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Home My WebLink AboutAgenda - 10-05-1993 - Agenda ORANGE COUNTY COMMISSIONERS P.O. Box 8181 HILLSBOROUGH, N.C. 27278 Moses Carey,jr. 732-8181 Alice M. Gordon 968-4501 Stephen H. Halkiotis 688-7331 Verla C. Insko 227-2031 Don Willhoit 644-3004 (Fax) ORANGE COUNTY BOARD OF COMMISSIONERS SPECIAL MEETING NOTICE FOR OCTOBER 5, 1993 AND NOVEMBER 9, 1993 The Orange County Board of Commissioners will hold a work session on October 5, 1993, at 7 : 30 p.m. in the Emergency Management Training facility on New : Hope Church- Road in Chapel Hill. The purpose of this meeting will' be to discuss, school :capital issues. The Orange County Board of Commissioners will hold a work session on November 9, 1993 -. at 7: 30 p.m. in the Emergency Management Training facility on New Hope Church Road in Chapel Hill. The purpose of this meeting will be (1) to hear a progress report and discuss the EMS strategic plan, and (2) to discuss the County pay plan. The public is invited to attend. Moses Carey, Jr. , Chai , Board of Commissioner// 8/17/93 YOU COUNT IN ORANGE COUNTY ! Irik %Or ORANGE COUNTY COMMISSIONERS P.O. Box 8181 HILLSBOROUGH, N.C. 27278 Moses Carey,jr. 732-8181 Alice M. Gordon 968-4501 Stephen H. Halkiotis 688-7331 Verla C. Insko 227-2031 Don Willhoit 644-3004 (Fax) ORANGE COUNTY BOARD OF COMMISSIONERS SPECIAL MEETING NOTICE FOR OCTOBER 5, 1993 AND NOVEMBER 9, 1993 The Orange County Board of Commissioners will hold a work session on October 5, 1993, at 7 : 30 p.m. in the Emergency Management Training facility on New : Hope Church- Road in Chapel Hill. The purpose of this meeting will' be to discuss, school :capital issues. The Orange County Board of Commissioners will hold a work session on November 9, 1993 -. at 7: 30 p.m. in the Emergency Management Training facility on New Hope Church Road in Chapel Hill. The purpose of this meeting will be (1) to hear a progress report and discuss the EMS strategic plan, and (2) to discuss the County pay plan. The public is invited to attend. Moses Carey, Jr. , Chai , Board of Commissioner// 8/17/93 YOU COUNT IN ORANGE COUNTY ! Irik %Or Board of Commissioners Worksession October 5, 1993 Schools Summary of Handouts Current Facilities Size, Capacity and 10th Day Membership 1 Current School Capital Policy 3 Tax Base Growth Compared to 1/2 Cent Sales Taxes Growth 4 Estimated Debt Service Payments - School Debt 5 Debt Service for School Construction/Expansion from PAYG Based on Revenue from Impact Fees as Outlined in the Technical Report % of Revenue from Impact Fees as Outlined in the Technical Report Option 1A. 100% 6 Option 1B. 75% 7 Option 1C. 50% 8 Option 1D. 25% 9 Funds Reserved from Pay-as-you-Go Allocations for Elementary 10 School (Copy of Appendix C from the 1993-98 adopted CIP) Current Facilities Size,Capacity and 10th Day Membership Member— Member— Member— School Size Capacity* ship** ship** ship** 91—92 92-93 93-94 Orange County ELEMENTARY "' G.A. Brown 74;016 5 72: 521 531 517 Cameron Park .7:0;812 594: 565 546 621 Central Elementary 52,492 506; 467 479 472 Efland Cheeks Elementary 64;316 :572:!. 409 413 415 New Hope Elementary 100;164 ,.594::" 581 646 641 Y � 6:>80 >>;;?' `> >s'"83 : 2,543 TOTAL ELEMENTARY ;. 3 y, .0. ,. .2, ,, .,. 2,615 2,666 MIDDLE A. L.Stanback 72,872."........ ........:;506;: 394 363 360 C.W.Stanford 1,07;620 726;: 807 898 956 TOTAL MIDDLE 1.80.,492 1;232: 1,201 1,261 1,316 Orange High School 213.,509 15118:" 1,376 1,449 1,489 TOTAL 755:;801. .> 3,588• 5,120 5,325 5,471 Chapel Hill/Carrboro City Schools *** ELEMENTARY Carrboro :; 67 537 607: 549 591 626 Ephesus ::z68 661:.;:;::::::; >::;::::;:::54,6;;; 435 568 613 Estes Hills 42,466 522: 514 511 575 Frank Porter Graham 60;968 584 530 584 634 Glenwood 43,435 ..475,: 419 424 438 Seawall 63'873_ .:..:,; .......608: 591 598 623 TOTAL ELEMENTARY 346;942 3,342::' 3,038 3,276 3,509 MIDDLE Culbreth 112 847 .. 