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                   MEMORANDUM FOR THE RECORD 

Subj:      Board Meeting, Minutes of January 11, 2023

1. Subject board meeting was called to order at 6:05 p.m.  

The following personnel were present or attended via Zoom or by phone

The following personnel were present or attended via Zoom or by phone

Angie Billue, President                       Eric McKenzie, Superintendent      

Kimberly Jacobs, Vice President      Bridgett Fessler, Recorder

Megan Hubbard, Secretary                Daryl Noll, Guest

Lisa Stewart, Member                                       

Absent Member – Donna Morrison, Carla Fitzgerald

Minutes of the December 7, 2022 meeting were read and discussed. Kimberly-Motion, Lisa-Seconded, Board unanimous to accept the minutes as read.

Bills were reviewed and approved.  – Megan-Motion, Kimberly-Seconded, Board unanimous to accept and pay all expenses.

Treasurer’s Report – The Financial Status of Accounts for November and December were discussed.  Carla-Motion, Kimberly-Seconded, Board unanimous to accept Financial Status of Accounts.  Eric will purchasing an 11 month CD at 3.8%.   Kimberly-Motion, Lisa-Seconded, Board unanimous.

Superintendent’s Report – For the month of November there were 94 calls, 55 transports,

 39 non- transports.  Total billing for November was $59,985.90  For the month of December there were 132 calls, 80 transports and 52 non-transports for a total billing of $129,999.70

The  ARPA grant application is in Review status.

Mike Brehm resigned his position with the Chariton County Ambulance District due to the work load of his job at Walsworth.

Med 3 is out of service due to a malfunction in the Liquid Springs loading system.  Eric is working with ARV who is conversing with Liquid Springs for a solution.  This is still under warranty.

Med 2 encountered a problem with the front axle track bar that made it non-drivable and had to be towed to W-K’s in Boonville.   The truck is still under warranty.

ARV has provided a loaner truck to use. 

                CCAD has insurance on the loaner truck.

While on an emergency call responding to the hospital, a vehicle pulled out in front of our truck resulting in a crew member being thrown down.  The employee was able to continue on the transport.  After the call was completed and the employee was back at base, she went to the hospital for an evaluation.   The rest of her shift was covered by another employee.

The February meeting will be on the 15^th due to Bridgette being out of town on regularly scheduled meeting date.

Kimberly-Motion, Megan-Seconded, Board unanimous to accept the Superintendent’s report.

2. Old Business: 

1. Board Filing – Donna Morrison and Kimberly Jacobs both have refiled. No action taken.

• Employee Dental and Vision – The yearly cost to the District for employee dental and vision will be $3,056.40 through United HealthCare.

3.  New Business:  None

Other Business: None.

No further business.  Megan-Motion, Lisa-Seconded, Board unanimous to adjourn meeting at 06:40 p.m.

Secretary to the Board                        for           Secretary to the Board

 Bridgett Fessler                                                   Megan Hubbard  

                   MEMORANDUM FOR THE RECORD 

Subj:      Board Meeting, Minutes of November 9, 2022

1. Subject board meeting was called to order at 6:00 p.m.  

The following personnel were present or attended via Zoom or by phone

The following personnel were present or attended via Zoom or by phone

Angie Billue, President                                       Austin Rash, Guest

Kimberly Jacobs, Vice President                      Austin Sturm, Guest

Donna Morrison, Treasurer                               Heather Calvert, Guest

Carla Fitzgerald, Member                                  Daryl Noll, Guest

Lisa Stewart, Member                                        Brent Dickerson, Guest

Eric McKenzie, Superintendent                       Kade Jarvis, Guest              

Bridgett Fessler, Recorder                                 Ned Clifton, Guest

Absent Member – Megan Hubbard

Minutes of the October  12, 2022 meeting were read and discussed. Kimberly-Motion, Carla-Seconded, Board unanimous to accept the minutes as read.

Bills were reviewed and approved.  – Donna-Motion, Kimberly-Seconded, Board unanimous to accept and pay all expenses.

Treasurer’s Report – The Financial Status of Accounts, A full report were available for the meeting.   

Superintendent’s Report – For the month of October there were 142calls, 72 transports, 70

 non- transports .  Financial reports were not available for the meeting.       

