[This transcript was generated automatically from audio using AI and hasn't been reviewed by a person -- it can contain mistakes, including plausible-sounding sentences that were never actually said. Treat it as a starting point, not a verbatim record.]

[0:00] Okay. Okay. We just run the CIP yearly. We just started that baby.
[0:10] And now it's just nothing but a dream.
[0:15] That you wake up to everything.
[0:27] I've been in Maryland all this season.
[0:33] We're in the flip to switch.
[0:35] I flip this one.
[0:43] I like it.
[0:50] I think we picked five.
[0:54] Yeah, it's the best thing about two minutes.
[0:59] Oh, I can't see.
[1:00] That's even better.
[1:00] I like that.
[1:05] Yes, but we're seeing our vast audience as opposed to whoever I'm in front of us.
[1:11] But what does it mean?
[1:12] They ain't always saying bag of malware, Stan, ma'am.
[1:15] I'm not taking it all out.
[1:26] We've just gotten out of here.
[1:27] I
[1:35] appreciate y'all coming.
[1:36] and hopefully we got some people online here.
[1:39] Yeah, so we've been this is our third meeting,
[1:41] and now we just want to take a little bit of opportunity
[1:43] to introduce the committee.
[1:47] Father, Dan White, which is present.
[1:50] I'm sorry, I didn't, that's okay, I apologize.
[1:54] I'm sorry, I didn't have to hear that,
[1:55] so he used to do an okay.
[1:57] It's still on.
[1:57] The psychology deal about our field, bro.
[2:00] Budget Pfizer committee, max, time administrator.
[2:03] I've got my deputy chief, Brittany Fahey.
[2:06] I've got citizens of the large Deb Douglas,
[2:09] citizen of the large Maryam Harper,
[2:12] citizen of the large Malin Smith,
[2:14] and my self-ire Chief Robert Foss.
[2:17] That's part of the committee.
[2:19] So the purpose of a little bit of a agenda
[2:21] to some discussion, the concept of what we thought about
[2:25] bringing to you early on was the purpose of the committee.
[2:29] I reviewed some of the current operations
[2:30] and the realities of what we're looking at moving forward,
[2:33] staffing and response considerations,
[2:35] equipment and resource needs,
[2:38] future planning and service delivery,
[2:40] options and public comment.
[2:42] So ideally, if you give us an opportunity
[2:44] to get through this presentation,
[2:47] then we'll open it up to public comment questions and concerns.
[2:50] But I'd like to get through everything
[2:51] before we hit that point if we can.
[2:55] And obviously, anything glaring that you need me to stop for,
[2:57] please stop for something and we can talk about it.
[3:01] We'll be through it.
[3:02] So, know where you live.
[3:03] All right.
[3:04] So, here, perfect.
[3:05] Can we make that up?
[3:06] There is a back to a point.
[3:08] And we're going to see the real lines of public.
[3:10] Definitely.
[3:10] Okay.
[3:11] Yeah, definitely.
[3:13] All right.
[3:14] So, the purpose of the committee is to evaluate future
[3:16] EMS transport options, ensure sustainable high quality service,
[3:21] maintain professional relationships with current provider,
[3:24] which is German, and provide recommendations to the board of
[3:27] selecting for moving forward.
[3:31] Current operations and realities moving forward.
[3:35] Orange Fire Department, as we exist today,
[3:37] provides initial patient care.
[3:40] So we are dispatched out the door.
[3:42] We range rescue, and generally,
[3:44] Jeffrey Grinch will borrow English.
[3:46] Okay.
[3:47] We're our first responder.
[3:49] We are, and we'll talk a little bit about staffing levels
[3:51] here in momentarily.
[3:53] Jack German, currently provides our able
[3:55] of transport service.
[3:58] As we were seeing, we were seeing an increase in service demand, as well as an increase in
[4:03] both costs, both internally and externally.
[4:07] And that's the equal cost for our equipment, as well as the service provided by journey.
[4:14] Why this matters?
[4:16] We have a growing population, which obviously equals an increase in call-buy.
[4:20] There's some cost equity concerns between Rengen and Jeffrey.
[4:24] Jeffrey tends to run more calls, Jeffrey Grinch, more ambulance, more calls in
[4:28] Jeffrey typically than they do in range. All right, there's occasional response to
[4:33] delays due to staffing issues. Both here in town after hours, again, people are
[4:38] coming from home. We don't have staffing in the fire station, 24 hours a day, seven days a week.
[4:43] We do staff the fire station Monday for Saturday, 6 a.m. to 6 p.m.
[4:50] Needs for a long-term sustainability, so again, what we're looking at is some options
[4:54] you're moving forward.
[4:55] What are we looking like five years from now, 10 years from now, 15 years from now?
[5:00] In transport services, can we go back to that slide for a minute?
[5:03] Of course.
[5:04] Okay.
[5:04] Figuring that there may be some people listening to us other than our direct crowd here.
[5:09] You want to go out here deeper into the costback with e-conc.
[5:15] Yes.
[5:15] And we can.
[5:16] right? Obviously, we both towns paid the same amount for any of those.
[5:24] What's that?
[5:26] No, we
[5:27] pay a fee. The town... So, talk to me. Go ahead. Excuse me. I want to ask you to help me here.
[5:33] Okay, for those of you that when we have the article or the party donation,
[5:49] yeah. So, there's a budget line. There is a budget line. There
[5:56] was a separate warmer guard, which is
[6:00] like God has from you
[6:04] some round numbers here because a number of the middle I'm not
[6:07] asking.
[6:09] But we were at 40, 43, 45 for a fair extended period, okay.
[6:15] Then, may I keep going, okay?
[6:18] Then it went from there and extra, I want to say, 35 to 40 was put in to the button.
[6:29] And waiting for anybody to say, I believe it's only been two years, there has been a one
[6:34] article that brought these total contribution to 125 for ambulance service. Not
[6:42] specifically for Jarno, and that was one of the issues the past year. Okay, was
[6:48] I want to say misunderstanding but I'm not sure that everybody was on the exact same
[6:54] page. 125 was meant because of the word article passive. To cover ambulance
[7:02] and services, knowing a lion's share would go for a jargon, but then it was also supposed
[7:08] to pay if we had to use grape.
[7:11] I believe all of that is accurate, but if somebody else has a different set of facts and
[7:17] figures on that, if it's not accurate, it's pretty darn close.
[7:21] Is there a contract?
[7:23] No.
[7:23] Then we're in another place.
[7:30] Keep going.
[7:30] Now,
[7:45] in December, it is right, because we were waiting, it went to our attorney, and then
[7:55] because we had some questions, we wanted to make sure our attorney cleared it before we paid on that.
[8:01] So it went to the attorney, we got approval from the attorney, it went to back to their board,
[8:06] and there was a delay a little bit there, and then we signed the contract.
[8:11] Yes, that's correct. And that was the full calendar year, which is important to note.
[8:19] Concurrent with all the calendar year. Right, yes. So, the reason that I was trying to get to that
[8:24] clarifying question is, this is your one. Okay, so when we're talking about being on a
[8:31] contract, we do that has been in effect for 190 days. Right.
[8:35] Is it on your contract?
[8:39] Now, it's just 50-50. Yes.
[8:42] Yes.
[8:45] Yes. And has anybody reviewed
[8:54] their...
[8:54] So Britain does a lot of tracking on our call.
[8:56] Our requests on our calls on our...
[9:00] They're then coming mutually with us.
[9:05] I don't remember. This is CPA talking.
[9:08] But that's okay.
[9:09] No, no.
[9:10] That's okay.
[9:11] And it is...
[9:14] Chief deliverance position on the journal board.
[9:18] Yes.
[9:18] Yes.
[9:19] So that stuff...
[9:21] I would assume if we request it, they would provide it.
[9:27] I loosely have
[9:46] been...
[9:46] Yeah.
[9:51] The other aspect of that is, and I'm saying this is the ICPA, okay.
[9:57] If we're entering into this, then we see this as a potential medium to long-term answer.
[10:03] Every one of the key players should have the same information and same awareness, okay,
[10:09] and make sure that all the doors are open so that everyone, yeah, nobody's going in blind,
[10:17] Okay, I will say the one thing that when we talk about this being the one year and we talk about the difference with the equity concerns.
[10:26] My biggest issue through all of this is I want us looking through the windshield, not the rear-view mirror.
[10:36] I can't, you already say too many times, I can't fit yesterday.
[10:40] Whatever is taken place over the past 10, 15 years with this about whatever the balance
[10:46] has been is relevant if we're sitting around having fun.
[10:53] It shouldn't be relevant as we look to what are we going to put on paper, what are we going
[10:58] to be responsible for and to because we want to be a good partner in this but to be a good
[11:05] partner you also have to have the best information.
[11:08] And are they viable?
