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NOTICE OF A REGULAR MEETING OF THE BOARD OF DIRECTORS

MONTGOMERY COUNTY PUBLIC HEALTH DISTRICT - PAGE 1

NOTICE OF A REGULAR MEETING

OF THE BOARD OF DIRECTORS

MONTGOMERY COUNTY PUBLIC HEALTH DISTRICT

Notice is hereby given to all interested members of the public that the Board of Directors of Montgomery

County Public Health District will hold a regular meeting as follows:

Date: Thursday, February 4, 2016

Time: 3:30 P.M.

Place: MONTGOMERY COUNTY HOSPITAL DISTRICT

ADMINISTRATIVE BUILDING

1400 SOUTH LOOP 336 WEST

CONROE, MONTGOMERY COUNTY, TEXAS 77304

Open to Public: The meeting will be open to the public at all times during which such subjects are

discussed, considered, or formally acted upon as required by Texas Open Meetings Act, Chapter 551 of

the Government Code.

This Notice in detail was posted at least 72 hours prior to the beginning of said meeting with the County

Clerk’s Office and is on the Bulletin Board of the Courthouse and in the District’s Administrative Office.

Subject: The agenda for such meeting shall include the consideration of, and if deemed advisable,

the taking of action upon:

1. Call to Order

2. Roll Call

3. Approval of Minutes from November 5, 2015 Public Health District Regular Board.

Board of Directors Briefing to include:

4. Reporting structure and role of the Public Health Authority. (Greg Hudson, Legal Counsel -

MCHD)

5. Public Health Authority update to include: (Dr. Escott, Medical Director. MCPHD)

a. Synthetic Cannabinoid

b. West Nile Virus Map

6. Organizational Chart Overview. (Randy Johnson, CEO - MCHD)

7. Introduction of Alicia Williams and Cathy Kraus. (Melissa Miller, COO - MCHD)

8. Report on activities related to Public Health and Emergency Preparedness. (Melissa Miller, COO

- MCHD)

9. Report on activities related to Epidemiology. (Dr. Ibrahim and Devin Wombles, MCPHD)



10. Report on activities related to Medicaid 1115 Waiver Project. (Community Paramedicine)

FINANCIAL MATTERS

11. Receive and approve financial report regarding District’s operations. (Brett Allen, CFO - MCHD)

12. Consider and act upon recommendation for amendment(s) to the budget for fiscal year ending

September 30, 2016. (Brett Allen, CFO – MCHD)

13. Consider and act on ratification of payment of invoices related to expenditures. (Brett Allen, CFO

– MCHD)

ADMINISTRATIVE MATTERS

14. Discussion of items to be placed on agenda of the next meeting of the Montgomery County

Public Health District Board of Directors.

15. Adjourn

MINUTES OF A REGULAR MEETING OF THE BOARD OF DIRECTORS


MINUTES OF A REGULAR MEETING

OF THE BOARD OF DIRECTORS

MONTGOMERY COUNTY PUBLIC HEALTH DISTRICT

The regular meeting of the Board of Directors of Montgomery County Public Health District was duly

convened at 3:30 p.m., November 5, 2015, in the Administrative offices of the Montgomery County

Hospital District, 1400 South Loop 336 West, Conroe, Montgomery County, Texas.

1. Call to Order

Meeting called to order at 3:30 p.m.

2. Roll Call

Board Members Present

Dr. Don Stockton, Conroe Independent School District

Sandy Wagner, Montgomery County Hospital District, Treasurer

Mayor Howard Kravetz, City of Panorama, Vice-Chairman

Marsha Porter, City of Conroe Representative

James L. Noack, Commissioner Montgomery County Precinct 3

Non-Voting Members present:

Randy Johnson, Montgomery County Hospital District, CEO

Dr. Mark Escott, MD, Local Public Health Authority for Public Health District

3. Approval of Minutes from the August 6, 2015 Public Health District Regular Board

Meeting and September 10, 2015 Special Meeting.

Ms. Porter made a motion to approve the minutes from the August 6, 2015 Public Health District

Regular Board Meeting. Mrs. Wagner offered a second and the motion passed unanimously.

Ms. Porter made a motion to approve the minutes from the September 10, 2015 Public Health

District Special Board Meeting. Mrs. Wagner offered a second and the motion passed

unanimously.

4. Update from Dr. Escott, Public Health Authority for Montgomery County. (Dr. Escott,

Medical Director. MCPHD) (attached)

Dr. Mark E.A. Escott, M.D., M.P.H. presented Local Public Health Authority report to the board.

5. Report on activities related to Epidemiology, Community Education, Medicaid 1115

Waiver Closeout, and Emergency Preparedness. (Marcela Briers, Manager MCPHD)

(attached)

Mrs. Marcela Briers, Public Health Manager presented a report to the board.



6. Report on activities related to Medicaid 1115 Waiver Project Community Paramedicine.

(Andrew Karrer, Community Paramedicine Coordinator, MCHD). (attached)

Mr. Andrew Karrer, Community Paramedicine Coordinator presented a report to the board.

7. Cost benefits analysis for Community Paramedicine. (Melissa Miller, COO MCHD)

(attached)

Mrs. Melissa Miller, COO presented a report to the board.

