1 00:00:00,000 --> 00:00:04,153 We're trying to get worked out, so I've asked Chairman— 2 00:00:04,153 --> 00:00:10,194 Commissioner Stovall if he would say the prayer— pledge— I mean, say the prayer, 3 00:00:10,194 --> 00:00:14,498 and Commissioner Hollinsworth will lead us in the pledge. 4 00:00:14,498 --> 00:00:19,783 My Heavenly Father, it's me, me again, standing in the need of prayer. 5 00:00:19,783 --> 00:00:24,994 But we come this evening asking for your guidance and your direction. 6 00:00:24,994 --> 00:00:28,845 That you would lead us, dear Lord, in this meeting. 7 00:00:28,845 --> 00:00:32,016 Help us to conduct it decent and in order. 8 00:00:32,016 --> 00:00:37,528 Well, we pray a special blessing upon everyone that's represented in here 9 00:00:37,528 --> 00:00:38,132 everyone that's represented in here tonight. 10 00:00:38,132 --> 00:00:44,249 We pray a special blessing upon those that know you're not in the pardon of their 11 00:00:44,249 --> 00:00:49,081 many sins. Well, we ask you just to help us because we need you. 12 00:00:49,081 --> 00:00:51,573 We can't do anything without you. 13 00:00:51,573 --> 00:00:51,718 Amen. 14 00:00:52,734 --> 00:00:56,323 Well, we pray a special blessing upon our first responders, 15 00:00:56,323 --> 00:01:01,190 and we pray a special blessing upon our young men and women in the militaries as 16 00:01:01,190 --> 00:01:04,840 they protect us and enabling us to assemble freely as we do. 17 00:01:04,840 --> 00:01:09,464 And we ask a special blessing upon those that may be going through sickness. 18 00:01:09,464 --> 00:01:10,026 Yes, Father. 19 00:01:10,026 --> 00:01:12,345 Those we know and those we know nothing about. 20 00:01:12,345 --> 00:01:14,766 And another special blessing as well, dear Lord, 21 00:01:14,766 --> 00:01:16,732 those may be going through bereavement. 22 00:01:16,732 --> 00:01:20,665 We ask you to give them strength where they may be weak and pick them up where 23 00:01:20,665 --> 00:01:20,867 they may be weak and pick them up where they 24 00:01:20,867 --> 00:01:23,993 may be torn down. Father, things that I failed to ask you for, 25 00:01:23,993 --> 00:01:25,254 please fail not to grant. 26 00:01:25,254 --> 00:01:29,389 These and all blessings we ask and we pray in your name, the mighty name of Jesus, 27 00:01:29,389 --> 00:01:30,851 thank you, eternal God. Amen. 28 00:01:30,851 --> 00:01:36,160 Amen. Pledge of Allegiance. Pledge of Allegiance. 29 00:01:36,160 --> 00:01:43,121 To the flag of the United States of America and to the republic for which it 30 00:01:43,121 --> 00:01:50,083 stands, one nation under God, indivisible, with liberty and justice for all. 31 00:01:50,083 --> 00:01:55,120 Okay. Let the record show that all members are present, 32 00:01:55,120 --> 00:02:00,524 and I will now entertain a motion from Commissioner Strand. 33 00:02:00,524 --> 00:02:07,394 So I've got a— you didn't even let me get out the chairman thing there, Mr. 34 00:02:07,394 --> 00:02:10,600 Strand. So nomination for chairman. 35 00:02:10,600 --> 00:02:17,286 Has been made by Commissioner Strands, Gary Stovall. Is there any others? 36 00:02:17,286 --> 00:02:19,393 It don't need a second. 37 00:02:19,393 --> 00:02:25,713 I can— so I can entertain a motion to cease nominations and accept by 38 00:02:25,713 --> 00:02:27,820 acclamation. All right, 39 00:02:27,820 --> 00:02:34,415 so it's been moved that nominations cease and Gary Stovall be elected by 40 00:02:34,415 --> 00:02:41,834 acclamation. All those in favor, please All those in favor signify by saying aye. 41 00:02:41,834 --> 00:02:42,239 Aye. 42 00:02:42,239 --> 00:02:47,476 All those opposed? It's yours, Commissioner Stovall. 43 00:02:47,476 --> 00:02:51,807 Thank you, Chairman Grooms. Thank you, sir. 44 00:02:51,807 --> 00:02:58,153 I'd like to thank everyone for placing their trust in me again, 45 00:02:58,153 --> 00:03:04,297 and I will try to do the best I can, the best I possibly can, 46 00:03:04,297 --> 00:03:11,448 with the help of the good Lord on my side. I can't do nothing but good. 47 00:03:11,448 --> 00:03:16,383 So if he's leading me, I know I'm gonna do right. 48 00:03:16,383 --> 00:03:22,426 So I appreciate everybody, and thank you for trusting in me. 49 00:03:22,426 --> 00:03:30,081 Uh, as we continue on with the agenda, we got an election of the vice chair. 50 00:03:30,081 --> 00:03:34,412 Can I get a motion to Commissioner Hessler? 51 00:03:34,412 --> 00:03:35,429 Patti Hollinsworth. 52 00:03:35,429 --> 00:03:39,151 Patti Hollinsworth has been nominated for vice chair. 53 00:03:39,151 --> 00:03:41,399 Are there any other nominations? 54 00:03:43,060 --> 00:03:43,108 No? 55 00:03:43,509 --> 00:03:47,137 If there are not, then we move that Patti Hollinsworth, by acclamation, 56 00:03:47,137 --> 00:03:50,868 will be our vice chair of the Health and Environment Education Committee. 57 00:03:50,868 --> 00:03:51,655 All right. 58 00:03:51,655 --> 00:03:54,614 Thank you, Patti. All in favor? 59 00:03:54,614 --> 00:03:55,187 Aye. 60 00:03:55,187 --> 00:03:59,768 Aye is had. Patti, you're it. Yeah, all right. 61 00:03:59,768 --> 00:04:03,054 Can I get approval of the agenda? 62 00:04:03,054 --> 00:04:07,734 Commissioner Hollinsworth? Commissioner Hestla? 63 00:04:07,734 --> 00:04:11,219 Seconded? And all in favor say aye. 64 00:04:11,219 --> 00:04:12,170 Aye. 65 00:04:12,170 --> 00:04:14,115 The agenda has been approved. 66 00:04:14,115 --> 00:04:19,078 Do anyone have any— had a chance to look at the prior minutes from August? 67 00:04:19,078 --> 00:04:21,761 If there are any deletions, corrections, 68 00:04:21,761 --> 00:04:25,919 or anything that need to be taken off or added to this agenda? 69 00:04:25,919 --> 00:04:29,541 Uh, have you had a chance to look at it? Everyone has. 70 00:04:29,541 --> 00:04:32,357 So we'll let those meetings stand as read. 71 00:04:32,357 --> 00:04:37,455 Okay, we come to the part of our meeting now for the public comment section. 72 00:04:37,455 --> 00:04:41,881 Has anyone signed up for the public comment? No one has signed up. 73 00:04:41,881 --> 00:04:44,899 But anyway, I'll just read this just in case. 74 00:04:44,899 --> 00:04:50,264 Public comment note: to provide public comment germane to specific agenda items, 75 00:04:50,264 --> 00:04:55,697 please complete and return a public form Available in person immediately prior to 76 00:04:55,697 --> 00:04:57,172 the scheduled meeting. 77 00:04:57,172 --> 00:05:02,404 Additionally, there are 2 defined public comment periods whereby no sign-up is 78 00:05:02,404 --> 00:05:05,556 required. At the discretion of the chairperson, 79 00:05:05,556 --> 00:05:10,586 public comment is limited to 30-minute aggregates and 3 minutes per speaker 80 00:05:10,586 --> 00:05:12,866 distributed across the 3 sessions: 81 00:05:12,866 --> 00:05:17,360 the outset of the meeting during specified agenda items and at all— 82 00:05:17,360 --> 00:05:20,378 and at the conclusion of the county business. 83 00:05:20,378 --> 00:05:25,140 All comments shall be addressed to the body rather than any one member, 84 00:05:25,140 --> 00:05:29,566 and there will be no rebuttals thereafter. As we move forward, Mr. 85 00:05:29,566 --> 00:05:33,925 Kenny was here, but he had to leave, but he has some— what is it— 86 00:05:33,925 --> 00:05:38,017 budget items that would need to be passed over to the budget. 87 00:05:38,017 --> 00:05:43,382 He's just transferring money. Mayor, do you have anything to add on to that? No. 88 00:05:44,520 --> 00:05:44,972 Just a transfer. 89 00:05:44,972 --> 00:05:50,293 Just a transfer of money. Okay, all in favor? Commissioner Strand. 90 00:05:50,293 --> 00:05:52,792 Second by Commissioner Hessler. 91 00:05:52,792 --> 00:05:58,517 Any questions about the transfer to the Budget Committee? No questions. 92 00:05:58,517 --> 00:06:01,016 All in favor? Every number aye. 93 00:06:01,016 --> 00:06:06,982 We'll pass this on to the Budget Committee then for the Health Department. 94 00:06:06,982 --> 00:06:11,255 Solid Waste, Mr. Turner, you're in the house tonight. 95 00:06:12,068 --> 00:06:17,223 Welcome back. Good evening. 96 00:06:17,223 --> 00:06:21,447 Good evening, sir. So I sent out a couple of 97 00:06:21,447 --> 00:06:24,902 Excel spreadsheets with some of the— 98 00:06:24,902 --> 00:06:26,150 What is that? 99 00:06:26,150 --> 00:06:29,780 Making sure you're paying attention. 100 00:06:29,780 --> 00:06:34,434 All right. 101 00:06:37,434 --> 00:06:38,257 Let's see. 102 00:06:38,257 --> 00:06:42,682 Uh, which is some of the data and financial things that we've discussed in 103 00:06:42,682 --> 00:06:44,177 previously, uh, meetings. 104 00:06:44,177 --> 00:06:45,792 Uh, added the customer, uh, 105 00:06:45,792 --> 00:06:49,738 customer list as into when they were recently added on there also. 106 00:06:49,738 --> 00:06:52,011 So you'd have that for your reference. 107 00:06:52,011 --> 00:06:55,419 Um, it came up in last meeting and then, um, like I said, 108 00:06:55,419 --> 00:06:59,605 the financials just continuing to grow there, looking positive trends. 109 00:06:59,605 --> 00:07:03,911 So that's good. Um, and then one announcement, which is, September 19th, 110 00:07:03,911 --> 00:07:05,465 which isn't this Saturday, 111 00:07:05,465 --> 00:07:09,113 but next Saturday is our Household Hazardous Waste Day event. 112 00:07:09,113 --> 00:07:13,538 That is, that will be at our main location, 1233 Lawson White Drive from 8 113 00:07:13,538 --> 00:07:14,017 location, 1233 Lawson White Drive from 8 to noon. 114 00:07:14,017 --> 00:07:15,930 That is a state-sponsored event. 115 00:07:15,930 --> 00:07:20,953 So we'll be out there for those 4 hours to accept any household hazardous waste that 116 00:07:20,953 --> 00:07:25,797 the folks might have. We're putting flyers out today, trying to get the word out. 117 00:07:25,797 --> 00:07:27,830 So help spreading. That's helpful. 118 00:07:27,830 --> 00:07:28,377 Okay. 119 00:07:30,682 --> 00:07:35,897 Is that all you have? That's all I got. Any questions for Matthew? No questions? 120 00:07:35,897 --> 00:07:37,727 Is that the 19th? 121 00:07:37,727 --> 00:07:38,666 19th, yes. 122 00:07:38,666 --> 00:07:41,926 The 19th, thank you. 123 00:07:41,926 --> 00:07:43,361 Commissioner Hestla? 124 00:07:43,361 --> 00:07:45,028 Thank you, Chair. Matt, 125 00:07:45,028 --> 00:07:49,522 would you mind going over what would be on a list of hazardous 126 00:07:49,522 --> 00:07:52,421 waste? Is it paint or— So since we take— 127 00:07:52,421 --> 00:07:53,963 I'm sorry, I didn't mean to cut you off. 128 00:07:53,963 --> 00:07:55,366 No, that's okay, go ahead. 129 00:07:55,366 --> 00:07:57,476 Since we take paint on a normal basis, 130 00:07:57,476 --> 00:08:01,641 the state doesn't like to see paint on Household Hazardous Waste Day events 131 00:08:01,641 --> 00:08:01,974 Household Hazardous Waste Day events simply 132 00:08:01,974 --> 00:08:04,251 because We take that throughout the year, 133 00:08:04,251 --> 00:08:08,027 so they don't want to be bogged down with it on that particular day. 134 00:08:08,027 --> 00:08:10,415 So we're looking at aerosol cans, cleaners. 135 00:08:10,415 --> 00:08:13,303 If you've got old gasoline you'd like to get rid of, 136 00:08:13,303 --> 00:08:17,357 automotive additives that you add to your fuel, or those kinds of things. 137 00:08:17,357 --> 00:08:20,577 Cleaners, pool chemicals, that's a common one that we see. 138 00:08:20,577 --> 00:08:21,744 Those kinds of items, 139 00:08:21,744 --> 00:08:25,853 things that you would have in your house that are really kind of dangerous 140 00:08:25,853 --> 00:08:30,184 chemicals, it's an outlet for you to get rid of those rather than just dumping 141 00:08:30,184 --> 00:08:30,462 rid of those rather than just dumping them. 142 00:08:30,462 --> 00:08:33,065 What about oil from— 143 00:08:33,065 --> 00:08:35,165 So I did look on their website. 144 00:08:35,165 --> 00:08:39,434 They don't explicitly list motor oil as accepted or unaccepted. 145 00:08:39,434 --> 00:08:42,280 I've seen it go both ways. So I can't say. 146 00:08:42,280 --> 00:08:46,752 Normally what we recommend to people is NAPA, Advance, O'Reilly's. 147 00:08:46,752 --> 00:08:50,411 These kinds of places provide homes for that material. 148 00:08:52,256 --> 00:08:56,774 So do we, are we supposed to be keeping our empty aerosol cans off to the side and 149 00:08:56,774 --> 00:08:59,750 not just throw them in the trash with everything else? 150 00:08:59,750 --> 00:09:01,403 Because I've always done that. 151 00:09:01,403 --> 00:09:04,922 No, no, if it's totally empty, it doesn't have any hiss left in it, 152 00:09:04,922 --> 00:09:06,970 that's okay to go in the regular trash. 153 00:09:06,970 --> 00:09:11,381 What they're talking about is things that are actually still pressurized containers. 154 00:09:11,381 --> 00:09:15,215 They're hazardous because if that container were to get punctured, it can 155 00:09:15,215 --> 00:09:15,635 container were to get punctured, it can explode. 156 00:09:15,635 --> 00:09:19,101 So some of them can be hazardous from the chemical that's in them, 157 00:09:19,101 --> 00:09:23,092 so it's very much case by case. Other ones are simply hazardous Interesting. 158 00:09:23,302 --> 00:09:25,439 Okay. What about Freon? 159 00:09:25,439 --> 00:09:28,505 That would be in the cans, right? 160 00:09:28,505 --> 00:09:32,036 The aerosol, would that be considered? 161 00:09:32,036 --> 00:09:34,773 Yeah, they would take that material, I would assume, at that one. 162 00:09:34,773 --> 00:09:37,804 Car refrigerant type stuff, yes, I believe they would accept that there. 163 00:09:37,804 --> 00:09:40,078 Like I said, they've got a full list on their website. 164 00:09:40,078 --> 00:09:41,804 I don't have it memorized, unfortunately. 165 00:09:41,804 --> 00:09:45,257 The flyers that we put out have a QR code on it that will take you to the website. 166 00:09:45,257 --> 00:09:45,594 to that. 167 00:09:45,951 --> 00:09:46,276 Okay. 168 00:09:46,422 --> 00:09:50,815 Um, I could probably put a link on our website too. Let me remember to do that. 169 00:09:50,815 --> 00:09:54,318 That'd be great. Then, uh, Commissioner Hestla. Yes, thank you. 170 00:09:54,398 --> 00:09:54,608 Thank you. 171 00:09:54,608 --> 00:09:56,964 Mr. Markham. Thank you, Mr. Chairman. 172 00:09:56,964 --> 00:10:02,249 Uh, what about batteries, used batteries, uh, car batteries and that kind of stuff? 173 00:10:02,249 --> 00:10:05,497 We take those at the centers every time, every day. 174 00:10:05,497 --> 00:10:07,726 Yeah, all, all throughout the year. 175 00:10:07,726 --> 00:10:12,820 Yeah, that's, that's one of the things that we moved to the convenience centers. 176 00:10:12,820 --> 00:10:17,723 So that goes in our electronic bin. Okay. Thank you. Thank you, Mr. Chairman. 177 00:10:17,723 --> 00:10:22,053 All right, anybody else? Nobody else? Okay, Matt, I think that's it. 178 00:10:22,053 --> 00:10:27,147 Nobody else want to say anything to you this evening. Have a good evening, Matt. 179 00:10:27,147 --> 00:10:31,987 All right, thank you. You too. Water Department, Mr. Schultz. Thank you, Mr. 180 00:10:31,987 --> 00:10:37,018 Chairman. I just wanted to congratulate everyone on your election and wanted to 181 00:10:37,018 --> 00:10:41,475 thank you also for your Uh, commitment to our county and your service. 182 00:10:41,475 --> 00:10:43,067 Um, with that being said, 183 00:10:43,067 --> 00:10:47,461 I would entertain any questions that anybody might have for the Water 184 00:10:47,461 --> 00:10:48,161 anybody might have for the Water Department. 185 00:10:48,161 --> 00:10:53,383 Anyone have any questions for Mr. Schultz pertaining to water? Commissioner Spann. 186 00:10:53,383 --> 00:10:56,121 Thank you, Chair. How you doing, my friend? 187 00:10:56,121 --> 00:10:56,803 Hey. 188 00:10:56,803 --> 00:11:00,136 When are we going to have water coming in here? 189 00:11:00,136 --> 00:11:02,901 Hopefully, uh, by the end of September. 190 00:11:03,112 --> 00:11:03,732 Uh, everybody— 191 00:11:03,732 --> 00:11:09,212 In a month? Well, everything will be complete as far as the installation. 192 00:11:09,212 --> 00:11:12,590 Our connection should be sometime in October. 193 00:11:12,590 --> 00:11:18,070 We've got the plans for the actual connecting to our system there at TDEC 194 00:11:18,070 --> 00:11:18,746 connecting to our system there at TDEC right now 195 00:11:18,746 --> 00:11:23,250 awaiting approval. So as soon as we get that back from them, 196 00:11:23,250 --> 00:11:29,105 we'll go to bid and get that part of it done. Got her done, didn't you, buddy? 197 00:11:29,105 --> 00:11:29,695 Yes, sir. 198 00:11:30,354 --> 00:11:34,047 Thank you. Thank you all for your support too. 199 00:11:34,047 --> 00:11:37,981 Thank you, Chair. All right, any other questions? 200 00:11:37,981 --> 00:11:39,667 Commissioner Markham? 201 00:11:39,667 --> 00:11:42,195 Yes. Commissioner Markham. 202 00:11:42,195 --> 00:11:49,562 Todd, I want you to kind of talk just a little bit about how long you've had an 203 00:11:49,562 --> 00:11:56,929 application in with TDEC to draw water and some things that maybe have happened 204 00:11:56,929 --> 00:12:01,778 since you applied That, that are— didn't go our way. 205 00:12:01,778 --> 00:12:07,933 Uh, I guess if you start and you don't say what I want you to say, 206 00:12:07,933 --> 00:12:11,197 I'll ask you a different way. Okay. 207 00:12:11,197 --> 00:12:18,191 We actually started the process in 2017, and we do have quite the timeline. 208 00:12:18,191 --> 00:12:23,134 We come all the way through the process down to 2023. 209 00:12:23,134 --> 00:12:27,517 We were actually issued a Draft permit in 2023, 210 00:12:27,517 --> 00:12:34,417 and basically it has sat there since 2023. And where would that intake be? 211 00:12:34,417 --> 00:12:38,894 Uh, the intake itself would be over here by the— 212 00:12:38,894 --> 00:12:45,608 but in between the animal shelter and the emergency management building. 213 00:12:45,608 --> 00:12:53,441 So I guess my addition to that is Columbia Power and Water applied for theirs before 214 00:12:53,441 --> 00:13:00,156 or after that? I know it got approved before. You know, ours hadn't been 215 00:13:00,156 --> 00:13:00,995 before. You know, ours hadn't been approved. 216 00:13:00,995 --> 00:13:03,233 Or what's holding it up? 217 00:13:03,233 --> 00:13:09,481 You said— Well, it's TDEC's decision to approve or deny the permit. 218 00:13:09,481 --> 00:13:15,916 And they have not taken any action since the draft permit was issued. 219 00:13:15,916 --> 00:13:23,189 So I guess my comment is they approved for Columbia Power and Water to take 12 220 00:13:23,189 --> 00:13:30,836 million gallons. We were asking for 3. Is that correct? That is correct, yes, sir. 221 00:13:30,836 --> 00:13:36,898 They've ignored our request and granted Columbia Power and Water. 222 00:13:36,898 --> 00:13:40,255 That's the point I'm trying to make. 223 00:13:42,559 --> 00:13:44,348 Same river. Yes, sir. 224 00:13:44,348 --> 00:13:46,734 Thank you, Mr. Chairman. Thank you, Todd. 225 00:13:46,734 --> 00:13:49,071 Yes, sir. Commissioner Grooms. 226 00:13:49,071 --> 00:13:51,030 Thank you, Mr. Chairman. 227 00:13:51,030 --> 00:13:57,071 Todd, everybody that's requested an intake up and down the Duck River has, 228 00:13:57,071 --> 00:14:03,521 has been approved but ours, right? That is correct. There's been 2 new intakes. 229 00:14:03,521 --> 00:14:08,827 The rest of them have been an increase To the withdrawal permits. 