Apr 05, 2021 Community Services Committee

[00:00:06]

. I'D LIKE TO CALL THE MEETING OF THE COMMUNITY SERVICES PUBLIC SAFETY COMMITTEE TO ORDER ON THIS MONDAY APRIL 5TH AT 240 FORTY P.M. WOULD YOU ALL RISE AND JOIN ME IN THE PLEDGE OF ALLEGIANCE? PLEDGE ALLEGIANCE TO THE FLAG

[1. CALL TO ORDER]

THIS MEETING HAS BEEN PUBLIC NOTIFICATION OF THIS MEAT HAS BEEN PUBLISHED, POSTED AND DISTRIBUTED IN COMPLIANCE WITH THE FREEDOM OF INFORMATION ACT. I TAKE IT.

[4. APPROVAL OF AGENDA]

THANK YOU VERY MUCH, MR. DAWSON. ANY DISCUSSION? HEARING NONE. I WOULD LIKE TO MOVE THIS ALONG WITHOUT EXCEPTION.

[5. APPROVAL OF MINUTES- March 1, 2021]

I WOULD LIKE A MOTION TO APPROVE THE MINUTES FROM THE MARCH 1ST MEETING SO MOVED.

>> THANK YOU, MR. CHAIRMAN AND YOUR SECOND SECOND. >> THANK YOU VERY MUCH.

ANY DISCUSSION DURING NOTE? I WOULD LIKE TO APPROVE THIS WITHOUT EXCEPTION.

ARE THERE ANY EXCEPTIONS? OKAY. WE HAVE A UH.

WE HAVE SOME AGENDA ITEMS. NUMBER SIX SEVEN EIGHT NINE TEN ELEVEN.

[6. A PRESENTATION BY BEAUFORT JASPER HAMPTON COMPREHENSIVE HEALTH SERVICES, INC CONCERNING ORGANIZATIONAL COVID-19 UPDATE & VACCINATION EFFORTS, SUPPLEMENTAL FUNDING FOR FY2021, AND ADDITIONAL FUNDING REQUEST FOR FY2022.]

MR. ATKINSON. WOULD YOU PLEASE HANDLE THE INTRODUCTION FOR THAT THIS HOUR? I'LL BE HAPPY. SO PRESENTING TODAY IS MR. ROLAND GARDNER AND I BELIEVE DR. TERRY IS ON. ROLAND, ARE YOU HERE? YES. I LIKE YOU. ALL RIGHT.

APPLAUSE ALL RIGHT. THANK YOU, MISS. YOU'RE MY MAN.

THANK YOU, MR. CAMPBELL FOR YOUR SUPPORT. AND I LIKE THE FACT THAT COUNTS FOR GIVING US TO MAKE THIS PRESENTATION. WHAT WE WANTED TO DO TODAY IS JUST BRING YOU UP TO DATE IS WHAT HAS OCCURRED JUST FOR PAST 14 MONTHS WITH THE IMPACT AND BEGINNING OF A CUPBOARD 19 PROGRAM THAT WE HAVE PUT IN PLACE AND ALSO WHAT HAS HAPPENED IN THE COUNTY. HOW WE'RE GOING TO DR FAY POLK WHO IS OUR CHIEF CLINICAL OFFICER AND I'LL STOP THE CLOCK TO MAKE THE PRESENTATION OF BRINGING SOME WHO ARE NEW TO OUR COMPANY AND THE PRESENTATION POCKET. GIVE ME A QUICK SUMMARY AND THEN I'LL COME IN AFTER THAT AND HOPEFULLY JUST BRING YOU THE FINAL UPDATE.

OK, GOOD AFTERNOON EVERYONE. I'M GONNA SHARE MY SCREEN. YOU CAN SEE OUR PRESENTATION MIKE. ALL RIGHT. MICHAEL SO SO VIEW FOR JASPER

HAMMOND AND JUST A QUICK OVERVIEW FOR OKAY. >> QUICK OVERVIEW FOR PEOPLE WHO DON'T KNOW A WHOLE LOT ABOUT US BUT WE ARE A FAIRLY QUALIFIED COMMUNITY HEALTH

CENTER. >> WE HAVE BEEN IN COUNTY FOR OVER 50 YEARS.

LAST YEAR WAS OUR 15TH YEAR OF OPERATION. AND WE HAVE BEEN SERVING THE COUNTY SINCE THEN. WE ARE LOCATED IN THE THREE COUNTIES FOR JASPER AND HAMPTON COUNTIES. WE HAVE NINE CENTER LOCATIONS AND THEN 10 SCHOOL BASED HEALTH CENTER LOCATIONS. WE NOW HAVE THREE MOBILE UNITS. ONE INCLUDES A DENTAL UNIT WHICH IS THE RONALD MCDONALD UNIT. WE ALSO HAVE A SCHOOL BASED HEALTH CENTER UNIT AND THEN A NEW ONE THAT PROVIDES MEDICAL AND COUNSELING SERVICES.

WE PROVIDE SERVICES FROM BIRTH UNTIL. SO ADULT PEDES OVERDUE IRON AND DENTAL SERVICES AND THEN OTHER SUPPORTING SERVICES SUCH AS RADIOLOGY INCLUDING MAMMOGRAMS ,ULTRASOUNDS. WE HAVE FIVE PHARMACIES ACROSS THE THREE COUNTIES ALSO NUTRITION, BEHAVIORAL HEALTH AND SUBSTANCE ABUSE AS WELL AS MIGRANT FARM WORKER HEALTH PROGRAMS AND A WEEK PROGRAM. OUR TOTAL OPERATIONAL COST TO PROVIDE MEDICAL SERVICES IS ABOUT 22 MILLION DOLLARS. WE SERVE OVER 17000 PATIENTS AND ALMOST 100000 ANNUAL PATIENT VISITS AND HAVE A STAFF OF SEVEN 270 EMPLOYEES. HERE ARE OUR LOCATIONS IN BEAUFORT COUNTY. MOST ARE FAMILIAR WITH RUTH P. FIELD MEDICAL CENTERS AND PEOPLE CALL IT CHECHESSEE CLINIC AS OUT IN OKATIE BUT WE ALSO HAVE PORT ROYAL MEDICAL

[00:05:05]

THE ALIJA WASHINGTON MEDICAL CENTER IS IN SHELDON AND THEN THE SUPPORTIVE SERVICES AND SAME DAY CLINIC IS RIGHT NEXT DOOR TO OUR PORT ROYAL LOCATION.

WE HAVE ADDITIONAL SERVICES THAT WE PROVIDED BEFORE COUNTY SO DEEPAK HAS DESIGNATED THIS AS ONE OF THE REGIONAL MEDICAL PROVIDERS FOR RYAN WHITE WHICH IS FOR PEOPLE LIVING WITH HIV AND THEN ALSO THE HOUSING PROGRAM AND WE CARE FOR MORE THAN TWO HUNDRED AND NINETY PEOPLE LIVING WITH HIV. WE ALSO RECEIVED SOME FUNDING FOR ENDING THE HIV EPIDEMIC WHICH ARE THE PREVENTION EFFORTS TO PROVIDE PREP. SOME PEOPLE MAY HAVE HEARD ABOUT PREP IT'S THE PREFIX CLOSURE PROPHYLAXIS WHERE PEOPLE TAKE A MEDICATION IF THEY'RE HIGH RISK AND IT ACTUALLY PREVENTS HIV ALMOST 100 PERCENT OF THE TIME IF

THEIR PARTNER IS VIRALLY SUPPRESSED. >> THIS JUST TELLS YOU KIND OF A BREAKDOWN OF OUR POPULATION THAT WE SERVE BY AGE.

THE MAJORITY ARE ADULTS BUT WE HAVE A SIGNIFICANT POPULATION OF CHILDREN THAT WE SERVE AND THE ELDERLY OVER THE AGE OF 65. AND THEN BY COUNTY 68 PERCENT OF THE PEOPLE WE SERVE LIVE IN BEAUFORT COUNTY. SO IT I'LL GO BACK TO THE SLIDE AND COUNTY WE SERVE OVER 11000 PATIENTS THERE. SO OUT OF THOSE 11000, THIS IS WHAT THE INSURANCE TYPE LOOKS LIKE. WE TAKE EVERY INSURANCE SO SOME PEOPLE MISTAKENLY THINK THAT WE ARE A FREE CLINIC. WE ARE NOT WE ARE BOUND BY THE GOVERNMENT TO PROVIDE SERVICES BUT ALSO TO COLLECT FUNDING FOR THE SERVICES TO HOW WE DO RECEIVE FUNDING TO TAKE CARE OF PEOPLE WHO DON'T HAVE INSURANCE AND 35 PERCENT OF OUR PATIENTS DO NOT HAVE ANY TYPE OF INSURANCE. SO WE HAVE A SLIDING SCALE FEE THAT TAKES CARE OF THOSE PATIENTS. WE ARE ABOUT 31 PERCENT MEDICAID IN BEAUFORT COUNTY THAT MOSTLY ENCOMPASSES OUR CHILDREN BECAUSE BOTH THAT ARE OKATIE LOCATION ALSO PUT RURAL LOCATION. WE SEE CHILDREN AND THEN I SAW ALSO WOMEN WHO ARE PREGNANT.

SO THAT'S WHERE MOST OF OUR MEDICAID POPULATION COMES FROM .

WE DO ABOUT TWENTY THREE PERCENT PRIVATE INSURANCE. SO WE TAKE ANY TYPE OF INSURANCE. AND THEN ABOUT 9 PERCENT MEDICARE WHICH ALSO INCLUDES MEDICARE HMO IS THESE ARE THE VISITS BY AN INTERVIEW FOR A COUNTY.

MOST OF OUR VISITS ARE MEDICAL VISITS BUT WE ALSO HAVE LIKE SAID DENTAL LOCATIONS.

SO BOTH AT OUR ST. HELENA LOCATION AND ACTUALLY ALL THREE ST. HELENA.

SHELDON AND OUR OKATIE LOCATION IN CHELSEA ARE DENTAL PROVIDERS.

SO WE PROVIDE DENTAL VISITS THERE, OK? SO THAT'S OUR BACKGROUND.

SO WHAT'S HAPPENED THIS PAST YEAR AS WE ALL KNOW COVID CAME IN A REALLY A LOT MORE I GUESS

MORE OF A SURPRISE THAN A LOT OF US THOUGHT. >> YOU KNOW, MANY IN THE MEDICAL COMMUNITY AS A PHYSICIAN I THOUGHT OK, IT'S GONNA BE SOMETHING LIKE WHAT HAPPENED WITH EBOLA. WE'LL ALL GET READY AND THEN YOU KNOW, IT'LL PASS BY.

WELL, WE ALL KNOW THAT THAT WAS NOT THE CASE MARCH 6. WE HAD OUR ALL STAFF MEETING AT THE TECHNICAL COLLEGE AS A LOW COUNTRY AND I REMEMBER GIVING A PRESENTATION OF IT AT THAT TIME AND LOOKING AROUND AND SAYING WOW, THIS MIGHT BE OUR LAST TIME TOGETHER IN THIS VENUE.

