Visiting clinician discusses public‑health options; agrees in principle to serve as EMS medical director

The board met with Brady, a visiting clinician, about how Treasure County will provide clinical public‑health services after the departure of the previous local physician. Brady and county health staff discussed standing orders, liability and billing, allergy‑injection patients, and options for telehealth or a rotating provider day in partnership with Rosebud Healthcare Center in Forsyth.

Brady described steps he has taken to update licensure and said he was "well down that path" for EMS medical‑director work and licensure changes with the state. He cautioned that continuing clinical services — particularly allergy injections that carry an anaphylaxis risk — raises liability and staffing issues and would require trained nurses, contingency plans and clarity on who carries malpractice/medical‑practice liability and billing responsibilities.

Commissioners and Brady discussed practical workarounds such as partnering with Rosebud Healthcare Center to host periodic clinic days, using vendors that run mobile health fairs, or relying on telehealth for some services. Brady suggested referring higher‑risk routine clinical services out while the county builds capacity and exploring a partnership so providers can access shared medical records and billing infrastructure.

On the record, commissioners thanked Brady for agreeing to serve as EMS medical director as an immediate short‑term solution while the county finalizes licensure documentation and claims for reimbursement. Brady asked for county contact and mailing details so claims and paperwork can be processed.

Next steps: staff and Brady will finalize license paperwork, discuss possible provider rotations with Rosebud Healthcare Center, and look into a health‑fair vendor to provide affordable screenings to the community.