Chariton County 911 will be having a meeting at the Chariton County Courthouse on November 28^th at 3:00 P.M. to discuss CAD (Computer Aided Dispatch).

Missouri Governor Mike Parson visited Mendon on October 27^th to commend services rendered at the train derailment.

Sharps containers – Due to the discontinuation of the current sharps containers on the ambulances, a modification has to be made.  The cost of the modifications are $2,112.40

Eric taught 12 lead interpretations at the Chillicothe Paramedic Class on November 3^rd  .  The 2021-22 paramedic class had 15 students and this year there are only 6.  This is showing the decline in interest the paramedic field.

Eric and Marshall Meagher visited the Truman School of Nursing on October 19^th    to discuss the Amtrak train derailment and educate on mass casualty incidents.

An ambulance was taken to a show and tell day at the St Joseph school with the students on November 2^nd .  

St Joseph LZ – The Advisory Board of the St Joe Parish Council is having a meeting on November 9, 2022.   

Discussion was made regarding Frank Flaspohler and his untimely replies when Eric attempts to contact him.   

Donna-Motion, Kimberly-Seconded, Board unanimous to accept the Superintendent’s report.

2. Old Business: 

1. Security Cameras –  Nyle has ordered cameras, equipment, and a monitor and will begin work when the equipment arrives. No action taken.

• Fatigue Matrix – Discussion was made to adopt a Fatigue Matrix policy for the safety of the employees and patients.  The Board would like for Eric to meet with the employees to discuss the procedures outlined in this policy.

Donna-Motion, Kimberly-yea, Carla-yea, Lisa-yea, Angie-nay.   

3. New Business:

1. Health Insurance Renewal (revisit) – Heather from James Duncan’s office was notified that the premiums that she presented at the September 2022 board meeting were actually for 2021. 

Two 2022 policies were reviewed and discussed. Donna-Motion, Kimberly-Seconded, Board unanimous to keep the 80/20 UHC policy as previously voted on at the September board meeting.

• Ambulance Bids – A representative from American Response Vehicles and a representative from Pinnacle Emergency Vehicles were present to discuss their bids and warranties. 

After lengthy discussion, it was decided to purchase the ARV Dodge Diesel chassis. 

Kimberly-Motion, Carla-Seconded, Board unanimous other than Lisa who abstained due to not feeling knowledgeable enough to make a solid vote.

Ned is to get a bid for a box remount.  After getting a bid, the Board will do a cost comparison to see if the remount or a purchase of a new box is the most financially feasible.  No action taken.

• Board Filing – The first day to file is December 6, 2022 through December 27, 2022.  Candidate positions are Donna Morrison (District 2) and Kimberly Jacobs (District 5). No action taken.

• Board Crew Meeting in Policies and Procedures.  The Board Crew Meeting in the Policies and Procedures will be removed.  We have not had one of these meetings in several years; the employees feel that the Board and administration are approachable do not feel that these meetings would be beneficial.  Carla-Motion, Donna-Seconded, Board unanimous.

• Bid Limits in Policies and Procedures – The bid limit is currently at $1,000.00.  This will be amended and the District will follow state statute guidelines.  Lisa-Motion, Carla-Seconded, Board unanimous. 

4. Other Business: None.

No further business.  Lisa-Motion, Carla-Seconded, Board unanimous to adjourn meeting at 08:30 p.m.

Secretary to the Board                        for           President of the Board

 Bridgett Fessler                                                   Angie Billue  

  CHARITON COUNTY AMBULANCE DISTRICT

Board of Directors Meeting

Open Meeting

Chariton County Ambulance District

Salisbury Base

 October 12th, 2022 6:00 P.M.

Posted October 10th, 2022

Call Meeting to Order

Read Minutes of Last Meeting

Bills Report

Treasurer’s Report

Superintendent’s Report

            Monthly Call Volume

            Stryker fixed Med 1

            911 CAD Meeting on October 19^th

            Carl completed online instructor.

