of the City of
Paris.
Dr. Hayden opened the meeting, then asked Dr. Hillhouse to give a
brief summary of finances and the problems facing the Health Dept.
He gave an estimate of $8,674.00 would be needed for materials and
a supervisor for Mosquito Control, which would almost deplete our
surplus of $9,500.00. This is using manpower labor from CETA. He
stated that as things stand now, we would run out of money by
September if the City cut down their present payment. At this
time, the City is contributing more than 60% to the Health Dept.,
while the County is not contributing their agreed share of 40%
of the approved budget. The City had stated they may have to
discontinue this amount unless the County lived up to their portion.
Dr. Hillhouse asked the Board to propose a request asking the City
to continue the present amount and in the meantime to encourage
the County to live up to their 40% of the budget.
Dr. Hayden suggested that Mr. Deatherage should recommend to the
Board what action should be taken.
Mr. Deatherage then brought out the possibility of discontinuing
Mosquito Control, since the funds were not available. Dr. McMillan
disagreed with this, stating that at one time Paris was terribly
infested with mosquitoes and could possibly be that way again and
that would certainly be a health hazard. It was then decided by
the Board that the Health Department would go ahead with the
Mosquito spraying and if necessary, use the surplus monies and
go from there.
Mr. Koch was asked if the City would discontinue their present
amount of contribution and he said that he could not commit the
City but that something should be worked out between the City and
County by the first of January.
Mr. Pursifull pointed out that we could not be sure of the expense
of Mosquito Control because the jeeps were 30 years old and also
brought out the fact that the City was furnishing the gasoline
and maintenance on them.
Page 2
Dr. Hayden made a motion that a summary of expenses and functions
of the Health Department be presented to the Board before they
would propse any actual solution to our problems.
Dr. Hillhouse said he would work up a detailed background of this
and other conditions and send them to the Board members for their
consideration before the next meeting.
The committee requested Dr. Hayden and Dr. McMillan to write a
letter to the City Council requesting them to continue funding
until January 1, 1980, and in the meantime would examine the
priorities of the department and the funding in an effort to
resolve the difficulties of the department.
Mrs. Ann Norment suggested the time for the next meeting to be
June 26, 1979 and to study the budget at that time.
Dr. Hillhouse asked that this next meeting be informal for full
discussion and free exchange of ideas. This was agreed upon.
Mr. Deatherage then dismissed the meeting.
Submitted by:
Bett Kennedy, C rk
The Following are suggestions made by The Board Members at the
Meeting May 29, 1980
Mr. Deatherage suggested going straight to Ark Tex Council of
Government instead of through CETA for employees and /or money
for Mosquito Control.
Mr. Deatherage suggested letting the City manage Mosquito Control.
Dr. Hayden Suggested spraying by air.
Sonny Pursifull suggested publicity & publishing of a Mosquito
Pamphlet in news papers.
alerting
Dr. Hayden suggested kuXk cg the Citizens of Paris, and let them
be concerned about Mosquito Control and also of their responsibility
to the Health Dept. and community.
Ann Norment suggested organizing with other 43 Health Departments
and let it be a "State Wide" push to Legislators and Federal and
State officials. A,
Ann Norment suggested maybe have city vote J eui_tir "Special Tax"
for support of the Health Dept.
Dr. Hayden suggested the Board meet more often and to be more
active, so as to possibly finding some answers to our problems.
Dr. Hayden also suggested we inivte City Attorney, City Manager,
and the County Judge to our meetings, to make them aware of our
problems and hopefully gain their support and /or suggestions.
MAY 29, 1980
ADVISORY BOARD OF HEALTH MEETING
The Advisory Board of Health met at the Paris -Lamar County Health
Department Building, Thursday, May 29, 1980, at 6:30 PM, with the
following member ;present: Mrs. Ann Norment, Mr. James Deatherage,
Dr. William Hayden, and Dr. Wallace Kraft. Invited guests also
present were: W.C. Pursifull, Sanitarian, Mrs. Laura Main, R.N.,
and Dr. Joe F. Hillhouse, Acting Director of the Paris -Lamar
County Health Department. The Board Members not present were:
Dr. C. D. McMillan, Dr. John Barnett, Dr. W. L. Kelley, and Mrs.
Frances Ellis, (who phoned Dr. Hillhouse and gave her affirmative
vote on the promotion of the clerk, to be cast by proxy).
The Chairman, James Deatherage, opened the meeting for business.
The minutes of the last meeting were not read, as they were of no
interest to this meeting.
Dr. Hillhouse had sent a letter to the Board Members listing some
situations he wished to be discussed; the first being a promotion
to Clerk II for Jean Ann Burton, with a subsequent increase in
salary, to be effective July 1, 1980. Mr. Deatherage suggested
this be voted upon.
A motion was made by Dr. Hayden in favor of this and a second
was made by Mrs.Ann Norment. The vote was unanimous by the
memberspresent and one vote by proxy; making a total of four
affirmative votes.
A discussion followed concerning the letter received from Austin
stating the possible deletion of funds T A(d) from the Federal
Government, which support Local Health Departments. Suggestions
were made as to the alternatives possible in keeping the Health
Department from being closed.
Also, There was a discussion concerning the problems surrounding
Mosquito Control. The need for new equipment, supplies, etc.,
and the lack of funds and personnel for adequate service to this
community.
Dr. Hayden suggested alerting the people of Paris of these problemt.-
and of their responsibilities to the Health Dept. and their
community.
Page 2
Dr. Hayden suggested the Board have meetings more often in order to
become more active and more effective in solving some of the prob-
lems which face this Health Department. He also suggested the
City Manager, City Attorney, and the County Judge be' invited to
these meetings,
The meeting was adjoured by Mr. Deatherage at 7:35 P.M.
Submitted by:
Betty Kennedy, Secretary
MARCH 19, 1981
ADVISORY BOARD OF HEALTH MEETING
The Advisory Board of Health met at the City Hall in the Council
Room on Thursday, March 19, 1981, at 7:30 P.M., with the
following members present; Mr. James Deatherage, Chairman, Mrs.
Ann Norment, Mrs. Frances Ellis, Dr. William Hayden, and Dr.
Charles McMillan. Invited guests also present were: Robert
Sokoll, City Manager; Mr. Harold Greene, City Finance Director;
Brady Fisher, County Judge; Gene Anderson, County Auditor; and
Mayor, Mike Malone. Others present were membersof the City
Council, County Commissioners, Dr. Joe F. Hillhouse, Acting
Director, W.C. "Sonny" Pursifull, Sanitarian and other employees
of the Health Department.
James Deatherage, Chairman of the Board, opened the meeting at
approximately 7:37 P.M. He introduced the members of the Ad-
visory Board; then turned the meeting over to Dr. Hillhouse.
Dr. Hillhouse went over the budget to be presented to the City
and County for the coming year. He explained the fact that the
State had dropped one clerk from their payroll and had notified
the Department that a Sanitation Inspector would be dropped in.
June, 1981. He explained that he was at a loss as to what was
to be done, as he was short of personnel already and this would
present a hardship on the Health Department, since we would not
have enough money to complete the year, with Mosquito Control
to begin shortly.
Dr. Hayden suggested, maybe, cutting the budget somewhere in order
to stay within our income. He then called on Mr. Pursifull to
give the most essential phases of the Health Dept. and their
priority. A discussion followed and the members of the Board
seemed in agreement that all services were vital to the well
being of the City and County, and that since it was already
a thread -bare operation, there was very little that could be cut
from the Department's estimated budget.
Mayor, Mike Malone suggested, for consideration, the Health Dept.
doing EPSDT, a screening program of the Texas Department of
Human Resources, which would pay $15.00 administrative fee and
would mean $30.00 per head to the Health Dept. and $18,000.00
per year,with the employees we already had.
Mr. W. C. Francis brought up the fact that the building, which
houses the Health Department, could certainly use a little paint
and fixing up. Also, the condition of the equipment used in
Mosquito Control being unsatisfactory, as old, out -dated jeeps,
etc. Mr. Doyle Childers, Commissioner, offered the use of a
pick -up which he had, if we were interested.
Mr. Travis Wortham, a Councilman, remarked "that before they would
consider letting anyone go at the Health Department, they would
first consider cutting down on Parks and Recreation Division of
the City ".
Dr. McMillan said it would be wise for both the City Council and
the Lamar County Commissioners Court to become better acquainted
with the operations of the Department in order to better under-
stand the need for it's services. Dr. McMillan also suggested
the possibility of forming a Health District to finance the
department's operations with tax dollars similar to the way in
which the old Lamar County Hospital was financed.
Mayor Malone agreed that was a possible solution and City
Attorney, T. K. Haynes said the Board had the power to pursue
such a goal.
Ron Kyle, Councilman, suggested the Board meet again with Dr.
Hillhouse and his staff, then meet with the Council, that most
Councilmen probably felt as he did, that he did not have enough
information to form an opinion or vote.
Mr. Deatherage, Chairman, made the motion that the meeting adjourn
and to meet in approximately three weeks with Dr. Hillhouse and
staff.
Dr. Hayden seconded the motion.
The meeting adjourned approximately 9:15 P.M.
Submitted by:
APRIL 9, 1981
ADVISORY BOARD OF HEALTH MEETING
The Advisory Board of Health met at the Paris -Lamar County Health
Department on Thursday, April 9, 1981, at 7:30 P.M. with the
following members present: Mr. James Deatherage, Chairman, Mrs.
Ann Norment, Mrs. Frances Ellis and Dr. William Hayden. Others
present were: Dr. Joe Hillhouse, Acting Director and members of
his staff of the Health Department.
Mr. Deatherage called the meeting to order at 7:30 P.M. and
asked that the minutes of the last meeting be read. Dr. Hayden
made the motion to accept the minutes as read and Mrs. Norment
seconded the motion.
Mr. Deatherage suggested the agenda be reversed to go into an
executive meeting. Dr. Hayden made the motion to adjourn in
Executive Session for the purpose of discussing personnel.
Mrs. Ellis seconded the motion.
After reconvening, Mr. Deatherage opened discussion of the
budget. Dr. Hayden asked Mr. Pursifull to explain budgeted items.
Each item on the budget was discussed separately. $14,000.00
was added to the budget for Mosquito Control workers. Mrs.
Kennedy was asked to get estimates for Janitorial Services and
building repairs. This will be discussed at the next meeting.
It was agreed that the Board would meet again on Thursday, April
23 at 7:30 P.M.
The meeting was adjourned about 9:45 P.M.
Submitted
/letty Kenne
APRIL 23, 1981
ADVISORY BOARD OF HEALTH MEETING
The Advisory Board Of Health met at the Paris -Lamar County Health
Department on Thursday, April 23, 1981, at 7:30 P.M., with the
following members present: Mr. James Deatherage, Chairman, Mrs. Ann
Norment, Mrs. Frances Ellis, Dr. William Hayden, and Dr. Bercher.
Others present were: Dr. Joe Hillhouse, Acting Director, and
members of his staff of the Health Department.
Mr. Deatherage called the meeting to order at 7:42 P.M. and
called for the reading of the last minutes. Dr. Hayden made the
motion to accept the minutes as read and Mrs. Norment seconded
the motion.
The budget was the main topic of discussion. Professional jani-
torial services were discussed. All agreed the Unit would benefit
by a professional cleaning service.
After lengthy discussion regarding painting and remodeling of the
building, Dr. Hayden made a motion that $5,000.00 be added to the
budget for remodeling and repairs. Mrs. Norment seconded the
motion. Motion carried.
A final budget figure of $95,432.00 was agreed upon. Dr. Hayden
made the motion that the budget be presented to the City. Dr.
Bercher seconded the motion. Motion carried.
Dr. Hillhouse suggested two board members go with he and Mr.
Pursifull to present the budget to the City and County officials.
It was agreed that the board would meet every two months. The
next meeting was tentatively set for the third Thursday in June.
Dr. Hayden made the motion the meeting adjourn. This was
seconded by Dr. Bercher. Meeting adjourned at 8:30 P.M.
Submitted by:� e� _ �TiJ
B TY KENNEDY
APRIL 30, 1981
ADVISORY BOARD OF HEALTH MEETING
The Advisory Board of Health met at the City Hall in the Council Room
on April 30, 1981, with members of the City Council.
The first subject of discussion about the budget was Mosquito Control
and the use of CETA Employees. There was also a discussion concerning
Vital Statistics. A decision was made to put in new floors in the
Health Department and paint later.
Motion was made by Joe Graham to accept the 1982 budget of the
Health Department and was seconded by Kenneth Kohls, motion
carried.
May 11, 1981
ADVISORY BOARD OF HEALTH
The Advisory Board of Health met in the Commissioners Court
on May 11, 1981, with the following members present: Mr.,
James Deatherage, Dr. William Hayden, Mr. Ann Norment, and Mrs.
Frances Ellis. Commissioners present were: Doyle Childers, Jimmie
Sparks, and Dode Wheeler. Others present were: Brady Fisher,
County Judge, Dr. Hillhouse and W.C. Pursifull.
Dr. Hayden presented the 1982 Budget for acceptance. A lengthy
discussion followed concerning the use of CETA Employees for
Mosquito Control.
Gene Buster made the motion to cut labor costs from $14,000 to
$7,200.00 for two supervisors and extra help from September 30
to November 1st, 1981. This was seconded by Jimmie Sparks.
Motion Carried.
The remaining portion of the budget was accepted and approved.
JUNE 30, 1981
ADVISORY BOARD OF HEALTH MEETING
The Advisory Board of Health met at the Paris -Lamar County Health
Department on Tuesday, June 30, 1981, with the following members
present: Mr. James Deatherage, Chairman, Mrs. Ann Norment, Mrs.
Frances Ellis, Dr. William Hayden, Dr. Charles McMillan, Dr. Richard
Bercher, and Dr. W.L. Kelley. Others present were: Dr. Hillhouse
and W.C. "Sonny" Pursifull, of the Health Department.
Mr. Deatherage called the meeting to order at 7:30 P.M. and asked
the members of the Board to look over the bids which had been sub-
mitted for painting the building. A discussion followed and Dr.
McMillan made the motion that the bid of $3,450.00 from Billy
Cochran be accepted. The motion was seconddd by Ann Norment. The
motion carried.
The fiscal year to be taken by the Health Department was discussed
and Mrs. Norment made the motion that we take the City's fiscal
year, July 1 through June 30, since most of the money comes from
there. Mrs. Ellis seconded the motion. Motion carried.
Dr. Hillhouse called on "Sonny" Pursifull to give a report on
Mosquito Control. Mr. Pursifull told of the many problems her, was
having, not only with equipment but also with CETA Employees.
One CETA Employee became intoxicated at night and drove our vehicle
about without authorization, doing extensive damage to the ULV
Machine and also to the vehicle which he was driving. He was
relieved of his duties with the Health Department. The other
employee found a better job in another town, and quit the day
before, on Monday, June 29th.
Dr. Hayden asked that special note be made that trying to use CETA
workers was totally unsatisfactory, as well as extremely expensive
in damage to vehicles and loss of work time. He wished to point
this out to the County and remind the City, so such a move may be
avoided in the future. The Board unanimously agreed with him.
Mr. Pursifull reported we did have a supervisor for Mosquito
Control and one CETA female employee (which can only work until the
31st of August), and they were doing the best that they could. In
order to get more CETA help, we would have to get another vehicle
and another supervisor.
It was suggested that we transfer funds to buy adequate equipment for
spraying, because what we have now is very unsatisfactory, making it
impossible to keep up with the many mosquito complaints. Members
of the Board decided to discuss this at the next meeting.
The next Board Meeting was tentatively set for Tuesday, August 11,
1981.
The meeting was adjourned at 8:25 P.M.
Submitted by• ' ,%
AUGUST 11, 1981
Advisory Board of Health Meeting
The Advisory Board of Health met at the Paris -Lamar County Health
Department on Tuesday, August 11, 1981, with the following members
present: Mr. James Deatherage, Chairman, Mrs. Ann Norment, Mrs.
Frances Ellis and De. Wally Kraft. Others present were: Dr.
Hillhouse and W.C. "Sonny" Pursifull, of the Health Department.
Mr. Deatherage called the meeting to order about 7:40 P.M., and
asked what items needed to be discussed that were in the news-
letter. Dr. Hillhouse gave a report on the painter and painting
of the building. He asked for the members' opinion on the news-
letters and they all agreed that they were very informative.
A discussion followed concerning the proposal which was received
from the State. Mrs. Ellis made the motion to refuse the proposal,
including local employees not being on the Merit System, that their
wages should be set accordingly. Dr. Kraft seconded the motion.
Motion carried.
Mr. Pursifull gave a report on Mosquito Control. The CETA workers
we now have will be discontinued at the end of this month, but we
may get others from CETA. He also stated that we may not have enough
money to continue with Mosquito Control. Mr. Deatherage suggested
suggested we get the budget out and check and if there was no money
left, the Board would simply go to the City and County for more
money.
It was reported that Mr. Turner, a County Maintenance employee, would
repair our screens and ceilings. The City is to make a new sign
for the outside of the building.
Regarding Dr. Hillhouse's request for small equipment, the Board
agreed that as long as the money was in the budget for Medical
Supplies, etc, and the cost not too much, to go ahead and purchase
these items, that it was not necessary to get their approval.
Dr. Kraft said he would call the County Judge and discuss our fiscal
year, which is now July 1 to June 30, and check about the 40% the County
is supposed to pay on the budget.
Dr. Kraft also suggested we go to Texas Surplus Properties in Longview
for items such as desks, chairs and even a jeep, which is badly needed.
Mr. Pursifull said he would check into this.
Page 2 Board Meeting
Ann Norment brought up the question as to whether or not the Health
Department should belong to the Chamber of Commerce. It was de-
cided that if we did not benefit by it that we should discontinue
these dues and if the Director wished to belong he could pay his fee.
There was a lively discussion on whether or not Family Planning
information should be placed in the nurses' offices at the schools,
from Middle School up.
Mrs. Kennedy is to check with the members regarding the date for the
next meeting.
Submitted by
JUNE 24, 1982
ADVISORY BOARD OF HEALTH MEETING
The Advisory Board of Health met at the Paris -Lamar County Health Unit on
Thursday, June 24, 1982 at 7:30 P.M., with the following members present:
Mrs. Ann Norment, Mrs. Frances Ellis, Dr. Richard Bercher. Also present
were: Dr. Hillhouse and Mr. Pursifull of the Health Department. Board
members which were not present were: James Deatherage, Dr. C.U. McMillan,
Dr. Don Haslam and Dr. Wallace Kraft. It was learned that Dr. Kelley and
Dr. William Hayden had resigned as members of the Board. (Dr. Haslam
replacing Dr. Kelley).