230 00:14:08,827 --> 00:14:13,481 So there's actually been 2 brand new straws in the river, 231 00:14:13,481 --> 00:14:18,134 but the rest of them have been increases to their permit. 232 00:14:18,134 --> 00:14:22,379 But ours is the only one that hadn't been permitted. 233 00:14:22,379 --> 00:14:24,248 Thank you. 234 00:14:24,313 --> 00:14:30,332 Thank you, Mr. Chairman. All right, sir. Commissioner Sumner. Thank you, Mr. 235 00:14:30,332 --> 00:14:32,788 Chairman. Congratulations, sir. 236 00:14:32,788 --> 00:14:38,015 Todd, can you give me an update on the double branch line upgrade? 237 00:14:38,015 --> 00:14:41,817 They are, as of today, looking for another leak. 238 00:14:41,817 --> 00:14:48,074 Okay, so it hasn't been— It has not been— it hasn't made the pressure test yet. 239 00:14:48,122 --> 00:14:48,363 Okay. 240 00:14:49,152 --> 00:14:54,286 So they're— I mean, and they're actively working, but today they've— 241 00:14:54,286 --> 00:15:00,327 they're looking for something else. It won't hold. How many leaks have they had? 242 00:15:00,327 --> 00:15:04,253 This will be the 3rd one. Wow. Okay. Thank you, sir. 243 00:15:04,253 --> 00:15:04,895 Yes, sir. 244 00:15:04,895 --> 00:15:09,922 Can you keep us up— at least keep District 5 updated on that process? Absolutely. 245 00:15:09,922 --> 00:15:10,291 Thank you. 246 00:15:10,291 --> 00:15:15,173 Absolutely. Mr. Schultz, I think that's about it. No one else is— All right. 247 00:15:15,173 --> 00:15:15,494 Hold on. 248 00:15:16,056 --> 00:15:18,821 You almost got away. It's all right. Mr. 249 00:15:18,821 --> 00:15:23,729 Ronsberg, I've got a question, and you may not have an answer for this. 250 00:15:23,729 --> 00:15:28,568 But I'm going to go back to a long time ago before you even took over. 251 00:15:28,568 --> 00:15:33,891 Originally, Upper Duck River charged everybody a nickel a thousand gallons to 252 00:15:33,891 --> 00:15:34,237 everybody a nickel a thousand gallons to build 253 00:15:34,237 --> 00:15:39,698 a dam here so we would have a water issue— I mean, wouldn't have a water issue. 254 00:15:39,698 --> 00:15:43,017 They're still collecting that nickel a thousand. 255 00:15:43,017 --> 00:15:48,754 Uh, I don't, I don't get why we're still paying a nickel a thousand when we already 256 00:15:48,754 --> 00:15:52,695 paid off Normandy and they're not going to give us a dam. 257 00:15:52,695 --> 00:15:58,087 I mean, it should already been paid. Can you give me some information on that? 258 00:15:58,087 --> 00:16:02,304 Well, that would be better answered by the Duck River Agency, 259 00:16:02,304 --> 00:16:08,042 but they are still collecting that nickel per thousand from every water user on the 260 00:16:08,042 --> 00:16:12,881 Duck River. I know, and that's— I've just got— I've got a major issue, 261 00:16:12,881 --> 00:16:18,204 and I know it's not with you, but I thought being with water, you might have— 262 00:16:18,204 --> 00:16:23,181 might have a little bit of an idea. Because I, I, that gives me a lot of 263 00:16:23,181 --> 00:16:23,872 Because I, I, that gives me a lot of heartburn. 264 00:16:23,872 --> 00:16:29,057 It's, and it's not aimed at you, it's aimed at the Upper Duck River Agency, 265 00:16:29,057 --> 00:16:34,518 because that should have been sunsetted a long, long time ago. I appreciate it. 266 00:16:34,518 --> 00:16:37,560 Thank you, Chairman. All right, Madam Mayor. 267 00:16:37,560 --> 00:16:42,790 Thank you, Mr. Chairman. I just want to shed a little light on that 5 cents. 268 00:16:42,790 --> 00:16:45,749 For all these years, it had been voluntary. 269 00:16:45,749 --> 00:16:50,360 But in the past 2 years, I guess just last year or the year before, 270 00:16:50,360 --> 00:16:51,873 it was made mandatory. 271 00:16:51,873 --> 00:16:54,488 So without getting into anything else, 272 00:16:54,488 --> 00:16:59,581 I'm just going to say there were a lot of politics involved in making that 273 00:16:59,581 --> 00:17:03,916 mandatory. So that's my comment. It's now mandatory. Thank you. 274 00:17:03,916 --> 00:17:08,104 Mr. Schultz, I think that's it. 275 00:17:08,104 --> 00:17:09,106 Thank you very much. All right, have a good evening, sir. 276 00:17:09,106 --> 00:17:15,918 Have a good evening. Mr. Ray Parks. Thank you, Mr. Chairman. All right, sir. 277 00:17:15,918 --> 00:17:21,206 Been saying that a long time to get to say it this morning. 278 00:17:21,206 --> 00:17:24,611 What I have on the agenda is 2 things. 279 00:17:24,611 --> 00:17:28,824 One is an ag grant that we were successful Yes. 280 00:17:28,824 --> 00:17:34,470 This is a contract that we were successful on to go toward the, 281 00:17:34,470 --> 00:17:38,234 the new stall barns at Murray County Park. 282 00:17:38,234 --> 00:17:43,791 There's the contract attached and a budget amendment attached, 283 00:17:43,791 --> 00:17:48,183 but it doesn't require any new money on our part. 284 00:17:48,183 --> 00:17:52,395 We appropriated out of our fund to do the barn. 285 00:17:52,395 --> 00:17:57,504 This will help us to complete the project. It's $150,000. 286 00:17:57,504 --> 00:18:01,896 dollars from Tennessee Department of Agriculture. 287 00:18:01,896 --> 00:18:07,901 So the contract is there and a budget amendment to take care of it, 288 00:18:07,901 --> 00:18:12,740 and I guess we're asking to forward that on to budget. 289 00:18:12,740 --> 00:18:19,731 Okay, can I get a motion to move that forward to budget? Commissioner Hessler? 290 00:18:19,731 --> 00:18:22,868 Commissioner Strahan? All in favor? 291 00:18:22,868 --> 00:18:27,260 Any, any questions before you We move it forward. 292 00:18:27,260 --> 00:18:33,713 Anybody have any questions about that? Can you get an all in favor then? 293 00:18:33,713 --> 00:18:40,166 All in favor? Aye. All right, move $150,000 to budget. Yes, sir, please. 294 00:18:40,166 --> 00:18:41,062 $150,000 to budget. Yes, sir, please. Thank you. 295 00:18:41,062 --> 00:18:47,963 All right, and, um, Doug will be here then if there's any questions about it, 296 00:18:47,963 --> 00:18:53,431 and if I need to be, I'll be, but it's a pretty simple grant. 297 00:18:53,431 --> 00:18:59,436 It's, uh, $150,000 go toward that project, so That was nice to get. 298 00:18:59,436 --> 00:19:06,426 Oh, the only other thing we have is an announcement that a park board member's 299 00:19:06,426 --> 00:19:06,785 announcement that a park board member's term 300 00:19:06,785 --> 00:19:11,804 expires in October. So just for announcement this month. 301 00:19:11,804 --> 00:19:13,420 Okay. 302 00:19:13,420 --> 00:19:17,008 They're meeting this month, so I will— 303 00:19:17,008 --> 00:19:21,447 if they have a recommendation, I'll bring that. 304 00:19:21,447 --> 00:19:27,490 After that meeting, the 22nd, I think, their meeting. That's Mr. 305 00:19:27,490 --> 00:19:33,628 Marbut, right? Yeah, it's Mr. Marbut's position that is expiring. 306 00:19:33,628 --> 00:19:37,594 Okay. And that's a formative announcement. 307 00:19:38,822 --> 00:19:39,275 All righty. 308 00:19:39,776 --> 00:19:42,101 Anything else with us? All I have. 309 00:19:42,101 --> 00:19:47,778 I'd be glad to try to answer any questions if anybody has any. How did the fair go? 310 00:19:47,778 --> 00:19:50,856 Went well. Yeah. I think they had a good one. 311 00:19:50,856 --> 00:19:56,327 It was a hot one, but, you know, usually is. So, yeah, but I think it went well. 312 00:19:56,327 --> 00:20:01,047 All right. Commissioner Strahan, you got anything? Yeah, a quick one. 313 00:20:01,047 --> 00:20:06,108 This commission gets criticized a lot for not reaching out to communities, 314 00:20:06,108 --> 00:20:10,553 and I could throw up hearing this word transparency all the time, 315 00:20:10,553 --> 00:20:15,067 as though we don't communicate with our neighbors and our friends. 316 00:20:15,067 --> 00:20:17,735 Don't let anybody know what's going on. 317 00:20:17,735 --> 00:20:22,043 Let me tell you how something works, and it worked really well. 318 00:20:22,043 --> 00:20:27,447 Wayne and Al very recently had a meeting with a neighborhood that lives across— 319 00:20:27,447 --> 00:20:28,814 lives on Casey Lane, 320 00:20:28,814 --> 00:20:34,491 which is across the street where they're going to put the new maintenance building. 321 00:20:34,491 --> 00:20:40,168 That neighborhood was very concerned about having an entrance off Casey Lane across 322 00:20:40,168 --> 00:20:41,604 the street from them. 323 00:20:41,604 --> 00:20:45,708 There's a really bad curve There's going to be more traffic, 324 00:20:45,708 --> 00:20:50,427 and they're also dealing with a subdivision that could possibly go in 325 00:20:50,427 --> 00:20:50,837 subdivision that could possibly go in there. 326 00:20:50,837 --> 00:20:54,736 Wayne and Al had a meeting with that entire neighborhood, 327 00:20:54,736 --> 00:21:00,002 and there were a bunch of people there, weren't there? And there was a lot of 328 00:21:00,002 --> 00:21:00,412 weren't there? And there was a lot of input. 329 00:21:00,412 --> 00:21:03,969 The ladies had a whole lot to say about their homes. 330 00:21:03,969 --> 00:21:07,594 And when those people left, they all left as friends. 331 00:21:07,594 --> 00:21:12,381 They were told exactly what was going to happen, not what was rumored. 332 00:21:12,381 --> 00:21:16,485 They were told— and it will happen exactly like they wanted. 333 00:21:16,485 --> 00:21:22,230 They were perfectly content and walked out of there saying thank you because those 2 334 00:21:22,230 --> 00:21:27,086 folks took the time to talk to the neighbors. That's real transparency. 335 00:21:27,086 --> 00:21:30,506 When you get to know the person you're talking to, 336 00:21:30,506 --> 00:21:36,182 next time they probably won't even ask or they'll call out because they know who he 337 00:21:36,182 --> 00:21:40,765 is. They know he's an honest man. Thank you, guys. Appreciate that. 338 00:21:40,765 --> 00:21:45,758 Well, thank you, but that segues, and I keep mentioning this, but now we, 339 00:21:45,758 --> 00:21:48,015 we have half the body is new now. 340 00:21:48,015 --> 00:21:51,639 We will soon be updating our system-wide master plan. 341 00:21:51,639 --> 00:21:53,828 Supposed to do it every 5 years. 342 00:21:53,828 --> 00:21:55,606 We're a little bit behind, 343 00:21:55,606 --> 00:22:00,873 but you need to keep those things up to date for it just because you need to, 344 00:22:00,873 --> 00:22:04,908 but it's also Very helpful in the pursuit of grant dollars. 345 00:22:04,908 --> 00:22:07,575 So y'all will get notification of that. 346 00:22:07,575 --> 00:22:12,842 There'll be several opportunities for people to have public input because we, 347 00:22:12,842 --> 00:22:16,603 we believe in, you know, as much of that as we can get. 348 00:22:16,603 --> 00:22:18,381 We want to know, you know, 349 00:22:18,381 --> 00:22:23,169 what people want and what we can do better and all that sort of thing. 350 00:22:23,169 --> 00:22:26,794 But this is a, you know, an organized effort at that. 351 00:22:26,794 --> 00:22:30,350 And then when it's over, we'll have an updated plan. 352 00:22:30,350 --> 00:22:31,855 Our last one was 2019, 353 00:22:31,855 --> 00:22:37,395 and we'll be looking at that because we've checked a lot of things off that list. 354 00:22:37,395 --> 00:22:42,867 And that's with the commission's help and the mayor's help and everybody's help, 355 00:22:42,867 --> 00:22:44,918 the highway department's help. 356 00:22:44,918 --> 00:22:49,979 And, you know, go down the line of folks that help us do the things we do. 357 00:22:49,979 --> 00:22:55,177 So, but you'll get plenty of notice about when that's going to be happening. 358 00:22:55,177 --> 00:22:59,965 I just want to throw that out there and thank you for your kind words. 359 00:22:59,965 --> 00:23:01,009 All right. 360 00:23:02,924 --> 00:23:09,998 Mr. Rayon, I believe you're good. Y'all have a good evening. All right, you too. 361 00:23:09,998 --> 00:23:16,983 Thank you, sir. Animal Shelter, Ms. Kim Ralphoff. What you got for us, Ms. Kim? 362 00:23:16,983 --> 00:23:19,950 Hi, welcome everybody. 363 00:23:19,950 --> 00:23:27,772 All right, hopefully my thing— All right, small victories. 364 00:23:27,772 --> 00:23:34,785 This month, for the numbers, we took in 455 animals. 365 00:23:34,785 --> 00:23:42,877 437 found homes. 323 cats came into the shelter and 305 out. 366 00:23:42,877 --> 00:23:50,699 132 dogs and 132 out. Animal Control has been really busy. 367 00:23:50,699 --> 00:23:54,745 169 calls for various reasons, 368 00:23:54,745 --> 00:24:01,353 which you can see that is broke down on the side. 369 00:24:01,353 --> 00:24:07,422 Our average length of stay is 16 This is, um, 370 00:24:07,422 --> 00:24:14,300 our volunteer hours, banked 1,206 hours this month. 371 00:24:14,300 --> 00:24:22,122 Attorney Dobis and I have worked on a TNR resolution which 372 00:24:22,122 --> 00:24:27,112 we'll talk about. Kennel sponsorship, 373 00:24:27,112 --> 00:24:34,260 we'll begin that again this year starting this month. 374 00:24:34,260 --> 00:24:42,352 Last year we were able to bring in $25,000 to $30,000 to the 375 00:24:42,352 --> 00:24:43,296 county. 376 00:24:43,296 --> 00:24:43,489 Thank you. 377 00:24:44,085 --> 00:24:48,550 For sponsorship on the new kennels, and that stays up for the year. 378 00:24:48,550 --> 00:24:52,148 And each year we go out and sign people up to do that. 379 00:24:52,148 --> 00:24:56,280 Some people do it in memory of, some people do their business, 380 00:24:56,280 --> 00:25:01,011 but it's just a great way to bring some extra money back to the county. 381 00:25:01,011 --> 00:25:02,943 When I send you these slides, 382 00:25:02,943 --> 00:25:07,675 you'll be able to zoom in a little bit more because they're on display, 383 00:25:07,675 --> 00:25:12,006 but that's our new volunteer application. We are getting digital. 384 00:25:12,006 --> 00:25:16,471 Because I have nowhere to store everything that comes in for paper. 385 00:25:16,471 --> 00:25:18,803 So we have a volunteer application. 386 00:25:18,803 --> 00:25:22,868 It can go on your phone, and then we have boards in the back. 387 00:25:22,868 --> 00:25:27,199 It'll bring up the animal that they can only handle or work with, 388 00:25:27,199 --> 00:25:29,931 which is great from a safety perspective, 389 00:25:29,931 --> 00:25:33,063 and there's a lot of good information on there. 390 00:25:33,063 --> 00:25:38,128 The other thing that I did talk about a while back was A rabies application. 391 00:25:38,128 --> 00:25:40,660 When I came in 2 and a half years ago, 392 00:25:40,660 --> 00:25:44,058 we would get these reports from every vet's office, 393 00:25:44,058 --> 00:25:49,056 and they send you all these rabies reports from all the stuff that they do. 394 00:25:49,056 --> 00:25:51,655 We created an app to scan those all in, 395 00:25:51,655 --> 00:25:56,986 so everything is centralized along with our software to know right up to date if 396 00:25:56,986 --> 00:25:57,119 our software to know right up to date if an 397 00:25:57,119 --> 00:26:02,317 animal is up to date on vaccines, who the person is who owns it, and so forth. 398 00:26:02,317 --> 00:26:05,582 The other thing is our website is up and running. 399 00:26:05,582 --> 00:26:11,046 It has really helped down with our phone traffic a ton because everything that you 400 00:26:11,046 --> 00:26:15,178 need to find is on that application— rabies microchip clinics, 401 00:26:15,178 --> 00:26:20,176 spay and neuter opportunities, adoption events, what animals are available. 402 00:26:20,176 --> 00:26:24,574 I mean, we're just living in a digital world, so that helps a lot. 403 00:26:24,574 --> 00:26:26,706 Does anybody have any questions? 404 00:26:26,902 --> 00:26:30,597 Does anyone have any questions from SCAM? 405 00:26:30,597 --> 00:26:34,617 So one of the things I do have on is a TNR resolution. 406 00:26:34,617 --> 00:26:39,456 Attorney Dobies and I have worked on this for quite a few months. 407 00:26:39,456 --> 00:26:44,965 When I came in, I had experts that came in from the University of Florida, 408 00:26:44,965 --> 00:26:49,506 And other shelters in different areas like Williamson County. 409 00:26:49,506 --> 00:26:53,824 And each of those areas recommends doing a cat resolution. 410 00:26:53,824 --> 00:26:56,951 What does that mean to the average person? 411 00:26:56,951 --> 00:27:02,609 You know, everybody spays and neuters their pets. Unfortunately, they don't. 412 00:27:02,609 --> 00:27:06,256 And we have a lot of stray cats in Murray County. 413 00:27:06,256 --> 00:27:11,393 And if you go through right now on I Heart Columbia or whatever else, 414 00:27:11,393 --> 00:27:14,520 all you see is cats after cats after cats. 415 00:27:14,520 --> 00:27:20,327 What this ordinance is, is just basically saying anything that's free roaming, 416 00:27:20,327 --> 00:27:26,357 that we can bring that in, fix the animal, and be able to return it to the field. 417 00:27:26,357 --> 00:27:29,037 So if it's a stray cat, a feral cat, 418 00:27:29,037 --> 00:27:35,067 we can get it fixed so it doesn't continue to reproduce and cost taxpayers money. 419 00:27:35,067 --> 00:27:38,342 323 is up by almost 100 cats from last year. 420 00:27:38,342 --> 00:27:44,521 And we are going to get to the point where we don't have enough homes for all these 421 00:27:44,521 --> 00:27:48,690 cats because they just keep multiplying year after year, 422 00:27:48,690 --> 00:27:53,529 actually months after months. So this is what this resolution is. 423 00:27:53,529 --> 00:27:57,326 I'm assuming it was attached in everybody's packet. 424 00:27:57,326 --> 00:28:02,835 We would microchip these animals to be able to give a 1-year report so the 425 00:28:02,835 --> 00:28:08,940 commission could see the difference and then the impact it would have on the area. 426 00:28:08,940 --> 00:28:13,779 The other thing is I'm looking at this for our expansion process. 427 00:28:13,779 --> 00:28:18,766 You know, we, we don't want to fill it before we even get it built, 428 00:28:18,766 --> 00:28:21,670 so we have to do something proactively. 429 00:28:21,670 --> 00:28:26,062 We're never going to adopt our way out of an animal crisis. 430 00:28:26,062 --> 00:28:28,147 We can only fix the animals. 431 00:28:28,147 --> 00:28:34,028 So the more that we can offer free or reduced-cost services or fix animals that 432 00:28:34,028 --> 00:28:34,251 reduced-cost services or fix animals that are 433 00:28:34,251 --> 00:28:39,909 just roaming, it's a win for Murray County. Does anybody have any questions? 434 00:28:40,667 --> 00:28:43,207 Commissioner Hollinsworth from the committee. 435 00:28:43,207 --> 00:28:49,245 Hey, Kim. How is the— thank you, Mr. Chairman. How is the building going? 436 00:28:49,245 --> 00:28:52,388 We break ground next Monday, the 14th. 437 00:28:52,388 --> 00:28:57,186 We just had a, um, we just had a meeting about that today. 438 00:28:57,186 --> 00:29:01,487 I do need a storage facility with 2,500 square feet, 439 00:29:01,487 --> 00:29:06,367 and if anybody has any ideas, I would love to hear from it. 440 00:29:06,367 --> 00:29:12,902 Because that would save $125,000 on the building process if we can purchase the 441 00:29:12,902 --> 00:29:15,962 equipment by the end of the year. So— 442 00:29:15,962 --> 00:29:18,656 Define that. 443 00:29:18,656 --> 00:29:21,490 We need to purchase all the kennels by the end of the year, 444 00:29:21,490 --> 00:29:22,739 so when they're delivered, 445 00:29:22,739 --> 00:29:26,245 we just need a place to store it until they can be installed into the new 446 00:29:26,245 --> 00:29:26,677 they can be installed into the new building. 