8. Update on Vaccine Action Plan. (Melissa Miller, COO MCHD) (attached)

Mrs. Melissa Miller, COO presented a report to the board.

9. Receive and approve financial report regarding District’s operations. (Brett Allen, CFO

MCHD) (attached)

Mr. Brett Allen, CFO presented financial report regarding District’s operations to the board.

Mrs. Wagner made a motion to approve the financial report regarding District’s operations. Dr.

Stockton offered a second and motion passed unanimously.

10. Consider and act on ratification of payment of invoices related to expenditures. (Brett

Allen, CFO – MCHD) (attached)

Mrs. Wagner made a motion to approve ratification of payment of invoices related to

expenditures. Dr. Stockton offered a second and motion passed unanimously.

11. Consider and act upon recommendation for amendment(s) to the budget for fiscal year

ending September 30, 2016. (Brett Allen, CFO - MCHD) (attached)

Mrs. Wagner made a motion to approve the amendment to the budget for fiscal year ending

September 30, 2016. Ms. Porter offered a second and motion passed unanimously.

12. Consider and act on future meeting dates for 2016. (attached)

Mrs. Wagner made a motion to consider and act on proposed calendar 2016 for future meeting

dates. Commissioner Noack offered a second and motion passed unanimously.

13. Discussion of items to be placed on agenda of the next meeting of the Montgomery County

Public Health District Board of Directors.

Update on the Vaccine Action Plan.

Dr. Escott will provide update on Synthetic Cannabinoid.

Dr. Escott will provide update on West Nile Virus Map.

Quarterly cost benefits analysis for Community Paramedicine.

Standard agenda items.

14. Adjourn

Meeting adjourned at 4:15 p.m.

Agenda Item # 4

To: MCPHD Board of Directors

From: Greg Hudson, Legal Counsel

Date: February 4, 2016

Re: Public Health Authority (Structure and Role)

Reporting structure and role of the Public Health Authority. (Greg Hudson, Legal Counsel - MCHD)

“Slide presentation will be shown at the board meeting”

Health Authority ReportMontgomery County Public Health District

February 4, 2016

Synthetic Cannabinoids Update

Partners in the Effort

• Montgomery County Public Health District• MCHD EMS• Texas Department of State Health Services• Poison Control• District Attorneys Office• Montgomery County Sheriff’s Office• Montgomery County Chiefs of Police• Montgomery County Precinct 3 Constable’s Office• Conroe ISD• And many others…

51

30

19

13

19

76

3

5 5

2

00

10

20

30

40

50

Jul-15 Aug-15 Sep-15 Oct-15 Nov-15 Dec-15

EMS Synthetic Cannabinoid Cases

Total Cases School age children

Synthetic Cannabinoid Trends

United States: 48% Decrease

Montgomery County: 76% Decrease

West Nile Virus Update

0

20

40

60

80

100

120

140

160

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32

DA

YS

CASE NUMBER

WNV Human CasesGap Between Illness Onset and MCPHD Notification

2014 2015

Partnership for Mosquito-borne illness

• Partnership developed with County Commissioners, Montgomery County Precinct 3 (Mosquito Abatement), and MCPHD following the 2014 season

• MCPHD essential data regarding human cases shared with county officials

• Mosquito Abatement regularly shared data regarding positive traps with MCPHD

• Season-end review performed between MCPHD and Mosquito Abatement

GIS Technology

• Red M- Positive Mosquito Trap

• Blue H- Human Case (Location approximated)

• Green polygon- Area sprayed

WNV-Ongoing Concerns

• Significant Delay in Disease onset to MCPHD Notification • Mean: 27 days in 2015

• Range: 12-58 days

• Significant Delay in Mosquito Testing (7-10 days)

• Lack of county-wide coordination of mosquito control

WNV-Considerations for the Future

• Short term• In-house testing of mosquito traps (same-day turnaround)

• Regular stakeholder meetings during mosquito season to share information and coordinate efforts amongst jurisdictions

• Information sharing between Harris and Montgomery Counties in relation to positive traps and human cases

• Long term• Development of a countywide office to manage mosquito trapping and

abatement

Public Health

Advisory Board

Randy E. Johnson MCPHD Executive Director

Dr. Escott Local Health Authority

Clinic Medical Director

Melissa Miller, COO

Andrew Karrer

1115 Waiver Coordinator

New position FY2016 Funded via 1115 Waiver

Alicia Williams, MPH

Public Health Manager

Vacant RN

STD/Immunization Clinic New position FY2016

Rina Seidel. LVN, PRN

Replaced the A.A. position

Cathy Kraus RN

TB Clinic

Veronica Torres Clinic Clerk/Customer

Service Rep.

