ladies and gentlemen good morning and welcome to our February 6 2024 at our 9:30 County Commissioner meeting is now called to order I've ask um commissioner Andrews if she would do our prayer and lead us in the Pledge of Allegiance at w stand if we would bow our heads dear heavenly father Lord we thank you for a chance to be here today God we thank you for an opportunity to serve this County that we all dearly love we just pray that in our decisions Lord that your will will be done God be with each and every one of us here today Lord and help us in our our walk dear Lord with you just in your name we pray and ask all things amen Bard and on public I'm um Mak some um Minor Adjustments to our agenda schedule here and I'm um asking to move the Pink Ladies up um before we have our comment section any objection from the board okay okay um our Pink Ladies Madam chair and Commissioners it's our pleasure that we come before you today to tell you that we have 9, ,500 to get to the rescue for them to have a um I'm G to let Ben come up and talk about that bill it's a lot of things that I don't know about the medical field but they do and they do a great service for our community but before they come up and say anything and we take the picture we have been in the auxiliary since 1956 out at the hospital since then the hospital closed down and we didn't have any place to go and of course the sheriff Sheriff's Department thought we were such pretty pink ladies I'm sure that that he decided that he needed us to help him at his office with wellness program and if y'all do not know what that is you need to really learn and tell other people about it because it is a great program where we answer the phone every morning when they call in and tell us hey I'm up I've taken my medicine I don't need anything today and we can go on to the next call that comes in well we we really could use a lot more people taking care care of this service if we would get the word out so if y'all would help us do that we would appreciate it the first thing we did as a pink lady long time ago even I no I was a pink lady then we bought the first Jaws of Life for Bradford County so we have always participated giving back to the community of the money that we make that y'all help us make you come out in worker Booth Church Department police department the County Health Department everybody helps us because because we don't have as big a department as we used to so we appreciate everything y'all do for us and we'd love to give the check to y'all this morning for the equipment that we have bought for the rescue Ben thank you you stole my thunder I was going to mention the fact about the uh about the first set of jaws of life for the county and that is true they uh they purchased that for for the county many years ago but when you talk about true Community Partners uh what a better what better example than than these ladies right here here and they donated $9,500 to uh braford County fire rescue for Handy bags which are pediatric uh devices that we use on pediatric calls and essentially it's an itemized very organized bag that makes us able to operate much more efficiently and uh when we when especially when we go to these pediatric high stress calls so again we can't appreciate uh tell you how much we appreciate the partnership that we have with the auxiliary group and and everything they do for this community and they again are true Community Partners so how about a round of applause for these ladies [Applause] here I have this plaque for you all this morning it says uh present to Bradford Community healthc Care auxiliary group in recognition of your generous contributions to Bradford County Fire Rescue and your unwavering commitment to improving Healthcare in Bradford County the date is wrong because we were supposed to do this last month and that was on me so come I should be doing something s hey Kenny keny okay hold a second here thank you thank you thank you all so much for your due diligence and your hard work always for all of these years we appreciate you bye bye thank you now we will move on to our regular agenda with the public comments and we have comments from Miss Carol Mosley if you come forward good morning Commissioners Carol Mosley 10121 Southwest 104th Avenue in Graham um happy 2024 my new Year's resolution was to spend less time on County Business and more on my own business this year uh but we have a couple of agenda items today that are near and dear to my heart in developing the plan for moving forward the first thing to decide is who we want to be as we grow up do we envision remaining a rural County do we want to become Suburban growing as a suburb between Jacksonville and Gainesville or do we want to expand our urban area such that the rural parts become Suburban do you all have that basic Direction worked out yet yet when we say we want to grow what direction do we want to grow in if the goal is about maintaining our rural nature um will the low taxes on Rural living meet the goals what kinds of economic stimulation will need to be encouraged if Rural is the direction we are headed ecotourism is one way to maintain independent small businesses and cottage industries if Urban Suburban growth is the the desire which the arpa spending seems to indicate will that overrun the rural tone that draws many people to come here in the first place if you want to increase the businesses that come here then there needs to be a certain population that supports them how will that work with rayer owning more than 25% of the county land mass what happens with flooding if tree farms are turned into subdivisions the devil is in the details so planning needs to Encompass much more than pipe dreams and a careful cost benefit analysis needs to be done uh with costs not just being monetary costs the other item I'd like to address are the rules and procedures for public partip participation uh rule b1a is an important one it says a person can speak after everyone else even if they didn't sign in and a person can be granted extra time with permission from the chair the signin sheets allow for a person to address the agenda item at the time the agenda item is being brought forth rule B1 says a person can speak more than once on the same cannot uh can't speak more than once on the same subject unless approved by the chair which means a person can speak more than once on separate issues such as today rules B1 C and D allow the board to question the speaker discuss the matter uh ask for Action by the committee or County Manager Etc and it allows interaction of the board without expectation of answers to the speaker then we have section c which deals with public comments that are not related to the agenda and though the board cannot take action on an item not on the agenda unless you suspend the rules to do so you can assign further examination of the Public's comments or concerns and you could even report back with new information garnered so it's been frustrating in the past to have the board not following its own rules so I'm glad they are finally being addressed and uh please encourage not discourage public participation in local governance thank you thank you Miss Mosley did we miss anyone public comments thank you uh for our um consent agenda I'm ask um the board that we remove um item 3C to uh the report that the our County Commander our kind of manager will be U providing to us so we will take u c from the consent agenda um so that they can do an explanation on that um cost Mr dos I believe is going to to help yes yes ma'am there was some question about that well we can we can address it now or we can okay yeah let's do it that way Mr Mr Dodge if you good morning morning at the time that I received the quotes it was under the 2023 Sheriff's contract that contract number is no good um we have received two quotes from beard equipment and ring power for the comparison on the the machines um beard equipment being the lowest quote and also willing to honor that quote from September at the same price without an increase so and they do have that machine on the ground so it would change it from the sheriff's contract to a sole source okay all right hearing the explanation from Mr Don um with that being the change or we can allow it to with that explanation to remain on the consent agenda with those changes correct is that a consensus from the board yes I make a motion to approve the agenda as I second okay okay any questions discussions all in favor by the sign all I any objection it's 5 thank you okay thank you Mr D and we have the U proclamation of hazardous materials awareness week as February 19 25 um 2024 and our Mr Commando okay let me find it well this here um where's number five we have we have it okay yep so Hazard hazardous materials awareness week February 19th through the 25th of 2024 whereas the safe use of hazardous materials is essential to Citizens businesses industry and local governments to maintain economic stability and the public health and whereas the Bradford Bradford County recognizes the importance of protecting our community from both accidental and deliberate release of hazardous materials and whereas it's essential to increase the community preparedness so that both public sector and private sector employees know how to safely protect themselves and those for whom they are responsible during an accidental or deliberate release of hazardous materials and whereas Bradford County represent Representatives participate on the North Central Florida local emergency planning committee and whereas the north central Florida local emergency planning committee offers free hazardous materials emergency response training for firefighters emergency medical law enforcement and other public safety personnel as well as Free Shelter Place train trainer classes for Community groups businesses schools and the general public as a means to increase safety in the event of of release and whereas Citizens need to know that emergency responders Emergency Management and all levels of government schools and businesses are working together to ensure that our community is prepared as prepared as possible to protect all citizens from both accidental and deliberate releases of hazardous materials now now therefore be it resolved by by the board of County commissioners of Bradford County Florida the February 19th through the 24th 2024 is hereby proclaimed hazardous materials Awareness Week in Bradford County thank you having heard the proclamation read I do I have a motion for approval iion that we approve the proclamation a second um motion by commissioner Andrew second by commissioner Thompson um any questions discussion all in favor by sign I I and oppos 5 thank you Mr Commando um next is the Strategic um planning goals and objectives and you all know that we went over this um in December and uh there were a few little minor changes that we um placed um there along with some uh language brief language change with the um mission and vision and so if everyone has had a chance to review it in your packet um we won't go through the the details of that because we've already done it any question from board you good just make one comment and and and commissioner sper I I appreciate all your work you did on this you did an excellent job um but I have read it over and over and over and almost everything that's in this we're already doing we've been doing for for a long time I mean um um the um you know the uh the Rails to Trails um I've been talking with Mr cor gay and and you'll probably get uh an email copy of um because it's fixing and 2025 2026 is going to be extended from Hampton on and the over Passover 301 um the um the transportation disadvantage you know I'm I'm actually the chair on that board so I I know what's going on there so I'm just saying you know and I do appreciate everything you've done but I I don't want people to think that uh that we haven't been doing anything because all almost everything on here is what we've been doing the whole time um you know we we've already been doing almost everything on this list uh I don't know how the rest of the board feels but like I said I've read over and over and over and um I know I I know we've been doing this okay it's not something new in other words what I'm trying to say okay and then some and so doing some of things or shortterm is that is as one and there's some continuation of some of the things that the Hampton um Trail will be doing such as the overpass that with crossover 301 this is not to suggest that these things haven't been or some of them haven't been done but we have not had a a plan um put in place where you have everything um that is listed this encompasses that and some additional things that we're going to be doing in the future M jion things that we're already need to address Madam chair if I may yeah um I think what what we have to do is look at the definition of a fiveyear strategic plan um what that means is that um we have a plan and some of the things that are on that plan will be on that fiveyear plan for 15 years because we want just like the the bike trail um the bike trail will not be done this year it won't be done next year and and we don't know how many years but when we the whole idea of the Strategic plan is to have an opportunity in five years to take or every year to stop and take a look at the the accomplishments that we've made um soon the the county manager is going to give you a an update on what has been accomplished in six months well it's the same thing when we take a look at our strategic plan except we look at it annually and on when we do that then we look at our successes that we've had for that year and we we decide what will stay on our plan and the bike trail and that's a good example will be on our our strategic plan for several years because it has not been completed when it is completed then it would be pulled out of our strategic plan we as the board of County Commissioners um and I think I think that