HomeMy WebLinkAboutOctober_18_2011_Regular_MinutesIREDELL COUNTY BOARD OF COMMISSIONERS
REGULAR MINUTES
OCTOBER 18, 2011
The Iredell County Board of Commissioners met on Tuesday, October 18, 2011, at 7:00
P.M., in the Iredell County Government Center (Commissioners' Meeting Room), 200 South
Center Street, Statesville, NC.
Board Members Present
Chairman Steve Johnson
Vice Chairman Marvin Norman
Renee Griffith
Frank Mitchell
Ken Robertson
Staff present County Manager Ron Smith, County Attorney Bill Pope, Deputy County
Manager Tracy Jackson, Transportation Director Ben Garrison, Captain Mike Phillips with the
Sheriff's Office, Health Director Donna Campbell, Health Nursing Director Susan Johnson,
Purchasing Agent Dean Lail, Emergency Communications/Management Director David Martin,
and Clerk to the Board Jean Moore.
CALL TO ORDER by Chairman Johnson
INVOCATION by Commissioner Griffith
PLEDGE OF ALLEGIANCE
ADJUSTMENTS OF THE AGENDA: MOTION by Vice Chairman Norman to
approve the agenda as presented.
VOTING: Ayes — 5; Nays — 0.
APPOINTMENT BEFORE THE BOARD
Crossroads Behavioral Healthcare Area Director & CEO David Swann Discusses an
Intent to Merge Resolution to Comply with Session Law 2011-264 for the Purpose of
Operating a Medicaid Health Plan: Swann said through December 2012, many steps would
have to be taken to finalize the mental health merger. He said at this point, a resolution was
needed to indicate the intent to merge the three authorities (eight counties) in order to form a new
organization on July 1 2012, as well as to accomplish the Medicaid Health Plan, planned for
implementation on January 1, 2013.
A copy of the resolution is as follows:
INTENT TO MERGE AGREEMENT
BETWEEN CROSSROADS BEHAVIORAL HEALTHCARE AND
MENTAL HEALTH PARTNERS AND
THE GASTON-LINCOLN-CLEVELAND MENTAL HEALTH/
DEVELOPMENTAL DISABILITIES/SUBSTANCE
ABUSE AUTHORITY (d/b/a PATHWAYS)
WHEREAS, Crossroads Behavioral Healthcare is currently established as a multicounty area mental
health, developmental disabilities, substance abuse authority and local management entity (hereinafter referred to as
"Crossroads"); and
WHEREAS, Mental Health Partners is currently established as a multi -county area mental health,
developmental disabilities, substance abuse authority and local management entity (hereinafter referred to as
"MHP"); and
WHEREAS, Gaston -Lincoln -Cleveland Mental Health/Developmental Disabilities/Substance Abuse
Authority is currently established as a multi -county area mental health, developmental disabilities, substance abuse
authority and local management entity (hereinafter referred to as "Pathways"); and
WHEREAS, Crossroads serves the counties of Iredell, Surry and Yadkin and its Board is appointed by the
respective Boards of Commissioners from these counties; and
WHEREAS, MHP serves the counties of Burke and Catawba and its Board is appointed by the respective
Boards of Commissioners from these counties; and
WHEREAS, Pathways serves the counties of Cleveland, Gaston and Lincoln and its Board is appointed by
the respective Boards of Commissioners from these counties; and
WHEREAS, Crossroads, MHP and Pathways have been approved by the State of North Carolina to begin
operating under North Carolina's 1915(b)/(c) Medicaid Waiver Program beginning no later than January 2013
which will necessitate a merger of the three (3) local management entities ("LME's"); and
WHEREAS, all parties' goals can best be realized by expanding their "Catchment Areas" (meaning the
counties served), consolidating operations and working toward a merger to be effective on July 1, 2012; and
WHEREAS, in order to further the implementation of certain business operations and plan for governance
structure and human resource needs, the three (3) LME's and all counties in the Catchment Areas hereby indicate
their intent to merge and their agreement on certain decisions in order to facilitate the subsequent merger.
NOW, THEREFORE, in consideration of the mutual promises and considerations set forth in this
Agreement, the parties agree on the following:
1. PURPOSE. It is the intent to merge Crossroads, MHP and Pathways effective July I, 2012 in order to
continue to manage the provision of high quality, cost effective mental health, developmental disabilities and
substance abuse services to priority consumers who are citizens of Iredell, Sorry, Yadkin, Burke, Catawba,
Cleveland. Gaston and Lincoln Counties.
2. SURVIVING ENTITY. Pathways shall be the legal, surviving entity. The name and by-laws of
Pathways shall be changed and amended respectively at the time of merger.
3. BOARD OF DIRECTORS.
(a) The surviving entity shall be governed by a Board of Directors.
(b) The Board of Directors shall consist of up to twenty-six (26) members with the ability to increase as needed in
order to assure that each county in the Catchment Area has at least two (2) members. The number of members from
each county shall be determined by the percentage of each county's population compared to the total population of
the Catchment Area. (Ex. county population _ total population will serve to determine number of board members
out of 25 members). The number of members per county will be adjusted every three (3) years based on any
population changes. The population numbers used will be those numbers as published by the North Carolina
Department of Health and Human Services.
(c) The chair of the merged entity's Consumer and Family Advisory Committee (CFAC) shall be a member of the
Board of Directors by virtue of their position.
(d) The members (other than the CFAC chair) shall be chosen by the appointing commissioner(s) from each
respective county. A representative listing of the makeup of the initial Board of Directors is attached as Exhibit A.
(e) The existing Boards of Directors for Crossroads, MHP and Pathways shall resign, or in the absence of such
resignation, deemed to have resigned, such resignations to be effective immediately upon the effective date of the
merger.
4. MERGER COMMITTEE. A merger committee shall be established consisting of three (3) members
from each of the three (3) LMEs as appointed by the respective Boards of Directors. The merger committee shall
serve as a planning and transition committee and as a liaison to the current LME Boards. The merger committee
shall meet as it determines necessary and be given support from the management of all three (3) LME's. The merger
committee shall dissolve upon the effective date of the merger.
5. INTERIM FUNDING COSTS. A merger/implementation fund of approximately $6 million dollars will
be established and funded by the three LMEs with the breakdown of committed funds from each LME as
determined by previous calculations conducted by the North Carolina Division of Mental Health ("NCDMH"). The
amounts determined by NCDMH to be used for the merger/implementation fund are $5 million from Pathways,
$500,000 from MHP and $500,000 from Crossroads. The amounts from MHP and Crossroads will be forwarded to
Pathways within thirty (30) days of the execution of this document for administration of the merger/implementation
fund upon execution of this agreement. The merger/ implementation fund will be utilized in order to cover costs
incurred in establishing the merged entity and developing the functions of a 1915(b)(c) waiver entity.
6. PRINCIPAL OFFICE AND LOCAL PRESENCE. The principal office of the merged entity shall be
located at 901 S. New Hope Road, Gastonia, NC 28054. The current local offices will be maintained for the time
being utilizing a hub and spoke operations method. Management will determine which functions will best be
handled at centralized hubs with others located at local sites.
7. MANAGEMENT ORGANIZATIONAL CHART.
(a) An organization chart of human resource positions for the merged entity is attached as Exhibit B. It is understood
and acknowledged that positions, placement and supervisory chains of command may be revised as merger is
achieved and after merger is accomplished.
(b) New employees and current employees of the three (3) LMEs may be hired for positions during merger
implementation. If the hire is a new employee for the Managed Care Organization ("MCO"), the cost will be borne
by the merger/implementation fund. If a current LME employee is hired for a MCO position, the cost will continue
to be borne by the current LME by which they are employed. The handling of the employee's current and new MCO
duties will be handled on a case-by-case basis.
(c) It is contemplated that the three (3) current area directors shall be placed in the following positions and should
begin work in these positions in addition to carrying out their current duties in order to effect a successful merger:
MCO Director/Area Director of merged entity — Rhett Melton
Community Relations Director — John Hardy
Clinical Operations Director — David Swann
The final appointment of the MCO Director/Area Director shall be the function and right of the newly created Board
of Directors for the merged entity. As required by statute, all other positions shall be filled by the MCO
Director/Area Director according to the established implementation plan which outlines the MCO hiring process
over time.
2
8. ASSETS.
(a) Assets and Fund Balances. All assets and fund balances, designated or undesignated, currently owned and used
by Crossroads, MHP and Pathways will be transferred to the surviving entity at the effective date of merger.
(b) Real Estate Leases. It is contemplated that any leases between the three (3) LME's and the counties in the
Catchment Area will be assigned to the surviving entity on the currently existing terms.
(c) Personal Property. All personal property presently belonging to or used by the three (3) LME's specifically
including but not limited to, equipment, vehicles, fixtures and inventory shall be transferred to the surviving entity
pursuant to a Contract of Conveyance/Assignment/Bill of Sale. The Contract of Conveyance/Assignment/Bill of
Sale shall be executed by the appropriate officials of the LME's or the counties as appropriate.
(d) Equipment Leases. Any equipment leases to which the three (3) LME's are presently a party shall be assigned, as
deemed necessary, to the surviving entity.
9. LIABILITIES. Any liability of the three (3) LMEs arising prior to the merger, existing at the time of
this merger, or coming into existence after the merger shall become the responsibility of the surviving entity;
provided, however, this transfer of liabilities shall not impact any possible insurance coverage or any dispute or
defense as to the validity of the liability with any third party.
10. COUNTY APPROPRIATIONS. The County Commissioners of each of the counties in the Catchment
Area agree to use their best efforts to continue or have continued the current level of funding and to fund increases
where the Commissioners deem appropriate in order to effectively provide mental health, developmental disability
and substance abuse services through the surviving entity.
11. COVENANT OF PATHWAYS. Pathways, as the surviving entity, will use its best efforts to provide
delivery of high quality mental health services to residents of the Catchment Area within existing finances after the
effective date of merger.
12. STATE APPROVAL. The Catchment Area for the surviving entity shall be comprised of the Counties
of Iredell, Surry, Yadkin, Burke, Catawba, Cleveland, Gaston and Lincoln. All parties understand and acknowledge
that state approval for the merger is necessary and required.
13. WAIVER. The failure of a party to insist upon strict adherence to any Tenn of this Agreement on any
occasion shall not be considered a future waiver of the term or deprive that party of its right thereafter to insist upon
strict adherence to that term or any other term of this Agreement or any subsequent agreement. Any waiver must be
in writing, and no waiver of any breach of any provision shall constitute a waiver of any other breach of such
provision or of any other provision thereof.
