June 12, 2017

 Commissioners may attend for purposes other than a regular or special meeting. TranGo meeting to follow.
The Okanogan County Board of Commissioners met in regular session on June 12, 2017, Commissioner Chris Branch, Commissioner Andy Hover and Laleña Johns, Clerk of the Board present. Chairman Commissioner Jim DeTro away attending personal business.

Review, Consent Agenda
Commissioners reviewed the consent agenda items.

Briefing Among Commissioners Discuss Individual Weekly Meetings & Schedule
Commissioners discussed county business they attended to last week. Commissioner Hover discussed not being able to attend commissioners meeting Tuesday, June 13 due to personal business.

Albert Lin arrived about 10:30 a.m. to see if the board wished to discuss legal matters with him.

Discussion North Valley Hospital VA Clinic Update - Tosha Tibbs & Noreen Alma
Noreen Olma, Ancillary Services Director Tasha Tibbs VA clinic coordinator, Makayla Maryanne , Julie

Ms. Olma explained North Valley Hospital provides regular quarterly updates to the board on the VA clinic. The Spokane VA is not renewing the contract with the North valley hospital. The information Ms. Olma provided shows the veterans seen since the contract was initiated. What the hospital has been doing, since the contract was not renewed, is work on the feasibility of a Choice Clinic program in the same area where they operate now. The Choice program VA offers is for veterans who live 40 miles or more away from their provider. The VA provided some options to the veterans. Ms. Olma explained them. Options were to veterans would either go to Wenatchee, Spokane or a Choice provider for their care. The hospital is working with the state, insurance companies and an accounting firm to see about opening up a Choice program for those who are enrolled within Okanogan County and Canada. Ms. Tibbs stated those Canadians are able to use our services because they are US citizens. Ms. Olma stated this is so veterans can continue to be provided services. The biggest hurdle is getting a doctor to fill that position and provide them staffing. They only had three months to recruit for medical director of the clinic. North Valley hospital doesn’t have primary doctors. The only clinic they had was the VA clinic and they didn’t see civilians. They are exploring other revenue sources to replace this revenue source but hasn’t’ been a real positive source in the past. They were beginning to see some positive changes when the contract was terminated. Many of those are kudos to Eric Fritts as he was great at recruiting the veterans to be seen. His job is going to be even more important for those off the grid veterans to coordinate care for them. North Valley is still exploring the possibility of offering a choice program to the veterans for continuation of care. She hopes those already leaving would be able to come back once the clinic is established. The credentials of the choice provider would need to be verified. Ms. Olma explained how the enrollment provide the clinic revenue and the rates needed to keep the clinic open. The MD piece affects the program and depending on what that is could affect the program. The potential does exist based on the positive comments received from the veterans. The Hospital must make wise business decisions.

Ms. Makayla explained test drills have happened for their Geothermal project. She provided an update on renovations. A new roof project is being worked for the summer and before the snow hits. They just received a grant for behavioral health provisions training and work with other clinics for the training. Regional Integration of behavioral health is an issue the county must consider. Commissioner Branch asked if the Hospital is considering providing beds for the needs. Ms. Makayla explained they were not set up for that but OBHC is working on this. NV Hospital has partnered with the high school for seniors CNA program for them to obtain their Certified Nurse Assistant designation. She invited the commissioners to observe the hospital during the “Barter Faire” time to see what the hospital deals with.

Ms. Olma explained their registered warrant days are behind them now with an average of 80-90 days cash on hand.

Update-Planning - Perry Houston
Angie Hubbard, Dan Higbee, DPA Albert Lin, Emily Sisson and Lorah Super, members of the public

Director Huston provided the commissioners with RCW 15.76.115 Fair Fund which provides for the Para mutual funds the fair receives.

Director Huston explained that Lenard Jordan with DOE is scheduled for Wednesday, June 14, 2017 to further discuss the Shoreline Master Plan. There would not be a quorum of the board for the meeting. Director Huston will need to reschedule for another day.

Ms. Hubbard provided the Shoreline Master Plan via projector and discussed the Dept. of Ecology comments for the several areas within the plan that they were concerned with. Commissioners discussed the DOE comments and articulated meaning as interpreted in accordance with the laws and concerns provided by staff and citizens.

Director Huston provided the board with RCW 36.61.030 regarding the creation of a lake or beach management district.

Executive Session RCW 42.30.110 (1)(i)
Commissioner Hover moved to go into executive session at 2:00 p.m. for 15 minutes to discuss with legal counsel litigation matters to which the county is a party inviting WSAC Director Eric Johnson or WSAC attorney Josh Weiss and Risk Manager Tanya Craig. Motion was seconded, all were in favor, motion carried.

Commissioners extended executive session at 2:15 pm another 15 minutes.

Commissioner Hover extended executive session at 2:30 pm for another 15 minutes. Executive session ended at 2:45 p.m. no decisions were made.

Commissioners continued discussing the Shoreline Master Plan comments that were received from Lenard Jordon, DOE. The board discussed the various sections and how they wished to move forward in the development of the regulation, processes and the administration of it. There are many things they must consider as they develop the various sections moving forward. The discussion will continue to June 21 at 9:00 a.m.

Finance Committee Meeting – Leah McCormack, Laurie Thomas, Cari Hall
Sabrena Smith, Director Huston

Ms. McCormack provided her agenda.

She explained that the Timber Tax excise tax includes current expense and Jr. Districts get the first quarter then OM and third quarter is a split between everything else roads, current expense etc… That was just received and it is higher than what we got last year. That bodes well with what we will receive in December fourth quarter. We keep a 20% buffer reserved for carryover for the next year and even with that we will likely come in more than what was estimated. Commissioner Hover stated there is still the issue of the extra for overtime for the Jail and Sheriff’s offices. Public Health will need to ensure their revenue is sufficient. The second half of the year is when their budget gets really tight. Director Huston explained he has some budget issues within in his planning budget he is keeping an eye on such as professional services and advertising.

The budget work session scheduled tomorrow is to begin discussing the latter half of 2017 and 2018 budgets. Commissioner Hover explained he met initially with the Treasurer and Auditor to go over the budget for a starting point.

Ms. McCormack provided the Transfers for the month of May 2017 and explained that those were for bond payments. (attached) She would not recommend a payment be made for the loan unless we see a windfall. When we get closer to December we will know better where we stand and how much can be recommended.

Ms. Hall explained the spreadsheets she compiled for the group which showed trends, but there has been too much extreme change to articulate in one place for a 5 year analysis. She has informational basis and back up for a reasonable analysis. Operational budgets were used with levy shifts in the amount of $750,000 and without levy shifts. Auditor Thomas stated she is much more comfortable with this as it is justifiable rather than a 5 year analysis as that was skewed due to anomalies from those years. The budget call letter draft will go out soon. Ms. Hall explained how she balances the cash on hand books on both the treasurer’s balances and the auditor’s balances and where she showed the justification on the report.

Motion Douglas County Inmate Housing Agreement
Commissioner Hover moved to approve the Douglas County Inmate Housing Agreement as presented. Motion was seconded, all were in favor, motion carried.

Review Meeting Minutes
Commissioners reviewed meeting minutes.

Okanogan County Transportation Authority – 303 2ND Ave S, Suite A, Okanogan, WA 98840 (TranGo’s Office) Commissioners may attend for purposes other than a regular or special meeting. TranGo meeting to follow.

Commissioners adjourned the meeting at 5:00 p.m.