0:13 Good afternoon, and welcome to the Tulsa City Council Public Works Committee meeting.
0:24 I know hesitation there.
0:26 Waiting for part two to get here.
0:28 Um I call this meeting to order.
0:31 Item agenda number two.
0:32 Ordinance closing a certain utility easement requested by Natalie Cornette, Eller and Dietrich PC for property located at 4191 South Peoria Avenue.
0:43 Lot one, block one, a Brookside Marketplace Edition for Chick-fil-A development.
0:48 Council of District 9.
0:50 Hello, Paul Zachary Public Works.
0:53 Um, probably all saying there's a Chick-fil-A out there.
0:57 Um, what we're what we're doing was there was a utility easement that they wanted closed that had a sanitary sewer easement in it.
1:05 They then did an IDP that moved the sanitary sewer, but as a matter of practice, we do not close the old easement until the new IDP has been accepted and signed off on by the mayor.
1:17 That has happened now, and we are moving forward with we didn't receive any objections from anybody as long as they completed their IDP.
1:26 They did complete it satisfactorily.
1:28 So we are recommending approval uh that this easement be closed.
1:32 It no longer has any infrastructure in it that's of uh city's interest or any right-of-way option.
1:40 Questions, comments?
1:42 Okay, looks like we teach you for the next item as well.
1:46 Resolution authorizing condemnation, a property owned by Aaron D and Haley R.
1:50 Letty, located at 2504 East 46th place.
1:55 Arnold Heights addition and existing public necessity requires the acquisition of a storm sewer easement for the Arterial Street rehab of South Lewis Avenue I 44 to East 41st Street South.
2:08 Council of District 9 again.
2:11 Um this one's a little it's it is associated with this.
2:15 We've had major draining drains complaints at 47th Street and on 46th place south.
2:22 They actually flood, and water is carried off to the north or to the south, and it cannot be um handled by the downstream system.
2:33 So we are constructing a system to intercept this and take it out to uh Lewis, and our drainage system on Lewis is being upsized to carry this down in appropriate ways.
2:45 So we are getting uh properties from flooding uh that are flooding currently, and we needed to buy this easement.
2:53 Um this project actually started uh in the previous administration, and the homeowner then had requested this uh through the mayor's office, and we just took advantage of doing this at the same time.
3:08 The new owner of the property, um, his counter has basically been open-ended, and that's where just to give you an idea.
3:19 We we appraised it, we had the dollar value, but he has he never gave us a non-sidon monetary counter, but also open-ended monetary liability.
3:32 Um he wants to not only have the cost of the property now, uh, but he also wants the work zone area reduced, the easement reduced after the work is completed, then he wants reimbursements for actual post-construction repair costs, then he wants cost just to be that he can make a claim later for anything else that may happen later, etc.
3:56 And it's just like we can't come to an agreement.
3:59 Um the house is up here, his driveways low, that's where all the water runs, and it's really somewhat of an overland drainage improvement for this guy's property as well.
4:11 Um, and we've been doing this since December 6, 2024, and the roadway is ready to go.
4:20 The utilities are getting ready to be cleared, and we're getting ready to start that.
4:24 And this is one of the last parcels that we've got to get to make this drainage interception made.
4:31 And we're not getting anywhere with the gentleman.
4:34 So we're just thought that we would ask for the a judicial review of this, and let us go and do what we need to do.
4:41 Okay, council questions yeah, just is this uh west of loose or east?
4:47 This is east of loose.
4:50 We've got one on the west side.
4:52 Okay, that's why I was asking which one this was.
4:55 Those people are more receptive to actually and realizing that it's an improvement for them right but this one everything that we've been we went through the plans with the previous owner and then this guy came on and acted like he had no idea it was it was it turned out to be kind of a bad deal but now he's just like I just want the money it's like just give us a figure and we'll deal with it and we can't get that so we just thought a judge might assist us in this effort.