14. INTERIM AGREEMENT. This Intent to Merge Agreement constitutes an acknowledgement of
intention and is not intended to be the final agreement between the parties.
15. SECTION HEADINGS. Section headings contained in this Agreement are included for convenience
only and do not define, limit or describe the scope or intent of this Agreement or in any way affect this Agreement.
16. APPLICABLE LAW. This Agreement shall be construed in accordance with, and governed by, the
laws of the State of North Carolina.
17. EXECUTION. The parties agree to execute all documents, instruments or further assurances as may be
necessary or required to effectuate and complete all transactions contemplated by this Agreement.
18. MULTIPLE ORIGINALS. This Agreement may be executed simultaneously in two or more
counterparts, each of which shall be deemed an original and it shall not be necessary to make any proof of this
Agreement to produce or account for more than one such counterpart.
County Attorney Pope asked about the membership of the person on the Consumer
Advisory Committee. He asked if the individual would be a non-voting or ex officio member.
Swann said the person would be a voting member.
Pope said Pathways would be the surviving entity, and it was assuming all of the liabilities
of the other entities being merged into it.
Swann said this was correct. He said the surviving entity would be rebranded or named.
Swann said the surviving entity would primarily be the tax ID number.
Pope asked if the liabilities had been quantified, or did Crossroads know what liabilities
were being assumed.
Swann said yes. He said some outstanding litigation had not been settled, and this was
difficult to quantify.
Pope asked if the agency was adequately insured to defend itself in the lawsuits.
Swann said that on one case there was insurance, but on another, the agency was not
adequately insured.
Pope asked if Crossroads had a "handle" on the situation.
Swann said yes.
Pope said that in paragraph 6, it read that management would determine which functions
would best be served at centralized hubs, etc. He asked what the term "management" implied.
Swann said the management staff would determine which functions and services could be
distributed across the eight counties in the hubs and which functions/services needed to be
centralized.
Pope asked about the MCO director.
Swann said this person was a Managed Care Organization Director. He said the position
was defined in the new statute.
Pope asked about paragraph 8c that talked about personal property. He asked about
software, intangibles, or intellectual property. Pope said he assumed patient records and phone
numbers would be transferred.
Swann said yes.
Pope said state approval, which was referenced in paragraph 12, was the only contingency.
Swann said this was correct, and actually, the state had approved the application.
Pope said there were no contingencies now.
Swann said this was correct.
Pope asked if other counties had approved the resolution.
Swann said Yadkin and Surry had approved the resolution, as well as Catawba, Burke, and
Lincoln counties. He said Cleveland and Gaston counties would take action this week.
Pope said it appeared some counties would have to assume some unbudgeted liabilities due
to the financial problems of one provider (New River Behavioral Healthcare).
Swann said that pursuant to G.S. 160A, the five counties would be bound to the liabilities.
He said G.S. 122c suggested how counties should be organized to manage mental healthcare. He
said the statute expressly gave counties protection from the liability due to them managing and
being at risk for Medicaid money. Swann said the new entity would be similar to an insurance
company in running a health plan. He said there would be a risk pool, and the county would be
shielded by statute. Swann said the specific statute providing the protection would be emailed to
the county's attorney.
Chairman Johnson said there would be a plan presented back to the board of
commissioners showing how the insurance would be phased, in order to have continuous or
nonstop coverage until dissolution of the current local managing entity occurred, as well as the
formation of the new organization.
Swann said the lawsuit not covered by insurance had a specific liability exclusion.
MOTIO by Chairman Johnson to approve the intent to merge document and to authorize
the chairman to sign the same.
VOTING: Ayes — 5; Nays — 0.
4
ADMINISTRATIVE MATTERS
Request for Approval of Budget Amendment #14 to Accept an ARRA Grant from the
NCSU Alternative Fuel/Advanced Vehicle Technology Project to Convert Seven Vehicles to
Propane Fuel Along with Approval to Offset the Expenditure of the Funds: Transportation
Director Ben Garrison said notification had been received that American Recovery and
Reinvestment Act (ARRA) funds had been awarded for four ICATS and three sheriff's vehicles. He
said the implementation timeline was October 1, 2011 through December 31, 2011. Garrison said a
sole source award for the equipment was desired due to the garage staff already being trained by a
company, plus the fueling sites were in place. He said NC State had denied the request for sole
sourcing, but a similar request would be made to the Department of Energy. Garrison said that if the
Department of Energy also denied the sole sourcing, then the purchasing agent would be asked for
assistance. He said it was important to follow the grant criteria, and this would be done.
MOTIO by Commissioner Mitchell to approve Budget Amendment #14 to accept an
ARRA grant in the amount of $36,325 from the NCSU Alternative Fuel/Advanced Vehicle
Technology project to convert three Sheriff's Office and four ICATS vehicles to propane fuel, and to
approve the expenditure of the funds.
VOTING: Ayes — 5; Nays — 0.
Request from the Sheriff's Office for Approval of a Sole Source Vendor for Vehicular
Propane Conversion: Captain Mike Phillips said previously a budget amendment to convert 13
patrol vehicles to propane had been approved. Phillips requested permission to purchase 13
PRINS Propane Conversion Systems from Alliance Autogas. Phillips said the sole sourcing was
due to the staff already being trained on the maintenance/installation. He shared the following
information on the savings being realized from the propane conversation.
Month
To appropriate an ARRA Alternative Fuels grant in the Sheriff's department and
Estimated Cost for Gas
ICATS.
$ 4,793
$ 8,906
BA#14
$ 2,191
$ 3,870
September
10/18/2011
$ 3,003
Account #
Current Change
Amended
104510 436500
ARRA Alternative Fuels Grant
(13,125)
(13,125)
374622 436500
ARRA Alternative Fuels Grant
-
(23,200)
(23,200)
105510 650000
Vehicles
379,490
13,125
392,615
375622 650000
Vehicles
23,200
23,200
Request from the Sheriff's Office for Approval of a Sole Source Vendor for Vehicular
Propane Conversion: Captain Mike Phillips said previously a budget amendment to convert 13
patrol vehicles to propane had been approved. Phillips requested permission to purchase 13
PRINS Propane Conversion Systems from Alliance Autogas. Phillips said the sole sourcing was
due to the staff already being trained on the maintenance/installation. He shared the following
information on the savings being realized from the propane conversation.
Month
Actual Cost for Propane
Estimated Cost for Gas
July
$ 4,793
$ 8,906
August
$ 2,191
$ 3,870
September
$ 1,802
$ 3,003
He said there was a 40-45% difference in cost between propane and gas, and the vehicles'
performance was good. Phillips attributed the good performance to the use of higher octane fuel.
OTIO by Commissioner Robertson to approve the sole source vendor for the propane
conversion.
VOTING: Ayes — 5; Nays — 0.
Request from the Sheriff's Office for the Acceptance of a 2011 Governor's Highway
Safety Program Grant: Captain Phillips requested permission to accept a $101,523 safety
grant. He said this would be the third and final year for the grant which was used primarily in
the Brawley School Road area to conduct traffic checkpoints (DWI, license, child safety
restraints, and seat belts).
OTION by Vice Chairman Norman to approve the acceptance of the 2011 Governor's
Highway Safety Program Grant.
VOTING: Ayes — 5; Nays — 0.
k,
Request for the Surplus Declaration of a Walk -In Freezer & Authorization for the
Purchasing Agent to Sell the Unit to the Alexander County Animal Services Office
for $500: Purchasing Agent Dean Lail said the animal services department had an 8x 10 walk-in
freezer that was no longer being used. He said the unit was purchased in 1993 and had been used
to store animal carcasses up until animal services moved into its new building. Lail said
cafeteria grade freezers did not have a high resale value, and Alexander County had offered $500
to purchase, dismantle, and remove the unit. He asked for permission to sell the unit.
MOTIO by Commissioner Robertson to declare the freezer surplus and to authorize the
purchasing agent to sell the unit to Alexander County Animal Services for $500.
VOTING: Ayes — 5; Nays — 0.
Request for the Surplus Declaration of Two Ferno 35-A Stretchers & Authorization
for the Purchasing Agent to Transfer the Same to the Mitchell Community College EMS
Training Program: Purchasing Agent Lail said EMS had two Ferno 35-A stretchers that were
no longer suitable for use on the ambulances, and Mitchell Community College had requested
them for the EMS training program. Lail said the college would be requested to only use the
stretchers in the training program.
Commissioner Robertson asked why the units could no longer be used by EMS, but they
were in good enough shape for the college's program.
Lail said the stretchers had a "reasonable" life, and the county looked at the liability after
that point. He said the stretchers might still provide training in getting people into and out of
ambulances, but they might not be useful in the actual transport of someone in dire need of
emergency care.
Robertson asked who established the threshold of acceptability.
Lail said probably the State EMS Department. He said new stretchers had been budgeted
in this year's EMS budget.
Vice Chairman Norman said he assumed there would be no liability with the transfer.
Lail said this was correct.
Robertson asked about the `retirement" criteria for the stretchers.
Deputy County Manager Tracy Jackson said the new stretchers had been purchased due
to the increase in patient weights. He said that in reviewing accidents and workers comp claims,
it was noted that along with the employees' physical fitness, that equipment and training were
also important. Jackson said some of the used stretchers had been traded due to having some
remaining value.
Robertson said then, the new stretchers were purchased due to the heavier loads they
were having to support, and there were two not being used.
Jackson said a company evaluated the stretchers, and replacement recommendations may
have originated from this evaluation.
OTIO by Vice Chairman Norman to declare the stretchers surplus and to authorize
the purchasing agent to donate them to Mitchell College.
VOTING: Ayes — 5; Nays — 0.
Request from the Health Department for Approval of Budget Amendment #15 to
Allocate $12,000 in Additional Aid to County Immunization Funds: Health Director Donna
Campbell said the state had informed her department that additional immunization funds would be
forthcoming, and they would have to be used by December 31, 2011. Campbell said the funds could
be used for any items relating to immunizations; however, it was unknown how much funding would
6
be appropriated. She requested approval to allocate up to $12,000.00, but noted that if a lesser
amount were received, the purchases would be adjusted accordingly.
MOTION by Commissioner Mitchell to approve Budget Amendment #15 as presented.
VOTING: Ayes — 5; Nays — 0.
