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1995-1999M I N U T E S OF M E E T I N G The Paris -Lamar County Board of Health held its regular meeting on Wednesday, February 15, 1995, at the Holiday Inn in Paris. Board members present included Dr. Robert Moseley, Dr. Bert Strom, Dr. Glenn Dunnington, Dr. David Brock, and Mrs. Frances Ellis. Others in attendance included Mr. Mike Malone, Mr. T.K. Haynes, Mr. Gene Anderson, Mr. Alan Weatherford, Mr. Troy Owens, Ms. Latricia Miller, Mr. Mike Norby, Ms. Evelyn Freeman, Mr. Anthony Bethel, and Mr. Bob Ricks. A quorum was established and the meeting was called to order at 7:18 am.. Dr. Strom made a motion that was seconded by Mrs. Ellis that the minutes from the previous meeting be approved, and the motion carried. Under discussion of the Rural Health Clinic, Mr. Norby discussed the COPC grant that was recently approved in the amount of $120,000, and discussed adding an eligibility worker. Dr. Strom stated that a system needed to be devised to track expenditures so that it can be shown where monies received were spent when re- applying for such grants. Dr. Strom stated that the goal of the Board should be to get funding sources on line as soon as possible. Mr. Malone added that any requests for additional personnel that is not funded through a grant would have to be agreed on by the City and County. Mr. Norby added that the target date to request a survey for certification as a Rural Health Clinic was set at 03- 01 -95, and that after receiving certification, the Rural Health Clinic would have to apply for Medicaid and Medicare numbers for billing purposes, and that it would be from 45 to 60 days until we actually started receiving cash back from billing. Anthony stated that he would talk with Dr. Woodruff about using his Medicaid and Medicare numbers at the Health Department until the Rural Health numbers are received. Under other discussion, Latricia Miller informed the Board of problems at the jail regarding the prescribing of Prozac to inmates. Anthony passed out monthly reports. The next meeting was scheduled for Wednesday, March 8, 1995 at the Holiday Inn at 7:00 am. The meeting adjourned at 8:40am. Respectfully Submitted, Bob Ricks M I N U T E S OF M E E T I N G PARIS -LAMAR COUNTY BOARD OF HEALTH The Paris -Lamar County Board of Health held its regular meeting on Wednesday, March 8, 1995, at the Holiday Inn of Paris. Members present included Dr. Robert Moseley, Dr. David Brock, Mrs. Ann Norment, and Mrs. Frances Ellis. Others in attendance included Mr. Mike Malone, Mr. Gene Anderson, Mr. Bob Ricks, Mr. Anthony Bethel, Mr. Troy Owens, Mr. Alan Weatherford, Ms. Latricia Miller, Mrs. Barbra Francis, Ms. Evelyn Freeman, Ms. Danise Petticrew, and Mr. Mike Norby. A quorum was established, and the meeting was called to order at 7:18 am. Minutes from the previous meeting were approved. Under discussion of a Plan of Action for the Health Department, Mr. Norby informed the Board that the Health Department could not bill Medicare /Medicaid using Dr. Woodruff's number. Anthony advised the Board that he was informed that the State is not currently certifying any new Rural Health Clinics. Mr. Malone discussed the availability of the old Lone Star Gas building. Under discussion of the State of Texas funding, Anthony discussed proposed changes in funding from the State for FY95 -96. Dr. Brock made a motion that was seconded by Mrs. Norment that the LVN position that is open be filled with an RN. The motion carried. Anthony passed out monthly reports. The next meeting was scheduled for Wednesday, April 12, 1995 at 7:00 am at the Holiday Inn of Paris. The meeting was adjourned at 8:00 am. Respectfully submitted, J (L CJk Bob Ricks MINUTES OF MEETING PARIS -LAMAR COUNTY BOARD OF HEALTH The Paris -Lamar County Board of Health held its regular monthly meeting on Wednesday, April 12, 1995 at the Holiday Inn of Paris. Members present included Dr. Glenn Dunnington, Dr. Robert Moseley, Dr. Bert Strom, Dr. David Brock, Dr. Wally Kraft, Mrs. Ann Norment, and Mrs. Frances Ellis. Others in attendance included Mike Malone, T.K. Haynes, Anthony Bethel, Bob Ricks, Danise Petticrew, Betsy Chapman, and Ron Ragan. The meeting was called to order at 7:11 am. Mrs. Ellis made a motion that was seconded by Mrs. Norment to approve the minutes from the previous meeting, and the motion carried. Under discussion of the implementation of the COPC grant, Anthony Bethel and Betsy Chapman discussed front office personnel and the responsibilities of each position, and discussed changes in the way that the front office functions. Under discussion of the fee schedule, Anthony Bethel passed out a proposed schedule of fees and discussed this proposed schedule. Dr. Kraft made a motion that was seconded by Dr. Brock that this fee schedule be adopted by the Health Department, and this motion carried. Anthony Bethel handed out copies of the monthly reports. The next meeting was scheduled for Wednesday, May 17, 1995 at the Holiday Inn. The meeting was adjourned at 8:20 am. Respectfully submitted, Bob Ricks MINUTES O F M I NUT E S PARIS -LAMAR COUNTY BOARD OF HEALTH The Paris -Lamar County Board of Health held its regular meeting on Wednesday, May 17, 1995 at the Holiday Inn in Paris. Board members in attendance included Dr. David Brock, Dr. Bert Strom, Rev. Samuel Evans, Mrs. Ann Norment, and Mrs. Frances Ellis. Others in attendance included Mike Malone, Gene Anderson, Judge Deane Loughmiller, Troy Owens, Latricia Miller, Anthony Bethel, Bob Ricks, Mike Norby, Danise Petticrew, and Evelyn Freeman. A quorum was established, and the meeting was called to order at 7:15 am. the minutes of the previous meeting were approved. Under discussion of Intermediate Care Position, Danise informed the Board that she has given her notice of resignation to St. Joseph's effective either June 9, or June 24, depending on which job she accepted in Honey Grove, Texas. Anthony informed the Board that the Health Department has received certification as a Rural Health Clinic and was waiting on numbers. Also, Anthony informed the Board that the Health Department has received EPSDT numbers and are seeing EPSDT patients. Anthony discussed filling the primary care position with a P.A. or F.N.P., and Dr. Strom stated he felt that a P.A. would require more supervision by a physician than a F.N.P.. Anthony discussed Dr. Woodruff not coming to the Health Department as often as needed, and Dr. Strom advised he would contact Dr. Woodruff and get back with Anthony. Dr. Strom requested that a productivity report be presented the Board at the next meeting to see if patient load has increased. Dr. Strom recommended we look for two intermediate care providers instead of one and also look into the "Grow Your Own" program. The next meeting was scheduled for Wednesday, June 21, 1995, at the Holiday