447 00:29:26,677 --> 00:29:27,974 But it would save $125,000. 448 00:29:27,974 --> 00:29:31,175 How many square feet? 449 00:29:31,175 --> 00:29:32,985 2,500 square feet. I know. 450 00:29:32,985 --> 00:29:38,555 So that's why I'm bringing that up, so everybody can put their thinking caps on. 451 00:29:38,555 --> 00:29:43,010 If you have any ideas, please reach out to me. I also will post. 452 00:29:43,010 --> 00:29:47,675 Maybe I have a good Samaritan who wants to volunteer up some space. 453 00:29:47,675 --> 00:29:49,518 That's great. 454 00:29:49,518 --> 00:29:53,910 I'm sure I have to do some kind of insurance waivers and so forth, but, you 455 00:29:53,910 --> 00:29:54,203 insurance waivers and so forth, but, you know, 456 00:29:54,203 --> 00:29:56,838 I'm going to try my best to make that happen. 457 00:29:58,456 --> 00:30:02,349 Commissioner Strang. A couple questions about that. 458 00:30:02,349 --> 00:30:07,235 You know, I'm sorry, I'm— it's okay. You need 2,500 square feet. 459 00:30:07,235 --> 00:30:10,746 It doesn't have to be, uh, climate controlled? 460 00:30:10,746 --> 00:30:15,330 Nope, it's just going to be metal kennels and kind of a barn-like thing or 461 00:30:15,330 --> 00:30:16,755 something, right? Yeah. 462 00:30:16,899 --> 00:30:18,501 And you'll actually— you'll access that. 463 00:30:19,126 --> 00:30:20,955 What was that? I was just saying, 464 00:30:20,955 --> 00:30:24,946 obviously it needs to be like where nothing can get damaged or so forth, 465 00:30:24,946 --> 00:30:27,495 but It does not need to be climate controlled. 466 00:30:27,495 --> 00:30:31,676 And you'll access it just during regular working hours or something? 467 00:30:31,676 --> 00:30:32,049 Correct. 468 00:30:32,049 --> 00:30:34,538 Because it'll probably be sitting on some private property someplace. 469 00:30:34,538 --> 00:30:38,166 Yeah. And every one of my ideas was a— 470 00:30:38,166 --> 00:30:42,845 is a dead end because the courthouse needed a lot 471 00:30:42,845 --> 00:30:43,895 of storage. 472 00:30:43,895 --> 00:30:47,032 We'll find something. 473 00:30:47,032 --> 00:30:47,534 Okay. 474 00:30:47,534 --> 00:30:47,873 And when? 475 00:30:47,873 --> 00:30:52,515 Yeah, we— I just need to find somebody ASAP by the end of the month. 476 00:30:53,083 --> 00:30:54,018 By the end of this month? 477 00:30:54,018 --> 00:30:54,608 Yeah. 478 00:30:54,608 --> 00:30:57,541 Can we do it sooner? 479 00:30:57,541 --> 00:31:00,107 That would be great. 480 00:31:00,107 --> 00:31:02,613 How many kennels? 481 00:31:02,613 --> 00:31:06,236 Um, there's cat kennels, there's parts, you know what I mean? 482 00:31:06,236 --> 00:31:07,900 Everything will be boxed up. 483 00:31:07,900 --> 00:31:11,048 It just needs to have a space to be able to store it. 484 00:31:11,048 --> 00:31:13,217 40 by 40, 4 by 16. 485 00:31:13,217 --> 00:31:16,114 I have surgery tables in my food trailer right now. 486 00:31:16,114 --> 00:31:18,614 We're, we're trying to make everything work. 487 00:31:20,983 --> 00:31:24,038 Well, I've got a— and I'll quit with this— 488 00:31:24,038 --> 00:31:28,330 I've got a feeling what our next project is going to be out 489 00:31:28,330 --> 00:31:30,148 there. 2,500 square feet. 490 00:31:30,373 --> 00:31:30,904 Thank you, Chair. 491 00:31:30,904 --> 00:31:35,050 Commissioner Burford, did I pronounce your name right? Yes, sir. 492 00:31:35,050 --> 00:31:37,059 I just have a question for Kim. 493 00:31:37,059 --> 00:31:41,594 And going back to the conversion to electronics, I commend you for it. 494 00:31:41,594 --> 00:31:46,194 I once took over an office of It was all paper and had to convert it to 495 00:31:46,194 --> 00:31:46,972 paper and had to convert it to electronics. 496 00:31:46,972 --> 00:31:50,729 It's a great idea. I just have a question on data storage. 497 00:31:50,729 --> 00:31:54,228 You know, where, where the data is going to be stored, 498 00:31:54,228 --> 00:31:59,217 and what's your data security plan for that as far as, you know, hacking and, 499 00:31:59,217 --> 00:32:03,946 and as well as preservation for it won't be lost if a server goes down or 500 00:32:03,946 --> 00:32:04,594 be lost if a server goes down or something? 501 00:32:04,594 --> 00:32:06,980 Well, currently everything is paper, 502 00:32:06,980 --> 00:32:11,885 so it's all in boxes throughout the shelter on top of kennels, kitchen, so 503 00:32:11,885 --> 00:32:12,283 shelter on top of kennels, kitchen, so forth. 504 00:32:12,283 --> 00:32:16,327 Everything is stored on the Murray County government website, 505 00:32:16,327 --> 00:32:20,105 so I would not be in charge of any kind of security. Yes. 506 00:32:21,052 --> 00:32:27,320 All right, thank you very much. All right, Commissioner Markham. Thank you, Mr. 507 00:32:27,320 --> 00:32:32,002 Chairman. Kim, on this TNR agreement, is it something that— 508 00:32:32,002 --> 00:32:35,969 is this resolution similar to some other counties? 509 00:32:36,322 --> 00:32:39,335 It's absolutely identical to Williamson County. 510 00:32:39,335 --> 00:32:41,708 They mirrored it from South Carolina. 511 00:32:41,708 --> 00:32:45,170 It will take up to 5 years to really see a difference, 512 00:32:45,170 --> 00:32:48,760 but every community has had the same thing that we have. 513 00:32:48,760 --> 00:32:53,889 You know, there's just so many cats, so many that are wandering and reproducing. 514 00:32:53,889 --> 00:32:57,992 This way it just fixes them without having to do the 3-day hold, 515 00:32:57,992 --> 00:33:01,839 putting them back to the area they belong, ear tipping them, 516 00:33:01,839 --> 00:33:06,840 and then we would use a special microchip that we Fix them as a community cat. 517 00:33:07,514 --> 00:33:10,590 And you pick them up, you don't know where their home is, 518 00:33:10,590 --> 00:33:12,749 so you can't contact the owner, correct? 519 00:33:12,749 --> 00:33:12,974 Right. 520 00:33:12,974 --> 00:33:15,928 And but then they have no legal grounds to come back in. 521 00:33:15,928 --> 00:33:19,605 That's correct. It's basically an insurance policy. Okay. 522 00:33:20,440 --> 00:33:20,761 All right. 523 00:33:20,761 --> 00:33:26,033 And sometimes we have that now where we pick up cats or people pick up cats. 524 00:33:26,033 --> 00:33:30,612 I had one today. It's a premium example. A gentleman brings it in. 525 00:33:30,612 --> 00:33:35,468 And their dad was moving, and he's had this cat for a year, and it was 526 00:33:35,468 --> 00:33:36,369 this cat for a year, and it was microchipped. 527 00:33:36,369 --> 00:33:40,670 I'm like, your dad has somebody's cat for a year in his house. 528 00:33:40,670 --> 00:33:44,625 It was a community cat that was fixed through Williamson. 529 00:33:44,625 --> 00:33:49,897 We were able to locate it through there and then bring it back to Williamson 530 00:33:49,897 --> 00:33:50,313 and then bring it back to Williamson County 531 00:33:50,313 --> 00:33:51,076 to do that. 532 00:33:51,076 --> 00:33:56,093 Okay, thank you. Thank you, Mr. Chairman. All right, Commissioner Barnes. 533 00:33:56,093 --> 00:33:57,880 How you doing today? Good. 534 00:33:57,928 --> 00:33:58,281 How are you? 535 00:33:58,281 --> 00:34:01,116 Good, good. I just got some quick questions here. 536 00:34:01,116 --> 00:34:04,645 When looking at this resolution, it's called the TNR program, 537 00:34:04,645 --> 00:34:07,365 and it talks about the trapping of the animals. 538 00:34:07,365 --> 00:34:09,158 Who actually does the trapping, 539 00:34:09,158 --> 00:34:12,572 or do you take those animals from people who bring them in? 540 00:34:12,572 --> 00:34:15,327 So there's, there's several ways you can do it. 541 00:34:15,327 --> 00:34:19,195 If we trap in an area, we need permission from the property owner, 542 00:34:19,195 --> 00:34:22,184 but we would be able to have animal control go out, 543 00:34:22,184 --> 00:34:24,821 especially if there's a colony in a set area. 544 00:34:24,821 --> 00:34:27,400 And be able to trap those animals, fix them, 545 00:34:27,400 --> 00:34:31,151 and return them to the area in a timely fashion by the next day. 546 00:34:31,151 --> 00:34:35,605 The reason why I say trap is because if you've ever worked with a feral cat, 547 00:34:35,605 --> 00:34:39,004 they will bite you, scratch you before you can even react. 548 00:34:39,004 --> 00:34:41,290 So by putting them in a trap, it works. 549 00:34:41,290 --> 00:34:44,162 But you can only have them in there for 24 hours, 550 00:34:44,162 --> 00:34:48,733 which is why this quick turnaround works. So we would trap in areas right now. 551 00:34:48,733 --> 00:34:53,597 We currently rent out traps to people if they need it in their own private property 552 00:34:53,597 --> 00:34:58,403 or if they have a nuisance and they can bring them in for surgery and we have them 553 00:34:58,403 --> 00:34:59,986 fill out a TNR application. 554 00:34:59,986 --> 00:35:04,323 And then obviously if people find strays or want to bring them in as well, 555 00:35:04,323 --> 00:35:07,839 we can move them through the shelter a lot quicker that way. 556 00:35:07,839 --> 00:35:09,900 Okay. Thank you for that answer. 557 00:35:09,900 --> 00:35:15,180 Under Section 2, it talks about community cat and it talks about free-roaming cat. 558 00:35:15,180 --> 00:35:19,173 Feral, we understand, is a little more difficult to deal with. 559 00:35:19,173 --> 00:35:21,684 Under this section and this definition, 560 00:35:21,684 --> 00:35:26,192 what protocols would be in place if this resolution comes to fruition? 561 00:35:26,192 --> 00:35:31,022 That would protect a normal household cat from getting away from the house, 562 00:35:31,022 --> 00:35:36,431 being trapped, and then falling into this TNR program before the actual owners would 563 00:35:36,431 --> 00:35:38,749 realize that that's going to happen? 564 00:35:38,749 --> 00:35:43,081 Well, any animal that's unaltered, first off, should not be free roaming, 565 00:35:43,081 --> 00:35:45,217 so it would fall under this program. 566 00:35:45,217 --> 00:35:50,143 Number 2, sometimes people don't get them altered because they don't have the means 567 00:35:50,143 --> 00:35:53,941 to do that. And if they were microchipped or any of the vetting, 568 00:35:53,941 --> 00:35:55,365 because rabies is a law, 569 00:35:55,365 --> 00:35:59,757 they should be up to date on their vaccines or they should not be out free 570 00:35:59,757 --> 00:36:00,231 vaccines or they should not be out free roaming. 571 00:36:00,231 --> 00:36:03,317 Every animal under this program would be vaccinated, 572 00:36:03,317 --> 00:36:06,166 which is another reason why it's very important. 573 00:36:06,166 --> 00:36:08,539 You saw like the goats, the petting zoo, 574 00:36:08,539 --> 00:36:12,753 2,000 cases of rabies of people that were exposed to it. It can happen. 575 00:36:12,753 --> 00:36:17,560 And a lot of people just skip that because they don't want to take the time to So 576 00:36:17,560 --> 00:36:19,993 really, if it's a pet that's out roaming, 577 00:36:19,993 --> 00:36:23,731 it should already be fixed or vaccinated or proof of ownership. 578 00:36:23,731 --> 00:36:25,868 If not, it would be subject to that. 579 00:36:25,868 --> 00:36:29,725 And obviously, you know, we just want to put it back in the area. 580 00:36:29,725 --> 00:36:33,642 Cats have a homing device like a sea turtle. They know to go back. 581 00:36:33,642 --> 00:36:37,024 They know where they live. They know where they get food. 582 00:36:37,024 --> 00:36:39,754 So if you ever feed a cat, they never go away. 583 00:36:39,754 --> 00:36:41,780 Okay. 584 00:36:42,918 --> 00:36:44,426 It's the truth. 585 00:36:44,426 --> 00:36:49,120 So the understanding is that if a child loses a pet and it runs down the road and 586 00:36:49,120 --> 00:36:53,523 gets trapped, that it would probably get neutered then if it came in on that 587 00:36:53,523 --> 00:36:53,987 program? 588 00:36:53,987 --> 00:36:58,400 Yep, it would. And then it would go back to the area so they would know where it 589 00:36:58,400 --> 00:37:01,213 lives. I mean, we don't want to keep people's pets. 590 00:37:01,213 --> 00:37:05,074 Obviously, if we also, though, too, if you get an animal in in a trap, 591 00:37:05,074 --> 00:37:09,652 you can tell when it's friendly or it's a pet or Or whether it's something that you 592 00:37:09,652 --> 00:37:11,086 fix and just put back out. 593 00:37:11,086 --> 00:37:14,892 We don't want to have an animal be susceptible, you know what I mean, 594 00:37:14,892 --> 00:37:18,698 that they don't belong there. Because obviously accidents can happen. 595 00:37:18,698 --> 00:37:22,118 But the odds of it are not as great as just free-roaming cats. 596 00:37:22,118 --> 00:37:26,531 I know there's a lady today on I Heart Columbia that she's had 3 litters and she 597 00:37:26,531 --> 00:37:30,778 just can't afford to have them spayed, but they keep getting with each other. 598 00:37:30,778 --> 00:37:35,191 And then, you know what I mean, that's what we're looking to prevent. All right. 599 00:37:35,849 --> 00:37:36,964 Under this resolution, 600 00:37:36,964 --> 00:37:40,613 if somebody did notice that their pet was missing and they were able to, 601 00:37:40,613 --> 00:37:42,488 to get down there, can they take the, 602 00:37:42,488 --> 00:37:46,137 the pet back home with them without them being spayed or neutered first? 603 00:37:46,137 --> 00:37:48,073 If they've got proof of ownership. 604 00:37:48,073 --> 00:37:51,661 Proof of ownership is vet records showing that it's vaccinated. 605 00:37:51,661 --> 00:37:55,931 If it's vaccinated, I have no problem giving it back, you know what I mean? 606 00:37:55,931 --> 00:37:59,234 Or microchipped or so forth. But the goal is vaccinations. 607 00:37:59,234 --> 00:38:04,188 Yes, ma'am. Thank you. Anything else you got for us, Kim? 608 00:38:04,188 --> 00:38:09,212 Yes, I just need a motion to— on my resolution. 609 00:38:09,373 --> 00:38:11,667 Can I get a motion for that? 610 00:38:11,667 --> 00:38:16,992 Commissioner Hollinsworth and Commissioner Hessler. All in favor? 611 00:38:16,992 --> 00:38:19,941 All right. All right. Any questions? 612 00:38:20,233 --> 00:38:23,865 Okay. No, you're fine. 613 00:38:26,337 --> 00:38:28,406 How long will we need this warehouse? 614 00:38:28,406 --> 00:38:34,408 Um, good question. I will need to find out the answer for that. 615 00:38:34,408 --> 00:38:37,595 Yeah, because I'm gonna have to— if I can find a place, okay, 616 00:38:37,595 --> 00:38:39,006 it'll probably be for sale. 617 00:38:39,006 --> 00:38:41,108 I will get you an answer. 618 00:38:41,108 --> 00:38:46,417 Okay. Yeah, just call me or something. Okay. Yeah, thanks. Thank you, Chair. 619 00:38:46,417 --> 00:38:50,958 Okay, so we're moving this forward, this— the resolution forward. 620 00:38:50,958 --> 00:38:54,940 for a commission vote. Anything else you got for us, Kim? 621 00:38:54,940 --> 00:38:58,110 That's it. I'm pretty simple this month. All right. 622 00:38:58,110 --> 00:38:59,130 Thank you. 623 00:38:59,130 --> 00:38:59,870 Thank you. 624 00:38:59,870 --> 00:39:06,780 All righty. Education Director, Mr. Ventura, welcome. 625 00:39:06,780 --> 00:39:09,550 Mr. Chairman? Yes, sir. 626 00:39:09,550 --> 00:39:14,346 I had a message from a friend of mine a minute ago that's watching the live feed, 627 00:39:14,346 --> 00:39:17,246 and they're having a hard time hearing the audio. 628 00:39:17,246 --> 00:39:19,378 I was just going to pass that along. 629 00:39:19,378 --> 00:39:24,292 I didn't know if there was anything y'all could do It's been like that for a while. 630 00:39:24,292 --> 00:39:28,140 Beyond my control. Yeah, yeah, I think he's working on it though. 631 00:39:28,140 --> 00:39:31,780 There you go. He was correcting that, but it's been like that for months. 632 00:39:31,780 --> 00:39:32,240 Okay. 633 00:39:32,240 --> 00:39:33,040 I can't hear him. 634 00:39:33,040 --> 00:39:36,480 I don't know why. All right, Ms. Ventura. 635 00:39:36,480 --> 00:39:40,845 Well, good evening and welcome to the new commissioners, 636 00:39:40,845 --> 00:39:46,534 and congratulations on being elected and some of you that were reelected. 637 00:39:46,534 --> 00:39:49,574 In school board news, On September 1st, 638 00:39:49,574 --> 00:39:54,173 Madam Mayor came and swore in our existing and new members, 639 00:39:54,173 --> 00:40:00,252 and we welcomed Chris Gouldstein into District 2 and John Lawson into District 640 00:40:00,252 --> 00:40:00,408 District 2 and John Lawson into District 7. 641 00:40:00,408 --> 00:40:05,708 We did our elections on that night. Mr. Moore remained our chairman. 642 00:40:05,708 --> 00:40:11,476 Our vice chair is now Sue Stevenson, and our chair pro tem is John Lawson. 643 00:40:11,476 --> 00:40:14,360 So that was an exciting night for us. 644 00:40:14,360 --> 00:40:20,595 For those of you new to the commission, normally what I tell you is our numbers, 645 00:40:20,595 --> 00:40:26,986 because that is where our state funding comes from and a little bit of our federal 646 00:40:26,986 --> 00:40:32,520 funding. Our average daily membership, which is our current enrollment— 647 00:40:32,520 --> 00:40:36,651 it's the average enrollment that began on August 3rd— 648 00:40:37,405 --> 00:40:40,003 is 12,857 students. 649 00:40:40,003 --> 00:40:44,243 Wow. And our average daily attendance is 12,046 today. 650 00:40:44,243 --> 00:40:49,660 And I pulled those numbers right before I came up here at about 4:07, 651 00:40:49,660 --> 00:40:51,937 so those are today's numbers. 652 00:40:51,937 --> 00:40:58,297 As far as staffing, we currently have 9 teacher openings throughout the district. 653 00:40:58,297 --> 00:41:01,516 We have 3 educational assistant openings. 654 00:41:01,516 --> 00:41:07,090 We have 5 food service openings, and currently we have 8 transportation 655 00:41:07,090 --> 00:41:07,797 currently we have 8 transportation openings. 656 00:41:07,797 --> 00:41:13,999 We usually like to hire a lot more in transportation than we have openings for. 657 00:41:13,999 --> 00:41:20,123 So when I say that, I mean that 8 routes are currently being covered by either 658 00:41:20,123 --> 00:41:24,363 office staff or sub drivers. So we have 8 open routes. 659 00:41:25,102 --> 00:41:32,082 And I'd be happy to answer any questions anybody has. I got one question for you. 660 00:41:32,082 --> 00:41:39,149 I've had several bus drivers ask me about air conditioning in the buses and stuff. 661 00:41:39,149 --> 00:41:46,043 I know we provide air in the special needs buses and we provide heat for all the 662 00:41:46,043 --> 00:41:49,059 other buses, but why come we don't— 663 00:41:49,059 --> 00:41:55,897 Correct. The cost differential for a bus with air conditioning— first of all, 664 00:41:55,897 --> 00:42:02,557 the big yellow cheese is probably the least efficient as far as temperature 665 00:42:02,557 --> 00:42:08,241 control. So even when they have air conditioning, it's not very— 666 00:42:08,241 --> 00:42:11,615 it's not as efficient as your vehicle. 667 00:42:11,615 --> 00:42:16,144 However, it's really a cost thing in this district. 668 00:42:16,225 --> 00:42:18,926 If we were to convert to air, you know, 669 00:42:18,926 --> 00:42:21,905 we're already talking about $187,000 a bus. 670 00:42:21,905 --> 00:42:26,615 You would be talking about between $30,000 and $60,000 more per bus. 671 00:42:26,970 --> 00:42:31,071 Depending on whether it's a 90-passenger, a 60-passenger, 672 00:42:31,071 --> 00:42:32,726 or a special needs bus. 673 00:42:32,726 --> 00:42:35,748 But it is required in special needs buses. 