Rene Leal Preparedness Coordinator

Vacant

Community Educator

New position FY2016 Funded via 1115 Waiver

Brittani Clarkson Medical Reserve Corp

Coordinator

Dr. Syed Ibrahim

Epidemiologist

Devin Wombles

Epidemiology Specialist

New Position FY 2016

Ebola Grant

Agenda Item # 7


From: Melissa Miller, COO


Re: Introductions

Introduction of Alicia Williams and Cathy Kraus. (Mellissa Miller, COO - MCHD)

Agenda Item # 8


From: Melissa Miller, COO


Re: Public Health and Emergency Preparedness

Alicia Williams is the new Public Health Manager. She has a MPH from Texas A & M with experience in

disease surveillance, epidemiology, infection control, statistics and state reporting. Alicia previously

worked at MCHD in the HCAP department as the claims analyst. Alicia will initially focus on the clinics

operations to ensure that we maintain compliance in all services. As part of the Public Health District

Strategic Plan the goal is to have updated, documented standard operating procedures by the end of the

2nd quarter. Shawn Henners, MCHD’s Emergency Preparedness and Risk Coordinator, has agreed to

oversee the Preparedness, MRC and Epi staff on an interim basis to allow Alicia ample time to gain an

understanding for the clinic operations and to ensure the new staff are properly oriented. Shawn is

uniquely qualified for this position as she previously worked in the preparedness role for Public Health

has extensive knowledge in the field of emergency preparedness.

Cathy Kraus is our new Tuberculosis RN/Case Manager. Cathy was instrumental in the start-up of the

MCHD Community Paramedicine program, working with Andrew Karrer to build a solid foundation. She

has years of experience in various aspects of nursing and we’re thrilled to have her back. Cathy is

working on completing all the mandatory training required to work independently in her new role. We

anticipate these will be completed in February.

MCPHD launched its’ website in late December, http://mcphd-tx.org/.

Immunization Program:

On January 12 we received confirmation that the deficiencies noted in our October survey had been

resolved. Of the original clients needing re-vaccination, there are 120 children under the age of 18 and

56 adults that have not received the repeat vaccinations. Our new refrigerator and freezer are in place

and there have been no out-of-range temperatures.

An offer has been made for a full-time RN to staff the Immunization and STD programs.

Sexually Transmitted Infection/Disease (formerly STD’s):

The clinic tests, counsels and treats for Gonorrhea, Syphilis, Chlamydia and does testing only for HIV.

In absence of STD testing and treatment services at MCPHD, DSHS will usually refer patients to a

Federally Qualified Health Center such as Lone Star or St. Hope, or to the City of Houston Northside

Health Center.

http://mcphd-tx.org/

TB Program:

DSHS Region 6/5 Nurses (Carol and Jennifer) are training our new full-time TB RN Cathy Kraus. Once

training is complete, Cathy will assume the duties of the TB program. Dr. Bonner is here 1-2 times per

month to see active cases that are not being treated by their own Physician.

The TB nurse provides the following:

Medical screening

Diagnostic lab collection which is sent to the state lab

Education on TB, TB medications, drug to drug interactions, ect.

Case Management

Scheduling of DOT (direct observation therapy) workers to go to the home

o all active TB therapy must be witnessed until completion

Emergency Preparedness:

The Preparedness team responded to the revaccination clinic at PEET Jr. High School.

This incident was completed as a real life response to provide viable immunization to

those children and adults previously administered nonviable vaccines. The success of

the event was contributed to the collaboration and involvement of the following

organizations; Montgomery County Public Health District, Montgomery County Hospital

District, Conroe Independent School District and Medical Reserve Corps Volunteers.

The Coordinator completed the Public Health Operation Center (PHOC) supply and Job

Action Sheets (JAS) cabinet to support the personnel in an emergency event response.

The cabinet includes every JAS for each PHOC position and one Master binder for the

Incident Commander the includes every JAS.

The Preparedness team participated in the Federal Emergency Management Agency

(FEMA), Region 6 Tabletop Exercise. The core functional areas were, Operational

Coordination, Situational Assessment, Public Information and Warning, Operational

Communications, Public Health and Medical Services, On Scene Security and Protection,

Critical Transportation, Public/Private Services and Resources, Personnel Mobilization

Center, Federal Closed POD and Federal Alpha POD.

Medical Reserve Corps:

Membership

o 13 new volunteers registered as active MRC volunteers this quarter

o The current total of volunteers is 260

Training

o 1 HeartSaver CPR/AED/First Aid class

o 3 Aid Station Trainings

o 3 Point of Dispensing Trainings

o 1 New Member Orientation

Events

o The volunteer coordinator traveled to 3 area high school and the local community

college for recruitment efforts

o MRC participated in a national communication drill. The response rate increased from

14% in 2014 to 19%

o Volunteers, along with MCHD medics and bike teams, staffed a first aid tent at the three

day Conroe Catfish Festival

o Willis and Oak Ridge Jr. MRC volunteers ran an aid station for the Texas Wheels of

Justice: Heroes Ride

o College Park Jr. MRC volunteers participated in the City of Conroe Trick or Treat trail by

passing out candy and Halloween safety information

o 55 volunteers responded to the Mass Vaccination POD at Peet Jr. High

o MRC volunteers spent time working at the Montgomery County Food Bank for out 2nd

Annual Ugly Sweater Service Day

Agenda Item # 9


From: Dr. Ibrahim/Devin Wombles


Re: Epidemiology

Report on activities related to Epidemiology. (Dr. Ibrahim and Devin Wombles, MCPHD) “Slide presentation will be shown at the board meeting”

Project Status Report Overall Status: On Track

Project Name: Community Paramedicine

February 4, 2016

Status Code Legend

On Track: Project is on schedule High Risk: At risk, with a high risk of going off track

At Risk: Milestones missed but date intact Off Track: Date will be missed if action not taken

This project is ON

TRACK during the

quarter due to the

following:

-Continued planning and evaluation.

