August 9, 2001

Wisconsin Driver Mike Spaulding Bests 40-Car Field In USMTS Stop At SCR

On Saturday night the USMTS drivers took their rigs to the Scotland County Speedway in Memphis for the final stop in a five-day special Super Modified Week benefit for youngster Darrell Vice, who was left paralyzed by a violent attack upon him and his father.

Mike Spaulding started the Simpson Race Products A-main from the pole position in the 17 car and led all thirty-five laps.

Spaulding did have lady luck on his side as at the end the right rear axle to his car was about to fall out but the car held together to make it two straight wins for the Wisconsin driver. Spaulding had picked up the USMTS win the night before at Quincy, IL.

It took three tries to get the race rolling as the 24-car field was narrowed by several entries before an official lap was completed.

The first yellow flew when Jardin Fuller's number 33 car spun in turn one sending the Memphis driver to the back of the pack for the restart.

The second caution flag was the most costly. The 33 car broke in the front stretch bringing out the yellow flag. But the main action came in the backstretch where the 13 car of Jim Roach got together with Kelly Shyrock's 16 car. As Roach's car came down the track after contacting the wall the 66 car of Tim Weaver's rear tire jumped with the Roach car sending Weaver airborne. The 66 car flipped end-over-end down the backstetch before coming to rest in front of the pit grandstands with a small fire burning in the engine compartment where oil contacted the hot motor. The car was a mangled mess but Weaver escaped uninjured.

At the restart Spaulding jumped out into the lead and was pulling away with some very tough drivers chasing him down. Mike Chasteen worked his way from fifth up to second place in the 40 car and was chasing down Spaulding when the motor got sick and the car was forced to retire.

Mike Delozier started on the front row and maintained a firm grasp on the second spot for most of the race after Chasteen's short stint as runner-up.

Mark Burgtorf had something to say about that though. After starting beside Roach on the second row, Burgtorf saw his position go up and down early. He held third place to start but then fell back as far as seventh place as the likes of Kelly Shryock in the 3 car, Ron Schreiner in the 97 and Tony Fraise in the 45 worked their way into the top five.

The race took on a different look with just two laps to go as the final caution of the race came out.

The last caution of the night was displayed on lap thirty-three, which put all drivers back on the tail when the 2 car's engine called it quits on turn four.

Spaulding had built a comfortable lead but the yellow put the rest of the group right back on his tail. The drivers took advantage of the delay to pack the top of the track on the parade laps as the track was cleared.

When the green flag flew it was Spaulding (17), Delozier (16), Ron Schreiner (97), Shryock (3), and Tommy Myer (69) in that order.

Burgtorf was following these drivers in sixth place in the 69 car. When the green flag flew so did Burgtorf driving by all but Spaulding on the white flag lap. When Spaulding came out of turn four Burgtorf had pulled to the rear bumper of Spaulding, but needed one more lap to take the win. The race to the finish was very exciting as Myer followed Burgtorf and had a strong fourth place finish behind Delozier with Schreiner and Shryock rounding out the top six.

Winning the Harris Auto Racing Heat Races were Bruce Hanford, Schreiner, Shryock, Roach, and Burgtorf. The Midwest Motorsports B-mains were won by Rick Hixson and Myer.

Chasteen will maintain the USMTS point lead after these two races, but the margin will be much smaller after a 17th place finish. For more information call the USMTS office at 515-832-7944.

RACE RESULTS

Heat 1- Bruce Hanford, Mike Delozier, Mike Chasteen, Jeff Waggoner, Lynn Monroe

Heat 2- Ron Schreiner, Kevin Peters, Jason Hughes, Tommy Myer, Michael Long

Heat 3- Kelly Shryock, Tony Fraise, Mike Spaulding, David Holder, Randy Mauzey

Heat 4- Jim Roach, Ryan Meyer, Jardin Fuller, Rick Hixson, Bob Test

Heat 5- Mark Burgtorf, Paul Lawson, Mike Hughes, Jim Fuller, Larry Winn

B-main 1- Rick Hixson, Jim Fuller, Paul Lawson, Tim Weaver, Willy Kraft

B-main 2- Tommy Myer, Bob Test, David Holder, Curt Rackers, Dennis Elliott

A-main- Mike Spaulding Bemidji, MN, Mark Burgtorf Quincy, IL, Mike Delozier Carthage, IL, Tommy Myer Blooming Prairie, MN, Ron Schreiner New Richmond, WI, Kelly Shryock LeMars, IA, Tony Fraise Montrose, IA, Kevin Peters Monmouth, IL, Bruce Hanford Davenport, IA, Jason Hughes Colcord, OK, Justin Boney Desota, KS, Jardin Fuller Memphis, Bob Test Jefferson City, Lynn Monroe, Memphis, Ryan Meyer Liberty, IL, Rick Hixson Orion, IL, Willy Kraft Lakefield, MN, Mike Chasteen Creve Coeur, IL, Curt Rackers Holt Summit, David Holder Clarence, Jim Fuller Memphis, Dan Helm Milan, IL, Tim Weaver Westville, OK, Jim Roach Kahoka, Paul Lawson West Point, IA.

Two other classes performed at the track Saturday August 4 as part of the USMTS main event.

Thirteen cars took to the track in the B-Modified feature race. Chris Larson (67) and Larry Winn (19) opened on the front row courtesy of heat race wins.

Winn pushed the 19 car out to the lead at the drop of the green flag and he led wire-to-wire for the victory. Larson held a comfortable cushion for second place. He put on a push on the final circuit and pulled even with the 19 car in turn two before Larson edged him out of the final corners to take the win.