AND IT WAS WE HAD A SUNDAY SCHOOL SENIOR STAFF MEETING THAT SUNDAY AND CAME UP REALLY WITH OUR OUR COVID PLAN MOVING FORWARD ON THE NIGHT OF MARCH WE STARTED SCREENING PEOPLE AT OUR FRONT DOORS AND THAT HAS EVOLVED INTO MORE THAN JUST SCREENING.

WE ACTUALLY HIRED NEW TYPES STAFF MEMBERS CALLED GREETERS WHO GREET EVERY PERSON, DO THEIR TEMPERATURE, DO A SCREENING. LIKE MANY OF THE MEDICAL OFFICES AROUND THE COUNTY, SOME OF THAT WE WERE DOING OUTSIDE AND SOME WE WOULD DO INSIDE BUT WE JUST REALLY HAD TO CHANGE OUR MODEL OF CARE A STATE OF EMERGENCY WAS DECLARED ON THE 13TH AND THEN SCHOOLS CLOSED ON MARCH 16TH. WE KNOW THAT THE GOVERNOR SAID NO MORE THAN THREE PEOPLE HAVING SAID, YOU KNOW, THIS IS THE PROGRESSION OF WHAT HAPPENED WITH COVID . AND THEN THERE WAS THE HOME OR WORK ORDER.

IT BECAME VERY APPARENT TO US THAT IT WAS GONNA BE DIFFICULT TO MAINTAIN OPERATIONS AT NINE DIFFERENT LOCATIONS IN THREE COUNTIES CONSIDERING THAT WE HAD TO SEND MORE THAN HALF OF OUR STAFF HOME AND ALSO THAT THE STAFF WHO WERE LEFT THERE NEEDED TO BE ABLE TO SOCIALLY DISTANCE. SO WE MADE THE DIFFICULT DECISION TO CONSOLIDATE OUR SITES. SO OUR CHELSEA LOCATION WE CONSOLIDATED WITH OUR HARDY BILL AND RICHLAND SITES SO THEY ALL CAME THE STAFF PATIENTS EVERYBODY CAME TO CHELSEA PORT ROYAL. WE HAD OUR SHELDON IN ST. HELENA.

[00:10:02]

BUT WE WERE NOT WE HAD A LITTLE BIT OF TELEHEALTH IN OUR SCHOOLS.

SO AT THOSE 10 SCHOOL BASED LOCATIONS IF SOMEBODY WAS AT ONE SITE WE COULD PROVIDE CARE TO A STUDENT AT ANOTHER SCHOOL. BUT THIS WAS THE FIRST TIME WHERE ALL OF OUR PROVIDERS WERE EITHER ON SITE OR AT HOME OR THEY WERE THE PATIENT WAS ON SITE OR AT HOME.

WE DID THAT FIRST VISIT. WE TOLD OUR CHIEF TECHNOLOGY OFFICER TO TURN IT ON AND TWO DAYS LATER ANOTHER PROVIDER WAS WAS TRAINED AND THEN BY TWO WEEKS ALL OF OUR PROVIDERS HAD BEEN TRAINED ON TELEHEALTH AND REALLY PROVIDE AN OPPORTUNITY FOR US TO DELIVER A SERVICE TO PATIENTS THAT WE HADN'T BEFORE. AND I'LL KIND OF SHOW YOU HOW THIS IMPACTED US.

SO THIS WAS LAST YEAR. SO THIS WAS 20 20 UNTIL APRIL 1ST OF THIS YEAR.

NOTICE OUR OFFICE VISITS WERE ABOUT THIRTY TWO THOUSAND VISITS.

BUT LOOK AT THE TELEPHONE VISITS. SO THAT'S FOR PEOPLE WHO DID NOT HAVE VIDEO. SO WE COULDN'T CONNECT WITH THEM THROUGH A VIDEO CONFERENCE . SO WE DID 3000 OF THOSE. AND THEN OUR VIDEO VISITS WHICH WAS THE TELEHEALTH VISITS OVER 5000 OF THOSE CONTRAST THAT TO THE YEAR BEFORE.

SO TWO THOUSAND NINETEEN WHERE WE DID REALLY THOSE VIDEO VISITS WERE TEST PATIENTS BECAUSE WE'D GOTTEN A NEW EMR SYSTEM. SO WE REALLY DIDN'T HAVE ANY VIDEO AT THAT POINT. AND THEN OUR OFFICE VISITS WERE UP TO FIFTY FIVE THOUSAND.

SO YOU KNOW, GOING BACK JUST LOOKING AT THAT CONTRAST TO WHAT LAST YEAR THE YEAR BEFORE WAS. SO WHAT HAPPENED DURING THIS YEAR WE LUCKILY INVESTED IN ZOO AND ALL OF OUR SITES ACTUALLY AS A WAY TO CONNECT OUR RYAN PROGRAM TO THE DIFFERENT SITES.

OUR CASE MANAGER IS ALSO PROVIDING INFORMATION FOR OUR STAFF.

SO WE HAD THE FORTUNE TO HAVE A WAY TO CONNECT WITH ALL OF OUR SITES AND THAT WAS A LIFESAVER . OTHERWISE ACROSS THESE COUNTIES WE WOULD NOT BEEN ABLE TO GET THE INFORMATION OUT TO OUR EMPLOYEES LIKE WE NEEDED TO. WE DID MASS TESTING.

THE HOSPITAL ACTUALLY PROVIDED US WITH HELP WITH THAT COMMUNITY TEST DRIVE THROUGH WHICH I'LL SHOW YOU SOME INFORMATION ON THAT STARTED TRIAGING PATIENTS SCREENING OUTSIDE WE WERE EXAMINING PATIENTS OUTSIDE IF IF WE THOUGHT SOMEBODY HAD CODED WE ACTUALLY STILL DO THAT TODAY. SO PEOPLE CAN CALL IN WILL COME OUT AND ACTUALLY DO A TELEHEALTH VISIT FROM THE PARKING LOT IF THEY ARE AT HIGH RISK.

OUR PHARMACIES ALL CONVERTED TO DRIVE UP PHARMACIES AND THEN THE DRIVE VISITS AND TELEHEALTH. WE ALSO HAD SOME GREAT DONATIONS FOR K AND NINETY FIVE AND IN NINETY FIVE MASS BECAUSE THAT WAS NOT SOMETHING THAT WE HAD ON SITE.

I THINK WE HAD ONE BOX OF 50 AND WE KNOW THAT WE NEEDED THAT TYPE OF PROTECTION FOR EMPLOYEES. WE WERE IMPACTED BY THE TORNADOES IN HAMPTON COUNTY AND IMPACTED OUR STAFF OUR SITES OUT THERE. WE HAVE MEDICAL STUDENTS FROM A.T. STILL UNIVERSITY WHO ARE DIESEL MEDICAL STUDENTS WHO SPEND THEIR SECOND, THIRD AND FOURTH YEAR MEDICAL SCHOOL HERE. THEIR ROTATIONS ARE COMPLETELY STOPPED DURING THAT TIME. THEY'VE SINCE STARTED BACK UP AND YOU GUYS MAY HAVE SEEN SOME OF THEM AROUND THE COUNTY BUT FORTUNATELY THEY STARTED BACK UP.

WE DID. SO WE DO A MIGRANT FARM WORKER NIGHT CLINIC EVERY YEAR FROM LATE MAY TO JULY DURING THE PICKING SEASON. WE START AT 6:00 P.M. AND GO UNTIL SOMETIMES TILL MIDNIGHT. WELL, IT MADE IT DIFFICULT TO TRY TO DO THAT ANYMORE.

SO WE ACTUALLY SET UP TENTS OUTSIDE. WE WERE TRIAGING OUTSIDE AND TREATING PEOPLE OUTSIDE OUR OTHER SERVICES WORK, NUTRITION, RYAN WHITE BEHAVIOR, HEALTH ALL WENT VIRTUAL. BUT RADIOLOGY CONTINUED. WE STILL WERE DOING MAMMOGRAMS. WE'RE STILL WE'RE DOING X AND ULTRASOUNDS. SO MAKE IT TO THE TESTING EVENTS REAL QUICK. SO THESE ARE THE TESTING EVENTS THAT WE HAD.

YOU'LL NOTE THE SHELDON ST. HELENA AND THEN CHELSEA LOCATIONS.

WE TESTED OVER TWO THOUSAND PEOPLE THIS LAST SUMMER AND YOU CAN SEE THE PERCENT POSITIVITY AS THE SUMMER WORE ON. BY JULY IT WAS UP TO A HIGH LEVEL AT THAT I BELIEVE IT WAS AT OUR RICHLAND EVENT WE HAD SOME OF THE HIGHEST PERCENT POSITIVITY RATES ESPECIALLY IN OUR HISPANIC AND LATINO POPULATION THAT WE DIDN'T SEE EARLY ON.

[00:15:03]

EMERGENCY MANAGEMENT HELPED US WITH PPE. SHERIFF JUST SHARES DEPARTMENT HELPED US WITH TRAFFIC CONTROL. EVEN THE LIBRARIAN COME OUT DURING THE EVENTS AND HELPED US WITH COORDINATE CARE BECAUSE IT'S HELENA WE HAD TO GO THROUGH THROUGH THAT LIBRARY PARKING LOT. THIS IS A BREAKDOWN OF THE TESTING TOTAL.

THE MAJORITY OF OUR TESTING WAS DONE IN BEAUFORT COUNTY WITH SOME IN JASPER AND HAMPTON COUNTIES AND THEN THIS IS THE BREAKDOWN BY RACE AND THEN ETHNICITY.

SIXTY THREE PERCENT OF THE PEOPLE THAT WE TESTED WERE AFRICAN-AMERICAN AT THE TIME 29 PERCENT WERE WHITE ALTHOUGH IN THE TOTAL FOR Y INCLUDED A LOT OF OUR HISPANIC AND LATINO WHO MARKED THAT AS THE RACE. SO ABOUT 18 PERCENT WERE HISPANIC OR LATINO AND THEN THE LAST THING WILL COME TO THE VACCINES WE GOT VACCINE AT THE END OF JANUARY AND INITIALLY YOU GOT ONE HUNDRED OR TWO HUNDRED DOSES PER SITE, YOU KNOW, NOT A WHOLE LOT.

WE HAVE BEEN VERY INTENTIONAL ABOUT OUTREACH WITH OUR VACCINES.

WE HAVE BEEN IN COORDINATION WITH DEAC THIS WHOLE TIME ON SUPPLY AND ALSO EVENTS.

WE'VE HAD SOME PARTNERSHIPS THAT HAVE HELPED US BE TARGETED IN OUR APPROACH TO MAKE SURE THAT VULNERABLE COMMUNITIES ARE GETTING THE VACCINE INCLUDING OUR PATIENTS BECAUSE MOST OF OUR PATIENTS FALL BELOW THE POVERTY LEVEL OR AT LEAST 200 PERCENT OF THE POVERTY LEVEL.