some people kind of and may have a whole different idea of what it is we're a body that governs Bradford County we have duties that um is different than what the cities would be our goals and and plans are going to be different than than everyone else is this is for us this is for us to take a look and to drive towards what that plan is saying we should accomplish or we should at least strive Miss Mosley picked up right on it and I I mean just like she said it's kind of like selling a boat if you don't have have a compass in your boat you're you're going to be lost in what you're doing this is nothing nothing less than what that means we're taking a look at where we're headed we're putting goals out there goals in objectives and and we're just trying to make sure that we stay on on course I got a boat ramp that's very important to me and that's one of my goals it's been on there since when before I came before I came so it's been on there a long time and will continue to be on there until it is completed so it I think that when you take a look at what a strategic plan is that um there won't be things that are removed just because we're working on it it's it's to keep us a line of where we're headed and um that's my that's my opinion um it's it's what I've I've seen happen at Mr corg and Amanda gave me a copy of clay counties um it's spot on and it has information in there just like Miss sper has put in ours um a little more breakout is what I saw with Clay County um a little more added as far as um how the actual document is laid out and so I think that we I mean Miss berer not not to say anything negative but I think we could administratively take a look and set it up and break out some things um so that it's maybe an easier read but um I thank you for what you did and I think that um um I think the county needs this but that's that's been my opinion for the last three years so thank you man expanding on or certainly and Madam Madam chair if I may uh to reiterate uh both commissioner Andrews and commissioner dh's comments um a number of the items on the on the list will be addressed at the state of the county in in April when I give the annual progress report um so that'll give us an opportunity at that point to to see what we've accomplished um to not only see what we've already accomplished but we're working towards in the future okay and the Strategic plan gives us um a road mapap or some goals and objectives that we're working on it looks like where we are where we're trying to get to on the short term one to one to two years three four years or up to five years so it gives us a um a working document that we can work from we can always add to or take away so I ask for the um the board's approval of the of this working document as we had gone through it during the last month um it was the consensus of the board that you all had agreed with it and just uh asked that we um provide to you the final document and that's what I've done here today um with any other discussion I'll ask for approval um I'll make a motion that we approve it um I guess I'll make the m then we'll do some discussion second okay the motion in the second open for comments and discussion further I would just like to volunteer to help kind of break some of this out and set it up in in a format if that's okay with you or with the board all right any other discussion suggestions okay um so I'll ask the board approval with the suggestion uh that Miss Andrews made as far as the the breakout um and the layout of formatting of it is that reasonable okay so there was a motion by um Miss Andrews and second by Mr dhy any other further discussion all in favor say I I I okay I appr thank you all right um we have the community paramedicine proposal of Mr Carter good morning again Bo morning morning uh so this morning is not necessarily a uh proposal this morning is more of a discussion and I've I've asked some uh some good good partners of ours to come in and and just provide more information on what community resource paramedicine is and how it impacts uh our local community and the reason we're talking about this this morning is the op way abatement funds the settlement funds that we received um really looking at an opportunity with those funds to to make an a true impact on this community with with some sort of program similar to this and so uh with us this morning I have Christa a she's the program supervisor er uh for the community resource param medicine program for Gainesville fire rescue they have a very robust program um which is well respected throughout the state and we also have here with us some um representatives from the state that I will introduce here shortly but uh Christa has put together a short little presentation for you all and I don't want to take up too much of her time so um Christa a if uh come on for good morning chair Vice chair and commission good morning as Chief carer said my name is Chris and I'm G rescues program coordinator for the community resource paramedicine program sounds good next slide please um our program's goal is to reduce 911 calls and improve the quality of life by partnering with our neighbors who our citizens to overcome Health and Social Challenges next slide please for a perspective for the city of Gainesville in 2020 we ran almost 16,000 EMS calls and what we were hearing back from our Cruz was a lot of times they were going to people that they had already been to and that that person might not necessarily have an emergent need to go to the hospital that they had a need that wasn't being met next slide please we started our program with our disign design thinking process in 2014 in 2017 we were partially funded by a UF grant for a pilot program in 2019 the city funded a full-time coordinator position and our program has grown in there from funding and positions next SL please the goals of our program overall are to decrease the burden on the EMS system and also our healthare providers within our community we want to increase Primary Care compliance because we know that if people see their primary care position they have a better quality Health Quality of Life we want to improve their quality of life overall and then create a supportive Network within our city one thing to note is that our program is 100% patient driven so when we meet people in our community we're asking them what do you think our program can help with and that's where we start our teams may go in and identify that this person has food insecurities they have transportation access issues they don't have access to their medications they don't have a primary care but we're always going what can we help you with next slide please our program is staffed currently with a program coordinator position which is myself we have four full-time responder ones which are EMTs and they also do all of our case management and then we currently have funding for three full-time responder twos which are our paramedics and that's important because we try to send out our teams as what we call a functional unit so an EMT and a paramedic our EMTs are very well vered on the social connections to resources within our community or North Central Florida and our paramedics are there because most people that are entering our program are there because they have extreme medical needs and we want to make sure if we get there on scene for a regular patient visit and they are in medical crisis that we can initiate care right away next slide please the way our program is designed is to split up into four pillars so we have our chronic disease management pillar and this was the first pillar within our program and for the city that was important because it was something that we could easily go in and identify why someone was calling 911 so we looked a lot at our patients who had things like COPD empyema diabetes and condition such as that from there our program has grown and our next pillar next slide please was our recovery response pillar we know following covid we've seen an increase in opiate use and overdoses and so we actually have a pillar of our program now that specifically responds to and checks up on all of our overdose calls within the city limits of Gainesville that's really important because we have the ability to connect them straight into detox if they're wanting Services as well as inpatient and outpatient services and then our teams are able to follow up their care once they get discharged from those programs please we also have a homelessness Outreach and prevention pillar we have a large unhoused community in Gainesville and a lot of times what we're finding is those individuals don't know what resources are available to them they don't know how to apply for Social Security if they qualify for it or disability and our teams are able to meet with them one-on-one and help provide that guidance for them and then finally we added a community health pillar everything that we had done so far had been very very reactionary and so following Co we wanted to really focus on how could we prevent a lot of this going on in our community in our community health pillar we focus a lot on doing things like Health faires preventative education we do a home vaccine program for our homebound patients and their caregivers and programs such as that all of our pillars goals are to address the social determinance of Health what we know is that people often times have a medical emergency they call 911 our Cru respond they may or may not be transported and if they get transported they go to the hospital they get their emergent needs met make sure that they're medically stabilized they're discharged back into their regular environment that they came from and then we see that process just repeat itself because the whatever caused their initial 911 call has not been addressed for the most part and that's where programs like Community paramedicine can come in so we work a lot with our local hospitals for our high utilizers of the ER as well as Admissions and also both our 911 data as well as our County 911 data to address users that are high utilizers of the 911 system so we get referrals into our program they can come from pretty much anywhere our program right now does not currently officially take self- referrals that's because we have a lot of people in our community who would probably just want us to come chat with them every day um that being said if someone does self- refer we do make at least one initial visit to go out and check in on them and make sure that they are okay during that um once we get that referral we do a patient visit so our functional unit goes out and visits those individuals wherever they're at so we might be visiting them at their traditional home we might be visiting them at a shelter at a tent encampment and even at the hospital from there a Specialized Care plan is developed just for their needs so what do they need help with and how are we going to help them address that we connect them and we educate them so we do a lot of disease process education and then we connect them to a lot of services that are already available in our community that they just don't know about and then we follow up we have some patients that are in our program for maybe just a couple weeks because they need a helping hand they have one thing that needs to be addressed we can help them solve that and they're ready to go and they're completely self-sufficient on their own and we have other ones that we affectionally call our lifers so those are individuals in our program that due to complex medical needs or consistently changing medical needs they're going to be with us until either for some reason our program doesn't exist or pass away just because they don't have that family support system within our community our ultimate goal though is that every patient within our program develops the self-sustainability to take care of their own needs that is our goal and so we look at can we graduate them graduation for us is a fairly loose term they can always re-enter our program if they need assistance again if their needs change again and especially with our recovery response in our substance use patients we know that recovery is a lifelong effort and so while they might graduate and not need our services currently they always have the ability to come back and see us what's also important to recognize is that the way that our program is set up is no matter what pillar that our patients are involved in it does not cost them a dime we're fully City funded and there's some huge benefits that programs across the state are set up entirely different some bill for services some bill for some services but not others the way our program is designed we don't have to worry about if our patients are getting home health if they're getting PT or OT in the home if they have other bills that they need to be paid we're going to be able to see them regardless because we don't have to worry about double billing insurance and we don't have to worry about them not having the funds to be able to pay so we again have several referral sources resources that um we get a lot of referrals from the free clinics in town we of course get operational crew referrals so when our firefighters go on a 911 call they might be somebody that they've seen over and over again or might be somebody they've just seen once and identified a high need they can click a button in reporting system and it automatically sends our team a notice and then we know to go and follow up with that patient we also partner really heavily with our law enforcement agencies so they come in contact with a lot of people in our community that have social needs but maybe not medical needs so they might not come on the radar of fire rescue but our teams are able to go out and meet with them because we get those referrals from our law enforcement agencies in Gainesville and Ana County too we have co-responder teams so that's a law enforcement officer that rides with a mental health clinician and