In the absence of the Chairman, James Deatherage, Dr. Bercher conducted
the meeting and called it to order about 7:40 P.M. The minutes of the
last meeting were not read as they were of no interest to this meeting.
Dr. Hillhouse began by explaining that the Health Department was going to
run several thousand dollars short of the budget allowance, due to the
cost of chemicals for Mosquito Control. He said it would take part of our
back -log to finish out Mosquito Control this season, and we would probably
have to ask for money from the City and County.
He also explained why so many hours were being spent at the jail and on
the jail patients and their records. A discussion followed and Dr.
Bercher recommended that someone screen the jail patients before the
doctor arrived, to make sure that he only saw the ones who really needed
medical attention. He suggested those with colds, runny noses, etc.
should be given simple treatment, with Aspirin, Tylenol and Antihistamines.
It was suggested that since we had two ambulances of Para Medics on call
all the time, based at the City Police station, that we might have one
team based at the Lamar County Jail where the Para Medics could screen
the prisoners on a constant basis. Dr. Bercher said he would speak to
the other doctors on the Board about the medical aspect of this, in order
to take some of the responsibility from Dr. Hillhouse.
Since Dr. Hayden had resigned, it was suggested by Dr. Hillhouse that a
doctor from McCuistion be appointed to the Board. Dr. Bercher said he
would discuss this with Dr. McMillan about the possibility of asking Dr.
Casey. Since Mrs. Ellis was acquainted with Mayor, Joe Graham, person-
ally, she was requested to talk to him about possibly appointing Dr.
Casey to the Board.
Dr. Bercher suggested we have another meeting soon to make other Board
members aware of this situation.
The meeting was adjourned by Dr. Bercher about 8:45 P.M.
Respectfully Submitted by• 4e�e�-" �Zov��
Bettr nnedy, S etary
9 -8m -gz
ADVISORY BOARD OF HEALTH MEETING
The Advisory Board of Health met at the Paris -Lamar County Health Unit on
Thursday, September 30, 1982 at 7:30 P.M., with the following members
present: Mr. James Deatherage, Chairman, Dr. Rick Casey, Mrs. Ann
Norment, and Mrs. Frances Ellis. Also present were: Dr. Hillhouse and Mr.
Pursifull, of the Health Department. Board member which were not present
were: Dr. Charles McMillan, Dr. Richard Bercher, Dr. Don Massey, and Dr.
Wallace Kraft. We are happy to have Dr. Rick Casey and Dr. Don Massey as
new members of our Board.
The meeting was called to order by the Chairman, Mr. Deatherage, at app-
roximately 7:40 P.M.
A discussion was held about Dr. Hillhouse seeing jail prisoners. Mr.
Deatherage recommended that he just forget the jail until Brady Fisher
calls for him to see the prisoners; then call a meeting and decide what
to do.
A discussion of the budget followed, and it was explained to the Board
by Dr. Hillhouse that the City had returned our budget with the total
the same as was submitted, but that amendments had been made on several
items. Mr. Deatherage suggested we submit this budget to the County for
their acceptance of the amount and then call a meeting later on to make
amendments as needed.
Mrs. Ann Norment made the motion this be done and the motion was seconded
by Dr. Casey. The motion carried.
The meeting was adjourned by Mr. Deatherage at approximately 8:30 P.M.
Respectfully Submitted by., .c' rtl _
Bet Kennedy Secretary
February 23, 1983
ADVISORY BOARD OF HEALTH MEETING
MINUTES
The Advisory Board of Health met at the Paris -Lamar County Health Unit on
Wednesday, February 16, 1983, at 7:30 P.M. The following members were
present: Mr. James Deatherage, Chairman, Dr. Don Massey, Dr. Wallace Kraft,
Mrs. Ann Norment, and Mrs. Frances Ellis. Those not present were: Dr.
Charles McMillan, Dr. Rick Casey, and Dr. Richard Bercher.
The meeting was to discuss the revision of the budget for the last half of
the budget year. The reasons that the last part of the budget was changed
was because Mrs. Kennedy, our Clerk III, is being paid thru funds sent to the
Health Unit for her State Based Salary. The funds which were released by
this, are to be used in the salaries of the locally paid employees to bring
them up to a State Based Pay. Dr. Hillhouse pointed out that the State
Based Pay for local employees helped to give them enough salary and reduce
the discontent that would have been, generally, if this had not been done.
It was pointed out that the local employees in the Health Unit on State Base
Pay, while getting what appears to be a higher salary are, actually, re-
ceiving a lower amount than the City and County workers, because of the fringe
benefits and retirement. The total budget for u/y 1, 1982 thru June 30, xaarkry
1983 was $115,032.00. The first half of the budget spent was $57,516.00
allocated to it. Our request in the second half of the budget was $58,442.00.
The second half, therefore, is going to cost $926.00 more. This difference
will be made up from the Health Unit's bank balance and will cost neither
the City nor the County one penny more than they have pledged to pay.
Page 2 Board Meeting
The budget for next year i.e., July 1, 1983 thru June 30, 1984 was $127,821.96
All of the items were considered by the board and it was pointed out that there
was pay for a mosquito control supervisor, but no pay for mosquito workers.
It was explained that we might be able to borrow two responsible workers from
the City to drive the new trucks which we are getting and they would be under
City pay. Then for the five months that the trucks are not being used by
Mosquito Control, they could be used by the City, provided they could be
given proper care, etc. Without this, we would, either have to use CETA
workers or hire mosquito workers from our own bank funds.
Dr. Hillhouse's increase in salary was discussed in detail and the reasons
that he asked for the salary. This was explained to their satisfaction and
they approved both budgets, unanimously, in a private session.
In going over the budget items, it was suggested that we allow $1,500.00
for an audit instead of $500.00 and to omit this from our six months budget
and incorporate it in next year's budget.
There was some discussion concerning health certificates for personnel
working in restaurants. Mrs. Norment asked that this subject be discussed
in full at our next meeting. She also asked Betty Kennedy to seek information
concerning this in other Cities, about the size of Paris, before our next
meeting.
Dr. Massey suggested letting the public know the functions of the Health
Unit and the benefits received by the entire public as a whole, and not
just a one on one basis. These things being; Mosquito Control, clean
restaurants, immunizations, checking on health complaints, etc.
Page 3 Board Meeting
Mrs. Norment made a motion that Mrs. Ellis take the necessary information
and submit it to the newspaper to be published in the near future. Dr.
Massey second the motion. Motion carried.
Mr. Deatherage adjourned the meeting about 9:20 P.M.
Respectfully Submitted
Bet Kennedy, S retary
BOARD MEETING MAY 31, 1983
The members of the Board were contacted regarding a meeting, but we were unable
to get a quorum to conduct business. We had previously sent out the 1983 -84
budget which had a total of $126,201.05 and an appendix to the budget explain-
ing the reasons for the increases and why certain items were budgeted as they were.
Since we had nobody present, we contacted part of the Board Members by phone and
discussed the budget and appendix with them and recorded their vote. The
members we were able to contact were: Dr. Rick Casey, Dr. Don Massey, Dr. Charles
McMillan, Dr. Richard Bercher, and Mrs. Frances Ellis. They had all read and
studied the budget and appendix and they voted affirmative to accept the budget
and appendix to present to the City Council and the Commissioners Court. These
members gave us a quorum and therefore, approved the budget and appendix. We
will send out the information to the City and County and ask for a meeting to
discuss the budget in the near future.
Dr. Rick Casey asked that a discussion on the method of screening of OB patients
at the Health Unit be added to the agenda for our next meeting.
Dr. Wallace Kraft would like to discuss procedures on Food Handling and inspect-
ion of Restaurants, at our next meeting. Also, we wish to ask for permission
to buy an examination light for the clinic. We will present this at the next
meeting, hopefully some time this summer.
Joe F. Hillhouse, M.D., Director
Paris -Lamar County Health Dept.
JFH /bk
July 28, 1983
ADVISORY BOARD OF HEALTH MEETING
MINUTES
The Advisory Board of Health met at the Paris-Lamar County Health Unit on
Thursday, July 28, 1983, at 7:00 P.M. The following members were present:
Mrs. Ann Norment, Mrs. Frances Ellis, Dr. Rick Casey, and Mr. Hack Blankenship.
Those memebers not present were Dr. McMillan, Dr. Bercher, Dr. Don Massey, and
Dr. Wally Kraft.
Dr. Hillhouse began the meeting about 7 :30 by suggesting the Board elect a
Chairman, since Mr. Deatherage is no longer on the Board. This was done imm-
ediately, and Mrs. Norment was elected as Chairman.
The Business meeting began by Dr. Hillhouse volunteering to go over the budget
with the members. The firsm discussion was the salaries and the fact that the
State is sending monies for two clerk's salaries, wbich isadeposited to our
budget and paid locally.
Two budgets were presented, one which included two mosquito workers to be paid
locally and the other without mosquito workers and depending on CETA for the
workers. The fact was brought upthat by using CETA workers, we are without
workers in April, May, September, and October. A discussion followed about the
possibility of using a City Employee during these months for Mosquito Control.
It was decided to go over the budget without mosquito workers, and to check
into this possibility.
Dr. Hillhouse mentioned the fact that he had hopes of, later on, to get
another Nurse and Clerk and try to get WIC for our Health Department. He ex-
plained that the Health Dept. would have to pay the wages for these for the
first 4 to 6 months, then the State would reimburse us for this.
rage #Z Minutes
Also, he stated that he had requested another Sanitation Inspector and the
extra money for Car Allowance was for this, in case we did get another inspector.
Mrs. Norment asked the members their feelings on this since the application had
been made, but not approved, did they want to leave this amount in the budget.
She quoted the newspaper as stating the State would be operating in the red
and it would be unlikely that they would approve another Sanitation Inspector;
therefore the correct amount which was actually needed should be shown in the
budget (3,600.00). This being Car Allowance for two (2) Sanitation Inspectors.
It was generally agreed that requests on the budget should be exactly what was
needed, this making it better to present.
The next item questioned was the Liability Insurance on Dr. Hillhouse. Dr. Casey
volunteered to check into this and see if we could not get the same coverage at
a lower premium.
Association dues was discussed. Mr. Blankenship suggested this remain in the
budget, and his feelings were that the Health Department employees should attend
the Texas Public Health meetings and that expenses should be paid by the Health
Unit. Members agreed on this.
Maintenance on Building and Grounds was discussed and it was agreed to leave the
amount of $3,750.00 for this. Also, the $500.00 on maintenance of Machinery,
Tools, & Equipment was agreed upon.
The amount of $1,500.00 for auditing was discussed and it was decided that this
amount remain, that it probably would not be enough for an audit. It was sugg-
ested that someone from the City or County should be able to guide us in this.
Mrs. Norment stressed the fact. that this is the reason we need a representative,
such as, the City Attorney, City Manager or the County Judge to attend our
meetings for advice on such things, and they asked that the Health Unit advise
them of our meetings with an in,i-tation to attend.
The Appendix was discussed at this time, however, it was agreed that this seemed
more to be guidelines for the Health Unit than an appendix to the budget;
therefore it would be discussed at a later date.
Page #3 Minutes
A retirement for the locally paid employees was discussed and Mrs. Norment volun-
teered to investigate this to see what could be done. The motion was made by Mr.
Blankenship to approach the City Manager and the County Judge as to their feelings
on this and the possibility of it being retroactive. Dr. Casey seconded the
motion. Motion carried.
Mr. Blankenship made a motion to table the Appendix except for the Retirement
Fund, and not to present this to the City and County at this time. The motion
carried.
Dr. Casey made the motion to approve the budget with the changes that had been
made. Motion carried.
The purchase of lamps for the examining rooms was discussed and Dr. Casey sugg-
ested that Dr. Hillhouse look at his, which will be much cheaper than the ones
Dr. Hillhouse had in mind. Dr. Hillhouse agreed to do this. Mr. Pursifull
reported on the bids for the trucks, stating that our specifications could not
be met, therefore, he will have to prepare another list of specifications and
run another ad in the Paris News for bids again. When the bids are opened,
they will have to approved by the Board, stating that this should only take a
very short meeting.
A discussion followed on the prospect of a Board Member being at the meeting
when the City Council and Commissioners Court met for a hearing of our budget,
and Mr. Blankenship volunteered to be there.
Mrs. Ellis made the motion for Mr. Blankenship to represent the Board. Dr.
Casey seconded the motion. Motion carried.
Dr. Hillhouse said he would call or write Mr. Doty, The City Manager, in regard
to the budget and set up a time for a meeting. Mrs. Ellis suggested that the
minutes and a letter to the Board Members be sent after the meeting date had
been arranged and also to notify them of the Board's next regular meeting,
which is Thursday, October 27, at 7:00 P.M. at the Health Unit.
The meeting was adjourned at 9:35 P.M.
Respectfully Submitted by_
Bett Kennedy, cretary
October 27, 1983
ADVISORY BOARD OF HEALTH MEETING
MINUTES
The Advisory Board of Health met at the Paris -Lamar County Health Unit on
Thursday, October 27, 1983, at 7 :00 P.M. The following members were present:
Mrs. Ann "torment, Dr. Rick Casey, Dr. Richard Bercher, and Mr. Hack Blanken-
ship. Those members not present were: Dr. McMillan, Dr. Massey, Mrs. Frances
Ellis, and Dr. Wally Kraft. Also present was Dr. Hillhouse, Director of the
Health Unit.
Mrs. Norment called the meeting to order at 7:05 P.M., and asked Mr. Blanken-
ship to report on his meetinq with Harold Greene concerning the Budget. He
stated that he had talked with Mr. Greene about changing the amount of salary
for two clerks from the amount the State was sending, to 8.3 of their current
salary. (this being the same amount the City employees were given.) Mr.
Greene explained that he thought employees' salary at the Health Unit should
be kept in line with those at the City. Mr. Blankenship told him this was
probably illegal, since the salaries were coming from the State thru contract.
Dr. Hillhouse told the Board that Mr. Greene had called that day, and told
him to continue the salaries at the amount the State was sending. He also
reported to them that the employees on local budget at the Health Unit would
become e&igible for the City Retirement program bhe-ffis -t.,of October, 1983,
and would be retroactive.
A discussion of the budget and the Director's pay followed. Dr. Hillhouse
stated he could not work for the amount set forth in the budget, but would
be willing to discuss it. Dr. Bercher made the motion that two of the Board
Members go and discuss the budget further with Harold Greene. Mr. Blankenship
and Dr. Bercher agreed to do this.
Page 2 Minutes
A discussion of transforming our records into microfilm or computer followed
this. It was decided that since the Vital Statistics are filed with the
County Clerk's Office and also at the Texas Department of Health in Austin, it
would not be necessary to do this, at this time.
Dr. Hillhouse akked for the doctors' opinion on the Health Unit giving pneu-
monia and flu shots to the elderly, at a minimal fee. Dr. Bercher said he
felt he could speak for all the doctors in considering that this is the same
as immunization, and would be alright.
When asked about Dr. Hillhouse seeing other patients, for colds, sore throats,
etc., Dr. Bercher's opinion was that he should determine whether or not a
child , with problems, should receive an Immunization, and anything other
than preventative medicine, would be overstepping his bounds.
Dr. Casey and Dr. Hillhouse discussed the pre-natals and how the new system
was working. Dr. Casey said he had no evidence of it working. Dr. Hillhouse
said they were not supposed to come back to the Health Unit unless they had
been denied care at the Hospital and Doctor's office. He said he would check
with Mrs. Main on how she is handling this.
Dr. Bercher brought up the subject of inspection of restaurants. Dr. Hillhouse
explained to him that it was almost impossible right now, with only two (2)
inspectors. He said that since another inspector had been provided in the
budget, that problem should be solved in the near future.
Mrs. Norment suggested that Dr. Hillhouse work up an administrative policy
for efficiency, to make sure these things were being done. She suggested the
Sanitation Inspector turn in a list of how many restaurants, and which ones
were checked every day. Dr. Hillhouse said he would check with Mr. Pursifull
on his priorities, as far as sanitation was concerned.
Page 3 Minutes
About 8:00 P.M., Mrs. Norment adjourned the regular meeting and called an
executive session of the Board Members, at this time.
At the close of the executive meeting, Mrs. Norment asked me to send the
Board Members a copy of the minutes and to ask them to please note on their
calendars, the next meeting of the Board, which will be January 26, 1984, at
7:00 P.M., at the Health Unit.
Respectfully submitted by:��
Bet Y Kennedy, S retary
February 28, 1984
ADVISORY BOARD OF HEALTH MEETING
MINUTES
The Advisory Board of Health met at the Paris -Lamar County Health Unit on
Tuesday, February 2�, 1994, at 7:00 P.M. The following members were present:
Mrs. Ann Norment, Chairman, Dr. Richard Bercher, Dr. Rick Casey, Dr. Bill
George, and Mr. Hack Blankenship. Members not present were Dr. Wallace Kraft,
and Mrs. Frances Ellis, whose absence was excused because of another comm-
ittment. Dr. Hillhouse received a letter of resignation from Dr. McMillan.
The meeting was called to order at 7:00 P.M. by Mrs. Norment. The first
business to be discussed was the election of a chairman. Dr. Bercher
made the motion that Mrs. Norment continue to be Chairman, Dr. George
seconded the motion. Motion carried. Mrs. Norment agreed to this for
one more year. Mrs. Norment suggested the Board elect a Vice Chairman, and
Dr. Bercher asked Hack Blankenship if he would accept this position. Mr.
Blankenship agreed.
Dr. Bercher and Hack Blankenship were asked to give a report on their
meeting with the City Manager,David Doty, Judge Brady Fisher, and Harold
Greene on the budget. They had already discussed this with Dr. Hillhouse,
and Mrs. Norment, and there was no action taken on this.
Mr. Pursifull gave a report on plans made for part -time help for Mosquito
Control with The Job Training Partnership Act. He reported that if this
program supplied us with adults, we would have to hire them permanently.
If they provided us with students, we could start taking applications in
April and on thru May, and they could start work the first of June and
could only work until August 9th. He said this presented quite a problem,
since Mosquito Control starts in March and continues until the first of
November, and sufficient funds are not provided in the budget to hire part -
time employees for Mosquito Control. The Board asked Dr. Bercher to discuss
this situation with The City Manager and Judge Fisher about the possibility
of either getting more money or perhaps loaning the Health Department emp-
loyees for these few months.
