Atchison County Commisssion Meeting

Atchison County Commisssion Meeting Atchison County Courthouse 423 North 5th St Atchison, Kansas 66002 Tuesday, August 15, 2017 REGULAR MEETING AGENDA Commissioner Jack Bower, 1st District Chairman Eric Noll, 2nd District 1. 2. 3. 4. 4.1. Commissioner Henry W. Pohl, 3rd District Call To Order The County Commission is called to order by the Chairman Presentation And Approval Of Claims Pledge Of Allegiance Reading And Approval Of Minutes Approval of Minutes from Last commission meeting Approved 8-15-2017 Atchison County Commission Meeting Minutes Documents: 8-15-2017.PDF 5. 6. Commissioner Comments And Committee Reports Reports Of Elected Officials And Department Heads 6.1. 1:05 PM Corey Scott, Emergency Medical Director Monthly Response Report Documents: 07-2017.PDF 7. New Business Before The Board 7.1. 1:30 PM Staci Joice, Solid Waste Manager Truck Bid Opening 7.2. 2:00 PM Kristen Watkins, CEO, Multi-County Health Department Introduction of Staff and Update 7.3. 2:30 PM Seth Howard, Road And Bridge Superintendent

Purchase Order 8. 8.1. 9. 10. 11. 12. 13. 14. 15. Old Or Unfinished Business Before The Board Sedgwick Road Bridge Discussion County Counselor Updates Public Comment Executive Sessions ( Time Reserved For Executive Sessions) Presentation Of Petitions, Memorials, And Remonstrance's Introduction And Consideration Of Resolutions Notices And Communications Adjournment

Tuesday, August 15, 2017 Pursuant to the law, the Atchison County Commission Board met in Regular Session at 1:00 PM on the 1st floor of the courthouse, 423 N 5 th St. Atchison, KS. Chairman Eric Noll called the meeting to order with Commissioner Henry W. Pohl, Commissioner Jack Bower, and County Counselor Patrick Henderson present for the meeting. County Clerk Michelle Phillips recorded the minutes. The Board recited the pledge of allegiance to start the meeting. Chairman Noll express condolences for the family of Connie Wilson due to her passing. Minutes of the August 8, 2017 meeting were reviewed with one corrections noted. County Counselor Patrick Henderson was absent from the meeting. Commissioner Pohl made the motion to approve the minutes with the correction. Commissioner Bower seconded the motion. Chairman Noll called for a vote, all voted aye. Motion carried 3-0. *Commissioner Comments and Committee Reports: Chairman Noll noted that he attended the Atchison County Fair on multiple nights and thought it seemed to be a huge success. Commissioner Pohl mentioned that he would like to give out candy next year and would donate money to purchase the candy. He also mentioned that the magnetic signs would not stick to his truck and had to use tape. *Reports of Elected Officials and Department Heads: Corey Scott, Emergency Medical Director, appeared before the board with the monthly response report. This report can be found attached to the agenda. Corey was very happy with his crews. Commissioner Pohl and Chairman Noll were both asked about the coverage of the western side of the county when the ambulance from that side was dispatched. Corey stated that when the western unit was dispatched there is another fully staffed ambulance staged in the Lancaster area until the initial unit returns. Commissioner Pohl mentioned that there has been talking about building a new Road and Bridge facility and asked if there would be an advantage to adding an extra room that could be utilized as a break room/bathroom for the staged ambulance. Corey seemed very interested in that and stated it would be great for moral. Commissioner Pohl asked Corey about the delinquent and outstanding bills. Corey stated that they were actively pursuing a contract and has been working the County Counselor Patrick Henderson. They have some debt that is reaching the 120 day delinquent date and will be working on setting up policies as well. *New Business before the Board: Chairman Noll mentioned that he had received some information from Northeast Kansas Environmental Services that there was a wastewater permit that was applied for in July 2016

