GOOD. ARE YOU READY FOR ME? IS THAT RIGHT? YES. THANK YOU. SO WELCOME TO THE MONTGOMERY BOARD
[00:00:14]
OF HEALTH MEETING FOR JULY. 19TH 2023. IT IS THE INTENTION OF THIS BOARD TO CONCLUDE THIS MEETING BY 9:30 P.M. ANY AGENDA ITEM NOT CONSIDERED BY 9:30 P.M. WILL BE TABLED UNTIL THE NEXT[I. Opening Statement]
REGULARLY SCHEDULED MEETING. OPENING STATEMENT. ADEQUATE NOTICE OF THE MEETING, AS REQUIRED BY SECTIONS THREE D AND FOUR. A OF THE OPEN PUBLIC MEETING ACT HAS BEEN PROVIDED TO THE PUBLIC AND FILED WITH THE TOWNSHIP CLERK. WE'RE GOING TO DO ROPE ALL NOW. DR SORAYA. DR WOLFSON. DR GRAYSON. DOCTOR MCGARY HERE, DR. BEISEL DR. SHARMA DR. NEWMAN HERE, DOCTOR O MARA. DR MOHAN HERE. HEALTH OFFICER PATEL HERE, STAFF SECRETARY JENNIFER FOSTER HERE.TOWNSHIP COMMITTEE LIAISON. WE HAVE MAYOR KINI. HERE THANK YOU AND ADVISOR DR MOM MANDELBAUM.
DO WE HAVE ANY PUBLIC COMMENT TODAY? OKAY, LET'S GET GOING WITH THE CONSENT AGENDA. ALL
[IV. Consent Agenda]
MATTERS LISTED HERE UNDER ARE CONSIDERED ROUTINE IN NATURE AND WILL BE APPROVED IN ONE MOTION.ANY MEMBER MAY REQUEST, THEN AN ITEM BE REMOVED FOR SEPARATE CONSIDERATION TO THE MONTHLY REPORTS. WE HAVE THE HEALTH DEPARTMENT MONTHLY REPORT THAT COMMUNICABLE DISEASE REPORT AND THE ANIMAL CONTROL REPORT ALL FROM JUNE, 2023. AND WE HAVE THE MINUTES FROM OUR MEETING OF JUNE 14TH 2023. SO COULD I HAVE A MOTION TO APPROVE OR DOES ANYBODY WANT TO REMOVE AN ITEM FOR CONSIDERATION? OKAY, I'LL ENTERTAIN A MOTION TO APPROVE. MOTION. THANK YOU. THAT ONE SECOND, PLEASE. SECOND. OKAY. THANK YOU. ALRIGHT THE FIRST AGENDA ITEM IS ITEM FOR
[V. Septic Licensing Program]
DISCUSSION. IT IS A SEPTIC LICENSING PROGRAM AND HEALTH OFFICER PATEL HAS WRITTEN A MEMO. IT IS IN YOUR AGENDA. DID YOU WANT TO PROVIDE AN OVERVIEW OF THAT MEMO? SURE SO THE MEMO IS IN JUST REGARD TO THE DISCUSSION WE HAD LAST MONTH ABOUT THE PRE 1990 SEPTICS IN TOWN. THE WAY THAT OUR ORDINANCE IS CURRENTLY AND I THINK THIS IS ALSO BASED OFF OF NEW JERSEY.SEPTIC CODE. UM IS THAT THE PRE 1990 SEPTICS ARE EXEMPT FROM ENTERING INTO THE SEPTIC MANAGEMENT PROGRAM THAT WE MANAGE. UM THERE WAS DISCUSSION ABOUT UPDATING THAT ORDINANCE TO INCORPORATE THE PRE 1990 SEPTICS INTO INTO THE ORDINANCE. AND YOU KNOW, WE DISCUSSED THIS, YOU KNOW, WITHIN THE HEALTH DEPARTMENT AND YOU KNOW, I INCLUDED THE REASONS IN THE IN THE MEMO TO YOU, UM, FOR WHY WE RECOMMEND AGAINST INCLUDING THOSE PRE 1990 SKEPTICS INTO THEM SUBJECT MANAGEMENT PROGRAM , BUT WE WANTED TO GIVE THE BOARD THE OPPORTUNITY TO DISCUSS THIS AND UM, YOU KNOW, GO BASED OFF OF YOUR RECOMMENDATION. UM WE DON'T YOU KNOW, THE MAIN THING IS THAT AS THE SKEPTICS FAIL, OR YOU KNOW, AND THIS IS SOMETHING THAT I CAN HAVE, EVEN KRISTEN TALKED MORE ABOUT. SHE'S SHE'S THE EXPERT HERE, UM BUT AT LEAST PRE 1990 SEPTICS AGE OUT, UM AND YOU KNOW THE RESIDENTS APPLY FOR PERMITS FOR REPAIRS AND REPLACEMENTS. THEY AUTOMATICALLY GET INTO ENTERED INTO OUR PROGRAM. AND THAT PACE IS WHAT YOU KNOW THAT IS HAPPENING. AND KRISTEN, MAYBE IF YOU WANT TO TALK ABOUT HOW WE ARE SEEING THOSE PRE 1990 SEPTICS GETTING ENTERED INTO OUR PROGRAM AGING OUT YEAH. EVERY MONTH. WE HAVE APPLICATIONS FOR REPAIRS AND ALTERATIONS THAT GET ADDED INTO THE PROGRAM. THANK YOU, KRISTEN. WHAT WAS THE ORIGINAL REASON? FOR PRE 19 NINETIES. NOT TO BE INCLUDED BACK THEN. DO WE KNOW WHAT WHY? DO YOU WANT TO ADDRESS IT? OR YOU WANT ME TO? MY UNDERSTANDING IS WHEN THE ORDINANCES CAN YOU SPEAK INTO THE MICROPHONE BECAUSE I DON'T THINK PEOPLE CAN HEAR THE ORDINANCE WAS PASSED IN 1990. THAT IT WAS ONLY UM, INCLUDING THE HOMES. AFTER THE ORDINANCE WAS PASSED, IT WAS NOT GOING BACKWARDS TO THE HOMES THAT WERE BUILT AFTER 1990 THOSE PRIOR TO 1990, THAT'S COMMON, AND WHEN AN ORDINANCE IS PASSED, IT GOES FOR THAT MOMENT FORWARD. AND THAT WAS TO PUT US IN COMPLIANCE WITH THE NEW JERSEY STATE REGULATIONS. FOR U P A. SO THEY ASK IS BECAUSE OF LACK OF RESOURCES. IS THAT WHAT THE MEMO SAYS? IF I UNDERSTAND CORRECTLY LACK OF INTERNAL RESOURCES. I
[00:05:01]
MEAN, I THINK THAT THAT MIGHT BE PART OF IT, BUT IT'S ALSO UM, THERE IS NO PUBLIC HEALTH BENEFIT TO ADDING ALL OF THEM AT ONE ONCE, BECAUSE REGARDLESS OF THESE, THESE SKEPTICS ARE IN OUR PROGRAM OR NOT. THEY ARE GOING TO AGE OUT. YOU KNOW, PEOPLE COULD BE MAINTAINING THEM AND THEY COULD STILL FAIL AS THEY AGE OUT. I DON'T KNOW, KRISTEN. IF THERE'S ANYTHING YOU KNOW YOU'D WANT TO ADD. YES THEY WILL , BECAUSE WHEN PEOPLE ARE SELLING THEIR HOMES, AND YOU HAVE A SEPTIC FROM 1965 OR 1975 , THEY'RE NOT PASSING HOME RESALE INSPECTIONS. UM SO THAT'S ASSUMING THAT THERE'S GETTING SOLD. WHAT ABOUT HOMES WHERE THEY COULD? THEY COULD JUST HAVE A SET OF BAILING SEPTIC FOR YEARS. I MEAN, THERE'S EVIDENCE OF THAT. HE HAS EVIDENCE OF THE FAILING SEPTICS. NO. THERE'S SOME IN HARLINGEN. RIGHT NOW. THERE'S SOME ON VIBURNUM. I MEAN, THERE'S A SMELL THAT YOU CAN SMELL WHEN THEY HAVE THEM. SO I DON'T KNOW WHEN THEY WERE IN THE NOBODY HAS REPORTED WOULD HAVE TO REPORT IT. DEPARTMENTS WERE NOT AWARE BECAUSE WE WOULD ISSUE A NOTICE OF VIOLATION, AND THEN THEY WOULD BE FORCED TO REPAIR IT, AND THEN THEY WOULD BE PUT IN THE PROGRAM. BUT UNFORTUNATELY IF PEOPLE DON'T REPORT IT TO US, WE DON'T FIND OUT UNLESS WE HAPPEN TO BE DRIVING BY, YOU KNOW, WITH THE WINDOWS DOWN, YEAH. BUT WE DO INVESTIGATE ALL COMPLAINTS ABOUT MALFUNCTIONS. QUESTION I WOULD LIKE TO SUGGEST THERE THAT THEN THE MEMO RATHER THAN REALLY MAKING, UM WHAT OVER OVERWORKED RESOURCE ISSUE ISSUE IS, IT'S NO THREAT TO THE ENVIRONMENT. PUBLIC HEALTH IMPORTANT POINT. AND THEN, OF COURSE, THE RESOURCES YOU CAN PUT THERE AND THAT IS THE REASON IT'S NOT REALLY WORTH, UM, CHANGING THE ORDINANCE AT THIS POINT. OKAY? THE ONE THING THE OTHER THING TO GO ALONG WITH KRISTEN'S POINT, I DID GO LOOK THROUGH THE ROLES OF HOMES THAT ARE FOR SALE. RIGHT NOW. WE HAVE 52 PROPERTIES FOR SALE IN MONTGOMERY OF THOSE 40 OR HOMES, FREESTANDING HOMES WITH A POTENTIAL BEING ON SEPTIC OF THOSE 40. THERE'S ABOUT 12. THEY'RE ALL OLDER THAN 1990 OF THOSE. THERE IS ABOUT 25% THAT HAVE REPORTED NEW SEPTIC. AH SEPTIC IS NEW, NEWER SEPTIC OR TO BE INSTALLED THAT TIME OF SCALE SALE, SO WE ARE SEEING A NICE RATE OF AT LEAST COMPLIANCE THAT'S GOING THROUGH THE HOME SALES AS A SELF SUSTAINING MECHANISM TO THE ORDINANCE AS IT IS EXISTING TODAY. ANYTHING ELSE? ANY OTHER QUESTIONS? CAN WE CLOSE THE DISCUSSION? DO I HAVE TO MAKE A MOTION TO CLOSE THE DISCUSSION. JUST CLOSE AND MOVE ON. OKAY? I DON'T WANT TO GET OVERLY OKAY. THE NEXT IS THE[VI. EMS Presentation ]
M S PRESENTATION. WELCOME. THANK YOU FOR COMING. PLEASE JOIN US. UM. SO THANK YOU. FIRST OF ALL THE BOARD OF HEALTH FOR INVITING US TO MAKE THIS PRESENTATION WE WERE ASKED TO TALK ABOUT TWO THINGS. THE FIRST WAS JUST SOME STATISTICS ABOUT HOW CAN I PAUSE YOU FOR YOUR NAME AND YOUR TITLE? PERFECT THANK YOU. LET'S START THERE. MY NAME IS SID SARAN. I AM THE PRESIDENT OF THE SQUAD. MONTGOMERY M S AND ALONG WITH ME IS NO AMIGO SHELL. SHE'S THE FIRST LIEUTENANT IN THE SQUAD. THANK YOU. WELCOME BOTH OF YOU. AND NOW SHALL WE BEGIN? YES PLEASE. SORRY I JUST WANTED HER NAME AND TITLE FOR THE RECORD. GREAT SO, SO WE WERE ASKED TO MAKE A SHORT PRESENTATION, UH, TO THE BOARD OF HEALTH, AND WE'VE TALKED ABOUT ESSENTIALLY ABOUT TWO THINGS. THE FIRST THING THAT WE TALK ABOUT IS SOME STATISTICS ABOUT THE SQUAD. AND THE VOLUME OF OUR CALLS WHAT THE TRENDS HAVE BEEN OVER THE LAST FIVE YEARS. AND THE SECOND THING THAT WE'LL TALK ABOUT ANNOYING MABEL WILL COVER THAT IS UH, CERTAIN TYPES OF PATIENTS THAT WE'RE SEEING WHO ARE UM WE HAVE FREQUENT PATIENTS. WE'RE GOING TO THEM MULTIPLE TIMES A YEAR GENERATED AND AVERAGE OF LET'S SAY 1 TO 2 TIMES A MONTH, AND SO WE JUST WANT TO YOU KNOW, TALK ABOUT THAT AND BRING THAT THROUGH THE BOARD'S ATTENTION. SO THOSE ARE THE TWO THINGS THAT WE'RE DOING OVER HERE. SO UM, ARE YOU GENERAL DO THE SLIDES FOR YOU GREAT. THANK YOU FOR FIRST LIGHT, PLEASE. OKAY, GREAT. SO THIS LIGHT ABOUT OUR CALL VOLUMES. ARE CALL VOLUMES HAVE BEEN RISING. UH AT AN ANNUAL RATE OF ABOUT 6% A YEAR. UM WE DECIDED TO SHOW. THE LAST[00:10:11]
FOUR YEARS, FIVE YEARS AND THE REASON IS BECAUSE THERE IS A PRE COVID AND POST COVID TREND. AND YOU WERE IN COVID OUR CALL. VOLUME WENT DOWN. 2020 I CALL VOLUME WENT DOWN. UM WE'VE SEEN A STEEP INCREASE IN THE NUMBER OF CALLS THAT WE'RE GETTING, ESPECIALLY FROM 2021 TO 2022.THAT'S A 17% INCREASE. SO YOU KNOW 1530 GOALS GOING UP TO ALMOST 800 GOALS A YEAR 1800 GOALS A YEAR. AND WE THINK GENERALLY, THAT TREND WILL POTENTIALLY JUST CONTINUE TO RISE. UM AND. YOU KNOW, FOR THE FOR THE PERIOD BEFORE THEN. IT WAS GENERALLY AROUND 1400 GOALS.