so we get a lot of referrals for Behavioral and substance use patients from those co-responder teams we get a lot of referrals from our shelters that um work with our unhoused community as well as our primary care clinics and then all of our Community Partners so far for our program for our uh chronic disease management patients we've had almost 800 referrals into our program that's our longest standing pillar within our program that program that pillar started right in 2017 and then for our recovery patients we've had almost 800 referrals into that program as well and it's important to note that that program just launched after Co so at the end of 2020 beginning of 2021 we've had the same amount of referrals just about into our recovery response um pillar and then for our homelessness Outreach and prevention pillar we've had right at we had just reached our hundredth patient referral and that program started last so that's been our our newest pillar and it's also only been since November that we've had a full-time employee in that pillar previously it was served by part-time employee next slide please we make it really easy we have an online referral system for our program so any of our Community Partners they have the link they can go in fill out what that patient might have some needs for and it goes to our whole team so that we can follow up we can also add that refer as part of our patient patient care team so that they can track that individual's progress we've seen some really great successes within our program one of them that I want to highlight is a well-being patient 512 this individual came into our program because they hadit call 911 31 times and what we realized when we me to went to meet with them was a lot of their calls were anxiety based so they were calling number11 because they really felt like they were having a heart attack they really felt like they were having a medical emergency but it was a lot of anxiety based so for those 31 calls that was a little over $228,000 in response from our fire TR Crews our teams interacted with this patient we taught them breathing exercises we made sure we got them connected to a mental health counselor and within about two months they had almost no 911 calls that was a huge savings to our department cost wise we've had some really good successes within our recovery response pillar as well so this individual we met downtown on a Tuesday and he said you know what I've been an alcoholic almost my entire life I want to get treatment and we said okay are you ready to go today he said well maybe not today maybe later this week so we said okay can we come back and check in on you on Thursday we got there Thursday and he's like I'm ready to go we transported him with our co-responder team to Meridian who's a huge partner of ours and so we were able to do a warm handoff which is really unusual for patients going into a mental health or substance use facility our team who he had already built a rapport with as well as a mental health Provider from Meridian and a co-responder law enforcement officer were able to walk him into detox together and show our support for him we were able to follow up his care he went through a residential treatment program in Gainesville and now he's in a sober living facility in Orlando and called us a couple months later and was doing great and was so thankful for our program and one of our other big patient success stories was an IND individual that we met that was living in an encampment he had a long-standing history of substance use and his ultimate goal was he wanted to be reunited with his daughter and build a relationship back with her so it took several weeks uh building a report with this individual before he decided that he was ready to go into treatment and then one day he called us and said hey I'm ready to go can you take me right now he completed a residential treatment facility or treatment program in Gainesville and again what we see a lot with our programs and our services that are provided when he got discharged he didn't have anywhere to go go to support him so we kept in contact with him but we also found out that because he was in house and had lived in a tent encampment before he was currently living in a storage unit and because he was living in a storage unit that created a lot of depression again for him which increased his substance use again and so we were able to work with him and actually get him into a treatment program in St Augustine he came back and visited us last fall he had a truck he was driving he had a maintained steady employment and he had rebuilt a relationship with his daughter and he credited our programs that because we stood by his side and supported him the whole way even when he wasn't in our local community we were calling and checking in on him and so he still calls about once a month and checks back in with us to let us know that he's doing okay and he knows that he's can always check back in with us and come see us anytime that he needs one of the big things to recognize though is our program has a lot of successes but we don't have those successes without our Community Partners so every day we're adding new Community Partners we sat down and made a list last December we came up with 58 that we were currently working with at the time and those were Partners both in our local community as well as North Central Florida and those are really important because we have to build those relationships especially with our me with our Mental Health Providers with our substance use providers our primary care providers so that we can help these patients not slip through the cracks that's what we hear time and time again someone told me that they were going to help me know and followed up with me and we want to be there to be that support and programs like ours community health or Community paramedicine programs or mobile Integrated Health programs can do that because we have the ability to meet people where they're at how many times have you seen your primary care physician be concerned about you because you didn't show up to appointment and they showed up at your door and said hey how are you doing does that happen anymore no but we have primary care that calls us and says hey Mrs Smith hasn't been at her last two appointments and we can't get a hold of her our program goes and knocks on her door if she didn't go because she didn't have transportation we help her AR that for her if she's sick and she didn't go we can tell a 911 so we can connect with a ER physician right away from her house and get her antibiotics or prescriptions things that she might need so we're able to provide all of the services wherever people are at so we break down the barriers both financially Transportation wise and just overall access this is our contact information um we'll sprad it for all of you today but I don't want to take up too much more of your time because I know uh the state wants to speak as well but what questions do you all have for me about our program or about programs like ours what is the cost of your program that is a great question so our operating costs right now for personnel is right at um 670,000 but it's important to note that that includes four responder ones so four EMTs three licensed paramedics the program coordinator position and then my direct supervisor is a community health director which is a brand new position within the city and so that position is designed to connect services and that are provided by All City departments but that is also included that Personnel cost and then our operating budget is just under 73,000 that includes all of our software all of our licensing contracts for our electronic health record systems our materials and supplies our non- Capital Equipment as well as any Professional Services and travel and training for us thank you another question question oh I'm sorry go ahead did you say you only have one unit for all of Lao County one unit as part so we have one program one program we are City funded and so we provide services primarily within the city limits of Gainesville okay we do patient visits four days a week and we average about eight patients or so that we're seeing each day with that being said if someone needs our assistance and they're in the county we coordinate a lot with El Lota County fire rescue they are in the infancy stages of starting a program so sometimes we will do a direct referral to them and they will handle it sometimes our teams will go out and meet together and sometimes due to complex needs or whether they're already receiving services in the city things like that we might go ahead and take on that individual as a patient okay thank you you're welcome commiss in the so in the initial I guess stages of this coming on board how was this funded you said by the city but was this funded a special fund was it out the general fund you know how that was great question so the initial funding the very very initial funding through the pilot was a $50,000 Grant from the University of Florida from us health and so that was our Baseline initial funding and then there um that was in 2017 and then in 2019 was our first funded position by the city and that was a full-time coordinator position and then we also received a second round of grant funding from UF Health which was 100,000 that funded two part-time positions for I believe it was scheduled it was either three or four years um for those two part-time positions previously to that our program was designed and developed by an EMS training Captain within our department who just really saw the need he had had Crews calling frequently saying hey this person's calling all the time they don't really have a 911 emergent need can we look at charging them with 911 abuse because we just didn't know there were other Solutions and that's when he started to look around and he was in a master's program for public health at the time and so you know that's when he looked around and said okay let's start this program let's do a pilot and see if we can address these needs and we saw great successes and then in 2021 the city funded two full-time positions for the responder one positions and then in 2022 is when we got the additional two full-time responder one positions as well as three full-time responder two positions so right now we are 100% City funded from the general fund and you said out of the 670,000 there's already like fire and rescue that are a part of that budget number is that correct so all of our employ are full-time employees by employed by the fire rescue so that 672 th000 is our community health director who oversees administratively our program she reports directly to the fire chief and then my position the coordinator position and I report directly to her and then under me there's three full-time responder twos who are paramedics and then four full-time responder ones who are EMTs so when we look at our functional units of who we're sending out for our pillars because we have a responder one for each pillar of our program uh when we look at sending out that responder or that functional unit of a responder one and responder two it's about1 to $105,000 for that functional unit for the year for their personnel costs but when we look at our successes especially patient 512 when we talked about the factor that we were able to take her from 31911 calls to none and it was a savings of you know over $28,000 that was just for that one patient within that pillar so we we're seeing a good cost savings across the board so on the recovery and response side are you currently getting any funds allocated from the over crisis Council or funding we are our program is not currently funded by that there has been discussions about adding because we have so many referrals into our recovery response pillar that there's a discussion about partially using some of those funds potentially to add a second responder one into that position just because we've seen the same amount of referrals in about a year and a half as our chronic disease management pillar has seen since the Inception of the program welcome any other questions just one and you may have gone over the data in your um in your demonstration but have have have you sat down and done the analysis as far as what the savings is to EMS with you guys going out so what we do at the the end of each year is we typically sit down and look at our highest utilizers and those are patients that we keep track of as far as how many 911 calls they're making in a given time and then we do track how what our interventions were and what that decrease was so I don't unfortunately have like an overall cap number for you on that today but that is something I can work on getting for you well I was just wondering with with the calls that you have I mean what the savings to um the fire department is so but thank you thanking M thank you Chief Carter thank you I'm make sure you get a copy of that this is uh their newsletter that they send out and just I want to give you a copy of that but you know as you can see cryistal program over in Gainesville is a very robust program and encompasses many different uh disciplines and so for us you know what we're looking to do is is really focus our main priority will be on substance abuse and our substance use disorder and so we're we're looking to uh use those funds for that reason right and I think that that unfortunately a lot of times you'll see substance abuse mental health um and in Indigent living all kind of go hand in hand sometimes and so with that I think we can going into the homes of of you know substance abuse patients will'll be able to to kind of capture multiple different issues at the same time right utilizing our our Fire Marshall to go in and make sure that the home is safe for that person and that they have smoke detectors and they have the things that they need but that's one of the things our community is truly missing is once they get discharged from the hospital