Call to order.

The date is February 11, 2025, and the time is 5 30 p.m.

We're going to do roll call at this time in you district commissioners.

You can just say whether you are present or not.

District one here.

District 3.

Present.

District 2?

Yeah.

And District 4.

Present.

Thank you.

All commissioners are present tonight.

First, on our agenda, ladies and gentlemen, do you have any preliminary items for the next board meeting that you would like to discuss?

I was trying to get it to you.

Excuse me.

And we were trying to get these out to you all a little earlier, but I still want to make sure you all had them.

So does anyone have anything they'd like to discuss tonight?

All right.

Well, seeing none, we will move forward with our agenda.

Next on our agenda are our presentations for tonight.

And our first presentation will be from 4C program reorganization proposal from Fire Chief Tim Sweat.

Thank you, Madam Chair, Madam Vest Chair, members of the board.

I'll be before you twice this evening for these first two presentations, once to tee up Chief Sweat.

We're kind of kind of putting these together.

Our first presentation tonight is going to save you money this year and next year, and then my next presentation is going to make you money.

So we hope you enjoy both of them.

But this is kind of, I guess, the next phase of some programming that we started back when I was still fire chief, and this is tied directly to the new clinic that is currently under construction over at the new Fire and Emergency Services headquarters by Southern Regional Medical Center.

So this reorganization will go to directly support those clinic operations, which hopefully they stay on track and will open early summer.

So this will kind of set the stage and let the chief go ahead and start to um to hire some folk and get them trained.

This will kind of be yet another first of its kind for Clayton County fire and look at how we can find ways to reduce costs internally as far as hiring and health and wellness of our employees, but then also provide additional wraparound services for our constituents.

So with that, I'll kick it over to Chief Sweat and let him walk you through his presentation.

Thank you so much.

Thank you, Chief Sweat.

Thank you, Chief.

Madam Chair, Madame Vice Chair, members of the board, thank you so much for allowing me to come before you tonight and speak to the uh proposed reorg for our 4C program.

So currently the 4C program, which is the Clayton County Community Cares program, operates with the following staffing.

One captain, an integrated health systems director, a benefits coordinator, a licensed clinical closure worker, four nurse practitioners, and five paramedic lieutenants.

And to develop community-based health care opportunities with a goal of improving community health while maximizing efficient use of the 911 emergency services.

The proposed operations as Chief Merck alluded to as we move into the second phase of incorporating our health and wellness clinic.

The proposal includes the continuation of the 4C program as it currently operates with its existing staff.

Just a note in 2024 alone, this program took over 4,500 calls out of the 911 emergency system, and those individuals needing our assistance were treated on a one-on-one basis by this program.

So our goal is to continue that program as it has paid max dividends in the community.

We would like to use the unfilled 4C positions to create a staffing model moving forward for our clinic operations.

Through this, we'll create an environment for cross-training of staff to maximize the use of the workforce and impact of the programming.

The clinic operations will include the following.

One I have asked through Director Ambles and Chief Staff Attorney Reed to kind of walk me through how we can go about we fire being able to conduct our own pre-employment medical exams for all future Clayton County Fire and Emergency Services employees.

Once improved, that will be a direct savings to the general fund.

Right now, Director Ambles, all those costs reside in her budget for the onboarding of my personnel when it comes to their medical assessment.

So my ask through the clinic operations that we be allowed to conduct those pre-employment medical screenings moving forward, and I'll hit on that just a little bit deeper further along in the conversation.

Second, the health clinic will serve as a clinic for all CCFES staff with a proposal moving forward to potentially expand that countywide to include all county employees.

Once again, if approved, that will generate direct cost savings to the general fund.

Third, we are implementing mandatory annual medical screenings for all sworn CCFES staff.

Once again, through hopefully limiting insurance claims, that will be another direct cost savings to the general fund.

And last but not least, the clinic will serve as a backup to Southern Regional Medical Center to their emergency room should they have a need for overflow and need additional space to potential to treat some of their patients.

So the current slide shows our current program model once again, as I've already explained with the current vacancies on the right, and the next slide will show our proposed staffing, which we are taking once again and splitting the programs into two parts, leaving the force fee program intact with those with that program being overseen by a captain.

The proposed re-org will create a second captain where that individual will now begin to oversee the clinic functions as we begin to move into that facility.

Next, so what's the financial impact?

So what I'm looking at doing is taking three current paramedic lieutenants, reproposing those to a clinic medic position.

Um in addition, taking another paramedic lieutenant, creating a health and wellness trainer.