Cty BA# 15 Purpose: To allocate State Immunization grant revenues and expenditures
12-
ICHD BA# 10131
EXISTING
AMENDED
REVENUE LINE(S)
DESCRIPTION
BUDGET
CHANGE
BUDGET
10491715 440009
Immunization Grant
$33,085)
$ (12,000)
$ (45,085)
104590 444001 41100
Med Max
EXISTING
$ (17,415)
AMENDED
EXPENSE LINE(S)
DESCRIPTION
BUDGET
CHANGE
BUDGET
10917151 535016
Medical Supplies
$180,070
$ 800
$ 180,870
10917151 535150
Computer Supplies
-
$1,200
$ 1,200
105590 537514 4111
Software
$ 42,755
$ 9,915
$ 52,670
10917151 620000
Non -Depreciable Assets
$ 5,000
$ 10,000
$ 10,000
Request from the Health Department for Approval of Budget Amendment #16 for the Use
of Medicaid Max Funds to Purchase a MUNIS General Ledger Interface Module and the First
Year of Annual Support: Health Director Donna Campbell requested a budget amendment using
100% Medicaid Max funds to purchase a MUNIS general ledger interface module for the patient
accounting software. She said the purchase would eliminate the duplication of entry work.
Commissioner Griffith said the annual cost for the system was $9,915 each year. She asked if
the county would be saving this much by using the interface.
Campbell said it would be difficult to compute, but a work group was established to evaluate
the process. She said the module appeared to be the most reasonable solution, especially since Med
Max funds could be used for the purchase.
Griffith asked if the Med Max funds could pay for the annual maintenance.
Campbell said yes.
MOTION by Vice Chairman Norman to approve Budget Amendment #16.
VOTING: Ayes — 5; Nays — 0.
Cty BA# 16 Purpose: To allocate Fund Balance -Reserved for Medicaid Max revenues and
ICHD 12- expenditures to purchase MUNIS General Ledger Interface
BA# 10133 module
EXISTING
AMENDED
REVENUE LINE(S)
DESCRIPTION
BUDGET
CHANGE
BUDGET
Generic Services -Admin
104590 444001 41100
Med Max
$ (78,275)
$ (17,415)
$ (95,690)
EXISTING
AMENDED
EXPENSE LINE(S)
DESCRIPTION
BUDGET
CHANGE
BUDGET
Contracted Services -
105590 537514 4111
Software
$ 42,755
$ 9,915
$ 52,670
105590 610150 41 I 1
Dep Assets -Computer
$ 5,000
$ 7,500
$ 11500
%I
Request from the Health Department for Approval of Budget Amendment #17 to Accept
ARRA Infection Control Training Funds: Health Director Donna Campbell said one time only
American Recovery and Reinvestment Act funds were available for costs associated with required
infection control training. She said it was anticipated the funding would range from $1,000 to
$2,500 and the money had to be spent by December 31, 2011. Campbell requested a $2,500 budget
amendment, but advised that if less money were received, the expenditures would be decreased.
Commissioner Robertson said these were stimulus funds, or the money that should have gone
for bridges, roads, and tunnels.
Chairman Johnson said this was why Keynesian economics did not work.
OTION by Vice Chairman Norman to approve Budget Amendment #17.
VOTING: Ayes — 3; Nays — 2 (Griffith & Robertson).
Cty BA# 17 Purpose: To allocate Infection Control ARRA grant revenues and expenditures
ICHD 12 -
BA# 10132
EXISTING
AMENDED
REVENUELINE(S)
DESCRIPTION
BUDGET
CHANGE
BUDGET
10491510 440003 8711
Infection Control ARRA Funds
$ -
$ (2,500)
$ (2,500)
EXISTING
AMENDED
EXPENSELINE(S)
DESCRIPTION
BUDGET
CHANGE
BUDGET
10915101 536000 8711
Training and Development
$ -
$ 2,500
$ 2,500
Request from the Health Department for Approval of Budget Amendment #18 for the Use
of Medicaid Max Funds to Purchase a Computer Data Backup and Recovery Device Along with
the First Year of Annual Support: Health Director Donna Campbell requested approval of a budget
amendment to purchase a computer data backup and recovery device using 100% Med Max funds (no
county funds). She said the device would assure compliance with HIPAA, and the backup information
would be stored offsite. Campbell said the one time hardware cost would be $9,365.00, and there would
be ongoing support costs of $1,800 a year which would be paid out of Med Max funds.
Griffith asked if the Med Max funds could end.
Campbell said yes.
Griffith said then, the annual support would have to be paid by the county.
Robertson said this was troubling, because if the funds were cut, the county had to absorb the
costs.
Campbell said Med Max was federal dollars and 60¢ was received on the $1.00. She said even if
there were rate cuts, this still wouldn't take away from the costs, and 60¢ was still received between the
fee gap and the actual costs.
Griffith asked how the data was currently being backed up.
Campbell said on a server in the same room which posed a problem if a fire occurred. She said
originally, the plan was to send the data to Mooresville's server, but the line would not accommodate the
information flow.
OTION by Commissioner Mitchell to approve Budget Amendment #18.
VOTING: Ayes — 5; Nays — 0.
8
Cty BA# 18 Purpose: To allocate Fund Balance -Reserved for Medicaid Max revenues and
ICHD 12- expenditures to purchase Computer Data Backup and Recovery
BA# 10133 Device
TOTAL
Adult Health
EXISTING
AMENDED
REVENUE LINE(S)
DESCRIPTION
BUDGET
CHANGE
BUDGET
104590 444001 41100
Generic Services -Admin Med Max
$ (95,690)
$ (11,165)
$ (106,855)
$258.00
F $14882.51
EXISTING
8585.47
AMENDED
EXPENSELINE(S)
DESCRIPTION
BUDGET
CHANGE
BUDGET
105590 537512 4111
Contracted Services -Hardware
$ 20,000
$ 1,800
$ 21,800
105590 610150 41 1 1
Dep Assets -Computer
$ 12,500
$ 9,365
$ 21,865
Request from the Health Department for Approval to Write Off Uncollected Accounts in
the Amount of $33,571.81: Health Director Campbell said write offs were presented for approval each
year. She said that as of June 30, 2008, no activity had occurred on uncollected patient accounts totaling
$33,571.81.
Commissioner Robertson asked what happened to the account of a private pay person who re-
entered requesting service.
Campbell said that if the situation happened to be an emergency, service had to be provided. She
said there were patient contracts, plus bills were sent out at 30, 60, and 90 days. Campbell said for
accounts totaling $50.00 or more and with a valid social security number, the account was turned over to
the debt setoff program where the funds were garnished out of state tax refunds. She said a billing group
was currently working on debt collections.
Griffith asked how much of the uncollected accounts were for people not having a valid social
security number.
Campbell said the data was only broken out by Medicaid and private pay.
Commissioner Robertson asked if the health department could report individuals, if there was a
determination they were using a fraudulent or invalid social security numbers.
Campbell said no.
Robertson asked if this was a federal or county commission rule.
Campbell said it was a federal rule.
MOTIO by Vice Chairman Norman to approve the write off of uncollected accounts in the
amount of $33,571.81.
VOTING: Ayes - 5; Nays - 0.
WRITE-OFFS
SUBPROGRAM
PRIVATE
PAY
MEDICAID
TOTAL
Adult Health
$355.6 11
$355.60
Child Health
$1649.1411
$.00
$1649.14
Child Service Coord.
$.00
$.00
1 $.00
Dental Health
$14624.51
$258.00
F $14882.51
Women's Preventive
Health Services
8585.47
$58.00
$8643.47
Immunizations
$1309.39
$642.00
$1951.39
Maternity Care Coord.
$.00
$360.00
$360.00
Maternal Health
$4414.9
$492.00
$4906.90
Miscellaneous
$170.00
$80.00
$250.00
Epidemiology
126.8
$446.00
IF $572.80
Total
$31,235.81
$2,336.00
$33,571.81
9
Request from the Health Department for Approval of a Revised 2011/2012 Fee
Schedule: Nursing Director Susan Johnson requested approval of a revised fee schedule. She
said the health department recently received updated information from a Medicaid Cost Study
for FY 2009-10 with instructions to adjust fees to the Medicaid reimbursement plan, or at the
estimated cost which ever was higher in order to collect the maximum amount of the settlement
funds. Ms. Johnson said beginning with FY 2012-13, the cost settlement would be specific to
the county, and this had necessitated the fee adjustment. She said the majority of the
department's patients had Medicaid, or they were self pay with the sliding fee scale. She said the
self -pay clients normally only paid a minimal amount, so the impact would not be that great on
them.
Chairman Johnson said the revenues on the front end had to be maximized in order to
eliminate any future purchases having to be paid with county funds.
Ms. Johnson said this was correct.
Commissioner Mitchell said the board of health had discussed the matter at length. He
said the state had conducted a statewide audit, and the county's fees either had to be increased, or
during the budget sessions, the funds would have to be found elsewhere.
MOTIO by Commissioner Mitchell to approve the Revised 2011/12 Fee Schedule.
VOTING: Ayes - 5; Nays- 0.
Iredell County Health Department
Proposed Revised Fee Schedule for 2011-2012
Modifier
(if CPT CODE
SERVICE DESCRIPTION
FEES
PROPOSED
Amount of
required)
FY2011-2012
NEW FEE
Change
New Patient Preventive Health Visits
EP
99381
Age under 1 year
$125.00
$333.00
$208.00
EP
99382.
