[0:00] Heat. Heat.

[0:22] of the United States of America.

[0:37] order. First order of business is approval of

[0:41] the minutes of the November 18th regular meeting. Minutes have been circulated.

[0:46] Uh any comments, no additions or deletions? I entertain a

[0:53] motion to approve

[0:57] reading and approve. I guess I should say motion made and seconded. All in

[1:02] favor? Hi.

[1:17] Annual structure updation

[1:28] service uh last month collected a total of

[1:32] $141,69467.

[1:38] Um that process uh last year uh for a full year we

[1:46] collected uh 1,920,30

[1:53] $18,3820 above our total collections for last

[1:58] year not counting December. So we are doing much better this year last year.

[2:06] Um and we are constantly working to enhance our reports trying to enhance

[2:12] our collections for that. So, uh, working on rentals, uh, for the

[2:20] month, uh, we did a total our our numbers show that

[2:26] we had a total including Green County Rescue contracts with us. Our total run

[2:31] volume was uh, 430 runs and that we had a total of 392

[2:37] transports. Um, however, as I'm constantly

[2:43] evaluating and looking at one thing I have been working on since I took over

[2:48] last year and a half months was uh, anytime our cruiser dispatch, they need

[2:54] to generate around. Uh, when I first started, we had over

[2:59] 900 calls a month getting pulled off the C, which is a problem. Um, if if there's

[3:06] an incident, we get dispatched, too. and it's a legal incident

[3:11] report and there's nothing there. Um I'm consistently working on it. Uh last

[3:18] month I had 60 calls. So we had basically half and continually we're

[3:24] working on that. Our goal is to get zero. Um our biggest problem right now

[3:30] is our part staff realizing that all we do here it needs to be done. so that we

[3:37] actually have true numbers. Um, and just by research, I can't uh give you an

[3:44] exact number, but uh I I can't verify that we actually did over 500 calls last

[3:49] month. I can't get you an exact number because

[3:55] we're working on it as multiple ways. One is to show how

[4:00] busy we are. Number two, as effective as we apply for grants because they don't

[4:04] see real time animation. So we are working on that. It might somebody out

[4:10] there that needs a fast run and you have to send an ambulance from somewhere else

[4:14] farther away because your first ambulance is going to get a signal 9

[4:18] closest one run is going to get a signal 9 but you don't know that cuz

[4:25] why did you get this ambulance over here when you could have got this one. So,

[4:30] um, that's something my staff and I made yesterday on and, uh, I told we got to

[4:36] get to zero. It's just it's a work. We've done it in half, but half isn't

[4:40] good enough yet. So, uh, that's something that we are continually

[4:44] working on. So, I have a question actually related to that

[4:50] last one. Last meeting you had 26 transports long distance.

[4:55] What constitutes long distance?

[5:03] » [music]

[5:08] » 72. So I usually average 70 65 to 75 transfers every month. You guys

[5:16] take almost all of them. So So we did 72 last month. Those calls were long

[5:21] distance transfers at Evansville, Indie, Henderson, wherever they may be. So

[5:27] yeah, um we are updating the system. I thought there's something as far as

[5:35] there is problems there. We're trying to fix it. I'm on the phone with ESO trying

[5:42] to fix

[5:47] the station dispatch somewhere. So,

[5:56] um, we went by the commissioners this morning. Um, we had in our budget last

[6:01] year to buy an ambulance and we didn't buy one. What we did is we had some

[6:06] costes

[6:11] between that equipment budget and repair to combine that uh to start upgrading

[6:19] our monitors. Commissioners approve us this morning to build up three of them.

[6:24] Uh they're on the tail end of the lifespan. We're having trouble with our

[6:27] transmission. We had two standings last week. Uh both of them were taken from

[6:32] scr

[6:41] and things like that. So uh commissioners approve sign purchase

[6:45] order that money will be carried over and you have to have invoice to do

[6:52] it if we can't get an invoice to deliver. So [clears throat] they will be

[6:57] uh we're going to carry that money over

[7:02] additional appropriation to use that money back in uh purchase monitors which

[7:08] comes to the three monitors come to $3,780.

[7:15] Now what he has spent even though it was over $5,000 out of his own budget was

[7:21] fine was it? It's the extra the additional appropriations over 5 has to

[7:26] go to you guys first. Can we get that advertised for the 29th? We have the

[7:30] meeting the 29th this month. We can we can get it all over

[7:38] your January meeting before you can approve.