-Strong focus on program core components.

-Daily work performance of program staff.

Areas of concern: -N/A.

Milestones

accomplished this

quarter:

-Incentive Payment received for October 2015 reporting period.

-Completion of first metric for current program delivery year.

-Implemented pilot project with Meals on Wheels for transportation.

Milestones related to

program for delivery

year:

-Total patient enrollment: 77

-Total clinical encounters: 1,055

-Percentage of patients with reduction in 911 calls: 64%

Milestones planned for

next quarter:

-Implementation of ‘Transitions in Care’ project with St. Luke’s The Woodlands.

-Plan for a ‘Transitions’ project with Conroe Regional.

-Discussion with Tri-County Behavioral Healthcare on collaboration.

-Continue to discuss sustainability options with HHSC and MCOs.

Areas/questions for

discussion:

-Future options for additional projects.

Last quarters issues

forwarded to this

quarter:

-Implement electronic medical record collection tool.

Montgomery County Public Health DistrictFinancial Dashboard for December 2015

(dollars expressed in 000's)

Dec 2015 Dec 2014 Var Var % Legend

Cash and Investments 850 769 81 10.5% Green Favorable VarianceRed Unfavorable Variance

December 2015 Year to Date

Income Statement Act Bud Var Var % Act Bud Var Var %

RevenueGrant Revenue 45 45 0 0.0% 120 151 (31) ‐20.5%1115 Waiver Revenue 0 0 0 0.0% 0 0 0 0.0%Other Revenue 8 9 (1) ‐11.1% 23 27 (4) ‐14.8%

Total Revenue 53 54 (1) ‐1.9% 143 178 (35) ‐19.7%

ExpensesPayroll 36 55 (19) ‐34.5% 111 162 (51) ‐31.5%Operating 111 117 (6) ‐5.1% 376 435 (59) ‐13.6%

Total Operating Expenses 147 172 (25) ‐14.5% 487 597 (110) ‐18.4%

Capital 0 0 0 0.0% 8 5 3 60.0%

Total Expenditures 147 172 (25) ‐14.5% 495 602 (107) ‐17.8%

Net Surplus / (Deficit) (94) (118) 24 ‐20.3% (352) (424) 72 ‐17.0%

Cash and Investments are $70k greater than one year ago primarily due to 1115 Medicaid Waiver revenue associated with the CommunityParamedicine Program.

Revenue: Total Revenue was about 2% under budget for the month mainly due to the inability to charge for re‐vaccinations in the clinic. Year‐to‐date, Grant Revenue iss less than budgeted due to the Public Health Manager and the Registered Nurse positions being vacant. The nurse position was filled in December and a new Public Health Manager started in January. The timing of some purchases compared tothe month in which they were budgeted is also contributing to the variance. The grants are based on reimbursement; therefore, if expensesare low, revenue will also low.

Payroll: Total Payroll Expense for both the month ane year‐to‐date are below budget due to the vacant Public Health Manager and RegesterdNurse positions. Both positions have been filled as of January.

Operating Expense: Operating Expense is under budget due to Community Paramedine running less than budgeted. Year‐to‐date, therehave been 821 clinical visits versus 900 budgeted visits. Other expense items are below budget due to the timing of the purchases versuswhen they were budgeted.

Capital Expenditures: Capital Expenditures are over budget due to the cost of drug refrigerator and freezer costing more than thebudgeted amount.

Montgomery County Public Health DistrictBalance Sheet

As of December 31, 20151/28/2016 7:34:20 PM

Fund 22

ASSETS

Cash and Equivalents

22-000-10400 Petty Cash-PHP-BS $200.00

22-000-11510 MCPHD Operating Account - WF-BS $850,134.36

Total Cash and Equivalents $850,334.36

Receivables

22-000-14330 A/R CRI Grant Revenue -BS $16,603.73

22-000-14331 A/R RLSS LPHS Grant Revenue BS $18,257.03

22-000-14332 A/R PPCPS/Hazards PHEP Grant Revenue-BS $22,498.63

22-000-14336 A/R Infectious Disease-BS $17,639.84

22-000-14340 A/R MRC UASI 2014-BS $27,791.78

22-000-14550 Receivable from Primary Government-BS ($140,641.02)

Total Receivables ($37,850.01)

TOTAL ASSETS $812,484.35

LIABILITIES

Current Liabilities

22-000-20500 Accounts Payable-BS $58,057.88

22-000-24550 Payable to Primary Government-BS $0.00

Total Current Liabilities $58,057.88

Deferred Liabilities

22-000-23200 Deferred Revenue MCPHD-BS $6,733.93

Total Deferred Liabilities $6,733.93

TOTAL LIABILITIES $64,791.81

CAPITAL

22-000-30802 Reserved - NACCHO 2014-BS $6,733.93

22-000-39050 Unreserved Fund Balance-MCPHD-BS $740,958.61

TOTAL CAPITAL $747,692.54

TOTAL LIABILITIES AND CAPITAL $812,484.35

Montgomery County Public Health DistrictPreliminary Income Statement - Actual vs. Budget

For the Period Ended December 31, 2015

Current Current Current Total % YTD AnnualMonth Month Month YTD YTD YTD Annual Annual BudgetActual Budget Variance Actual Budget Variance Budget Budget Remaining