Hack Blankenship suggested that when Block Grants are available again thru
Revenue Sharing, that we apply for this. Mrs. Norment asked this to be on
our Agenda for the next meeting.
Mr. Pursifull also gave a report on the many jobs that are required of the
Sanitation Department, and how badly they need another Sanitation Inspector,
especially when one of them is tied up with a project such as the one now
with Campbell Soup, because of their fires. Dr. Bercher made the motion that
Mr. Pursifull hire another Sanitation Inspector, since the money is already
appropriated in the budget. Hack Blankenship seconded the motion. Motion
carried.
Dr. Hillhouse gave a report on the furnaces in the Health Department, stating
they had been condemned by the Fire Chief, and because of the urgency to get
new ones, he contacted two firms to give bids for these. The bids were sent
to the City Manager, and he, together with Judge Fisher, approved the bid of
$1,282.00 given by James Sharrock of Paris Air Conditioning and Insulation
Company.
Dr. Hillhouse also reported on a letter he had received from Austin, con -
cerninq non - recurring funds, in the amount of $4,000.00, being available
through the Preventative Health and Health Services Block Grant for the pur-
chase of equipment in local health departments. Dr. Hillhouse asked the
Board to approve the acceptance of these funds for supplies, etc., and then
transferring them so that we can have new floors or floor covering in the
building. He stated he had called Bob Goolsby, in Austin, and he said as
long as it is satisfactory with the local governments, he didn't see any
reason why it could not be done this way. Dr. Bercher made the motion
to transfer the funds, when they are received, to purchase new floors or
floor covering. Dr. George seconded the motion. Motion carried.
Mrs. Norment asked for suggestions on the day that would be suitable
for the Board Members to have their meetings, which are to be held every
three months. After some discussion, it was decided that the fourth
Tuesday in the month would be satisfactory. The next meeting was scheduled
for May 22nd.
Mrs. Torment asked that anyone wishing to have something on the Agenda for
the meetings, to either call her or Betty Kennedy. She also asked that the
Agenda and notice of meetings be sent out one month in advance.
The meeting was adjourned about Q:15 P.M.
Respectfully Submitted
Bet Kennedy, S retary
f1 , .r . . . i f
ADVISORY BOARD OF HEALTH MEETING
MINUTES
The Advisory Board of Health met at the Paris-Lamar County Health unit
on Monday, April 30, 1984, at 7:00 P.M. The following members were present:
Mrs. Ann Norment; Chairman, Mrs. Frances Ellis, and Mr. Hack Blankenship.
Members present from the Health Department were: Dr. Hillhouse and Sonny
Pursifull.
Mrs. Norment called the meeting to order, then asked for a report from Mr.
Blankenship on his contact with Judge Brady Fisher concerning Mosquito
Control. Mr. Blankenship said that he had talked with one of the Commiss-
ioners and he assured him that if our problem was presented to the Comm-
issioners Court, we could get the money, if needed.
Dr. Hillhouse gave a report and announced that he had received a letter
approving the 54,000.00, but as yet, the money has not been received. We
will start on the floors as soon as the money is received.
Mr. Pursifull gave his report on Mosquito workers, stating that JTPA (Job
Traini►ia-Partnership Act) would be furnishing the men, but that we would
pay half their salary plus one full month. It was suggested that next
year, if we need men to work Mosquito Control, we would just go before the
Council and Commissioners Court and say we need money and /or men and get
on the Agenda.
The Board Members went over each item of the budget. They asked that we
call and find out if we can obtain. Doctor's Liability Insurance any
cheaper, and also to check on the Liability coverage of the two pickups,
to see if the premium would be any higher next year.
Page 2 Minutes
Mrs. Ellis made the motion the budget be accepted, (after changes were
made by the Board), Mr. Blankenship seconded the motion. Motion carried.
Mrs. Norment asked that a copy of the budget with explanation of the
changes be sent to Dr. Bercher.
At this time, Dr. Hillhouse asked the
level the local employees and a 15 or
made the motion that this be done and
Mr. Blankenship seconded the motion.
Mr. Blankenship made the motion that
to attend educational meetings. Mrs.
Board to consider raise to State
20% increase for him. Mrs. Ellis
a 15% increase for Dr. Hillhouse.
Motion carried.
)r. Hillhouse encourage employees
Ellis seconded the motion. Motion
carried.
Mrs. Norment asked that a report on an Audit and employees attending
education meetings be given at the next meeting, which is to be on
Tuesday, July 24, 1984, at 7:00 P.M.
Meeting was adjourned about 9:oo P.M.
Respectfully submitted:
Bett Kennedy, Se etary
JULY, 1984
ADVISORY BOARD OF HEALTH MEETING
MINUTES
The Advisory Board of Health met at the Paris-Lamar County Health Unit on
Tuesday, July 24, at 7:00 P.M. The following members were present: Mrs.
Ann Norment; Chairman, Mrs. Frances Ellis, Mr. Hack Blankenship, and Dr.
Bill George. Also present was Dr. Hillhouse, representing the Health
Department.
Mr. Blankenship called the meeting to order about 7:15. Dr. Hillhouse
gave a report on estimates he had gotten from McClanahan and Holmes, and
Paul Wells for auditing of the Health Department. Mrs. Ellis made the
motion that we engage Paul Wells for this. Dr. George seconded the motion.
Motion carried.
Dr. Hillhouse gave a report on his personal Liability Insurance, stating
that it would be with the same company as last year. (Cost of 51309.)
He also gave a report on Mosquito, in the absence of Mr. Pursifull, telling
of our two men from JPTA. We will pay half their salary until September
15, then we pay all their salary for the remainder of the season.
Mrs. Norment asked that we get another bid or two on the Liability cover-
age on the pick -ups, since there will be an increase with Norment and
Castleberry. Dr. Kraft made the motion that we approve the coverage on
the trucks, which we now have, Mrs. Ellis seconded the motion. Motion
carried.
Mrs. Ellis made the motion we add expense of mosquito spraying to this
years budget. Mrs. Norment seconded the motion. Motion carried.
Dr. Hillhouse gave a report on the $4,000.00 which we are to receive from
the State. Since they have a new man in Austin, taking Bob Goolsby's
place, and he says we must buy the supplies and /or furniture which we
listed and send them the invoices before we will receive the money, this
is what we will do.
Dr. Kraft made the motion for the price of the air conditioners, which we
had to replace for those stolen, be added to our budget. Mrs. Ellis
seconded the motion. Motion carried.
Dr. Hillhouse discussed pay increases for all or part to be paid locally
for a step 2 for Clerk III and made mention that none of the locally paid
employees are up to the State Pay Scale. Mrs. Ellis made the motion to
write Austin concerning raises for the ones on contract. Dr. Kraft seconded
the motion. Motion carried. Dr. Kraft seemed to think that contacting some-
one with the State Board of Health might be of some help.
Page 2 Board of Health Minutes
There was a discussion on cleanliness of restaurants and the inspection of
them. They should be notified of the regulations and given one month to
comply, and if not, close them up. Dr. Kraft stated he would be happy to
go along with our Sanitation Inspector on some of these inspections.
Mrs. Ellis made the motion the meeting adjourn. Dr. Casey seconded the motion.
Meeting adjourned at 8:20 P.M.
Respectfully submitted
Bet t Kennedy, ecretary
HEALTH DEPT.
MANUALLY RATE
N&C
POLICY NO. 1
1 83 GMC FU SN 1
CLASS 011990
** ACV TERR 18 COST NEW
BI 100/300 118.00 PD 100 147.00 PIP
UMBI 15/30 9.00 UMPD 15 11.00
2 83 GMC FU SN 2
CLASS 011990
ACV TERR 18 COST NEW
BI 100 /300 118.00 PD 100 147.00 PIP
UMBI 15/30 8.00 UMPD 15 11.00
* USE: Pleasure and Business
USE: Commercial
HIRED CAR B.I.
NON - OWNERSHIP B.I.
HIRED CAR P.D.
NON - OWNERSHIP P.D.
BODILY INJURY LIABILITY
PROPERTY DAMAGE LIABILITY
U.M. BODILY INJURY
U.M. PROPERTY DAMAGE
TOTALS
PREMIUM DISCOUNT 0.0%
PREMIUM DISCOUNT 0.04
NET PREMIUM
TOVq�A'Id'�/
���« /4GENT
l ��
LONG DISTANCE
0.00
0.00
0.00
0.00
0.00
LONG DISTANCE
OTHER
1 �. SC.ka i�mtsss�,rt
NORMENT& CASTLEBERRY
t
GENERAL INSURANCE
5 MAIN
7
784 -332:1 23 ,
_
PARIS, TEXAS
75460
OTHER
23.00
23.00
4.00
4.00
236.00
294.00
17.00
?? nn
Wl w§lj
?.D. DEDUCTIBLE 0
=PERIENCE 0
09/01/84
(OWN # 1
� tt
OWN # 2
285.00
284.00
COMBINED
23.00
23.00
4.00
4.00
236.00
294.00
17.00
22.00
OG.] . UU
0.00
0.00
623.00
March, 1985
Anvisop`_, B!.Rr OF HEPS:TE MEETING
?.hE .' -.� _s^rn yoard of Health met at the Paris -Lamar County Health Unit on
Th•.:rsa'av, '.arch 21, 1 1?B_5 at 7:00 P.M. The following members were aresent:
,_rs. Ann Torment; Chairman, Mrs. Frances Ellis, Mr. Hack Blankenship, Dr.
Bill George, Dr. Rick Casey, Reverend Samuel Evans, and Dr. Wally Kraft.
Also present were Dr. Hillhouse, representing the Health Unit, and Gene
Z'- r%dcrgon, 7epresentin7 the r -itv of Paris Finance_ Division. Members of
the Board not nresent Caere: '` -. Russell :urns and Dr. Richard Bercher.
Mrs. Ann Norment called the.meetina to order. about 7:00 P.M. At this time
she asked for an election of officers for the coming year. Mrs. Ellis
made the motion that Hack Blankenship be Chairman, Dr. Casey. seconded the
motion. Motion carried. Dr. Kraft made the motion that ?Mrs. Norment be
Co- Chairman, Dr. Casey seconded the motion. Motion carried..
Dr. Hillhouse discussed the fact that Sonny Pursifull had retired and that
he plans for Anthonv Bethel to become the new - Sanitarian. That his salary
would be paid by the State by contract, and that his benefits would be paid'
from local funds, i.e (Hospitalization and Retirement.) He asked the Board's
opinion on aid for Anthony Betnel furthering his education in order to be-
come a Sanitarian. He_ suggested changing his title to Sanitarian II and in-
creasing his pay to $20,112. annually the first of April instead of the first
of May, to compensate expenses for school. He also suggested that he be
promoted to Sanitarian III in October, 1987 (if his work and abilities justify) ,
with the salary of the first step of the State's Salary Schedule. He also
asked the Board to consider paying Anthony's mileage while commuting to East
Texas State in Commerce.
Page 2 Minutes
Dr. Kraft made a motion all of this be done. Reverend Evans seconded the
motion. Motion carried. Dr. Hillhouse explained that the State would be
sending $22,944.00 for this position, and that while it would not all be
going to Mr. Bethel's salary, the remainder would be applied to the
Sanitation Department.
Dr. Hillhouse brought up the fact that the City and County were taking
money from the Health Unit whenthey considered the bank balance to be
excessive. He said the State should know about this, so they could de-
termine what they should do about their contributions to the Health
Department.
Members of the Board asked that Betty-Kennedy check into the possibility
of getting burglary insurance coverage for the Health Unit, and to also
check into some burglar alarms. Dr. Kraft made the motion that we do
this. Dr. Casey seconded the motion. Motion carried.
Hack Blankenship read the three bids on floor covering which had been
received from: Deaton, Triple A, and Smith Carpets. The Board decided
that before they accepted one of these bids, Betty Kennedy would check
with the Lumber Companies and get bids from them.-.They also -recommended
that we get cut pile carpet and not -coninuous filament. As soon as we
get these bids, Betty is to send them to the Board Members and then let 1
them call the Health Department to give us their opinion. Also we should
find out what the footage is for tile, carpet and plywood and to send--more-
colors to choose from.
Dr. Hillhouse asked the Board to approve his buying a Hyfrecator to treat
mild cervicitis on Family Planning Patients. Dr. Kraft made the motion
that Board accept this. Dr. George seconded the motion. Motion carried.
The Board decided to take up the subject of Dr. Hillhouse's salary -at the
next Board Meeting.
Mrs. Ellis made the motion to try Green Thumb Employees on our building.
for janitorial services. Mrs. Norment seconded the motion. Motion carried.
Dr. Hillhouse discussed Paul Wells doing an audit for the Health Department,
all agreed this should be done.
When Dr. Hillhouse brought up the subject of WIC, the Board members asked
that he get all the pertinent information and present it to them at the
next meeting.
Dr. Kraft suggested we have a list of duties of all personnel to justify
their salaries when making out the budget. It was decided that since the
budget will be coming from the City the first part of April and is to be
returned to them the first part of May, that the Board should have another
meeting on the 25th of April to go over the budget.
Dr. Kraft made the motion that the meeting adjourn at about 9:00 p.m.,
Dr. Casey seconded the motion. Meeting was adjourned.
Respectifully Submitted
B Sec etary
I
May, 1985
ADVISORY BOARD OF HEALTH MEETING
MINUTES
The Advisory Board of Health met at the Paris -Lamar County Health Unit on
Tuesday, May 14, 1985. The meeting was called to order about 7 :15 P.M.
by the Chairman, Mr. Hack Blankenship. The following members were present;
Mr. Hack Blankenship, Mrs. Ann Norment, Dr. Bill George, Dr. Richard Bercher,
Dr. Wally Kraft, and Rev. Samuel Evans. Also present were: Dr. Hillhouse
and Anthony Bethel, representing the Health Department.
The first topic of discussion was a report by Dr. Hillhouse on the WIC
program. He informed the Board that he had received information from them,
but that it might be a while before we are able to get it here, because
they are low on funds. He also advised them that the carpenters would be
here Friday to begin installation of the floor coverings. Mrs. Kennedy
reported that she was unable to locate any kind of burglar alarm device.
Mr. Bethel reported that he had hired Mr. Robert Ricks as Sanitation Inspec-
tor I, to begin work on Monday, May 20th.
Dr. Hillhouse explained how he had arrived at the salary which he was re-
questing for the coming fiscal year.
Dr. Hillhouse also reported that two clerk II's had not been receiving the
amount of pay as is stated on the State Schedule and asked the Board to
permit him to pay the difference of $6.00 retroactive for six months. Motion
was made by Mrs. Norment that this be done, motion was seconded by Reverend
Evans. Motion carried.
Dr. Hillhouse asked the Board to consider an increase in salary, up to step
III, in the amount of $1,142. a month for Betty Kennedy, Clerk III.
` Page 2 Board Meeting
He explained that Mrs. Kennedy's position was Clerk III Step II three years
ago, and during the time she was transferred from State Payroll to local pay,
by contract, her salary increase for this position was overlooked. The re-
quest for her position to be elevated to a Step III is about one year delin-
quent. Dr. George made the motion this be done and motion was seconded by
Mrs. Norment. Motion carried.
Anthony Bethel gave a short rundown on the inspection of restaurants and
Mosquito spraying.
Also the question arose concerning the Xerox Machine and if it would be
to our advantage to buy a copy machine instead of leasing. Dr. Hillhouse
said he would check -into this.
Each item of the budget was checked and discussed, with some changes being
made.
There was discussion on the possibility of getting a metal building to
house the Mosquito Trucks. Mr. Bethel said he would look into the poss-
ibility of some of the surrounding land being used for this, if it should
belong to the County. $3,000.00 was added to the budget for this.
Dr. Kraft ssked Mr. Bethel to check on the City Ordinances for Food Estab-
lishments.
REverend Evans made the motion to accept the budget with the changes. Dr.
Georae seconded the motion. Motion carried.
The Board decided to have it's next meeting after we get the budget back
from the City.
Dr. George made the motion the meeting adjourn. Rev. Evans seconded the
motion. Meeting was adjourned at 8:55 P.M.
Respectifully Submitted
Betty Kennedy, Secr ary
June, 1985
ADVISORY BOARD OF HEALTH MEETING
MINUTES
The Advisory Board of Health met at the Paris -Lamar County Health Unit on
Tuesday, June 25, 1985. The meeting was called to order at approximately
7:20 P.M. by Mr. Hack Blankenship, chairman. The following members were
present: Mr. Blankenship, Dr. Rick Casey, Mrs. Ann Norment, and Mrs.
Frances Ellis. Also present were: Dr. Hillhouse and Anthony Bethel, rep-
resenting the Health Department.
The meeting was held to discuss the budget which had been returned to the
Health Dept. by the City Manager. There was a discussion concerning the
salaries, which had been changed by the City. Dr. Hillhouse explained why
these changes could not be accepted.
Mrs. Ellis made the motion that we write a letter to Mr. Doty accepting the
revised budget, presented by him, except for changes in the salary schedule,
with an explanation for each of these items. Mrs. Norment seconded the motion.
Motion carried.
There was a discussion about using $1,500.00 for repair of mosquito trucks
and $500.00 for their upkeep, out of the surplus of this year's budget and
to request this amount be added in the next budget. No action was taken on
this matter.
There was an informal discussion, for which there could be not action,
concerning a request by Judge Fisher about spraying in the County. It
was decided that this be discussed further with the Judge.
Respectfully Submitte
Bet Kennedy, cretary
September, 1985
ADVISORY BOARD OF HEALTHMEETING
MINUTES
The Advisory Board of Health met at the Paris -Lamar County Health Unit on
Wednesday, September 18, 1985. The meeting was called to order at approx-
imately 7:10 P.M. by Chairman, Hack Blankinship.
The following members were present: Mr. Blankinship, Dr. Bercher, Dr.
George, Mrs. Norment, Mrs. Ellis and Reverend Evans. Also present were:
Dr. Hillhouse and quests, Dr. Clark and Dr. Salzman.
Mr. Blankinship opened the meeting with a discussion about the City
pulling funds from the Health Department.
A discussion concerning Family Planning and the chances of getting the
contract back. Dr. Clark, who had checked into this, stated that it
is doubtful that anything can be done, since the contract was let for
four years.
