City Council Meeting

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Agenda

[0:01] CALL TO ORDER / ESTABLISH A QUORUM
[0:27] BLESSING
[0:33] Pastor Andrew Hoeksema, Community Presbyterian Church
[2:14] PLEDGE OF ALLEGIANCE
[2:38] COMMENTS FROM CITIZENS AT THE MEETING
[5:48] CONSENT AGENDA
[6:37] PROCLAMATIONS
[11:55] PRESENTATIONS
[12:00] Employee Spotlight
[15:56] 1st Quarter Financial Report (Exhibit 5)
[29:13] BID AWARDS / BID REJECTIONS
[34:39] ACTION ITEMS
[34:47] Res. #2018-27 - A resolution of the Redmond City Council encouraging St. Charles Medical Center to keep critical services, such as the Family Birthing Center, in Redmond, Oregon. (Exhibit 7)
[2:00:57] GIS Software Enterprise License Agreement (Exhibit 8)
[2:08:25] PUBLIC HEARINGS
[2:08:30] Ord. #2018-11 – An ordinance approving the Triple Ridge Subdivision request for amendment to the Comprehensive Plan and the adopted City of Redmond Zoning Map from UH-10 (Urban Holding-10) to R-5 (High Density Residential) to add the 1.6 acre Storey property to the Master Development Plan and modification to Master Development Plan approval for a project at 4528 SW 39th Street (Deschutes County Tax Lot #151330DD06000) and Phase 3 (Tax Lot #151330DD05800) and 4 (Tax Lot #151330DD05900) of Triple Ridge Subdivision, Redmond, OR, 97756. (Exhibit 9)
[2:10:17] Ord. #2018-12 – An ordinance amending Section 8.0330 of the Redmond Development Code, Chapter 8. (Exhibit 10)
[2:20:38] ORDINANCES In accordance with the City of Redmond Charter, an ordinance takes effect 30 days after its enactment except when a later effective date is specified in the ordinance; when the ordinance contains an emergency clause, it takes effective immediately.
[2:21:22] Ord. #2018-10 – An ordinance amending the Redmond City Code Chapter 9 – Building and Fire Codes, adding a designee to enforce administrative type building code violation and administrative infractions. (Exhibit 11)
[2:24:09] MAYOR’S COMMENTS
[2:26:04] COUNCIL COMMENTS
[2:33:04] CITY MANAGER COMMENTS
[2:39:28] ADDITIONAL COMMENTS FROM CITIZENS AT THE MEETING
[2:39:34] ADJOURN

Transcript

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[0:00] 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.
[0:29] them. Terry and church will give us a blessing. Good evening, pastor. Good evening. Please
[0:35] join me in a moment of prayer.
[0:39] God of all times and places as we begin this meeting with
[0:43] a full room and a full agenda. We are aware that we are part of a much larger story here
[0:49] in Redmond and in Central Oregon. So we honor with gratitude the Native Americans who called
[0:55] this home for thousands of years, the pioneers whose creativity established a new way of living
[1:01] in the desert those who had a vision for what the city of Redmond would be more than a hundred
[1:06] years ago.
[1:09] And God in this moment we give you thanks for those who invited us to move here or to
[1:13] call this place home and welcome us to this town. In this present moment we pray that we would see
[1:20] who is here now in this room but also in this city listen to their stories and understand their needs.
[1:27] We lift up in prayer the well-being of our most vulnerable residents for our kids in a school system
[1:32] for those who are hungry and housing insecure,
[1:35] for those who are unemployed and under-employed
[1:38] and looking for a way to get by.
[1:40] And God, we pray for a vision,
[1:42] not just of this town in the present moment,
[1:44] but in the future ahead of us.
[1:46] Give those who are to speak tonight
[1:48] in the body of City Councilor's wisdom
[1:50] to make decisions and set priorities
[1:52] that will benefit the generation who is here now,
[1:55] but we'll also call Redmond Home for decades to come.
[1:59] We just to make plans that don't just benefit
[2:01] but benefit others around us. Give us wisdom, grace, and blessing in this meeting and in our town. Amen.
[2:37] 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?
[2:49] And for those of you that are here for the birthing center discussion, we'll be doing that a little later.
[2:54] so if you're here for that, please wait until we get to that.
[2:58] So I see I have Nate, and I'm not even going to try in your last name, and Izzy, King,
[3:05] please come up.
[3:09] You can either sit or stand at your choice.
[3:11] All right.
[3:13] I can start off.
[3:13] You'll stand.
[3:14] Okay.
[3:15] Well, you can step to the lecture and then please.
[3:17] Oh, okay.
[3:23] Hello.
[3:24] I am Nate Muscano.
[3:25] And I am Izzy King.
[3:26] And we're here to talk to you guys about the invitations that we sent you regarding our
[3:30] fall production.
[3:32] We just wanted to make sure that you got them and fully let you know that we're going
[3:37] to be giving or leaving the cards here for you with our director's name, Kate Torkam
[3:41] on the back.
[3:42] So if you saw any dates that were full for shows that you might want to become C, just
[3:48] email her and we'll be able to squeeze you in.
[3:51] Beta nurse schools is important because it provides kids with a creative and social outlet.
[3:56] It teaches them the value of hard work and it also teaches communication skills that could
[4:00] not be taught in a classroom setting. It's also important because a lot of kids when
[4:04] they join theater aren't really sure what they're passionate about yet and so it helps
[4:08] them grow as people and who they are. It also provides kids with a lot of opportunity
[4:13] to pursue it later in life as their career. Does anybody have any questions about the show
[4:19] or dates or anything? I'll be there Saturday. I'll sing. We'll see you there.
[4:24] So weren't you in the vampire one last year?
[4:28] Yes.
[4:29] Sorry, prom.
[4:30] I recognize you.
[4:31] We were both in that.
[4:32] Yeah.
[4:33] Good job, you guys.
[4:33] Thank you.
[4:34] Thank you.
[4:35] Well, thank you all for coming.
[4:36] The last thing you had to show us.
[4:38] Yeah.
[4:38] You were.
[4:40] Go ahead.
[4:40] I wasn't in it.
[4:41] No.
[4:43] I didn't see it though.
[4:45] Just a couple of points I want to make.
[4:47] I will be there on Friday night and also then we've got Charlottes Web coming up in a few
[4:53] more weeks down the road and then also to point out that these are three-time, three-time
[4:59] national?
[5:00] Oh, yes.
[5:01] Three-time.
[5:02] Three-time, two-time.
[5:03] The program, my point is as gained a tremendous following in the region.
[5:09] RPA, starting to attract students into this theater program from all over Central Oregon
[5:14] just because of the success that they've had and the characters that they've been able
[5:18] to build.
[5:18] So I just wanted to point that out because it's quite the program.
[5:21] And if you haven't seen an RPA play, they're all tremendous.
[5:25] Nationally award-winning group.
[5:28] Thank you.
[5:29] Thank you, anyone else?
[5:30] OK.
[5:31] Thank you for coming.
[5:32] Thank you.
[5:33] We got your invitation.
[5:38] Is anyone else would like to address the council for an item
[5:41] not on the agenda this evening?
[5:44] Anyone else?
[5:46] OK, seeing none, we will move on.
[5:48] Next item is the consent agenda comprised
[5:51] 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.
[6:09] Is there anyone wish to pull an item off the consent agenda? Anyone have any questions?
[6:16] Okay. Any additions or corrections to the minutes?
[6:21] Senior John.
[6:23] Mr. Mayor, I move to approve the consent agenda as presented.
[6:27] It's been moved in second and any further discussion.
[6:31] I see none. All of them favor say aye.
[6:33] Aye.
[6:34] Opposed nay? Motion passes.
[6:36] Next item is proclamations.
[6:38] General Federation of Women's Clubs Advocates for Children's Week.
[6:42] and do I have a motion to approve?
[6:49] Go ahead, John.
[6:50] I move to approve the proclamation
[6:52] designating October 21st through 27th, 2018,
[6:55] as GFWC advocates for Children's Week.
[6:59] Okay, been moved in second any further discussion?
[7:03] No? Okay, all those in favor say aye.
[7:06] Aye. Opposed any? Motion passes.
[7:09] Okay, City of Redmond Proclamation.
[7:11] A proclamation does ignite in October 21 through 27, 2018, as GFWC advocates for children's
[7:19] week.
[7:20] Whereas the General Federation of Women's Clubs will celebrate its dedication towards
[7:25] promotion and awareness of the physical and emotional well-being of children on October
[7:30] 21 through 27, 2018.
[7:33] And whereas GFWC is an organization made up of women from all walks of life that have
[7:40] of a common goal of making the world a better place
[7:42] by enhancing the lives of others through volunteer service.
[7:45] And whereas, Jeff W.C. has played a vital role
[7:48] in the nation in the many national efforts,
[7:51] including powerful advocate for the promotion of the physical
[7:55] and the emotional well-being of children,
[7:57] including current partnerships with renowned organizations,
[8:02] such as St. Jude's Children's Research Hospital
[8:05] in March of Dimes, and has historically worked
[8:08] for the passage of child labor laws, promotion of nationwide outreach that has led passage
[8:14] of the Pure Food and Drug Act, assisted in the creation of the National Park Service,
[8:19] and credited with establishing 75% of U.S. public libraries.
[8:24] And whereas, throughout its past 128 years, millions of women have given their time, talent,
[8:30] and resources to improve the lives of children, including women from the GFWC Oregon Federation
[8:37] of women's clubs and the city of Redmond, Oregon, and whereas it would be a tremendous
[8:42] honor for the GFWC to be able to mark its dedication towards well-being of children
[8:48] with recognition from the nation's respective city mayors from across Oregon and the country.
[8:55] Now therefore be it resolved that the City Council hereby proclaims the week of October
[9:01] over 21 through 27, 2018, to be GFWC advocates for children's week in the city of Redmond
[9:08] and encourages all citizens of our city to join this observance approved by the city
[9:14] council and signed by the mayor, it's 23rd day of October 2018.
[9:19] And do we have a representative in the audience to accept this proclamation?
[9:50] I
[10:12] am Joanne Wheeler and Rhea Anderson from the members of the GFWC of Central Oregon,
[10:22] Mayor Indicott, City Council, and Chamber members.
[10:26] Thank you from the General Federation of Women's Clubs and our local club of GFWC of Central
[10:34] Oregon for recognizing this proclamation for the advocates for Children's Week here in
[10:42] the city of Redmond, Oregon. GFWC of Central Oregon is a volunteer woman's organization that
[10:51] It was formed here in Redmond in 2003 and is affiliated with the General Federation
[10:58] of Women's Club, which is a 128-year-old organization and has over 8,000 members throughout
[11:07] the United States.
[11:09] Our members are dedicated to community service and community improvement by enhancing the lives
[11:18] of others through volunteer service and protecting the well-being of our children is a high priority
[11:27] for our members, our children, our precious commodity, and we must take care of them.
[11:35] Thank you again for this important support and recognition.
[11:40] Well, thank you for coming this evening and thanks for the opportunity to do the proclamation.
[11:53] We now have presentations and first item is employee spotlight.
[11:58] I see.
[11:59] Keith.
[11:59] Mark here.
[12:00] He just came in.
[12:01] Yeah.
[12:02] Hi, Mark.
[12:03] They're all here via one.
[12:07] Good evening, Mayor Counsel.
[12:08] I'm Phil Durden on the Public Works Director.
[12:10] And I'd like to take a little bit of time to recognize one of our great city employees.
[12:14] And as you just heard, he just entered.
[12:16] It is Mark Chambers, who's been with the city for a little over 20 years and is currently serving as our GIS analyst,
[12:22] which is our geographic information system in a nutshell that ties information to a location-based map.
[12:30] So it started out, most of the stuff that we work on in public works is under the ground.
[12:35] So it's hard for us to know where the pipe is when we got a break to go in and go fix it.
[12:39] But through the GIS system, Mark works with our operators to keep up updated all the location information of our utility infrastructure.
[12:47] So we know where the pipe is, what's it's made of, how long it's been in the ground,
[12:51] 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
[12:57] Mark is spectacular keeping that information updated so we are able to quickly respond when required
[13:03] 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,
[13:11] street sweepers or vegetation control trucks. We are now able to keep track of where that equipment operates on the streets
[13:18] 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.
[13:37] One of more recent things is you know we're going through a meter replacement program throughout the city, so this information.
[13:43] 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.
[13:51] 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.
[13:58] There's a great number that we replace, then as recession hit, we didn't have a whole
[14:05] lot of new developments.
[14:06] So the meters were not going in, but then as development has built up over more recent
[14:11] years, the more meters have been going in, and now you also see this last year, the large
[14:16] amount of meters are getting replaced as we replace the ones that are currently reaching
[14:20] end of life.
[14:23] Top of all that, he works with a lot of the other departments across the city to include
[14:27] planning and airport helps generate maps and he is our expert drone operator for you know
[14:32] public works too so he gets some great videos and great photographs. So in a nutshell I would say
[14:38] you know Mark helps the rest of the city employees be better and more effective at our jobs which is
[14:44] yeah it's a multiplier in what we could do when we provide services for the city. So Mark thank you
[14:58] And you actually will be hearing.
[15:00] 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
[15:29] homeowners, you know, if they're not looking at our website, it's hard to get
[15:33] that information out ahead of time. But it is something we were looking at
[15:37] trying to provide it with a yeah. Okay, yeah, I was at a Facebook symposium this
[15:44] morning. I'll use Facebook. Yeah, my wife can teach you how to do that. Okay,
[15:50] advantage of that. Alright, thanks.
[15:54] Okay, next item we have is first quarter
[15:57] for Financial Report, Jason.
[16:06] Good evening, Mayor and Council, Jason Neff,
[16:08] City's Budget Director.
[16:16] So tonight we're presenting the first quarter
[16:19] financial report, I'll hook that up, yeah.
[16:31] And so for the benefit of the audience,
[16:33] this is a two-page report that we do quarterly,
[16:37] meant to summarize the financial activities in the city.
[16:42] If we look at the key financial highlights we spoke
[16:44] about some of these in the fourth quarter financial report
[16:48] for the prior year but we're moving through our audit over the next couple of weeks but here's
[16:53] the some of the data we have those first three bullets there the general funds about 387,000
[17:00] better carry forward fund balance than we expected when we put the budget together that's about 6%
[17:06] the airport the unrestricted fund balance about 8% better and claimants continue to grow out there
[17:12] So we are seeing better performance financially out there.
[17:16] And then our utilities, our water, wastewater, stormwater, they all are coming in at the beginning of the year, about like we expected.
[17:25] Some good news on the medical premium front.
[17:28] We talked about during budget committee, we anticipated a 15% increase in our medical premiums for our staff.
[17:37] They came in at 2.2%.
[17:39] That's going to save this year about $400,000 citywide and a little less than $200,000 in the general fund
[17:47] We do expect looking at our census thus far this year though that
[17:51] we should see a big increase next year, so
[17:55] You know, we'll monitor that throughout the year
[17:58] Property tax assess value that was released a couple weeks ago
[18:02] We grew by 6.1% versus our budget of a 6% so very close to
[18:09] what we expected there and just a reminder that assess value by state law on existing property
[18:18] goes up by 3% a year. So the 6.1 and 2 and we would say 3.1% came from new homes, new businesses
[18:29] within Redmond. The general operating fund. Jason, a question on that. Are we still in the mode of
[18:36] Can we catch up from the recession? Could any of it be that?