RevenueTax Revenue

EMS Net Revenue

Other Revenue41500 Miscellaneous Income 7,500.00 7,500.00 0.00 22,500.00 22,500.00 0.00 90,000.00 25.00% 67,500.0041550 Proceeds from Grant Funding 44,672.87 45,190.00 (517.13) 120,368.63 150,753.00 (30,384.37) 498,273.00 24.16% 377,904.3743750 1115 Waiver - Paramedicine 0.00 0.00 0.00 0.00 0.00 0.00 1,792,000.00 0.00% 1,792,000.0043930 Immunization Fees 20.00 1,500.00 (1,480.00) 340.00 4,500.00 (4,160.00) 19,800.00 1.72% 19,460.00

Total Other Revenue 52,192.87 54,190.00 (1,997.13) 143,208.63 177,753.00 (34,544.37) 2,400,073.00 5.97% 2,256,864.37

Total Revenue 52,192.87 54,190.00 (1,997.13) 143,208.63 177,753.00 (34,544.37) 2,400,073.00 5.97% 2,256,864.37

ExpensesPayroll Expenses

51100 Regular Pay 22,236.48 38,493.00 (16,256.52) 71,449.36 113,928.00 (42,478.64) 409,432.00 17.45% 337,982.6451200 Overtime Pay 0.00 0.00 0.00 251.68 0.00 251.68 0.00 0.00% (251.68)51300 Paid Time Off 4,107.93 0.00 4,107.93 11,452.79 0.00 11,452.79 0.00 0.00% (11,452.79)51500 Payroll Taxes 1,910.14 2,945.00 (1,034.86) 5,985.35 8,453.00 (2,467.65) 31,062.00 19.27% 25,076.6551650 TCDRS Plan 2,174.39 3,322.00 (1,147.61) 6,000.06 9,832.00 (3,831.94) 35,330.00 16.98% 29,329.9451700 Health & Dental 5,390.85 9,831.00 (4,440.15) 15,563.51 29,493.00 (13,929.49) 114,309.00 13.62% 98,745.49

Total Payroll Expenses 35,819.79 54,591.00 (18,771.21) 110,702.75 161,706.00 (51,003.25) 590,133.00 18.76% 479,430.25

Operating Expenses52950 Community Education 0.00 0.00 0.00 0.00 0.00 0.00 1,998.00 0.00% 1,998.0053050 Computer Software 735.00 400.00 335.00 1,535.00 1,200.00 335.00 5,550.00 27.66% 4,015.0053150 Computer Supplies/Non-Cap. 0.00 0.00 0.00 155.25 2,300.00 (2,144.75) 9,105.00 1.71% 8,949.7553330 Contractual Obligations- Other 1,833.33 1,833.00 0.33 4,499.99 5,499.00 (999.01) 16,500.00 27.27% 12,000.0153900 Disposable Medical Supplies (11,970.91) 193.00 (12,163.91) 169.58 579.00 (409.42) 2,196.00 7.72% 2,026.4254000 Drug Supplies 21,489.71 0.00 21,489.71 67,926.71 73,000.00 (5,073.29) 73,000.00 93.05% 5,073.2954100 Dues/Subscriptions 0.00 0.00 0.00 0.00 0.00 0.00 5,349.00 0.00% 5,349.0054900 Insurance 0.00 5,000.00 (5,000.00) 0.00 5,000.00 (5,000.00) 12,500.00 0.00% 12,500.0055700 Management Fees 8,333.33 8,335.00 (1.67) 24,999.99 25,002.00 (2.01) 99,997.00 25.00% 74,997.0155900 Meals - Business and Travel 0.00 0.00 0.00 0.00 450.00 (450.00) 950.00 0.00% 950.0056200 Mileage Reimbursements 631.64 710.00 (78.36) 660.39 2,128.00 (1,467.61) 7,526.00 8.77% 6,865.6156300 Office Supplies 0.00 785.00 (785.00) 751.80 2,457.00 (1,705.20) 7,339.00 10.24% 6,587.2056525 Other Services - Community Paramedicine-1115 80,100.00 90,000.00 (9,900.00) 246,300.00 270,000.00 (23,700.00) 1,080,000.00 22.81% 833,700.0056900 Postage 2,235.99 0.00 2,235.99 5,633.99 0.00 5,633.99 0.00 0.00% (5,633.99)57000 Printing Services 0.00 386.00 (386.00) 0.00 10,258.00 (10,258.00) 18,873.00 0.00% 18,873.0057100 Professional Fees 0.00 274.00 (274.00) 0.00 922.00 (922.00) 2,388.00 0.00% 2,388.0057500 Rent 7,231.00 7,231.00 0.00 21,693.00 21,694.00 (1.00) 86,772.00 25.00% 65,079.0057800 Special Events Supplies (140.00) 0.00 (140.00) 0.00 0.00 0.00 0.00 0.00% 0.0057900 Station Supplies 191.31 883.00 (691.69) 1,214.63 8,299.00 (7,084.37) 15,096.00 8.05% 13,881.3758200 Telephones-Cellular 126.97 660.00 (533.03) 781.19 1,980.00 (1,198.81) 6,810.00 11.47% 6,028.8158500 Training/Related Expenses-CE 0.00 90.00 (90.00) 0.00 620.00 (620.00) 2,570.00 0.00% 2,570.0058600 Travel Expenses 0.00 0.00 0.00 0.00 1,950.00 (1,950.00) 2,850.00 0.00% 2,850.0058700 Uniforms 0.00 0.00 0.00 0.00 300.00 (300.00) 1,800.00 0.00% 1,800.0051800 Unemployment Ins. 0.00 186.00 (186.00) 0.00 558.00 (558.00) 1,969.00 0.00% 1,969.0059350 Worker's Compensation Insurance 0.00 159.00 (159.00) 0.00 469.00 (469.00) 1,692.00 0.00% 1,692.00

