The Morgan County Health Center board of directors Wednesday, June 7 discussed the latest county health fair in April. “Attendance keeps dropping,” said center administrator Shawn Brantley. “We need to figure out what we are going to do with the health fair. Otherwise, the time and effort could be better spent elsewhere, attending to services.”
The health fair, conducted in the morning hours Friday, April 7, drew 50 total participants, with 36 blood draws.
Board chair Diana Burdick said, “We need to get to people who don’t have access to our services.”
Ideas being considered are having a “rotating” health fair which moves to different sites in the county; moving the health fair to a different time of year; and coordinating the health fair with flu season and flu shots.
A brief survey distributed at the fair and completed by 18 people indicated clients would like to see hearing and vision tests return; heart monitoring, liver tests, and bone density tests. The age group of the respondents was primarily from 56 to 85.
Service fees adjusted
In an effort to better reflect actual costs to the health center, certain service fees will see an increase.
Fees affected include the Hepatitis A vaccine which will increase from $38 to $50; lab processing from $10 flat fee to $10 plus 10 percent of total bill; birth control pills from $10 to $15; Depo-provera injection from $40 to $45; toenail service will be $20; and STD treatment (wart removal) $20.
The well-child exam will be reinstated after being discontinued in 2004. The cost for a well-child exam will be $50.
Waste contract reconsidered
Stericycle, the health center’s contractor to remove used needles and other bio-hazardous waste, is increasing their fees and Brantley is looking for some less expensive options.
Originally the agreement was a 5-year contract at $120 per month. The contract is currently in its fourth year, but costs have increased to more than $500 per month. Brantley said Stericycle offered to cap the amount at $331.74 if he would enter the center into another 5-year contract. To break the current contract would cost nearly $2,900 in penalties and fees.
“We are shopping around,” Brantley said. “There are much cheaper ways to do this.”
WIC program report
Jill Farnsworth, nutrition coordinator for the Women, Infants, and Children (WIC) progam, reported on WIC activities. She said there were 503 clients in May.
Farnsworth said participation in the breast-feeding support group has been declining. She proposed doing a Facebook Live group or possibly a “community baby shower” open to the public.
In a related matter, she said old Medela breast pumps are being phased out and replaced with new Hygeia pumps. The pumps are “rented” to clients for use at $10, with a refundable deposit upon return. Farnsworth said her goal is to have approximately 25 of the units available for circulation.
A new developmental milestones program may soon be in place. The program is funded through the Centers for Disease Control. Materials, including posters, checklists and more, will be provided to track development in children in key areas: social/emotional; language/communication; cognitive; and movement/physical.
Report of services
In the April report of services, 10 inspections were made, seven sewage permits were issued; two water samples were taken; and three food permits issued. The clinic dealt with nine recalls.
Women’s health had one clinic with nine clients. They dispensed birth control pills to 16 women, gave seven depo shots, performed two sexually transmitted disease tests, and administered one STD treatment. Two hepatitis C tests were conducted and one physical was administered.
WIC saw 487 clients. Special health care had a case load of 53 with nine new referrals and 12 home visits.
Two car seats were distributed.
There was one CPR class conducted with three clients.
Immunizations saw 78 clients with 188 shots administered.
Communicable diseases saw 20 people: two hepatitis C, one norovirus; two campylobacter, two influenza A, one influenza B, three animal bites, three chlamydia, two Rocky Mountain spotted fever, one influenza associated mortality.
Total walk-ins in March were 169: three for blood pressure, nine for PPD, 17 injections, 96 lab draws, five toenail clippings, two lead screenings, one dressing change, and 67 nurse visits.
In outreach, Ashley Judd provided nutrition education to 198 people at Food for Morgan County in Versailles.
Health Center Briefs
– The transition of the health center’s accounting software, Quickbooks, has been completed, moving from in-house software to an online version.
– A Missouri Foundation for Health grant opportunity is available. Brantley said he will submit the required information. The grant money, if awarded, will likely be used to fund a diabetes management program.
– A proposed prescription drug monitoring ordinance being considered for the county by the health center has been put on hold while awaiting the results of certain legislative activity at the state level.
– Missouri’s new Department of Health director, Dr. Randall Williams visited the health center in May. He is planning to re-introduce quarterly statewide meetings of health center administrators and other key staff.
– Brantley will be working to update and revise the manual for programs, policies, and procedures and present a completed document to the board at a later date.
– The center’s statement of financial activities, year to date, through May 2017 reported a net income of $114,742.42
– The next meeting of the health center board is scheduled 4 p.m. Wednesday, July 5 at the health center in Versailles.