[18:40] No, we're past that. We saw several years of double-digit increases because of that a couple of years ago.
[18:51] So that said, general operating funds, we expect to spend less of that fund balance throughout the year than we anticipated during budget committee.
[19:00] I'll get to the specifics on that in just a minute.
[19:02] And then also a couple of things coming up.
[19:05] We are going through our annual five-year forecast meetings in January, and that will
[19:12] incorporate things such as that next bullet, which are per's rates, which came out since
[19:18] we last spoke.
[19:20] We anticipated from the state about a 40% increase, and they actually came in about 34%.
[19:27] 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.
[19:44] 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.
[19:55] So the general operating funds, excuse me, the general operating funds major revenue sources are
[20:04] these top three here as we look at key statistics.
[20:07] We don't expect any major changes in these thus far.
[20:12] This looks at essentially the money in the bank if you will for the general operating funds.
[20:18] Right now we're projecting about six million at the end of the year.
[20:22] Our policy is about five and a half million.
[20:26] to go.
[20:27] You can see our budget.
[20:28] We expected to have a $5 million.
[20:31] We've had a $1 million shift in that, which I'll talk about as
[20:35] well.
[20:36] We're looking at it from a different angle.
[20:39] You can see right now we're down 3 million.
[20:42] That's what we expect.
[20:43] Our policy that says we would always like to have 5 and
[20:53] we get property tax revenue.
[20:55] So there you see the $3 million down.
[20:57] Our projection at the end of the year
[20:59] is to use $726,000 of fund balance
[21:02] versus a budget of $1.4 million.
[21:05] So we've cut that in half in the first quarter.
[21:09] The $720,000, you could equate that
[21:11] to one time things that are going on.
[21:14] We paid off a half million dollars of debt
[21:16] as well as we are doing our comp plan update this year,
[21:19] which is about $200,000.
[21:21] So, if you factor those two items out alone, we're essentially break even for the year.
[21:31] Our water and sewer sales, our big enterprise funds, they're performing about 3% better
[21:38] on revenue projected for the end of the year, and that's because we're seeing, with the
[21:44] growth, you're seeing account growth as well.
[21:51] Swishing gears of the airport pass their facility charges, which is the $4.50 per passenger
[21:57] that is charged to pay for the terminal.
[22:01] You can see we're expecting 1.7 million this year versus the budget of 1.6.
[22:07] First quarter in playments,
[22:09] relative to last year's first quarter, up 16%.
[22:13] So that's why we're seeing that growth and that projection there.
[22:19] Planning permit, rather than knowing.
[22:20] You can see already 216,000 in resources
[22:25] We're projecting 427,000.
[22:28] A big number in there is 134,000 in this fund alone
[22:32] for the DSL property down to the south.
[22:35] So we factor that out.
[22:37] Obviously we don't get that very often.
[22:39] And still very good activity coming through our
[22:43] development departments.
[22:50] Here you can see the assessed value growth.
[22:54] 7.8% last year, 6.1% this year.
[22:58] If I had to guess next year, we're looking at five to six percent, just looking at the permanent activity happening right now.
[23:08] 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.
[23:22] A big piece of that, six cents of that came from the city paying off the police department bond.
[23:28] The other component of that is the, you've heard probably that the Dishoos County commissioners drop the rate on their general
[23:37] lobby as well.
[23:43] 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.
[23:53] you can see the year end or I'm sorry the operating revenues to budget 8% thus
[24:01] far our property taxes are coming in next month in the month after we get
[24:07] 85% of our property taxes in November and December so that's why that number
[24:11] number is pretty low year to date. You can see the year end budget was to use a
[24:17] million one we're looking at just about just on our million now and just a reminder
[24:22] does it rise as the payoff of debt is about half of that number.
[24:28] One of the biggest savings we've seen so far is within our police fund, you can see
[24:33] the year-end budget was to grow by 280,000 now to grow by 580,000.
[24:38] And a big piece of that is, sounds like a small number, they're going to be 4% under on payroll
[24:44] expenses, but that equates about $300,000, which is the change you see there.
[24:51] Not too much to report on our transportation, parks and facilities.
[24:59] You can see our water fund here.
[25:01] We're projected to use 536,000 fund balance, but just a reminder, we are replacing all the
[25:08] meter citywide, and this year that's going to be about 576,000.
[25:13] So without that one time or multi-year meter replacement, we would be breaking even with
[25:20] our water fund.
[25:21] wastewater, similar story. We're seeing about 27,000 increase in fund
[25:27] balance this year and that includes prepaying about 201,000 of debt.
[25:40] Once
[25:41] again, our airport, we budgeted to use 1.3 million of fund balance and now we're
[25:47] projecting a break even for the year and that includes paying 375,000 of debt off
[25:54] that council approved about a month ago.
[26:00] We've talked a little bit about the development revenue.
[26:02] Here you can see our building department as an example.
[26:05] 1.6 million of fund balance at the end of the year,
[26:08] which is 15 months of operating reserve.
[26:14] We talked about the DSL permitting coming
[26:16] into our current planning department.
[26:18] That's gonna push us almost to a $600,000 fund balance
[26:22] or 13 months of operating expense.
[26:24] And remember, we've wanted to grow these operating reserves within those two sub-funds, so we don't
[26:30] have to react as much if we were to have a recession or economic downturn.
[26:39] Lastly, I'll touch on the golf fund.
[26:43] We only had two months of data when we put this report out.
[26:46] we've since gotten three months of data, so a full quarter. And looking at rounds year-to-date,
[26:54] we're at 41%, last year we're at 38%. Yeah, rounds of golf are up 13% year-over-year.
[27:03] Net cash flow, 112,000 year-to-date, it was 109,000 last year, so slightly up. Food and beverage is
[27:12] up 8% on revenue. It's got a slightly positive cash flow. It was slightly negative last year.
[27:24] Here you can see the city's investments. You can see the Wells Fargo account, which
[27:30] is our primary investment account, earning 2.7%, and the local government investment pool
[27:37] is at 2.5%. And with that, I can take questions.
[27:44] Thank you, Jason. With the positive information you've provided regarding increased revenues
[27:49] and increased costs relative to the general fund might it be possible within this fiscal
[27:55] year to set aside enough cash to be able to cover the general fund per's increases
[28:01] over the next biennium in which the rates will be in effect.
[28:10] I'm trying to think the best way to answer this question, so yes would be great.
[28:13] Yes, we can.
[28:15] So the one of the ways I look at it is we essentially got a balanced budget right now.
[28:22] And looking at permit activity, we can see about a 6% increase in property tax next year.
[28:31] To cover that increase, it's going to take the first 3%.
[28:35] So about half of our growth in revenue next year is going to go to that purse.
[28:40] So that's kind of the way I look at it. That's helpful.
[28:46] Okay. Thanks.
[28:50] Anyone else?
[28:54] So Jason, bottom line, you're pretty comfortable with where we are for first quarter.
[28:58] Yes, looks good.
[29:00] Okay.
[29:03] Do you have something else, John?
[29:07] Okay.
[29:07] All right.
[29:08] Thank you, Jason.
[29:10] All right.
[29:12] Next item on the agenda is bid award, bid rejection, homestead canal for out project Maple
[29:18] Avenue, the dog would have new PK-1602, hello again, Bill.
[29:23] Good evening, Mary Council.
[29:25] Again, I'm Bill Durden, Public Works Director, and I'm presenting an item to request approval
[29:28] for $200,000 in contract with high-desert aggregate and paving for the construction of a home
[29:33] state canal trail between Maple Avenue and Dogwood Avenue in about a $242,827.00.00.
[29:40] We've fully developed the Holden State Canal Trail. We'll extend all the way from
[29:43] Queens Avenue down south to Elcorn right near Ridgeview. This project is going to continue the trail
[29:49] from Maple Avenue and it's going to be a 10-foot wide paved asphalt trail with a two-foot shoulder.
[29:55] I will continue from maple down to dogwood avenue on its way down
[30:00] We will pass St. Charles Medical Center and go through Homestead Park as well as recently
[30:04] completed bike pump track we have in that same location. The project is a solicit of four
[30:13] bids and we receive six bids which is the indicator of a good market that we went out
[30:16] at a good time of the year to receive so many bids and the pricing was well as well. The
[30:22] little bid is high desert aggregate and paving and $242,827. It compares favorably to the
[30:28] the Engineers' Estimate of $270,000.
[30:32] The funding is included in the fiscal year 2018-2019 budget
[30:37] from a combination of sources
[30:39] to include park system development charges,
[30:41] river renewal, and funding from a grant receipt
[30:44] through the Connect Oregon Program back in 2017.
[30:47] The project is expected to be the complete May of next year.
[30:50] And I'd be happy to take any questions.
[30:53] Any questions?
[30:56] Yeah, please, gentlemen.
[30:56] Just to clarify when when that section is completed that will then complete the entire project
[31:02] Um, pretty close. Where are we going to be?
[31:05] We're on the grand scheme of being able to ride our bike from one end to the other so
[31:10] So the first piece from quince to maple was completed in 2014 with the grant
[31:14] This is going to continue that to dogwood next summer. We have some on-street improvements
[31:19] 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
[31:26] The gap between Sam and you is going to take a while.
[31:31] That's going to require improvements, maybe the South Highway 97 project to help develop
[31:35] that path through that section.
[31:38] But then the rest from you down to Elkhorn, we've already got an unpaid section along the
[31:43] Greens and then as development occurs down in your triple region such, part of that development
[31:47] is they're putting in pass down in that section.
[31:50] So that's where we're at in the nutshell.
[31:56] Because I thought some of that was handled on the canal project, right?
[32:02] Or I thought that the part of the canal project encompassed a piece of this for some reason.
[32:07] The South Canal project is constructing from Highland to Samton.
[32:12] So you can see that as you go by Fred Meyer and stuff now that they got a good portion of that trail done.
[32:17] Right, yeah.
[32:18] Thanks.
[32:18] Sure.
[32:20] Yeah, go ahead, Jay.
[32:23] Okay. You aren't planning for any road shutdowns, are you?
[32:32] No.
[32:35] No. Okay. Thank you.
[32:37] So, well, there's a little portion over there by large.
[32:40] We have to work with the irrigation district and move some of the canal.
[32:44] So there may be some traffic involvement as we brought traffic.
[32:48] There's a lot of them last year.
[32:50] Yeah, I can guarantee that. It won't be a year.
[32:55] Many citizens have commented on this trail and how excited they are to have that accessibility
[33:02] to use their bikes and walk and do that and eventually connect into the canyons.
[33:09] So we'll be able to have a nice little route with bike paths.
[33:15] So I just want to tell you I know that it's been a long process.
[33:18] I believe I was on direct at the time, probably 2010 when we started this process.
[33:23] 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.
[33:34] Thank you.
[33:34] It's getting closer.
[33:35] Why was there?
[33:37] Yeah, it isn't.
[33:38] 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.
[33:50] That's what we're talking about, is that homestead trail and the extension thereof, so yeah, thanks again to all your crew Bill.
[33:59] Thank you.
[34:01] Okay, anything else?
[34:03] All right, drive a motion.
[34:05] Yeah, go ahead.
[34:06] 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.
[34:19] twenty-seven dollars okay
[34:23] we have a motion on second take your pick any other
[34:28] comments okay see none all is in favor say I I oppose me motion passes all right
[34:38] thanks bill go to work okay next item I think is the one what everybody's
[34:44] here for and this is an action item resolution 2018-27 a resolution of the
[34:52] the Redmond City Council encouraging St. Charles Medical Center to keep critical services
[34:57] such as the Family Berthing Center in Redmond, Oregon.
[35:01] And the way I'd like to do this this evening is we will first ask, I guess, Mr. Adams
[35:08] and Dr. Newman from St. Charles to speak, give them about 15 minutes.
[35:13] I think let's see the nursing community has identified a spokesperson, Ms.
[35:21] Laredo, and I'll give her some equal time, and then everyone else, I'll give you three minutes
[35:29] and our city manager will be keeping track of that.
[35:34] And then when we're all done, we'll go ahead and ask Mr. Adams and Ms.
[35:40] 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.
[35:51] Good
[36:01] 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.
[36:10] I appreciate the time today to talk a little bit about our recent proposal regarding the family birthing center here at the Redmond Hospital.
[36:17] I know obviously it's of much interest to you and the community and of course many
[36:22] of the caregivers who are here today from our hospital so I appreciate the
[36:26] opportunity to have some dialogue around that. We don't have a lot of time so I
[36:30] thought it might be best to share a little bit about where we are today and how
[36:34] we got here. This really actually started about 10 months ago. St. Charles formed a
[36:40] work group of both clinical and community leaders to take a look at the
[36:44] current state of our fam of our women's and newborn services across our health system.
[36:51] And the challenges we saw was really multifaceted.
[36:54] I think first we were running or were currently running three programs today with different
[37:00] care models.
[37:02] Each of those programs is underutilized.
[37:06] So the utilization at those sites is roughly 40% at each of the locations.
[37:11] It's not unusual for some of those locations to have no impatience or one inpatient on any given day.
[37:18] We know that the national birth rates have declined roughly 6% in recent years
[37:23] and that trends expected to continue.
[37:26] And the local birth rates in our own communities has been flat in recent years.
[37:31] That has really or that low utilization has led to a number of operational challenges for us,
[37:38] including we find ourselves today charging roughly 20% more to our patients for these services
[37:44] beyond what the state average is, and in many instances we're charging twice as much as the more affordable programs across the state.
[37:54] 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
[38:04] while still increasing the quality and safety of our programs.
[38:07] So that was the charge that we had before them.
[38:10] The process that they took was really to visit each of the programs that existed today.
[38:16] Talk to some of the caregivers in those areas, to review both our quality and safety data
[38:23] as well as our cost and experience data that we had available to us.
[38:27] And they actually formed a number of community focus groups with the third of those being
[38:32] here in the community with end-redment to try to understand the experiences of
[38:36] patients who have used our services in recent years and what was important to
[38:40] them. Out of that work the group identified roughly 14 scenarios that they
[38:46] needed to evaluate in order to try to meet the ask we had of them. So they came
[38:51] together and spent a week in a conference room working on evaluating each of
[38:57] those 14 scenarios. The results was they came were that they came back with
[39:01] three proposals to share with St. Charles leadership.
[39:06] The first of which was the one that re-involved actually continuing with our outpatient clinic
[39:12] services here in Redmond, but actually closing the Family Burthing Center at the hospital.
[39:18] The savings that was associated with that then would be used to invest in enhancing the
[39:24] services both at Madras and Bend.
[39:25] 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.
[39:48] such as behavioral health services or geriatric services,
[39:52] skilled nursing services, there's a series of areas
[39:55] where we're looking to try to bolster community access.
[40:00] So that was the merit of that proposal.