Total Operating Expenses 110,797.37 117,125.00 (6,327.63) 376,321.52 434,665.00 (58,343.48) 1,462,830.00 25.73% 1,086,508.48

Montgomery County Public Health DistrictPreliminary Income Statement - Actual vs. Budget

For the Period Ended December 31, 2015

Current Current Current Total % YTD AnnualMonth Month Month YTD YTD YTD Annual Annual BudgetActual Budget Variance Actual Budget Variance Budget Budget Remaining

Indigent Care Expenses

Total Operating and Payroll Expenses 146,617.16 171,716.00 (25,098.84) 487,024.27 596,371.00 (109,346.73) 2,052,963.00 23.72% 1,565,938.73

Capital Expenditures52754 Capital Purchases / Equipment 0.00 0.00 0.00 7,706.93 4,500.00 3,206.93 4,500.00 171.27% (3,206.93)

Total Capital Expenditures 0.00 0.00 0.00 7,706.93 4,500.00 3,206.93 4,500.00 171.27% (3,206.93)

Total Expenditures 146,617.16 171,716.00 (25,098.84) 494,731.20 600,871.00 (106,139.80) 2,057,463.00 24.05% 1,562,731.80

Net Surplus / Deficit (94,424.29) (117,526.00) 23,101.71 (351,522.57) (423,118.00) 71,595.43 342,610.00 -102.60% 694,132.57

Agenda Item #12

Montgomery County Public Health DistrictBudget Amendment ‐ Fiscal Year Ending September 30, 2016Supplement to the Amendment Presented to the Board on February 4, 2016

Account Description Total Notes Impact

22‐501‐51100 Regular Pay $50,537.00 Community Paramedicine Coordinator Increase to Expense22‐501‐51500 Payroll Taxes $3,893.00 Community Paramedicine Coordinator Increase to Expense22‐501‐51650 TCDRS Plan $4,389.00 Community Paramedicine Coordinator Increase to Expense22‐501‐51700 Health & Dental $12,728.00 Community Paramedicine Coordinator Increase to Expense22‐501‐51800 Unemployment Ins $136.00 Community Paramedicine Coordinator Increase to Expense22‐501‐59350 Workers' Compensation Ins $347.00 Community Paramedicine Coordinator Increase to Expense22‐501‐57500 Rent $2,002.00 Community Paramedicine Coordinator Increase to Expense

Increase / (Decrease) Revenue over Expenses ($74,032.00)

FY 2016 BudgetedRevenue over Expenses 342,610.00

FY 2016 Amended Budgeted Revenue over Expenses $268,578.00

AGENDA ITEM # 13

Consider and act on payment of Grant invoices (Sandy Wagner, Treasurer-Public Health Board)

TOTAL FOR

PUBLIC HEALTH INVOICES

$244,023.42

Vendor Name Invoice Date Invoice No. Payment No. Payment Date Invoice Description Account No. Account Description Amount

AMAZON.COM LLC 12/10/2015 039846-7 12/10/15 85166 1/14/2016 STATION SUPPLIES 22-401-54000 Drug Supplies-PHC G $545.96

1/10/2016 039846-7 01/10/16 2/9/2016 ACCT# 0398467 22-401-54000 Drug Supplies-PHC G $530.99

Totals for AMAZON.COM LLC: $1,076.95

BCBS OF TEXAS (POB 731428) 12/1/2015 123611 1955 11/1/2015 BCBS PPO & HSA PREMIUMS 12/01/2015 - 01/01/2016 22-112-51700 Health & Dental-PHEP $1,926.10

22-113-51700 Health & Dental-PHEP $564.75

22-350-51700 Health & Dental-UASI $1,315.86

22-412-51700 Health & Dental-PHC R $1,603.88

11/1/2015 123611 1955 11/1/2015 BCBS PPO & HSA PREMIUMS 11/01/2015 - 11/30/2015 22-112-51700 Health & Dental-PHEP $3,241.96



11/1/2015 123611 1955 11/1/2015 PPO & HSA PREMIUMS-11/01-11/31/2015 22-112-51700 Health & Dental-PHEP $564.75

Totals for BCBS OF TEXAS (POB 731428): $12,137.04

CDW GOVERNMENT, INC. 11/6/2015 BCT1131 84995 12/17/2015 VISIO for planning 22-207-53050 Computer Software-CRI D $335.00

Totals for CDW GOVERNMENT, INC.: $335.00

CLARKSON, BRITTANI 12/1/2015 LEW120115 84767 12/4/2015 MILEAGE REIMBURSEMENT 10/01/15-10/22/15 22-350-56200 Mileage Reimbursements-UASI $225.40