OH, YEAH. SO AS WE ARE NOW FACING ESSENTIALLY A NEW, STABLE VERSION OF 1800 GOALS A YEAR WITHIN THE SQUAD. WE'RE DOING A LOT OF THINGS TO JUST PREPARE OURSELVES. SO, FOR EXAMPLE, WE ARE INCREASING. OUR STAFFING. SO THE NUMBER OF VOLUNTEERS THAT WE HAVE WE'RE IN. WE ARE EQUIPPING , WHIPPING OURSELVES APPROPRIATELY. UM AND THEN, OF COURSE, WE WERE TRYING TO GATHER SUFFICIENT AMOUNT OF MONEY FOR ALL THE CALL VOLUME THAT WE HAVE TO HANDLE AND THE EQUIPMENT THAT WE HAVE TO HANDLE AND THINGS LIKE THAT. UM SO THAT'S THE FIRST LIGHT NOW. UH LET'S GO ON TO THE SECOND SLIDE. PLEASE. CAN I ASK A QUESTION? WHO FUNDS YOU GUYS WHAT YOU MENTIONED MONEY STUFF, RIGHT? SO HOW'S HOW'S THIS BEING FUNDED? I'M JUST CURIOUS. GREAT QUESTION. LOVE TO ANSWER IT. IT'S 100% FUNDED BY DONATIONS. SO, UM. UH YOU KNOW, OUR BIGGEST SOURCE ARE OUR KEY SOURCE OF FUNDING IS THE RESIDENTS OF MONTGOMERY AND EVERY YEAR WE GO OUT TO THE RESIDENTS OF MONTGOMERY AND ASK FOR DONATIONS. WE HAVE MAILING CAMPAIGN THAT TAKES PLACE DIRECT MAIL CAMPAIGN THAT TAKES PLACE IN MAY. UM AND WE HAVE WE GO OUT TO THE BUSINESSES IN MONTGOMERY . WE TRY TO HAVE DIFFERENT KIND OF FUNDRAISING EVENTS. WE TRY TO RAISE AWARENESS OF THE FACT THAT WE ARE AN ALL VOLUNTEER. 100% DONATED DONATION BASED SQUAD. UM AND WE ALSO GET A DONATION FROM THE TOWN, WHICH IS WHICH IS PART OF IT, WHICH IS VERY HELPFUL, BUT WE ARE 100% DONATED. SO WHAT THAT MEANS FOR US IS THAT WE CANNOT COUNT ON ANY DOLLAR ON A RECURRING BASIS, ANY DOLLAR THAT CAME IN THIS YEAR MAY NOT COME NEXT YEAR. AND FOR THAT FOR US, THAT'S A BIG DEAL BECAUSE WE'VE GOT SUBSTANTIAL EXPENSES LIKE, FOR EXAMPLE, THIS YEAR WE ARE DUE TO REPLACE ONE OF OUR AMBULANCES THE COST OF THAT AMBULANCE TWO YEARS AGO. WAS 100 AND $50,000. WE ARE PRETTY MUCH ORDERING THE SAME AMBULANCE WITH TWEAKS, AND THAT IS NOW $363,000 SO WE HAVE A STEEP HILL TO CLIMB. AND THAT'S WHAT WE DO THE CLIMATE. THANK YOU. ASK ONE QUESTION. 2023 IS THAT THE LAST SLIDE? THAT WAS YEAR TO DATE THE 1600 OR I SHOULD I SHOULD CLARIFY THAT. THE 2023 NUMBER IS ANNUALIZED. OKAY. THANK YOU. THANK YOU. AND SO, UH, AND SO, YOU KNOW, UH, 2023 NUMBER IS THE IS THERE A VALID AS OF YESTERDAY AND THEN WE'VE ANALYZED ANNUALIZED IT FOR THE REMAINDER OF VIDEO. OKAY? SO WHAT THIS SLIDE TALKS ABOUT IS UH, THE DENSITY OF OUR CALLS. AND WHAT I MEAN BY THAT IS THAT YOU KNOW IF THE CALLS WERE EQUALLY SPACED DURING THE DAY. OR DURING THE YEAR. WE WOULD BE ABLE TO MANAGE IT WITH JUST ONE CREW. BUT AS CALLS HAPPEN THEY'RE RANDOM, AND WHAT WE'RE EXPERIENCING IS THAT THEY JUST COME ONE AFTER ANOTHER. AND SO WE'VE HAD MANY INCIDENCES WHERE TWO AMBULANCES . THREE AMBULANCES. FOUR AMBULANCES ARE OUT AT THE SAME TIME. WE ARE ONE OF THE ONLY FEW SQUADS. IN NEW JERSEY. THAT CAN TAKE HE CALLS AT THE SAME TIME.
EVEN OUR NEIGHBORS. I CAN'T DO THAT. THE REASON WE'RE ABLE TO DO THAT. IT'S ACTUALLY BECAUSE WE ARE VOLUNTEER SQUAD. AND SO WE ALL WEBPAGES AND WE HAVE RADIOS. AND WHEN I CALL COMES
[00:15:04]
IN, THERE'S ALWAYS A DUTY CREW. THAT'S THE PRIMARY. SO THE DUTY CREW TAKES THE FIRST CALL. AND LET'S SAY A SECOND CALL COMES IN 20 MINUTES LATER, AND EACH CALL FOR US IS ABOUT TWO HOURS OF TIME. SO LET'S HEAR SECOND COURT COMES IN 20 MINUTES LATER. ALL PAGES BEEP. AND WHETHER WE ARE WORKING. EATING FOOD. SLEEPING. A COUPLE OF PEOPLE DROP WHAT THEY DO, AND THE ANSWER ON THE RADIO THAT THEY'RE GOING FOR THE CALL AND THEN MOVE FOR THE CALL. AND THAT ENTIRE PROCESS TYPICALLY TAKES ABOUT 30 SECONDS. AND WE ARE STAFFED UP FOR THE NEXT CALL. GENERALLY IN A MINUTE. UM AND WE DEPLOY OURSELVES GENERALLY. WITHIN 34 MINUTES BY DEPLOYING. I MEAN, WE'RE IN OUR VEHICLES MOVING. UM SO, SO THAT'S THE WAY WE RUN. UM . KICK PERSONAL REGARDING THE INCREASE OF CASES. IS THERE A POLITICAL ER TYPES OF EVENTS HAPPENING IN A PARTICULAR YEAR? WHY THERE IS LIKE HMM. SUCH A DIFFERENCE IN THE GROWTH SO DO YOU KEEP ANY SORT OF RECORD? WHAT KIND OF EVENTS ARE TAKING PLACE IN PARTICULAR YEAR OR THE TIME OF THE YEAR, SO THAT'S A GREAT QUESTION. I HAVE A SLIDE THAT COMES TO THREE SLIDES LATER, WHICH TALKS ABOUT THE TYPE OF INCIDENCES THAT WERE SEEN. OKAY? SO THE KEY QUESTION THAT YOU'RE ASKING IS SOMETHING THAT WE ASK OURSELVES, WHICH IS WHAT DRIVES OUR CALL VOLUME. AND WE'VE TRIED TO BE QUITE ANALYTICAL ABOUT THAT. UH I THINK THE SIMPLE ANSWER IS THAT, UH AS THE TOWN GROWS IN POPULATION. WE ARE SEEING AN INCREASE IN CALL VOLUME. THE ONE THING IS THAT THE TALENTS POPULATION CLEARLY HASN'T GROWN AT 5% OF YOU. AND YET OUR CALL VOLUME HAS GROWN AT 5% A YEAR.SO WHY THAT DISPARITY? WE DON'T KNOW THE ANSWER PERFECTLY. UM, ONE OF THE THINGS IS THAT UH, AS THE DEMOGRAPHICS OF THE TOWN CHANGE OUR CALL VOLUME CHANGE. I MEAN, IT'S CLEARLY KNOWN THAT LET'S SAY ELDERLY PEOPLE WILL CALL 911 MORE THAN YOUNGER PEOPLE. BUT THAT BEING SAID, I DON'T THINK THE DEMOGRAPHICS OF OUR TOWN HAVE CHANGED THAT MUCH IN THE LAST FIVE YEARS. OKAY? WHAT DO THINGS HAVE HAPPENED. WHICH IS SIGNIFICANTLY DRIVING OUR VOLUME. THE FIRST IS THAT THERE ARE CERTAIN FACILITIES IN TOWN THAT ARE HEALTH RELATED THAT HAVE BEEN CALLING US HISTORICALLY. AND SO THIS YEAR, ESPECIALLY, WE'VE HAD TO HAVE CONVERSATIONS WITH THEM. AND WE'VE EXPRESSED OUR POINT OF VIEW THAT YOU GUYS ARE HEALTH FACILITIES. PLEASE DO NOT CALL A VOLUNTEER SQUAD TO SUPPORT YOUR BUSINESS MODEL. AND YOU SHOULD SUPPORT YOUR OWN BUSINESS MODEL . THE GOOD NEWS IS THAT THE HEALTH FACILITIES HAVE ACTUALLY TAKING THE MESSAGE. UH AND I HAVE TO SAY THAT UH, THE MESSAGE WAS REINFORCED BY OUR MAYOR BY OTHER GOVERNMENT, UM.
PROFESSIONALS UM AND ALSO JUST GENERALLY. UH, THE COMMUNITY AROUND US. UM, YOU KNOW, WE'RE VERY FORTUNATE THAT THE TALENT SUPPORTS THE VOLUNTEER EMAILS. AND SO THE MESSAGE WAS TAKEN.
AND THE PRIMARY REASON WHY YOU SEE THAT. OUR CALL VOLUME RUN RATE. FOR 2023 IS LOWER THAN 2022 IS BECAUSE THOSE FACILITIES HAVE HEEDED THE MESSAGE AND OUR AND ARE NOW LOOKING AT PRIVATE AMBULANCE SERVICES AND PAYING FOR THEM ON THEIR OWN, RATHER THAN RELYING ON OUR FREE SERVICE. OKAY SO IS THAT JUST TO CLARIFY? THEY'RE PROBABLY JUST CALLING YOU TO LIKE FACILITATE HOSPITAL TRANSFERS FOR PATIENTS WHO ARE COMPENSATED. YEAH THEY WOULD HAVE JUST NORMALLY JUST CALLED THE ABLE TRANSPORT AND TAKING CARE OF IT. YEAH OKAY. THAT WAS THAT WAS ONE OF MY QUESTIONS IS THE SECOND WAS HOW LONG IS THIS SHIFT? 12 HOURS. 12 HOURS, SEVEN AM TO SEVEN PM AND THEN SOME PM TO SEVEN AM SHIPS. THE SECOND THING THAT'S DRIVING OUR VOLUME. MUTUAL AID. SO. ALL TOWNS IN NEW JERSEY HAVE MUTUAL AID AGREEMENTS WITH EACH OTHER, AND THE AGREEMENT IS FAIRLY SIMPLE. IF YOU CAN'T HANDLE YOUR VOLUME, AND YOU'VE GOT CAPACITY , HELP YOUR NEIGHBORS HELP THE NEIGHBORING TOWN. RIGHT? AND I MEANT TO PUT A MUTUAL AID START UP THERE AND I FORGOT TO DO IT.
BUT OUR MUTUAL AID STAND BASICALLY IS THAT. UM, I MEAN, WE'VE GOT TO NEIGHBORING TOWNS.
