Commissioners Make Budget Adjustments, Consider Pharmaceutical Delivery for Jail

The Shelby County Commissioners approved some budget adjestments involving the Coronavirus Relief Fund (CRF) and considered some pharmaceutical changes for the jail during their meeting held June 8, 2022.

Clint Porterfield, Shelby County Auditor, presented the current budget line-item transfers needed on the budget for house keeping purposes. 

"We are moving budget from what's the current budget, it's all in fixed assets where we're now moving some budget money money in that section right there to account for current court actions we just took within the last two weeks," said Porterfield.

The actions he referenced included the Hazard Mitigation Plan, Adult Probation Building, and remodeling the Historic Courthouse Annex Building out of the CRF.

"So this is basically just moving money to set up a line-item budget for those items just approved currently by the court," said Porterfield. "The rest of it is Road and Bridge, and again we've been doing this for several months now just making some line-item transfers to make the budget current and adjusting the gravel accounts."

In addition to the line-item transfers, Porterfield provided the commissioners with an expenditure detail of the CRF.

At the time of the meeting, the fund balance remaining of the $905,833.19 was $152,597.43.

Judge Allison Harbison clarified with Porterfield, monies received from the other municipal entities in the county would be placed in the CRF. Money also received from the insurance company on the Sheriff's Department Tahoe which was recently totaled will be put into the CRF.

A motion carried to make the budget amendments.

Don Moore, Shelby County Jail Administrator, addressed the court about a potential agreement for  pharmaceutical services between Independent Health Services, Inc. d/b/a IHS Pharmacy and Shelby County for medication and pharmacy services to the jail.

Moore informed the court they are using Correct RX for pharmaceuticals which they received in blister packs in 90-day supply.

"We have continuous mistakes by the jailers," said Moore. "To alleviate this we've talked to the pharmaceutical company."

Moore described the medications coming in a box with an inmate's name on it and all medications the inmate may take in one package for a specific dose.

"There's no more pulling individual blister packs and getting the medicine, it'll all be in one little package," said Moore. "The purpose of this is to cut down on mistakes made by the jailers. We go through jailers pretty regular."

Moore elaborated on the difficulty of trying to keep jailers trained and up to date as new jailers are hired.

"The blister packs, if the doctor changes the medicine and they don't go back into the medical file and look, they just give what's on that blister pack, well she's added a medicine and it would all be in these packages," said Moore.

According to Moore, the new service would provide a 14-day supply that renews automatically every 14 days, and the service would be dealing directly with the jail doctor and not speaking with jailers who aren't trained to deal with such information.

"Really, it's just to cut down on the liability of mistakes in the jail, because it could be a serious health issue," said Moore.

Moore said there isn't any additional cost, the medicines will mostly be the same, and the main difference is packaging.

A motion carried to approve the Agreement to Provide Pharmaceutical Services between Independent Health Services, Inc. d/b/a IHS Pharmacy and Shelby County for medication and pharmacy services to the Shelby County Jail as presented by Moore.

The meeting was adjourned at 9:55am.

Agenda items approved during the meeting include:

1. Minutes of May 4, 2022 Special meeting, May 11, 2022 Regular meeting, May 18, 2022 Special meeting, May 25, 2022 Special meeting, of the Shelby County Commissioner’s Court.
2. Pay weekly expenses.
3. Officers reports.
4. Current payroll.
5. Appoint two DETCOG Board Members, Judge Allison Harbison and Commissioner Tom Bellmyer, to represent Shelby County on the Board of Directors for FY 2022-2023.
6. FY2022 Budget Line-Item Transfers.
7. Agreement to Provide Pharmaceutical Services between Independent Health Services, Inc. d/b/a IHS Pharmacy and Shelby County for medication and pharmacy services to the Shelby County Jail.
8. Adjourn.

Agenda items tabled during the meeting include:

1. Execute the Intergovernmental Agreements between Shelby County and all municipalities within the county which consists of the City of Center, City of Huxley, City of Joaquin, City of Tenaha, and the City of Timpson to participate in the County’s Hazard Mitigation Plan.