The main action was in third to fifth position where Kelly Smith eventually held off the rest of the pack to post a third place finish in the 41 car.

Jerry Reese moved the 2R car up to fourth place early in the race but he went to the back of the pack after spinning out in turn three. The 8Z car took home fourth place while Jerry Poor finished fifth in the 86 car.

They might be considering changing the name of the Hobby Stock class to Roger Dresden's division as the Keokuk, IA driver won for the fifth straight time at SCR, keeping his new #1 car perfect this season.

Jeff Soper held the early lead as he took the 43S car to the front. He held off Dresden for longer than most before finally relinquishing the lead after spinning in turn three.

Soper started to climb back to the front of the pack on the restart before the car lost its drive shaft and went to the infield.

That cleared the way for Dresden to cruise to the victory. He was followed to the checkered flag by Tony Becerra in the 2 car. Jim Hooper finished third in the 23 car.

Scotland County Senior Nutrition Center

MENU

Thursday, November 16 – Salmon Loaf, Scalloped Potatoes, 3 Bean Salad, Buttered Corn, Cornbread, Fruit Salad

Friday, November 17 – Turkey, Mashed Potatoes/Gravy, Dressing, Cranberry Sauce, Green Beans, Hot Roll, Pumpkin Dessert

Monday, November 20 – Beef and Noodles, Mashed Potatoes, Lima Beans, Mandarin Oranges, Hot Roll, Cookie

Tuesday, November 21 – Meatloaf, Cheesy Hashbrowns, Italian Blend Vegetables, Bread, Pears

Wed., November 22 – Fried Chicken, Mashed Potatoes/Gravy, Green Beans, Hot Roll, Fruited Jell-O

Thursday, Nov. 23 – Center Closed, No Meals, Happy Thanksgiving!

ACTIVITIES

Wednesday, Nov. 15 – Board and Business meeting at 1:00 p.m.

Thursday, Nov. 16 – Card Party at 5:00 p.m.

Thursday, Nov. 23 – Center Closed Today, No meal or cards.

SCR-I School Menus

Breakfast

Thursday, November 16 – Breakfast Burrito, Choice of Cereal, Toast/Jelly, Orange Wedge/Grapes, Juice/Milk

Friday, November 17 – Sausage/Gravy Biscuits, Choice of Cereal, Apple Cinnamon Muffin, Banana, Juice/Milk

Monday, November 20 – Chocolate Chip Pop-Tarts, Choice of Cereal, Toast/Jelly, Fruit Medley, Juice/Milk

Tuesday, November 21 – Scrambled Eggs, Choice of Cereal, Hash Browns, Toast/Jelly, Apple Rings, Juice/Milk

Wed., November 22 – No School.

Thursday, November 23 – Happy Thanksgiving, No School.

Lunch

Thursday, November 16 – Lasagna/Ground Beef, Chicken Wrap, Hamburger Bar, Green Beans, Garlic Bread, Applesauce, Fresh Fruit.

Friday, November 17 – Pizza Roll-Ups, Ham and Cheese Sandwich, Peas/Carrots, Blueberry Jell-O, Sliced Pears, Fresh Fruit

Monday, November 20 – Ham and Beans/Cornbread, Bar BQ Pork Sandwich, 5th/6th Grade Chef Salad, Candied Sweet Potatoes, Cole Slaw, Fruit Cocktail, Fresh Fruit

Tuesday, November 21 – Chicken Patty/Bun, Juicy Burger/Bun, 5th/6th Grade Taco Bar, Curly Q Fries, Buttered Corn, Sliced Pears, Fresh Fruit

Wed., November 22 – No School.

Thursday, November 23 – No School, Happy Thanksgiving!

Honoring Local Veterans

Dear Editor,

Saturday was Veterans Day. All around the country, groups of people and organizations paid tribute to our veterans. In Scotland County there are many to be recognized and rightly so.

But have you ever asked yourself, what about Charles Thomas Moore? He was killed in Vietnam saving many lives as a combat medic and posthumously awarded the second highest award the Army gives for bravery. (The Distinguished Service Cross).

Did you ever ask yourself why isn’t there a street named in his honor or a park or a building? He is the only soldier from Scotland County to receive this medal.

What about Roy McDaniel? Known as Missouri’s most decorated soldier from WWII. Not a single thing to recognize his service in Scotland County while his uniform and medals are on display in a museum in Jefferson City.

Did you ever ask yourself why the local VFW never made an effort to honor these soldiers?

Gerald McDaniel

SCH  & Clinics Observe National Nurse Practitioner Week

Did you know that there are 234,000 solutions to the primary health care shortage facing the United States today?  There are 234,000 nurse practitioners (NPs) licensed in the U.S., and NPs have been providing primary care for more than 50 years.   November 12 – 18 is National NP Week.  If you know a nurse practitioner, please take a moment this week to say thanks and send an email to one of our many NPs at Scotland County Hospital & Clinics at caring4u@scotlandcountyhospital.com or send an eCard at http://scotlandcountyhospital.com/make_an_ecard.aspx.

All NPs must complete a master’s or doctoral degree program, and have advanced clinical training beyond their initial professional registered nurse preparation.  Classroom instruction and clinical courses prepare nurses with specialized knowledge and clinical competency to practice in primary care, acute care and long-term health care settings.

