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All right. Good evening, everyone. I'm going to call the ordinance meeting of the Redmond City Council for October 23rd, 2018. Please establish a quorum. Councilor Almond. I excuse. Councilor Bullock. Here. Councilor Sontani. Excuse. Mayor Indica. Here. Councilor King. Here. Councilor McPherson. Here. Councilor Patrick. Okay. Thank you. First item we have, Pastor Andrew Hoxema from the community president.

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them. Terry and church will give us a blessing. Good evening, pastor. Good evening. Please

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join me in a moment of prayer.

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God of all times and places as we begin this meeting with

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a full room and a full agenda. We are aware that we are part of a much larger story here

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in Redmond and in Central Oregon. So we honor with gratitude the Native Americans who called

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this home for thousands of years, the pioneers whose creativity established a new way of living

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in the desert those who had a vision for what the city of Redmond would be more than a hundred

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years ago.

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And God in this moment we give you thanks for those who invited us to move here or to

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call this place home and welcome us to this town. In this present moment we pray that we would see

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who is here now in this room but also in this city listen to their stories and understand their needs.

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We lift up in prayer the well-being of our most vulnerable residents for our kids in a school system

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for those who are hungry and housing insecure,

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for those who are unemployed and under-employed

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and looking for a way to get by.

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And God, we pray for a vision,

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not just of this town in the present moment,

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but in the future ahead of us.

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Give those who are to speak tonight

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in the body of City Councilor's wisdom

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to make decisions and set priorities

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that will benefit the generation who is here now,

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but we'll also call Redmond Home for decades to come.

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We just to make plans that don't just benefit

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but benefit others around us. Give us wisdom, grace, and blessing in this meeting and in our town. Amen.

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Okay. Tonight, first major item is comments from citizens at the meeting. Is there anyone in the audience who'd like to speak to the council on an item not on the agenda?

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And for those of you that are here for the birthing center discussion, we'll be doing that a little later.

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so if you're here for that, please wait until we get to that.

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So I see I have Nate, and I'm not even going to try in your last name, and Izzy, King,

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please come up.

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You can either sit or stand at your choice.

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All right.

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I can start off.

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You'll stand.

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Okay.

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Well, you can step to the lecture and then please.

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Oh, okay.

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Hello.

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I am Nate Muscano.

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And I am Izzy King.

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And we're here to talk to you guys about the invitations that we sent you regarding our

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fall production.

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We just wanted to make sure that you got them and fully let you know that we're going

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to be giving or leaving the cards here for you with our director's name, Kate Torkam

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on the back.

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So if you saw any dates that were full for shows that you might want to become C, just

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email her and we'll be able to squeeze you in.

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Beta nurse schools is important because it provides kids with a creative and social outlet.

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It teaches them the value of hard work and it also teaches communication skills that could

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not be taught in a classroom setting. It's also important because a lot of kids when

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they join theater aren't really sure what they're passionate about yet and so it helps

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them grow as people and who they are. It also provides kids with a lot of opportunity

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to pursue it later in life as their career. Does anybody have any questions about the show

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or dates or anything? I'll be there Saturday. I'll sing. We'll see you there.

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So weren't you in the vampire one last year?

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Yes.

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Sorry, prom.

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I recognize you.

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We were both in that.

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Yeah.

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Good job, you guys.

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Thank you.

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Thank you.

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Well, thank you all for coming.

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The last thing you had to show us.

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Yeah.

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You were.

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Go ahead.

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I wasn't in it.

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No.

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I didn't see it though.

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Just a couple of points I want to make.

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I will be there on Friday night and also then we've got Charlottes Web coming up in a few

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more weeks down the road and then also to point out that these are three-time, three-time

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national?

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Oh, yes.

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Three-time.

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Three-time, two-time.

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The program, my point is as gained a tremendous following in the region.

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RPA, starting to attract students into this theater program from all over Central Oregon

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just because of the success that they've had and the characters that they've been able

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to build.

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So I just wanted to point that out because it's quite the program.

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And if you haven't seen an RPA play, they're all tremendous.

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Nationally award-winning group.

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Thank you.

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Thank you, anyone else?

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OK.

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Thank you for coming.

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Thank you.

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We got your invitation.

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Is anyone else would like to address the council for an item

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not on the agenda this evening?

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Anyone else?

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OK, seeing none, we will move on.

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Next item is the consent agenda comprised

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The rise of the minutes of August 8, 2017 PM Council meeting minutes of September 12, 2017 PM Council meeting resolution 2018-26, a resolution of the city of Redmond declaring certain city property to be surplus.

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Is there anyone wish to pull an item off the consent agenda? Anyone have any questions?

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Okay. Any additions or corrections to the minutes?

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Senior John.

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Mr. Mayor, I move to approve the consent agenda as presented.

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It's been moved in second and any further discussion.

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I see none. All of them favor say aye.

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Aye.

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Opposed nay? Motion passes.

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Next item is proclamations.

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General Federation of Women's Clubs Advocates for Children's Week.

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and do I have a motion to approve?

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Go ahead, John.

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I move to approve the proclamation

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designating October 21st through 27th, 2018,

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as GFWC advocates for Children's Week.

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Okay, been moved in second any further discussion?

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No? Okay, all those in favor say aye.

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Aye. Opposed any? Motion passes.

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Okay, City of Redmond Proclamation.

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A proclamation does ignite in October 21 through 27, 2018, as GFWC advocates for children's

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week.

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Whereas the General Federation of Women's Clubs will celebrate its dedication towards

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promotion and awareness of the physical and emotional well-being of children on October

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21 through 27, 2018.

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And whereas GFWC is an organization made up of women from all walks of life that have

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of a common goal of making the world a better place

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by enhancing the lives of others through volunteer service.

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And whereas, Jeff W.C. has played a vital role

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in the nation in the many national efforts,

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including powerful advocate for the promotion of the physical

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and the emotional well-being of children,

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including current partnerships with renowned organizations,

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such as St. Jude's Children's Research Hospital

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in March of Dimes, and has historically worked

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for the passage of child labor laws, promotion of nationwide outreach that has led passage

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of the Pure Food and Drug Act, assisted in the creation of the National Park Service,

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and credited with establishing 75% of U.S. public libraries.

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And whereas, throughout its past 128 years, millions of women have given their time, talent,

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and resources to improve the lives of children, including women from the GFWC Oregon Federation

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of women's clubs and the city of Redmond, Oregon, and whereas it would be a tremendous

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honor for the GFWC to be able to mark its dedication towards well-being of children

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with recognition from the nation's respective city mayors from across Oregon and the country.

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Now therefore be it resolved that the City Council hereby proclaims the week of October

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over 21 through 27, 2018, to be GFWC advocates for children's week in the city of Redmond

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and encourages all citizens of our city to join this observance approved by the city

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council and signed by the mayor, it's 23rd day of October 2018.

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And do we have a representative in the audience to accept this proclamation?

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I

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am Joanne Wheeler and Rhea Anderson from the members of the GFWC of Central Oregon,

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Mayor Indicott, City Council, and Chamber members.

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Thank you from the General Federation of Women's Clubs and our local club of GFWC of Central

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Oregon for recognizing this proclamation for the advocates for Children's Week here in

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the city of Redmond, Oregon. GFWC of Central Oregon is a volunteer woman's organization that

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It was formed here in Redmond in 2003 and is affiliated with the General Federation

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of Women's Club, which is a 128-year-old organization and has over 8,000 members throughout

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the United States.

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Our members are dedicated to community service and community improvement by enhancing the lives

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of others through volunteer service and protecting the well-being of our children is a high priority

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for our members, our children, our precious commodity, and we must take care of them.

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Thank you again for this important support and recognition.

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Well, thank you for coming this evening and thanks for the opportunity to do the proclamation.

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We now have presentations and first item is employee spotlight.

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I see.

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Keith.

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Mark here.

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He just came in.

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Yeah.

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Hi, Mark.

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They're all here via one.

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Good evening, Mayor Counsel.

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I'm Phil Durden on the Public Works Director.

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And I'd like to take a little bit of time to recognize one of our great city employees.

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And as you just heard, he just entered.

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It is Mark Chambers, who's been with the city for a little over 20 years and is currently serving as our GIS analyst,

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which is our geographic information system in a nutshell that ties information to a location-based map.

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So it started out, most of the stuff that we work on in public works is under the ground.

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So it's hard for us to know where the pipe is when we got a break to go in and go fix it.

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But through the GIS system, Mark works with our operators to keep up updated all the location information of our utility infrastructure.

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So we know where the pipe is, what's it's made of, how long it's been in the ground,

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What kind of valve and what size valve are in different locations and it's it's crucial for us to be able to do our work and

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Mark is spectacular keeping that information updated so we are able to quickly respond when required

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One of the recent things that he's been working with is as we got GIS or GPS tractors or tractors for our equipment such as our snow plows,

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street sweepers or vegetation control trucks. We are now able to keep track of where that equipment operates on the streets

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We know when the street sweeper is actually sweeping, we know when the plow has a blade down is taken up snow, so our operators when they come in during shift change, they can see what streets have been covered when that spray has occurred to maintain a vegetation control and help us out as operators as we go about our business maintaining the city.

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One of more recent things is you know we're going through a meter replacement program throughout the city, so this information.

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Mark is able to keep track for our water division, keeps track of when those meters are replaced and what type of meters and where they're going in the city.

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That bar chart down the bottom, you can see back in the mid 2000s is when we first switched out all the city's meters to the automated meters.

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There's a great number that we replace, then as recession hit, we didn't have a whole

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lot of new developments.

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So the meters were not going in, but then as development has built up over more recent

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years, the more meters have been going in, and now you also see this last year, the large

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amount of meters are getting replaced as we replace the ones that are currently reaching

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end of life.

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Top of all that, he works with a lot of the other departments across the city to include

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planning and airport helps generate maps and he is our expert drone operator for you know

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public works too so he gets some great videos and great photographs. So in a nutshell I would say

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you know Mark helps the rest of the city employees be better and more effective at our jobs which is

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yeah it's a multiplier in what we could do when we provide services for the city. So Mark thank you

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And you actually will be hearing.

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From later in the evening, his item to present as well. Hey, Bill, I think Keith got to hold you the other day. I had a citizen call with an excellent suggestion about trying to be able to put up when our street sweepers are going to be aware so that we can give vehicles out of the way so they're more efficient. Are we going to be able to use our technology to do that, do you think? It'll get. We know where the equipment is and when we are going to be out there, the hard part is getting the notifications out to the

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homeowners, you know, if they're not looking at our website, it's hard to get

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that information out ahead of time. But it is something we were looking at

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trying to provide it with a yeah. Okay, yeah, I was at a Facebook symposium this

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morning. I'll use Facebook. Yeah, my wife can teach you how to do that. Okay,

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advantage of that. Alright, thanks.

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Okay, next item we have is first quarter

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for Financial Report, Jason.

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Good evening, Mayor and Council, Jason Neff,

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City's Budget Director.

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So tonight we're presenting the first quarter

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financial report, I'll hook that up, yeah.

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And so for the benefit of the audience,

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this is a two-page report that we do quarterly,

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meant to summarize the financial activities in the city.

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If we look at the key financial highlights we spoke

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about some of these in the fourth quarter financial report

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for the prior year but we're moving through our audit over the next couple of weeks but here's

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the some of the data we have those first three bullets there the general funds about 387,000

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better carry forward fund balance than we expected when we put the budget together that's about 6%

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the airport the unrestricted fund balance about 8% better and claimants continue to grow out there

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So we are seeing better performance financially out there.

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And then our utilities, our water, wastewater, stormwater, they all are coming in at the beginning of the year, about like we expected.

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Some good news on the medical premium front.

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We talked about during budget committee, we anticipated a 15% increase in our medical premiums for our staff.

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They came in at 2.2%.

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That's going to save this year about $400,000 citywide and a little less than $200,000 in the general fund

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We do expect looking at our census thus far this year though that

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we should see a big increase next year, so

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You know, we'll monitor that throughout the year

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Property tax assess value that was released a couple weeks ago

229
00:18:02,480 --> 00:18:08,760
We grew by 6.1% versus our budget of a 6% so very close to

230
00:18:09,100 --> 00:18:18,420
what we expected there and just a reminder that assess value by state law on existing property

231
00:18:18,420 --> 00:18:29,560
goes up by 3% a year. So the 6.1 and 2 and we would say 3.1% came from new homes, new businesses

232
00:18:29,560 --> 00:18:36,680
within Redmond. The general operating fund. Jason, a question on that. Are we still in the mode of

233
00:18:36,680 --> 00:18:39,140
Can we catch up from the recession? Could any of it be that?

234
00:18:40,120 --> 00:18:48,500
No, we're past that. We saw several years of double-digit increases because of that a couple of years ago.

235
00:18:51,350 --> 00:19:00,210
So that said, general operating funds, we expect to spend less of that fund balance throughout the year than we anticipated during budget committee.

236
00:19:00,310 --> 00:19:02,430
I'll get to the specifics on that in just a minute.

237
00:19:02,430 --> 00:19:05,310
And then also a couple of things coming up.

238
00:19:05,730 --> 00:19:12,370
We are going through our annual five-year forecast meetings in January, and that will

239
00:19:12,370 --> 00:19:18,670
incorporate things such as that next bullet, which are per's rates, which came out since

240
00:19:18,670 --> 00:19:19,430
we last spoke.

241
00:19:20,070 --> 00:19:27,110
We anticipated from the state about a 40% increase, and they actually came in about 34%.

242
00:19:27,110 --> 00:19:44,090
So still a very large number, if we compute that into the staff we have right now, that would have increased expenses this year by $675,000 for the general fund, almost $300,000.

243
00:19:44,570 --> 00:19:55,470
So those items will hit next year's budget in 1920, so something to think about as we move into that five year forecast planning period.

244
00:19:55,470 --> 00:20:04,570
So the general operating funds, excuse me, the general operating funds major revenue sources are

245
00:20:04,570 --> 00:20:07,050
these top three here as we look at key statistics.

246
00:20:07,650 --> 00:20:11,490
We don't expect any major changes in these thus far.

247
00:20:12,690 --> 00:20:17,970
This looks at essentially the money in the bank if you will for the general operating funds.

248
00:20:18,630 --> 00:20:22,390
Right now we're projecting about six million at the end of the year.

249
00:20:22,930 --> 00:20:25,630
Our policy is about five and a half million.

250
00:20:26,650 --> 00:20:27,130
to go.

251
00:20:27,130 --> 00:20:27,870
You can see our budget.

252
00:20:28,190 --> 00:20:30,330
We expected to have a $5 million.

253
00:20:31,250 --> 00:20:35,230
We've had a $1 million shift in that, which I'll talk about as

254
00:20:35,230 --> 00:20:35,430
well.

255
00:20:36,330 --> 00:20:38,050
We're looking at it from a different angle.

256
00:20:39,150 --> 00:20:41,770
You can see right now we're down 3 million.

257
00:20:42,410 --> 00:20:43,210
That's what we expect.

258
00:20:43,590 --> 00:20:53,630
Our policy that says we would always like to have 5 and

259
00:20:53,630 --> 00:20:54,830
we get property tax revenue.

260
00:20:55,070 --> 00:20:56,650
So there you see the $3 million down.

261
00:20:57,350 --> 00:20:58,870
Our projection at the end of the year

262
00:20:59,420 --> 00:21:02,430
is to use $726,000 of fund balance

263
00:21:02,970 --> 00:21:05,230
versus a budget of $1.4 million.

264
00:21:05,670 --> 00:21:07,650
So we've cut that in half in the first quarter.

265
00:21:09,050 --> 00:21:11,550
The $720,000, you could equate that

266
00:21:11,550 --> 00:21:14,170
to one time things that are going on.

267
00:21:14,270 --> 00:21:16,050
We paid off a half million dollars of debt

268
00:21:16,600 --> 00:21:19,490
as well as we are doing our comp plan update this year,

269
00:21:19,690 --> 00:21:21,330
which is about $200,000.

270
00:21:21,330 --> 00:21:26,790
So, if you factor those two items out alone, we're essentially break even for the year.

271
00:21:31,080 --> 00:21:38,080
Our water and sewer sales, our big enterprise funds, they're performing about 3% better

272
00:21:38,080 --> 00:21:44,080
on revenue projected for the end of the year, and that's because we're seeing, with the

273
00:21:44,080 --> 00:21:46,800
growth, you're seeing account growth as well.

274
00:21:51,220 --> 00:21:57,380
Swishing gears of the airport pass their facility charges, which is the $4.50 per passenger

275
00:21:57,380 --> 00:22:00,780
that is charged to pay for the terminal.

276
00:22:01,420 --> 00:22:06,760
You can see we're expecting 1.7 million this year versus the budget of 1.6.

277
00:22:07,700 --> 00:22:09,200
First quarter in playments,

278
00:22:09,700 --> 00:22:13,320
relative to last year's first quarter, up 16%.

279
00:22:13,320 --> 00:22:16,300
So that's why we're seeing that growth and that projection there.

280
00:22:19,140 --> 00:22:20,400
Planning permit, rather than knowing.

281
00:22:20,520 --> 00:22:24,480
You can see already 216,000 in resources

282
00:22:25,280 --> 00:22:28,040
We're projecting 427,000.

283
00:22:28,480 --> 00:22:31,840
A big number in there is 134,000 in this fund alone

284
00:22:32,240 --> 00:22:35,460
for the DSL property down to the south.

285
00:22:35,880 --> 00:22:37,120
So we factor that out.

286
00:22:37,300 --> 00:22:38,780
Obviously we don't get that very often.

287
00:22:39,300 --> 00:22:43,360
And still very good activity coming through our

288
00:22:43,360 --> 00:22:45,040
development departments.

289
00:22:50,770 --> 00:22:52,830
Here you can see the assessed value growth.

290
00:22:54,590 --> 00:22:58,150
7.8% last year, 6.1% this year.

291
00:22:58,150 --> 00:23:05,890
If I had to guess next year, we're looking at five to six percent, just looking at the permanent activity happening right now.

292
00:23:08,920 --> 00:23:21,440
At the bottom you see the tax rate. I did want to point out that $18.01 citizens pay. It's down from the 1810, the prior year.

293
00:23:22,160 --> 00:23:27,980
A big piece of that, six cents of that came from the city paying off the police department bond.

294
00:23:28,700 --> 00:23:37,700
The other component of that is the, you've heard probably that the Dishoos County commissioners drop the rate on their general

295
00:23:37,700 --> 00:23:38,360
lobby as well.

296
00:23:43,130 --> 00:23:52,890
So very quickly hit a few highlights of our individual funds. The first four you see there operating funds, those are part of our general operating funds.

297
00:23:53,510 --> 00:24:01,950
you can see the year end or I'm sorry the operating revenues to budget 8% thus

298
00:24:01,950 --> 00:24:07,390
far our property taxes are coming in next month in the month after we get

299
00:24:07,390 --> 00:24:11,270
85% of our property taxes in November and December so that's why that number

300
00:24:11,270 --> 00:24:17,430
number is pretty low year to date. You can see the year end budget was to use a

301
00:24:17,430 --> 00:24:22,470
million one we're looking at just about just on our million now and just a reminder

302
00:24:22,470 --> 00:24:26,570
does it rise as the payoff of debt is about half of that number.

303
00:24:28,920 --> 00:24:33,040
One of the biggest savings we've seen so far is within our police fund, you can see

304
00:24:33,040 --> 00:24:38,160
the year-end budget was to grow by 280,000 now to grow by 580,000.

305
00:24:38,920 --> 00:24:44,900
And a big piece of that is, sounds like a small number, they're going to be 4% under on payroll

306
00:24:44,900 --> 00:24:49,340
expenses, but that equates about $300,000, which is the change you see there.

307
00:24:51,780 --> 00:24:56,200
Not too much to report on our transportation, parks and facilities.

308
00:24:59,220 --> 00:25:01,280
You can see our water fund here.

309
00:25:01,740 --> 00:25:08,660
We're projected to use 536,000 fund balance, but just a reminder, we are replacing all the

310
00:25:08,660 --> 00:25:13,780
meter citywide, and this year that's going to be about 576,000.

311
00:25:13,900 --> 00:25:20,620
So without that one time or multi-year meter replacement, we would be breaking even with

312
00:25:20,620 --> 00:25:21,500
our water fund.

313
00:25:21,500 --> 00:25:27,900
wastewater, similar story. We're seeing about 27,000 increase in fund

314
00:25:27,900 --> 00:25:33,740
balance this year and that includes prepaying about 201,000 of debt.

315
00:25:40,990 --> 00:25:41,270
Once

316
00:25:41,270 --> 00:25:47,790
again, our airport, we budgeted to use 1.3 million of fund balance and now we're

317
00:25:47,790 --> 00:25:54,350
projecting a break even for the year and that includes paying 375,000 of debt off

318
00:25:54,350 --> 00:25:56,890
that council approved about a month ago.

319
00:26:00,160 --> 00:26:02,260
We've talked a little bit about the development revenue.

320
00:26:02,480 --> 00:26:04,840
Here you can see our building department as an example.

321
00:26:05,700 --> 00:26:08,540
1.6 million of fund balance at the end of the year,

322
00:26:08,700 --> 00:26:12,860
which is 15 months of operating reserve.

323
00:26:14,240 --> 00:26:16,300
We talked about the DSL permitting coming

324
00:26:16,840 --> 00:26:18,440
into our current planning department.

325
00:26:18,740 --> 00:26:21,620
That's gonna push us almost to a $600,000 fund balance

326
00:26:22,160 --> 00:26:24,320
or 13 months of operating expense.

327
00:26:24,320 --> 00:26:30,440
And remember, we've wanted to grow these operating reserves within those two sub-funds, so we don't

328
00:26:30,440 --> 00:26:35,520
have to react as much if we were to have a recession or economic downturn.

329
00:26:39,160 --> 00:26:40,960
Lastly, I'll touch on the golf fund.

330
00:26:43,480 --> 00:26:46,680
We only had two months of data when we put this report out.

331
00:26:46,680 --> 00:26:54,320
we've since gotten three months of data, so a full quarter. And looking at rounds year-to-date,

332
00:26:54,440 --> 00:27:03,080
we're at 41%, last year we're at 38%. Yeah, rounds of golf are up 13% year-over-year.

333
00:27:03,900 --> 00:27:12,520
Net cash flow, 112,000 year-to-date, it was 109,000 last year, so slightly up. Food and beverage is

334
00:27:12,520 --> 00:27:18,900
up 8% on revenue. It's got a slightly positive cash flow. It was slightly negative last year.

335
00:27:24,370 --> 00:27:30,370
Here you can see the city's investments. You can see the Wells Fargo account, which

336
00:27:30,370 --> 00:27:37,510
is our primary investment account, earning 2.7%, and the local government investment pool

337
00:27:37,510 --> 00:27:42,310
is at 2.5%. And with that, I can take questions.

338
00:27:44,780 --> 00:27:49,680
Thank you, Jason. With the positive information you've provided regarding increased revenues

339
00:27:49,680 --> 00:27:55,700
and increased costs relative to the general fund might it be possible within this fiscal

340
00:27:55,700 --> 00:28:01,080
year to set aside enough cash to be able to cover the general fund per's increases

341
00:28:01,080 --> 00:28:04,820
over the next biennium in which the rates will be in effect.

342
00:28:10,170 --> 00:28:13,490
I'm trying to think the best way to answer this question, so yes would be great.

343
00:28:13,810 --> 00:28:14,470
Yes, we can.

344
00:28:15,370 --> 00:28:21,990
So the one of the ways I look at it is we essentially got a balanced budget right now.