[11:11] We would be able to handle them.
[11:14] What's that?
[11:14] We would be able to
[11:39] handle them.
[11:39] Yeah. And
[11:42] the reason why we exist in this position is looking at that sustainability
[11:47] and looking at the future for you as the citizens of this town are getting for transport services.
[11:54] For me coming into this, my fear was because this was right in the middle of this, right?
[11:59] That we didn't have an angel of transport service when I arrived in branch.
[12:02] Right. Not what a fire chief wants to come into a town knowing that we don't have transport for you guys to get to the hospital, right?
[12:08] And the reason for that was staffing, mainly staffing.
[12:12] No, that actually came out the issues that the started last year with them not being able to meet the expectations of the contract and providing a transport service to the townwitch, efficiently and effectively.
[12:24] They delivered a letter because it's essentially not a mail, paid, or we don't know what we're going to serve.
[12:39] And I didn't see that if it wasn't misunderstanding, even if they thought that they were going to get the whole pot of money.
[12:51] But again, I think that would do to a lack of a capacity capability for them to provide service to you.
[12:58] So I know that when I drive by there, there are days.
[13:05] So what does that mean and are we paying? I would assume that great work has some sort of arrangement with dark
[13:13] Yeah, they're contracted with drama to provide additional
[13:17] EMS capabilities for transportation. So that's something they're working out
[13:22] And I don't have the number in front of me, but if they're from the mean last night
[13:26] They had 623 great work had 623 billable hours
[13:33] for
[13:34] or April,
[13:37] April a lot for April a lot.
[13:40] Great birthday.
[13:50] That's hard.
[13:51] That
[13:54] it is the police department.
[13:57] But you know what I mean?
[13:58] So it's a little different.
[14:01] It is a little different because it's a separate energy.
[14:03] It's not a town sanctuary or a funding agency.
[14:08] But we don't know that on a short term, right?
[14:11] And again, I think that's what steers this where we're at today.
[14:14] It's because we don't know that.
[14:16] My fear is I get a phone call at 6 o'clock tomorrow morning
[14:18] is where I search, right? And then what do I do? Right? So I think we need to get ahead of that and start
[14:25] planning for tomorrow, because again, Stan says I can't fix yesterday, right? We need to look at what tomorrow
[14:32] Looks like moving forward looks like
[15:02] No, no, you're good. I appreciate that. The best part of doing this and the best part of being on here, okay, which we talked about in one of our meetings is more people are going to see it, more people are going to hear it, before they read it on message boards, okay, and there'll be something to go back to what they actually said. But what we're trying to do is make sure this has sunlight, okay, and there's always going to be a story, right, but I would rather control that story from the get go if we can, and that's what I'm saying.
[15:32] and I'm doing it in front of the public.
[16:30] And we build out that planning.
[16:56] We're going to continue with German.
[16:57] We're at today to be considered alternative providers.
[17:01] Again,
[17:04] possibly administering in-house key MS service.
[17:09] So just a little bit.
[17:11] And this is an excerpt from an email that I supplied.
[17:13] I sent to Adam.
[17:14] I'm Max and seeing this letter.
[17:16] This is what I sent on to there when I made the announcement
[17:19] that we were creating a committee.
[17:22] I want to be very clear that this process is part
[17:24] of a long-term planning and due diligence.
[17:26] and it is not reflection of any dissatisfaction
[17:29] with the services currently being provided.
[17:31] In fact, communication with German and their staff
[17:34] has been great in my time here.
[17:36] We value the relationship we have built with their organization
[17:39] and recognize the critical role that German plays
[17:42] in supporting the health and safety of our community.
[17:47] Ren's remains fully committed to continuing
[17:49] or strong working relationship with German.
[17:52] We look forward to maintaining open communication,
[17:55] ongoing collaboration, and mutual support
[17:57] as we move forward. Their partnership is important to us and we appreciate the
[18:02] professionalism and dedication their team consistently demonstrates. So we are
[18:07] working well. The communications well for the most part we're running calls
[18:10] with them things are going well right. We have a working relationship and it's
[18:16] functional at this point.
[18:19] So I talked a little bit about staffing earlier. There
[18:22] There are three recognized roles in the state of New Hampshire for AMS providers.
[18:30] The EMT, which is we consider like a basic level, the AMT is a little bit more advanced
[18:35] than the paramedic.
[18:37] Range is staff as an EMT, AMT level.
[18:40] We do not have any paramedics through our organization.
[18:45] We may have British Husking, for example, as a paramedic, but he is not functioning as a
[18:52] We don't carry the supplies to run at the paramedic level, but there's a lot of medications that have extra requirements for them, and it's just, it's not, that's good enough for us to run that way.
[19:07] And licensure and other components to that behind that process, right?
[19:11] So, the way we currently stand today is we are staffed to the AMT level for transport services.
[19:19] There needs to be a combination to personnel at a minimum of any of that combination between
[19:25] the EMTA and EMT environment for any transport unit.
[19:30] Is that a state?
[19:32] Yes.
[19:33] Okay.
[19:33] Yep.
[19:36] All right, we've got someone to be brought up in conversation or alternative providers or potential for providers.
[19:42] Right, there are several other services in the area that you provide transport services.
[19:47] It's William, Peter Burrow.
[19:50] So he can valley and eat and winch him.
[19:52] But there is a problem with winch him and bring me to speak on that one way better than me.
[19:57] It's a licensure component since they're an out-of-state entity.
[20:01] You also got a chest for EMS.
[20:03] Okay. Okay. Yes. Sorry. Again, my apologies for that. Oh, but yes. Yeah. Again. So there are other options available, right?
[20:11] Which is what we went with in one for all. Okay. So I'm
[20:17] sorry, which one?
[20:18] I'm sorry, which one?
[20:19] We were with do
[20:31] we developed an ambulance service to pick up all the towns that we're seeing,
[20:40] but if they're far, you know, I just want to say I was extremely impressed.
[20:50] but service
[20:54] only not cost that's where I go and when when we just real quick and then
[20:59] I'll let you know when when we were at that
[21:04] was treasure EMS and breast you won out of
[21:07] the rest of you what right that's the way out of the phone out of the month and the food
[21:14] for us to make is the price right they're like this is what it's going to cost and we would have to
[21:19] at all the towns, and everybody was like, oh my gosh, the cost. And Cheshiree MS was able to come
[21:25] in at first undercut everybody because they used their ARPA money. And so, from a cost perspective
[21:32] at that point in time, it was cheaper to go with Cheshiree MS. And now what we're finding is now that
[21:38] they're running their ARPA money slowly going away, rescuing had the right price from the get-go.
[21:46] You know, so the cost of these services, and I'm sure you also saw the mutual aid budget. That probably skyrocketed.
[21:53] It did.
[21:54] It did.
[21:54] Yeah.
[21:55] They're finding that, you know, a lot of these suburgency services, they're great at providing emergency services as far as accounting and bookkeeping.
[22:03] That's so good.
[22:04] You know?
[22:04] Yeah.
[22:05] So anyway.
[22:06] Yeah.
[22:07] If you do decide you want to talk with us, you can get in there.
[22:10] Okay.
[22:12] Thank you.
[22:12] Thank you.
[22:13] What are the issues of a good person to get on with that?
[22:14] Yeah, you're right.
[22:15] So, listen, you were earlier.
[22:17] We're going to see if she earns this first.
[22:19] Okay.
[22:20] Can we go backwards from all of the place?
[22:22] Can we go?
[22:22] Nope.
[22:23] So, yeah, that's green.
[22:25] This green you have.
[22:26] Sure.
[22:26] Let's go bottom.
[22:28] Okay.
[22:28] Okay.
[22:29] So, we have license or license your issues.
[22:33] You know, the engine.
[22:34] Yep.
[22:34] And the only reason is because these were the things that we talked about.
[22:38] And I want to make sure that we get a few more of the facts out with it.
[22:42] sure there's not only licensure but there is crossing the state line so okay which
[22:48] brings its own little bundle of jewel. Sure as the case might be. Now are they close?
[22:56] I mean I love, if I was in Malibur, no in Malibur, not quite as well as you
[23:01] met at least someone. Boy which actually put theirs is perfect. Okay that's
[23:07] It's a pretty fair distance from Peterborough.
[23:12] We already know that right now it's a thousand dollars every time we will see the graph.
[23:19] That was part of the Bruhau last year about what amount needed to come out of the 40,000
[23:25] that was added in the warrant article.
[23:29] So he can now lay in Billions.
[23:31] They're nearest point to us right now.
[23:35] Do they have a bar in the new whip switch any longer?
[23:38] Okay.
[23:39] Okay.
[23:40] Can you stand in high school?
[23:42] No.
[23:42] Can you stand that short baby?
[23:44] No.
[23:44] Okay.