Dr. Hillhouse stated that he would like for the Medical Society to be
informed about the Health Department, and that he would like to have the
support of the Medical Society.
The Board asked Dr. Hillhouse to check about the possibility of getting
legal advice, to check with Grayson County on how they handled the same
situation of the City pullinq out of the Health Department. They also
asked him to check with Dr. Crowder on all of these matters and the
possibility of fees for service.
Dr. Bercher asked Dr. Hillhouse to find out to what degree of State
funds we would lose if the City pulls out.
The meeting was adjourned at 8:25 P.M.
July, 1987
ADVISORY BOARD OF HEALTH MEETING
MINUTES ' .
The Advisory Board of Health met at the City Hall, in the Council Room,
on Thursday, July 23rd, 1987. The meeting was called to order at approx-
imately 7 :10 P.M. by Mike Malone, City Manager. The following members
were present: Mrs. Ann Norment, Mrs. Frances Ellis, Dr. Bill George,
Dr. Thomas Cutrell, Dr. Wallace Kraft, and Reverend Samuel Evans. Those
members not present were: Dr. Richard Bercher and Dr. Gordon Strom.
Others present were: T.K. Haynes, City Attorney and Dr. Hillhouse,
Director of the Health Department, and Bob Burns, County Judge.
Mr. Malone read a list of the Board Members and stated that Dr. Kraft
was an ex- oficio member. Dr. Kraft objected to this and a discussion
followed. It was agreed that Dr. Kraft would be a full, voting member.
Mr. Malone Asked that the Board select their officers, at this time.
Dr. Kraft nominated Ann Norment as Chairman, this was seconded by
Dr. George. Mrs.. Ellis made the motion nominations cease and Mrs.
Norment be nominated by acclamation.
Dr. Cutrell nominated Dr. Kraft as c0- chairman. Rev. Evans seconded
the motion.
Chairman, Ann Norment called on T.K. Haynes to give his reasons why
the bookkeeping of the Health Department should be turned over to the
City. A discussion followed and Rev. Evans made the motion that the
Bookkeeping go to the City, the motion was seconded by Dr. Cutrell.
The motion did not carry, at this time. A discussion followed, and
Gene Anderson suggested that with the amount of money that goes
through the Health Department, it should be accounted for in a more
professional way. Mr. Anderson also advised the Board that this
Page 2 Advisory Board of Health Minutes
transaction could be done by the first of August.
The Board voted to send the bookkeeping to the City -the first of August,
at the earliest, and not later than October, 1987.
Dr. Cutrell made the motion that the City Accounting Department formulate
a budget for the rest of the year to determine the deficit, and a method
of rectifying this, then to be approved by the Board, The City, and.The
County. Motion carried.
Dr. Wallace Kraft made the motion that the Board's next meeting be held
at the Holiday Inn on Tuesday, August 4 at 7:00 A.M. Dr. Cutrell
seconded the motion. Motion carried
Meeting was adjourned at 8 :37 P.M.
Respectfully Submitted, %Z�z-
Bett Kennedy, 1ecretary
a,
ADVISORY BOARD OF HEALTH MEETING
MINCITES
'"he Advisory Board of Health met at the Holidav Inn on Tuesday, August 4,
1987. Members present were: Mrs. Ann Norment, Mrs. Frances Ellis, Dr.
Bill George, Dr. Gordon Strom, and Dr. Thomas Cutrell. Members absent
were: Dr. Richard Bercher, Dr. I.1allace Kraft, and Rev. Samuel Evans.
The meeting was called to order by Chairman, Ann Norment, at approximately
7.00 A.M. Mrs. Norment called for a reading of the minutes. The minutes
were read by Petty Kenned -, with only one minor chance recuested by Mrs.
*?orm•s nt .
At this time Mrs. •Iorm,�nt called on Dr. Hillh -use for a renort on services
Provided by the Health Department; then a renort from Anthonv Bethel
concernincr services provided by the Sanitation Department. Mrs. Norment
asked for a typed report of the number of people served by this Department,
and copies to be passed out to the Board Members at the next meeting.
A discussion of the short -fall in the budget followed and Tudge Burns
said he could only speak for himself and not the commissioners, but that
the Countv would be willing to pav their nortion of the deficit. Dr..
George made the motion that the City and Countv come to some agreement on
this. Mrs. Ellis Feconded the motion.
Dr. Futrell asked if the hoard should have a more active nart in the
administration of the Health nenartment and *ors. Norment informed him
that the Board -is only to advise the Director of the Health Department.
Terry K. Havnes corrected her and said the Board was a Governing Board.
t
a�
ra(Te 2 Minutes
Mrs. Nornent said this would be on the agenda of the next Board meeting.
After more discussion concerning the deficit of the budget of the Health
Department, Dr. Cutrell made a motion the Health Department propose a budget
with the short -fall adjusted for next vear. Mrs. Norment said she would
work with Dr. Hillhouse and Anthonv Bethel on a budget to be approved by
the hoard, the Citv, and the County. Dr. Hillhouse informed them that he
would like to have two weeks to prepare the '-)udaet. This was to be ready
for the next Board Meeting which would be held on Wednesday, August 19,
at 7 :00 A.M. at the Holidav Inn.
The m�etina was adlourned at 8:32 A.M.
Respectfully Submitted:
Bet v Kennedy, ecretary
ID
MINUTES
PARIS -LAMAR COUNTY BOARD OF HEALTH
AUGUST 19,
The Paris -Lamar County Board of Health met August 19,
1987 at the Holiday Inn. The meeting was called to order at
7:15 A.M. by Dr. Wally Kraft, acting Chairman.
The first item on the agenda was the establishment of a
quorum. We had a quorum present for the meeting.
Second item was approval of minutes from the previous
meeting. Because Mrs. Betty Kennedy was ill, those minutes
were not available.
Third item was consideration of and action on the
Budget for 1987/88. The budget request that we have in hand
from the Health Department includes a 5 percent salary
increase compared to the city salary increase of 4 percent
and the county increase of 3 percent. Discussion was
directed to limitation of this salary increase. Mr. Anthony
Bethel, Sanitarian .I, has a proposed salary of $22,944.00,
which is what the State presently sends for his position,
and that was approved.. Mr. Bethel was asked to provide a
simple job description for all employees so that we might
decide how to shift responsibilities left by Mrs. Betty
Kennedy's retirement. Most of those responsibilities would
be shifted to Sharon Seals,, Clerk II, with some additional
help for telephone duties. The consensus was that we should
try to limit the salary increase to 3 percent for the health
unit. The city and county policies were compared. The city
hires at slightly less than the "going rate" and after six
months of a trial period the employee becomes permanent and
receives approximately 3.5 percent pay raise. The county
hires in a similar fashion below the usual rate and raises
the salary after a six month probationary period. The
elected official may decide to increase the salary as he
desires and there are no merit raises. We came back to
discussing the health unit payroll and noted that Mrs. Elsie
B. Williams had only been working for the Wick program for a
short time and there was a question of whether a pay raise
was needed this early for her.
We went down the City
worksheet for the Paris -Lamar
by item. On the first page,
of Paris budget preparation
County Health Department item
the motor vehicles are-those
used for mosquito control and are in good working order. It
was noted that regarding mosquito control in the county that
f.
�D
•f'�
any incorporated community must make a contribution to the
budget.
Chemical /medical supplies for $6,000.00.. Part of the
Chemical /medical supplies are provided by the State. The
car allowance of $6,300.00 covers three investigators at
approximately $150.00 per month and that was to be increased
to $175.00 per month which was thought to be a fair amount
since they did use their own vehicles. The travel a enses
for $1,200.00 includes 21 cents per mile and about $40.00
per day for approximately three medical meetings per year
for the Doctor and some meetings for the Nurses and Mr.
Bethel.
On the second page, under Building and Grounds,
$5,100.00. There is a maintenance contract in effect and
this was thought to be an appropriate amount. It was noted
that instrument maintenance is being done but no radio
maintenance is being done at this time.
The lease and rental equipment includes a copier which
is on a lease /purchase arrangement. It was noted that the
Department needs about 40,000 to 50,000 copies per year and
that the city is buying a new, copier to produce 120,000
copies per year at about $4,500.00. So that in comparison
this seemed to be a good expenditure for copying. Auditing
is being done yearly by an independent auditor. The total
on page two of $259,050.00 is compared to $242,000.00 last
year.
Discussion was held about the need for budgeting for
maintenance and estimating the yearly needs and this
includes physical improvements. Discussion was held regard-
ing the Last Look Military Equipment Program in which the
city already participates. Kelly Air Force Base in San
Antonio seems to be the place to look for medical equipment.
Physical improvements will be reviewed with Mr. Bethel. Dr.
Cutrell agreed to do this. A long range plan for building
repair was discussed and will be planned over the next year.
-A priority list was suggested, for example a leak in the
roof would be a priority. Outside landscape was discussed
and Dick Boots will be consulted to advise on the trans-
planting of Crepe Myrtles.
The Wick budget was briefly reviewed. We have little
impact on that and Wick is required to have a plan for
salary levels. This will be reviewed with Mrs. Barbara
Francis. The board voted to approve the budget as put forth
by the City of Paris budget preparation worksheet. Further
discussion - will be held before the proposed payroll is
approved.
As a matter of review, it was noted that fees collected
at the Health Department included $1.00 per child for well
child care, $3.00 for family planning, $3.00 more for a pap
smear, $2.00 for pre -natal visit,. and $10.00 for venereal
disease testing and treatment.
Dr. Kraft discussed further the need for regular food
establishment inspection and the need to charge a fee. Some
inspection is being done at this time. In fact, the schools
are inspected yearly at the beginning of school and the
school staff comes for training. There is education ongoing
for food handlers. The State Health Department does a
program about three times a year. The owner or operator is
required to go every three years or each time a new manager
takes over. An inspection is done every two months. A
health certificate was required in the past for food
handlers and this included Tuberculosis testing as well as a
VDRL, but this in not in force at the present time. The
present Health Board thought that a health certificate would
be a good idea to institute. We also felt that the
inspection should include a lengthly list of deficiencies to
give the food preparers goals to improve themselves by.
Further discussion of the need to reinstitute the health
certificates will be -held at the next meeting.
The fourth item on the agenda was consideration of
administration. Several details were discussed such as the
need to have city and county both approving vouchers for
_purchases. Various' mechanisms for doing this were
discussed. A motion was made and passed that there be two
signatures on every check, at present time this would be the
Finance Director of the City of Paris and the City Manager
of the City of Paris, and that a mechanism would be estab-
lished for the county to review all vouchers before they
were approved. Mr. Gene Anderson will discuss this with
Mrs. Myra Nell Wilson. It was decided that the board would
be the arbitrator for any disputes and for any non - budget
items -and that a budget amendment would be needed for any
changes.
Decision was made to hold the next meeting on Septemb -er
16, 1987, at 7:00 A.M. That is a Wednesday. Mr. Bethel
will arrange for the meeting place at the Holiday Inn. This
meeting was adjourned at 8:35 A�M.
M. Thomas Cutre , M.D.
,Ac
MINUTES
PARIS -LAMAR COUNTY BOARD OF HEALTH
AUGUST 19, 9 7
The Paris -Lamar County Board of Health met August 19,
1987 at the Holiday Inn. The meeting was called to order at
7:15 A.M. by Dr. Wally Kraft, acting Chairman.
The first item on the agenda was the establishment of a
quorum. We had a quorum present for the meeting.
Second item was approval of minutes from the previous
meeting. Because Mrs. Betty Kennedy was ill, those minutes
were not available.
Third item was consideration of and action on the
Budget for 1987/88. The budget request that we have in hand
from the Health Department includes a 5 percent salary
increase compared to the city salary increase of 4 percent
and the county increase of 3 percent. Discussion was
directed to limitation of this salary increase. Mr. Anthony
Bethel, Sanitarian I, has a proposed salary of $22,944.00,
which is what the State presently sends for his position,
and that was approved. Mr. Bethel was asked to provide a
simple job description for all employees so that we might
decide how to shift responsibilities left by Mrs. Betty
Kennedy's retirement. Most of those responsibilities would
be shifted to Sharon Seals, Clerk II, with some additional
help for telephone duties. The consensus was that we should
try to limit the salary increase to 3 percent for the health
unit. The city and county policies were compared. The city
hires at slightly less than the "going rate" and after six
months of a trial period the employee becomes permanent and
receives approximately 3.5 percent pay raise. The county
hires in a similar fashion below the usual rate and raises
the salary after a six month probationary period. The
elected official may decide to increase the salary as he
desires and there are no merit raises. We came back to
discussing the health unit payroll and noted that Mrs. Elsie
B. Williams had only been working for the Wick program for a
short time and there was a question of whether a pay raise
was needed this early for her.
We went down the City of Paris budget preparation
worksheet for the Paris -Lamar County Health Department item
by item. On the first page, the motor vehicles are those
used for mosquito control and are in good working order. It
was noted that regarding mosquito control in the county that
any incorporated community must make a contribution to the
budget.
Chemical /medical supplies for $6,000.00. Part of the
Chemical /medical supplies are provided by the State. The
car allowance of $6,300.00 covers three investigators at
approximately $150.00 per month and that was to be increased
to $175.00 per month which was thought to be a fair amount
since they did use their own vehicles. The travel expenses
for $1,200.00 includes 21 cents per mile and about $40.00
per day for approximately three medical meetings per year
for the Doctor and some meetings for the Nurses and Mr.
Bethel.
On the second page, under Building and Grounds,
$5,100.00. There is a maintenance contract in effect and
this was thought to be an appropriate amount. It was noted
that instrument maintenance is being done but no radio
maintenance is being done at this time.
The lease and rental equipment includes a copier which
is on a lease /purchase arrangement. It was noted that the
Department needs about 40,000 to 50,000 copies per year and
that the city is buying a new copier to produce 120,000
copies per year at about $4,500.00. So that in comparison
this seemed to be a good expenditure for copying. Auditing
is being done yearly by an independent auditor. The total
on page two of $259,050.00 is compared to $242,000.00 last
year.
Discussion was held about the need for budgeting for
maintenance and estimating the yearly needs and this
includes physical improvements. Discussion was held regard-
ing the Last Look Military Equipment Program in which the
city already participates. Kelly Air Force Base in San
Antonio seems to be the place to look for medical equipment.
Physical improvements will be reviewed with Mr. Bethel. Dr.
Cutrell agreed to do this. A long range plan for building
repair was discussed and will be planned over the next year.
A priority list was suggested, for example a leak in the
roof would be a priority. Outside landscape was discussed
and Dick Boots will be consulted to advise on the trans-
planting of Crepe Myrtles.
The Wick budget was briefly reviewed. We have little
impact on that and Wick is required to have a plan for
salary levels. This will be reviewed with Mrs. Barbara
Francis. The board voted to approve the budget as put forth
by the City of Paris budget preparation worksheet. Further
discussion will be held before the proposed payroll is
approved.
As a matter of review, it was noted that fees collected
at the Health Department included $1.00 per child for well
child care, $3.00 for family planning, $3.00 more for a pap
smear, $2.00 for pre -natal visit, and $10.00 for venereal
disease testing and treatment.
Dr. Kraft discussed further the need for regular food
establishment inspection and the need to charge a fee. Some
inspection is being done at this time. In fact, the schools
are inspected yearly at the beginning of school and the
school staff comes for training. There is education ongoing
for food handlers. The State Health Department does a
program about three times a year. The owner or operator is
required to go every three years or each time a new manager
takes over. An inspection is done every two months. A
health certificate was required in the past for food
handlers and this included Tuberculosis testing as well as a
VDRL, but this in not in force at the present time. The
present Health Board thought that a health certificate would
be a good idea to institute. We also felt that the
inspection should include a lengthly list of deficiencies to
give the food preparers goals to improve themselves by.
Further discussion of the need to reinstitute the health
certificates will be held at the next meeting.
The fourth item on the agenda was consideration of
administration. Several details were discussed such as the
need to have city and county both approving vouchers for
purchases. Various mechanisms for doing this were
discussed. A motion was made and passed that there be two
signatures on every check, at present time this would be the
Finance Director of the City of Paris and the City Manager
of the City of Paris, and that a mechanism would be estab-
lished for the county to review all vouchers before they
were approved. Mr. Gene Anderson will discuss this with
Mrs. Myra Nell Wilson. It was decided that the board would
be the arbitrator for any disputes and for any non - budget
items and that a budget amendment would be needed for any
changes.
Decision was made to hold the next meeting on September
16, 1987, at 7:00 A.M. That is a Wednesday. Mr. Bethel
will arrange for the meeting place at the Holiday Inn. This
meeting was adjourned at 8:35 A.M. Q�91
_L"'` I/ K�P�
M. Thomas Cutre 1, M.D.
LOCAL HEALTH SERVICES
PARIS -LAMAR COUNTY HEALTH DEPARTMENT
740 S.W. 6th
PARIS, TEXAS 75460
MONTHLY RFPORT FOR SEPTEMBER 1Q 87
IM .4UllI7ATIONS ................ ...............................
1412
FAMILY PLAN!..Ilvlq ............... ...............................
11111
BIRTH & DEATH CERTIFI.CATES .... ...............................
276
VENFRAL DISEASES .............. ...............................
19
TB SKIN TESTS ................. ...............................
w 115., _
PHYSICALS..................... ...............................
12
INSPECTIONS................... ...............................
110
COMPLAINTS.................... ...............................
S1
RABIES & VECTOR CONTROL ....... ...............................
64 -
WATERSAMPLES ................. ...............................
12S
PHONECALLS ................... ...............................
1362
COMSIILTATIVF VISITS ........... ...............................
32s
W.I.C. CLIENTS SF..EN ........... ...............................
734
HTLV -111 TEST14( . .............. ...............................
O
1-QLI_ CHILD CLINIC VISITS ...... ...............................
18,
MINUTES
PARIS -LAMAR COUNTY BOARD OF HEALTH
SEPTEMBER 16. 19 7
The Paris -Lamar County Board of Health met September
16, 1987 at the Holiday Inn. The meeting was called to
order at 7:10 A.M. by Dr. Wally Kraft, acting Chairman.
The first item on the agenda was the establishment of a
quorum. The quorum was present for the meeting. Present
were Dr. Wally Kraft, Mrs. Printis Ellis, Dr. Bill George,
Dr. Bert Strom, Dr. Richard Bercher, and Dr. Tom Cutrell.