SO WE WANTED TO MAKE SURE THAT WE GOT THOSE THOSE FOLKS WE'RE TARGETING BUT ALSO OTHER MEMBERS OF THE COMMUNITY THAT COULDN'T SIGN UP THROUGH THE HOSPITAL THROUGH THE VAM SYSTEM TRYING TO SIGN UP ONLINE PEOPLE WHO DIDN'T HAVE INTERNET ACCESS.

SO WE PARTNERED WITH THE B FOR MINISTERIAL ALLIANCE MOUNT CARMEL BAPTIST CHURCH, SOME OF THE FEEDING PROGRAMS ON ST. HELENA. SOME OF THE HOMELESS ORGANIZATIONS TO REALLY TRY TO REACH THESE GROUPS AND THIS IS ONGOING.

IT HAS TAKEN A WHILE I KNOW A LOT OF PEOPLE REALLY JUMPED OUT THERE IN THE BEGINNING BUT IT'S TAKEN A LITTLE WHILE FOR SOME OF THOSE COMMUNITIES TO TRUST. AND FOR US TO BUILD THAT TRUST WITH THE COMMUNITIES. SO SO FAR AS OF APRIL 1ST WE DID FIVE THOUSAND DOSES OF THE MADONNA. WE DO HAVE A SMALL AMOUNT OF JOHNSON AND JOHNSON WHICH WE USE FOR OUR FARM WORKERS BECAUSE WE KNEW THAT THEY'RE KIND OF A TRANSIENT POPULATION AND BE DIFFICULT TO GET TWO DOSES OF MADONNA THERE. THIS IS WHAT IT LOOKS LIKE.

THE MAJORITY OF OUR IMMUNIZED MISSIONS VERSUS SECOND DOSES HAVE GONE TO BEAUFORT COUNTY ALTHOUGH WE'VE HAD SOME JASPER IN HAMPTON COUNTY. IF WE LOOK AT DISTINCT PATIENTS BY COUNTY. SIXTY ONE PERCENT OVER TWO THOUSAND PEOPLE HAVE RECEIVED VACCINES FOR COUNTY FROM US. AND THEN IF WE LOOK AT THE RACIAL BREAKDOWN, 74 PERCENT OF THOSE VACCINATED BY US WERE AFRICAN-AMERICAN. AND THEN FOR HISPANIC AND LATINO I'LL SHOW YOU ACTUALLY IS A SMALL NUMBER ONLY 7 PERCENT.

THAT'S AN AREA THAT WE'RE GOING TO FOCUS ON BECAUSE IT'S AN AREA THAT IS IS NOT BEING SERVED FOR WHATEVER REASON. RATHER IT'S BECAUSE OF PEOPLE UNSURE OF THE VACCINE.

RATHER, YOU KNOW, WE HAVEN'T COMMUNICATED WELL ENOUGH IN SPANISH SO THAT PEOPLE KNOW WHERE TO GO, KNOW HOW TO GET THE VACCINE. BUT WE'RE DEFINITELY WORKING ON THAT NOW. AND THEN JUST THE LAST SLIDE IS JUST KIND OF THE YEAR AHEAD.

WE WE ALTHOUGH WE SAW A LOT OF PATIENTS BY TELEHEALTH THERE ARE ABOUT 5000 PATIENTS WHO EITHER DIDN'T COME IN OR GOT CARE SOME OTHER WAY. SO WE REALLY ARE WORKING ON RECOVERY THOSE PATIENTS AND REALLY DOING OUTREACH TO GET THEM BACK IN TO MAKE SURE WE SERVE THEM. THIS YEAR WE'RE GOING TO BE DOING MORE COMMUNITY OUTREACH WITH OUR MOBILE UNIT AND THEN EXPANDING OUR VACCINE SITES. ST. HELENA IS GOING TO BECOME A MORE PERMANENT SITE INSTEAD OF KIND OF A SPECIAL EVENT SITE SHELDON LOCATIONS ALREADY DOING IT. AND THEN OUR PORTRAYALS SAME DAY AND ALSO CHELSEA LOCATIONS ARE DOING VACCINES NOW. SO WE'RE GOING TO EXPAND OUR TELEHEALTH AND DO MORE REMOTE PATIENT MONITORING WITH THE PANDEMIC SHOWED US IS THAT YES, WE COULD DO TELEHEALTH BUT THEN WE DIDN'T HAVE A WAY TO KNOW WHAT WAS GOING ON WITH THE PATIENTS.

SO WAS THERE BLOOD PRESSURE? WAS THERE PULSE WITH THEIR BLOOD SUGAR DOING SO DOING WHAT'S CALLED REMOTE PATIENT MONITORING, GIVING PEOPLE DEVICES IN THEIR HOMES WILL HELP US BE ABLE TO MONITOR THAT BETTER AND THEN WE'LL CONTINUE WITH DIABETES CASE MANAGEMENT THERE. I'M GOING TO STOP IF THEY KNOW SOME REMOTE MONITORING.

DO THEY TAKE THEIR OWN READINGS AND THEN TELL YOU OR DO YOU HAVE DEVICES SET UP AT HOME?

[00:20:03]

THAT WAS THAT WAS A VERY COMPREHENSIVE OVERVIEW. THANK YOU VERY MUCH FOR ALL THE WORK THATOU'RE DOING. I KNOW THAT YOU WILL BE OR SOMEONE WILL BE COMING.

FROM THE HEALTH SERVICES TO THE NEXT FINANCE MEETING TO TALK ABOUT SUPPLEMENTAL FUNDING AND PERHAPS THE FUNDING REQUEST FOR 2022 AND THEN YOU ALSO HAVE A SCHEDULED BRIEFING FOR US AT THE FULL COUNCIL I BELIEVE ON MAY 24TH. SO WE'LL LOOK FORWARD TO THAT.

DOES ANYONE HAVE ANY QUESTIONS OR COMMENTS OR OBSERVATIONS AT THE MOMENT AFTER THAT THE

EXCELLENT BRIEFING. >> MR. CHAIRMAN, THIS IS YOUR CAR.

I JUST WANT TO THANK MR. GARNER AND DR. POLK FOR THE EXCELLENT COMPREHENSIVE PRESENTATION IN WHICH BASICALLY SHOW HOW MUCH OF AN IMPACT THEY ARE IN CERTAIN COMMUNITY WHICH IS VITAL TO THIS TO OUR OVERALL COMMUNITY. SO JUST WANT TO SAY THANK YOU, MR. GARDNER AND TO PAUL K. FOR YOUR EFFORT AT THE JAZZ FOR HAMPTON CONFERENCE OF ALL.

THANK YOU. >> AND I'D BE VIOLENCE IN THE BAHAMAS NOR ONE WARNER BROTHERS TO THEM LOGISTICAL PRESENCE IS OUR CHIEF OPERATIONS OFFICER. SO SHE IS JOHN RIBAUT.

IT'S HER TEAM THAT ANNOY A LOT OF OUTREACH THOSE THINGS UP. SO YOU KNOW, DON POKEY HAS BEEN THE PERSON ON THE REAL ESTATE THIS MORNING AND NOW THE STAFF'S BEEN OUT SO WELL AND THANK CHARLES. EXEC KEEPS KEEP ME GOING THIS KEEP ME UP TO DATE ON EVERYTHING THINGS BACK TO YOU GUYS. AND WE OBVIOUSLY WE'LL WE'LL SEE A COUPLE OF WEEKS OR A MONTH OR SO I THINK WITHOUT PRESENTATION.

WE WILL CONTINUE TO WORK WITH WHATEVER COMES UP WITH THE STATE OR THE FEDERAL GOVERNMENT AND KEEP YOU POSTED ON WHAT'S HAPPENING OUTSIDE. JASPER.

OK, WELL THANK YOU VERY MUCH AND YOUR WORK. THANK YOU VERY MUCH FOR MAKING THE SUGGESTION THAT WE HAVE THIS BRIEFING AND FOR ASSISTING US IN ARRANGING IT.

THANKS VERY MUCH. I APPRECIATE THAT. OK.

IN THE ABSENCE OF ANY FURTHER COMMENTS, OBSERVATIONS OR QUESTIONS I WOULD LIKE TO MOVE ON TO ITEM NUMBER SEVEN. THANK YOU. A E S DEPARTMENTAL UPDATE FOR CALENDAR YEAR 2020. COLONEL FOOTE, WILL YOU BE PRODUCING AIR FORCE? YES, SIR. GOOD AFTERNOON AND THANK YOU. CHAIRMAN MCKELLEN FOR ALLOWING US TO PROVIDE THESE UPDATES OF EACH OF THE DEPARTMENTS AND THE PUBLIC SAFETY DIVISION.

SIMILAR TO WHAT PRICE DID. AND LAST MONTH'S MEETING. TODAY WE HAVE THE HMS EMERGENCY MEDICAL SERVICES UPDATE AND DONNA OWMBY, THE DIRECTOR WILL BE PRESENTING THAT FORCE TODAY . WE HAVE A SHORT VIDEO. WE'D LIKE TO SHOW WHAT A LOT OF THE FUNDING GETS USED TOWARDS. A LOT OF THE EQUIPMENT THAT WE HAVE THAT PROVIDES THE EXCELLENT SERVICE THAT WE PROVIDE TO ALL THE CITIZENS OUT THERE AND BE FOR COUNTY AND TO ALL OUR VISITORS THAT COME HERE.

SO WE'D LIKE TO SHOW THE THE VIDEO CLIP. IT'S ABOUT 10 MINUTES SHOWS A LOT OF THE EQUIPMENT THAT WE USE. AND THEN DIRECTOR OMB WILL BE COMING ON AND FINISHING UP WITH A FEW STATISTICS AND ANY QUESTIONS AND ANSWERS YOU MIGHT HAVE. THANK YOU.

IS NO BOY, I'M NOT HEARING ANYTHING. HANG ON.

SORRY BRENNAN'S PLAYING IT AND I'M TRYING TO FIND THE SETTING TO SEE WHAT COULD BE WRONG WITH

IT. >> I'M GOING TO TRY FOR MINE. I'LL SHARE IT RIGHT NOW.

[00:25:40]

BODY IS NOT COMING THROUGH BUT IT'S OPEN ARE AND IF YOU WANT TO CONTINUE WITH THE AGENDA THEN WE CAN COME BACK THIS I'M GOING TO HAND IT BACK TO YOU, PHIL, AND ASK YOU WHAT YOU'D LIKE TO DO. DO YOU WANT ME TO GO TO ITEM NUMBER EIGHT AND THEN SCHEDULE YOU AFTER ITEM 11 SO YOU CAN GET THIS ORGANIZED IF YOU DON'T MIND, SIR? THAT'S FINE. WORK ON THE TECHNOLOGY. YEAH, LISTEN, I KNOW LISTEN,

[8. A DISCUSSION TO PROVIDE AN UPDATE ON DSN EARLY INTERVENTION PROGRAM ACTIVITIES.]