5:25 Okay I'm good so the appraised value was 97,000 dollars and we'll listen to counters and then we have get their information but he just left it open ended he won't disclose what his damages are what might be whatever and you know there are ones where we buy and we vibrate the house or we you know that's fine we will take care of those but it was like we can't pay you for damages that haven't occurred or just give you a blank check that we're gonna we're gonna be there but uh so anyhow we just need some assistance to we'll deposit the money and if we do have damages he has every right to sue us or do whatever we need to do but we just can't just leave an open check.
6:09 Alrighty any further questions comments nope.
6:13 Alrighty this is going fast moving on to agenda item number four discussion with chief medical officer Dr.
6:21 Jeffrey Goodlow regarding adoption of the 2026-2027 medical control board budget.
6:29 Welcome to the table doctor thank you it's nice to be back always a pleasure to be with you sometimes people have a little trepidation what doctors are going to say I've got nothing but good news today.
6:41 So this is uh this is our annual uh request for a review and approval of our medical oversight budget right the independent arm of our EMS system that uh helps both um IMSA Tulsa Fire Department all the components uh that we have in a very coordinated system uh I am happy to share with you that despite uh cost that I think all of us feel uh in our personal finances that we um have kept any increase in this budget request to uh 2.5 percent it's only 43 thousand dollars uh I think probably more germane um to your interest the the city of Tulsa component of that is only five thousand three hundred and nineteen dollars uh above last year uh that just represents uh additional uh paramedics and uh EMT intermediates advanced EMTs uh within the fire department um but I can tell you just very quickly um you know the health of our EMS system is fantastic um in-house education at IMSA is absolutely working for recruitment and retention uh staffing in the fire department for at least from a medical standpoint is uh very positive we continue to be a leading system in the nation for trauma care less than three percent of all EMS systems in the country uh are able to administer blood products outside the hospital setting we are now coming up on uh two years of doing that in Tulsa we are doing it at a particularly um uh cost conserving uh methodology we we don't pay for the blood unless we actually administer it we're working very uh proactively with our blood institute uh as our blood bank supplier with the trauma facilities in both Tulsa and Oklahoma City so that that blood ultimately is not wasted and uh very very uh happy with the stewardship of that that resource uh I'm also happy to share from a uh cardiac disease standpoint we had an all-time uh high success last year calendar year 2025 I would never advise anyone to have a sudden cardiac arrest, not a good thing um but if you're gonna do that, Tulsa America is one of the best places on earth to do so.
9:11 So last year, if somebody had a witness collapse, our emergency medical dispatchers were able to provide some phone instruction for CPR, and then we found that patient in a heart rhythm that could respond to a defibrillation.
9:30 The national average is less than 15%.
9:34 The national average, even in systems that publicly report outcomes is only 37%, and we were at 42%.
9:44 Very importantly, 100% of that 42% survive completely neurologically intact.
9:54 And so that really speaks to the quality of it speaks to the quality of our citizenry.
10:04 They are willing to do telephone instruction CPR.
10:08 I can't say enough great things about our EMTs and medics that are based at both EMSA and the fire department.
10:14 Obviously, our law enforcement officers are sometimes helping in those cases as well, depending on you know where the victim may be.
10:20 Takes a team, and uh very, very proud of that work.
10:24 We're also introducing some new capabilities over the next couple of years that I anticipate there will be even more uh survivors completely neurologically intact.
10:34 And so there are always things that we're working on.
10:38 Uh our team of nine in the medical oversight uh office representing the medical control board day to day.
10:45 We have over 200 cumulative years of uh EMS service and leadership, and uh very, very honored and proud of this team.
10:54 Um I think Councillor Lakin may have asked me not too long ago.
10:58 This is uh 19 years here with the EMS system, so I'm almost getting the hang of it.
11:03 Oh boy, Counselor Lakin.
11:05 Uh another 19, and maybe I'll feel a little more comfortable with it.
11:08 Yeah, then we'll be up at like 85% survival rate.
11:12 I'll I'll need the survival myself at that point.