[7:40] » Yeah, we can. Yeah, that'll be the end of January

[7:45] quicker.

[7:48] Just that's not going to happen that way. No, I'm sorry, but that's a special

[7:53] meeting. It's a single issue meeting. >> Okay. So, we can't do anything with

[8:00] Okay. So, there's there's some appointments, too, that they have that

[8:04] day. Okay. So, that's January meeting. It is.

[8:08] » Okay. I'm glad you clarified that. That's the January.

[8:12] » Okay. I appreciate it. Sure. >> I didn't know for sure that it's the

[8:18] nature of calling a special meeting. Okay, that's special meeting.

[8:30] You can do both

[8:34] special order in today. Of course, I got to get

[8:39] all my information on this

[8:44] delivery till the beginning of January and then we have to do more training. So

[8:48] we have be in service first. Uh we'll put them on our three business units

[8:54] Sbury and then we'll work on the grants to

[8:58] replace Jason and our backup units. Uh do that and and if you get receive them

[9:05] in the end of January uh you won't get the invoice until the end of January

[9:10] » and you have 30 days to pay. >> Yes sir. So it should work out

[9:18] invoice facilitate everything through but I'll

[9:21] do whatever contract I just like to get a heads up for a couple of us in the

[9:27] councils so we know what's coming the lipan those units they uh usually

[9:35] about 5 years 5 to 6 years um if you purchase one of those what you purchase

[9:40] now is corrosion they're constantly coming out for changes and upgrades. So

[9:47] ours are different versions. We have some version one, some version three,

[9:52] some version two, so forth. And um so as they as older they get, they can't be

[10:00] upgraded anymore. They're unable to be. So you just got stuff where you're at.

[10:06] So um we will train in three units for the economies. that reduce the cost for

[10:13] uh but they will all come with transmission devices. So uh right now we

[10:18] are having trouble transfer

[10:26] show me if it's a their problem the hospital's problem receive my service

[10:32] problem and so forth and uh they're going to be contact

[10:40] information. So you stay with live packs. Are you changing?

[10:43] » No, we're staying with live packs. Yeah, we do live pack 35s.

[10:47] Um, and they are upgrading units. They they'll have the uh the printers, the

[10:53] transmission devices already built into them, whereas now they're separate

[10:58] carbon monoxide has to be titled everything with that. So

[11:05] our main focus is when we do have these cardiac patients that are patients, we

[11:13] are able to function to our full capabilities. You know whether we

[11:16] transmit you know

[11:26] this huge

[11:30] save.

[11:33] How many do you have now? Um we got eight right now. Uh, just replace three

[11:40] of them. And you need three more just to replace the ones on the ambulance.

[11:47] And then there's one. Everything's good.

[11:52] So, we're just getting started. We're just

[11:56] getting started. If we do it in phases, maybe we won't hit this all at once. We

[12:01] have continually kind of step forward there.

[12:04] uh he and I have talked and uh talked to some other uh resources uh about

[12:10] possible funding alternatives to assist in this endeavor. So it'll be working

[12:17] progress but this this is a huge step for us.

[12:30] Okay. Any other updates? Uh, right now we're working on fixing

[12:34] the station. Uh, I was talking

[12:39] and I talked about it. Uh, the building's not heating. Some rooms are

[12:43] heated, some are not. Um, did some changed out some faucets. We

[12:49] had one faucet actually. Uh, it was continually

[12:53] running. It's one of those you put your hand on. You kick off for maybe 3

[12:57] seconds and then shut off. Well, this one was continuing to flow. Uh, so we

[13:02] have process fixed. Some rooms are not heated. Um, we did find a problem. We do

[13:08] have water softener and um, we going through a lot of salt and all that. So,

[13:14] they're coming back to fix that because we shouldn't so much. So, we got that

[13:20] system in the short cycle. So, that's why some rooms are possibly eating and

[13:25] some aren't. Um, and then bring that guy back and put uh in the attic to the

[13:31] dampers and see if they can't adjust and fix

[13:34] it out a little bit. Uh, we have a separate shower and there is absolutely

[13:39] no

[13:42] one clean

[13:47] that just the bedrooms are on a separate

[13:51] system. Each one separate. So that's all we uh kind of fine tune on. So um

[14:00] station

[14:04] work

[14:11] at the same time

[14:19] res

[14:23] issues.