MR ATKINSON IS THAT YOU ARE MAKING THIS PRESENTATION TODAY WILL BE OUR DSM DIRECTOR MR. BILL LOVE AND OUR YES AND HUMAN SERVICES MANAGER REESE SCOGGINS.

SO DILATORY IF YOU'RE HERE YOU HAVE THE FLOOR. YES, GOOD AFTERNOON.

DO YOU HEAR ME? >> AND I'D LIKE TO WELCOME YOU, BILL.

NICE TO SEE YOU AGAIN. THANK YOU VERY MUCH. SEE YOU GUYS AS WELL.

YOU KNOW, I WAS LISTENING TO THE FIRST PART OF THE DISCUSSION HERE.

YOU GUYS ARE IMPRESSIVE. A LOT OF HARD WORK. IT WAS NICE TO SEE ADULTS DISAGREE BUT GET THINGS DONE AND END IN MATERIAL WAYS. SO THANK YOU VERY MUCH.

BEFORE BEFORE I TALK TO YOU ABOUT OUR EAI PROGRAM, I WANT TO TELL YOU THAT TODAY IS THE FIRST DAY THAT WE OPEN OUR DSM PROGRAM FOR THE COMMUNITY. WE'VE HAD ABOUT 18 INDIVIDUALS FROM THE COMMUNITY COME INTO COME INTO THE DAY PROGRAM. ALL OF THEM HAVE BEEN TESTED.

WE ARE IN REGULAR CONTACT WITH FAMILY MEMBERS ABOUT B BEING TESTED AND THAT MAKE SURE THEY GET BACK TO YOU BEFORE THEY COME ALL OF OUR HOMES. WE HAVE ELEVEN HOMES AS YOU KNOW OF ALL THE CONSUMERS IN OUR HOME EXCEPT FOR TO HAVE BEEN TESTED AND WERE AFRAID THEY HAD THEIR FIRST VACCINATION. AND BY THE END OF BY THE END OF THE MONTH WE'RE HOPING TO HAVE ALL OF OUR ALL THE INDIVIDUALS ARE IN OUR HOMES TESTED. SRI IS GOING TO TALK TO YOU A LITTLE BIT ABOUT OUR EARLY INTERVENTION PROGRAM. BUT I ALSO WANT TO TELL YOU THAT WE JUST RECENTLY THAT THE RESULTS OF AN AUDIT FROM THE FEDERAL AND STATE GOVERNMENT AND WE SCORED A NINETY SEVEN POINT ONE AND THAT'S IT THAT'S PRETTY IMPRESSIVE AND I WANT TO COMPLEMENT TO STAFF FOR ALL THE WORK THAT THEY'VE DONE. I THINK I'M PARTICULARLY IMPRESSED WITH WITH OUR EARLY INTERVENTION PROGRAM AND WHAT SRI DOES BECAUSE THEIR PROGRAM DEALS WITH INDIVIDUALS FROM BABIES FROM BIRTH TO 7 AND THIS IS A LOT OF THIS IS THE FIRST TIME WHEN YOU THINK ABOUT FAMILY MEMBERS FAMILIES ALLOWING PEOPLE TO COME INTO THEIR HOME AND TAKE CARE OF THEIR BABIES AND WORK WITH THEIR BABIES, THAT'S PRETTY IMPRESSIVE.

SO I'M GONNA LET SRI CONTINUE AND TALK ABOUT THE PROGRAM IN MORE DETAIL.

THANK YOU VERY MUCH. >> GOOD AFTERNOON, BILL. >> THANK YOU.

IN MR. ATKINSON AND COUNSEL FOR ALLOWING ME THE OPPORTUNITY TO SHARE WITH OUR PROGRAM.

I'M GOING TO SHARE MY SCREEN. IF THAT'S OKAY. >> AND JUST IS EVERYBODY ABLE TO SEE MY SCREEN? OKAY. PERFECT.

SO WE HELP THE CHILDREN AND FAMILIES THROUGH OUR EARLY INTERVENTION SERVICES WE DELIVER TO NORTHERN AND SOUTHERN BEAUFORT COUNTY. WE ASSIST WITH FAMILIES THAT ARE ENGLISH SPEAKING AND SPANISH THINKING FAMILIES. WE HAVE EARLY INTERVENTION.

WE HAVE NINE OF THOSE THAT WORK WITH ME ACROSS THE COUNTY. AND WHAT WE DO IS WE PROVIDE THE SERVICE COORDINATION AND FAMILY TRAINING. SO WHAT THAT MEANS IS WE WILL WORK WITH THE FAMILIES AND WE SCHEDULE TO DO A PLAN AND THEN WE CONDUCT AN ASSESSMENT ON THE

[00:30:01]

WE ACTUALLY HAVE THOSE THERAPISTS AND OUR EARLY INTERVENTIONISTS GO INTO THE HOMES. WE CAN ALSO DO THINGS SUCH AS AN A DAY CARE OR PARKS OR OTHER THINGS. BUT IT DOES NEED TO BE IN A NATURAL ENVIRONMENT.

WE WILL WORK WITH OUR 0 TO 3 POPULATION AND IN THE EVENT THAT WHEN THEY'RE THREE THERE'S NO MORE DEVELOPMENTAL MILESTONES THAT ARE NOT MEETING THAN WE WOULD DISCHARGE THAT CHILD IF THERE CONTINUES TO BE AREAS OF CONCERN THEN WE WOULD CONTINUE TO PROVIDE SERVICES FOR THEM. AS BILL SAID ALL THE WAY UP THROUGH THEIR SIXTH GRADE AND OFTENTIMES WHEN THEY'RE MOVING INTO THE SCHOOL SYSTEM SO WE WILL WORK WITH SCHOOLS TO TRANSITION THOSE CHILDREN INTO THIS SPECIAL EDUCATION PRESCHOOL PROGRAMS. THE OTHER MAIN ENTITY THAT WE PROVIDE IS CALLED FAMILY TRAINING AND THOSE ARE HANDS ON TEACHING FOR PARENTS, CAREGIVERS AND THEIR CHILDREN. AS FAR AS THEIR DEVELOPMENTAL SKILLS AND WE PROVIDE THAT WE GO INTO THE HOMES ONCE A WEEK FOR AN HOUR AND WE WORK WITH THE INDIVIDUALS TO WHATEVER IT IS THAT WE'VE ASSESSED. SO YOUNG CHILD, IF WE COULD BE WORKING ON SETTING UP ALL THE WAY UP TO OLDER CHILDREN WHERE WE COULD BE WORKING ON LANGUAGE SKILLS AND THINGS LIKE THAT, CHILDREN THAT ARE ELIGIBLE FOR OUR SERVICES HAVE DEVELOPMENTAL DELAYS AND SOME OF THE DIAGNOSIS THAT WE RUN ACROSS ARE PREMATURE BIRTH AUTISM DOWN'S SYNDROME AND WE WORK WITH SOME CHILDREN THAT HAVE HAD FETAL ALCOHOL SYNDROME, CEREBRAL PALSY, GENETIC DISORDERS, LANGUAGE DISPLAYS, DELAYS AND MOTOR DELAYS IN THE EVENT. WE ALSO CAN AUTHORIZE FOR CHILDREN TO GET GENETIC TESTING. SO IF THE FAMILY FEELS THAT THAT'S AN AREA THAT THEY WOULD LIKE TO EVALUATE MORE THAN WE'RE CAPABLE OF ASSISTING WITH THOSE OUR SERVICE SAYS OUR EARLY INTERVENTIONISTS ARE COMPLETING THE SERVICE NOTES AND WHAT WE CALL A BRIDGE BRIDGES SYSTEM OR THERAPY SYSTEM AND THOSE SERVICES ARE BILLED DIRECTLY TO MEDICAID IN THE EVENT THAT THE CHILD 0 TO 3 AND BILLED DIRECTLY TO SOUTH THE DEPARTMENT OF DISABILITIES AND SPECIAL NEEDS FROM THREE UNTIL SIX. RIGHT NOW WE ARE PRESENTLY SERVING ONE HUNDRED AND SEVENTY ONE CHILDREN IN THIS PROGRAM. I WILL SAY THAT LAST MONTH WE HAD TWENTY ONE REFERRALS. SO TYPICALLY AS YOU CAN SEE WE HAVE SOME CHILDREN THAT AGE OUT AND THEN WE GET NEW REFERRALS AND AND THAT'S CONSISTENT WHEN COVE IT HAPPENED WE DID SEE SOME OF THE REFERRALS DECLINE. BUT AS WE'VE SEEN THE VACCINES AND THOSE KIND OF THINGS OUR

NUMBERS ARE DRASTICALLY INCREASING. >> SOME OF THE AREAS THAT WE REALLY TRY TO TARGET BECAUSE WE FEEL THAT EARLY INTERVENTION IS SO IMPORTANT.

MANY CHILDREN WILL GO INTO SCHOOL AND UNFORTUNATELY THEY WILL HAVE NOT BEEN DIAGNOSED.

SO WE WORK ON HEALTH AND DEVELOPMENT EARLY LEARNERS TRANSITIONING PRESCHOOL AND THEN ALSO MAKING SURE THAT THE FAMILIES UNDERSTAND THEIR RIGHTS FOR THOSE THE CDC REPORTS THAT ONE IN SIX CHILDREN HAVE ONE OR MORE DEVELOPMENTAL DISABILITIES.

AND WHAT WE HAVE FOUND STATISTICALLY IS WE WORK ON THOSE THINGS AT AN EARLY AGE THEN THEY'RE ABLE TO GET INTO SCHOOL AND NOT NEED AS MUCH ASSISTANCE ONCE THEY START KINDERGARTEN. THIS IS A PROJECT THAT I'M REALLY PROUD OF .

LAST YEAR WE APPLIED FOR A GRANT FOR OUR ABELL FOUNDATION AND THE WOMEN IN PHILANTHROPY DONATED FIVE THOUSAND DOLLARS AND TWENTY TWENTY. AND THEN IN TWENTY TWENTY ONE THEY DONATED AN ADDITIONAL FIVE THOUSAND DOLLARS. AND WHAT THIS IS IS A LEARN AS

[00:35:04]

WE REALLY DO VALUE THOSE CHILDREN THAT ARE MOST VULNERABLE IN OUR COMMUNITY AND WITHOUT BEAUFORT COUNTY. IT WOULD BE A DIFFICULT TIME TO BE ABLE TO PROVIDE SERVICES TO ALL OF THOSE CHILDREN. SO WITH THAT IF YOU HAVE ANY QUESTIONS I'LL BE HAPPY TO

ANSWER THEM. >> THANK YOU AND THANK YOU FOR THAT PRESENTATION.