345
00:28:22,990 --> 00:28:30,430
And looking at permit activity, we can see about a 6% increase in property tax next year.

346
00:28:31,750 --> 00:28:35,050
To cover that increase, it's going to take the first 3%.

347
00:28:35,050 --> 00:28:39,170
So about half of our growth in revenue next year is going to go to that purse.

348
00:28:40,630 --> 00:28:43,730
So that's kind of the way I look at it. That's helpful.

349
00:28:46,470 --> 00:28:47,430
Okay. Thanks.

350
00:28:50,560 --> 00:28:51,280
Anyone else?

351
00:28:54,930 --> 00:28:58,510
So Jason, bottom line, you're pretty comfortable with where we are for first quarter.

352
00:28:58,970 --> 00:28:59,630
Yes, looks good.

353
00:29:00,130 --> 00:29:00,490
Okay.

354
00:29:03,860 --> 00:29:04,800
Do you have something else, John?

355
00:29:07,190 --> 00:29:07,430
Okay.

356
00:29:07,850 --> 00:29:08,150
All right.

357
00:29:08,530 --> 00:29:09,290
Thank you, Jason.

358
00:29:10,630 --> 00:29:11,210
All right.

359
00:29:12,430 --> 00:29:18,570
Next item on the agenda is bid award, bid rejection, homestead canal for out project Maple

360
00:29:18,570 --> 00:29:23,490
Avenue, the dog would have new PK-1602, hello again, Bill.

361
00:29:23,930 --> 00:29:24,790
Good evening, Mary Council.

362
00:29:25,010 --> 00:29:28,510
Again, I'm Bill Durden, Public Works Director, and I'm presenting an item to request approval

363
00:29:28,510 --> 00:29:33,050
for $200,000 in contract with high-desert aggregate and paving for the construction of a home

364
00:29:33,050 --> 00:29:40,490
state canal trail between Maple Avenue and Dogwood Avenue in about a $242,827.00.00.

365
00:29:40,490 --> 00:29:43,550
We've fully developed the Holden State Canal Trail. We'll extend all the way from

366
00:29:43,550 --> 00:29:49,990
Queens Avenue down south to Elcorn right near Ridgeview. This project is going to continue the trail

367
00:29:49,990 --> 00:29:55,430
from Maple Avenue and it's going to be a 10-foot wide paved asphalt trail with a two-foot shoulder.

368
00:29:55,430 --> 00:29:59,870
I will continue from maple down to dogwood avenue on its way down

369
00:30:00,000 --> 00:30:04,640
We will pass St. Charles Medical Center and go through Homestead Park as well as recently

370
00:30:04,640 --> 00:30:13,220
completed bike pump track we have in that same location. The project is a solicit of four

371
00:30:13,220 --> 00:30:16,940
bids and we receive six bids which is the indicator of a good market that we went out

372
00:30:16,940 --> 00:30:22,620
at a good time of the year to receive so many bids and the pricing was well as well. The

373
00:30:22,620 --> 00:30:28,760
little bid is high desert aggregate and paving and $242,827. It compares favorably to the

374
00:30:28,760 --> 00:30:32,040
the Engineers' Estimate of $270,000.

375
00:30:32,920 --> 00:30:37,040
The funding is included in the fiscal year 2018-2019 budget

376
00:30:37,040 --> 00:30:39,180
from a combination of sources

377
00:30:39,180 --> 00:30:41,200
to include park system development charges,

378
00:30:41,720 --> 00:30:44,220
river renewal, and funding from a grant receipt

379
00:30:44,220 --> 00:30:47,020
through the Connect Oregon Program back in 2017.

380
00:30:47,720 --> 00:30:50,300
The project is expected to be the complete May of next year.

381
00:30:50,840 --> 00:30:52,000
And I'd be happy to take any questions.

382
00:30:53,620 --> 00:30:54,340
Any questions?

383
00:30:56,060 --> 00:30:56,940
Yeah, please, gentlemen.

384
00:30:56,940 --> 00:31:02,240
Just to clarify when when that section is completed that will then complete the entire project

385
00:31:02,940 --> 00:31:05,040
Um, pretty close. Where are we going to be?

386
00:31:05,160 --> 00:31:09,500
We're on the grand scheme of being able to ride our bike from one end to the other so

387
00:31:10,040 --> 00:31:14,680
So the first piece from quince to maple was completed in 2014 with the grant

388
00:31:14,680 --> 00:31:19,020
This is going to continue that to dogwood next summer. We have some on-street improvements

389
00:31:19,020 --> 00:31:26,500
We're going to do that will connect us down to highland that section between highland and salmon is currently being constructed as part of the south canal project

390
00:31:26,500 --> 00:31:31,160
The gap between Sam and you is going to take a while.

391
00:31:31,280 --> 00:31:35,960
That's going to require improvements, maybe the South Highway 97 project to help develop

392
00:31:35,960 --> 00:31:37,500
that path through that section.

393
00:31:38,060 --> 00:31:43,500
But then the rest from you down to Elkhorn, we've already got an unpaid section along the

394
00:31:43,500 --> 00:31:47,520
Greens and then as development occurs down in your triple region such, part of that development

395
00:31:47,520 --> 00:31:49,660
is they're putting in pass down in that section.

396
00:31:50,420 --> 00:31:53,560
So that's where we're at in the nutshell.

397
00:31:56,260 --> 00:32:01,880
Because I thought some of that was handled on the canal project, right?

398
00:32:02,740 --> 00:32:07,440
Or I thought that the part of the canal project encompassed a piece of this for some reason.

399
00:32:07,660 --> 00:32:11,460
The South Canal project is constructing from Highland to Samton.

400
00:32:12,380 --> 00:32:17,020
So you can see that as you go by Fred Meyer and stuff now that they got a good portion of that trail done.

401
00:32:17,500 --> 00:32:18,060
Right, yeah.

402
00:32:18,340 --> 00:32:18,560
Thanks.

403
00:32:18,960 --> 00:32:19,100
Sure.

404
00:32:20,960 --> 00:32:23,020
Yeah, go ahead, Jay.

405
00:32:23,020 --> 00:32:28,720
Okay. You aren't planning for any road shutdowns, are you?

406
00:32:32,390 --> 00:32:32,830
No.

407
00:32:35,170 --> 00:32:36,790
No. Okay. Thank you.

408
00:32:37,070 --> 00:32:40,550
So, well, there's a little portion over there by large.

409
00:32:40,730 --> 00:32:44,070
We have to work with the irrigation district and move some of the canal.

410
00:32:44,650 --> 00:32:48,110
So there may be some traffic involvement as we brought traffic.

411
00:32:48,290 --> 00:32:49,650
There's a lot of them last year.

412
00:32:50,230 --> 00:32:52,190
Yeah, I can guarantee that. It won't be a year.

413
00:32:55,400 --> 00:33:02,500
Many citizens have commented on this trail and how excited they are to have that accessibility

414
00:33:02,500 --> 00:33:09,600
to use their bikes and walk and do that and eventually connect into the canyons.

415
00:33:09,800 --> 00:33:13,520
So we'll be able to have a nice little route with bike paths.

416
00:33:15,100 --> 00:33:18,240
So I just want to tell you I know that it's been a long process.

417
00:33:18,480 --> 00:33:23,580
I believe I was on direct at the time, probably 2010 when we started this process.

418
00:33:23,580 --> 00:33:33,540
So it's worth every second that we're putting into it, so Bill, thank you and thank you to your guys for getting it down because I know that it's needed and wanted.

419
00:33:34,160 --> 00:33:34,560
Thank you.

420
00:33:34,700 --> 00:33:35,300
It's getting closer.

421
00:33:35,480 --> 00:33:36,060
Why was there?

422
00:33:37,300 --> 00:33:37,880
Yeah, it isn't.

423
00:33:38,040 --> 00:33:50,220
Anyone out there if you've driven by, if you've been down at veterans way and South Canal and seeing that new strip of black top was a six, eight feet wide, ten feet wide.

424
00:33:50,220 --> 00:33:59,260
That's what we're talking about, is that homestead trail and the extension thereof, so yeah, thanks again to all your crew Bill.

425
00:33:59,780 --> 00:34:00,420
Thank you.

426
00:34:01,180 --> 00:34:02,340
Okay, anything else?

427
00:34:03,420 --> 00:34:04,620
All right, drive a motion.

428
00:34:05,520 --> 00:34:06,080
Yeah, go ahead.

429
00:34:06,280 --> 00:34:19,220
Mr. Mayor, I moved to authorize a city manager to enter into a contract with High Desert Aggregate and Paving for the construction of the Homestead Canal Trail Project to Maple Avenue to Dogwood in the amount of $242,827.

430
00:34:19,220 --> 00:34:21,480
twenty-seven dollars okay

431
00:34:23,750 --> 00:34:28,590
we have a motion on second take your pick any other

432
00:34:28,590 --> 00:34:38,110
comments okay see none all is in favor say I I oppose me motion passes all right

433
00:34:38,110 --> 00:34:44,070
thanks bill go to work okay next item I think is the one what everybody's

434
00:34:44,070 --> 00:34:52,510
here for and this is an action item resolution 2018-27 a resolution of the

435
00:34:52,510 --> 00:34:57,210
the Redmond City Council encouraging St. Charles Medical Center to keep critical services

436
00:34:57,210 --> 00:35:01,050
such as the Family Berthing Center in Redmond, Oregon.

437
00:35:01,970 --> 00:35:07,890
And the way I'd like to do this this evening is we will first ask, I guess, Mr. Adams

438
00:35:08,390 --> 00:35:13,270
and Dr. Newman from St. Charles to speak, give them about 15 minutes.

439
00:35:13,270 --> 00:35:21,630
I think let's see the nursing community has identified a spokesperson, Ms.

440
00:35:21,850 --> 00:35:29,490
Laredo, and I'll give her some equal time, and then everyone else, I'll give you three minutes

441
00:35:29,490 --> 00:35:33,770
and our city manager will be keeping track of that.

442
00:35:34,410 --> 00:35:40,230
And then when we're all done, we'll go ahead and ask Mr. Adams and Ms.

443
00:35:40,230 --> 00:35:51,710
to come up here in case we have any questions prior to actually taking a look at the resolution itself so having said that please Mr. Adams and Dr.

444
00:35:51,790 --> 00:35:52,030
Good

445
00:36:01,090 --> 00:36:08,910
evening. Thank you for having us again. My name is Aaron Adams. I'm the president for the Ben and Redmond hospitals on behalf of St. Charles Health System.

446
00:36:10,070 --> 00:36:17,130
I appreciate the time today to talk a little bit about our recent proposal regarding the family birthing center here at the Redmond Hospital.

447
00:36:17,130 --> 00:36:22,230
I know obviously it's of much interest to you and the community and of course many

448
00:36:22,230 --> 00:36:26,330
of the caregivers who are here today from our hospital so I appreciate the

449
00:36:26,330 --> 00:36:30,310
opportunity to have some dialogue around that. We don't have a lot of time so I

450
00:36:30,310 --> 00:36:34,250
thought it might be best to share a little bit about where we are today and how

451
00:36:34,250 --> 00:36:40,710
we got here. This really actually started about 10 months ago. St. Charles formed a

452
00:36:40,710 --> 00:36:44,670
work group of both clinical and community leaders to take a look at the

453
00:36:44,670 --> 00:36:50,170
current state of our fam of our women's and newborn services across our health system.

454
00:36:51,370 --> 00:36:54,550
And the challenges we saw was really multifaceted.

455
00:36:54,790 --> 00:37:00,770
I think first we were running or were currently running three programs today with different

456
00:37:00,770 --> 00:37:01,430
care models.

457
00:37:02,250 --> 00:37:05,930
Each of those programs is underutilized.

458
00:37:06,230 --> 00:37:10,610
So the utilization at those sites is roughly 40% at each of the locations.

459
00:37:11,230 --> 00:37:17,230
It's not unusual for some of those locations to have no impatience or one inpatient on any given day.

460
00:37:18,410 --> 00:37:23,590
We know that the national birth rates have declined roughly 6% in recent years

461
00:37:23,590 --> 00:37:25,310
and that trends expected to continue.

462
00:37:26,110 --> 00:37:30,250
And the local birth rates in our own communities has been flat in recent years.

463
00:37:31,750 --> 00:37:37,550
That has really or that low utilization has led to a number of operational challenges for us,

464
00:37:38,610 --> 00:37:44,650
including we find ourselves today charging roughly 20% more to our patients for these services

465
00:37:44,650 --> 00:37:53,070
beyond what the state average is, and in many instances we're charging twice as much as the more affordable programs across the state.

466
00:37:54,410 --> 00:38:03,430
So the ask of the work group that we formed was really to try to take a look at how we can actually improve the affordability of these services to our patients

467
00:38:04,210 --> 00:38:07,170
while still increasing the quality and safety of our programs.

468
00:38:07,910 --> 00:38:10,010
So that was the charge that we had before them.

469
00:38:10,630 --> 00:38:15,910
The process that they took was really to visit each of the programs that existed today.

470
00:38:16,870 --> 00:38:23,030
Talk to some of the caregivers in those areas, to review both our quality and safety data

471
00:38:23,030 --> 00:38:26,850
as well as our cost and experience data that we had available to us.

472
00:38:27,550 --> 00:38:32,050
And they actually formed a number of community focus groups with the third of those being

473
00:38:32,050 --> 00:38:36,930
here in the community with end-redment to try to understand the experiences of

474
00:38:36,930 --> 00:38:40,090
patients who have used our services in recent years and what was important to

475
00:38:40,090 --> 00:38:46,170
them. Out of that work the group identified roughly 14 scenarios that they

476
00:38:46,170 --> 00:38:51,390
needed to evaluate in order to try to meet the ask we had of them. So they came

477
00:38:51,390 --> 00:38:57,070
together and spent a week in a conference room working on evaluating each of

478
00:38:57,070 --> 00:39:01,770
those 14 scenarios. The results was they came were that they came back with

479
00:39:01,770 --> 00:39:05,470
three proposals to share with St. Charles leadership.

480
00:39:06,330 --> 00:39:12,650
The first of which was the one that re-involved actually continuing with our outpatient clinic

481
00:39:12,650 --> 00:39:17,590
services here in Redmond, but actually closing the Family Burthing Center at the hospital.

482
00:39:18,530 --> 00:39:24,010
The savings that was associated with that then would be used to invest in enhancing the

483
00:39:24,010 --> 00:39:25,890
services both at Madras and Bend.

484
00:39:25,890 --> 00:39:48,850
The group felt that the merits of that proposal would lead to additional enhancements of quality and safety beyond the programs that exist today and would still save enough for us to either reduce our pricing and create more affordable pricing for our patients or to reinvest those savings in additional programs where we felt the community was underserved.

485
00:39:48,850 --> 00:39:52,650
such as behavioral health services or geriatric services,

486
00:39:52,870 --> 00:39:55,950
skilled nursing services, there's a series of areas

487
00:39:55,950 --> 00:39:58,930
where we're looking to try to bolster community access.

488
00:40:00,090 --> 00:40:02,030
So that was the merit of that proposal.

489
00:40:02,270 --> 00:40:05,350
Again, there was three proposals and where we find ourselves today

490
00:40:05,350 --> 00:40:07,270
as those proposals are being presented

491
00:40:07,270 --> 00:40:09,730
to the St. Charles Board of Directors later this week

492
00:40:09,730 --> 00:40:13,310
where we expect to hear some feedback from them and some guidance

493
00:40:13,310 --> 00:40:14,790
on how they would like us to proceed.

494
00:40:15,990 --> 00:40:18,390
So no decision has been made as of yet,

495
00:40:18,390 --> 00:40:20,550
but we expect to get direction from the board.

496
00:40:21,210 --> 00:40:23,610
Now that was kind of a high level overview.

497
00:40:24,390 --> 00:40:27,110
So we have Dr. Newman here with us today to share

498
00:40:27,110 --> 00:40:28,530
perhaps some more of the details

499
00:40:28,530 --> 00:40:30,610
that you might find important to this discussion.

500
00:40:31,250 --> 00:40:33,070
Dr. Newman is our medical director

501
00:40:33,410 --> 00:40:35,630
for Women's and Children's Services for St. Charles.

502
00:40:35,890 --> 00:40:38,010
She practices extensively here in the community.

503
00:40:38,710 --> 00:40:40,930
She was one of the co-chairs of the work group

504
00:40:40,930 --> 00:40:44,070
along with Tori Bernier, who's in the audience behind us.

505
00:40:44,610 --> 00:40:48,010
Tori is the director of our Women's and Children's

506
00:40:48,010 --> 00:40:57,610
services at both Redmond and Van, and as a community member here in Redmond, the two of them co-chaired that work group, and certainly Dr. Newman can share more of the specifics.

507
00:40:58,930 --> 00:41:17,990
Good evening, Mayor Indicott, City Council members, and members of our community who are here. I'm Dr. Barbara Newman, I'm a board-certified OB-GYN, and for the past five and a half years I've been privileged to be clinical director for women and children's services in Redmond here, as well as the medical director for St. Charles Health System.

508
00:41:17,990 --> 00:41:23,030
women's services. The task force that you've heard about was composed of 20

509
00:41:23,030 --> 00:41:27,010
individuals across many specialties and interests in women's health and that

510
00:41:27,010 --> 00:41:32,050
included providers, caregivers, community members, patient family members, and our

511
00:41:32,050 --> 00:41:36,130
community health partners. Warm Springs was involved, healthcare delivery

512
00:41:36,130 --> 00:41:41,090
experts were involved as well. We were tasked with meeting the goal of expanding

513
00:41:41,090 --> 00:41:45,530
women's services across the entire health system and maintaining safety and

514
00:41:45,530 --> 00:41:48,330
quality standards in a financially sustainable way.

515
00:41:48,990 --> 00:41:54,010
Over 10 months of meetings, we were clearly told by focus groups that we were lacking in

516
00:41:54,010 --> 00:41:58,930
services for our older women population and our less advantage populations, and that

517
00:41:58,930 --> 00:42:02,850
we needed to consider alternative birthing options in future plans.

518
00:42:03,470 --> 00:42:08,550
We were faced with some pertinent facts, aside from financial considerations, demographics

519
00:42:08,550 --> 00:42:13,550
show that the segment of childbearing age women is decreasing over our three counties while

520
00:42:13,550 --> 00:42:16,550
or the 45 to 65-year-old group of women is on the rise.

521
00:42:17,210 --> 00:42:19,550
Childbirth numbers have been basically flat here

522
00:42:19,550 --> 00:42:20,930
over the past four years.

523
00:42:21,650 --> 00:42:24,590
Redmond had approximately 500 deliveries in 2017.

524
00:42:25,230 --> 00:42:27,050
The most in its history is in FBC,

525
00:42:27,550 --> 00:42:30,910
but projections of deliveries are down for 2018 here

526
00:42:30,910 --> 00:42:33,910
as they are in bend and as they are all over the country,

527
00:42:34,070 --> 00:42:34,930
as Mr. Adam says.

528
00:42:35,730 --> 00:42:38,370
Redmond FBC occupancy is 41%.

529
00:42:38,790 --> 00:42:40,590
I know to caregivers who are here

530
00:42:40,590 --> 00:42:44,910
or who work in the hospital doesn't often feel that way due to the unpredictable nature

531
00:42:44,910 --> 00:42:45,690
of obstetrics.

532
00:42:46,170 --> 00:42:50,370
Bend occupancy is 43%, also not very ideal for operations.

533
00:42:51,410 --> 00:42:55,610
The proposal, which our task force is forwarding to the Board of Directors, focuses on the

534
00:42:55,610 --> 00:43:05,130
addition of a 24-7 365-day in-house midwifery service in Bend, as well as a 24-7 365-day in-house

535
00:43:05,130 --> 00:43:10,470
obstetrical coverage with a dedicated obstetrical emergency department in the form of a hospital

536
00:43:10,470 --> 00:43:15,990
this program. Neither of these programs exist now. These initiatives have been clearly shown

537
00:43:15,990 --> 00:43:21,770
across the country to increase patient satisfaction, decrease bad outcomes, and improve safety

538
00:43:21,770 --> 00:43:27,510
for moms and babies. In Redmond, this proposal would mean that, while the FBC would close,

539
00:43:27,990 --> 00:43:33,130
the Center for Women's Health would remain. Gynecologic surgery remains, and we become able

540
00:43:33,130 --> 00:43:38,130
to strengthen services in Madras and to expand our ability to help a greater number of our

541
00:43:38,130 --> 00:43:43,430
community members. Going by our 2017 numbers, there will also be 50 fewer

542
00:43:43,430 --> 00:43:47,790
transports to bend of higher risk mothers and or newborns, and decrease

543
00:43:47,790 --> 00:43:51,930
separation of some mothers and families from their babies. I want to ensure

544
00:43:51,930 --> 00:43:55,550
that you all understand, though, that quality and safety of Redmond Services was

545
00:43:55,550 --> 00:44:00,310
never a question and is not now a question. Our providers and caregivers and

546
00:44:00,310 --> 00:44:05,090
Redmond provide excellent care and have always done so. I know many of our

547
00:44:05,090 --> 00:44:09,130
community members and I'm sure everyone here is concerned with safety and with the effects

548
00:44:09,130 --> 00:44:10,510
of closing Redmond's FBC.

549
00:44:11,550 --> 00:44:15,870
Last year they were five precipitous deliveries in Redmond and that's defined as a labor

550
00:44:15,870 --> 00:44:19,190
and delivery less than three hours in duration from start to finish.

551
00:44:19,570 --> 00:44:25,150
Of those five deliveries to occurred in the Redmond ED, one occurred to a patient who was

552
00:44:25,150 --> 00:44:29,850
already admitted to the FBC and in that one that delivery occurred while the obstetrician

553
00:44:29,850 --> 00:44:32,270
was actually on the unit just didn't make the delivery.

554
00:44:32,270 --> 00:44:38,950
The Center for Disease Control quotes a nationwide precipitous delivery rate of 2.26%

555
00:44:38,950 --> 00:44:43,830
irregardless of hospital proximity, as long as hospital services are within an hour

556
00:44:43,830 --> 00:44:44,730
of laboring mothers.

557
00:44:45,470 --> 00:44:47,250
Our rate last year was 1%.

558
00:44:47,670 --> 00:44:52,110
The Journal of Clinical Medicine, along with many other studies, concluded that what they

559
00:44:52,110 --> 00:44:57,370
call express deliveries, do not result in increased risks or harms to mothers or babies.

560
00:44:57,370 --> 00:44:57,650
Please.

561
00:44:58,450 --> 00:44:59,950
We'll precipit-

562
00:45:00,000 --> 00:45:04,200
This delivery is increased with this proposal. I guess that's possible, but as the data shows,

563
00:45:04,620 --> 00:45:09,940
that is perhaps not the safety issue that it might seem to be at first thought. Our task

564
00:45:09,940 --> 00:45:15,000
force evaluated proposals with safety as a primary consideration. Ten months of discussion,

565
00:45:15,420 --> 00:45:20,560
research, focus groups, debates, visits to all the campuses by all the members resulted in

566
00:45:20,560 --> 00:45:25,620
an unanimously agreed upon proposal, which we believe answers the very large ass presented

567
00:45:25,620 --> 00:45:31,520
to us in the safest, most quality driven way, benefiting newborns and women of all ages.

568
00:45:32,280 --> 00:45:36,040
This is a very brief outline, obviously, but we on the task force want you to know that

569
00:45:36,040 --> 00:45:37,680
this process was not an easy one.