            Grant for EMT class with University

            Chicago Conference

            Problem between employee and SPD

            Missouri EMS Connection Article

            Austin Sturm

            Flu Vaccines

            Benefits Day

            Consultant Medical Director

            Meeting with Students

            New Ambulance Quote

            Hosting Board Member Training October 22^nd

            Website

            Protocol App

Old Business

New Business

            Security Cameras

            Snow Removal

            Fatigue Matrix

            Fire Extinguishers

            Kenny Boss

Executive

Other Business

                   MEMORANDUM FOR THE RECORD 

Subj:      Board Meeting, Minutes of September 14, 2022

1. Subject board meeting was called to order at 6:00 p.m.  

The following personnel were present or attended via Zoom or by phone

The following personnel were present or attended via Zoom or by phone

Kimberly Jacobs, Vice President                      Lisa Stewart, Member

Donna Morrison, Treasurer                               Eric McKenzie, Superintendent

Megan Hubbard, Secretary                                Bridgett Fessler, Recorder

Carla Fitzgerald, Member                                  Heather Calvert, Guest

Absent Member – Angie Billue

Minutes of the August 10, 2022 meeting were read and discussed. Donna-Motion, Carla-Seconded, Board unanimous to accept the minutes as read.

Bills were reviewed and approved.  – Carla-Motion, Megan-Seconded, Board unanimous to accept and pay all expenses.

Treasurer’s Report – The Financial Status of Accounts, Carla-Motion, Donna-Seconded, Board unanimous to accept the Financial Status of Accounts.     

Superintendent’s Report – For the month of August there were 92calls, 58 transports, 34 non- transports.  Financial reports were not available for the meeting.     

The availability of new ambulances has a projected two year wait.  With this knowledge, and the age/mileage of our trucks, Eric wants to start checking options on purchasing a new ambulance.  Carla-Motion, Megan-Seconded, Board unanimous for Eric to start checking prices to purchase a new ambulance.  

ARPA (COVID) ten million dollars in grants will be given out to EMS agencies within the state of Missouri.  The grants will be $20,000.00 increments and will probably require 50/50 match, details still pending.

Sunday, September 18^th, Chariton County 4-H will be having a Fire, Law, and EMS appreciation dinner at Northwestern High School in Mendon.  Several of our staff plans to attend.

Carl will be taking a 40 hour EMS instructor course in October.  University has received a grant to have a virtual EMT class.  CCAD has offered to host and will receive $30 per hour for the facility and $20 per hour for an instructor during the course.

In October and November, Eric and the crews will be meeting with sophomores and juniors at the local high schools to discuss careers in EMS.

On August 16^th Eric went to Jefferson City to discuss the Train Derailment and Paramedic shortage with the Regional Homeland Security Advisory Committee.

The new Mental Health program has started and our Behavioral Health Liaison has started doing, “six month check-ins,” on the employees.

Collection Reports from Frank Flaspohler were reviewed and discussed.     

Donna-Motion, Megan-Seconded, Board unanimous to accept the Superintendent’s report.

2. Old Business:

1. Train Derailment – On August 27^th Amtrak hosted a hot wash followed by an appreciation meal and recognition.  No action taken.

• 2020-21 Audit Report – The finalized audit was discussed, Carla-Motion, Megan-Seconded, Board unanimous to accept the report. 

3. New Business:

1. Health Insurance Renewal – Heather from James Duncan’s office presented the 2023 group health insurance renewal.  Our current plan took a 6% increase. Heather offered another option that is an 80/20 plan that has a less out of pocket expense for the employees than our current policy.  Carla-Motion, Donna-Seconded, Board unanimous to go with the 80/20 plan.  Heather will make herself available to speak to the employees. 

• Frank Foster – Frank unexpectedly passed away on August 14, 2022.  Frank Flaspohler has worked with Frank Foster for the past several years and Frank Foster designated Frank Flaspohler as his “trustee” who will be taking over the clients that Frank Foster served and honoring his contracts.   

The Chariton County Ambulance District had just renewed his contact in June 2022.

Frank Flaspohler already works with the Chariton County Ambulance District in the capacity of collecting our bad debt accounts.    

Donna-Motion, Carla-Seconded, Board unanimous to stay with Frank Flashpohler as our legal counsel.

• December Board Meeting Date Change – Due to Eric being out of town, the December meeting date will be December 7th.  No action taken.

• Pregnancy Added To The Non-discrimination Policy – Pregnancy has been added to our Policy and Procedure manual following a mid-term audit by the Bureau of EMS.  No action taken.

• Complaint About Legal Fees – Family of a patient sent a letter to the Board expressing dissatisfaction of legal fees applied to an account that had been turned over for non-payment.  The letter was reviewed by the Board.  No action taken.

