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MIN AUG 10 1999
M I N U T E S - CITY OF BEAUMONT Lulu L.Smith DAVID W. MOORE, MAYOR John K.Davis,Mayor Pro Tem Guy N.Goodson CITY COUNCIL MEETING Andrew P.Cokinos Bobbie J.Patterson AUGUST 10, 1999 Becky Ames Lane Nichols,City Attorney Stephen J.Bonczek,City Manager Barbara Liming, City Clerk The City Council of the City of Beaumont, Texas, met in a regular session on August 10, 1999, at the City Hall Council Chambers, 801 Main Street, Beaumont, Texas, at 1:30 p.m. to consider the following: OPENING Invocation Pledge of Allegiance Roll Call * Presentations and Recognition * Public Comment: Persons may speak on scheduled agenda items * Consent Agenda Mayor Moore called the meeting to order at 1:38 p.m. The Reverend Alfred Jones of the Scott Olive Baptist Church, gave the invocation. Neighborhood Services Manager David Oliver led the pledge of allegiance. Present at the meeting were: Mayor Moore, Mayor Pro Tem Davis, Councilmembers Smith, Goodson, Cokinos, Ames, and Patterson. Also, present were: Stephen J. Bonczek, City Manager; Lane Nichols, City Attorney; Barbara Liming, City Clerk; and Rebecca A. Hoge, Deputy City Clerk. *Presentations and Recognitions - No presentations or proclamations were made. *Public Comment: Persons may speak on scheduled agenda items Citizen comment was invited on the Consent and Regular agenda Items Mr. Tom Neild with Neild Construction addressed Council to request that Agenda Item No. 4 amending the 1997 Standard Building Code to include asbestos surveys be deferred until further information could be provided and questions answered for building contractors. Mrs. Marie Calcote, 5615 Duff, addressed Council in support of Agenda Item No. 3 regulating skating and skate boarding. Mrs. Calcote reviewed the improvements made at the Julie Rogers Theater by Beautify Beaumont and the damage done to those repairs by skate boards. Mrs. Gethrel Williams, 4495 Fortune Lane, addressed Agenda Item No. 1 and in support of funding a Southend Branch Library. Mrs. Williams acknowledged the positive efforts of the Melton YMCA, said it is a private business, and to give the funds requested would open doors for other private organizations to make such requests. Mr. Frank Kiefer, 3190 Willowood, addressed Council to inquire if Agenda Item No. 6 authorizing a contract for Sanitary Sewer Rehabilitation would eliminate the strong sewer odors being experienced in the Minglewood area. Mr. Kiefer was advised that his question would be addressed when the item is considered. Mr. Joe Ruiz, addressed Council regarding Agenda Item No. 7 considering demolition of the Lamar Theater and requested Council make a definitive decision to either demolish or allow him unlimited time to make the required repairs. Mr. Ruiz said he has demonstrated serious intent and ability to work on the building, and stated he would abide by Council's decision. Mrs. Dora Nisby, 4520 Corley Street, addressed Council in support of complete funding for the proposed Southend Branch Library on Agenda Item No. 1. Mr. Andy Teal, 20 Dowlen Place, addressed Council regarding Agenda Item No. 1 and requested Council fund the Melton YMCA. He said their original plan for the gym was to provide services jointly to the people in this community. He stated 20% of the Melton YMCA total funding came from members and 80% from outside sources, and the YMCA needs full funding to make the proposed new construction and renovations a success. *Consent Agenda * Approval of the minutes of the regular meetings held July 13, 1999 and July 27, 1999 * Confirmation of committee appointments - No committee appointments were made A) Approve a change order to the contract for improvements at the Beaumont Fire Training Center (C. O. #2 in the amount of $15,120 to contract with BoMac Contractors, Inc.) - Resolution No. 99-221 B) Approve the acquisition of property for the Concord Road Improvement Project (Parcel 24: 0.065 acre tract out of A. Williams Survey, in the amount of$9,703 from Joan C. Luquette, 2765 Concord Road, Phase II) - Resolution No. 99-222 C) Accept improvements constructed in Ashton Woods Addition for City maintenance (Woodsfield Drive from existing Savannah Trace: approximately 260' west and 356' north {both to and including cul-de-sacs}Water and Sanitary Sewer Improvements for Lots 1 - 16, Block 1) - Resolution No. 99-223 D) Approve the purchase of office furniture for Municipal Court (from Corporate Express in the amount of$20,158.27) - Resolution No. 99-224 E) Authorize the filing of a lawsuit (against Paul and Cynthia Brack dba Ash-Jon Uniforms to collect on a delinquent Small Business Revolving Loan) - Resolution No. 99-225 Councilmember Cokinos moved to approve the Consent Agenda. Councilmember Patterson seconded the motion. MOTION PASSED. Ayes: Mayor Moore, Mayor Pro Tem Davis, Councilmembers Smith, Goodson, Cokinos, Ames, and Patterson Noes: None Minutes;August 10,1999;Page 2 GENERAL BUSINESS 1. Consider Section 108 funding for the proposed Southend Branch Library and the Melton YMCA Resolution No. 99-226 allocating Section 108 funds in the amounts of $1,825,000 for the proposed Southend Branch Library and $1,000,000 for the Melton YMCA was introduced. City Manager Bonczek presented background information of Section 108 percentage allocations for previous projects ranging from 40 to 52.6 percent. The L. L. Melton YMCA is requesting 98 percent of the cost for a gymnasium and fitness center. Staff recommendation is that of the remaining available Section 108 funds, $1,825,000 be allocated for the proposed City-owned and operated library and $1,000,000 for the Melton YMCA project that would construct a full-court basketball gymnasium. Councilmember Patterson read from some HUD loan guarantee form statements about the criteria, requirements and objectives in determining uses of 108 funds. Several references were made to benefiting low to moderate income families. She addressed past approved projects and the benefits they will provide the community. Councilmember Patterson referred to Council discussions in March, June, and