[40:02] Again, there was three proposals and where we find ourselves today
[40:05] as those proposals are being presented
[40:07] to the St. Charles Board of Directors later this week
[40:09] where we expect to hear some feedback from them and some guidance
[40:13] on how they would like us to proceed.
[40:15] So no decision has been made as of yet,
[40:18] but we expect to get direction from the board.
[40:21] Now that was kind of a high level overview.
[40:24] So we have Dr. Newman here with us today to share
[40:27] perhaps some more of the details
[40:28] that you might find important to this discussion.
[40:31] Dr. Newman is our medical director
[40:33] for Women's and Children's Services for St. Charles.
[40:35] She practices extensively here in the community.
[40:38] She was one of the co-chairs of the work group
[40:40] along with Tori Bernier, who's in the audience behind us.
[40:44] Tori is the director of our Women's and Children's
[40:48] 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.
[40:58] 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.
[41:17] women's services. The task force that you've heard about was composed of 20
[41:23] individuals across many specialties and interests in women's health and that
[41:27] included providers, caregivers, community members, patient family members, and our
[41:32] community health partners. Warm Springs was involved, healthcare delivery
[41:36] experts were involved as well. We were tasked with meeting the goal of expanding
[41:41] women's services across the entire health system and maintaining safety and
[41:45] quality standards in a financially sustainable way.
[41:48] Over 10 months of meetings, we were clearly told by focus groups that we were lacking in
[41:54] services for our older women population and our less advantage populations, and that
[41:58] we needed to consider alternative birthing options in future plans.
[42:03] We were faced with some pertinent facts, aside from financial considerations, demographics
[42:08] show that the segment of childbearing age women is decreasing over our three counties while
[42:13] or the 45 to 65-year-old group of women is on the rise.
[42:17] Childbirth numbers have been basically flat here
[42:19] over the past four years.
[42:21] Redmond had approximately 500 deliveries in 2017.
[42:25] The most in its history is in FBC,
[42:27] but projections of deliveries are down for 2018 here
[42:30] as they are in bend and as they are all over the country,
[42:34] as Mr. Adam says.
[42:35] Redmond FBC occupancy is 41%.
[42:38] I know to caregivers who are here
[42:40] or who work in the hospital doesn't often feel that way due to the unpredictable nature
[42:44] of obstetrics.
[42:46] Bend occupancy is 43%, also not very ideal for operations.
[42:51] The proposal, which our task force is forwarding to the Board of Directors, focuses on the
[42:55] addition of a 24-7 365-day in-house midwifery service in Bend, as well as a 24-7 365-day in-house
[43:05] obstetrical coverage with a dedicated obstetrical emergency department in the form of a hospital
[43:10] this program. Neither of these programs exist now. These initiatives have been clearly shown
[43:15] across the country to increase patient satisfaction, decrease bad outcomes, and improve safety
[43:21] for moms and babies. In Redmond, this proposal would mean that, while the FBC would close,
[43:27] the Center for Women's Health would remain. Gynecologic surgery remains, and we become able
[43:33] to strengthen services in Madras and to expand our ability to help a greater number of our
[43:38] community members. Going by our 2017 numbers, there will also be 50 fewer
[43:43] transports to bend of higher risk mothers and or newborns, and decrease
[43:47] separation of some mothers and families from their babies. I want to ensure
[43:51] that you all understand, though, that quality and safety of Redmond Services was
[43:55] never a question and is not now a question. Our providers and caregivers and
[44:00] Redmond provide excellent care and have always done so. I know many of our
[44:05] community members and I'm sure everyone here is concerned with safety and with the effects
[44:09] of closing Redmond's FBC.
[44:11] Last year they were five precipitous deliveries in Redmond and that's defined as a labor
[44:15] and delivery less than three hours in duration from start to finish.
[44:19] Of those five deliveries to occurred in the Redmond ED, one occurred to a patient who was
[44:25] already admitted to the FBC and in that one that delivery occurred while the obstetrician
[44:29] was actually on the unit just didn't make the delivery.
[44:32] The Center for Disease Control quotes a nationwide precipitous delivery rate of 2.26%
[44:38] irregardless of hospital proximity, as long as hospital services are within an hour
[44:43] of laboring mothers.
[44:45] Our rate last year was 1%.
[44:47] The Journal of Clinical Medicine, along with many other studies, concluded that what they
[44:52] call express deliveries, do not result in increased risks or harms to mothers or babies.
[44:57] Please.
[44:58] We'll precipit-
[45:00] This delivery is increased with this proposal. I guess that's possible, but as the data shows,
[45:04] that is perhaps not the safety issue that it might seem to be at first thought. Our task
[45:09] force evaluated proposals with safety as a primary consideration. Ten months of discussion,
[45:15] research, focus groups, debates, visits to all the campuses by all the members resulted in
[45:20] an unanimously agreed upon proposal, which we believe answers the very large ass presented
[45:25] to us in the safest, most quality driven way, benefiting newborns and women of all ages.
[45:32] This is a very brief outline, obviously, but we on the task force want you to know that
[45:36] this process was not an easy one.
[45:38] There were no preconceived notions, no one took this responsibility lightly, and we are all
[45:43] very aware of the emotional, fiscal, professional, and community impacts that this could represent.
[45:48] Having said that, though, we're also excited by the very real benefits that can be gained
[45:52] by this proposal from our communities, the people that were privileged to serve.
[45:58] Thank you.
[45:59] Thank you, ma'am.
[46:01] And we'll hold questions till the end of that.
[46:03] All right.
[46:04] Okay.
[46:05] Let's see.
[46:06] We have.
[46:09] They'll be back.
[46:10] Yeah.
[46:11] Miss Laredo.
[46:21] Good evening.
[46:23] Forgive me.
[46:23] I'm a little nervous.
[46:24] This is not really my thing.
[46:27] So first, I just want to start off and say, Mayor Indicott and members of the Council
[46:31] and everyone that's here, thank you for taking on this issue and letting it be heard.
[46:37] It really does show the community, the compassion that you have for the residents here of Redmond
[46:42] and also the surrounding community.
[46:46] So my name is Amber LaReto.
[46:48] I am a registered nurse who is certified in inpatient obstetrics.
[46:52] 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.
[47:01] On a personal note, I myself have had seven children at the Redmond hospital, said twins, and the most recent one three months ago.
[47:09] 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,
[47:18] I didn't want to deliver with all the people that I knew growing up because I also grew up in this area.
[47:23] 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.
[47:29] I am those precipitous deliveries as well as some of the other nurses that I work with.
[47:35] So currently obstetrics itself is facing a shortage in practitioners.
[47:41] By the year 2050, it is expected that they're going to have 8,000 fewer practitioners
[47:45] nurse to serve women. That doesn't necessarily mean only OBGYNs, it also is nurse midwives
[47:53] and other licensed independent practitioners. If we do close the Redmond facility, that's
[47:59] just feeding into that 8,000 number gap in practitioners. And there are several practitioners
[48:09] that serve our hospital who may no longer be able to practice the type of medicine that
[48:15] they have been practicing for years. For instance, we have family practice physicians that
[48:20] deliver. We also have certified nurse midwives, and we have OBGYNs, which is something that's
[48:25] not available to any other facility in Central Oregon. So we have all three of those.
[48:33] And there's a lot of research to show. And actually, Missy Cheney over at Oregon State University
[48:39] has written a lot on models that are like this,
[48:44] that have a multifaceted system
[48:46] that offer both a high-risk model, moderate and low
[48:49] and kind of catch everything in between.
[48:53] So there is evidence to support this kind of model
[48:55] that Redmond has only.
[48:57] And it would be a great model for all of the birthing units
[49:00] to have.
[49:04] So the other concern that I specifically have
[49:08] as a provider and I currently am getting my FNP so I can serve people in a primary care capacity.
[49:15] But one big thing that I have discovered going through my own program and serving women's
[49:21] health in the last seven years is that in comparison to male counterparts women by a fairly significant
[49:29] margin do not seek care as much. Mostly due to access and cost you can find information on that
[49:38] through the Henry J. Kaiser Family Foundation.
[49:42] And those numbers are there,
[49:43] both before the Affordable Care Act and afterwards,
[49:47] just because the costs and the access.
[49:52] And Redmond really is kind of a center
[49:55] for everyone to access.
[49:58] If you're living in Madras or Warm Springs
[50:02] and driving 60 or more miles to get to the hospital,
[50:05] Well, you may be like, you know, maybe I don't really want to go or if, you know, if
[50:10] for say on their only practitioners in Bend, only practitioners in Madras, do you really
[50:15] want to drive X amount of miles to do that as a whole women don't want to do that?
[50:21] So that is a really big concern that I have.
[50:25] They're already underserved in that area and this could potentially hit that problem.
[50:29] And Redmond itself based on information that I gathered from the Oregon Health Authority,
[50:34] their births have increased by 61% over the last nine years.
[50:39] Bends have increased by 5%.
[50:41] Those numbers let you know that people are choosing to deliver in Redmond.
[50:46] And deliveries are more than just money.
[50:50] They are more than just cookie cutter model.
[50:53] It's one of the biggest life events that someone can experience.
[50:57] And that doesn't necessarily mean that those life experiences are had only by the mother
[51:02] or only by the father. Sometimes those can be experienced by the grandparents, by the siblings,
[51:08] by the aunts, the uncles. A birth is something to celebrate. And we're not only there for birth,
[51:13] sometimes we're there for demises as well. And those are also very important events in people's lives.
[51:21] And having, you know, someplace like Redmond, that they don't have to drive all the way over to
[51:26] been to deliver a demise is something that's really important and could really emotionally
[51:32] affect not only the patient but the nurse and all the rest of providers that are interacting
[51:37] with the patient.
[51:38] The big thing is we have a great model of care for our obstetrical patients and even our
[51:45] GYN patients.
[51:46] Right now we have three choices for families to deliver their babies, Ben, Redmond, and
[51:52] Madras.
[51:52] And that's amazing. Our patients get to choose where they want to have their babies, how
[51:58] they want to have their babies, which is what birth should be about. It shouldn't be
[52:02] about the money and it is because it is healthcare. We all know that the margins are tight, but
[52:09] it is more than that. Birth is an amazing thing. I don't know if I could put it into words just
[52:17] how special it is, I've been doing this for seven years and I still cry at everyone.
[52:22] And the ones that have been precipitous that I have been at or delivered to myself,
[52:26] I still remember every single one of those.
[52:29] So the great thing, we do have a choice here in Central Oregon.
[52:33] You know, we, even all of our nurses and some of our top leadership has said, you know,
[52:39] we love Central Oregon because we love the community and we love all the choices that it has
[52:43] to offer. Healthcare should be no different than that. Healthcare should be a choice for everyone
[52:49] to decide where they want to seek care. And we want the people who want to deliver in
[52:53] bend, who want to deliver in Redmond, and who want to deliver Madras get that choice.
[52:58] I don't want those choices to be taken away from them. And if one of those choices are taken away
[53:03] from them, it is likely that the impact of that is going to affect the people who want to deliver
[53:08] and bent, and wanted to deliver a mad nurse, potentially delaying induction times, limiting
[53:13] bed numbers, limiting availability of physicians, and limiting availability of nurses.
[53:20] There is definitely a shortage of obstetrical nurses, so it's not like we would just be
[53:25] able to just fill all these positions with all of these nurses, just like that.
[53:30] There's a large difficulty even finding travel nurses to fill obstetrical positions on nurses.
[53:47] So, you know, in Redmond, we deliver over 500 babies a year.
[53:53] And on the day that this was announced to us on my unit, a very close family member
[53:58] of mine was having a repeat C-section done in Bend.
[54:02] And after her C-section, she had a postpartum hemorrhage, a very significant one.
[54:06] And the Bend team did an amazing job taking care of her and helped save her life, which I'm
[54:11] very thankful for. But it really does worry me that if had there been eight more patients
[54:17] on that unit and not enough nurses to care for those eight patients, had she or any other
[54:23] woman on that unit got the same sort of quick care if there were not enough resources available.
[54:33] You know, I have talked a lot about the physicians and a lot about the nurses, but this does not
[54:38] not just affect the nurses in the OB department, no matter if it's been Redmond or Madras.
[54:43] This will significantly affect the emergency room.
[54:46] Right now, specifically in Redmond, on any given day on the board, you can see 20 or more
[54:51] patients who are there who are on a level anywhere from four, which is kind of low risk all
[54:57] the way on up.
[54:59] When you have patients who are level three, level two, they need the most immediate attention.
[55:03] And if a mom does come in and she's in labor or bleeding or there's all you know types
[55:09] of potential scenarios, she may not get the attention that she's going to need.
[55:13] Also, while the emergency room is great and if you are in a car accident or severe trauma,
[55:18] you definitely want them, but when you're pregnant that is just not an area of their expertise.
[55:24] So I'm not sure who will ultimately be caring for these women in the ER to the best, not
[55:33] to the best of the ability because they would do an amazing job but to the standard that
[55:37] it should be. So in addition to that, you have to think about the EMS. They don't have
[55:44] the budget for training, they don't have the budget for increased staff or for the specialized
[55:49] equipment you need to transfer patients. And that is going to put a significant stress
[55:55] not only just on them financially and it is also going to put some stress on our patients
[56:02] around this community, because if they're tied up doing transports, because
[56:06] mom presented to the ER and thinks she might be in labor, she then needs to be transported
[56:11] over to Ben, or to Madras, or Ben to Madras or vice versa.
[56:15] And that could hold up a potential transfer for other patients, may it be, you know, medical,
[56:21] maybe they need to go to IMCU, maybe they need to go, you know, a higher level of care, basically,
[56:27] or if you're transporting them out because there are not enough rooms.
[56:31] If you add just those few things, and then you can even go a little bit further, you know,
[56:37] I'm sure we've all driven to bend quite a few times and in recent years have noticed the tick in traffic
[56:44] 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.
[56:51] You could then, before that, take the back road on the Old Bend Redmond Highway. However, that's also getting very, very busy.
[56:58] And if you are taking that in the winter time, that road specifically is not kept up as
[57:03] well as, of course, the inner city roads.
[57:07] So that could even put additional stress on the road's department and issues county.
[57:13] And also, you know, how are they going to know to do that?
[57:17] How would they come up with additional funds to make sure easy access roads to the hospitals
[57:21] are going to be available?
[57:23] And then the big thing we need to really think about is what kind of stress is this going
[57:28] to put not only on our patients but all of our care providers, not just Redmond, not
[57:33] just Madras, not just Ben, every care provider that has contact with a woman or her family members.
[57:41] Increasing caseloads, especially if you are not certified or specialized in that can cause
[57:46] a lot of stress, an emotional distress with any health care provider.
[57:53] So that's going to happen the most with emergency services and the most with the ER professionals,
[57:59] which they already deal with a lot of emotional stress already.
[58:04] That doesn't need to be something else that's tied into it.
[58:08] I would love to see that the Redmond Family Brodian Center is state open because it is such
[58:12] a special place and provides so many different options for patients and I hope that we are able
[58:18] to continue to both support Bend and Madras provider patients from all over. I mean post,
[58:26] warm springs, all over. I mean even this last year when we had the eclipse, we had patients
[58:33] all over the country and several of them came to choose to come to Redmond and that's the one thing
[58:40] And we also have to remember about health care as our patients are more knowledgeable than
[58:44] ever before.