In the state of Missouri, NPs work collaboratively with a physician through a collaborative practice agreement.  A collaborative practice agreement is a document outlining this joint practice relationship between the nurse practitioner and a physician.  In a clinic setting, NPs can be a patient’s primary care provider or they can treat a patient of any other primary care provider in order to open up access, which provides a solution to the primary care shortage facing America today.  Scotland County Hospital and Clinics recognizes the following collaborative practice agreements: Jessica Christen – Shane Wilson, DO; Marilyn Day – Julia McNabb, DO; Stephanie Henley-Pippert – Jeff Davis, DO; Teresa Kirchner – Jeff Davis, DO; Tabitha Rohr – Julia McNabb, DO; Sonya See – Randy Tobler, MD; Haley Shrum – Neil Hoyal, DO; Jenna Williams – Julia McNabb, DO.

NPs are proven, expert, patient-centered clinicians because of their unique combination of medical and nursing expertise and skills. NPs diagnose and treat acute and chronic conditions such as diabetes, high blood pressure, infections and injuries; they order, perform, interpret and supervise diagnostic tests such as lab work and x-rays; and they prescribe medications and other treatments.   In addition, NPs partner with their patients, providing health education and counseling, thus guiding patients to make smarter health and lifestyle choices, which ultimately may lead to reduced health care costs.

Hospital Board Discusses Nursing Shortages at October Meeting

The governing board for the Scotland County Hospital met October 26th in regular session in the SCH Library. Those Present included Curtis Ebeling-Chairman (5:45pm), Joe Doubet – Vice Chairman, Robert Neese – Treasurer, (6:04 pm) and members Dwight DeRosear and Lori Fulk. Judy Wilson was absent.

Others present included  Dr. Randy Tobler; CEO, Dr.  Jeff Davis, CMO, COS Dr. Lisa Rollison, Michael Brandon, Controller, Elizabeth Guffey, RN, CON, Missy Smith, HR Coordinator, Lori Nelson, RN, Clinic Supervisor. Suzie Lister Financial Navigator, and Brenda Prather, recording secretary.

Consent Agenda

Approval of Minutes 9/28/17, Special Meeting 10/30/17 and consent agenda.  Motion by Doubet to approve open session minutes of 9/28/17 and consent agenda items B-K which are attached.    Second to motion offered by DeRosear.  Motion approved by majority vote. Highlight by L. Nelson of MIPS measures in the clinic.  Report period is 10/1/17-12/31/17; CNO Nursing Report; Disaster Committee-agenda only; HIM Update; HR Update; Material Mgmt. Report; QI/Safety Committee; RHC Report; Supervisor Mtg; P&P/P&T Committee-Med Staff Approval; Contracts; External audit by EC First; Internal and external cybersecurity audit; Therapy contract with Regional Home Care, Inc.

Financial Report – Michael Brandon, MBA

Finance Report, Balance Sheet, Income Statement, Stats-AR were presented by Brandon. Reminder that representatives of BKD will be presenting the 2016-2017 FY Audit next month at the November 27th meeting. Supervisors and Medical Staff will be invited.

Approval of October 2017 A/P.  Motion by Fulk to approve A/P listing.   DeRosear offered second.  Motion approved by majority vote.

Joint Advisory – Dr. Lisa Rollison, Chief of Staff-

Medical Staff Meeting was held Monday, October 23rd.  Staff Attendees included: J. Christen, J. Davis, J. Hassen, N. Hoyal, S. Henley-Pippert, T. Kirchner, J. McNabb, C. Miller-Parish, T. Rohr, L. Rollison, R. Tobler, J. Williams, and S. Wilson

Presentation regarding MIPS (Merit-Based Incentive Payment System) was given by Heather Ayer, RN BSN. Lengthy discussion regarding the involved MIPS Quality Measure Points and their capture (or lack thereof) by our EMR was conducted.

Submitted CNO report included an article relating to nationwide nursing shortages. The staff engaged in a discussion involving ways to show appreciation to nurses and to attract and retain quality nursing staff.

The topic of chart completion and provider performance expectation was raised. A vigorous discussion ensued.

Factors contributing to non-compliance were voiced including walk-i volume challenges, IT/EMR pitfalls, time management practices, and lack of efficacy of our current policy toward non-compliers. Strategies for offsetting these factors were discussed.

Team Care was discussed with reference to how the system affects chart completion. During the initial learning curve, more chart time is actually required, with time eventually improving to below baseline.

Factors contributing to the urgency of timely chart completion including patient safety, financial/billing punctuality, and maintenance of accurate legal record were stressed.

Development of more effective policy that better aligns with industry standards will be pursued. Such policy may include provider fines for late chart completion, initiating at 14 days post-due.

The concept that timely chart completion is an expectation of employment, an existing stipulation of all staff employee contracts, and a matter of professional responsibility was discussed.

Peer Review, including the recent committee meeting, was reviewed. Process streamlining is in progress.

4th Quarter Credentials were reviewed.

Report on Child Care Committee was presented.

Administrative Report – Randy Tobler, MD, CEO

Operations

FY’16 cost report adjustment of $161,702 due to SCH notice received from WPS Informatics – We have engaged a Meditech exclusive consulting vendor to assist with solutions requiring more help than our internal staff can provide.  Sonya See, SHNP, will assume managerial oversight, and Heather Ayer, RN will be trained by Tammy Scearce to assume some quality reporting duties she carried over from her Q/I position to the informatics position.

Thelma Norton, RN, will add training and background Meditech duties to her educational and infectious disease roles. We have a defined retainer contract of 80 hours monthly through end of ’17 as a pilot, with the option to continue if the arrangement is efficient and productive.  The priority list, emphasizing revenue cycle functions with some priorities reserved for clinical matters, has been developed and work on projects is in the early progress.  Many thanks to Sonya, Heather and Thelma for “filling their buckets’ as we move forward.