Age 1-4 years
$135.00
$359.00
$224.00
EP/FP
99383
Age 5-11 years
$144.00
$357.00
$213.00
EP/FP
99384
Age 12-17 years
$154.00
$314.00
$160.00
EP/FP
99385
Age 18-39 years
$208.00
$314.00
$106.00
FP
99386
Age 40-64 years
$228.00
$367.00
$139.00
99387
Age 65 years & over
$257.00
$257.00
$0.00
Established Patient Preventive Health Visits
EP
99391
Age under 1 year
$103.00
$291.00
$188.00
EP
99392
Age 1-4 years
$109.00
$317.00
$208.00
EP/FP
99393
Age 5-11 years
$119.00
$316.00
$197.00
EP/FP
99394
Age 12-17 years
$128.00
$273.00
$145.00
EP/FP
99395
Age 18-39 years
$173.00
$274.00
$101.00
FP
99396
Age 40.64 years
$189.00
$300.00
$111.00
99397
Age 65 years & over
$215.00
$215.00
$0.00
New Patient Evaluation and Management Visits
FP
99201
Minimal
$95.00
$114.00
$19.00
FP
99202
Limited
$119.00
$197.00
$78.00
FP
99203
Expanded
$155.00
$285.00
$130.00
FP
99204
Detailed
$221.00
$442.00
$221.00
FP
99205
Comprehensive
$298.00
$298.00
$0.00
Delivery Fee
59409/DELIV
Vaginal Delivery
$1,000.00
$1,000.00
$0.00
595141DELIV
Cesarean Delivery
$1,000.00
$1,000.00
$0.00
59812/ D&C
Dilation & Curettage
$300.00
$300.00
$0.00
Established Patient Evaluation and Management
Visits
EP/FP/25
99211
Minimal
$51.00
$56.00
$5.00
EP/FP/25
99212
Limited
$72.00
$114.00
$42.00
EP/FP/25
99213
Expanded
$92.00
$192.00
$100.00
EP/FP/25
99214
Detailed
$134.00
$288.00
$154.00
EP/FP/25
99215
Comprehensive
$214.00
$389.00
$175.00
10
Modifier
(if CPT CODE
SERVICE DESCRIPTION
FEES
PROPOSED
Amount of
required)
Wart Treatment/Male
FP
FY2011.2012
NEW FEE
Change
56420
Laboratory
FP
57170
Diaphragm Fitting
FP
FP
36415
Venipuncture/stick
$16.00
$16.00
$0.00
FP
36416
Finger/heel stick
$16.00
$16.00
$0.00
69210
80061
Lipid Panel
$66.00
$66.00
$0.00
FP
81000
Urine with micro
$21.00
$21.00
$0.00
FP
81001
Auto U/A with micro
$21.00
$21.00
$0.00
FP
81002
Urine dipstick
$17.00
$17.00
$0.00
FP
81003
Auto U/A without micro
$18.00
$18.00
$0.00
FP
81025
Pregnancy test (urine)
$15.00
$20.00
$5.00
FP
82270
Fecal occult (3 cards)
$17.00
$17.00
$0.00
FP
82272
Fecal occult w/digital exm
$16.00
$16.00
$0.00
QW
82465
Cholesterol
$23.00
$23.00
$0.00
QW
82947
Glucose
$27.00
$27.00
$0.00
QW
82950
1 hour Glucola
$35.00
$35.00
$0.00
QW
82951
GTT (3 hr)
$74.00
$74.00
$0.00
QW
82952
GTT Specimen 4
$23.00
$23.00
$0.00
83718
HDL
$42.00
$42.00
$0.00
83721
LDL
$44.00
$44.00
$0.00
83986
pH lest fluid not blood
$19.00
$19.00
$0.00
84478
Triglyceride
$22.00
$22.00
$0.00
84703
Serum Pregnancy Test
$54.00
$54.00
$0.00
FP
85013
Hematocrit
$18.00
$18.00
$0.00
86593
STAT RPR (PVT. Pay $0.00)
$27.00
$27.00
$0.00
87070
GC culture
$43.00
$43.00
$0,00
87205
Gram Stains
$24.00
$24.00
$0.00
FP
87210
Wet Prep (PVT. PAY $0.00)
$21.00
$21.00
$0.00
88175
Pap/Thin Prep
$0.00
$18.38
$18.38 New Fee
Q0114
Fern Test
$21.00
$21.00
$0.00
89300
Semen Analysis
$55.00
$55.00
$0.00
99000
Handling fee
$18.00
$18.00
$0.00
Recommended Fees Do Not Cover Estimated Costs - These Fees Do Not Slide
Modifier (if CPT CODE SERVICE DESCRIPTION
required)
Miscellaneous
Office Procedure
FP
11976
Norplant Removal
Change
54050
Wart Treatment/Male
FP
56501
Wart Trealment/Female
T1017"
56420
Drainage of vulva abscess
FP
57170
Diaphragm Fitting
FP
58300
IUD Insertion
FP
58301
IUD Removal
PAY05
59025
Non -Stress test
Co -Pay of $10.00
59430
Postpartum care only
$61.00
69210
Ear Irrigation
$0.00
76815
Ultrasound
$213.00
76816
Ultrasound F/U
$24.00
92551
Audiometry
$16.00
92567
Tympanometry Screen
$0.00
92582
Conditioning Play Audiometry
$3.00
92587
Evoked Otoacoustic emmissions
EP
96110
Denver Developmental
$40.00
96111
Developmental
$0.00
99173
Vision Screening
$0.00
99420
Autism Screen
Miscellaneous
LU102
Completion of Record of TB Screer
LU214
Kindergarten physicals
Change
RN services (TB /STD
T1002"
billable in units)
T1016"
Child Service Coordination
T1017"
MCC (billable in units)
99501
Postpartum Home visit - Mom
99502
Newborn Assessment- Infant
$228.00
Co -Pay of $3.00
PAY03
i/NCHC
$126.00
Co -Pay of $5.00
PAY05
f/NCHC
$258.00
Co -Pay of $10.00
PAY10
f/NCHC
..1 unit = 15 minutes
FEES
PROPOSED
Amount of
FY2011.2012
NEW FEE
Change
$0.00
$175.00
$175.00
$0.00
$134.00
$360.00
$226.00
$134.00
$362.00
$228.00
$115.00
$115.00
$0.00
$126.00
$126.00
$0.00
$258.00
$258.00
$0.00
$206.00
$267.00
$61.00
$138.00
$138.00
$0.00
$172.00
$385.00
$213.00
$112.00
$136.00
$24.00
$236.00
$252.00
$16.00
$210.00
$210.00
$0.00
$27.00
$30.00
$3.00
$50.00
$50.00
$0.00
$80.00
$120.00
$40.00
$141.00
$141.00
$0.00
$31.00
$31.00
$0.00
$113.00
$113.00
$0.00
$21.00
$21.00
$0.00
$10.00
$27.00
$17.00
$10.00
$10.00
$0.00
$45.00
$45.00
$0.00
$20.00
$20.00
$0.00
$18.00
$18.00
$0.00
$24.00
$24.00
$0.00
$60.00
$60.00
$0.00
$60.00
$60.00
$0.00
$3.00
$3.00
$0.00
$5.00
$5.00
$0.00
$10.00
$10.00
$0.00
Modifier (if CPT CODE
required)
FEES PROPOSED Amount of
FY2011.2012 NEW FEE Change
12
Immunizations/Injections
86580
PPD (TB Skin Test)
$25.00
$25.00
$0.00
90471
Admin, single vaccine
$15,00
$15.00
$0.00
EP
90471 EP
Admin. single vaccine (Medicaid Vf
$18.00
$18.00
$0.00
EP
90472
Admin. 2+ vaccines
$90.00
$10,00
$0.00
EP
90473
Admin of intranasal/oral
$15.00
$15.00
$0.00
EP
90474
Imm Adm by intranasal/oral & injeci
$10.00
$10.00
$0.00
EP
90465
Admin fee 1 inj only (0-7 wINP)
$18.00
$18.00
$0.00
EP
90466
Admin fee 2+ injections (0-7 WNP)
$10.00
$10.00
$0.00
EP
90467
Admin fee nasal/oral w/o inj (0.7 w/
$15,00
$15.00
$0.00
EP
90468
Admin fee nasal/oral injection (0.7
$10.00
$10.00
$0.00
90632
Adult Hepatitis
$65.00
$65.00
$0.00
90633
Ped/Adol. Hepatitis A
$20.00
$20.00
$0.00
90636
Twin€ix - Hep A & B
$95.00
$95.00
$0.00
90647
HIS PRP -OMP *
$25.00
$25.00
$0.00
90648
HIS PedVax*
$25.00
$25.00
$0,00
90649
Guardasil (HPV vaccine)
$130.00
$134.00
$4,00
90650
Cervarix (HPV vaccine)
$130,00
$130.00
$0.00
90655
Influenza vaccine (preservative free
$15.00
$15.00
$0.00
90656
Flu >3(preservative free)
$15.00
$15.00
$0.00
90657
Influenza vaccine 6.35 mo.
$15.00
$15.00
$0.00
90658
Influenza Vaccine
$15,00
$15.00
$0.00
90660
Flumist Intranasal flu vacc
$15.00
$15.00
$0,00
90662
High Dose Flu Vaccine
$30.00
$30.00
$0.00
Q2037
Fluvi€in 3 yrs &> Medicare
$15A0
$15.00
$0.00
Q2038
Fluzone 3 yrs & > Medicare
$15.00
$15.00
$0.00
90670
Prevnar- private stock
$110.00
$110.00
$0.00
90680
Rotavirus (3 dose schedule)
$70.00
$70.00
$0.00
90681
Rolarix (2 dose schedule)
$105.00
$105.00
$0.00
90696
DTaP/Polio
$45.00
$45.00
$0.00
90698
Pentacel
$75.00
$75,00
$0.00
90700
DTaP
$20.00
$20.00
$0.00
90702
DT "
$20.00
$20.00
$0.00
90707
MMR
$50.00
$50.00
$0.00
90710
MMRV *
$150.00
$150.00
$0,00
90713
Polio - private stock
$30.00
$30.00
$0.00
90714
Tetanus/diptheria *
$20A0
$20.00
$0.00
90715
Tdap Vaccine >7 yr of age
$35.00
$35.00
$0.00
90716
Adult Varicella
$85.00
$85.00
$0.00
90723
Pediarix
$65.00
$65.00
$0.00
90732
Pneumonia Vaccine
$45.00
$45.00
$0.00
90733
Meningococcal vaccine SQ
$110.00
$110.00
$0.00
90734
Meningococcal vaccine IM
$110.00
$110.00
$0.00
90736
Tostavax vaccine
$180.00
$180.00
$0.00
90744
Hep B Pediatric
$20.00
$20.00
$0.00
90746
Hep 6Adult
$30.00
$30.00
$0.00
90772
Therapeutic/diag. Admin. Fee
$32.00
$62.00
$30.00
96372
Admin of 17P
$32.00
$62.00
$30.00
G0008
Admin fee -Medicare
$23.00
$27.00
$4.00
FP
34993
Contraceptive pills
$4.00/pk
$7.00
$3,00
FP
J1055
Depo-Provera
$50.00
$50.00
$0A0
J2790
RHO Gam
$136.00
$136.00
$0.00
FP
J7303
NuvaRing
$36.00
$36.00
$0.00
FP
J7304
Contraceptive Patch
$25.00
$25.00
$0.00
J3490
17P injection
$14.00
$14.00
$0.00
FP
J7300
Paraguard IUD
$428.00
$428.00
$0.00
12
CLINICAL SERV/CES DENTAL FEES
13
FEES
PROPOSED
AMOUNT OF
CDT CODE
SERVICE DESCRIPTION
FY2011-2012
NEW
CHANGE
D0120
Recall exam
$36.00
$36.00
$0.00
D0140
Emergency exam
$60.00
$60.00
$0.00
D0145
Oral Eval w/Instructions <3 yrs old
$56.00
$56.00
$0.00
D0150
Initial oral exam
$64.00
$64.00
$0.00
D0210
Complete series x-rays
$111.00
$111.00
$0.00
D0220
Periapical x-ray
$22.00
$22.00
$0.00
D0230
Periapical - two or more
$20.00
$20.00
$0.00
D0240
Occlusal P.A.