[58:45] They get to read reviews on everybody and they get to choose where they want to go.
[58:49] And right now we have the ability to offer them those three choices and make the biggest
[58:53] impact on one of the most eventful times in their lives for them to be able to bring their
[58:58] kids back, bring their grandma back, bring their family members back.
[59:03] And that's what we want to show them as being Charles is that we care about your whole family.
[59:06] And we want to invest in you and create this trusting relationship with you.
[59:12] So I want to thank you for your time.
[59:15] Thank you.
[59:16] And listening to all of my stuff, and of course, I'll be happy to answer any questions
[59:21] as well.
[59:22] Thank you.
[59:23] And what we'll do is call you back up probably with Mr. Newman after we hear some more testimony.
[59:28] Thank you.
[59:28] Okay, so I have several cards and I'll call those up in you in which I received them.
[59:33] And if there's anyone in the audience at this point on speaking that hasn't filled out
[59:37] a card yet, please do so there on the back table.
[59:41] And so with that, I'm going to, and I will remind you of a three-minute limit, please.
[59:46] I'm going to start with Pam Mint.
[59:50] Good evening, ma'am.
[59:52] Good evening, there.
[59:54] I'm going to choose to stand because I'm not sure I'll get back out of the set, so.
[59:58] No.
[1:00:00] 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.
[1:00:28] I've been there several times in the emergency room.
[1:00:30] Sometimes I'm a frequent flyer there, and I'm also an extra-prone at times.
[1:00:36] And one of the things I've learned during my service in a combat zone, both in Iraq
[1:00:40] and Afghanistan, is the importance of proximity of care, accessibility of care, and the ability
[1:00:46] to be able to respond immediately.
[1:00:48] What I appreciate about the proximity and the accessibility of the Redmond Burst Center
[1:00:53] is that's my future.
[1:00:55] I can sit here and I can quote obstetrics all that kind of stuff that we have to provide
[1:01:00] an opportunity for people who choose to give birth, to give birth where they want to.
[1:01:06] And Redmond provides that Redmond is cost effective, it is community oriented, it provides
[1:01:11] a constellation of services which is quite remarkable.
[1:01:15] I'm a licensed clinical social worker, I've seen from death to birth, I was a commander of
[1:01:21] to combat stress control with hatchment in Iraq and Afghanistan and what I know is that
[1:01:26] health professionals like to provide quality care.
[1:01:30] Service members, constituents and community members like to seek care whether they are
[1:01:34] able to seek care and where they choose to seek care.
[1:01:37] One of the things that's important is that the MedMembers Center is cost effective.
[1:01:42] It may be 41%, Bend is 43%, but what I know is people from Culver, people from Primeville,
[1:01:49] people from Madras, people from Ben choose to come to Redmond.
[1:01:54] And there's a reason they choose to come.
[1:01:55] It's the small town, it's the caring nature.
[1:01:58] It is important to be able to continue to provide that in the most important life event.
[1:02:03] To consider closing and limiting services increases risk.
[1:02:06] What I know is from being in combat and in command of combat stress control, there's a ripple
[1:02:14] effect when decisions are made about rules of engagement.
[1:02:16] I will take a look at this decision as being rules of engagement about where women can
[1:02:21] have their children, where families can have their children.
[1:02:24] There is going to be a ripple effect.
[1:02:26] And what is the cost, both psychologically and emotionally and spiritually, to individuals
[1:02:31] who may not be able to get to their baby or have their baby safely?
[1:02:36] Just to make it be about science is ignoring one of the most important life events in the
[1:02:41] community.
[1:02:42] When people give birth in this community, they're giving birth to my future.
[1:02:46] And I like my future.
[1:02:48] I serve this country to ensure that we have a future.
[1:02:52] I drive down, him holds, I drive down North Star away, and there's buildings going up.
[1:02:57] Chances are people are going to move into those homes.
[1:02:59] And if I know married couples and I know men and women, there's going to be some fun happening.
[1:03:04] We might see an increase in the birth.
[1:03:07] I mean, if there's an increase in houses or an increase in bedrooms, guess what's going
[1:03:10] to happen?
[1:03:10] And there's going to be an increase in people wanting to have babies.
[1:03:13] And at this point, to reduce the number of, I'm almost done, I know you can, I want to
[1:03:20] wait for the whole to go and I go to drop down it, right?
[1:03:22] Anyway, I know I know how to operate, you know, I may be a criminal, but I know you can
[1:03:26] pull me off.
[1:03:27] But anyway, I just think we have to take a look at community planning, the medical footprint.
[1:03:32] There are people moving here because this is a place to live.
[1:03:36] It's God's country.
[1:03:37] 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.
[1:03:46] Thank you.
[1:03:46] Thank you, ma'am.
[1:03:52] Okay, next up I have Julie Gilbertson.
[1:03:57] I want to remind you of the three minutes, please.
[1:04:02] But Colonel, I never interrupt a Colonel.
[1:04:05] Thank
[1:04:07] you, Mayor Indicott.
[1:04:09] Thank you, members of the council.
[1:04:11] I'm going to read off a script because I cry easy.
[1:04:16] and so if I read this, I will do a better job.
[1:04:20] I am a mother, teacher, wife, and resident
[1:04:22] in our beautiful town of Redmond, Oregon.
[1:04:25] As a mother, I have the opportunity
[1:04:26] to give birth to Redmond.
[1:04:29] The staff at the Redmond Birth Center is unmatched.
[1:04:32] I have never felt better taking care of
[1:04:34] than in the arms of the staff there.
[1:04:37] OK, hold on.
[1:04:38] As an educator, I look at all of the students
[1:04:40] and past students I have had and think about
[1:04:43] about how many of them were born here in Redmond.
[1:04:46] Our goal as teachers is to instill the love of learning for success in college career
[1:04:51] and in life.
[1:04:52] Did you know that 90% of brain development happens in the first five years of life?
[1:04:57] The Redmond Birth Center provides a safe beginning.
[1:05:01] Without having a birth center in town, mothers in Redmond and surrounding areas are forced
[1:05:05] to travel the bend.
[1:05:07] Central Oregon is not getting smaller, but only getting bigger.
[1:05:10] The traffic and bend is getting harder and harder to get around.
[1:05:14] Not only is my concern with not having a birth center, but also what will happen to the
[1:05:18] options for OB-GYN care.
[1:05:21] The doctors will doctors continue to see women here in Redmond or will women have to travel
[1:05:27] to bend each time for an appointment.
[1:05:30] There seems to be an issue with equity, in my opinion.
[1:05:34] How will these mothers afford to travel to bend each time for a prenatal appointment?
[1:05:39] Not only is prenatal care and education important for the success for students post-care is also imperative.
[1:05:48] I found this quote online.
[1:05:51] Said rural women are often underserved and typically face more barriers than non-rural pregnant people in accessing care.
[1:05:59] What about the 34 staff members who work at the birth center?
[1:06:03] I understand they will not lose their jobs but will be displaced somewhere in central organ.
[1:06:07] Their expertise is in labor and delivery.
[1:06:10] I worry about their emotional state as well as their future and their new positions.
[1:06:15] In the news, it is stated that closing the Redmond Birth Center will save patients money.
[1:06:20] As a mother, what I wanted from my birth experience was that it was safe, I was care for,
[1:06:25] and that I could be close to my family, not saving money.
[1:06:29] If you choose to close Redmond,
[1:06:31] If you choose to close Redmond, won't there be cause for building a bigger facility in
[1:06:37] Ben?
[1:06:38] What about parking?
[1:06:40] It is already so crowded there.
[1:06:42] This past weekend I went to the pumpkin patch.
[1:06:45] I couldn't help but ask where some of the women in attendance had their babies.
[1:06:49] I had the privilege of talking to women from post, primeval, and fossil.
[1:06:54] We can't forget about them.
[1:06:56] We can't ignore the women and the babies here in Redmond either.
[1:06:59] I also spoke to someone who works at St. Charles.
[1:07:02] She also agreed that the birthing center must not shut down.
[1:07:06] However, she said she was too afraid to say anything because she didn't want to lose
[1:07:10] her job.
[1:07:11] You don't want your employees to feel fear.
[1:07:14] We aspire fighters, police officers, medical personnel, teachers, and political figures in
[1:07:20] Central Oregon are in the business of changing lives for the better.
[1:07:24] I have a deep love for this community and I am proud of the services we offer.
[1:07:29] As a teacher with expectant mothers regularly in my life, I am proud to be part of a community that supports them.
[1:07:36] Please don't take this resource out of our community.
[1:07:39] Please do the best thing on behalf of our young families and our children.
[1:07:42] Thank you so much for your time.
[1:07:44] I hope you'll consider keeping the family-roading center in Redmond.
[1:07:53] I appreciate the applause, but please hold it.
[1:07:58] Okay, Mr. Fister.
[1:08:01] Fister?
[1:08:05] Good evening, sir.
[1:08:07] How are you doing?
[1:08:08] I'm Bob Fister.
[1:08:10] I'm a neonatologist for St. Charles and neonatologist.
[1:08:15] He's a doctor who takes care of crickly old babies.
[1:08:19] I'm not from Central Oregon.
[1:08:21] I've lived here for four years.
[1:08:22] and I've been blessed to serve the folks who live in Madras, Redmond, Bend, the community
[1:08:29] south and east, beautiful place to live and I've been proud to be here.
[1:08:34] I have just a couple of quick points.
[1:08:37] The first is, and I'm a simple guy from the southeast, it doesn't pencil, we're taking care
[1:08:46] of 1.5 babies a day, and we consume resources of about 10 or 12 professional employees.
[1:08:54] The current model doesn't pencil I. I respect the opinion of the colonel who spoke of the
[1:08:59] cost effectiveness, but I think I can tell you clearly and honestly that we're losing
[1:09:04] money. The second point is I heard at the beginning of tonight, a group of women volunteers who
[1:09:13] We're advocating on behalf of the children in the community.
[1:09:18] And that's who I'm here to speak on behalf of, I've dedicated my entire career to improving
[1:09:25] the quality and the safety of healthcare that we provide to sick babies.
[1:09:29] It's all I care about, frankly, I don't care where they come from, in the greater state
[1:09:32] Charles catchment area, I take care of them.
[1:09:35] And I can tell you that the data on this is quite clear.
[1:09:39] We had 49 transports last year.
[1:09:41] And nationally, the odds ratio of a sick baby who's transported is 1.7.
[1:09:51] And ladies, terms, that's a 70% increase in dying if you're a sick baby and you're transported.
[1:09:57] There are other data that I can share with you, such as the increased rates of intraventricular hemorrhage, respiratory disease.
[1:10:05] disease, but my main focus is to tell you that in addition to being fiscally responsible,
[1:10:12] we can improve outcomes for some infants with a model that's being proposed, and we can
[1:10:20] save the lives of a handful of babies.
[1:10:23] And to me, that's worth it.
[1:10:27] Thank you for your time.
[1:10:28] Thank you, Dr..
[1:10:29] Thank you for your service.
[1:10:32] Next question I have is Eric Slesinger, I believe.
[1:10:42] I say that right.
[1:10:43] Yeah.
[1:10:44] Cool.
[1:10:44] Thank you.
[1:10:48] So, thank you for your time.
[1:10:50] I hope to give us a slightly different perspective here.
[1:10:53] I think we've heard a lot from hospital administrators and community members and mothers.
[1:10:58] I am new to this area.
[1:11:00] I recently relocated and one of the things that I was very excited about moving here is
[1:11:06] the opportunity for rural living without sacrificing access to top-quality services such as medical
[1:11:12] care and health care. I'm not a mother yet, but I look forward to building a life and potentially
[1:11:18] a family in this area of Central Oregon, and there's a lot of great communities to choose
[1:11:22] from to settle down here. And access to a full-care hospital with a birthing center is certainly
[1:11:29] a consideration in that decision as to where to settle down.
[1:11:33] I find it concerning that rather than expanding access to health care in a growing community
[1:11:38] that we stand to lose an important resource such as this birthing center, in recent years
[1:11:44] I think trends have shown that infant mortality in the United States is significantly higher than
[1:11:48] other comparable countries. With our state of the art health care and resources this can only be
[1:11:54] attributed to a lack of access to health care. I did live for a couple of years in a rural community
[1:11:59] in one of the poorest countries in Sub-Saharan Africa, I was about 30 minutes from the provincial
[1:12:05] capital.
[1:12:05] We didn't have a market.
[1:12:07] We didn't have any stores, but we had a birthing center.
[1:12:11] It's shocking to me that in our country and in our community, a major birthing center
[1:12:14] that serves not just the city of Redmond, but many of the surrounding areas could consider
[1:12:19] closing.
[1:12:20] When considered in light of the growing population in both Ben and Redmond, and I know there's
[1:12:24] been statistics grown out here that are contradictory as far as the growing population and the growing
[1:12:29] birth rate versus the number of births that, you know, in light of this, the consideration
[1:12:36] for consolidating these birthing centers is even more surprising. Not only does it raise
[1:12:41] concerns over the access to a safe birthing center for those in Redmond in the surrounding
[1:12:44] areas who are unwilling to not have the means to travel to Ben for care, it also raises concerns
[1:12:49] over the availability and quality of the care that those of us in Ben might receive.
[1:12:55] Not only will there be an increase in schedule appointments with the birthing center, but there
[1:13:00] is bound to be an uptick in the number of emergency births or high-risk births due to the
[1:13:04] increased travel time depend. For an area of health care that is so unpredictable and
[1:13:08] so critical to the health and wellbeing of not just the immediate families but entire communities,
[1:13:13] the risk for such a potential decrease in access and quality of care does not seem worth it.
[1:13:18] I understand that the hospital administration, the city council and the community do not take
[1:13:23] this decision lightly and that a lot of due diligence has been conducted on the potential
[1:13:26] impact of the community and to the healthcare system for these different proposals.
[1:13:32] But I wonder what are the full details of these findings and we heard a little bit about
[1:13:37] that tonight, but also how is the decision made that the cost benefits outweigh the burden
[1:13:42] on the community as well as the hospital staff and the emergency responders?
[1:13:47] And I think more importantly, something that hasn't been touched on at all tonight
[1:13:50] or what are the long-term monitoring evaluation activities, regardless of which decision is
[1:13:55] made moving forward, that are planned by the Council or by the hospital administration
[1:14:00] to assess the impact of whatever this decision is, and how will those findings be addressed
[1:14:06] moving forward and looking forward?
[1:14:08] So, thank you for your time.
[1:14:10] Thank you, ma'am.
[1:14:11] Appreciate it.
[1:14:12] Next person I have is Susie Tuttle.
[1:14:19] Good evening.
[1:14:20] Good evening.
[1:14:21] Thank you for your time, so I'm here to, I'm Susie Taddle, I'm a nurse in the Redmond
[1:14:28] emergency room.
[1:14:30] I've worked at the hospital for 21 years.
[1:14:32] I don't have statistics, but what I do have is experience in our hospital.
[1:14:38] In the emergency room we're there to help traumas, heart attacks, strokes, cardiac arrest.
