Person County
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PERSON COUNTY BOARD OF COUNTY COMMISSIONERS MEETING AGENDA 304 South Morgan Street, Room 215 Roxboro, NC 27573-5245 336-597-1720 Fax 336-599-1609 May 15, 2017 9:00am CALL TO ORDER………………………………………………. Chairman Kendrick INVOCATION PLEDGE OF ALLEGIANCE DISCUSSION/ADJUSTMENT/APPROVAL OF AGENDA RECOGNITION: ITEM #1 Person County EMS receives the Silver Plus award from American Heart Association Mission Lifeline ………………………... Douglas Young PUBLIC HEARING: ITEM #2 Request from Woodsdale Farm, LLC for a Special Use Permit for a Solar Farm, Tax Map A58 Parcel 12, Woodsdale Township, owned by Lindsay and John Wagstaff ………………………………………………. Lori Oakley ITEM #3 Consideration to Grant or Deny Request from Woodsdale Farm, LLC for a Special Use Permit for a Solar Farm, Tax Map A58 Parcel 12, Woodsdale Township, owned by Lindsay and John Wagstaff …………………………………….. Chairman Kendrick 1 INFORMAL COMMENTS The Person County Board of Commissioners established a 10 minute segment which is open for informal comments and/or questions from citizens of this county on issues, other than those issues for which a public hearing has been scheduled. The time will be divided equally among those wishing to comment. It is requested that any person who wishes to address the Board, register with the Clerk to the Board prior to the meeting. ITEM #4 DISCUSSION/ADJUSTMENT/APPROVAL OF CONSENT AGENDA A. Approval of Minutes of April 17, 2017, B. Approval of Minutes of May 1, 2017, C. Resolution Appointment Review Officers, D. Emergency Communications Network (Code Red) renewal Contract, E. Budget Amendment #20, and F. Tax Adjustments for May 2017 a. Tax Releases b. NC Vehicle Tax System pending refunds NEW BUSINESS: ITEM #5 Resolution of Support for a Permanent Clean Water Solution .......................................................................................... Commissioner Jeffers ITEM #6 Letter of Support for Required Local Matches and Other Contributions for P4.0 Non-Highway Draft Programmed Projects …... Ray Foushee ITEM #7 A Resolution Amending the Person County Economic Development Commission for a change in membership …….. Vice Chairman Powell ITEM #8 Solid Waste Options …………………………………………………………. Sybil Tate ITEM #9 Presentation of the Fiscal Year 2017-2018 Recommended Budget ……… Heidi York CHAIRMAN’S REPORT MANAGER’S REPORT COMMISSIONER REPORTS/COMMENTS CLOSED SESSION #1 A motion to enter into Closed Session per General Statute 143-318.11(a)(1) for the purpose to prevent the disclosure of information that is privileged or confidential pursuant to the law of this State or of the United States, or not considered a public record within the meaning of Chapter 132 of the General Statutes. Note: All Items on the Agenda are for Discussion and Action as deemed appropriate by the Board. 2 AGENDA ABSTRACT Meeting Date: May 15, 2017 Agenda Title: Person County EMS receives the Silver Plus Award from American Heart Association Mission Lifeline Summary of Information: The program, which started in 2015, recognizes EMS teams across the nation for their vital role in providing timely treatment for STEMI patients through Mission Lifeline systems of care. STEMI, which stands for S-T Elevation Myocardial Infraction, simply means that a patient is having an active heart attack that is recognized by the Paramedics on an EKG. In most cases, one of the major arteries in the heart is either partially or fully blocked and requires percutaneous coronary intervention (PCI) in a cardiac catheterization lab. The recognition focuses on two required metrics, 12-lead ECGs on non-traumatic chest pain patients and first medical contact (FMC) to Balloon time less than 90 minutes. The recognition requires a quality system of care with the referring PCI center, which is coordinated with the Duke AMI Coordinator Candance Van Vleet. There are three levels of awards, Bronze (1 quarter successful), Silver (1 year) and Gold (2 years). Person County EMS has been awarded the Silver Plus award, which is the highest award possible for first year applicants. In 2016, 28 agencies in North Carolina received this award. Of those 28 agencies, 2 agencies are of comparable population and distance from a PCI Hospital. Those counties are Davie County and Stokes County. Each of these counties has an average transport time to a PCI hospital around 34 minutes, which our average is between 35 and 45 minutes depending on if we transport to Duke Regional or Duke. Davie County EMS (Silver Award) Square Miles: 267 8186 calls (2014) Population: 42,013 (2016) 3 EMS Stations 5 ALS ambulances & 1 Supervisor 24/7 Stokes County EMS (Silver Award) Square Miles: 456 9522 calls (2016) Population: 46,067 (2016) 4 EMS Stations 5 ALS ambulances & 1 Supervisor 24/7 This recognition truly shows the high level of care and impact that our Paramedics are making on the citizens and visitors of Person County, especially in a County as rural as ours. Recommended Action: Recognize the hard work and impact that our Paramedics provide to the citizens and visitors of Person County. Submitted By: Douglas R. Young, Director