720. 769 844 880 .................................................0.:: Phillips ;::;103;251;::::;::::;:::::::::::;:;;:::;;:;::;:720:;; 746 782 792 TOTAL 6 OTAL MIDDLE 2'16,098 1 4;40:; 1,515 1,626 1, 72 ....:............................:4i. ........... ......................................... .."................................................... ............................................."........ ........... .. ...... ............ ".............. ........... ... ..... .............................. .............. ...... ......................... .. ......... .. .................................... Chapel Hill High School »'s:253';928:;::;.:::::;:;<;>;: "1:';680.; 1,654 1,839 1953 TOTAL 816;96fi 5;462'. 6,207 6,741 7,134 *** Capacity as stated by the School System, **Based on the actual membership as of the tenth day enrollment. ***Does not include Memorial Hospital enrollment m:\history\10dayenro.wk3 1 _ Current Facilities Size,Capacity and 10th Day Membership Yr to Yr Yr to Yr Cumulative School Difference Difference Difference 91—2 to 92-3 92-3 to 93-4 91—92 to 93-4 Orange County ELEMENTARY G.A. Brown (19) 1 10 (14) (4)75 56 Cameron Park 12 5 Central Elementary 4 2 6 Efland Cheeks Elementary 65 (5) 66 New Hope Elementary TOTAL ELEMENTARY 72 51 123 MIDDLE (31) (3) (34) A, L.Stanback 53 149 C.W.Stanford 91 TOTAL MIDDLE 60 55 115 Orange High School 73 40 113 TOTAL 205 146 351 Chapel Hill/Carrboro City Schools *** ELEMENTARY 77 Carrboro 42 35 Ephesus 133 45 178 Estes Hills (3) 64 61 Frank Porter Graham 54 50 104 Glenwood 14 19 5 24 32 Seawell TOTAL ELEMENTARY 238 233 471 MIDDLE 75 36 11 Culbreth 1 36 10 11 Phillips TOTAL MIDDLE 111 46 157 Chapel Hill High School 185 114 299 TOTAL 534 393 927 Capacity as stated by the School System. **Based on the actual membership as of the tenth day enrollment. ***Does not include Memorial Hospital enrollment m:\history\10dayenro.wk3 ` 2 - Current School Capital Policy 93-94 80% of Article 40 Sales Tax Funds 2,101,600 60% of Article 42 Sales Tax Funds 1,576,200 2 cents on the Property Tax Rate 864,000 $800,000 in Property Taxes 800,000 Less 1988 Debt Service (2,155,702) Less 1977 Debt Service (580,050) Total County for CIP Projects $2,606,048 PSBF 381,190 Total $2,987,238 - 3 _ Tax Base Growth Compared to 1 /2 Cent Sales Taxes Growth 25.0% ❑ 1 /2 Cent Ed Tax Base 21 .0% 20.0% - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 15.0% - - - - - - - - - 10.0% - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 8.9% - - - - - - - - - - - - - - - - - - - - 7.4% 7.1 % - - - - - - .-1-% - - - - - - - 3.4%- - ° - - - - - - 5.0% 2.7 /0 2.3% 1 .9% 1 .9% 0.0% 88-89 89-90 90-91 91 -92 92-93 G rowth Estimated Debt Service Payments School Debt Millions $10.0 ❑ 1977 Issue 0 1988 Issue U11 1992 -$22m M 1992-$132m ❑ 1992-$16.8m $8.0 $7.-9 $7.7 $7.4 $7.2 X6.9 � $6.7 $6.4 $6.2 $6.2 $6.0 $4.0 $2.0 \NMEN" $0.0 94-95 95-96 96-97 97-98 98-99 99-00 00-01 01 -02 02-03 Option 1. A Debt Srv. for School Construction/Expansion from PAYG Based on Revenue from Impact Fees as Outlined in the Technical Report Report A. Chapel Hill—Carrboro City Schools mAcip\94-99\schools\elempayg.wk3 _ 10/04/93 Revenue m D E A B C Debt Sr for Available to PAYG Funds Impact Fees (1) Total Revenue !: School Constr./ Address Other $750/dwelling (A+B) Expansion Capital Needs (C—D) 93-94 $1,668,902 $1,668,902 $1,668,902 94-95** 1,873,888 $588,375 2,462,263 $1,049,904 1,412,359 95-96 2,113,160 813,750 2,926,910 1,049,904 1,877,006 96-97 2,312,444 843,750 3,156,194 1,049,904 2,106,290 97-98 2,538,267 875,250 3,413,517 1,049,904 2,363,613 98-99 2,758,909 907,500 3,666,409 .: 1,049,904 2,616,505 99-00 3,031,724 941,078 3,972,802 1,049,904 2,922,898 00-01 3,251,711 975,897 4,227,608 1,049,904 3,177,704 01-02 3,484,360 1,012,006 4,496,366 :?'; 1,049,904 3,446,462 02-03 3,725,700 1,049,450 4,775,150 L 1,049,904 3,725,246 B. Orange County Schools Revenue iii E A B C D Available to PAYG Funds Impact Fees (1) Total Revenue Estimated Address Other $750/dwelling (A+B) COP Payment Capital Needs (C—D) 93-94 $1,318,336 $1,318,336 $1,318,336 94-95** 1,480,263 $307,688 1,787,951 $1,049,904 738,047 95-96 1,581,822 425,250 2,007,072 ?' 