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[NOISE] [OVERLAPPING] [FOREIGN] [NOISE] [NOISE] [NOISE] [NOISE]
I'D LIKE TO CALL TO ORDER THE MISSION BEFORE IT ROLLED 2020.
[1. Call to Order NOTICE OF OPTION TO RECESS INTO EXECUTIVE SESSION Pursuant to A.R.S. §38-431.02, notice is hereby given to the members of the Commission and to the general public that, at this regular meeting, the Commission may vote to go into executive session, which will not be open to the public, for legal advice and discussion with the City’s attorneys for legal advice on any item listed on the following agenda, pursuant to A.R.S. §38-431.03(A)(3).]
WE WOULD LIKE TO MAKE A NOTE HERE.WE HAVE A NOTICE OF OXYGEN TO CALL THIS AS A NOTICE OF OXYGEN TO THE SYSTEM TO EXECUTIVE SESSION.
PURSUANT TO STATE LAW NOTICE IS GIVEN TO THE MEMBERS OF THE COMMISSION ON GENERAL PUBLIC.
THIS REGULAR COMMISSION MAY VOTE TO GO INTO EXECUTIVE SESSION, WHICH WILL NOT BE OPEN TO THE PUBLIC FOR LEGAL ADVICE AND DISCUSSION WITH THE CITY'S ATTORNEY FOR LEGAL ADVICE.
[2. Roll Call NOTE: One or more Commission Members may be in attendance telephonically or by other technological means. MARIE JONES, CHAIR CAROLE MANDINO, VICE CHAIR DR. RICARDO GUTHRIE BOB HARRIS, III MARY NORTON IAN SHARP MARCHELL CAMP ]
>> [NOISE] THIS TIME? ANY MEMBER OF THE PUBLIC MAY ADDRESS THE COMMISSION ON ANY SUBJECT THAT IS NOT SCHEDULED.
TODAY. WAS THE COMMISSIONER CANNOT DISCUSS OR ACT ON ITEMS PRESENTED THIS PORTION OF THE AGENDA.
IF YOU WOULD LIKE TO BE HEARD ON AN ITEM THAT'S NOT ON THE AGENDA TODAY.
I DON'T SEE ANYBODY, SO WE'LL MOVE ON TO THE APPROVAL OF MINUTES FROM THE LAST WEEK OF MARCH 22.
[4. APPROVAL OF MINUTES Approval of the minutes from the regular meeting on March 22, 2023.]
LAUNCHING ON MATH.>> THIS IS CAROLYN, COMMISSIONER MAY OF DETAIL AND I MOVE TO APPROVE THE MINUTES OF MARCH 22ND, 2023.
>> DISCUSSION OF THAT ITEM, ALL THOSE IN FAVOR OF APPROVING THE MINUTES, PLEASE SAY AYE.
>> NOW WE'RE GOING TO LAUNCH THE PUBLIC HEARING.
[A. PZ-21-00126-01: Specific Plan request, by Northern Arizona Healthcare (NAH) Corporation, of approximately 172.6 acres located at 1120 W Purple Sage Trail for the NAH Health Village currently zoned Rural Residential (RR – 74.62 acres), Estate Residential (ER – 97.76 acres), and Single Family Residential (R1 – 0.25 acres). STAFF RECOMMENDED ACTION: Staff believes that the proposed NAH Health Village Specific Plan is in substantial conformance with the required findings and recommends the Planning & Zoning Commission forward the request to the City Council with a recommendation approving the adoption of the NAH Health Village Specific Plan, subject to the thirteen conditions identified in the staff summary. This is the second public hearing for this item. Please refer to the March 22 agenda for staff summaries and attachments. New attachments include additional public comment and approved Transportation Impact Analysis.]
THIS IS 20101260, SPECIFIC PLAN B.I BELIEVE IT DOES SHE DO PUBLIC COMMENTS? PLEASE FILL OUT AND RETURN IT UP HERE. WE BELIEVE IN US.
CHAIR, THE CHAIR MINUTE TO DUMMY CODE MANAGER NEEDS TO BE APPLIED.
TONIGHT WE'RE TALKING AGAIN ABOUT THE NAH, HEALTHY LUNCH PHASE, ONE SPECIFIC PLAN AND CONCEPT, SOME AMENDMENTS.