there are no there is no follow-up care and if again if they don't don't go to their primary care physici they're not coming to the door to knock on it they're not coming out into the field we meet them where they are I think this program is something that could truly be a beneficial use of the funding that we have available and I don't know of another opportunity when we will have this kind of funding available to staff a position like this um you know we're not asking for five positions to do to do this job we asking for one to be able to start this program um and and de develop those Community Partnerships with the different organizations and agencies like the health department um so I think again that's that's something that we really should look at with this funding to speak more on uh more on the actual funding itself and utilizing that for starting community resource param medicine programs I've asked Michael who uh from the State Department of Health he's a deputy chief of the Bureau of emergency medical oversight U and I've asked him to come and speak and he's really been a champion for the State of Florida on these programs especially in rural communities and CLA price is with him today Claire thank you for being here um she's the mobile Integrated Health Community uh Community Health Department liaison so I appreciate her being here as well but U Michael Chief can I ask you a question yes sir before before you come up okay so you know when you were talking about you know being able to tackle the opioid issues and behavioral issues that I do see how they go together because they are and um but with Miss 's program you know they have the staff to go out with them and I know that you're always concerned about being short staff right so how do we address that or is that something you want to talk about after he speaks but how do we address if if we have a person that's going out how do we address the the in folks that go out just like Miss OTB go out with that because you know we have an unfunded Department cor right and so you know just trying to figure out how I mean how big is too big and then you know are we we're also dealing with a non-recurring pot of money here right it's 18 years but the number goes down you know each year incrementally so um you how how do we address that that that's that's a concern yeah no no no absolutely I think Chief left will also address some of those concerns as well with the fact of the reoccurring funds you know there is some legislation that may be coming uh you know on the horizon for being able to build for services for in home health uh Home Health Services for these patients if they have insurance or whatnot so um you know that could be a potential Revenue uh s not even Revenue Source but offset of the cost um I think that in years one through 10 you know it's over $100,000 for Bradford County that's allocated for our funding um if by year five for me if if that's not a proven critical need in this community then the program needs to go away that would be my opinion it's over 150,000 for the first five years so it would be funded and then in addition to there's state grants that we could apply for to help support and bolster our program with that I think as far as you're addressing the people going out into the field we would use our on duty supervisors we would use our uh Fire Marshall to go with this community paramedicine or paramedic um to respond out into the commity community and again I I don't have an exact program description for you and I would love to to bring back a formal description and and and program for you and that's kind of what I was looking for direction for this morning was at least just um you know consensus to move forward with developing that before uh making any decisions and so I think that you know in utilizing the staff that we currently have in addition to this one responder I think that the people who are suffering in this community deserve a dedicated full-time position you know for for that purpose of coordinating these things and done properly I don't think that it can be done by anybody who's already on staff I don't think that that can be absorbed by any of the roles that we currently have I think that they could certainly support that person and you know we wouldn't need to hire two people to go out into the field together we could hire um you know this one person to coordinate it and then they could use the on duty staff in order to support them you know whether it be from the Fireside or um the on duty supervisors that are there to go out into the homes with them obviously we don't want to send somebody in the home by themselves right um you know and if it were a severe case of of where we were you know worried about violent Behavior or anything like that we would reach out to the Sheriff's Office and they left so I'm going to volunteer him anyway um well there he is because that that was sure a concern about going out alone and not having support not only you know from a support right Sheriff we were just talking about if if you know guess putting you on the spot sorry uh going into homes that if we're worried about somebody being violent or anything like that partnering with with the sheriff's office right with DCF and sure sure and again I think it's just just coordinating with with the sheriff and and a lot of the code you know with uh Corporal Ward I believe you know probably a lot of his issues may may fall into to uh the same same issues as what we're dealing with you know sometimes I'm sure he comes in contact with quite a few of those people so would be a good source for referrals and being able to go out into the field with partnering with law enforcement to do that and again I said my my concerns are you know we talk about community community paramedicine versus opioid crisis right and I know what you said you know the initial focus is going to be on you know those folks that that do have issues and again going hand in hand and and I like what Mr Andrew said too is to be able to track that as far as you know the return calls and and see where the savings is there because uh you know this under like an annual review to determine you know the significance of the program and also the the savings of you know I would to be able to necessarily you know pay for itself absolutely no and I would you know I track that daily already with what we're doing you know on a day-to-day basis and would would would 100% encourage that um that we do look at that annually and make sure that this is a program that's that's something we should invest in and if it's if it's not a benefit to the community I don't want to waste the money on it but I I think that is a missing piece in our community right now is is being able to go out and do that U that home health care and the funding that's available is not enough to bring an inpatient facility to brafford County it's not enough to staff another position for one of these other agencies to be able to go out into the home because they don't have the support and it's what we do you know we're we're in people's homes every day we already have that public trust when you see somebody in a fire risk uniform come knock on your door it's a little bit different than seeing a social worker somebody something like that come knock on your door so I do think there's there's true benefit in this community and I would not be trying to say um that this is something that is is is needed in this community if if it truly wasn't um and I and I think that having this funding available is a is a big step and a big opportunity for us as a community not fire rescue and and I think it's the responsibility of the board too to make sure that the intended uses of these funds goes towards something that is you know applies to those uses you know and I know that covers a lot right I mean because again you're crossing over you know mental health issues with opioid you issues and things like that but that that we're that we're you know keeping that focus on that use for those funds yes and I and I would ask too I mean if if let's say that we were to divide These funds up you know are you really going to see the return on that are these other programs that you're going to be giving these funds to are they going to be coming to do an annual report are you going to re rece see the return on that investment I agree AB age with that because we are going to be audited as a county and you as a department corre you fall into the county right we start spreading that out then I think that that's where it kind of gets lost and you lose the effectiveness of those funds right so I agree okay thank you Chief absolutely so before we were fully funded with being able to send out functional units from the Inception of our program our program has relied heavily on are interns from the University of Florida and from Santa Fe College a lot of those interns that we get now within our programs they're Premed they already have First Responders some of them are already State licensed EMTs and they are doing it for internship credit so they need it for their miners in their ma in their major programs to be able to graduate and so we right now um every semester we're averaging about 16 to 18 interns within our program that come and help do everything they go patient visits with us they help take the notes they help do our input of data and they also help connect our patients to resources if we need to call around and find who has dmal medical Goods or who has appointments open and so when our program first started we did not have two full-time staff to send out as a functional unit it was really important for us to send out someone who had 911 experience because like Chief Carter said when people show up in a fire department uniform there's an inherent trust there and they're willing to open the door and share information with us but we staff for a long time with a full-time employee and one or two interns that were going out on patient visits so there's a lot of different Staffing models out there throughout programs in the state and Nationwide and just because a program has the funding in the Staffing to send out one person that's a full-time employee there are so many other Alternatives that we can do to make sure that we are ensuring the best safety that we can both for our patients and for our staff well that was one of the things that was mentioned in one of the vide that the county manager shared and it said that the thechille county and Gainesville city of Gainesville program would at some point try to reach out to the ouling counties okay so hopefully we would be able to utilize those same interns you know over here as you know just a collaborative effort to work with the outer lineing counties and to be able to have the staff that one that not only meets their need as student but also meets our need support correct so to give a perspective this semester for spring semester we had 14 out of our 16 positions available because we had two returning interns I had 26 that I interviewed and probably closer to about 35 that applied for our internship so we are more than happy to share those contacts and those resources we want to see these programs succeed because even though your residents are not living within our community still coming to our community they are receiving services in Gainesville they are shopping in Gainesville they may also be utilizing our 911 services in Gainesville so we it's imperative that we make sure that not only our community but we can do whatever we can help the communities around us to make sure that their residents and citizens are safe and healthy as well and you asked about the opment money well we don't have any of that dedicated right now to our program we did receive legislative funding this year and we have a guaranteed for the next cycle as well and so starting in March we will actually be seeing patients for mobile medicated assisted therapy so right now most of patients in our community that have a substance use disorder and want to be on medication they go to Meridian but if they have transportation issues if they work and it's their work hours are during those hours they're not able to receive those services and so now because of additional alternative funding like the legislative appropriation funds we're going to be able to provide that to them wherever they're at for our program as well thank you thank you Christ Madam chair if I may commissioner um do you know how many um in our County right off the top of your head I mean I know it would be an estimate but um about how many that citizens this would involve as far as Bradford Bradford County I don't know ma'am I do know we responded to about 48 I believe it was 48 overdoses within the last year um and so if you think about that's about one a week that we you know those are and now some of those are probably re repeat patients but um those are people that that obviously need those services and that's why I'm saying I I think there's the volume and there's the um the need in this community for a full-time person to be dedicated to this project for it to be done appropriately okay and as far as the repeat 911 calls we have the the that in our community as well we call them all our loyal customers okay and how many how many would you think that we have of those um I would say we probably have at least uh 12 to 15 that we respond to on a regular basis okay um just un Chief the answer that um Miss Andrews that they had um 21 um opiate um suspected over those calls and um uh 171 um for suspect Ed including the um others well and that's a great Point Mr SP that you know not everybody that is a substance of user that has a substance use substance use disorder overdoses that's compared to a lot of cter where they had like U 1405 uh in their data um Chief I'm hoping um to hear more about what your intent is for graphic County it's been 50 years since rapid has been able to get any money for substance