BOH minutes 111307 Joint Meeting with BOCC

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Currently serve 2 of total population for dental services and estimate serving 49 of total uninsured population based on serving those at 80 or below of sliding scale 36month delay for regular recall visits for dental patients Average of 165 patients per year referred for simple endodontic services root canals or crowns because providing the service limits the total number of patients that can be seen Facility Limitations Carr Mill Dental o Inadequately sized waiting room patients at times must wait in the hall o Patient check in and check out is in the waiting room with little patient privacy o No space for pre and post visit consultation with dentist must be done chairside o Double operatories are not adequate for patient privacy o Insufficient number of operatories to maximize staff o Supply and record storage inadequate Whitted Dental and Medical o Inadequately sized waiting room for facility dental has too small interior waiting o Well and sick patients must wait together o No exterior entrance directly to an exam room for potentially infectious patient o Poor patient flow with dental patients traipsing through the medical area o Only one shared office space for all dental staff no consultation room for dentist o Inadequate number of operatories for number of providers and patients per day o Inadequate patient protection for privacy issues o No negative pressure rooms in medical clinic external HEPA fan in one room o Long wait for scheduled patients average of 45 minutes before examinterview room clears o Laboratory very small without separate blood draw area o Interview and exam rooms too small for patient families interpreter provider o Inadequate handicapped entrances to clinic space o No clinical space for ancillary services nutrition clinical social work health education o Inadequate storage for medical supplies SHSC Medical o Well sick patients wait together in waiting room with other residents seeing social services o No exterior entrance directly to an exam room for potentially infectious patient o Only one negative pressure interview room that is too small for interpreter patient and provider or multiple family members o No clinical space for ancillary services nutrition clinical social work health education o No work room for clinical staff conferences on individual patients o Medical record room at maximum capacity Chair Carey said that the Board of County Commissioners knows that the facility needs are real He asked about the timeframe for an initial dental appointment and a staff person said at least a couple of weeks Commissioner Jacobs asked if the leaser was responsible for anything since the County is renting the space at Carr Mill and Rosemary Summers said that the Health Department is