674 00:42:35,748 --> 00:42:41,925 Okay. So out of a fleet of 150 buses, you know, 675 00:42:41,925 --> 00:42:47,707 you would be talking a very costly increase. 676 00:42:47,707 --> 00:42:52,570 I was just wondering, because I mean, 677 00:42:52,570 --> 00:42:56,644 it's been pretty miserably hot. 678 00:42:56,644 --> 00:42:58,604 Absolutely. Absolutely. 679 00:42:58,604 --> 00:43:01,502 And if I could, I would, you know, 680 00:43:01,502 --> 00:43:05,764 and I say this in every state meeting that I'm in, 681 00:43:05,764 --> 00:43:12,326 I would love for the great state of Tennessee to move to a September to June, 682 00:43:12,326 --> 00:43:18,037 as our temperatures seem to be, you know, August is getting hotter. 683 00:43:18,037 --> 00:43:22,042 You know, September, we started with some heat. 684 00:43:22,042 --> 00:43:28,435 And I'm very prayerful that the cooldown that we are hoping comes next week 685 00:43:28,435 --> 00:43:28,946 stays. 686 00:43:29,628 --> 00:43:33,619 It arrives and it stays. Hopefully. 687 00:43:33,619 --> 00:43:37,725 Any other questions for Ms. Ventura? 688 00:43:37,725 --> 00:43:41,146 Madam Mayor, you got anything? 689 00:43:41,146 --> 00:43:44,264 Thank you, Mr. Chairman. You might mention Dolly Parton Day. 690 00:43:44,264 --> 00:43:51,646 Absolutely. I wasn't sure if you wanted me to yet. So I am working with Mayor Butt. 691 00:43:51,743 --> 00:43:54,842 We are going to declare 9/25, 9/25, 692 00:43:54,842 --> 00:43:59,534 Dolly Parton Day across Murray County Public Schools. 693 00:43:59,534 --> 00:44:05,819 We are going to dedicate that day to obviously her love of literacy and 694 00:44:05,819 --> 00:44:06,793 obviously her love of literacy and Imagination 695 00:44:06,793 --> 00:44:13,876 Library and really, really follow up with the kindness and compassion that Dolly 696 00:44:13,876 --> 00:44:14,938 exemplified. 697 00:44:14,938 --> 00:44:15,211 Thank you. 698 00:44:15,420 --> 00:44:18,908 So I am really, really excited. 699 00:44:19,230 --> 00:44:23,579 The mayor and I are going to work up a proclamation and it will be 700 00:44:23,579 --> 00:44:24,896 forevermore, I hope, 701 00:44:24,896 --> 00:44:28,652 Dolly Parton Day in Murray County Public Schools on 9/25. 702 00:44:28,652 --> 00:44:29,935 Sound good. 703 00:44:29,935 --> 00:44:30,357 Thank you. 704 00:44:30,357 --> 00:44:32,900 In this room on the 15th? 705 00:44:32,900 --> 00:44:37,223 Yes. Yes. All right. 706 00:44:37,223 --> 00:44:42,218 I'd like to proclaim it early so that schools have a chance to really Spread the 707 00:44:42,218 --> 00:44:45,027 word and, and get everybody excited about it. 708 00:44:45,027 --> 00:44:49,877 Any other 709 00:44:49,877 --> 00:44:56,882 questions for 710 00:44:56,882 --> 00:45:03,348 Ms. Ventura? 711 00:45:03,348 --> 00:45:08,737 You got it 712 00:45:08,737 --> 00:45:11,970 going. 713 00:45:11,970 --> 00:45:19,514 Thank you. Dr. 714 00:45:19,514 --> 00:45:23,286 Chaney. 715 00:45:23,286 --> 00:45:30,292 Good evening, 716 00:45:30,292 --> 00:45:32,447 and— 717 00:45:32,447 --> 00:45:32,936 Good evening. 718 00:45:33,450 --> 00:45:37,867 I just want to add to the congratulations on the election for everyone, 719 00:45:37,867 --> 00:45:39,359 and congratulations, Mr. 720 00:45:39,359 --> 00:45:44,274 Stovall and Commissioner Hollingsworth, for continuing to chair this committee. 721 00:45:44,274 --> 00:45:48,939 Certainly, it's a committee that's very important to us at Murray Regional, 722 00:45:48,939 --> 00:45:53,667 and I thought today what I would do— first, I'll start with this invitation. 723 00:45:53,667 --> 00:45:57,212 So when I stepped in as CEO about 5 years ago as interim, 724 00:45:57,212 --> 00:46:02,251 I felt that what we really lacked was a time for the commissioners to get to know 725 00:46:02,251 --> 00:46:04,428 Murray Regional, felt a disconnect. 726 00:46:04,428 --> 00:46:08,969 So we started at that time what we call the Murray Regional Murray County 727 00:46:08,969 --> 00:46:09,591 the Murray Regional Murray County Leadership 728 00:46:09,591 --> 00:46:14,692 Dinner, and that's a chance for you all to come on campus and have dinner with us, 729 00:46:14,692 --> 00:46:17,802 our Board of Trustees, our senior leadership team, 730 00:46:17,802 --> 00:46:22,094 for us to answer any questions you have about hospital service lines. 731 00:46:22,094 --> 00:46:25,640 We usually get a good tour in. So you can see the spaces. 732 00:46:25,640 --> 00:46:28,066 We've set it this year for October 7th. 733 00:46:28,066 --> 00:46:32,980 There will be official invites coming out, I understand, tomorrow for everyone, 734 00:46:32,980 --> 00:46:35,966 and it will be in our auxiliary conference room, 735 00:46:35,966 --> 00:46:38,890 which is our Building A main hospital building. 736 00:46:38,890 --> 00:46:42,000 It's also a time— I think after the last election, 737 00:46:42,000 --> 00:46:46,665 we had several commissioners that had never been in Murray Regional before. 738 00:46:46,665 --> 00:46:48,718 They had never really been there. 739 00:46:48,718 --> 00:46:49,200 That's right. 740 00:46:49,200 --> 00:46:54,959 And so important time to just get the glimpse of the breadth of the care that we 741 00:46:54,959 --> 00:46:59,422 provide. So I wanted to go ahead and invite everybody to that. 742 00:46:59,422 --> 00:47:01,509 So, uh, we started a journey. 743 00:47:01,509 --> 00:47:05,756 I'm not going to go— some of you are the new commissioners, 744 00:47:05,756 --> 00:47:08,276 I'm not going to go deep into this, 745 00:47:08,276 --> 00:47:13,819 but about 4 years ago we started a strategic plan as we came out of COVID and 746 00:47:13,819 --> 00:47:14,035 strategic plan as we came out of COVID and we, 747 00:47:14,035 --> 00:47:19,505 as our Board of Trustees and senior leadership, got together and thought You 748 00:47:19,505 --> 00:47:19,865 leadership, got together and thought You know, 749 00:47:19,865 --> 00:47:21,665 our county's grown a lot, 750 00:47:21,665 --> 00:47:26,488 and the healthcare needs of our community have significantly grown. 751 00:47:26,488 --> 00:47:32,535 So we launched this as a 5-year strategic plan centered on how we can build trust in 752 00:47:32,535 --> 00:47:37,502 care to stay local with your care, how we can improve access to care, 753 00:47:37,502 --> 00:47:42,828 and certainly very centered on that patient experience. What's the center? 754 00:47:42,828 --> 00:47:44,484 The patient experience. 755 00:47:44,484 --> 00:47:46,428 experience of our patients, 756 00:47:46,428 --> 00:47:51,898 and this reimagined patient care has been somewhat of our logo through this. 757 00:47:51,898 --> 00:47:56,865 So when we look at what we have done, we are still committed to this. 758 00:47:56,865 --> 00:48:00,968 We are now entering year 4 of that 5-year strategic plan, 759 00:48:00,968 --> 00:48:05,359 and I'll give you an update on where we are in just a minute, 760 00:48:05,359 --> 00:48:10,470 but we have done a lot of things in addressing medical staff growth and 761 00:48:10,470 --> 00:48:11,190 addressing medical staff growth and recruiting 762 00:48:11,190 --> 00:48:15,149 doctors, certainly, you know, our access to our campus, 763 00:48:15,149 --> 00:48:19,540 which I'll show you some pictures and update you in a minute, 764 00:48:19,540 --> 00:48:21,844 just that patient-centered care. 765 00:48:21,844 --> 00:48:27,603 But I thought tonight I would let you get a glimpse of some of our technological 766 00:48:27,603 --> 00:48:32,498 advancements, one in particular that happened on August 6th when Dr. 767 00:48:32,498 --> 00:48:37,896 Jan Fries performed the first what is called Ion Endoluminal Robotic System 768 00:48:37,896 --> 00:48:42,359 procedure. And so what this is is Is we all know that cancers, 769 00:48:42,359 --> 00:48:47,758 especially cancers like lung cancer and breast cancer, if found very early, 770 00:48:47,758 --> 00:48:51,429 they have a much higher cure rate than late stages. 771 00:48:51,429 --> 00:48:55,173 So our goal is always to find them at stage 1 and 2. 772 00:48:55,173 --> 00:48:59,204 By the time they're stage 3 and 4, they've often spread, 773 00:48:59,204 --> 00:49:04,315 sometimes to distant organs, and the cure rate goes down significantly. 774 00:49:04,315 --> 00:49:07,482 So with this new technology, It is based on— 775 00:49:07,482 --> 00:49:12,953 it remodels a 3D map of a patient's airway and allows our pulmonologist, Dr. 776 00:49:12,953 --> 00:49:16,984 Fries, and other pulmonologists will be trained in this, 777 00:49:16,984 --> 00:49:19,791 to go down in a minimally invasive way, 778 00:49:19,791 --> 00:49:25,550 navigate a small flexible catheter down into the lung where there may be a small 779 00:49:25,550 --> 00:49:30,229 lung nodule way out in the outside of the lung peripheral fields. 780 00:49:30,229 --> 00:49:30,325 Okay. 781 00:49:30,743 --> 00:49:33,578 That you don't know whether it's cancer or not, 782 00:49:33,578 --> 00:49:38,042 and you have to find out whether it is to see if the patient needs further 783 00:49:38,042 --> 00:49:42,566 treatment. So with this procedure, you can go and just with light sedation, 784 00:49:42,566 --> 00:49:47,512 it's an ambulatory outpatient procedure, the patients go home, and navigates down, 785 00:49:47,512 --> 00:49:49,201 biopsies the nodule. And Dr. 786 00:49:49,201 --> 00:49:53,786 Frills has now done about 20 of these procedures over the past month and has 787 00:49:53,786 --> 00:49:54,208 procedures over the past month and has gotten, 788 00:49:54,208 --> 00:49:55,716 I understand, 100% yield. 789 00:49:55,716 --> 00:49:56,005 Yeah. 790 00:49:56,070 --> 00:49:59,137 yield as to what the nodule was. Very important. 791 00:49:59,137 --> 00:50:00,479 So if it's cancerous, 792 00:50:00,479 --> 00:50:05,272 it gives you a great opportunity to intervene on that patient with thoracic 793 00:50:05,272 --> 00:50:05,720 intervene on that patient with thoracic surgery 794 00:50:05,720 --> 00:50:10,576 and, and, you know, excise this, this area before it has a chance to spread. 795 00:50:10,576 --> 00:50:12,493 So just incredible technology. 796 00:50:12,493 --> 00:50:16,967 It is AI, it's robotic, it's skilled physicians being able to do this. 797 00:50:16,967 --> 00:50:22,079 I will say in my medical training, This would have required an open lung biopsy, 798 00:50:22,079 --> 00:50:27,319 which is where a thoracic surgeon would have to go through the chest wall into the 799 00:50:27,319 --> 00:50:32,240 lung. Clearly, the recovery time was a day or two in the hospital after that, 800 00:50:32,240 --> 00:50:35,243 if not longer, and much more just time to heal, 801 00:50:35,243 --> 00:50:37,863 and the complication rate is much higher. 802 00:50:37,863 --> 00:50:39,972 So just an incredible technology, 803 00:50:39,972 --> 00:50:45,212 and glad to be bringing these type things to our community so patients do not have 804 00:50:45,212 --> 00:50:47,513 to travel north to get these things. 805 00:50:47,513 --> 00:50:51,219 So we also on August 11th cut the ribbon on our GME space. 806 00:50:51,219 --> 00:50:56,459 As I've mentioned, our residency program stood up with the University of Tennessee 807 00:50:56,459 --> 00:50:58,888 affiliated graduate medical education. 808 00:50:58,888 --> 00:51:00,613 That's what GME stands for, 809 00:51:00,613 --> 00:51:04,703 where we're now training resident physicians at Murray Regional. 810 00:51:04,703 --> 00:51:09,304 This space was not ready on July 1st when the residency program started, 811 00:51:09,304 --> 00:51:14,352 but we did about a month behind there able to cut the ribbon on this incredible 812 00:51:14,352 --> 00:51:19,017 Incredible new space for, for our residents to spend a lot of time at the 813 00:51:19,017 --> 00:51:19,593 residents to spend a lot of time at the hospital. 814 00:51:19,593 --> 00:51:21,190 That's what residents do. 815 00:51:21,190 --> 00:51:23,299 They, they are there and present, 816 00:51:23,299 --> 00:51:28,667 and there's teaching spaces and call rooms and places that they can chart and learn. 817 00:51:28,667 --> 00:51:32,373 So very excited to be bringing this space onto our campus. 818 00:51:32,373 --> 00:51:36,463 So just a quick look at our timelines. There's lots of projects. 819 00:51:36,463 --> 00:51:37,805 I won't go into them. 820 00:51:37,805 --> 00:51:42,726 Several of the green ones here are now in the rearview mirror, which is good. 821 00:51:42,726 --> 00:51:48,094 We do have 3 very active projects that are significantly impacting wayfinding on our 822 00:51:48,094 --> 00:51:52,823 campus. One is the ED renovation, the other is what we call Access Murray, 823 00:51:52,823 --> 00:51:57,040 and then we have now just started the main hospital lobby project. 824 00:51:57,040 --> 00:52:02,025 So let's talk just a minute about that because that's probably one of the most 825 00:52:02,025 --> 00:52:04,517 disruptive to wayfinding on the campus. 826 00:52:04,517 --> 00:52:09,693 This is, of course, to bring a new modern entrance to the hospital that's usable, 827 00:52:09,693 --> 00:52:11,930 which is a Admitting will be there. 828 00:52:11,930 --> 00:52:15,253 Patients can come in, register for their procedures, 829 00:52:15,253 --> 00:52:18,129 and not have to go elsewhere as they come in. 830 00:52:18,129 --> 00:52:22,474 We'll have security and, of course, weapons detection in this space. 831 00:52:22,474 --> 00:52:25,669 So when we look at our artist's rendition of this, 832 00:52:25,669 --> 00:52:28,801 this is a significant upgrade from the 1953 look. 833 00:52:28,801 --> 00:52:33,594 That 1953 marble is valuable and very precious to people from a sentimental 834 00:52:33,594 --> 00:52:38,706 standpoint. We will preserve some of the legacy of that as we think about moving 835 00:52:38,706 --> 00:52:43,051 forward in this project, but nonetheless, we need a more functional, 836 00:52:43,051 --> 00:52:44,713 usable space in our lobby. 837 00:52:44,713 --> 00:52:49,889 So this is the artist's rendition I've shared with you, and this is now underway. 838 00:52:49,889 --> 00:52:51,423 Our old lobby is closed. 839 00:52:51,423 --> 00:52:56,216 People have been entering the hospital that way since 1953, so now after 73 840 00:52:56,216 --> 00:52:56,599 that way since 1953, so now after 73 years, 841 00:52:56,599 --> 00:52:58,516 there's alternative entrances, 842 00:52:58,516 --> 00:53:03,692 and I'll show you some of our wayfinding You'll be finding a glimpse of that in a 843 00:53:03,692 --> 00:53:08,485 minute. So we try to help people get to where they need to go as quickly as 844 00:53:08,485 --> 00:53:11,936 possible. But this is what our final version, we hope, 845 00:53:11,936 --> 00:53:17,176 will look like in 12 to 18 months from now as we rethermal package and put a vapor 846 00:53:17,176 --> 00:53:22,161 barrier and weather barrier up on the front part of the old hospital building. 847 00:53:22,161 --> 00:53:25,228 More modern look, but definitely more efficient. 848 00:53:25,228 --> 00:53:25,549 Thank you. 849 00:53:25,726 --> 00:53:28,650 So part of that look, and if I went back a slide, 850 00:53:28,650 --> 00:53:31,276 you can see this big fountain area out here. 851 00:53:31,276 --> 00:53:32,529 That is an expansion, 852 00:53:32,529 --> 00:53:36,349 gives us a space for outdoor activities within the organization. 853 00:53:36,349 --> 00:53:37,960 It is now pretty much done. 854 00:53:37,960 --> 00:53:42,137 There's still some work around it to be done, but the pavers are laid, 855 00:53:42,137 --> 00:53:46,375 and so it is now prepared. And you can see the flags are at half-staff. 856 00:53:46,375 --> 00:53:49,358 This was taken last week in honor of Dolly Parton. 857 00:53:49,358 --> 00:53:53,775 Okay, so this will be done in phases, and I won't go deep into this slide, 858 00:53:53,775 --> 00:53:58,549 but just let you know you'll see this happening in various parts of the front of 859 00:53:58,549 --> 00:54:01,234 that building over the next six months or so. 860 00:54:01,234 --> 00:54:04,576 With that right side, as you're looking at the building, 861 00:54:04,576 --> 00:54:09,351 being the first several phases that will you'll see the brick coming off of that 862 00:54:09,351 --> 00:54:13,110 before too much longer. So let's talk wayfinding just a second. 863 00:54:13,110 --> 00:54:17,049 So one of the greatest challenges we have right now with all this. 864 00:54:17,130 --> 00:54:17,178 Yes. 865 00:54:17,178 --> 00:54:21,468 —construction is making sure patients can find their way to where they need to go, 866 00:54:21,468 --> 00:54:25,549 and so what we are doing is we are now looking at our campus across the board, 867 00:54:25,549 --> 00:54:28,479 and we're thinking of our buildings in terms of letters. 868 00:54:28,479 --> 00:54:30,048 It gets confusing when people— 869 00:54:30,048 --> 00:54:33,658 when people are told you need to go to the hospital to get this test. 870 00:54:33,658 --> 00:54:36,274 Well, what building, and where do they need to go, 871 00:54:36,274 --> 00:54:38,733 and they very often show up in the wrong lobby, 872 00:54:38,733 --> 00:54:42,448 and they need to be in a building 3 buildings away, and Some are frail, 873 00:54:42,448 --> 00:54:46,633 and so they then have to, you know, be shuttled over there, or it's a long walk, 874 00:54:46,633 --> 00:54:50,348 or they've walked to the wrong place, have to go back to their vehicle, 875 00:54:50,348 --> 00:54:53,801 drive around. We're trying to avoid all of that as best as we can. 876 00:54:53,801 --> 00:54:55,632 So now we are naming our buildings, 877 00:54:55,632 --> 00:54:59,765 and all of the wayfinding will be based on Building A will be the main hospital 878 00:54:59,765 --> 00:55:03,637 building, Building B the medical office building, which is the middle one, 879 00:55:03,637 --> 00:55:06,724 and I'll show you another picture of this in just a minute. 880 00:55:06,724 --> 00:55:08,398 Building C, outpatient position. 881 00:55:08,398 --> 00:55:09,039 Outpatient position. 882 00:55:09,120 --> 00:55:12,473 Pavilion building, and Building D is urgent care. 883 00:55:12,473 --> 00:55:18,222 Building E is actually the old Centerstone behavioral health building that's behind, 884 00:55:18,222 --> 00:55:20,959 which is our Human Resources Center now, 885 00:55:20,959 --> 00:55:24,791 and so you will see these kind of wayfinding markers up. 886 00:55:24,791 --> 00:55:29,650 So we've also taken the parking lots and assigned them to the openings. 887 00:55:29,650 --> 00:55:34,167 So if your entrance is A2, you're going to park in parking lot A2. 888 00:55:34,167 --> 00:55:34,666 Okay. 889 00:55:35,302 --> 00:55:40,090 And so there's banners up on all the new light poles and as you enter the campus 890 00:55:40,090 --> 00:55:44,699 showing you which parking lot you park in for the entrance you need to enter. 891 00:55:44,699 --> 00:55:49,547 All right, so this is how the campus is broken up and each entrance now has these 892 00:55:49,547 --> 00:55:51,223 big signs saying this is A2. 893 00:55:51,223 --> 00:55:55,951 A1 is the main hospital entrance that is closed and will be closed for the next 894 00:55:55,951 --> 00:55:56,191 closed and will be closed for the next year 895 00:55:56,191 --> 00:56:00,560 or so, and then you have all these other entrances, so patients are being 896 00:56:00,560 --> 00:56:01,158 entrances, so patients are being wayfinded. 