11:14 But uh, yeah, I'm very grateful for the opportunity.
11:17 I'm happy to be here and represent a bunch of great folks that uh are at work here in medical oversight day in and day out.
11:24 We of course couldn't do it without our hospital partners.
11:26 Really value uh all of those folks as well, but sometimes folks get into some serious medical problems, and we got to treat them where they're at to get them to a hospital, and that's what our EMS system does particularly well.
11:39 I um actually want to relate a story that occurred just last week on my way home from an event.
11:47 There was a citizen that was unstable on his feet, and I was afraid he was going to fall out in traffic on Admiral Place.
11:56 And um needless to say, as I turned around to monitor just from a distance, he actually did fall out a couple feet at most to the street.
12:12 It was really dangerous, and so I did call MSA.
12:15 I mean, I called 911 and they dispatched MSA and first responders by the time they and it was a really quick response, and by the time they got there, he was already he was turning purple and his eyes were fixed, and they actually were able to resuscitate him in a very timely manner, and it was due to a seizure, and I was just so impressed with the the quickness and efficiency for which they worked on this individual, and it just it was it's a testament to the services that we have, and um I would really just like to message the community that if you see somebody in distress, don't just drive away.
13:05 We're we're we're here 24-7.
13:07 This is what we're committed to doing.
13:08 We're always happy to come out and check.
13:10 It's always better to, you know, double check in that case, obviously, very serious.
13:15 Sometimes we're fortunately able to find someone where it was just you know a little bit of a miscommunication or misunderstanding what's going on, but it's always better to check those things.
13:24 And uh, I think it also speaks again to the you know, recruitment and retention, the timeliness of response is you know, it's just it's exactly where we need it to be right now, and very proud of the work that uh MCN FIRE doing in a coordinated system to get to folks early to make that critical difference.
13:42 Yeah, it was it was quite the experience.
13:46 Thanks for all you all do.
13:48 Um, you know, I'm on the IMSA board, but I don't I don't see all the work that the nine of you and your board does on a daily basis to coordinate all the services between TFD and Oklahoma City's fire department, IMSA and everything else, so it's a huge job.
14:05 We're grateful for uh not the work, not only the work that you do, but also the outcomes that come through that work.
14:14 I do want to say that I did feel a little bit safer when uh I went to my son's wedding in Texas and they were having the Texas Medical Directors Convention or something.
14:26 And I I did feel like, well, Tulsa is really a good place to have a cardiac event.
14:31 I felt better having the cardiac event there.
14:36 There were there must have been 50 suburbans just like the ones that you all have out front.
14:44 There's a lot of talent.
14:48 Next time, choose choose your hotel wisely.
14:52 Yeah, we're looked into that one.
14:56 Any other counselor?
14:58 Well, no, we want to keep everyone healthy and and safe, especially Counselor Lakin.
15:03 Um, but thank you for your work.
15:05 This is the first time I've I've heard do you present what I've read about um the board.
15:11 Um I don't and that what a very powerful story that you're telling, uh, Counselor Dutton as well.
15:17 Uh when I visit the 911 Center, I learned that MSA uses you know data uh as far as um strategically placing those those ambulances across the city.
15:30 So where are those those heat maps, those those pockets?
15:34 You know, and you know, Tulsa's Tulsa is a place you can get you can get somewhere in 10 minutes if you're driving with a purpose.
15:41 And so infrastructure makes a difference, data makes a difference, uh, and it really just pushes those positive outcomes.
15:49 So thank you for for your work and um to the umsa folks that are out there doing the work.
15:57 Very grateful for them.
15:59 You're very welcome.
16:02 Uh I was just curious if there's anything you think either like structurally or kind of I'm just thinking across different systems that you're operating within in our health care context or rural health care limitations or things like that that you think we should be aware of, just as far as like challenges or opportunities go.
16:21 I you know, I do think that one of the challenges to our system, certainly between both metropolitan areas of Oklahoma, we're we're responding to over 800 calls a day, right?