HILLSBOROUGH, FOR INSTANCE. UH THERE'S BEEN A MAJOR CHANGE IN BOTH THESE TOWNS, WHICH HAS
[00:20:01]
ACTUALLY DRIVEN ARE VOLUME UP. THE MAJOR THINGS THAT TAKING PLACE IN HILLSBORO IS THAT THEY USE ROBERT WOOD JOHNSON. THEY OUTSOURCE THEIR ENTIRE MASTER ROBERT WOOD JOHNSON. THEY DID THAT. FIVE YEARS AGO. SOMETHING LIKE THAT. IN THE LATEST RENEGOTIATION OF THE CONTRACT THAT THEY HAD WHICH TOOK PLACE IN 2022. ROBERT WOOD JOHNSON, WHICH PROVIDED TWO AMBULANCES NOW JUST GO INTO ONE. AND SO. REMEMBER HILLSBOROUGH IS A LARGER TOWN THAN MONTGOMERY HEELS. GROWTH HAS, I THINK, LIKE 40,000 PEOPLE SOMETHING LIKE THAT BETWEEN 30 40,000 PEOPLE WE HAVE 23,002. WE HAVE MORE AMBULANCES RUNNING SIMULTANEOUSLY OFTEN. THEY'RE TRYING TO HANDLE THE WHOLE TOWN WITH ONE AMBULANCE. RIGHT, SO WE EXPECT ALL OF LAW. THAT OVERFLOW IS COMING TO US. UM SO THAT'S ONE OF THE DRIVERS OF OUR CALL VOLUME TO WHAT PERCENTAGE OF THE CALL VOLUME THAT IS, IS THE OVERFLOW SECONDARY. ROBERT WOOD JOHNSON BAGGING THEIR CONTRACT SO. HMM I WISH I HAD THE NUMBER. UM WITH ME. I JUST MADE PRESENTATION OF THAT NUMBER EARLIER. BUT LAST YEAR I BELIEVE SO. THIS NUMBER MAY BE WRONG. BUT LAST YEAR WE GOT SOMETHING LIKE 48 CALLS FROM HILLSBOROUGH LAST YEAR IN THE ENTIRE YEAR. OKAY THIS YEAR THAT VOLUME HAS DOUBLED ON A RUN RATE BASIS. IT'S MORE THAN DOUBLED ON A RUNWAY BASIS. SO THAT SELLS WELL. THE SECOND THING. THEN THERE'S PRINCETON. SO, FOR INSTANCE, SQUAD. BEEF OURS VERY GOOD SQUAD, THEIR PART VOLUNTEER PART TIME. WORKING PROFESSIONALS, RIGHT? UH, IT'S A VERY WELL RUN SQUAD. WE HAVE DIRECT ORGANIZATIONS WITH THEM. THEY ARE FACING A PROBLEM AND THEIR PROBLEM IS THAT THEY ARE PROVIDING MUTUAL AID TO OTHER TOWNS. AND SO. YOU KNOW THEY'RE GETTING CALLED BY UH UM. LAWRENCEVILLE MHM. THEY'RE GETTING CALLED BY PLAINSBORO SO BECAUSE THEY'RE ON MUTUAL RADIO REMAINS TO THE OTHER GUYS. BUT WHEN THEY GET THE CALL, THEY'RE THEY'RE OUT. WHEN THE CALL COMES INTO THEM. IT THEN COMES TO US. SO THEN WE GO TO PRINCETON. SO WHAT IS HAPPENING? IS THAT A LOT OF THE VOLUNTEER SQUADS. IN THE TOWN. ARE JUST SHRINKING, COLLAPSING, THE NOT ABLE TO SUPPORT THEMSELVES. PRIMARILY BECAUSE THEY DON'T HAVE SUFFICIENT VOLUNTEERS. AND SO THAT'S WHY THEY'RE CLOSING. UH UM, WHICH MEANS THAT, YOU KNOW THROUGH THIS DOMINO EFFECT. WE GET AFFECTED. AND ALCOHOL VOLUMES ARE GOING UP. SO WE ARE TRYING TO MANAGE THAT. AND THE WAY WE'RE MANAGING IT IS THAT WE'VE WE'RE ONE OF THE FEW SQUADS THAT ARE ACTUALLY GROWN IN NUMBER. SO, UM BEEF. YEAR TO DATE, WE HAVE GROWN OUR SQUAD BY ABOUT 20. SO THE GOOD NEWS IS THAT YOU KNOW, WE'VE WE HAVE A STRONG CALL GOING ON FOR VOLUNTEERS. AND WE'VE BEEN ABLE TO GET VOLUNTEERS. AND ACTUALLY , OUR VOLUNTEERS ARE WE START OFF WITH FRIENDS AND FAMILY. YOU KNOW, UM WE HAVE A VERY STRONG CADET PROGRAM. AMAZINGLY BARONS OF CADETS ARE NOW SEEING YOU KNOW THE IMPACT THAT BEING IN THE SQUAD HAD ON THEIR CHILDREN, AND THEY HAVE JOINED THE SQUAD. UM USUALLY IT'S THE OTHER WAY AROUND. RIGHT PARENT HAS A GOOD TIME ENCOURAGES THAT CHILDHOOD. WE'VE HAD THE REVERSE. SO YOU KNOW, BECAUSE OF ALL THOSE THINGS. AH! WE ARE TRYING TO EXPAND OUR SQUAD. AND WE HAVE BEEN ABLE TO DO THAT. OF COURSE , YOU KNOW THAT BRINGS ABOUT OTHER ISSUES THAT WE HAVE TO SOLVE. SO FOR EXAMPLE, OKAY, NOW ALL THESE PEOPLE ARE HERE NOW WITH THE TRAIN THEM AND SO YOU KNOW. LIKE I LOOK AT OUR SQUAD KIND OF LIKE YOU KNOW, THERE'S LIKE THE MEDICAL HOSPITAL. UH NOT NOT MEDICAL HOSPITAL. UM LIKE A UNIVERSITY HOSPITAL, RIGHT? WE ARE KIND OF LIKE THE TEENY TINY EQUIVALENT OF THAT WHERE WE PROVIDED THE M S. O S AND WE'RE CONSTANTLY TRAINING ALL THE TIME LIKE EVERYBODY EVERY SHIFT. WE WERE TRAINING. WE'RE TRAINING THAN THE NEWBIES, YOU KNOW, AND. FOR US, THAT'S REALLY A SURVIVAL TACTIC. WE HAVE TO DO THAT. THAT UM AND YOU KNOW WE'RE LOOKING FOR VOLUNTEERS, ESPECIALLY DURING THE DAYTIME. SO IF YOU WOULD LIKE TO VOLUNTEER, PLEASE RAISE HER. THE CALL GOES OUT EVERYWHERE. SO ANYWAY, COMING BACK TO THE SLIDE, YOU KNOW THAT SIDE IS REALLY IMPORTANT BECAUSE WHAT IT MEANS IS THAT UM. THE NUMBER. THAT'S THE NUMBER OF SHIFTS WITH FIVE OR MORE CALLS. IN WITHIN A SHIFT. THAT'S A PROXY OF DO. 34 AMBULANCES BEING[00:25:05]
OUT AT THE SAME TIME. UM AND SO FAR, THAT'S THAT'S BECAUSE. THAT'S BECAUSE THE PEOPLE ARE COMMITTED AND DEDICATED TO MAKE THAT HAPPEN. IT'S NOT HAPPENING IN OUR NEIGHBORING TOWNS. AND OTHER TOWNS WERE ONE OF THE FEW SQUADS THAT DO THAT. OKAY SO LIGHTLY. OKAY THIS IS JUST A LITTLE BIT ABOUT DEMOGRAPHICS. THIS IS WHAT YOU WOULD EXPECT. THE MEDIAN AGE OF OUR PATIENTS IS 59 YEARS OLD. UM. AND YOU CAN SEE THE EXPLOSION. YOU CAN SEE THAT. THE METRICS ARE SKEWED.TOWARDS THE OLDER SIDE. THAT'S NO SURPRISE. IS THIS THE CURRENT AGE DISTRIBUTION OR IS THIS EXTRAPOLATION DATA AS WELL? I'M SORRY. EXTRAPOLATING THE DATA FOR THE REST OF THE CALENDAR YEAR. IS THAT THE CURRENT DISTRIBUTION OF AGE UP TO THAT? THAT IS SO WE DIDN'T PUT 2023 ON THAT SLIDE AT ALL APOLOGIZE. ACTUAL DATA. UH, CAN WE JUST GO BACK? PROPERTY THIS LIFE SO THAT'S ACTUAL DATA. OH YEAH FANS 2018 2022 4 YEARS. NO, I'M SORRY . I'M SORRY. IT DOESN'T PLAN FOR YOU. IT'S 2022 2021. AND YEARS BEFORE LOOK PRETTY MUCH THE SAME. AND HOW MANY OF. WELL YOU MAY NOT HAVE THIS OFF THE TOP OF YOUR HEAD. BUT HOW MANY OF THESE ARE TREATED ON SCENE AND THEN THAT'S IT. HOW MANY ARE TRANSPORTED TO A HOSPITAL? OKAY? YEAH SO ABOUT ONE THIRD OF ALCOHOLS ARE MES SO OUR EMMA IS REFUSED MEDICAL ASSISTANCE. IN OTHER WORDS, WE GO THERE. WE HIGHLIGHTED THE PATIENT. AND THEY DON'T NECESSARILY NEED TO GO TO THE HOSPITAL. UM, BUT, YOU KNOW WE ALWAYS ADVISE ANYBODY EVERYBODY TO GO TO THE HOSPITAL, BUT SOMETIMES AFTER IN VALUATION, THEY SAY, OKAY, YOU KNOW, I'D RATHER NOT GO TO THE HOSPITAL SO THAT THEY DON'T GO.
WE DON'T CONDUCT TRANSPORTATION. AND TYPICALLY ONE THIRD OF ALCOHOLISM. I'D LIKE TO ANY 27% 27 TO 2030% SOMETHING LIKE THAT . ARE THERE FREQUENT FLIERS? YES FREQUENT FLYERS, AND WE'LL BE TALKING ABOUT THEM LATER ON. ABOUT 100 OF OUR CALLS. OUT OF 1800 CALLS. ARE FREQUENT FILES.