$34.00
$34.OD
$0.00
D0270
Bitewings -single film
$22.00
$22.00
$0.00
D0272
Bitewings - x 2
$35.00
$35.00
$0.00
D0273
Bitewings - x 3
$43.00
$43.OD
$0.00
D0274
Bitewings - x 4
$40.00
$49.00
$0.00
00330
Panorex x-rays
$90.00
$90.00
$0.00
Di t I O
Prophy (adult) 13 & older
$70.00
$70.00
$0.00
D1120
Prophy (child) age less than 13
$48.00
$48.00
$0.00
D1203
I'Mphy w/Fluoride varnish (<13)
$26.00
$26.00
$0.00
D1204
Florida varnish (13 - 20 yrs)
$26.00
$26.00
$0.00
D1206
Top fluoride varnish mod/high caries
$34.00
37.00
$3.00
D1330
Oral Hyg. Under 3 years
$53.00
$53.00
$0.00
D1351
Sealants
$43-00
$43.00
$0.00
D1510
Space Maint. Fixed - Unilateral
$287.00
$287.00
$0.00
D1515
Space Maint. Fixed - Bilateral
$402.00
$402.00
$0.00
D1550
Recement Space Maint.
$62.00
$62.00
$0.00
D1555
Removal of Fixed Space Maint.
$60.00
$60.00
$0.00
D2140
Amalgam 1 surf. - perm/primary
$110.00
$110.00
$0.00
D2150
Amalgam 2 surf. - perm/primary
$143.00
$143.00
$0.00
D2160
Amalgam 3 surf. - perm/primary
$173.00
$173.00
$0.00
D2101
Amalgam 4 surf. - perm/primary
$210.00
$210.00
$0.00
D2330
Resin 1 surf. - anterior
$118.00
$118.00
$0.00
D2331
Resin 2 surf. - anterior
$15100
$151.00
$0.00
D2332
Resin 3 surf. - anterior
$184.00
$184.00
$0.00
D2335
Resin surf. - anterior
$218.00
$218.00
$0.00
D2390
Resin based composite crown anterior
$275.00
$275.00
$0.00
D2391
Resin based composite 1 surface
$138.00
$138.00
$0.00
D2392
Resin based composite 2 surfaces
$181.00
$181.00
$0.00
D2393
Resin based composite 3 surfaces
$225.00
$225.00
$0.00
D2394
Resin based composite 4 or more
surfaces
$275.00
$275.00
$0.00
D2920
Recement Crown
$82.00
$82.00
$0.00
D2930
SSC -primary
$223.00
$223.00
$0.00
D2931
SSC- permanent
$252.00
$252.00
$0.00
D2934
Prefabricated SS Crown
$309.00
$309.00
$0.00
D2940
Sedative filling
$65.00
$85.00
$0.00
D2950
Crown build-up
$213.00
$213.00
$0.00
D2951
Pin placement
$48.00
$48.00
$0.00
02970
Temporary crown
$220.00
$220.00
$0.00
D3110
Pulp cap direct
$63.00
$63.00
$0.00
D3120
Pulp cap indirect
$50.00
$50.00
$0.00
D3220
Pulpotomy Excl. rest
$135.00
$135.00
$0.00
D3310
RCT - anterior
$629.00
$629.00
$0.00
$0.00
CLINICAL SERVICES DENTAL FEES
PROPOSED
COT CODE
SERVICE DESCRIPTION
FEES
NEW
AMOUNT OF
FY2011-2012
FEES
CHANGE
03330
RCT - molar
$956.00
$956.00
$0.00
D3351
Recalcification - initial visit
$338.00
$338.00
$0.00
D3352
Recal.-Interim medication replcmnt.
$152.00
$152.00
$0.00
D3353
Recalcification -final visit
$479.00
$479.00
$0.00
D4210
Gingivectomy/Gingivoplasty
$460.00
$460.00
$0.00
D4211
Gingitomy/gingipaty 1-3 contmous
teeth
$204.00
$204.00
$0.00
D4240
Gingival flap proced. 4 or more p/quad
$582.00
$582.00
$0.00
D4241
Gingival flap proced 1-3 per quad
$337.00
$337.00
$0-00
D4321
Provisional Splinting
$307.00
$307.00
$0.00
D4341
Root planning/scale 4 or more
$194.00
$194.00
$0.00
D4342
Periodontal scaling & root planing 1-3
$122.00
$122.00
$0.00
D4355
Gross scale - perto
$133.00
$133.00
$0.00
D4910
Periodontal nlaint. Treatment
$120.00
$120.00
$0.00
D7111
Coronal Remnants -Deciduous Teeth
$97.00
$97.00
$0.00
D7140
Ext. erupted tooth or exposed root
$125.00
$125.00
$0.00
D7210
Surgical ext. - erupted
$230.00
$230.00
$0.00
07220
Soft tissue impact
$288.00
$288.00
$0.00
D7230
Partial bony Impact
$383.00
$383.00
$0.00
D7240
Bony impact
$450.00
$450.00
$0.00
D7241
Bony impact w/complications
$565.00
$565.00
$0.00
D7250
Residual roots - unerupted
$243.00
$243.00
$0.00
D7270
Tooth Reimplantation
$504.00
$504.00
$0.00
D7510
I & D intra oral
$319.00
$319.00
$0.00
D8220
Fixed appliance -therapy
$350.00
$350.00
$0.00
D9110
Emergency palliative treatment
$96.00
$96.00
$0.00
D9230
Analgesia
$68.00
$68.00
$0.00
D9610
Drug injection
$75.00
$75.00
$0.00
D9630
Other drug/medication
$40.00
$40.00
$0.00
D9940
Occfusal Guard
$278.00
$278.00
$0.00
D9942
Repar/Reim.. Occlusal Guard
$115.00
$115.00
$0.00
13
SERVICE
DESCRIPTION
Health Education
Products
Public Health Development and Promotion t PHOPJ
No additions or changes in proposed 2011-2012 fees for PHDP
Amount
FEES FY 2010-2011 FEES FY 2011-2012 of
Change
Pamphlets (per 100)
$16.00
Posters 0 112" x 17" (each)
$5.00
Videos (each)
$40.OD
Brochures (per 100)
$20.00
Curriculum
$40.00
Manuals
$20.00
Other products"
$0.00 - $100.00
" Cost based on staff time, materials used & length orpresentation
DETAILED DESCRIPTION
Now System Permits
Gravity System
Pump System
Retayouis
Limited
Intermeolale
Comprehensive Gravity System
Comprehensive Pump System
Existing Systems
Pssting System InspecUon
Septic System Repair Evalua8on
3epUc System Repair Permit
In Office Plan Review ferAdditional New
Construction Requiring a Septic System
Approval wiar No Site Visit
Site Revisit fee
Existing Well Water Samples
Water Sample*"
Bacteriological
Inorganic
Pesticide, Petroleum, VOC
$15.00
$0.00
$5.00
30.00
$40.00
$o.Do
$20.00
$0.00
$40.00
$0.D0
$20.00
$0D0
$0.00 - $100.00
$0.00
Iredell County Health Department
Environmental Health Division Fees
REGULAR SCHEDULE
FEES FY Amount
2011- of
FEES FY 2010.2011 2012 Change
$466.00 tattles $16.00
$1,210.00 $1,210.00 $0.00
$90.00 $105.00 $16.00
$206.00 $320.00 $16.00
$486.00 $600.00 $16.00
$1,210.00 $1,210.00 $0.00
$120.00 $160.00 $30.00
NEW He $60.00
NEWFF.E $75.00
UMFEE $26.00
FAST TRACK
Amount
FEES FY of
FEES FY 2010-2011 2011-2012 Change
$336.00 $35D.00 $16.00
$660.00 $850.00 $0.00
$50.00 $75.00 $16.00
$180.00 $195.00 $15.00
$335.00 $350.00 $15.00
$850.00 $850.00 $0.00
¢60,00 $75.00 $16.00
$50.00 $60.00 $0.00
$40.00 $55.00 $15.00
$40.00 $75.00 $35.00
$50.00 $75,00 $25.00
"Water sample fee will be waived for samples collected at a physician's request as part of a diagnostic procedure
Well Program
Permits $480.00 $495.00 $15.00
Repair Evaluation NEW FEE $70.00
Repair Permit NEW FEE $100.00
Well Abandonment Permit NEW FEE $80.00
Swimming Pool Permit
Operating < 8 months
Operating >8 months
Initial Plans Review
Tattoo Fees
Tattoo Artist Permit (annually)
Visiting Tattoo Artist (<30 days)
Local Food Plan Review
Restaurant
Food Stand
Meat Market
Renovations
Temporary Food Establishments
Permits
14
$100.00 $125.00 $25.00
$150.00 $200.00 $50.00
$150.00 $200.00 $50.00
$200.00 $250.00 $50.00
$50.00 $100.00 $50.00
$200.00
$250.00
$50.00
$100.00
$150.00
$50.00
$100.00
$160,00
$50.00
$100.00
$150.00
$50.00
$75.00 $76.00 $0.00
Request from the Health Department for Approval to Enter into a 21 -Month
Contract with AccessCare: Nursing Director Susan Johnson said that in March of 2011, the
state changed the manner in which the child service and maternity care coordination programs
were administered. She said resulting from this, a contract needed to be signed with AccessCare,
a community care network. Ms. Johnson said through the contract, the health department would
receive monthly payments for care management services. She said that due to the contract
extending more than 12 months, approval by the board of commissioners was needed.
MOTIO by Vice Chairman Norman to approve the 21 -month contract with
AccessCare.
VOTING: Ayes — 5; Nays — 0.
Request from the Health Department for Approval of a Medicare Revalidation
Agreement with Medicare Administrative Contractor Palmetto-GBA, Along with
Approval of a Required Financial Letter to be Submitted by Health Director
Donna M. Campbell: Health Director Donna Campbell requested approval of a Medicare
Revalidation Agreement as well as a financial letter. She said flu and pneumonia shots were
provided to Medicare clients, and the Medicare Services Center had started using a new
contractor resulting in a requirement for all agencies to revalidate their agreements. Campbell
said the agreement would continue until the contractor changed. Additionally, Campbell said a
letter was being requested confirming the county would be responsible for any outstanding debts
owed to the Centers for Medicaid Services. She said Attorney Pope had reviewed the letter and
suggested additional wording. Campbell said she was not aware of an instance where the county
had to pay back Medicare funds.
OTION by Commissioner Mitchell to approve the request as presented.