AT THE LAST MEETING, THERE WAS AN EXTENSIVE PRESENTATION THAT DETAIL THE COMPONENTS OF THIS CASE.
AS A FOLLOW-UP, I IS PRESENTATION IS FOCUSING ON THIS PRESENTATION IS FOCUSING ON THE DEVELOPMENT AGREEMENT, AS WELL AS THE RECORDING NAMES FOR THIS CASE.
WE HAVE MEMBERS IN THE AUDIENCE TONIGHT FROM WE ALSO HAVE ATTENDANCE STAFF, TRAFFIC STAFF.
I HAVE A LOT OF STAFF THAT HAVE ACTUALLY [NOISE] ARE ATTENDING TODAY JUST TO SAVE AS MUCH SPACE AS POSSIBLE.
I WANTED TO ALSO CALL OUT WE HAVE BENEFIT SERVICES, WHICH IS OUR FINANCE DIVISION AS WELL, TO TRY TO HOLD IT UP FOR ANY QUESTIONS TONIGHT.
I'LL TRY TO KEEP THEM IN MY PRESENTATIONS.
HI, GET THROUGH THIS REALLY QUICKLY.
WE DIDN'T HAVE A CAP ON THIS DIEGO TONIGHT.
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AGAIN, THIS IS THE REQUESTED BEFORE YOU WERE LOOKING AT ADOPTION AND IT IS SPECIFIC PLAN FOR APPROXIMATELY 172.6 ACRES LOCATED 11 20 WESTERN STAGE.WE'RE LOOKING AT A CONCEPT MAP AMENDMENT OF 98.39 ACRES.
THIS IS GOING THROUGH A RURAL RESIDENTIAL MISTAKE.
THOSE DENTINAL ZONES TO THE HIGHWAY, COMMERCIAL AND PUBLIC FACILITIES.
ALL OF THE MUSCLES IN YOUR RESOURCE PROTECTION.
AT THE LAST MEETING, THERE WERE A LOT OF QUESTIONS IN REGARDS TO WHAT WAS IN THE AGREEMENT.
WE'VE GOT A LOT OF WORK BETWEEN THAT AND HOW TO FLESH OUT WHAT WE KNOW IS AGREED UPON WITH BOTH PARTIES.
SO FAR. THIS IS SUBJECT TO A FINAL REVIEW AND APPROVAL BY THE CITY COUNCIL.
BUT TODAY, WE HAVE GUARANTEED PUBLIC ACCESS TO OPEN SPACE WITHIN THE DEVELOPMENT.
HAS PROVIDED US WITH AN EASEMENT AND STAFF IS STILL IN THE PROCESS OF REVIEWING THAT EASEMENT.
WE ALSO HAD A COMMITMENT FOR THE PROVISION OF OUTDOOR FITNESS EQUIPMENT.
PHASE TWO OF THIS DEVELOPMENT, NOT THIS PARTICULAR PHASE, WILL INCLUDE A MINIMUM OF 315 DWELLING UNITS AND TEN PER CENT OF THOSE UNITS WILL QUALIFY AS CABS WHERE YOU FIND DETERMINATIVE AFFORDABLE HOUSING STAFF ONLINE, SHOULD ANYBODY HAVE ANY QUESTIONS? THERE'S ALSO PRIVATE SHUTTLE SERVICE, WHICH WOULD INCLUDE A CONTINUATION OF THE SERVICES ALREADY OFFERED BY NADH, AS WELL AS A NEW SHUTTLE SERVICE FROM THE NEW HOSPITAL ON ACC TO A TRANSIT STOP FOR POTENTIALLY STOPS BETWEEN BASICALLY THE OPERATING HOURS AT THE ACC IN HOSPITAL EVERY DAY THAT THEY'RE OPEN, SHUTTLE WOULD OPERATE.
IT IS INTENDED THAT THE SHUTTLE BE OPEN TO EMPLOYEES.
IT WOULD BE A FAIR FREE SHUTTLE SERVICE SO THAT THOSE AREN'T PAYING FOR BOTH THE SHUTTLE AND TRANSFER IT INTO OUR LOCAL TRANSIT SERVICE.
THE NADH IS ALSO COMMITTED TO PAY 50% OF THE FACILITY CAPITAL COSTS, WHICH ALSO INCLUDE THE LAND ACQUISITION FOR A NEW FIRE STATION.