1,049,904 957,168 96-97 1,730,997 441,000 2,171 ,997 1,049,904 1,122,093 97-98 1,871,509 457,500 2,329,009 > 1,049,904 1,279,105 98-99 2,034,192 474,000 2,508,192 1,049,904 1,458,288 99-00 2,235,344 491,538 2,726,882 ii 1,049,904 1,676,978 00-01 2,397,544 509,725 2,907,269 1,049,904 1,857,365 01—02 2,569,080 528,585 3,097,665 1,049,904 2,047,761 02-03 2,747,024 548,142 3,295,166 I 1,049,904 2,245,262 (1) From technical report,June 1993. Amounts shown are one year in arrears. (2) Debt is based on Certificate of Participation(COP)for$10,000,000 sold at 6.3%interest rate for 15 years.COPs can be financed for up to 20 years. **Impact Fee Revenue Received in 1993-94 adjusted to reflect 9 months of activity since construction already permitted was not required to pay the fee. CO— C — Option 1. B Debt Srv. for School Construction/Expansion from PAYG Based on 75% of the Revenue from Impact Fees as Outlined in the Technical Report Report A. Chapel Hill—Carrboro City Schools m:\cip\94-99\schools\elempa75.wk3 10/04/93 Revenue D E A B C Debt Sr for Available to PAYG Funds Impact Fees (1) Total Revenue School Constr./ Address Other $750/dwelling (A+B) 1 Expansion Capital Needs (C—D) 93-94 $1,668,902 $1,668,902 $1,668,902 94-95** 1,873,888 $441,281 2,315,169 $1,049,904 1,265,265 95-96 2,113,160 610,313 2,723,473 r 1,049,904 1,673,569 96-97 2,312,444 632,813 2,945,257 1,049,904 1,895,353 97-98 2,538,267 656,438 3,194,705 > 1,049,904 2,144,801 98-99 2,758,909 680,625 3,439,534 1,049,904 2,389,630 99-00 3,031,724 705,808 3,737,532 :< 1,049,904 2,687,628 00-01 3,251,711 731,923 3,983,634 .i 1,049,904 2,933,730 01-02 3,484,360 759,004 4,243,364 1,049,904 3,193,460 02-03 3,725,700 787,087 4,512,787 1,049,904 3,462,883 B. Orange County Schools Revenue D E A B C -3 Debt Sr for Available to PAYG Funds Impact Fees (1) Total Revenue :il School Constr./ Address Other $750/dwelling (A+B) Expansion Capital Needs (C—D) 93-94 $1,318,336 $1,318,336 $1,318,336 94-95** 1,480,263 $230,766 1,711,029 >.' $1,049,904 661,125 95-96 1,581,822 318,938 1,900,760 '': 1,049,904 850,856 96-97 1,730,997 330,750 2,061,747 ' 1,049,904 1,011,843 97-98 1,871,509 343,125 2,214,634 1,049,904 1,164,730 98-99 2,034,192 355,500 2,389,692 j 1,049,904 1,339,788 99-00 2,235,344 368,654 2,603,998 1,049,904 1,554,094 00-01 2,397,544 382,294 2,779,838 •'' 1,049,904 1,729,934 01-02 2,569,080 396,439 2,965,519 1,049,904 1,915,615 02-03 2,747,024 411,107 3,158,131 LL 1,049,904 2,108,227 (1) From technical report,June 1993. Amounts shown are one year in arrears. (2) Debt is based on Certificate of Participation(COP)for$10,000,000 sold at 6.3%interest rate for 15 years.COPs can be financed for up to 20 years. **Impact Fee Revenue Received in 1993-94 adjusted to reflect 9 months of activity since construction already permitted was not required to pay the fee. - -2 Option 1. G Debt Srv. for School Construction/Expansion from PAYG Based on 50% of the Revenue from Impact Fees as Outlined in the Technical Report Report A. Chapel Hill—Carrboro City Schools m:\cip\94-991,schools\elempa50.wk3 _ 10/04/93 Revenue D E A B C Debt Sr for Available to PAYG Funds Impact Fees (1) Total Revenue `z School Constr./ Address Other $750/dwelling (A+B) Expansion Capital Needs (C—D) 93-94 $1,668,902 $1,668,902 $1,668,902 94-95** 1,873,888 $294,188 2,168,076 $1,049,904 1,118,172 95-96 2,113,160 406,875 2,520,035 h 1,049,904 1,470,131 96-97 2,312,444 421,875 2,734,319 ; 1,049,904 1,684,415 97-98 2,538,267 437,625 2,975,892 1,049,904 1,925,988 98-99 2,758,909 453,750 3,212,659 1,049,904 2,162,755 99-00 3,031,724 470,539 3,502,263 1,049,904 2,452,359 00-01 3,251,711 487,949 3,739,660 1,049,904 2,689,756 01-02 3,484,360 506,003 3,990,363 1,049,904 2,940,459 02-03 3,725,700 524,725 4,250,425 1,049,904 3,200,521 B. Orange County Schools Revenue iiii D E A B C Debt Sr for Available to PAYG Funds Impact Fees (1) Total Revenue School Constr./ Address Other $750/dwelling (A+B) Expansion Capital Needs (C—D) 93-94 $1,318,336 $1,318,336 : $1,318,336 94-95** 1,480,263 $153,844 1,634,107 $1,049,904 584,203 95-96 1,581,822 212,625 1,794,447 1,049,904 744,543 96-97 1,730,997 220,500 1,951,497 . 1,049,904 901,593 97-98 1,871,509 228,750 2,100,259 1,049,904 1,050,355 98-99 2,034,192 237,000 2,271,192 '> 1,049,904 1,221,288 99-00 2,235,344 245,769 2,481,113 1,049,904 1,431,209 00-01 2,397,544 254,862 2,652,406 ': 1,049,904 1,602,502 01-02 2,569,080 264,292 2,833,372 : 1,049,904 1,783,468 02-03 2,747,024 274,071 3,021,095 1,049,904 1,971,191 (1) From technical report,June 1993. Amounts shown are one year in arrears. (2) Debt is based on Certificate of Participation(COP)for$10,000,000 sold at 6.3%interest rate for 15 years.COPs can be financed for up to 20 years. **Impact Fee Revenue Received in 1993-94 adjusted to reflect 9 months of activity since construction already permitted was not required to pay the fee. Option 1.D Debt Srv. for School Construction/Expansion from PAYG Based on 25% of the Revenue from Impact Fees as Outlined in the Technical Report Report A. Chapel Hill—Carrboro City Schools m:\cip\94-99\schools\elempa25.wk3 10/04/93 Revenue g D E A B C Debt Sr for Available to PAYG Funds Impact Fees (1) Total Revenue s School Constr./ Address Other $750/dwelling (A+B) Expansion Capital Needs (C—D) 93-94 $1,668,902 $1,668,902 '< $1,668,902 94-95** 1,873,888 $147,094 2,020,982 $1,049,904 971,078 95-96 2,113,160 203,438 2,316,598 1,049,904 1,266,694 96-97 2,312,444 210,938 2,523,382 1,049,904 1,473,478 97-98 2,538,267 218,813 2,757,080 : 1,049,904 1,707,176 98-99 2,758,909 226,875 2,985,784 1,049,904 1,935,880 99-00 3,031,724 235,269 3,266,993 1,049,904 2,217,089 00-01 3,251,711 243,974 3,495,685 1,049,904 2,445,781 01-02 3,484,360 253,001 3,737,361 1,049,904 2,687,457 02-03 3,725,700 262,362 3,988,062 1,049,904 2,938,158 B. Orange County Schools Revenue D E A B C Debt Sr for Available to PAYG Funds Impact Fees (1) Total Revenue >! School Constr./ Address Other $750/dwelling (A+B) Expansion Capital Needs (C—D) 93-94 $1,318,336 $1,318,336 ii $1,318,336 94-95** 1,480,263 $76,922 1,557,185 $1,049,904 507,281 95-96 1,581,822 106,313 1,688,135 • 1,049,904 • 638,231 96-97 1,730,997 110,250 1,841,247 .' 1,049,904 791,343 97-98 1,871,509 114,375 1,985,884 1,049,904 935,980 98-99 2,034,192 118,500 2,152,692 :: 1,049,904 1,102,788 99-00 2,235,344 122,885 2,358,229 ' 1,049,904 1,308,325 00-01 2,397,544 127,431 2,524,975 1,049,904 1,475,071 01-02 2,569,080 132,146 2,701,226 1,049,904 1,651,322 02-03 2,747,024 137,036 2,884,060 `! 1,049,904 1,834,156 (1) From technical report,June 1993. Amounts shown are one year in arrears. (2) Debt is based on Certificate of Participation(COP)for$10,000,000 sold at 6.3%interest rate for 15 years.COPs can be financed for up to 20 years. **Impact Fee Revenue Received in 1993-94 adjusted to reflect 9 months of activity since construction already permitted was not required to pay the fee. — Q— ill .