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Agenda
Bourbon County Commission Room
1st Floor, County Courthouse
210 S. National Avenue
Fort Scott, KS 66701
Tuesdays starting at 9:00
Date: October 9th, 2018
1st District-Lynne Oharah Minutes: Approved: _______________
2nd District-Jeff Fischer Corrected: _______________
3rd District-Nick Ruhl Adjourned at: _______________
County Clerk-Kendell Mason
9:00-9:45-Jim Harris
10:00-10:15-Letter for Diehl Banwart
10:30-10:45-Delwin Mumbower-EMS Services
11:00-12:00-Justin Meeks
Executive Session-Privileged in the attorney client relationship-40 min.
Tax Sale-10 min.
NRP-10 min.
Update on Health Care issues-20 min.
12:00-1:30-Commissioners gone to lunch
Justifications for Executive Session:
Personnel matters of individual non-elected personnel
Consultation with an attorney for the body or agency which would be deemed privileged in the attorney-client relationship
Matters relating to employer-employee negotiations whether or not in consultation with the representative(s) of the body or agency
Confidential data relating to financial affairs or trade secrets of corporations, partnerships, trusts and individual proprietorships
Preliminary discussions relating to the acquisition of real property
Matters relating to the security of a public body or agency, public building or facility or the information system of a public body or agency, if the discussion of such matters at an open meeting would jeopardize the security of such public body, agency, building, facility or information system

Safehouse Crisis Center, Pittsburg, has served 33 victims of domestic violence, sexual assault and stalking that come from Bourbon County.
“It’s important that everybody be aware of these issues,” Vicky Polen, a victim advocate with the center told the Bourbon County Inter-Agency Coalition members during its’ monthly meeting.
Thirty-three might not seem like a big number, she said. “But we spent 433 hours with them.”
The crisis center serves Southeast Kansas.
From statistical data on the center’s website these are the numbers of the services that have been given from the center: 550- Hotline calls, 297-Victims were Sheltered, 857-Total Agency Victims Served (Unduplicated), 10,912-Peer Counseling Meetings, 769-Support Groups, 1,019- Safety Plans, 329-Court Advocacy, 248-Presentations to 10,023 Public and Professional Individuals, 216-Served through Child Exchange and Visitation Center, 776-Personal Advocacy.
For more information:
http://safehousecrisiscenter.org
The coalition meets the first Wednesday in the basement of the First Baptist Church at noon.

The city of Fort Scott and Bourbon County officials urgently join forces after the announcement of Mercy Hospital’s closure in Fort Scott Kansas.
October 4, 2018
City and County officials continue to meet to strategize a collaborative approach to the future of healthcare in Bourbon County.
Officials remain optimistic about the quality of life, access to health care, and continued economic growth.
The joint effort’s immediate next steps are to form a task force comprised of representatives from the City, County, Chamber of Commerce, USD 234, USD 235, Fort Scott Community College, businesses, Bourbon County Economic Development Council, Inc. and the financial community.
The task force will be led by Robert Uhler, City of Fort Scott Director of Community Development.
Mercy’s local leadership has taken steps to safeguard emergency services beyond their closure to ensure access to critical healthcare services.
The intention of this task force is to identify the next model of sustainable healthcare in this community.
With resilient citizens and ongoing legislative support, Bourbon County expects to be a representation of future healthcare in rural Kansas.
Rachel Pruitt Jody Hoener
Economic Development Economic Development Director
City of Fort Scott Bourbon County
123 S Main 210 S National Ave
Fort Scott, KS 66701 Fort Scott, KS 66701
Mobile: 913-488-8176 1-620-223-3800
Office: 620-644-7114 1-620-215-5728 Mobile
www.fscity.org www.bourboncountyks.org
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The Journal magazine just published this story on what Independence, Kansas, has learned in terms of surviving without a hospital, noted The Journal Managing Editor Chris Green in an email to fortscott.biz.
“I thought it might be of interest with the news out of your community this week,” Green said in the email.