[23:46] I may, who do they service besides the witness?
[23:50] Is it a bunch of towns?
[23:51] It's not a bunch of green.
[23:53] It's a little bit of a green bill.
[23:55] I think, couple.
[23:56] I was going to say, Temple maybe Mason.
[23:58] It worked over there for over a few years.
[24:00] Yeah.
[24:00] Uh, P.B.
[24:00] We are, yeah.
[24:03] And then Sharon too.
[24:05] P.B.
[24:05] We are, yeah.
[24:06] Okay.
[24:14] We're on the same page, that's a scary thing.
[24:18] This is a big discussion that we had a lot of time and what I was thinking and I'm happy
[24:25] to at least start the templates.
[24:27] I would like us to create a spreadsheet that lists all the providers including jargon.
[24:32] How many ambulances they have?
[24:34] where they're located, models to the intersection of one, 19 and two or two estimated time if you're driving like a bad, how to get there.
[24:43] Yeah. Yeah.
[24:44] Like we get the numbers down and the other times they provide.
[24:48] So you can get an idea of like in one place of all this data that we need to sort through.
[24:55] Yeah.
[24:55] You can have all start the spreadsheet.
[24:57] I know Brittany can probably fill it out.
[24:59] Yeah.
[24:59] Yeah.
[25:00] I don't mind making it and getting a data for it.
[25:03] And there was one other aspect that we talked about in some depth.
[25:07] And that is, there's only so many people
[25:10] certified to do this.
[25:13] And every Paul is going to rock from every Peter
[25:16] to try and have enough people to do this.
[25:20] And I think we're all well aware that there
[25:23] were less people going into intense public service positions
[25:27] then there were even five years ago, a little on Tanner Fisbee.
[25:32] And the question is, you know, let's say that we were talking
[25:37] if it's willing.
[25:39] Does Fisbee really have enough people to cover, to add us?
[25:44] Right, okay.
[25:45] I feel that little preference here, okay?
[25:49] You know, so, when we look at who the other service is on,
[25:53] I agree with you about the equipment.
[25:55] But to me, the most important bit of equipment is personnel.
[26:00] Yeah, well that should be on the spreadsheet too.
[26:02] So sustainability is huge, right?
[26:04] And I can tell you for us right now,
[26:05] I have two lieutenants who are career or soon-to-be career
[26:09] firefighters and other jurisdictions that are moving up, right?
[26:13] So just to stay in the building on our level
[26:15] to maintain a service, right?
[26:18] Again, paid on call is great,
[26:20] but it doesn't pay the bills, right?
[26:22] And when a lot of us, a little bit older, started this, one single parent in a family was working.
[26:29] That's not an option. And we all know that, right?
[26:32] So both parents are working. It takes away from that capacity capability for that call member
[26:37] because he or she has that full-time job, right? And you're going to go where the business is.
[26:43] You're going to go where the funding is, right? To provide for your family, right?
[26:48] The other question I've got is, and I don't know this, but what is the relationship with
[26:55] the hospital that you're transporting to? You have some sort of MOU or something with
[27:03] the NAP, not? Yep, they are a medical resource hospital. Okay, so, you know, like if it's William,
[27:10] with they go to chem? Okay so is that a problem? It could be. So right now if we
[27:18] have a call and we use the supplies that may not know for restart we can get
[27:22] them from Jeffrey Maybellance and then they can get the results in the hospital
[27:25] because we share the same medical resource hospital. I don't know why I see. If
[27:31] their ambulance was coming from somewhere that used chem, depending on what
[27:36] but their medical director decided the rules were,
[27:39] they may or may not be able to give us supplies
[27:42] because we're not part of their system.
[27:46] And would they also,
[27:49] would there also be an agreement
[27:51] to transport fringe people to keen?
[27:55] If it's just saying you went with a Fitzwilliam or a Tessure E.
[27:59] And that's our sum response unit that goes to keen,
[28:04] is that a problem for wrench?
[28:08] No, it shouldn't be.
[28:09] It shouldn't be, but they would default to going that way.
[28:13] So unless you spoke up and said no, I want to go to the
[28:16] connect-off, they would generally go to their hospital.
[28:19] We transport the paperwork.
[28:21] We transport the paperwork.
[28:22] It's pretty much people just in front of the connect-off
[28:25] treasure and paperwork.
[28:26] It's just that you're tied to the connect-off with the supply.
[28:30] Yes.
[28:31] And that's where our medical director is at, right?
[28:34] So who kind of this year is our capacity
[28:37] capability to function in the field, is that it's right?
[28:41] So there may be difference in practices
[28:44] if you would, right, between menadlock and trust.
[28:47] And what about self-heagant, is that menadlock as well?
[28:53] They didn't transport just menadlock.
[28:56] They, yes, they are menadlock is their menadlock as well.
[28:59] Yeah, yeah, that's the speed, bro. I
[29:06] mean good. Well, I don't think it's how many so we're at about 25
[29:13] They're certified as EMTs. It's right. We're working on that again, so I'm a few that are fire only
[29:19] I've got some more that are EM S only and I got some dual certifies
[29:24] That's an important question. It is right
[29:26] Because again the license during the certification process for that is is pretty time
[29:33] And we have a program in town with the department that we will pay for you to go to class, right?
[29:41] But we get a contract and we get some time out of you after I pay for you to go to class.
[29:48] So, and then we'll also pay after we get through the program six months.
[29:52] We will pay for half of the time you spend in class and after a year we will pay for you for the remainder of the time.
[30:01] So again, it kind of benefits you to stick around for a year because I'm going to pay you for your button C for that time in class.
[30:10] Access? All right. Yes. I agree. It seems like it's scary, right? It is providing our own services. But again, something we have to think about moving forward. Right? We would need a minimum of two ambulance.
[30:26] This is a wide, wide chief. I don't even want two animals.
[30:29] Well, when this one breaks down, I have an antifreeze leak.
[30:34] I need another ambulance to put it in its place.
[30:37] So it doesn't necessarily mean that I'm going to put two animals on the street at a given time.
[30:42] But I need something to back up this one if something happens.
[30:46] Because in a car accident, what 19-202, I need something to have in its place.
[30:50] Routine maintenance.
[30:52] Yes, routine maintenance, right?
[30:54] equipment. Again, you know, looking at, it's not just buying an ambulance, a box
[30:59] and wheels on it, right? It's the equipment on the stretchers, the AED, this, all
[31:04] the other components to it to keep that in place. When you run an ambulance,
[31:09] there's a state list of supplies that are required to be on the ambulance. So you
[31:13] can't be, your ambulance will be licensed if you don't have all of the things the state
[31:17] requires on variables, and a prime expected annually.
[31:20] Punishment.
[31:21] Yep.
[31:22] I hate to scare everyone.
[31:25] I actually have to discuss this previously.
[31:28] Gee.
[31:29] We're going to be just going to talk about one thing
[31:32] I'm going to do.
[31:33] We'll all multiply afterwards.
[31:35] From the time you begin the RFP, till the time
[31:39] that unit shows up is going to be one amount of time right now.
[31:44] And the whole clock figure.
[31:46] So, I'll get to that, but we're looking at 18 to 24 months, easily, 18 to 24 months.
[31:52] And I'll get into numbers here about footing bodies and seats, just the staff and anyone's
[31:56] here in the military.
[31:57] I'm really glad you brought out the 18 to 24 months for those folks who are particularly
[32:02] out there going, oh, you can just do this, you know, when Mike's tried to go get a truck,
[32:10] you know, or the fire department looking for a truck, minimum is 12 to 18 months.
[32:15] And there's only so many companies making them, and they have a list out both of their arms for it.
[32:23] I know how hard it is to do deliveries in my particular industry right now, so somebody tells me 18 is 24.
[32:29] I don't think it's 24 to 30.
[32:31] I was going to say three years.
[32:33] And the numbers has drastically increased.
[32:37] For their cost of this stuff, COVID really put a stranglehold on much of the market.
[32:43] on app radis, on equipment, on supplies, on resources that we have not recovered from.
[32:50] And we probably will never recover from it.
[32:52] Save payment please.
[32:54] 100%.
[32:54] Yep.
[32:56] And then the bigger, even bigger is that building an admin component, right?
[33:01] Most resources will outsource that filling component.
[33:05] And if people think this is going to be a money making in a cash cow, you bunch your head,
[33:10] right?
[33:11] Right, most of these services make enough money to sustain at best, right, if they even make
[33:18] enough sustain their process, right?
[33:21] Because you don't have to pay, right?
[33:23] You know, we're not going to execute you in the town common because you didn't pay for transports of the hospital.
[33:28] I'm not paying that bill and you don't pay.
[33:31] They'll go after you, they'll try, but you can say no, right?
[33:36] And we don't take that into consideration.