897 00:56:01,158 --> 00:56:04,330 You You can go on our website, it will have pictures. 898 00:56:04,330 --> 00:56:08,161 If I need to get my mammogram, you're going to go to Building C, 899 00:56:08,161 --> 00:56:11,692 you're going to parking, you're going to enter C1 entrance, 900 00:56:11,692 --> 00:56:14,386 you're going to go and park in Parking Lot C, 901 00:56:14,386 --> 00:56:18,097 and so all this is out there to try to wayfind for our campus, 902 00:56:18,097 --> 00:56:22,226 not only during these projects, but looking as we grow in the future, 903 00:56:22,226 --> 00:56:26,775 and then these are just examples of all of the signs that are throughout the 904 00:56:26,775 --> 00:56:29,289 building on the internal, external spaces, 905 00:56:29,289 --> 00:56:33,179 and when you pull into the parking lot to help you find your way. 906 00:56:33,179 --> 00:56:37,010 I will say since we've closed the lobby, we were very concerned. 907 00:56:37,010 --> 00:56:39,943 This is working, and it's working in a great way, 908 00:56:39,943 --> 00:56:44,851 and I take my hat off to our volunteers because they are still wayfinding a lot of 909 00:56:44,851 --> 00:56:48,023 people from those spaces up to where they need to go. 910 00:56:48,023 --> 00:56:52,631 All right, so this is of course the Reimagined Campus vision that we We set 3 911 00:56:52,631 --> 00:56:52,931 Reimagined Campus vision that we We set 3 and a 912 00:56:52,931 --> 00:56:57,061 half years ago now. That's what it will look like when it's all done. 913 00:56:57,061 --> 00:57:00,951 We are getting close to this but need one more year to get there. 914 00:57:00,951 --> 00:57:02,866 So another area, emergency care. 915 00:57:02,866 --> 00:57:07,834 Emergency care is probably the one thing that all community hospitals should do and 916 00:57:07,834 --> 00:57:12,862 do well, and we focus on just the volumes increases that we've seen since we started 917 00:57:12,862 --> 00:57:15,495 our renovation a couple years ago in our ED. 918 00:57:15,495 --> 00:57:20,164 Our ED is seeing about 3,000 more visits a year than what it did at that time. 919 00:57:20,164 --> 00:57:22,498 And you think 3,000 a year is not much. 920 00:57:22,498 --> 00:57:26,628 That's 10 more patients a day though, almost, that's coming in there. 921 00:57:26,628 --> 00:57:31,595 And so it does add up to more people that have to be seen with a length of stay of, 922 00:57:31,595 --> 00:57:33,930 you know, 3 to 4 hours in the ED total. 923 00:57:33,930 --> 00:57:38,778 It does create some challenges when you're renovating the space where more people 924 00:57:38,778 --> 00:57:40,813 are coming to seek emergency care. 925 00:57:40,813 --> 00:57:43,865 And we get that and we work through that every day. 926 00:57:43,865 --> 00:57:47,756 With throughput and lots of other measures, but at the end of it, 927 00:57:47,756 --> 00:57:52,604 we're just trying to bring more spaces so we can treat more people and treat more 928 00:57:52,604 --> 00:57:53,920 people in high acuity. 929 00:57:53,920 --> 00:57:58,589 So we have exam rooms and we have trauma rooms that are, that are being built. 930 00:57:58,589 --> 00:58:00,803 We have, we have 3 more phases to go. 931 00:58:00,803 --> 00:58:03,856 Phase 4 will start hopefully this week or the next, 932 00:58:03,856 --> 00:58:07,088 and I'm not going to go over what each phase is there, 933 00:58:07,088 --> 00:58:11,278 but you can see we'll work through it, and we're looking at by May Uh, 934 00:58:11,278 --> 00:58:12,535 to June of next year, 935 00:58:12,535 --> 00:58:17,083 we'll be done with this project and our ER will be fully renovated, updated, 936 00:58:17,083 --> 00:58:20,675 and have lots more treatment spaces for patients to be seen. 937 00:58:20,675 --> 00:58:24,026 And these are just some pictures of the finished spaces, 938 00:58:24,026 --> 00:58:28,575 which are being very well received with the patients seeking care there. All 939 00:58:28,575 --> 00:58:28,934 the patients seeking care there. All right. 940 00:58:28,934 --> 00:58:33,663 So Access Murray, this is our parking. How do you get in and out of our campus? 941 00:58:33,663 --> 00:58:38,570 How do you park? Of course, the goal has always been to bring more parking spaces, 942 00:58:38,570 --> 00:58:42,581 more ADA parking, and a greener campus when it's all said and done. 943 00:58:42,581 --> 00:58:45,214 And then the infamous traffic light project. 944 00:58:45,214 --> 00:58:48,207 And this is, uh, this is the overall parking plan, 945 00:58:48,207 --> 00:58:52,097 and all of it's done except for the right lower left-hand corner, 946 00:58:52,097 --> 00:58:55,030 which started in July, and that's the last phase. 947 00:58:55,030 --> 00:58:59,579 So hopefully we will lay asphalt there before the asphalt companies close in 948 00:58:59,579 --> 00:59:03,529 December, and we will have the full slate of the extra 200 spaces. 949 00:59:03,529 --> 00:59:07,958 And, and we won't have all of the ADA spaces until the lobby area is done. 950 00:59:07,958 --> 00:59:08,135 Okay. 951 00:59:08,552 --> 00:59:11,771 But certainly our parking will be much, much better, 952 00:59:11,771 --> 00:59:16,846 and we hope to bring employees back soon that have been parking at Graymere Church 953 00:59:16,846 --> 00:59:21,613 of Christ and being shuttled over because of just all the challenges of these 954 00:59:21,613 --> 00:59:24,089 construction projects. So lots going on. 955 00:59:24,089 --> 00:59:29,103 Just a quick update on the spend, which I'm very transparent about these numbers. 956 00:59:29,103 --> 00:59:34,178 We've spent to date about $60 million of the bond money and have about $40 million 957 00:59:34,178 --> 00:59:35,416 left to to allocate. 958 00:59:35,416 --> 00:59:39,440 Some of the allocations are still in projects that are finishing. 959 00:59:39,440 --> 00:59:44,082 Some are just those last finishing invoices as they come in on the previous 960 00:59:44,082 --> 00:59:47,672 projects, but we're pretty much on budget with everything. 961 00:59:47,672 --> 00:59:52,810 There have been a few changes to the scope just as we learn more about renovating a 962 00:59:52,810 --> 00:59:54,110 73-year-old building. 963 00:59:54,110 --> 00:59:58,752 There's always fun behind the walls, as Deborah and her team can attest to. 964 00:59:58,752 --> 01:00:00,919 So That's the glimpse of the spend, 965 01:00:00,919 --> 01:00:04,137 and of course we're spending a lot of money locally. 966 01:00:04,137 --> 01:00:08,161 We want as much of these dollars to go— this is a little bit old. 967 01:00:08,161 --> 01:00:09,770 I hope to update this one. 968 01:00:09,770 --> 01:00:13,917 I think we're well over $10 million of a local spend at this point. 969 01:00:13,917 --> 01:00:18,746 Not going to go over all of the projects we have planned for this fiscal year, 970 01:00:18,746 --> 01:00:23,140 but you're going to see that these aren't the only things we are doing. 971 01:00:23,140 --> 01:00:28,154 We're updating linear accelerators for radiation treatments in our cancer center, 972 01:00:28,154 --> 01:00:30,506 building spaces, refreshing our rooms. 973 01:00:30,506 --> 01:00:35,520 optimizing basically all the spaces that we have for the growth of healthcare for 974 01:00:35,520 --> 01:00:37,501 our community. And so with that, 975 01:00:37,501 --> 01:00:42,577 I will pause and answer questions before I let Deborah come up and talk about EMS. 976 01:00:42,577 --> 01:00:44,867 Dr. Chan, I got one question for you. 977 01:00:44,867 --> 01:00:45,498 Yes, sir. 978 01:00:45,498 --> 01:00:47,692 With this construction going on, 979 01:00:47,692 --> 01:00:53,383 is there any other areas of the hospital being Worked on older part of the building 980 01:00:53,383 --> 01:00:58,183 such as the second floor? Because I've had some complaints about that. 981 01:00:58,183 --> 01:01:03,120 Yeah, so the second floor of the old hospital is where we have currently 982 01:01:03,120 --> 01:01:03,805 hospital is where we have currently outpatient 983 01:01:03,805 --> 01:01:09,016 surgery beds where patients come in, they're checked in for their surgeries, 984 01:01:09,016 --> 01:01:12,307 they stay in that room until they go to surgery. 985 01:01:12,307 --> 01:01:17,724 Sometimes they come back to those rooms and then are discharged home If it's an 986 01:01:17,724 --> 01:01:22,730 outpatient surgery or they'll be transitioned inpatient from the recovery 987 01:01:22,730 --> 01:01:23,072 transitioned inpatient from the recovery room. 988 01:01:23,072 --> 01:01:25,884 It is in the oldest part of the hospital, 989 01:01:25,884 --> 01:01:30,135 and we do have plans to do a significant upgrade to that area. 990 01:01:30,135 --> 01:01:32,672 Those plans are being made right now. 991 01:01:32,672 --> 01:01:37,266 We talked about them earlier today at a leadership meeting of just— 992 01:01:37,266 --> 01:01:40,145 there's a couple directions we need to go. 993 01:01:40,145 --> 01:01:45,151 It will be, I think, the next big construction renovation site we need to 994 01:01:45,151 --> 01:01:45,699 construction renovation site we need to address. 995 01:01:45,699 --> 01:01:48,099 I, I, we, we want to do everything. 996 01:01:48,099 --> 01:01:53,447 You just can't do everything at once because of the disruption that we already 997 01:01:53,447 --> 01:01:53,721 because of the disruption that we already have 998 01:01:53,721 --> 01:01:58,041 on our campus with the lobby closed, the ER under construction. 999 01:01:58,041 --> 01:02:00,784 You know, we've had all the other areas. 1000 01:02:00,784 --> 01:02:05,378 We're putting a new roof on all the hospital that's being impacted, 1001 01:02:05,378 --> 01:02:09,080 about to take the whole front wall off of those rooms, 1002 01:02:09,080 --> 01:02:11,754 which will be impactful of those rooms. 1003 01:02:11,754 --> 01:02:15,663 So we still got to care for patients during this process. 1004 01:02:15,663 --> 01:02:19,914 And even though the spaces in some of those areas are old and, 1005 01:02:19,914 --> 01:02:24,234 and well used through the years, and they're showing their age, 1006 01:02:24,234 --> 01:02:28,965 it still comes down to making sure patients can be seen and we can do 1007 01:02:28,965 --> 01:02:29,925 patients can be seen and we can do surgeries that 1008 01:02:29,925 --> 01:02:34,381 need to be done without being disrupted. So we'll come back soon. 1009 01:02:34,381 --> 01:02:39,935 I think within the next 3 to 4 months, we will know what that next phase will be. 1010 01:02:39,935 --> 01:02:45,421 And, and it will probably involve brand new experience for surgery patients in a 1011 01:02:45,421 --> 01:02:45,626 new experience for surgery patients in a lot 1012 01:02:45,626 --> 01:02:50,769 of different ways. Good question though. Mr. Strahan. Thank you, Chair. Dr. 1013 01:02:50,769 --> 01:02:56,117 Chee, how do you dictate and monitor local spend? I, I need to be taught that. 1014 01:02:56,117 --> 01:03:01,465 We have developers that from Denver using people out of California How did you 1015 01:03:01,465 --> 01:03:05,853 dictate that early on when you sat with them? We absolutely did. 1016 01:03:05,853 --> 01:03:10,104 When we did the pro formas for all the construction companies, 1017 01:03:10,104 --> 01:03:15,315 I think that we had about 4 come on site and present, you know, their plans, 1018 01:03:15,315 --> 01:03:19,224 how they would do things, kind of their budget and spend. 1019 01:03:19,224 --> 01:03:24,640 We made it very clear that we wanted as many dollars to stay local as possible. 1020 01:03:24,640 --> 01:03:28,206 I think what you will see is this number will Climb, 1021 01:03:28,206 --> 01:03:31,566 and that Turner Construction does the big things, 1022 01:03:31,566 --> 01:03:36,434 but the local contractors are really valuable in the finished products, 1023 01:03:36,434 --> 01:03:39,588 the drywall and the finishing and all of that. 1024 01:03:39,588 --> 01:03:45,073 So what you see is with these projects, you don't see a lot of local spend early 1025 01:03:45,073 --> 01:03:45,279 you don't see a lot of local spend early on, 1026 01:03:45,279 --> 01:03:47,336 but as they come to, you know, 1027 01:03:47,336 --> 01:03:51,587 the final stages of getting it ready for patient care and all, 1028 01:03:51,587 --> 01:03:54,878 those local contractors have been just valuable. 1029 01:03:54,878 --> 01:03:58,992 And we We just asked Turner to prioritize local contractors. 1030 01:03:58,992 --> 01:04:03,860 They still bid it out, and there's a budget to the bottom line of this, 1031 01:04:03,860 --> 01:04:08,934 but we want as many as possible. How do you monitor that? Do they do that? 1032 01:04:08,934 --> 01:04:14,077 They do that in concert with multiple committees with our senior leadership 1033 01:04:14,077 --> 01:04:14,420 committees with our senior leadership team. 1034 01:04:14,420 --> 01:04:19,356 Yes, sir. Good. Thank you. I will give a shout-out to Smith Construction 1035 01:04:19,356 --> 01:04:20,111 shout-out to Smith Construction Excavating. 1036 01:04:20,111 --> 01:04:25,390 They've done a lot of the parking lot work, and They've done a wonderful job. 1037 01:04:25,390 --> 01:04:25,733 work, and They've done a wonderful job. Good. 1038 01:04:25,733 --> 01:04:31,287 I got to watch it out of my window over the past several months, really 6 months, 1039 01:04:31,287 --> 01:04:36,909 as they scooped up the old and laid down the new with the drainage and everything. 1040 01:04:36,909 --> 01:04:42,120 Just safe process, efficient. They did a very, very good job. Thank you, Dr. 1041 01:04:42,120 --> 01:04:42,600 very, very good job. Thank you, Dr. Chaney. 1042 01:04:42,600 --> 01:04:43,766 Thank you, Chair. 1043 01:04:43,766 --> 01:04:45,531 Commissioner Hestla. 1044 01:04:45,531 --> 01:04:48,866 Good job. This is terrific. 1045 01:04:49,656 --> 01:04:53,079 It's beautiful. It looks— the inside looks, 1046 01:04:53,079 --> 01:04:59,688 and the pictures reminds me of Tennessee Orthopaedic Alliance, those slick lobbies, 1047 01:04:59,688 --> 01:05:05,977 you know, that kind of weave around a little bit and everything's real sparkly. 1048 01:05:05,977 --> 01:05:09,719 It looks terrific. It's really— it's beautiful. 1049 01:05:09,719 --> 01:05:10,409 Thank you. 1050 01:05:10,409 --> 01:05:14,761 I remember asking you last year when you were showing us the specs And what the 1051 01:05:14,761 --> 01:05:19,277 outside would look like and all that. I was asking you about painting the outside. 1052 01:05:19,277 --> 01:05:23,629 Is it going to be a different color? Are you going to keep everything the same? 1053 01:05:23,629 --> 01:05:27,705 And you mentioned if you could just sandblast it, it would probably do the 1054 01:05:27,705 --> 01:05:27,926 sandblast it, it would probably do the job. 1055 01:05:27,926 --> 01:05:29,523 Is that still in the picture? 1056 01:05:29,523 --> 01:05:34,507 So we did pressure wash basically every blonde brick you see has been pressure 1057 01:05:34,507 --> 01:05:36,552 washed in the past 3 or 4 years. 1058 01:05:36,552 --> 01:05:40,898 Some brought out a much, much Some of them have a much cleaner look. 1059 01:05:40,898 --> 01:05:45,818 Some are just 70-something-year-old brick that have absorbed a lot of weather 1060 01:05:45,818 --> 01:05:49,397 through the years. I think on the front of the hospital, 1061 01:05:49,397 --> 01:05:54,253 what we have decided is that the old brick behind that layer is built in 19— 1062 01:05:54,253 --> 01:05:58,663 between 1949 and 1953, when asbestos was a common insulation product. 1063 01:05:58,663 --> 01:06:03,328 So behind that old brick, if you don't disturb Serve as best as you find. 1064 01:06:03,328 --> 01:06:07,801 But once we start tearing those windows out and replacing the windows, 1065 01:06:07,801 --> 01:06:11,252 which have to be replaced, it came— became very clear. 1066 01:06:11,252 --> 01:06:14,958 And this is where the scope changed in that project a bit, 1067 01:06:14,958 --> 01:06:18,409 that if we're going to do it, we ought to do it right. 1068 01:06:18,409 --> 01:06:23,137 And so we are taking off the front side all of the old brick that's on the 1069 01:06:23,137 --> 01:06:23,713 all of the old brick that's on the southwest 1070 01:06:23,713 --> 01:06:25,055 side of the building. 1071 01:06:25,055 --> 01:06:29,911 So it has borne the brunt of most of the weather on that side of your house, 1072 01:06:29,911 --> 01:06:31,317 the wind and the rain. 1073 01:06:31,317 --> 01:06:31,477 Mm-hmm. 1074 01:06:32,023 --> 01:06:33,937 And so it needs to be taken off. 1075 01:06:33,937 --> 01:06:38,724 There are moisture penetration problems with that brick and the limestone around 1076 01:06:38,724 --> 01:06:38,903 with that brick and the limestone around the 1077 01:06:38,903 --> 01:06:40,339 windows that's cracking. 1078 01:06:40,339 --> 01:06:44,886 So we're just going to take it off, do a complete new vapor thermal barrier, 1079 01:06:44,886 --> 01:06:49,313 and then weather resist it with those metal and glass panels that are much 1080 01:06:49,313 --> 01:06:49,852 metal and glass panels that are much easier to 1081 01:06:49,852 --> 01:06:51,587 keep clean through the years. 1082 01:06:51,587 --> 01:06:53,561 So that around the sides of that, 1083 01:06:53,561 --> 01:06:57,390 which is not So weather-beaten and the brick is in better shape. 1084 01:06:57,390 --> 01:07:01,638 We are looking at probably staining that brick a different color brown, 1085 01:07:01,638 --> 01:07:05,227 but within the color scheme of the rest of the blonde brick. 1086 01:07:05,227 --> 01:07:09,355 And that's not the big tower, we're talking still the old part of the 1087 01:07:09,355 --> 01:07:09,894 talking still the old part of the hospital, 1088 01:07:09,894 --> 01:07:11,569 and replacing those windows. 1089 01:07:11,569 --> 01:07:16,295 So you'll see that picture I showed you of kind of the metal glassed-out front, 1090 01:07:16,295 --> 01:07:21,022 modern look, but then around the sides you will see some staining of the brick. 1091 01:07:21,022 --> 01:07:25,210 Stain lasts much much longer than paint, and you can pressure wash it, 1092 01:07:25,210 --> 01:07:28,021 and it'll withstand a couple pressure washings. 1093 01:07:28,021 --> 01:07:33,047 So we feel that that's probably the way to go and try to preserve some of that brick 1094 01:07:33,047 --> 01:07:34,782 that's not so weather-beaten. 1095 01:07:34,782 --> 01:07:38,107 That's interesting about the asbestos. 1096 01:07:38,107 --> 01:07:41,769 It's in everything that was built before 1970. 1097 01:07:41,769 --> 01:07:45,721 But all that will be alleviated within all this process? It'll just be— 1098 01:07:45,721 --> 01:07:48,022 We will abate all the asbestos layers. 1099 01:07:48,022 --> 01:07:51,837 I mean, I'm You know, in the guts of an old hospital like that, 1100 01:07:51,837 --> 01:07:56,863 there are still pipes and things that are not exposed to air that I'm sure probably 1101 01:07:56,863 --> 01:08:01,707 still have asbestos. Every old building has it, but we, we know where those are. 1102 01:08:01,707 --> 01:08:06,552 And then when we, when it's time that we have to disturb those areas in any way, 1103 01:08:06,552 --> 01:08:11,396 we do the full abatement per protocol as we need to, to go ahead and replace it. 1104 01:08:11,396 --> 01:08:14,399 Sounds good. Thank you. Good job. 1105 01:08:16,052 --> 01:08:22,940 And I will say that all the new stuff just makes— to Commissioner Gary's comment— 1106 01:08:22,940 --> 01:08:28,978 makes the older stuff look maybe not so new. Looks less new. All right. 