from someone in the county. The permit was valid for one year and since there has been no progress on the system the permit will be expired and the applicant will have to reapply for a new permit. Chairman Noll presented the board with a purchase order for the Road & Bridge Department for 200 sign post @ $27.14 each. The total amount for the purchase will be $5,428.00 and will be payable to Welborn Sales, Inc. Commissioner Bower moved to accept the purchase for the sign post in the amount of $5,428.00. Commissioner Pohl seconded the motion. Chairman Noll call for a vote, all voted aye. Motion passed 3-0. Bills were present to be signed. Commissioner Pohl asked Staci Joice, Solid Waste Manager, how things went with the tear down of the property at 10 th & Main St. in Atchison. She told him that they did an excellent job. There was good communication with the contracted company. *County Counselor Report: Chairman Noll mentioned that he had sent an e-mail to Counselor Henderson and Wes Lanter, Emergency Management/IT Director in regards to a broadband communication federal grant that is available for reimbursement of broadband expenses for rural health care providers. Counselor Henderson stated this could possibly benefit the Senior Village and Health Department and will look into it to see if anything needed to be done. Counselor Henderson told the board that he had contacted CIC to get some answers on identifying properties that would be eligible for the next tax sale. He was unable to get in touch with anyone because they were all busy in Wichita at their Kansas Symposium. Roger Denton, GIS, has been assisting him to get the reports needed. *New Business before the Board: Staci Joice, Solid Waste Manager, was present for a bid opening for a 2017 Ford F350 truck. She had 2 bids: Foster Ford, Holton, KS, in the amount of $40,675.00 Shawnee Mission Ford, Shawnee, KS, in the amount of $39,947.00 Staci will look over the bids and get on the agenda for next week to discuss with the board and make a decision. *County Counselor Report: Counselor Henderson mentioned that there was a board meeting with Kansas Eastern Region Insurance Trust, (KERIT) last Tuesday, August 8, 2017. He felt it was a good meeting. He did ask about getting estimates earlier on the premiums we will be paying for next year. He offered to go into depth on the day to day operations for the board. There is a new entity coming into Kansas from Missouri that will be offering health insurance and Counselor Henderson would like the board to consider to see if there would be some cost savings to offer the county.

Chairman Noll stated that it would be good to look at them and to le the board know of anything like this that could benefit the county. Counselor Henderson mentioned that KERIT has 18 members and each member has a place on the board. He feels that it would be a good idea so have someone on the board of trustees for the Kansas County Association Multi-Line Pool (KCAMP) board as well. That position would be a nominated position. Chairman Noll told Counselor Henderson that if he would be able to get some information first about how often the board met and if there would be an interested party from the county. The board decided not to make any changes to Mr. Shepard s property. He was in last week requesting an increase in the right of way dimension from 20 to 40 on a county road that was on his property. Chairman Noll will let Mr. Shepard know of their decision. *New Business before the Board: Kristin Watkins, CEO of NEK Multi-County Health Department, along with Christina Romaine, Financial Director, and Holly Black, Social Worker, appeared before the board. They were here to introduce Holly to the board and to let her talk about some of the services she provides to those in the Atchison County area through Home-Health and Hospice, WIC and other social services. There are hopes to eventually have a hospice home available for those in Atchison County as well as a therapy dog. They also express interest in working with the local colleges and the nursing students they have. The board was asked if there was anything they would like to see done in Atchison County that they would be able to assist with. Some of the things they have done in the recent past are having an enrollment fair with other organizations and recently hiring a translator who has made a huge impact on the communication. They have been working with Counselor Henderson with the interlocal agreement and by-laws. Commissioner Bower made a motion to adjourn the meeting at 2:40 pm. Commissioner Pohl seconded the motion. Chairman Noll called for a vote, all voted aye. Motion passed 3-0. Attest: Michelle Phillips, County Clerk