[33:37] On top of that, look at your other
[33:42] billionities for older people and stuff like that.
[33:45] You're getting pennies on the dollar for these services, right?
[33:48] I'm about if, say that I'm having a diet bag up
[33:50] so when you come in and you give me a, you know,
[33:55] and I say, I'm not going to hospital.
[33:57] Do you build me for that?
[33:58] No.
[33:59] Right.
[34:00] Right.
[34:01] Build me space on my house.
[34:03] So you all show up at my house because you don't have any,
[34:06] I think it's really happening.
[34:07] Right.
[34:08] So you've got the apparatus, you've got the com, and there are also taking that time away from other people who may also have an emergency.
[34:17] And there's no revenue from that.
[34:18] And it happens all the time.
[34:20] So I heard a story today.
[34:22] Helicopter picks up a patient on the top of Mount Mananaque.
[34:25] Brings them down to street level to put them in the MS unit.
[34:30] Patients are like, I'm not going to hospital.
[34:32] What do you mean?
[34:33] and we just took, yeah, I'm a pain.
[34:35] So refuse to pay the helicopter service,
[34:37] which is not a cheap, pretty penny there,
[34:41] and then you'll go to the hospital, right?
[34:43] So they're alone, you can make that decision.
[34:45] I can't force you to go to the hospital,
[34:48] unless you are not able to make a rational decision
[34:52] on your healthcare, right?
[34:55] Then we can get the police involved
[34:56] and that's a whole lot of people on it.
[34:58] But again, that creates another issue, right?
[35:01] For your list, we could find out for many since you were just talking about the truth.
[35:07] You can't get people to pay.
[35:09] It would be very interesting to know what percentage of the calls as they go on people
[35:14] reject going to the bottom.
[35:17] But also, how much of it is bad debt this month?
[35:19] Because as you said, when people are looking at and seeing how much money is going to commit.
[35:24] And I'm going to say, let's say that because the last time I think we kicked it around
[35:29] And I'm going to count on YouTube, because I think it was just before you joined us.
[35:35] I thought when the town was talking about it, we were thinking it was costing, we're
[35:39] in somewhere, 2,25, 240, max, your timing is perfect, and I feel like you're asking
[35:47] a high proposal.
[35:50] Well, last year when we were talking about the balance of things, and part of it was
[35:58] it was how many calls are being done in January for the amount that they donate and how much was being done in range?
[36:07] 225, 242, 250 somewhere and there's that, but it was thought that the cost per call was...
[36:15] I can't remember that. I remember that the differential in call volume was basically like a 60, 40 or so.
[36:23] You know, it's like $39.80, and those $200.40.
[36:27] It varied some, but it was $60.40.
[36:30] It seemed like a very fair figure to work with.
[36:33] Okay.
[36:34] And you're saying this cost for calls like $2.40, $2.60.
[36:38] Oh!
[36:39] And a client's bag, I'm not.
[36:41] What if...
[36:41] What if...
[36:43] Was the averaging worth...
[36:45] What if...
[36:46] What if...
[36:46] What if...
[36:47] What if...
[36:48] What if...
[36:48] What if...
[36:49] What if...
[36:49] What if...
[36:52] like program other companies as well. Well, sure, okay, and that's something we can get
[36:59] for that, but I think without that part of the picture is the way we actually are
[37:03] right now. Yes, we've made that donation. We break it out over the calls. Like I say,
[37:11] I could be wrong. That's how we got that little work on
[37:19] it. Because when it would,
[37:22] So, someone's, you know, they are, I will say that genre is being much more transparent
[37:28] about the amount of calls per time.
[37:31] I mean, I'm seeing it even on Facebook and things like that, you know, okay?
[37:35] That's good.
[37:35] I'm glad that that's out there, particularly as we're to this point in the discussion.
[37:39] And I think the 60-40 is a fair way to look at that.
[37:43] If we are at the 60-40 and for the 40%, it's like is it 2.25, 2.50, 2.60, whatever that amount may be, when you break down across the call.
[37:59] If that's considered bad hits, 45% of the time, then really those calls are almost twice as much.
[38:09] Because, you know, what is the actual amount for the ones that they're getting something
[38:15] back from?
[38:16] Knowing that Medicaid, as you say, pays pennies on the dollar to the real cost, sure.
[38:21] And of course, the private shares are only a couple of pennies more than that, by the way.
[38:25] And, you know, one of the things we did talk about quite a bit was, I remember somebody said
[38:33] can't fix yesterday, I'll try to remember who that was. Where was the VFW influence? Okay,
[38:41] and they put out a letter, they got a fair almost enough money back to do it,
[38:45] and then people made contributions at all. You'll also, when connoiters had the Obit go out,
[38:51] that it was either flowers or in little flowers contribute to the VFW. Okay, and that was great
[39:00] in 1975 and it was great 1995 and maybe 2005 but that's not the kind of thing
[39:08] we see or hear being coming off a lot and if you try and build that as one of
[39:12] the pillars you don't have a real strong foundation right so I would really
[39:18] like it if we could get that from our partner that we're working with right
[39:22] now and if we can find that out for some of the others as we do the spreadsheet
[39:25] Yeah, I think it would help to look and see what they consider their cost per call
[39:30] like that to be true. Okay, come back to that last one.
[39:33] No, we're saying the real cost, not just our contribution.
[39:36] Correct, but yeah, is the intent of the spreadsheet to basically just list out all the options?
[39:42] Yeah, and try all the data in one case because we keep rehashing it.
[39:46] I say, okay, and it's the data that almost everybody wants to see to be able to have a meaningful
[39:52] discussion of the issue at hand, you can't have it without it.
[39:58] At some point, we'll have a room with a lot more people than this, no matter what direction
[40:02] this all goes in.
[40:04] Yes.
[40:04] And we have best asked something that we can point out, to be able to say, we did the research
[40:09] that we could, here it is from at least two or three entities, hopefully more.
[40:15] I only asked because if that was where we were listening to options, if
[40:23] we think that
[40:24] at Jaffrey was eventually going to take this
[40:31] opportunity.
[40:33] Then how would we account, maybe the likelihood that we proposed, just actually, so John has
[40:41] gone in this scenario, and how we just jointly administer these together with Jaffrey.
[40:47] And I think there's going to be more of a likelihood than people think for an outside of that.
[40:52] Yes, people's going to have to stand as proud of.
[40:55] If we have all the data, then we could list maybe the
[41:01] things that people
[41:03] would want to know about that particular service. Like, Jeffrey's currently
[41:09] staff by grade work, 50% of the time. So, Jeffrey fire got the fund to get
[41:15] town meet and they are currently adding on to their fire station to add that
[41:19] capacity to keep it going. Ambulance. Two. Don't know a number yet. They're adding on.
[41:26] They're running on base.
[41:28] They're running on base.
[41:32] But again, that's pre-finity.
[41:35] That's looking down the road to the future.
[41:40] Because question is if, not now when.
[41:49] Infrastructure needs.
[41:51] We talked about that in a minute or two angels.
[41:53] Proper storage facility temperature control.
[41:56] Obviously, I can't be named in the MS unit.
[41:58] We have the medication of the drug sign outside.
[42:00] right, the possible station expansion of a new bill, equipment and staff and investment.
[42:08] How's that?
[42:09] That's going to go over like 11 years.
[42:11] That's why I want to make that case.
[42:13] Again, but long again.
[42:15] Yeah.
[42:16] Again, that conversation, right?
[42:18] If there apparently came up a number of years ago where there was a...
[42:21] There was a number of years and a number of policies.
[42:24] Yeah.
[42:24] To build another public safety complex.
[42:30] Fine.
[42:30] Yes.
[42:32] Yeah.
[42:34] I'll get in.
[42:36] Recorded and locked.
[42:40] You've sent to office.
[42:42] Yeah, sure.
[42:44] But there are instructions right now.
[42:46] No, it's going to give you information.
[42:47] It is.
[42:48] And most of you,
[42:53] where it's come up.
[42:54] Absolutely.
[42:55] And it's going to come up today, obviously.
[42:57] And it's going to come up next year.
[42:59] It's going to come up a year after.
[43:00] And until, you know, something's going to change.
[43:03] Right?
[43:03] The infrastructure, commercial and residential,
[43:06] is growing drastically in the talent range.
[43:08] Is that?
[43:09] And I can tell you what there is.
[43:10] Another subdivision.
[43:11] or a development getting ready to go in, which increases the number of bodies.
[43:15] Yeah, that's another number we need to track. Right?
[43:19] New lovelies approved for instruction.
[43:22] But again, we accepted and all that stuff.
[43:25] The infrastructure in town, our core infrastructure needs to grow to be able to support.
[43:34] And we no longer have impact phases, that correct?
[43:37] Right, that's correct.
[43:39] That used to be able to contribute to some of that stuff.