-- Page C I A ON Appendix C. Funds Reserved from Pay-as-you-Go Allocations for Elementary Schools Ill OM1993-94 1994-95 1995-96 1996-97 1997-98 Total Chapel Hill/Carrboro City Schools $81,859 93,795 403,032 538,776 491,041 $1,608,503 Orange County Schools $85,794 97,287 172,727 552,775 505,041 $1,413,624 Total $167,653 $191,082 $575,759 $1,091,551 $996,082 $3,022,127 ON MI Both school systems have identified the need for additional elementary school space. The Chapel Hill-Carrboro City School System estimates that by the end of the decade, enrollment will support the need for two that additional facilities. The Orange to County Sch a System estimates school enrollment will increase to for that district to open in FY 1997-98. In this Capital Improvements Plan, funds have be space aside e each reserve account to address additional elementary P school 111 system. 1 To establish this reserve, pay-as-you-go a -as-you-go capital funding for the two school im systems is frozen at the level adopted in the 1992-97 Capital Improvements Plan. This two year freeze results in an estimated $358,735 in a reserve account. This reserve could be applied toward debt service payments, if the ,1 om decision is made to finance additional school space through issuing debt. the Board of Commissioners adopted an impact fee on all In May 1993, new residential dwelling units constructed (and permitted) after July 1, 1993. Because the number of new units tructe varies veeue widely, generated estimate of the revenue is shown here. However, from this impact fee will likely be used to address elementary school space needs. ., The various options for addressing and financing elementary school space will be discussed by the Board of County Commissioners in Fall 1993, in I a special worksession. CAPITAL IMPROVEMENTS PLAN ORANGE COUNTY MEMORANDUM TO: BOARD OF COMMISSIONERS FROM: MOSES CAREY, JR. VIA: BEVERLY DATE: October 4 , 1993 RE: WORK SESSION TOMORROW NIGHT AT 7 : 30 P.M. ATTACHED IS A LIST OF POSSIBLE ITEMS FOR DISCUSSION AT OUR MEETING SCHEDULED FOR TOMORROW EVENING AT 7 : 30 P.M. IN THE EMS TRAINING ROOM ON NEW HOPE CHURCH ROAD. THIS LIST OF POSSIBLE DISCUSSION ISSUES WAS DERIVED FROM THE 1993-94 BUDGET FOLLOWUP LIST WHICH IS ALSO ATTACHED. PLEASE REVIEW THIS LIST AND FAX TO BEVERLY ANY PARTICULAR ISSUES YOU WOULD LIKE FOR THE BOARD TO DISCUSS. WE NEED THESE IN ADVANCE OF THE MEETING SO THAT STAFF WILL HAVE TIME TO PREPARE BACKGROUND INFORMATION BEFORE THE MEETING. THANK YOU. Outstanding Issues - Schools Capital Funding policy of earmarking 80% of Article 40 of Sales Tax, 60% of Article 42 Sales Tax, $800,000 in property tax (netting out debt service for 1977 school bonds) and the equivalent of 2 cents in property tax (2.3 cents prior to revaluation) to be applied toward debt service. _ Additional School Capital Funding Needs, including funding additional elementary school space; financing options School construction standards and classroom size standards - cost of new facilities • Operations Strategy for budgeting funds for the Schools: - Tie money with outcome - How effective is each new program? - What are the potential merger implications of new programs and other funding issues such as pay supplements? Definition of Continuation, Additional Continuation, Expansion Definition of equity and recurring capital .eii,wee/t/72,./ de_ 60 SC-4V / / yes //� d7 74 ex7.574 7. pdfic • 2 1993-94 Budget Follow-up List • August 1993 1. School Funding Strategy for budgeting funds for the schools and information on the final budget: Tie money with outcome - How effective is each new program? What are the potential merger implications of new programs and other funding issues such as pay supplements? (Board) Disposition: The Board may want to consider a special worksession to deal with the many issues surrounding school funding. Staff will request