Inn. The meeting adjourned at 7:45 am. Respectfully Submitted, Bob Ricks MINUTES OF MEETING PARIS-LAi�AR COUNTY BOARD OF HEALTH The Paris-Lamar County Board of Health held a regular meeting on June 21, 1995. Board members present included Dr. Robert Moseley, Dr. Bert Strom, Dr, David Brock, Mrs. Ann Norment, and Mrs. Francis Ellis. Others in attendance included Mr., Mike Malone, Mr. Gene Anderson, Judge Deane Louqhmiller, Mr. Alan Weatherford, Mr. Troy Owens, Mrs. Latricia Miller, Dr. Bill Woodruff, Mr. Mike Norby, Mrs. Evelyn Freeman, Mr. Anthony Bethel, and Mr..Bob Ricks. The meeting was called to order at 7:05 am, and the minutes of the previous meeting were amended to where paragraph 5 of the first page would read "from 2-4 hours weekly" instead of 4 hours weekly, and then were approved.. Under discussion of the position of Medical Director for the Health.Department, Dr. Woodruff stated that he had not been advised that he would be required to be present at the ?health Department every week for chart review until approximately 3 weeks prior to this meeting. The Board then advised Dr. Woodruff that he would be required to be present at the Health Department weekly for chart review. under discussion of the Intermediate Care Position at the Health Department, Anthony discussed hiring LaDonna Koehn part time, and hiring Terri Yeakely part time, and that there was no contract ready to be presented to John Johnson. Anthony presented a.benefit package -presented to him by John Johnson that he would like to recelve if hired for the position. Mrs. Norment made a motion that was seconded that Anthony be permitted to negotiate the hiring of an intermediate care provider for the Health Department. The motion carried. Under discussion of action on a Resolution of Corporate Board of Directors, the Board approved the resolution permitting Anthony Bethel to sign all documents pertaining to National Health Insurance Company Medicaid applications, and Mrs. Norment, as Secretary of the Paris-Lamar County Board of Health, was authorized to sign the Resolution on behalf of the Board. The next meeting was scheduled for Wednesday, August 9, 1995 at the Holiday Inn. The meeting adjourned at 7:55 am. Respectfully ubmitted, Bob Ricks MINUTES OF MEETING PARIS-LAMAR COUNTY BOARD OF HEALTH The Paris-Lamar County Board of Health held its regular meeting on Wednesday, June 14, 1995, at the Holiday Inn in Paris. Board members present included Dr. Bert Strom, Dr. Robert Moseley, Dr. David Brock, Mrs. Ann Norment, and Mrs. Frances Ellis. Others in attendance included Mr. Mike Malone, Mr. T.K. Haynes, Mr, Troy Owens, Mrs. Latricia Miller, Mr. Anthony Bethel, Mr. Bob Ricks, Mrs. Barbra Frances, Mrs. Evelyn Freeman, Mr. Ron Ragan, and Mrs, Betsy Chapman. The meeting was called to order at 7:18 am, and Dr. Strom made a motion that was seconded by Mrs. Ellis that the minutes from the previous meeting be approved as submitted. The motion carried. Under discussion of the Intermediate Care position at the Health Department, Anthony advised the Board that he had been in contact with a P.A. and a F.N.P. about the position at the Health Department. The F.N.P. did not get back with Anthony, but the P.A. expressed interest in the position. Anthony passed out a list of requirements submitted by P.A. John Johnson in regards to his accepting the position. A committee including Dr. Strom, Mr. Bethel, Mr. Haynes, Mr. Owens, and Mr. Ragan was appointed to meet and discuss an incentive package to offer to Mr. Johnson if he is interested in the position. Evelyn Freeman stated that the March of Dimes grant currently being received might not cover services by a P.A., and that she would check in to that, Dr. Strom stated that the Board needs to set priorities for the Department. If pre-natal care is our main priority, then he does not feel that a P.A. would be the best person for the position. If the Health Department was trying to expand the patient load and see more patients, then a P.A. might be the person for the job. Ron Ragan inquired as to whether or not the Board had considered using a professional recruiting service to locate the best qualified person for the position. Also, Mr. Ragan informed the Board that Terri Yeakley had stated that she would be interested in filling in part-time at the Health Department if she was needed. Dr. Strom added that the Internal Medicine Group would serve as.Medical Director.if needed, and would be willing to spend four hours every Thursday at the Health Department reviewing records. MINUTES Page 2 The next meeting was scheduled for Wednesday, June 21, 19,95, at the Holiday Inn, to discuss the report of the committee regarding an incentive package, and to discuss the position of intermediate care provider at the Health Department. The meeting adjourned at 8:20 am, Respectfully submitted, 16-4-' Bob Ricks PARIS-LAMAR COUNTY BOARD OF HEALTH MINUTES OF MEETING The Paris-Lamar County Board of Health held its re cmlar meeting on Wednesday, August 23, 1995, at the Holiday Inn of Paris. Board members in attendance included Dr. Robert Moseley, Dr. Bert Strom, Dr. David Brock, Dr. Charles Tarvin, and Mrs. Francis Ellis. Others in attendance included Mr. Mike Malone, Mr. T.K. Haynes, Mr. Gene Anderson, Judge Deane Loughmiller, Mrs. Latricia Miller, Mr. Troy Owens, Mr, Alan Weatherford, Mr. Mike Norby, Ms. Evelyn Freeman, Mr. Gary Conwell, Mr. Bob Ricks, Mr. Anthony Bethel, and Mrs. Barbra Francis. The meeting was called to order at 7:17 am, and a quorum was established. Dr. Strom moved that the minutes from the previous meeting be approved, and Dr. Brock seconded the motion. The motion passed. Dr. Tarvin was sworn in before the meeting was called to order. Under discussion of the Intermediate Care Position at the Health Department, Anthony stated that LaDonna Koehn will take the job and work 6 hours per day,5 days per week for $29.00 per hour. Dr. Strom made a motion that was seconded by Dr. Brock that the Board move ahead and negotiate a job offer for LaDonna and that the City and County be involved in the process. The motion carried. Under discussion of a new phone system for the Health Department, Anthony informed the Board that AT&T gave him a bid of approximately $12,000 for a system with automatic answering, and that they will allow us $450.00 for trade -in for our old system. Dr. Moseley asked Anthony to check with Tex-A-Page to see if they could offer a system. Anthony discussed a bill received from St. Joseph's Honital regarding a charge of $5,000 for billing and collection. Anthony stated he was not aware that this was included in the COPC grant received, and Mr. Norby stated that there was an amount in the grant received for billing and collection. Gene Anderson brought up that Pauline McDonald, Lab. Tech., is doing L.V.N. work, and discussed bringing her salary up to that