SO I WOULD SAY ABOUT 5% OR SO AND THEN SO THE QUESTION IS, WELL, HOW FREQUENT ARE THE FREQUENT FLYERS AND THE STATUS? UH UM, THEY CALL US APPROXIMATELY, LET'S SAY TWICE TWICE A MONTH. ON AVERAGE, BUT IN REALITY WHAT ENDS UP HAPPENING IS THAT YOU KNOW THE FREQUENT FLYERS THEY SOMETIMES WE FEEL THAT THEY HAVE A THEY HAVE A BAD TIME PERIOD LIKE A WEEK. IT'S JUST REALLY TOUGH FOR THEM IN THAT WEEK. THEY MAY JUST CALL US BUT A FEW TIMES SHORT TERM ON AVERAGE. WE SEE THAT'S YOU KNOW, THAT'S BETWEEN ONE AND TWO TIMES A MONTH. BUT THE REALITY IS THAT CAN BE CONCENTRATED WITHIN CERTAIN TIME PERIODS. ANOTHER QUESTION, IF DOMESTIC SITUATIONS SO TO SPEAK. CAN THEY REFUSE OR DO YOU? DO YOU HAVE THE AUTHORITY TO KIND OF WE HAVE NO AUTHORITY. SO THE POLICE COME WITH YOU IN THOSE SITUATIONS, SO THEY'RE CONSULTING PATIENT? UH, A PATIENT CAN REFUSE TO GO TO THE HOSPITAL. UM IN WHICH CASE WE CANNOT FORCE THEM TO GO TO THE HOSPITAL. UH, THE POLICE. CAN FORCE PATIENTS TO GO TO THE HOSPITAL. WE LISTEN TO THE POLICE. SO IF THE POLICE REQUIRES THAT'S A DIFFERENT SITUATION. IN THAT SITUATION. THE POLICE HAS TO BE WITH US. UH IN VEHICLES BECAUSE THEY ARE RESPONSIBLE. UM FOR THE PATIENT. AH! AND. THE ONLY OTHER TIME IS THAT IF THERE IS A SPECIFIC MEDICAL ORDER SO, FOR EXAMPLE, IF WE GO TO CRYO CLINIC AND THEY WANT TO TRANSPORT A PATIENT ON A RESTRICTED BASIS. UH, ABOUND. UM . WE WE DO NOT DO THAT BY OURSELVES. WE NEED TO SEE A DOCTOR'S ORDER. TO MAKE THAT HAPPEN. THANKS. UM SO, SO THAT'S THE AGE DISTRIBUTION. NEXT LIKE THIS. OKAY SO THIS I THINK IS ONE OF THE QUESTIONS THAT YOU WERE ASKING DR SHARMA. AND THIS IS ONE OF MY FAVORITE SLIDES AND I LOOK AT THIS, UH, FREQUENTLY. AND SO WHAT? THIS SLIDE. TALKS ABOUT IS HOW. THE MAIN COMPLAINT . THE CHIEF COMPLAINT HAS CHANGED OVER TIME. UH IF IT HAS CHANGED OVER TIME AT ALL OR NOT, AND SO THAT IS REPRESENTED ON A PERCENTAGE BASIS. THE NUMBERS THAT YOU SEE OVER THERE SO, FOR EXAMPLE, THE FIRST NUMBER MENTIONED IS FALLED. IT'S 15.3%
[00:30:04]
OF ALL OUR CALL VOLUME IN 2018. OKAY? UM JUST RIGHT. JUST RECOGNIZE THAT ARE CALLED VOLUME HAS ACTUALLY CHANGED FROM 2018 TO 2022. SO JUST KEEP THAT AT THE BACK OF YOUR MIND. ONE OF THE THINGS THAT I TRIED TO DO WAS SHOW. SIGNIFICANT INCREASES IN. PINK RED AND DECREASES IN BLUE. UM THE OTHER THING TO MENTION OVER HERE IS THAT THIS IS. INFORMATION THAT WAS GIVEN TO US WHEN THE 911 CALL CAME IN, SO THIS IS BEFORE OUR ASSESSMENT. OKAY, UM. AND THAT'S IMPORTANT BECAUSE YOU KNOW, OFTEN WE'LL GET A CALL FOR ALTERED MENTAL STATUS. AND REALLY, THAT'S A LET'S SAY A DIABETIC PATIENT, YOU KNOW, SO THEN WE'LL GO AND FIGURE OUT.OKAY THAT PATIENT IS DIABETIC AND TREAT ACCORDINGLY, BUT THAT CALL COMES IN AS ALTERED MENTAL STATUS. SO. SO I JUST WANTED TO GIVE THE FRAME OF REFERENCE. FOR THAT DATA CLEARLY, UH, THERE SHOULD BE. THERE'S A FEW THINGS OVER HERE. ONE NO SURPRISES IN TERMS OF WHAT IS THE CHIEF COMPLAINT, BUT TOP CHIEF COMPLAINT IS FALSE. RIGHT THAT'S THAT'S ELDERLY PEOPLE. THAT'S WHY THE MEDIAN AGE IS 59 FOR US. UH UM, DIFFICULTY BREATHING, THAT YOU CAN SEE BRICK OVER AND POST COVID NUMBERS RIGHT? CLEARLY A CHANGE IN THE TREND LINE. INTERESTINGLY JUST BEING AND CARDIAC ARE SORT OF THE SAME . YOU KNOW THAT AMONG THE TOP REASONS. BUT AS A PERCENTAGE THEY HAVEN'T CHANGED THAT MUCH. MOTOR VEHICLE CRASHES TO ME, THAT WAS THE REASON I STARTED LOOKING AT A FIVE YEAR TREND WAS BECAUSE EARLIER USED TO LOOK AT A THREE YEAR TREND AND I GREW VERY WATERED OF WHAT'S GOING ON BECAUSE IN I STARTED DOING THIS IN 2020 2020 MOTOR VEHICLES WAS 1.9% OF OUR CALLS THAT WENT TO 2.9% I WAS LIKE, THAT'S CRAZY. WHAT'S GOING ON IN OUR HOUSE, AND THEN THAT KEPT ON INCREASING AND THEN, OF COURSE, SOMEBODY ASKED THE QUESTION. HEY HAVE YOU ACTUALLY LOOKED AT PRE COVID WASN'T SUPPOSED TO? BECAUSE NOW PEOPLE ARE GOING BACK TO THE OFFICE. I WAS LIKE, UH, I SHOULD HAVE DONE THAT. AND SO AND SO YOU KNOW, WE LOOK AT NOW LOOK AT THAT NUMBER FROM 2018 AND WHAT YOU CAN SEE IS AND MOTORCYCLE CRASHES USED TO BE OVER 5% OF OUR CALL VOLUME. THAT NUMBER RIGHT NOW IS 3.1% SO WHAT DOES THAT MEAN? I DON'T KNOW WHAT THAT MEANS. BUT REMOTE WORK IF YOU ACTUALLY GO HIGHER. SORRY. WHAT WAS THAT? SORRY, DOCTOR WORKING REMOTELY. THEY'RE NOT DRIVING AS MUCH AND LAST YEAR'S YEAH, AND YOU KNOW, IT'S AMAZING. YOU CAN SEE THAT IN THE NUMBERS. WHAT FROM HOME IS RIGHT THERE. UM ALTERED MENTAL STATUS.
UM BUT THE FAULT SEIZURES HAVE GONE UP. UH UM. YOU ASKED ME WHY SHE SHOULD HAVE GONE UP? I DON'T KNOW. I'M JUST TELLING YOU WHAT WE HAVE SEEN. OVERDOSES HAS GONE DOWN. YOU KNOW, THAT ACTUALLY WAS A SURPRISE TO ME BECAUSE WE TALKED ABOUT WE TALK ABOUT THE OVERDOSE EPIDEMIC IN OUR COUNTRY. AND YET THE NUMBERS THAT WE'RE SEEING IS OVERDOSE HAS GONE DOWN NOW, OF COURSE.
SOMETIMES SHE'S SHE'S SEIZURE CAN BECOME BECAUSE OF AN OVERDOSE. SO YOU KNOW WHEN THE CALL WAS PLACED TO US MAYBE IT WAS CATEGORIZED DIFFERENTLY. THIS IS THE CHIEF COMPLAINT, RIGHT? WHAT THEY'RE CALLING? YEAH. EXACTLY EXACTLY. UH UM. THE SAME WITH ALTERED MENTAL STATUS TO SO IT COULD BE BECAUSE OF THE DRUG OVERDOSE OR BECAUSE OF WHAT? I'M SORRY. THE ALTAR MENTAL STATUS COULD HAVE BEEN ALSO BECAUSE OF THE DRUGS WE NEVER KNOW PERSON. SO ANYWAY, THOSE ARE SOME OF THE NUMBERS THAT WE'VE SEEN. THERE'S I THINK THERE'S A CLEAR DISTINCTION BETWEEN RECOVERED AND POST COVER . 2020 COLUMN IS LIKE A DIVIDED YEAH, DEFINITELY, ESPECIALLY IN ALLERGIC REACTION LIKE IT'S YEAH . DIFFERENT NUMBERS ON EITHER SIDE. I THINK ALSO, YOU KNOW, IN 2020 CALL VOLUME JUST WENT DOWN. PEOPLE WERE JUST CALLING US LESS. I THINK YOU KNOW, WE'VE WE'VE ALL READ ABOUT. WE'VE ALL TALKED ABOUT HOW 2020 HOSPITAL VISITS WENT DOWN. I RECEIVED THAT IN OUR NUMBERS. SOUNDS IMPRESSIVE. OKAY. NEXT LIFE, PLEASE. OKAY SO AT THIS POINT, I'M I'M GOING TO REQUEST KNOWING ME COME AND TALK ABOUT THE FREQUENT CALLERS AND YOU KNOW WHAT WE'VE DONE IS VERY IMPORTANT TO US TO ANONYMIZED. THE DATA SO THAT WE'RE NOT TALKING ABOUT SPECIFIC PEOPLE, SO WE'VE CATEGORIZED IT IN TYPES , AND THEN WE'LL TALK ABOUT THE COMMON THEME THAT WE'RE SEEING AMONG THESE PATIENTS. THANK YOU. I MEAN, SHELL. MM HMM. TALKING
[00:35:09]
WITH THIS GIRL FOR 14 YEARS AND I HAVE TO SAY WE HAVE FREAKING FLY. WE WATCH OVER 56 YEARS.SOME OF THEM CALLED. THREE TIMES A WEEK, AND THEN WE DON'T HEAR ANYTHING AND THEN THEY HAVE COMING BACK. WE HAVE PEOPLE THEY CALL BECAUSE THAT IS REALLY TRUE , BECAUSE I'M MONDAY'S SOMEBODY WAS ON CALL. THEY REALLY LIKE THAT PERSON, SO WE GOT CALLED ON MONDAYS. AND SO I WOULD LIKE TO START WITH THE FIRST PATIENT. IT'S AN ALCOHOLIC HAS DEPRESSION . ANXIETY SMOKES A LOT OF CIGARETTES. AND THERE WERE MULTIPLE REHAB SCANDAL PATIENT, MRS OUTGOING THERE OR CANCELS THEM. PATIENT IS VERY LONELY HAS NO FAMILY. SOMETIMES SHE CALLS MIDNIGHT. WE TAKE THE PATIENT TO THE HOSPITAL. THE PATIENT GETS SENT HOME THREE HOURS LATER AND SEVEN O'CLOCK IN THE MORNING. WE ARE BACK THERE. THE PATIENT OVER THOSE IS ON MEDICATION, BECAUSE OH, IN THERE, AND THE WHOLE COFFEE TABLE IS FULL OF MEDICATION. AND. DOESN'T KNOW HOW MANY PATIENTS TOOK AND THEN PATIENT IS VERY OFTEN SITTING OUTSIDE MIDNIGHT SMOKING CIGARETTES. AND COMPLAINING OF DIFFICULTIES BREATHING. SO IT'S . IT'S A REALLY SAD SITUATION. NEXT TIME. THIS IS ANOTHER PATIENT AND ALCOHOLIC WASTE PTSD FROM. PATIENT'S FAMILY OR FRIEND CALLS BECAUSE IN PATIENT IS INTOXICATED. HE CAN TAKE CARE OF HIMSELF THEMSELVES OR THE PETS. PATIENT HAS A COUPLE OF PETS IN THE HOUSE. THERE IS POOP AND VOMIT AND EVERYTHING ALL OVER THE PLACE. WHO ORDER AND HISTORY OF ERECTIONS. SO WE TAKE PATIENTS TO THE HOSPITAL AND WE DON'T KNOW. WE HAVE THE PATIENT LIVES AFTERWARDS. THANK YOU. MM. YOUNG PATIENT ALCOHOLIC DRINKS A LITER OF ALCOHOL. ALSO SOMEBODY WHO CALLS MIDNIGHT HE'S TAKEN TO THE HOSPITAL. HE CHANGES BETWEEN HOSPITAL BECAUSE. PATIENTS SOMETIMES FEEL THEY DON'T GET TAKEN SERIOUSLY. SO THEY GO ONE TIME TO ONE HOSPITAL, THE ALL THE TIME TO THE NEXT HOSPITAL. AND WE'VE BEEN THERE ALSO MIDNIGHT AND PATIENT GETS IN THE HOME AND THEN THE NEXT MORNING WE ARE BACK THERE. AND NOTHING GETS DONE. NO SOCIAL WORK INVOLVED. JUST SEND HOME. UM YEAH. NEXT MONTH. THIS IS ALSO MOST A LOT OF OUR FREQUENT FLYERS OR ALCOHOLICS. FAMILY OF PATIENT CALLS IF THEY CAN GET IN TOUCH. UM. THIS PATIENT GOES THROUGH A DIVORCE AND HAS LOTS OF FAMILY ISSUES LOST THE JOB BECAUSE OF DRINKING CAN'T FIND ANOTHER JOB AND IS FROM TIME TO TIME IN REHAB. GET SENT HOME AND STARTS DRINKING AGAIN. I THINK THAT'S THE LAST ONE. YEAH. ALCOHOLISM DEPRESSION, LONELINESS, WHICH IS A BIG TOPIC IN OUR TIME. A LOT OF PEOPLE ON VERY LONELY HAVE NOBODY WHO TAKES CARE OF THEM. WE HAD ONE PATIENT. AND THESE PATIENTS CALLED ALSO WE GO THERE. AND SIT WITH THEM AND TALK TO THEM, AND THEN AGAIN. UM SOMETIMES WANT TO TWO TIMES A MONTH. BUT HE CAN'T BE DEAD. LIKE I SAID BEFORE FIVE TIMES IN A ROW, AND THEN WE DON'T HEAR ANYTHING. AND WE ARE WONDERING WHERE IS THE PATIENT AND THEN IT COMES BACK. THANK YOU. THANK YOU VERY MUCH. SO IS THE QUESTION. SO SORRY. OKAY LIKE DATA, SO YOU MIGHT GET A LOT OF QUESTIONS. GO AHEAD. UM YOU KNOW, MEDICALLY, WE KNOW