[1:14:45] When those types of things come in, they pull our resources, they take more than one nurse.
[1:14:49] We've had an increase in overdose and suicide attempts, mental health patients that require
[1:14:55] one-to-one monitoring, which also take from our resources.
[1:14:58] this way we have
[1:15:00] 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.
[1:15:26] but I do know when things come in that we, oh my gosh, sorry, I had it all written out here,
[1:15:35] but we do the best we can. We take care of our community. We care about our community.
[1:15:39] We will take care of every single one of you when you come in and we are concerned about the
[1:15:43] resources and having it resources when somebody is having an emergency every minute counts.
[1:15:50] There is increased transport in EMS, the weather affects whether they transport or not.
[1:15:59] If somebody is in labor and actively delivering, they're not going to get flown by air link.
[1:16:06] But if their fetal distress, redmin ambulance may not be able to transport them
[1:16:10] because they don't have the proper equipment, so what will happen to that mom and baby?
[1:16:14] 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.
[1:16:38] Thank you, ma'am.
[1:16:39] Thank you.
[1:16:40] Next, Ed.
[1:16:41] Fitch.
[1:16:47] Good evening, Mr. Fitch.
[1:16:49] Good evening.
[1:16:51] Thank you.
[1:16:52] And I appreciate the council's resolution.
[1:16:54] This is an issue that should be looked at by the entire community.
[1:16:58] I'm going to take a little different tacked on this.
[1:17:02] The hospital we have here in Reb and started out as central organ district hospital way back
[1:17:07] in the 1950s.
[1:17:08] I represented as their legal counsel from the late 80s to 2000.
[1:17:13] My partner, Ron Bryant, represented St. Charles from Genesis to about 2014, but so Ron and
[1:17:22] I have a lot of familiarity with the hospital systems, both the original CODH and St. Charles.
[1:17:28] And what I want to do is draw your attention because in 2000 those two hospitals joined
[1:17:32] and a merger. And that merger followed a couple years of collaboration between CODH and St. Charles,
[1:17:40] led by Nick Jim Lucere and Jim Degel. And in 2000, both boards of CODH and St. Charles agreed
[1:17:49] to merge the two institutions into one, and that was at Cascade Health at that time. And they executed
[1:17:58] agreement called an asset transfer agreement whereby the assets of CODH became part of St. Charles.
[1:18:06] And it's important to go back to that agreement as to why that was done in the first place.
[1:18:11] And if I could just take a couple minutes and tell you, the purpose of that whole agreement,
[1:18:16] right in the agreement, was to enhance the public health and generate welfare of all the
[1:18:20] inhabitants of residents within the district boundaries of CODH. It was to improve our healthcare,
[1:18:26] not to detract from it. And CODH at that time included the city as well as some of the
[1:18:32] outlying areas here. And so when you go through this agreement it constantly
[1:18:37] talks about that the purposes agreement is to in exchange for the transfer of
[1:18:44] of those assets was to improve the health care for all the citizens of this
[1:18:48] Redmond area, the Redmond community. And in part of that agreement part of the
[1:18:54] was is that the Rebend community would have a seat at the St. Charles board, not just
[1:19:00] one seat, but three. And originally, Jerry Andress, Spike Biggers, and Jim Degel, as a CEO
[1:19:09] was on the board. Dan Murphy was on a physician here in Rebend, so was Derek Palmer. But for
[1:19:17] the last eight years, Rebend has had zero people on the St. Charles board. It has had no
[1:19:22] voice, in any decision, I'm one of the most important assets of our community. So why
[1:19:30] is Redmond on the chopping block? From my perspective, in large part, it's because
[1:19:35] it does not have a voice at St. Charles, and it should have a voice. When this agreement
[1:19:41] was formed, CODH District was probably comprised of about 20,000 people. Now we have probably
[1:19:47] 45 to 50,000 people who call Redmond home.
[1:19:51] When you're not only look at the city,
[1:19:53] you look at Crooked River Ranch,
[1:19:54] Terabon, as mentioned, even Culver,
[1:19:57] Eagle Cress, Palbutte,
[1:19:59] all the rural residential areas around here
[1:20:01] call Redmond home, and this is their hospital.
[1:20:05] Yet we don't have any voice at St. Charles, zero.
[1:20:10] Now, from my perspective, to make it short,
[1:20:14] I think St. Charles should do one or two things.
[1:20:16] Either appoint two people to the board from the Redmond community immediately so that you
[1:20:22] have a voice in this decision-making process.
[1:20:25] It is totally unfair that our decision is being made by a group of people who have no interest
[1:20:31] or no tie to Redmond.
[1:20:33] In fact, in the last four years, the St. Charles board has appointed three new members, one
[1:20:39] One from Chicago, one from Portland, and one from South Dakota, no one from Redmond.
[1:20:46] Redmond is being treated as a second-class citizen at St. Charles, and it has this stuff.
[1:20:52] So I think they have to appoint people from Redmond on that board to help make a decision,
[1:20:56] or on the alternative, give the hospital back to Redmond.
[1:21:00] Because the way we're being treated right now is unfair, it's unconscionable.
[1:21:05] this should never happen for all the clinical reasons why it puts people in
[1:21:09] jeopardy it should never happen it should never come forward in the first place
[1:21:13] and it's not the financial issue as a baby's being born here. St. Charles has a lot
[1:21:18] of financial problems but it's not because of the baby's being born here is being
[1:21:32] Madeleine Dresher, I believe.
[1:21:35] I say that right.
[1:21:45] Madeleine?
[1:21:45] Good
[1:21:53] evening.
[1:21:54] Thank you so much for hearing me out.
[1:21:56] My name is Madeleine Dresher, and I am a birth doula in Central Oregon.
[1:22:01] 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.
[1:22:08] 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.
[1:22:18] For some it's safety and for others it's experience and both of them are equally important.
[1:22:25] I currently have two clients who have chosen to transfer care from Bend to the Redmond
[1:22:30] Center because they felt that that choice was better for their family at the time.
[1:22:39] One client was saddened when she heard her doctor tell her that she did not like it when
[1:22:44] women labored too long.
[1:22:46] And she's on her second pregnancy.
[1:22:49] And this is coming from a mother who was rushed
[1:22:53] and did not feel valued in her first pregnancy.
[1:22:56] And now she's having her OB tell her
[1:22:57] that she doesn't want her to go take too long in labor.
[1:23:01] And from a physiological standpoint,
[1:23:03] a woman who's rushed in labor is not going to birth well.
[1:23:07] And so she chose to end her care and bend
[1:23:09] and is now going to birth in Redmond next month.
[1:23:14] So, birthing women need to feel safe and cared for when they're having their baby.
[1:23:20] When they're put on a clock and expected to produce a baby, the outcomes aren't very
[1:23:25] well.
[1:23:25] They're not very good.
[1:23:29] And it can inhibit, I'm sorry.
[1:23:31] And one of the proposed things is in the Ben Center, moving women from birthing in one room
[1:23:37] and staying in that room till they leave to going from birth rooms and then postpartum
[1:23:41] rooms, moving a freshly postpartum mom from one room to another is hard on bonding of
[1:23:46] her and her baby and is hard on a freshly postpartum body where that mom needs to be sitting
[1:23:51] down, laying down so that her body can heal, not gathering stuff and going up to another
[1:23:56] floor in a hospital.
[1:24:01] And there are certainly months where labor and births are down.
[1:24:05] January, February, early spring months are not very high but August, September, October
[1:24:11] are very, very high months for births to happen.
[1:24:14] I call those the holiday babies.
[1:24:17] And in Bend currently, during those months, the OBs are running.
[1:24:23] They are full.
[1:24:24] I have heard of women having babies in the triage room waiting for rooms.
[1:24:28] Women who are an early labor, getting sent home because they just don't have the space.
[1:24:33] And so this is only going to increase if we take away the Redmond Center and then put all those those women
[1:24:40] From Redmond to band. There's going to be no rooms and it's going to be
[1:24:44] very
[1:24:45] drastic on those women's experience on the safety of the babies
[1:24:49] And so
[1:24:51] Redmond offers something different and it's a very valuable option in our community
[1:24:56] Taking that choice away would adversely affect current and potential residents in our community
[1:25:03] And thank you so much.
[1:25:05] Thank you, ma'am.
[1:25:06] Okay, that was all the cards I had.
[1:25:08] Is there anyone else that was just to speak?
[1:25:13] Okay, seeing them.
[1:25:14] I will invite Mr. Adams and Mr. Laredo back up here, please.
[1:25:20] We may have some questions.
[1:25:25] I know I do.
[1:25:34] So anyone have questions other than myself, John?
[1:25:40] Thank you very much.
[1:25:41] Mr. Adams, I just had a couple of questions
[1:25:42] that to clarify what you said so I can have a better understanding of this.
[1:25:46] You mentioned that there were three proposals currently being considered by the Board of Directors.
[1:25:50] You outlined one of those proposals. Can you outline all three of them for us just briefly
[1:25:56] so that everyone in attendance can hear what those are? And then can you identify any of those proposals
[1:26:01] allow for the Family Bursing Center to remain open in Redmond?
[1:26:05] Yeah, the answer to that is yes and I can certainly share the details of those. So I share the first.
[1:26:09] first. The second was to continue with services as it exists today and to make an investment
[1:26:19] in trying to move a low risk burst to Redmond. So doing marketing and other things to
[1:26:24] try to encourage mothers to bring more business to Redmond as a low risk birthing center.
[1:26:30] So that's part of the second proposal. It also includes some of the enhancements that
[1:26:34] we talked about in proposal number one. So that is the second option or the second
[1:26:39] proposal that's being shared. The third is a proposal to both close not only the family
[1:26:47] birthings or the third is to not only close the family birthing center from an inpatient
[1:26:52] perspective but also to reduce the clinic services that exist in Redmond today. Again,
[1:26:57] the savings associated with that would be invested in the enhancement of services at
[1:27:01] Madras and Bend. That was the third proposal. Can I make one comment?
[1:27:08] So I just... I recently came to St. Charles this last year and one of the reasons why I came
[1:27:14] is when I had a chance to meet so many of the caregivers that work here. They were really committed
[1:27:18] to their community, they really committed to the hospital and it was just so moving when I came up
[1:27:23] for my initial visits. I wanted to be part of it. I just want to say how proud I am of everybody
[1:27:27] everybody that came out here and spoke passionately about the work that they're doing at St.
[1:27:32] Charles and the Family Berthing Center.
[1:27:34] And none of this decisions or proposals reflect on the services that they've been providing.
[1:27:38] They do great work and they care a lot about their community and I'm just proud to work
[1:27:44] with them.
[1:27:45] Emily Bonnie's over there who I just adore and lunch.
[1:27:48] She makes me smile every time that I see her.
[1:27:51] So I just wanted to mention that and you did a great job up here.
[1:27:55] So for further clarification, when you talk about reducing clinic services, are those
[1:27:59] specifically OBGYN and other women's services or what clinic services are you talking
[1:28:03] about reducing?
[1:28:04] Yeah, so I'd ask maybe Dr. Newman to share a little bit of that.
[1:28:07] They did a lot more of the person out of the details with proposal number three and I don't
[1:28:11] know if Dr. Newman can share a little bit about some of the specifics.
[1:28:14] Yeah, I think when you're talking about the decreasing clinic services, you're talking about
[1:28:18] the third proposal.
[1:28:19] Yes.
[1:28:20] I'm just using Mr. Adams' language to try to get clarification.
[1:28:23] Yeah, the task force felt very strongly that this was not a viable proposal, that the
[1:28:29] clinic services needed not only to remain, but need to be enhanced in redmond no matter
[1:28:34] what happens.
[1:28:35] So, although that was one of the three finalists, so to speak, it's not one that we considered
[1:28:41] to be a viable proposal.
[1:28:43] So if I have that correctly, I've heard you say there's three proposals going into the
[1:28:47] board.
[1:28:47] and now you're saying there's one non-viable proposal.
[1:28:50] So can I get some clarity on that, please?
[1:28:52] Yes, so we shared what we thought the merits
[1:28:53] of those proposals were, the ones that we thought
[1:28:56] had the best chance of meeting the goals
[1:29:00] of improving quality and safety
[1:29:01] and making our services more affordable.
[1:29:04] So when we looked at the 14 various scenarios,
[1:29:07] those were really the top three.
[1:29:08] But part of the communication is also
[1:29:10] to share the merits of those, if that makes sense.
[1:29:13] And so the group felt that even though out of the 14,
[1:29:16] that was one of the top three, it wasn't as viable as the others if that makes sense.
[1:29:22] So keep in mind, we weren't asked to make a decision, we were asked to provide information
[1:29:27] to the board to make decisions and so that's what the group did.
[1:29:31] I'm entirely clear on that. I'm just trying to understand.
[1:29:35] The board received three proposals, correct? Or real?
[1:29:39] Where received three proposals? One of which, that you're describing currently
[1:29:43] of the three proposals is not a non-viable proposal.
[1:29:46] We didn't think it met the full qualifications of the goal.
[1:29:50] Okay, so there's two proposals that might be viable.
[1:29:54] And if I heard you correctly, neither one of those reduces services to women.
[1:29:59] That's correct.
[1:30:00] 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?
[1:30:26] Either.
[1:30:29] I'm wondering how many Redmond
[1:30:31] and people were represented on the focus group.
[1:30:35] Six out of 20.
[1:30:37] Out of 20.
[1:30:38] Okay, and then we heard Mr. Fitch allude
[1:30:42] to know Redmond residents being members of the board.
[1:30:46] Is that true?
[1:30:48] I don't know the fact.
[1:30:49] I don't know where the conversation all board lived.
[1:30:51] Can you get a clarification for?
[1:30:53] I can, I guess I could find that out.
[1:30:57] I guess one thing I do know,
[1:31:00] We recently did a study on demographics in Redmond and we found the median age in Redmond
[1:31:05] is 34, which is right in the middle of this time when I think women are having babies.
[1:31:15] I mean, as I understand the ages have gone up and I'm not talking about me now.
[1:31:23] The other thing I was wondering about, and we heard some reference to it when the
[1:31:29] sinners fall. How often does that happen? I mean, 40% average is fine, but as a woman
[1:31:38] said to me the other day, babies aren't born on average. They're born either full moon
[1:31:44] and some of these other things. And then we just heard certain times of the year as well.
[1:31:48] So, how often do we see the birthing centers full?
[1:31:53] In 2017, there were 12 instances of the unit going on diversion, 12 out of a year, 365 days.
[1:32:01] Okay. All right, thank you. Anyone else have any questions?
[1:32:06] I'd like to add that most recently, Redmond was full last week. We literally had one room open.
[1:32:12] So we have about 12 rooms that we can house patients in.
[1:32:17] We have six rooms that are designated delivery rooms,
[1:32:20] but we can deliver in all of them.
[1:32:21] And we literally had one room open.
[1:32:24] And that was just last week.
[1:32:26] And we were bursting at the seams with patients, new babies,
[1:32:30] and had all of our nurses just sort of running the halls
[1:32:34] and caring for everybody as best as we could.
[1:32:37] And many of those nurses that were there that day are here in the back.