[43:43] somewhere that fell on the way side.
[43:45] They voted it down in 2017 or shotgun.
[43:59] 2017 was voted down?
[44:00] Yes.
[44:01] It took three years.
[44:03] Oh, it was on three times.
[44:05] It took five other voted down.
[44:06] Well, I don't know if it was on three times,
[44:08] but it was in the planning stage.
[44:11] It was finally declared a tax.
[44:13] And that's why it was voted down.
[44:15] So looking forward to being one of the two most popular people.
[44:18] I'll ask an unpopular question.
[44:21] I'll make you number one, thank you bro, what's the chief option out of all this?
[44:29] There isn't, yeah, okay, there really isn't, there is no, there are options to potentially
[44:35] control some of the costs.
[44:38] What there is not is a lesser cost than we're currently at, and there is not an inexpensive
[44:46] option.
[44:48] And I close the rest only to get big.
[44:50] Well, speaking of that, sir, I'll let you move on.
[44:55] It's too bad the town didn't buy the purse.
[45:00] All right. So I'm going to start talking a little bit about staffing. If we were to go that route for a single
[45:06] angels operating 24 hours a day, seven days a week, the minimum staffing depends on the following. Number of personnel
[45:12] required for ambulance, the shift schedule, vacation and sick coverage, training administrative time, and overtime talks. Chief, is with that
[45:25] That B-A-24-7 person in the facility ready to go on a call?
[45:34] Yes, ma'am.
[45:35] For those.
[45:36] Yes, so again a minimum of two, right?
[45:39] So the basic formula, right?
[45:42] The 24-7 position requires approximately 168 hours per week, right?
[45:48] So, 40 hours per week per employee, which is the, which equates to about 4.2 full-time
[45:56] equivalents.
[45:57] Okay?
[45:58] So, one staffed ambulance, one staffed seat on the ambulance, is about 4.2 FTEs, and
[46:04] I'll get a little bit into this.
[46:05] Two staffed seats, again a driver and attended, is about 8.4, so that's basic map, and we'll
[46:11] get into this a little bit more.
[46:12] Which you need in order to transport.
[46:15] 100%.
[46:15] Yeah, I need a driver and somebody to be in the back physically taking care of you as my patient, right?
[46:21] The driver also has to be a medical provider.
[46:25] Right, so they soften the side of the road because now it's an individual cardiac arrest.
[46:30] It's just not the due that we picked up the Walmart, hey you won't drive an ambulance tonight, right?
[46:34] We have to have somebody certified training qualified.
[46:40] You're shared, right?
[46:41] So again, a little bit more on that, build out usually need more than theoretical minimal
[46:47] because of vacation, injury leave, sick time, training time, mandatory certifications,
[46:53] court appearances, and burnout reduction.
[46:59] So, that number turns out to be between 10 and 12 providers to reliably staff 1A once
[47:08] 24 hours a day, so that may be easier.
[47:12] Right?
[47:13] You don't want to go.
[47:14] This assumes two-person proof, again, minimal overtime reliance and sustainable operations.
[47:21] So, 10 to 12 persons to staff one ambulance.
[47:25] How many full-time providers this genre currently have?
[47:29] You know?
[47:30] None.
[47:31] None?
[47:32] None.
[47:33] They're not full-time.
[47:34] Everybody's on a party.
[47:36] So, they do staff their station, but nobody is a full-time employee.
[47:40] They have 2 DM bills from 8 a to 8 p, 7 days a week.
[47:47] So what is the preference for DM, they just don't have the money for full time, or
[47:56] people explain why they went that route?
[48:04] They're basically contractor.
[48:09] Yep.
[48:10] So if you're going to a full-time roof, then you have to look at all of the other benefits that come up with the full-time roof.
[48:18] What happens between 8 p.m. and 8 a.m.?
[48:22] Safety is rent fire department.
[48:23] B.B.B.B.
[48:24] Ambulance and engine or ambulance and rescue.
[48:26] Yeah, and they responded in from from home. And you said last time that the majority of calls come between 6 a.m. and 6 p.m.
[48:36] Generally, generally, yeah, yeah, that that was news to me
[48:39] But it makes sense because half that time people are sleeping or it's the true, right? Yeah
[48:45] All
[48:48] right, some financial considerations start up costs vehicles equipment staffing. I was you building
[48:57] would be a big one. I'm going operational expenses, salaries and insurance. So with
[49:04] that being said, some potential funding options would be warrant articles like
[49:07] you guys brought up, a regional cost sharing, grants donations, and then you
[49:12] brought up a term that was new to media that I'm drawn up like another means of
[49:18] of funding.
[49:20] Um.
[49:23] Yeah.
[49:24] Sorry.
[49:25] It's okay.
[49:31] No, no.
[49:32] Okay.
[49:33] I'll try and think back to the conversation.
[49:36] You guys brought up and it.
[49:38] It's slapsing me.
[49:39] I couldn't think of that.
[49:40] That's why I didn't put it on the slide.
[49:41] I didn't think of that term.
[49:42] But I never heard of it.
[49:43] Probably.
[49:44] Well, there was a time when Jorama had a big like pledge campaign.
[49:48] Sure.
[49:48] So you just didn't get a donation, but you pledged to give that same amount for five years in a row.
[49:55] That was pretty successful.
[49:58] Was that more sort of purchase in ambulance though?
[50:02] Or whatever?
[50:06] I don't remember.
[50:08] So those are good, but they're not sustainable, right?
[50:12] That happens at the end of five years.
[50:14] I hate to base salaries on a pledge.
[50:17] Please turn it over.
[50:19] You know what I mean?
[50:20] It's just another source of it.
[50:22] Yeah.
[50:22] No, no, definitely.
[50:23] Yeah.
[50:26] But wouldn't that only work if it's a nonprofit?
[50:29] It wasn't an nonprofit.
[50:31] I know.
[50:32] But it wouldn't be a nonprofit.
[50:36] Right?
[50:36] If it's a Towning Section function.
[50:40] It wouldn't be a nonprofit.
[50:42] Could it be a emergency?
[50:43] It's a high- one seat.
[50:44] It's just going to say 501-C3 for the size.
[51:02] So the initial target by the border selection was to have a response by July.
[51:09] Let's have a conversation in reality, hopefully November for a full report from this process.
[51:16] hopefully, right? And that's also causatively optimistic, right? I'm going in a public engagement
[51:22] plan again, I would like to do multiple easy as we proceed forward, so we're looking at that.
[51:28] So what are we done so far, right? We began the regional outreach across the
[51:33] Parisians, where we begin and you collect our call data and response trends, reviewing
[51:38] staffing and certification levels and identifying system strengths in the gaps.
[51:47] Key findings, again,
[51:48] EMS systems are costly and complex.
[51:52] A germa is currently our most cost effective option.
[51:56] Again, we talked about it earlier,
[51:57] the disparate portion they call buying in Jeffrey,
[52:00] and an increasing demand will impact future services.
[52:08] Our guiding priorities.
[52:10] All right, coverage, reliable response times,
[52:13] control, location decision making,
[52:15] cost is responsible,
[52:17] a responsible use of taxpayer funds,
[52:19] and then quality we want to provide the highest level of care.
[52:26] What's next?
[52:28] Continue collecting of that data for analysis.
[52:30] We're in an engagement of our regional partners,
[52:33] and development of the detailed cost comparisons,
[52:36] and then preparing that final recommendation.
[52:41] So here's the two big questions.
[52:43] What are the determining factor or factors for you as a community
[52:47] to find what the threshold for failure is?
[52:50] And how do you as a community determine that your needs are not being met?
[52:56] Again, that's something that I think is important for where we stand and where we move forward, right?
[53:03] What does that value your look like in the service and the system?
[53:07] So in my mind, this would work very similarly to a water fund or a sewer fund.
[53:13] It would be its own little and
[53:19] so what we do for those types of systems is we we do what's called a level of
[53:26] where you all would sit down and say to yourselves, you know, what what does the community expect?
[53:34] You know, do you expect, you know, to a certain response time?
[53:39] You know, what are the criteria?
[53:42] What are
[53:48] the criteria that the people in
[53:53] the service?
[53:55] The response time is huge, right?
[53:58] In wrench, right?
[53:59] Again, three o'clock in the morning tonight.
[54:01] Tomorrow morning we get this fast for that call.
[54:04] People are coming in from home.
[54:06] Typically, we're getting on scene pretty.
[54:10] Generally before the other resources.
[54:13] Yes, yes.
[54:14] Generally.
[54:15] Okay.
[54:17] How long are you willing to wait?
[54:19] for the ambulance to show up. Is 25 minutes a reasonable time to wait for a
[54:24] transport unit? Is 35 minutes a reasonable time to wait for a transport unit?