Absent were Mrs. Ann Norment and Rev. Samual Evans.
The second item was approval of the minutes from the
previous meeting. Those were approved by motion by Mrs.
Ellis and seconded by Dr. George.
Third on the agenda was consideration of and action on
creating a full time lab position and recommending that the
same be included in the budget. At present, Kathie J. Meyer
is a Laboratory Assistant II working approximately 20 hours
per week. Her present annual salary is $7,749. The pro -
osal is to make her position a 40 hour per week position at
1,069 per month. At present, money is collected as
laboratory fees, primarily a $5 fee for water samples and
this money had been placed in a savings account for the past
12 months amounting to almost $14,000 per year. This money
must be used in laboratory related expenses and could be
used to pay the salary of a full time laboratory assistant.
Her duties would be to collect water samples, blood samples
for transfer to a reference laboratory, stool samples and
other cultures and gram stains and other laboratory duties
as necessary. Motion was made by Dr. Strom to make her a
full time laboratory assistant and seconded by Dr. Bercher
and voted and passed.
Fourth on the agenda was consideration of and action on
authorizing the purchase of a photocopier. Mr. Bethel
obtained three bids. He estimates a need for 40,000 copies
per year and compared the three bids based on a three year
warranty or service agreement and compared the cost of
purchase plus the cost of operation over three years. The
Xerox machine would cost $4,895, over three years for
purchase and operation. The Sharp copier would be $4,435
and the Minolta EP 350Z would cost $3,760 to buy a new model
and operate it for three years and to buy a model with less
than 20,000 copies of use already would cost $590 less or
$3,170 averaged over three years. That includes a purchase
price of $1,370 plus operating cost and service agreement.
The copier that is presently being used is five years old
and nearing the end of lease purchase agreement. An addi-
tional 10 percent of its cost would be paid in October, if
we were purchasing that and the board felt that purchase of
a new copier would be more reasonable. Dr. Cutrell moved
that we purchase the slightly used Minolta EP 350Z copier
for $1,370. Motion was seconded by Mrs. Ellis and approved
by the board. Mr. Anderson of the City and Mr. Bethel
agreed that there was money available in the budget for this
purchase.
Next on the agenda was the consideration of and action
on reclassification of Sharon Seals. Mrs. Seals has taken
on new responsibilities in the absence of Mrs. Betty Kennedy
who has retired. Proposal was made to advance her from
Clerk II to Clerk III status which would involve a raise in
salary from $12,005.80 to $13,445.00 per year. The board
agreed that this was certainly justified in view of her new
responsibilities and that she was capable of carrying out
these duties. Motion was made by Mrs. Ellis, seconded by
Dr. Strom and approved by the board.
In addition to this, discussion was held regarding
other employee policies such as holidays and this will be
discussed further at the next meeting. Mr. Bethel will
prepare a list of holidays for us comparing the city, county
and Health Department policies at present and other
employee policies will be reviewed from the city employee
manual. Mr. Bethel also provided job descriptions for the
Health Unit Director and other employees. These will be
reviewed by members of the board and discussed at the next
meeting.
Several items of old business were discussed. One was
the general maintenance of the Health Department building.
Several priority needs have been identified. One is the
fact that there are several leaks in the roof. Some are
minor and some are more significant. Mr. Bethel will obtain
bids from several roofing companies for patching of the
present leaks and also for complete replacement of the roof
should that become necessary later. It was not thought that
that was necessary at this time but that patching would be
sufficient. He will also survey the drains from the roof to
make certain that they are not stopped up because it is flat
roof prone to collect water.
Another need identified was repair or replacement of
screens on windows and, even though the cooler months are
here, discussion was held regarding the need to repair
these. It was proposed that the city public works crew may
have someone capable of repairing or replacing the screen
material on these windows during the winter months on days
when the weather was too bad to work outside. The wooden
frames on the screens appear to be in good condition so that
the whole frame would not be replaced at this time. Further
discussion was held about the need to have budgeted each
year an amount adequate for maintenance of this building
because of the age of this building.
The question was raised regarding state money for
maintenance of the building and that will be discussed
further. There had been previous discussion about the
budget and in August the board was under the impression that
lowering the salary increases from five percent to three
percent would provide additional funds for maintenance and
other needs but Mr. Anderson presented corrected numbers
showing that the three percent increase on salaries plus the
other benefits would amount to more than originally planned.
These salaries would still be less than the five percent
proposal that we were given at the last meeting. Attached
to the minutes will be a copy of the new proposed payroll
for 87 -88 which represents a three percent increase over the
present salary. The WIC salaries will also be increased
three percent rather than five percent.
Further discussion was held regarding the Last Look
Military Equipment Program which the city presently partici-
pates in. The Kelly Air Force Base in San Antonio has
medical equipment available from time to time and particular
needs were things like examining tables, small freestanding
cabinets for the examining areas, desks and any other
equipment or furniture that might be used in the Health
Unit.
We also discussed the WIC program briefly. Even though
WIC guidelines and policies are set by Federal regulation,
the WIC program is the avenue through which most patients
enter our well child clinics and other programs at the
present time. As the WIC income guidelines change, so will
the general patient load of the Health Unit change and for
this reason, discussion was held. The WIC income guidelines
were revised July 1, 1987 and now an applicant or partici-
pants income must not exceed 185 percent of the poverty
guidelines. For example, a family of four with an annual
income of $20,720 will qualify for WIC. This is going to
make a substantial percentage of our Paris and Lamar County
population eligible for WIC services. This is a good
program which we support heartily and the implications for
the total Health Department budget were discussed. It was
also noted that the WIC program is reimbursed based on the
number of participants served and that 20 percent of the
total annual administrative costs must be expended towards
nutrition education. So that the total volume of people
seen in the program does have an impact on the number of
staff required to adequately run the program. It was also
noted that a substantial amount of money comes into Paris
and Lamar County in the form of food vouchers. For example,
in August of 1987, $21,371 was put into the local economy in
food vouchers. This does not include the income generated
from salaries and operating expenses for our local WIC
project.
One other item of old business was the question about
county approval of expense vouchers from the Health Unit.
At present, copies of those vouchers go to the county
government to Mrs. Myra Nell Wilson. Dr. Kraft agreed to
ask her if she would like to continue receiving those
vouchers for her review.
The next meeting will be at the Holiday Inn at 7:00
A.M. on October 14, 1987. Mrs. Sharon Seals, who is our new
Clerk III, will be invited to attend that meeting.
The meeting was adjourned at 8:00 A.M.
M. Thomas Cutre 1, M.D.
LOCAL HEALTH SERVICES
PARIS -LAMAR COUNTY HEALTH DEPARTMENT
74n S.W. 6th
PARIS, TEXAS 75460
M04THI_Y REPORT 17OR nCTnBER 1 °__Z.
IMMUS117ATIONS ................. ...............................
-336
FAMILY PLANPdiFIP, ............... ...............................
173
BIRTH & DEATH CERTIFI.CATES .... ...............................
254
VENFRAL DISEASES .............. ...............................
103
TB SKIN TESTS ................. ...............................
92
PHYSICALS..................... ...............................
12
INSPECTIONS ................... ...............................
q4
COMPLAINTS.................... ...............................
In
RABIES & VECTOR CONTROL ....... ...............................
40
MATER SAMPLES ................. ...............................
125
PHONE CALLS ................... ...............................
3520
CO ".ISIILTATIVE VISITS ........... ...............................
L41+
W.I.C. CLIENTS SEEN ........... ...............................
HTLV -111 TFCTIhJr. .........................................
4
WF /11- CHILD CI_INIC VISITS ...... ...............................
11
MINUTES
PARIS -LAMAR COUNTY BOARD OF HEALTH
OCTOBER 14,
The Paris -Lamar County Board of Health met Wednesday,
October 14, 1987 at the Holiday Inn. The meeting was called
to order at 7:07 A.M. A quorum was present including Mrs.
Ann Norment, Chairman, Dr. Wally Kraft, Mrs. Printis Ellis,
Rev. Samuel Evans, Dr. Bill George, Dr. Bert Strom, and Dr.
Tom Cutrell.
The minutes from the previous meeting were reviewed and
approved.
Financial reports were prepared by the City of Paris
accounting office and reviewed by the Board. Revenues for
the month of September from the Health Department vital
statistics service were $3,308.13. The Health Department
received $5,000 from Lamar County, $5,333.33 from the City
of Paris, $3,084.86 from the State of Texas and $435 from
the State of Texas for the laboratory. The actual revenues
in September, 1987 were $17,161.32 compared to the actual
expense of $27,987 including the WIC program which totaled
$6,326 so that the actual expense without WIC was $21,661
leaving a deficit for that month of approximately $4,000.
The balance on September 30 read a deficit of $11,432 but
this is offset by $10,615 in revenue from lab fees which
will not show up until the October balance. $10,565 that
was in a separate account and is not being placed in the
Health Department account rather than the city and this
brings an actual balance October 1, of $9,748 there are also
revenues pending from the state. The deficit of actual
expense over the actual revenues for September when averaged
over the year produces a break even or balance budget.
Discussion was held concerning holidays and other
personnel policies. At present, city employees receive
about 6 holiday days per year. The county received all of
the state holidays and more and those are detailed in a list
attached. In the past, the Health Department closed when-
ever the county courthouse was closed. There appears to be
an inequity here between city and county workers and this
will be further investigated and discussed by subcommittee
headed by Dr. Strom and two other people of his choice.
Review of and discussion of job descriptions of the
Health Unit Director and other employees was tabled at this
time and will be discussed more throughly at the next
meeting. The information regarding those job descriptions
was passed out to the board members.
Discussion concerning state funds for maintenance of
the Health Department building will be tabled until the next
meeting when Mr. Anthony Bethel can be present. Only brief
discussion was held regarding the possible need for bids for
janitorial service and the exact cost of that service will
be discussed at the next meeting.
Consideration of and action on authorizing purchase of
gravel for the Health Department parking lot resulted in a
decision to have Dr. Wally Kraft estimate the amount of
gravel needed at present and perhaps acquire this at a good
price from the city which has a large supply of gravel and
have the county provide someone to spread the gravel over
the parking lot. This gravel could be added in smaller
quantities and compacted by use before the total amount of
gravel needed could be determined.
The next meeting will be held at 7:00 a.m. at the
Holiday Inn on November 25.
The meeting was adjourned at approximately 8:00 A.M.
M. Thomas Cutre , M.D.
MINUTES
PARIS -LAMAR COUNTY BOARD OF HEALTH
NOVEMBER 25, 1987
The Paris -Lamar County Board of Health met Wednesday, Nov-
ember 25, 1987 at the Holiday Inn. The meeting and dicussion
was called to order at 7:35 A.M. The board members present were
Dr. Bert Strom, Dr. Tom Cutrell, and Dr. Bill George.
The minutes from the previous meeting were reviewed.
Anthony Bethel read the Administrative Report list with
number of services performed by the Health Department for the
months of September and October. Dr. Hillhouse mentioned the
City, County employee physicals and Green Thumb physicals he
takes care of. There were no HTLV tests done in September and
only 4 were done in October. Dr. Strom would like to see more
criteria on HTLV next meeting. At this point there are no State
funds for upgrading our building. Sue Smith is working on some-
thing concerning funds for our building. There were three bids
on janitorial services. Mr. Harold Scott bid $355.00, Duane
Campbell bid $430.00 and Wayne Kirby bid $475.00. Duane Campbell
bid $70.00 monthly for upkeep of grounds. Board members will
discuss the bids again at our next meeting pending vote and
approval.
The roofing bids were read. A pitched or gabled roof was
discussed. They will talk more about roofing our next meeting.
Gene Anderson mentioned that he mailed a financial report
to everyone.
Dr. Bert Strom studied the Holidays that Health Department
personnel take every year. He said there would be no change
with our Holidays at this point.
Dr. Cutrell discussed job descriptions for Health Department
personnel. He stated that we really need a Personnel Director
and a Nursing Director appointed. This will be discussed again
at our next meeting.
In absence of Dr. Wally Kraft, Bob Ricks had checked with
the City of Paris concerning parking lot gravel. Gravel will
cost $802.00 and the City will spread it. It was.agreed to go
ahead with this and approve the money at the next meeting.
Latricia Miller, Lamar County Treasurer was present and
spoke concerning Indigent Health Care. She said that Lamar
County Indigent Health Care became active on September 1, 1986.
Lamar County had $336,000.00 set aside for this year. A person
must not have income more than $250.00 a month and not more than
$1,000.00 in resources. Each eligible person is allotted no
more than $30,000.00 a year.
The next meeting will be held at 7:00 A.M. at the Holiday Inn
on December 16.
The meeting was adjourned at approximately 8 :48 A.M.
Sharon J. Seals, Clerk III
MAINTAMCE SCHEDULE
PARIS -LAMAR COUNTY HEALTH DEPARTMENT
TWICE WEEKLY
Vacuum all carpeted areas with an electric operated vacuum.
Empty and clean all ash trays.
Empty all trash receptacles and replace bag liners as needed.
Set trash bags out at curhside for next day pick -up.
Mop all restroom floors.
Sweep or dust mop all tile surfaced floors.
Clean and sanitize all restroom fixtures including sinks, commodes,
urinals and stall dividers.
Clean and shine drinking fountains.
Spare toilet paper and paper towels should be placed in each restroom.
Supply all restrooms with hand soap.
Clean glass on all entrance doors.
Dust all office furniture and equipment.
WEEKLY
Spot clean all carpeted areas that are soiled.
Clean and buff all the floors.
Dust all doors, baseboards, frames, handrails, chair legs, telephones,
window sills, window blinds, file cabinets and open areas of book shelves.
Remove cobwebs from corners of each room and ceiling.
Remove accumulated dirt and dust from all return air vents.
Sweep and remove debris from exterior entrances to the Health Department.
Replace burned out light bulbs.
ADDITIONAL MAINTENANCE SHALL INCLUDE:
Clean and shampoo all carpeted areas every four (4) months.
Strip and wax all tile surfaced areas every six (6) months.
Clean out ceiling light fixtures once per month.
Interior of all windows shall be cleaned once per month.
The Paris -Lamar County Health Department will provide all paper supplies,
sanitizers, plastic trash bags, furniture polish, soaps and window cleaner.
All other supplies will be provided by the contractor including but not
limited to vacuum cleaners, buffers, stripping chemicals and any other supplies
needed that are not mentioned above. All employees of the Contractor
when doing maintenance work under this contract must wear shoes, long pants,
and shirts at all times. Maintenance will be performed Monday and Thursday
after 5:00 p.m., except for the additional maintenance listed. This can be
accomplished on week -ends if necessary. The Contractor will be responsible
for porker's Compensation and insurance for persons under this employment
contract.
Once a contract is signed, a check for the amount of the contract will be
sent to the Contractor by the 10th day of the month.
BID FORM
TO: PARIS -LAMAR COUNTY HEALTH DEPARTMENT
ATT , T "ON: ANTHONY � BETHEL
FROM.
`�,
NA E OF COMPAN`� -B DD fil,
A CRESS
TELEPHONE #
(1) (WE) hereby submit the following bid according to the specifications sent
to me by the Paris -Lamar County Health Department for Custodial Service
at the Paris -Lamar County Health Department office building located at
740 S.W. Ath, Paris. Texas.
AMOUNT OF BID
SIGNATURE OF BIDDER
DATE~
RID FORM
TO: PARIS -LAMAR COUNTY HEALTH DEPARTMENT
ATTENTION,:` ANTHONY L. BETHEL
FROM:
NAME OF COMPANY BIDDING
ADDRESS
TELEPHONE #
(1) (WE) hereby submit the following bid according to the specifications sent
to me by the Paris -Lamar County Health Department for Custodial Service
at the Paris -Lamar County Health Department office building located at
740 S.W. kh, Paris. Texas.
AMOUNT OF BID
t 10 Qti �
SIGNATURE OF BIDDER
I
YOU SLOP IT
WE MOP IT"
<Scott s
[ai2it0zia[
OFFICE CLEANING
CARPET SHAMPOOING
OWNER
HAROLD SCOTT
ROUTE 5
PARIS, TEXAS
COMMERCIAL
RESIDENTIAL
<—Se
Telephone
784 -2107
DATE
BID FORM
TO: PARIS -LAMAR COUNTY HEALTH DEPARTMENT
ATTENTION: ANTHONY L. BETHEL
FROM:
NAME OF COMPANY BIDDING
ADDRESS
TELEPHONE V -r
(1) (WE) hereby submit the following bid according to the specifications sent
to me by the Paris -Lamar County Health Department for Custodial Service
at the Paris -Lamar County Health Department office building located at
740 S.W. (ith, Paris. Texas.
AMOUNT OF B I D $ l�G� .00
DATE
MAINTENANCE SCHEDULE
PARIS -LAMAR COUNTY HEALTH DEPARTMENT
740 S.W. 6th
PARIS, TEXAS
EXTERIOR GROUNDS MAINTENANCE SCHEDULE
Mow yard during grass growing season.
Trim hedges (during grass mowing period).
Edge sidewalks (during grass mowing period).
Sweep and bag debris and trimmings.
Pick- up al l trash.
Sweep out curb gutters.
Trim weeds around outside of building (during grass mowing period).
Rake leaves in fall.
Sweep Porches and sidewalks.
Contractor will furnish all nower tools, mowers, edgers, gas and oil,
brooms, rakes, etc. The Paris -Lamar County Health Department will furnish
Plastic bags only. Maintenance will be worked once weekly at the
convenience of the Contractor. The Contractor will be responsible for
Worker's Compensation and insurance for persons under this employment
contract.
Once a contract is signed, a check for the amount of contract will be
sent to the Contractor by the 10th day of the.- month.
BID FORM
TO: PARIS -LAMAR COUNTY HEALTH DEPARTMENT
ATTENTION! ANTHONY L. BETHEL
FROM:
'NAME OF MPANY BIDDING
ADDRESS
TELEPHONE
(1) (WE) hereby submit the following bid according to the specifications
sent to me by the Paris -Lamar County Health Department for
EXTERIOR GROUNDS MAINTENANCE at the Paris -Lamar County Health Department
office building located at 740 S.W. 6th, Paris, Texas.