VOTING: Ayes — 5; Nays — 0.
Request from the North Carolina Department of Crime Control and Public
Safety/NC Highway Patrol for the Waiver of all Zoning & Building Permit Fees
Associated with the Construction of the Fox Mountain VIPER Site: Emergency
Communications/Management Director David Martin introduced Dick Wooten, the Western
North Carolina VIPER Supervisor for the Highway Patrol. Martin said the highway patrol
wanted a waiver of the fees associated with the zoning and building permits for the emergency
communications tower on Fox Mountain.
MOTION by Commissioner Robertson to approve the waiver of all zoning and building
permit fees associated with the Fox Mountain VIPER site. (Robertson said this was occurring
due to the state allowing the county to use the tower once completed.)
VOTING: Ayes — 5; Nays — 0.
Request from Emergency Communications for Approval of the Issuance of a Sole
Source Purchase Order to Emergency Service Integrators (ESi) for the Upgrading of the
Current Computer Aided Dispatch (CAD) System to ESi 4D Version 12: Emergency
Management/Communications Director David Martin requested the award of a sole source
vendor purchase for the upgrading of the current ESi CAD System to a Version 12 sequel based
CAD System. Martin said the upgrade would provide the ability to not only expand by adding
additional consoles, but to also add applications that some of the user agencies were requesting.
He said ESi had installed the original CAD, and due to the current project being an upgrade,
this company was the only vendor. Martin said Jerry Williams, the ESi Director for 911
Services, along with other company representatives, were attending the meeting to answer any
questions.
A copy of the quote is as follows:
15
Vice Chairman Norman asked about future expansions.
Martin said the upgraded system would allow for expansion and additional consoles. He
said a license was needed in order to expand.
Commissioner Griffith asked if the new system could provide mobile CAD.
Jerry Williams, with ESi, said the upgrade's description had been provided. He said the
company's CAD had always had the ability to interface with mobile data, but this particular
quote did not include it. Williams said it wasn't requested. He said the product was open
ended where they had always worked with the WebEOC product, the WebFUSION product,
and the CAD product. Williams said, "We'll interface with anybody, and we build a code so
that there's an open API. The only time we've ever ran into an incident was when the company
did not want to interface with us. We have interfaced with Motorola's mobile data system,
although, most people will tell you that this is last Gen, and they are looking towards the future.
Their product line is not out yet. To implement MBT at this point in time because the 911
system is in a flux towards next Gen 911 would ... it would almost be prudent to wait. The entire
system is going to change within the next five years."
16
ESiAmuiadion. Inc
699 Broad Sbcct, suite 1100
Augusta, GA 30901
Once: (706)823-0911
Taft Free: (8u0) 596-0911
Fax: (705) 8269911
Webeeemnuesi911.cam
Costumer:
Imdell County ECOM
quote
Address
201 EastWalerSt_ P.O-Box788,Statesville, NG28687
Number: 011420111RED-01
Contact:
David Martini Brad Brawley
Description
Phone:
(704)678-5444
Price
Email:
drnadinacomedell.naus
Summary:
Upgrade CAD software to ESI CmnCAD v12 SOL and 4D Software to 4Dvi2 SOL.
ESICamCAD02SQLperseatiicense (Client'Seiver Upgrade 1Xw7lor)
Date:
January 14, 2011
$42,000.00
Quota Expires:
Valid through 12/21/2011
2
Disclaimer:
Items not manufactured by ESI are subject to change. Substitutes will be provided forcustomer consideration and approval.
Vice Chairman Norman asked about future expansions.
Martin said the upgraded system would allow for expansion and additional consoles. He
said a license was needed in order to expand.
Commissioner Griffith asked if the new system could provide mobile CAD.
Jerry Williams, with ESi, said the upgrade's description had been provided. He said the
company's CAD had always had the ability to interface with mobile data, but this particular
quote did not include it. Williams said it wasn't requested. He said the product was open
ended where they had always worked with the WebEOC product, the WebFUSION product,
and the CAD product. Williams said, "We'll interface with anybody, and we build a code so
that there's an open API. The only time we've ever ran into an incident was when the company
did not want to interface with us. We have interfaced with Motorola's mobile data system,
although, most people will tell you that this is last Gen, and they are looking towards the future.
Their product line is not out yet. To implement MBT at this point in time because the 911
system is in a flux towards next Gen 911 would ... it would almost be prudent to wait. The entire
system is going to change within the next five years."
16
UPDATED QUOTE
Extended
Product ID
Description
QTY
Price
Price
ESI ComCAD Software Upgrade
$50,000.00
wrgllBptfPagwMap
ESICamCAD02SQLperseatiicense (Client'Seiver Upgrade 1Xw7lor)
7
$600000
$42,000.00
w/91 11RptePagellhap
ESi Com CADv12SQLpsrseat/fcense (SupeMsor Up9mde-1poshkm)
2
$4,000.00
$8,000.00
Third Party Sofhvare/Nardware
$15,417.00
4D 02 SQL Developer Professional(W/SMPT)
1
$2,49500
$2,49500
4D 02 SQL Client Expansion Pack -5 User(w/SWSPT)
2
$3,3Jbzo0
$6718.00
4D v12 SOL ODBC Pro Expansion Pack -1 User haSWSP7)
12
$61200
$6,204.00
Technical Services
$26,800.00
M-ANST2-ES
Onsilelnstallalton Test Envimnmant-Trip#1
1
$9.000.00
$9,000.00
Trip # 1
Acceptance Testing
1
$2,400.00
$2,400.00
TS-WST2{S
Onsite Dispatcher Training - Ella #2
1
$4,200.00
$4,200.00
TS-WST2-ES
Onsife lnstallailon Pronation Environment and Cut Owl - Trip #3
1
$3,600.00
$3,600.00
TS-PGMNR-ES
PostCut, Of She Support (3 Techsx 8 hours)
1
$3,600.00
$3,600.00
TS-/WST2-ES
Onsite Final Acceptance-Trip#4
1
$2,400.00
$2,400.00
TS-ITGEN-ES
As -Buil Oocumantaliw
1
$600.00
$600.00
$4,008.00
Travel Expenses
TRIP #1 -Travel and Per Dlea,
1
$1,464.00
$1,464.00
TRIP 2. Travel and Per Diem
1
$592.00
$592.00
TRIP#3- Tmveland Per Diem
1
$1,464.00
$1,464.00
T(dP#4- Tmveland Per Diem (HaYChargedlo Maintenance Contract)
1
$488.00
$488.00
Estimated Shipping
SH -SHIP ES
Esumated Shipping and Handling (Actual shipping costs wilt be biflaq
1
$100.00
$100.00
PROJECT TOTAL (Excluding Taxes)
$96,325.00
Scope of Work:
ES to upgrade ESI CmGAD aril 4D software to 02 SOL
Upgrade lacludes upgrading the lollawing Cavom iniedaces.
E911 ANUALIControiler
Quadiaslar Technologies (QST) Mapping Interface
Alpha Numeric Pagaing Interface
Web Ropanartlodu,'0
Vice Chairman Norman asked about future expansions.
Martin said the upgraded system would allow for expansion and additional consoles. He
said a license was needed in order to expand.
Commissioner Griffith asked if the new system could provide mobile CAD.
Jerry Williams, with ESi, said the upgrade's description had been provided. He said the
company's CAD had always had the ability to interface with mobile data, but this particular
quote did not include it. Williams said it wasn't requested. He said the product was open
ended where they had always worked with the WebEOC product, the WebFUSION product,
and the CAD product. Williams said, "We'll interface with anybody, and we build a code so
that there's an open API. The only time we've ever ran into an incident was when the company
did not want to interface with us. We have interfaced with Motorola's mobile data system,
although, most people will tell you that this is last Gen, and they are looking towards the future.
Their product line is not out yet. To implement MBT at this point in time because the 911
system is in a flux towards next Gen 911 would ... it would almost be prudent to wait. The entire
system is going to change within the next five years."
16
Griffith asked if the system would allow multiple alarm assignments to a building, for
example, a structure that needed more units to respond. She asked if this could be set up when
the call came in.
Williams asked if the question was: Does the system assign units based on the call?
Griffith asked if a multiple alarm assignment could occur for a company. She said,
"Let's say a company produces something that explodes, and we get a fire call, we can set the
system to dispatch four trucks instead of one."
Williams said, "The CAD system already has the capability to create a run card. In the
run card, you define a piece APP or administrator with the help of the fire departments... in this
case it would be a fire related incident. You define how many you want to respond, the types of
units, the number of units, and it can also be vectored based on the community. Sometimes
there are facilities that have unique apparatus. They only have one so that one would be tied to
that type of event, and we call that a nature code. But, that's always been the case in their
CAD. Originally, when we did this almost ten years ago, they didn't use any type function like
that, but it's always been a part of their CAD. When you do an upgrade, one of the things you
look at, and go back to assess is: `Okay, are there any features that we already have that we
didn't have a need for back then, but we do now.' You reassess that and implement that with
the new upgrade."
Griffith asked if the system would recommend the closest unit to respond or would this
recommendation fall on the dispatcher. She asked if the system would be able to recognize
which station or EMS was nearest.
Williams said, "This is a part of what the run card is. It actually identifies the station, the
apparatus, and in some cases, the crew could be identified on the apparatus... who is on duty...
who is not and so forth."
Griffith asked Mr. Martin is this would be in the upgrade.
Martin said it would be a matter of programming. He said every road in Iredell County
would have to be done, and it was a matter of having enough personnel to do it.
Griffith asked if the system would communicate CAD to CAD to solve mutual aid
problems with other counties.
Williams said, "The current product, again is an open API, our next Gen product will be
CAD to CAD. That actual standard was just recommended by NENA (National Emergency
Number Association) sometime this past year so at this point, very few CADS can send data
from one CAD to another CAD. What we've seen is that even those CADS with that ability
were still somewhat proprietary, and they do not want to do this until forced. With our Web
EOC product and WebFUSION product we can not only send it to the next county, or to the
state level, we can share it anywhere it needs to go. Our next Gen CAD, which is not a part of
this CAD, but it's what's in the works, will be fully integrated.
Griffith asked if the response to the question was no. She said the upgrade could not
provide this type of communication, but the next product or system could.
Williams said, "No, this is not what I said. What I said was we have the open API, it has
the ability, if that other vendor opens their product up to let us. So, we do have that now."
Griffith asked Mr. Martin to clarify a previous question about having to manually enter
data for every road in the county.