Pharmacy – We have reconfigured pharmacy staffing with redefined Pharmacy Technician roles, and transferring all supervisory functions to the Pharmacy Director, Ginger Ertel, Pharm D. We anticipate less clerical work involved in inventory and billing as a result of the enhanced Pyxis integration with Meditech. Pyxis implementation and sign off on full operational signoff expected by end of November.

SLS (Intensive Outpatient Geriatric Psychiatry) contract executed.  Kickoff meeting to introduce personnel and plan implementation slated for November. Program opens in March.

Monthly Safety Rounds with CEO, CNO, Q/I Manager, Maintenance and Housekeeping supervisors started 10/4.  Many cosmetic and few safety issues identified and are either rectified or in process.  E.g. New concrete on walkway between Women’s Center and MMS replaced.

Sidewalk and ramp to small parking lot between Surgery Center and Annex poured.

Meeting with Maintenance Dept. 10/17 to discuss expectations for projects, to include project scope, drawings, materials list and timeline.  Discussion, relayed to Supervisors 10/25, about the importance of advance notice of projects to allow time to develop required plans.

CareSync (Chronic Disease Management for Medicare patients) program has launched with enthusiastic patients and several clinicians.  Another momentum/check in call with their team scheduled early November.

Medical Staff/Allied Health

Interview with FP Resident at the SIU program (Dr. Dixon faculty) in Quincy. Further discussions for possible employment in 2019 ongoing.

Interview with FNP trainee who will be graduating in winter.  Discussions ongoing.

Personnel

Tammy Scearce, RN, Informatics, resigned, with last day November 9th.

Nursing shortage continues to challenge staffing. Thanks to supervisory and the other staff who have picked up empty shifts and duties aside from their administrative and core nursing schedules.

Personal

A physician targeted video focusing on the opioid crisis and its maternal/newborn impact I recorded is on the MHA website.

I recorded a podcast with Hadley Health Manning, Director of Policy Studies for the Independent Women’s Forum on the Opioid Crisis.

I will be attending the MHA Annual Conference next week.  Request permission for travel, food, registration and lodging support.  Motion by Fulk to approve CEO Tobler’s attendance/expenses. DeRosear offers second.  Approved by majority vote.

CMO ReportDr. Davis

Quality Assurance

Attended QA and discussed results and employee satisfaction surveys

Reviewed dashboard details and discussed MIPS

Reviewed 1 patient complaint

Senior Management

Met with Senior Management discussing strategic plan and management.  Focused on alignment and ACO opportunities. Reviewed recommendations for strategic plan.  Attended Board Retreat on Strategic Plan and Alignment

Meetings with Dr. Tobler and Michael Brandon regarding recruitment, retention, employee satisfaction and personnel management.

Meetings with Lori Nelson, RN, Clinic Manager regarding clinic work flow, Team Care, personnel/staffing, schedule and physician relations.

Clinician Relations

Communicating with clinicians on clinic and hospital workflow/HER, etc.

Working with Kristin Hyde and Dr. Heather Martin, Secretary of Medical Staff, regarding inpatient/OB/Peds physician coverage.

Meetings with Dr. Tobler regarding clinician contract development.

Service Line Development

Team Care project at MMS is underway and going well

NPs have moved to a 10-hour, 4-day work seek.  Still have chart incompletion issues.  Working through dynamics.

Walk-in clinic at MMS and LMS continues to go well Numbers strong.  Still widely utilized.

Memphis Community Pharmacy continues to see increased numbers and providing great service to our patients

Onsite collaboration with Haley Shrum, NP in the ER, Stephanie Henley, NP and Teresa Kirchner, NP at MMS and SCCC and Lois Quenneville, PA at MMS and SCH.  Jessica Christen, NP on pediatric issues in the clinic

Dr. Daniel Schneider has started with Urology services at MMS

Dr. Wolkowitz has started with pain management services at Surgery Center

Dr. Jost will replace Dr. Garriga in November for Rheumatology services.

Recruitment and Retention

Contract presented to Kelsey (Davis) Humes.  2nd year FP resident form Quincy, IL

Other interest from current Urgent Care physician resident from Kirksville with interest in OMM

Interviewed a NP who is seeking us out for job opportunities.  Ongoing discussions with her

Old Business

Strategic Plan follow-up.  Board member responses to worksheet.

Goal on financial performance. Lengthy discussion on pillar priorities, long-term goals, quality, financial, culturally, community. Next month final analysis of pillar expectations will be tabulated and presented.

New Business

Employee Financial Aid Request – Guffey presents request from Chrissie Burkhiser for assistance to attend and complete a BS degree. This is a twelve-month online BSN Degree program through Chamberlain’s School of Nursing, Downers Grove, IL.  She is requesting the full amount of tuition with full expectation to continue working full time. Following discussion and review of letter of recommendation, Motion by Fulk to approve Burkhiser’s request in full with a commitment of eighth years employment from date of financial aid contract. DeRosear offers second.  Motion approved by majority vote.

Revenue Cycle Supervisor Update.

Suzie Lister presented her experience today with a meeting of billing and coding personnel.

Shared her wonderful experience in her meetings with counterpart at Blessing.

Reviewed multiple areas at Blessing, bringing her ideas back to SCH registration staff, billing and coding.  Example: Shadowed HIM personnel at Blessing and brought back question and concept of establishing a discharge check for billing. This has been incorporated by IT. Realizing time of discharged had not been documented/billed appropriately.

Received a tremendous amount of advice, policies, training tools, form template, discipline techniques, suggestions on resolving cultural issues, etc. to bring back and implement.

Established time study of each employee in billing/coding.

Claim denial is a top priority; scheduled for improvement in billing staff efficiency and bottom line.

Meeting with registration next week.  Full staffing should be completed next week with another hire.