570
00:45:38,100 --> 00:45:43,000
There were no preconceived notions, no one took this responsibility lightly, and we are all

571
00:45:43,000 --> 00:45:48,160
very aware of the emotional, fiscal, professional, and community impacts that this could represent.

572
00:45:48,940 --> 00:45:52,960
Having said that, though, we're also excited by the very real benefits that can be gained

573
00:45:52,960 --> 00:45:57,180
by this proposal from our communities, the people that were privileged to serve.

574
00:45:58,380 --> 00:45:58,940
Thank you.

575
00:45:59,600 --> 00:46:00,600
Thank you, ma'am.

576
00:46:01,260 --> 00:46:03,280
And we'll hold questions till the end of that.

577
00:46:03,380 --> 00:46:03,620
All right.

578
00:46:04,440 --> 00:46:04,780
Okay.

579
00:46:05,220 --> 00:46:05,840
Let's see.

580
00:46:06,040 --> 00:46:06,360
We have.

581
00:46:09,120 --> 00:46:10,000
They'll be back.

582
00:46:10,580 --> 00:46:10,960
Yeah.

583
00:46:11,960 --> 00:46:13,000
Miss Laredo.

584
00:46:21,430 --> 00:46:22,290
Good evening.

585
00:46:23,290 --> 00:46:23,970
Forgive me.

586
00:46:23,970 --> 00:46:24,530
I'm a little nervous.

587
00:46:24,730 --> 00:46:25,670
This is not really my thing.

588
00:46:27,070 --> 00:46:31,990
So first, I just want to start off and say, Mayor Indicott and members of the Council

589
00:46:31,990 --> 00:46:37,030
and everyone that's here, thank you for taking on this issue and letting it be heard.

590
00:46:37,470 --> 00:46:42,430
It really does show the community, the compassion that you have for the residents here of Redmond

591
00:46:42,990 --> 00:46:44,670
and also the surrounding community.

592
00:46:46,150 --> 00:46:47,630
So my name is Amber LaReto.

593
00:46:48,010 --> 00:46:52,370
I am a registered nurse who is certified in inpatient obstetrics.

594
00:46:52,370 --> 00:46:59,470
I have been a nurse for seven years and I currently work at the Family 14 Center here in Redmond, and I've spent all those seven years here in Redmond.

595
00:47:01,530 --> 00:47:08,670
On a personal note, I myself have had seven children at the Redmond hospital, said twins, and the most recent one three months ago.

596
00:47:09,770 --> 00:47:17,450
So over the last 16 years of having children, I have chosen Redmond every single time, even though I live in Culver, and Madras is three miles closer,

597
00:47:18,110 --> 00:47:22,570
I didn't want to deliver with all the people that I knew growing up because I also grew up in this area.

598
00:47:23,290 --> 00:47:29,210
So Redmond was a safe place for me and for me personally, if I had to go to Bend, I definitely would not make it.

599
00:47:29,310 --> 00:47:33,570
I am those precipitous deliveries as well as some of the other nurses that I work with.

600
00:47:35,530 --> 00:47:41,470
So currently obstetrics itself is facing a shortage in practitioners.

601
00:47:41,910 --> 00:47:45,830
By the year 2050, it is expected that they're going to have 8,000 fewer practitioners

602
00:47:45,830 --> 00:47:52,910
nurse to serve women. That doesn't necessarily mean only OBGYNs, it also is nurse midwives

603
00:47:53,410 --> 00:47:59,870
and other licensed independent practitioners. If we do close the Redmond facility, that's

604
00:47:59,870 --> 00:48:09,030
just feeding into that 8,000 number gap in practitioners. And there are several practitioners

605
00:48:09,030 --> 00:48:15,410
that serve our hospital who may no longer be able to practice the type of medicine that

606
00:48:15,410 --> 00:48:20,630
they have been practicing for years. For instance, we have family practice physicians that

607
00:48:20,630 --> 00:48:25,470
deliver. We also have certified nurse midwives, and we have OBGYNs, which is something that's

608
00:48:25,470 --> 00:48:33,110
not available to any other facility in Central Oregon. So we have all three of those.

609
00:48:33,850 --> 00:48:39,870
And there's a lot of research to show. And actually, Missy Cheney over at Oregon State University

610
00:48:39,870 --> 00:48:44,050
has written a lot on models that are like this,

611
00:48:44,150 --> 00:48:45,730
that have a multifaceted system

612
00:48:46,070 --> 00:48:49,490
that offer both a high-risk model, moderate and low

613
00:48:49,490 --> 00:48:51,930
and kind of catch everything in between.

614
00:48:53,390 --> 00:48:55,650
So there is evidence to support this kind of model

615
00:48:55,650 --> 00:48:57,130
that Redmond has only.

616
00:48:57,370 --> 00:48:59,770
And it would be a great model for all of the birthing units

617
00:49:00,130 --> 00:49:00,650
to have.

618
00:49:04,910 --> 00:49:08,470
So the other concern that I specifically have

619
00:49:08,470 --> 00:49:14,730
as a provider and I currently am getting my FNP so I can serve people in a primary care capacity.

620
00:49:15,470 --> 00:49:21,950
But one big thing that I have discovered going through my own program and serving women's

621
00:49:21,950 --> 00:49:29,510
health in the last seven years is that in comparison to male counterparts women by a fairly significant

622
00:49:29,510 --> 00:49:38,190
margin do not seek care as much. Mostly due to access and cost you can find information on that

623
00:49:38,470 --> 00:49:41,550
through the Henry J. Kaiser Family Foundation.

624
00:49:42,170 --> 00:49:43,750
And those numbers are there,

625
00:49:43,750 --> 00:49:46,490
both before the Affordable Care Act and afterwards,

626
00:49:47,510 --> 00:49:51,510
just because the costs and the access.

627
00:49:52,010 --> 00:49:54,730
And Redmond really is kind of a center

628
00:49:55,550 --> 00:49:57,570
for everyone to access.

629
00:49:58,030 --> 00:50:02,410
If you're living in Madras or Warm Springs

630
00:50:02,410 --> 00:50:05,650
and driving 60 or more miles to get to the hospital,

631
00:50:05,650 --> 00:50:10,630
Well, you may be like, you know, maybe I don't really want to go or if, you know, if

632
00:50:10,630 --> 00:50:15,850
for say on their only practitioners in Bend, only practitioners in Madras, do you really

633
00:50:15,850 --> 00:50:20,370
want to drive X amount of miles to do that as a whole women don't want to do that?

634
00:50:21,730 --> 00:50:24,930
So that is a really big concern that I have.

635
00:50:25,170 --> 00:50:28,390
They're already underserved in that area and this could potentially hit that problem.

636
00:50:29,590 --> 00:50:34,590
And Redmond itself based on information that I gathered from the Oregon Health Authority,

637
00:50:34,590 --> 00:50:38,790
their births have increased by 61% over the last nine years.

638
00:50:39,350 --> 00:50:41,150
Bends have increased by 5%.

639
00:50:41,150 --> 00:50:45,710
Those numbers let you know that people are choosing to deliver in Redmond.

640
00:50:46,230 --> 00:50:50,010
And deliveries are more than just money.

641
00:50:50,270 --> 00:50:53,490
They are more than just cookie cutter model.

642
00:50:53,770 --> 00:50:57,470
It's one of the biggest life events that someone can experience.

643
00:50:57,830 --> 00:51:02,490
And that doesn't necessarily mean that those life experiences are had only by the mother

644
00:51:02,490 --> 00:51:07,990
or only by the father. Sometimes those can be experienced by the grandparents, by the siblings,

645
00:51:08,290 --> 00:51:13,630
by the aunts, the uncles. A birth is something to celebrate. And we're not only there for birth,

646
00:51:13,730 --> 00:51:20,390
sometimes we're there for demises as well. And those are also very important events in people's lives.

647
00:51:21,170 --> 00:51:26,710
And having, you know, someplace like Redmond, that they don't have to drive all the way over to

648
00:51:26,710 --> 00:51:32,370
been to deliver a demise is something that's really important and could really emotionally

649
00:51:32,370 --> 00:51:37,010
affect not only the patient but the nurse and all the rest of providers that are interacting

650
00:51:37,010 --> 00:51:37,650
with the patient.

651
00:51:38,810 --> 00:51:45,470
The big thing is we have a great model of care for our obstetrical patients and even our

652
00:51:45,470 --> 00:51:46,210
GYN patients.

653
00:51:46,650 --> 00:51:52,150
Right now we have three choices for families to deliver their babies, Ben, Redmond, and

654
00:51:52,150 --> 00:51:52,490
Madras.

655
00:51:52,490 --> 00:51:58,030
And that's amazing. Our patients get to choose where they want to have their babies, how

656
00:51:58,030 --> 00:52:02,650
they want to have their babies, which is what birth should be about. It shouldn't be

657
00:52:02,650 --> 00:52:09,110
about the money and it is because it is healthcare. We all know that the margins are tight, but

658
00:52:09,110 --> 00:52:17,130
it is more than that. Birth is an amazing thing. I don't know if I could put it into words just

659
00:52:17,130 --> 00:52:20,970
how special it is, I've been doing this for seven years and I still cry at everyone.

660
00:52:22,190 --> 00:52:25,830
And the ones that have been precipitous that I have been at or delivered to myself,

661
00:52:26,050 --> 00:52:27,530
I still remember every single one of those.

662
00:52:29,270 --> 00:52:32,530
So the great thing, we do have a choice here in Central Oregon.

663
00:52:33,010 --> 00:52:39,030
You know, we, even all of our nurses and some of our top leadership has said, you know,

664
00:52:39,110 --> 00:52:43,970
we love Central Oregon because we love the community and we love all the choices that it has

665
00:52:43,970 --> 00:52:49,130
to offer. Healthcare should be no different than that. Healthcare should be a choice for everyone

666
00:52:49,130 --> 00:52:53,650
to decide where they want to seek care. And we want the people who want to deliver in

667
00:52:53,650 --> 00:52:57,770
bend, who want to deliver in Redmond, and who want to deliver Madras get that choice.

668
00:52:58,310 --> 00:53:03,830
I don't want those choices to be taken away from them. And if one of those choices are taken away

669
00:53:03,830 --> 00:53:08,930
from them, it is likely that the impact of that is going to affect the people who want to deliver

670
00:53:08,930 --> 00:53:13,930
and bent, and wanted to deliver a mad nurse, potentially delaying induction times, limiting

671
00:53:13,930 --> 00:53:19,470
bed numbers, limiting availability of physicians, and limiting availability of nurses.

672
00:53:20,090 --> 00:53:25,310
There is definitely a shortage of obstetrical nurses, so it's not like we would just be

673
00:53:25,310 --> 00:53:30,170
able to just fill all these positions with all of these nurses, just like that.

674
00:53:30,850 --> 00:53:36,730
There's a large difficulty even finding travel nurses to fill obstetrical positions on nurses.

675
00:53:47,890 --> 00:53:52,850
So, you know, in Redmond, we deliver over 500 babies a year.

676
00:53:53,370 --> 00:53:58,970
And on the day that this was announced to us on my unit, a very close family member

677
00:53:58,970 --> 00:54:01,330
of mine was having a repeat C-section done in Bend.

678
00:54:02,450 --> 00:54:06,510
And after her C-section, she had a postpartum hemorrhage, a very significant one.

679
00:54:06,910 --> 00:54:11,210
And the Bend team did an amazing job taking care of her and helped save her life, which I'm

680
00:54:11,210 --> 00:54:17,030
very thankful for. But it really does worry me that if had there been eight more patients

681
00:54:17,030 --> 00:54:23,570
on that unit and not enough nurses to care for those eight patients, had she or any other

682
00:54:23,570 --> 00:54:31,150
woman on that unit got the same sort of quick care if there were not enough resources available.

683
00:54:33,860 --> 00:54:38,040
You know, I have talked a lot about the physicians and a lot about the nurses, but this does not

684
00:54:38,040 --> 00:54:43,560
not just affect the nurses in the OB department, no matter if it's been Redmond or Madras.

685
00:54:43,940 --> 00:54:46,580
This will significantly affect the emergency room.

686
00:54:46,920 --> 00:54:51,620
Right now, specifically in Redmond, on any given day on the board, you can see 20 or more

687
00:54:51,620 --> 00:54:57,620
patients who are there who are on a level anywhere from four, which is kind of low risk all

688
00:54:57,620 --> 00:54:58,720
the way on up.

689
00:54:59,120 --> 00:55:03,380
When you have patients who are level three, level two, they need the most immediate attention.

690
00:55:03,380 --> 00:55:09,740
And if a mom does come in and she's in labor or bleeding or there's all you know types

691
00:55:09,740 --> 00:55:13,420
of potential scenarios, she may not get the attention that she's going to need.

692
00:55:13,820 --> 00:55:18,140
Also, while the emergency room is great and if you are in a car accident or severe trauma,

693
00:55:18,280 --> 00:55:22,720
you definitely want them, but when you're pregnant that is just not an area of their expertise.

694
00:55:24,320 --> 00:55:33,320
So I'm not sure who will ultimately be caring for these women in the ER to the best, not

695
00:55:33,320 --> 00:55:37,860
to the best of the ability because they would do an amazing job but to the standard that

696
00:55:37,860 --> 00:55:44,900
it should be. So in addition to that, you have to think about the EMS. They don't have

697
00:55:44,900 --> 00:55:49,960
the budget for training, they don't have the budget for increased staff or for the specialized

698
00:55:49,960 --> 00:55:55,480
equipment you need to transfer patients. And that is going to put a significant stress

699
00:55:55,480 --> 00:56:02,480
not only just on them financially and it is also going to put some stress on our patients

700
00:56:02,480 --> 00:56:06,080
around this community, because if they're tied up doing transports, because

701
00:56:06,080 --> 00:56:11,020
mom presented to the ER and thinks she might be in labor, she then needs to be transported

702
00:56:11,020 --> 00:56:14,400
over to Ben, or to Madras, or Ben to Madras or vice versa.

703
00:56:15,520 --> 00:56:20,840
And that could hold up a potential transfer for other patients, may it be, you know, medical,

704
00:56:21,080 --> 00:56:26,880
maybe they need to go to IMCU, maybe they need to go, you know, a higher level of care, basically,

705
00:56:27,300 --> 00:56:30,620
or if you're transporting them out because there are not enough rooms.

706
00:56:31,200 --> 00:56:36,440
If you add just those few things, and then you can even go a little bit further, you know,

707
00:56:37,380 --> 00:56:44,940
I'm sure we've all driven to bend quite a few times and in recent years have noticed the tick in traffic

708
00:56:44,940 --> 00:56:50,900
and before you even get to Cooley Road, you're bottled neck and you're waiting and waiting and waiting just to get to Cooley Road.

709
00:56:51,380 --> 00:56:57,440
You could then, before that, take the back road on the Old Bend Redmond Highway. However, that's also getting very, very busy.

710
00:56:58,080 --> 00:57:03,360
And if you are taking that in the winter time, that road specifically is not kept up as

711
00:57:03,360 --> 00:57:06,920
well as, of course, the inner city roads.

712
00:57:07,360 --> 00:57:12,520
So that could even put additional stress on the road's department and issues county.

713
00:57:13,740 --> 00:57:17,060
And also, you know, how are they going to know to do that?

714
00:57:17,220 --> 00:57:21,020
How would they come up with additional funds to make sure easy access roads to the hospitals

715
00:57:21,020 --> 00:57:23,020
are going to be available?

716
00:57:23,900 --> 00:57:28,760
And then the big thing we need to really think about is what kind of stress is this going

717
00:57:28,760 --> 00:57:33,520
to put not only on our patients but all of our care providers, not just Redmond, not

718
00:57:33,520 --> 00:57:40,040
just Madras, not just Ben, every care provider that has contact with a woman or her family members.

719
00:57:41,300 --> 00:57:46,720
Increasing caseloads, especially if you are not certified or specialized in that can cause

720
00:57:46,720 --> 00:57:51,060
a lot of stress, an emotional distress with any health care provider.

721
00:57:53,320 --> 00:57:59,640
So that's going to happen the most with emergency services and the most with the ER professionals,

722
00:57:59,640 --> 00:58:03,980
which they already deal with a lot of emotional stress already.

723
00:58:04,480 --> 00:58:07,300
That doesn't need to be something else that's tied into it.

724
00:58:08,120 --> 00:58:12,940
I would love to see that the Redmond Family Brodian Center is state open because it is such

725
00:58:12,940 --> 00:58:18,840
a special place and provides so many different options for patients and I hope that we are able

726
00:58:18,840 --> 00:58:26,140
to continue to both support Bend and Madras provider patients from all over. I mean post,

727
00:58:26,560 --> 00:58:33,600
warm springs, all over. I mean even this last year when we had the eclipse, we had patients

728
00:58:33,600 --> 00:58:40,180
all over the country and several of them came to choose to come to Redmond and that's the one thing

729
00:58:40,180 --> 00:58:44,160
And we also have to remember about health care as our patients are more knowledgeable than

730
00:58:44,160 --> 00:58:44,760
ever before.

731
00:58:45,120 --> 00:58:49,340
They get to read reviews on everybody and they get to choose where they want to go.

732
00:58:49,780 --> 00:58:53,580
And right now we have the ability to offer them those three choices and make the biggest

733
00:58:53,580 --> 00:58:58,900
impact on one of the most eventful times in their lives for them to be able to bring their

734
00:58:58,900 --> 00:59:02,840
kids back, bring their grandma back, bring their family members back.

735
00:59:03,200 --> 00:59:06,660
And that's what we want to show them as being Charles is that we care about your whole family.

736
00:59:06,660 --> 00:59:11,500
And we want to invest in you and create this trusting relationship with you.

737
00:59:12,940 --> 00:59:14,460
So I want to thank you for your time.

738
00:59:15,500 --> 00:59:15,860
Thank you.

739
00:59:16,000 --> 00:59:21,660
And listening to all of my stuff, and of course, I'll be happy to answer any questions

740
00:59:21,660 --> 00:59:22,000
as well.

741
00:59:22,380 --> 00:59:22,660
Thank you.

742
00:59:23,040 --> 00:59:27,920
And what we'll do is call you back up probably with Mr. Newman after we hear some more testimony.

743
00:59:28,320 --> 00:59:28,560
Thank you.

744
00:59:28,560 --> 00:59:33,560
Okay, so I have several cards and I'll call those up in you in which I received them.

745
00:59:33,560 --> 00:59:37,840
And if there's anyone in the audience at this point on speaking that hasn't filled out

746
00:59:37,840 --> 00:59:40,120
a card yet, please do so there on the back table.

747
00:59:41,220 --> 00:59:46,060
And so with that, I'm going to, and I will remind you of a three-minute limit, please.

748
00:59:46,600 --> 00:59:47,920
I'm going to start with Pam Mint.

749
00:59:50,860 --> 00:59:51,800
Good evening, ma'am.

750
00:59:52,160 --> 00:59:53,360
Good evening, there.

751
00:59:54,060 --> 00:59:57,740
I'm going to choose to stand because I'm not sure I'll get back out of the set, so.

752
00:59:58,480 --> 00:59:59,800
No.

753
01:00:00,000 --> 01:00:28,660
I've cut esteemed members of the Redmond City Council. I appreciate the opportunity to come here to talk in support of continuing to have the Redmond Burst Center remain open. Upon being medically retired from the military after serving 39 years in my last deployment in Afghanistan, I had a choice about where I would live in the great state of Oregon, and I chose Redmond. I chose Redmond because the quality of care it provides at its medical facility.

754
01:00:28,660 --> 01:00:30,680
I've been there several times in the emergency room.

755
01:00:30,880 --> 01:00:36,180
Sometimes I'm a frequent flyer there, and I'm also an extra-prone at times.

756
01:00:36,720 --> 01:00:40,080
And one of the things I've learned during my service in a combat zone, both in Iraq

757
01:00:40,080 --> 01:00:46,120
and Afghanistan, is the importance of proximity of care, accessibility of care, and the ability

758
01:00:46,120 --> 01:00:47,860
to be able to respond immediately.

759
01:00:48,760 --> 01:00:53,820
What I appreciate about the proximity and the accessibility of the Redmond Burst Center

760
01:00:53,820 --> 01:00:55,080
is that's my future.

761
01:00:55,080 --> 01:01:00,840
I can sit here and I can quote obstetrics all that kind of stuff that we have to provide

762
01:01:00,840 --> 01:01:06,140
an opportunity for people who choose to give birth, to give birth where they want to.

763
01:01:06,660 --> 01:01:11,540
And Redmond provides that Redmond is cost effective, it is community oriented, it provides

764
01:01:11,540 --> 01:01:15,300
a constellation of services which is quite remarkable.

765
01:01:15,520 --> 01:01:21,880
I'm a licensed clinical social worker, I've seen from death to birth, I was a commander of

766
01:01:21,880 --> 01:01:26,000
to combat stress control with hatchment in Iraq and Afghanistan and what I know is that

767
01:01:26,000 --> 01:01:29,000
health professionals like to provide quality care.

768
01:01:30,040 --> 01:01:34,920
Service members, constituents and community members like to seek care whether they are

769
01:01:34,920 --> 01:01:37,320
able to seek care and where they choose to seek care.

770
01:01:37,780 --> 01:01:42,540
One of the things that's important is that the MedMembers Center is cost effective.

771
01:01:42,800 --> 01:01:49,700
It may be 41%, Bend is 43%, but what I know is people from Culver, people from Primeville,

772
01:01:49,700 --> 01:01:53,360
people from Madras, people from Ben choose to come to Redmond.

773
01:01:54,000 --> 01:01:55,480
And there's a reason they choose to come.

774
01:01:55,900 --> 01:01:58,100
It's the small town, it's the caring nature.

775
01:01:58,180 --> 01:02:02,040
It is important to be able to continue to provide that in the most important life event.

776
01:02:03,000 --> 01:02:06,440
To consider closing and limiting services increases risk.

777
01:02:06,760 --> 01:02:14,180
What I know is from being in combat and in command of combat stress control, there's a ripple

778
01:02:14,180 --> 01:02:16,640
effect when decisions are made about rules of engagement.

779
01:02:16,640 --> 01:02:21,660
I will take a look at this decision as being rules of engagement about where women can

780
01:02:21,660 --> 01:02:24,360
have their children, where families can have their children.

781
01:02:24,640 --> 01:02:26,060
There is going to be a ripple effect.

782
01:02:26,500 --> 01:02:31,020
And what is the cost, both psychologically and emotionally and spiritually, to individuals

783
01:02:31,400 --> 01:02:35,440
who may not be able to get to their baby or have their baby safely?

784
01:02:36,060 --> 01:02:41,560
Just to make it be about science is ignoring one of the most important life events in the

785
01:02:41,560 --> 01:02:42,120
community.

786
01:02:42,120 --> 01:02:45,840
When people give birth in this community, they're giving birth to my future.

787
01:02:46,460 --> 01:02:48,100
And I like my future.

788
01:02:48,420 --> 01:02:52,100
I serve this country to ensure that we have a future.

789
01:02:52,800 --> 01:02:57,140
I drive down, him holds, I drive down North Star away, and there's buildings going up.

790
01:02:57,220 --> 01:02:59,700
Chances are people are going to move into those homes.

791
01:02:59,880 --> 01:03:04,640
And if I know married couples and I know men and women, there's going to be some fun happening.

792
01:03:04,820 --> 01:03:06,900
We might see an increase in the birth.