1107 01:08:28,978 --> 01:08:33,060 Commissioner Combs? Thank you, Chairman Stovall. 1108 01:08:33,060 --> 01:08:37,227 My name is Greg Combs, and we haven't met before. 1109 01:08:37,227 --> 01:08:43,860 But, and this, I don't want to take you too far off of where you're at in your 1110 01:08:43,860 --> 01:08:46,241 discussion, but I'm curious. 1111 01:08:46,241 --> 01:08:51,939 I thought while I had you here, I would like to ask you a question. 1112 01:08:51,939 --> 01:08:52,614 Sure. 1113 01:08:52,614 --> 01:08:58,111 My first job was helping start Life Flight for Vanderbilt Hospital back in the '80s, 1114 01:08:58,111 --> 01:09:00,140 so that tells you how old I am. 1115 01:09:00,140 --> 01:09:05,048 I have a question about when patient delivery comes through Air Ambulatory, 1116 01:09:05,048 --> 01:09:09,040 where is that patient delivered to? Currently, which helipad? 1117 01:09:09,040 --> 01:09:13,228 So we utilize the helipad that's in front of our Plaza building, 1118 01:09:13,228 --> 01:09:17,613 in front of the Election Commission. Okay, that's the main helipad. 1119 01:09:17,613 --> 01:09:21,212 Okay, I just want to make sure that I had that correct. 1120 01:09:21,212 --> 01:09:24,550 Yes, that, that is really the only one that we use. 1121 01:09:24,550 --> 01:09:27,626 So we have entertained bringing that on campus, 1122 01:09:27,626 --> 01:09:32,337 but those high-voltage wires that go across the front part of our campus 1123 01:09:32,337 --> 01:09:33,057 across the front part of our campus parking lot 1124 01:09:33,057 --> 01:09:38,162 make that very challenging, and then there's not a place on the backside that, 1125 01:09:38,162 --> 01:09:38,489 there's not a place on the backside that, that, 1126 01:09:38,489 --> 01:09:41,630 that needs the space to land a helicopter. Okay. 1127 01:09:41,630 --> 01:09:46,277 That's the perimeter that has to be set up. That's probably the answer. 1128 01:09:46,277 --> 01:09:51,643 I was just curious, had any thought been given to bringing the patient to delivery 1129 01:09:51,643 --> 01:09:56,944 to the rooftop of the hospital so that they can be delivered directly into trauma 1130 01:09:56,944 --> 01:10:01,852 center? It talks about that, but I can't remember what that limitation was, 1131 01:10:01,852 --> 01:10:06,891 whether that was structural or not. I can get back with you on that question. 1132 01:10:06,891 --> 01:10:11,734 Elevators, yeah, we'd have to redo all the elevators too. Okay. All right. 1133 01:10:11,734 --> 01:10:12,388 Thank you. 1134 01:10:12,388 --> 01:10:15,039 Commissioner Markham. 1135 01:10:15,039 --> 01:10:16,884 Thank you, Mr. Chairman. Dr. 1136 01:10:16,884 --> 01:10:20,048 Chaney, this, this new lung scope, I'll call it— 1137 01:10:20,048 --> 01:10:22,618 I can't pronounce what you said it was. 1138 01:10:22,618 --> 01:10:26,573 Is it going to be preventive medicine just like colonoscopy? 1139 01:10:26,573 --> 01:10:29,670 At a certain age, you can have this lung scope? 1140 01:10:29,670 --> 01:10:33,954 All right, so the scope is only if something is found on imaging. 1141 01:10:33,954 --> 01:10:37,909 So there, there is a new protocol called screening lung CTs. 1142 01:10:37,909 --> 01:10:41,665 If you have been a smoker in your past or have, you know, 1143 01:10:41,665 --> 01:10:43,643 family history of lung cancer. 1144 01:10:43,643 --> 01:10:46,015 I don't remember all the parameters, 1145 01:10:46,015 --> 01:10:51,222 but insurances are now covering for you to have a surveillance lung CT every so 1146 01:10:51,222 --> 01:10:53,660 often to look for early lung cancers. 1147 01:10:53,660 --> 01:10:59,065 And so if you qualify, you could have one, or if you have a CT for another reason, 1148 01:10:59,065 --> 01:11:03,349 which we do all kinds of CTs in our emergency department— trauma, 1149 01:11:03,349 --> 01:11:07,699 you come in and you fall and break a rib and we need to, you know, 1150 01:11:07,699 --> 01:11:09,017 X-ray you or CT you. 1151 01:11:09,017 --> 01:11:13,301 All of those are potential also screening tests for other things. 1152 01:11:13,301 --> 01:11:17,123 Like, we may be looking for a broken rib, but it may find— 1153 01:11:17,123 --> 01:11:21,935 you may find an early nodule in your lung that you didn't know was there, 1154 01:11:21,935 --> 01:11:25,032 nobody knew, and we just incidentally found it. 1155 01:11:25,032 --> 01:11:30,041 We want to make sure that we have the opportunity to not only capture all of 1156 01:11:30,041 --> 01:11:30,371 opportunity to not only capture all of those 1157 01:11:30,371 --> 01:11:31,689 incidental findings, 1158 01:11:31,689 --> 01:11:36,302 but also through a screening program with your primary care physician, 1159 01:11:36,302 --> 01:11:39,861 That can get chest x-rays regularly or these lung CTs, 1160 01:11:39,861 --> 01:11:45,002 that we can start identifying these, very similar to how women get mammograms, 1161 01:11:45,002 --> 01:11:49,747 where it's slated at a certain time, where you get these every so often, 1162 01:11:49,747 --> 01:11:52,845 and hopefully can detect, when it's very small, 1163 01:11:52,845 --> 01:11:57,590 a potential early malignancy that could then be, through this, biopsied. 1164 01:11:57,590 --> 01:12:01,347 So, you've got this, let's say it's the size of a marble, 1165 01:12:01,347 --> 01:12:05,697 and it's It's not really big yet, but we don't know, is it cancer? 1166 01:12:05,697 --> 01:12:08,201 You can wait, you can see if it grows, 1167 01:12:08,201 --> 01:12:11,233 but that's got risk involved in it by waiting. 1168 01:12:11,233 --> 01:12:15,517 So now, if it looks suspicious in any way, you can get this test. 1169 01:12:15,517 --> 01:12:19,999 They can sample the core of that thing and say, no, it's not cancer, 1170 01:12:19,999 --> 01:12:24,414 or it was some fungal infection you breathed when you were a child. 1171 01:12:24,414 --> 01:12:29,621 And certainly anything new on chest x-rays that have changed from time to time, 1172 01:12:29,621 --> 01:12:33,905 that's a good sign that you need to go and figure this thing out. 1173 01:12:33,905 --> 01:12:36,541 And so it is a procedure that's, that's, 1174 01:12:36,541 --> 01:12:42,011 that's then designed to get early answers to findings on lung chest x-rays and lung 1175 01:12:42,011 --> 01:12:43,989 CTs. Thank you. Appreciate it. 1176 01:12:43,989 --> 01:12:47,877 That's probably more than you wanted, but— No, that's good. 1177 01:12:47,877 --> 01:12:52,227 I had to take my doctor hat off sometimes. Thank you, Mr. Stovall. 1178 01:12:52,227 --> 01:12:54,304 Mr. Ronsberg. 1179 01:12:54,304 --> 01:12:57,787 I want you to know I'm a supporter of Murray Regional, 1180 01:12:57,787 --> 01:13:02,174 but I have some concerns and I want to ask you about them real Sure. 1181 01:13:02,174 --> 01:13:06,883 One of the biggest problems I have with all this construction we've done, 1182 01:13:06,883 --> 01:13:11,657 did we think about any of using any of that money to improve services like 1183 01:13:11,657 --> 01:13:12,173 that money to improve services like bridging 1184 01:13:12,173 --> 01:13:16,753 the— we— the hospital years ago burnt bridges with Columbia Pediatrics. 1185 01:13:16,753 --> 01:13:19,785 Now they ship all their patients to Williamson. 1186 01:13:19,785 --> 01:13:23,333 Williamson is getting ready to be bought by St. Thomas. 1187 01:13:23,333 --> 01:13:26,235 Well, Vanderbilt has Williamson's pediatrics. 1188 01:13:26,235 --> 01:13:31,138 There won't be a pediatric unit now between Huntsville and Nashville for us. 1189 01:13:31,138 --> 01:13:34,105 Have we thought about using any of that money, 1190 01:13:34,105 --> 01:13:39,202 or have we thought about expanding to another— going back to a pediatrics unit? 1191 01:13:39,202 --> 01:13:43,911 Because we lost one years ago. We had a top-notch one. But I have several 1192 01:13:43,911 --> 01:13:44,491 top-notch one. But I have several concerns. 1193 01:13:44,491 --> 01:13:47,459 This is one I just want to bring up right now. 1194 01:13:47,459 --> 01:13:50,684 Do we have any future looking at a pediatric unit? 1195 01:13:50,684 --> 01:13:55,845 Because as many people as we have moving in this county, we're going to need it. 1196 01:13:55,845 --> 01:13:59,780 So I'm a pediatrician by training. Not sure if you knew that. 1197 01:13:59,780 --> 01:14:02,618 Worked with Commissioner Hollingsworth many, 1198 01:14:02,618 --> 01:14:05,650 many years in treating kids at Murray Regional. 1199 01:14:05,650 --> 01:14:10,488 I think my very first call in 2002 when I started at Murray Regional was to 1200 01:14:10,488 --> 01:14:15,520 resuscitate twins that were 16 weeks premature at 24 weeks and weighed about a 1201 01:14:15,520 --> 01:14:15,842 premature at 24 weeks and weighed about a pound 1202 01:14:15,842 --> 01:14:20,551 and a half each. So I've been very involved with the pediatric journey of 1203 01:14:20,551 --> 01:14:20,938 involved with the pediatric journey of Murray 1204 01:14:20,938 --> 01:14:22,551 Regional for a long time. 1205 01:14:22,551 --> 01:14:22,844 Thank you. 1206 01:14:24,218 --> 01:14:28,843 And I will also just say that I think what's changed the landscape is the 1207 01:14:28,843 --> 01:14:30,744 subspecialization of medicine. 1208 01:14:30,744 --> 01:14:35,432 It used to be that general pediatricians handled a lot of sick kids in the 1209 01:14:35,432 --> 01:14:36,002 handled a lot of sick kids in the hospital. 1210 01:14:36,002 --> 01:14:39,170 That has changed in the training of pediatricians. 1211 01:14:39,170 --> 01:14:44,429 It's trained in the comfort level and the expectations of society and the community 1212 01:14:44,429 --> 01:14:48,610 of needing pediatric specialists to be involved in a child's care. 1213 01:14:48,610 --> 01:14:52,728 So, well, what— to answer your question, it really comes down to, 1214 01:14:52,728 --> 01:14:56,086 it's not about spending the money to build the space. 1215 01:14:56,086 --> 01:15:00,965 It's, do we have enough volume of a certain type of pediatric patient illness 1216 01:15:00,965 --> 01:15:01,218 certain type of pediatric patient illness that 1217 01:15:01,218 --> 01:15:05,843 would justify having pediatric specialists practicing at Murray Regional? 1218 01:15:05,843 --> 01:15:10,595 So, So take critical care. So we've done this pro forma with critical care. 1219 01:15:10,595 --> 01:15:15,600 I think the first thing I would like is eventually to have a pediatric critical 1220 01:15:15,600 --> 01:15:15,853 eventually to have a pediatric critical care 1221 01:15:15,853 --> 01:15:20,732 unit. We would keep a lot more kids at Murray Regional if we knew we had that 1222 01:15:20,732 --> 01:15:22,189 backup. And I will say, 1223 01:15:22,189 --> 01:15:26,814 we always have a board-certified pediatrician in-house at Murray Regional 1224 01:15:26,814 --> 01:15:27,448 pediatrician in-house at Murray Regional 24/7 every 1225 01:15:27,448 --> 01:15:32,009 day of the year. There's always a board-certified pediatrician to handle 1226 01:15:32,009 --> 01:15:32,580 board-certified pediatrician to handle pediatric 1227 01:15:32,580 --> 01:15:37,141 admissions, We have the neonatal intensive care unit with neonatal nurse 1228 01:15:37,141 --> 01:15:41,259 practitioners and neonatologists because there are enough babies. 1229 01:15:41,259 --> 01:15:43,920 We have 8 babies right now in our nursery. 1230 01:15:43,920 --> 01:15:48,735 There are enough babies in our NICU that it justifies having those pediatric 1231 01:15:48,735 --> 01:15:51,270 specialists, those neonatologists there. 1232 01:15:51,270 --> 01:15:56,275 The math, if we kept every critical care patient that we ship out of this area, 1233 01:15:56,275 --> 01:16:01,153 which we would not keep all of them because some are definitely going to have 1234 01:16:01,153 --> 01:16:01,470 because some are definitely going to have to go 1235 01:16:01,470 --> 01:16:02,801 to Vanderbilt, right? 1236 01:16:02,801 --> 01:16:07,996 But even if we kept all of them at Murray Regional with a pediatric intensive care 1237 01:16:07,996 --> 01:16:13,254 unit, the last performance showed we would still not have enough patients to have 3 1238 01:16:13,254 --> 01:16:18,513 critical care doctors, which is how many you have to have to stand up 24/7 service. 1239 01:16:18,513 --> 01:16:22,441 Well, if we lose Williamson Medical, that's going to increase— 1240 01:16:22,441 --> 01:16:25,355 that could increase your business drastically. 1241 01:16:25,355 --> 01:16:28,777 That could, that could change the landscape, no doubt. 1242 01:16:28,777 --> 01:16:33,592 Growth of our community— at some point we might be big enough to definitely, 1243 01:16:33,592 --> 01:16:37,393 and we to do this math every so many years to check and see. 1244 01:16:37,393 --> 01:16:40,561 I don't know what's going to happen at Williamson. 1245 01:16:40,561 --> 01:16:45,630 I've heard that Ascension is going to honor the pediatric unit there and keep it 1246 01:16:45,630 --> 01:16:50,381 open. That's— I've just heard that probably through the press or something. 1247 01:16:50,381 --> 01:16:55,386 I have no insider information on that. So we are— you know, I'm a pediatrician. 1248 01:16:55,386 --> 01:16:59,441 I want great care. But I also want— when a child is really sick, 1249 01:16:59,441 --> 01:17:03,876 and needs to be in the hospital, which doesn't happen like it used to, 1250 01:17:03,876 --> 01:17:08,755 you have to have the full weight of specialists to bring to that child's care 1251 01:17:08,755 --> 01:17:09,008 specialists to bring to that child's care when 1252 01:17:09,008 --> 01:17:14,140 they need it and not have to then transfer from the hospital to a Vanderbilt when 1253 01:17:14,140 --> 01:17:15,407 the child is sicker. 1254 01:17:15,407 --> 01:17:18,828 And that's why we're always weighing, is, is, is this, 1255 01:17:18,828 --> 01:17:22,946 is this patient potentially going to need a higher level of care? 1256 01:17:22,946 --> 01:17:26,621 It's a tough question, and I, I hear you. I absolutely do. 1257 01:17:26,621 --> 01:17:28,395 Well, I have several others, 1258 01:17:28,395 --> 01:17:32,387 but we'll bring that up over the course of the next year or so. 1259 01:17:32,387 --> 01:17:37,518 But I appreciate it because I probably wanted to ask him more about EMS because I 1260 01:17:37,518 --> 01:17:42,270 was 33 years with the fire department, also 31 years with Murrayville Fire. 1261 01:17:42,270 --> 01:17:47,149 You're going to hear a good EMS update here in just a minute, sir. Thank you. 1262 01:17:47,149 --> 01:17:50,126 Thank you, Chairman. And thank you for calling. 1263 01:17:50,126 --> 01:17:54,815 My colleague from the 3rd District, Commissioner Harlan. Good evening, Dr. 1264 01:17:54,815 --> 01:17:55,258 Commissioner Harlan. Good evening, Dr. Chaney. 1265 01:17:55,258 --> 01:17:59,060 The question I have is very elementary, uh, and I'm curious, 1266 01:17:59,060 --> 01:18:03,621 and maybe the county commission can ask, uh, help with this, uh, answer. 1267 01:18:03,621 --> 01:18:05,332 Okay, say for instance, uh, 1268 01:18:05,332 --> 01:18:09,387 $80 million bond and the hospital has completed $75,000 million, 1269 01:18:09,387 --> 01:18:13,378 so we got $5 million left. So What is done with the $5 million? 1270 01:18:13,378 --> 01:18:18,130 Are you— is the hospital able to use the money, or is the city, the county? 1271 01:18:18,130 --> 01:18:19,524 So that's my question. 1272 01:18:19,524 --> 01:18:23,705 Basically, do the hospital able to use the rest of the $5 million? 1273 01:18:23,705 --> 01:18:26,366 So, you know, I'm just using that example. 1274 01:18:26,366 --> 01:18:30,991 No, no, it's a great example, and it's a good question. It absolutely is. 1275 01:18:30,991 --> 01:18:36,250 Um, first off, I doubt if there's going to be that much left over as When we get to 1276 01:18:36,250 --> 01:18:40,621 the final of all this, we want to stay under budget. Of course we do. 1277 01:18:40,621 --> 01:18:43,916 We just don't know how much we will be under budget. 1278 01:18:43,916 --> 01:18:47,401 There are parameters of what we can use that money for, 1279 01:18:47,401 --> 01:18:50,188 and it has to be spent in Murray County for— 1280 01:18:50,188 --> 01:18:54,687 We have borrowed the money through the county's bond agency and rating, 1281 01:18:54,687 --> 01:18:58,931 which gives us a good rate on getting capital to make improvements. 1282 01:18:58,931 --> 01:19:03,176 Murray Regional right now Is 100% responsible for paying that back. 1283 01:19:03,176 --> 01:19:05,394 And we have done this for 73 years. 1284 01:19:05,394 --> 01:19:10,716 There have been bonds every few years that come before the county because everybody, 1285 01:19:10,716 --> 01:19:15,658 every hospital system gets capital from Wall Street. It's just how you get it. 1286 01:19:15,658 --> 01:19:18,825 If for-profit's going to get it through investors, 1287 01:19:18,825 --> 01:19:23,577 we use municipal bonds and we're very good and happy with the relationship. 1288 01:19:23,577 --> 01:19:26,998 So we, we would have a choice if we have it left over. 1289 01:19:26,998 --> 01:19:31,877 If there's another project that meets the The parameters that the bond agency 1290 01:19:31,877 --> 01:19:34,284 allowed us to borrow this money to do, 1291 01:19:34,284 --> 01:19:37,959 because they want to know what you're going to use it for. 1292 01:19:37,959 --> 01:19:42,141 They want to know there's going to be a return on this investment. 1293 01:19:42,141 --> 01:19:44,041 If it's within the parameters, 1294 01:19:44,041 --> 01:19:49,236 we can expand the scope and get permission to do it if there's a surgery area that 1295 01:19:49,236 --> 01:19:53,545 we need to upgrade, or we could just pay off some of the bond notes. 1296 01:19:53,545 --> 01:19:58,486 We have less to pay off in the long run, which is the choices I think we would 1297 01:19:58,486 --> 01:19:58,803 which is the choices I think we would have. 1298 01:19:58,803 --> 01:20:03,682 Do we use it for another project that improves improves healthcare for Murray 1299 01:20:03,682 --> 01:20:08,750 County, or do we go ahead and just shorten our overall debt for the long term so 1300 01:20:08,750 --> 01:20:12,171 that our bond payments over the next 20 years or less? 1301 01:20:12,171 --> 01:20:16,163 Okay, so the bond is completely Murray Regional responsibility? 1302 01:20:16,163 --> 01:20:20,091 This, this part of the bond is our responsibility to pay back. 1303 01:20:20,091 --> 01:20:20,829 Okay. 1304 01:20:21,311 --> 01:20:25,206 All right, all right. Thank you. Thank you, Sheriff. All right, Dr. 1305 01:20:25,206 --> 01:20:27,124 Chaney, I don't see anybody else. 1306 01:20:27,124 --> 01:20:31,194 Just willing to ask you any questions or speak on anything. All right. 1307 01:20:31,194 --> 01:20:35,437 Well, I will introduce Ms. Deborah Lumpkins, our Chief Operating Officer. 1308 01:20:35,437 --> 01:20:39,739 Deborah is also Chief Nursing Officer of Murray Regional for 15 years, uh, 1309 01:20:39,739 --> 01:20:41,600 before she moved into this role. 1310 01:20:41,600 --> 01:20:45,088 And she has oversight of our ambulance service, EMS service. 