Poor consistency to financial arrangement/contract.  They’ve made a payment plan, not performing.

Question: Can patients be fired for consistent non-compliance-failure to pay.  Researching an answer

Board Education Series – Part of annual educational requirement of Public Boards per RSMO §105.666, 1-4.

Module I.  Discussion on Handout “Leadership Habits” and questionnaire.

Reading handout of “Best Practices for Building a High-Performance Board”

Length of this review/discussion approx. 30 minutes.  Reading expectations with completion of check list handout=approx. 1 hour.  Series will continue at November and December meetings.

Nursing Shortage-Literature distributed from Reuters. Interesting article on the current shortage of nursing, how smaller hospitals must compete with large institutions money on recruitment and retention. https://www.reuters.com/article/us-usa-healthcare-nursing/short-on-staff-nursing-crisis-strains-u-s-hospitals-idUSKBN1CP0BD

Bonus – Discussion

Recent Missouri State audit in other hospitals directs bonuses be tied to performance metrics, defined before the eligibility time period.  The traditional Christmas Bonus will now be a retention bonus based on achieving Board-defined tasks, job performance expectations:

Full time employee-past probation period- $150

Part time employee-past probation period- $100

No active disciplinary action or action taken between this date and 12/9/17

Participated in insurance open enrollment in November

CareLearning up to date

Employed through 12/9/17.  Motion to approve criteria and amounts listed above by DeRosear with Fulk offering second.  Motion approved by majority vote.

Mo. Hospital Audit-Board Alert- The arrival of this resource material from MHA is excellent material to contribute to the educational series for the board members.  Lengthy discussion reviewing key points outlined in MHA Resource and Support documents pertaining to State Auditor conducting a series of audits of county-owned hospitals.  CEO Tobler led discussion on three main areas of focus. (1) State Audit Learning outlining specific objectives of the state audits. (2) Trustee Education and Resources and (3) Community Health Needs Assessment.   Board oversight importance on management of contracts, management compensation, service contracts/billing practices, loan agreement, travel reimbursement, CEO reportable wages, inpatient psychiatric care units, financial condition and computer security to name a few.  B Prather will request webinar material from MHA’s upcoming educational sessions.   Discussion time is allotted for educational purposes. 30 minutes.”

Disposition of Surplus Equipment- Permission to schedule surplus equipment via auction or” yard-sale”. Department supervisors were asked to make a cursory inventory of saleable equipment by Nov. 1.  Motion by Doubet followed by Neese with second.  Approval by majority vote.

Joint Meeting & December Meeting-  It was agreed upon to keep the regular monthly meeting date for December, which falls on Thursday, December 28, 2017 with February 22, 2018 meeting for Annual Joint Mtg. with Medical Staff.

Credentialing Report – Medical Staff has approved the following list of credentialing documentation.  Per recommendation and approval by Medical Staff, Motion submitted by DeRosear to approve.  Second by Fulk.              Motion approved by majority vote.

Full Privileges Given 9/19/17 – Maggie Barnidge, D.O. DWC Associate; Joseph Bass, M.D. HRHS Consulting; Andy Bukaty, D.O. DWC Associate; Christopher Gifford, D.O. DWC Associate; Karl Harmston, D.O. DWC Associate; Daniel Jost, M.D. PSN Associate; Senthil Krishnasamy, M.D. IEC Associate; Farukh Mian, M.D. Argus Consulting; Gary Morsch, M.D. DWC Associate; Christina Pinkerman, CRNA MB Anes; Allied Health; Tabitha Rohr, NP LMS Allied Health; Lorenz Schielke, M.D. Argus Consulting; Michael Turner, M.D. DWC  Associate; Richard Wolkowitz, M.D. PSN  Associate; Jamey Wright, M.D. Argus Consulting

*Dr. Wilson made a motion on 9/19/17 to approve the above listing for full privileges to the SCH   Medical Staff.  Dr. Rollison seconded the motion; motion carries.

Extended Temporary Privileges 10/9/17:

Karolyn Cook, M.D.-DWC

Theodore Cook, M.D.-DWC

*Temporary Privileges will expire 1/7/18. Dr. Martin made a motion to extend temporary privileges on Dr. Karolyn Cook and Dr. Theodore Cook. Dr. Wilson seconded; motion carries.  If there is no activity by expiration date, privileges will not be renewed per Dr. Rollison.  DocsWhoCare are requesting to keep their privileges active at this time due to being their emergency backups, if needed.

Temporary Privileges 10/19/17: John Fortner, Jr., CRNA MB Anes. Allied Health

*Temporary Privileges will expire 1/17/18.  Dr. Wilson made a motion on 10/19/17 to approve temporary privileges on John Fortner, Jr., CRNA.  Dr. Martin and Dr. Rollison both seconded; motion carries.

Full Privileges Given 10/18/17: Eldon Frazier, M.D. for Family Practice-ASSOCIATE; Andrea Graham, R.D., L.D. for Dietician-ALLIED HEALTH; Daniel Schneider, M.D. for Urology-ASSOCIATE

*Dr. Rollison made a motion on 10/18/17 to approve the above listing for full privileges to the SCH Medical Staff.  Dr. Martin seconded the motion; motion carries.