THE WORK THAT YOU'RE DOING IS SO VITAL AND IMPORTANT FOR THE MEMBERS OF THIS COMMUNITY AND WE ALL CERTAINLY APPRECIATE EVERYTHING THAT YOU'RE DOING. I'D LIKE TO REALLY CONGRATULATE ALL OF THE PEOPLE AT THE ASCEND FOR THE CREATIVE AND IMAGINATIVE PROGRAMS THAT THEY RUN FOR THE COUNTY AND THE WAY THOSE PROGRAMS ARE DELIVERED. I THINK THAT YOU'RE WORKING OFTENTIMES QUIETLY AND IN ANONYMITY AND IN THE BACKGROUND AND THAT YOU CONSISTENTLY PROVIDE SUCH A NECESSARY AND VITAL SERVICE FOR THE COMMUNITY AND I THINK A LOT OF PEOPLE JUST AREN'T AWARE OF IT. I'M HAPPY TO SEE THAT THE WOMEN IN PHILANTHROPY HAVE MADE THOSE DONATIONS TO YOU. THAT'S A VERY STRONG ORGANIZATION OF WOMEN WHO HAVE ORGANIZED THROUGHOUT THE COUNTY WHO HAVE REGULAR MEETINGS TO DECIDE WHERE THEY'RE GOING TO SEND THE FUNDS THAT THEY COLLECT. I'M HAPPY TO SEE THAT THAT YOU'VE RECEIVED THOSE. DOES ANYONE HAVE ANY OBSERVATIONS, COMMENTS OR STATEMENTS WITH REGARD TO QUESTIONS WITH REGARD TO THE PRESENTATION, MR. CHAIRMAN, THAT I MISS? GO I YIELD AT THIS HOUSE. OH, I JUST WANTED TO TELL MISS SHERRY THANK YOU FOR EVERYTHING THEY DO AND AND SHE SAID THEY HAD TWENTY ONE REFERRALS I THINK IN THE LAST YEAR. IS THAT IS THAT LOW OR IS AT HIGH? OR DO YOU THINK THE COVE IT HAD ANY IMPACT ON THOSE NUMBERS? ACTUALLY THAT LAST MONTH THAT WAS MARCH AND TRADITIONALLY WE ARE FINDING THAT WE GET ANYWHERE FROM WELL 18 REFERRALS . WE DID AN ACT. MY HOPE STARTED AT THAT'S LIKE THAT'S A NUMBER OF GIRLS FROM AN ARTICLE BY WRITERS AND A NUMBER OF OUR LITTLE ONES.

I'M NOT GOING TO HAPPEN THERE. KNOW REGULAR CHECK UPS. BUT SINCE JANUARY WE HAVE SOME THIS RACE IN FLUX AND FOR GIRLS THAT WERE VERY, VERY THING THAT MR. GLOVER JOB GROWTH KNOW THAT

IT'S NOT A QUESTION OF I JUST CALL ME A NICE PRESENTATION. >> APPRECIATE IT.

THE INFORMATION THAT WAS GATHERED I'M JUST GOING TO MAKE A COMMENT ABOUT ONE OF YOUR SLIDE PRESENTATION WHERE YOU AND I YOU KNOW, YOU MAY IDENTIFY A REASON BUT THERE WAS A PRESENTATION SLIDE TALKED ABOUT THE YO YO EFFORT. S IT ABROAD NORTH OR ABROAD? NORTH AND SOUTH. IF WE COUNTY AND I I DO UNDERSTAND THAT THERE IS SOME TIME GREAT DISTINCTION NORTH AND SOUTH IT ABROAD BUT UNLESS UNLESS THERE IS A REASON FOR DOING IT I REALLY WOULD LOVE JUST TO SAY BEFORE COUNTY AND BECAUSE WE ARE ONE COUNTY EVEN THOUGH WE WE DIFFER IN IN OUR CULTURE AND ETC. WE ARE JUST ONE COUNTY.

THAT'S THE ONLY COMMENT I WANT TO MAKE. THANKS.

[00:40:01]

>> NOTED. THANK YOU. ANYONE ELSE NEXT? THANKS BILL ONCE AGAIN AND THANKS TO ALL OF THE PEOPLE WHO ARE THERE WORKING WITH YOU.

WE REALLY DO UNDERSTAND AND APPRECIATE THE HARD WORK IT'S DONE EVERY DAY FOR ALL OF THE ALL OF THE PEOPLE THAT YOU PROVIDE SERVICE TO THE. THANKS VERY MUCH.

THANK YOU GUYS. OK. THE NEXT ITEM IS A DISCUSSION

[9. A DISCUSSION TO PROVIDE STATUS OF DISTANCE LEARNING GRANTS]

THANK YOU, MR. CHAIRMAN. I SPOKE WITH THE CCF STAFF LAST THURSDAY, MET WITH THEM.

THE TO BE THE FOUNDATION HAS RECEIVED A TOTAL OF EIGHT GRANT APPLICATIONS.

THAT'S TOTAL FIVE OF THOSE APPLICATIONS. THE GRANT PROCESS HAS BEEN COMPLETED AND THE FOUNDATION WILL BE PROVIDING A REPORT LATER THIS WEEK THAT WILL GIVE US THE NAMES OF THE RECIPIENTS TO DATE AND THE AMOUNTS THAT THEY HAVE BEEN AWARDED AND OTHER DETAILS ABOUT THE ORGANIZATION. AND IN ADDITION, THE FOUNDATION CONTINUES AND A CHUCK I'M NOT ON MUTE. CAN ANYBODY HEAR ME?

>> I CAN HEAR YOU FINE, CHUCK. WHAT DO YOU THINK, GERALD? YOU CAN'T HEAR MORE SAM.

MY I'M HAVING TROUBLE HEARING MR. ATKINSON GERALD IT APPEARS HE CAN'T HEAR ANY OTHERS.

I DON'T THINK YOU CAN HEAR ME OK. MY APOLOGIES, TARA, WOULD YOU GIVE HIM A CALL AND JUST TELL HIM THAT HE SEEMS TO BE HAVING A PROBLEM AND NO ONE ELSE? THANKS. GO AHEAD, CHUCK. OK.

IN ADDITION, THE FOUNDATION CONTINUES TO ACTIVELY MARKET THE PROGRAM VIA ITS NONPROFIT NETWORK FACEBOOK, INSTAGRAM AND THE FOUNDATION'S WEB SITE AND THAT CONCLUDES MY REPORTS.

QUICK QUESTION IS THAT IS THERE ONLY EIGHT APPLICATIONS OR IS THAT THE SECOND PHASE? HAS EIGHT APPLICATIONS EIGHT APPLICATIONS TOTAL OK. AND THEY'LL BE REACHING A CONCLUSION ON WHO'S GOING TO BE RECEIVING AID IN THAT EIGHT OR EIGHT GOING TO GET SOMETHING? I'M NOT SURE I KNOW THAT FIVE OF THEM. THE PROCESS HAS BEEN COMPLETED AND THEY'RE GONNA GIVE US A REPORT ON THOSE FIVE. I THINK THREE OF THEM CAME LATER THAN THE FIRST FIVE. SO I THINK YOU'RE STILL WORKING THROUGH THOSE THREE BUT I KNOW FIVE OF THEM HAVE BEEN COMPLETED NOW LOOK FORWARD TO THAT REPORT.

OK. SO PERHAPS AT SOME POINT IN THE FUTURE WE'LL BE ABLE TO GET AN IDEA OF NOT ONLY WHO THEY ARE BUT THE AMOUNTS GRANTS THAT WE CAN DEAL WITH WHAT THAT TOTAL IS BASED UPON. SO WE HAVE SOME KIND OF AN IDEA HOW THAT IS BOUNCING OFF.

THE TOTAL AMOUNT THAT WE'VE PUT ASIDE FOR THIS IS DESSERT. OKAY.

THANKS. ANYONE ELSE HAVE COMMENTS OR QUESTIONS OBSERVATIONS ABOUT THIS PROGRAM? OKAY. SEEING NONE.

[10. RESOLUTION TO COMMISSION AN ANIMAL SERVICE OFFICER]

THANK YOU AGAIN. THIS IS THE RESOLUTION IN ORDER TO COMMISSION ONE OF OUR NEW ANIMAL SERVICE OFFICERS THAT WE'VE HIRED. THIS NEEDS TO BE APPROVED BY COMMITTEE AND THEN PASSED ONTO FULL COUNTY COUNCIL FOR THEIR APPROVAL ON THE RESOLUTION TO A COMMISSION. AND I BELIEVE IS ON THE LINE. AARON, ARE YOU ON THERE? YEAH, ALL RIGHT. SAM, GO ON AND INTRODUCE LOLA IF YOU HAVE IT.

DOES HE HAVE ANY WORDS OF WISDOM FOR US ON THIS NEW ON THIS NEW ASSIGNMENT? MAKE SURE I DO A FILL UNTIL THIS AS WELL. THIS MIGHT BE A BETTER PERSON WHO'S GOING TO BE A VERY WISE BILL. VERY WISE.

YES, SIR. I THINK I HAVE IT DOES NOTHING ELSE GO.

I'LL JUST ENTERTAIN A MOTION TO MOVE THIS ROUND, CREATE THIS RESOLUTION AND MOVE IT ALONG.

THE COUNCIL MAY HAVE THAT MOTION SO MOVED. THANK YOU IN A SECOND I'LL SECOND. THANK YOU VERY MUCH. IS THERE ANY DISCUSSION HERE? NONE. I'D LIKE TO MOVE THIS ALONG FOR APPROVAL WITHOUT EXCEPTION.

IS THERE ANYONE WHO HAS AN EXCEPTION TO MOVING THIS ALONG HEARING NONE.

WE WILL MOVE IT ALONG THE FULL COUNCIL. THANK YOU VERY MUCH, MR. FOOTE.

CONGRATULATIONS. THUS FAR TO THE NEW ANIMAL SERVICE OFFICER WHO SO FAR IS PASSING MUSTER. SO YOU'RE HALFWAY THERE I THINK.

RIFLE. THE NEXT ITEM IS A RESOLUTION ACCEPTING A DONATION PLAYGROUND

[11. A RESOLUTION ACCEPTING THE DONATION OF PLAYGROUND EQUIPMENT FROM THE DAUFUSKIE ISLAND COUNCIL AND AUTHORIZING THE COUNTY ADMINISTRATOR TO EXECUTE DOCUMENTATION ASSOCIATED WITH THE ACCEPTANCE OF THE DONATION]

[00:45:01]

MR. ENSIGN. COULD YOU GIVE US A SUMMARY ON THAT? YES, SIR. THE ACTUAL RESOLUTION IS IN THE BACKUP MATERIALS IN AN EFFORT TO INCREASE THE QUALITY OF LIFE ON THE DEFENSE FOR DEFUNCT ISLAND RESIDENTS AND VISITORS, FUSCA ISLAND COUNCIL HAS PURCHASED AND IS DONATING PLAYGROUND EQUIPMENT THAT WILL BE INSTALLED AT THE FRANCIS JOAN FRANCIS JONES COMMUNITY PARK ONTO FUSCA ISLAND.