of an L.V.N. while she was doing L.V.N. work, which was approximately 509o- of the time. Dr. Strom made a motion that was seconded by Dr. Tarvin to up Paul. ine's salary to L.V.N. scale. The m., 4ot4-V car � � 4 ed. The next meeting was scheduled for Wednesday, September 20, 1995 at the Holiday Inn of Paris, at 7:00 am. The meeting was adjourned at 7:50 am. Respectfully submitted, r�>4 I/' ' Bob Ricks M I N U T E S OF M E E T I N G PARIS-LAMA:R COUNTY BOARD OF HEALTH The Paris -Lamar County Board of Health held its regular meeting on Wednesday, September 20th, 1995, at the Holiday Inn of Paris. Board members in attendance included Dr. Robert Moseley, Dr. David Brock, Mrs. Anne Norment, and Mrs. Francis Ellis. Others in attendance included Mr. Mike Malone, Mr. T.11. Haynes, Mr. Troy Owens, Mr. Alan Weatherford., Mr. Mike Norby, Mr. Anthony Bethel, Mr. Bob Ricks, Mrs, LaDonna Koehn, and Mrs, Barbra Francis, The meeting was called to order at 7:19 am, and a quorum was established. Minutes of the previous meeting Were approved. Under discussion of the Intermediate Vare position at the Health Department, Mr. Haynes informed the Board that paying $24.58 per hour with total benefits works out to be the same as $29.00 With no benefits. Paying $29.00 per hour with a total benef its package would bring the total hourly figure up to $34.20 per hour. In the past the amount paid per hour with benefits came to ;35.63. The position Was filled on an interim basis at .",,29.00 per hour. Dr. Brock disCussed the- Health Department doing physical exams for Early Childhood Development students saying that it might be passible to bill $40.00 per physical. Dr. Brock made a motion that was seconded by Mrs. Norment that the Health Department perform physical examination; for the general public as long as the Health Department has the manpower to do so. The motion carried. The meeting Went into IirCeCLit'v'e session to discuss the Intermediate Care 'rov;:der position and Medical Director position at the Health Department at 7:39 am. The meeting came out of Executive session at 8.02 am and back into regular session. Mrs. 1,14orment made a motion that Was seconded by Dr. Brock that Mr. Haynes, Mr. Bethel, and Mr. Anderson draw up a contract With What ever Was necessary to hire La-Donna Koehn for the Intermediate Care Provider position. The motion carried. Dr. Brock made a motion that was seconded by Mrs. Norment to renew Dr. Woodruff': contract as Medical Director for the Health Department. The motion carried. Mr. Bethel passed out monthly reports and the next meeting was scheduled for Wednesday, November 15th at 7:00 am at the Holiday Inca. The meeting adjourned at 8:15 arn. Respectful_' subaiiteed, Bob Ricks PARIS-LAMAR COUNTY BOARD OF HEALTH MINUTES OF MEETING The Paris-Lamar County Board of Health held its regular meeting on Wednesday, November 15, 1995, at the Holiday Inn in Paris. Board members present included Dr. Charles Tarvin, Dr. David Brock, Dr. Robert Moseley, Dr. Bert Strom, Dr. Wally Kraft, Mrs. Ann Norment, and Mrs. Francis Ellis. Others in attendance included Gene Anderson, Troy Owens, Alan Weatherford, Mrs. Latricia Miller, Anthony Bethel, Bob Ricks, Mike Norby, Barbra Francis, and Gary Conwell. The meeting was called to order at 7:06 am, and Dr. Strom made a motion that was seconded by Dr. Tarvin that minutes from the previous meeting be approved. The motion carried. Under discussion of the contract for the Intermediate Care Provider position for the Health Department, Anthony advised the Board that the contract would be for $29.00 per hour for a 30 hour week, with 10 days for continuing education which must be approved by the Board, and two weeks vacation per year. Dr, Strom made a motion that was seconded by Mrs. Norment to approve the contract. The motion carried. Anthony passed out monthly reports for September 1995 and October 1995. Anthony advised the Board that a team from the State Health Department will be at the Health Department on Friday, December 1st, for technical assistance to the Health Department. The next meeting was scheduled for 7:00 am, January 10, 1996 at the Holiday Inn. The meeting adjourned at 7:40 am. Respectfully submitted, Bob Ricks MINUTES OF MEETING PARIS -LAMAR COUNTY BOARD OF HEALTH The Paris -Lamar County Board of health held its regular meeting on Wednesday, January 30th, 1996, at the Health Department. Board members present included Dr. Charles Tarvin, Dr. Robert Moseley, Dr. Bert Strom, Dr. Wally Kraft, lairs. Ann Norment, aria Mrs. Frances Ellis. Others in attendance included Mr. Mike Malone, Mr. T.K..Haynes, Mr. Gene Anderson, Judge Chuck Superville, Mr. Alan Weatherford, Mrs. Latricia Miller, Mr. Anthony Bethel, Mr. Bob Ricks, Mrs. Barbra Francis, Mr. Ron Ragan, and Mr, Gary Conwell. A quorum was established_, and the meeting was called to order at 7:15 am.. Under discussion of the position of Medical. Director for the Health Department, Anthony passed out copies of resumes f.catit Dr. EumdLe and Dr. Plummier. Dr. Strom slated that his internist group could also resent a proposal. Mr. Haynes suggested that the Board ire someone temporarily for th:rec months, advertise the position in the paper, appoint a committee to study the applications. received and make a decision. Mrs. Norment made a motion that was seconded by Dr. Kraft that the position be opened and advertised in the newspaper. The motion carried. ti Mrs. Norment made a motion that was seconded by.Dr. Kraft that Dr. Plummer be hired temporarily until April. 30th. The motion carried. Mrs. Norment made a motion that was seconded by Dr. Kraft that the Chairman appoint a committee to study applications received, and report back to the Beard. The motion carried. A committee was appointed consisting of Mrs. Norment, Dr, Tarvin, Dr, Strom,. Dr. Kraft. Dr. Tarvin suggested that a job description for the position.be: prepared. Dr. Tarvin also suggested that the committee that reviews the applications also look at the complaint letter received from a former employee, and that a letter be sent to this former employee advising.that the complaints in her letter will be fully investigated by the Board, and that a reply will be made to her. Under discussion of a contract with Glee Erianite.regarding the Medical Manager software program, Dr. Strom stated that there are other companies: in the area that can provide those services, and we should contact some of them also. The matter was tabled until the next meeting date-.. MINUTES OF MEETING PARIS -LAMAR COUNTY BOARD OF HEALTH Page 2 Anthony passed out monthly reports for the months of November and December, 1995. Dr. Tarvin requested that the inspection report also include the scores of the establishment. Mrs. Norment questioned why WIC reported the same figure for the last three months. Barbra Francis replied that the computer system will