16:34 And so the challenge to that is always finding training time, and even more valuable trying to find time where we can train folks in teams, right?
16:48 So the ability to uh create scenarios, we uh have simulated uh scenario technology like we've never had before, which is great, but then it's just literally finding time during the duty day to bring folks in and give them that training experience, particularly trying to train MSA and TFD alongside each other, right?
17:14 And so there's just there's always inherent challenges in that, and we're continuing to try to find some ways to create more training opportunities, but uh certainly grateful for the resources we do have.
17:27 And um, you know, perhaps in less stressful economic times, there'll be some opportunities to further invest in some of our training technologies, but uh I definitely share your appreciation and gratitude for uh all the men and women we have out there in uniform.
17:43 And I'm glad you had the opportunity at the 911 Communication Center.
17:47 It's a very vital part of our system.
17:50 With great EMTs and medics, they still still depend on somebody telling them where to go, right?
17:55 So that that's an important part of the system that can easily get overlooked sometimes if we're not thinking about it.
18:01 When you talk about the simulations, are you guys using the like or do you have access to the SIM labs at OU and OSU?
18:08 So we um do have some limited access to those labs.
18:12 Uh MSA is constructing uh a simulation center at its uh training headquarters here in Tulsa, very closely modeled on one that they piloted in Oklahoma City.
18:23 We've gotten great feedback from our crews as to the you know the benefit of the realism of that environment.
18:29 We're able to put them in a 360 you know surround simulated environment really makes the training that much more effective and we'll have that in Tulsa shortly.
18:40 And then of curiosity since you mentioned the training aspect isn't that well I can imagine of course scheduling between all the medical professionals fire department is it also that you then like you have to do it in multiple shifts in order to get everyone and have people actively staffed I'm sure and that's always hard to definitely definitely so occasionally we'll have a visiting subject matter expert or or someone that even volunteers to you know hey we have this emerging technology at you know one or more of the hospitals you know we'd love to share that with the medics and I think very innocently their thought process is well you know come and do a class but in reality to really reach everyone if we were going to do something face to face that would take over 20 classes just to cover you know personnel at IMSA in the fire department because obviously we can't bring everybody together someone has to be somebody's got to be you know answering the calls and then of course the different duty shifts and so it's just it it's not insurmountable but it always is a real challenge anytime we're introducing new things it just takes some time and work to get it out to everybody.
19:56 Yeah I can imagine as a last question with that do you all um do you have to do so this I do a lot of in my other job clinical training things where we deal with the same kind of complexities or challenges it's interesting to think about how this either deserves a potentially played to like overtime or something for the fire department to get people to these critical trainings but I was curious do you all have to do I know this is maybe more specific to like like certain types of clinicians like proctoring and precepting with other for people to learn certain skill sets to practice in the field or right so part of what we do in medical oversight is once somebody has their initial training and so they have become certified and then they have a state license then they go through a process of system specific credentialing.
20:46 And so through that clinical credentialing that's when we make sure everybody has those individual skills that you know they've been checked off on the exact equipment the procedures by training protocol that we have here and so I think one thing that's important just from a budget conservation standpoint it's very rare that we're doing any training off regular duty cycle so we're trying to limit any of those overtime costs of that so that's part of the logistics of working these classes in when folks are already on duty whether it's the fire department or IMSA trying to keep those costs as low as we can thank you that sounds really like hurting cats through jello to organize so thanks for doing that.
21:35 I personally can't take credit for that we have some wonderful full-time training staff but uh they do a fantastic job working those logistics with the the content that we're working with them to develop.
21:48 Okay any further questions comments?
21:51 Well I certainly appreciate you doctor and appreciate that um there was just a cost of 5,319 for the city of Tulsa that's super reasonable.
22:05 Thank you we we do work toward uh cost conservation I'm a taxpayer myself and happy to be a taxpayer um always want to make sure that we're accountable to everybody on that much appreciated thank you thank you alrighty without any further comments and questions agenda item number five we are adjourned