abuse they've got mental health dollars um but in terms of the intention for the substance abuse funding this is first time really where we've gotten some dedicated funding specifically for substance um and in addition to what the funding is uh through the managing entity that we currently have um there's an additional uh funding that the county has in hand um that amounts to $130,000 just to the county um which in itself is a sufficient amount to support what you're asking in term of a Paramedic program the additional funding which is specifically for the op automat um to address the substance um is 321,000 that's almost a half a million dollars I understand and appreciate your need to fund the esm fire rescue so forth but this is the first time that we could actually have true funding to address those issues Lota county has a lot of wraparound programs they have uh St Francis house um they have all of these programs if you're a woman if you need housing they have the veterans program they have Meridian they have all of these wraparound programs in addition to the university that supplies them in addition to the availability of interns practicum students who who render their services the Meridian program here has um very little uh in terms of funding to provide that but this will be an opportunity so that we can truly ensure that the funding is going to those persons who need the treatment your guys go out to my community at least once a week or every other week but it's the same individual that needs the opio treatment but they're getting the medical piece of it so we need to ensure that the people who need the treatment and the funding that is available is provided to the clinical uh expert who can provide that service um and and so I was hoping to hear from you today how your department would provide that service a paramedicine person or paramedic is not the one who would provide that service they go out but the clinician is the one who would provide that service now I know it was the intent and thought of um um the Meridan program that that would be one of their staff that would ride out with you I I was hoping to hear some of that I've heard what the El County um person has provided to us but I want to know what it is that you are planning for Bradford County or or or your intent and I can hear from the gentleman from tallah hasset but I need to know what would be provided for us yes ma'am and that's that's all I'm asking is that we just hold these funds and and not allocate them anywhere until I'm able to bring you that formal proposal um that would include a very detailed project description U that would tell you exactly where where these uh everything's going okay the only thing I would caution the board on is that um when uh lsf presented to us in the fall they told told us about the timeline there's the 32 [Music] 1,19 and 15 cent that is Za but in addition to that our department here has 130,000 that the county has been allocated these are two separate pools of money I'm just asking not to encumber all of that money for a Paramedic program you can still do your Paramedic program what what we have in house and still allow the people who need the treatment to be able to access those funds so I'm questioning the board because that needs to be income by April they've told us since a since October you know to come up with a plan for the allocation of the funds and so it was my recommendation and I sent you guys a copy of it but I was asking that at least 200,000 of those dollars go to the Meridian program so that they can provide those immediate needs for the people in the community and the other entities that are providing substance abuse services in our community and to the health department who has three Community hubs right now one in Brooker um not Brooker Hampton one in ly and one in Star our community needs prevention education those are some things that a health department can also provide through those programs because already there Meridian staff is short staff but these fundings for them would allow them to hire the appropriate staff needed to provide those services and we I I don't see us waiting and holding on to those funds when it could be utilized to provide the treatment sure and I mean I could have that ready for you by the next meeting to be honest with you um that that project description um and I'm not honestly not familiar with the with the $131,000 um that we that we have from the county and so that's allocated to the county I would love to um sit with Miss leala and figure out where those those funds are coming from or or they're coming from the state and if it's reoccurring right I'm not sure and and so absolutely we can look at at other resources um you know but I but I think that that just if we can hold off till the next meeting and I I thought the deadline was June to spend the the the money and again we're talking about two pools of monies you have the state um I think there are seven programs um and they Department of Children and Families contracted out with these different agencies and the one that happens to be the managing entity for us is the lsf that came to present to us they hold the pool of monies for our County then received by our County clerk's office is a separate pool of money a part of that abatement uh for those um um non count and Brit's portion goes to our clerk sure so what I'm asking of you is to utilize what is inhouse and allow the people who need the service clinical those people who need detox and those people who need the clinical service those people who need therapy group treatment those um mothers who are uh may be dependent uh and have those babies that are dependent after birth and the ones who who wouldn't ordinarily come to get the treatment that's what I'm asking and and we're saying the same thing and I agree with you but I think that the problem is there with the funding that's available even the 321,000 yes that's a a chunk of money this year um goes to 150,000 next year 175 I believe in year three um is that going to be something that these that Meridian is going to commit to to funding a position Staffing a position out here that's going to go into the home and going to make sure that these people are getting the treatment is that something they're willing to commit to is that something the health department would be you know willing to commit to that's something that if we have that in housee you have control of that that's just my my opinion and I with that $130,000 that can certainly offset some of that cost of of uh you know the $321,000 and so I think um again looking at that funding the 130,000 131,000 seeing what um the allocation for that is and what the uh what the ongoing reoccurring amount is for those funds could certainly be something we could look at again I'm just unfamiliar with those funds but yes sir and then for this year is the 321,000 then the next year 153 uh 166 and the following year 171 131 121 114 116 and so forth for the next I many 18 years so there would be a funding source for those positions over that period of time and I believe that marinian is willing to to do that when I spoke to Dr Sor he he his impression was the person that would be going out would be a clinician a Meridian staff so I'm just asking this is rare opportunity for us that the money be used in the area where it needs to be well and I think that that's uh that's something that could be would would definitely be a priority and a goal for this position is to coordinate with Meridian and get you know someone there using a portion of those funds to you know that they could use out of that budget right if we had a budget with let's just say we had all $321,000 in that budget it was going to cost $10,000 for this month for us to use a Meridian healthcare clinician to go out with us in the field um you know we use that $10,000 for that month and we use that clinician to go out in the field with our with our community resource paramedic but we're not dedicating a uh you know $200,000 to to this other organization that again we have no control over the money at that point we have no if they don't do it what are we going to do you know if they don't don't follow through on that I mean what how do we they're all accountable they're accountable to the managing entity and they're accountable to the state they have to give a report on the data the services they render the number of clients that they saw so there's a there's already a coordinating person in place we don't need to um duplicate that piece of it to fund it when it's already in place what I'm suggesting to you is that you can utilize what we have internally with the county and do what you're wanting to do but don't don't take it from the people who need it that's all I'm saying and trust me that's not my my goal is to help those people I'm not trying to take that from those funds from those people at all um but I would like to hear if if y'all allow from from the state um just to you know have them explain I'm sure Michael can explain things a lot more uh eloquently than I can I still just have a couple other things abut before he comes in I apologize just give me a few minutes but you one of the things that Miss A brought up it's a really good point you bring up the data that Meridian has that they have to report but there's no data if the patient can't make it there and so to her Point as far as after hours or Transportation needs that's where I think this Outreach the param medicine program be able to to fulfill that and be able to to hopefully touch more people I know right now if I'm not mistaken Meridian has they have a shortage of staff and they even have I believe it's a mental health person that's out on leave that I don't even know that that we're getting any type of services there I don't know I me that's a question we have to ask but again going back to miss Andrew's comment about you know like a one-year review or something like that and to be able to determine if this is a more effective program then what is more place because we fund out of our general when they come in and they ask for M you know we give them it's the yeah3 for mental health services yeah it's about 130 so again um I believe it I'm sorry madam chair I believe it's 87,000 is that right Dan is that what it is about 25% yeah so but anyway um you know I'm I'm just kind of rolling this around but uh again you know hearing from Chief Carter and and from Miss and you know what we'll hear from the state I just you know again like I said I just the only my biggest concern is the that the intended use for this is being put in place so if it's opioid uh you know issues and things like that that people have that we're addressing that along with the mental health issues and and so anyway and I like Chief Carter's idea is if we utilize some of their staff then you know at that month or quarter whatever it is then you know we pay for that service but if it's something that we don't need then and we're still able to effectively utilize the program then I think that we just keep going so and and then also you know if I could real quick and I don't want to topic but with the Sheriff's Office you know um you know with with the sheriff's involvement uh early on right just like you guys right I mean somebody's gonna call 911 Sheriff's Office gonna be there you guys are going to be there fire rescue is gonna be there the one thing we haven't talked about and I know we're still talking about allocations of this money but it's just the early intervention type stuff that through our schools right so how do we get to a point to where hopefully we're not having these conversations because we've had that early intervention and the education for our schools so um again I think that you know putting the the pots of money in the places where there's accountability then I think that that's going to be probably the best use for anyway umre I'm sorry to delay it again but um what what I'd like to see is the if you can do the work on this I would like to have them here as well Meridian and everyone that's going to be involved sure I'd like to know what their budget is what they get from where and what their needs are as far as what their budget maybe didn't cover um and so and also how many cases they see so that we can look and compare because naturally if if we we definitely want to work with every one of these agencies and um take a look and see and it'll give you an opportunity to find out exactly what the savings would would have been if we'd have done it last year um maybe even incorporate a little bit with the sheriff's department response because like you said they they have to go too with the overdose and stuff so um I would like for them to come in and it be like a whole group that sits down and and really takes a good look at where our needs are um what we where our shortages are and um and let's see how the money can be utilized absolutely to the best best of our ability sure oh well Absolutely I'll I'll have my stuff together and I'll I'll reach out to these other uh partners and see if and see if they can put something together for the next meeting if that's okay with the chair um yes certainly and U and time is of essence uh for this particular pool pond of money our county is holding on to right the other um and when you mentioned the sh the sheriff no matter what whether you had the program or not are part of that marsman response so if you got a person who is in acute um situation a Sheriff Deputy or someone may go out to accompany that Meridian person to do the Marchman um act to get help for the person that's already ready sure okay um I would ask that we allow the state time that they came down from Tallahassee this morning I just hate to not allow them time to speak so sure thank you I just have one stop welcome okay and tell us again your name my name is Michael leer I work for the Department of Health I'm the deputy chief for the Bureau of emergency medical oversight