ATCHISON COUNTY EMS MONTHLY COMMISSION REPORT MONTH/YEAR Jul-17 TOTAL CALLS 188 Pt. Transports 114 or 60.64% 911 Responses 128 68.09% Transfers 55 29.25% Standby/Other 5 2.66% AVERAGE RESPONSE TIMES Chute Time Response Time 911 Response Time Transfers Scene Time 911 Scene Time Transfer Transport Time 911 Transport Time Transfers Turnaround Time 911 Turnaround Time Transfers Overall Time 911 1.81 min. 7.23 min. 15.39 min. 19.76 m in. 19.18 min. 10.91 min. 72.42 min. 13.05 min. 43.85 min. 52.76 min. Overall Time Transfers 152.65 min. DESTINATIONS 911 Transports Total 59 or 51.8% (Excludes Refusa ls, St andby, etc. Includes Aero-Med) Atchison Hospital 55 93.20% Mosaic St. Jose ph, MO 3 5.10% Holton Hospita l 0 0.00% Topeka St. Francis/Stormont 0 0.00% Brown Co. Horton/Hiawatha 1 1.70% KC KUMC/St. Luke's/Children's 0 0.00% Other 0 0.00% Tra nsfers Tot al 55 or 48.20% Mosaic St. Joseph, MO 28 50.91% KC Area Hospitals 19 34.54% Other 8 14.55%

ACEMS NON ATCHISON HOSPITAL SCENE TRANSPORTS Jul-17 DATE TRIAGE/ ZONE DESTINATION REASON 7/3/2017 RED/ OUT OF OMMITIED FOR PUBLIC MOSAIC COUNTY MEETING 7/10/2017 YELLOW/ ATCHISON OMMITIED FOR PUBLIC MOSAIC CITY MEETING 7/20/2017 RED/ ATCHISON CITY MOSAIC OMMITIED FOR PUBLIC MEETING 7/27/2017 GREEN/ EFFINGHAM OMMITIED FOR PUBLIC HORTON HOSPITAL CITY MEETING

ATCHISON COUNTY EMS INCIDENTS BY ZONE July-17 120 113 100 80 "' -C <1> "C ;:; E... 0 -C ::, 0 u 60 55 40 20 0 9 I 4 6 I 1-0 1 - Zone

ATCHISON COUNTY EMS INCIDENTS BY TRIAGE CODE July-17 Yellow, 25, 13% Green/Orange - Yellow Red - Blue - Black - Other - Lower acuity patient or psychiatric condition. Emergent acuity patient. Critical patient. Critical patient, cardio-pulmonary arrest. Deceased patient. No patient found, canceled en route, false call, etc.

ATCHISON COUNTY EMS MONTHLY COMMISSION REPORT YTD RESPONSE TIME COMPARISON V> m' -, 2017 JAN. FEB. MAR. APR. MAY JUN. JUL. AUG. SEP. OCT. NOV. DEC. Chute N/A 2.86 2.23 2.17 2.34 2.71 1.81 Response 911 Response Transfers N/A 6.37 7.4 8.32 9.31 8.66 7.23 N/A 14.08 9.65 29.97 13.49 9.24 15.39 Scene 911 N/A 22.29 26.55 20.81 23.86 21.93 19.76 Scene Transfers Transport 911 Transport Transfers Turnaround 911 Turna round Transfers N/A 18.97 19.91 17.96 23.13 21.03 19.18 N/A 9.78 8.56 13.44 13.54 13.38 10.91 N/A 50.22 45.91 48.95 48.85 49.08 72.42 N/A 10.26 14.75 9.4 16.99 13.22 13.05 N/A 105.05 58.56 59.21 59.21 54.61 43.85 Overall 911 N/A 49.35 59.8 53.64 63.88 54.67 52.76 Overall Transfers N/A 187.86 136.85 161.1 135.4 132.02 152.65 All Times in Minutes Target Times Chute Under 3 min. Scene 911 Under 20 min. Turnaround 911 Under 10 min.