July considering $1.8 million for the L. L. Melton YMCA and $1 million for the Southend Branch Library, discussion of land purchase for the library, the Willard Library receiving $1.1 million in CDBG funding and $600,000 from Capital Improvements and her recommendation that the Southend Branch Library receive the same funding. Councilmember Patterson stated that she recommended construction of a library from remaining $11 million 108 funds, spoke of disparity, equal importance of projects, and the YMCA servicing low to moderate income families. She claimed that requested creativity in funding these projects was not achieved, and said that only figures were flip-flopped to meet the agenda of someone else. Councilmember Patterson expressed her dissatisfaction with the recommendation, said it is a slap in the face, and she doesn't understand the rationale. Councilmember Patterson added that less than full funding would be the demise of the YMCA, spoke of short changing children and families, said a library can be built, and questioned if it is the amount of money sought for the YMCA or who is seeking the money or the location of the YMCA that is the issue. She compared financial capabilities of areas of the city, merits of the project beyond a gymnasium, said the economy is healthy, and restated unhappiness with the recommendation and inability to lend support. City Manager Bonczek articulated that he does not respond to anyone's agenda, but listens, discusses, and recommends what is in the best interest of the city. He explained that we have a deficit budget, a new level of debt service and the need to be cautious. Mr. Bonczek said it would be inappropriate to apologize for recommending giving $1 million to the YMCA to help poor children have a place to play basketball, said he would continue to search diligently for other funding that the YMCA could utilize for the remainder of their plan, and pointed out that both projects meet the same HUD criteria requirements and serve the same constituents in Ward IV. He said both projects are good, but it is more prudent to use Section 108 funds to complete the library as a city facility and contribute toward the YMCA Minutes;August 10,1999;Page 3 and challenge them to raise funds beyond the immediate community to other YMCA contacts. Councilmember Ames stated that she never changed her opinion about funding the library, said the gymnasium is a worthy, but is a private project, and that Council should agree to disagree. Mayor Pro Tem Davis spoke about the right to agree or disagree, expressed concerns about Council's ability to work together and move our city forward, and expressed his respect for each Councilmember. He advocated deferring to preferences of Ward Councilmembers regarding issues or projects in their particular wards because of their knowledge of citizens' desires and needs. Mayor Pro Tem Davis said he prefers the library receiving priority, but will honor Councilmember Patterson's preference, and again reiterated his desire that Council remain unified. Councilmember Patterson spoke of Beaumont receiving Best Practices Award from HUD because of use of the funds, the Sterling Pruitt Center being built before the library, and said she wants the same for South Beaumont. Councilmember Patterson said tax dollars would be saved in supporting the Melton YMCA rather than complete construction of a new facility. She continued with comments supporting her stance, said she is not content with a Band-Aid, does not want to go backwards, and said she is passionate about needs in Ward IV because she understands them better than anyone else. Mayor Moore stated there is nothing wrong with Council disagreeing, thanked the YMCA for their programs, said we have an opportunity to partner with the YMCA, congratulated Councilmember Patterson for having the courage to bring forward the idea of a library, commended both projects, spoke of leveraging monies, use of the Y, and completing projects. Mayor Moore voiced disagreement with the City Manager's recommendation to reverse the amounts granted the proposed library, said both facilities will be in Ward IV and he is listening to the elected leadership of that ward, spoke of unprogrammed funds and flexibility to allocate funds to the library at a later date. He added comments about the importance of children being the benefactors, said he understands the philosophy of the City Manager wanting to protect city dollars, but with years of experience thinks Council has a better feel of the community. Mayor Moore said there are unprogrammed funds that could be better utilized for the completion and balance of the library much easier than for the YMCA facility, which is doing the city a favor by providing activity in an area of town that has less than the balance of the community. He said he would like funds to be reprogrammed for the library and requested a different resolution be proposed today regarding division of the funds. Councilmember Patterson moved to approve a resolution authorizing Section 108 funding for the Melton YMCA in the amount of $1.825 million and $1 million for the proposed Southend Branch Library. Councilmember Davis seconded the motion. MOTION FAILED. Ayes: Mayor Moore, Mayor Pro Tem Davis, and Councilmember Patterson Noes: Councilmembers Smith, Goodson, Cokinos, and Ames Minutes;August 10,1999;Page 4 Councilmember Smith moved to approve Resolution No. 99-226 authorizing Section 108 funding for the proposed Southend Branch Library in the amount of$1.825 million and $1 million for the Melton YMCA. Councilmember Cokinos seconded the motion. MOTION PASSED. Ayes: Councilmembers Smith, Goodson, Cokinos and Ames Noes: Mayor Moore, Mayor Pro Tem Davis, and Councilmember Patterson 2. Consider an ordinance amending Ordinance No. 99-50 relating to the Guest Inn Hotel located at 2525 North 11 th Street Councilmember Cokinos moved to approve an Ordinance No. 99-54 ENTITLED AN ORDINANCE AMENDING ORDINANCE NO.99-50 TO ALLOW OWNERS OF THE GUEST INN HOTEL,2525 N. 11TH STREET,TO LEASE THE BANQUET ROOMS OF THE HOTEL WHICH ARE LOCATED IN THE SAME AREA AS