Pettis County Ambulance District

The key discussion point involved clarifying the status of a newly accepted member following their application approval, specifically addressing whether the individual was considered a voting member of the board prior to being formally sworn in. Legal counsel confirmed that the individual is absolutely a voting member based on the board's executive action regarding the application.

The meeting included the pledge of allegiance and a moment of silence. Agenda items were adjusted, moving the discussion on CD maturity after public comment. Unfinished business included a discussion about beds. The main financial topic involved the maturity of two Certificates of Deposit (CDs), one maturing the previous day ($350,000) and another maturing on June 5th ($245,000). A financial advisor from Central Bank presented alternatives, specifically rates for government bonds (Treasuries), noting that bond yields have significantly increased compared to historical lows, especially for short-term bonds, due to expected Federal Reserve rate hikes to combat inflation. The board discussed the possibility of redeeming the CDs and investing the funds into one-year or six-month Treasury bonds, noting the 1-year bond yield at 1.8%. A motion was eventually made and approved to redeem both CDs and invest $350,000 into a one-year Treasury bond purchase, with the other CD redemption to be decided later, noting one matures on June 5th and another in September. Other operational updates included the repair of overhead doors at headquarters, acknowledgment of successful EMS Week efforts, ongoing HIPAA and sexual harassment training, and two paramedic openings due to personnel leaving for PRN status or other job offers. The financial review showed operating revenue was up year-to-date (18%), largely due to a provider release payment and strong sales tax revenues, although expenses for repairs/maintenance and utilities were slightly over budget.

The meeting commenced with the swearing-in of a new board member, who affirmed support for all applicable constitutional and legal requirements. Operational reports indicated that window removal work on the north wall is progressing, with thanks extended to personnel involved. Maintenance is required for stair chairs, pending information from a repair company. One GPS unit was replaced after seven years of service. Mileage updates were reviewed, and personnel status remains stable with no major incidents or work comp claims reported. Masonry work is underway to block up windows on the station's north wall. Dispatch protocols are being finalized with Pettis County Joint Communications. An MAA board member training was completed virtually, and information regarding future training dates was distributed. A discussion was held regarding the need to establish a reserve price for Unit Seven to facilitate its removal. Financial reports detailed increases in bank balances, year-over-year growth, and updates on the FRA 101 review, which discussed Medicaid reimbursement matching (60/40 split) and retroactive transport payment adjustments of $45 per transport effective January 1st. Accounts payable details included discussion on a significant deer strike repair invoice, which is largely covered by insurance, and a separate towing incident related to a vehicle stuck in the snow/ice. The Medical Director provided an update confirming that all dispatch operators are now EMD certified (certification pending) and that operational definitions align with national certifying bodies. The director also detailed a serious patient incident involving a fall, resulting in a brain bleed, cervical fractures, and facial fractures, praising the paramedic's appropriate response and patient transport decision. Unfinished business included discussion of quotes for liability insurance and annual mowing services for various properties.

The board meeting covered operational updates including call volumes for May, noting a decrease in invalid run numbers due to new dispatchers transitioning to the PESKY authentication center. Equipment preparations are underway for switching to PEZ control communications operations. Vehicle maintenance discussions included plans for final inspection of two ordered ambulances. Building and grounds updates mentioned the need to replace bad boards on a banister/grab rail. Significant focus was placed on the transition to new Varico online scheduling software, with thanks extended to Assistant Chief Pennington for his instructional videos. Risk analysis for IT and cyber security was discussed, with plans to formalize a comprehensive procedure. Community activity included receiving tickets for a 'Salute to Heroes' event on June 17th. The CAD interface installation with Pettis County Joint Communication to integrate data into the patient care reporting software (ImageTrend) is underway, with training occurring this month, including Pediatric Advanced Life Support certification. New hire orientation is ongoing with scheduled progress toward road readiness in four to six weeks. Financial discussions covered revenue being above budget at 6% despite operating expenses being 3-3.5% over budget when excluding annual items. Payroll was noted as being slightly high due to additional payroll periods, increased vacation usage with overtime, and additional paramedics employed this year compared to last year. Utility expenses were generally on budget, though gas costs were high. Discussions also involved potential future community projects, including addressing trash issues, though some reservation was expressed regarding board endorsement of union-led activities.

The session involved a brief discussion regarding the operation of a heat pump until a specific temperature limit. Following this, the proceedings returned to open session for announcements, after which a motion to adjourn the meeting was made and seconded.