793
01:03:07,060 --> 01:03:10,060
I mean, if there's an increase in houses or an increase in bedrooms, guess what's going

794
01:03:10,060 --> 01:03:10,480
to happen?

795
01:03:10,480 --> 01:03:12,760
And there's going to be an increase in people wanting to have babies.

796
01:03:13,300 --> 01:03:20,240
And at this point, to reduce the number of, I'm almost done, I know you can, I want to

797
01:03:20,240 --> 01:03:22,540
wait for the whole to go and I go to drop down it, right?

798
01:03:22,980 --> 01:03:26,940
Anyway, I know I know how to operate, you know, I may be a criminal, but I know you can

799
01:03:26,940 --> 01:03:27,500
pull me off.

800
01:03:27,840 --> 01:03:32,340
But anyway, I just think we have to take a look at community planning, the medical footprint.

801
01:03:32,640 --> 01:03:36,300
There are people moving here because this is a place to live.

802
01:03:36,740 --> 01:03:37,660
It's God's country.

803
01:03:37,660 --> 01:03:45,720
And I am so blessed to live here and I'm hoping that you will support and endorse that let's keep the Redmond Versons are open.

804
01:03:46,020 --> 01:03:46,560
Thank you.

805
01:03:46,720 --> 01:03:47,280
Thank you, ma'am.

806
01:03:52,590 --> 01:03:55,530
Okay, next up I have Julie Gilbertson.

807
01:03:57,950 --> 01:04:00,210
I want to remind you of the three minutes, please.

808
01:04:02,320 --> 01:04:04,000
But Colonel, I never interrupt a Colonel.

809
01:04:05,260 --> 01:04:05,780
Thank

810
01:04:07,860 --> 01:04:09,220
you, Mayor Indicott.

811
01:04:09,440 --> 01:04:10,880
Thank you, members of the council.

812
01:04:11,740 --> 01:04:16,280
I'm going to read off a script because I cry easy.

813
01:04:16,280 --> 01:04:19,780
and so if I read this, I will do a better job.

814
01:04:20,400 --> 01:04:22,600
I am a mother, teacher, wife, and resident

815
01:04:22,600 --> 01:04:24,580
in our beautiful town of Redmond, Oregon.

816
01:04:25,040 --> 01:04:26,740
As a mother, I have the opportunity

817
01:04:26,740 --> 01:04:28,140
to give birth to Redmond.

818
01:04:29,060 --> 01:04:31,600
The staff at the Redmond Birth Center is unmatched.

819
01:04:32,760 --> 01:04:34,640
I have never felt better taking care of

820
01:04:34,640 --> 01:04:36,260
than in the arms of the staff there.

821
01:04:37,260 --> 01:04:37,860
OK, hold on.

822
01:04:38,860 --> 01:04:40,920
As an educator, I look at all of the students

823
01:04:40,920 --> 01:04:43,100
and past students I have had and think about

824
01:04:43,100 --> 01:04:45,040
about how many of them were born here in Redmond.

825
01:04:46,000 --> 01:04:51,020
Our goal as teachers is to instill the love of learning for success in college career

826
01:04:51,020 --> 01:04:51,780
and in life.

827
01:04:52,440 --> 01:04:56,740
Did you know that 90% of brain development happens in the first five years of life?

828
01:04:57,840 --> 01:05:00,520
The Redmond Birth Center provides a safe beginning.

829
01:05:01,060 --> 01:05:05,780
Without having a birth center in town, mothers in Redmond and surrounding areas are forced

830
01:05:05,780 --> 01:05:06,560
to travel the bend.

831
01:05:07,440 --> 01:05:10,240
Central Oregon is not getting smaller, but only getting bigger.

832
01:05:10,240 --> 01:05:13,600
The traffic and bend is getting harder and harder to get around.

833
01:05:14,160 --> 01:05:18,560
Not only is my concern with not having a birth center, but also what will happen to the

834
01:05:18,560 --> 01:05:20,720
options for OB-GYN care.

835
01:05:21,620 --> 01:05:27,300
The doctors will doctors continue to see women here in Redmond or will women have to travel

836
01:05:27,300 --> 01:05:29,100
to bend each time for an appointment.

837
01:05:30,240 --> 01:05:33,800
There seems to be an issue with equity, in my opinion.

838
01:05:34,480 --> 01:05:39,040
How will these mothers afford to travel to bend each time for a prenatal appointment?

839
01:05:39,040 --> 01:05:48,020
Not only is prenatal care and education important for the success for students post-care is also imperative.

840
01:05:48,920 --> 01:05:50,020
I found this quote online.

841
01:05:51,060 --> 01:05:58,220
Said rural women are often underserved and typically face more barriers than non-rural pregnant people in accessing care.

842
01:05:59,400 --> 01:06:02,960
What about the 34 staff members who work at the birth center?

843
01:06:03,320 --> 01:06:07,380
I understand they will not lose their jobs but will be displaced somewhere in central organ.

844
01:06:07,380 --> 01:06:09,780
Their expertise is in labor and delivery.

845
01:06:10,300 --> 01:06:14,320
I worry about their emotional state as well as their future and their new positions.

846
01:06:15,500 --> 01:06:19,720
In the news, it is stated that closing the Redmond Birth Center will save patients money.

847
01:06:20,500 --> 01:06:25,300
As a mother, what I wanted from my birth experience was that it was safe, I was care for,

848
01:06:25,480 --> 01:06:28,700
and that I could be close to my family, not saving money.

849
01:06:29,080 --> 01:06:31,700
If you choose to close Redmond,

850
01:06:31,700 --> 01:06:37,440
If you choose to close Redmond, won't there be cause for building a bigger facility in

851
01:06:37,440 --> 01:06:37,600
Ben?

852
01:06:38,340 --> 01:06:39,480
What about parking?

853
01:06:40,500 --> 01:06:42,220
It is already so crowded there.

854
01:06:42,660 --> 01:06:44,620
This past weekend I went to the pumpkin patch.

855
01:06:45,020 --> 01:06:48,720
I couldn't help but ask where some of the women in attendance had their babies.

856
01:06:49,120 --> 01:06:54,160
I had the privilege of talking to women from post, primeval, and fossil.

857
01:06:54,480 --> 01:06:55,600
We can't forget about them.

858
01:06:56,340 --> 01:06:59,060
We can't ignore the women and the babies here in Redmond either.

859
01:06:59,600 --> 01:07:02,180
I also spoke to someone who works at St. Charles.

860
01:07:02,880 --> 01:07:05,740
She also agreed that the birthing center must not shut down.

861
01:07:06,100 --> 01:07:10,160
However, she said she was too afraid to say anything because she didn't want to lose

862
01:07:10,160 --> 01:07:10,520
her job.

863
01:07:11,200 --> 01:07:13,500
You don't want your employees to feel fear.

864
01:07:14,820 --> 01:07:20,220
We aspire fighters, police officers, medical personnel, teachers, and political figures in

865
01:07:20,220 --> 01:07:23,380
Central Oregon are in the business of changing lives for the better.

866
01:07:24,000 --> 01:07:28,940
I have a deep love for this community and I am proud of the services we offer.

867
01:07:29,400 --> 01:07:36,120
As a teacher with expectant mothers regularly in my life, I am proud to be part of a community that supports them.

868
01:07:36,420 --> 01:07:38,620
Please don't take this resource out of our community.

869
01:07:39,000 --> 01:07:42,240
Please do the best thing on behalf of our young families and our children.

870
01:07:42,640 --> 01:07:44,040
Thank you so much for your time.

871
01:07:44,400 --> 01:07:47,380
I hope you'll consider keeping the family-roading center in Redmond.

872
01:07:53,770 --> 01:07:58,270
I appreciate the applause, but please hold it.

873
01:07:58,630 --> 01:08:00,230
Okay, Mr. Fister.

874
01:08:01,090 --> 01:08:01,650
Fister?

875
01:08:05,890 --> 01:08:06,830
Good evening, sir.

876
01:08:07,230 --> 01:08:07,630
How are you doing?

877
01:08:08,850 --> 01:08:09,610
I'm Bob Fister.

878
01:08:10,890 --> 01:08:15,150
I'm a neonatologist for St. Charles and neonatologist.

879
01:08:15,750 --> 01:08:18,450
He's a doctor who takes care of crickly old babies.

880
01:08:19,630 --> 01:08:21,110
I'm not from Central Oregon.

881
01:08:21,250 --> 01:08:22,150
I've lived here for four years.

882
01:08:22,150 --> 01:08:29,250
and I've been blessed to serve the folks who live in Madras, Redmond, Bend, the community

883
01:08:29,250 --> 01:08:33,810
south and east, beautiful place to live and I've been proud to be here.

884
01:08:34,870 --> 01:08:36,490
I have just a couple of quick points.

885
01:08:37,830 --> 01:08:46,170
The first is, and I'm a simple guy from the southeast, it doesn't pencil, we're taking care

886
01:08:46,170 --> 01:08:53,070
of 1.5 babies a day, and we consume resources of about 10 or 12 professional employees.

887
01:08:54,110 --> 01:08:59,130
The current model doesn't pencil I. I respect the opinion of the colonel who spoke of the

888
01:08:59,130 --> 01:09:04,350
cost effectiveness, but I think I can tell you clearly and honestly that we're losing

889
01:09:04,350 --> 01:09:13,450
money. The second point is I heard at the beginning of tonight, a group of women volunteers who

890
01:09:13,450 --> 01:09:16,970
We're advocating on behalf of the children in the community.

891
01:09:18,050 --> 01:09:24,530
And that's who I'm here to speak on behalf of, I've dedicated my entire career to improving

892
01:09:25,160 --> 01:09:29,050
the quality and the safety of healthcare that we provide to sick babies.

893
01:09:29,450 --> 01:09:32,810
It's all I care about, frankly, I don't care where they come from, in the greater state

894
01:09:32,810 --> 01:09:35,110
Charles catchment area, I take care of them.

895
01:09:35,930 --> 01:09:38,470
And I can tell you that the data on this is quite clear.

896
01:09:39,150 --> 01:09:41,950
We had 49 transports last year.

897
01:09:41,950 --> 01:09:50,490
And nationally, the odds ratio of a sick baby who's transported is 1.7.

898
01:09:51,230 --> 01:09:57,210
And ladies, terms, that's a 70% increase in dying if you're a sick baby and you're transported.

899
01:09:57,970 --> 01:10:05,200
There are other data that I can share with you, such as the increased rates of intraventricular hemorrhage, respiratory disease.

900
01:10:05,200 --> 01:10:11,340
disease, but my main focus is to tell you that in addition to being fiscally responsible,

901
01:10:12,640 --> 01:10:20,180
we can improve outcomes for some infants with a model that's being proposed, and we can

902
01:10:20,180 --> 01:10:22,860
save the lives of a handful of babies.

903
01:10:23,720 --> 01:10:26,580
And to me, that's worth it.

904
01:10:27,800 --> 01:10:28,380
Thank you for your time.

905
01:10:28,880 --> 01:10:29,380
Thank you, Dr..

906
01:10:29,880 --> 01:10:30,880
Thank you for your service.

907
01:10:32,500 --> 01:10:36,780
Next question I have is Eric Slesinger, I believe.

908
01:10:42,710 --> 01:10:43,330
I say that right.

909
01:10:43,890 --> 01:10:44,010
Yeah.

910
01:10:44,330 --> 01:10:44,390
Cool.

911
01:10:44,450 --> 01:10:44,770
Thank you.

912
01:10:48,570 --> 01:10:50,110
So, thank you for your time.

913
01:10:50,510 --> 01:10:53,090
I hope to give us a slightly different perspective here.

914
01:10:53,270 --> 01:10:57,190
I think we've heard a lot from hospital administrators and community members and mothers.

915
01:10:58,210 --> 01:11:00,070
I am new to this area.

916
01:11:00,430 --> 01:11:06,650
I recently relocated and one of the things that I was very excited about moving here is

917
01:11:06,650 --> 01:11:12,790
the opportunity for rural living without sacrificing access to top-quality services such as medical

918
01:11:12,790 --> 01:11:18,190
care and health care. I'm not a mother yet, but I look forward to building a life and potentially

919
01:11:18,190 --> 01:11:22,510
a family in this area of Central Oregon, and there's a lot of great communities to choose

920
01:11:22,510 --> 01:11:29,290
from to settle down here. And access to a full-care hospital with a birthing center is certainly

921
01:11:29,290 --> 01:11:32,250
a consideration in that decision as to where to settle down.

922
01:11:33,490 --> 01:11:38,510
I find it concerning that rather than expanding access to health care in a growing community

923
01:11:38,510 --> 01:11:44,010
that we stand to lose an important resource such as this birthing center, in recent years

924
01:11:44,010 --> 01:11:48,250
I think trends have shown that infant mortality in the United States is significantly higher than

925
01:11:48,250 --> 01:11:54,530
other comparable countries. With our state of the art health care and resources this can only be

926
01:11:54,530 --> 01:11:59,890
attributed to a lack of access to health care. I did live for a couple of years in a rural community

927
01:11:59,890 --> 01:12:05,190
in one of the poorest countries in Sub-Saharan Africa, I was about 30 minutes from the provincial

928
01:12:05,190 --> 01:12:05,710
capital.

929
01:12:05,910 --> 01:12:06,850
We didn't have a market.

930
01:12:07,090 --> 01:12:09,330
We didn't have any stores, but we had a birthing center.

931
01:12:11,010 --> 01:12:14,890
It's shocking to me that in our country and in our community, a major birthing center

932
01:12:14,890 --> 01:12:19,210
that serves not just the city of Redmond, but many of the surrounding areas could consider

933
01:12:19,210 --> 01:12:19,570
closing.

934
01:12:20,370 --> 01:12:24,370
When considered in light of the growing population in both Ben and Redmond, and I know there's

935
01:12:24,370 --> 01:12:29,230
been statistics grown out here that are contradictory as far as the growing population and the growing

936
01:12:29,230 --> 01:12:36,090
birth rate versus the number of births that, you know, in light of this, the consideration

937
01:12:36,090 --> 01:12:41,130
for consolidating these birthing centers is even more surprising. Not only does it raise

938
01:12:41,130 --> 01:12:44,670
concerns over the access to a safe birthing center for those in Redmond in the surrounding

939
01:12:44,670 --> 01:12:49,870
areas who are unwilling to not have the means to travel to Ben for care, it also raises concerns

940
01:12:49,870 --> 01:12:53,930
over the availability and quality of the care that those of us in Ben might receive.

941
01:12:55,450 --> 01:13:00,930
Not only will there be an increase in schedule appointments with the birthing center, but there

942
01:13:00,930 --> 01:13:04,990
is bound to be an uptick in the number of emergency births or high-risk births due to the

943
01:13:04,990 --> 01:13:08,930
increased travel time depend. For an area of health care that is so unpredictable and

944
01:13:08,930 --> 01:13:13,310
so critical to the health and wellbeing of not just the immediate families but entire communities,

945
01:13:13,850 --> 01:13:18,150
the risk for such a potential decrease in access and quality of care does not seem worth it.

946
01:13:18,970 --> 01:13:23,170
I understand that the hospital administration, the city council and the community do not take

947
01:13:23,170 --> 01:13:26,930
this decision lightly and that a lot of due diligence has been conducted on the potential

948
01:13:26,930 --> 01:13:30,570
impact of the community and to the healthcare system for these different proposals.

949
01:13:32,470 --> 01:13:37,670
But I wonder what are the full details of these findings and we heard a little bit about

950
01:13:37,670 --> 01:13:42,350
that tonight, but also how is the decision made that the cost benefits outweigh the burden

951
01:13:42,350 --> 01:13:46,290
on the community as well as the hospital staff and the emergency responders?

952
01:13:47,130 --> 01:13:50,570
And I think more importantly, something that hasn't been touched on at all tonight

953
01:13:50,570 --> 01:13:55,970
or what are the long-term monitoring evaluation activities, regardless of which decision is

954
01:13:55,970 --> 01:14:00,610
made moving forward, that are planned by the Council or by the hospital administration

955
01:14:00,610 --> 01:14:06,130
to assess the impact of whatever this decision is, and how will those findings be addressed

956
01:14:06,130 --> 01:14:07,630
moving forward and looking forward?

957
01:14:08,290 --> 01:14:09,630
So, thank you for your time.

958
01:14:10,370 --> 01:14:11,010
Thank you, ma'am.

959
01:14:11,430 --> 01:14:11,950
Appreciate it.

960
01:14:12,530 --> 01:14:14,850
Next person I have is Susie Tuttle.

961
01:14:19,630 --> 01:14:20,250
Good evening.

962
01:14:20,890 --> 01:14:21,790
Good evening.

963
01:14:21,790 --> 01:14:28,850
Thank you for your time, so I'm here to, I'm Susie Taddle, I'm a nurse in the Redmond

964
01:14:28,850 --> 01:14:29,730
emergency room.

965
01:14:30,050 --> 01:14:31,730
I've worked at the hospital for 21 years.

966
01:14:32,850 --> 01:14:38,030
I don't have statistics, but what I do have is experience in our hospital.

967
01:14:38,750 --> 01:14:44,550
In the emergency room we're there to help traumas, heart attacks, strokes, cardiac arrest.

968
01:14:45,110 --> 01:14:49,410
When those types of things come in, they pull our resources, they take more than one nurse.

969
01:14:49,410 --> 01:14:55,490
We've had an increase in overdose and suicide attempts, mental health patients that require

970
01:14:55,490 --> 01:14:58,710
one-to-one monitoring, which also take from our resources.

971
01:14:58,710 --> 01:14:59,910
this way we have

972
01:15:00,000 --> 01:15:26,860
We've had an increase of people that don't vaccinate their children. So our concern is a mother coming in to deliver would also take more resources when we have experienced nurses to do that. It just puts more strain on our department, where we're already strained. Babies don't arrive, it's planned. And I don't know all the statistics of how many birds are born outside of the hospital.

973
01:15:26,860 --> 01:15:34,960
but I do know when things come in that we, oh my gosh, sorry, I had it all written out here,

974
01:15:35,340 --> 01:15:39,380
but we do the best we can. We take care of our community. We care about our community.

975
01:15:39,920 --> 01:15:43,660
We will take care of every single one of you when you come in and we are concerned about the

976
01:15:43,660 --> 01:15:49,240
resources and having it resources when somebody is having an emergency every minute counts.

977
01:15:50,820 --> 01:15:59,080
There is increased transport in EMS, the weather affects whether they transport or not.

978
01:15:59,560 --> 01:16:05,960
If somebody is in labor and actively delivering, they're not going to get flown by air link.

979
01:16:06,160 --> 01:16:10,380
But if their fetal distress, redmin ambulance may not be able to transport them

980
01:16:10,380 --> 01:16:13,880
because they don't have the proper equipment, so what will happen to that mom and baby?

981
01:16:14,960 --> 01:16:37,260
It's those unexpected things that we need to plan for, that's why we're there, that's what the police department does, that's what EMS does, that's what the emergency department does, that's what family, birth and center does, we prepare for the what ifs and what's going to come in, and it will be a big disservice to our community if we take that important factor of our hospital way.

982
01:16:38,180 --> 01:16:39,020
Thank you, ma'am.

983
01:16:39,240 --> 01:16:39,820
Thank you.

984
01:16:40,160 --> 01:16:40,980
Next, Ed.

985
01:16:41,280 --> 01:16:41,660
Fitch.

986
01:16:47,230 --> 01:16:48,630
Good evening, Mr. Fitch.

987
01:16:49,550 --> 01:16:49,850
Good evening.

988
01:16:51,410 --> 01:16:52,110
Thank you.

989
01:16:52,310 --> 01:16:54,930
And I appreciate the council's resolution.

990
01:16:54,970 --> 01:16:58,750
This is an issue that should be looked at by the entire community.

991
01:16:58,870 --> 01:17:00,910
I'm going to take a little different tacked on this.

992
01:17:02,990 --> 01:17:07,030
The hospital we have here in Reb and started out as central organ district hospital way back

993
01:17:07,030 --> 01:17:08,450
in the 1950s.

994
01:17:08,450 --> 01:17:12,730
I represented as their legal counsel from the late 80s to 2000.

995
01:17:13,510 --> 01:17:22,390
My partner, Ron Bryant, represented St. Charles from Genesis to about 2014, but so Ron and

996
01:17:22,390 --> 01:17:27,590
I have a lot of familiarity with the hospital systems, both the original CODH and St. Charles.

997
01:17:28,490 --> 01:17:32,930
And what I want to do is draw your attention because in 2000 those two hospitals joined

998
01:17:32,930 --> 01:17:40,190
and a merger. And that merger followed a couple years of collaboration between CODH and St. Charles,

999
01:17:40,970 --> 01:17:49,750
led by Nick Jim Lucere and Jim Degel. And in 2000, both boards of CODH and St. Charles agreed

1000
01:17:49,750 --> 01:17:58,430
to merge the two institutions into one, and that was at Cascade Health at that time. And they executed

1001
01:17:58,430 --> 01:18:05,590
agreement called an asset transfer agreement whereby the assets of CODH became part of St. Charles.

1002
01:18:06,310 --> 01:18:10,370
And it's important to go back to that agreement as to why that was done in the first place.

1003
01:18:11,090 --> 01:18:15,710
And if I could just take a couple minutes and tell you, the purpose of that whole agreement,

1004
01:18:16,010 --> 01:18:20,870
right in the agreement, was to enhance the public health and generate welfare of all the

1005
01:18:20,870 --> 01:18:26,990
inhabitants of residents within the district boundaries of CODH. It was to improve our healthcare,

1006
01:18:26,990 --> 01:18:32,150
not to detract from it. And CODH at that time included the city as well as some of the

1007
01:18:32,150 --> 01:18:37,450
outlying areas here. And so when you go through this agreement it constantly

1008
01:18:37,450 --> 01:18:44,670
talks about that the purposes agreement is to in exchange for the transfer of

1009
01:18:44,670 --> 01:18:48,730
of those assets was to improve the health care for all the citizens of this

1010
01:18:48,730 --> 01:18:54,570
Redmond area, the Redmond community. And in part of that agreement part of the

1011
01:18:54,570 --> 01:19:00,790
was is that the Rebend community would have a seat at the St. Charles board, not just

1012
01:19:00,790 --> 01:19:09,410
one seat, but three. And originally, Jerry Andress, Spike Biggers, and Jim Degel, as a CEO

1013
01:19:09,410 --> 01:19:17,070
was on the board. Dan Murphy was on a physician here in Rebend, so was Derek Palmer. But for

1014
01:19:17,070 --> 01:19:22,730
the last eight years, Rebend has had zero people on the St. Charles board. It has had no

1015
01:19:22,730 --> 01:19:30,870
voice, in any decision, I'm one of the most important assets of our community. So why

1016
01:19:30,870 --> 01:19:35,330
is Redmond on the chopping block? From my perspective, in large part, it's because

1017
01:19:35,330 --> 01:19:41,170
it does not have a voice at St. Charles, and it should have a voice. When this agreement

1018
01:19:41,170 --> 01:19:47,910
was formed, CODH District was probably comprised of about 20,000 people. Now we have probably

1019
01:19:47,910 --> 01:19:50,990
45 to 50,000 people who call Redmond home.

1020
01:19:51,710 --> 01:19:52,870
When you're not only look at the city,

1021
01:19:53,110 --> 01:19:54,330
you look at Crooked River Ranch,

1022
01:19:54,550 --> 01:19:56,670
Terabon, as mentioned, even Culver,

1023
01:19:57,590 --> 01:19:59,510
Eagle Cress, Palbutte,

1024
01:19:59,750 --> 01:20:01,610
all the rural residential areas around here

1025
01:20:01,610 --> 01:20:04,670
call Redmond home, and this is their hospital.