uh that includes our state EMS office and also our office Ral Health um I'll keep my comments uh brief we we covered a lot of really great topics uh that Christa actually captured from Gainesville that are Statewide Trends uh in utilization of 911 and those things but we'll talk a little bit about substance use and the role Community param medicine can play in that it's really about facilitation of care Chief's Crews go out and they answer these calls and and it could be an overdose or it could not be an overdose but they become aware of members of those communities that they're involved in drugs and and uh and and require help mental health uh patients that that are cooccurring issues along with their whatever they called 9114 and who is better to identify the population that requires services in EMS and so the idea of of these Community paramedicine programs as they relate to substance use is they're really the best to identify the folks that need the services and they steer them to services and I'll kind of walk you through a scenario even in an urban community often times somebody suffers an addiction crisis whether it be an overdose or or or some other sort of addiction crisis and EMS is called uh that patient is transported to the hospital uh when they get there they're evaluated for medical stability and likely if even if they receive Naran they're probably okay and uh they're going to get a flyer that's probably been photocopied so many times that you can't read it it's got a list of substance used resources on it and uh it's up to that patient when they walk out of there if they're going to call somebody or not let's say they do often times there's a lag to get connected to Services if that person person is suffering from addiction that they're going to need some help the Warren handoff that Miss A was talking about is critical to getting those patients connected to Services ideally the the goal of a community paramedicine program that's that Services addiction is to get the patient all the way transitioned to Physicians supervised care so they're getting the counseling they're they're getting medication assisted therapy if that's the path that they choose for them that they're getting access to the the care resources that they that they uh that they get and I I'll point over to your neighbor over in Klay County uh they've had very robust program for some time doing uh substance use uh I believe it was in 2022 of 114 patients they took into their program uh 103 of them they were ultimately able to connect as a physician supervised care and uh that's that's incredible uh that that means that those patients were able to be transitioned in a way that that you saved lives you know because the the threat is is that what happens is if someone suff there's op overdose the likelihood is they're going to have another one they're going to have it pretty quick after they had the first one likelihood they're going to die from that is substantial uh but I think the idea is let's not wait for the overdose when when Chief's running calls and his paramedics are looking at what's going on all around him outside of what's called what's they're called for they're aware of where the risks are in the community they're aware of who the people are they're a trusted asset in the community they can go and knock on that door when nobody body else can and and and start that connection to care and so that's where we really see the value of these programs I do want to talk about Community Paris this just in general to to show you this isn't a new new thing it's new for Florida but the pro the concept has been around for about two decades Florida's been a little bit slow to adopt it uh prior to uh 2020 there were probably only a handful of these programs in the State uh Gainesville was really one of the trail brazing programs to to set up Community par medicine out of the public health events of 2020 2021 we saw a growth a first bump and we moved from maybe half a dozen of these programs up to about 30 of them uh Statewide and that was response to some of the surge issues and and unmet Health Care needs that we saw coming out of the public health emergency I I'll tell you that since then today there are over 60 of these programs Statewide and they exist in all forms uh in all in all sorts of budgets from you know half a million or a million dollars in places like Gainesville and Mane County uh to a couple couple thousand dollars in overtime uh that you've got people in rural communities that are going out and doing this on on overtime on available overtime and we've seen it all sorts of uh uh uh variations from very simple interventions to very complicated ones um I I do know that in the rur communities in particular uh these opioid funds are are being looked at by multiple counties as opportunities to continue these programs they someone has taken the leadership in the community to start the program and build the program and what they've learned is they can't live without it because there is there's substantial cost savings uh to his rescues that have to go out of County for for low Acuity uh deals the the cost of the crew the cost of the truck the cost of the fuel if those if we could get out in front of those Health needs of those people in those Community which we can already identify probably who they are and we can get them connected to care it's ultimately a cost savings even more importantly it's an operational enhancement that when you have the cardiac arrest when you have the stroke or you have the car accident on on on 301 here that his his people are better uh positioned to respond quickly and provide that timely life-saving care we promote this concept uh through our state EMS system it's growing it's part of who we are today uh specifically also in rural communities we've looked at as a extremely high value solution uh to uh increasing access to care and uh it all centers around increasing the health disposition of people in the community uh and uh and and and promoting that resilience through connection to care um I'd be happy to take any questions about this Statewide or or um any questions from from the commission thank you yeah thank you all right all right board so what I'm asking this morning is that we just don't do anything with the funding right now that we just hang on to it um until next meeting I'll have your project description of program uh built and ready to go for then I'll reach out to uh those partnering agencies and see if we can get some sort of uh uh you know proposal from them or or information and data from them or support of this program from those other agencies because again we will be working hand inand with them so um I'll have you much more detail at the next meeting if y if not before get us what oh yes ma'am no we'll get it to you as soon as possible and if you would Chief also get touch base with Sheriff I know that with the Naran and things like that I think you guys are probably well set up there as far as your supplies and the funding that goes towards that know yeah and so so again getting with the sherff and whatever you know discussion you all have as far as that collaborative effort but also you know like I mentioned earlier in schools you know whether it's the superintendent or whether it's someone within the schools that we can just you know find a way just to you know put our foot in the door and have that early intervention discussion you know however that is I I don't know what that looks like but I think that it's important that try to just like we talk about third grade math right you know it's if they can start you know figuring it out or reading at that age then you know hopefully you know if we hit them early then you we can keep them from getting on and I did meet with Anna Patterson from from our local health department and we identified this is a a Missing Link in that chain of of Health Care uh in Bradford County and uh is is that inhome inhome Outreach and so again I I don't want to delor anymore but I think that um I think I would my ask would just be Let's uh let's hold those funds until next meeting and then just consensus from you all to move forward with at least bringing you programs uh description well I can labor it for one more comment um we all know how short we are I mean we've shut down Hillburn Springs um Samson Lake gets move I mean Samson City gets moved into the city so it leaves our whole one whole section of our County with no coverage if this can keep our units where they can respond to the real patients or that not I didn't please don't part don't say I apologize for saying that but it for people that need to be transported to the hospital yes ma'am um then it's a good idea there's absolutely an abuse of of 91 911 systems Across the Nation it's not we're not U immune to that and absolutely understand what you're saying and I think that it's proven through these programs that it does reduce the the frequency of responding to those loyal customers because we all understand that the ones who call for 911 need help right whether it be like you said an an addict that's calling for help or if it's someone having a heart attack so um if we can keep our units where we need them then by all means absolutely thank than Chief Caro so the for the chief to come back I beg your pardon the consensus is for the chief to come back with the proposal I see head nods I just want to make sure oh the consensus is so yes thank you thank you Bo Madam chair the clerk report no report Madam chair okay um sheriff's report our non opinionated Sheriff mouth gets me in a lot of trouble but and that being said I mean Chiefs really worked hard in trying to come with something uh we work with Meridian all the time I know we get used a lot for their grants because of our low population rural rural aspect of it jails get used for a lot of that mental health and for a lot of the uh opioid addiction but let me just be honest we've lost people I care and love in this community because of the addiction the opioid problem which drives our crime and I think as a collaborative effort we can come up with something combined um to do something that best benefits our community with those dollars and I want to thank y'all I think every one of y'all have really something great input in that I think working together we can get better I want to give you a quick update I know the big thing is the is in the news and thank you Mark for keeping us updated is working with the merging of the start Police Department with the Sheriff's Office that's that's a big big effort happened really rapidly don't know what all occurred leading up to it but it was a quick phone call from a city manager that said hey it was a majority vote to see what it would cost our staff got together we worked with it rather quickly you had the holidays in there right before the holiday so you had that big holiday Gap in getting that we work with our general counsel our attorney who has done many of them throughout the state he told us what needed to be done legally got us case law did all that you know I did a presentation back in May or June to what we do it for what I could do it and give them the same coverage um they wanted additional coverage that was the consensus we put in together what we thought would be fair we presented that to their attorney their attorney made some changes we didn't adjust anything after their changes and that is moving forward uh as we say they voted four to one to make that happen that included uh Staffing included equipment patrol cars those type things so it wasn't a burden on us we want to make sure it totally Co covered the cost so it wasn't any additional cost to us because if they voted the police department out tonight uh we'd be responsible so I wanted to make but and to the the Commissioners every commissioner even the one that was the the no vote uh spoke to him at length he just wanted to make sure the city had the same coverage they currently have uh since then for the last 10 12 days my staff has bailed out on me uh it's busy but in those last 10 12 days we now have taken on every single call within the city so seamless we just flipped the switch and said we'll do it uh with over 400 calls so far in those time frames uh actually the response times have been right at the same as they were before or less uh without a hitch so we're making that progress we're bringing on some staff interviews and bringing on some people so it's been a smooth transition I want to keep youall updated as a hit I just haven't had that luxury it's been chaos but the holidays and everything else going in but that's how that came about we'll meet with them tonight to tell them how transitions going we have FDLE coming in to do the evidence probably they said 90 to 95% of what they have now will be disposed of so we only bring in a small amount old homicides that you have to maintain keep sexual assault kits those and some current crimes those will be maintained and the goodness is we already did all the records management so it's a flip of butt to converge and we do everything via bar scan like you see at the stores all of idence is done that way it's not done the oldfashioned hand it's all barcoded and FDLE uses smart cop so it'll make that switch transition to merge into our evidence which we have the room and space uh the equipment and cars they did give us a $65,000 up front to change the color of the stripe that's on the car they already have our radios via the board of County Commissioners our records management via Board of County Commissioners that's already done so there's really nothing other than to color their uniform colored on a car and where they'll be getting their paycheck from Sheriff um what does that coverage look like two two deputies inside the city at all times okay yes ma'am and that would also okay two at all times yes ma'am okay and then what's the cost 625,000 okay and it become effective it's well it's effective March 1st