not give out the correct numbers in Austin, and that all WIC projects are using the number that they turned in in October as a monthly figure until the problem can be fixed. The next meeting was scheduled for Wednesday, February 21st, at 7:00 am at St. Joseph's Hospital, 820 Clarksville St. The meeting adjourned at 8:05 am.. Respectfully submitted, gzuLk� Bob Ricks ti MINUTES OF MEETING PARIS-LAMAR COUNTY BOARD OF HEALTH The Paris-Lamar County Board of Health held it's regular meeting on Wednesday, February 20th, 1996, at St. Joseph's Hospital. Board members in attendance included Dr. Charles Tarvin, Dr. Robert Moseley, Dr. Bert Strom, Dr. Wally Kraft, Mrs. Ann Norment, and Mrs. Francis Ellis. Others in attendance included Mr. T.K. Haynes, Mr. Mike Malone, Mr. Gene Anderson, Judge Chuck Superville, Mr. Troy Owens, Mr. Alan Weatherford, Mrs. Latricia Miller, Mr. Anthony Bethel, Mr. Bob Ricks, Mr. Mike Norby, Mrs. Barbra Francis, Mr. Derald Bulls, Ms. Susan Walliser, and Mrs. LaDonna Koehn. The meeting was called to order at 7:13 am, and the minutes from the previous meeting were approved. Under discussion of the replacement of the Medical Director for the Health Department, the committee recommended that this item be tabled until the next board meeting. The committee appointed to investigate the allegations made by Sara Fatherly reported that they investigated all allegations and felt that no actions were needed at this time. Dr. Tarvin suggested that a questionnaire be sent out with return postage to clients regarding the services received at the clinic. Under discussion of remodeling the front counter area, Anthony presented one bid in the amount of $2995.00, and Dr. Kraft suggested that Anthony get more bids. Troy Owens suggested that Anthony get in contact with Larry Jordan with the Probation Department and try to utilize their services. Anthony passed out monthly reports for December 1995, and January, 1996. Anthony informed the Board that LaDonna was interested in attending a training seminar in Dallas on HIV, and a OBIGYN seminar in Colorado later this year. The board requested more information on the seminar in Colorado. Dr. Strom recommended that a letter be sent-, to the area physicians regarding the referral of HIV patients. The next a - meetin was scheduled for Wednesday, March 20th, at 7:00 am at M6Cuistion Reg. Medical Center. The meeting adjourned at 7:58.- Respectfull Submitted, 6 & -, � � I yli Bob Ricks PARIS-LAMAR COUNTY BOARD OF HEALTH MINUTES OF MEETING The Paris-Lamar County Board of Health held its regular meeting Wednesday, March 20th, 1996, at McCuistion Regional Medical Center. Board members present included Dr. Charles Tarvin, Dr. Robert Moseley, Dr. Bert Strom, Dr. David Brock, Dr. Wally Kraft, Mrs. Ann Norment, and Mrs. Francis Ellis. Others in attendance included Mr. Mike Malone, Mr. T.K. Haynes, Mr. Troy Owens, Mr. Alan Weatherford, Mrs. Latricia Miller, Mr. Anthony Bethel, Mr. Bob Ricks, Mrs. Barbra Francis, Mr. Derald Bulls, and Ms. Susan Walliser. The meeting was called to order at 7:18 am. Dr. Strom made a motion that was seconded by Dr. Kraft that the minutes from the previous meeting be approved. The motion carried. Under discussion of the position of Medical Director for the Health Department, Mrs. Norment made a motion that was seconded by Mrs. Ellis that Dr. Woodruff be replaced by Dr. Jon Plummer. The motion was approved. T.K. Haynes presented the contract which was for the period of 4-1-96 until 9-30-97, and stated at the end of this contract, it would revert to a yearly contract. Under discussion of remodeling the front counter area, Anthony Bethel advised that Larry Jordan of the Probation Department had not been by yet to look at the project. Bob Ricks advised that he had been looking in to Federal and State grants, and also looking in to the possibility of receiving donations from benevolent foundations in Texas. Dr. Kraft stated that the would contact Congressman Jim Chapman and set up an appointment to discuss funding for a building. Anthony Bethel passed out monthly reports. The next meeting was scheduled for Wednesday, May 22nd, at St. Joseph's Hospital at 7:00 am. The meeting adjourned at 7:40 am. Respectfully submitted, Bob Ricks MINUTES OF MEETING PARIS-LAMAR COUNTY BOARD OF HEALTH The Paris-Lamar County Board of Health held its regular meeting on Wednesday, May 22nd, 1996, at St. Joseph's Hospital. Board members in attendance included Dr. Charles Tarvin, Dr. David Brock, Dr. Wally Kraft, and Dr. Robert Moseley. Others in attendance included Mike Malone, T.K. Haynes, Anthony Bethel, Bob Ricks, Mike Norby, Barbra Francis, LaDonna Koehn, and Gary Conwell. The meeting was called to order at 7:20 am. Minutes from the previous meeting were approved. Under discussion of continuing education for the Nurse Practitioner, Mrs. Koehn presented projected expenses for the seminar in Denver this summer, Dr. Kraft made a motion that was seconded by Dr. Brock that this training seminar be approved. The motion carried. Dr. Kraft made a motion that was seconded by Dr. Brock that the Health Department become a provider for the Texas Municipal League Group Benefits Risk Pool. The motion carried. Dr. Kraft reported that he had been in contact with Rep. Chapman's office several times, and that Rep. Chapman will not be back in his Sulphur Springs office until June, and he will keep trying to get in touch with Rep. Chapman concerning grant money for a new building. Mr. Bethel passed out monthly reports. The next meeting was scheduled for Wednesday, July 24, 1996, at 7:00 am at McCuistion Hospital. The meeting adjourned at 7:55 am. Respectfully submitted, e6� (?, , ,4, Bob Ricks PARIS -LAMAR COUNTY BOARD OF HEALTH M I N U T E S O F M E E T I N G The Paris -Lamar County Board of. Health held its regular .meeting on Wednesday, July 24th, 1996, at McCui-sti.on Regional Medical Center. Board members in attendance included Dr. Charles Tarvin, Dr. Bert Strom, Dr. Robert Moseley, Dr. David Brock, and Dr. Wally Kraft. Others in attendance included Mr. Mike Malone.,.Mr. T.K. Haynes, Fudge Chuck Supervi,lle, Mr. Troy Owens, Mrs. Latrici.a Miller, Mr. Anthony Bethel, Mr. Bob Ricks, Mr. Mike Norby, Mr. Gary Conwell., and Dr. Jon Plummer. The meeting was called to order at 7 :23 am, and the minutes from the previous meeting were approved.. Dr. Plummer discussed the issue of having inmates at the County jail.being responsible for part of their charges_ He proposed that when inmates demand .special care, he be given the latitude.to prescribe special care on a basis that the inmate pays for it. Dr. Plummer also requested that before an inmate is taken to the emergency room, the jailers.contact.him, and if he is not available that EMS be contacted. Anthony passed out monthly reports for May and June. The next meeting was scheduled for 1:0.0 am, September 