[54:28] That sounds like a survey, and me. 100 percent, right? Because again, the reality is
[54:33] 25 or 30 minutes isn't that a question.
[54:40] Because you have your own people on site,
[54:45] but
[54:46] they're, but not and not said, say there's any demand, which is an EMT or
[54:50] advanced EMT, but there's just that level of
[54:59] change.
[55:00] That's not guaranteed.
[55:01] Right.
[55:02] So I think that that, as if you
[55:08] was able to go in in like a,
[55:11] for example, Cheshire EMS has a employed purpose.
[55:14] Of course.
[55:15] It takes both.
[55:16] Yeah.
[55:16] And they just bash that person out, and they can get there,
[55:21] and they can manage stabilization,
[55:26] which is done, you know, while the ambulance is coming.
[55:30] Yeah.
[55:30] That
[55:32] would be something that would be an option for...
[55:36] Sure.
[55:37] And then something to look at, right?
[55:38] So, we call them chase cars, right?
[55:40] Generally, a Paramedic.
[55:42] When I came from Montgomery County.
[55:43] So, I don't want to speak for this.
[55:45] Right?
[55:46] Yeah.
[55:47] Right?
[55:47] So, there are different terms, same, very similar concept, right?
[55:50] You have a paramedic provider in a vehicle that comes out of an entity and is able to meet
[55:57] you want scene to provide higher care for the patient on scene until they transport
[56:04] component to get there, right?
[56:07] Yes.
[56:14] So, hypothetically, eight o'clock, let me give it a visit.
[56:17] What's the response time to having people there getting to?
[56:23] We do not.
[56:24] I don't want them in front of me, but I have the ability to get it.
[56:27] Yeah.
[56:27] I think it would be important to.
[56:29] And I think that varies drastically.
[56:33] to keep in mind right? I can't guarantee or I don't think anybody can guarantee you 20 minutes
[56:40] seven days a week, you know, AP the 8L, right?
[56:44] Maybe I'll stop them and I'm going to wear this.
[56:46] Yeah. So it's going to be my next question. So like response times here are not going to be
[56:50] equivalent to what they are going to be going for. Sure, I'm looking for that.
[56:55] Right. But you know, when we're talking, you know, 20, 25 minutes or even,
[57:01] you know, if someone lives
[57:02] on Wellington Road, they have to get out of bed, drive to the same place, and that's right.
[57:08] Yeah, not what I think about it.
[57:09] So, but even in child providers for us to get from our house to the scene, it's easily
[57:16] 15 minutes, most of the time.
[57:19] You can't get anywhere.
[57:20] That's right.
[57:21] I dream about it.
[57:22] Yeah.
[57:22] That's why he transported me.
[57:24] Yeah, but what I think, and you guys have been around for a minute and kind of know the system
[57:29] and the way it works, but for people who aren't aware of that,
[57:31] and the people who move here from Boston, right?
[57:34] Because it's nicer, it's quieter, it's a smaller
[57:36] better mentality for people who come from bigger cities,
[57:41] they're expecting less than 10 minutes
[57:43] to have an ambulance at the front of it.
[57:45] But that's the other job here.
[57:47] But my point was, do you have numbers on how long it takes
[57:51] that people to the station to pick up the ambulance
[57:56] and get to a patient?
[57:57] We can get that.
[57:58] That's important information.
[57:59] Yes.
[57:59] I don't give you a baseline of what it might be here, if we're realizing that Jeffrey
[58:05] Winch has to come from Jeffrey to here and where they will have done it right.
[58:11] Do they have that rule where those who work for the ambulance have to live within a certain
[58:21] distance now?
[58:23] So you can have somebody who lives out in wherever, on a call.
[58:29] Yeah. Yeah. Everybody
[58:34] decided they're gonna put another herbal like that. No, I can't. I can't prohibit me
[59:30] for seven coverage, but I don't know what
[1:00:01] As
[1:00:05] far as I know, they haven't been completely out of service since they started working with
[1:00:09] breakbook around Thanksgiving.
[1:00:14] Prior to that, they were on service pretty regularly.
[1:00:17] But they remain with breakbook.
[1:00:31] When breakbook covers-
[1:00:40] Sure, there was something that had come.
[1:00:44] I'm really not looking to kick over on its nest, but I can feel my foot and I know where the nest is.
[1:00:50] I said there's no cheap option. Sure. There's no specifically inexpensive option.
[1:00:56] And I'm going to keep saying we can't pitch yesterday, but I want to go a little bit faster.
[1:01:01] We talked about it being 40,000 and going to 8.
[1:01:08] That discussion's about
[1:01:13] projecting.
[1:01:20] Yes.
[1:01:23] Yeah, I was going to say, you remember two 11 rings of building,
[1:01:33] yeah, with the intent and
[1:01:35] that might be the 24 hour coverage for a truck.
[1:01:40] But again, we have to get more finite, but that number is, again, just there alone is increasing
[1:01:46] right?
[1:02:29] Thousand more.
[1:02:51] Asking others to troll
[1:03:05] these costs.
[1:03:08] There are so many outside factors that are involved.
[1:03:14] But,
[1:03:25] they can jump at me when you went to the FTE.
[1:03:31] I want to make sure that I have this clear of my mind, because I know I'll get asked
[1:03:44] for it too.
[1:03:44] It's a fair minimum.
[1:03:46] Okay, so if you have to truck, you wouldn't
[1:03:50] want me to do that.
[1:03:51] Can you say a team? Then?
[1:03:58] Yeah, you could.
[1:04:00] You know what I'm trying to overreach.
[1:04:02] Yeah. You currently have how many people purify.
[1:04:05] Not whether or not they're all certified for that.
[1:04:11] So, anybody paying them an hour?
[1:04:13] So, that's about 17.
[1:04:18] 17 is the lowest.
[1:04:19] 17 is the lowest, and what are we about 24?
[1:04:34] When we talk about, you know, how all of that's going
[1:04:37] like, you would need more body parts.
[1:04:42] And not two more bodies.
[1:04:45] No, we don't think that we have now.
[1:04:47] Do you all have to
[1:04:53] do that?
[1:04:54] So, since it's on the topic.
[1:05:24] To entertain the idea of pulling out the body,
[1:05:31] plans that were paid for by the taxpayers and putting them out on the table and
[1:05:38] having the current chiefs take a look at it and and pair it down to what you
[1:05:44] need not the Taj Mahal, which it wasn't to begin with, which it wasn't to begin
[1:05:50] with, but that name sounds familiar
[1:06:12] to you.
[1:06:14] So, if
[1:06:26] absolutely not, then take in-house ends right out of auction table.
[1:06:31] I think if people on
[1:06:36] the be more than contract
[1:06:39] pans down, Peterborough just bought a brand
[1:06:42] of ambulance for upwards of $400, $400,000 and he just bought two for over $600.
[1:06:50] Well, but our basic premise is our best option is draw.
[1:06:55] Right.
[1:06:56] Okay.
[1:06:56] We don't want to put them on our business.
[1:06:58] We do not.
[1:06:59] The fact that they have underfunded themselves,
[1:07:02] they're going to have to do something about that,
[1:07:04] their business model.
[1:07:05] But I think it's good to look at all the options
[1:07:12] so that people can make an informed and educated.
[1:07:17] Yeah, I mean, so I still think we should keep
[1:07:21] the, you know, have our own service on us
[1:07:24] so that people really know what that cost would be.
[1:07:26] They say, we're on the way up there in Jefferidge, $200,000.
[1:07:31] Well, because they have a lot more anywhere else, probably.
[1:07:35] You know, so...
[1:07:36] What would happen if Jeffrey did wind up taking on the ambulance?
[1:07:43] What would happen to Randy?
[1:07:45] We did absolutely.
[1:07:47] I'm almost certain they'd be going to entertain
[1:07:52] him.
[1:07:52] Who would make sense for that?
[1:07:53] Who would make it?
[1:07:54] Who would make it?
[1:07:55] Who would make too much sense possible here?
[1:07:57] Sure. Now, thank you both of you for something that you said that I was really hoping to hear tonight and I want to repeat for those of you out there.
[1:08:06] Yeah, I know that I'm watching over there.
[1:08:12] Nobody in the room at least as far as I can tell me.
[1:08:19] Healthy genre helps a healthy bridge.
[1:08:21] Yeah. Okay. And
[1:08:25] you know, before you got here, I've been waiting for an MOU, I've always wanted to be there to both sides
[1:08:36] to be realistic for both sides.
[1:08:40] And I think it's pretty obvious that the rates that have been paid may not have been realistic for both sides.
[1:08:50] Sure.
[1:08:51] Do we need to look at the 60-40?
[1:08:53] Absolutely.
[1:08:54] Yeah.
[1:08:54] Okay.
[1:08:56] But, I think that even just with what we talked about here, as you said, I'm just simple.