AMOUNT OF B I D $ Ch �J .00
'SIGNATURE OF BIDDER DATE
B I D FORM
TO: PARIS -LAMAR COUNTY HEALTH DEPARTMENT
ATTENTION: ANTHONY L. BETHEL
FROM:
NAME OF COMPANY BIDDING
ADDRESS
�r
TELEPHONE #
(1) (WE) hereby submit the following bid according to the specifications
sent to me by the Paris -Lamar County Health Department for
EXTERIOR GROUNDS MAINTENANCE at the Paris -Lamar County Health Department
office building located at 740 S.W. 6th, Paris, Texas.
AMOUNT OF BID $ .00
i i`1��; L %J vJr /mot f%
SIGPIATURE OF BIDDL/R DATE
BID FORM
TO: PARIS -LAMAR COUNTY HEALTH DEPARTMENT
ATT..TION ANTHONY L. BETHEL
FROM:
`NA E OF COMPANY- B I DO I N r
"ADDRESS
77-��`�%
TELEPHONE
(1) (WE) hereby submit the following bid according to the specifications
sent to me by the Paris -Lamar County Health Department for
EXTERIOR GROUNDS MAINTENANCE at the Paris -Lamar County Health Department
office building located at 740 S.W. 6th, Paris, Texas.
AMOUNT OF BID $ �%_1_ -00
1
SIGNATURE OF B IQ.D R PATE
MINUTES
PARIS -LAMAR COUNTY BOARD OF HEALTH
DECEMBER 16, 1987
The Paris -Lamar County Board of Health met Wednesday, December 16, 1987,
at the Holiday Inn. Mrs. Ann Norment tailed the meeting to order at
7:05 a.m. The board members present were Mrs. Norment, Rev. Evans,
Dr. Bercher, Dr. Strom, Mrs. Ellis, Dr. Cutrell, and Dr. George.
The minutes from the previous meeting were approved.
Mrs. Norment requested to move agenda item 5 ahead of items 3 and 4.
Dr. Strom discussed the holidays that the Health Department personnel
take every year. The State Legislature defines the holidays. We use the
State Personnel Manual, and it would have to be changed in order to
change holiday schedules. The state would not restrict our Board from
making any changes. However, no motion to change any holidays was
presented.
Anthony Bethel read the Administrative Report with numbers of services
performed by the Health Department for the month of November, and reported
that fewer services were generally performed between the months of
November and February. Mr. Bethel reported that there were no State
funds available for re- modeling the Health Department office building.
Three bids were reviewed for janitorial services. Dr. Bercher made a
motion to accept the bid of Duane Campbell, and Mrs. Ellis seconded the
motion. The motion was voted on and passed. Dr. Bercher suggested
that Mr. Bethel contact the Lamar County Sheriff's office concerning
the County Jail work crew performing outside maintenance for the building.
Roofing bids were read. No information was available concerning a gable
roof. Mr. Haynes recommended Mr. Miller's roofing work and suggested
that we contact Harrison, Haprer, and Walker about the quality of work
performed by bidders. The discussion of roofing bids was tabled until the
next meeting.
Mr. Bethel passed out a listing of what we consider to be high risk factors
in regards to AIDS testing.
The financial report was given by Mr. Anderson.
Dr. Cutrell will discuss job descriptions of the staff at the next meeting.
The parking lot at the Health Department has been leveled and graveled
by City of Paris crews.
Latricia Miller, Lamar County Treasurer, was present and spoke concerning
Indigent Health Care. She said that Lamar County Indigent Health Care
became active on September 1, 1986. Lamar County has set aside $336,000.00
for Indigent Health Care for this year. A person must not have income more
that $250.00 per month and not more than $1000.00 in resources to qualify
for aid. This is an adult program for age 18 or older. Each eligible
person may not receive more than $30,000 for medical care or 30 days in
MINUTES (CON'T)
the hospital. They have seen 81 clients and 64 are now active. Dr. Michael
Leddy is the doctor used by the County and he refers the eligible
indigent care recipients to a number of doctors and specialists in our
city. These doctors file and receive partial pay like Medicaid.
The next meeting was scheduled for 7:00 a.m., on January 20, 1988, at
the Holiday Inn.
The meeting was adjourned at 8:02 a.m.
Respectfully submitted,
Sharon J. Seals
LnCAL HEALTH SERVICES
PARIS -LAMAR COUNTY HEALTH DEPARTMENT
An s.w. 6th
PARIS, TEXAS 7546n
MOITHLY M ORT FOR December 1Q 87
IMM U417ATIONS ..........................4 ................... 223
FAMILY PLANNI"q ............... ............................... 48
BIRTH & DEATH CERTIFI.C.ATES .... ............................... 263
VENERAL DISEASES .............. ............................... 100
TB SKIN TESTS ................. ............................... 54
PHYSICALS .................................................... 6
INSPECTIONS ................... ............................... 86
COMPLAINTS .................... ............................... 37
RABIES F VECTOR CONTROL ....... ............................... 2
WATER SAMPLES ................. ............................... 108
PHONE CALLS ................... ............................... 3005
C04SULTATIVE VISITS ........... ............................... 213
W.I.C. CLIENTS SEEN ........... ............................... 927
HTLV III TEXT ................. ............................... 4
WELL CHILD CLINIC PATIENTS SEEN ............................... 11
LOCAL HEALTH SERVICES
PARIS- LA.MAR COUNTY HEALTH DEPARTMENT
AO S.W. 6th
PARIS, TEXAS 75460
MO"ITHLY MORT POR January —�.—, >c'_88 _
IMMUN17ATIONS ................ ...............................
210
FAMILY PLANK INN ............... ...............................
48
BIRTH & DEATH CERTIFICATES .... ...............................
295
VENTRAL DISFASES .............. ...............................
100
TB SKIN TESTS ................. ...............................
61
PHYSICALS..................... ...............................
8
INSPECTIONS ................... ...............................
65
COMPLAINTS.................... ...............................
32
RABIES F VECTOR CONTROL ....... ...............................
1
WATER SAMPLES ................. ...............................
115
PHONE CALLS ................... ...............................
2716
CONSHLTATIVE VISITS ........... ...............................
146
W.I.C. CLIENTS SEEN ..........................................
. .........
950
HTLV III TEXT ................. ...............................
5
WELL CHILD CLINIC PATIENTS SEEN ..............................
19
MINUTES
PARIS -LAMAR COUNTY BOARD OF HEALTH
MARCH 23, 1988
The Paris -Lamar County Board of Health met Wednesday, March 23, 1988,
at the Holiday Inn. Mrs. Ann Norment called the meeting to order at
7:01 A.M. The board members present were Ann Norment, Dr. Bert Strom,
Dr. Richard Bercher, Rev. Samuel Evans, Dr. Thomas.Cutrell, Mrs. Frances
Ellis, Dr. Kenneth Brooks, Dr. Wally Kraft,
City Attorney, T.K. Haynes read the minutes from our board meeting
on December 16, 1987. Dr. Brooks made a motion to approve the minutes.
Dr. Bercher seconded the motion and they were approved.
We elected officers on our board for 1988. It was agreed to elect a
Chairman, Vice Chairman, and a Secretary. The motion was made to elect
Ann Norment as Chairman again Dr. Cutrell for Vice- Chairman and Dr..Strom;
for Secretary. Mrs. Ellis moved that the nominations cease and the three
named were approved.
Dr. Cutrell made a presentation on the poly- urethane roof =bid, Dr. Brooks
moved that we accept this bid and present it to the city council and
commissioners court in order to obtain funding. 'j �,a �,,,��(,p�' P'J.tsed.
Anthony Bethel informed the board how that Mr. Ostergren got the Title
XX bid almost four years ago on Paris Health Services covering five
counties. The Department of Human Resources has given three counties
their Title XX money back. Anthony asked the board permission to get
this program back and this was approved.
The Indigent. Health Care discussed. Dr. Brooks sometimes
sees ten inmates from the county jail a week and is wondering if Indigent
Health Care should cover payments on this type of care. He moved that
the Indigent Health Care Laws be revised to include all physcians and other..- --
health care providers as well. Dr. Strom stated that Judge.- Burns-..wants
our board to review Indigent Health Care ex end 't res w' La r' i filler
on a regular basis. The Health Dept. '+ '� the
Indigent Health Care Agreementts� in order
6� to {rec� ve
C+4� `�aKn for services
performed. SAS# eK(6C41 0ed
Anthony read our monthly report and announced that we had ordered the
new Spirit Phone System with AT &T at $112.00 a month. Lightning struck
our copy machine and repairs cost $140.00. Dr. Cutrell mentioned that
WIC is running out of office space and we need to discuss this next
month.
The next meeting was scheduled for 7:00 A.M. on April 20, 1988, at.
the Holiday Inn.
The meeting was adjourned at 8:21 A.M.
Respectfully submitted,
Sharon J. Seals, Clerk III
MINUTES
PARIS -LAMAR COUNTY BOARD OF HEALTH MEETING
APRIL 20, 1988
The Paris -Lamar County Board of Health met Wednesday, April 20, 1988
at the Holiday Inn. Mrs. Ann Norment called the meeting to order at 7:10
A.M. The board members present were Mrs. Norment, Dr. Bercher, Dr. Strom;.
Dr. Cutrell, and Mrs. Ellis.
Our quorum at.this meeting included five board members. We will discuss.
changing our quorum from five to four board members at our next meeting.
The minutes were discussed from our previous meeting.. Mrs-. Norment
stated that our fourth paragraph should have an addition of this motion
passed. The sixth paragraph should say the Indigent Health Care Agreement
was discussed. All were in favor of corrections. The minutes were approved
as corrected.
Dr. Cutrell discussed the standard Indigent Health Care Agreement and
some changes were made. He was was concerned about the Health Department
providing Emergency Services. The Health Unit has never been eligible for
Medicaid. Transportation to the Health Unit should be arranged by the pa -:
tient. The Health Department would have to be under contract with the coun:.
ty as explained by T.K. Haynes. Dr. Strom made a motion to have report
from T.K. next month on questions raised from this discussion.
Liability insurance is provided for Dr. Hillhouse, but none is pro- .
vided for the clinic or the nurses. Gene Anderson will check to see if
the Health Department is included in the City of Paris Policy. This will
be discussed at the next meeting.
Barbra.. Francis reported that Paris WIC was first runner -up in Austin
lately in recognition of outstanding food performance in area of Food De-
livery. The WIC Program is'less than two years old and saving close to $15
million for the state on baby formula. There are 4,429 persons eligible
in Lamar.County. They are now reaching for pregnant women to sign up to
prevent low birth weight and save the county thousands of dollars. They
need to take on more eligible persons now but their office is to small
for more-participants at this point. They need to obtain more space as
soon as possible. Anthony will check on portable buildings such as the
ones used at our schools.
Anthony read the monthly report. Dr. Strom wants our monthly report
to include last year's totals from September 1987 or year to date. We
hired a new nurse, Kim Sparks, and she is coming to work on May 16th.
She is currently working third shift at Campbell Soup. We began spraying
for mosquitos April 11, 1988.
The next meeting was scheduled for 7:00 A.M. on May 25, 1988 at the
Holiday Inn.
The meeting was adjourned at 8:17 A.M.
Respectfully Submitted,
MINUTES
PARIS -LAMAR COUNTY BOARD OF HEALTH MEETING
MAY 25, 1988
The Paris -Lamar County Board of Health met Wednesday,,
May 25, 1988 at the Holiday Inn. Dr. Cutrell called the
meeting to order at 7:10 A.M. The board members present
were Dr. Cutrell, Rev. Evans, Dr. Brooks, Mrs. Ellis, Dr.
Strom, and Dr. Kraft.
Dr. Cutrell read the minutes from our previous meeting.
They were approved by all.
Indigent Health Care Agreement revisions were discussed.
The only changes made were revisions agreed on last month.
It was asked should the Health Dept. nurses be covered by
liability insurance and if so what would the cost be. Dr.
Strom made a motion that the Indigent Health Care Agreement
be approved. Dr. Kraft seconded the motion. All were in
favor of the County Indigent Health Care Agreement today.
Space for the WIC program was discussed by Barbra Francis.
She needs another 8x10 office for interviewing patients.
Anthony talked to Roy Chadwick about portable buildings. One
drawback is that these buildings contain asbestos. We need
to find out if the asbestos could be removed. WIC has an
excess of $6,000.00 now. Barbra Francis would have to have
an approval from Austin to use this money and the budget would
have to be amended.
Dr. Kraft asked if we could go ahead and put the roof on
for $14,420.00 and pay for it out of the present budget. The
City Council will need to approve us amending the budget to
spend money now. Dr. Cutrell wants us to get an approval as..
soon as possible.
Number five on the Agenda was to change the quorum from
five members to four members . There are currently eight
board members. Dr. Cutrell made a motion and it was seconded
to enlarge our board from eight to nine members. All were in
favor and the motion was passed.
The monthly report was read by Anthony Bethel. There was
no well -child clinic last month due to our nurse participating
in the Lamar County Special Olympics. One skunk had a positive
rabies report from Austin. The skunk was from the Brookston
area and no one was bitten.
The next meeting was scheduled for 7:00 A.M. on June 29,
1988 at the Holiday Inn. Dr. Kraft moved that we adjourn at
8:10 A.M.
Respectfully Submitted,
1
MINUTES
PARIS -LAMAR COUNTY BOARD OF HEALTH MEETING
JUNE 29, 1988
The Paris -Lamar County Board of Health met Wednesday, June 29,
1988 at the Holiday Inn. Mrs. Norment called the meeting to order
at 7:30 A. M. The board members present were Mrs. Norment, Mrs.
Ellis, Dr. Bercher, Dr. Cutrell, and Dr. Strom.
All the board members received a copy of the minutes from our
previous meeting. The minutes were approved by all.
Dr. Cutrell discussed the consideration of WIC's request for
additional space. He mentioned a few problems such as the loud
centrifuge noise, lack of storage space, and lack of privacy when
interviewing patients. Terry K. Haynes recommended that WIC use
one -half of the sanitarian's office. Anthony will present diagrams
and figures concerning renovations at our next meeting. Dr. Cutrell
made a motion that Barbra Francis and Anthony look into this situ-
ation. Mrs. ellis seconded the motion.
The fourth item on the Agenda was consideration of WIC's request
for part -time use of Health Unit Personnel. It was recommended
that our junior nurse work 1/5 time on Fridays in WIC and that our
senior nurse take Friday afternoon off and work a Saturday morning
Immunization Clinic.. Dr.Cutrell made a proposal that our junior
nurse work one day a week in Wic for two months and then report
back on how this is working out. Dr. Bercher left at 7:45 A.M.
before the above was discussed and we had no quorum to vote on the
matter.
The fifth item was consideration of our 1988 -89 Budget. We
have no reserve funds left. Terry K. Haynes said we will go by the
City scale for a pay raise this year. The Budget will go as is.
Next was the monthly report by Anthony Bethel. A personal
computer for our Birth and Death records has been included in the
Budget. Liability insurance on the nurses would cost $114.00 a
year through a company in Dallas. The amount of dollars in WIC
Food Cards was added to our report.
Our next board meeting will be on July 21, 1988 at The Paris -
Lamar County Health Department at 7:00 A.M.
The meeting was adjourned at 8:20 A.M.
Respectfully Submitted,
MINUTES
PARIS -LAMAR COUNTY BOARD OF HEALTH MEETING
JULY 21, 1988
The Paris -Lamar County Board of Health met Thursday, July 21, 1988 at
the Health Department Building. Mrs. Norment called the meeting to order
at 7:30 A.M. The board members were Mrs. Norment, Dr. Brooks, Dr. Cutrell,
and Dr. Strom. We did not have a quorum. Dr. Bercher's office called to
let us know that he could not attend this meeting. Terry K. Haynes notified
Mrs. Norment that he could not attend. Gene Anderson was on vacation.
The minutes from our previous meeting were reviewed and approved.
There was a recommendation to extend our Immunization Clinic hours by one
hour. This would help take care of the school rush in August. There was a
recommendation to change the quorum back to four members instead of five.
Gene Anderson and T.K. Haynes were not present to discuss consideration
of our 1988 -89 Budget.
The monthly report was given by Anthony Bethel. Dr. Cutrell would like
the Family Planning figures broken down to see exactly how many patients
Dr. Hillhouse sees in a month for other problems. We need to talk with
Darrell Wylie who is with Grants Management in Austin concerning why our
Grant Payments are delayed sometimes.
Anthony Bethel presented diagrams and figures concerning renovation
to provide additional WIC space. He mentioned that our big Lab is just not
properly designed for.Wic to operate out of it. Mrs. Francis' auditors from
Austin were here last week and observed that the traffic flow would be to
heavy and interfere with people bringing in water samples to the main Lab.
Anthony stated that we may have an office available in ten or eleven months.
Our Tuberculosis Clerk will be retiring then. Mrs. Francis sent a recom-
mendation to the State asking if they might work two hours a week overtime
so that they might handle 200 more patients by December. The State did
give permission for the overtime. Dr. Cutrell is going to call Bill Light-
foot to come look at our building and see if there is any possible way to
utilize the traffic flow into WIC.
Our next meeting will be on August 18, 1988 here at the Paris -Lamar
County Health Department at 7:00 A.M.
The meeting was adjourned at 8:03 A.M.
Respectfully Submitted,
Sharon J. Seas, Clerk III
MINUTES
PARIS -LAMAR COUNTY BOARD OF HEALTH MEETING
AUGUST 18, 1988
The Paris -Lamar County Board of Health )net Thursday, August 18, 1988.at
the Health Department Building. Mrs. Norment called the meeting to order at
7:15 A.M. The board members present were Mrs. Norment, Dr. Brooks, Mrs. Ellis,
Rev. Evans, and Dr. Kraft. Dr. Cutrell and Dr. Bercher called to announce
that they could not attend this meeting.
The minutes from our previous meeting were reviewed and approved.
Mike Malone and Gene Anderson presented our 1988 -89 Budget. Several small
cuts were made,.including the Arratex Towel and Rug Co. The WIC Budget re-
mained'as submitted — We are supposed to put on a new one -inch foam roof this
year for $12,247.00. Dr'.. Brooks and Mrs. Norment agreed -to present the roof
bid to Commissioners Court and the City Council by common consent. Dr.
Brooks made a motion that they.accept the 1988 -89 Budget as amended. All
board members were in favor and approved. Mike Malone also mentioned that.
the Baptist Church next door thinks that they own our parking lot. Research
is being done on this, as we may have to try to buy it later.
The fourth item on our Agenda was to establish a four member quorum. We
must let it,be known for'.30 days that we want a four member quorum. Mrs.