[00:40:03]
THAT LIKE DURING COVID OR POST COVID IN GENERAL POPULATION THAN ONE OF THE ALCOHOL LIKE INTAKE HAS JUST INCREASED AND I SEE THE SAME IN COMMONALITY LIKE OVER HERE. HOW MANY OF THEM ARE LIKE, READY TO COME OUT OF THE ALCOHOL AND, YOU KNOW ARE WE SUGGESTING LIKE NALTREXONE OR ANYTHING IN THAT ASPECT? LIKE ANOTHER KIND OF, YOU KNOW, DO WE HAVE ANY. HOW MANY ARE WILLING TO QUIT ALCOHOL IN THEIR ASPECT, THOUGH IN MY OPINION, I DON'T HAVE NUMBERS. IT'S VERY SMALL. THEY STILL I MEAN, YEAH. BECAUSE WE DON'T SEE THE SAME TREND LIKE EVEN IN THE HOSPITAL. AND LIKE, YOU KNOW, PEOPLE WHO WERE NOT ALCOHOLIC. IT JUST STARTED AS INHABIT DURING COVID LIKE, YOU KNOW, THEY HAD NOTHING ELSE TO DO. AND THEY WERE JUST LIKE TAKING A GLASS OF WINE OR TWO GLASSES OF WINE, LIKE EVERY DAY AND THEN NOW IT HAS BECOME MORRISON HABIT. THEY HAVE A HIGH END. THERE COULD BE EVEN HIGHER AND PROFESSIONALS BUT YOU KNOW, WE ARE SEEING THAT WHEN THEY COME TO THE HOSPITAL GOING THROUGH WITHDRAWALS AND SO FORTH, SO I'M JUST THINKING THAT THIS IS GOING TO BE ON THE RISE AS WELL, TOO, YOU KNOW, SO IT COULD BE. YEAH I MEAN, FOR US, YOU KNOW, WE ONLY SEE THE PATIENT IF THEY CALL 911 AND EVEN THEN. WE WE DON'T SEE THEIR RECOVERY. MM IN THE POINT IN TIME, MHM, UM, PROGRESS IMPROVING OVERSEAS SO THAT DATA IS JUST NOT AVAILABLE TO US. AT ALL. SO YOU KNOW, WE CAN'T EFFECTIVELY ANSWER YOUR QUESTION . THE ONLY TIME YOU SEE A TREND LINE IS THE SAME PERSON CALLS US THREE TIMES, AND IT'S MORE ALCOHOL RELATED ISSUES OR WE SMELL ALCOHOL ON THEIR BREATH AND WE RECORD HAVE YOU BEEN IN REHABS? AND STILL LAST TIME, THEY SAY YES. BUT WELL FOR 23 MONTHS AND THEN SOMETHING THAT'S THEM OFF, AND THEN THEY START AGAIN. BECAUSE MANY TIMES THEY MIGHT BE BUILDING BUT THEY MAY NOT KNOW LIKE HOW TO COME OUT OF IT AS WELL, TOO. SO I THINK THESE ARE SOCIAL ISSUES LEADING TO PSYCHOLOGICAL ISSUES LEADING TO MEDICAL ISSUES, RIGHT SO I DON'T KNOW WHAT KIND OF SUPPORT OR RESOURCES YOU KNOW YOU GUYS SHOULD HAVE TO AVOID THESE CALLS GO THEIR ADDRESS THE MEDICAL ISSUE, BUT THE ROOT CAUSES THERE. SO THE QUESTION IS WHO CAN PARTNER WITH YOU TO HELP THOSE UNDERLYING PROBLEMS, RIGHT ? CAN YOU GO AND SEE AN ISSUE AT HOME COFFEE TABLE FULL OF MEDICINES PARTY PHARMACY? SO HOW CAN YOU CONNECT THAT? BECAUSE YOU'RE THE FIRST LINER OVER THERE, RIGHT NUMBER ONE, AND THEN WHO'S GOING TO ADDRESS IT? I THINK THAT'S THE QUESTION HERE SO BORED OF SOCIAL SERVICES NEXT AGENDA ITEM, OKAY, WE COORDINATED THIS A LITTLE BIT, BUT YES, YOU'RE RIGHT. IT'S A VERY GOOD POINT, VERY LIMITED IN WHAT WE CAN DO SO ALL. YEAH OVER HERE, AS WE JUST WE'RE JUST TRYING TO RAISE THE AWARENESS. EXACTLY IT'S NOT. IT'S NOT SIGNIFICANT IN TERMS OF OUR CALL VOLUME 5% YEAH, EVEN IF IT INCREASES BY A LOT, MAYBE 5% 6.YEAH, YOU KNOW IT. IT TAKES SOME OF OUR TIME AND DOESN'T THINK TOO MUCH OF OUR TIME. ETCETERA SO, UH, YOU KNOW, WE ARE NOT WE ARE NOT CHANGING THINGS AROUND IN OUR SQUAD ADDRESS. YEAH. YOU KNOW THE REASON WE BROUGHT IT UP BECAUSE THESE ARE RECURRENTLY? ABSOLUTELY I THINK MY OTHER CONCERN FOR YOU GUYS WOULD BE IF THIS TREND CONTINUES AND THE RED LINE INCREASES IN THIS, YOU KNOW SOCIAL CALLS. YOU KNOW, YOUR YOUR RECRUITMENT AND RETENTION WOULD BECOME PROBLEMATIC TO 5 10 YEARS DOWN THE ROAD BECAUSE YOUR SQUAD YOU KNOW, JUST NORMAL HUMAN RESPONSE. WE'RE SEEING ALL THIS. WHY SHOULD I DO IT? AND YOU HAVE TO BE COGNIZANT OF THIS GOING FORWARD. FOR YOUR MENTAL HEALTH BEING TOO. YOU KNOW YOUR STAFF. I DON'T KNOW WHAT WHAT RESOURCES AVAILABLE TO ADDRESS THAT FOR YOU GUYS. YOU KNOW THAT'S ALSO CRITICAL. OF COURSE. YEAH THINK ABOUT THAT A LOT SINCE I'M RESPONSIBLE FOR THE SQUAD. YOU SEE TOUGH SITUATIONS . WE ACTUALLY DON'T HAVE ADEQUATE RESOURCES TO UH, TO ADDRESS UP THAT WITH OUR OWN PROOF, SO LIKE, FOR EXAMPLE, IF WE SEE IF YOU SEE A SUICIDE THEN THEN THERE'S A PHONE NUMBER THAT WE CAN CALL. ANOTHER GROUP OF VOLUNTEERS HAVE BECOME. AND YOU KNOW DISCUSS THAT. HOWEVER IF WE SEE YOU KNOW 20 ALCOHOLIC PATIENTS, YEAH PERIOD OF A MONTH . THERE'S NO RESOURCE THAT WE CAN CALL. BUT CLEARLY THERE HAS AN EFFECT. YEAH, OF COURSE. YOU KNOW, WE ARE WRITING ARCHITECTS UNDER 16. SO WHEN THEY'RE 16 17 18. THAT'S RIGHT. THAT'S EXACTLY RIGHT. THAT'S RIGHT. THAT'S RIGHT RESOURCES TO ADDRESS THAT NECESSARILY. SO, YEAH, IT IS. IT IS AN ISSUE FOR US. THERE SHOULD BE WELLNESS RESOURCES. I HATE USING THAT TERM BECAUSE IT'S A LITTLE BIT PASSE AT THIS POINT AND OVERUSED, BUT THERE SHOULD BE WELLNESS RESOURCES AVAILABLE. FOR FIRST RESPONDERS ONLINE IN A MINIMUM THAT YOU CAN INCORPORATE INTO WHATEVER SORT OF TRAINING PROGRAM THAT YOU GUYS USE. AND I KNOW THAT LIKE WHERE I WORK,
[00:45:05]
HARDLY WOULD WE BORROW A LOT OF MATERIALS FROM OTHER UNIVERSITIES AND OTHER PROGRAMS , AND WE INCORPORATE THEM INTO OUR PROGRAMS. THERE'S NO REASON WHY YOU COULDN'T SORT OF BORROW THEM AND USE THEM. AND FROM THERE, IF YOU YOU KNOW, WHEN YOU SEE PEOPLE THAT ARE THAT ARE SUFFERING, THEY JUST NEED TO BE REFERRED. YEAH I KNOW THE RESOURCES ARE VERY, VERY SCARCE AND MENTAL HEALTH IS A PROBLEMATIC AWARENESS IN THE FIRST RESPONDER COMMUNITY THAT MENTAL WELLNESS OFFERS. RESPONDERS IS AN ISSUE AND SO YOU KNOW THAT THAT ARE THAT ARE I WOULD SAY SESSIONS OF TRAINING PROGRAMS THAT ARE ORGANIZED BY THE STATE. UM YOU KNOW, IT'S LIKE A ONE HOUR THING WITH YOU. YOU BROUGHT UP THE BAIT ON ZOOM OR SOMETHING. SOMETHING LIKE THAT. I WOULD SAY THAT IT'S GOT TO BE. IT HASN'T BEEN VERY IMPACT FOR THE PROBLEM. IS THAT A LOT OF THEM? ARE PERFUNCTORY. THEY'RE THEY'RE DONE TO SORT OF LIKE 0.9 CROSS. THE TEAM SAID THEY WERE IN COMPLIANCE WITH SOME SORT OF RULE AND REGULATION WHERE IT NEEDS TO BE SOMETHING THAT'S MORE PERVASIVE THROUGHOUT THE CULTURE THAT YOU HAVE WITHIN YOUR FIRST RESPONDER COMMUNITY WHEREBY IT'S TALKED ABOUT IT. IT'S UTILIZE YOU GUYS COACH ONE ANOTHER IN IT. THEY GOTTA BE.THINGS HAPPEN. AND IT ENDS UP JUST BEING LIKE, OH, MY GOD. I HAVE TO DO THIS MODULE AND THAT'S NOT WHAT YOU WANT, RIGHT ? THAT'S WHAT THEY DO TO US IN MEDICINE. THEY GIVE US THESE MODULES THAT WE HAD TO COMPLETE AND I WAS, LIKE, ALL RIGHT, I CAN DO THE MODULE, BUT YOU NEED TO CHANGE THE CULTURE. YEAH. IT'S A CULTURE VOLUNTEERS STRESS FACTOR. THIS IS VERY GOOD INFORMATION, ACTUALLY, AND THAT'S THE OTHER POINT. IS THAT HOW WE MAKE USE OF THE INFORMATION? SO WHAT DETAIL INFORMATION? WE'RE GETTING THAT THE MAIN MESSAGE FROM HERE IS THERE IS UNDERLYING CARDS AND THOSE WHAT ARE THOSE? THAT'S WHY I WAS ASKING THAT EARLIER QUESTIONS. WHAT ARE THOSE UNDERLYING CAUSES AND HOW THOSE COULD BE COORDINATED WITH DIFFERENT KINDS OF EXPERTISE? TO ADDRESS THAT AND ALSO, I WOULD BE INTERESTED TO KNOW IF THERE IS THERE ARE COMPETITIVE DATA IS THAT IN OUR TOWNSHIP THIS KIND OF RATE OF THESE EVENTS IS GOING UP, OR IT'S A STATE AND NATIONAL PHENOMENON THAT WILL REFLECT ON OUR POPULATION ON UNDER THE CAUSES OF THIS UNDERLYING COLLEGES OF THIS SITUATION, SO I THINK OVERALL, WE NEED TO READ THIS IS I'M GLAD THIS INFORMATION IS VERY, VERY HELPFUL, ACTUALLY, AND I THINK WE NEED TO FURTHER SEE THE RELATIONSHIP WITH AND THEY'RE NOT LYING COLLEGES. YEAH SO YOU YOU RAISED VERY GOOD POINT, WHICH IS, IS OUR TOWN EXPERIENCING SOMETHING DIFFERENT FROM THE REST OF THE COUNTRY ARE NOT. AND SO ALL WE HAVE IS DATA AROUND TOWN, AND SO YOU KNOW, WE DON'T HAVE THE NATIONAL DATA OR AT LEAST IT'S NOT EASILY. AVAILABLE IN THE RESOURCES THAT I KNOW. UM BUT YOU KNOW, IT WOULD BE AN INTERESTING EXERCISE TO JUST COMPARE LIKE THE PERCENTAGES AT LEAST THAT WE PUT UP WITH WHAT THE REST OF THE COUNTRIES THINK. HMM THANK YOU.
I HAVE TWO QUESTIONS. HOW MANY VOLUNTEERS? DO YOU HAVE FISH QUESTION? YEAH. CURRENTLY IF YOU LOOK AT OUR ROSTER, IT'S LIKE 120. OKAY, IMPRESSIVE. THAT SAID. WHEN WE STARTED OFF THE YEAR IT WAS ABOUT 100. OKAY, UM, NOW. WHAT WE ACTUALLY LOOK AT US WHO'S ACTIVE RIGHT? RIGHT BECAUSE WE HAVE A NUMBER OF PEOPLE WHO ARE NOT RIGHT. SO IF YOU LOOK AT OUR ACTIVE PEOPLE.
