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WC CWF Health District Board Minutes - 10/23/1998WICHITA FALLS - WICHITA COUNTY PUBLIC HEALTH BOARD PLACE: Wichita Falls- Wichita County Public Health District TIME: 12:15 P.M. DATE: October 23, 1998 BOARD MEMBERS PRESENT: Peggy Scott, Chair - Person Sam R. Landers, DDS Larry Gunnell, OD, Vice Chairman C. J. Lippard Dewey Nicholson, PE Susan M. Strate, MD BOARD MEMBERS ABSENT: Michael Brooking, DVM, Secretary HEALTH DISTRICT Barbara J. Clements, RNC, Director of Health REPRESENTATIVES: Reuben A. Warren, Jr., Ass't Director of Health Barbara Sapp, Recording Secretary Elia C. Dimitri, Associate Medical Director WICHITA CO. REPRESENTATIVE: None WICHITA FALLS CITY MANAGER'S OFFICE: None WICHITA FALLS CITY COUNCIL: William Altman, City Councilor MINUTES: I. Call to Order The was called to order by Ms. Peggy Scott at 12:15 p.m. II. Approval of Minutes A motion was made by Dr. Gunnell and seconded by Mr. Lippard that the minutes of the August 28`h meeting be approved as read. The motion carried and the minutes were approved unanimously. III. Next Meeting Date Dr. Landers suggested that the next Board meeting be held December 4, 1998 due to the Christmas holiday. All agreed to the change. Page 1 of 2 Pages Agenda Item No. Page 2 IV. Strategic Plan /Overview of Current Services Ms. Clements reported on the recent extensive TB testing performed by the Health Department staff at a local high school, church and restaurant. Dr. Dimitri also commented on the progress of the screenings and the results. Both Ms. Clements and Dr. Dimitri answered several questions from the Board concerning this matter. Ms. Clements presented an overview of public health services in Texas. The presentation included a brief history of state and local public health services. She commented that there has been a continuing public health presence in Wichita County since the Wichita Health Unit was established in 1915. Ms. Clements briefly summarized the current statues governing the delivery of public health services in Texas, particularly as they relate to local service delivery. She further commented regarding the 1997 House Concurrent Resolution 44 which calls for a review of these statues to determine the need for state funding for local public health infrastructure. Ms. Clements also commented on the advent of Medicaid Managed Care in Wichita County and how its implementation in February 2001 will impact current Health District services. She presented information on her committee work with House Bill 2913 (HB 2913). The bill directed a study to determine the extent to which Medicaid revenue subsidizes local public health services and the ensuing impact on services when Medicaid revenue is lost as clients are moved from health departments to private providers. Dr. Dimitri commented on the diverse nature of public health service delivery in the nation and in Texas. Ms. Clements commended the Board for their participation in the discussion. She expressed the need for their input as the District continues planning for future changes in health services delivery in Wichita County. V. Other Business In other business, it was noted that the terms of Board members Larry Gunnell, O.D., Susan Strate, M.D., and C. J. Lippard will expire on December 31, 1998. Mr. Altman explained that the City Council has reviewed the selection process for Board appointments and made some changes in an effort to ensure more effective organizations. One of the factors given consideration during the appointment process is the attendance record of previous Board members. He concluded by mentioning that those wishing consideration for Board appointments by the City Council may obtain an application form from the City Clerk's Office. IV. Adjourn A motion was made by Mr. Lippard and seconded by Mr. Nicholson that the meeting be adjourned. Motion was carried unanimously. �- • • • - VQVI Michael Brooking, Secretary Public Health Board Cl ;^,' %LEG'S OFFICE Date %- ,2' RV Time Page 2 of 2 Pages Agenda Item No.