Minutes for Tuesday, August 29, 2017
This is my site Posted August 28, 2017 – 7:15 am



8:30 am The Callaway County Commission will meet with Paul Winkelmann, County Road & Bridge Engineer, to discuss Road & Bridge issues.

10:00 am The Callaway County Commission will meet with representatives of Mid-Missouri RPC (Regional Planning Commission) at the Callaway County Emergency Operations Center to discuss a Hazard Mitigation Plan.

1:30 pm The Callaway County Commission will meet with Jeff Davis, of the Cole County FQHC (Federally Qualified Health Center), to discuss FQHC issues.

Tuesday, August 29, 2017

The Callaway County Commission met with the Presiding Commissioner Gary Jungermann, Eastern District Commissioner Randy Kleindienst, and Western District Commissioner Roger Fischer present.

Road & Bridge Issues

8:30am

The Callaway County Commission met with Paul Winkelmann, County Road & Bridge Engineer, to discuss Road & Bridge issues. Denise Hubbard, County Clerk, was also present for this meeting.

Mr. Winkelmann gave the Commission an update on various Road & Bridge issues. First, he mentioned that the sheet pile project on the County Road 108 Bridge will probably not be completed by Friday, which means that the bridge will remain closed over the weekend. He then informed the Commission that he has received a quote for cinders at a cost of $5 per ton. The Road & Bridge crew will begin hauling cinders next month; Mr. Winkelmann stated that the department will need 1,000 tons for the winter.

Next, Mr. Winkelmann updated the Commission on various other projects. The County Road 4055 bank stabilization project is now complete. The stabilization project on Old Barn Road is now complete. Mr. Winkelmann said that the asphalt work that needs to be done on this road will likely be completed this fall; the cost for the asphalt work is approximately $60,000. The group then discussed the bridge projects on County Road 135 and County Road 252. The estimated cost to repair the County Road 135 Bridge is between $240,000 and $260,000. Mr. Winkelmann received one quote for geotechnical tests to be conducted on both bridges in the amount of $4,000 each. Mr. Winkelmann stated he will attempt to get a second quote from another vendor.

Other updates discussed include the proposed 2018 overlay project, the mowing schedule, the County’s newly-received dump truck, and the County Road 452 curve project. Mr. Winklemann reported that he received a complaint of broken boards on the County Road 264 Bridge. He stated that he will be applying for a Corps permit in order to complete the repairs. Also, Mr. Winkelmann mentioned that he has received the Corps permit for the County Road 415 culvert pipe project; he is now waiting for the pipe to be delivered before the project can begin. County Road 415 will be closed at times during the project, but the department will put up signs to inform the local residents of the closures.

Lastly, the group discussed the Health Department parking lot, which is in need of repair. Mr. Winkelmann reported that the worst case scenario cost would be $13,000 for concrete. There would be no labor costs, as the Road & Bridge crew would complete the project.

Hazard Mitigation Plan

10:00am

Presiding Commissioner Gary Jungermann and Western District Commissioner Roger Fischer attended a meeting with representatives of Mid-Missouri RPC (Regional Planning Commission) at the Callaway County Emergency Operations Center to discuss a Hazard Mitigation Plan.

 FQHC Issues

1:30pm

The Callaway County Commission met with Jeff Davis, CEO, and Dr. Sullivan, of the Community Health Center of Central Missouri to discuss FQHC (Federally Qualified Health Center) issues. Others in attendance included Sharon Lynch, County Health Department Administrator; Fulton Mayor Leroy Benton, and Bill Johnson, Fulton City Administrator. A representative from the County Clerk’s office was not present for this meeting.

Mr. Davis explained that the Community Health Center of Central Missouri is a local FQHC based out of Cole County. The FQHC has extended its services to Fulton on a regular basis. Its dental program is active in Fulton five days a week; its family medicine program provides a physician to Fulton two days a week; and it offers dietician services in Fulton one day a week. Mr. Davis explained that the FQHC has partnered with the Arthur Center to provide behavioral health services to Fulton.

Both Mr. Davis and Dr. Sullivan explained to the group that the FQHC is a non-profit organization that specializes in meeting the medical needs of the poor. It is able to bill Medicaid, which many private practices don’t want to deal with. The FQHC has the support staff and resources necessary to provide medical care, prescription assistance, and even transportation for individuals that have Medicaid or are uninsured. The minimum payment for a patient visit at the FQHC is $25.

The FQHC representatives explained that they are not allowed to provide free health care and that the fee they charge helps to keep the patients invested in their own treatment. If a patient cannot pay the fee, the FQHC offers a payment plan. The FQHC focuses on educating patients about their health; it also informs patients that they should visit their health care center regularly in order to maintain their health, rather than visiting Emergency Rooms for basic medical treatment. The FQHC also offers its patients behavioral health, chronic pain management, substance abuse programs, and opioid support group services.

Commissioner Kleindienst asked Mr. Davis if the FQHC has the capabilities to provide services that could be vacated by the closure of the Fulton Medical Center, for example, x-rays. Mr. Davis stated that the FQHC would be willing to cover any community needs that it can, as long as there is a demand for the service.

Commissioner Fischer asked Mr. Davis if the FQHC would be able to provide more staff for its Fulton location. Mr. Davis responded that he could provide more staff if there is a demand for more services in Fulton. He stated that the only potential issue with having a larger staff and expanded services in Fulton would be office space. The FQHC’s current location in Fulton is a 3500 square-foot space with three physician exam rooms and five dental exam rooms; there is no more space available at this location.

Mayor Benton stated that one of his concerns regarding the potential Fulton Medical Center closure is that the walk-in clinic is also closing, as the hospital owns that practice. The patients that visit the walk-in clinic are generally the same type of patients that would visit the FQHC. Mr. Davis stated that he would like to speak with Dr. Islam, who runs the clinic practice, to see if the FQHC could step in to help the clinic stay open.

The group discussed the community’s need for an urgent care-type of service, since the hospital may close. Mr. Davis stated that the FQHC could potentially run an urgent care in Fulton if the demand arose; he stated that he would also consider offering extended hours at the urgent care center if it were to be created. Lastly, the group stated that they will keep in touch as they learn more about the hospital closure.

Adjourn

 Ordered that the Commission adjourn until Wednesday, August 30, 2017.





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