1/4/2016 LEW010416 85081 1/6/2016 MILEAGE REIMBURSEMENT 12/01/15 - 12/07/15 22-350-56200 Mileage Reimbursements-UASI $49.68

22-350-56200 Mileage Reimbursements-UASI $42.38

Totals for CLARKSON, BRITTANI: $317.46

ESCOTT, MARK E. 10/31/2015 ESC090115 CREDIT Contractual Obligations- Other-PHEP ($500.00)

11/2/2015 ESC100115 CREDIT Contractual Obligations- Other-PHEP ($500.00)

11/1/2015 ESC110115 84890 12/10/2015 PROFESSIONAL SERVICES FOR MEDICAL DIRECTOR OCT 22-112-53330 Contractual Obligations- Other-PHEP $500.00

Totals for ESCOTT, MARK E.: ($500.00)

FOLLETT CORPORATION 11/12/2015 542557 84714 11/24/2015 PHARMACY REFRIGERATOR 22-404-57750 Small Equipment & Furniture-PHC M $4,492.40

22-404-57750 Small Equipment & Furniture-PHC M $457.93

11/12/2015 542558 84714 11/24/2015 UNDERCOUNTER FREEZER 22-404-57750 Small Equipment & Furniture-PHC M $2,756.60

Totals for FOLLETT CORPORATION: $7,706.93

GLAXOSMITHKLINE FINANCIAL, 10/29/2015 32867080 84944 12/11/2015 GSK Vaccine order 22-401-54000 Drug Supplies-PHC G $9,518.80

11/2/2015 32871635 12/2/2015 GSK Vaccine order for Public Health 22-401-54000 Drug Supplies-PHC G $4,547.70

Totals for GLAXOSMITHKLINE FINANCIAL, INC.: $14,066.50

HEALTH CARE LOGISTICS, INC 1/4/2016 5725191 85283 1/21/2016 MEDICAL SUPPLIES 22-404-56300 Office Supplies-PHC M $216.57

Totals for HEALTH CARE LOGISTICS, INC: $216.57

IBRAHIM, SYED 12/14/2015 IBR121415 85019 12/17/2015 MILEAGE REIMBURSEMENT 10/09/15 - 11/20/15 22-112-56200 Mileage Reimbursements-PHEP $86.02

1/19/2016 IBR011916 85286 1/21/2016 MILEAGE REIMBURSEMENT 12/18/15 & 12/30/15 22-112-56200 Mileage Reimbursements-PHEP $77.68

Totals for IBRAHIM, SYED: $163.70

Montgomery County Hospital DistrictInvoice Expense Allocation Report

Board Meeting 02/02/2016- Public Health Paid Invoices




JP MORGAN 11/5/2015 08967685 11/05 1960 11/20/2015 FAIRFIELD INN/LODGING 22-112-53150 Conferences - Fees, Travel, & Meals-PH $155.25

12/7/2015 10948384-12/07 1974 12/21/2015 WALMART - VACCINE CLINIC 11.14 22-900-57900 Station Supplies-MCPHD $130.84

12/7/2015 12474900-12/07 1974 12/21/2015 LOWES\DIGITAL THERMOMETORS 22-900-57900 Station Supplies-MCPHD $60.47

Totals for JP MORGAN: $346.56

LEAL, RENE 12/1/2015 LEA120115 84804 12/4/2015 MILEAGE REIMBURSEMENT 10/06/15-10/24/15 22-207-56200 Mileage Reimbursements-CRI D $228.16

1/4/2016 LEA010416 85118 1/6/2016 MILEAGE REIMBURSEMENT 12/01/2015 22-207-56200 Mileage Reimbursements-CRI D $49.68

Totals for LEAL, RENE: $277.84

MCKESSON GENERAL MEDICAL 11/16/2015 68156431 CREDIT Station Supplies-CRI D ($18.62)

11/10/2015 67792325 84717 11/24/2015 MEDICAL SUPPLIES 22-207-57900 Station Supplies-CRI D $782.03

22-412-53900 Disposable Medical Supplies-PHC R $135.76

Totals for MCKESSON GENERAL MEDICAL CORP.: $899.17

MERCK SHARP & DOHME CORP 11/2/2015 7008033141 84718 11/24/2015 MEDICAL SUPPLIES 22-401-53900 Disposable Medical Supplies-PHC G $11,515.53

11/2/2015 7008031952 84718 11/24/2015 MEDICAL SUPPLIES 22-401-53900 Disposable Medical Supplies-PHC G $455.38

Totals for MERCK SHARP & DOHME CORP: $11,970.91

METLIFE - GROUP BENEFITS 12/1/2015 KMO5913104 1965 12/1/2015 METLIFE DENTAL, LIFE & AD&D DECEMBER 2015 22-112-51700 Health & Dental-PHEP $177.26


22-207-51700 Health & Dental-CRI D $132.68

22-350-51700 Health & Dental-UASI $84.56

22-412-51700 Health & Dental-PHC R $41.85


11/1/2015 KM05913104 1951 11/1/2015 METLIFE DENTAL, LIFE & AD&D NOVEMBER 2015 22-112-51700 Health & Dental-PHEP $276.75





Totals for METLIFE - GROUP BENEFITS: $1,089.78

OPTIQUEST INTERNET SERVICE 12/1/2015 43162 84828 12/4/2015 NEXTGEN HOSTING 22-401-53050 Computer Software-PHC G $400.00