we've already started taking overall calls they merg their night uh off officers they moved all their people to dayshift so they're all on dayshift other than their working detail uh whatever their special details are now we're working with Santa Fe to take over that detail they've already reached out to us Santa Fe you notice you see a a police officer in the parking lot of Santa Fe College actually that will be a deputy starting March 1st or maybe sooner not sure they're still doing some well with the overpass so like last night I think they had three City officers out they not working that ship but they they brought in three of their people to work that little detail doing the paving and stuff okay so all of the people that were I don't know if that considered that private duty but at Santa Fe or at the different businesses off duty work off duty but those would then now become members of the sheriff theard they won't they had 11 employees of the 11 employees five applied two were given conditional offers of hire the other three would not pass our background and what we require some of them do the distance some of them live over an hour or so away um the other six I know that I spoke to two other two other sheriffs for them they called and asked me spoke to that they'll probably be going employment in the county where they live one in Duvall one in clay the others U really two of them were previous fires from our agency would not be eligible for re any other question for the Sher shair I have a comment I was going to say this for Mr comments but and um I always get the ranks mixed up still Lieutenant Lieutenant Whit Lieutenant director wh yes there was some discussion in Tallahassee about changing the qualifications for emergency management and I just want to say I'm I'm pretty sure the board that I think we have one of the best emergency directors in the state I think he's done a great job as far as his response his reporting his report to use literation there but I think that that really kind of and I wish he was here because you know when they start it one size do not fit all in the state we know that so when you have these you know hurricanes that hit South Florida and you know everybody up there has maybe 30 years experience because they've been there so long and uh but to just to see the way that he reacts and responds to any you know whether it's a storm that's upcoming that nothing ever happen but just how he keeps everyone informed and just I mean his overall demeanor and just very I mean for for a young guy always calm cool Collective you know and and and again like I said he he provides a lot of good information to us and I just want to I I I wanted to point that out like I said I know he's not here now but uh you know again I know they're talking about doing a program so that you know even if they don't meet that criteria then they're able to go into the program in about a year and a half I think as long as they have that uh still I I think that our Emergency Management staff that we have probably already meets a lot of that criteria they do and so anyway I I just wanted to point that out like I said I was saving that for commissioner comments but while you're here please pass that on I am blessed he is a he's a blessing and and really he's like a duck he's always paddling hard below the surface but on front he gives that and his OCD if you walk in his office you ask him anything he's well prepared he lives it he breathes it he's kind of like the Dr Giannis of of you get a lot of people that call him for advice so we're pretty perspective in that so we're we're blessed uh got a call from FDLE this week on major Don McKinley at the jail they want to move her to a subject matter expert in Corrections so they'll be creating a new board to oversee Corrections in the state and they reached out to us could they use her because of all her interactions and her inspections and all the jails so we got another moving in subject matter expert y'all I'm blessed as y'all know me I'm the over opinionated politician and and don't always mean to be that way but I am blessed with the people I surround myself with um in regards to it and the city's going to be better off we won't fail there as yall know it was all streamlined anyway from Communications to everything else so I am fortunate but that's the quick update uh on the city merger because I know y'all he it's out there it did lock in their price at the 2.5 Ms as you knew their four and a half approximately four and a half Mills did not cover just the cost of the police department itself so they've locked in two and a half Mill so if it goes up next year uh that's an increase so we locked it on the millage so not one person me or any of you know predecessor to me it's locked into the millage uh we have a liaison with the city which will be Captain Kevin Mueller born you know he's raising the city his whole life working for the police department work his way up through the ranks his family's here their spray field comes from his was from his family lifelong history so that's going to be the L liaison Chief Johnson's working with me uh to make sure that happens and it's just inventory and and getting it uh I know to him sometimes it seems like chaos we just inventory everything that we get and moving forward and my staff is handling all that transition so I I'm fortunate but that's the quick and update on that one last thing oh you know it absolutely and Sher will you continue your resource officers in all of the schools yes ma'am okay there's a school protection Deputy in every school uh in regards to it and we have Guardians in every one of our schools that that does include Brooker community school as well so thank you it's all covered thank you may I please yes miss you know I always want to get it Sheriff get opportunity um I think that the biggest now I'm I'm just sharing oh yes the biggest concern was the staff um and I think you've explained that that I I wouldn't have thought the qualifications for or the police and the sheriff would have been different but I guess FDLE standards are different no they're not different just what we ask for what our we do voice stress analysis we do psychological exams those don't happen with the city oh okay and then our requirement in our backgrounds like U someone with a prior DUI or two DUIs would not be eligible because of our floor Sheriff's risk management and driving someone who has a prior arest maybe for domestic violence would not qualify some agencies may take them we just have a set goals and we're not going to hire any by less than the standards that our other deputies have to meet okay and now your $625,000 a year will that continue yes ma'am because it's tied into their millage that they're four and a half I think it's 4.5 mills the city collects which didn't cover the cost of just a police department uh that people that live inside the city um have to pay okay so what they did is they want to lock it in so I couldn't go back next year and say well you know the costs went up but their millage has gone up I went back a dozen years maybe a few more it's increased a little every year just with the tax base and businesses moving in the city right so it's tied to the millage if it was to go down some we'd have to do it with a little less but that does cover the cost of the officers covers fuel cars all those other accessories that have to go in there we we gave them a fair price they thought it was fair even had one or two said you sure I said yeah we we're not here to gouge anybody we want to give you what it cost to do business we all live here together and director Wht um goes without saying he is he is exceptional I mean he really is he he keeps me posted on three pipes which of course oh I you know even before I get phone calls he he sends me a text Miss Andrews we're opening it's reached that level and then the next day say it drop back down or whatever I've got to close them again or whichever one but he um he's a very bright young man very and I mean we fix to finish his degree he's F to finish his degree and we're pay going to finish his m M he's a local guy yeah I don't see him going anywhere he he loves his community his family's here his wife's family's here we're pretty fortunate and then Noah which is replacing Miss Russell that's that's leaving he's got his degree Michael heer got their degree so we're pretty fortunate to have what we have in Emergency Management yes we're blessed thank you thank you thank you sherff now we go to our manager's report Mr car so I hope you had time to review the uh the amended and edited uh board policy manual that was included in your packet um we started working on this in Earnest back at the end of December right right in the middle of the holidays and have since put roughly 30 man hours into it all together U Amanda and I worked on it uh for several weeks and then we brought in the clerk's office to help us review it and get input from them so what we have now in front of you is the uh our final iteration and we would just like for to have some discussion and if the board has any concerns or any issues that you would like to talk about now would be the time to do it because the ask would be that we come back to you at the next meeting uh for adoption does the board have a suggestions I I guess I have a few um a a few um the in the preparation for the agenda I know that that was um recommended change from um 10 days to seven days but I I think it would be good to keep it at the 10 business days and the same for that would be um prep um preparation of agenda item one A1 and A2 just to keep those at the 10 business days um I don't think it's business days it's calendar days calendar days okay no I know it didn't say here on the old one I think with calendar days but if we're going to change it leave it at 10 calendar days as opposed to reducing the days and then I know on the agenda material um you have a suggestion of changing it from six to three days um and I would that you at least leave it um I'll have five days or five calendar I'm sorry M SP where where are you I'm so sorry on B agenda material that's on page 15 of the document that where it says that a copy of the agenda and supporting material shall be prepared for each commissioner the public and the media before 5:00 p.m. uh it was 6 days now it's reduced to 3 days prior prior to the regular commission meeting I'm asking that to be at least 5 days rather than putting it a mem of three and then the other one was on page um 14 which was the preparation of the agenda um that was A1 and A2 to at least keep that to 10 10 days and I I'll have to find the page where I'm I'm sorry madam chair the the item you just mentioned A1 reducing it from 10 days to seven days at 10 what what setting it at 10 days does for us is it causes us to have to produce multiple agendas in other words we get we get additional agenda items Commissioners have requests for uh for things that cause us to have to go back and and and adjust the agenda at a 7 day um minimum that gives us the opportunity to have the agenda mostly complete and correct at the time that we publish it and on the agenda material um preparation on B for page 15 you all will change it to three days and I was asking at least to have five bu really five business days that's on page 15 um at the agenda material there there's no way we can do five business days well at least five days we can we'll just end up get multiple Amed agendas and it's just what's the will of the commission that would you rather see well I would I would say and I'm not speaking for Miss Mosley but I'm saying that I'm sure miss Mosley when she looks at the agenda she would like to have the closest thing to the final product certainly possible certainly so and we can't have the closest thing to the final product that far out I know and I understand that and so that's why it is suggested to have a time frame in which to get the agenda items to the um to you um so that we won't have all of the add-on last minute kinds of things well that's a wonderful plan that's a wonderful plan it just it just simply doesn't happen yeah the way government works is unfortunately entirely too many times different departments different special interest groups come in literally the day before meetings and reiting to push them to a new to the next meeting after that it's just just such a short time three days is just a short time frame of the publication and I wish it would be more than that but that's my suggestion like the county attorney said we can we can do that I mean that's no problem but just be aware that you're going to get amended agendas multiple agendas and then well what if we what if we send maybe like without all the attachments a draft so then that way you had an idea what was coming without again to put out you've said it opening up is you know part of the purpose of government is transparency right and I think that's what public is entitled to and I think that's what they expect and in doing that through the transparency when governments continue to change the agenda it looks like we're trying to slip something in I think everyone in this room knows that's not the case right um so and I understand that you want to have information as far enough in advance to prepare yourself and that's that's good too so maybe the compromise would be to have a draft agenda that's sent to you just so you know what's coming up but finalizing the agenda on the three days so maybe the rest of the commission could weigh in on your thoughts I think that I think that would work any thoughts yes I I read over this several times um I do agree with with what Mr cor and Mr Commando saying um because we have had this problem several times in the past we change it over and over and over and by the time you get to the meeting you've got a a different agenda than what you started out with and um so like I said I I've read over this several times and uh even called Mr corn