25th, at St. Joseph's Hospital. The meeting adjourned at _8:18 am. Respectfully submitted, Bob Ricks PARIS -LAMAR COUNTY BOARD OF HEALTH MINUTES OF MEETING The Paris -Lamar County Board of Health held its regular meeting on Wednesday, October 23rd, 1996, at St. Joseph's Hospital. Board members in attendance included Dr. Charles Tarvin, Dr. Robert Moseley, Mrs. Ann N'orment, and Mrs. Prentiss Ellis. Others in attendance included Judge Chuck Superville, Mr. Alan Weatherford, Ms. Latricia Miller, Mr. Anthony Bethel, Mr. Bob Ricks, Mr. Mike Norby, Mr. Gary Conwell, Mrs. Barbra Francis, Dr. Jon Plummer, and Alex Brewer. A quorum was established, and the meeting was called to order at 7:05 am. Dr. Tarvin made a motion seconded by Dr. Moseley, that the minutes from the previous meeting be approved. The motion carried. Alex Brewer with Vertex made a presentation to the Board regarding billing for Medicaid administrative charges, which are not currently being billed. Mr. Brewer stated that the fee for Vertex' services is a 22 per cent contingency fee of actual recoveries. The Board suggested that the City Attorney and County Judge review the contracts submitted by Mr. Brewer. Under discussion of replacement of Barbra Francis, Mr. Bethel informed the Board that he had been contacted by two people regarding the position. Mr. Bethel informed the Board of the options, which were to move up one of the WIC nurses and continue to operate as we are currently doing, move one of the WIC nurses up and hire a part -time nutritionist, or hire a full time nutritionist. No formal action was taken on this matter. Under discussion of the front counter area, Mr. Weatherford said he had tried to get Mr. Jordan to come to the Health Department to prepare a bid. Dr. Tarvin suggested that Mr. Bethel solicit bids from other sources. Dr. Moseley suggested that the Board .send a letter to Dan Bono with a copy to Larry Jordan. Mr. Bethel passed out monthly reports for July, August, and September, 1996. Dr. Plummer discussed problems he was experiencing with the jail. It was suggested that the Board send a letter to the Sheriff about jail problems. The next meeting was scheduled for Wednesday, January 15, 1997, at McCuistion Hospital.. The meeting was adjourned at 8 :05 am. Respectfully submitted, Bob Ricks PARIS-LAMAR COUNTY BOARD OF HEALTH MINUTES OF MEETING The Paris-Lamar County Board of Health held its regular meeting on Wednesday, January 15, 1997 at McCuistion Reg. Med. Center. Board members present included Dr. Charles Tarvin, Dr. Bert Strom. Mrs. Ann Norment, and Mrs. Frances Ellis, Others in attendance included Mr. Mike Malone, Mr. T.K. Haynes, Judge Chuck Superville, Mr. Alan Weatherford, Mr. Carl Steffey, Mrs. Latricia Miller, Sheriff B.J. McCoy, the Chief Jailer, Mr. Anthony Bethel, Mr. Bob Ricks, Dr. Jon Plummer, and Mr. Mike Norby. The meeting was called to order at 7:15 am, and the minutes of the previous meeting were approved. Mrs. Norment mad a motion that was seconded by Dr. Tarvin that the County Judge and City Manager sign the contract with Vertex for the collection of Medicare administrative fees. The motion carried. Under discussion of medical care at the jail, Dr. Plummer addressed his concerns in his letter to Sheriff McCoy. Dr. Plummer stated that he would like to see patients before they receive an X-ray for things like slipping in the shower, and added that a portable X-ray is being utilized and he can get the results from this in approximately one hour. Dr. Plummer brought up an incident where an inmate was taken to Dr. Hunt for an eye injury for which Dr. Hunt prescribed eye drops, and a few hours later Dr. Plummer was called by an ER physician regarding the same injury. Dr. Plummer stated that since the last board meeting the problems with keeping him informed about things has improved significantly. Sheriff McCoy addressed the Board regarding problems at the jail and informed the Board that there had been several turn ovens in Medical Officers at the jail. The sheriff suggested that the Board petition the Commissioner's Court for a position of Nurse's Aid or some similar position for the jail. Dr. Strom suggested that a written protocol be established regarding referral of inmates to the emergency room, and that the jailers be educated on this protocol. Sheriff McCoy stated that the only person authorized to send an inmate to the emergency room is the supervisor. Anthony passed out monthly reports, and made the Board aware that Dr. Brock had resigned from the Board. Mr. Haynes stated the County Judge and City Manager would address that. PARIS-LAMAR COUNTY BOARD OF HEALTH MINUTES OF MEETING The next meeting was scheduled for the first Wednesday in February at St. Joseph's Hospital. The meeting adjourned at 8:07 am. Respectfully submitted. "!� e�� 'Bob Ricks PARS S-LAMALR COUNTY BOARD OF HRAIrIH MINUTES OF MEETING The Paris-Lamar County Board of Health held its regular meeting on Wednesday,.April 2, 1997 at St. Joseph's Hospital. Board members present included Dr. Robert Moseley, Dr. Charles Tarvin, Dr. Bert Strom. Mrs. Ann Norment, and Mrs. Frances Ellis. Others in.attendance included Mr. Mike Malone, Mr. T.K. Haynes, Judge Chuck Superville, Mr. Anthony Bethel, Mr, Bob Ricks, Mr. Mike .Norby, Mr- Gary Conwell, and.Mrs. LaDonna Koehn. The meeting was called to order at 7:15 am, and the minutes of the previous meeting were approved. Dr. Strom made a motion to elect the same officers that were elected the previous year. Dr. Tarvin seconded the motion, and the motion carried. Under discussion of LaDonna attending training seminars, Dr. Strom made a motion that was seconded by Mrs. Norment that LaDonna be allowed to attend a conference on HIV. The motion carried. Dr. Strom made a motion that was seconded by Dr. Tarvin that LaDonna be allowed to attend a pharmaceutical seminar in Dallas. The motion carried. Anthony passed out monthly reports, and made the Board aware that people are not showing up for their scheduled appointments at the Health Department. He stated that 98 did not keep their appointment last month, and suggesting doing some type of advertising campaign to let the public know of services offered at the Health Department. Dr. Moseley stated that he teaches two classes per year at Paris High School on oral hygiene, and suggested that the board consider doing this regarding family planning. Mrs. Norment suggested going to all high schools, not just Paris High. The board asked Anthony to check with county high schools regarding this and report back to the board at the next meeting. The next meeting was scheduled for Wednesday, June 18th, at 7:00 am, at McCuistion Reg. Medical Center. The meeting adjourned at 7:45 am. Respectfully submitted. go I � � �A Bob Ricks PARIS -LAMAR COUNTY BOARD OF HEALTH MINUTES OF MEETING The Paris-Lamar County Board of Health