Click below for the article:
CHRIS GREEN • Managing Editor of The Journal
KANSAS LEADERSHIP CENTER • FOR THE COMMON GOOD
316.202.5440 • 325 E. Douglas Ave. Wichita, KS 67202
CHC/SEK to Assume Ownership of Mercy Clinics in Bourbon, Linn and Crawford Counties
(Pittsburg, KS) – The Community Health Center of Southeast Kansas (CHC/SEK) – a non-profit primary care system serving the nine counties of the most economically disadvantaged and least healthy region of Kansas – announced it will assume ownership of the Mercy clinics in Fort Scott, Pleasanton and Arma beginning January 1, 2019.
“CHC/SEK entered into discussions with Mercy this summer about the need to maintain access to care and they were anxious to preserve the resources they had built in Bourbon and Linn counties,” said CHC/SEK CEO Krista Postai. “As an organization that had grown out of a faith-based health system, CHC/SEK shared their values and their commitment to providing quality, affordable care.”
“We both agreed it was the right thing to do,” Postai said, commending Mercy leadership for their efforts to ensure those they had served so long would continue to receive care from those they knew and trusted. “They are doing whatever they can to make this transition seamless.”
“Everyone recognizes the closure of Mercy Hospital in Fort Scott is a tremendous loss to the community and the state,” Postai agreed, adding she was aware of the efforts the system took to prevent it.
“Healthcare has undergone tremendous change over the last decade and sustainability is becoming a challenge for rural hospitals everywhere.”
Southeast Kansas especially is vulnerable with a median income 25% below the state average, declining population and a much higher rate of chronic disease, Postai explained. “The traditional model of healthcare is disappearing and with it the hometown hospital.”
CHC/SEK – with 12 clinics in five counties – has worked to counter this erosion by stabilizing the medical, dental and behavioral health services in the region. “We provided services to more than 43,000 individuals last year regardless of their financial status,” said Postai, adding that the numbers continue to increase.
“Our purpose is to be where we are needed and ensure our care is high quality and affordable,” she said, adding that CHC/SEK was recognized in 2017 as a National Quality Leader and also achieved the highest level of certification as a Patient-Centered Medical Home.
“We appreciate that the Mercy System trusts us enough to ask us to continue the mission they undertook over a century ago in Fort Scott and, more recently, in Pleasanton and Arma,” Postai said, indicating they hope to retain the medical staff who have served these communities.
“We will be meeting with everyone as soon as we possibly can aware that each member of the Mercy staff will need to make some decisions quickly,” she said, with CHC/SEK staff prepared to devote as much time as necessary to talk with anyone interested in a position over the next 30 days.
CHC/SEK expects to employ about 60 to 70 of the Mercy staff impacted by this announcement.
CHC/SEK currently employs about 340 including about 100 medical, dental and behavioral health providers. The organization’s annual budget is more than $23 million; about 25% of that comes from federal and state funding with the balance from service care delivery.
“We expect to have all sites transitioned by February 1, 2019,” Postai said, explaining that the four clinics will be phased in over a 60-day period to minimize service disruption. Hours and days of clinic operations are expected to remain the same.
CHC/SEK will also continue to operate the pharmacy located within the hospital itself and patients should see a reduction in the cost of their prescriptions.
“We can bring some resources to the community and the clinics because – as a community health center – we are eligible for some special benefits,” Postai said. “We are able to buy drugs at the same price that the Veteran’s Administration pays meaning that we can ensure our patients – especially those on fixed incomes – will be able to afford their prescriptions.”
“Those covered by Medicare may qualify for a discount on their co-pay and, by regulation, their deductible is waived,” she said, adding “As the region’s only Medicare Benefits Enrollment Center, we can assist our older population in identifying all the resources for which they may be eligible.”
Postai added that many of CHC/SEK’s clinics also offer dental and behavioral health services.
“Once we get fully transitioned we will then begin identifying other needs and add resources as we can,” she said. “We really believe in an integrated model of care realizing that those with chronic disease often fight depression and good oral health can impact overall wellbeing.”