UM THAT'S ABOUT 30. PRETTY 30 30 , FORMING THE BACKBONE OF UH UM . AND SO WHAT CONSTITUTES THAT LARGE NUMBER SO IF WE ON A PERCENTAGE BASIS ABOUT 50% OF THE SQUAD IS ACTUALLY CADETS AND STUDENTS. UNDER 25. UH UM 15. IT IS. OLDER THAN 60. SO I WOULD SAY TIRED. YEAH, YEAH. SUPER HELPFUL AND ENTIRELY REALIZE I WOULD SAY THEY'RE THE BACKBONE, YOU KNOW, BACKBONE. IS WORKING PROFESSIONALS SO BETWEEN 25 AND 60. YOU KNOW, PEOPLE THERE. UM AH! THANKFULLY THE WHOLE FRIEND OF WORKING FROM ALL THAT ACTUALLY HELPED US A LOT. BECAUSE SOME SOME PEOPLE CAN ACTUALLY YOU KNOW WHEN THEY WHEN THE CALL COMES IN. THEY CAN. THEY CAN TAKE THE CALL AND BE AWAY FOR TWO HOURS. SO THAT'S WHAT CONSTITUTES WOW. AND THEN MY SECOND QUESTION IS SOMEWHAT SOMETIME LIKE HILLSBOROUGH, WHICH SEEMS TO BE OVER USING OUR RESOURCES. MAYBE DO THEY DONATE ? DO THEY SUPPORT US FINANCIALLY , ANYWAY? IS THERE ANY WAY THAT THAT CAN HAPPEN, SO WE HAVE LOTS
[00:50:02]
OF DISCUSSIONS ABOUT THE NUMBERS FROM HIS? WE'RE ALL GOING UP, AND SO WHAT DO WE DO ABOUT IT? AND, UM AND THEN THE REALITY IS WE SEND OUT A PATIENT SURVEY AND REQUESTS FOR DONATIONS FOR FROM EVERY PATIENT, UM AND SOME PEOPLE DONATE, YOU KNOW THAT THE RATE IS LOW. AH, I DON'T SEE THAT. VERY MANY DONATIONS COMING IN FROM HILLSBOROUGH. UM BUT THE TOWNSHIP DOESN'T DO ANYTHING. I MEAN, THEY'RE PAYING SOMEONE ELSE AND YOU'RE DOING IT FOR FREE. WE HAVEN'T ASKED THE TOWN , OKAY. YEAH WE HAVE. WE HAVE DEBATED THE IDEA. YEAH. AND THE DEBATE DIES DOWN BECAUSE WE FEEL THAT IF WE ASK, JUST SHUT US DOWN DOWN. SO WERE THEY PAYING BARNABAS PAYING THEM RIGHT UNDERSTANDING OF THE CONTRACT WAS AND MY UNDERSTAND COULD BE COMPLETELY WRONG. BUT MY UNDERSTANDING OF IS THAT, UH, ROBERT WOOD JOHNSON CHARGE RESERVATIONS DIRECTLY. AND THAT THE TOWN APPEALS FOR IS NOT CONTRIBUTING ANY MONEY TO ROBERT WOOD JOHNSON. THAT'S MY UNDERSTANDING, BUT I COULD BE WRONG ABOUT LIFE. CAN YOU BUILD FOR YOUR SERVICES? CAN YOU HAVE A STRUCTURE WHERE YOU CAN DO SOME KIND OF CAN REBUILD FOR OUR SERVICES. YEAH. UH SO YOU KNOW THAT SPEAKS TO THE CULTURE OF THE SQUAD AND WHAT WE BELIEVE IN AND WHAT WHY ARE VOLUNTEER VOLUNTEERING THEIR TIME? UM AND SO THERE ARE OTHER VOLUNTEER SQUADS LIKE FOR INSTANCE, FOR EXAMPLE, WHO BUILDS THEIR PATIENTS, AND THAT'S PARTLY THEY GET PAID AND VOLUNTEER. OUR SQUAD DEMAND PHILOSOPHY IS THAT DO NOT COLLABORATIONS AND WE DO NOT WANT TO BUILD OPERATIONS.AND SO WE'RE TRYING TO GO AS FAR AS POSSIBLE. WITH THAT PHILOSOPHY. AND IF YOU IF YOU LOOK AT THE COMPOSITION OF OUR SQUAD MEMBERS MANY OF THEM ARE YOU KNOW THERE. THEY'RE DOING VERY WELL IN THEIR JOBS. THEIR EXECUTIVES. UM. THEY'RE ENGINEERS. YOU KNOW THAT. SO IF THERE WAS THIS THING ABOUT HEY. YOU COULD MAKE LIKE 25 BUCKS AN HOUR. YOU KNOW, THEY WOULD SIMPLY SAY. THANKS A LOT. I DON'T CARE. I DON'T WANT TO DO THIS. I GET PAID WELL ENOUGH, AND SO THEY'RE DOING THIS FOR THE VOLUNTEER ASPECT OF IT, AND WE FEEL THAT AS SOON AS WE START CHARGING THEN THE SPIRIT OF THE SQUAD. THAT'S UH, DRIVEN US FOR THE LAST 51 YEARS MAY GO AWAY, TRYING TO GO AS FAR AS POSSIBLE WITHOUT CHARGING. I TOTALLY AGREE THAT ABOUT THE CHARGING ASPECT OF IT, BUT I DON'T THINK THAT IT'S YOU'RE BEING CHARGED TO PAY FOR THE VOLUNTEERS OR TO PAY A SALARY TO SOMEBODY'S WORKING FOR M S. IT'S MORE ABOUT THE INFRASTRUCTURE, RIGHT? RIGHT WHEN YOU TALK ABOUT A NEW BUS, COSTING $365,000 LIKE THAT MONEY HAS TO COME FROM SOMEWHERE, SO I THINK MORE IT'S TOGETHER. FUNDS FOR THAT NOT TO PAY FOR THE I COMPLETELY HEAR WHAT YOU'RE SAYING MUST HAVE BEEN. THE HAS BEEN A DISCUSSION WITHIN OUR SQUAD ABOUT THAT. SO FAR, I WOULD SAY THAT THE OVERWHELMING FEELING IS THAT WE DID NOT WANT TO CHARGE AND WE WANT TO RUN. ON DONATIONS, SO WE WILL I THINK THAT WE WILL TRY TO GO AS FAR AS WE CAN GO. THAT'S PERFECT MIND FULLY AGREE WITH THE PHILOSOPHY . BUT 11 OF THE THINGS IS LIKE LOOKING AT THE OVERUSE BY BY NEIGHBORS TO PREVENT UNNECESSARY AND OF COURSE NEEDED IS DOING THAT IS FINE, BUT UNNECESSARY LIKE THAT. TAKING ADVANTAGE OF WHAT IS RESOURCES ARE THERE NOT AS MANY THEIR OWN RESOURCES ALSO NEED TO THINK THAT THERE ARE THINGS THAT WE CAN DO LIKE, FOR EXAMPLE, IF WE WANT TO REDUCE THAT OR STOP THAT WEEKEND, SOMETHING GETTING OFF THE MUTUAL AID AGREEMENT. WE CAN SIMPLY SAY, DON'T TALK. YOU KNOW, UM AND IF THE SITUATION GETS OUT OF HAND, I THINK WE WOULD DO THAT.
SO WE RIGHT NOW WE ARE ON THE CUSP OF THAT WE'VE HAD SERIOUS DISCUSSIONS. WE'VE HAD SERIOUS DISCUSSIONS WITH ROBERT WOOD JOHNSON FACILITATED BY OUR MAYOR. HMM WHERE WE HAVE COMMUNICATED WITH DIRECT MESSAGE TO THEM. AND SAID, DON'T ABUSE OUR FRIENDSHIP. MHM THEY'RE THE ONES THAT ARE CALLING YOU TO GO TO HILLSBOROUGH. YEAH IT'S NOT. THEY'RE THE ONES WHO ARE CALLING US. BUT THE THING IS LIKE THEY'RE SUPPOSED TO HANDLE. THERE IS DIALOGUE VOLUME. AND THE PROBLEM. IF THEY CANNOT, THEN NINE, WHATEVER THEY CAN FOR FREE AND THIS IS ALREADY CAN'T HANDLE THE VOLUME. AND THEN IT COMES TO I WOULDN'T HELP. AND YOU KNOW, ONE OF THE TREND LINES WE STARTED NOTICING. IT HAPPENS THAT ON SEVEN O'CLOCK IN THE EVENING. SHIFT CHANGE TIME, YOU KNOW, AND SO THAT WAS A MESSAGE TO THEM LIKE DON'T TELL US AT SEVEN O'CLOCK. YOU KNOW YOU'RE
[00:55:01]
EXTREMELY BUSY AND ANOTHER CALLS. UH HUH. RIGHT, RIGHT. I'M SUPER GRATEFUL. I JUST WANT TO CLOSE BECAUSE WE'VE BEEN KIND OF ASKING A LOT OF QUESTIONS. I AM SUPER GRATEFUL FOR YOUR SERVICE TO THE COMMUNITY AND FOR YOU TO COME HERE TONIGHT. THIS HAS BEEN VERY HELPFUL. UM HAS SOME IDEAS . I HOPE WE CAN CONTINUE TO THE CONVERSATION AND HAVE MORE IDEAS ABOUT PARTNERSHIP. THERE'S SOME THINGS UM, AND FUNDING WE HAVE FROM THE STATE THAT WE COULD PROBABLY CONSIDER WAYS OF PARTNERING WITH YOU AND DETERMINING HOW TO AT LEAST USE THOSE TO HELP SUPPORT YOU AND SUPPORT WHAT YOU DO FOR THE COMMUNITY, ESPECIALLY AT THE SOCIAL SERVICE LEVEL, AND YOU'RE WELCOME TO STAY. IF YOU LIKE. I HOPE YOU WILL COME BACK. THANK YOU SO MUCH. ALL RIGHT. NEXT ITEM, I THINK IS GOOD, MY FRIEND. PUBLIC HEALTH AND SOCIAL SERVICES, PUBLIC HEALTH AND[VII. Public Health and Social Services]
SOCIAL SERVICES. THERE'S ANOTHER MEMO IN OUR PACKET. UM IT IS A WORD IT'S A DOT D O. C. UM, ITEM. FOR YEARS BEFORE I WOULD LIKE MORE INFORMATION YOU CAN KIND OF MAYBE. QUICKLY SCAN AND GIVE YOU THE WORD TO YOU. ON THIS, UM, MEMO, IF YOU WILL IS, YOU KNOW JUST A SUMMARY OF THE LEVEL OF, UM YOU KNOW, WORK THAT WE DO WHEN WE COME ACROSSL SERVICES RELATED, YOU KNOW, RESPONSE CALLS. UM YOU KNOW, ONE OF THE THINGS THAT WE'RE TRYING TO DO IS TO STREAMLINE WELL, FIRST FORMALIZED PROCESS AND OVERALL PROCESS FOR HOW WE CAN EVEN BEGIN TO PROVIDE SUPPORT TO AMS BECAUSE WHEN THEY GET THEIR FREQUENT FLIERS THEY DO CALL US TO SEE. HOW CAN WE HELP? UM SO YOU KNOW THIS DOCUMENT? UM, YOU KNOW, KATIE AND KEELY HELPED REALLY FORMALIZE THIS AND IT BREAKS IT DOWN INTO YOU KNOW DIFFERENT COMPONENTS WHERE THE HEALTH DEPARTMENT IS INVOLVED.THE MAIN PARTNERS ARE, YOU KNOW , UM, THE HEALTH DEPARTMENT E. M S. THE POLICE DEPARTMENT, SOMERSET COUNTY DEPARTMENT OF SOCIAL SERVICES AND HUMAN SERVICES. AS WELL AS THE SENIOR CENTER. UM BUT, YOU KNOW, WE INITIALLY STARTED BY MAKING SURE THAT WE'RE MAINTAINING OUR STATE REGISTRY SYSTEM, AND WE WORK WITH THE POLICE DEPARTMENT ON THAT THAT'S REALLY TO IDENTIFY MEDICALLY VULNERABLE PEOPLE IN TOWN. UM PEOPLE WHO MAY NEED TO BE EVACUATED IN IN EMERGENCIES AND, UM IT'S UP TO US TO. THERE ARE VERY FEW PEOPLE THAT HAVE ACCESS TO THE STATE SYSTEM, SO IT'S IMPORTANT THAT IT'S UPDATED AND THAT WE ARE SCREENING INDIVIDUALS, UM REGULARLY AND MAKING SURE IF THERE IF THEY DON'T QUALIFY FOR THE STATE REGISTRY SYSTEM