Re-Appointment and Privileges given 10/18/17: Jeffrey Davis, D.O. for Family Practice/Special Procedures/CRNA Supervision-ACTIVE; Marilyn Day, FNP-BC for Family Nurse Practitioner-ALLIED HEALTH; Maria Evans, M.D. for Pathology-ASSOCIATE; Belinda Fender, M.D. for Pathology-ASSOCIATE; Deborah Holte, DPM for Podiatry/Special Procedures/CRNA Supervision-ALLIED HEALTH; Neil Hoyal, D.O. for Emergency Medicine-ACTIVE; Julia McNabb, D.O. for Family Practice-ACTIVE; Jessica Christen, DNP, RN, FNP-BC for Family Nurse Practitioner-ALLIED HEALTH; Stephanie Henley-Pippert, FNP-BC for Family Nurse Practitioner-ALLIED HEALTH; Sonya See, WHNP for Women’s Health-ALLIED HEALTH; Lisa Rollison, D.O. for Surgery Services/Special Procedures/CRNA Supervision-ACTIVE; Lois Quenneville, PA-C for Family Practice

*Dr. Rollison made a motion on 10/18/17 to approve the above listing for re-appointment and privileges to the SCH Medical Staff.  Dr. Martin seconded the motion; motion carries.

Executive Session

Motion by DeRosear to enter Executive Session pursuant to Sunshine Law Sections 610.021 to discuss matters that pertain to: (1) Legal, (3) hiring, firing or discipline of employees, negotiated contracts and (13) individually identifiable personnel information.  Fulk offered second to the motion.  Motion approved by roll call vote:  Fulk yes, DeRosear yes, Doubet yes, Neese yes.   Time is 10:10 pm.

Those Present: Ebeling, Fulk, DeRosear, Doubet, Neese, Dr. Tobler, Dr. Rollison, Dr. Davis, Michael Brandon, Suzie Lister, Missy Smith, and Brenda Prather.

Approval of Executive Session minutes of 9/28/17. Motion by Neese and second by Fulk to approve.  Motion approved by roll call vote: Fulk-yes, DeRosear-yes, Doubet yes, Neese-yes, Wilson-yes.

Motion to exit executive session and adjourn regular open session by DeRosear.     Fulk seconds motion.  Motion approved by roll call vote: Fulk-yes, DeRosear-yes, Doubet yes, Neese-yes. Time is 10:58 p.m.

Adjournment

Motion by DeRosear to adjourn, with second by Fulk.  Motion approved by majority vote.  Time is 10:58 pm.

Thanksgiving

Now as I sit here writing this, I find that this week is already the middle of November. Thanksgiving activities are just around the corner.  We are forced to look at Halloween decorations in August, and Christmas in September and October. We almost forget that Thanksgiving is in there someplace.

I love fall and enjoy decorating for it. I hate to see the end of November come, meaning colder temps, and much to be done for the holiday season celebrating Christ’s birth.

Many of us have been seeing and watching Bald Eagles diving around the fields and roadways after their prey. Rabbits beware. Road kill is a popular item for them as well, as there are many deer. Recently, one of my friends counted 12 on the way home from Columbia. Lots of battered autos I’m sure. They do eat carrion and clean up the remains of many deer killed on the road, but they are skilled hunters. And they are a skilled food thief also.

On June 20, 1872, the Continental Congress adopted the Bald Eagle as our national emblem.  It is so much fun to watch them, and I feel they are a very majestic bird. Some say they are lazy due to the fact that they can sit on a branch for hours on end. I think they are watching for prey. Nevertheless, I enjoy getting a peak when possible.  Especially fun when they release a Bald Eagle at the ballgame to fly over the stadium during the national anthem. Gives a person chills to watch that. Our country is still the greatest.

Along the Mississippi River and running creeks, you will find many of them feasting on fish, muskrats, other small mammals, water birds, and of course, road kill.

Another bird I enjoy watching at the feeder in the winter, is the Pine Siskin.  They are in the finch family, who hold their own at the feeders.  They often flock with their more colorful cousins, the American Goldfinch, next to whom they seem a bit more drab.  They are mostly brown and have a touch of yellow on their wings. They are fleeting, so you may see them one day and not again for a while.  So keep watch over your feeders and you may see them, there with their cousins, and then disappear.

Please take care out there during the firearms deer season, if you go out and about, wear something bright.  Be safe you hunting folk.  Until next time, good bird watching.

Ward Among 18 Students Named to  Iowa Corn Collegiate Advisory Team

Iowa Corn proudly announced the 18 Iowa college students who will make up the eighth Iowa Corn Collegiate Advisory Team (CAT). Comprised of Iowa students pursuing degrees in agriculture, CAT will assist the Iowa Corn Growers Association (ICGA) and the Iowa Corn Promotion Board (ICPB) in developing targeted programs to enhance the organizations’ relationships with individuals pursuing careers in agriculture production and allied industries. CAT achieves this by fostering the knowledge and skills of these future leaders and providing them the tools to advocate for Iowa Corn and other commodity organizations’ role in the success of Iowa agriculture.

“The future of Iowa Corn depends on the organization’s ability to offer relevant programming, advocacy and services to new stakeholders entering Iowa’s agricultural sector,” said Iowa Corn Promotion Board Director Larry Buss, a farmer from Logan who chairs the committee overseeing the team. “We are excited to work with these 18 bright students, who are pursuing a broad facet of careers in agriculture, on ways we can cultivate and promote our organization and the corn industry.”

The team includes agriculture students from several colleges, community colleges and universities from across Iowa.  Tori Ward of Memphis, a student at Indian Hills Community College, is part of the team.