THE VALUE PLAYGROUND EQUIPMENT IS RIGHT AT FIFTY THOUSAND DOLLARS.

THEY RAISE TWENTY THOUSAND DOLLARS FROM A STATE GRANT. IT'S A SOUTH.

DEPARTMENT OF PARKS RECREATION AND TOURISM GRANT. THAT WAS SPONSORED BY REPRESENTATIVE JEFF BRADLEY. THE REMAINING FUNDS AND DONATIONS WERE FROM COMMUNITY FUNDRAISING EFFORTS WHICH INCLUDED A HAY POINT FOUNDATION FIVE THOUSAND DOLLAR MATCH THAT THEY SUCCESSFULLY COLLECTED. IF THIS PASSES TODAY WE WILL MOVE IT TO COUNCIL ON THE 12TH AND THEN THROUGH ADMINISTRATION WE'LL TAKE OWNERSHIP OF THE PLAYGROUND AT YOU.

VERY WELL DESCRIBED. MAY I HAVE A MOTION TO CREATE THIS RESOLUTION AND PASS IT ALONG TO COUNCIL FOR COUNCIL'S CONSIDERATION? MARTIN AND I WILL SECOND THAT.

WE HAVE A FIRST AND SECOND SARAH DID YOU GET THOSE NAMES OK? IS THERE ANY DISCUSSION FURTHER DISCUSSION ON THIS MATTER? HEARING NONE.

I WOULD LIKE TO APPROVE THIS. I'M NOT ACCEPTING HAS ANYONE TAKE EXCEPTION TO MOVING THIS ALONG TO COUNCIL FOR THEIR FULL CONSIDERATION? HEARING NONE OF THIS MATTERS APPROVED THEN WILL BE MOVED TO FULL COUNCIL FOR THEIR CONSIDERATION.

[7. EMS DEPARTMENTAL UPDATE FOR CALENDAR YEAR 2020]

SO THANKS FOR AMBULANCES. >> THE TIME WHEN AMBULANCES ARE USUALLY USED FOR AMBULANCES THAT CARRY ADVANCED LIFE SUPPORT EQUIPMENT. WE HAVE A DESIGN ON THE BACK.

IT'S CALLED A CHEVRON DESIGN AND WHAT IT DOES IS INCREASES VISIBILITY FOR OTHER DRIVERS.

WE DO HAVE FORD REAR AND SIDE FACING CAMERAS. SO YOU HAVE A 360 DEGREE VIEW FROM THE INSIDE OF THE AMBULANCE TO WHAT IS AROUND THE AMBULANCE.

THE OXYGEN CYLINDER IS USED WHEN WE HAVE TO GIVE MEDICAL PATIENTS OXYGEN THAT THEY NEED TO TO HELP WITH THEIR RESPIRATIONS. SO WE NEED TO HAVE A LARGE AMOUNT OF OXYGEN BECAUSE AS YOU KNOW, WE HAVE A DISTANCE TO THE VARIOUS HOSPITALS SO WE DON'T WANT TO HAVE TO CHANGE THE TANKS EVERY TIME. SO WE HAVE LARGER THAN NORMAL TANKS WITH THE OXYGEN LIFT. IT'S AN AUTOMATIC LIFT THAT WILL RAISE THE TANK UP.

SO IT KIND OF SAVES OUR PEOPLE FROM THE POSSIBILITY OF A BACK INJURY FROM LIFTING SUCH HEAVY OBJECT. WE HAVE A CHILD SAFETY SEAT THAT'S BUILT INTO OUR CAPTAIN'S CHAIR. WE HAVE HARNESSES AS OPPOSED TO JUST REGULAR SEAT BELTS.

WE NOW HAVE HARNESSES THAT GO OVER THE ARMS FOR EACH OF THE PROVIDERS ON ALL THREE SEATS.

>> WE HAVE A SQUAD BENCH. AND TRADITIONALLY WE HAD A LONG BENCH WHERE PROVIDERS SAT.

NOW WE'VE GONE TO KIND OF IT'S A BUCKET SEAT THAT HAS A HARNESS THAT'S BOTH FOR THE SAFETY OF THE PROVIDERS AND THE SAFETY OF THE PATIENT THAT'S IN THE AMBULANCE.

>> SO OUR PROVIDERS ARE HARNESSED IN BUT STILL SWIVEL AROUND AND MOVE AND STILL DO GOOD PATIENT CARE. WE HAVE ENTIRE SHELVES THAT ARE ADJUSTABLE.

AND THEN WE'VE GOT ERGONOMIC GLEE ANGLED CABINETS, THE STRYKER POWER LOAD STRETCHER IS CAPABLE OF HOLDING A PATIENT UP TO 700 POUNDS. IT HAS VARIOUS HOLDERS FOR EQUIPMENT. IT CAN HOLD A CARDIAC MONITOR. IT CAN HOLD AN OXYGEN TANK AND IT CAN HOLD I.V. EQUIPMENT WITH AN I.V. POLE. IT ALSO HAS WHEEL LOCKS AND IT HAS A HARNESS RESTRAINT SYSTEM FOR THE PATIENT. SO IF THERE WERE TO BE ANY ISSUES WITH THE PATIENT MOVING AROUND, THEY ARE THEY ARE HARNESSED IN JUST LIKE WITH OUR SEATBELTS LIKE TO DO TODAY IS GIVE YOU SOME INFORMATION ON SOME OF THE MEDICAL EQUIPMENT THAT WE USE. THE FIRST THING I'D LIKE TO SPEAK ABOUT IS CALLED OUR HANDS HEAVY SYSTEM AND I'D LIKE TO GIVE YOU A LITTLE BIT OF INFORMATION ON HOW THE HAND HEAVY SYSTEM CAME ABOUT. SO DOCTOR AND TAVI PUT TOGETHER A SYSTEM WHICH ESSENTIALLY WHAT IT DOES IS IT PRESELECT LACKS THE EQUIPMENT AND THE MEDICATIONS THAT YOU'LL NEED FOR YOUR PEDIATRICS. WHEN WE'RE TALKING ABOUT PEDIATRICS, WE'RE TALKING ABOUT A VERY WIDE RANGE OF MEDICAL PATIENTS. IT CAN BE FROM BIRTH ALL THE

[00:50:01]

GOOD RANGE IN THAT. >> SAME THING WITH SOME PIECE OF EQUIPMENT THAT YOU USE FOR THEIR AIRWAY. IT CAN BE AS SMALL AS THIS WITH A PEDIATRIC OR AS LARGE AS THIS

WITH A PEDIATRIC. >> AND WHAT MAKES THIS SYSTEM REALLY UNIQUE IS HE DESIGNS IT SPECIFICALLY FOR YOUR AGENCY. SO VIEW FROM COUNTY EMR AS HAS A SYSTEM DESIGNED FOR BEAUFORT COUNTY EMR AS WELL NOT TRYING TO MAKE SOMETHING FIT FROM ANOTHER SYSTEM.

SO YOU PUT TOGETHER THIS KIT AND WHEN HE ORIGINALLY STARTED WITH IT WE STARTED WITH A BOOK AND THIS BOOK TOOK ALL OF OUR MEDICATIONS. IT TOOK THE APPROPRIATE AGE WEIGHT BASE, VITAL SIGNS, ALL OF IT WAS SELECTED AND PUT TOGETHER.

SO ESSENTIALLY IF YOU WERE RESPONDER TO A ONE YEAR OLD YOU HAD EVERYTHING THERE FOR YOU'RE ONE YOU'RE ALL THEN YOU TOOK IT UP A NOTCH. AND HE DID IT TO HIM AT SO NOW WHAT WE HAVE IS ON OUR PHONES WE HAVE AN APP YOU TAP THAT APP, IT OPENS UP, YOU SELECT THE AGE OF YOUR PATIENT AND EVERYTHING YOU NEED FROM THE CORRECT VITAL SIGNS MEDICATION DOSES, EQUIPMENT SIZES, EVERYTHING TO ENSURE SAFETY AND ACCURACY.

SO ONCE YOU GET TO THE CALL YOU GO AHEAD AND YOU OPEN UP YOUR HANDS HEAVY BAG IN YOUR HAND.

HEAVY BAG YOU HAVE AREAS WHERE THERE'S PRETTY MUCH GENERIC EQUIPMENT THAT FITS ALL

DIFFERENT SIZED PEDIATRICS. >> AND THEN AS YOU CAN SEE HERE ,IT'S GONE DOWN TO THE AGES OF SPECIFIC PEDIATRICS FROM ONE TO 13 YEARS OLD. WHEN YOU ARRIVE ON THE SCENE YOU'LL KNOW THE AGE OF YOUR PATIENT AND WE'RE GOING TO SAY FIVE YEARS OLD.

SO YOU TAKE OUT THE POUCH FOR THE FIVE YEAR OLD. NOW I WANT SAY SOMETHING HERE BECAUSE THIS DOES NOT REPLACE YOUR CLINICIAN. YOUR CLINICIAN HAS TO BE HIGHLY SKILLED, HIGHLY EDUCATED AND THEY HAVE TO PRACTICE. THEY HAVE TO PRACTICE AND THEY HAVE TO TRAIN BECAUSE THIS DOES NOT REPLACE THAT. THIS IS AN ADJUNCT TO ALL OF YOUR TRAINING AND ALL OF YOUR EDUCATION. SO ONCE YOU OPEN UP YOUR FIVE YEAR OLD AND THAT'S WHAT WE'RE SEEING AND WE'RE GOING TO HAVE HERE TODAY YOU HAVE ALL OF YOUR EQUIPMENT LIKE YOUR I.V. FOR I.V. ACCESS, THE CORRECT SIZE FOR THAT AGED IN THAT SIZE CHILD YOU HAVE YOUR AIRWAY FOR YOUR INNOVATION, ALL OF THAT IS PRESELECTED.