THAT THEY SELF REGISTER INTO THE SMART 911 SYSTEM THAT SOMERSET COUNTY HAS AND WE HAVE BEEN GETTING MORE REQUESTS FROM RESIDENTS TO SELF REGISTER INTO THE SYSTEM. THE OTHER THING THAT WE DO IS WE HAVE ADOPTED, UH, PREPARE SOCIAL DETERMINANTS OF HEALTH SCREENING TOOL. SO AS WE'RE COMING ACROSS, YOU KNOW THESE INDIVIDUALS. OUR GOAL IS TO SEE WHAT OTHER SOCIAL SUPPORT NEEDS THEY HAVE. YOU KNOW, WE COULD BE COMING ACROSS. UM YEAH, WE COULD BE COMING ACROSS THEM BECAUSE OF A EITHER MENTAL HEALTH RELATED CALL, OR, UM, YOU KNOW, THEY REQUIRE HOUSING OR ACCESS TO TRANSPORTATION. OR UM, YOU KNOW, THEY'RE JUST IN A REALLY BAD SPOT, AND THEY NEED HELP FOR WHATEVER REASON. OUR GOAL IS TO HELP THEM WITH THEIR IMMEDIATE NEEDS, BUT THEN TO ASSESS YOU KNOW, AND THIS COULD BE THROUGH MULTIPLE TOUCH POINTS WITH THEM ON OTHER THINGS THAN OTHER RESOURCES AND SERVICES THAT THEY NEED AND OUR MAIN PARTNER IN HELPING US DO THESE WARM HANDOFFS IS WORKING WITH SOMERSET COUNTY. I KNOW WE HAD STEPHANIE BULLETS EARLIER. SHE'S FROM SOMERSET COUNTY. SHE'S A BEHAVIORAL CARE NAVIGATOR. SO FOR ANY MENTAL HEALTH RELATED ISSUES, AND, UM AND SERVICES THAT ARE NEEDED SOMERSET COUNTY AND STEPHANIE. YOU KNOW THEY DO A GREAT JOB IN HELPING SUPPORT US WITH OUR WARM HANDOFFS. WE ARE USING A STATE UM, YOU KNOW, SECURE WEB BASED APPLICATION RED CAP TO DOCUMENT AND KEEP TRACK OF ALL OF THESE CASES, OR, YOU KNOW, UM, IN THESE SITUATIONS. BECAUSE WE ARE TRYING TO DETERMINE THE BEST WAY TO KEEP TRACK OF THIS DATA SO WE CAN PRESENT TO YOU ON ON TRENDS AND WHAT WE'RE SEEING, AND THE LEVEL OF RESOURCES AND SERVICES THAT YOU KNOW, UM, THAT ARE BEING REQUESTED. THE OTHER THING IS PROACTIVE WINDSHIELD ASSESSMENTS . WE OUR GOAL YOU KNOW, USING KEELY IS AS OUR LOCAL HEALTH OUTREACH COORDINATORS TO CONDUCT PROACTIVE. UM WHEN SHIELD ASSESSMENTS IN THE COMMUNITY AND TO, UM. TO IDENTIFY ANY NEEDS OR APPROPRIATE REFERRALS BEFORE DISASTER STRIKES WERE BEFORE THERE ARE EMERGENCIES BECAUSE WHAT HAPPENS WHEN THERE IS AN EMERGENCY IS THAT THERE'S SUCH A BIG SURGE AND IN NEED, WE DON'T HAVE THE CAPACITY TO HELP EVERYBODY, BUT WE WANT TO MAKE SURE THAT WE'RE AT LEAST PREPARED ENOUGH WHERE WE CAN ANTICIPATE WHAT THE NEEDS COULD
[01:00:03]
BE. AND BETTER ASSIST INDIVIDUALS IN EMERGENCIES. UM AND THEN YOU KNOW, THE OTHER IS TO REALLY STRENGTHEN COMMUNITY PARTNERSHIPS. UM ONE OF THE THINGS THAT HELPED US DURING COVID WAS, YOU KNOW OUR COMMUNITY PARTNERS AND THE DIFFERENT PROGRAMS AND COALITIONS THAT WE WERE PART OF PRE COVID, OUR COMMUNITY LEADERS GROUP MUNICIPAL ALLIANCE PROGRAMS, PARTNERSHIP WITH THE SCHOOL ON VARIOUS PROGRAMS AND TRAININGS, EVEN WITH THE FIRST RESPONDERS AND YOU KNOW HAVING THOSE RELATIONSHIPS WHERE PEOPLE KNOW EACH OTHER AND KNOW WHAT RESOURCES WE HAVE, WHERE WE CAN HELP EACH OTHER THAT THAT IS SOMETHING THAT REALLY COMES IN HANDY WHEN WE'RE DEALING WITH EMERGENCIES, AND I THINK WE CAN USE THIS OPIOID SETTLEMENT FUNDING THAT WE WILL HAVE ACCESS TO NOW TO REALLY STRENGTHEN THOSE PARTNERSHIPS, POST COVID AND WHERE THE FOCUS IS MAINLY ON SOCIAL, SO SOCIAL SERVICES, SOCIAL SUPPORTS AND MENTAL HEALTH, SUBSTANCE USE PREVENTION RELATED, UM TOPICS. UM BUT IN, YOU KNOW, IN SOMETHING THAT'S REALLY, UM SOME OF THE THINGS YOU KNOW WHERE SOME OF THE THINGS THAT THE HEALTH DEPARTMENT IS INVOLVED WITH WHEN IT COMES TO SOCIAL SERVICES, AND THE SOCIAL SERVICES NEEDS ARE GROWING. UM YOU KNOW AGAIN, I TELL PEOPLE THAT THEY'RE MAYBE 1% OF THE POPULATION, BUT THEY TAKE UP 90% 99% OF YOUR TIME. SO UM, YOU KNOW, IT'S CRITICAL THAT WE HAVE SOMEBODY WHO'S FOCUSES SOLELY ON SOCIAL SERVICES AND HAVING THIS LOCAL HEALTH OUTREACH COORDINATOR POSITION REALLY HELPS US ADDRESS THOSE NEEDS AGAIN. THAT'S GRAND FUNDED, SO IT'S NO, WE'VE WE ONLY KNOW OF GRANT FUNDING BEING AVAILABLE FOR THIS POSITION THROUGH. UM JUNE 30TH 2024. SO WE DON'T KNOW BEYOND THAT. WHAT WILL HAPPEN, BUT YOU KNOW THE REQUEST IS FOR THE BOARD AND FOR THE TOWNSHIP TO, YOU KNOW, HAVE A PLAN IN PLACE TO SUSTAIN POSITION THAT PROVIDES SERVICE FOR SOCIAL SUPPORTS RELATED ISSUES IN TOWN. SO YOU HAVE HIRED THIS PERSON? YES, WE HAVE KILLING HEALING, OKAY? AND SO SHE CAN WORK WITH THE M S AND HEALTH. YES AND WHEN E. M S C S THOSE FREQUENT FIRES WHEN THEY CALL US, KEELY IS REALLY THE ONE WHO WOULD BE ASSISTING AND HELPING THOSE INDIVIDUALS. I THINK THEY'RE ALL CONNECTING. YEAH THAT'S GREAT. CAN YOU TELL US WHAT A WINDSHIELD ASSESSMENT IS? WHAT DOES THAT MEAN? UM SO OPEN SHIELD ASSESSMENT. YOUR IT'S REALLY YOU'RE DRIVING THROUGH THE NEIGHBORHOOD OR THE DEVELOPMENT THERE IS. YOU KNOW, WE HAVE A UM AND I CAN SHARE THE TEMPLATE WITH YOU. THERE ARE CERTAIN QUESTIONS AND CERTAIN THINGS THAT WE LOOK FORWARD TO IDENTIFY. UM COMMUNITY CONTACTS . KEY PEOPLE WITHIN THAT AREA THAT WE CAN RELY ON THAT WE CAN GET INFORMATION FROM IDENTIFY WHAT YOU KNOW WHAT THEIR NEEDS ARE, UM. YOU KNOW, AND THE DEMOGRAPHICS AND THE TYPE OF POPULATION OF THE OF THE NEIGHBORHOOD. THANK YOU. THANK YOU. SO I DON'T KNOW IF THIS EXISTS IN OTHER MUNICIPALITIES, OR IF YOU'VE HEARD OF ANYTHING LIKE FAM, JUST REPEATING SOMETHING THAT HAPPENS, UM BUT IT IS JUST AS THERE'S LIKE E. M S, WHICH IS VOLUNTEER. CAN THERE BE LIKE VOLUNTEER SOCIAL SERVICES WHERE WE PUT TOGETHER A GROUP OF PEOPLE WHO DO THAT? AND THEN WHEN THERE THERE'S OBVIOUSLY WHEN THEY TRIAGE FROM E. N S. IF THERE IS SOMEONE WHO DOESN'T LIKE ME CRITERIA FOR MEDICAL SERVICES, BUT IT'S CLEAR THAT SOCIAL SERVICES ARE AVAILABLE THAT PEOPLE YOU KNOW WHO COULD SIGN UP TO BE SORT OF THAT CORE OF VOLUNTEER. GROUP. AND DO TRAINING OR WHATEVER IT TAKES TO DO THAT, BECAUSE I DON'T KNOW HOW E M S S YOU KNOW, UM LICENSED OR ANYTHING LIKE THAT. BUT IT SEEMS TO ME THAT THIS WOULD BE FOR NON MEDICAL PEOPLE WHO DON'T WANT TO DO E. M S WORK BUT ARE LOOKING FOR SOMETHING DO TO HELP THE COMMUNITY THAT WOULD MIGHT BE USEFUL TO ESTABLISH A VOLUNTEER CORPS OF PEOPLE IN THAT REGARD. I MEAN, I KNOW THERE'S A CRISIS INTERVENTION SPECIALISTS AND IN THERE IS A GROWING NEED FOR THEM. UM I'M NOT SURE YOU KNOW DOWN RIGHT? LIKE YEAH, NOT EVERYTHING IS AN EMERGENCY AND EVERYTHING'S A CRISIS. A LOT OF THESE THINGS ARE MORE COMPLICATED. LONG TERM PROBLEMS . YOU KNOW, IF YOU HAVE A COHORT OF PEOPLE THAT ARE LIKE PHONING A FRIEND AND ROUTINE BASIS. IT'S NOT SOMETHING THAT'S GOING TO BE SOLVED BY A CRISIS MANAGER. THESE ARE PEOPLE WHO NEED LIKE SOCIAL. YEAH AND IT'S NOT SOMETHING THAT WE PROVIDE AS A COUNTRY REALLY THAT WELL, SO IF THERE'S A WAY TO SET UP A VOLUNTEER CORPS PEOPLE BECAUSE THERE ARE PEOPLE WHO DEFINITELY HAVE TIME ON THEIR HANDS, TOO.TO DO STUFF AND ARE LOOKING FOR THINGS TO DO FOR THE GOOD OF THE COMMUNITY. IT SEEMS TO ME THAT THAT MIGHT BE A SOMETHING TO SET UP. YEAH I'M NOT SURE, IF ANY ANYTHING LIKE THAT EXISTS, BUT I CAN FIND OUT FROM THE SOMERSET COUNTY HUMAN SERVICES FOLKS BECAUSE THEY ARE WORKING ON VARIOUS PROGRAMS AND INITIATIVES , INCLUDING A MOBILE VAN MOBILE UNIT FOCUSED SOLELY ON MENTAL
[01:05:02]
HEALTH AND SOCIAL SERVICES. SO I, YOU KNOW, I KNOW, UM WE'RE WORKING WITH THEM ON BRINGING SOMETHING LIKE THAT IN TOWN TO CERTAIN AREAS, BUT UM, YEAH, I CAN CERTAINLY FIND OUT IF THEY IF THEY HAVE, YOU KNOW. RESOURCES TO FOR US TO BE ABLE TO DO THAT AND RELY ON THEM.YEAH, I WOULD SAY LIKE A MOBILE UNIT IN THE VAN IS PRETTY INTIMIDATING TO PEOPLE THAT ARE JUST LOOKING FOR A FRIEND OR OR HAVE LIKE MENTAL HEALTH PROBLEMS , AND I DON'T THINK THAT MOST OF THESE PEOPLE WANT TO BAN SHOWING UP AT THEIR HOUSE. NO BUT BUT THEY WERE. THE GOAL IS ALSO TO SHARE INFORMATION ON THE SOURCE. SOCIAL SERVICES THAT THEY HAVE, UM BUT I CAN I CAN LOOK INTO IT.