1311 01:20:45,088 --> 01:20:47,239 And so I'm gonna turn it over to her. 1312 01:20:47,239 --> 01:20:51,366 Deborah, you can just click on the slides and you should be good to go. 1313 01:20:52,753 --> 01:20:56,486 Thank you for the opportunity tonight. 1314 01:20:56,486 --> 01:21:03,558 I am most excited to share our newest— let's see if I can get my slides— 1315 01:21:03,558 --> 01:21:08,372 my newest department director at Murray Regional. 1316 01:21:08,372 --> 01:21:10,828 And this is Greg Johnson, 1317 01:21:10,828 --> 01:21:16,722 who is assuming the administrative director role of our EMS. 1318 01:21:16,722 --> 01:21:20,847 Greg comes highly decorated and respected. 1319 01:21:20,847 --> 01:21:25,857 I mean, he has an associate degree, as you can see, 1320 01:21:25,857 --> 01:21:31,849 in emergency medical services, bachelor's degree in business, 1321 01:21:31,849 --> 01:21:36,859 master's in administration, 15 years of experience, 1322 01:21:36,859 --> 01:21:44,521 most recently as the program director for the Columbia State state EMS program 1323 01:21:44,521 --> 01:21:52,281 there. And interesting that he has served as a previous elected county official 1324 01:21:52,281 --> 01:21:54,737 in Ohio, if I am correct. 1325 01:21:54,737 --> 01:22:01,417 So we're so proud that he is here, and he has— this is what, week 3? 1326 01:22:01,417 --> 01:22:02,653 Starting today. 1327 01:22:02,653 --> 01:22:09,872 Yes, week 3. So he definitely has hit the ground running and is really doing a 1328 01:22:09,872 --> 01:22:11,815 fantastic job for us. 1329 01:22:11,815 --> 01:22:18,756 So I look forward to future reports that Greg will give to this commission. 1330 01:22:18,756 --> 01:22:26,160 One other point that I want to make that I didn't feel like for week 3 that it's 1331 01:22:26,160 --> 01:22:31,435 fair just for Greg to give you the annual report for EMS, 1332 01:22:31,435 --> 01:22:37,821 so I am going to share that, but then he is going to share, you know, 1333 01:22:37,821 --> 01:22:43,189 some His vision and just plans as we move into the future. 1334 01:22:43,189 --> 01:22:50,870 So I want to share for those that are new to the commission that just where our EMS 1335 01:22:50,870 --> 01:22:52,814 stations are located. 1336 01:22:52,814 --> 01:22:59,292 So 3 stations here in Columbia, Maine, near the election One at Tom J. 1337 01:22:59,292 --> 01:23:05,215 Hitch, one at Neapolis, one at Mount Pleasant, one at Hampshire, 1338 01:23:05,215 --> 01:23:12,526 and then there are 2 additional peak trucks that are staffed 6 to 6 and/or 9 to 1339 01:23:12,526 --> 01:23:12,896 trucks that are staffed 6 to 6 and/or 9 to 9 so 1340 01:23:12,896 --> 01:23:19,097 that we can, again, meet those peak volumes that we have. Staffing. 1341 01:23:19,097 --> 01:23:26,408 We have 52 full-time positions. And that is a wide variety of EMTs, paramedics. 1342 01:23:26,408 --> 01:23:30,203 We have critical care trained paramedics. 1343 01:23:30,203 --> 01:23:32,794 We also have dispatch there, 1344 01:23:32,794 --> 01:23:40,013 as well as a whole host of PRN staff that can help when we need extra staffing 1345 01:23:40,013 --> 01:23:43,252 and/or cover vacations, sick leave. 1346 01:23:43,252 --> 01:23:50,933 Current vacancies right now, 3 full-time, and then we have We have 4 PRN vacancies. 1347 01:23:50,933 --> 01:23:57,041 I want to share about volumes because we've already heard from Dr. 1348 01:23:57,041 --> 01:24:03,705 Chaney just how the growth of healthcare in, you know, in our community, 1349 01:24:03,705 --> 01:24:09,350 you all see that, just the growth of census in our community. 1350 01:24:09,350 --> 01:24:17,124 So I wanted to give you kind of a look of our current fiscal year that ended in '26. 1351 01:24:17,124 --> 01:24:17,529 Thank you. 1352 01:24:17,752 --> 01:24:21,941 That ended in June compared to the previous fiscal year. 1353 01:24:21,941 --> 01:24:25,905 So the total number of calls that— for the 911 calls, 1354 01:24:25,905 --> 01:24:30,094 we had over 17,000 compared to 14,000 the previous year. 1355 01:24:30,094 --> 01:24:33,311 Transfers to a higher level of care, again, 1356 01:24:33,311 --> 01:24:36,453 we want to keep patients in our community, 1357 01:24:36,453 --> 01:24:42,736 but there are those patients that need to be transferred. So 2,300 were transferred. 1358 01:24:42,736 --> 01:24:43,025 Okay. 1359 01:24:43,170 --> 01:24:47,347 This past year compared with 4,000 the previous. 1360 01:24:47,347 --> 01:24:53,701 And then you can see then that total transport of over 19,000 compared to 1361 01:24:53,701 --> 01:24:54,310 transport of over 19,000 compared to 18,000. 1362 01:24:54,310 --> 01:24:59,271 So over the previous year, the transports increased 8.2%. 1363 01:24:59,271 --> 01:25:04,754 And again, that's just driven by a growth in, in our community. 1364 01:25:04,754 --> 01:25:12,064 Frequently asked, and a lot of times there are discussions regarding response times. 1365 01:25:12,064 --> 01:25:16,242 You know, what are those average response times? 1366 01:25:16,242 --> 01:25:22,943 And again, you all know the geographic range that our county— that, you know, 1367 01:25:22,943 --> 01:25:29,296 we have rural compared to, you know, here in the city proper of Columbia. 1368 01:25:29,296 --> 01:25:33,300 But in our most recent fiscal year that ended, 1369 01:25:33,300 --> 01:25:39,218 the average time was 10 minutes and 22 seconds. Again, average time. 1370 01:25:39,218 --> 01:25:45,484 And this graph, you can see where it gives you the whole variance there. 1371 01:25:45,484 --> 01:25:51,750 And then the— compared to last year, which was 10 minutes and 2 seconds. 1372 01:25:51,750 --> 01:25:54,884 So again, very close year over year. 1373 01:25:54,884 --> 01:26:00,192 And I'll just share kind of that benchmark we're often asked. 1374 01:26:00,192 --> 01:26:05,937 So in rural areas, about 15 minutes is that average response time. 1375 01:26:05,937 --> 01:26:08,896 Urban is a 9-minute response time. 1376 01:26:08,896 --> 01:26:16,119 So, you know, our times remain within that rural benchmark while maintaining a good 1377 01:26:16,119 --> 01:26:19,078 city performance here in Columbia. 1378 01:26:19,078 --> 01:26:24,474 And then we do break down that average response times by city. 1379 01:26:24,474 --> 01:26:28,652 And just again, year over year, that comparison. 1380 01:26:28,652 --> 01:26:34,309 These are average times in minutes, and then the number of calls. 1381 01:26:34,309 --> 01:26:39,879 So you can see there Columbia here at the main being the— again, 1382 01:26:39,879 --> 01:26:42,925 that average time in the 9 minutes, 1383 01:26:42,925 --> 01:26:47,886 and roughly about 10,000 calls coming here from the city. 1384 01:26:47,886 --> 01:26:53,281 And then all the way to where our lower volume is going to be, 1385 01:26:53,281 --> 01:26:57,633 There at Williamsport with a longer response time. 1386 01:26:57,633 --> 01:26:57,857 Mm-hmm. 1387 01:26:57,857 --> 01:26:59,573 I mean, it, you know, 1388 01:26:59,573 --> 01:27:04,720 it just takes longer again geographically to cover the mileage. 1389 01:27:04,720 --> 01:27:08,805 But we look at these literally on a monthly basis. 1390 01:27:08,805 --> 01:27:14,687 We see if there's any outliers and, you know, where does this, you know, 1391 01:27:14,687 --> 01:27:17,138 leave us for potential growth, 1392 01:27:17,138 --> 01:27:21,713 certainly in the future as our county continues to grow. 1393 01:27:21,713 --> 01:27:27,351 And then I want to share the financial summary. I like, you know, Dr. 1394 01:27:27,351 --> 01:27:32,252 Chaney with the bond and construction, I mean, transparency. 1395 01:27:32,252 --> 01:27:34,540 And this is just a snapshot. 1396 01:27:34,540 --> 01:27:38,870 Our CFO meets regularly with Doug Loukonen, you know, 1397 01:27:38,870 --> 01:27:43,282 shares the operating reports at a very detailed level. 1398 01:27:43,282 --> 01:27:45,978 Just want to highlight here on a— 1399 01:27:45,978 --> 01:27:46,219 One slide. 1400 01:27:46,877 --> 01:27:50,556 Again, just to highlight the financials, 1401 01:27:50,556 --> 01:27:55,431 and this is probably an easier way to think about it, 1402 01:27:55,431 --> 01:28:02,606 but our revenue declined 6% year over year as reimbursement pressures— I mean, 1403 01:28:02,606 --> 01:28:09,965 we see that. Our reimbursement pressures increased. We had higher payer denials. 1404 01:28:09,965 --> 01:28:12,173 That's not just— in EMS. 1405 01:28:12,173 --> 01:28:18,243 I mean, we see that across numerous service lines at the hospital, 1406 01:28:18,243 --> 01:28:21,831 and there were stricter contract terms. 1407 01:28:21,831 --> 01:28:26,154 Just again, you know, payers don't want to pay, 1408 01:28:26,154 --> 01:28:31,673 and that's just a struggle that we often face in healthcare. 1409 01:28:31,673 --> 01:28:37,468 However, on a positive, our operating expenses were reduced 2%. 1410 01:28:37,468 --> 01:28:38,079 That's good. 1411 01:28:38,607 --> 01:28:41,463 And I credit the team with that. 1412 01:28:41,463 --> 01:28:48,246 And that was through disciplined just management of labor and administrative 1413 01:28:48,246 --> 01:28:51,460 costs. We meet every 2 weeks, again, 1414 01:28:51,460 --> 01:28:57,886 looking at staffing and when the payroll ends, the volumes, the numbers, 1415 01:28:57,886 --> 01:29:03,866 and how can we continue to be and put forth operational efficiency. 1416 01:29:03,866 --> 01:29:10,828 So, however, despite these cost-saving measures, our operating loss increased. 1417 01:29:10,828 --> 01:29:13,327 So we had the previous year, 1418 01:29:13,327 --> 01:29:18,772 our operating loss was $3.1 million compared to $3.4 million. 1419 01:29:18,772 --> 01:29:26,001 And that was largely due to escalating maintenance costs. Our EMS fleet is aging. 1420 01:29:26,001 --> 01:29:28,768 Some of our equipment is aging. 1421 01:29:28,768 --> 01:29:28,928 Yes. 1422 01:29:29,538 --> 01:29:35,064 Fuel costs are up. I mean, not, you know, that's not, you know, 1423 01:29:35,064 --> 01:29:41,731 it's not unique just to us personally, but, you know, for the fleet as well. 1424 01:29:41,731 --> 01:29:48,573 And so we completed a record number of transports during our fiscal year while 1425 01:29:48,573 --> 01:29:54,011 maintaining strong expense controls and operating performance. 1426 01:29:54,011 --> 01:30:01,117 I will share that although it may be a little challenging to find Nationwide data 1427 01:30:01,117 --> 01:30:06,380 that for county-owned EMSs, more than 70% operate at a loss. 1428 01:30:06,380 --> 01:30:12,081 And I know all of our counties around here, including Williamson, 1429 01:30:12,081 --> 01:30:16,292 have substantial operating losses for their EMS. 1430 01:30:16,292 --> 01:30:19,537 And there's several reasons for that. 1431 01:30:19,537 --> 01:30:22,695 Just again, payer contracts, I mean, 1432 01:30:22,695 --> 01:30:28,397 they just We don't pay what it costs to conduct an ambulance run. 1433 01:30:28,397 --> 01:30:34,625 But again, we had— we continue to look at our operational efficiencies, 1434 01:30:34,625 --> 01:30:40,678 and I'm very proud of the work that our team has done this past year. 1435 01:30:40,678 --> 01:30:44,625 With that, I'm going to turn it over to Greg, 1436 01:30:44,625 --> 01:30:49,888 and then we will answer any questions here in just a moment. 1437 01:30:51,281 --> 01:30:55,573 Thank you. And before I start, just again, congratulations to all of you. 1438 01:30:55,573 --> 01:31:00,158 I know what it means to get elected and be in these roles, so congrats to you. 1439 01:31:00,158 --> 01:31:03,450 And I'm happy to be here and serving at Murray Regional. 1440 01:31:03,450 --> 01:31:08,330 I feel like I've been a part of the Murray County family for a long time serving at 1441 01:31:08,330 --> 01:31:12,915 the college, so it's neat to be in just a different role with Murray Regional. 1442 01:31:12,915 --> 01:31:17,442 I'm excited to be here. Just a few points on our education and public events. 1443 01:31:17,442 --> 01:31:20,029 We do now have a full-time training manager. 1444 01:31:20,029 --> 01:31:24,967 At the EMS service, and so that's allowed us to increase the amount of training that 1445 01:31:24,967 --> 01:31:27,025 we're putting on for our employees. 1446 01:31:27,025 --> 01:31:31,493 We also have a new collaborative training that's happening with the county's 1447 01:31:31,493 --> 01:31:35,549 athletic trainers at the high schools, so that's been an improvement. 1448 01:31:35,549 --> 01:31:39,958 A couple of public events that we've supported: Mule Day, the county rodeo, 1449 01:31:39,958 --> 01:31:43,074 and then the county fair that just happened recently. 1450 01:31:43,074 --> 01:31:47,190 I got, I got my first fair experience. I grew up in Rutherford County. 1451 01:31:47,190 --> 01:31:50,423 We don't have fairs, so I got my first fair experience, 1452 01:31:50,423 --> 01:31:53,539 and that was an this past weekend, so I enjoyed that. 1453 01:31:53,539 --> 01:31:57,066 And then we put on here, we were recognized again this year. 1454 01:31:57,066 --> 01:32:01,417 This is multiple years in a row now that we've received the American Heart 1455 01:32:01,417 --> 01:32:06,120 Association Lifeline Award for a lot of the work that we've done through our CPR 1456 01:32:06,120 --> 01:32:09,765 training efforts. For fiscal year '27, some of the priorities: 1457 01:32:09,765 --> 01:32:14,468 we want to expand educational outreach to our first responders in the community, 1458 01:32:14,468 --> 01:32:18,524 those that serve alongside us, and the lay rescuers in our community, 1459 01:32:18,524 --> 01:32:23,286 the that want to help and respond. We want to be out there and help educate them. 1460 01:32:23,286 --> 01:32:28,224 We want to increase special event coverage throughout the county with our ambulances 1461 01:32:28,224 --> 01:32:30,870 and our UTV to meet the needs that are there. 1462 01:32:30,870 --> 01:32:35,044 We want to execute some departmental goals as we start on this journey. 1463 01:32:35,044 --> 01:32:39,923 With my leadership, I've been meeting with our team to focus on some short-term and 1464 01:32:39,923 --> 01:32:44,803 long-term goals for the EMS agency, and so we're going to start executing on those. 1465 01:32:44,803 --> 01:32:47,860 We want to evaluate service expansion opportunities. 1466 01:32:47,860 --> 01:32:52,446 Where else in the county might benefit from having an ambulance need in place. 1467 01:32:52,446 --> 01:32:57,031 And so we'll work with county leadership and our leadership to determine those 1468 01:32:57,031 --> 01:32:59,324 areas. And then we have this next year, 1469 01:32:59,324 --> 01:33:03,028 we have the Murray County contract coming up again for renewal. 1470 01:33:03,028 --> 01:33:07,554 And then I just want to take a second and recognize we had on Friday morning, 1471 01:33:07,554 --> 01:33:08,965 as we were in a meeting, 1472 01:33:08,965 --> 01:33:13,433 our teams were called to a local middle school for a 10-year-old that was in 1473 01:33:13,433 --> 01:33:13,845 school for a 10-year-old that was in cardiac 1474 01:33:13,845 --> 01:33:18,489 arrest. And I just want to take a second to recognize the school officials that 1475 01:33:18,489 --> 01:33:18,724 to recognize the school officials that were 1476 01:33:18,724 --> 01:33:22,663 there at that, the teachers, the principals that responded as well. 1477 01:33:22,663 --> 01:33:26,191 We had members from our team, from the Sheriff's Department, 1478 01:33:26,191 --> 01:33:29,189 Tennessee Highway Patrol, Columbia Fire and Rescue, 1479 01:33:29,189 --> 01:33:33,951 and then obviously our Mercy Department teams at Murray Regional for the response 1480 01:33:33,951 --> 01:33:37,654 that led to a resuscitation of that pediatric patient that day. 1481 01:33:37,654 --> 01:33:40,476 That patient is still alive and is in Nashville, 1482 01:33:40,476 --> 01:33:42,769 and we pray and wish them all the best. 1483 01:33:42,769 --> 01:33:45,532 So we're thankful for that response, and again, 1484 01:33:45,532 --> 01:33:49,295 I just want to send as many kudos as I can to our school system. 1485 01:33:49,295 --> 01:33:51,000 It was kind of a weird setup. 1486 01:33:51,000 --> 01:33:54,644 They actually had a fire alarm that was happening at the time, 1487 01:33:54,644 --> 01:33:58,231 so the fire department was on scene when that, that happened, 1488 01:33:58,231 --> 01:34:02,816 so it couldn't have been better for that individual to have had those rescuers 1489 01:34:02,816 --> 01:34:07,637 there, but just a great coordinated effort throughout all the responding units and 1490 01:34:07,637 --> 01:34:12,399 our emergency department crews to get that patient resuscitated and thankfully to 1491 01:34:12,399 --> 01:34:14,692 Vanderbilt where he's getting care now. 1492 01:34:14,692 --> 01:34:18,454 And then last but not least, just again, we're proud to be here, 1493 01:34:18,454 --> 01:34:20,159 proud to serve Murray County. 1494 01:34:20,159 --> 01:34:24,333 We are recognized as a leading ambulance service provider in Tennessee. 1495 01:34:24,333 --> 01:34:28,742 We are what's called the RMCC, a communication center hub for our EMS area. 1496 01:34:28,742 --> 01:34:33,328 And so all the different counties around us rely on us for our EMS leadership, 1497 01:34:33,328 --> 01:34:37,561 for our communication efforts. We use evidence-based clinical protocols. 1498 01:34:37,561 --> 01:34:39,618 We do what's best for our patients. 1499 01:34:39,618 --> 01:34:44,439 And so we provide comprehensive initial and continuing education for our staff and 1500 01:34:44,439 --> 01:34:49,318 community partners. We continue to partner with our Murray County Fire partners and 1501 01:34:49,318 --> 01:34:54,080 Columbia Fire partners to make sure that they've got ongoing continuing education 1502 01:34:54,080 --> 01:34:54,198 they've got ongoing continuing education as 1503 01:34:54,198 --> 01:34:58,842 well. And then we continue to deliver that high-quality, patient-centered care. 1504 01:34:58,842 --> 01:35:00,194 I love our goal at the, 1505 01:35:00,194 --> 01:35:04,839 at the hospital is the clinical excellence and compassionate care every patient 1506 01:35:04,839 --> 01:35:09,659 every time. And I truly feel like since day one working with these responders that 1507 01:35:09,659 --> 01:35:14,186 that is their mission every single day. And it's neat to see that on display. 1508 01:35:14,186 --> 01:35:16,185 And so as Ms. Lumpkins alluded to, 1509 01:35:16,185 --> 01:35:19,301 we've continued to see this growth in service demand. 1510 01:35:19,301 --> 01:35:23,886 We've tried to keep our response times down and meet the need established from 1511 01:35:23,886 --> 01:35:27,179 national benchmarks and by the residents of this county. 1512 01:35:27,179 --> 01:35:31,176 We continue to hope to proudly serve this county as we move forward. 1513 01:35:31,176 --> 01:35:35,527 So thank you all again, and I appreciate your time with this presentation. 1514 01:35:35,527 --> 01:35:39,760 All right. We've got a couple of questions. Commissioner Markham, you're 1515 01:35:39,760 --> 01:35:40,112 questions. Commissioner Markham, you're going. 1516 01:35:40,112 --> 01:35:42,817 Thank you. Probably for Deborah, the question. 