1026
01:20:05,410 --> 01:20:09,350
Yet we don't have any voice at St. Charles, zero.

1027
01:20:10,490 --> 01:20:13,590
Now, from my perspective, to make it short,

1028
01:20:14,050 --> 01:20:16,150
I think St. Charles should do one or two things.

1029
01:20:16,150 --> 01:20:22,070
Either appoint two people to the board from the Redmond community immediately so that you

1030
01:20:22,070 --> 01:20:25,090
have a voice in this decision-making process.

1031
01:20:25,490 --> 01:20:31,330
It is totally unfair that our decision is being made by a group of people who have no interest

1032
01:20:31,330 --> 01:20:33,110
or no tie to Redmond.

1033
01:20:33,550 --> 01:20:39,290
In fact, in the last four years, the St. Charles board has appointed three new members, one

1034
01:20:39,290 --> 01:20:45,150
One from Chicago, one from Portland, and one from South Dakota, no one from Redmond.

1035
01:20:46,190 --> 01:20:51,670
Redmond is being treated as a second-class citizen at St. Charles, and it has this stuff.

1036
01:20:52,490 --> 01:20:56,210
So I think they have to appoint people from Redmond on that board to help make a decision,

1037
01:20:56,850 --> 01:20:59,790
or on the alternative, give the hospital back to Redmond.

1038
01:21:00,390 --> 01:21:05,010
Because the way we're being treated right now is unfair, it's unconscionable.

1039
01:21:05,010 --> 01:21:09,230
this should never happen for all the clinical reasons why it puts people in

1040
01:21:09,830 --> 01:21:13,330
jeopardy it should never happen it should never come forward in the first place

1041
01:21:13,330 --> 01:21:18,470
and it's not the financial issue as a baby's being born here. St. Charles has a lot

1042
01:21:18,470 --> 01:21:32,980
of financial problems but it's not because of the baby's being born here is being

1043
01:21:32,980 --> 01:21:34,740
Madeleine Dresher, I believe.

1044
01:21:35,620 --> 01:21:36,700
I say that right.

1045
01:21:45,050 --> 01:21:45,490
Madeleine?

1046
01:21:45,750 --> 01:21:46,150
Good

1047
01:21:53,990 --> 01:21:54,390
evening.

1048
01:21:54,710 --> 01:21:56,770
Thank you so much for hearing me out.

1049
01:21:56,930 --> 01:22:00,070
My name is Madeleine Dresher, and I am a birth doula in Central Oregon.

1050
01:22:01,130 --> 01:22:08,070
And as a local birth doula, I get the privilege of being able to help families during one of the most important times in days of their lives.

1051
01:22:08,670 --> 01:22:17,330
I am with these women and their families through the most of their pregnancy, and so I get to hear what is important to them when they're giving birth to their children.

1052
01:22:18,210 --> 01:22:24,550
For some it's safety and for others it's experience and both of them are equally important.

1053
01:22:25,650 --> 01:22:30,530
I currently have two clients who have chosen to transfer care from Bend to the Redmond

1054
01:22:30,530 --> 01:22:36,890
Center because they felt that that choice was better for their family at the time.

1055
01:22:39,030 --> 01:22:44,430
One client was saddened when she heard her doctor tell her that she did not like it when

1056
01:22:44,430 --> 01:22:45,490
women labored too long.

1057
01:22:46,450 --> 01:22:48,110
And she's on her second pregnancy.

1058
01:22:49,370 --> 01:22:53,110
And this is coming from a mother who was rushed

1059
01:22:53,110 --> 01:22:55,130
and did not feel valued in her first pregnancy.

1060
01:22:56,110 --> 01:22:57,570
And now she's having her OB tell her

1061
01:22:57,570 --> 01:23:01,390
that she doesn't want her to go take too long in labor.

1062
01:23:01,750 --> 01:23:03,310
And from a physiological standpoint,

1063
01:23:03,670 --> 01:23:06,330
a woman who's rushed in labor is not going to birth well.

1064
01:23:07,450 --> 01:23:09,810
And so she chose to end her care and bend

1065
01:23:09,810 --> 01:23:12,310
and is now going to birth in Redmond next month.

1066
01:23:14,430 --> 01:23:18,130
So, birthing women need to feel safe and cared for when they're having their baby.

1067
01:23:20,550 --> 01:23:25,330
When they're put on a clock and expected to produce a baby, the outcomes aren't very

1068
01:23:25,330 --> 01:23:25,610
well.

1069
01:23:25,970 --> 01:23:26,610
They're not very good.

1070
01:23:29,090 --> 01:23:30,790
And it can inhibit, I'm sorry.

1071
01:23:31,430 --> 01:23:37,390
And one of the proposed things is in the Ben Center, moving women from birthing in one room

1072
01:23:37,390 --> 01:23:41,190
and staying in that room till they leave to going from birth rooms and then postpartum

1073
01:23:41,190 --> 01:23:46,390
rooms, moving a freshly postpartum mom from one room to another is hard on bonding of

1074
01:23:46,390 --> 01:23:51,410
her and her baby and is hard on a freshly postpartum body where that mom needs to be sitting

1075
01:23:51,410 --> 01:23:56,410
down, laying down so that her body can heal, not gathering stuff and going up to another

1076
01:23:56,410 --> 01:23:57,350
floor in a hospital.

1077
01:24:01,350 --> 01:24:04,870
And there are certainly months where labor and births are down.

1078
01:24:05,610 --> 01:24:11,670
January, February, early spring months are not very high but August, September, October

1079
01:24:11,670 --> 01:24:14,290
are very, very high months for births to happen.

1080
01:24:14,590 --> 01:24:16,110
I call those the holiday babies.

1081
01:24:17,870 --> 01:24:22,930
And in Bend currently, during those months, the OBs are running.

1082
01:24:23,090 --> 01:24:24,190
They are full.

1083
01:24:24,690 --> 01:24:27,970
I have heard of women having babies in the triage room waiting for rooms.

1084
01:24:28,430 --> 01:24:32,610
Women who are an early labor, getting sent home because they just don't have the space.

1085
01:24:33,230 --> 01:24:39,130
And so this is only going to increase if we take away the Redmond Center and then put all those those women

1086
01:24:40,130 --> 01:24:43,590
From Redmond to band. There's going to be no rooms and it's going to be

1087
01:24:44,270 --> 01:24:44,830
very

1088
01:24:45,530 --> 01:24:48,930
drastic on those women's experience on the safety of the babies

1089
01:24:49,670 --> 01:24:50,530
And so

1090
01:24:51,210 --> 01:24:55,570
Redmond offers something different and it's a very valuable option in our community

1091
01:24:56,330 --> 01:25:02,130
Taking that choice away would adversely affect current and potential residents in our community

1092
01:25:03,330 --> 01:25:04,790
And thank you so much.

1093
01:25:05,250 --> 01:25:06,190
Thank you, ma'am.

1094
01:25:06,990 --> 01:25:08,470
Okay, that was all the cards I had.

1095
01:25:08,490 --> 01:25:11,070
Is there anyone else that was just to speak?

1096
01:25:13,480 --> 01:25:14,540
Okay, seeing them.

1097
01:25:14,880 --> 01:25:19,860
I will invite Mr. Adams and Mr. Laredo back up here, please.

1098
01:25:20,600 --> 01:25:21,980
We may have some questions.

1099
01:25:25,670 --> 01:25:26,170
I know I do.

1100
01:25:34,920 --> 01:25:39,220
So anyone have questions other than myself, John?

1101
01:25:40,180 --> 01:25:40,680
Thank you very much.

1102
01:25:41,480 --> 01:25:42,860
Mr. Adams, I just had a couple of questions

1103
01:25:42,860 --> 01:25:45,980
that to clarify what you said so I can have a better understanding of this.

1104
01:25:46,620 --> 01:25:50,860
You mentioned that there were three proposals currently being considered by the Board of Directors.

1105
01:25:50,860 --> 01:25:56,400
You outlined one of those proposals. Can you outline all three of them for us just briefly

1106
01:25:56,400 --> 01:26:01,520
so that everyone in attendance can hear what those are? And then can you identify any of those proposals

1107
01:26:01,520 --> 01:26:04,940
allow for the Family Bursing Center to remain open in Redmond?

1108
01:26:05,380 --> 01:26:09,560
Yeah, the answer to that is yes and I can certainly share the details of those. So I share the first.

1109
01:26:09,560 --> 01:26:19,060
first. The second was to continue with services as it exists today and to make an investment

1110
01:26:19,060 --> 01:26:24,200
in trying to move a low risk burst to Redmond. So doing marketing and other things to

1111
01:26:24,200 --> 01:26:29,620
try to encourage mothers to bring more business to Redmond as a low risk birthing center.

1112
01:26:30,060 --> 01:26:34,820
So that's part of the second proposal. It also includes some of the enhancements that

1113
01:26:34,820 --> 01:26:39,060
we talked about in proposal number one. So that is the second option or the second

1114
01:26:39,060 --> 01:26:47,960
proposal that's being shared. The third is a proposal to both close not only the family

1115
01:26:47,960 --> 01:26:52,220
birthings or the third is to not only close the family birthing center from an inpatient

1116
01:26:52,220 --> 01:26:57,240
perspective but also to reduce the clinic services that exist in Redmond today. Again,

1117
01:26:57,460 --> 01:27:01,720
the savings associated with that would be invested in the enhancement of services at

1118
01:27:01,720 --> 01:27:06,980
Madras and Bend. That was the third proposal. Can I make one comment?

1119
01:27:08,540 --> 01:27:14,560
So I just... I recently came to St. Charles this last year and one of the reasons why I came

1120
01:27:14,560 --> 01:27:18,800
is when I had a chance to meet so many of the caregivers that work here. They were really committed

1121
01:27:18,800 --> 01:27:23,040
to their community, they really committed to the hospital and it was just so moving when I came up

1122
01:27:23,040 --> 01:27:27,780
for my initial visits. I wanted to be part of it. I just want to say how proud I am of everybody

1123
01:27:27,780 --> 01:27:31,880
everybody that came out here and spoke passionately about the work that they're doing at St.

1124
01:27:32,060 --> 01:27:33,580
Charles and the Family Berthing Center.

1125
01:27:34,240 --> 01:27:38,440
And none of this decisions or proposals reflect on the services that they've been providing.

1126
01:27:38,900 --> 01:27:44,860
They do great work and they care a lot about their community and I'm just proud to work

1127
01:27:44,860 --> 01:27:45,180
with them.

1128
01:27:45,680 --> 01:27:47,880
Emily Bonnie's over there who I just adore and lunch.

1129
01:27:48,000 --> 01:27:49,760
She makes me smile every time that I see her.

1130
01:27:51,020 --> 01:27:54,240
So I just wanted to mention that and you did a great job up here.

1131
01:27:55,200 --> 01:27:59,420
So for further clarification, when you talk about reducing clinic services, are those

1132
01:27:59,420 --> 01:28:03,860
specifically OBGYN and other women's services or what clinic services are you talking

1133
01:28:03,860 --> 01:28:04,340
about reducing?

1134
01:28:04,520 --> 01:28:07,160
Yeah, so I'd ask maybe Dr. Newman to share a little bit of that.

1135
01:28:07,320 --> 01:28:11,560
They did a lot more of the person out of the details with proposal number three and I don't

1136
01:28:11,560 --> 01:28:14,180
know if Dr. Newman can share a little bit about some of the specifics.

1137
01:28:14,860 --> 01:28:18,840
Yeah, I think when you're talking about the decreasing clinic services, you're talking about

1138
01:28:18,840 --> 01:28:19,580
the third proposal.

1139
01:28:19,960 --> 01:28:20,100
Yes.

1140
01:28:20,100 --> 01:28:23,260
I'm just using Mr. Adams' language to try to get clarification.

1141
01:28:23,600 --> 01:28:29,200
Yeah, the task force felt very strongly that this was not a viable proposal, that the

1142
01:28:29,710 --> 01:28:34,880
clinic services needed not only to remain, but need to be enhanced in redmond no matter

1143
01:28:34,880 --> 01:28:35,480
what happens.

1144
01:28:35,840 --> 01:28:41,300
So, although that was one of the three finalists, so to speak, it's not one that we considered

1145
01:28:41,300 --> 01:28:42,580
to be a viable proposal.

1146
01:28:43,420 --> 01:28:47,320
So if I have that correctly, I've heard you say there's three proposals going into the

1147
01:28:47,320 --> 01:28:47,560
board.

1148
01:28:47,560 --> 01:28:50,260
and now you're saying there's one non-viable proposal.

1149
01:28:50,520 --> 01:28:52,140
So can I get some clarity on that, please?

1150
01:28:52,320 --> 01:28:53,940
Yes, so we shared what we thought the merits

1151
01:28:53,940 --> 01:28:56,320
of those proposals were, the ones that we thought

1152
01:28:56,320 --> 01:29:00,380
had the best chance of meeting the goals

1153
01:29:00,380 --> 01:29:01,740
of improving quality and safety

1154
01:29:01,740 --> 01:29:03,820
and making our services more affordable.

1155
01:29:04,500 --> 01:29:06,480
So when we looked at the 14 various scenarios,

1156
01:29:07,380 --> 01:29:08,600
those were really the top three.

1157
01:29:08,780 --> 01:29:10,460
But part of the communication is also

1158
01:29:10,460 --> 01:29:13,260
to share the merits of those, if that makes sense.

1159
01:29:13,440 --> 01:29:16,000
And so the group felt that even though out of the 14,

1160
01:29:16,000 --> 01:29:20,860
that was one of the top three, it wasn't as viable as the others if that makes sense.

1161
01:29:22,220 --> 01:29:27,800
So keep in mind, we weren't asked to make a decision, we were asked to provide information

1162
01:29:27,800 --> 01:29:31,600
to the board to make decisions and so that's what the group did.

1163
01:29:31,840 --> 01:29:34,200
I'm entirely clear on that. I'm just trying to understand.

1164
01:29:35,220 --> 01:29:39,100
The board received three proposals, correct? Or real?

1165
01:29:39,600 --> 01:29:43,820
Where received three proposals? One of which, that you're describing currently

1166
01:29:43,820 --> 01:29:46,660
of the three proposals is not a non-viable proposal.

1167
01:29:46,920 --> 01:29:50,300
We didn't think it met the full qualifications of the goal.

1168
01:29:50,640 --> 01:29:53,760
Okay, so there's two proposals that might be viable.

1169
01:29:54,940 --> 01:29:59,140
And if I heard you correctly, neither one of those reduces services to women.

1170
01:29:59,480 --> 01:29:59,880
That's correct.

1171
01:30:00,000 --> 01:30:24,580
And in Redmond, that's correct. And option one closes the birthing center and option two leaves it over. That's correct. Okay. Thank you. I appreciate the clarification, but low risk women, all. Which is consistent with today. So that makes sense. Anyone else? I have a few. Okay. What?

1172
01:30:26,910 --> 01:30:27,430
Either.

1173
01:30:29,650 --> 01:30:31,670
I'm wondering how many Redmond

1174
01:30:31,670 --> 01:30:35,230
and people were represented on the focus group.

1175
01:30:35,490 --> 01:30:37,070
Six out of 20.

1176
01:30:37,230 --> 01:30:37,770
Out of 20.

1177
01:30:38,170 --> 01:30:42,550
Okay, and then we heard Mr. Fitch allude

1178
01:30:42,550 --> 01:30:46,910
to know Redmond residents being members of the board.

1179
01:30:46,910 --> 01:30:47,390
Is that true?

1180
01:30:48,330 --> 01:30:49,250
I don't know the fact.

1181
01:30:49,330 --> 01:30:51,530
I don't know where the conversation all board lived.

1182
01:30:51,630 --> 01:30:53,150
Can you get a clarification for?

1183
01:30:53,270 --> 01:30:55,390
I can, I guess I could find that out.

1184
01:30:57,810 --> 01:31:00,290
I guess one thing I do know,

1185
01:31:00,290 --> 01:31:05,410
We recently did a study on demographics in Redmond and we found the median age in Redmond

1186
01:31:05,410 --> 01:31:15,030
is 34, which is right in the middle of this time when I think women are having babies.

1187
01:31:15,270 --> 01:31:22,070
I mean, as I understand the ages have gone up and I'm not talking about me now.

1188
01:31:23,770 --> 01:31:29,190
The other thing I was wondering about, and we heard some reference to it when the

1189
01:31:29,190 --> 01:31:38,610
sinners fall. How often does that happen? I mean, 40% average is fine, but as a woman

1190
01:31:38,610 --> 01:31:44,250
said to me the other day, babies aren't born on average. They're born either full moon

1191
01:31:44,250 --> 01:31:48,370
and some of these other things. And then we just heard certain times of the year as well.

1192
01:31:48,370 --> 01:31:53,470
So, how often do we see the birthing centers full?

1193
01:31:53,870 --> 01:32:01,570
In 2017, there were 12 instances of the unit going on diversion, 12 out of a year, 365 days.

1194
01:32:01,910 --> 01:32:05,930
Okay. All right, thank you. Anyone else have any questions?

1195
01:32:06,510 --> 01:32:12,170
I'd like to add that most recently, Redmond was full last week. We literally had one room open.

1196
01:32:12,170 --> 01:32:16,970
So we have about 12 rooms that we can house patients in.

1197
01:32:17,210 --> 01:32:20,130
We have six rooms that are designated delivery rooms,

1198
01:32:20,250 --> 01:32:21,570
but we can deliver in all of them.

1199
01:32:21,990 --> 01:32:23,850
And we literally had one room open.

1200
01:32:24,630 --> 01:32:25,770
And that was just last week.

1201
01:32:26,110 --> 01:32:29,690
And we were bursting at the seams with patients, new babies,

1202
01:32:30,910 --> 01:32:34,990
and had all of our nurses just sort of running the halls

1203
01:32:34,990 --> 01:32:36,750
and caring for everybody as best as we could.

1204
01:32:37,110 --> 01:32:39,650
And many of those nurses that were there that day are here in the back.

1205
01:32:39,650 --> 01:32:42,590
Oh, okay. Good. Well, thank you all for what you do.

1206
01:32:43,410 --> 01:32:48,690
I don't want to. Yeah, I think that the bigger picture is this ebbs and flows,

1207
01:32:48,690 --> 01:32:53,610
and the plan, at least the one that is creating so much of the concern,

1208
01:32:53,950 --> 01:32:59,670
is that volume could be absorbed at bend and mattress in the future.

1209
01:32:59,970 --> 01:33:03,690
So, for instance, this week I believe in the last four days we've had one inpatient.

1210
01:33:04,230 --> 01:33:05,990
It's several days where we had zero inpatient.

1211
01:33:05,990 --> 01:33:10,530
And we're providing, you know, several staff, several physicians,

1212
01:33:10,530 --> 01:33:14,870
chargers. So it's very expensive. I think the bigger picture is is that I think

1213
01:33:14,870 --> 01:33:19,670
what we're telling you with the services today, they're 60% underutilized.

1214
01:33:19,830 --> 01:33:24,350
We're paying for 60% more capacity. We're providing 60% more capacity than

1215
01:33:24,350 --> 01:33:27,930
the community. Shut down, part of Ben. Can you? Well, that was one of the options

1216
01:33:27,930 --> 01:33:32,930
that was considered, but nowhere else could absorb the volume, right? So does

1217
01:33:32,930 --> 01:33:33,450
Does that make sense?

1218
01:33:33,670 --> 01:33:35,630
It would have been a $40 million investment.

1219
01:33:35,910 --> 01:33:40,370
I mean, that's a bit snarky, but still, you know, I mean, all right, go ahead.

1220
01:33:40,530 --> 01:33:47,590
So as it relates to the volume, I've had nurses who are constituents talk to me about

1221
01:33:47,590 --> 01:33:51,910
what they call red bed status, I'm assuming that means they're all full.

1222
01:33:52,450 --> 01:33:55,230
Maybe they entered the diversion status that you mentioned.

1223
01:33:56,910 --> 01:34:01,750
Given this change and the numbers that you have at your disposal, how often do you anticipate

1224
01:34:01,750 --> 01:34:05,910
that you will enter that status and bend if you close the Redmond Center.

1225
01:34:07,010 --> 01:34:12,450
So I believe that the combined capacity would put bend at roughly 62% utilization.

1226
01:34:13,210 --> 01:34:15,690
The days that would be in max capacity, do you recall that?

1227
01:34:15,930 --> 01:34:16,810
I don't remember.

1228
01:34:17,970 --> 01:34:23,410
So I think we need to, I'm sorry, and you're going to have to introduce yourself.

1229
01:34:23,630 --> 01:34:23,830
Sorry.

1230
01:34:26,780 --> 01:34:28,580
You're welcome to offer some clarification.

1231
01:34:29,200 --> 01:34:33,400
I'm Tori Bernier and I'm director of Women's and Children's Services and I serve Redmond

1232
01:34:33,400 --> 01:34:40,280
Madras and Ben. So, when we have been talking about red status, we're talking about it most

1233
01:34:40,280 --> 01:34:45,580
of the time, not for bed status in any of the facilities. There's a few times in red

1234
01:34:45,580 --> 01:34:51,720
men that we're full, but it's related to staffing nurses. So, we staff at an average daily

1235
01:34:51,720 --> 01:34:57,280
census because of our up and down population, and then we have to have some relief people

1236
01:34:57,280 --> 01:35:03,600
and some additional staff on hand and we also have enhancements for nurses to come in

1237
01:35:03,600 --> 01:35:09,000
on their day off because we asked them to do that sometimes. So when we're talking about

1238
01:35:09,000 --> 01:35:16,480
the red status many times aside from very few, are we talking about it being about not enough

1239
01:35:16,480 --> 01:35:25,300
beds? We're talking about not enough staff. And can you address then how this change impacts that?

1240
01:35:25,300 --> 01:35:25,980
I can.

1241
01:35:26,340 --> 01:35:30,780
So, again, when average daily census goes up in a hospital, then you would adjust your

1242
01:35:30,780 --> 01:35:31,600
staff to that.

1243
01:35:32,060 --> 01:35:37,360
So we would increase the staff at any of the campuses as we see the volumes go up.

1244
01:35:37,960 --> 01:35:43,180
Is it fair to say that right now there's a staffing issue in Bend?

1245
01:35:43,860 --> 01:35:46,140
So I'll say yes and no.

1246
01:35:46,560 --> 01:35:49,280
We have a balance that we have to keep.

1247
01:35:49,680 --> 01:35:53,620
If we have too much staff during the feast time, that's great.

1248
01:35:53,620 --> 01:35:56,900
but during the famine time, those nurses lose their wages.

1249
01:35:57,500 --> 01:35:58,700
They're not able to come to work.

1250
01:35:59,060 --> 01:36:01,940
They have to use their ETO or paid time off,

1251
01:36:01,940 --> 01:36:02,940
whatever you'd like to call it.

1252
01:36:03,580 --> 01:36:05,160
And so there's a balance that we strike.

1253
01:36:05,780 --> 01:36:06,700
And nurses have the right.

1254
01:36:06,760 --> 01:36:10,460
If they have too much PTO, we say that we have to actually

1255
01:36:10,460 --> 01:36:11,660
down staff on a unit.

1256
01:36:11,720 --> 01:36:13,100
And that has happened a few times.

1257
01:36:13,540 --> 01:36:16,920
But our volatile nature of our job, which is wonderful,

1258
01:36:17,120 --> 01:36:18,220
that we bring these in.