[14:26] dampers like they should and

[14:31] we've seen that something else that

[14:37] we might need to look at and we talked earlier. I don't know if it's

[14:41] appropriate time to say it, but when the jail opened, we had a little time there

[14:46] to determine what the cost was going to be to run the jail with the utilities

[14:51] and the expenses and all that. We have to adjust later.

[14:55] We're going to have to do this with the ambulance building, too.

[14:58] » We've had soon will be a year. So, we'll soon have a year worth of records to

[15:04] look at. And all we did we need to look at to make sure we're budgeting enough

[15:10] for the building. We we get that number within $100. And we simply off took the

[15:19] square footage and the monthly bills and did an average and it was it was so

[15:24] close it was scary. And then he stories about

[15:30] voodoo science, but it seemed to work. The fact that you got that many months

[15:36] in there, you you'll be able to be fairly I know this year around just to

[15:41] cover utilities that station. Um

[15:47] something so prepared for that. Um I need to do next year's budget, but it

[15:52] has been increased slightly. So, I'm doing the houses now to see if we need

[15:57] more. Another thing is we've had such a good year collections. Like I said,

[16:00] we're have to uh what we pay the billing company

[16:04] uh monthly. They send us a bill based on what they amount they collect and it

[16:09] right now just this month's bill, which is a good thing. Talking to Mr. Gra this

[16:15] morning said that's a good thing. This is good.

[16:21] We don't have that budget there to pay that. So that's

[16:28] increasing that building or increased payout. We just got to make some

[16:33] adjustments. There's so many things you try to plan for a year and you can't

[16:38] even begin to project everything that's going to happen. all these unseen

[16:42] things. It's a moving target. You do the best you can, but hopefully you at least

[16:48] have money to move from somewhere to reallocate.

[16:52] But that's it's tough. You just make constantly. It's constantly

[16:59] reporting.

[17:04] Yeah. Yeah. uh she come off Sunday for 2 hours

[17:10] and she's very knowledable a lot of great people

[17:16] to help you. You just got to ask. So

[17:23] other than that, I mean this is all maintenance. Uh no oil changes due this

[17:28] week and uh no major breakdown. No major breakdowns. Good. Looks good.

[17:36] about

[17:41] well

[17:49] yes hours I can't

[17:55] everybody's kind of messed up today I apologize

[18:00] the other thing is to We offer this to you. The the agreement they sign

[18:08] yet.

[18:16] I have not received the final grant that I can

[18:22] recall. She said that she would uh that they had

[18:26] accepted my language and that they would get she said they'd be sending a uh a

[18:34] docu sign document but I haven't seen anything of course

[18:42] they need to sign that. So, so as soon as that comes in, I know commissioners

[18:46] already sign all the licenses necessary to keep

[18:52] up on our maintenance inventory. So, I will uh have those reports as soon as I

[18:58] get in there

[19:03] this morning. We could do like 14 video cords. I think our IT guys figured out a

[19:09] way to make it work magic. But yeah, we had 14 people probably end up bringing

[19:16] over here. >> Yeah, I saw some in there when I come

[19:22] everybody's all spread out.

[19:27] all people off the road.

[19:34] Okay, we got the monitors discussion out of the way.

[19:40] Uh, any other business may come forward?

[19:45] Not not this time, I'm sure. Next month. So, I guess one thing I needed to bring

[19:51] up was the hospital's decision to close the OB department. I think due January

[19:56] 31st I believe. Uh so that's going to require a lot more education for the EMS

[20:02] crews. Uh also um you know trying to designate

[20:08] or work with the other surrounding facilities where they should be taking

[20:12] the uh those OB patients. So be more to come on that but

[20:20] county said they would still have the department. They're going to be our

[20:24] closest facility. >> Just out of curiosity about how many are

[20:29] uh 60 to 70 average 72

[20:38] 72 this year maybe some more in there. Um we do have

[20:43] women's health. They're going to be coming up and doing a lot of education

[20:46] with the ER staff um as well as EMS. Uh, so they're going to kind of be our

[20:51] primary provider for that education, but there's also several other courses that

[20:56] we're looking into. Dr. Gamble's looking into different courses for paramedics

[21:00] and physicians and ER staff in general. So are ambulances called a lot for those

[21:07] runs or in today's world, you know, like

[21:13] they're usually called when there's some problems. Yeah, is is probably a image

[21:18] would be a big one

[21:23] right now using midwife, you know, a lot of calls on those a lot

[21:32] and uh the midwives if they have any difficulties

[21:37] that experience you know this is kind of new to them train

[21:42] you know as far as I do it's really different uh We get a lot of calls for

[21:47] that.