[1:32:39] Oh, okay. Good. Well, thank you all for what you do.
[1:32:43] I don't want to. Yeah, I think that the bigger picture is this ebbs and flows,
[1:32:48] and the plan, at least the one that is creating so much of the concern,
[1:32:53] is that volume could be absorbed at bend and mattress in the future.
[1:32:59] So, for instance, this week I believe in the last four days we've had one inpatient.
[1:33:04] It's several days where we had zero inpatient.
[1:33:05] And we're providing, you know, several staff, several physicians,
[1:33:10] chargers. So it's very expensive. I think the bigger picture is is that I think
[1:33:14] what we're telling you with the services today, they're 60% underutilized.
[1:33:19] We're paying for 60% more capacity. We're providing 60% more capacity than
[1:33:24] the community. Shut down, part of Ben. Can you? Well, that was one of the options
[1:33:27] that was considered, but nowhere else could absorb the volume, right? So does
[1:33:32] Does that make sense?
[1:33:33] It would have been a $40 million investment.
[1:33:35] I mean, that's a bit snarky, but still, you know, I mean, all right, go ahead.
[1:33:40] So as it relates to the volume, I've had nurses who are constituents talk to me about
[1:33:47] what they call red bed status, I'm assuming that means they're all full.
[1:33:52] Maybe they entered the diversion status that you mentioned.
[1:33:56] Given this change and the numbers that you have at your disposal, how often do you anticipate
[1:34:01] that you will enter that status and bend if you close the Redmond Center.
[1:34:07] So I believe that the combined capacity would put bend at roughly 62% utilization.
[1:34:13] The days that would be in max capacity, do you recall that?
[1:34:15] I don't remember.
[1:34:17] So I think we need to, I'm sorry, and you're going to have to introduce yourself.
[1:34:23] Sorry.
[1:34:26] You're welcome to offer some clarification.
[1:34:29] I'm Tori Bernier and I'm director of Women's and Children's Services and I serve Redmond
[1:34:33] Madras and Ben. So, when we have been talking about red status, we're talking about it most
[1:34:40] of the time, not for bed status in any of the facilities. There's a few times in red
[1:34:45] men that we're full, but it's related to staffing nurses. So, we staff at an average daily
[1:34:51] census because of our up and down population, and then we have to have some relief people
[1:34:57] and some additional staff on hand and we also have enhancements for nurses to come in
[1:35:03] on their day off because we asked them to do that sometimes. So when we're talking about
[1:35:09] the red status many times aside from very few, are we talking about it being about not enough
[1:35:16] beds? We're talking about not enough staff. And can you address then how this change impacts that?
[1:35:25] I can.
[1:35:26] So, again, when average daily census goes up in a hospital, then you would adjust your
[1:35:30] staff to that.
[1:35:32] So we would increase the staff at any of the campuses as we see the volumes go up.
[1:35:37] Is it fair to say that right now there's a staffing issue in Bend?
[1:35:43] So I'll say yes and no.
[1:35:46] We have a balance that we have to keep.
[1:35:49] If we have too much staff during the feast time, that's great.
[1:35:53] but during the famine time, those nurses lose their wages.
[1:35:57] They're not able to come to work.
[1:35:59] They have to use their ETO or paid time off,
[1:36:01] whatever you'd like to call it.
[1:36:03] And so there's a balance that we strike.
[1:36:05] And nurses have the right.
[1:36:06] If they have too much PTO, we say that we have to actually
[1:36:10] down staff on a unit.
[1:36:11] And that has happened a few times.
[1:36:13] But our volatile nature of our job, which is wonderful,
[1:36:17] that we bring these in.
[1:36:18] And again, they don't come in on time.
[1:36:19] They come when they want.
[1:36:21] 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
[1:36:27] but also the needs of our patients
[1:36:29] And another question and regarding staffing it's my understanding that there's 29 to 34
[1:36:37] people that are directly or some I directly employed by the family birthing center here in Redmond
[1:36:43] Were you to close that center? What is the plan for those Redmond employees?
[1:36:47] So in Redmond, any of the existing positions, you know, we work with the union and with HR
[1:36:53] to make sure that if they chose to get trained in other places to stay in the community,
[1:36:57] we've heard from people they love the community, and I love this community I live here.
[1:37:02] I chose to live here.
[1:37:04] So we would work with them to see what they wanted to do if they wanted to retrain, and we've
[1:37:10] talked a lot about that, but if they also wanted to go on to Bend, we would also work with
[1:37:16] them to go there, or to Madras, or to the clinics, we have made that promise to them
[1:37:21] that they won't lose employment.
[1:37:23] Thank you.
[1:37:24] But no guarantee they'll stay as.
[1:37:27] That's up to them.
[1:37:28] It's up to them.
[1:37:29] It's up to them.
[1:37:30] It's hard.
[1:37:31] I've been a labor and delivery nurse for 28 years.
[1:37:33] I'm certified and inpatient obstetrics.
[1:37:35] It's hard to not do this.
[1:37:37] I don't know what I'll do when I'm done being a nurse and can't be around the people who deliver
[1:37:43] these services.
[1:37:44] I don't know any OB nurse that doesn't get gooey eyed and when you find out someone's
[1:37:49] pregnant or that they just had a baby.
[1:37:51] So I feel really badly and all 20 members on our task force feel incredibly horrible
[1:37:58] that this was the path that was the best out of all of the 14 choices.
[1:38:04] Thank you.
[1:38:06] Anyone else?
[1:38:07] Can I just add something?
[1:38:09] Sure.
[1:38:10] Please.
[1:38:12] So, you know, you did mention, and some of us have talked about that there are 29 to 34 nurses.
[1:38:17] And St. Charles has said that they are not going to involuntarily lay anyone off or anything like that.
[1:38:23] But they are only required to find jobs and for the nurses who actually have positions,
[1:38:28] which means that if you're a relief nurse or you are a seasonal relief nurse, that does not apply to you.
[1:38:35] So, on the note of jobs and the possibility of retraining staff, would they be retrained
[1:38:41] at positions that would be equal to their current level of pay or would they reassign possibly
[1:38:48] to lower paying jobs?
[1:38:51] So, that's hard to – if it was perhaps a clinic that there was our lower paying jobs,
[1:38:56] and again, that would be their choice to seek that.
[1:39:00] Other jobs, in some instances, they're higher paying jobs.
[1:39:03] So, ones that have call responsibilities like the OR, those are higher paying positions generally.
[1:39:13] Is there any risk of loss of seniority in that process?
[1:39:16] There could be.
[1:39:17] There are two unions.
[1:39:18] I'm just going to speak really frankly.
[1:39:20] There are two unions that are involved.
[1:39:21] There's ONA here in Redmond, and then there's one in Bend, and unfortunately they're not
[1:39:28] the same.
[1:39:28] So there is a risk that if a nurse went and she doesn't and she doesn't have seniority in bed
[1:39:34] She would start seeing already over there and in in bend
[1:39:38] Okay, thank you
[1:39:41] Okay, so the process now
[1:39:46] Looks like we're done with questioning so we can make can I just make one of the comments so I
[1:39:51] So certainly healthcare is difficult right and these are not fun decisions to have to make
[1:39:59] They have impact on people's lives and
[1:40:01] And people that we care about and people that have done really great work on behalf of
[1:40:05] the community and it's they're not easy decisions to make.
[1:40:09] I think that when you have clinical leaders in the community sharing that they believe
[1:40:15] that we can improve quality and safety and still provide access to services, that we can have
[1:40:23] savings that can make healthcare more affordable.
[1:40:27] And keep in mind this isn't a corporation that has shareholders, we don't get dividends
[1:40:31] that we don't get to keep this money.
[1:40:32] This money is reinvested back in the community.
[1:40:35] So I know many folks feel that this is a takeaway,
[1:40:40] but in some ways it's a game, right?
[1:40:42] So some of that money has an opportunity to serve areas
[1:40:45] where we're underserved, suicide prevention,
[1:40:49] behavior health issues.
[1:40:51] So I know we're concerned about a takeaway of services,
[1:40:54] but the bigger picture in my mind is that we are
[1:40:57] 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.
[1:41:08] We have other caregivers, housekeepers,
[1:41:11] dietitians, certified nursing assistants who are struggling to keep pace with the changes in living cost of living here in this community.
[1:41:20] 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.
[1:41:26] So when I think about this, this is just part of a much bigger puzzle that the health system has to face.
[1:41:34] 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.
[1:41:41] And so I think it was responsible for the group to make this proposal is the board going to want to do it.
[1:41:47] But I think we had an obligation to make it visible to the board for consideration.
[1:41:51] 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.
[1:41:59] What's terrifying to me is the board has no Redmond representation on it. That's not a good thing.
[1:42:05] So a question on that go.
[1:42:08] So given the nature of this decision, when is the board meeting held? Is it open for public comment?
[1:42:18] When will the decision be rendered and what kind of time frame would such a decision take place?
[1:42:23] 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.
[1:42:30] It's not customary for the board to make a decision when information is first presented.
[1:42:35] My guess is, historically, there's been direction or feedback that's been provided
[1:42:39] and usually then a deeper discussion and decisions are made in the subsequent board meeting.
[1:42:45] That's not guaranteed to happen. That would put the time frame in December.
[1:42:49] That's not guaranteed to occur. We don't know exactly what the board's going to communicate back to us.
[1:42:54] But that's been their traditional pattern. And that's what's been shared with me.
[1:42:59] And are they open?
[1:43:01] It's not open.
[1:43:03] Okay. Thank you.
[1:43:05] Okay. So, I have a motion.
[1:43:11] I have a comment before we take motions.
[1:43:12] Well, I think I'm going to do deliberation in comments.
[1:43:15] Okay, so however you want to proceed.
[1:43:17] Yeah, I know the councilor McPherson had something she wanted to say as well.
[1:43:21] Will that affect the motion?
[1:43:23] Okay.
[1:43:24] Okay, thanks.
[1:43:29] I might have to approve Resolution 2018-27, the resolution of the City of Revving Council
[1:43:37] encouraging St. Charles, Mattel, Sarah to keep critical sources, such as family
[1:43:44] birthing, Sarah, and Reminorian. All right, it's been with us in a second.
[1:43:48] Now, Jenny, comment, comment, comments. I appreciate the statistics and the
[1:43:54] financial savings, because I think that that's very important for a hospital
[1:44:00] who's such as yours. And I've had to frequent your hospital here in Redmond
[1:44:06] several times, three grandchildren born in your system of hospitals. One was very, it was a
[1:44:17] very touch-and-go situation so I totally understand that part of it and we're just not looking at
[1:44:23] financial savings and we're not looking at statistics. We are looking at people and these people
[1:44:29] just need to be served here in Redmond. It's important for them. I've been at numerous
[1:44:34] 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.
[1:44:46] And I just think that we need to realize that Redmond is an important hospital.
[1:44:53] 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.
[1:45:00] Let's have a seat.
[1:45:02] Okay.
[1:45:06] Well, I'm up for the CODH back in the 70s. My mom, we moved here because
[1:45:15] my dad was born in this area, but also because they had a hot spill. My mom was an ER nurse
[1:45:23] for 30 years. She started ER program at CODH.
[1:45:30] We were here when CODH combined with St. Charles.
[1:45:36] And I'd say I think St. Charles has done a good job for a long time in a lot of ways. But now,
[1:45:46] kind of go the other route. I work in Madras where the guy whose wife had two children in the last
[1:45:53] three years, he chose Redmond.
[1:45:58] It's important to him. I think that, I
[1:46:07] think any birding
[1:46:08] standard of our word is in the face issues in current times. You talked about the birth rate going
[1:46:15] now, I think all of them are going to face those issues.
[1:46:20] So I also think that even though St. Charles is a business, and dollars make a difference.
[1:46:30] Hopefully that doesn't drive this decision because a full service hospital with the
[1:46:45] I struggle
[1:46:52] to see the positives in this action.
[1:46:58] You talk about the sources or potentially a cut, not as expensive sources or whatever in
[1:47:08] this community.
[1:47:09] If you take your birthing center out, you take your birthing center out.
[1:47:13] And that's pretty loud statement.
[1:47:17] And especially in the community that's growing as fast as we are.
[1:47:22] We grew from, wow, out of here, we started here, it's 2,000 people, but I've lived here
[1:47:28] a long time.
[1:47:30] But in the last, we grew from 13 to 26,000, pretty darn fast, and we're slated to grow, maybe
[1:47:40] not quite that fast, but grows substantially in the next 15 to 20 years.
[1:47:46] And if you start cutting back on our hospital, that's not a good idea, I don't think.
[1:47:54] Thanks, Jay.
[1:48:02] I mean, I was around when that merger happened.
[1:48:05] And I remember the promises that were made to enhance healthcare services to Redmond.
[1:48:12] And as a counselor, I sit there and I think about the well-being of our community.
[1:48:19] 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.
[1:48:29] So, I mean, I get that there's some financial issues going on.
[1:48:35] But if I heard you write option number two included keeping the birthing center here and enhancing services.
[1:48:42] As a citizen or a Redmond and a member of this community, I kind of lean towards option
[1:48:48] number two.
[1:48:49] I think
[1:48:57] one of the most important roles we can fill in city council is to provide a
[1:49:01] forum for public discourse about issues that are important to our community.
[1:49:04] I think we've done so tonight and I just want to thank all of you who have been willing
[1:49:08] to participate in this discussion, whether you're a citizen or representative, being here
[1:49:15] and being a part of the discussion is an important part of what we do, and I think we make
[1:49:19] our community stronger when we're willing to get together and have hard discussions.
[1:49:23] That said, I know that one of the issues facing healthcare in our country right now is the
[1:49:30] debate between access and affordability.
[1:49:32] It's clear to me that St. Charles has taken a close look at the affordability issue on this,
[1:49:37] and I believe is sincere in its efforts to try and find an affordable way in which to provide
[1:49:43] better services for the citizens that it serves. I most certainly appreciate that. I believe
[1:49:50] however, this is most definitely an issue of access. It's an issue of access for our
[1:49:54] moms and our families. It's an act that's about access to women's health services and prioritizing
[1:50:00] that as a community to say that's important to us. Now I respect that in any sort of reform
[1:50:05] effort, it typically comes down to a debate between empirical data and anecdotal evidence.
[1:50:11] And I think we sit here in that tragic gap right now between empirical data and anecdotal
[1:50:17] evidence.
[1:50:19] And what's clear to me is that there are times where, as someone who is trained as a researcher,
[1:50:24] where I know what the empirical data says.
[1:50:27] But the anecdotal evidence, the needs of the people, the needs of the community, can sometimes
[1:50:33] outweigh that data.
[1:50:35] And while that frustrates me as someone who's conducted educational research to say, wait,
[1:50:39] we know this works better. But if the people that it serves don't want that. If they want
[1:50:46] what they have, if they want to preserve the ability to have a baby in Redmond, to have
[1:50:51] their family drive five minutes to meet that baby, I think that's something that our council
[1:50:56] has to stand for. I think this is really about what we want Redmond to look like, what we
[1:51:04] want Redmond to feel like, and while I respect St. Charles' need to make decisions, our resolution
[1:51:09] is not binding, St. Charles is free to make the decisions they see fit.
