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Elbert County public-health director reviews staffing, clinic and septic-permit proposals amid new state OWTS rules

5475818 · April 23, 2025
AI-Generated Content: All content on this page was generated by AI to highlight key points from the meeting. For complete details and context, we recommend watching the full video. so we can fix them.

Summary

Public health staff presented first-quarter updates covering clinic services, staffing changes, proposed septic-permit fee increases tied to new state Regulation 43 OWTS rules, mental-health outreach and upcoming public-facing septic-map service; commissioners asked for additional revenue modeling.

Elbert County Public Health Director Sarah McIntosh briefed the Board of County Commissioners during the work-study session on first-quarter staffing, clinic activity and proposed fee adjustments tied to forthcoming state on-site wastewater treatment system (OWTS) rule changes.

McIntosh said the department has completed several staffing changes: her office now contracts a medical officer, Dr. Marvin Couch (Fort Collins), and has two nurse practitioners on-site for clinic coverage. The department has also shifted its finance-and-grants manager to a contracted role and plans to use funds freed by that change to pay for a medical-billing or coding contractor to improve clinic revenue capture.

Clinic services reported include pediatric, adolescent, adult and senior care visits, well-care and sick visits, lab draws through LabCorp and Quest, respiratory fit testing for local businesses and drug tests primarily for county…

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