that each school system submit a copy of their adopted budget highlighting additional continuation and expansion items which were funded. School construction standards and classroom size standards (Commissioner Gordon) Disposition: The School Issues Discussion Group to discuss and report back to each of the three boards. Definition of equity and of recurring capital (Commissioner Gordon) Disposition: Staff recommends that this topic be included in the special worksession dealing with school issues. Fund balance for the schools (Board) Disposition: Manager to work with the two Superintendents to review the present policy for fund balance and report back to the Board any recommended changes. Impact Fees for Elementary School Space - Fee Collections, Appropriations, Reserve for Affordable Housing (Board) Disposition: Staff has identified funds from the Chestnut Oaks Project to be considered as a funding source to reimburse the impact fee for affordable housing projects. Planning Director will shortly be presenting alternatives on addressing impact fees and affordable housing. Staff is working with the towns to work out the collection of the fee. Staff will develop a 10 year capital improvements plan for the schools for the 1994-99 CIP to address the Board's concern regarding the time necessary to accumulate funds and disburse. , / 3 /_ Additional School Capital Funding Needs (Board) Disposition: Staff recommends that this topic, including possible new elementary school space, be discussed in the special work session. 2. Emergency Medical Services Feasibility of ringing down non-emergency calls to the appropriate responding jurisdiction (Commissioner Halkiotis) Disposition: Staff will implement a pilot effort to incrementally down load certain non-emergency calls to the Sheriff's Department, examining the work load and staffing impact. Staff and 911 Communications Group will monitor the program and report back to the Board prior to the 1994-95 budget worksessions. Educating the Public on the use of the 911 system (Commissioner Halkiotis) Disposition: Staff and the 911 Communications Group will continue work on this issue and report back to the Board periodically on progress in this ongoing public information effort. 3. Animal Protection Society Agreement Include in the written contract the licensing of animals and collection of licensing fees as part of the adoption process (Commissioner Willhoit) Disposition: Manager's Office and Health Director to incorporate a provision in the contract between the County and APS for shelter services, that animal licensing fees will be collected as an animal is adopted from the shelter. 4. Tennis Courts at Orange High School Include full funding for this project in the Capital Improvements Plan (Commissioner Gordon) Disposition: In order to accelerate funding for energy retrofitting projects, $26,000 was borrowed from the tennis court resurfacing project. Staff is to include the restoration of these funds as part of the 1994-99 Capital Improvements Plan. i � Y k. 3 r�d`3 NN gw,, x v s e w€ s m 3 � s.z.,;..w� L. "•g i a$ r'?,.z ,, o �xa • Report on activities of the strategic planning group to date • Describe the thought process to be used in making specific recommendations • Dialogue with Commissioners to obtain their input into the common vision for OCEMS • Identify/discuss several recommendations the group is prepared to make tonight • Agree on next date for input to Board Enuironmental Deuelop areas Outcome goal Resource Resource Scan for outcome sub-committees identification allocation goals 1 . EMS today 1 . Flow chart 1 . Identify how it works what now resources 1 . Cardiac happens required to 1 . Reallocate 2. EMS tech- meet goals existing nology today 2. Trauma 2. Identify