[1:51:13] But I think as community leaders it's imperative that we stand up for a community
[1:51:17] and say we want a birthing center here. We want enhanced women's services here.
[1:51:21] We want that even if the empirical evidence says we might be able to do it better some other way.
[1:51:27] And I think it's important to hear. This is also about jobs.
[1:51:31] It's about the potential that 29 to 34 people who have jobs here in Redmond
[1:51:36] might not have jobs here in Redmond. We have to work to preserve and accent the availability of
[1:51:42] family wage jobs here in Redmond, and I think that's an important part of this. And finally I'll end
[1:51:50] with this idea.
[1:51:53] I was a father who lost a child during childbirth. I was a father who spent time in
[1:51:59] NICU's. In a previous life, I worked with the Children's Medical Network and raised millions of
[1:52:04] dollars to support what happens in the NICU's.
[1:52:08] I know the importance of this and I know the importance of being fiscally responsible
[1:52:13] about it because I know how expensive it can get.
[1:52:16] But I also know that if our community stands up and says, we're okay with this being 20%
[1:52:24] higher than the state average because we want to have our babies here, we want our women
[1:52:28] to have health services here, then I want that voice to be heard.
[1:52:31] And I hope tonight's resolution, if it passes, is something that the board will hear Redmond
[1:52:37] say, please keep our family birthing center here.
[1:52:42] Thank you.
[1:52:43] Thanks, John.
[1:52:49] Well, I probably, most things that can be said have been said, so I'll be a bit brief.
[1:52:56] I just want to say that you've heard a public outcry this evening from the community.
[1:53:05] you've seen the sentiment that the community offers. I realize it puts you in a tough spot,
[1:53:11] but the last thing I would say is putting a monkey on your back, that you're the president for
[1:53:16] Redmond and Primeville, and I think you should also be a very strong advocate for Redmond and Primeville.
[1:53:27] Any other comments? Okay. Seeing none, all those in favor of the motion signify by saying I?
[1:53:35] Okay.
[1:53:36] Okay.
[1:53:37] Any opposed?
[1:53:38] May?
[1:53:39] Okay.
[1:53:39] Motion passes.
[1:53:40] Thank you.
[1:53:46] Thank you.
[1:53:47] So I will read the resolution.
[1:53:49] A resolution of the Redmond City Council encouraging St. Charles Medical Center to keep critical
[1:53:54] services such as the Family Berthing Center and Redmond Oregon, whereas St.
[1:53:59] Charles Medical Center, otherwise known as SCMC, owns and operates the Redmond Family
[1:54:04] birthing center at the Redmond Hospital. The center provides critical services to new
[1:54:09] and expecting mothers, including prenatal classes, delivery and postpartum care. The city
[1:54:14] of Redmond 510 babies were delivered at the facility in 2017. And whereas the center
[1:54:21] currently employs 29 registered nurses, while SCMC assures that there will be no layoffs
[1:54:28] should the center close, the bed matters for the center, do not currently have enough
[1:54:33] open positions to absorb all 29 registered nurses.
[1:54:37] And whereas the center provides critical care not only revenue resins, but many from surrounding
[1:54:42] areas, including private, which does not have a birthing center.
[1:54:46] And whereas the board of directors of St. Charles confirmed they were concerned the closure of
[1:54:52] the center as a cost-saving measure, and whereas closing the center would result in a loss
[1:54:57] of convenience and safety for hundreds of expecting mothers who would be required to drive
[1:55:01] to Ben Hospital to deliver and whereas in 2006 St. Charles, which at such time was named
[1:55:08] out Cascade Healthcare Community, considered closing the center, the Board of Directors
[1:55:14] chose to keep it open, citing quote, an obligation to provide birthing services for the whole region
[1:55:22] Now therefore be it resolved by the City of Redmond Oregon as follows.
[1:55:27] The City of Redmond Oregon strongly encourages the St. Charles Medical Center Board of Directors
[1:55:33] to keep the Redmond Berthings in our open and operational so as to provide crucial necessary
[1:55:39] and quality services to Redmond residents adopted by the City Council and signed by the
[1:55:45] Mayor this 23rd day of October 2018.
[1:55:48] 18. So thank you all very much for coming and attending and thank you Mr. Adams for sitting there and
[1:55:57] Providing all the information. Thank you all and I'll take a very brief recess if those want to leave
[2:00:41] Okay, we're going to reconvene, please.
[2:00:50] Hello,
[2:00:56] gee, we have something on GIS here.
[2:01:03] Okay, GIS, software, enterprise, license agreement. And please, go ahead, Mark.
[2:01:11] 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.
[2:01:26] for GIS software support maintenance with Environmental Systems Research Institute,
[2:01:33] ESRI. This software agreement, this Enterprise License Agreement, provides for support maintenance,
[2:01:43] our site license for desktop applications for GIS software, server and enterprise licenses,
[2:01:49] 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.
[2:02:20] overall cost for the three years is $105,000. That's $35,000 annually, which we
[2:02:27] budgeted for in the 2018 and 2019 budget. Any questions?
[2:02:38] I do have one mark. Is
[2:02:39] this open source or proprietary? It's proprietary. It's out of the box, if you
[2:02:53] Some of the integration between our financial package and our meter software to bring that in and integrate that with GIS.
[2:03:03] Student and the citizens have access?
[2:03:06] To the data.
[2:03:06] To the data access through the, we do have the web applications.
[2:03:11] And whereas we're moving on to what the operational dashboards, it's a very thin application providing information.
[2:03:20] such as we're going to be moving the development applications
[2:03:26] Web app into that dashboard environment. So the
[2:03:31] The development community citizens the public does have access to a lot of the GIS data including you know
[2:03:38] The public works data. There's really the
[2:03:41] The original intent was to get the web applications for the development community so they could you know
[2:03:50] provide self-service with that.
[2:03:52] Okay.
[2:03:53] Thanks.
[2:03:53] Okay.
[2:03:54] Yeah.
[2:03:55] And down here, it says 10 hours or 10 days of training, $675 today.
[2:04:02] Is that for just you or is that for...
[2:04:06] In a sense, Siddha?
[2:04:08] I'm not going to say ESRI on age 3, I think.
[2:04:13] Oh.
[2:04:15] On the quote, come on.
[2:04:17] Has a hundred and five of them above.
[2:04:19] Most of them are six thousand.
[2:04:20] 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?
[2:04:30] There are many different types of training you can go on campus at some of the ESRI regional offices.
[2:04:42] And I believe with what they're referring to here, there's an online campus that we
[2:04:47] have access to, it provides a couple of hours and hours worth of online training courses
[2:04:57] that they can work through.
[2:05:01] And there is also three light, the three seats at the ESRI's users conference in San Diego
[2:05:08] go every year that come with this contract. So this is not just for me, but anybody who
[2:05:15] wants to take advantage of that. Yeah, absolutely. Yeah. Okay. Thank you.
[2:05:20] Okay. I'm just curious what the, the, the pearl license fee was. I mean, at some point,
[2:05:26] the enterprise makes sense and you get a tipping point along with some other ancillary benefits.
[2:05:32] But in 2010, when we went to this license, the fee was just around $24,000.
[2:05:39] And at that point, we were less than 25,000 in population.
[2:05:44] That's how they tier their enterprise license agreements.
[2:05:48] And so it was a 25,000 per year cost for the enterprise license agreement.
[2:05:56] So it made perfectly good sense at that time.
[2:05:59] And once we got that, we were able to implement, we were actually overextended our licenses at that time.
[2:06:08] 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.
[2:06:17] 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.
[2:06:27] We've expanded further if we went back and we did a per license agreement today, we'd be far beyond the $35,000.
[2:06:37] We did step up to $35,000 cost because now we're in that 25 to 50,000 population range.
[2:06:45] And so if we kept our services current and we paid a per license agreement, we'd be far above that.
[2:06:52] I had them do that analysis for us last time when they raised our rate and it was above
[2:06:58] the $35,000.
[2:07:02] Okay.
[2:07:03] It's too bad you guys can't become an education, you know, K-12 education because we get
[2:07:11] a lot cheaper than this, but, right, right, exactly, but, obviously, business is different.
[2:07:20] Okay. Any other questions? Okay. Do I have a motion?
[2:07:28] Can I move to approve the three-year extension for the small government enterprise license
[2:07:33] agreements between the city of Redmond and environmental systems research institute
[2:07:38] incorporated to provide GIS software and support and authorize the city manager to sign the
[2:07:42] agreement?
[2:07:45] We have a motion of secondary further discussion.
[2:07:48] At some time, we need to do a demonstration.
[2:07:52] Yes.
[2:07:53] Okay.
[2:07:53] We're coming along with something that I know a council has been interested in with our
[2:08:00] winter maintenance and these operations dashboards so that something may be publicly facing.
[2:08:05] Definitely, something that's going to be accessible operationally into the council for some of our
[2:08:09] winter storms that are coming up.
[2:08:11] And I think that's going to be something.
[2:08:12] Okay. Good. Appreciate it. Yeah. Okay. Anything else? All right. All those in favor say aye.
[2:08:19] Aye. Opposed May motion passes. Thanks. More going to again. Congratulations. Thank you. Thank you.
[2:08:24] Okay. Next item we have is a public hearing ordinance 2018-11. An ordinance approving the triple red subdivision
[2:08:35] request for amendment to the Comprehensive Plan to adopt the City of Redmond, a zoning
[2:08:40] map from UH Tim, that is Urban Oldington, to our five-identity residential, to add 1.6
[2:08:47] acre story property to the master development plan and modification to the master development
[2:08:54] plan approval for a project at 4528.
[2:08:58] Southwest 39th Street, the Shoots County Tax Lot 15133-0DD-06, 0-0-0, and Phase 3 tax
[2:09:09] lot 151-133DD-05800 and tax lot 4 15133-0DD-05900 of the Triple Ridge subdivision Redmond
[2:09:24] I'm going to organize 7756 and after all of that, you have a very short thing to say as
[2:09:30] I understand.
[2:09:31] I do.
[2:09:32] The applicant has requested a continuance to a date certain.
[2:09:36] We sent that information to you previously.
[2:09:40] What we would typically do tonight is open the public hearing and then continue it if you
[2:09:45] wish to that date certain which I believe is November 13th.
[2:09:52] Let me, November 13th, excuse me.
[2:09:57] Okay, is that it?
[2:09:59] Yes.
[2:10:00] Okay.
[2:10:02] So, with your concurrence, I will open the public hearing and I will continue the public
[2:10:09] hearing to November 13th, 2018.
[2:10:14] All right.
[2:10:14] Thanks, Deborah.
[2:10:16] Okay.
[2:10:16] Next item is ordinance 2018-12.
[2:10:19] Well in ordinance amended section 8.0330 of the Redmond Development Code chapter 8 and I'll open the public hearing.
[2:10:31] Thank you for the record Debra McMahon Planning Manager.
[2:10:35] Before you tonight in this ordinance are some amendments to the Redmond Development Code to improve the language for exterior lighting.
[2:10:44] 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.
[2:11:13] 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.
[2:11:42] And it's really important of course from a safety standpoint to make sure that anything
[2:11:50] within the public right of way for streets, roads and streetlights, night time construction,
[2:11:57] all of those things need more flexibility than the typical standard, particularly lighting
[2:12:04] for public facilities including but not limited to community monuments and building such as
[2:12:11] city hall, public art, public parks, and public landscaping.
[2:12:17] The municipal airport, the Sheets County Fairgrounds, public schools, except that we recommend
[2:12:23] sport field lighting be turned off by 11 p.m.
[2:12:27] And this entire recommendation came to you from the planning commission who had workshops
[2:12:34] and the public hearing with the recommendation of approval.
[2:12:37] other temporary lighting that is deserving of an exemption is listed for you, and then
[2:12:44] some unusual ones that we've looked at in other community codes to make sure that we
[2:12:51] have a way to handle those issues as well.
[2:12:55] Flags are included, and we also want to look at what happens to fixtures that are in
[2:13:04] noncompliance and how we deal with getting those fixed as time goes on.
[2:13:10] So this is a helpful part of our code.
[2:13:13] We want to have you ask any questions and see if there's anything else you'd like
[2:13:19] added to it.
[2:13:24] Yes.
[2:13:24] Sorry.
[2:13:25] No, I forgot.
[2:13:29] So some of the things that I've already covered, why are we dealing with this?
[2:13:35] We want to improve things.
[2:13:36] 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?
[2:13:53] 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.
[2:14:03] So it's one of the things that we've heard from the public that they believe is important.
[2:14:10] So it's really critical to think about the illustrations that help describe for the
[2:14:16] public what different lighting is.
[2:14:20] And if we look at up lighting, that's anything greater than 90 degrees.
[2:14:24] And you can see in the example that the hooded lamp, which is a street light, shows that
[2:14:31] 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.
[2:14:46] So you can't control all of the light that you see. Otherwise, it's ineffective.
[2:14:52] What we try to do is make sure that light is shielded and directed down.
[2:14:58] and this helps
[2:15:00] Let's identify what that means.
[2:15:08] Okay, thank you. Any have anyone have any questions?
[2:15:16] 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.
[2:15:26] 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.
[2:15:39] it and have over time and it could go on beyond 11 and this is Shell so that means 11 o'clock
[2:15:46] somebody has to go whack and the lights go out so I think we need to run I need your
[2:15:53] help on this. Shell means you will do it.
[2:15:56] You'll just
[2:16:00] want to ask some, this is the lawyer language.
[2:16:04] Weasel language sometimes, allows for that exception.
[2:16:08] So it's really hard to walk through.
[2:16:11] That's not difficult to do those years with those.
[2:16:17] Any thing you can suggest, we can go ahead and do the motion tonight.
[2:16:21] Wrong is your suggestion, except in unusual circumstances or just something simple?
[2:16:27] Some public events, kind of the public events would be one of the things I could think about and extra ordinary circumstances, emergencies.
[2:16:44] So, should we go ahead and continue this and bring it back with some suggestions?
[2:16:51] I mean, it's not that critical, right?
[2:16:53] I mean, wouldn't I fast tonight or doing?
[2:17:08] I mean, the lights, the lights, the lights, the lights, it's all complaint-driven.
[2:17:12] Well, I know, but this shall be.
[2:17:14] That means we go up to the head of sports in Redmond High at 11 o'clock and say, turn your lights out.
[2:17:22] And he's obligated to do it.
[2:17:24] Is it possible to just simply describe what you're concerned about, which is, unless there is an overtime event?
[2:17:52] 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
[2:18:02] Okay. All right. Okay. So we had no input. I will close the public hearing
[2:18:12] then and I will ask for emotion and we'll as we do the motion come up with some
[2:18:19] language here. So anyone want to give it a try?
[2:18:27] No? No? Come on, Jenny.
[2:18:32] Does it have to be specific language or can it be conceptual language?
[2:18:37] I want to see where wrong it says.
[2:18:48] As modified with exception language, something like that.
[2:18:55] Does it have to be very specific in the language, or can we make this conceptual suggestion of that language
[2:19:04] and allow the very specific requirements and so on?
