1973-11-05 - Laserfiche WebLink

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496 L.V.N.A. Mr. Frank Totman, Chairman of the Lexington Visiting Nurse Association Advisory Board and Mrs. Jayne Tapia, Director of the L.V.N.A. came before the Board to discuss the budget increase of $2500. Mr. Tolman explained that the L.V.N.A. was in the process of up dating their services and costs. He explained that the association has been operating in the same way for a number of years. Monies are received from the United Fund, the Town, Fees and Medicare. Medicare is at least 6 months behind in their payments. The new Well Elderly Clinic is going well and part of the increase will be used for that. There is also some talk of the nurses doing inspection work in the Nursing Homes and Child Care Centers so even if the current work is cut back these additional things will off set the increase requested. Mrs. Tapia stated that the biggest cut back would be in the visits to pre-school children. This is basically a health guidance type of visit. It was asked how these children get referred to the L.V.N.A. Mrs. Tapia said they could be picked up when the nurse visits the home on a Communicable Disease call or a neighbor might call rec- ommending the home be visited. These children are usually followed until they enter school and then the school nurse takes over. Dr. Cosgrove asked if these people were indigent. Mrs. Tapia said "No" not in Lexington, but the problems that the nurses sees could be such that only a trained person would notice them. Dr. Cosgrove asked why there was so many TB visits when our register showed only about 13-15 cases. Mrs. Tapia said the contacts of the patients had to be visited, but this was also an area where review was being done. After further discussion it was decided that Mr. Totman would attend the United Fund Budget meeting and then get back to the Board of Health for further discussion. Dr. Cosgrove said he would like to see the Well Elderly Clinic re- valuated after it had been in operation a little longer. Mrs. Tapia and Mr. Totman said they would check these things out and then get back to the Board. Dr. Cosgrove said he felt that the Board could let this budget re- quest go until the first of the year as long as Mr. O'Connell was aware that the Board of Health would be requesting a change in the present budget. Mr. Totman and Mrs. Tapia thanked the Board and retired. MOSQUITO Mr. Robert Armstrong of the East Middlesex Mosquito Control Com - CONTROL mission and Mr. Manfred Freidman met with the Board to discuss the mosquito control program approved at Town Meeting. 1 1