1259
01:36:18,320 --> 01:36:19,980
And again, they don't come in on time.

1260
01:36:19,980 --> 01:36:21,260
They come when they want.

1261
01:36:21,260 --> 01:36:27,600
We have to staff for all of that so it's a balance and we try to balance it with the needs of our nurses

1262
01:36:27,600 --> 01:36:28,880
but also the needs of our patients

1263
01:36:29,680 --> 01:36:36,480
And another question and regarding staffing it's my understanding that there's 29 to 34

1264
01:36:37,360 --> 01:36:42,380
people that are directly or some I directly employed by the family birthing center here in Redmond

1265
01:36:43,080 --> 01:36:47,700
Were you to close that center? What is the plan for those Redmond employees?

1266
01:36:47,700 --> 01:36:53,160
So in Redmond, any of the existing positions, you know, we work with the union and with HR

1267
01:36:53,160 --> 01:36:57,940
to make sure that if they chose to get trained in other places to stay in the community,

1268
01:36:57,940 --> 01:37:02,280
we've heard from people they love the community, and I love this community I live here.

1269
01:37:02,760 --> 01:37:03,800
I chose to live here.

1270
01:37:04,620 --> 01:37:10,980
So we would work with them to see what they wanted to do if they wanted to retrain, and we've

1271
01:37:10,980 --> 01:37:16,040
talked a lot about that, but if they also wanted to go on to Bend, we would also work with

1272
01:37:16,040 --> 01:37:21,520
them to go there, or to Madras, or to the clinics, we have made that promise to them

1273
01:37:21,520 --> 01:37:22,760
that they won't lose employment.

1274
01:37:23,860 --> 01:37:24,420
Thank you.

1275
01:37:24,960 --> 01:37:27,100
But no guarantee they'll stay as.

1276
01:37:27,100 --> 01:37:27,720
That's up to them.

1277
01:37:28,740 --> 01:37:29,440
It's up to them.

1278
01:37:29,440 --> 01:37:29,980
It's up to them.

1279
01:37:30,160 --> 01:37:30,500
It's hard.

1280
01:37:31,220 --> 01:37:33,600
I've been a labor and delivery nurse for 28 years.

1281
01:37:33,740 --> 01:37:35,420
I'm certified and inpatient obstetrics.

1282
01:37:35,780 --> 01:37:37,300
It's hard to not do this.

1283
01:37:37,700 --> 01:37:43,020
I don't know what I'll do when I'm done being a nurse and can't be around the people who deliver

1284
01:37:43,020 --> 01:37:43,740
these services.

1285
01:37:44,340 --> 01:37:49,200
I don't know any OB nurse that doesn't get gooey eyed and when you find out someone's

1286
01:37:49,200 --> 01:37:51,000
pregnant or that they just had a baby.

1287
01:37:51,700 --> 01:37:57,800
So I feel really badly and all 20 members on our task force feel incredibly horrible

1288
01:37:58,300 --> 01:38:04,060
that this was the path that was the best out of all of the 14 choices.

1289
01:38:04,920 --> 01:38:05,900
Thank you.

1290
01:38:06,600 --> 01:38:07,480
Anyone else?

1291
01:38:07,840 --> 01:38:09,080
Can I just add something?

1292
01:38:09,540 --> 01:38:09,920
Sure.

1293
01:38:10,000 --> 01:38:10,200
Please.

1294
01:38:12,200 --> 01:38:17,080
So, you know, you did mention, and some of us have talked about that there are 29 to 34 nurses.

1295
01:38:17,880 --> 01:38:23,760
And St. Charles has said that they are not going to involuntarily lay anyone off or anything like that.

1296
01:38:23,820 --> 01:38:28,940
But they are only required to find jobs and for the nurses who actually have positions,

1297
01:38:28,940 --> 01:38:34,520
which means that if you're a relief nurse or you are a seasonal relief nurse, that does not apply to you.

1298
01:38:35,400 --> 01:38:41,460
So, on the note of jobs and the possibility of retraining staff, would they be retrained

1299
01:38:41,460 --> 01:38:48,320
at positions that would be equal to their current level of pay or would they reassign possibly

1300
01:38:48,320 --> 01:38:49,680
to lower paying jobs?

1301
01:38:51,020 --> 01:38:56,460
So, that's hard to – if it was perhaps a clinic that there was our lower paying jobs,

1302
01:38:56,600 --> 01:38:59,320
and again, that would be their choice to seek that.

1303
01:39:00,040 --> 01:39:03,860
Other jobs, in some instances, they're higher paying jobs.

1304
01:39:03,860 --> 01:39:13,320
So, ones that have call responsibilities like the OR, those are higher paying positions generally.

1305
01:39:13,400 --> 01:39:16,160
Is there any risk of loss of seniority in that process?

1306
01:39:16,700 --> 01:39:17,260
There could be.

1307
01:39:17,520 --> 01:39:18,440
There are two unions.

1308
01:39:18,440 --> 01:39:20,140
I'm just going to speak really frankly.

1309
01:39:20,320 --> 01:39:21,760
There are two unions that are involved.

1310
01:39:21,960 --> 01:39:28,260
There's ONA here in Redmond, and then there's one in Bend, and unfortunately they're not

1311
01:39:28,260 --> 01:39:28,740
the same.

1312
01:39:28,740 --> 01:39:34,760
So there is a risk that if a nurse went and she doesn't and she doesn't have seniority in bed

1313
01:39:34,760 --> 01:39:38,060
She would start seeing already over there and in in bend

1314
01:39:38,580 --> 01:39:39,700
Okay, thank you

1315
01:39:41,860 --> 01:39:45,840
Okay, so the process now

1316
01:39:46,900 --> 01:39:51,400
Looks like we're done with questioning so we can make can I just make one of the comments so I

1317
01:39:51,400 --> 01:39:59,820
So certainly healthcare is difficult right and these are not fun decisions to have to make

1318
01:39:59,820 --> 01:40:01,840
They have impact on people's lives and

1319
01:40:01,840 --> 01:40:05,640
And people that we care about and people that have done really great work on behalf of

1320
01:40:05,640 --> 01:40:08,440
the community and it's they're not easy decisions to make.

1321
01:40:09,800 --> 01:40:15,000
I think that when you have clinical leaders in the community sharing that they believe

1322
01:40:15,000 --> 01:40:23,540
that we can improve quality and safety and still provide access to services, that we can have

1323
01:40:23,540 --> 01:40:25,920
savings that can make healthcare more affordable.

1324
01:40:27,260 --> 01:40:31,060
And keep in mind this isn't a corporation that has shareholders, we don't get dividends

1325
01:40:31,060 --> 01:40:32,360
that we don't get to keep this money.

1326
01:40:32,500 --> 01:40:35,060
This money is reinvested back in the community.

1327
01:40:35,420 --> 01:40:39,580
So I know many folks feel that this is a takeaway,

1328
01:40:40,380 --> 01:40:42,680
but in some ways it's a game, right?

1329
01:40:42,920 --> 01:40:45,740
So some of that money has an opportunity to serve areas

1330
01:40:45,740 --> 01:40:48,840
where we're underserved, suicide prevention,

1331
01:40:49,080 --> 01:40:50,080
behavior health issues.

1332
01:40:51,020 --> 01:40:53,840
So I know we're concerned about a takeaway of services,

1333
01:40:54,180 --> 01:40:57,900
but the bigger picture in my mind is that we are

1334
01:40:57,900 --> 01:41:07,120
We have 60% capacity that's underutilized, and we have a number of services that we're not providing at all in the community that require funding and attention.

1335
01:41:08,000 --> 01:41:10,900
We have other caregivers, housekeepers,

1336
01:41:11,800 --> 01:41:19,840
dietitians, certified nursing assistants who are struggling to keep pace with the changes in living cost of living here in this community.

1337
01:41:20,180 --> 01:41:26,640
And we have a commitment to them to try to keep their salaries current so that they can have a living wage and have a nice life in the community.

1338
01:41:26,640 --> 01:41:33,380
So when I think about this, this is just part of a much bigger puzzle that the health system has to face.

1339
01:41:34,100 --> 01:41:40,740
We need to think about the areas that aren't served as well. We have to think about the needs of all of our caregivers in that process.

1340
01:41:41,460 --> 01:41:47,000
And so I think it was responsible for the group to make this proposal is the board going to want to do it.

1341
01:41:47,080 --> 01:41:50,280
But I think we had an obligation to make it visible to the board for consideration.

1342
01:41:51,320 --> 01:41:57,680
Again, there's elements that are very difficult in that, but I do hope that this actually turns out to be a benefit to the community.

1343
01:41:59,180 --> 01:42:04,240
What's terrifying to me is the board has no Redmond representation on it. That's not a good thing.

1344
01:42:05,800 --> 01:42:07,960
So a question on that go.

1345
01:42:08,160 --> 01:42:18,040
So given the nature of this decision, when is the board meeting held? Is it open for public comment?

1346
01:42:18,040 --> 01:42:23,420
When will the decision be rendered and what kind of time frame would such a decision take place?

1347
01:42:23,980 --> 01:42:29,520
I can share with you what was shared with me, so I know the proposals are being shared with the board this week, later this week.

1348
01:42:30,140 --> 01:42:34,880
It's not customary for the board to make a decision when information is first presented.

1349
01:42:35,500 --> 01:42:39,540
My guess is, historically, there's been direction or feedback that's been provided

1350
01:42:39,540 --> 01:42:44,700
and usually then a deeper discussion and decisions are made in the subsequent board meeting.

1351
01:42:45,500 --> 01:42:48,400
That's not guaranteed to happen. That would put the time frame in December.

1352
01:42:49,440 --> 01:42:53,980
That's not guaranteed to occur. We don't know exactly what the board's going to communicate back to us.

1353
01:42:54,720 --> 01:42:58,160
But that's been their traditional pattern. And that's what's been shared with me.

1354
01:42:59,120 --> 01:43:00,120
And are they open?

1355
01:43:01,040 --> 01:43:01,940
It's not open.

1356
01:43:03,600 --> 01:43:04,820
Okay. Thank you.

1357
01:43:05,900 --> 01:43:09,260
Okay. So, I have a motion.

1358
01:43:11,290 --> 01:43:12,970
I have a comment before we take motions.

1359
01:43:12,970 --> 01:43:15,670
Well, I think I'm going to do deliberation in comments.

1360
01:43:15,670 --> 01:43:17,170
Okay, so however you want to proceed.

1361
01:43:17,490 --> 01:43:20,470
Yeah, I know the councilor McPherson had something she wanted to say as well.

1362
01:43:21,270 --> 01:43:22,590
Will that affect the motion?

1363
01:43:23,430 --> 01:43:23,690
Okay.

1364
01:43:24,450 --> 01:43:25,230
Okay, thanks.

1365
01:43:29,070 --> 01:43:37,910
I might have to approve Resolution 2018-27, the resolution of the City of Revving Council

1366
01:43:37,910 --> 01:43:44,110
encouraging St. Charles, Mattel, Sarah to keep critical sources, such as family

1367
01:43:44,110 --> 01:43:48,930
birthing, Sarah, and Reminorian. All right, it's been with us in a second.

1368
01:43:48,970 --> 01:43:54,890
Now, Jenny, comment, comment, comments. I appreciate the statistics and the

1369
01:43:54,890 --> 01:44:00,050
financial savings, because I think that that's very important for a hospital

1370
01:44:00,050 --> 01:44:06,330
who's such as yours. And I've had to frequent your hospital here in Redmond

1371
01:44:06,330 --> 01:44:17,170
several times, three grandchildren born in your system of hospitals. One was very, it was a

1372
01:44:17,170 --> 01:44:23,290
very touch-and-go situation so I totally understand that part of it and we're just not looking at

1373
01:44:23,290 --> 01:44:29,670
financial savings and we're not looking at statistics. We are looking at people and these people

1374
01:44:29,670 --> 01:44:34,470
just need to be served here in Redmond. It's important for them. I've been at numerous

1375
01:44:34,470 --> 01:44:46,190
in Redmond, I've had friends, I've had children, friends that have had their children here, and it's a wonderful facility, and it would break my heart to see it gone.

1376
01:44:46,650 --> 01:44:52,610
And I just think that we need to realize that Redmond is an important hospital.

1377
01:44:53,050 --> 01:44:59,950
It is not only important in Redmond, it is important in our region, and for us to close the Burthing Center would be a tragedy.

1378
01:45:00,000 --> 01:45:00,400
Let's have a seat.

1379
01:45:02,610 --> 01:45:02,950
Okay.

1380
01:45:06,140 --> 01:45:15,560
Well, I'm up for the CODH back in the 70s. My mom, we moved here because

1381
01:45:15,880 --> 01:45:23,360
my dad was born in this area, but also because they had a hot spill. My mom was an ER nurse

1382
01:45:23,360 --> 01:45:28,560
for 30 years. She started ER program at CODH.

1383
01:45:30,740 --> 01:45:35,700
We were here when CODH combined with St. Charles.

1384
01:45:36,760 --> 01:45:46,560
And I'd say I think St. Charles has done a good job for a long time in a lot of ways. But now,

1385
01:45:46,560 --> 01:45:53,060
kind of go the other route. I work in Madras where the guy whose wife had two children in the last

1386
01:45:53,060 --> 01:45:55,700
three years, he chose Redmond.

1387
01:45:58,200 --> 01:46:04,600
It's important to him. I think that, I

1388
01:46:07,190 --> 01:46:08,430
think any birding

1389
01:46:08,430 --> 01:46:15,810
standard of our word is in the face issues in current times. You talked about the birth rate going

1390
01:46:15,810 --> 01:46:19,350
now, I think all of them are going to face those issues.

1391
01:46:20,410 --> 01:46:29,550
So I also think that even though St. Charles is a business, and dollars make a difference.

1392
01:46:30,150 --> 01:46:45,790
Hopefully that doesn't drive this decision because a full service hospital with the

1393
01:46:45,790 --> 01:46:47,910
I struggle

1394
01:46:52,810 --> 01:46:55,830
to see the positives in this action.

1395
01:46:58,740 --> 01:47:08,080
You talk about the sources or potentially a cut, not as expensive sources or whatever in

1396
01:47:08,080 --> 01:47:08,780
this community.

1397
01:47:09,320 --> 01:47:12,920
If you take your birthing center out, you take your birthing center out.

1398
01:47:13,600 --> 01:47:17,240
And that's pretty loud statement.

1399
01:47:17,240 --> 01:47:21,680
And especially in the community that's growing as fast as we are.

1400
01:47:22,560 --> 01:47:28,840
We grew from, wow, out of here, we started here, it's 2,000 people, but I've lived here

1401
01:47:28,840 --> 01:47:29,500
a long time.

1402
01:47:30,320 --> 01:47:40,360
But in the last, we grew from 13 to 26,000, pretty darn fast, and we're slated to grow, maybe

1403
01:47:40,360 --> 01:47:45,680
not quite that fast, but grows substantially in the next 15 to 20 years.

1404
01:47:46,440 --> 01:47:53,820
And if you start cutting back on our hospital, that's not a good idea, I don't think.

1405
01:47:54,940 --> 01:47:55,580
Thanks, Jay.

1406
01:48:02,570 --> 01:48:04,710
I mean, I was around when that merger happened.

1407
01:48:05,090 --> 01:48:11,410
And I remember the promises that were made to enhance healthcare services to Redmond.

1408
01:48:12,090 --> 01:48:19,650
And as a counselor, I sit there and I think about the well-being of our community.

1409
01:48:19,650 --> 01:48:29,010
And I just, I can't get my head around any notion where removing the birthing center enhances the livability and well-being of our community.

1410
01:48:29,610 --> 01:48:33,910
So, I mean, I get that there's some financial issues going on.

1411
01:48:35,530 --> 01:48:42,410
But if I heard you write option number two included keeping the birthing center here and enhancing services.

1412
01:48:42,890 --> 01:48:48,470
As a citizen or a Redmond and a member of this community, I kind of lean towards option

1413
01:48:48,470 --> 01:48:49,070
number two.

1414
01:48:49,870 --> 01:48:51,830
I think

1415
01:48:57,200 --> 01:49:01,120
one of the most important roles we can fill in city council is to provide a

1416
01:49:01,120 --> 01:49:04,060
forum for public discourse about issues that are important to our community.

1417
01:49:04,840 --> 01:49:08,940
I think we've done so tonight and I just want to thank all of you who have been willing

1418
01:49:08,940 --> 01:49:15,740
to participate in this discussion, whether you're a citizen or representative, being here

1419
01:49:15,740 --> 01:49:19,220
and being a part of the discussion is an important part of what we do, and I think we make

1420
01:49:19,220 --> 01:49:22,680
our community stronger when we're willing to get together and have hard discussions.

1421
01:49:23,820 --> 01:49:30,120
That said, I know that one of the issues facing healthcare in our country right now is the

1422
01:49:30,120 --> 01:49:31,960
debate between access and affordability.

1423
01:49:32,540 --> 01:49:37,620
It's clear to me that St. Charles has taken a close look at the affordability issue on this,

1424
01:49:37,900 --> 01:49:43,740
and I believe is sincere in its efforts to try and find an affordable way in which to provide

1425
01:49:43,740 --> 01:49:50,020
better services for the citizens that it serves. I most certainly appreciate that. I believe

1426
01:49:50,020 --> 01:49:54,660
however, this is most definitely an issue of access. It's an issue of access for our

1427
01:49:54,660 --> 01:50:00,020
moms and our families. It's an act that's about access to women's health services and prioritizing

1428
01:50:00,020 --> 01:50:05,060
that as a community to say that's important to us. Now I respect that in any sort of reform

1429
01:50:05,060 --> 01:50:11,200
effort, it typically comes down to a debate between empirical data and anecdotal evidence.

1430
01:50:11,200 --> 01:50:17,920
And I think we sit here in that tragic gap right now between empirical data and anecdotal

1431
01:50:17,920 --> 01:50:18,320
evidence.

1432
01:50:19,060 --> 01:50:23,700
And what's clear to me is that there are times where, as someone who is trained as a researcher,

1433
01:50:24,360 --> 01:50:26,720
where I know what the empirical data says.

1434
01:50:27,700 --> 01:50:33,500
But the anecdotal evidence, the needs of the people, the needs of the community, can sometimes

1435
01:50:33,500 --> 01:50:34,580
outweigh that data.

1436
01:50:35,100 --> 01:50:39,680
And while that frustrates me as someone who's conducted educational research to say, wait,

1437
01:50:39,680 --> 01:50:46,540
we know this works better. But if the people that it serves don't want that. If they want

1438
01:50:46,540 --> 01:50:51,940
what they have, if they want to preserve the ability to have a baby in Redmond, to have

1439
01:50:51,940 --> 01:50:56,860
their family drive five minutes to meet that baby, I think that's something that our council

1440
01:50:56,860 --> 01:51:04,080
has to stand for. I think this is really about what we want Redmond to look like, what we

1441
01:51:04,080 --> 01:51:09,600
want Redmond to feel like, and while I respect St. Charles' need to make decisions, our resolution

1442
01:51:09,600 --> 01:51:12,940
is not binding, St. Charles is free to make the decisions they see fit.

1443
01:51:13,680 --> 01:51:17,440
But I think as community leaders it's imperative that we stand up for a community

1444
01:51:17,440 --> 01:51:21,180
and say we want a birthing center here. We want enhanced women's services here.

1445
01:51:21,680 --> 01:51:26,060
We want that even if the empirical evidence says we might be able to do it better some other way.

1446
01:51:27,020 --> 01:51:30,920
And I think it's important to hear. This is also about jobs.

1447
01:51:31,660 --> 01:51:35,720
It's about the potential that 29 to 34 people who have jobs here in Redmond

1448
01:51:36,600 --> 01:51:42,960
might not have jobs here in Redmond. We have to work to preserve and accent the availability of

1449
01:51:42,960 --> 01:51:50,540
family wage jobs here in Redmond, and I think that's an important part of this. And finally I'll end

1450
01:51:50,540 --> 01:51:51,520
with this idea.

1451
01:51:53,820 --> 01:51:59,760
I was a father who lost a child during childbirth. I was a father who spent time in

1452
01:51:59,760 --> 01:52:04,780
NICU's. In a previous life, I worked with the Children's Medical Network and raised millions of

1453
01:52:04,780 --> 01:52:07,400
dollars to support what happens in the NICU's.

1454
01:52:08,760 --> 01:52:13,220
I know the importance of this and I know the importance of being fiscally responsible

1455
01:52:13,220 --> 01:52:15,520
about it because I know how expensive it can get.

1456
01:52:16,800 --> 01:52:24,420
But I also know that if our community stands up and says, we're okay with this being 20%

1457
01:52:24,420 --> 01:52:28,560
higher than the state average because we want to have our babies here, we want our women

1458
01:52:28,560 --> 01:52:31,660
to have health services here, then I want that voice to be heard.

1459
01:52:31,660 --> 01:52:37,860
And I hope tonight's resolution, if it passes, is something that the board will hear Redmond

1460
01:52:37,860 --> 01:52:41,340
say, please keep our family birthing center here.

1461
01:52:42,160 --> 01:52:42,540
Thank you.

1462
01:52:43,320 --> 01:52:43,980
Thanks, John.

1463
01:52:49,410 --> 01:52:55,650
Well, I probably, most things that can be said have been said, so I'll be a bit brief.

1464
01:52:56,270 --> 01:53:04,190
I just want to say that you've heard a public outcry this evening from the community.

1465
01:53:05,470 --> 01:53:11,030
you've seen the sentiment that the community offers. I realize it puts you in a tough spot,

1466
01:53:11,550 --> 01:53:16,610
but the last thing I would say is putting a monkey on your back, that you're the president for

1467
01:53:16,610 --> 01:53:23,630
Redmond and Primeville, and I think you should also be a very strong advocate for Redmond and Primeville.

1468
01:53:27,720 --> 01:53:35,420
Any other comments? Okay. Seeing none, all those in favor of the motion signify by saying I?

1469
01:53:35,420 --> 01:53:35,500
Okay.

1470
01:53:36,160 --> 01:53:36,400
Okay.

1471
01:53:37,280 --> 01:53:37,960
Any opposed?

1472
01:53:38,260 --> 01:53:38,380
May?

1473
01:53:39,440 --> 01:53:39,600
Okay.

1474
01:53:39,640 --> 01:53:40,480
Motion passes.

1475
01:53:40,960 --> 01:53:42,420
Thank you.

1476
01:53:46,910 --> 01:53:47,430
Thank you.

1477
01:53:47,750 --> 01:53:49,170
So I will read the resolution.

1478
01:53:49,730 --> 01:53:54,570
A resolution of the Redmond City Council encouraging St. Charles Medical Center to keep critical

1479
01:53:54,570 --> 01:53:58,890
services such as the Family Berthing Center and Redmond Oregon, whereas St.

1480
01:53:59,030 --> 01:54:04,130
Charles Medical Center, otherwise known as SCMC, owns and operates the Redmond Family

1481
01:54:04,130 --> 01:54:09,510
birthing center at the Redmond Hospital. The center provides critical services to new

1482
01:54:09,510 --> 01:54:14,750
and expecting mothers, including prenatal classes, delivery and postpartum care. The city

1483
01:54:14,750 --> 01:54:21,350
of Redmond 510 babies were delivered at the facility in 2017. And whereas the center

1484
01:54:21,350 --> 01:54:28,230
currently employs 29 registered nurses, while SCMC assures that there will be no layoffs

1485
01:54:28,230 --> 01:54:33,190
should the center close, the bed matters for the center, do not currently have enough

1486
01:54:33,190 --> 01:54:36,770
open positions to absorb all 29 registered nurses.