“It makes a lot of sense to create a one-stop approach and that’s something we can bring to the community,” said Postai, adding that many are unaware that CHC/SEK services are available to anyone. “We accept all private insurance, as well as Medicare and Medicaid, so our patients are representative of the community as a whole.”
“For those on reduced incomes – which include many of the elderly in the region – we do offer financial assistance.”
“Our mission is to ensure everyone has access to primary care so no one is turned away,” she said. “Our vision is ‘Healthcare The Way It Should Be’ which means person-focused, personalized and compassionate.”
Postai went on to express CHC/SEK’s appreciation for everything Mercy is doing to help make the transition as seamless as possible. “Without their support, this undertaking would have not been possible.”
“Much work lies ahead but we know everyone wants to preserve as many of the health resources as possible in these communities,” she said. “We are honored to be asked and we are committed to making it happen.”
About Community Health Center of Southeast Kansas
Community Health Center of Southeast Kansas (CHC/SEK) is a non-profit Federally Qualified Health Center dedicated to providing affordable, high quality medical, dental, behavioral health, pharmacy and outreach services to southeast Kansas and the region. For more information, visit www.chcsek.org.
Agenda
Bourbon County Commission Room
1st Floor, County Courthouse
210 S. National Avenue
Fort Scott, KS 66701
Regular meetings are Tuesdays starting at 9:00
Special meeting date: October 3, 2018 at 10 a.m.
1st District-Lynne Oharah Minutes: Approved: _______________
2nd District-Jeff Fischer Corrected: _______________
3rd District-Nick Ruhl Adjourned at: _______________
County Clerk-Kendell Mason
10:00 a.m.-Special Commissioners Meeting regarding Mercy Hospital.
Justifications for Executive Session:
Personnel matters of individual non-elected personnel
Consultation with an attorney for the body or agency which would be deemed privileged in the attorney-client relationship
Matters relating to employer-employee negotiations whether or not in consultation with the representative(s) of the body or agency
Confidential data relating to financial affairs or trade secrets of corporations, partnerships, trusts, and individual proprietorships
Preliminary discussions relating to the acquisition of real property
Matters relating to the security of a public body or agency, public building or facility or the information system of a public body or agency, if the discussion of such matters at an open meeting would jeopardize the security of such public body, agency, building, facility or information system
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Thursday October 4th
PHOTO EXHIBIT in the Lunt Lobby of the Fine Arts Center. The Merl Humphrey Photography-sponsored photo contest will be on display with the theme of “What Inspires Me.” Winners will be announced at the Chamber Coffee.
8:00 a.m. – 9:00 a.m. — Ft. Scott Chamber of Commerce Coffee at the Gordon Parks Museum.
10:00 a.m. – 12:00 p.m. —“Leadbelly” film in the Gordon Parks Museum. FREE.
Friday October 5th
8:00 a.m. – 3:00 p.m.: Registration open outside of the Museum.
9:05 a.m. – 9:50 a.m.: “Leadbelly and Irene: Heartbeat of the Musical Frontier” with Megan Felt. Megan Felt, Program Director at the Lowell Milken Center in Fort Scott, created this short documentary on Huddie Ledbetter when she was a student at Uniontown High School. FSCC Ellis Fine Arts Center/Gordon Parks Museum. FREE
10:05-11:30: “A Conversation with Roger Mosley.” The 2018 “Choice of Weapons Award” honoree, Mr. Mosley played Huddie Ledbetter in the Gordon Parks-directed film “Leadbelly” and starred in the popular television series, “Magnum P.I.” Discussion led by Karole Graham, Big Mabel in “The Learning Tree” and Laura May in “Leadbelly.” FSCC Ellis Fine Arts Center/Theatre. FREE
12:00 p.m. – 1:15 p.m.—Grab a sack lunch from the lobby ($8-purchase that day) and join us in the museum for PARKS POETRY OUT LOUD, sponsored by the Bourbon County Arts Council. Poetry Out Loud is a contest & reading of selected poems of Gordon Parks. ANYONE may enter. No preregistration –just show up! Prize money of $100 (First Place), $75 (Second Place), and $50 (Third Place). (The eight poems are on the gordonparkscenter.org website.) FSCC Ellis Fine Arts Center/Gordon Parks Museum. FREE
2:00 p.m. Guided Trolley Tour of Gordon Parks’ Fort Scott. Meet at the entrance of the FSCC Ellis Fine Arts Center. See the places in Fort Scott that are part of Gordon Parks’ history. Fee: $7.