1517 01:35:42,817 --> 01:35:47,226 Although you're If your total transports was up, let's say 1,500 calls per— 1518 01:35:47,226 --> 01:35:50,871 over the last year, but your transfer to higher care was down, 1519 01:35:50,871 --> 01:35:54,692 does that mean more admittance or more treat and release or both? 1520 01:35:54,692 --> 01:35:59,695 Both. And I don't have the total breakdown of that, 1521 01:35:59,695 --> 01:36:07,347 but we've We've seen an increase in our ED volume and in our overall inpatient 1522 01:36:07,347 --> 01:36:10,094 volume, so it would be good. 1523 01:36:10,094 --> 01:36:15,473 So even though you have more calls that you responded to, 1524 01:36:15,473 --> 01:36:18,776 less people gone to Nashville, say, 1525 01:36:18,776 --> 01:36:24,816 there is opportunity for Murray Regional to make money in the ER 1526 01:36:24,816 --> 01:36:27,742 or admittance? Is that correct? 1527 01:36:27,742 --> 01:36:29,499 Yes, I mean, yes, there is. 1528 01:36:29,499 --> 01:36:34,119 And I mean, again, without knowing their payer mix, but, you know, yes. 1529 01:36:34,119 --> 01:36:37,242 And of course there's— Greg mentioned protocols. 1530 01:36:37,242 --> 01:36:42,447 I mean, there's those protocols where, you know, you have to— the level of care, 1531 01:36:42,447 --> 01:36:46,351 take the patient to the nearest ED and those type of things. 1532 01:36:46,351 --> 01:36:50,874 And again, another question, the Spring Hill response time, 1533 01:36:50,874 --> 01:36:55,856 I think was about 16 minutes without flipping back to that slide. 1534 01:36:55,856 --> 01:37:00,992 And that station is right next to Spring Hill High School, correct? 1535 01:37:00,992 --> 01:37:01,672 Yes. 1536 01:37:01,672 --> 01:37:06,177 And then now, are you guys not covering Spring Hill? 1537 01:37:06,177 --> 01:37:11,848 We still— I mean, we still have the Neapolis station that covers there. 1538 01:37:11,848 --> 01:37:15,042 But I know that the city of Spring Hill, 1539 01:37:15,042 --> 01:37:20,873 which is the Port Royal site and the Campbell— the Campbell Station site, 1540 01:37:20,873 --> 01:37:25,026 that is where there are those discussions occurring. 1541 01:37:25,026 --> 01:37:28,941 But currently they're being covered inside the Spring Hill city limits. 1542 01:37:28,941 --> 01:37:31,753 Your calls in Spring Hill are to Carter's Creek or— 1543 01:37:31,753 --> 01:37:32,363 Correct. 1544 01:37:32,363 --> 01:37:35,880 To Greens Mill Road or more of a rural— 1545 01:37:35,880 --> 01:37:36,281 Yes. 1546 01:37:36,281 --> 01:37:39,059 Outside the city limits of Spring Hill. 1547 01:37:39,059 --> 01:37:39,605 Correct. 1548 01:37:39,605 --> 01:37:40,729 Okay. Thank you. 1549 01:37:40,729 --> 01:37:45,982 Yes. Mr. Strahan. 1550 01:37:45,982 --> 01:37:52,227 Thank you, Chair. There's certain phrases that trigger a 1551 01:37:52,227 --> 01:37:55,461 little anxiety to this group. 1552 01:37:55,461 --> 01:38:01,706 One of those phrases is escalating maintenance and fleet 1553 01:38:01,706 --> 01:38:04,383 equipment costs. Are we— 1554 01:38:04,383 --> 01:38:10,739 can we expect a request for something to make up for that 1555 01:38:10,739 --> 01:38:11,297 loss? 1556 01:38:13,184 --> 01:38:16,662 I think what makes up for that loss, 1557 01:38:16,662 --> 01:38:22,651 or what would make up for that loss, as we add new ambulances, 1558 01:38:22,651 --> 01:38:29,219 and I know we've added one this year, there's still a time delay on— 1559 01:38:29,219 --> 01:38:33,180 a production delay on getting ambulances. 1560 01:38:33,180 --> 01:38:34,393 Yeah. 1561 01:38:34,393 --> 01:38:38,097 But again, as I mentioned, fuel costs have escalated. 1562 01:38:38,097 --> 01:38:41,592 And just, you know, there's other aging equipment. 1563 01:38:41,592 --> 01:38:46,484 I mean, and Greg can go, you know, in depth on a lot of the equipment, 1564 01:38:46,484 --> 01:38:51,306 but life-saving equipment, those, you know, ventilator-type supports. 1565 01:38:51,306 --> 01:38:55,996 Is there something you need from the commission? 1566 01:38:55,996 --> 01:38:59,708 I mean, I understand things age. I do. 1567 01:38:59,708 --> 01:39:02,737 We have a new guy on the block, 1568 01:39:02,737 --> 01:39:09,381 and I'm sure he's going to be ready to fix everything that's broken. 1569 01:39:09,381 --> 01:39:14,266 Congratulations and thank you. Ohio, huh? Indiana. 1570 01:39:14,266 --> 01:39:19,444 The commission has a budget. Dr. Chaney has a budget. 1571 01:39:19,444 --> 01:39:25,111 He's not afraid to ask us for things, and we respect that. 1572 01:39:25,111 --> 01:39:30,485 Can we anticipate something, a request of significance? 1573 01:39:30,485 --> 01:39:32,439 Or just another day? 1574 01:39:32,439 --> 01:39:37,644 Yeah, that will be, will be coming as we work toward those contract renegotiations 1575 01:39:37,644 --> 01:39:40,374 with the mayor and the ambulance committee. 1576 01:39:40,374 --> 01:39:43,738 Our goal is to, you know, have that by the, you know, 1577 01:39:43,738 --> 01:39:48,879 by the end of the year because we know you all enter into the whole budget cycle. 1578 01:39:48,879 --> 01:39:52,815 So today I don't know what that number would, would look like. 1579 01:39:52,815 --> 01:39:57,687 Yeah, we, we'll talk. Yeah, no surprises, right? 1580 01:39:57,687 --> 01:40:00,161 Right. 1581 01:40:00,161 --> 01:40:03,601 Look at that smile. God bless you. Thank you very much. 1582 01:40:03,601 --> 01:40:08,793 Thank you for the job that you do and for the people that you do it for. Thank you. 1583 01:40:08,793 --> 01:40:12,046 Thanks, Chair. Mr. Rosberg. Thank you, Mr. Chairman. 1584 01:40:12,046 --> 01:40:15,674 Greg, first thing I want to say is congratulations to you. 1585 01:40:15,674 --> 01:40:20,241 You're probably going to get some questions you're going to have to think 1586 01:40:20,241 --> 01:40:20,616 questions you're going to have to think about, 1587 01:40:20,616 --> 01:40:23,869 but you got Ms. Lumpkins up there that can help you. 1588 01:40:23,869 --> 01:40:28,498 One of my— I've got a couple questions. First one will be, uh, on the Peak 1589 01:40:28,498 --> 01:40:28,998 First one will be, uh, on the Peak Command. 1590 01:40:28,998 --> 01:40:33,127 Those units are still stationed at headquarters, right? Station 1. 1591 01:40:33,127 --> 01:40:36,880 I know at one time when the Culeoaka Fire Station was built, 1592 01:40:36,880 --> 01:40:39,132 it was built to support an EMS unit. 1593 01:40:39,132 --> 01:40:44,199 I didn't know if you thought about maybe having one down there to cover that area 1594 01:40:44,199 --> 01:40:49,453 because it has a lot more calls than what I'm seeing that we're going to Spring Hill 1595 01:40:49,453 --> 01:40:51,830 with right now. And my other question, 1596 01:40:51,830 --> 01:40:55,083 I was wondering about where are we with Spring Hill, 1597 01:40:55,083 --> 01:41:00,275 because I know Williamson Medical does not want to come into Murray County anymore, 1598 01:41:00,275 --> 01:41:05,342 but Spring Hill signed a contract with Williamson Medical to— for that to happen. 1599 01:41:05,342 --> 01:41:09,095 Are we having to go into Spring Hill a lot right now or not? 1600 01:41:09,095 --> 01:41:13,417 We're not going in any different. We've not seen any trends. 1601 01:41:13,417 --> 01:41:15,795 I mean, Williamson is still Okay. 1602 01:41:15,795 --> 01:41:21,630 And back to your other point, yes, that is one of the things when Greg and I met, 1603 01:41:21,630 --> 01:41:24,727 looking at those, you know, 12-hour trucks. 1604 01:41:24,727 --> 01:41:28,618 I mean, you being in the business all those years now, 1605 01:41:28,618 --> 01:41:31,283 it's easier to staff a 24-hour truck. 1606 01:41:31,283 --> 01:41:32,119 Oh, yeah. 1607 01:41:32,119 --> 01:41:35,904 You know, and, you know, for lots of reasons. 1608 01:41:35,904 --> 01:41:40,446 So, yes, I think that is one of the things looking at, 1609 01:41:40,446 --> 01:41:45,493 can we redeploy our resources to even improve these numbers. 1610 01:41:45,782 --> 01:41:50,144 So I appreciate it. Thank you, Mr. Chairman. Mr. Morrow. Thank you, Mr. 1611 01:41:50,144 --> 01:41:50,697 Chairman. Mr. Morrow. Thank you, Mr. Chairman. 1612 01:41:50,697 --> 01:41:55,612 Do we currently have any open orders for ambulances that haven't been fulfilled? 1613 01:41:55,612 --> 01:41:58,806 I know there's a wait time usually when we purchase. 1614 01:41:58,806 --> 01:42:03,906 I didn't know if we had gotten all of them we'd ordered or if we were still waiting 1615 01:42:03,906 --> 01:42:04,397 on some. 1616 01:42:04,397 --> 01:42:05,839 It is on, on its way. 1617 01:42:05,839 --> 01:42:10,163 That is, and I don't have a timeline in front of me, but it is, 1618 01:42:10,163 --> 01:42:14,900 so in essence that order is being fulfilled because then it has to be 1619 01:42:14,900 --> 01:42:15,793 fulfilled because then it has to be outfitted and 1620 01:42:15,793 --> 01:42:18,058 wrapped and those type of things. 1621 01:42:18,058 --> 01:42:18,251 Yeah. 1622 01:42:18,251 --> 01:42:22,789 And we, you know, go before our capital committee even to, you know, 1623 01:42:22,789 --> 01:42:26,593 think ahead that we know, you know, how can we, you know, 1624 01:42:26,593 --> 01:42:30,730 get these ordered even though you don't have to pay, you know, 1625 01:42:30,730 --> 01:42:32,532 for them until they arrive. 1626 01:42:32,532 --> 01:42:37,737 So we don't wait until it's like, oh, we, you know, for the year to transpire, 1627 01:42:37,737 --> 01:42:41,941 knowing that it's still that, you know, 9-plus month lead time. 1628 01:42:41,941 --> 01:42:43,299 What about remounts? 1629 01:42:43,299 --> 01:42:48,597 I know at one point, not too awful long ago, there was discussion on remounts. 1630 01:42:48,597 --> 01:42:53,487 They'd found a good source for remounts. It was pretty, very competitive 1631 01:42:53,487 --> 01:42:54,234 It was pretty, very competitive money-wise. 1632 01:42:54,234 --> 01:42:57,222 Have we done any further dealings with that? 1633 01:42:57,270 --> 01:43:03,283 Have we— You may— I don't know that you know a lot of specifics, but we— 1634 01:43:03,283 --> 01:43:07,877 anytime we can remount and use that option, absolutely. 1635 01:43:07,877 --> 01:43:10,132 Look, you know, we do that. 1636 01:43:10,132 --> 01:43:10,678 Okay. 1637 01:43:10,678 --> 01:43:15,235 And there's only— and you may know how many times you can remount. 1638 01:43:15,235 --> 01:43:19,101 I mean, there's only so many times that that can happen. 1639 01:43:19,101 --> 01:43:24,693 And then you've got all of the engine and the transmission and, you know, Issues. 1640 01:43:24,693 --> 01:43:29,181 And so we also follow the state guidelines in doing that as well. 1641 01:43:29,181 --> 01:43:32,624 When I remount, doesn't that consist of actually taking the ambulance body and 1642 01:43:32,624 --> 01:43:33,860 putting it on a new chassis? 1643 01:43:33,860 --> 01:43:36,488 It does. It does. 1644 01:43:36,488 --> 01:43:39,376 I was thinking the company that they had talked to, 1645 01:43:39,376 --> 01:43:41,754 and I don't remember enough about it, had— 1646 01:43:41,754 --> 01:43:44,189 they actually would mount on a new chassis, 1647 01:43:44,189 --> 01:43:48,606 but I think they refurbished the ambulance body as well while they had it off. 1648 01:43:48,606 --> 01:43:52,173 So that sounded like a pretty reasonable deal to me. All right. 1649 01:43:52,173 --> 01:43:53,815 Thank you and welcome aboard. 1650 01:43:53,815 --> 01:43:56,778 Mr. Bonds. 1651 01:43:56,778 --> 01:44:01,921 Good afternoon. First, I'd like to say thank you to Dr. Chaney. 1652 01:44:01,921 --> 01:44:08,533 I really enjoyed the presentation and I think it was very informative. Thank you. 1653 01:44:08,533 --> 01:44:14,819 You did a really good job. Director, congratulations. And Ms. Lumpkins, thank 1654 01:44:14,819 --> 01:44:15,145 congratulations. And Ms. Lumpkins, thank you. 1655 01:44:15,145 --> 01:44:17,268 You did a great job today. 1656 01:44:17,268 --> 01:44:22,900 I do have some questions on The understanding of the year '26 volumes 1657 01:44:22,900 --> 01:44:23,635 understanding of the year '26 volumes overview. 1658 01:44:23,635 --> 01:44:29,758 When I look at that, I see the total number of calls for 911 EMS is 17,388, 1659 01:44:29,758 --> 01:44:36,615 the higher level of care transportation at 2,369, with a total transports of 19,757. 1660 01:44:36,615 --> 01:44:43,472 What number of that total call volume and total transport is related to actual calls 1661 01:44:43,472 --> 01:44:45,676 that no transport occurred? 1662 01:44:45,676 --> 01:44:47,436 I don't know that I know. 1663 01:44:47,436 --> 01:44:52,014 I don't have the exact number, but there is a certain percentage. 1664 01:44:52,014 --> 01:44:56,591 And off the top of your head, I don't know if you know, like 20%? 1665 01:44:56,591 --> 01:44:59,971 I mean, we do have, you know, a percentage that— 1666 01:44:59,971 --> 01:45:05,182 because at the time when you're dispatched, you don't know, or the patient 1667 01:45:05,182 --> 01:45:05,746 dispatched, you don't know, or the patient refuses, 1668 01:45:05,746 --> 01:45:11,027 and, you know, we don't make the patient again go if again they're not in a 1669 01:45:11,027 --> 01:45:13,703 life-threatening, you know, situation. 1670 01:45:13,703 --> 01:45:19,183 Of course, and I understand that it's their, uh, their decision most of the 1671 01:45:19,183 --> 01:45:19,549 their, uh, their decision most of the time, 1672 01:45:19,549 --> 01:45:25,248 but when it talks about the total number of 19,757 with that 2,000 in a higher 1673 01:45:25,248 --> 01:45:25,614 of 19,757 with that 2,000 in a higher level 1674 01:45:25,614 --> 01:45:28,756 of care, I would be very curious, you know, 1675 01:45:28,756 --> 01:45:33,798 what that actual number is and how that relates to total call volume. 1676 01:45:33,798 --> 01:45:36,209 Because if there is no transport, 1677 01:45:36,209 --> 01:45:42,201 that ambulance itself is then available for a response call somewhere else at that 1678 01:45:42,201 --> 01:45:47,754 time. And I'd like to know what that timeframe would be so that we could all 1679 01:45:47,754 --> 01:45:53,746 understand what the allocation of these ambulances and the needs are based on that 1680 01:45:53,746 --> 01:45:58,204 call volume in actuality, not just the total number of calls, 1681 01:45:58,204 --> 01:46:03,757 but how many are actually transports of patients. I can't tell you the exact 1682 01:46:03,757 --> 01:46:04,269 patients. I can't tell you the exact number. 1683 01:46:04,269 --> 01:46:09,676 I know it's around 25,000. So you think some 6,000 or so? Okay. Thank you. 1684 01:46:09,676 --> 01:46:12,991 Great suggestion. We will add that data. 1685 01:46:12,991 --> 01:46:16,638 I think it just increases the understanding. 1686 01:46:16,638 --> 01:46:23,687 Thank you. Is that all, Commissioner? Is that all you have? 1687 01:46:26,529 --> 01:46:26,819 Okay. 1688 01:46:27,141 --> 01:46:32,396 All right, Miss Lumpkin and Mr. 1689 01:46:32,396 --> 01:46:39,176 Johnson, appreciate your report. And Dr. 1690 01:46:39,176 --> 01:46:43,074 Chaney, thank you guys. 1691 01:46:43,074 --> 01:46:49,854 All righty, any old business to be taken 1692 01:46:49,854 --> 01:46:54,431 care of? Thank you, Sherry. 1693 01:46:54,431 --> 01:47:00,702 I was getting a little nervous there. 1694 01:47:00,702 --> 01:47:05,109 I know, in a new business. 1695 01:47:05,109 --> 01:47:08,160 Okay, Madam Mayor. 1696 01:47:08,160 --> 01:47:09,531 Thank you, Mr. Chairman. 1697 01:47:09,531 --> 01:47:13,814 I just want to put on this committee's radar and those of you who are here, 1698 01:47:13,814 --> 01:47:16,440 we are in negotiations with Williamson County. 1699 01:47:16,440 --> 01:47:20,895 They have actually decided they don't want to do the ambulance service anymore 1700 01:47:20,895 --> 01:47:24,093 unless we subsidize them. And so we're negotiating cost. 1701 01:47:24,093 --> 01:47:27,805 Will it cost more to subsidize them or for us to do it ourselves? 1702 01:47:27,805 --> 01:47:30,946 So this needs to be on all of your radar at this point. 1703 01:47:30,946 --> 01:47:33,287 We'll have to make some kind of decision. 1704 01:47:33,287 --> 01:47:36,770 We are going to try to hold this off until next budget cycle, 1705 01:47:36,770 --> 01:47:40,197 but they don't have to do that unless we can negotiate that. 1706 01:47:40,197 --> 01:47:41,682 It falls to Murray County. 1707 01:47:41,682 --> 01:47:45,622 So we're hoping to negotiate the extra time for the next budget year, 1708 01:47:45,622 --> 01:47:48,592 but we will have those discussions in the next week. 1709 01:47:48,592 --> 01:47:53,331 So I just wanted you to know where we are on that because that will come before the 1710 01:47:53,331 --> 01:47:56,701 County Commission. Also, another thing I wanted to mention, 1711 01:47:56,701 --> 01:48:01,498 that we will be naming an interim director for planning and zoning to get us through 1712 01:48:01,498 --> 01:48:05,724 these next committee meetings and be able to work through that, hopefully. 1713 01:48:05,724 --> 01:48:09,664 And we have a projection to work through that by the end of the year. 1714 01:48:09,664 --> 01:48:11,263 with a new interim director. 1715 01:48:11,263 --> 01:48:15,603 The third thing is I have placed on your desks the report of the Data Center 1716 01:48:15,603 --> 01:48:20,286 Frontier Report, which tells the trends of data centers in the next year, in 2026, 1717 01:48:20,286 --> 01:48:23,655 and moving to 2027. So I hope you'll read that information. 1718 01:48:23,655 --> 01:48:27,595 It's very important because these things are going to come before us, 1719 01:48:27,595 --> 01:48:30,850 and we're going to need to know what we're talking about. 1720 01:48:30,850 --> 01:48:34,048 There are AI factories, and then there are data centers. 1721 01:48:34,048 --> 01:48:36,390 There are all these different variations. 1722 01:48:36,390 --> 01:48:40,844 We need to be knowledgeable so when we have to make those decisions, we can do 1723 01:48:40,844 --> 01:48:41,130 have to make those decisions, we can do that. 1724 01:48:41,130 --> 01:48:45,698 So I'm going to start sending things in writing because I know sometimes when it 1725 01:48:45,698 --> 01:48:49,639 comes in the email, it's kind of hard to get to and read all of that. 1726 01:48:49,639 --> 01:48:53,636 I'm kind of— I'm the person that passed a cursive writing bill, right? 1727 01:48:53,636 --> 01:48:58,319 So I believe it's a lot easier when you have writing and paper and you look at it. 1728 01:48:58,319 --> 01:49:00,432 I even retain things better that way. 1729 01:49:00,432 --> 01:49:04,943 So I will be handing out information like this so we can all stay on top of the 1730 01:49:04,943 --> 01:49:09,683 things that are going to be coming before us in the next year. Thank you very much. 1731 01:49:09,683 --> 01:49:12,790 All right. Anybody else? Commissioner Saunders? 1732 01:49:12,790 --> 01:49:13,403 I'm good. 1733 01:49:13,403 --> 01:49:19,563 You good? Good. All right. All right. We got some new business. Public comments. 1734 01:49:19,563 --> 01:49:25,492 Anybody got any signed up for public comments back there? No public comments. 1735 01:49:25,492 --> 01:49:28,418 Any announcements? Commissioner Groom? 1736 01:49:28,418 --> 01:49:31,497 Budget meeting is going to start at, uh, 1737 01:49:31,497 --> 01:49:37,734 Building committee is going to start at 6:30 or 6:35. 6:35. All right. All right. 1738 01:49:37,734 --> 01:49:41,892 Uh, that's it. Um, can I get a motion for adjournment? 1739 01:49:41,892 --> 01:49:47,128 Commissioner Hessler and Commissioner Grooms and all of them second. 1740 01:49:47,128 --> 01:49:48,591 And we out of here.