resources areas for 2. Identify 3. Broader 3. Peds improvement P, costs of 2. Allocate society in resources new which EMS 4. Mass 3.Propose resources system casualty outcome 3. Make functions goals and recommenda measures -tions Ongoing assessment and feedback 1 . Measure outcomes 2. Assess results 3. Make changes h Orange County Commissioners Orange County EMS Rduisory Council Chr. Chr. Chr. Chr. Steering TRRUMR PEDIRTRICS MRSS CRSURLTV CRROIRC Committee S. ELLIOTT J. SMITH D. JONES B. STECKLER Chr. DRTR I, Well Chr. RESOURCES H. Caldwell Chr. PUBLIC INFO. B. Lockwood I '3 I z �� s' :ar,Fecy A� .��%`��s is - � .a z s �� ♦ � t s x5 � � � � 2 S SIN. E • Completion of work by individual medical groups; final reports_ of cardiac, peds, and trauma sub-committees done • Identification and analysis of current resources by the Resource sub-committee • Recognition of need for a common vision for OCEMS • survey of Orange county citizens to obtain their input into a common vision for OCEMS • Work sessions held to begin integration of the information and formulation of specific recommendation as related to the vision Y. .y M: . 0 M MON' 3 ? Y LE N1 � hx. p.............. E�E� • PREVENTION AND PUBLIC HEALTH EDUCATION • TRAINING AND SKILL DEVELOPMENT • EQUIPMENT • COMMUNICATION • INTEGRATION OF SERVICES • EVALUATION AND FOLLOW-UP • THESE MAY ALSO BE REFERRED TO AS ATTRIBUTES OF AN EMS SYSTEM ..__........ 2 s 'yR �'' a AL } F:� a^z {w,. ��,. vv$$�� .� sa h.;." 3 Q�.�.S.:s �� x �..��` �k '.',.r z gym" s� �fi 3' � ✓:d. .y; r, �.e x +a^.ysk': :s:�,. � x �°�`� � �:,��Z�z� '<�x��+, 3.��•iyoz� �� E �� s�'� .�a ��'� � sr g. "R£c ��' 2:`�'ms's I Z • FOUR MAJOR OBJECTIVES — Determine level of citizen understanding of the OCEMS system — Determine the expectations which citizens of Orange County have of their EMS system — Determine trade-offs citizens are willing to make in terms of cost vs. service — Determine how citizens feel the EMS system can best be funded • DONE IN CONJUNCTION WITH THE SURVEY RESEARCH UNIT OF UNC (PUBLIC HEALTH) • TELEPHONE SURVEY; DATA COLLECTION COMPLETED, ANALYSIS BEING DONE 4 k • ABOUT 20 VOLUNTEERS COMPLETED THE DATA COLLECTION PHASE • ABOUT 850 TELEPHONE NUMBERS CALLED • 204 SURVEYS WERE COMPLETED • OVERVIEW OF RESULTS THUS FAR • SCHEDULED FINAL REPORT: 7 r'Y£ hx^uxy �< +';"w''" rc rr�< xy d ':.:✓ 3 .r b"00.41 " "0,4'��„?o.`£d•�,�s��' L'. .�"'�tt r��a�uR',',�P,.� °,��`v�.''w '�Sr �.n,`� �:P w , '.a` z � ssa"*9 c,:I Sly ES F�Ac ECG 3 8 E r x , , w p .. b a a. : x x r:. >z 7 w v 3 3u c k t j"All Alt IVIt", <: : � "n • How to get input from three groups into a common vision • How to integrate information from three perspectives and arrive at recommendations • How to evaluate recommendations relative to impact on patient outcomes • How to do cost/benefit analysis with limited, subjective information : H E' E'S WE,, w THE:,S DDRIM SS • Each group did their version of a vision statement • Chairs of the three groups met and identified common elements across groups • Arrived at major elements of a vision statement • Related common and unique recommendations from sub-committees to vision elements • Related recommendations to potential impact on patient outcomes 7>ti twxy �a: z a :s:� us..:�* � �� sx • Devised ways of looking at cost/benefit with limited, subjective information • Defined and drew a system diagram to aid in Y g the understanding of relationships between various elements of the system d SYSTEM D ! RGRRM OF EMS 0 RTR --------- COLLECTION 1) Morbidity and PREVENTION mortality stats 2) Surueys of patients IDENTIFY 3) Other data GRPS CITIZEN `�RESOLUTI ON MED I CRL OF PROBLEM NEED IWatient satisfaction 2)Physiological outcome RDJUST SYSTEM EFFECT ON PRTIENT OUTCOMES M a3 � gc y s E, ' CDST/R� NE .......... I :: �^ �,� NUMBER OF PEOPLE AFFECTED Low Medium High Low COST Medium High r ALYS ERA -_ -.N F $w J............... IMPACT TO PATIENT OUTCOME Low Medium High Low COST Medium High Jf "loom' rff ra K.ATO ..