THE NIGHT CLUB;PROVIDING FOR SEVERABILITY;PROVIDING FOR REPEAL AND PROVIDING A PENALTY. Councilmember Smith seconded the motion. MOTION PASSED. Ayes: Mayor Moore, Mayor Pro Tem Davis, Councilmembers Smith, Goodson, Cokinos, Ames, and Patterson Noes: None 3. Consider an ordinance amending Chapter 23 of the Code of Ordinances of the City of Beaumont adding an article regulating skating and skate boarding on certain municipally owned property Councilmembers discussed the possibility of designating a safe area or skate zone where skaters could skate and skate board. Mayor Moore requested Councilmember Goodson and Mayor Pro Tem Davis check with the Parks and Recreation Advisory Board for the possibility of skate zone areas. Ordinance No. 99-55 ENTITLED AN ORDINANCE AMENDING CHAPTER 23 OF THE CODE OF ORDINANCES OF THE CITY OF BEAUMONT TO ADD A NEW ARTICLE V. REGULATING SKATING AND SKATE BOARDS ON CERTAIN PUBLIC PROPERTY; PROVIDING FOR SEVERABILITY;AND PROVIDING FOR REPEAL AND PROVIDING A PENALTY was introduced: Councilmember Cokinos moved to amend Ordinance No. 99-55 to include the new Municipal Court and the Texas Energy Museum facilities in the no skate zone. Councilmember Smith seconded the motion. MOTION PASSED. Ayes: Mayor Moore, Mayor Pro Tem Davis, Councilmembers Smith, Goodson, Cokinos, Ames, and Patterson Noes: None 4. Consider an amendment to Article II, Section 104.1.5, Information Required of the 1997 Standard Building Code to include asbestos surveys Minutes;August 10,1999;Page 5 An ordinance ENTITLED AN ORDINANCE AMENDING CHAPTER 6, SECTION 6-21 OF THE CODE OF ORDINANCES OF THE CITY OF BEAUMONT TO ADD AN AMENDMENT TO THE STANDARD BUILDING CODE REQUIRING PROOF OF AN ASBESTOS SURVEY BEFORE THE ISSUANCE OF A DEMOLITION OR RENOVATION PERMIT FOR ANY PUBLIC BUILDING; PROVIDING FOR SEVERABILITY; PROVIDING FOR REPEAL; PROVIDING FOR AN EFFECTIVE DATE;AND PROVIDING A PENALTY was introduced. After a brief discussion regarding definitions and questions of contractors, the consensus of Council was to DEFER the item until next Council meeting. 5. Consider approving fees for right-of-way and easement abandonments and verification letters Councilmember Cokinos moved to approve Resolution of No. 99-227 authorizing charges for abandonment of rights-of-way and easements that include a $200 application fee and $25 for verification letters. Mayor Pro Tem Davis seconded the motion. MOTION PASSED. Ayes: Mayor Moore, Mayor Pro Tem Davis, Councilmembers Smith, Goodson, Cokinos, Ames, and Patterson Noes: None 6. Consider a contract for the Sanitary Sewer Rehabilitation of Small Diameter Mains - Contract I Councilmember Cokinos requested Water Utilities Director S. A. Webb to answer the question previously posed by Mr. Kiefer. Mr. Webb said this is a pilot project which will be followed by a number of rehab projects, said Minglewood was chosen because of its high priority and meeting various criteria used to evaluate which line needs to be fixed first, stated this repair is the least intrusive to home owners, and this repair should eliminate the odor problem in the area. Mayor Pro Tem Davis commended Mr. Webb's staff for quick response to problems and citizen complaints. Councilmember Cokinos moved to approve Resolution No. 99-228 authorizing a contract with Brystar Contracting, Inc. in the amount of $123,618 for rehabilitation of 6" and 8" sanitary sewer line in the Minglewood area. Councilmember Ames seconded the motion. MOTION PASSED. Ayes: Mayor Pro Tem Davis, Councilmembers Smith, Goodson, Cokinos, Ames, and Patterson Noes: None (Mayor Moore left the Chamber at 3:20 p.m. during Mr. Webb's remarks and before the vote.) Minutes;August 10, 1999;Page 6 7. Consider approving the demolition of the structure located at 3700 Highland (Lamar Theater) Councilmember Patterson moved to approve Ordinance No. 99-56 ENTITLED AN ORDINANCE CONCERNING THE DEMOLITION AND REMOVAL OF THE STRUCTURE LOCATED AT 3700 HIGHLAND (LAMAR THEATER); PROVIDING FOR SEVERABILITY AND PROVIDING A PENALTY. Councilmember Ames seconded the motion. MOTION PASSED. Ayes: Mayor Pro Tem Davis, Councilmembers Smith, Goodson, Cokinos, Ames, and Patterson Noes: None (Mayor Moore returned to Chambers at 3:25 p.m.) 8. Consider approving an agreement with Gayle W. Botley & Associates for auditing services related to the 1999 fiscal year Councilmember Cokinos moved to approve Resolution No. 99-229 authorizing an agreement with Gayle W. Botley & Associates for auditing services for fiscal year 1999, contract amount including expenses will not be greater than $99,200. Councilmember Ames seconded the motion. MOTION PASSED. Ayes: Mayor Moore, Mayor Pro Tem Davis, Councilmembers Smith, Goodson, Cokinos, Ames, and Patterson Noes: None OTHER BUSINESS Receive report related to EMS operations Public Health Director Ingrid Holmes introduced Medical Director Dr. William Novelli and EMS Operational Manager David Phillips, both with the Beaumont Health Department, and distributed a booklet (Exhibit °A") outlining her presentation to Councilmenbers. She enumerated the historical prospective of the EMS operations and indicated that in October 1998 two supplemental units from a private service withdrew leaving EMS with only three units instead of five as stated in Exhibit"A." She said in 1999 a fourth unit was added to the EMS operations, and a review of average response times indicate they have increased from 4.29 minutes to 4.86 minutes. She stated by not replacing the departing units on a one-to- one basis, the City is again facing response time issues. Ms. Holmes reviewed our current situation and discussed problem areas such as; increased response time, excessive workload for paramedics, and increased incidences of long response times--outlier response times greater than 12 minutes (Chart D in Exhibit "A"). Minutes;August 10,1999;Page 7 (Mayor Moore left the Chamber at 3:34 p.m. during Ms. Holmes's presentation and returned at 3:38 p.m.) Ms. Holmes listed current implemented procedures that include: discontinuing medic unit response to structure fires, have only fire engine respond to motor vehicle