AS PREVIOUSLY DISCUSSED, FIRE STATION SIX LOCATED ON LAKE MARY ROAD, WON'T BE ABLE TO FIT AN ADDITIONAL LADDER COMPANY AND SUBSIDY IS LOOKING AT INCLUDING A NEW FIRE STATIONS.
THE CITY HAS AGREED TO COVER THE COST OF THE LATTER COMPANY STAFF.
SHE'S A MINIMUM OF NINE ENTIRE PERSONNEL, WHICH COMES AT A COST OF $1.4 MILLION, PLUS THE TRAINING EXPENSES, AS WELL AS THE NECESSARY VEHICLES, WHICH IS A 1.61 TIME COST.
I WANTED TO SORT OF Q IN OUR MANAGEMENT SERVICES DIVISION DIRECTOR, RICK SCATTER, AT THIS POINT IN TIME, AND ESPECIALLY IF YOU HAVE ANY QUESTIONS, THIS WOULD PROBABLY BE A BIT TIME TO ENTER INTO THOSE BOOTY HERE AS WELL.
>> GOOD AFTERNOON. PLANNING AND ZONING COMMISSION.
I'M HERE TO JUST TALK ABOUT HOW THE CITY OF FLAGSTAFF MAY FUND THE LATTER COMPANY, THE OPERATIONAL COSTS THAT HAVE BEEN DISCUSSED AND AS PART OF THE DEVELOPMENT AGREEMENT RELATED TO THE RELOCATION AND CO-LOCATION CONVERSATION WE'RE HAVING.
OUR FINANCIAL FINANCE TEAM HAS BEEN LOOKING AT THE COST AND SOLUTIONS AND OPPORTUNITIES THAT WE CAN GET TO A FUNDING POINT.
WE JUST DO NOT HAVE A COMPLETED FINANCIAL ANALYSIS AVAILABLE TODAY AT THIS POINT.
BUT I DO WANT TO SHARE MY THOUGHTS AND HOW WE MAY APPROACH THIS OVER THE COMING YEARS AS ITS DEVELOPMENT AGREEMENT GETS APPROVED AND MOVES FORWARD, THE CITY OF FLAGSTAFF HAS MULTIPLE RESOURCES TO FUND.
CONSIDER THESE TYPES OF OPERATIONAL COSTS.
FIRE SERVICES COSTS ARE CONSIDERED PART OF OUR GENERAL FUND, WHICH IS OUR LARGEST OPERATING FUND FOR THE CITY OF FLAGSTAFF, AND IT HAS MANY REVENUE RESOURCES AVAILABLE TO ADDRESS OPERATIONAL NEEDS SUCH AS SALES TAXES, STATE SHARED REVENUES, PROPERTY TAXES, LICENSES, PERMITS, AND USER FEES, TO NAME A FEW.
THERE'S MANY RESOURCES THAT WE WOULD LOOK AT WHEN WE'RE LOOKING AT OPERATIONAL COSTS ORGANIZATION-WIDE.
ONE OF THE KEY COMPONENTS THAT WE ARE LOOKING FOR AS WE DEVELOP THIS PLAN IS WE ARE EXPECTED TO SUBMIT FOR A GRANT TO FUND QUITE A BIT OF THIS COST FOR THE FIRST THREE YEARS.
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ONCE WE DO OPEN THAT STATION, WE FEEL VERY CONFIDENT, AND THAT WOULD BE PROVED SOME FEDERAL GRANTS, WE'VE DONE THESE BEFORE.WE BELIEVE WE'VE GOT A WINDOW OF TIME, A THREE-YEAR PERIOD THAT WE HOPE WE HAVE EXTERNAL FUNDING FOR.
AFTER THAT, WE DO HAVE TO COVER THE ONGOING COST WITHIN OUR RESOURCES WE HAVE AT THE CITY OF FLAGSTAFF.
[NOISE] OTHER RESOURCES AND FINDINGS COULD BE GROWTH IN REVENUES OVER TIME.
WE DO HAVE CURRENT PROJECTIONS THAT HAVE A CERTAIN AMOUNT OF INCREASE IN GROWTH ALREADY THROUGHOUT THE CITYWIDE.
BUT WE MAY SEE GROWTH ABOVE AND BEYOND THOSE NUMBERS, WHICH WE CAN THEN SET ASIDE AND HELP FUND THESE OPERATIONAL COSTS.