held its regular meeting on Wednesday, July 16th, 1997, at St, Joseph's Hospital. Board members present included Dr, Robert Moseley, Dr. Wally Kraft, Dr. Bert Strom, Mrs. Ann Norment, and Mrs, Francis Ellis. Others in attendance included Judge Chuck Superville, Mrs. Latricia Miller, Mr. Gene Anderson, Mr. T.K. Haynes, Mr. Mike Malone, Mr. Anthony Bethel, Mr. Bob Ricks, Mr. Mike Norby, Ms. Susan Walliser, and Dr. ion Plummer. The meeting was called to order at 7:10 am. Mrs. Norment made a motion that was seconded by Dr. Strom that the minutes from the previous meeting be approved. The motion carried. Dr. Strom and Mrs. Norment were sworn in for another term by City Attorney T.K. Haynes, Under discussion of renewal of Dr. Plummer's contract, Dr. Strom made a motion that was seconded by Dr. Kraft that Dr. Plummer's contract be renewed. The motion carried. Under discussion of the purchase of a defibrillator for the Health Department, Dr. Plummer advised the Board that he felt the Health Department needed to purchase a defibrillator to have in the event that one was needed at the Health Department. Dr. Strom requested that Anthony find out if LaDonna is ACLS certified. Dr. Kraft made a motion that was seconded by Mrs. Norment that a defibrillator be purchased for the Health Department. The motion carried. Under discussion of switching Dorothy Edwards from a state employee to a contract, Mr. Bethel advised the Board that Dorothy retired from the State effective July 1, 1997, and that he had received approval to switch her to local employee status with a contract from the State. No action was necessary on this agenda item. Under discussion of LaDonna attending training, Dr. Strom made a motion that was seconded by Mrs. Norment that LaDonna be approved to go to a conference in September or October. The motion carried. Under discussion of painting the outside of the Health Department building, Mr. Bethel advised the Board the Fire Chief Steve Burgin stated that we could possibly utilize some of the prisoners from Bonham to repair and repaint the exterior of the building. Mrs. Norment made a motion that was seconded by Mrs. Ellis that Mr. Bethel seek bids to repair and paint the exterior of the building. The motion carried. Under discussion of state contracts, Mr. Bethel advised PARIS-IMAR COUNTY BOARD OF HEALTH MINUTES OF MEETING the Board that contract are being funded at the same level as last year. He also informed the Board that the City and County had not had to contribute to funding of the Health Department since September or October of 1995. Mr. Bethel passed out monthly reports, and informed the Board that there was one positive rabies result in Lamar County the previous month. The next meeting was scheduled for Wednesday, September 17th, at 7:00 am at McCuistion Regional Medical Center. The meeting adjourned at 7:45 am. Respectfully submitted, P, A ck Bob Ri PARIS-LAMAR COUNTY BOARD OF HEALTH MINUTES OF MEETING The Paris-Lamar County Board of Health held its regular meeting on Wednesday, July 23rd, 1997, at St. Joseph's Hospital. Board members present included Dr. Robert Moseley, Dr. Wally Kraft, Dr. Bert Strom, Mrs. Ann Norment, and Mrs, Francis Ellis. Others in attendance included Judge Chuck Superville, Mrs. Latricia Miller, Mr. Gene Anderson, Mr. T.K. Haynes, Mr. Mike Malone, Mr. Anthony Bethel, Mr. Bob Ricks, Mr. Mike Norby, Ms. Susan Walliser, and Dr. Jon Plummer. The meeting was called to order at 7:10 am. Mrs. Norment made a motion that was seconded by Dr. Strom that the minutes from the previous meeting be approved. The motion carried. Dr. Strom and Mrs. Norment were sworn in for another term by City Attorney T.K. Haynes. Under discussion of renewal of Dr. Plummer's contract, Dr. Strom made a motion that was seconded by Dr. Kraft that Dr. Plummer's contract be renewed. The motion carried. Under discussion of the purchase of a defibrillator for the Health Department, Dr. Plummer advised the Board that he felt the Health Department needed to purchase a defibrillator to have in the event that one was needed at the Health Department. Dr. Strom requested that Anthony find out if LaDonna is ACLS certified. Dr. Kraft made a motion that was seconded by Mrs. Norment that a defibrillator be purchased for the Health Department. The motion carried. Under discussion of switching Dorothy Edwards from a state employee to a contract, Mr. Bethel advised the Board that Dorothy retired from the State effective July 1, 1997, and that he had received approval to switch her to local employee status with a contract from the State. No action was necessary on this agenda item. Under discussion of LaDonna attending training, Dr. Strom made a motion that was seconded by Mrs. Norment that LaDonna be approved to go to a conference in September or October- The motion carried. Under discussion of painting the outside of the Health Department building, Mr. Bethel advised the Board the Fire Chief Steve Burgin stated that we could possibly utilize some of the prisoners from Bonham to repair and repaint the exterior of the building. Mrs. Norment made a motion that was seconded by Mrs. Ellis that Mr. Bethel seek bids to repair and paint the exterior of the building. The motion carried. Under discussion of state contracts, Mr. Bethel advised FART S-LAMAR COUNTY BOARD OF HEALTH MINUTES OF MEETING the Board that contract are being funded at the same level as last year. He also informed the Board that the City and County had not had to contribute to funding of the Health Department since September or October of 1995. Mr. Bethel passed out monthly reports, and informed the Board that there was one positive rabies result in Lamar County the previous month. The next meeting was scheduled for Wednesday, September 17th, at 7:00 am at McCuistion Regional Medical Center. The meeting adjourned at 7:45 am. Respectfully submitted, Bob Ricks MINUTES OF MEETING The Paris-Lamar County Board of Health held its regular meeting on Wednesday, November 25, 1998, at St. Joseph's Hospital. Board members in attendance included Dr. Robert Moseley, Dr. Bert Strom, Dr. Caroline Wilson, and Mrs. Ann Norment. Others in attendance included Mr. Mike Malone, Judge Chuck Superville, Mr. Gary Conwell, Mr, Paul Swasko, Mrs. LaDonna Koehn, Mr. Anthony Bethel, and Mr. Bob Ricks. The meeting was called to order at 7:11 am, and the minutes of the previous meeting were approved. Under discussion of lab tests, Mr. Bethel advised the Board that Labcorp did negotiate pricing on tests and are a little less expensive now. Dr. Strom talked about limiting lab tests that can be performed through the Health Department. Dr. Strom stated that we needed to include the cost of drug screens for the city and county in the budget next year. Dr. Strom made a motion that was seconded by Mrs. Norment- that Anthony provide 4. the amounts written off for the city and county in previous years to the city and county. The iilvtioTl carried. Dr. Strom also discussed hepatitis C with the board. Mr. Swas-ko talkcd to the Board about, the t-obacco Sett -leTtLent monies and how the could be spent by the county. Anthony passed out monthly-reports for September and October. The next meeting was scheduled for February, 19-199.. Thie meating adjourned at 8.