5:00 p.m.—Meet and Greet at Sharkey’s Pub. Drop by and meet Roger Mosley and Karole Graham, “Big Mabel” in The Learning Tree.”
7:00 p.m.—Friday Night Concert in the Park featuring the music of blues guitarist Lem Sheppard, Heritage Park Pavilion at 1st and Main Street in downtown Fort Scott. Food Vendors will be open at 5:00 p.m.
Bring your lawn chair! FREE
Saturday, October 6th
9:00 a.m. to 3:00 p.m.: Registration open outside of the Museum.
9:00 a.m. – 11:30 a.m. – Kid’s Art Workshop–Art activities for kids age 5-12. FSCC Ellis Fine Arts Center/Meeting Rooms. Fee: $5-payable the day of the workshop.
9:00 a.m. to 11:30 a.m. – Dimensional Art Workshop-Museum $10 Participants will experience creating a one-of-a-kind piece of artwork using photography, pastels and/or watercolors. The finished work will be printed on 11 x 17 paper. Gordon Parks used this technique in his later years and created beautiful images by creating a background either with pastels, watercolor, etc. He then used a found object, lit the entire scene on two levels and took a photograph of it. FSCC Ellis Fine Arts Center/Gordon Parks Museum. Fee: $10-payable the day of the workshop.
12:00—1:30—Lunch on your own.
1:30 p.m. – 3:00 p.m. – “Gordon Parks, Jazz, and Photography,“ with John Mason, Associate Professor, Associate Chair, University of Virginia Department of History. Mason is working on “Gordon Parks and American Democracy,” a book about the ways in which Parks’ Life magazine photo-essays on poverty and the black liberation struggle and the books that he published during the civil rights era made him one of the era’s most significant interpreters of the black experience. FREE
3:00 p.m. – 4:15 p.m.—Guided Trolley Tour of Gordon Parks’ Fort Scott. Meet at the entrance of the FSCC Ellis Fine Arts Center. See the places in Fort Scott that are part of Gordon Parks’ history. Fee: $7. 7:00 p.m. – “Celebration Tribute Dinner.” Dinner and evening of tribute; presentation of the 2018 “Gordon Parks Choice of Weapons Award” to Roger E. Mosley and a Celebration 15th-year Anniversary retrospective. Liberty Theatre, 113 S. Main. All seats reserved. Fee: $30.00. (Reserve by Wed., Oct. 3)
Sunday, October 7th
10:00 a.m.—Breakfast at Nate’s Place. Enjoy breakfast at one of Fort Scott’s finest! Located on the corner of National & 8th Street, you’re sure to find something on the menu to please. Check it out at: lyonstwinmansions.com/nates-place-restaurant. (No ticket required-everyone pays for their own)

Medicare Annual Open Enrollment, What Should You Do?
Medicare Part D (prescription) annual open enrollment is around the corner.
This nationwide enrollment period runs from October 15 thru December 7.
In the state of Kansas, ten companies provide Medicare Part D totaling 26 different plans to choose from in 2019. Monthly premiums range from $16.20 to $99.50 a month. The deductible upper limit is $415 but ranges from $0-$415.
If you are a Medicare beneficiary enrolled in a Part D prescription plan, you may have already received your Annual Notice of Change for your plan in the mail. The notice will include information regarding any changes to your current plan such as monthly premium, deductible, and coverage of your medications. These notices may not include everything you need to know such as a change in medication formulary or change of in-network pharmacies. Carefully review them. If you do nothing, you will continue in your current plan.
Each year insurance companies providing Part D plans make adjustments regarding monthly premiums, deductibles, and coinsurance and copayments.