collisions that do not clearly indicate injuries, discontinue practice of automatically dispatching two medic units to wrecks which reportedly involve multiple vehicles or patient entrapment (await assessment of an on-scene public safety unit, rather than reports from 9-1-1 callers), and agreements with private companies to notify those companies when our system goes to level zero (they will standby). She suggested several possible implementations for review; improve collection rate and billing by hiring a "coder," contract billing and collections to a private company, generate revenue through a separate charge associated with the water bill, and increase use of"casual" paramedics in place of overtime personnel. She stated these measures will assist in relieving some of the problems, but said they will not eliminate them. Ms. Holmes gave four alternatives to alleviate the current problem: 1) Add a fifth full-time medic unit, staffed by two paramedics, working 24 hours per day {a 24/48 schedule}. 2) Maintain four City units and add one full-time private ambulance contract unit, 3) Add a fifth full-time medic unit and change crew configuration from current system of two paramedics per unit to a crew of one paramedic and one basic EMT and 4) Add a fifth full- time medic unit, staffed by two paramedics, working approximately 104-108 hours per week {schedule varies by day of week}. She reviewed the advantages and disadvantages of each recommendation listed in detail in Exhibit "A." Councilmember Ames verified that Alternate No. 1 (with paramedics) and No. 3 (with EMT's) are the same with a fifth unit, just a difference in staffing. Councilmember Ames stated she believed we should not reduce our level of care and praised the current system. Councilmember Goodson made comments based on Ms. Holmes presentation that our projected transports show an increase of 20, the smallest increase seen in more than five years. He expressed concern that even with five full-time units, in a year or two with the same increase, we will have three of the five units exceeding the 133 limit of transports. He stated the City does not want a Band-Aid solution to this problem, and asked if the EMT proposal is advanced, would we be better served by not using them during peak periods when more serious injuries occur. Councilmember Goodson questioned use of private services' ability to put more than one unit into service during peak periods and asked if they would be zoned to a particular area. He questioned the difference in protocol with a private service and the rate of pay. Dr. Novelli stated that by their estimations we will be at our limit again by the end of FY 2000. He indicated there was no way to trend when peak periods would occur to schedule less EMT's. Ms. Holmes stated since they have not drafted a "RSP" she could not answer with certainty which direction they would take, but they would pursue both. Ms. Holmes indicated under the last contract the private service had two paramedics, and their rate was not significantly different from ours, but there was a slight difference in scheduled overtime. Minutes;August 10,1999;Page 8 Councilmember Davis acknowledged Mr. Phillips and thanked him for bringing this issue forward for the protection of our citizens. He indicated he was in favor of paramedics over the EMT. He stated he would prefer emergency services to be provided by city personnel rather than going to a private service but understood the cost concerns. He thanked Dr. Novelli for his participation in his service to the City. Dr. Novelli indicated he was online with medical directors across the country, stated we have the finest service in the country, and would not like to see the level of service decrease. He mentioned the service EMS units performed at the recent AFA (American Fastpitich Association) tournament, and he said medically, he prefers the two paramedic system. COMMENTS * Councilmembers comment on various matters. Councilmember Ames congratulated Hotel Beaumont on their opening today and stated they had a wonderful turnout. Councilmember Goodson offered his congratulations to the City's EMS, Dr. Smith, the physicians at the Beaumont Bone and Joint Clinic, and everyone involved in providing services and medical attention to the participants of the AFA. Councilmember Smith commented about the dismal days before the City had the EMS system, praised the current system and said she would not like to see it downgraded in any aspect, and complimented Dr. Novelli and Mr. Phillips. She remarked how exciting the Hotel Beaumont opening was this morning, and stated upon completion, 135 rooms will be available for low to moderate income senior citizens to occupy. Councilmember Smith invited everyone to attend the reception at the Civic Center today from 5:00 p.m. until 6:30 p.m. for Mr. Bonczek, the new city manager. Mayor Moore commended the EMS, Fire Department, Police Department, Dr. Novelli, and all who participated in the AFA. He reported the AFA said the medical care was the best they had received and they would be coming back. Councilmember Davis encouraged citizens to respect the individual choices of Councilmembers, stated the decision of the City Council has been made, and we should respect that decision. He expressed concern with EMS response time in North Beaumont and asked that attention be given to this problem. Councilmember Patterson stated, that in her opinion, we have missed the opportunity to provide a needed community center in the South end of Beaumont, save tax payers money, and missed an opportunity to reach low to moderate income family needs. She questioned if the decision made today was because of whom it was for and where it was. She requested the City Manager to conduct a year-by-year disparity study to determine how much revenue has been spend in each city ward for the past ten years, including how much money has Minutes;August 10,1999;Page 9 been spent among low to moderate income neighborhoods versus the non block grant neighborhoods. She indicated she believed by Council's actions today that they were interested in