1487
01:54:37,350 --> 01:54:42,590
And whereas the center provides critical care not only revenue resins, but many from surrounding

1488
01:54:42,590 --> 01:54:46,090
areas, including private, which does not have a birthing center.

1489
01:54:46,570 --> 01:54:52,170
And whereas the board of directors of St. Charles confirmed they were concerned the closure of

1490
01:54:52,170 --> 01:54:57,310
the center as a cost-saving measure, and whereas closing the center would result in a loss

1491
01:54:57,310 --> 01:55:01,910
of convenience and safety for hundreds of expecting mothers who would be required to drive

1492
01:55:01,910 --> 01:55:08,990
to Ben Hospital to deliver and whereas in 2006 St. Charles, which at such time was named

1493
01:55:08,990 --> 01:55:14,650
out Cascade Healthcare Community, considered closing the center, the Board of Directors

1494
01:55:14,650 --> 01:55:21,550
chose to keep it open, citing quote, an obligation to provide birthing services for the whole region

1495
01:55:22,750 --> 01:55:26,770
Now therefore be it resolved by the City of Redmond Oregon as follows.

1496
01:55:27,730 --> 01:55:33,170
The City of Redmond Oregon strongly encourages the St. Charles Medical Center Board of Directors

1497
01:55:33,170 --> 01:55:39,510
to keep the Redmond Berthings in our open and operational so as to provide crucial necessary

1498
01:55:39,510 --> 01:55:45,290
and quality services to Redmond residents adopted by the City Council and signed by the

1499
01:55:45,290 --> 01:55:48,510
Mayor this 23rd day of October 2018.

1500
01:55:48,510 --> 01:55:56,410
18. So thank you all very much for coming and attending and thank you Mr. Adams for sitting there and

1501
01:55:57,790 --> 01:56:03,390
Providing all the information. Thank you all and I'll take a very brief recess if those want to leave

1502
02:00:41,740 --> 02:00:44,440
Okay, we're going to reconvene, please.

1503
02:00:50,400 --> 02:00:50,600
Hello,

1504
02:00:56,120 --> 02:00:58,540
gee, we have something on GIS here.

1505
02:01:03,810 --> 02:01:09,110
Okay, GIS, software, enterprise, license agreement. And please, go ahead, Mark.

1506
02:01:11,630 --> 02:01:26,170
Mr. Mayor and Councillors, my name is Mark Chambers. I'm the GIS analyst here at City Reven, and we've got a public works. Tonight I'm here requesting approval of an extension of our small government enterprise license agreement.

1507
02:01:26,170 --> 02:01:33,490
for GIS software support maintenance with Environmental Systems Research Institute,

1508
02:01:33,710 --> 02:01:43,050
ESRI. This software agreement, this Enterprise License Agreement, provides for support maintenance,

1509
02:01:43,670 --> 02:01:49,930
our site license for desktop applications for GIS software, server and enterprise licenses,

1510
02:01:49,930 --> 02:02:19,910
And access to our ArcGIS online portal which we serve, it's out of the cloud where we serve our web applications are operational dashboards and mobile applications currently from the city in 2010 went from a per license software maintenance agreement to the enterprise license agreement due to the economic advantage of having that site license allowed us to further expand our GIS to what it is today.

1511
02:02:20,710 --> 02:02:27,950
overall cost for the three years is $105,000. That's $35,000 annually, which we

1512
02:02:27,950 --> 02:02:34,090
budgeted for in the 2018 and 2019 budget. Any questions?

1513
02:02:38,150 --> 02:02:39,910
I do have one mark. Is

1514
02:02:39,910 --> 02:02:53,090
this open source or proprietary? It's proprietary. It's out of the box, if you

1515
02:02:53,090 --> 02:03:02,610
Some of the integration between our financial package and our meter software to bring that in and integrate that with GIS.

1516
02:03:03,470 --> 02:03:05,390
Student and the citizens have access?

1517
02:03:06,010 --> 02:03:06,710
To the data.

1518
02:03:06,790 --> 02:03:10,830
To the data access through the, we do have the web applications.

1519
02:03:11,870 --> 02:03:20,790
And whereas we're moving on to what the operational dashboards, it's a very thin application providing information.

1520
02:03:20,790 --> 02:03:24,910
such as we're going to be moving the development applications

1521
02:03:26,790 --> 02:03:30,810
Web app into that dashboard environment. So the

1522
02:03:31,550 --> 02:03:38,050
The development community citizens the public does have access to a lot of the GIS data including you know

1523
02:03:38,050 --> 02:03:40,030
The public works data. There's really the

1524
02:03:41,430 --> 02:03:49,090
The original intent was to get the web applications for the development community so they could you know

1525
02:03:50,970 --> 02:03:52,790
provide self-service with that.

1526
02:03:52,950 --> 02:03:53,050
Okay.

1527
02:03:53,450 --> 02:03:53,610
Thanks.

1528
02:03:53,950 --> 02:03:54,110
Okay.

1529
02:03:54,710 --> 02:03:55,110
Yeah.

1530
02:03:55,250 --> 02:04:01,830
And down here, it says 10 hours or 10 days of training, $675 today.

1531
02:04:02,510 --> 02:04:05,790
Is that for just you or is that for...

1532
02:04:06,470 --> 02:04:07,530
In a sense, Siddha?

1533
02:04:08,150 --> 02:04:13,030
I'm not going to say ESRI on age 3, I think.

1534
02:04:13,130 --> 02:04:13,290
Oh.

1535
02:04:15,240 --> 02:04:16,780
On the quote, come on.

1536
02:04:17,040 --> 02:04:18,500
Has a hundred and five of them above.

1537
02:04:19,180 --> 02:04:20,580
Most of them are six thousand.

1538
02:04:20,580 --> 02:04:29,040
which I'm not too worried about the dollar, not what I was wondering was, is that training for several people that are only here?

1539
02:04:30,040 --> 02:04:42,640
There are many different types of training you can go on campus at some of the ESRI regional offices.

1540
02:04:42,640 --> 02:04:47,900
And I believe with what they're referring to here, there's an online campus that we

1541
02:04:47,900 --> 02:04:57,520
have access to, it provides a couple of hours and hours worth of online training courses

1542
02:04:57,960 --> 02:04:59,220
that they can work through.

1543
02:05:01,520 --> 02:05:08,800
And there is also three light, the three seats at the ESRI's users conference in San Diego

1544
02:05:08,800 --> 02:05:15,560
go every year that come with this contract. So this is not just for me, but anybody who

1545
02:05:15,560 --> 02:05:20,800
wants to take advantage of that. Yeah, absolutely. Yeah. Okay. Thank you.

1546
02:05:20,880 --> 02:05:26,740
Okay. I'm just curious what the, the, the pearl license fee was. I mean, at some point,

1547
02:05:26,820 --> 02:05:32,320
the enterprise makes sense and you get a tipping point along with some other ancillary benefits.

1548
02:05:32,320 --> 02:05:39,080
But in 2010, when we went to this license, the fee was just around $24,000.

1549
02:05:39,800 --> 02:05:43,700
And at that point, we were less than 25,000 in population.

1550
02:05:44,520 --> 02:05:47,860
That's how they tier their enterprise license agreements.

1551
02:05:48,780 --> 02:05:56,300
And so it was a 25,000 per year cost for the enterprise license agreement.

1552
02:05:56,420 --> 02:05:58,680
So it made perfectly good sense at that time.

1553
02:05:59,880 --> 02:06:08,560
And once we got that, we were able to implement, we were actually overextended our licenses at that time.

1554
02:06:08,700 --> 02:06:16,740
So we were able to come legitimate with our license agreement and extend out with a couple more of the server implementations and enterprise databases.

1555
02:06:17,640 --> 02:06:27,460
So we've expanded significantly and then with the advent of this ArcGIS online portal, which we use for our web applications and operations dashboards.

1556
02:06:27,460 --> 02:06:36,740
We've expanded further if we went back and we did a per license agreement today, we'd be far beyond the $35,000.

1557
02:06:37,240 --> 02:06:44,500
We did step up to $35,000 cost because now we're in that 25 to 50,000 population range.

1558
02:06:45,480 --> 02:06:52,640
And so if we kept our services current and we paid a per license agreement, we'd be far above that.

1559
02:06:52,640 --> 02:06:58,460
I had them do that analysis for us last time when they raised our rate and it was above

1560
02:06:58,460 --> 02:06:59,840
the $35,000.

1561
02:07:02,330 --> 02:07:02,750
Okay.

1562
02:07:03,210 --> 02:07:11,330
It's too bad you guys can't become an education, you know, K-12 education because we get

1563
02:07:11,330 --> 02:07:19,250
a lot cheaper than this, but, right, right, exactly, but, obviously, business is different.

1564
02:07:20,890 --> 02:07:26,510
Okay. Any other questions? Okay. Do I have a motion?

1565
02:07:28,590 --> 02:07:33,910
Can I move to approve the three-year extension for the small government enterprise license

1566
02:07:33,910 --> 02:07:38,030
agreements between the city of Redmond and environmental systems research institute

1567
02:07:38,030 --> 02:07:42,790
incorporated to provide GIS software and support and authorize the city manager to sign the

1568
02:07:42,790 --> 02:07:43,050
agreement?

1569
02:07:45,230 --> 02:07:47,670
We have a motion of secondary further discussion.

1570
02:07:48,950 --> 02:07:52,110
At some time, we need to do a demonstration.

1571
02:07:52,810 --> 02:07:52,930
Yes.

1572
02:07:53,350 --> 02:07:53,530
Okay.

1573
02:07:53,990 --> 02:08:00,210
We're coming along with something that I know a council has been interested in with our

1574
02:08:00,210 --> 02:08:05,310
winter maintenance and these operations dashboards so that something may be publicly facing.

1575
02:08:05,350 --> 02:08:09,790
Definitely, something that's going to be accessible operationally into the council for some of our

1576
02:08:09,790 --> 02:08:10,970
winter storms that are coming up.

1577
02:08:11,090 --> 02:08:12,190
And I think that's going to be something.

1578
02:08:12,190 --> 02:08:18,390
Okay. Good. Appreciate it. Yeah. Okay. Anything else? All right. All those in favor say aye.

1579
02:08:19,110 --> 02:08:24,910
Aye. Opposed May motion passes. Thanks. More going to again. Congratulations. Thank you. Thank you.

1580
02:08:24,910 --> 02:08:35,370
Okay. Next item we have is a public hearing ordinance 2018-11. An ordinance approving the triple red subdivision

1581
02:08:35,370 --> 02:08:40,730
request for amendment to the Comprehensive Plan to adopt the City of Redmond, a zoning

1582
02:08:40,730 --> 02:08:47,970
map from UH Tim, that is Urban Oldington, to our five-identity residential, to add 1.6

1583
02:08:47,970 --> 02:08:54,750
acre story property to the master development plan and modification to the master development

1584
02:08:54,750 --> 02:08:58,410
plan approval for a project at 4528.

1585
02:08:58,410 --> 02:09:09,310
Southwest 39th Street, the Shoots County Tax Lot 15133-0DD-06, 0-0-0, and Phase 3 tax

1586
02:09:09,310 --> 02:09:24,410
lot 151-133DD-05800 and tax lot 4 15133-0DD-05900 of the Triple Ridge subdivision Redmond

1587
02:09:24,410 --> 02:09:30,690
I'm going to organize 7756 and after all of that, you have a very short thing to say as

1588
02:09:30,690 --> 02:09:31,270
I understand.

1589
02:09:31,750 --> 02:09:32,010
I do.

1590
02:09:32,250 --> 02:09:36,210
The applicant has requested a continuance to a date certain.

1591
02:09:36,590 --> 02:09:39,810
We sent that information to you previously.

1592
02:09:40,350 --> 02:09:45,350
What we would typically do tonight is open the public hearing and then continue it if you

1593
02:09:45,350 --> 02:09:52,730
wish to that date certain which I believe is November 13th.

1594
02:09:52,730 --> 02:09:55,790
Let me, November 13th, excuse me.

1595
02:09:57,110 --> 02:09:58,550
Okay, is that it?

1596
02:09:59,530 --> 02:09:59,930
Yes.

1597
02:10:00,350 --> 02:10:00,590
Okay.

1598
02:10:02,730 --> 02:10:09,910
So, with your concurrence, I will open the public hearing and I will continue the public

1599
02:10:09,910 --> 02:10:13,570
hearing to November 13th, 2018.

1600
02:10:14,230 --> 02:10:14,390
All right.

1601
02:10:14,550 --> 02:10:14,910
Thanks, Deborah.

1602
02:10:16,550 --> 02:10:16,710
Okay.

1603
02:10:16,770 --> 02:10:19,890
Next item is ordinance 2018-12.

1604
02:10:19,890 --> 02:10:30,530
Well in ordinance amended section 8.0330 of the Redmond Development Code chapter 8 and I'll open the public hearing.

1605
02:10:31,670 --> 02:10:34,730
Thank you for the record Debra McMahon Planning Manager.

1606
02:10:35,190 --> 02:10:44,470
Before you tonight in this ordinance are some amendments to the Redmond Development Code to improve the language for exterior lighting.

1607
02:10:44,470 --> 02:11:13,950
There are a couple of reasons we want to smooth out the language and improve it and make it a little more modern, is that we've had a code enforcement issue that brought into our view how we could look at the lighting of various different types of buildings and we looked at this very carefully to make sure that residents, businesses and public entities can satisfactorily illuminate outdoor areas.

1608
02:11:13,950 --> 02:11:42,730
So in the language that you see in the code you'll see a lot of red text because that's new that provides the clarity and the flow but the most important thing I think you'll want to look at are the exemptions because our goal of course is to make sure that we have less light going straight up into the sky so we look at shielded and directed down but there are places where we want to have exemptions to allow people to do the opposite.

1609
02:11:42,730 --> 02:11:50,270
And it's really important of course from a safety standpoint to make sure that anything

1610
02:11:50,270 --> 02:11:57,150
within the public right of way for streets, roads and streetlights, night time construction,

1611
02:11:57,610 --> 02:12:04,610
all of those things need more flexibility than the typical standard, particularly lighting

1612
02:12:04,610 --> 02:12:11,890
for public facilities including but not limited to community monuments and building such as

1613
02:12:11,890 --> 02:12:17,330
city hall, public art, public parks, and public landscaping.

1614
02:12:17,710 --> 02:12:23,930
The municipal airport, the Sheets County Fairgrounds, public schools, except that we recommend

1615
02:12:23,930 --> 02:12:27,290
sport field lighting be turned off by 11 p.m.

1616
02:12:27,970 --> 02:12:34,050
And this entire recommendation came to you from the planning commission who had workshops

1617
02:12:34,370 --> 02:12:37,350
and the public hearing with the recommendation of approval.

1618
02:12:37,350 --> 02:12:44,010
other temporary lighting that is deserving of an exemption is listed for you, and then

1619
02:12:44,010 --> 02:12:51,290
some unusual ones that we've looked at in other community codes to make sure that we

1620
02:12:51,290 --> 02:12:54,510
have a way to handle those issues as well.

1621
02:12:55,130 --> 02:13:04,370
Flags are included, and we also want to look at what happens to fixtures that are in

1622
02:13:04,370 --> 02:13:09,910
noncompliance and how we deal with getting those fixed as time goes on.

1623
02:13:10,470 --> 02:13:12,290
So this is a helpful part of our code.

1624
02:13:13,250 --> 02:13:19,270
We want to have you ask any questions and see if there's anything else you'd like

1625
02:13:19,270 --> 02:13:19,970
added to it.

1626
02:13:24,050 --> 02:13:24,310
Yes.

1627
02:13:24,910 --> 02:13:25,250
Sorry.

1628
02:13:25,510 --> 02:13:25,930
No, I forgot.

1629
02:13:29,580 --> 02:13:34,880
So some of the things that I've already covered, why are we dealing with this?

1630
02:13:35,360 --> 02:13:36,800
We want to improve things.

1631
02:13:36,800 --> 02:13:52,680
We had staff research, we consulted with our city attorney and we went through the planning commission and then we wanted to really make sure that we understood what should be lit and what should not and then why is it important to deal with the night sky?

1632
02:13:53,340 --> 02:14:03,900
It's very important as we've learned to reduce the emissions that go straight up so that we can preserve the night sky for viewing by our residents long term as we grow.

1633
02:14:03,900 --> 02:14:09,260
So it's one of the things that we've heard from the public that they believe is important.

1634
02:14:10,120 --> 02:14:16,660
So it's really critical to think about the illustrations that help describe for the

1635
02:14:16,660 --> 02:14:19,620
public what different lighting is.

1636
02:14:20,360 --> 02:14:24,040
And if we look at up lighting, that's anything greater than 90 degrees.

1637
02:14:24,800 --> 02:14:31,640
And you can see in the example that the hooded lamp, which is a street light, shows that

1638
02:14:31,640 --> 02:14:45,960
It shielded and directed down. Yes, there is glare between 90 degrees and 50 degrees. I think that's 50 and then there's a backlight option as well.

1639
02:14:46,620 --> 02:14:51,880
So you can't control all of the light that you see. Otherwise, it's ineffective.

1640
02:14:52,820 --> 02:14:58,940
What we try to do is make sure that light is shielded and directed down.

1641
02:14:58,940 --> 02:14:59,840
and this helps

1642
02:15:00,000 --> 02:15:01,360
Let's identify what that means.

1643
02:15:08,360 --> 02:15:11,580
Okay, thank you. Any have anyone have any questions?

1644
02:15:16,120 --> 02:15:24,640
Okay. This is a public hearing. Is there anyone in the audience like speak to the council on this subject? Jacob, you got anything to give us? Okay.

1645
02:15:26,920 --> 02:15:39,900
All right. I do have a comment. The sport field and it says shall be turned off by 11. My worry there is there could be a football game and it could be extended.

1646
02:15:39,900 --> 02:15:46,320
it and have over time and it could go on beyond 11 and this is Shell so that means 11 o'clock

1647
02:15:46,320 --> 02:15:53,500
somebody has to go whack and the lights go out so I think we need to run I need your

1648
02:15:53,500 --> 02:15:56,940
help on this. Shell means you will do it.

1649
02:15:56,940 --> 02:15:57,360
You'll just

1650
02:16:00,620 --> 02:16:04,320
want to ask some, this is the lawyer language.

1651
02:16:04,320 --> 02:16:07,960
Weasel language sometimes, allows for that exception.

1652
02:16:08,800 --> 02:16:10,380
So it's really hard to walk through.

1653
02:16:11,060 --> 02:16:14,020
That's not difficult to do those years with those.

1654
02:16:17,020 --> 02:16:20,940
Any thing you can suggest, we can go ahead and do the motion tonight.

1655
02:16:21,700 --> 02:16:27,240
Wrong is your suggestion, except in unusual circumstances or just something simple?

1656
02:16:27,240 --> 02:16:38,540
Some public events, kind of the public events would be one of the things I could think about and extra ordinary circumstances, emergencies.

1657
02:16:44,140 --> 02:16:51,100
So, should we go ahead and continue this and bring it back with some suggestions?

1658
02:16:51,380 --> 02:16:52,740
I mean, it's not that critical, right?

1659
02:16:53,980 --> 02:16:56,860
I mean, wouldn't I fast tonight or doing?

1660
02:17:08,120 --> 02:17:10,740
I mean, the lights, the lights, the lights, the lights, it's all complaint-driven.

1661
02:17:12,660 --> 02:17:14,660
Well, I know, but this shall be.

1662
02:17:14,800 --> 02:17:22,480
That means we go up to the head of sports in Redmond High at 11 o'clock and say, turn your lights out.

1663
02:17:22,500 --> 02:17:23,780
And he's obligated to do it.

1664
02:17:24,220 --> 02:17:32,580
Is it possible to just simply describe what you're concerned about, which is, unless there is an overtime event?

1665
02:17:52,620 --> 02:18:01,800
Yeah sure that's fine okay it is acceptable to just do a motion to that effect rather than that staff having to come back

1666
02:18:02,880 --> 02:18:12,540
Okay. All right. Okay. So we had no input. I will close the public hearing

1667
02:18:12,540 --> 02:18:19,520
then and I will ask for emotion and we'll as we do the motion come up with some

1668
02:18:19,520 --> 02:18:21,740
language here. So anyone want to give it a try?

1669
02:18:27,220 --> 02:18:30,880
No? No? Come on, Jenny.

1670
02:18:32,730 --> 02:18:36,750
Does it have to be specific language or can it be conceptual language?

1671
02:18:37,990 --> 02:18:39,230
I want to see where wrong it says.

1672
02:18:48,540 --> 02:18:51,420
As modified with exception language, something like that.

1673
02:18:55,760 --> 02:19:03,240
Does it have to be very specific in the language, or can we make this conceptual suggestion of that language

1674
02:19:04,140 --> 02:19:07,380
and allow the very specific requirements and so on?

1675
02:19:07,460 --> 02:19:07,840
That's right.

1676
02:19:18,760 --> 02:19:36,720
I don't think it's difficult to do, and I think that where we have the provision about the following should be an exception from provision procession, it's probably not the right place, but it's one of the things that we might be able to work together as a number of people.

1677
02:19:49,480 --> 02:19:52,060
I think maybe we better. So I close the public hearing.

1678
02:19:52,260 --> 02:19:53,960
I probably recommend you bring it back.

1679
02:19:54,300 --> 02:19:54,480
Okay.

1680
02:19:55,000 --> 02:20:00,260
All right. So we've closed the public hearing, just develop some proposed language and just

1681
02:20:00,260 --> 02:20:01,060
add to P.

1682
02:20:01,060 --> 02:20:07,800
Okay, so would you mind reopening the public hearing and then giving us a date

1683
02:20:07,800 --> 02:20:13,360
certain otherwise I've got to do for a new notice? Oh all right can I do that?

1684
02:20:13,900 --> 02:20:19,740
All right I will reopen the public hearing or title either modify item E or

1685
02:20:19,740 --> 02:20:29,860
add a P. All right, and we'll continue till November 30. Okay, I think sorry about

1686
02:20:29,860 --> 02:20:33,600
that. Those shells and maize matter.

1687
02:20:36,930 --> 02:20:42,030
Okay, next item is an ordinance. Let me get

1688
02:20:42,030 --> 02:20:43,030
there. All right.

1689
02:20:45,190 --> 02:20:48,830
Ordnance is in accordance with the City of Edmund Charter. In

1690
02:20:48,830 --> 02:20:53,090
ordinance takes effect 30 days after it's enactment except when a later

1691
02:20:53,090 --> 02:20:56,970
effective data specified in the ordinance when the ordinance contained an emergency

1692
02:20:56,970 --> 02:21:03,090
closet should take effect immediately. Ordinance 2018-10 and ordinance amending the

1693
02:21:03,090 --> 02:21:08,190
Reman City Code Chapter 9 building fire codes adding a designee to enforce a

1694
02:21:08,190 --> 02:21:12,890
administrative type billing code violations administrative infractions.

1695
02:21:13,010 --> 02:21:18,150
Good evening, Jacob. Good evening, Mayor. I'm Jacob with Mayor Ann Council, excuse me.

1696
02:21:18,650 --> 02:21:21,230
I'm Jacob with Code Enforcement and here discuss ordinance number

1697
02:21:21,230 --> 02:21:28,570
For 2018-10, as stated before, making a small change to Chapter 9 building and fire codes.

1698
02:21:29,590 --> 02:21:35,770
Currently, the building inspector has been tasked with enforcing building code violations.