[21:50] You know, they do everything from delivery to the full process. If there's

[21:55] any complications, we get a lot of calls. And a lot of it's going to depend

[21:59] on where that call's coming from. You know, whether they take on

[22:07] much

[22:21] utility there, doctor, I don't know. All be your complications go to Union North.

[22:28] All trauma they want they want Union North. They're not going to have a

[22:31] trauma center. Um neuro they want Union North. So

[22:38] really it's it's going to be a bypass facility just in case of emergency

[22:43] services all the services basically be transferred up there.

[22:48] So um that's going to affect us too. So basically our options in this area will

[22:53] be IU uh soul good sand depending on sins and

[23:00] union there. So regional is not trauma anymore

[23:05] at all regional does not want to accept trauma

[23:09] or the regional facility of union does not want to accept trauma. All trauma is

[23:13] recommended to go to union north. I call union right

[23:18] you're calling union over

[23:21] » okay cuz he's a regional started a trauma there used to be trauma

[23:26] center news

[23:32] all the road to north which is another 7.3 miles for

[23:38] us but that's a long time you got it seems to take forever

[23:44] you know, all the way through town. >> Yeah. There's no good way of getting in

[23:47] there. Yeah. So, uh, our landscape is changing

[23:54] quite dramatically. Yeah. But I I will say this in life situations. Uh, and

[24:00] I've had two or three of those. It seems like as I've been the last month or two,

[24:04] I enjoy the test the staff general has done an amazing job. I had a accident

[24:12] and uh I got a question where be I saw where he was supposed to

[24:23] I got may not be the place to say it but I have on that incident. I don't know

[24:30] how many times that man should have been dead and

[24:37] everything just worked perfectly.

[24:43] So lucky you didn't shut down the ambulance because you had somebody

[24:47] called call in. You went ahead and worked the ship. You were the closest

[24:51] ambulance. You got there fast. You made the decision to transport immediately.

[24:57] Uh they had the blood waiting at the

[25:00] hospital and emergency staff everything just it was that was that was to me

[25:09] that's amazing that something to strive for

[25:14] as we are we give that kind of care that's amazing

[25:22] something about agreement I agree we

[25:28] everything fell together on that and I can just go on on another calls very

[25:32] similar to that but uh I think two um were enhancing our relationship with the

[25:39] ER staff and the doctors and you know I personally I remember I told the doctor

[25:45] that I said hey here's what I've got to come to you here's what I need and he

[25:49] met me outside he met me outside he was on it and uh

[25:55] the whole staff I think we all remember back when I

[25:59] started the sheriff departments. That was it.

[26:05] That was uh that was certainly better than nothing. But the ambulance service

[26:10] has grown into now and hospital pretty impressive for county hospital

[26:19] and ambulance service. you know, I'm proud about

[26:25] and just kudos to my staff because they're they're doing an excellent job.

[26:30] You know, that night my uh when I'm working, I tell my train officer, take

[26:33] the vehicle home, the first response vehicle, because she lives open. She

[26:37] didn't, you know, I called her on the way there. I said, "I may need an extra

[26:40] set of hands." She was there thinking and she was just a valuable tool and she

[26:46] does not hesitate. You know, she knows I'm on cover to respond in that vehicle

[26:51] and contribute. And uh the staff as a whole has just

[26:56] been very

[27:05] come forward

[27:10] drug testing today, sir. I'm drug testing.

[27:13] We got some things going on and uh so uh I've been in conversation with

[27:22] Marvin and some other individuals who has been a great asset to

[27:30] I have two people today

[27:34] contact the hospital

[27:41] not a bad idea.

[27:45] And you might also I kind of time hey this is going on so he's not off

[27:52] try to as much as I can guess it's going on today and going on every day this

[27:57] week maybe next week

[28:06] sir Anything

[28:14] else?

[28:19] Entertain a motion to enjoy

[28:26] you guys. I want you to have a merry Christmas. Thank you.

12.16.2025 Greene County Emergency Medical Services Board

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