spending only CDBG money to meet needs of citizens in low to moderate income neighborhoods, and not willing to spend general revenue fund for these neighborhoods. Councilmember Patterson remarked she had to fight for what she believed her constituents wanted and deserved, and commented that each Councilmember had the right to their own opinion. Mr. Bonczek presented his report to Council that showed the recent Council Economic Development Council at Mobil Oil he attended discussed a $10 million feasibility study for navigational improvements to deepen and widen the Port and proposed a Texas State Veterans Home for Beaumont. He recently visited Tyrrell Park with city officials and stated action plans were implemented to enforce park rules, and commented on the type and number of citations issued. He spoke of selling landfill space to increase revenues, as presented to him by Clean Community Director John Labrie. He addressed a possible curbside recycling fee for each household to generate more funds, encourage recycling, and save landfill space. Mr. Bonczek recognized Mr. Labrie for his professional commitment and accomplishments. He commented on the Weed and Seed Program, his meeting with Dr. Carroll Thomas, mentioned the Executive Team meeting on August 27, 1999 at the John Gray Center, and the Council/Administration Relationship-Partnership in Governance Meeting on October 12, 1999, 11:30 a.m., at the Holy Family Retreat Center. He mentioned the possibility of the Beaumont Optimist Little League consolidating their league fields and relocating them to Fairpark. He congratulated Director of Community Services Maurine Gray for being accepted in the Leadership Southeast Texas Class of 2000. Council discussion included questions about who would the landfill space be sold to, for what purpose, and relocation of a new landfill when the current landfill reaches capacity? Mr. Bonczek responded any area organization or commercial operation that generates solid waste would be potential buyers, and future sites would have to be researched. Councilmember Patterson commented that the City Manager should respond directly to all Councilmember requests and issues that pertain to their wards. Mr. Bonczek stated he was not exactly sure of what type of feedback Councilmembers wish, and said they could have more discussions regarding this issue. Mayor Moore remarked that the City Manager has been here less than a month, is making recommendations to Council, which is fine, but requested that when recommendations are made, the information backing up the recommendation be fair and equitable for each side of the issue. Based on previous discussion on an earlier item today, Mayor Moore said he didn't think there was "the level of fairness that could have been employed" in Mr. Bonczek's analysis of what it would take to build one structure versus another. He complimented the incredible job performed in assessing probability of the library cost, but said the same fairness was not given to assessing the cost of a structure comparable to recreational center. Mayor Moore commented that if the presentation had been clearer and more inclusive of all points, perhaps another member of Council would have felt different and commented about his thoughts regarding communication. Minutes;August 10,1999;Page 10 (Councilmember Smith left the Chamber at 4:20 p.m. and returned at 4:33 p.m, Mayor Pro Tem Davis left the Chamber at 4:21 p.m. and returned at 4:30 p.m., and Councilmember Ames left the Chamber at 4:22 p.m. returned at 4:25 p.m. during Mayor Moore's remarks.) * Public Comment (Persons are limited to 3 minutes) Mr. Joe Ruiz addressed Council stating his previous comments were brief because he fully expected Council to rule in his favor. He spoke of Council's discussion regarding Section 108 funding for low income neighborhoods, and said since he is not asking for money to make the repairs, only enough time to complete them, Council should not have voted to demolish his property (old Lamar Theater). Mr. Frank Kiefer, 3190 Willowood, addressed Council to request a tax exemption increase for all home owners based on inflation increases, and briefly discussed the increased criminal activities happening in and around Combest Park. He asked for extra police night patrolling in this area, commented about the President's program to fund increased police patrols and requested Beaumont hire at least twenty more needed police officers. Mayor Moore explained that after the initial hiring, the cost of maintaining those officers becomes the responsibility of Beaumont. Mr. Ken Giles, 2670 Ashley, representing Cathedral of Faith Baptist Church addressed Council regarding the Southend Library and the Melton YMCA. He expressed his disappointment in not meeting with Councilmember Patterson, indicated she did not receive notice of his desire to discuss neighborhood concerns with, and said adequate citizen input was not received for these projects. Mr. Giles said the library is important and believes it should have been funded with city funds. Mayor Moore informed Mr. Giles there will be another opportunity for public discussion. Councilmember Patterson inquired if there would be another public hearing since the figures have been changed. Mr. Bonczek reported there would be another thirty days for public comment. Mr. Andy Teal, 20 Dowlen Place, CEO for the YMCA addressed Council expressed disappointment in not receiving the funding requested, but thanked Councilmember Patterson, Mr. Kyle Hayes, and all who have worked with the YMCA and presented a challenge to help finalize the project. Mr. Ralph McBride, 27 Sawyer Street, addressed Council to inquire about the City being sued because of the City's obscenity ordinance. He voiced support for the Police Department and the County Sheriff, and said he believes Beaumont is becoming a more family friendly place. Mr. McBride stated the products being sold by these business are the least desirable source of commerce and encouraged defense of the ordinance. He asked Council to make public any changes made to this ordinance, and spoke in support