[1:09:03] Okay.
[1:09:04] And pardon that is also not just what they get from the town, whether it's a payment, a generation,
[1:09:11] whatever the case might be.
[1:09:15] That's why I'm hooked on what's in bad debt.
[1:09:17] Okay.
[1:09:18] that never ever comes back because that immediately goes and beats at the bottom line and you know
[1:09:26] the part that you put up I have a friend in the medical profession who has said that the
[1:09:32] thing that causes them to not want to be in the profession is how much time their staff and they
[1:09:40] have to spend dealing with insurance. It's just because of the way the system is. It's not
[1:09:48] the good old days where Ross and Lisa were over there, okay? Yeah, I'm going back a little
[1:09:54] too far. They would cap you with the archipelago. We're ready. Do you do it to me? It was a different
[1:10:03] world then. The world we live in. If you don't have an effective system for doing that bill and then
[1:10:11] done in what you can't have to.
[1:10:16] If you're not getting 30-35-40% of what you're
[1:10:21] building, you have to make up. And
[1:10:27] as you're talking about the spreadsheet with all
[1:10:31] the data, which sounds the best idea, but I think it should be specific for
[1:10:38] range, ranges data, the number of people that have used the service, whether it's over
[1:10:45] a few years, the amount of, uncollectable for range calls, refusals.
[1:10:56] And we have time.
[1:10:57] I think refusals is a huge piece.
[1:10:59] Not just here, but I think it's a huge piece.
[1:11:02] But I think any of the data that you put together,
[1:11:06] you need to do specific arrangement
[1:11:11] in hopes of having better people have the better understanding.
[1:11:17] The other thing that's really important to understand in that
[1:11:21] is that this is not just a Dharma problem.
[1:11:25] You know, a lot of the emergency services in Joshua County,
[1:11:30] like we've been seeing with the ambulance,
[1:11:31] and mutual aid, like I said before, but they're just finding that what they have been charging
[1:11:38] the municipalities just isn't an app that hasn't been enough for a very long time, so there's
[1:11:44] a giant adjustment going on. And so it's not just this particular ambulance services. You know,
[1:11:51] it affects a lot of these services. Ever since COVID, everything's gone through the room.
[1:11:56] And, of course, gas is really expensive now, to the point.
[1:12:02] And diesel on top of that, right?
[1:12:03] So, again, that's another thing we'll get for you.
[1:12:05] But the ambulance is from our diesel?
[1:12:07] Well, most of them were gas, but there are diesel ones out there, right?
[1:12:11] So, against your things like that to consider it.
[1:12:13] I mean, all costs are...
[1:12:15] Yeah, it's financial and they're only getting higher right now, right?
[1:12:18] Yeah.
[1:12:18] So when I heard 80,000 and 40,000 to cover a community of over 6,000 people, I mean I
[1:12:29] can see why they got in trouble sustaining the service.
[1:12:35] How do you give them a check rate?
[1:12:38] Less.
[1:12:39] I must say for quite a thought, it was about 65, 57 or something like that the last time.
[1:12:46] Are we counting the school or aren't we counting the college?
[1:12:49] Do we know?
[1:12:50] Exactly.
[1:12:52] That's all we've been in question now.
[1:12:54] It comes up as I say.
[1:12:55] Are we counting it?
[1:12:57] Oh, and it's salt.
[1:12:59] But that number, that has a geography graphically.
[1:13:02] They're not like 850 students now.
[1:13:05] And there are things like geography has a nursing home.
[1:13:09] And they're building a lot of housing.
[1:13:11] And we're going to get geography.
[1:13:13] But there is one thing regarding the screen that you have out there dessert the second question
[1:13:23] Could we could we either add a second part to it or make a third question, we're saying how do we determine your needs are not being met?
[1:13:33] How do we determine your needs are being met? Sure, you know
[1:13:35] I think I'm gonna be in a survey, right?
[1:13:37] I'm gonna do a survey about what people expect.
[1:13:41] And what they experienced, what did they experience?
[1:13:45] Two, I think, right?
[1:13:47] Yeah.
[1:13:48] I mean, that's a, it's hard to wait.
[1:13:51] I mean, I'm sure that a lot of you know I know,
[1:13:53] it's hard to wait.
[1:13:55] Is it acceptable?
[1:13:57] It's gonna be different for different people, I suppose.
[1:14:00] Well, Julie said a few minutes ago
[1:14:02] while I had my two heart attacks. She took me to the hospital.
[1:14:07] And I don't think she took me to the hospital.
[1:14:08] Yeah, I've been in this situation where I called my husband
[1:14:11] to the hospital. And then when he went to the hospital after
[1:14:13] I was the helicopter. The helicopter. Why didn't you get a pre-authorization?
[1:14:19] Yeah. That was a conversation that I just was in
[1:14:22] Christal's. You needed pre-authorized a helicopter.
[1:14:25] Please tell me the way that was at Bucharest,
[1:14:28] She'll in New Hampshire authorize the helicopter and then just to add on to it the helicopter starting done me
[1:14:35] Well, she's still any I see you for payment
[1:14:40] 70 days in the I see you and they're done. Maybe for payment for the helicopter play. Yeah
[1:14:47] I'm for a done. He just came up twice in what meaning you you know that
[1:14:51] You're well spoken for to this year's
[1:14:58] How?
[1:14:59] More?
[1:15:00] I know the police department just did a survey and not too long ago. What did they get for percentage of residents responding? You know? We got about 70 around about 70 less than 80 people responded.
[1:15:16] How did people respond? But they go online, fill out the survey? Oh yeah, there was paper that was given in many places. They had online distributed on Facebook and other means. Maybe you've been on our website here for a while.
[1:15:29] I think they even did like QR codes you can scan their posts somewhere too.
[1:15:35] I wonder how they would get a higher number.
[1:15:37] Where do you know my reader here?
[1:15:40] You were done with your reader.
[1:15:41] You were the assistant plot writer for a while.
[1:15:43] 14 years.
[1:15:44] Is it something that could be done at
[1:15:50] the power?
[1:15:52] It's only that that's what A political title sign of.
[1:16:00] Could you have a table asking people?
[1:16:03] What would you bet her? She did it outside like they do for the after voter surveys, you know, people
[1:16:08] say how to vote for them, but that would be totally okay.
[1:16:15] Yeah. Yeah.
[1:16:19] One of the ones who are the
[1:16:29] 70 people.
[1:16:34] Well, I mean, we have been more than one way to meet up with people, but that's a good idea.
[1:16:47] Yeah. So our commitment, as a committee to use the community, right, we're going to
[1:16:52] transparent process. Again, that's part of that this evening. Right, data
[1:16:56] driven decision making, maintaining current service during evaluation, and focus
[1:17:01] on the long-term sustainable.
[1:17:12] Not by yourself, but it's horrific.
[1:17:17] So it's so much easier to guide and to stay up.
[1:17:26] Even though it was forced.
[1:17:32] It's very successful and then shows. Wow.
[1:17:37] We did multi-lingual tonight.
[1:17:39] Are we going to try to continue to meet every other week?
[1:17:42] Yes, ideally, right? Yeah, well that's something comes up, sure. And are we kind of like settled on Tuesdays at 5.30?
[1:17:51] I will do it anytime, let's work for you. I work for you all, you tell me when you want to meet and I will be here.
[1:17:59] How much time do you have? That's right, just go on here, don't still invite me.
[1:18:06] I have to say this,
[1:18:11] I know this about this meeting.
[1:18:13] So, I don't know if I've just been missing them.
[1:18:17] So, I also need to...
[1:18:19] No, so this is the first public meeting.
[1:18:21] So, I made a big mistake.
[1:18:23] I put out the first one.
[1:18:24] The same night as the police department's meeting.
[1:18:27] And I apologize.
[1:18:29] That was my fault.
[1:18:30] I know on that one, Rachel and I, we just miscommunicated on that one.
[1:18:35] And I wasn't going to compete with another organization in this town for attendance.
[1:18:40] right so we made the decision to step back to the postowner cancel that meeting
[1:18:45] and to make it tonight. So this is our first public one. When we first met I
[1:18:50] wanted to get the kind of the group together kind of elacent groundwork so when
[1:18:54] I came to you I had this to present you right. You didn't want to see the
[1:18:59] first couple of meetings because it was you know just you know just just trying to
[1:19:03] get to try to get off the ground and see where we're looking at you know day
[1:19:07] day one, day two, and moving forward. Where did you see the post? I could see it on
[1:19:12] life and range. Yeah. I didn't see that it was going to be zoomed. Yeah. Yeah. The
[1:19:20] link was there. Yeah. Yeah. At least in what I was looking at. Yeah. The flyer, I think
[1:19:24] that wasn't there. Yeah. So I created the flyer. We put it on the the fire department
[1:19:28] Facebook page.