1/1/2016 04292 85202 1/14/2016 NEXTGEN HOSTING 22-401-53050 Computer Software-PHC G $400.00

11/1/2015 42993 84523 11/5/2015 NEXTGEN HOSTING 22-401-53050 Computer Software-PHC G $400.00

Totals for OPTIQUEST INTERNET SERVICES, INC.: $1,200.00

OPTUM HEALTH BANK 11/30/2015 OPT113015 1962 11/30/2015 EMPLOYER HSA ET FUNDING 22-112-51700 Health & Dental-PHEP $62.50



12/31/2015 OPT123115 1984 12/31/2015 EMPLOYER HSA ET FUNDING 22-113-51700 Health & Dental-PHEP $62.50


10/30/2015 OPT103015 1950 10/30/2015 EMPLOYER HSA ET FUNDING 22-112-51700 Health & Dental-PHEP $62.50






Totals for OPTUM HEALTH BANK: $500.00

OWENS & MINOR 11/11/2015 2011622849 84728 11/24/2015 MEDICAL SUPPLIES 22-207-57900 Station Supplies-CRI D $259.91

Totals for OWENS & MINOR: $259.91

PITNEY BOWES INC (POB 371896 11/4/2015 PBI110415 1970 11/14/2015 POSTAGE FOR PUBLIC HEALTH/NOTIFICATIONS 22-900-56900 Postage-MCPHD $5,633.99

Totals for PITNEY BOWES INC (POB 371896)postage: $5,633.99

SANOFI PASTEUR 11/4/2015 905583287 85245 1/15/2016 MEDICAL SUPPLIES 22-401-54000 Drug Supplies-PHC G $20,696.25

Totals for SANOFI PASTEUR: $20,696.25

STAPLES ADVANTAGE 11/28/2015 8036985972 85222 1/14/2016 STATION SUPPLIES 22-207-57900 Station Supplies-CRI D $573.68

1/2/2016 8037415661 2/1/2016 ACCT# 1827340 22-404-56300 Office Supplies-PHC M $309.95

Totals for STAPLES ADVANTAGE: $883.63

VERIZON WIRELESS (POB 660108 12/9/2015 9756947031 85155 1/6/2016 ACCT# 920161350-00001 22-112-58200 Telephones-Cellular-UASI $88.71

22-113-58200 Telephones-Cellular-PHEP $48.18


22-207-58200 Telephones-Cellular-CRI D $50.72

22-112-58200 Telephones-Cellular-PHEP ($150.00)

11/9/2015 9755308047 84668 11/20/2015 ACCT# 920161350-00001 22-112-58200 Telephones-Cellular-UASI $88.71




Totals for VERIZON WIRELESS (POB 660108): $525.51

WOMBLES, DEVIN 1/19/2016 WOM011916 85316 1/21/2016 MILEAGE REIMBURSEMENT 12/18/15 22-113-56200 Mileage Reimbursements-PHEP $19.72

Totals for WOMBLES, DEVIN: $19.72

MCHD Comm Paramedicine 11/25/2015 15315 Wire 11/25/2015 MCHD Comm Paramedicine Services 22-501-56525 Receiving from Component Unit-BS $76,500.00

Totals for MCpHD: $76,500.00

MCHD Comm Paramedicine 12/17/2015 15437 Wire 12/17/2015 MCHD Comm Paramedicine Services 22-501-56525 Receiving from Component Unit-BS $87,700.00

Totals for MCpHD: $87,700.00Account Summary

Account Number Description Net Amount

22-501-56525 Receiving from Component Unit-BS $164,200.00

22-112-51700 Health & Dental-PHEP $5,747.07

22-112-53150 Conferences - Fees, Travel, & Meals-PHEP $155.25

22-112-53330 Contractual Obligations- Other-PHEP ($500.00)




22-112-56200 Mileage Reimbursements-PHEP $163.70


22-113-51700 Health & Dental-PHEP $1,305.84

22-113-56200 Mileage Reimbursements-PHEP $19.72



22-207-53050 Computer Software-CRI D $335.00

22-207-56200 Mileage Reimbursements-CRI D $277.84

22-207-57900 Station Supplies-CRI D $1,597.00



22-350-56200 Mileage Reimbursements-UASI $317.46

22-350-58200 Telephones-Cellular-UASI $177.42

22-401-53050 Computer Software-PHC G $1,200.00

22-401-53900 Disposable Medical Supplies-PHC G $11,970.91

22-401-54000 Drug Supplies-PHC G $35,839.70

22-404-56300 Office Supplies-PHC M $526.52

22-404-57750 Small Equipment & Furniture-PHC M $7,706.93


22-412-53900 Disposable Medical Supplies-PHC R $135.76

22-900-56900 Postage-MCPHD $5,633.99

22-900-57900 Station Supplies-MCPHD $191.31

GRAND TOTAL: $244,023.42

Agenda Item # 14


From:


Re: Next Meeting

Discussion of items to be placed on agenda of the next meeting (May 5, 2016) of the Montgomery County Public Health District Board of Directors.

notice of a regular meeting of the board of …mcphd-tx.org/wp-content/uploads/02.04.2016_boardbook...

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