of a stronger obscenity ordinance. Minutes;August 10,1999;Page 11 City Attorney Lane Nichols stated the letter received recently was in reference to police activity enforcing the obscenity statutes of the State of Texas and had nothing to do with the ordinance the City past a year ago. He stated that we have been in compliance with the ordinance and the licensing portion was working fairly well. Sergeant Paul Perritt, 2729 Maryland, addressed Council to request twenty-year retirement eligibility for employees. He remarked that the federal and state governments, and most large cities have adopted a twenty-year policy. Sergeant Perritt also asked that Council adopt a COLA program. He stated that City of Beaumont retirees have not had a cost of living increase since 1981, and that 55 percent of City retirees' pensions are below the poverty line set by the federal government. EXECUTIVE SESSION Executive Session in accordance with Section 551.071 of the Government Code to discuss contemplated or pending litigation: Lloyd Brooks et al v. City of Beaumont There being no further business, the meeting adjourned at 4:40 p.m. David W. Moore, Mayor Barbara Liming, City Clerk Minutes;August 10,1999;Page 12 BEAUMONT PUBLIC HEALTH DEPARTMENT Ingrid Holmes, Public Health Director MOP _ c EMS SYSTEM NEEDS EXHIBIT A TABLE OF CONTENTS CONTENTS PAGE NO. Introduction - EMS System Needs 1 - 12 Performance Improvements 13 Options Option No. 1 14 - 15 Option No. 2 16 Option No. 3 17 - 19 Option No. 4 20 - 22 Attachments - EMS District Maps EMS System Needs As a result of public outcry, EMS services in Beaumont, Texas became a very important issue in the early 1980's. Many avenues were explored and attempted resulting finally in the City administering its own 9 - 1 - 1 system through the Beaumont Fire Department. The system was initially operated with three medic units employing both paramedics and EMT's. After reviewing quality of care and wanting to have a system that exceeded national standards, EMS administrators began to phase out EMT's and hired only paramedics, a plan that was completed by the early 1990's. In 1995, however, the system began experiencing significant problems with EMS response times due to increased call volume. In 1995, prior to the additional units, transports averaged 161/units. Recommended national standards are 133 transports/unit. The division is again experiencing an increase in the number of transports. Avg. Monthly Total # Avg. Transports Year Transports Units Per Unit Factor 1994 465 3 155 0.215 1995 485 3 161 0.225 1996 542 5 108 0.150 1997 575 5 115 0.160 1998 626 5 125 0.174 1999(projection) 646 4 161 0.224 In response to this problem in October 1995, the City entered into an agreement with private ambulance services to provide "supplemental" ambulance units to assist the City in responding to the 9-1-1 EMS call volume. As the above chart indicates the supplemental system improved response times. The system continued to operate with the supplemental units until October 1998, when the private service withdrew from its agreement due to financial loss on the part of the private service. At that time, two options were pursued - enter into an agreement with another private system or implement our own units through a phase in process. With the realization that this happened after the beginning of the FY 99 budget, only one unit was added. Performance data in the above chart demonstrates that five units is what the system needs to function at appropriate levels. -1- As a result not replacing the departing units on a one to one basis, the City is again facing response time issues. A composite view of response times indicates that they have increased (Chart Al & A2). Since the elimination of the contract units, the average response times have increased from 4.29 min. to 4.86 min. In the area where the physical unit was removed (North Beaumont), the response times are: (Chart B1 & 132) May 1998 - Oct. 1998 4.43 Min. Nov. 1998 - May 1999 6.35 Min. In addition to increased response times, other problems plague the system: • Excessive workload for paramedics - recommended *UHU 0.35 (Chart C) • Increased incidence of long response times - outliers response times greater than 12 min. (Chart D) In reviewing these concerns and recognizing that immediate solutions, prior to a final decision, must be explored, staff has implemented and/or will implement some of the attached recommendations. *UHU (Unit hour utilization) The percent of time unit is working, that is on a call or sent to post. -2- AVERAGE RESPONSE TIMES MAY '98 - JUNE '99 H 6.00 5.56 5.05 4.82 4.77 4.81 4.77 4.42 4.52 4.55 4.68 4.39 4.27 4.17 4.00 3.78 u ~ fI � Z � 2.00 i I 0.00 L May-98 Jul-98 Sep-98 Nov-98 Jan-99 Mar-99 May-99 Jun-98 Aug-98 Oct-98 Dec-98 Feb-99 Apr-99 Jun-99 BEAUMONT PUBLIC HEALTH EMS AVERAGE RESPONSE TIMES MONTHS AVERAGE RESPONSE TIMES (MINUTES) MAY 1998 - OCTOBER 1998 4.29 -- NOVEMBER, 1998 - ,JUNE, 1999 4.86 May '98 - Oct. '98 (3 City Units and 2 Contract Units) , Nov. '98 - June '99 (4 City Units) AVERAGE RESPONSE TIMES NORTH BEAUMONT FC� U 6.35 6 � 4.43 W i 4 Z 2 0 5/98 - 10/98 11/98 - 6/99 BEAUMONT PUBLIC HEALTH EMS AVERAGE RESPONSE TIMES NORTH BEAUMONT N al MONTHS AVERAGE RESPONSE TIMES (MINUTES) MAY 1998 - OCTOBER 1998 4.43 _ NOVEMBER 1998 - JUNE 1999 6.35 AVERAGE RESPONSE TIMES NORTH BEAUMONT H 8.00 — — - -- -- 7.00 6.61 6.41 6.00 6.26 ■ W ' 6.00 F i 5.00 - 5.27 4.92 4.80 ■' . 4.53 ■, 4.34 4.00 4.13 ,-O 3.83 3.00 May-98 Jul-98 Sep-98 Nov-98 Jan-99 Mar-99 May-99 Jun-98 Aug-98 Oct-98 Dec-98 Feb-99 Apr-99 Jun-99 Current EMS "UHU's" U 0.6 - _.