Martin said currently, there were dispatches off of emergency service numbers and each
road was assigned an emergency service number. He said these numbers currently had up to
three fire departments, the EMS stations, rescue squad stations, and a law enforcement zone
that was assigned to that ESN. Martin said run card would be virtually the same thing, but the
staff would have to assign the units by street to the run cards. He said a run card would have to
be created for each road or street in the county.
17
Williams said this capability was in the CAD to begin with, but it was never
implemented. He said it would have to be built from scratch... they were blank cards that
would have to be filled in.
Griffith asked if the times on the CAD were correct and in real time with the upgrade.
Williams said, "Currently, the system is tied to a Spectracom GPS clock, and we use
present tense which is NENA approved software to maintain the time on the CAD servers
themselves. To my knowledge the apparatus, or any equipment in the field, is not tied into that
so the county network, if it's using the county network, is not timed off of that same time clock.
If they all ran off the same GPS clock, yes, they'd all be identical to the infinite tick of the
clock. The Spectracom clock is what's recommended by NENA, and it meets all those needs.
If you don't have systems tied together, that's when you end up with time being different on
one system compared to another system."
Griffith asked if the system would be able to track the apparatus and where they were
dispatched, or would this be up to the dispatcher to remember. She asked if the dispatcher
would have to remember that Truck 4 was here, or would the system know this.
Martin said this was already on the screen now.
Griffith asked if $7,500 was the maintenance and support cost each year.
Williams said this was normally broken down based on the system. He said there was a
fee associated with the CAD system, and then there was a fee for the 911 telephone system, the
server equipment, and the computer hardware. Williams said the over all maintenance cost was
built up from the individual components.
Martin said this year the cost was $6,300.00, and he estimated that with the new
equipment it would be $7,500.
Griffith said it could be more or less.
Williams said it would not change from last year's figure. He said, "In fact, over the last
five years we haven't increased the actual maintenance fees. We've held them the same or even
reduced them due to the economy. The only increase that we've written in is for travel expenses
because of the cost of gasoline. I took over in 2007, and this was one thing that I was adamant
about ... that maintenance had an adequate fee to begin with, and we'd hold it as long as we
could, or until the economy picked up."
Griffith asked Mr. Martin if the system would handle the upgrade without locking up
should the call volume become high.
Martin said he wasn't aware of this being an issue now.
Williams said, "The implementation, because there's actually two projects at the same
time, a normal change out of the hardware... the CAD upgrade would actually be installed on the
new hardware so we'd cut over. The old system would be completely separate from the new
hardware that he's getting from state contract. There would be no interruption of the normal
service to implement or to cut over to the new CAD or upgraded CAD."
Griffith asked Mr. Martin if there were any other counties using the ESi system.
Martin said not currently.
Griffith asked if there were any other units in the state using it.
Martin said Caldwell County was using it, but had switched.
Williams said Caldwell switched as did the King Police Department.
18
Chairman Johnson asked if any other agency in North Carolina used the ESi equipment.
Williams said, "Most people were familiar with WebEOC ... that's our flagship product,
and it's in most North Carolina counties and at the state level. It's used in every county in South
Carolina and at the state EOC. You can visit our web site, we have a customer base that's
worldwide.
Griffith asked if WebEOC was a CAD system, or a records management system.
Williams said it was a crisis management system. He said WebFUSION was a product to
tie all of them together. Williams said each county could seamlessly send data to one point to
the next, and this was the platform being used to build on for next Gen 911 and next Gen CAD.
He said this was a proven technology, and it worked.
Griffith asked if Iredell County was being a test site if no other county in the state was
using the system.
Williams said, "This is not a beta product. It is a system already proven. The first site
we did was Aiken, SC. They were cut over around the June timeframe of this year. They, too,
have been using our products for over ten years. This is not a beta product per se."
Commissioner Mitchell asked what fund would be used for the $95,000 upgrade.
Chairman Johnson said the 911 funds would be used.
Martin said the cost was budgeted.
Mitchell said another system would cost $500,000.
Martin said the other system had not been priced.
Griffith asked if there was flexibility to extend the "bug fix" time period. She said 15
days might not be enough.
Williams said the design was reviewed, and if the county had certain needed features,
then the coding occurred. He said, "This would be the time to look at the run card. This would
be the phase to get all of the data together and identify the people who have that knowledge.
Right now they are relying on their own personal knowledge in many cases, and you get that
down on paper, and we get that into the code. Once you've built that, then you have to test it.
Since this is an already tested code, it's simply a matter of assembling all of that and loading it
on the servers. We do all of that at our office, and then we pre-test everything to make sure the
software doesn't lock up. It's a normal process of software development. When we bring it to
the site and install it, in this case since it's not being loaded on the same equipment he has, we
have a fresh bed that we've just taken from our test bed, we put it in our racks and we let them
essentially play with it to make sure it does everything they need it to do. If any faults occur or
any changes are needed ... it could be trivial, `I like this color better than that color,' we make
those changes. We also have a formal acceptance test document that we go through, and we
check every item to make sure it functions. I push every button. I watch every screen. It's a
yes -no. It worked or it didn't work. Before we actually go to the next phase, it has to pass that
acceptance phase, and we usually allow 14 days. If we run into issues we think are significant,
then we extend that because we want to make sure before we go live that any bugs are
addressed."
Griffith asked if Aiken, SC was the only county using the system.
Williams mentioned Allendale County, SC, and Barnwell County, SC. He said that in
Barnwell, there was an issue because a vendor refused to interface with ESi.
Commissioner Robertson asked Commissioner Griffith if she desired a different time
period, rather than 14 days, for Phase 3.
19
Griffith said she had asked Mr. Martin if he felt that 14 days were enough time to work
out any bugs in the system.
Robertson asked Griffith if she felt 14 days were reasonable.
Griffith said no, and she felt it should be at least 30 days.
Robertson asked what her time span suggestion was based on.
Griffith said people had to be trained, plus there had to be input from the other agencies
(EMS, Sheriff, and so forth).
Robertson asked Mr. Martin if 14 days were sufficient, or if the time needed to be
increased.
Martin said he didn't have a problem increasing the timeframe.
Williams said 14 days was just one part of the timeframe. He noted there was another 30
days which was the overall acceptance testing. Williams said there was a total of 45 days, and
this could be adjusted as needed if there were significant problems. He said, "We're going to
actually stop the acceptance at that point. We're going to correct that. We are going to test it in
our lab and find out why we didn't find it before we brought it to the site. Then we're going to
fix it, and then we'll verify that it's fixed. Then we start the acceptance test from the beginning.
Sometimes in complicated systems that are interrelated like this, you can't assume that because
you made a change down here that it didn't affect something elsewhere. We start from the
beginning and start the process over, and this can be a long drawn out problem if you run into
issues. Again, a lot of times you don't find bugs or problems... it might be you like it better this
way or that way. We try to accommodate the wishes of the county. Another thing about this
particular upgrade is that in terms of training, there's very little training, because they already
have our product. The upgrade doesn't add that many features. The field units are not affected.
Everything is internal to the ECOM. I really think it will be a minor upgrade for the dispatchers
themselves, it's all in the background."
Griffith asked how much money was available to the county in the 911 fund.
County Manager Ron Smith distributed a spreadsheet showing the balance.
Martin said that as of June 30, 2011, there was $1,066,037.17. He said a budget and
expenditure transfer of $963,073 for this year had been approved.
Commissioner Mitchell asked if another system costing $500,000 was being considered if
the ESi upgrade did not occur.
Chairman Johnson said no other system was being recommended.
Mitchell asked what was occurring then, especially since Mr. Martin, the county
manager, as well as the purchasing agent, all agreed with the recommendation.
Chairman Johnson said some individuals felt the county should steer in another direction.
He asked if the recommended system was a true CAD system.
Williams said, "There are at least five government agencies that say what a CAD is and
the correct answer is that it depends on who you are listening to and who you ask. Not to be
facetious, the basic purpose of the CAD, which stands for computer aided dispatch, and our CAD
was written to provide the ability to create call for service, to dispatch units, and to keep up with
all the times and run numbers, so we built all the pieces and modules to do that in a law
enforcement environment and in an EMS, and in a fire environment. Now, as CAD has
progressed over the years, because when this first came out, I think Intergraph was one of the
first companies to have a real working CAD that was nationally recognized. Over the years,
modules have been added. I recently looked at an RFP coming out of West Virginia, and they
actually got it right. The NENA recommendation on what a CAD is ... it's what most people go
by. Our CAD makes all of those basic recommendations. The add-ons, like MDT and AVL that
20
have come about over recent years, are just that, they are interfaces to other people's products.
We wrote our CAD to interface with anybody. That was our basic design. We came out of the
EOC, we're out of DOE, and we believe that they are experts in AVL, they are experts in
mapping and sometimes a county, or entity, might have a preference. They might want this
particular brand of MDT for instance. We have no problem with them using that and we'll
interface with that. We like to tailor our products to allow you to implement your business
process, and we don't like to force a set canned product on a county. We can make it work how
ever it needs to. We built that into the software; everything from how the screen looks to the
way the business process is implemented. We are flexible on that. That's what we did for
Iredell County. We built this almost ten years ago. We implemented their process. The CAD is
to basically speed up and allow them not to miss steps in dispatching and taking care of the units.
Again, we implement that process -- not our process. It's very flexible, we can make it do
whatever it needs to do."
Chairman Johnson said that if the upgrade occurred the county would have the ability to
interface with Firehouse Software.
Williams said, "That's a custom module that is an add-on. The issue you have now, and
the purpose of this particular upgrade is because of the initial retirement of our product, in favor
of the Statesville Police Department's CAD system, and when that didn't work out, basically,
you were four years behind in upgrades. That's really what this upgrade is designed to address.
Right now, he can't add anything to his CAD because the software platform is no longer
supported by its writers, and we can't add anymore licenses... so we couldn't write another
custom interface with anything without doing at least that portion of the upgrade.
Chairman Johnson said that if the county obtained the upgrade, then it would be the
platform in which all the other interfaces could be brought in such as AVL and Firehouse
Software.
Williams said this was provided to David as part of the initial contact.
Chairman Johnson asked for a yes or no answer.
Williams said yes.
Chairman Johnson said at that point, in the next budget year, if it was the collective
judgment of the Fire Chiefs Council, or whatever, that the Firehouse Software was the way to go,
then all that would be needed was the software. He said this was all that was needed.
Williams said yes. He said there were specific options with Firehouse Software. He said
the county would purchase the software, and it would have an implementation process. Williams
said, "Once it is up running, we work directly with Firehouse to create that piece. It's already in
place with Lexington, SC where the initial coding, initial beta testing, and final testing occurred.