• December Employee Appreciation Dinner – There will not be an Employee Appreciation dinner.  Full-time, and part-time employees (who work 100 hours or greater) will received an additional $25.00 uniform allowance.  Donna-Motion, Carla-Seconded, Board Unanimous.

• Changing Software Company for EPCR – We currently pay $4,973 per year for AmbuPro.  Image Trend will be free through the state and is compatible with our billing software and Zoll equipment.  None of our NEMSIS reports were submitted to the state since 2019 due to a software flaw with AmbuPro.  With Image Trend, NEMSIS data will automatically be submitted to the state.  Carla-Motion, Lisa-Seconded, Board unanimous to change software providers at the end of the current contract with AmbuPro. 

4. Other Business: None.

No further business.  Carla-Motion, Lisa-Seconded, Board unanimous to adjourn meeting at 07:40 p.m.

Secretary to the Board                        for           Secretary of the Board

 Bridgett Fessler                                                   Megan Hubbard  

 MEMORANDUM FOR THE RECORD 

Subj:      Board Meeting, Minutes of  May 19, 2022

1. Subject board meeting was called to order at 7:50 p.m.  

The following personnel were present or attended via Zoom or by phone

Angie Billue, President                       Eric McKenzie, Superintendent

Donna Morrison, Treasurer               Bridgett Fessler, Recorder

Ronnie Garr, Secretary                       Carla Fitzgerald, Member

Megan Hubbard, Member                  Donald Cravens, Employee

Brent Dickerson, Employee

Absent Member – Kimberly Jacobs, Diana Morris

Minutes of the April 13, 2022 meeting were read and discussed. Ronnie-Motion, Donna-Seconded, Board unanimous to accept the minutes as read or corrected.

Megan Hubbard was going to have to leave the meeting which she was attending by phone. 

To avoid being short of a quorum, the item of business of  Diana’s resignation had to be addressed at this point while Megan was in attendance.  Because of this, the items of business on the agenda were not followed chronologically.

Diana Morris had submitted her letter of resignation. The Board accepted the letter of resignation.  Donna-Motion, Ronnie-Seconded, Board unanimous.

Carla Fitzgerald accepted the appointment to fulfill Diana’s position for the rest of her term.  Ronnie-Yea, Megan-Yea, Donna-Yea, Angie-Yea

Bills were reviewed and approved.  – Donna-Motion, Carla-Seconded, Board unanimous to accept and pay all expenses.

Treasurer’s Report – The Financial Status of Accounts, Carla-Motion, Ronnie-Seconded, Board unanimous to accept the Financial Status of Accounts.   

Superintendent’s Report – For the month of April 2022 there were 95 calls, 75 transports, 20 non-transports.  Billing for April was $124,682.20. 

The EMT class is finished.  All of the students passed their practical test; they are now getting their clinical hours at Samaritan Hospital in Macon and doing ride-along with CCAD. 

The Salisbury base had sewer issues with the old cast iron drain pipes crumbling causing the drain to clog and leak in the basement.  Brian Neidholdt was able to clear the clog but eventually the entire draining system will have to be replaced. 

Collection Reports from Frank Flaspohler were reviewed and discussed.      

 Donna-Motion, Carla-Seconded, Board unanimous to accept the Superintendent’s report.

2. Old Business:

1. EMS Week – Eric and some the ambulance crews went to the local schools and spoke to the seniors about EMS as a career for EMS week.  Also in observation of EMS week, Eric took donuts and cookies to the Chariton County MoDot employees.  No action taken. 

• Lawn Mower – Eric ended up purchasing the mower from Fehling’s. He was able to get a hydrostat transmission and for less money.  No action taken.   

• Board Member Training – Eric is looking into some dates.  Being he is the new Superintendent, he would like to take the course as well.  No action taken.

• 2022-2023 Proposed Budget – Discussion was made.  Donna-Motion, Carla-Seconded, Board unanimous to accept the proposed budget.

3. New Business:

1. Website – Nyle Bowyer and Eric are working on this project.  No action taken.

4. Other Business: None.

No further business.  Donna-Motion, Ronnie-Seconded, Board unanimous to adjourn meeting at 08:15 p.m.

Secretary to the Board                        for           Secretary of the Board

 Bridgett Fessler                                                   Ronnie Garr