SO IN THESE STRESSFUL PEDIATRIC SITUATIONS YOU DON'T HAVE TO TRY TO FIGURE THIS AT 3:00 O'CLOCK IN THE MORNING YOU'LL HAVE IT ALREADY THERE FOR. SO HAVING A SYSTEM LIKE THE HAND HEAVY SYSTEM, NOT ONLY DOES IT HELP US IMPROVE THE LEVEL OF CARE THAT WE PROVIDE, IT ALSO HELPS TO ENSURE THE SAFETY AND MAKE SURE THAT WE DELIVER EVERYTHING AS ACCURATE AS WE CAN. THE NEXT PIECE OF MEDICAL EQUIPMENT I'D LIKE TO TALK ABOUT IS THE AIR TRACK AND WHAT THE AIR TRACK IS. IT IS A VIDEO LAUREN JUST GO FOR USE WHEN WE'RE DOING INNOVATION AS INNOVATIONS AS SOMETHING THAT YOU TYPICALLY THINK ABOUT OCCURRING IN THE HOSPITAL BEFORE SURGERY MAYBE IN THE EMERGENCY ROOM BUT YOUR EMR ASK CLINICIANS ARE ALSO AT TIMES HAVE TO INNOVATE. SO PRIOR TO THIS WE DID NOT HAVE THE VIDEO ORANGE SCOPES ONCE THE VIDEO ORANGE SCOPES CAME TO WHERE WE COULD GET THEM THERE AN EXCELLENT USE IN THE FAIL REASON BEING IS YOU'RE ABLE TO VIDEO THE INNOVATION AS YOU'RE DOING IT SO YOU'RE ABLE TO VIDEO AND DOCUMENTS THAT YOU SUCCESSFULLY PLACE THE TUBE AND YOU ALSO HAVE A RECORD OF IT THAT CAN BE ATTACHED TO THE PATIENT'S MEDICAL CHART IN CASE IT'S NEEDED LATER ON IT'S A CAMERA AND WHAT YOU HAVE ARE DIFFERENT SIZE BLADES THAT GO WITH IT. THIS GOES FROM YOUR PEDIATRICS TO YOUR ADULTS PLAY WHEN YOU TAKE YOUR BLADE OUT. THE FIRST THING YOU WANT TO DO IS YOU WANT TO TURN IT ON SO THE LIGHT COMES ON ON THE BOTTOM IF YOU'LL NOTICE THESE ALSO HAVE AN EYEPIECE ON THEM AND THAT'S JUST IN CASE THERE WAS A FAILURE WITH THE CAMERA. FOR WHATEVER REASON YOU'D HAVE YOUR EYE PIECE. YOU CAN GO RIGHT AHEAD AND COMPLETE YOUR INNOVATION.

SO YOU GO AHEAD AND YOU LOAD YOUR TUBE IN YOUR CHAMBER AND INSTEAD OF USING THE CAMERA TO VISUALIZE YOUR LANDMARKS YOU WILL BE USING THE EYEPIECE TO DO THAT.

SO YOU'LL GET TO SEE YOUR SAME LANDMARKS, YOU GET TO SEE YOUR VOCAL CORDS THAT YOU CAN PASS THE TUBE. YOU'RE JUST USING THE EYEPIECE TO DO THAT WITH TURN ON THE BLADE. SO YOU HAVE THAT WARMING UP THERE.

AND AS SOON AS YOU ATTACH YOUR CAMERA IT'S GOING TO BEGIN TO RECORD.

IT HAS A FIVE MINUTE LIMITATION ON IT WHICH WE CAN BUMP UP IF WE NEEDED TO DO THAT FOR THE NEXT FIVE MINUTES IT'LL BE RECORDING. SO WHEN YOU GO TO INNOVATE YOUR

[00:55:02]

BUT FOR TODAY'S PURPOSE I'M JUST GOING TO SHOW YOU HOW IT WORKS.

SO WHAT YOU'LL DO IS YOU'LL HAVE TO LUBE UP THIS CHAMBER HERE.

YOU SLIDE YOUR E.T. TUBE IN THERE MAKING SURE YOU DON'T GO BEYOND THE END THERE.

AND WHEN YOU GO INTO YOUR PATIENT NOW YOU CAN SEE EVERYTHING THAT YOU NEED TO PASS THIS TUBE AND THOSE CORDS AND NOT ONLY CAN YOU SEE THAT IS RECORDING IT UNTIL I TELL IT TO STOP RECORDING THE LUCAS IS ACTUALLY A MECHANICAL DEVICE AND WHAT IT DOES IS COMPRESSIONS DURING CPR. ANY ANYTIME YOU'RE PROVIDING MANUAL COMPRESSIONS DURING CPR IT ONLY TAKES ABOUT TWO MINUTES BEFORE THE RESCUER BEGINS TO BECOME FATIGUED BECAUSE OF IT NOT BEING LIKE A HUMAN BEING AND TOWERING IT CAN CONTINUE TO PROVIDE THOSE COMPRESSIONS AT THE RIGHT DEPTH THAT YOU NEED. IT CAN CONTINUE WHETHER YOU'RE BRINGING A PATIENT DOWN A SET OF STAIRS, WHETHER YOU'RE COMING DOWN A NARROW HALLWAY WITH THE LUCAS ONCE YOU APPLY IT THERE'S NO REASON TO STOP UNLESS OF COURSE YOU HAVE RETURN OF SPONTANEOUS CIRCULATION ANY TIME THE HANDS COME OFF THE CHEST DURING CPR FOR EVERY TEN SECONDS THAT YOU'RE NOT DOING COMPRESSIONS YOU HAVE A 50 PERCENT DROP IN THE CHANCE OF RETURN OF SPONTANEOUS CIRCULATION. THE SUCTION CUP ACTUALLY SAW SEVERAL DIFFERENT PURPOSES IT SEATS ON THE CHEST WHERE YOU WANT THE COMPRESSIONS TO BE DELIVERED AND IT ALSO PULLS THE CHEST BACK UP. AND WHAT THIS DOES IS IT ALLOWS FOR FULL RECOIL AND WITH THAT FULL RECOIL YOU GET THE COMPLETE FILLING OF THE HEART SO THAT YOU'RE ABLE TO MAINTAIN THAT CYCLE OF FILLING AND RELEASE WITH THE HEART. OUR DIRECTOR DONNA.

OH AND B SHE WORKED TIRELESSLY. SHE UNDERSTOOD THAT THERE WERE WOULD BE A REAL ASSET FOR OUR COMMUNITY. SHE WENT AND SPOKE WITH A LOT OF PEOPLE.

SHE WORKED VERY HARD DURING BUDGET TO MAKE SURE THAT WE COULD GET THIS EQUIPMENT THAT WE NEED THE CITIZENS OF BE COUNTING HAVE ALWAYS BEEN VERY SUPPORTIVE OF EACH MASS AND EMS PERSONNEL IS VERY DEDICATED TO OUR CITIZENS AND OUR COMMUNITY. AND WE WOULD LIKE TO THANK THE TAX PAYERS AND OUR CITIZENS FOR SUPPORTING US. OKAY.

WELL, THAT CERTAINLY WAS INFORMATIVE AND INTERESTING. A LOT OF THINGS THERE THAT I DIDN'T REALIZE WERE IN YOUR ARSENAL. COLONEL, YOU HAVE ANY FURTHER COMMENTS AT THIS TIME I'D LIKE TO LOUD DONNA BY OUR DIRECTOR TO JUST HAVE A FEW MINUTES TO SPEAK ON SOME ITEMS. OK, I GOTTA TAKE IT AWAY. OK.

GOOD AFTERNOON EVERYBODY. LET US TAKE YOU ON THE VIDEO. I'M GLAD WE GOT IT THROUGH.

THAT WAS A LOT OF THIS A PIECE OF EQUIPMENT THAT WE HAVE. I PICK SELECT ONES I THOUGHT YOU MIGHT FIND INTERESTING THAT THE TAXPAYERS NOW PAY FOR AND YOU HAVE APPROVED JUST THE FACT WE HAVE ELEVEN FRONTLINE UNITS. WE HAVE FIVE ARMIES OF WHICH ARE QUICK RESPONSE VEHICLES AND WE'RE WORKING 12 HOUR TRUCK. WE'RE STARTING ONE NOW IN BLUFFTON AND WE HAVE IT UP EVERY DAY BUT WE'RE WORKING ON IT TO HAVE IT UP SEVEN DAYS A WEEK AND I'D LIKE TO HAVE IT ON THE SIDE. ALSO WE RAN 16000 PRIMARY CALLS IN 2020 WITH APPROXIMATE 3 TWENTY FIVE CALLS A WEEK WHICH IS A LOT OF CALLS COBURN DEFTLY CHANGED THE WAY WE DO OUR JOB.

WE HAD TO CHANGE FROM SOMETIMES HAPPY TO TAKE A LOW RESPONSE KICKING AND DONNING AND DOFFING PPE SO THE OUR STAFF WOULD BE SAFE WHEN YOU'RE TRANSPORTING CODE POSITIVE PATIENTS.

IT WAS ALSO MORE COSTLY TO HAVE ALL PPE THAT WE WOULD NORMALLY NOT NEVER HAD TO USE BUT WE DID NOW. SO WE DID A LOT OF RESEARCH IN GETTING GRANTS FOR SOME OF THAT STUFF AND WE'VE DONATED AND SO WE HAD TO PERSONALLY BUY OF OUR BUDGET TO DID WE INCREASE OUR OVERTIME. BUT WE WANT TO MAKE SURE THE CITIZENS OF COUNTY WERE SAFE THAT THAT'S OUR OUR NUMBER ONE GOAL WAS TO MAKE SURE EVERYBODY IS TAKING CARE OF .

WE ARE STARTING A PROGRAM IN THIS WE'RE WORKING ON RIGHT NOW WHICH IS GOING TO BE IT'S GOING TO RECOGNIZE AND TRY TO PROVE THAT THE PATIENT DOESN'T OVERDOSE PATIENT IN OUR COMMUNITY AND THIS WILL INVOLVE MULTIPLE AGENCIES WITH LONG TERM SUPPORT.

I THINK THIS WILL BE A GOOD THING AS WE GET IT UP AND RUNNING.

WE'RE PROBABLY LIKE TO COME BACK OR 4000 EXPLAINED EVERYTHING THAT WE'RE DOING WITH THAT. YOUR STAFF AS KAREN SAYING THIS YOU HAVE SOME OF THE BEST PARAMEDICS AND THE YANKEES IN THE STATE AS FAR AS I'M CONCERNED.

THEY WORK VERY HARD. VERY TIGHT. DON'T COMPLAIN ABOUT ALL THE HOURS THEY'VE HAD TO PUT IN. IT'S A DIFFICULT JOB AND I'M WHEN I TRY AND TELL OUR PEOPLE IS WHERE ELSE CAN YOU GO TO WORK AND MAKE A DIFFERENCE IN SOMEBODY'S LIFE THAT YOU DON'T

[01:00:01]

MOST PEOPLE SAY THEY CAN DO THAT. I'LL BE GLAD TO TAKE ANY QUESTIONS. I MEAN YOU SAW THE VIDEO. ALSO I GOT AN ANSWERING OR YOU MAY FAX COMMENTS, QUESTIONS, OBSERVATIONS FOR COLONEL FOOTE OR FOR DONNA.

YES. DONNA AND CARL FORD. THIS IS COSTING GERALD AWESOME.