The Iowa Corn Promotion Board (ICPB), works to develop and defend markets, fund research, and provide education about corn and corn products. The Iowa Corn Growers Association (ICGA) is an 8,000-member strong grassroots-driven organization, headquartered in Johnston, Iowa, serving members across the state, and lobbying on agricultural issues on behalf of its farmer members to create opportunities for long-term Iowa corn grower profitability. For more information, visit iowacorn.org

Memphis City Council Approves Demolition Plan at November Meeting

The Board of Aldermen of the City of Memphis met in regular session on Thursday, November 2, 2017 at 6:30 p.m. in Memphis City Hall.  Mayor William Reckenberg called the meeting to order.  Aldermen present were:  Tom Glass, Andrea Brassfield, Chris Feeney, and Lucas Remley.  Others in attendance were:  City Supt. Roy Monroe; Utility Supt. Stacy Alexander; City Marshal Bill Holland; citizen Jim McClintic; and City Clerk Angela Newman.

PLEDGE OF ALLEGIANCE

MINUTES

Alderman Feeney moved and Alderman Glass seconded to approve the minutes of the October 5, 2017 and October 19, 2017 council meetings.  Vote:  Glass, Brassfield, Feeney, and Remley, all aye.

PAYMENT OF BILLS

Alderman Feeney moved and Alderman Brassfield seconded to approve payment of the monthly bills.  Vote:  Brassfield, Glass, Remley, and Feeney, all aye.  Council requested an inventory of tools and the review of purchasing policies.

CITIZEN PARTICIPATION

Jim McClintic praised the success of the recent demolition project by the City through a grant from CDBG.  Council stated the City plans to implement a demolition program in the near future.

NEW BUSINESS

Request Bids

Alderman Glass moved and Alderman Brassfield seconded to request bids for the Lake ShowMe Hay Ground contract and the Opening and Closing of Graves contract.  Vote:  Glass, Brassfield, Remley, and Feeney, all aye.  Bids will be opened at the December council meeting.

Liquor License Application – Keith’s Café

Alderman Feeney moved and Alderman Brassfield seconded to approve the liquor license application for Keith’s Café for the sale of malt liquor and light wines by the drink, excluding Sundays.  Vote:  Brassfield, Glass, Feeney, and Remley, all aye.

Bill No. 17-23 – Notice of Election

City Clerk Newman presented and read two times Bill No. 17-23 – Notice of Election.  Alderman Feeney moved and Alderman Brassfield seconded to adopt Bill No. 17-23.  Vote:  Feeney, aye; Remley, aye; Brassfield, aye; and Glass, aye.

Bill No. 17-24 – Net Metering Ordinance

City Clerk Newman presented and read Bill No. 17-24 – Net Metering Ordinance.  Alderman Feeney moved and Alderman Brassfield seconded to adopt Bill No. 17-24.  Vote:  Feeney, aye; Brassfield, aye; Glass, aye; and Remley, aye.

Memorandum of Understanding – Scotland County Hospital and City of Memphis

Mayor Reckenberg presented a Memorandum of Understanding between the Scotland County Hospital and the City of Memphis for the use of the Memphis Recreation Center at 446 E. Mety in the event of a disaster and/or pandemic emergency.  The facility would be used as an extra space for a triage area.  Alderman Feeney moved and Alderman Brassfield seconded to approve the Memorandum of Understanding.  Vote:  Feeney, Brassfield, Remley, and Glass, all aye.

DEPARTMENT REPORTS

City Supt. Monroe asked council direction on the demolition of the property recently purchased by the City at 107 W. Jefferson.  Monroe reported the contractor used for the demolition grant, Derrick Fee, quoted $3,000 to demolish and remove the structure, excluding the foundation.  Monroe stated in 2013 the demolition costs of the house at 743 N. Clay by the City was $3,800.  Alderman Glass moved and Alderman Feeney seconded to approve the quote from Derrick Fee for $3,000 for the demolition of 107 W. Jefferson.  Vote:  Glass, Brassfield, Feeney, and Remley, all aye.

Monroe presented information for the removal of several trees from the City rights-of-way and from utility lines.

Monroe also presented a Forestry Management Plan from Natural Resources Conservation Service (NRCS).  The City can apply for approximately $50-$100 cost share for invasive species management practice and approximately $10 per acre for prescribed burning by November 17, 2017.  Monroe stated the work would most likely be done in-house.  Council unanimously agreed to apply for the cost share as long as the City was not obligated to use the funds.

Monroe also reported he was gathering information regarding the possible removal of the ramp at the swimming pool and costs for the installation of a lift.   Monroe is also going to inquire about a removable ramp as well as the cost for a removable bulk-head.  The costs for paving the parking lots at Johnson Park were also presented and reviewed.  Monroe stated he could apply just oil to the parking lots for a much lesser cost.  Monroe will gather prices and report back to the council.

Utility Supt. Alexander reported a Community Development Block Grant (CDBG) low-to-moderate income (LMI) survey had been mailed out two times to a select number of citizens with approximately 60% of the needed 80% responding.  Alexander stated he would like to send an employee out door to door to hopefully acquire the remaining surveys.  If the low to moderate income of the City is 51% or more, then the City could be eligible for additional funding for water and sewer improvements from CDBG.

Alexander recommended the City offer $5,000 for the purchase of six used re-closures, eight controllers, and four batteries from Tri-County Electric.  Alderman Feeney moved and Alderman Brassfield seconded to approve the recommendation to offer $5,000 for the re-closures, controllers, and batteries from Tri-County Electric.  Vote:  Feeney, Remley, Brassfield, and Glass, all aye.

Alexander and Monroe also reported they had met with a representative from Visu-sewer who is compiling an estimated cost for the inspection and repair of sewer lines in the City.  If those problem areas can be identified and repaired the result would be less operating and treatment costs for the lagoon.