of Emergency Services 3 2017 Mission: Lifeline® EMS Recognition Criteria and Measures ACHIEVEMENT CRITERIA: Each measure must achieve at least 75% compliance for the year per award level to be eligible for recognized status. The 2017 award period includes patients treated from January 1, 2016, to December 31, 2016 (See additional award period details at the end of document for low volume agencies) Patient volume requirements pertain to achievement measures #2 and/or #3 below*. It is assumed when volume requirements are met for measure #2 and #3; volume requirements will also be met for measure #1. Data is to be submitted in quarterly intervals as stated below: • Quarter 1 – January, February, March • Quarter 2 – April, May, June • Quarter 3 – July, August, September • Quarter 4 – October, November, December ACHIEVEMENT MEASURES: Note: Agencies that transport to both PCI capable and Non-PCI capable hospitals will report measures #1, 2, and 3. Agencies that only transport to PCI-capable hospitals will report measures #1 and #2. Agencies that only transport to non--PCI capable hospitals will report measures #1 and #3. Achievement Measure 1. Percentage of patients with non-traumatic chest pain ≥ 35 years, treated and transported by EMS who received a pre--hospital 12--lead electrocardiogram Achievement Measure 2. Percentage of STEMI patients treated and transported directly to an STEMI receiving center, with prehospital first medical contact to device time ≤90 minutes 4 Achievement Measure 3. Percentage of lytic eligible STEMI patients treated and transported to an STEMI referring hospital for fibrinolytic therapy with a door--to-needle time ≤30 minutes NEW PLUS MEASURE (Optional): Plus Measure 1. Percentage of 12 lead ECGs performed on patients in the field with an initial complaint of non- traumatic chest pain ≥ 35 years, within 10 minutes of EMS arrival to the patient. Inclusion Criteria: Patients with non-traumatic chest pain, 35 years of age or over, and transported by EMS Denominator: Total number of patients that meet the above inclusion criteria Numerator: Total number of patients in the denominator who received a prehospital 12 lead ECG within 10 minutes of EMS (12 lead capable) arrival REPORTING MEASURES (Optional): Reporting Measure 1: The percentage of hospital notifications or 12 lead transmissions suggesting an STEMI Alert (or CCL activation) that are performed within 10 minutes of the first STEMI positive 12 lead ECG in the field Inclusion Criteria: Patients assessed and transported by EMS, who had an STEMI positive ECG. Denominator: Total number of patients that meet the above inclusion criteria Numerator: Total number of patients in the denominator for whom a successful hospital notification of STEMI or successful transmission of the 12 lead ECG occurred within 10 minutes of the first STEMI positive ECG. Reporting Measure 2: Percentage of patients with suspected stroke for whom EMS provided advance notification to the receiving hospital 5 Inclusion Criteria: Patients assessed and transported by EMS who had an EMS impression of suspected stroke. Denominator: Total number of patients that meet the above inclusion criteria Numerator: Total number of patients in the denominator for whom an advance notification of a stroke was provided to the destination hospital. Reporting Measure 3: Percentage of patients with suspected stroke evaluated by EMS, who had an EMS documented Last Known Well (LKW) time. Inclusion Criteria: Patients assessed and transported by EMS, who had an EMS impression of suspected stroke. Denominator: Total number of patients that meet the above inclusion criteria Numerator: Total number of patients in the denominator for whom EMS documented the Last Known Well (LKW) time. Reporting Measure 4: Percentage of OHCA patients with sustained ROSC maintained to arrival at the emergency department who had a 12 lead ECG performed. Inclusion Criteria: Patients with Out of Hospital Cardiac Arrest (OHCA) with a Return of Spontaneous Circulation (ROSC) maintained to arrival at the emergency department. Denominator: Total number of patients that meet the above inclusion criteria Numerator: Total number of patients in the denominator for whom EMS performed a 12 lead ECG. Reporting Measure 5: Percentage of OHCA patients with sustained ROSC maintained to arrival at the emergency department who were transported to a PCI-capable hospital. Inclusion Criteria: Patients with Out of Hospital Cardiac Arrest (OHCA) with a Return of Spontaneous Circulation (ROSC) maintained to arrival at the emergency department 6 Denominator: Total number of patients that meet the above inclusion criteria. Numerator: Total number of patients in the denominator transported to a hospital capable of percutaneous coronary intervention (PCI). Reporting Measure 6: Percentage of 12 lead ECGs performed on patients in the field with an initial complaint of Acute Coronary Syndrome (ACS) symptoms, within 10 minutes of EMS arrival to the patient: Inclusion Criteria: Patients with symptoms consistent with Acute Coronary Syndrome (ACS) 35 years of age or over, and transported by EMS.