[1:19:32] It's okay. I will now. Yeah. So, and Victoria help me out.
[1:19:42] We have a message.
[1:19:44] A very well-known increasing people that way. When I called message you about the conflict
[1:19:50] last week, you had it immediately changed. Yeah. And thank you very much. Again, we have to work
[1:19:57] together. We're all buying for different things in the town, but it's all the same concept, right?
[1:20:03] And this is actually a wonderful fly, isn't it? Not only that, but at least many
[1:20:08] concerts are working together. 100% right? So can we go back one page? Do I actually put that?
[1:20:21] Yes, so unlike we just do things, I, you know, of course, I wanted to have a meeting like this,
[1:20:26] you know, okay. And I think it's important not just for our friends out there, but our friends here.
[1:20:33] But some of it is brickwork. Maybe if we do, you know, committee work, the next meeting is an open
[1:20:41] meeting like this. I agree. You get to redundant every time people stop coming. And then as we get closer
[1:20:48] to making full presentation to the board and whatever like that.
[1:20:52] That might be different.
[1:20:54] Okay, but if we do a little change up there, we'll still let people know what's going on.
[1:20:59] Okay.
[1:21:00] We can start.
[1:21:01] I don't want to do a PowerPoint every week.
[1:21:03] I don't really want you guys a lot.
[1:21:05] You can help edit the PowerPoint and like we can get that spreadsheet up there.
[1:21:11] That answers a lot of questions out of the gate.
[1:21:14] And we rehashed Humman's speedover or have humminous at every single meeting like you were
[1:21:21] considered.
[1:21:21] Sure.
[1:21:22] So if it doesn't say public meeting, then you guys are working.
[1:21:27] You'll be working?
[1:21:28] It'll be working.
[1:21:29] Okay.
[1:21:31] We'll still let me look.
[1:21:32] And I will say, and you know, I've been very happy with what we've gotten.
[1:21:36] Yeah.
[1:21:36] Okay.
[1:21:37] I'm going to hope that we go back and we bullet point some of the things, okay,
[1:21:43] that we could put out there. Yes, some people are going to watch. Some are only going to hear what else is going on, and my other favorite part of control, control the message.
[1:21:56] I'd like to at least get 5 or 10 points out there that we talked about tonight.
[1:22:04] because God bless our holy doesn't even live here anymore and no people know
[1:22:09] what's going on in town because of all the work she has. I'd love for her to
[1:22:13] have something she gets from our our crew here with the fire and the flames we
[1:22:18] thought were worth it. So somebody else doesn't have to go picking through it and
[1:22:23] we're not trying to chair a bit we're not trying to shake but let's talk I mean
[1:22:27] I mean, we went a little bit far a few, but I think we also, again, know what is looking
[1:22:34] to eliminate drama.
[1:22:36] Okay?
[1:22:37] I want to get that one more time before we close, because first thing I hear, oh, you're
[1:22:43] on that.
[1:22:43] So, you guys try to get rid of the annual service, and I'm like, yeah, why am I just way
[1:22:47] to sure it's saying?
[1:22:49] Okay?
[1:22:49] So you want, you want to have something on social media that would be like a
[1:22:57] bullet point thing that would say number one, genre is still our best option.
[1:23:02] Sure.
[1:23:04] Number two, in the event of needing other
[1:23:08] hand-own service, we are looking at that amongst others we are looking at ABC.
[1:23:16] There's a plus and minus to going that route because you can just get a whole bunch of people
[1:23:22] that power on that post and say, if it's not done then, it'll just happen at the next
[1:23:28] meeting.
[1:23:28] Right.
[1:23:29] And that gives them the ability to grow their grumbling.
[1:23:34] Right.
[1:23:35] And you need the outcome.
[1:23:37] Yeah.
[1:23:38] And listen.
[1:23:38] Yeah.
[1:23:40] Now, I think more of it, I think it's more going to frustrate your tape and cause this content, right?
[1:23:47] What is going to be the response to social media if that is none?
[1:23:51] Well, you know what? No matter what we do, you're always going to have a nice letter, right?
[1:23:56] You're always going to have those supporters, and then you're always going to have that group to kind of sit in the middle.
[1:24:01] And I think the people in the middle is who this is ideally the ones that we want to capture.
[1:24:07] And I think we could, we, as that I, we can do that by providing more information and
[1:24:13] education.
[1:24:14] And I'm willing to own the fact that I think the biggest problems we face today is lack
[1:24:21] of information and education.
[1:24:23] If we can control that medium, then I think we have a means of moving forward.
[1:24:27] Well, but nothing says you have to have open comments on that.
[1:24:31] Yeah, you can just present that data and sort of comments.
[1:24:36] Well, yes, that's what I'm asking you.
[1:24:39] I think that's a good one.
[1:24:40] I see where you go at the moment.
[1:24:42] But I've seen a difference in the community with the use of social media.
[1:24:50] True.
[1:24:52] Holly's page, like in range.
[1:24:54] That's the naysayers, okay?
[1:24:57] things that are posted on there just go sometimes into the toilet. What you've
[1:25:03] been doing on your Facebook page has been excellent. I think the same thing for
[1:25:10] the police department. I think the same thing for the town of Ringe, although I
[1:25:16] would like to see a little bit more on the town of Ringe. If you have to, you can
[1:25:23] post. You can shut off the commentary, but I encourage you to follow. Yes, you encourage
[1:25:34] people to follow your page for those information. And you know, that's the way you can come
[1:25:43] across with a survey through the official fire department page. And that can be shared on other
[1:25:52] a little bit more of ownership of it.
[1:25:54] Yeah, silly ones, we need to have a fire department.
[1:25:58] We need to have an ambulance service.
[1:26:00] We need to have a police department.
[1:26:01] Those are all things that the citizens we expect to be part of what we're paying for every
[1:26:07] year.
[1:26:08] The fire department is critical.
[1:26:10] So it's an ambulance service.
[1:26:12] So it's the police department and the DPW and everybody else.
[1:26:16] and we can't nicklundine those services the way we are right now, the opinion is no new taxes.
[1:26:22] Period. I've seen three selectments say that over the course of time, no new taxes.
[1:26:29] Okay, I'm going to may I continue? No. Our town has operated in the past with
[1:26:41] secrecy.
[1:26:42] I mean, this tonight being projected on here was wonderful.
[1:26:48] That's where we should be at.
[1:26:51] But for the town having tried to get this, it was crazy.
[1:26:56] And the same thing with live streaming.
[1:27:01] That was a ridiculous fight and venture.
[1:27:05] This is all part of transparency.
[1:27:07] People could be seated sitting at home tonight watching this.
[1:27:12] So they can hear everybody talking because I listen to the voice like when it's meeting.
[1:27:17] Sometimes it's in the end though.
[1:27:19] You can pull it on slash captions if you have to.
[1:27:22] I can.
[1:27:23] Yes, yes.
[1:27:24] Again.
[1:27:25] Okay.
[1:27:26] The transparency, the school board, this transparency is important.
[1:27:32] And we see that, you know, you're talking about that here.
[1:27:35] the transparency and the education for the town's people to know what's going on.
[1:27:43] Well, not only transparent, but you have to make the information easily accessible.
[1:27:49] So that's where the live streaming is important because if you have two little kids
[1:27:53] and you're both working jobs, you're not coming to the SPI-30.
[1:27:56] My only name is come to the fire station, right?
[1:27:59] Come and ask questions, right?
[1:28:01] I'm all around the fire station come see what we had come see where we are
[1:28:08] Yes, I'm working on that right, but no seriously come visit us, right call a fire station
[1:28:15] Tell us on emails, right?
[1:28:18] We're on social media. I'm on social media come out and ask questions, right?
[1:28:24] Again, we're trying to be as transparent as possible
[1:28:27] Putting this out in front of you tonight and when we are about moving forward
[1:28:32] We're gonna do the same thing if you want to come in and watch us talk about it and model through some of these other things before the next presentation
[1:28:38] Don't see us, right?
[1:28:40] This was great
[1:28:42] Yeah
[1:28:43] I think you did a wonderful job.
[1:28:45] Thank you
[1:28:46] Don't let go of your hand though
[1:28:47] No
[1:28:49] No
[1:28:50] This is day one, tomorrow, tomorrow, right?
[1:28:52] So
[1:28:52] You would definitely best stand in the room
[1:28:55] You see that, Dan?
[1:28:56] I'm proud of everybody
[1:28:58] I'm happy to be still a medalist.
[1:29:00] I think we're going to meet again 10 to 10 weeks.
[1:29:03] Yeah, let me look at a calendar.
[1:29:04] Okay.
[1:29:05] We're around.
[1:29:06] I'm going to turn off.
[1:29:09] Yes, are we okay?