[2:19:07] That's right.
[2:19:18] 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.
[2:19:49] I think maybe we better. So I close the public hearing.
[2:19:52] I probably recommend you bring it back.
[2:19:54] Okay.
[2:19:55] All right. So we've closed the public hearing, just develop some proposed language and just
[2:20:00] add to P.
[2:20:01] Okay, so would you mind reopening the public hearing and then giving us a date
[2:20:07] certain otherwise I've got to do for a new notice? Oh all right can I do that?
[2:20:13] All right I will reopen the public hearing or title either modify item E or
[2:20:19] add a P. All right, and we'll continue till November 30. Okay, I think sorry about
[2:20:29] that. Those shells and maize matter.
[2:20:36] Okay, next item is an ordinance. Let me get
[2:20:42] there. All right.
[2:20:45] Ordnance is in accordance with the City of Edmund Charter. In
[2:20:48] ordinance takes effect 30 days after it's enactment except when a later
[2:20:53] effective data specified in the ordinance when the ordinance contained an emergency
[2:20:56] closet should take effect immediately. Ordinance 2018-10 and ordinance amending the
[2:21:03] Reman City Code Chapter 9 building fire codes adding a designee to enforce a
[2:21:08] administrative type billing code violations administrative infractions.
[2:21:13] Good evening, Jacob. Good evening, Mayor. I'm Jacob with Mayor Ann Council, excuse me.
[2:21:18] I'm Jacob with Code Enforcement and here discuss ordinance number
[2:21:21] For 2018-10, as stated before, making a small change to Chapter 9 building and fire codes.
[2:21:29] Currently, the building inspector has been tasked with enforcing building code violations.
[2:21:37] In this ordinance, we added a designee, that's kind of a broad stroke for the designee,
[2:21:43] but code enforcement officers is one of them.
[2:21:45] In addition to that, we added Class A administrative infractions, which is what we currently
[2:21:52] use for code enforcement number nine or chapter nine wasn't updated back when that code
[2:21:58] was first created because code enforcement wasn't handling that.
[2:22:03] And what's the difference between a civil infraction and administrative infraction?
[2:22:07] The administrative infractions are all in house.
[2:22:11] The other one goes through the Justice Court.
[2:22:13] Okay.
[2:22:17] Okay.
[2:22:21] Anyone? How many comments? Is there anyone? The audience wants to comment?
[2:22:28] Okay. It's seen none. Do I have a motion?
[2:22:34] Please, John. I moved to have a first and second reading
[2:22:37] of ordinance 2018-10 by title only. Second. It's been moved in second and any further discussion.
[2:22:45] discussion.
[2:22:46] Seeing none, all those in favor say aye.
[2:22:48] Aye.
[2:22:49] Opposing may.
[2:22:50] All right.
[2:22:51] Motion passed unanimously.
[2:22:52] Please are on.
[2:22:53] City of Northern order.
[2:22:55] Twenty-eighteen days.
[2:22:56] Ten.
[2:22:57] Northern.
[2:22:57] Somending to the Redmond City Code.
[2:22:59] Chapter nine.
[2:22:59] Building and fire code.
[2:23:00] Adding a legend.
[2:23:01] And the force of administrative type building code violations.
[2:23:04] And administrative infraction.
[2:23:07] Second reading.
[2:23:08] City of Northern order.
[2:23:09] Number ten.
[2:23:10] Twenty-eighteen days.
[2:23:12] Ten.
[2:23:12] in order to send in the Red and City Code chapter 9,
[2:23:15] building fire codes, adding a designated
[2:23:17] to enforce a administrative type of code violations
[2:23:21] and administrative instructions.
[2:23:25] Okay, you are much slower than Steve, but much clearer.
[2:23:31] So yeah, yeah, we, we, we, testing, see if he's
[2:23:36] going to take a breath when he's reading.
[2:23:39] Okay, so now do I have a motion?
[2:23:43] I move to approve warden's number 2018-10.
[2:23:47] So, we've been moved them second.
[2:23:49] Any other comments?
[2:23:51] Okay, roll call please.
[2:23:54] Councillor Boehla.
[2:23:56] Yes.
[2:23:57] Mayor Indicott.
[2:23:58] Yes.
[2:24:00] Councillor King.
[2:24:01] Yes.
[2:24:02] Councillor McPherson.
[2:24:03] Yes.
[2:24:04] Councillor Patrick.
[2:24:06] Yes.
[2:24:07] Okay, thank you.
[2:24:09] Mayor's comments.
[2:24:10] I will be brief.
[2:24:11] brief. You have before you an application, sorry for commission for arts and public places
[2:24:20] ArtCat Bruce Taylor. You should have. I do not. You didn't get one? Okay, well, sorry,
[2:24:27] I did. But Bruce was on ArtCat before and so he's reapplied and my typical comment,
[2:24:40] he's
[2:24:41] left and how he wants back on but I don't need to interview him because I know him and he's
[2:24:46] done a good job and I think our staff and the chair of the Art Committee recommended
[2:24:55] that we go ahead and appoint him.
[2:24:59] So I would like to appoint Bruce Taylor as a member of our cap for a term expiring to
[2:25:07] December 31st, 2021.
[2:25:10] Anyone have a comment?
[2:25:13] If they see none, all those in favor say aye.
[2:25:15] Aye.
[2:25:16] Opposed nay?
[2:25:17] Okay.
[2:25:18] Bruce.
[2:25:19] Well, let him know.
[2:25:20] All right.
[2:25:21] I only have one other item tonight.
[2:25:24] I'm going to say one one of the meetings over here tonight.
[2:25:28] And I am going to serve on a committee for the League of Oregon
[2:25:36] sector. And my only comment is that I think it's important that we always have someone
[2:25:45] involved in Salem and particularly the League of Oregon cities because it gives us opportunities
[2:25:54] like this to actually have an input on what happens to us or for us in Salem.
[2:26:07] So that's
[2:26:08] I was struck tonight by the power of having public discourse happen in the public square
[2:26:12] and I appreciate that opportunity tonight to have people come and speak their mind.
[2:26:17] I was also touched by the fact that we were able to talk about a divisive issue without
[2:26:20] it being a vitriolic in nature.
[2:26:23] People were able to state their points and make clear how they felt and we're listened
[2:26:28] to and respected.
[2:26:29] And I think that speaks volumes about what we can do here in Redmond.
[2:26:33] We can have these difficult conversations and we can do so in a respectful manner.
[2:26:36] And I hope that this will continue and be – this is really a harbinger of things to
[2:26:41] come for us as the opportunity to have these kinds of conversations publicly.
[2:26:45] And so the next opportunity for folks comes in a couple weeks when people can turn in
[2:26:50] their ballots and make decisions.
[2:26:51] And I encourage and hope that folks will participate in the public process and vote.
[2:26:56] Thank you.
[2:27:00] Yeah, I appreciate it all, the community input and energy and just that opportunity to have
[2:27:06] a good old-fashioned adult conversation with some civil discourse. I guess I would offer
[2:27:11] up for consideration here. I very much appreciated Dr. Bullock's comments towards the end as he
[2:27:21] discussed data-driven decisions versus those of emotion. And I think that showed tremendous
[2:27:29] empathy and an understanding of where they were coming from and why they might choose to
[2:27:34] makes this decision, but at some point things can be trumped, data can be trumped by
[2:27:41] other things.
[2:27:42] And I think that we are now painfully aware that we have little to no representation
[2:27:48] from our community on that board.
[2:27:50] And disheartened to hear that I'm sure there are some really qualified guys from Portland
[2:27:55] and Chicago and wherever else on that board.
[2:27:58] And I don't discredit their decision making or thinking, but they don't have the heart
[2:28:04] 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.
[2:28:33] I guess I would offer that up if anyone else was inclined to support that, I just again
[2:28:40] really appreciate the framing of the concepts and I think it articulates some of our thinking
[2:28:46] rather well.
[2:28:49] Over and above the resolution, we heard the kind of colors in a little bit.
[2:28:54] I think that Mr. Adams said that some of the things he heard he was going to carry to the
[2:29:00] more, especially when I put the monkey on his back about his job as a resident, because
[2:29:05] he's our resident, not Vince president. And so he said he would carry a lot of your message.
[2:29:11] Well, I don't know, Keith, should we, you want to work with Dr. Bullock to come up with a
[2:29:19] statement to accompany the resolution, or do you think that what Mr. Adams told us was sufficient?
[2:29:26] I mean, I think it's up to all of you if you want me to help with that, you're, you're,
[2:29:35] go ahead.
[2:29:35] I was just going to say, I mean, we don't need to overdo it, but I mean, maybe just transcribe
[2:29:39] some of what was said, allow that to be distilled or edited down.
[2:29:43] John kind of made that suggestion, I think it's a good one.
[2:29:46] 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
[2:29:52] as well as has already been articulated and I don't know that I based on the decision at that.
[2:30:00] 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.
[2:30:29] and we'll figure out the date of this.
[2:30:32] I still didn't hear a date when I was-
[2:30:35] Kind of the essence, yes.
[2:30:37] We'll craft a letter tomorrow and get it over to them.
[2:30:42] I'm in agreement.
[2:30:43] I think that we need to have something in writing.
[2:30:45] I respect Mr. Adams, but there's a lot of moving power
[2:30:49] to her for him and that he would bring what we had to say
[2:30:54] to the board in the way we said it.
[2:30:56] There's no guarantee of that.
[2:30:57] 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
[2:31:09] And Trish also I mean we have the transcript. So we have the tape so we know what so
[2:31:15] Okay, John are you okay with that? Yeah, you're in a language. Okay, Jay
[2:31:19] I'm sorry
[2:31:20] Okay, Jay I just have a couple things first off. I'll start with uh and watching out there
[2:31:27] I really encourage you to get out, take that little piece of mail you have and check some
[2:31:35] boxes and vote because it's only a chance to vote and it's very important.
[2:31:46] As far as the topic tonight, I was thrilled to see a number of people in here really care
[2:31:53] about Raymond and willing to share that and my life said I hope I hope that St. Charles
[2:32:01] does not take the dollar route in this and he had the dollar shouldn't drive this decision
[2:32:10] and I hope to really think about that unfortunately we don't have to say you know on that board
[2:32:19] 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.
[2:32:37] Jenny?
[2:32:37] 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
[2:32:48] the voice of the people in Redmond and another way to do it is to vote. The ballots are out.
[2:32:56] Fill in your ballots and bring it on down and we need to get that taken care of
[2:33:00] let your voices be heard. Thank you city manager comments.
[2:33:07] One question on the St Charles letter since you talked about do you want us to put in a letter
[2:33:13] a request that they consider a Redmond board member in the future.
[2:33:23] Okay.
[2:33:23] It's good.
[2:33:24] The agreement called for that.
[2:33:27] One or two.
[2:33:29] Okay.
[2:33:29] I heard three, but I have heard all three numbers.
[2:33:32] And I don't know which is right.
[2:33:33] You generally had two.
[2:33:34] Two.
[2:33:35] I think historically.
[2:33:36] Maybe we had three at the very beginning when we did it.
[2:33:39] But I think we may have had three at the very beginning.
[2:33:43] one of them being a doctor and I'm just trying to think of who they were now.
[2:33:52] It was 11 and then about three or four years ago they wanted to get a broader world view
[2:34:03] of what was going on in other places, state of the art kind of stuff.
[2:34:09] And so they began with a doctor from San Francisco, one from Seattle, and one from the Gulf of
[2:34:15] New York first.
[2:34:16] Oh, I am sorry.
[2:34:20] Those were the first sort of out of state doctors and administrators that were on the board.
[2:34:28] 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.
[2:34:37] 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.
[2:34:54] 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.
[2:35:06] two years ago. The culture was not the same. I mean, that's sort of my just by
[2:35:13] comment, but so they did. I'm sure they had a doctor and I can't remember who
[2:35:18] the two board members, but then they moved on. It became one board member and
[2:35:22] a doctor and it's been probably Ed's probably right. It most likely has been
[2:35:28] eight years, although although I thought they had a board member from Redmond, but
[2:35:32] that somebody told me now he's reading from sisters.
[2:35:36] Okay, so include two board members in the letter.
[2:35:40] Well, so strongly encourage and recommend.
[2:35:44] I think they're close to 15, which is their limit.
[2:35:50] So a couple of letters on the resolution.
[2:35:52] Yeah.
[2:35:58] Okay.
[2:35:59] Got it.
[2:36:00] All right.
[2:36:01] Anything else?
[2:36:02] Yeah.
[2:36:03] Okay.
[2:36:03] So, a couple things, first of all, the City Hall is getting another award, we're getting
[2:36:12] the Art DeMiro award from the Store Oregon for the renovation of a historic public building.
[2:36:18] We'll be receiving it a week from Friday in Portland, so it's a pretty prestigious award
[2:36:24] I worked with Art for a while when I was in Portland and they're awarding, I think, 11
[2:36:29] different projects.
[2:36:32] so it'll be a nice one to get. I also wanted to, given it tonight, we were talking
[2:36:39] about moms and mothers and babies and as we talk about the organization, I think in
[2:36:45] some previous meetings, we've talked about growth just of the city and going
[2:36:51] forward, I want to kind of continue to give you a little slice of actually who
[2:36:54] the organization is. So over the last five years, as we've grown from 158 closer
[2:37:01] or to 190. With that growth, we've also seen an improvement and an increase in gender
[2:37:07] diversity, which is certainly important to me. We've seen just as a whole gone from
[2:37:12] 39 women in the organization to 50 and at the management supervisor level, we've grown
[2:37:18] from 9 in 2013 to 12 today. So I'll continue to kind of peel back the story of who the organization
[2:37:29] is diversity wise as we go forward but I want to give you that slice tonight given what was being discussed
[2:37:34] with the birthing center. The other item I wanted to highlight is the good
[2:37:41] new story of the pump track and we have some video of the opening that occurred last Friday
[2:37:49] afternoon and here it is.
[2:37:57] So what you're seeing is as we talked about
[2:37:59] it's a park that all skill levels can have fun from folks that can do flips and
[2:38:06] other crazy things to small children that still have training with on their
[2:38:11] bikes and they all kind of have fun together and it was really really
[2:38:15] popular. I was I was out of town the mayor was there I think some others were
[2:38:20] there so yeah what a great feature and what a good kind of other side of
[2:38:29] the goalpost from city wise from you've got hope playground to the west and this to the east and
[2:38:35] more to come along the homestead canal trail and those were my comments tonight. I just have to
[2:38:43] comment on the pump track one of the ironies that happened was several youth showed up with their
[2:38:50] scooters and the biker said no no no you want to ride your scooter you go to the skate park
[2:38:59] This is our park. No scooters. And they were right. Yeah. That was pretty funny.
[2:39:07] 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?
[2:39:15] And in Ginny. Yeah, it was a lot of fun. It was great. Especially little tauts.
[2:39:21] Yeah.
[2:39:23] You were there. Yeah, I know. Okay.
[2:39:26] Okay, is there anyone in the audience like to address counsel?
[2:39:31] Anyone wishing to address counsel?
[2:39:34] Seeing none?
[2:39:35] We're adjourned.