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Dr. Garza: medical visits and MAT enrollments rise; Epic rollout and dashboard expected to improve reporting

St. Louis County · April 13, 2026

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Summary

Dr. Garza presented a quarterly medical-services data update showing increases in medical and psychiatric visits, an estimated eight transfers for care per month where transport data were missing, and an average of about 71 new MAT patients for December–February; staff said an Epic migration and a dashboard will fill current data gaps.

Dr. Garza (first referenced by other meeting participants as "Doctor Garza") presented the board with a quarterly update on medical services and said the team is working to improve data completeness and reporting.

Dr. Garza summarized the dataset changes and noted that where transport data were missing the team used an estimated eight transfers for care per month. The presentation listed total medical visits (excluding the daily medication pass), dental visits, shifts covered by behavioral-health staff and counts of unique patients seen by medical providers. On MAT (medication-assisted treatment), Dr. Garza reported an average of about 71 new MAT patients for December, January and February.

"We are fully staffed. We have 2 employees and the psychiatrist working right now," Dr. Garza said when asked about psychiatric visits, indicating increased access helped raise psych-visit counts.

Staff and board members agreed a move to the Epic electronic medical record should improve data capture. A health-department-affiliated speaker said the EPIC transition should make future reporting more reliable: "we should be on EPIC by that time," the speaker said in reference to upcoming improvements.

When asked to clarify "METPASS," a board member (Bosman) was told it refers to the daily medication pass in the facility and staff offered to provide METPASS data in future reports.

On infectious disease monitoring, a health-department-affiliated speaker said there were no internal measles cases at the jail and that the facility has a dedicated staff member focused on infectious-disease case management for conditions such as HIV and hepatitis C. The same speaker flagged statewide coordination ahead of the World Cup as a reason public-health teams were monitoring for potential increases in infectious disease locally.

Board members and staff agreed to continue refining the dataset and to pursue a live dashboard for future meetings once missing-source data are resolved.