They have used that for several years. With any software and changes, we have to adjust our
interface to take advantage of the features available. That's the basic same type of interface that
has already been field tested."
Griffith asked if ESi was the system used before that did not work with the sheriff's
department.
Williams said, "The Spillman CAD was purchased by the Sheriff's Department. We
were notified, and it was attempted to be implemented. It didn't do what they needed it do and
they asked us to retain. We had already sent them the new maintenance for the year, and it had
completely taken our CAD system out of the picture."
Griffith clarified that it was not the ESi system that failed to work.
Williams said, "They went back to our system because the new system wouldn't work."
Chairman Johnson said, "If I understand this properly though, it will take us to the step
where we can begin to address ... I guess you better say some of the things not required but would
certainly enhance the delivery of emergency services." He said it was understood that probably
21
within the next five years there would be a next generation of CAD coming out that would
supersede all of the current technology.
Williams said, "That was what I was alluding to earlier. Our next Gen product will be
based largely on our proven technology of WebEOC and WebFUSION. It will be a CAD
system, and it will do all the things that our current CAD does but be seamlessly integrated with
WebEOC and WebFUSION. That platform already complies with everything that next Gen is
calling to do. The funding was just approved a couple of weeks ago through the FCC. We
attended a webinar meeting the FCC gave, and they are still calling for input from the telecos on
how to deliver some of the things that they are mandating. It is still very much in the design
phase. To be realistic, I don't think anybody could tell you it's going to be available in five
years. It's kind of a shot in the dark right now, because once they decide what they are going to
build, then, they have to fund it."
Griffith said it appeared the county had the capacity to enhance but had never done so.
She asked if some of the upgrades wouldn't make the job easier.
Martin said the situation basically referred to the field users. He said the Firehouse
Software and AVL were basically for the field units.
Griffith said that if they were the ones responding to the 911 calls, then it should be
designed to make it easier to do the job. She asked why the enhancements were not used if the
county already had the capability.
Martin said the telecommunicators were one of the largest keys in the situation. He said
that he didn't think there would ever be any technology to do away with the telecommunicators,
and he was proud of the staff. Martin said the reason the run cards had never been built was
because the need had never been seen. He said the system in use now would recommend up to
three departments (a primary and two back ups for response).
Griffith said it was good, however, when technology worked with human knowledge to
avoid errors and to speed up the delivery time. She said that she wasn't recommending that
telecommunicators be replaced; however, if there was the ability to integrate computer software
to make the job easier, or to verify what the dispatchers knew to be correct, along with
discovering missed knowledge, then it was a win-win situation. Griffith said that if the upgrade
were purchased then the functions should be used to make the job easier. She mentioned
concern about spending $100,000 on the upgrade, when the features were already there, but not
in use.
Chairman Johnson said the run cards had not been used due to them being very time
consuming, and it being a laborious task to manually enter each road in the county into a run
card so it could be determined who to dispatch by address.
Griffith asked, "Why doesn't the CAD system have that information in it for the county
that they are going to implement it into." She asked why the system was not prepared to do this.
Williams said the system was prepared to do this. He said the county provided that
information.
Griffith asked if there was anyway to download the information from mapping.
Williams said there was a separate vendor for the map.
Griffith asked if it wouldn't interface.
Williams said to a certain degree. He said that if the date was provided then it could be
implemented into the CAD.
Chairman Johnson said the decision was to determine whether the county was going to
spend $90,000 on an upgrade to a CAD that would provide the ability to interface with all of the
other functions that some of the customers wanted. Johnson said he felt the upgrade would
accomplish that.
22
Vice Chairman Norman asked David Martin his thoughts on the upgrade.
Martin said his recommendation was for the upgrade as presented. He said that if the
board chose not to purchase the upgrade, then his recommendation would be to do nothing at this
time.
OTION by Chairman Johnson to approve the request for the expenditure of $95,320
and annual maintenance estimated to be $7,500. Johnson requested for Mr. Martin, at the
Winter Planning Session, to provide a presentation and to educate the board on exactly where
Communications was at that time along with a plan on where the county needed to be in the next
three to five years along with the costs associated with the improvements. (He added that
consultation with anyone needed would be permissible. Johnson also noted that the Spillman
Technologies Product was a distraction.)
VOTING: Ayes — 4; Nays — 1 (Griffith)
Request for Approval of the September 2011 Tax Refunds and Releases: OTIO by
Commissioner Norman to approve the September 2011 tax refunds and releases.
VOTING: Ayes — 5; Nays — 0.
Releases for the Month of September 2011
Breakdown of Releases:
County
$
135,318.90
Solid Waste Fees
$
378.50
E. Alex. Co. Fire #1
$
7.34
Shepherd's Fire
#2
$
1,917.62
Mt. Mourne Fire
#3
$
881.10
All County Fire #4
$
3,583.38
B&F Fire #5
$
568.82
Statesville City
$
19,948.35
Statesville
Downtown
$
131.07
Mooresville Town
$
58,790.76
Mooresville
Downtown
$
469.22
Mooresville School
$
3,966.56
Love Valley
$
-
Harmony
$
28.04
Troutman
$
430.12
Davidson
S
-
Refunds for the month of September 2011
Breakdown of Refunds:
County
$
8,256.07
Solid Waste Fees
$
-
E. Alex. Co. Fire #1
$
Shepherd's Fire
#2
$
Mt. Mourne Fire
#3
$
21.00
All County Fire #4
$
82.77
B&F Fire #5
$
40.78
Statesville City
$
5,311.68
Statesville
Downtown
$
-
Mooresville Town
$
1,497.56
Mooresville
Downtown
$
-
Mooresville School
$
109.78
Love Valley
$
-
Harmony
$
-
Troutman
$
-
Davidson
$
-
23
Monthly Total
$226,419.78
Monthly Total
$15,319.64
Request for Approval of the October 4, 2011 Minutes: OTION by Commissioner
Griffith to approve the minutes as presented.
VOTING: Ayes — 5; Nays — 0.
ANNOUNCEMENT OF VACANCIES OCCURRING ON BOARDS & COMMISSIONS
Crossroads Behavioral Healthcare Board of Directors (1 announcement)
Adult Care Home Community Advisory Committee (1 announcement)
APPOINTMENTS TO BOARDS AND COMMISSIONS
Local Emergencv Planning Committee (LEPC) (1 appointment): MOTION by
Commissioner Mitchell to postpone this appointment.
VOTING: Ayes — 5; Nays — 0.
Facilities Task Force for Schools (6 appointments with 2 being commissioners & 4
,from community):
Elected Officials: Commissioner Mitchell nominated Chairman Steve Johnson and
Vice Chairman Marvin Norman.
OTION by Chairman Johnson to appoint Steve Johnson and Marvin Norman to the
task force.
VOTING: Ayes — 5; Nays — 0.
Community appointments: Chairman Johnson nominated Barbara Thorson to represent
the northern sector of the county.
Vice Chairman Norman requested the board to hold off on appointing anyone from the
western sector, and Commissioner Robertson requested the same for the southern end.
OTION by Chairman Johnson to appoint Thorson by acclamation.
VOTING: Ayes — 5; Nays — 0.
Personnel Advisory Committee (1 appointment): MOTION by Chairman Johnson to
postpone this appointment until the next meeting.
VOTING: Ayes — 5; Nays — 0.
Reminder List
Juvenile Crime Prevention Council (business member representative):
Commissioner Mitchell nominated Terry Padgett.
OTION by Chairman Johnson to close the nominations and to appoint Padgett by
acclamation.
VOTING: Ayes — 5; Nays — 0.
UNFINISHED BUSINESS
Update on Wood Burning Boilers: County Manager Ron Smith submitted a memo on
the initial research findings regarding these units. He said it had been discovered there were no
federal or state regulations to control the air quality that was produced by these outdoor furnaces.
Smith said that with this being the case, there wasn't much the county could do either.
(This research was prompted by Mr. Rick Christenberry who requested assistance on
October 4, 2011, with a wood burning boiler on property adjacent to him.)
24
Josey Road Junked Vehicle Violation: Smith said the staff had visited this site and
ordered the property owner to clean up the area.
PUBLIC COMMENT PERIOD: An opportunity was offered to the public to speak;
however, no one accepted.
NEW BUSINESS
RPO Priority Ranking: Smith distributed a spreadsheet showing the Lake Norman
Rural Planning Organization's roadway projects. He requested that during the next two weeks
the board members review the information and to advise if any changes were recommended.
COUNTY MANAGER'S REPORT
Sales Tax Revenues and Expenditure Spreadsheet: Smith presented a financial
spreadsheet prepared by Finance Director Blumenstein showing the latest sales tax receipts along
with an update on the FY 2011-12 departmental expenditures and revenues.
CLOSED SESSION: OTION by Chairman Johnson at 8:38 P.M. to enter into closed
session pursuant to Economic Development - G.S. 143.318.11 (a) (4); Attorney -Client - G.S.
143.318.11 (a) (3); and Property Acquisition - G.S. 143-318.11 (a) (5).
VOTING: Ayes — 5; Nays — 0.
(RETURN TO OPEN SESSION AT 9:35 P.M.)
CALL FOR A PUBLIC HEARING REGARDING THE CAROLINA BEVERAGE
COMPANY: OTION by Chairman Johnson to call for a public hearing on
November 1, 2011, at 7:00 P.M., regarding an economic development incentive between $77,600
to $194,000.00, over a five-year period, for the Carolina Beverage Company based on an
investment ranging between $4 million up to $8 million in Iredell County.
VOTING: Ayes — 5; Nays — 0.
REQUEST FROM THE LIBURDI COMPANY FOR A MODIFICATION TO ITS
ECONOMIC DEVELOPMENT AGREEMENT: MOTION by Chairman Johnson to lower
the investment amount for the Liburdi Company's economic development incentive agreement
from $4 million to $3.4 million.
VOTING: Ayes — 5; Nays — 0.
REQUEST FROM THE CAROLINA BEER & BEVERAGE COMPANY FOR A
MODIFICATION TO ITS ECONOMIC DEVELOPMENT AGREEMENT: OTION by
Chairman Johnson to lower the investment amount for the Carolina Beer & Beverage
Company's economic development incentive agreement from $10 million to $9,524,000 and to
approve the improvement period from September 2008 to December 2010.
VOTING: Ayes — 5; Nays — 0.
ADJOURNMENT: OTION by Chairman Johnson to adjourn the meeting at 9:40
P.M. (NEXT MEETING: Tuesday, November 1, 2011 at 7:00 P.M., in the Iredell County
Government Center, 200 South Center Street, Statesville, NC)
VOTING: Ayes — 5; Nays — 0.
Approved:
25
Clerk to the Board