---- 0.5 - 0.425 lia 0.425'7imit" .a 0.4 Co 0.3 -- 0.2 0.1 0 -- Medic 1 Medic 2 Medic 3 Medic 4 FY 2000 Projected UHU's: 5 full-time units 0.60 0.50 - 0 0.425'9i it" .425'9imit" 0.40 - rn 0.30 - 0.20 -- 0.10 --- 0.00 Medic 1 Medic 2 Medic 3 Medic 4 Medic 5 Projected FY2000 UHU's: 4 full-time units & 1 "peak-load" unit U 0.60 ------ ----------- E-A 0.525"limit"for peak load unit 0.50 - 0.425'limit' 0.40 - 0.30 - 0.10 -- 0.00 4- Medic 1 Medic 2 Medic 3 Medic 4 Medic 5 Beaumont EMS "Outlier" Response time Occurrences Includes all emergency responses with response times of greater than 12 minutes Updated thru June 1999 Month Number of Outliers Average Response Time of Outliers (minutes) August, 1998 3 16.7 September, 1998 2 12.5 October, 1998 1 12.0 November, 1998 0 n/a December, 1998 4 13.0 January, 1999 5 15.8 February, 1999 10 13.5 March, 1999 10 16.9 April, 1999 3 13.0 May, 1999 6 19.3 June, 1999 13 16.8 July, 1999 13 15.8 Before Drop to 4 After Drop to 4 Percent Units Units Change Count (number) of outliers n/a 64 n/a Average number per month 1.5 8.0 433% Average response time for outliers 13.7 15.5 13% -11- CHART D "Rollover" Occurrences Summary Private Ambulances Used Updated through July, 1999 (No City unit available) Month Number of Average Response Average RT for Rollovers Time (minutes) City Units August, 1998 2 13.0 4.4 September, 1998 2 14.5 4.5 October, 1998 1 11.0 4.6 November*, 1998 16 7.9 4.4 December, 1998** 16 10.2 4.7 January, 1999 14 11.9 5.1 February, 1999 19 9.4 4.8 March, 1999 16 9.5 4.8 April, 1999 17 8.9 4.8 May, 1999 24 11.0 4.8 June, 1999 14 11.3 5.6 July, 1999 23 9.7 Overall 10.0 4.9 Averages * approximately 19 days with only 4 units ** first full month with only 4 units Before Drop After Drop to Percent to 4 units 4 units Change Count (number) of"rollovers" n/a 15.9 n/a Average number per month 1.7 17.7 960% -12- CHANT D Immediate Performance Improvements of EMS System Currently Implemented CIF Discontinue medic unit response to structure fires (unless call indicates injury) - 1% decrease in EMS responses �k- Have only fire engine respond to motor vehicle collisions in which reports do not clearly indicate injuries - 5 - 7% decrease in responses Discontinue practice of automatically sending 2 medic units to wrecks which reportedly involve multiple vehicles or patient entrapment (await assessment of an on-scene public safety unit, rather than reports from 9-1-1 callers) �!E Agreements with private companies to notify those companies when our system goes to level 0; therefore, they will standby. In Review for Possible Implementation • Improve collection rate with improved billing and employment of professional "coder". Consider FTE EMT • Contract billing and collections to a private company. • Generate revenue through separate charge associated with water bill $350,000 per year ($0.75 per month per bill) • Increase use of "casual" (part-time) paramedics in place of overtime personnel (need to increase pay rate for casual personnel to compete with their regular jobs...$9.11/hr.). • Utilize more demand-based ("peak load") scheduling rather than universally employing 24/48 schedule for medic units. with four-unit system, could only improve unit hours by 10% currently with five or more units, could improve unit hour efficiency by 20 - 35% Althou-h these measures will assist in relieving some of the problem they will not eliminate them. Attached are several recommendations. -13- Analysis of Advantages and Disadvantages of EMS System Options for FY2000 (DAlternative: Five full-time City medic units Add a fifth full-time medic unit, staffed by two paramedics, working 24 hours per day (on a 24/48 schedule). Financial Analysis Operating expenses for year, compared to current system. Increase in gross expenses $395,250 Advantages ♦ Will meet community emergency medical response needs through FY 2000. ♦ Will meet community expectation and perception of fifth medic unit. ♦ Requires minimal changes to pay and schedule system. ♦ Employee satisfaction by being part of a 9-1-1 system that is City administered. ♦ Will result in improvement of performance to previous levels. Disadvantaggs ♦ Cost is more than current system and other models. ♦ Does not employ innovative solution to EMS resources problem. -14- ADDITIONAL COST FOR DUAL PARAMEDICS 5'H TRUCK *Personnel $258,000 ** Additional Overtime 33,000 Operating Supplies & Equipment(Including Maintenance Costs) 11,000 Uniform & Gear 4,000 Health Supplies 37,750 Facilities (Furnishings) 7,200 Lease & Rent 6,000 Fuel & Maintenance 18,300 Fleet Rental 15,000 Travel & Training 5,000 Total $ 395,250 $31,000 x 38.3% = $43,000 x 6 = $258,000 ** Overtime to cover absences -15- Analysis of Advantages and Disadvantages of EMS System Options for FY2000 (2)Alternative; Contract Ambulance Maintain current City units (4) and add one (1) full-time unit provided on contract by a private ambulance company. If staffed with an EMT and paramedic rather than dual paramedics, a company supervisor will respond with unit. Advantages ♦ Avoidance of$395,250 in net operating expenses. ♦ Avoidance of capital investment of over $ 100,000. Purchases such as truck and - rental facility cost. ♦ Would employ an innovative public-private model to meet the needs of our community. ♦ Will meet community expectation and perception of fifth medic unit. ♦ Provides the basis for privatization of additional units. ♦ Provides equivalent level of care when staffed with(2) paramedics. Disadvantages ♦ The contract medical personnel may not function at the same clinical level as the City personnel due to protocol differences. ♦ Concept of privatization may impact employment recruitment and retention. ♦ Places system at risk of service disruption if contracting service and back-up service withdraws from relationship. -16- Analysis of Advantages and Disadvantages of EMS System Options for FY2000 (3)Alternative: Five full-time City medic units staffed with "split" crews (one paramedic/one EMT). Add a fifth full-time medic unit, and change crew configuration from current system of two paramedics per unit to a crew of one paramedic and one basic (or intermediate) EMT per unit. Advantages Will result in improvement in performance compared to current system by the addition of the fifth truck. ♦ Represents an innovative solution to EMS resources problem. ♦ Existing personnel will not be required to change their current schedule. ♦ Cost savings of approximately$44,400 by hiring 6 EMT's instead of paramedics. Paramedic/EMT crews Disadvantages ♦ May be perceived as a reduction in the level of care (Beaumont EMS `Upgraded" in staffing level