Ellis moved that we''change to,a, four member quorum and Dr. Kraft seconded the
motion.. We will vote.'in the next meeting if we have five members present.
The City Building Inspectors looked at our hall lights.and suggested.thatf.
we replace the pan lights with fluorescent lighting. Anthony has not gotten
any bids yet, . so this item will be on the next Agenda. .
Dr. Cutrell was-not at this meeting to discuss remodeling plans.
Anthony Bethel passed out, copies of our monthly report. Everyone looked
at our list of'services' for July and noticed that our .numbers were up from
last month.
Our next board meeting will be on September 15, 1988, here at the Paris -
Lamar County Health Department.at 7:00 A.M.
The meeting was,adjourned at 8:05 A.M.
Respectfully Submitted,
Sharon J. Seals, Clerk III
MINUTES
PARIS -LAMAR COUNTY BOARD OF HEALTH MEETING
OCTOBER 20, 1988
The Paris -Lamar County Board of Health met Thursday, October 21,
1988 at the Health Department Building. Mrs. Norment called the meeting
to order at 7:13 A.M. The board members present were: Mrs. Norment,
ivirs. Ellis, Dr. Cutrell, Dr. Kraft, Dr. Bercher, Dr. Strom, Rev. Evans,
and Dr. Brooks.
The minutes from our August meeting were reviewed and approved.
A four member quorum was established and approved by all.
Alice Anderson announced that Dr. Hillhouse would undergo surgery
on October 21, 1988 and have his left kidney removed. If everything
goes well he plans to return to work within 4 to 6 weeks. Alice talked
to Dr. Crowder with Region 7 in Tyler and they could send a doctor
for 1 clinic only on Nov. 9, 1988.
Dr. Cutrell spoke concerning temporary coverage for the Health
Dept. while Dr. Hillhouse is recovering from surgery. His first option
was to get an OB -GYN Resident doctor from Dallas. Liability insurance
would probably be a problem. His second option was to call a meeting
with the Paris -Lamar County Medical Society and discuss coverage. He
plans to have a separate discussion between our Obstetricians here.
All the board members asked that we not accept any doctor coverage
from Tyler. The Pediatric Clinic will cover our Immunization and Well -
Child Clinics. Dr. Bercher will cover our Veneral Disease Clinics. All
board members agreed that we should send all emergency patients to the
hospital emergency rooms.
Bob Ricks passed out copies of our August and September monthly
reports.
Our next board meeting will be on October 25, 1988, here at the
Paris -Lamar County Health Department at 7:00 A.M.
The meeting was adjourned at 8:05 A.M.
Respectfully Submitted,
Sharon J. Semis, Clerk III
OCT 24 ,
MINUTES
PARIS -LAMAR COUNTY BOARD OF HEALTH MEETING
OCTOBER 25, 1988
The ;'Paris -Lamar County Board of Health met Tuesday, October 25, 1988
at the Health:Dep.artment Building. Mrs. Norment called the meeting to or-
der at,.7:06 A.M..Thd�board'members present were: Mrs. Norment,.Mrs. Ellis,
Dr..Bercher, Dr.-Brooks, Dr.'Kraft, Dr. Strom, and Dr. Cutrell.
Temporary coverage for Dr. Hillhouse during surgery and recovery was
discussed by all board members. Dr. Hillhouse might be out for around six
weeks as he has 240'hours of paid vacation time coming. If we have only
one nurse`clinic,per week'.for issuing birth control pills and one doctor's
clinic either weekly-;or every two weeks for checking the patients, we
could keep things running smoothly until Dr. Hillhouse returns.
Our local doctors ' w ' ould be our first preference because they are al-
ready carrying liabilit insurance with their practice. Our Ob -Gyn doctors
are a little reluctant to step in and help us down here because of so many
high -risk patients whom they might not get to see as consistently as they
should before delivery.
Gene Anderson will re- examine our budget and let us know at the next
meeting how.much money we can pay another doctor temporarily.
Dr. Strom will be attending the Lamar -Delta County Medical Society.
Meeting this week:''and will present to them our need for temporary doctor
coverage:; Dr:. Berche'r.,will speak to the doctors at St. Joseph Hospital
concerning coverage.
meeting will be on November 1, 1988, here at the Paris Health
Department Building at 7:OO,A.M.
The meeting was. adjourned at 8:05 A.M.
Respectfully Submitted,
Sharon J. Seals, Clerk III
MINUTES
PARIS -LAMAR COUNTY BOARD OF HEALTH MEETING
NOVEMBER 1, 1988
The Paris -Lamar County Board of Health met Tuesday, November 1,
1988, at the Health Department Building. Mrs. Norment was unable to
attend the meeting. Dr. Cutrell called the meeting to order at 7:15
A.M. The board members present were: Dr. Cutrell, Dr. Strom, Dr.
Bercher, and Dr. Brooks.
Dr. Cutrell asked that a correction be made on the third para-
graph of the previous minutes. He stated that our Ob -Gyn doctors
-� would be willing to help us out if the situation could be one they
,�1r� can have °control over. They realize their civic duty and responsi-
bility to our community. But the situation is not appropriate to
ask our Ob doctors to jump in and help unless we make changes, es-
pecially our record keeping to conform to how they would like things
kept. We should help enroll as many patients as possible through
Medicaid. Lamar County loses money if eligible Medicaid, patients
don't sign up. Ob -Gyns have to limit their number of new Ob patients.
Their liability begins with their first contact with patient. If
they helped out here, it would put them at greater risk having in-
adequate contact with patients. We would also be asking them to in-
crease their already heavy work load.
Dr. Bercher contacted two Residents from Nocona, Texas who work
weekends at St. Joseph Hospital. They provide 24 hour coverage for
$ 1,000.00.
Anthony Bethel was asked to obtain a Medicaid Provider number
for our clinic.
Gene Anderson stated that our Budget really has no excess funds.
He estimated that we have no more than $ 9,000.00 if temporary
coverage is our only emergency.
Dr. Strom made a recommendation that we invite our Ob D'.octors
here to talk about the coverage situation. Dr. Cutrell, Dr. Strom,
Dr. Brooks, and Dr. Bercher agreed to call a discussion committee
meeting with the Ob Doctors at noon, November 2, 1988 at McCuistion
Hospital.
Dr. Strom made a motion that we go ahead and try to get a Noco-
na Resident Doctor to come here for our Ob Clinics. Dr. Brooks made
an addendum that we contact Dr. Gerber here. Dr. Bercher agreed to
ask Dr. Woodruff if he would work our Ob Clinics. Dr. Brooks second-
ed the motion on these items.
Dr. Strom moved that the board accept that we pay our R.N.'s
liability of $ 48.00 a year. All members present agreed to accept.
The date for next board meeting was not set.
This meeting was adjourned at 8:11 A.M.
Respectfully Submitted,
Sharon J. Seals, Clerk III
MINUTES
PARIS -LAMAR COUNTY BOARD OF HEALTH MEETING
JANUARY 12, 1989
The Paris -Lamar County Board of Health met Thursday, January 12,
1989 at the Health Department Building. Mrs. Norment called the meeting
to order at 7:12 A.M. The board members were: Mrs. Norment, Mrs. Ellis,
Dr. Strom, Rev. Evans, Dr. Cutrell, and Dr. Kraft.
Dr. Cutrell made a motion that our minutes be reviewed by a member
of the board before they are typed each month. All were in favor of this
motion.
Our previous minutes were first approved with the addition of the
word "some" to the second paragraph, fourth line before the word - control.
After more discussion, the minutes stood as printed after all.
Mrs. Vorment asked for an election of new officers for the board.
Dr. Cutrell nominated Dr. Bercher for chairman. Dr. Kraft seconded
the motion. A vote was made and Dr. Bercher became the new chairman.
Dr. Kraft then nominated Dr. Strom for vice - chairman. All members present
approved of Dr. Strom as the new vice - chairman. Likewise, all members
approved for Dr. Cutrell to remain as the secretary.
Next, Mrs. Norment asked Anthony Bethel to speak concerning temporary
professional coverage for clinics. He voiced the urgency for us to have
a Family- Planning Clinic soon as possible. He had talked with Dr. Nancy
Gonzalez and she agreed to work J day clinics once a week at $300.00
per clinic until Dr. Hillhouse can return to work. Dr. Gonzalez is em-
ployed by St. Joseph Clinic in Cooper, Texas and would be using her va-
cation time to help out here.
Dr. Strom wanted to discuss some other options. The doctors on our
board met and talked with some of our local Ob -Gyn doctors recently.
Dr. Carpenter recommended that we get a Resident Doctor from Dallas to
work our clinics because they carry .their own liability insurance.
Rev. Evans made a motion that the board allow Dr. Gonzalez to work
three clinics in January at $300.00 each, and if Dr. Hillhouse doesn't
return by February 1st, she will work four more clinics in February. Dr.
Strom seconded the motion. The motion carried and all were in favor of
this temporary arrangement.
The monthly report was given by Anthony Bethel. He passed out copies
of the last three months of statistics. The City Electrician inspected
our hall lights and they need to be replaced. Anthony has ordered new
lights for our hall. Harley White will install the new lights.
Page 2
Dr. and Mrs. Hillhouse are concerned about their Blue Cross -Blue Shield
Coverage running out by the end of January. Starting February they will
have to pay to maintain coverage. The board agreed by general consent for
Anthony to have a talk with Dr. Hillhouse concerning their continued in-
surance and all options about future money matters.
The date for our next board meeting was set for February 16, 1989 at
7:00 A.M. here at the Health Department.
This meeting was adjourned at 8:01 A.M.
Respectfully Submitted,
MINUTES
PARIS -LAMAR COUNTY BOARD OF HEALTH MEETING
FEBRUARY 16, 1989
The Paris -Lamar County Board of Health met Thursday, February 16, 1989 at
the Health Department Building. Dr. Cutrell called the meeting to order at 7:08
A.M. The board members present were: Dr. Cutrell, Mrs. Norment, Dr. Bercher,
Dr. Strom, Mrs. Ellis, Rev. Evans, and Dr. Kraft.
The minutes from our previous meeting were approved as read.
Next, we had a discussion of personnel and policies. Anthony announced that
it would be at least 7 months before Dr. Hillhouse can return to work according
to his doctor's orders. Mr. Haynes said that Dr. Gonzalez would consider working
full -time here and see the jail patients for $75,000.00 a year. Anthony will talk
with Dr. Crowder about us getting the Title XX Program back this Fall. This would
mean an increase in funds for the Health Department. A full -time Director down
here could really expand all of our services, including Indigent Heath Care.
Rev. Evans mentioned that if we have personnel problems around here, we
should get them straightened out. We need a Director working with our Adminis-
trator to help with these type of problems.
Dr. Cutrell made a motion to find a physcian who would work part -time or
maybe 20 hours a week. Dr. Strom agreed to check on a Physcian's Services for
finding a Public Health Doctor. Dr. Cutrell moved that someone check out PPS,
Coastal, and hospitals about available doctors.
The monthly report was given out by Anthony Bethel.
The date for our next board meeting was set for March 9, 1989 at 7:00 A.M.
here at the Health Department.
This meeting was adjourned at 8:15 A.M.
Respectfully Submitted,
Sharon J. Seals
JIF
FEB 2 1989
C1 Y .,�-iT T0 d,, EY
P.r?.R!S, TEXAS
MINUTES
PARIS -LAMAR COUNTY BOARD OF HEALTH MEETING
MARCH 9, 1989
The Paris -Lamar County Board of Health met Thursday, March 9, 1989
at the Health Department Building. Dr. Bercher called the meeting to
order at 7:18 A.M. The board members present were: Dr. Bercher, Dr.
Cutrell, Dr. Strom, Dr. Brooks, and Mrs. Norment.
The minutes from our previous meeting were reviewed and approved.
The monthly report was given by Anthony Bethel. He announced that
Dr. Hillhouse came down to the Health Dept. twice in the past two weeks.
He is improving, but only stayed an hour each time.
Dr. Gonzalez examined sixty patients last month. The nurses gave
appointments to 69 girls to get 20 to show up for a clinic. There were
four clinics with 15 to 20 girls per clinic.
There was a small increase in giving Measles Vaccine last month due
to the measles outbreak in Houston. Several students and teachers needed
the vaccine before going to the Houston Livestock,Show and the State
Basketball Tournament in Austin. East Texas has only 1000 doses of measles
vaccine available.
Anthony said that Duane Campbell , our cleaning man will be giving
up this job by the end of April. The board asked that we submit three
bids at our next meeting.
Next, Title XX Funds were discussed. Three years ago, Mr. Ostergren
of Dallas, Texas bid for Title XX Funds and got them. They will receive
the funding for another year and a half or until Sept. 1990. A patient
may qualify for Title XX Funds when they have to much income for medicaid,
but have no health insurance. These funds cover all Family Planning Services.
Dr. Bercher asked us to find out how much Title XX pays the doctors and hos-
pital for Tubal Ligations. He said that our health department could really
expand and have potential if we could have a full -time Director working
here. He stated that the board needs to quit managing our clinic. Dr.
Brooks expressed concern about whether Dr. Gonzalez would be adequate to
run our clinic. More discussion followed concerning our need for a permanent
doctor here. Then Dr. Bercher said that the board should meet alone in an
Executive Session to discuss a Physcian- Director for our clinic. The board
agreed to meet at the Holiday Inn on March 16, 1989. Anthony will send a
letter to each member and arrange for the room. Mr. Haynes asked whether
Gene Anderson or himself should be present at this meeting for financial
reasons. It was agreed that Gene Anderson should attend.
Dr. Strom had no success with calling Physcians' Services.
Alice Anderson passed a Newsletter out to all board members explain-
ing many projects that we as a clinic are involved with.
The next regular scheduled board meeting will be on April 13, 1989,
here at the health department at 7:00 A.M.
This meeting was adjourned at 8:15 A.M.
Respectfully Submitted,
Sharon J. Seals
PART S -LAMAR COUNTY BOARD OF HEALTH
MINUTES
The Paris -Lamar County Board of Health met at 7:00 a.m. on
May 25, 1989, at the Holiday Inn.
Dr. Strom called the meeting to order at 7:10 a.m. The
board members present were Dr. Strom, Dr. Cutrell, Mrs.
Ellis, and Mrs. Norment. T.K. Haynes, Mike Malone, and
Anthony Bethel were also present.
Mr. Haynes announced that he talked with Dr. Gonzalez
during yesterday's Family Planning clinic. She was not
satisfied with the amount of salary when talking to Dr.
Bercher. Her husband disliked the Idea of her going to
the Jail alone. She would like to have a qualified person
to accompany her to the Jail. It is risky bringing Jail
patients to the health department. Dr. Gonzalez would
consider our contract if it was 20 hours a week with 4
hours of Jail work. The annual salary would be
$47,000.00, with insurance Included on top of that
totaling around $60,000.00 yearly.
Mr. Bethel stated that Dr. Hillhouse plans to return to
work around June 1, 1989. Rev. Evans said the board needs
to make a decision about Dr. Hillhouse's contract. Dr.
Strom agreed to talk to Dr. Hillhouse.
Dr. Cutrell made a motion that we re -offer Dr. Gonzalez
the 30 hours per week and a contract for 6 months only.
The pay is comparable to the emergency room pay.
The board would like to call a special meeting May 30,
1989, at 7:00 a.m., at the Holiday Inn to meet Dr.
Gonzalez.
The next regular meeting is scheduled for June 15, 1989,
at the Holiday Inn at 7:00 a.m..
This meeting was adjourned at 7:50 a.m..
Respectfully submitted,
Sharon J. Seals
JOE F. HILLHOUSE M.D.
PARIS, TEXAS 75460
June 8, 1989
Dr. Richard Bercher, Board Chairman
Paris -Lamar Co. Health Dept.
Paris, Texas
Dear Dr. Bercher and Board Members,
Due to my medical condition my last day at work at P. -L. Co. Health Dept.
was Oct. 14, 1983. I have been technically employed without salary or
benefits since approximately Dec. 8,1988( when my salary was discontinued(.
I have been disabled medically since Oct. 19, 1988 when I entered St. Joseph's
Hospital for removal of a tumor and left kidney. Since it was malignant,
I went through a three month period of radiation treatments, plus two other
times of being admitted to the hospital for dehydration. Following this ,
post -- operative depression started, and my medical d:Lsa bility has continued
through the present time. Since it was my understanding that as soon as I
became able I would return to work, I started going to my office (P. -L.Co.
Health Dept.) on June 5, 1989 to begin my work. As of this date, June 8,
1989 I have not been officially informed of my status with the Health Dept.
If I am unable to continue my duties( as only time will tell ) I will need
to have my medical disability with TMRS established and disability income
as of the last day that I received pay(which was Dec. 8, 1988) started.
Also, I will need to have my group hospitalization insurance continued with
the City of Paris in order to afford it and as you know I cannot get any
other insurance to cover me now that I have cancer. I would expect some
compensation to be determined because, although I was not present but for
a few times dur ing March, April and May,1989, the Health Dept. operated
under my responsibility from the date I first was absent from work through
the present time.
I will discuss further things which I believe are pertinent as soon as I
am offically notified of my status with the Health Dept. and the cause or
reason accepted for my status,
I do want to thank the Health Dept. Board for yjur support and help you
have given me over the past years in trying to keep the Health Dept.
functioning.
I am our trkly with
since e K 9.
( Joe F. Hillhouse M.D.
2785 Culbertson fit.
Paris, Texas
LOCAL HEALTH SERVICES
PARIS -LAMAR COUNTY HEALTH DEPARTMENT
7110 S.W. 6th
PARIS, TEXAS 75460
MONTHLY REPORT FOR FEBRUARY
1989
FROM 10 -01 -88
PREVIOUS
YEAR
MONTH
TO DATE
IMMUNI ZATIONS ........................
185
267
1263
FAMILY PLANNING ......................
274
227
1066
8 &D CERTIFICATES .....................
278
324
1373
VENERAL DISEASES,,,,,,,,,,,,,,,,,,,,,
96
106
434
TB SKIN TESTS,,,,,,,,,,,,,,,,,,,,,,,,
45
75
307
PHYSICALS ............................
0
0
4
INSPECTIONS ..........................
66
82
370
COMPLAINTS ...........................
21
34
164
RABIES & VECTOR CONTROL ...............
13
10
46
WATER SAMPLES,,,,,,,,,,,,,,,,,,,,,,,
109
112
541
CONSULTATIVE VISITS ...................
255
312
1332
WIC CLIENTS SEEN .....................