about it and talk with him and um and I I think y'all did an excellent job on reviewing this and and the changes you've made um and and I'll be honest with you I'm I'm happy with the way it way it's written um and has I've already discussed that with you earlier um but but I do see what you're saying because I in fact if you look I even have it highlighted online about the three days but I also understand you know we we don't want to turn out something and somebody pick it up and say oh well this is what I was prepared for and now I get to the meeting and there's something totally different and that's that's why I think the three days is a good all right any other one else and I'll I'll have to try to find the page where it is where it talked about the I think I found it the public comments um when the person could speak there was kind of a a little conflict in what was said and and what P what page you on Madam chair I'm trying to find it now but I think this is on page five let's see let me make sure um I'll have to find it I don't it is it's uh page five item C it um I think there's there's another section of the document that talked about them the person being able to um participate um and then there's another I should have had it marked there's another area where it's where they could possibly speak at another time would that be under the public hearing on page seven I I'll I'll find and then try to get back but there was a conflict in in what one paragraph said and then the second paragraph but I'll need to look a little bit closer at it so that we yeah we we can talk about that okayer so that we'll be clear but it and on the one hand it was like the person could participate on the on the three minute and then later and her um okay but I'll get with you about that so that we'll okay that sounds good kind of get the same message and then um I need to find that too but I was I'll try to find it but it was serving on the on the uh committee and Boards where in one paragraph had serve I think was like a maximum of two years and then um later on it's a minimum of two years but I'll find that and uh get get with you on it m you know where we serve on the various um boards not our this board but on the committee boards like in the community um but I'll I'll find that I just put a question mark by it was it intended to say maximum a minimum on the maximum on the board's a maximum two years on one place it had a Max another had a minimum so I just was trying to get clarity on that but I'll look more diligently and and um try to clarify that you know some of those boards I don't know maximum way that runs is that you know I to be first VI president and then end up being you know president you know so by doing Ser the same appes local libr I'm not okay I'll get with Mr Carnegie and when I can can find as those particular oh I'm sorry yes yes thank you um just regarding time frames on the agenda um it's hard for me to schedule things in I have a pretty Co full calendar and so if I can see a draft agenda that at least says what's going to be disussed even if the materials that go with it are not prepared yet that would help me to decide whether or not I'm going to come to a meeting and so having that well in advance a draft version would be great and then you know if there's something on there that I know is important to me I could call and ask Amanda you know do you have the materials ready for that yet or you know but we should have at least three days is to see the materials and I think it's not untypical for most counties to have a 7-Day period on an agenda I I don't I think three days is really too much too short but a draft version with then a final version that has all the packet materials with it I think would allow people to schedule better because I in three days my calendar's already full thank you and I think that's what um Mr car was um articulating earlier all right okay any other um comments on The Madam chair yes mam the item you were referring to is on page 23 of the policy designation length of service boards and committees are to be designated as standing or special a Sunset date will be specified for special committees term length for serving any standing board or committee will be a minimum of two years unless otherwise specified that was already in the policy I don't believe there was any change to that so that that was already in place okay a minimum of two years is the language it says will be a minimum of two years unless otherwise specified thank you um Miss Roa okay any other comments all right anything else Mr okay oh no ma'am I'm sorry that's that's all I have so we'll uh we'll bring forward the final draft to the next meeting for your review final review and approval okay all right okay moving right along um um Mr Commando Madam chair I don't have anything okay and the Commissioners miss Andrew well I just kind of wanted to address a little of what Miss Mosley had brought up about growth I think that um I don't think any of us want to want us to kind of blend in Jacksonville and and Gainesville we um we love our small town um and I I hope that it will continue to be that however as we will know um we need businesses to come in to build for a bigger tax base in order for us to be able to to function and in order for us to be able to bring property taxes down and and do things that we can do for Citizens that are very important to us and um that's where we need the growth um and I think it's coming I really do I think once the bypass once we get all the infrastructure to the bypass it's kind of like the old cliche build it and they'll come I truly believe that once the first building goes up that we'll see um growth out along that bypass quickly but I don't think that we will lose our small town um charm and and uh at least I hope not and uh but that's what I I see as what we're hoping to accomplish and other than that I just appreciate everybody listening to comments and the um the work that we've done today I think it's it's uh commendable as far as the board is concerned how we talk about our our wants and dislikes and approvals and I think that we become a much stronger board when we do that so thank you all and that's all the only comment endu driving by s we had any hits on that we have not had any hits on the website but coincidentally we did have some inperson interest in it yesterday as recent as yesterday okay so uh have no idea where that's going to go but there is considerable interest on this this per this business owner's part okay to acquire the property so my battery does not computer so I pulled it up had any hits on just see like a home ORS or a car whatever it is lower price just I wanted to see what the if anybody I think it is next meting have a discussion face to face interest you certainly I think we need to negotiate maybe we set a reserve something I yes I I agree completely I believe the reserve that is currently said is is unrealistic okay and did he make an offer no ma'am well right now I say right now 157 L value of the building itself I don't know not but again I'd like to see it move i' like to get that's one of those things that I think we need to move on from and certainly cplus property could could use 100, okay yeah so and the land is 76 right as far as setting so if we're at 100 177 say maybe to at least that comfortable we've seen a lot of up have not been to TJ my wife says it's wonder you know there's things like that that I think anyway just was a drive by as who do we have it listed with it's currently posted on gov deals the website gov deals if if it's the consensus of the board I would I would recommend that we go ahead and lower take action to lower the reserve to 150,000 if that's what you guys would like to do I wouldn't I wouldn't make it any less than that I'm I'm saying 180 start at 180 and let them well the the thing you have to consider is if if if a if a restaurant that can feel an unmet need comes in there and it's a very popular restaurant that's already established in other places um you know they come they'll come in they'll renovate the building which is going to be expensive for them to do um probably at least a couple hundred thousand I would say uh for them to come in and do that and then just the the uh economic driver that that would become um when I was talking to the individual yesterday you know pointed out that everybody that works in this Courthouse all these surrounding annexes and and offices that are in the vicinity um they'd love to be able walk you know from their office across the parking lot to eat at a nice restaurant so that sort of impact would offset any reduction in the Reserve at least in my mind so but that total your decision if you want to set it at 150 that's fine if you want to make it higher than that we can do that as well but uh I would I would like to move forward with this FES ta JS we talked about it we talked about hav I'm not person to get that am at Le sure you said it at 50 and then all of a sudden somebody sees it and well I'm going to offer 180 right 15 seems a little low so we can he been a little higher than that but anyhow I would suggest between I'll keep it at the appraised value of the 177 is that what I he heard I heard you say that it was 177 171 171 okay or if you need to clarify with the property office to be sure or whatever their whatever the um the appraised value is that we at least ask for that okay so the consensus is to set the reserve the amount of the appraise value on the webs on the property appraiser site is that is that correct okay that's not my I just I just want to point that out that's all set at 1 well I I mean I'm I'm just going to give you my opinion as the manager right that's because that's what you pay me to do I believe that's a little high I believe 170 is high or 171 whatever the number is I think that we would be much better off to take 150,000 if that's what it ends up being and get somebody in there I agree I mean that that $20,000 isn't gonna move the needle on on any by any measurement it's the it's the getting somebody in there and getting that business up and running and getting those jobs created and getting that tax revenue in that's what's going to move the needle we' lost that not at TA way more than that well we need to have the same discussion about the Brooker property do we want to uh do we want to lower the reserve on that as well and chief I don't know if you can I think he's going to get Jason to help him pull that one up so while while the chief and Jason are looking that up do we do we now have consensus to set the Reserve at $150,000 for the Pizza Hut all all I see all yeses okay now remember this could be turned into a fabulous restaurant as well I'm sure was a big old thing of weed I and then they had chips and they had all kinds of things but you drove right through pick up whated Madam chair we uh We've pulled the property up on the property appraisers website and the just value for the Brooker property is 8,561 okay I I can't remember but it seems like it was more than that more than 80 80 8 was 88 but 88 89 somewhere around there so maybe we could set it at 80 so yeah I think Lauren from 89 to 80 is I'm I'm not sure what effect that will have uh we can try it or we can go ahead and make it a little more attractive and go to 75 or 70 well you know in this discuss just like just like with Mr dods with equipment you know I know he'd like to get a lot more money for the equipment that he Surplus and to help us offset the cost of you know the equipment that we have but after a while it just sits for so long and then it you know starts to not necessarily lose its value but you're not taking advantage of the opportunity of being able to go ahead and you know burn a hand right so Jason can you come up here because on the recording you can't hear sorry about that so the uh actual welding shop that was being rented that we took back that actually has electric every other building on that property has no electricity it has to be complet completely rewired plumbing and all that to it it's basically just a a shell that's not in very good shape so you got the quanson Hun or whatever you want to call it that is really the most valuable piece on the whole property the other buildings are go with that yes ma'am everything except for the parking Bay for the fire station really yes ma'am any other questions no so what is your suggestion miss Mr Carn in terms of that pricewise ba based upon what I've heard in the community I think that we should probably set the Reserve at 70,000 okay consensus of the all yeses yes okay all right very good thank you commissioner dhy I um I should have I should have been ahead of that but thank you for bringing up about end February that's all I thing I just want to say is Chief Carter I I really do appreciate all the work you put in uh for the presentation this morning bringing in the the lady from Mrs hot from um from Gainsville and also the gentleman from Tallahassee thank you so much and um you know moving forward um because because you guys really have the best handle of where that money would be well spent in Bradford County because y'all deal with it every single day you see these people every day so I I really do appreciate the time and effort you put to it already and um and looking forward to hear your um proposal on our next meeting I just want to say thank you okay and I thank my spirited spirited board our board um and commenting and debating and the discussion um and I too um Chief Carter look forward to a presentation but I also wish that we just keep in mind um the intended use of the funds and that we make sure that it is provided to the people who need it the most and that's the people who are addicted to the drugs um with that I wish to also thank all the prayers for me and um I'm recuperating and feeling much better um and we look forward to the next meeting okay any other anything else for the good of the order if not this meeting is ajed Cor