THANK YOU. I'LL LET YOU TAKE YOUR NOTES. THIS IS GOOD FUN. WE DO HAVE ANOTHER ITEM. UM, FOR ME
[VIII. Health Officer Comments]
JUST TO TALK THROUGH KIND OF THE GRANT FUNDING. SHE HAS AND, UM SOME OF THE CHALLENGES WITH THE GRANTS AND SOME OF THE GREAT THINGS ABOUT HAVING THOSE GREEN. YES SO THE, UM THE MAIN GRANTS ARE THE STRENGTHENING PUBLIC HEALTH GRANT, WHICH IS CLOSE TO HALF A MILLION DOLLARS. AND THEN THE OTHER ONE IS, UM THE PUBLIC HEALTH INFRASTRUCTURE GRANTS. THEY'RE ABOUT IN TOTAL THAT THERE'S TWO ROUNDS OF FUNDING FOR THAT, TOTALING $250,000. THE STRENGTHENING GRANT IS VERY RESTRICTIVE. IT'S UM IT'S FOCUSED ON THE INFECTIOUS DISEASE PREPAREDNESS, GENERALIST POSITION AND THE LOCAL HEALTH OUTREACH COORDINATOR. POSITION AND OUTBREAK PREPAREDNESS. UM, SO WE'VE BEEN. YOU KNOW, WE'VE BEEN TRYING TO FIGURE OUT THE BEST MODEL IN TERMS OF USING THAT GRANT FUNDING AND FULFILLING THE REQUIREMENTS OF THE BRAND FOR STAFFING PURPOSES WITH, UM, WHEN IT COMES TO THE LOCAL HEALTH OUTREACH COORDINATOR POSITION AND THE INFECTIOUS DISEASE PREPAREDNESS GENERALIST. SO FOR THE FIRST YOU KNOW, TWO YEARS WE HAD FULL TIME POSITIONS FOR THOSE TITLES. UM BUT IT'S ALSO BEEN VERY DIFFICULT RECRUITING PEOPLE AND THEN WE ALSO HAVE, YOU KNOW, SPACE ISSUE THAT WE'RE DEALING WITH WITH THE HEALTH DEPARTMENT.SO WE ARE, YOU KNOW, WE TALKED TO THE STATE OF HEALTH DEPARTMENT AND WE THINK IT WOULD BE BEST FOR US TO RELY ON STUDENTS. UM THAT ARE ENROLLED IN PUBLIC HEALTH PROGRAMS TO AT LEAST WORK PART TIME ON A PART TIME BASIS WITH US, UM AND SO WHAT WE WILL DO WHAT WE'RE LOOKING FOR IS, YOU KNOW TO HAVE A PART TIME INFECTION TO PART TIME INFECTIOUS DISEASE PREPAREDNESS, GENERALISTS AND ONE FULL TIME LOCAL HEALTH OUTREACH COORDINATOR WHO'S KEELEY AND, UM POSSIBLY ANOTHER PART TIME LOCAL HEALTH OUTREACH COORDINATOR WHO CAN HELP UM, WITH, UM. WITH ANY OTHER SOCIAL SUPPORT OR COMMUNITY OUTREACH RELATED. NEEDS IN TOWN.
INITIALLY WE WERE TALKING ABOUT MAYBE, YOU KNOW, JUST HAVING THEM BE UM UM YOU KNOW? CONTRACTORS, BUT. YOU KNOW, THERE ARE CERTAIN REQUIREMENTS WITH THE TOWNSHIP AND WITH THE STATE HEALTH DEPARTMENT, WHERE WE FOUND THAT IT'S BEST TO JUST HAVE THEM BE W TWO PART TIME EMPLOYEES. AND SO THE ONLY POSITION YOU HAVE FILLED IS THE OUTREACH COORDINATOR THAT RIGHT , ONE OF THREE FILMS OR TWO OF THREE FILLED TO A FOUR FIELD. I GUESS YOU COULD SAY FOR THE GRANT. AND WHAT HAPPENS IF YOU DON'T FILL THEM? DO YOU HAVE TO GIVE THE MONEY BACK? WE YOU KNOW, WE GET PUT INTO A HIGH RISK CATEGORY WHICH CAN IMPACT OUR ANY FUTURE FUNDING, ESPECIALLY SINCE MOST OF THE GRAND FUNDING COMING OUT FROM THE STATE IS COMPETITIVE IN NATURE. WE STILL WE ALL HAVE NON COMPETITIVE GRANTS RIGHT NOW BECAUSE OF COVID. BUT AFTER JUNE 30TH 2024. I THINK ALL OF THIS FUNDING GOES AWAY AND WE DON'T HAVE ANYTHING FROM THE STATE. UM FOR THE LOCAL HEALTH DEPARTMENTS. THERE USED TO BE FUNDING BUT THERE ISN'T AND YOU KNOW WE HAD PASSED THE PUBLIC HEALTH PRIORITY FUNDING, UM, RESOLUTION EARLIER, UM SO THAT YOU KNOW, THAT MIGHT BE SOMETHING THAT YOU KNOW, WE MIGHT HAVE TO REVISIT. THE BOARD MIGHT HAVE TO REVISIT. UM AND THEN WE HAVE OUR MUNICIPAL ALLIANCE GRANTS WHERE OUR MUNICIPAL LINES BRANDS WERE. THE BUDGETS WERE CUT BY 85 TO 90% DUE TO COVID, BUT WE WILL BE RELYING MORE ON THE OPIOID SETTLEMENT FUNDING TO HELP SUSTAIN OUR MUNICIPAL ALLIANCE ACTIVITIES AGAIN, ALL A LOT OF THEM FOCUSING ON MENTAL HEALTH, SUBSTANCE USE PREVENTION. UM AND UM, COMMUNITY BUILDING, YOU KNOW? THEIR OPPORTUNITIES TO HAVE TOWN HALL FORUMS. COMMUNITY PROGRAMS WORK WITH OUR COMMUNITY STAKEHOLDERS TO TWO. KIND OF GET TO THE ARE PRE COVID LEVELS OF
[01:10:08]
PROGRAMMING WHERE WE WERE, YOU KNOW, DOING PROGRAMMING ALMOST YOU KNOW A FEW PROGRAMS EVERY MONTH. UM, BUT I THINK THAT'S ALSO. I MEAN, WE'RE LUCKY THAT WE HAVE THE OPIOID SETTLEMENT FUNDING. UM BUT AGAIN, THAT'S THAT'S NOT SUSTAINABLE FUNDING, SO WE'LL HAVE TO LOOK AT ME HOW MUCH THAT IS. CAN YOU REMIND US HOW MUCH THAT IS? THINK THE LAST THAT I CHECKED. MONTGOMERY TOWNSHIP WAS AWARDED ABOUT 40,000. I DON'T HAVE. I DON'T HAVE ACCESS TO THOSE FUNDS YET, BUT FROM WHAT I READ. IT WAS ABOUT 40,000. ANY QUESTIONS ABOUT THE GRANTS. FOR OUR ABILITY OR INABILITY TO HIRE OKAY? HMM. OKAY? THE LAST ITEM. SHOULD I MOVE ON? MOVE ON, OKAY.[IX. AN ORDINANCE ESTABLISHING A COMPREHENSIVE SALARY AND WAGE PLAN FOR THE TOWNSHIP OF MONTGOMERY BOARD OF HEALTH, AND TO PROVIDE FOR ITS ADMINISTRATION IN 2023]
THE LAST ITEM IS THE FIRST READING OF AN ORDINANCE ESTABLISHING A COMPREHENSIVE SALARY AND WAGE PLAN FOR THE TOWNSHIP OF MONTGOMERY BOARD OF HEALTH AND TO PROVIDE FOR ITS ADMINISTRATION IN 2023. YOU WANT TO SAY ANYTHING ABOUT THIS WAGE? THANK YOU. SO THE TITLE WAIT, DRIVE TO OPEN UP ANOTHER DOCUMENT. MHM. OKAY, DO. DO YOU JUST NEED ME TO READ WHAT'S ON THE AGENDA? OKAY THANK YOU. ORDINANCE ESTABLISHING A COMPREHENSIVE SALARY AND WAGE PLAN FOR THE TOWNSHIP OF MONTGOMERY. UM THE BOARD OF HEALTH AND TO PROVIDE FOR ITS ADMINISTRATION IN 2023 BE IT RESOLVED BY THE MONTGOMERY TOWNSHIP BOARD OF HEALTH THAT THE FOREGOING ORDINANCE BE HEREBY PASSED ON THE FIRST READING. AND THAT THE SAME BE PUBLISHED IN AN OFFICIAL NEWSPAPER, AS REQUIRED BY LAW, TOGETHER WITH A NOTICE OF PENDING ORDINANCE FIXING AUGUST 9TH 2023 AT APPROXIMATELY 7 30 PM AS THE DATE AND TIME WENT, SAID ORDINANCE WILL BE FURTHER CONSIDERED FOR FINAL ADOPTION. PROMOTION. PLEASE. SECOND THANK YOU. WE'LL HAVE A ROLL CALL. ESCAPE EVERYBODY WHO'S NOT HERE , DOCTOR. OH, I CAN'T SKIP, CAN I? DR SORAYA? DR WOLFSON, DOCTOR GRAYSON. DR MCGARY? YES, DR FAISAL, DR SHARMA. DR NEWMAN.YES. DR MOHAN. YES, DR. OMAR IS NOT HERE. OKAY? THE NEXT ITEM IS NEW BUSINESS. SO DRUMROLL,
[X. New Business]
PLEASE. I AM VERY HAPPY AND WOULD LIKE TO CONGRATULATE EVEN G, UH, AND THE MONTGOMERY TOWNSHIP HEALTH DEPARTMENT FOR ITS, UH AWARD. MODEL OF PRACTICE AWARD FOR FROM NATURE, THE NATIONAL ASSOCIATION FOR CITY AND COUNTY HEALTH OFFICIALS MODEL IT WAS A SHE WON THE AWARD FOR 2023 MODEL PRACTICE FOR OUR SURGE VACCINATORS PROGRAM. CONGRATULATIONS. READ IT FOR HER. AND YOU KNOW, I THINK THAT I JUST WANTED TO COMMEND YOU ALL AND THANK YOU ALL BECAUSE EVERYBODY WAS INVOLVED. I THINK IN THIS IN THIS GROUP WITH OUR SURGE VACCINATORS PROGRAM FROM FLOW FROM BRINGING, UH, SUPPORT PETS TO VACCINATING, UM EITHER ADULTS OR CHILDREN AND DEALING WITH THE UH, FORMS JEN AND EVERYBODY AND I JUST REALLY COMMEND EVERYBODY FOR THAT REALLY GROUP EFFORT, AND IT WAS GREAT AND WE WANT AN AWARD BECAUSE OF IT, AND I THINK YOU KNOW THAT JUST ESTIMATE TO THE HARD WORK. REALLY AND YOU GUYS TO 80 EVERYBODY. CONGRATS.THAT'S VERY EXCITING. YEAH. OKAY? ALL RIGHT. ANY OTHER NEW BUSINESS. NO. OKAY HAVING NO FURTHER BUSINESS TO DISCUSS THE MEETING WILL NOW ADJOURN. I THINK IT WAS JOHN WASN'T ANY NEW BUSINESS WE HAD TO. WE ARE LOOKING, UM ONE LAST THING BUSINESS WORK. GOOD NO, WE'RE LOOKING TO UPDATE OUR FEES FOR I DON'T KNOW. CHRISTIAN, CAN YOU SPEAK ON THIS? SO WE HAVEN'T UPDATED OUR FEES IN A REALLY LONG TIME. A LOT OF THEM ARE REALLY LOW. THE TOWNSHIP ASKED US TO ASK EVERY DEPARTMENT TO LOOK AT THEIR FEES. SO WE'VE COME UP WITH UM, WHAT WE THINK ARE REASONABLE INCREASES AND THE OTHER THING. OUR ORDINANCE ARE PENALTIES IN OUR ORDINANCE IS $5 TO $500. SO THAT'S NOT A RINGING WANT TO ALSO RAISE THAT IT HASN'T BEEN RAISED AND OVER 20
[01:15:05]
YEARS. SO WE'LL ENTERTAIN THAT AT THE NEXT MEETING, OR WE HAVE A SCHEDULE WHERE WE WANT TO PUT TOGETHER FOR THE NEXT MEETING. SOUNDS GOOD. I THINK THAT SHOULD BE AN AGENDA ITEM THAT PROBABLY SHOULD BE REVIEWED ON A YEARLY BASIS. BECAUSE THE WAY LIFE IS GOING EXPENSES ARE GOING, YOU KNOW, MINIMUM 10% LET'S TAKE A LOOK AT HIM NEXT MEETING, AND THEN WE CAN DO ESTABLISHMENTS.SOUNDS GOOD MANUAL OR. LESS FREQUENT, MORE FREQUENT, MORE FREQUENT THAN 20 YEARS ANNUAL LITTLE BIT WELL, IT WAS JUST THAT JUST THAT ONE HASN'T BEEN UPDATED. THE OTHER ONES, I THINK, 2018. THEY WERE UPDATED. I KNOW THERE IS THE ONE THE DOG LICENSING ONE. WE'VE BEEN AROUND ABOUT A COUPLE OF TIMES SO WE CAN DEFINITELY TAKE A LOOK DOLLARS IN THE LIFE SPAN OF A 10 YEAR. DOG EVER LICENSE. IT HE'S GONNA SAY DR GRAYSON HAS A THING ABOUT THE LICENSING OF THE DOGS THAT THIS HAS COME UP BEFORE, SO IT'S GOOD. OKAY HAVING NO FURTHER BUSINESS. WE REALLY THINK TIME. THIS TIME. WE DON'T WRITE NO FURTHER BUSINESS TO DISCUSS THE MEETING WILL NOW ADJOURN AT MHM 8 50. IS THAT RIGHT? UM MOTION TO ADJOURN WAS MOVED BY. YES TO ADJOURN, DOCTOR GRAYSON. OKAY DR. THOMAS, WE'RE ADJOURNED. THANK YOU. EVERYBODY WAIT, BANG. YEAH THANKS,
* This transcript was compiled from uncorrected Closed Captioning.