City Marshal Holland reported a new citizen has a border collie mix that has been diagnosed with an auto-immune disease and any vaccinations could be harmful to the dog.  City Attorney Dave Peppard suggested the city council vote to waive the rabies vaccination requirement for the issuance of a dog tag.  Alderman Feeney moved and Alderman Glass seconded to waive the requirement of a rabies vaccination for the issuance of a dog license based on the written representations from two veterinarians that the vaccination would be detrimental to the health of the dog.  Vote:  Glass, Brassfield, Feeney, and Remley, all aye.

ALDERMEN REPORTS

Alderman Glass inquired about the status of a pickup for the cemetery crew as instructed by the council during the budget process.  Monroe reported the meter reader truck will be utilized for the cemetery crew and the smaller 2007 Chevy pickup will be utilized by the meter reader.

Alderman Remley inquired on the status of the replacement of a transformer bank at Ferrellgas.  Supt. Monroe stated the project is planned for next week.

Alderman Feeney requested a year-end review workshop meeting be scheduled with the council.  A date of November 30th at 4:00 p.m. was set.

MAYOR’S REPORT

ADJOURN

Alderman Feeney moved and Alderman Glass seconded to adjourn into closed session pursuant to RSMo. 610-021(3) – hiring, firing, and disciplining of particular employees.  Vote:  Glass, Brassfield, Feeney, and Remley, all aye.

Meeting adjourned into closed session at 8:15 p.m.

Closed session

Council reviewed the wages of two employees and unanimously agreed to a wage adjustment for each based on the recommendations of Monroe and Alexander.

Alderman Feeney moved and Alderman Glass seconded to adjourn from closed session.  Vote:  Glass, Brassfield, Feeney, and Remley, all aye.

Closed session adjourned at 9:30 p.m.

Alderman Glass moved and Alderman Brassfield seconded to adjourn.  Vote:  Glass, Brassfield, Feeney, and Remley, all aye.

Meeting adjourned at 9:30 p.m.

April Ballot Measure Will Ask Voters to Transition Elected City Marshal Post to Hired Police Chief Position

In April, voters in Memphis will be asked to consider a change in the city ordinances to allow a shift in how the head of the police department is determined.

Currently, voters elect a City Marshal for a four year term.

A ballot proposal will ask for voter approval of the elimination of that position, to be replaced with  a Police Chief, who would be appointed by the Mayor, with the approval of the city council.

City officials explained the ballot proposal is being offered because of a sharp decline in the number of law enforcement officers applying for positions with the city.

Currently the city has just one full-time officer, in addition to the elected City Marshal, Bill Holland.

Holland explained that ideally the Memphis Police Department would operate with the chief, and three full-time officers, but it has not been at that full contingency during his tenure.

The MPD had been operating with Holland and two additional full-time officers for several years, but has been down to just Holland and Officer Zach Campbell for more than six months now.

Under the current policy, the City Marshal is paid a salary, and is not eligible for overtime. Council members have been reviewing options to address this issue, as currently the MPD is operating undermanned, requiring overtime for the one full-time officer as well as the marshal.

“It isn’t a very fair financial situation when you have an employee earning enough in overtime that they are making more money than their supervisor, even though that supervisor is working as much, if not more, while maintaining significantly more responsibilities of operating the department,” said Alderman Chris Feeney.

Council members also noted, that the current ordinance requires the City Marshal to be a resident of the City of Memphis, which further limits the number of potential candidates.

“Chief Holland does a fantastic job,” said Alderman Feeney. “If he decides to move outside of the city limits, the current ordinance would prevent him from continuing to serve as the head of our police department. This proposed ordinance change would give your elected officials the ability to hire the best police chief, and also to make sure the position is paid according to the amount of time it takes to do the job.”

Downing City Board Votes Raise Water, Sewer Rates

The Board of the City of Downing convened at 6:00 p.m. on November 6, 2017. With Mayor Alan Garrett presiding. Present were Aldermen Ray Bange, Gene Bruner, Hannah Poe, and Bill Anderson, City Clerk Carol Dryden and Water/Waste Water Operator Larry Smith.

Copies of the agenda, minutes of the previous meeting, water/waste water report, deposits & disbursements, account balances and proposed budget were given to those present.

Mayor Alan Garrett called the meeting to order.

A motion to approve the agenda was made by Gene Bruner and seconded by Ray Bange and carried unanimously.

A motion to approve the minutes from the previous meeting was made by Gene Bruner and seconded by Ray Bange and carried unanimously.

A motion to approve the bills was made by Ray Bange and seconded by Gene Bruner and carried unanimously.

Water/Waste Water Report: Have replaced a few meters and will be getting more done hopefully before winter. We will start charging $30.00 for all returned checks and EFT payments.

Street Maintenance: Have some tubes that are getting in need of replacement, this will have to wait until spring. Need to get shoes made for the road grater before it snows so we can blade the roads without tearing the up.

Old Business: a motion to pay Mr. Burkhart $2.00 to drill the water meter lids for the new meters was made by Bill Anderson and seconded by Ray Bange and carried unanimously.

We will go ahead with the survey of the lagoon. Bill Anderson and Larry Smith will take the measurements needed and we will proceed from there. Ray Bange will check on what it will cost to get a building on the foundation of the old Head Start building so we can store equipment there.

New Business: A motion to raise the water and sewer rate by .80 was made by Bill Anderson and seconded by Ray Bange and carried unanimously. The raise was made because Schuyler County raised our rate. A motion to approve the 2018 budget was made by Gene Bruner and seconded by Bill Anderson and carried unanimously. We will put an ad in the shopper to take bids on a metal building the city would like to sell.

There have been no complaints this month.

A motion to adjourn the meeting at 8:00 p.m. was made by Bill Anderson and seconded by Ray Bange and carried unanimously.

Submitted by Carol Dryden, City Clerk

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