Often people are happy with their current plan and can afford the increases, but there may be an opportunity to save money. For many years, probably since 2006 when Part D plans started, Humana Walmart RX has been the lowest premium plan.
It is great for those who do not take any prescription medications but enrolled to have coverage and avoid a penalty in the future.
Two new plans are being offered in 2019 with even lower premiums than Humana. The difference is $90, something beneficiaries may not know if they don’t evaluate all the plans each year.
Having a plan comparison completed will let you know what to expect financially for the upcoming year and make sure your 4 C’s are covered.
The 4 C’s to review in coverage are:
The Southwind Extension District provides free, unbiased, confidential assistance by a Certified SHICK Counselor to help you compare all 26 plans, providing you an estimate of your prescription costs for the upcoming year.
Last year 50% of the beneficiaries I assisted who were new to Medicare or enrolled in a new plan saved over $440,000 dollars.
It is also an opportunity if you have questions about how Medicare works, advantage plans (Part C), or supplement insurance plans.
Those new to Medicare or have questions about Medicare coverage may call the Extension office to discuss Medicare any time during the year. I can also assist you in understanding how Medicare does or does not work with employer insurance or Marketplace health insurance plans.
Evaluation of income and resources are also available to determine eligibility financial assistance programs such as Extra Help and Medicare Savings Program.
For an appointment, call me at 620-223-3720 or email: [email protected]. In person appointments will be scheduled at our Extension offices located in Erie, Iola, Fort Scott, and Yates Center.
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Gov. Colyer proclaims National 4-H Week in Kansas, inspiring kids ‘to do’
The event concludes with 48 Hours of Community Service on Oct. 13-14
MANHATTAN, Kan. – Kansas Gov. Jeff Colyer signed a proclamation on Monday recognizing Oct. 7-13 as National 4-H Week in Kansas, clearing the way for a week-long celebration of America’s largest youth development organization.
4-H reaches nearly 75,000 young people across Kansas. Colyer’s proclamation notes that National 4-H Week “highlights the remarkable 4-H youth in Kansas who work each day to make a positive impact on those around them.”
The Kansas 4-H program is delivered through K-State Research and Extension and its network of local extension offices. Amy Sollock, the southwest area 4-H youth development specialist, notes that the organization empowers youth with skills to lead in their life and career.
“4-H was founded on the belief that when kids are empowered to pursue their passions and chart their own course, their unique skills grow and take shape, helping them to become true leaders in their lives, careers, and communities,” she said.
In addition to the youth members, there are nearly 11,000 people who volunteer their time to Kansas 4-H by creating the life experiences that “Inspire Kids to Do” for their communities, which is the theme for National 4-H Week.
“4-H Youth Development has been a part of Kansas communities since 1905,” said Wade Weber, the state program leader for Kansas 4-H. “Today more than ever, 4-H provides a unique opportunity for youth to discover their passions, build their skills, and grow confidence with the support of caring adults and dynamic partnerships with local and K-State based resources.
He adds: “4-H youth build essential life skills like problem-solving, teamwork, communication, and decision making that enable them to become tomorrow’s leaders by doing leadership today.”
National 4-H Week in Kansas wraps up Oct. 13-14 with the fifth annual 48 Hours of 4-H community service event taking place across the state. 4-Hers and volunteers plan community service events sometime during that weekend to symbolize the organization’s commitment to ‘doing.’
“Kansas 4-Hers are active in their community year-round, but 48 Hours of 4-H is an opportunity to highlight the 4-H members and volunteers who are ‘doing’ all across Kansas,” Sollock said. “In 4-H, kids roll up their sleeves and do with their hands. Their experiences grow the confidence they need for life and career. 4-Hers do with a purpose, lead by example and empower their peers to do the same.”
More information about 48 Hours of 4-H is available online. On social media, look for the hashtag, #484H.
For more information about National 4-H Week, visit 4-H.org. To join Kansas 4-H and the movement to Inspire Kids to Do, visit Kansas4-H.org.