-a'fl arn. Respectfully ,",brained, 9 -�94fz 1A Bob Ricks MINUTES OF MEETING PARIS-LAMAR COUNTY BOARD OF HEALTH The Paris-Lamar County Board of Health held its regular meeting on Wednesday, August 19th, 1998, at McCuistion Reg. Med. Center. Board members present included Dr. Robert Moseley, Dr. Ed Clark, Mrs. Ann Norment, and Mrs. Frances Ellis. Others in attendance included Mr. Mike Malone, Mr. Mike Norby, Mr. Gary Conwell, Mrs. Carla Rhodes, Mrs. LaDonna Koehn, Mr. Anthony Bethel, and Mr. Bob Ricks. The meeting was called to order at 7:16 am, and minutes from the previous meeting were approved. Under discussion concerning the purchase of a water bath, Mrs. Norment made a motion that was seconded by Dr. Clark that Anthony contact the City Attorney and have him tell the Board how to proceed, and then follow those directions. The motion carried. Under discussion of lab tests, Dr. Clark stated that Dr. Wilson was going to check with her lab to see if they could provide services at a better rate. Dr. Clark suggested taking a package of tests and comparing costs at different labs. He also suggested looking at lab costs yearly to get the best deal available. Anthony passed out monthly reports and noted that there were two positive HIV tests last month. Dr. Moseley suggested trying to figure out what is causing the shortfall in the budget. Dr. Clark suggested looking at the fee schedule to see if pre-natal tests being done by the State lab could be done elsewhere cheaper. The next meeting was scheduled for Wednesday, November 4th, at St. Joseph's Hospital. The meeting adjourned at 7:52 am. Respectfully Submitted, Aa lath,_ Bob Ricks MINUTES OF MEETING PARIS-LAMAR COUNTY BOARD OF HEALTH The Paris-Lamar County Board of Health held its regular meeting an Wednesday, July 22nd, 1998, at St. Joseph's Hospital. Board members present included Dr. Ed Clark, Dr. Caroline Wilson, Dr. Robert Moseley, Dr. Bert Strom, Mrs. Ann Norment, and Mrs. Frances Ellis. Others in attendance included Mr, Mike Malone, Mr. Scott Foster, Judge Chuck Superville, Mr. Anthony Bethel, Mr. Gary Conw'ell, and Mr. Bob Ricks. The meeting was called to order at 7:08 am, and.the minutes of the previous meeting were approved. Dr. Clark and Dr. Wilson were sworn in as new members by City Attorney Scott Poster. Dr. Clark made a motion that was seconded by Dr. Strom to accept-, the same slate of officers as last year. The motion carried. Under discussion of WIC improvements, Mr. Foster informed the Board that utilizing state funds, items under $15,000 could be contracted without going for bids. Anthony informed the Board that WIC receives Federal money and thinks that anything over $1,000 has to be approved and bids taken. Mr. Foster.stated his office would help in any way on advertising for bids for improvements. Mrs. Norment made a motion that was seconded by Dr. Clark to allow Anthony to advertise for bids for whatever improvements need to be done in the WIC facility. Judge Superville informed the Board that the Post Office facility on.Lamar Avenue will have to be sold, and cannot be given away. Judge Superville stated he would try and schedule a meeting with Max Sandlin's representative to discuss the process with the Board. Anthony informed, the Board of the results of the water lab inspection performed by the State Health Department. Our circulating water bath needs to be replaced at a cost of approximately $2,000. Dr. Strom suggested looking at a panel of lab tests to allow or dis-allow in order to control lab costs. Dr. Strom also requested to know the amount of drug tests performed for the City and County. Anthony passed out monthly reports. The next meeting was scheduled for Wednesday, August 1.9th, at McCuistion Reg. Med. Center. Respectfully submitted, 6641t�k � Bob Ricks MINUTES OF MEETING PARIS- LAMAR. COUNTY BOARD OF HEALTH The Paris -Lamar County Board of Health held its regular meeting on Wednesday, February 24, 1999, at McCuistion Regional Medical Center. Board members present included Dr. Ed Clark, Dr. Bert Strom, Dr. Caroline Wilson, Mrs Ann Norment and Dr. Robert Moseley. Others in attenµianne inrl sided Mr Garr ConT.Tel l Mr 2lynthnn�r Bethel µ an Mr. Bob • z z Ricks. The meeting was ral l eri to order at 7:15 am. Unger i.s Cession of 1lJlJGIVVV LQWa�,f L.ti 1. et—A. GLLLCll L., Lr. . %_ ark presented the Board with information he had gathered regarding the money that Tamar County will- receive from the tobacco lawsuit settlement. Dr. Clark suggested that the Board Send a letter to the Cormmissioners and Count— r judge r and also the Paris News regarding the way that the money is proposed to be spent in Tamar County. Dr. Clark made a motion that was seconded by Dr_ Strom that the D r. -. . 7 send 7,� letter. +- .� r T7,� i- r7 Tyr. C Z '�k LVGiru .7 clad L.hij 1e46.cf ti'le Lilt/ L. toil l.RrrletA Lf GL.f inf vriiied the Board that he Lt/' -- — write the Zetter and Breit forward it to the Board members for their approval before sending t to th 0nmmi ci nner.q an rniinir1r Tirgi e g d iie Mr. Bethel discussed the budget deficit for the past year. Mrs. Norment made a motion that was seconded by Dr. Strom that the Health Department begin to bill the City of Paris and Lamar Cniunty for erzri red to the City and County each month, beginning in March. The motion carried. Dr. Mosel e ,Yr suggested that a letter be in.clulded with the first hit l to explain :•:hy this action :•:aS taken . Mr. ronwel1 discussed the Community Health Council with the Boars statinrr the --u-1^ose of the Council :•las to identify health concerns of the community and address how to solve these concerns. He stated he would place the r9i criteci nn of A new hiii 1 rli nc'r fnr 1 h,- Wi-Al i-h Denari-meni- on the next agenda. Mr. Bethel passed o'�t monthly reports. The next meeting was scheduled in three months at St. ,Tngephvc Hospital_ The meeting adjourned at 7:58 am. Respectfully Submitted BIL f * Bob R.i cIV,S PARIS -LAPAR COURNTY BOARD OF HEALTH MTNTTTES OF MEETING The Paris -Lamar COunty Board of Health held its re— ',:lar meeting nn Wednesday, june 9th, 1999 at Mcculst.l^n Regional Medical Center. Board members in attendance i nrl iided Dr. Erb Clark, _3r. Caroline Wilson, Mrs. Ann Norment, Dr. Wally Kraft, and Dr. Robert Moseley. Others F .,., l .a.,.a nn Alt ' i a r in a tendanCe _L _L ucu M . Mike Malone, Mr. . lGene Anderson, judge Chuck Superville Mr. Mike Blackburn Mrs . T�atricia r � Mil l ar, Mr , pail- Sraaskn , Mr. Mike McB ri rie , Dr. ion Dl u,mmer, Mrs. Carla Rhodes, Mr. Anthony Bethel, and Mr. Vd VN Di n1,n The meeting was calved to Order at 7:13 am, and the .. mi ni7tes from the 1 Y-- - -- mFeteti ng were approved _ Under discussion of the proposed budget for FY9Q -00, a copy of the proposes budget was passed cut and Mr. Bethel i explained the budget and projected income to Board itie ±ii ie r'� , =� r' , K r'a 1 i .. r'e�1��eti i Fti a V_ r'edk- {jtjUyil UJ 1C�ca1 fees, and the Board tool-_ no action on this LL Latter . Mr. Dethel :J.iii present a break -down of local tees at the next meeting. TTnre-r riici,ssl cn rif a letter of agreement wi th Special dealt- Resources of East Texas \LS. HLRE•i % , Mr . Bethel explained what 6t�xy°T was and what they did, and presented a letter of agreement to the Board nor approval. Several memcers Of tine Board had problems with worni ng in the first part of the agreement, and no action ::as to ien Cn this matter, pending Mr. Bethel contacting SHKE'i' for clarification of wording. Under discussion of a letter Of agreement with Mary hamberS nor. .3w..asiro suggested obtaining a copy or Mrs. r'h omhers : neri -� It l+oti o o0 o T.� nor�oeN ��r+i n I AJJ� er oe-L r`I L,,.11µLLW�.l LJ � 1.1L 1�L.1V1V11 (.�LJ u L1V\...11LJ \. \A UV\.1tA1 V1J >\.l (A114. '-L'.:tting it :J:itn tne -etter -- agreement maria a mni-1 n_r_ that was eennnrierl by Dr. Moseley to a i i ow M-r wetnel to sign the letter or agreement with :V.rs . C "ambers. The motion carried. TPne next meeting was scheduled for wednesday, i111y -lath' r �i at lam at %nri ctiig St _ �Tnsernn s g Tin Brnitq i _ �i=ne maeti nr, ads,oNurned at 7:40. uespect�u�iy 6unmitted a A Bois RicK_s PAR 1 S- L11MAR COUNTY BOARD OF HEALTH Mlilltl1 :i ;T ivjFr,i 1IUG one ariS -yamar County Lo -rd or Health held its regular meeting on Wednesday Septe^.'. er 2 y , �� � � at MCCUIS I.ZOn egionai :V:e.�.Zvai �e rater . i_:narri namherS nrPCPn; i nc i t ded Dr. E C i arx, tr. darn i z ne L. _ ...._..___ .. W i1 son rS Ann. Norment itr. = i y1: u raf r and Ltr nerT StrV,,. vl. hers in at- LenuanCe included Mr. Mike Malone, Mr. Corky llenderson, : "�dg° �i1,.:Ci� S'.:per `: yi i a i7rS . T.atrZ -Z= - � IVTi i s er, ibir, !lot nny %se: IMP_ -, ivi-rc . Carla hLodes , 1111 rg , LaL 011lla 1 \VGllll L1 U VLL C 1lAlllLM-_ Qil% -L ! lr . 0V" 11-I-- 71 - . pin meeting as Ca��ed to ord= r at : � °b am. Mrs. ;.` .anent made amotion that was seconded bb y sir. Strom that O n e mi ni,TeS n_ the previous meeting be approved . inry mnt� nn car r ieU.. ;,trader diaCUSSion of personne matte this item was �� .=i C • s r..-..7 » , l i -- r7 t i-. e i= the B ry 'Co uZS\.uoocu ill \.te tail � allu l.11c consensus 0l le lJVaru was rirarT a i eTTer gtat nrr the board' S position anri Send t to Jt. _.._..__ Mrs. Haynes. ;nder a1sct:ssion of medical practice software, Anthony Z1:formed the Loard of the bid to 'grade the medical MI'l n CTPr ��i CT' Pill to �i�a cP i t Y J h rte', Ti Yi'C"ta' i Cl I P .%,,,nCl a I sn a 'nrl rP .�J... l .t......_.. ie� L.__... .. ..o convert to a alfferent So tw are .) adage • Ltr. :from made a motion that was seconded InY' qtr. cUlarK to purclin.ase the i�:edisoft Soft:rare nor mecZCal practices to use at the iltn rieL n n- ea The Tntlnn Carr3 ed . l i trader d.J.yy,C.+.^,lssio''��n or ;rtr. i �.ummer I s contract, Pmtnvny i llf -Cl tl LVaiti that t1 - ---- ---t.. nl- �dt... \.1 to b­ ieuvile �eCauSe of a x'aa�ity uss'�ranCe <' A:d performed by the :etaTP The contract d i %? not i n 1 u a e a tPriilination "Lail cep and was for two years Instead of ^.ne year. -- - Strom made a motion that :•.a= seconded Joy Ltr. clar to accept the new contract. The motion carried. Unrie-r dliSriigcin_r_ or re-staurant ~Pecs caT,r_rnny inTn-rnen the �oard that Mate La.. prohibits Charging more tnan 150 per permit in un- incorporated areas. Tne current fees are r N �aSed on n'�m: er of employees, :ditn permits coSti:ig y " y v l ti-1 nr 1 =)rnrtnca i to increase reP to ti;it ti i itCs and Y1bu5 was presented to the Board. qtr. Strom mad a motion that :vas ,seconded nir Mrs . Nlorment � ^ raise tie ree5 to the proposed fees. Tune motion Carried. mrs. Norment suggested a r•r_trnmi 7'tee research irl-at other hea i u departments are doing :tiitn refgT rds to nalr card inspections and otl er inspection fe °S . Mrs . J�Jo ::ent and Ltr. J^ iSCn :Will Serve on tale Committee and report at the next T eetin _ .=/ °P he next meeting was scheduled for Wednesday, October 20th, at Christus St. juseph's Hospital. The meeting was adjourned at 7:58 am. Respectfully submitted, Bob Ricks PARI-S-LAMAR CIOUNTTY BOARD OF HEALTH MINUTES OF MEETING The Paris-Lamar County Board of Health held its regular meeting on Wednesday, December 8, 1999, at Christus St. 40seph'G Medical Center. Board members in attendance included Dr. Ed Clarkor Mrs. Ann Norment, Dr. Caroline Wilson, and Dr. Robert Moseley. Others in attendance included Mr. Mike Malone, Judge Chuck Superville, Mr. Paul Swasko, Mrsi- Carla Rhodes, Mr. Anthony Beth.--I, and Mr. Bob Ricks. The meeting was called to order at 7.20 am, and the minutes from the previous meeting were approved. Under discussion of a con—unittcc report regarding inspection fees, Mr. Bethel handed out a copy off the committee report listing four recotatendations. Mrs. Norment suggested that number four be amended to state that managers,. or emtplorec be, exempt from our training if they had received approved traininq not conducted in house. Discussion was held regarding enforce-trient if it was discovered that employees had not obtained the required. cortificat4on. Mrs. Norment made a if that L was seconded by Dr. Wilson to table the matter for further research and present the matter at the next meeting. The motion carried 4-0. -14SCUS34- Under J....,n of CA grant- from the Texas Inf ra St. ruc t-ure Rand Board, Mr. Bethel handed out information regarding the grant, availabil.-1-ty. The Healt'.ft. Department is applying for a grant for a new computer network, and the grant will cover up to $60,000 in equipment and necessary training. Mr. Malone informed the Board that the City of Paris is workinq with Paris Junior Col legre to try to form, an all'I'an6e where PJC tiechj-nologry division would oversee the technology purchases and maintenance of the city, and suggested that Mr. Ricks get in touch with the technology department at PJC for guidance on this grant. Dr. Clark made a motion that was seconded by Mrs. Norment to allow Dr. MOSPolay as, the chairman of the Board to sign for t-ho grant, and lea-ire the equipment requirements open to a -e Suggestions . from the, technology "departmient t-PJC. TAh motion carried 4-0. The next meeting was scheduled for Wednesday, January -.19-, 2000, at McCuistion Regional Medical Center. The meeting ad-' Dinned. at 8:05 am. Respe u -L submitted, .0 r 3 BOF�Ri,cksll