1200
1200
5790
WELL CHILD PATIENTS SEEN ..............
NO CLINIC
-0-
16
HTLV III TESTS PERFORMED,,,,,,,,,,,,,,
8
4
29
POSITIVE HTLV TESTS .............
0
0
1. DR. GONZALEZ SAW 60 PATIENTS
PARIS-LAMAR COUNTY BOARD ON HEALTH
MINUTES OF MEETING
.The Paris -Lamar County Board of Health met on Tuesday,
June 20, 1989, at the Holiday Inn of Paris.
Dr. Bercher called the meeting to order at 7:07 a.m.. The
Board members present. were: Dr. Bercher, Dr. Cutrell,
Mrs. Norment, Mrs. Ellis, Dr. Strom, and Dr. Brooks.
'Others present were Dr. and Mrs. Joe Hillhouse, T.K.
Haynes,. Mike Malone, Anthony Bethel, and myself.
Dr. Bercher expressed thanks to Dr. and Mrs. Hillhouse for
coming to this meeting. Then he opened the meeting for
discussion from the board members: Dr. Hillhouse
elaborated on his condition since his surgery and.handed a
letter to each member. He had planned for seven months to
return to work if his physical and mental condition
Improved enough. But, he has suffered severe depression
In the last three or four weeks, and has also been seeing.
Dr. Grubb.
Dr. Bercher stated that the doctors on our board had all
.tried to help whenever possible In the past seven months.
..They have-been waiting and giving Dr. Hillhouse-time-to
recover and return to work. Mrs. Hillhouse stated that
they had also been waiting and doing everything possible
to. speed Dr. Hillhouse's recovery. She sald that..# -then
41-at * board
, r
Dr. `Hillhouse , in! %
MINUTES-PAGE TWO
ift. She stated that he has battled depression
for the past 25 years. He was hired as Director of the
Hea.lth Department fifteen years ago under these
conditions. She said he has worked to the best of.lils
abilities until surgery seven months ago.
Dr. Bercher stated that our board as a group appreciated
Dr. .Hillhouse for all his years of service at the Health
.,Depart . ment and wish him well now. He dismissed Dr. and
Mrs. Hillhouse and everyone stood as they were leaving at
7:30 a.m..
The.board meeting went Into executive session at 7:35
a.m.. Dr. Bercher stated that our minutes stood as
approved from the last meeting.
T.K. Haynes stated lie would check our balance in the
salary pool and see about Dr. Hillhouse'_s disability
compensation. He will check.on all options and see where
the Health Department and City of Paris legally stand.
Dr. Hillhouse did not work under a contract. This, is the
only case like this in the past fifteen years.
•�lV�
• Dr. Bercher discussed that maybe we should find out Dr.
Hillhouse's monthly med ion bill compensate this.
;n:da
T.K. stated that i Dr. Iillhouse his insurance
premiums
Dr. 1111*11iouse's signature
stamp was used only on health certificates, health
permits, and head lice prescriptions during the last seven
months. He:didn't sign any more birth or death
certl£lcates for the Texas Department of Health after.
October, 1988.
Mrs. Norment moved that the board find Dr. I•Iillhouse
medically disabled and unable to work any longer, an `�
that the board al.low him a medical resignation o rounds
of medical disability since October 19, 1988. All were in
favor of this motion, and the motion carried.
Dr.. Bercher asked that Dr. Hillhouse be notified of the
..board's decision by certified mail. Dr. Bercher will sign
the letter. The board will also solicit letters stating
,Dr. 11111house's medical disability from .Dr. Dunnington and
Dr. Grubb.
.The board decided to go ahead and send a letter to Dr.
Hillhouse today accepting hls resignation on grounds of
medioAl disability. Dr. Bercher asked that a copy of this
:letter be sent to everyone who usually gets a copy of the
�! s'
s
MINUTES-PAM THREE
board meeting minutes.
.T.I {. Haynes reviewed the terms_ of Dr . .Gonzalez's contract
The base salary 1s.$47,000 yearly, with medical premiums
of $12,000. Salary is paid bi- weekly. Dr. Gonzalez
signed a four month contract and started work June 19,
1989. She will work thirty hours a week including jail.
time. The county Judge agreed to provide a more
appropriate space for seeing Jail patients. She is
expected.to attend our board meetings and report on
progress at the Health Department. v 4
Mrs. Norment made mention that the �e -ast -- $+-Physician's
Services is $15'000.001 � 'Cq1 Foh"-e
Dr. Strom will write a letter to Dr..Gonzalez giving her
the board's objectives for improving services at.the
Health Department
The next board meeting is scheduled for July 25, 1989 at
7:00 a.m., at the Holiday Inn of Paris.
ThIs.meeting waa adjourned at 8:20 a.m..
Respectfully submitted,
'Sharon.J. Seals
PAlti SAAMIAR COUNTY t3CARD OF IUSALTII
MINUTES OF MEETING
The Parts-Lamar County Board of health met at the Holiday
Inn of Paris on Tuesday, August 15, 1989. Dr. Bercher
called the meeting to order at 7:08 a.m.. The board,
members present were: Dr. Bercher, Dr. Cut rel1, Mrs.
Normeent, Mrs . Ellis, Dr . Strom, and Dr . Brooks . Dr.
Bercher read the minutes from the last meeting.
The minlmum charge of 11,4.00 for services was discussed at
IengtIt. This seems to be working out wi=ll for everyone
need Ing our services.
The City of Paris' Insurance company prefers that the
liability insurance on the premises of the health
Department be on a separate policy. Gene Anderson was not
present to discuss this. The discussion was suspended
until next meeting.
The montlily report for.
Bethel. Almost all of
Family Planning obtain
. ;ee a ,separate monthly
medicines given and a.11
that expenses are less
the Jail patients.
,July was passed out by Anthony
the pre - natals coming through
Medicaid. The board would like to
sheet on Jail services, including
expenses there. It is believed
since Dr. Gonzalez has been seel rig
Dr. Gonzalez arrived at 7:90 a.m. and discussed the Jail
situsatton. Some of the inmates are very rowdy, and show
no respect to a woman doctor. She can refuse services to
these inmates. Dr. Cutrell proposed that we offer flu
vaccine to the Jail inmates at county expense. Dr.
Bercher seconded the motion, and all were in favor. This
could save on medical expenses in the long run.
Anthony Bethel will talk to Sheriff Gene Burns about the
Jail list of expenses. Dr. percher will send a letter to
Sher 1 f f Bur ns .
The next: meeting was scheduled for September 19, 1989, at
7:00 a.m., at the Holiday Inn of Paris.
This meeting was adjourned at 8 :07 a.m..
Respectfully submitted,
Sharon Seals
PARIS -LAMAR COUNTY BOARD OF HEALTH
MINUTES
The Paris -Lamar County Board of Health met at the Holiday Inn
of Paris on Tuesday, September 19, 1989. The board members
present were: Dr. Bercher, Dr. Strom, Dr. Cutrell, Dr. Brooks,
and Dr. Kraft. Others present were: T.K. Haynes, Gene Anderson,
Mike Malone, Anthony Bethel, and myself.
Dr. Bercher called the meeting to order at 7:10 A.M. He read
the minutes from our last meeting. These were reviewed and
approved as read.
Dr. Bercher read a letter of resignation from Dr. Gonzalez
presented to him from T.K. Haynes. She wants to resign from
her position as Director for the Health Department as of
September 29, 1989.
The board voted unaminously for T.K. Haynes to negotiate with
Dr. Gonzalez and report back to Dr. Bercher, Dr. Cutrell, and
Dr. Strom by telephone conference.
Dr. Brooks proposed a motion that we offer Dr. Gonzalez a 3
month contract without the jail. She would work 24 hours a
week at the Health Department, less what the county sends
extra. She would see everyone requesting a doctor. Anthony
would write and present the guidelines to her. The motion carried.
The other proposal was to work for 3 months doing 18 hours a
week at the Health Department, 6 hours at the jail, 3 times
a week at same pay as now.
The next meeting is scheduled for Tuesday, September 26, 1989
at the Holiday Inn.
This meeting was adjourned at 8:25 A.M.
Respectfully Submitted,
Sharon Seals
OL - 4,9
PARIS -LAMAR COUNTY BOARD OF HEALTH
MINUTES
The Paris -Lamar County Board of Health met at the Holiday Inn
on September 26, 1989 at 7:00 A.M. Dr. Bercher called the meeting
to order at 7:06 A.M. The board members present were: Dr. Bercher,
Dr. Cutrell, Mrs. Norment, Dr. Brooks, Dr. Strom, Rev. Evans, and
Dr. Kraft. Others present were: Gene Anderson, Terry K. Haynes,
Mike Malone, Anthony Bethel, and Sharon Seals.
Dr. Bercher read the minutes from the previous meeting. They
were approved after the addition that Paris Health Services, our
competition, was also discussed at the last meeting.
T.K. Haynes checked on the Physicians Relief Network Services.
They charge a fee of $47.50 an hour, 8 hours a day, including the
jail work. Their travel is included in that fee.
Dr. Bercher asked the board if they would like to make a motion
to try the Physicians Referral Service. Dr. Brooks made the motion
that we try the Referral Service, but also have a fill -in list for
local back -up doctors. Dr. Cutrell seconded the motion. All were
in favor. Motion passed.
T.K. Haynes received the final word that Dr. Gonzalez was accepted
with Kaiser Permanente Medical Association of Texas in Mesquite.
Dr. Strom would like for our board to meet Dr. Lucy Fetner from
Louisiana. She is interested in coming to Paris and doing a little
volunteer work at the health department.
Mrs. Norment made a motion that we invite Dr. Fetner here to meet
the board and that we pay her travel. Dr. Kraft seconded the mo-
tion. All were in favor. Motion passed.
Mrs. Norment then made a motion that our doctors on the board
approach other local doctors at medical meetings and ask if they
would help with the health department. Rev. Evans seconded the
motion. All were in favor. Motion passed.
This meeting was adjourned at 8:00 A.M.
The date was not set for the next meeting.
Respectfully Submitted,
Sharon J. Seals
PARIS -LAMAR COUNTY BOARD OF HEALTH
MINUTES
The Paris -Lamar County Board of Health met on October 5, 1989, at the
Holiday Inn at 7:00 A.M.
Dr. Bercher called the meeting to order at 7:12 A.M. The board members
present were: Dr. Cutrell, Dr. Strom. Dr. Kraft, Mrs. Norment, Mrs.
Ellis, and Dr. Bercher. Others present were: Lorrin Scott, Gene Ander-
son, Mike Malone, T.K. Haynes, Anthony Bethel, Barbra Francis, and my-
self.
Dr. Bercher then introduced Lorrin Scott, a Physicians Assistant to
Dr. Sid White, to the board members. He said that Dr. Strom had talked
to Lorrin about the jail work. Lorrin expressed an interest in learning
more about working at the Health Department and the jail.
Dr. Strom had researched the laws on work limitations for Physicians
Assistants. They can see patients and write prescriptions as long as
they have a medical doctor for a backup.
T.K. Haynes has already talked to Judge Loughmiller and he saw no
problem with Lorrin Scott working at the Health Department and the jail.
Lorrin Scott left the meeting at 7:32 A.M.
T.K. Haynes reported on the Physicians Referral Services. They require
working a 40 hour week. There was no one availble now.
Septic System Permit fees were discussed. The current fee is $35.00.
Someone will have to go to commissioners court with our board's
recommendation to get the fee raised. The Septic Fee proposal will be
on the agenda for our next board meeting.
This meeting was adjourned at 8:15 A.M. A date was not set for the next
meeting.
Respectfully Submitted,
Sharon J. Seals
PARIS -LAMAR COUNTY BOARD OF HEALTH
MINUTES
The Paris -Lamar County Board of Health met at the Holiday Inn
on October 31, 1989 at 7:00 a.m. Dr. Bercher called the
meeting to order. Members present were: Dr. Bercher, Dr.
Strom, Dr. Cutrell, Dr. Brooks and Mrs. Norment. Others
present were: Dr. Anges B. Zavier, Loren Scott, Gene
Anderson, Barbara Francis, Anthony Bethel, T. K. Haynes and
Sharon Seals.
Dr. Bercher opened discussion talking with Dr. Xavier about
her duties at the health department should she be hired.
Mentioned that Dr. Browning as an obstetrician would be
willing to cooperate with her in this capacity and they plan
to set up a meeting later with the OB's concerning this.
Loren Scott would take care of the jail three mornings a week
and Dr. Xavier would be at the Health Department probably two
hours each morning. Dr. Xavier would be the physician in
charge at the health department.
Loren Scott would like to set up prenatal clinics and have
walk in patients for other things that are minor in the way
of patients needing treatment. If the volume of patients
should increase it is possible that later on another clerk
might be needed and there is definitely new equipment which
would be needed with our laboratory as it has a very limited
capacity right now.
Dr. Xavier and Loren Scott left at 7:28 a.m.
Barbara Francis and Dr. Bercher began a discussion concerning
WIC. Dr. Bercher had a letter that T. K. Haynes had written
to Austin about the WIC coverage. Austin wrote WIC about us
not having a doctor there for coverage at this point and in
turn T. K. Haynes talked with them first by telephone and
then transposed a letter to the effect that we did have
coverage. Barbara Francis left 7:36 a.m.
The executive session of the board meeting started at 7:37
a.m. T. K. Haynes came in at this time. This is when the
closed session started.
Meeting adjourned at 8:06 a.m.
Respectfully submitted,
Sharon J. Seals
PARIS -LAMAR COUNTY BOARD OF HEALTH
MINUTES
The Paris -Lamar County Board of Health met on November 28, 1989 at 7:00 A.M.
at the Holiday Inn. Board members present were: Dr. Bercher, Dr. Cutrell, Dr.
Srom, Rev. Evans, and Mrs. Ellis. Others present were: T.K. Haynes, Gene
Anderson, Lorrin Scott, Barbra Francis, and Sharon Seals.
Dr. Bercher opened the meeting at 7:19 A.M. The minutes were approved from
the previous meeting.
T.K. Haynes discussed information concerning a refund premium for Dr. Nancy
Gonzalez. She brought a copy of her policy to Mr. Haynes. It consisted of 3
premiums, Internal Medicine Class 4 and Emergency Room at $ 6,218.00,
$ 4,945.00, and $ 4,965.00. We paid $ 8,400.00 for her insurance. It will
have to be determined if anything is to be refunded. Mr. Haynes read the let-
ter from the insurance company that provided Dr. Gonzalez's insurance.
Gene Anderson discussed liability insurance for Lorrin Scott. The city applied
for $ 100,000.00 - $ 300,000.00 premium at $ 1180.00. Dr. Cutrell made a motion
that we up this to $ 200,00.00 - $ 400,000.00. Dr. Bercher seconded the motion.
All were in favor.
Dr. Xavier decided against signing a contract to work with the Health Depart
ment.
Itorrin Scott told the board that we need to drop our present janitor and
hire someone who could work in our building maybe 3 days a week. Barbra Francis
mentioned that Wic would need 3 bids for Austin if we hire a new janitor. Dr.
Bercher made a motion that let the present janitor go and hire someone else.
Dr. Strom seconded the motion. All were in favor.
Lorrin Scott gave a report that 190 patients were seen since November 13, 1989.
We did 792 immunizations in October. The jail work is going smoothly.
Lorrin Scott and Barbra Francis left the meeting at 7:53 A.M. Then the closed:
session began.
Our next meeting was set for January 23, 1990 at 7:00 A.M. at the Holiday Inn.
This meeting was adjourned at 8:20 A.M.
Respectfully Submitted,
Sharon J. Seals
PARIS -LAMAR COUNTY BOARD OF HEALTH
MINUTES
The Paris -Lamar County Board of Health met on December 18, 1989 at
7:00 A.M. at the Holiday Inn. Board members present were: Dr. Bercher,
Dr. Brooks, Mrs. Ellis, Mrs. Norment, Dr. Cutrell, and Dr. Strom.
Others present were: Dr. Lucy Fetner, Lorrin Scott, Anthony Bethel,
and Sharon Seals.
Dr. Bercher introduced Dr. Lucy Fetner to the board members. He ex-
plained that the services of our Health Department are really needed
with a county population of 45,000 people. We do have a strong health
board and wish to reach more eligible people through the health depart-
ment.
Dr. Fetner explained that she is in private practice in Louisiana now.
She is interested in coming to work at the health department late next
Spring.
Lorrin Scott would continue the jail work if Dr. Fetner comes to work
here.
Dr. Fetner and Lorrin Scott left the meeting at 7:50 A.M.
The next session started at 7:51 A.M. Dr. Bercher made several additions
to the minutes from the last meeting. In the fourth paragraph, he added
that the amount would be $ 1,499.00 for the $ 200,000.00 - -- $ 400,000.00
liability premium for Lorrin Scott. In the fifth paragraph, he stated
the board ruled against proposing a contract for Dr. Agnes Xavier. In
the seventh paragraph, he added that Lorrin Scott saw 112 jail patients
from November 13,1989 to November 27, 1989.
Gene Anderson was not present to discuss pay for Dr. Fetner. The board
agreed to reimburse Dr. Strom since November 13, 1989 for his consul-
tative services with Lorrin Scott. Dr. Cutrell proposed that we pay
Dr. Strom $ 100.00 a week for 1 hour of service. Dr. Strom spends more
than 1 hour weekly as he goes to the health department to go over charts
once or twice weekly.
Anthony Bethel stated that he and Bob Ricks need communication in their
trucks, possibly mobile phones. Dr. Brooks suggested they get three bids
on phones. Dr. Bercher asked Anthony to check everything out before our
next meeting.
Dr. Strom has received many complaints on Paris restaurants lately. The
restaurants haven't been checked regular since August, 1989. The inspect-
ions need to be consistent and thorough.
Septic Fees and Restaurant Inspections will be discussed at the meeting
in January, 1990. Dr. Bercher proposed that the City and County should
pay for our breakfast at the board meetings.
Anthony discussed that WIC is needing more space for classrooms and
computers. Lorrin Scott wants our exam rooms remodeled, as the patients
have very little privacy now. Anthony took a package to Sue Smith a
week ago concerning grants. Mrs. Ellis will stay in touch with Sue a-
bout obtaining grant money for our remodeling needs.
The next meeting will be on January 23, 1990 at the Holiday Inn at
7:00 A.M.
This meeting was adjourned at 8:30 A.M.
Respectfully Submitted,
Sharon J. Seals.