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enactment of recent legislation, some questions have arisen that <br />they want answered by the County Commission. <br />Commissioner Eggert noted that her recommendation is that we <br />go ahead as set out in her memo, work with the Hospital District <br />jointly and not have an independent indigent health care <br />district. Mr. Galanis has said he will be able to put a Primary <br />Care program together in about two weeks. <br />Mr. Galanis agreed he can put the program together, but <br />noted that it is the concept we need to decide on. He noted they <br />will be pursuing further funds through the grant process and have <br />a very high priority for this. He believed if we are in <br />operation with a plan, we will have an even higher priority. <br />Commissioner Eggert noted there was discussion re the loca- <br />tion of a main clinic or possibly individual clinics, etc., and <br />the suggestion is that we start out with a rental set up. <br />Chairman Scurlock noted that is why he felt it was important <br />not to move ahead too fast with the Health Building. <br />Commissioner Wheeler commented that he saw a figure showing <br />about $172 per visit to the Hospital emergency room, and his <br />understanding is that this will eliminate a lot of emergency room <br />calls. He asked what the projected savings might be by going <br />with the Primary Care project. <br />Mr. Galanis stated that they do not have any hard fast <br />figures, but a concept that will work in the sense that primary <br />care at a clinic is more cost effect. This already has been <br />proven with the nurse/mid-wife plan. <br />Chairman Scurlock inquired if Mr. Galanis felt the cost of <br />going to a primary care facility as opposed to the emergency room <br />might be something less than half, and he felt it easily could <br />be. <br />Commissioner Bird asked if the Health Building we planned <br />included this type of facility, and Mr. Galanis advised that the <br />initial phase did not include primary care. <br />73 BOOS <br />