to all paramedics for full time employment in 1991). ♦ Will result in a decrease in the clinical capabilities of the EMS units. ♦ Will require new protocols and operating procedures. ♦ Will reduce operational efficiency on multi-unit/multi-patient incidents (e.g., EMT's cannot perform same procedures as paramedics) ♦ Results in increased workload for paramedics (the paramedic will have to attend and write the charts for all patients who require more than basic level care; currently, they share this load equally with another paramedic). -17- Comparison of EMT and Paramedic Training Fundamental pi actice level Skills (Hours) Basic EMT 150 Assessment-based. Treats Oxygen,bleeding control,splinting, patient assessment, bandaging, based upon symptoms and signs CPR, automatic defibrillator only. Paramedic 1000 Differential-based. Treats All EMT skills plus: intravenous(IV)access and fluid administration, based upon determination of endotracheal incubation, surgical airway, ECG monitoring and underlying problem. interpretation,manual defibrillation, electrical cardioversion, medication administration(we carry 40 medicines), nasogastric tube placement, decompression of chest injuries, intra-osseous access. There is another certification level in"Texas,called"Intermediate". Intermediates have about 400 hours oftraining and can perform 1%"s co and endotracheal intubation(in addition to the Basic EMT skills). Intermediates comprise only about 10%of the certified EMS personnel ~ pool in Texas, however, and are not readily available for staffing purposes, ADDITIONAL COST FOR PARAMEDIC/EMT 5TH TRUCK *Personnel 6 EMT - FTE $ 213,600 **Additional Overtime 33,000 Operating Supplies & Equipment (Including Maintenance Costs) 11,000 Uniform & Gear 4,000 Health Supplies 37,750 Facilities (Furnishings) 7,200 Lease & Rent 6,000 Fuel & Maintenance 18,300 Fleet Rental 15,000 Travel& Training 5,000 Total $ 350,850 * $25,000 x 42.4% = $35,600 x 6 = $213,600 ** Overtime to cover absences Assumes all current positions are filled. -19- Analysis of Advantages and Disadvantages of EMS System Options for FY2000 (4)Alternative: Four full-time City medic units and one "peak load" City medic unit. Add a fifth full-time medic unit, staffed by two paramedics, working approximately 104-108 hours per week(schedule varies by day of week). Advantages ♦ Will result in 10% improvement in performance compared to current system. ♦ Operating cost is $86,000 less than five full-time units. ♦ Represents innovative solution to EMS resources problem. Disadvantages ♦ Results in relatively little cost savings, and actually costs more per unit-hour than five-unit model. • Requires more complicated scheduling. • "Peak load" unit may not be as attractive for recruitment and retention purposes. ♦ Peak load will not provide the same level of service as a 5th unit. *Staff working a peak load truck would work Monday, Wednesday, Friday, every other Sunday or Tuesday, Thursday, Saturday, or every other Sunday. -20- ADDITIONAL COST WITH PEAK LOAD UNIT *Personnel - 4 Paramedics $ 171,492 Operating Supplies & Equipment 11,000 Uniform & Gear 4,000 Health Supplies 37,750 Facilities (Furnishings) 7,200 Lease & Rent 6,000 Fuel & Maintenance 18,300 Fleet Rental 15,000 Travel & Training 5.000 Total $ 275,742 * $31,000 x 38.3% = $42,873 x 4 = $171,492 -21- Peak Loads, for each day of the week Time (military) Monday Tuesday Wednesday Thursday Friday Saturday Sunday 700 42 42 39 800 60 46 46 50 48 900 63 49 45 50 44 56 44 1000 54 54 60 48 62 43 54 1100 51 53 48 51 45 45 48 1200 68 47 56 49 56 41 48 1300 38 57 51 30 54 53 40 1400 68 52 59 46 61 50 35 1500 64 39 58 47 63 46 38 1600 59 49 54 54 60 58 43 1700 58 48 46 55 57 57 43 1800 45 60 59 59 59 58 46 1900 38 40 40 43 47 51 47 2000 50 34 50 52 61 50 2100 46 38 39 39 60 48 2200 52 49 48 40 57 2300 39 43 45 28 2400 46 49 49 100 40 38 200 41 44 300 400 500 600 Hours per day 16 17 15 12 19 18 16 113 hrs per week "Rounded" 16 16 12 12 16 16 16 104 MWF, every other Su 52 I I This could be covered by two crews (4 FT personnel), ITTS, every other Sun 1 52 each working an average of 56 hrs/week(same as other F7 paramedics) �� tl�� s " , ai Sys M u ' n�,m S'P !� ,«t " `1i "eaWxuc4a `� at -1,f z. �'i ..•-'i .,":~i r k'VlA3,901-0._ r 'A a•'q t. 5 L -a,.n e� ;% frya �'iy"•�.h ''Eit.^>< �. x%-r .-''"i7v�x y1 •. ° °.d rE�t �3val.�.. s� .,+'jt. rf.' r7y euritr�f •=�"�«i iCr Vy� #"> r Z �vtr��'+�r7.L e"'a.�mi•�`9' �� �� w k� �#n t '� N1 ��•� z' ark 'G'`X\�4��k.'�i r ca+�.r � sn 'O yn 'Y���6 rfY-� 1r'v�N i�h�r,�•r '"3 r e2� �x ,° i�.r.�,r ✓ Srs m°wr�'��3 ����( �'� k.� �'{ s'fcea hCF^ § k��,�-�•.•^� �9� �8�nfi'�9E�"�i4{q ts� r' ��.. 9w w-FkG.rt t" �i N �.BGP• •P�`2�flt is pia,I hSr�'[K'Y4,ryr�1 y�•Cra ��"�u an� �� r.�.' ►l���f? i�ifuo 3`S� `. � CY ;5.C x�},A� 7 'y- e .•b S r a° � ��t���lieiiRla�fq/ ,rd��sr>�'�t"�.t` _ hnr�,4,w.�, x�`f`�' °� A i t!.,'7 ��,a,� �� � nssraraWSS+aaR."�"7 a`��S' ,.�'Yi%ilYi•�� ��S�d,�k�:!�*��.�, a` t�.c t ���y5�����x �. 1����i���'mi¢'JV�•��•� rkr,�s�� i e! .t�7�Se4`�a�E'w?;%��v,„ 'a.,`"` �z �s 7f.�'vr°i�°nmawm '°° +�1!'°rar.r°wn�-• ► Y]ed3 Ft4i c.fi- '�,-s a ,..' 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'.�.���sw ea �"eas.+w ssznr eu�eat '► .xisW���`r^ar•n «u rr c5rarrnar+av seee• �uz '�'x �,_ M ''G�,�Y �a■ �•a�vw>..annaar ra "'°"arazwsza � f6rrv. ilx .� •v narar `g ory zzv.•er.arr■art a 7w pd°1.6 a .azraa• eWZaxea n."gA4o" Q r r� - NAf la zelaarma( rrr as gE °r8 �� a ,'�`fii .t� "x.,�,, a -.�•-� n ....�i�,.`�•�.aw xw.sa•,r."� r ...rr as ro. k '° •_, d y#«.. 1.'%" +-'.wx•''f. ?'t'�y �p '�■r�° 's•��.riv�pr�. ? ; °:-'� / '•� "' :3p`= cxFf� �?4:` �M� .Xi.'29i �a� .rr 'i��RT�'�"'_- M"WIM b ��`r: t ��1���•'•sffrrA • Current Beaumont EMS System and Problem Areas } eNf Odtrs.trea "' , UMM7/Rd n Rein ity Limits EMS Station#1 z Disnm�n Rtl . Eh7S Si�tion 7 MS HQ Ord Sour Lake Rdt, _ ! t to 5 9 , MS Station#3(13/99) N s w EMS Station 43(current) EMS Station#2 yeas of poor response ' time performance eas of high;trov�dh "�' t4ireas of high EMS call volume s� � o � c fJ n nse Area Limits © 1998 by Rand McMally &Comnanv_ All richts reserved_