1699
02:21:37,330 --> 02:21:43,570
In this ordinance, we added a designee, that's kind of a broad stroke for the designee,

1700
02:21:43,570 --> 02:21:45,550
but code enforcement officers is one of them.

1701
02:21:45,550 --> 02:21:52,450
In addition to that, we added Class A administrative infractions, which is what we currently

1702
02:21:52,450 --> 02:21:58,450
use for code enforcement number nine or chapter nine wasn't updated back when that code

1703
02:21:58,450 --> 02:22:02,370
was first created because code enforcement wasn't handling that.

1704
02:22:03,170 --> 02:22:07,490
And what's the difference between a civil infraction and administrative infraction?

1705
02:22:07,650 --> 02:22:10,410
The administrative infractions are all in house.

1706
02:22:11,430 --> 02:22:13,350
The other one goes through the Justice Court.

1707
02:22:13,350 --> 02:22:14,150
Okay.

1708
02:22:17,760 --> 02:22:18,200
Okay.

1709
02:22:21,560 --> 02:22:26,000
Anyone? How many comments? Is there anyone? The audience wants to comment?

1710
02:22:28,350 --> 02:22:32,010
Okay. It's seen none. Do I have a motion?

1711
02:22:34,260 --> 02:22:37,360
Please, John. I moved to have a first and second reading

1712
02:22:37,360 --> 02:22:45,140
of ordinance 2018-10 by title only. Second. It's been moved in second and any further discussion.

1713
02:22:45,140 --> 02:22:45,360
discussion.

1714
02:22:46,420 --> 02:22:48,260
Seeing none, all those in favor say aye.

1715
02:22:48,960 --> 02:22:49,340
Aye.

1716
02:22:49,700 --> 02:22:50,200
Opposing may.

1717
02:22:50,900 --> 02:22:51,040
All right.

1718
02:22:51,100 --> 02:22:51,920
Motion passed unanimously.

1719
02:22:52,360 --> 02:22:53,180
Please are on.

1720
02:22:53,400 --> 02:22:54,320
City of Northern order.

1721
02:22:55,160 --> 02:22:56,360
Twenty-eighteen days.

1722
02:22:56,640 --> 02:22:56,800
Ten.

1723
02:22:57,020 --> 02:22:57,180
Northern.

1724
02:22:57,400 --> 02:22:58,900
Somending to the Redmond City Code.

1725
02:22:59,000 --> 02:22:59,560
Chapter nine.

1726
02:22:59,740 --> 02:23:00,680
Building and fire code.

1727
02:23:00,860 --> 02:23:01,440
Adding a legend.

1728
02:23:01,660 --> 02:23:04,440
And the force of administrative type building code violations.

1729
02:23:04,820 --> 02:23:06,160
And administrative infraction.

1730
02:23:07,100 --> 02:23:07,740
Second reading.

1731
02:23:08,520 --> 02:23:09,380
City of Northern order.

1732
02:23:09,620 --> 02:23:10,420
Number ten.

1733
02:23:10,920 --> 02:23:12,060
Twenty-eighteen days.

1734
02:23:12,300 --> 02:23:12,420
Ten.

1735
02:23:12,420 --> 02:23:15,540
in order to send in the Red and City Code chapter 9,

1736
02:23:15,980 --> 02:23:17,940
building fire codes, adding a designated

1737
02:23:17,940 --> 02:23:21,720
to enforce a administrative type of code violations

1738
02:23:21,720 --> 02:23:23,420
and administrative instructions.

1739
02:23:25,820 --> 02:23:30,500
Okay, you are much slower than Steve, but much clearer.

1740
02:23:31,440 --> 02:23:36,280
So yeah, yeah, we, we, we, testing, see if he's

1741
02:23:36,280 --> 02:23:38,680
going to take a breath when he's reading.

1742
02:23:39,140 --> 02:23:41,060
Okay, so now do I have a motion?

1743
02:23:43,020 --> 02:23:47,060
I move to approve warden's number 2018-10.

1744
02:23:47,640 --> 02:23:49,560
So, we've been moved them second.

1745
02:23:49,900 --> 02:23:50,700
Any other comments?

1746
02:23:51,660 --> 02:23:52,640
Okay, roll call please.

1747
02:23:54,800 --> 02:23:55,580
Councillor Boehla.

1748
02:23:56,040 --> 02:23:56,280
Yes.

1749
02:23:57,320 --> 02:23:58,500
Mayor Indicott.

1750
02:23:58,720 --> 02:23:58,960
Yes.

1751
02:24:00,320 --> 02:24:00,980
Councillor King.

1752
02:24:01,400 --> 02:24:01,540
Yes.

1753
02:24:02,380 --> 02:24:03,280
Councillor McPherson.

1754
02:24:03,700 --> 02:24:03,840
Yes.

1755
02:24:04,680 --> 02:24:05,380
Councillor Patrick.

1756
02:24:06,340 --> 02:24:06,520
Yes.

1757
02:24:07,540 --> 02:24:08,740
Okay, thank you.

1758
02:24:09,100 --> 02:24:09,820
Mayor's comments.

1759
02:24:10,240 --> 02:24:11,060
I will be brief.

1760
02:24:11,060 --> 02:24:20,860
brief. You have before you an application, sorry for commission for arts and public places

1761
02:24:20,860 --> 02:24:26,900
ArtCat Bruce Taylor. You should have. I do not. You didn't get one? Okay, well, sorry,

1762
02:24:27,080 --> 02:24:38,380
I did. But Bruce was on ArtCat before and so he's reapplied and my typical comment,

1763
02:24:40,940 --> 02:24:41,040
he's

1764
02:24:41,040 --> 02:24:46,280
left and how he wants back on but I don't need to interview him because I know him and he's

1765
02:24:46,280 --> 02:24:55,520
done a good job and I think our staff and the chair of the Art Committee recommended

1766
02:24:55,520 --> 02:24:58,560
that we go ahead and appoint him.

1767
02:24:59,300 --> 02:25:07,480
So I would like to appoint Bruce Taylor as a member of our cap for a term expiring to

1768
02:25:07,480 --> 02:25:09,280
December 31st, 2021.

1769
02:25:10,260 --> 02:25:11,520
Anyone have a comment?

1770
02:25:13,020 --> 02:25:15,200
If they see none, all those in favor say aye.

1771
02:25:15,560 --> 02:25:15,700
Aye.

1772
02:25:16,820 --> 02:25:17,400
Opposed nay?

1773
02:25:17,960 --> 02:25:18,360
Okay.

1774
02:25:18,560 --> 02:25:18,780
Bruce.

1775
02:25:19,680 --> 02:25:20,260
Well, let him know.

1776
02:25:20,800 --> 02:25:21,140
All right.

1777
02:25:21,400 --> 02:25:23,160
I only have one other item tonight.

1778
02:25:24,460 --> 02:25:27,420
I'm going to say one one of the meetings over here tonight.

1779
02:25:28,240 --> 02:25:36,860
And I am going to serve on a committee for the League of Oregon

1780
02:25:36,860 --> 02:25:45,940
sector. And my only comment is that I think it's important that we always have someone

1781
02:25:45,940 --> 02:25:54,260
involved in Salem and particularly the League of Oregon cities because it gives us opportunities

1782
02:25:54,260 --> 02:26:01,000
like this to actually have an input on what happens to us or for us in Salem.

1783
02:26:07,440 --> 02:26:08,240
So that's

1784
02:26:08,240 --> 02:26:12,940
I was struck tonight by the power of having public discourse happen in the public square

1785
02:26:12,940 --> 02:26:16,960
and I appreciate that opportunity tonight to have people come and speak their mind.

1786
02:26:17,460 --> 02:26:20,700
I was also touched by the fact that we were able to talk about a divisive issue without

1787
02:26:20,700 --> 02:26:22,900
it being a vitriolic in nature.

1788
02:26:23,560 --> 02:26:28,240
People were able to state their points and make clear how they felt and we're listened

1789
02:26:28,240 --> 02:26:29,280
to and respected.

1790
02:26:29,540 --> 02:26:32,880
And I think that speaks volumes about what we can do here in Redmond.

1791
02:26:33,040 --> 02:26:36,880
We can have these difficult conversations and we can do so in a respectful manner.

1792
02:26:36,880 --> 02:26:41,620
And I hope that this will continue and be – this is really a harbinger of things to

1793
02:26:41,620 --> 02:26:45,240
come for us as the opportunity to have these kinds of conversations publicly.

1794
02:26:45,900 --> 02:26:50,280
And so the next opportunity for folks comes in a couple weeks when people can turn in

1795
02:26:50,280 --> 02:26:51,360
their ballots and make decisions.

1796
02:26:51,360 --> 02:26:56,340
And I encourage and hope that folks will participate in the public process and vote.

1797
02:26:56,740 --> 02:26:57,100
Thank you.

1798
02:27:00,220 --> 02:27:06,000
Yeah, I appreciate it all, the community input and energy and just that opportunity to have

1799
02:27:06,000 --> 02:27:11,760
a good old-fashioned adult conversation with some civil discourse. I guess I would offer

1800
02:27:11,760 --> 02:27:21,900
up for consideration here. I very much appreciated Dr. Bullock's comments towards the end as he

1801
02:27:21,900 --> 02:27:29,700
discussed data-driven decisions versus those of emotion. And I think that showed tremendous

1802
02:27:29,700 --> 02:27:34,340
empathy and an understanding of where they were coming from and why they might choose to

1803
02:27:34,340 --> 02:27:41,650
makes this decision, but at some point things can be trumped, data can be trumped by

1804
02:27:41,650 --> 02:27:42,150
other things.

1805
02:27:42,710 --> 02:27:48,310
And I think that we are now painfully aware that we have little to no representation

1806
02:27:48,310 --> 02:27:50,370
from our community on that board.

1807
02:27:50,950 --> 02:27:55,150
And disheartened to hear that I'm sure there are some really qualified guys from Portland

1808
02:27:55,150 --> 02:27:57,850
and Chicago and wherever else on that board.

1809
02:27:58,250 --> 02:28:04,190
And I don't discredit their decision making or thinking, but they don't have the heart

1810
02:28:04,190 --> 02:28:32,250
and the community ties that we do, and I think we spoke loudly, I think we heard what was said from both sides and I think empathized with St. Charles and where they're coming from, but I don't think that's what's best for our community and I think that we all kind of stood up and said that point being, if we could take some of those comments from Dr. Bullock perhaps incorporate that with some sort of a statement or testimony or point of consideration for that board, along with our resolution.

1811
02:28:33,550 --> 02:28:40,510
I guess I would offer that up if anyone else was inclined to support that, I just again

1812
02:28:40,510 --> 02:28:46,850
really appreciate the framing of the concepts and I think it articulates some of our thinking

1813
02:28:46,850 --> 02:28:47,350
rather well.

1814
02:28:49,650 --> 02:28:54,330
Over and above the resolution, we heard the kind of colors in a little bit.

1815
02:28:54,710 --> 02:29:00,530
I think that Mr. Adams said that some of the things he heard he was going to carry to the

1816
02:29:00,530 --> 02:29:05,050
more, especially when I put the monkey on his back about his job as a resident, because

1817
02:29:05,050 --> 02:29:10,350
he's our resident, not Vince president. And so he said he would carry a lot of your message.

1818
02:29:11,050 --> 02:29:19,910
Well, I don't know, Keith, should we, you want to work with Dr. Bullock to come up with a

1819
02:29:19,910 --> 02:29:25,630
statement to accompany the resolution, or do you think that what Mr. Adams told us was sufficient?

1820
02:29:26,750 --> 02:29:34,890
I mean, I think it's up to all of you if you want me to help with that, you're, you're,

1821
02:29:35,210 --> 02:29:35,370
go ahead.

1822
02:29:35,670 --> 02:29:39,870
I was just going to say, I mean, we don't need to overdo it, but I mean, maybe just transcribe

1823
02:29:39,870 --> 02:29:42,830
some of what was said, allow that to be distilled or edited down.

1824
02:29:43,150 --> 02:29:45,790
John kind of made that suggestion, I think it's a good one.

1825
02:29:46,790 --> 02:29:52,150
And I don't want to say I don't trust this guy, but I don't know that he'll be able to articulate

1826
02:29:52,910 --> 02:29:59,950
as well as has already been articulated and I don't know that I based on the decision at that.

1827
02:30:00,000 --> 02:30:29,640
That committee reached, I don't know that he would be the strongest advocate. I don't know that he wouldn't be, but I just think if we take charge of our own voice and the words that we use, then there's no ambiguity. We go, this is this and here is our resolution, the resolution in or of itself speaks. But again, I think it's important to kind of color it in a little bit, if that's even allowed in their process. I mean, I took copious notes of what all of you said tonight, and I can capture those points in a cover letter essentially that you could each sign.

1828
02:30:29,640 --> 02:30:32,060
and we'll figure out the date of this.

1829
02:30:32,760 --> 02:30:35,580
I still didn't hear a date when I was-

1830
02:30:35,580 --> 02:30:37,040
Kind of the essence, yes.

1831
02:30:37,420 --> 02:30:40,800
We'll craft a letter tomorrow and get it over to them.

1832
02:30:42,040 --> 02:30:42,820
I'm in agreement.

1833
02:30:43,020 --> 02:30:44,840
I think that we need to have something in writing.

1834
02:30:45,820 --> 02:30:49,420
I respect Mr. Adams, but there's a lot of moving power

1835
02:30:49,420 --> 02:30:53,520
to her for him and that he would bring what we had to say

1836
02:30:54,020 --> 02:30:56,180
to the board in the way we said it.

1837
02:30:56,620 --> 02:30:57,940
There's no guarantee of that.

1838
02:30:57,940 --> 02:31:07,320
So I want to see a cover letter with your concurrence and prepare something for my signatures mayor that will fire off and it is the will of the council that

1839
02:31:09,300 --> 02:31:14,520
And Trish also I mean we have the transcript. So we have the tape so we know what so

1840
02:31:15,120 --> 02:31:18,820
Okay, John are you okay with that? Yeah, you're in a language. Okay, Jay

1841
02:31:19,760 --> 02:31:20,400
I'm sorry

1842
02:31:20,400 --> 02:31:27,160
Okay, Jay I just have a couple things first off. I'll start with uh and watching out there

1843
02:31:27,160 --> 02:31:35,720
I really encourage you to get out, take that little piece of mail you have and check some

1844
02:31:35,720 --> 02:31:43,340
boxes and vote because it's only a chance to vote and it's very important.

1845
02:31:46,660 --> 02:31:53,020
As far as the topic tonight, I was thrilled to see a number of people in here really care

1846
02:31:53,020 --> 02:32:01,040
about Raymond and willing to share that and my life said I hope I hope that St. Charles

1847
02:32:01,040 --> 02:32:10,800
does not take the dollar route in this and he had the dollar shouldn't drive this decision

1848
02:32:10,800 --> 02:32:19,260
and I hope to really think about that unfortunately we don't have to say you know on that board

1849
02:32:19,260 --> 02:32:34,500
and I never, I never even thought about that as it years went by, you always just let things go, but it just shows you it's important to keep an eye on things like that all the time.

1850
02:32:37,050 --> 02:32:37,230
Jenny?

1851
02:32:37,990 --> 02:32:48,910
I'm an agreement with the rest of the counselors. I really think that it was refreshing to have a group of people come and give testimony and we could actually hear

1852
02:32:48,910 --> 02:32:55,310
the voice of the people in Redmond and another way to do it is to vote. The ballots are out.

1853
02:32:56,290 --> 02:33:00,910
Fill in your ballots and bring it on down and we need to get that taken care of

1854
02:33:00,910 --> 02:33:06,670
let your voices be heard. Thank you city manager comments.

1855
02:33:07,890 --> 02:33:13,670
One question on the St Charles letter since you talked about do you want us to put in a letter

1856
02:33:13,670 --> 02:33:18,690
a request that they consider a Redmond board member in the future.

1857
02:33:23,200 --> 02:33:23,300
Okay.

1858
02:33:23,560 --> 02:33:23,820
It's good.

1859
02:33:24,380 --> 02:33:27,400
The agreement called for that.

1860
02:33:27,660 --> 02:33:28,240
One or two.

1861
02:33:29,100 --> 02:33:29,540
Okay.

1862
02:33:29,660 --> 02:33:32,400
I heard three, but I have heard all three numbers.

1863
02:33:32,600 --> 02:33:33,480
And I don't know which is right.

1864
02:33:33,540 --> 02:33:34,460
You generally had two.

1865
02:33:34,720 --> 02:33:34,960
Two.

1866
02:33:35,060 --> 02:33:35,820
I think historically.

1867
02:33:36,120 --> 02:33:38,860
Maybe we had three at the very beginning when we did it.

1868
02:33:39,480 --> 02:33:43,680
But I think we may have had three at the very beginning.

1869
02:33:43,680 --> 02:33:51,520
one of them being a doctor and I'm just trying to think of who they were now.

1870
02:33:52,140 --> 02:34:03,840
It was 11 and then about three or four years ago they wanted to get a broader world view

1871
02:34:03,840 --> 02:34:09,380
of what was going on in other places, state of the art kind of stuff.

1872
02:34:09,380 --> 02:34:15,360
And so they began with a doctor from San Francisco, one from Seattle, and one from the Gulf of

1873
02:34:15,360 --> 02:34:16,020
New York first.

1874
02:34:16,880 --> 02:34:18,740
Oh, I am sorry.

1875
02:34:20,140 --> 02:34:27,980
Those were the first sort of out of state doctors and administrators that were on the board.

1876
02:34:28,840 --> 02:34:37,920
And candidly added a lot to the board in terms of what went on in other places and the issues that we faced at St. Charles.

1877
02:34:37,920 --> 02:34:54,680
And but at the same time about the year or so before that used to be St. Charles with an all volunteer board and then they begin they begin paying the board members.

1878
02:34:54,900 --> 02:35:06,820
So now the board members are paid and it's become really more like a business and when I retired as general counsel and secretary of the hospital association hospital system.

1879
02:35:06,820 --> 02:35:13,760
two years ago. The culture was not the same. I mean, that's sort of my just by

1880
02:35:13,760 --> 02:35:18,840
comment, but so they did. I'm sure they had a doctor and I can't remember who

1881
02:35:18,840 --> 02:35:22,840
the two board members, but then they moved on. It became one board member and

1882
02:35:22,840 --> 02:35:28,200
a doctor and it's been probably Ed's probably right. It most likely has been

1883
02:35:28,200 --> 02:35:32,600
eight years, although although I thought they had a board member from Redmond, but

1884
02:35:32,600 --> 02:35:34,680
that somebody told me now he's reading from sisters.

1885
02:35:36,360 --> 02:35:40,020
Okay, so include two board members in the letter.

1886
02:35:40,600 --> 02:35:43,880
Well, so strongly encourage and recommend.

1887
02:35:44,020 --> 02:35:48,460
I think they're close to 15, which is their limit.

1888
02:35:50,690 --> 02:35:52,330
So a couple of letters on the resolution.

1889
02:35:52,850 --> 02:35:52,950
Yeah.

1890
02:35:58,940 --> 02:35:59,420
Okay.

1891
02:35:59,660 --> 02:36:00,260
Got it.

1892
02:36:00,300 --> 02:36:00,480
All right.

1893
02:36:01,660 --> 02:36:02,160
Anything else?

1894
02:36:02,580 --> 02:36:02,740
Yeah.

1895
02:36:03,300 --> 02:36:03,520
Okay.

1896
02:36:03,520 --> 02:36:12,620
So, a couple things, first of all, the City Hall is getting another award, we're getting

1897
02:36:12,620 --> 02:36:17,640
the Art DeMiro award from the Store Oregon for the renovation of a historic public building.

1898
02:36:18,960 --> 02:36:24,060
We'll be receiving it a week from Friday in Portland, so it's a pretty prestigious award

1899
02:36:24,060 --> 02:36:29,740
I worked with Art for a while when I was in Portland and they're awarding, I think, 11

1900
02:36:29,740 --> 02:36:32,540
different projects.

1901
02:36:32,540 --> 02:36:39,260
so it'll be a nice one to get. I also wanted to, given it tonight, we were talking

1902
02:36:39,260 --> 02:36:45,700
about moms and mothers and babies and as we talk about the organization, I think in

1903
02:36:45,700 --> 02:36:51,760
some previous meetings, we've talked about growth just of the city and going

1904
02:36:51,760 --> 02:36:54,700
forward, I want to kind of continue to give you a little slice of actually who

1905
02:36:54,700 --> 02:37:01,420
the organization is. So over the last five years, as we've grown from 158 closer

1906
02:37:01,420 --> 02:37:07,640
or to 190. With that growth, we've also seen an improvement and an increase in gender

1907
02:37:07,640 --> 02:37:12,820
diversity, which is certainly important to me. We've seen just as a whole gone from

1908
02:37:12,820 --> 02:37:18,400
39 women in the organization to 50 and at the management supervisor level, we've grown

1909
02:37:18,400 --> 02:37:29,120
from 9 in 2013 to 12 today. So I'll continue to kind of peel back the story of who the organization

1910
02:37:29,120 --> 02:37:34,080
is diversity wise as we go forward but I want to give you that slice tonight given what was being discussed

1911
02:37:34,080 --> 02:37:41,120
with the birthing center. The other item I wanted to highlight is the good

1912
02:37:41,120 --> 02:37:47,860
new story of the pump track and we have some video of the opening that occurred last Friday

1913
02:37:49,040 --> 02:37:50,820
afternoon and here it is.

1914
02:37:57,200 --> 02:37:59,900
So what you're seeing is as we talked about

1915
02:37:59,900 --> 02:38:06,880
it's a park that all skill levels can have fun from folks that can do flips and

1916
02:38:06,880 --> 02:38:11,020
other crazy things to small children that still have training with on their

1917
02:38:11,020 --> 02:38:15,100
bikes and they all kind of have fun together and it was really really

1918
02:38:15,100 --> 02:38:20,860
popular. I was I was out of town the mayor was there I think some others were

1919
02:38:20,860 --> 02:38:29,880
there so yeah what a great feature and what a good kind of other side of

1920
02:38:29,880 --> 02:38:35,380
the goalpost from city wise from you've got hope playground to the west and this to the east and

1921
02:38:35,380 --> 02:38:43,100
more to come along the homestead canal trail and those were my comments tonight. I just have to

1922
02:38:43,100 --> 02:38:50,000
comment on the pump track one of the ironies that happened was several youth showed up with their

1923
02:38:50,000 --> 02:38:59,600
scooters and the biker said no no no you want to ride your scooter you go to the skate park

1924
02:38:59,880 --> 02:39:06,240
This is our park. No scooters. And they were right. Yeah. That was pretty funny.

1925
02:39:07,480 --> 02:39:14,960
I'm who was there. I'm trying to remember the other day. Yeah, Bill and yeah, and it was a lot of fun wasn't it?

1926
02:39:15,360 --> 02:39:20,120
And in Ginny. Yeah, it was a lot of fun. It was great. Especially little tauts.

1927
02:39:21,740 --> 02:39:22,080
Yeah.

1928
02:39:23,840 --> 02:39:26,540
You were there. Yeah, I know. Okay.

1929
02:39:26,540 --> 02:39:30,540
Okay, is there anyone in the audience like to address counsel?

1930
02:39:31,820 --> 02:39:33,880
Anyone wishing to address counsel?

1931
02:39:34,360 --> 02:39:34,760
Seeing none?

1932
02:39:35,340 --> 02:39:35,820
We're adjourned.