�� 5;,, �'3': �2 �z,�:�3 � ra "� ��rs�'��S"j#s,$ ;E:!!� csr v� � �tavn z v ' [ 3 s _ P✓, ',':u .......... PATIENT OUTCOMES Physiological Patient Attributes EMS is/wants to be outcome satisfaction 10 9 8 7 6 5 4 3 2 1 10 9 8 7 6 5 4 3 2 1 1 2 3 4 5 6 7 8 9 10 Prevention & Public health Training Equipment Commuication Integration of services Evaluation & Follow-up J-14 u„ v rN ', `�r." r y7 s ,y`�.:`Y"a ax:.tg'` ''• ,,, x n' ' c s '' s 'k'x rt E y s. �'\»$` - : zr Y • PREVENTION AND PUBLIC HEALTH EDUCATION — Appropriate use of 911 system resulting in a decrease in the burden on the system >> Physician office training to prevent delay in cardiac care >> Provide peds 24 hour "Hot line" for referral of problems other than true emergencies TRAINING — Involve all levels of the system (First Responders, communications/dispatch, EMT's, ER) >> Recruitment, coordination, and enhancement of First Responder training and system >> Additional training in peds skills and pre-hospital care to increase confidence and competence of infrequently used skills lllulll•" '2'^. : 1 . / � ' 3 '.! F C: i zr.C�a ^T r8 xr r d'/^ ..T^ 1�,�s. y.��5 � � srE' �.� u.� ::s,£ §'.x� ,� atmr 3 a��,.os r e $� � ✓t ?`a y` � A _� f S G ��.�� k" yd,a'.•,� ""5. "�,A X'" ^a� H� ry.��•'�� '. iRy:. , � p��.�►�i"�x"�'� ysSr' x ^+f'��,eA��'°� Y��S c er a a �'A rte x y i .�3 se �a av r R 4�2'av�f `�k' ��w�J Y`� �` 3" ;�9c'`'. � L� ra�,. s .��c s >�.•��_ ..,,..� h 7;� 1 > 5 Ya xJ "�` a �` f�L'i •"e'�"�e. zkY'@s"' z 4 X: ova Sc z 11 � a t ,� k� � C s s i.:,, e S�� ,,.r � � ::} � .�. K, ✓�<S��a��3��' \ as.� c,a :�� ` Lai °.�k�'r b��,�', '�%`�� r z �� : " � ��' s• W` �'S:� .c^�-a9i,�'%�i'� Y' �'�'.a�^`'a�..�'„'�sr a std r�`�u� k: aY �.� ', a �, y: r� Yr� s� s c��.`�. � �rzr c� ki n m:<6 x�a�l;. �,risa �' �vvr s, �..s R:,t&'¢ �s x�., ��. {, an,, °� �>�:a Fa �� •�.yx"a 37 n. ^k�;.,,� vxy,� �r"r�,x s!� ``&'s,.�. & v.& .r�:.�:`.�z`a,.k«`.".3'»a�MVa.�S��e..�'��,rs ...[:y.�`.��i..`¢�`�„y�a��`�..��>?"^�'�.'",d."'. "i' �%•"a3� ,3�, :"�•�,. ��` �;rtt'.�� Yk�;�..:�.,n�'�.17'�^.?"��n`�".��a�;..l�� `:�.rs� M'"��6?4:E�''r°."G•;,��is.•<: • EQUIPMENT — Tiered system with ongoing re-evaluation of personnel, equipment and locations Appropriate (standardized) equipment for First Responders--AED's, # of pieces of equipment,02, radios, maps, etc. >> Purchase and maintain specific peds equipment for vehicles and for ongoing training • COMMUNICATION — Institute pre-hospital thrombolytic therapy screening questionnaire — Expand peds protocols, consider moving toward more field decisions with peds care to reduce time loss — hands free communication devices • INTEGRATION OF SERVICES — Integrate EMS with Human Services agencies in grange County (Health Dept., Social Services, etc.) s 1��7/� z, ;Fk � �a'r�`� a> 'Zh YCN '.� :3. �' w ��:N�•`xi" iOs 2.'�""'�f �Y S i • Evaluation and Follow-up — Upgrade the EMS Council to a major decision making/ recommendation-making body to the County Commissioners to 1) Establish follow-up and evaluation of this strategic planning effort 2) Evaluate recommendations concerning the evolution of the EMS system, and 3) Periodically assess the overall effectiveness of the service and provide input to Commissioners E ikV IRK x a',am, My,A,0,5 6 •E Y x3k�y 3 '��is,,�:f ��,3x � :� n a Z N • EMS NEEDS TO BE INTEGRATED WITH OTHER HEALTH RELATED SERVICES WITHIN THE COUNTY • EMS ADVISORY COUNCIL ROLE SHOULD BE EXPANDED • CURRENT EVALUATION METHODS ARE VERY SUBJECTIVE; THERE EXISTS A NEED FOR RESOURCES TO BEGIN WORKING WITHIN THE TOTAL EMS SYSTEM TO MAKE EVALUATION EFFORTS MORE OBJECTIVE