LOOK, I I JUST WANT THANK YOU ALL AND ALL THE EMS PERSONNEL IS FOR THE HARD WORK THAT THEY DO. I REALIZE THAT WE HAVE A LOT ADVANCED TECHNOLOGY THAT THE PERSONNEL ARE WORKING WITH RIGHT NOW. BUT IT'S ALL FOR THE GOOD OF SAVING LIVES AND IN COMMUNITIES THROUGHOUT DIFFERENT THAN MOST PEOPLE DON'T KNOW THAT OUR PERSONNEL'S WORKS TIRELESSLY SHIFT AND SHIFT ROTATIONS AND SOMETIMES THEY GO FROM A RELAXED MODE INTO AN EMERGENCY SITUATIONS AND DOING THAT REPETITIVELY BECOMES STRESSFUL SOMETIMES AND SO I JUST WANT TO SHOW MY APPRECIATION FOR ALL THE HARD WORK THAT DONNA AND ALL THE EMS PERSONNEL DO. CONGRATULATIONS.

DO DO A SWELL JOB. THANK YOU. THANK YOU.

>> RON, I'D CHIME IN AS WELL PLEASE. ISIS HEY THANKS FOR EVERYTHING YOU GUYS HAVE DONE OVER THE COURSE. YOU KNOW THE ENTIRE PANDEMIC.

ONE QUESTION I DID HAVE FOR YOU GUYS IS HOW ARE YOU ALL LOOKING ON STAFFING? ARE WE WHERE WE NEED TO BE OR ARE WE LOOKING FOR MORE? ARE YOU GUYS LOOKING TO ADD IS THERE ANYTHING FOR COUNTY THAT WE CAN DO FOR YOU ON COUNCIL TO MAKE SURE THAT YOU GUYS CONTINUE TO DO THAT JOB TOP NOTCH? THERE'S ACTUALLY A STATEWIDE SHORTAGE. PARAMEDICS AND ALL CELL TIME. WE'RE NOT DOING A SYSTEM IN ACTUALLY ACROSS THE NATION. THERE IS A SHORTAGE OF PARAMEDICS.

WE ARE WORKING AND WE WORK WITH H.R.. THE BILL WOULD COME UP WITH MANY IDEAS THAT CAN TO BRING STAFF. IT'S A DIFFERENT SOMETIMES MINDSET. I'D SAY IN THE YOUNGER GENERATION I'VE BEEN HERE A VERY LONG TIME. I START IN 1982. I GOT MY NURSING DEGREE 1993.

I THOUGHT I CAN'T DO THIS FOREVER. AND ACTUALLY I LOVED SO MUCH.

I ACTUALLY ONLY DO E-MAILS RIGHT NOW AND I STOPPED DOING NURSING IN 2000 NEVER CAME TO THE DIRECTOR. THIS JOB IS VERY, VERY DIFFICULT FOR PEOPLE SOMETIMES BECAUSE YOU SEE SO MUCH AND YOU DO SO MUCH AND YOU YOU CAN ONLY TRY TO MAKE IT AS ATTRACTIVE.

AND WE'RE COMPETING WITH A LOT OF OTHER COUNTIES TO FIGURE VIEWPORT COUNTY IS LIKE AT THE END WHERE I'M NOT SURROUNDED BY OTHER GUYS LIKE CHARLES AND DORCHESTER AND OR VERSUS MY PEERS. SO WE TRY AND MAKE THIS A LITTLE MORE ATTRACTIVE AND EVEN THOUGH WE MAY PAY THE SAME YOU HAVE TO BRING SOMETHING ON IT THAT MAKES THEM WANT TO SAY I WANT TO LIVE DEEPER COUNTY AS OPPOSED TO WORKING SOMEPLACE ELSE.

SO BUT WE ARE WORKING ON AS MANY DIFFERENT IDEAS. WE'RE DOING DIFFERENT LIKE INDEED IN SOME OF THE PLACES THAT WE CAN ACTUALLY PUT OUT APPLICATIONS FROM AND WE'RE OPEN TO WE'RE GOING TO ACTUALLY I JUST PARTNERED UP WITH THEM WITH THE SCHOOL OVER THERE AT ACE AND WE'RE DOING IT. WE DID A DEMONSTRATION FOR THE KIDS THAT ARE IN HIGH WHILE THEY'RE TAKING THE EMT CLASS AND I'M GOING TO LET THEM COME. WE'LL BE HERE EVEN THOUGH IT'S PANDEMIC. WELL, WE'LL MAKE SURE BY SAFE AND LET THEM SEE THE EQUIPMENT MAYBE EXCITE THEM ABOUT BECOMING AN EMT BECAUSE THIS IS WHERE YOU HAVE TO START REACHING YOUNGER OR YOUNGER ACTUALLY IN THE SCHOOLS TO ACTUALLY PEOPLE INTO THIS JOB.

NOW EVERYBODY WANTS TO GO TO COLLEGE. SO THIS IS A GOOD JOB.

AND IT HAS SO MUCH REWARD AND THAT'S WHAT WE WANT THEM TO SEE THE REWARD THAT YOU GIVE THEM.

LIKE I SAID IN THE BEGINNING, YOU MAKE A DIFFERENCE IN SOMEONE'S LIFE AND YOU DON'T EVEN KNOW WHERE A FAMILY'S LIFE MAKES YOU FEEL REALLY GOOD ABOUT WHAT YOU DO.

SO HOPE AND ANSWER FOR YOU. ABSOLUTELY. THANK YOU VERY MUCH.

THANK YOU. ALWAYS WE'D LIKE TO INVITE ALL COUNCIL TO COME TO SEE OUR SHAMELESS INFESTATION THAT YOU BUILT FOR US. IT'S ABSOLUTELY BEAUTIFUL.

WE REALLY APPRECIATE IT. IT'S IN THE 40 SOME YEARS THAT I'VE KNOWN TO BE AND THIS IS THE VERY FIRST STANDALONE STATION AND THEY'RE SO EXCITED AND HAPPY TO HAVE THAT.

SO PLEASE DROP BY ANYTIME YOU LIKE AND COME AND SEE OUR STATION MATTEL AND I BELIEVE YOU'RE ON NEW. WELL, LET ME JUST CHIME IN REAL QUICK.

THANKS FOR THE INVITATION. SORRY I MISSED THE GRAND OPENING.

>> WELCOME ANY TIME. OKAY JEREMY ON. THAT WAS OUR LAST.

[01:05:06]

OK, GREAT. WELL, THANK YOU VERY MUCH FOR THAT.

YOU CERTAINLY HAVE A TALENTED AND DEDICATED STAFF AND WE'RE REALLY VERY LUCKY TO HAVE SUCH SKILLED EMPLOYEES IN THAT DEPARTMENT. I FIND THESE BRIEFINGS BY THE DEPARTMENTS TO BE VERY HELPFUL AS I DO WHEN ERIC GREENWAY INTRODUCES EMPLOYEES TO US AND OUR COUNCIL MEETINGS. I FIND THOSE PRESENTATIONS AND INTRODUCTIONS TO BE EXTREMELY HELPFUL SO WE CAN GET A CLEARER UNDERSTANDING OF THE KIND OF CONTRIBUTIONS EVERYBODY'S MAKING TO THE COUNTY ON A DAILY BASIS. SO THANKS FOR ARRANGING THIS PHIL. I REALLY APPRECIATE IT. BACK DATA FOR THE PRESENTATION AND AND FOR THAT VIDEO.

THANK YOU VERY MUCH. THANK YOU. ANXIOUS TO COME FORWARD.

[12. RECOMMENDATION TO THE GOVERNOR’S OFFICE FOR THE REAPPOINTMENT OF PAMELA BRANDON-HENNIGH TO THE DISABILITIES AND SPECIAL NEEDS BOARD]

THE APPOINTMENT OF PAMELA BRANDON HEADED TO THE DISABILITIES AND SPECIAL NEEDS BOARD. THIS IS THE SECOND TERM FOR DISTRICT 3 WHICH EXPIRES IN 2012. FIVE FIRST TERM WAS OVER IN 2017.

MAY I HAVE A MOTION TO MOVE THIS FORWARD TO THE FULL COUNCIL FOR MINNESOTA? THE GOVERNOR SOME OF THOSE HERE IN A SECOND. THANK YOU VERY MUCH.

I WILL MOVE THIS FORWARD UNLESS THERE ARE SOME EXCEPTIONS ANYONE HAVE EXCEPTION HEARING NONE THEN THIS WILL MOVE FORWARD TO FULL COUNCIL FOR A RECOMMENDATION TO THE GOVERNOR'S OFFICE FOR THE REAPPOINTMENT. THANK YOU VERY MUCH SARAH.

DO WE HAVE ANY CITIZEN COMMENTS ? NO, SIR.

WE DIDN'T RECEIVE ANY FOR THIS COMMITTEE. OK, WELL BEFORE I ADJOURN LET ME SAY THANKS TO THE MEMBERS OF THE COMMITTEE LOGAN CUNNINGHAM THE VISE CHAIR GERALD DAWSON, YOUR GLOVER AND ALICE HOWARD WHO ARE COMMITTEE MEMBERS WHO WERE IN ATTENDANCE.

AND TO ALL OF THE REST OF YOU WHO HAVE SHOWN ENOUGH INTEREST TO PARTICIPATE FULLY IN THIS IN THIS EVENT TODAY. THANK YOU ALL VERY MUCH. DOES ANYONE HAVE ANY CLOSING

COMMENTS OBSERVATIONS? >> JUST LIKE TO SAY THANK YOU TO ALL THESE AGENCIES THAT WE HEARD FROM TODAY THAT SERVE THE PUBLIC. AND DON'T GET A LOT OF THANKS SOMETIMES FROM THE FARM BUT THEY CERTAINLY HAVE OUR THANKS AND THEY DO IT.

>> THAT'S WHY I SAID I THINK THESE PRESENTATIONS WE GET OR ARE REALLY VERY IMPORTANT NOT ONLY FOR US TO HEAR BUT FOR PEOPLE WHO ARE WATCHING IN IN THE COMMUNITY ON TELEVISION FOR THEM TO HEAR ABOUT THE GOOD WORK THAT EVERYONE IS DOING IN THE PROFESSIONAL WAY THAT THEY DO IT. SO THANKS THOUGH TO ALL OF THEM.

OK. CHAIRMAN MR. CLOSE, I JUST WANT TO JUST WANT TO NOTE THAT THE RECOMMENDATION WE JUST MADE TO CONTINUE PAM LADY I CALL A LADY PAM ON THE DSM BOARD IS AN EXCELLENT ONE IN THAT PAM IS ACTUALLY A A AMPUTEE IN A WHEELCHAIR SO SHE IS TRULY A DISABLED PERSON SERVING AND WILLING TO SERVE AND SHE DOES HAVE A SHARP MIND AND SHE'S BEEN AN ASSET TO THAT DSM BOARD. SO THANK YOU.

I JUST WANT TO MAKE THAT NOTATION. THANK YOU VERY MUCH, MR.

GLOVER. >> I APPRECIATE THOSE OBSERVATIONS.

ANYTHING FURTHER FROM ANY OK, I'M HEARING NOTHING. THEN THIS MEETING STANDS ADJOURNED. THANK YOU ALL VERY MUCH FOR YOUR PARTICIPATION TODAY.

>> MISS MISS SARAH, WHAT TIM

* This transcript was compiled from uncorrected Closed Captioning.