THAT'S ONE AREA THAT WILL MANAGE, WILL WATCH AND SEE WHERE WE CAN GET THAT CAPACITY.
ANOTHER AREA WE HAVE IS A CAPACITY IN OUR PRIMARY PROPERTY TAX LEVY.
WHILE CITIES ARE ALLOWED TO INCREASE OUR PRIMARY PROPERTY TAX LEVY BY 2% A YEAR, WE HAVE NOT DONE THAT FOR THE LAST THREE YEARS.
WE'VE KEPT OUR LEVY FLAT FOR THESE CITY PROPERTY TAXPAYERS.
THIS IS GAINED ABOUT 450,000 CAPACITY.
THIS COULD BE SOMETHING WE DIP INTO.
I CONSIDER FUNDING THIS OPERATIONAL COST.
AGAIN, THESE DECISIONS HAVEN'T BEEN MADE BUT THIS ISN'T OUR TOOLBOX AS AN OPPORTUNITY.
ANOTHER THING WE CAN LOOK AT START RESERVING SOME FUNDS, SETTING ASIDE ONE-TIME FUNDS, CREATING A BALANCE TO HELP MITIGATE AND HELP LEVEL OUT THE COST OVER SEVERAL YEARS AS WE BUILD INTO A FULL AMOUNT OF RESOURCES TO FUND THESE ADDITIONAL FIRE PERSONNEL IN THE ORGANIZATION.
ANOTHER ALTERNATIVE IS TO REALLOCATE CITY PROGRAMS. IF WE DON'T HAVE THE RESOURCES AVAILABLE, THERE COULD BE A DISCUSSION ON RESOURCE ALLOCATION WITHIN OUR GENERAL FUND.
AGAIN, JUST PART OF OUR TOOLBOX, I'M NOT RECOMMENDING THAT AT THIS TIME BUT JUST WANT YOU TO BE AWARE OF SOMETHING ELSE IN OUR TOOLBOX.
YES, WE WOULD BE CONCERNED IF WE DON'T GET THE FEDERAL GRANTS OR WE ENTER INTO A MAJOR ECONOMIC DOWNTURN IN THE FUTURE COULD IMPACT OUR ABILITY FOR THIS FUNDING.
WE ARE ALWAYS CAUTIOUS ABOUT THAT.
THIS COULD POTENTIALLY DELAY THE ABILITY TO STAFF THAT ADDITIONAL LADDER COMPANY.
THAT COULD HAVE AN IMPACT ON WHEN WE HAVE THAT SECOND COMPANY IN PLACE AND COULD IMPACT THE NAH PROJECT POTENTIALLY AS FAR AS COVERAGE.
BUT I DEFINITELY WANT TO SAY WE HAVE A STRONG FINANCIAL TEAM, A GREAT BUDGET TEAM THAT TALKS ABOUT RESOURCE ALLOCATION AND WE DO THIS QUITE OFTEN THROUGH OUR BUDGET PROCESS IN CONVERSATIONS WITH OUR CITY COUNCIL ON HOW WE ADDRESS THESE CONCERNS.
WHILE I DON'T HAVE AN EXACT ANSWER TODAY, WE WILL BE WORKING HARD ON A SOLUTION GOING FORWARD.
BASED ON THE FINAL DEVELOPMENT AGREEMENT AND COUNSEL DIRECTIONS, WE WILL FORMULATE THOSE MEASURES AND THOSE CONSIDERATIONS IN OUR FUTURE FIVE-YEAR PLUS PLANS, 10-YEAR PLANS IS WHAT WE GENERALLY HAVE FOR OUR GENERAL FUND.
WE'LL GET TO THAT POINT WHERE WE UNDERSTAND OUR SETTING ASIDE RESOURCES OR FUNDING THESE OPERATIONAL COSTS.
THAT'S JUST A BIG PICTURE OF WHAT WE HAVE IN OUR TOOLBOX, HOW WE ANTICIPATE GETTING THERE.
BUT I'LL LEAVE IT OPEN FOR ANY OTHER QUESTIONS THAT YOU MAY HAVE.
>> [NOISE] BASED ON THE LAST MEETING, WE WERE LOOKING [INAUDIBLE] BILLION IN INFRASTRUCTURE COSTS, 9.5 MILLION FOR THE NEW FIRE STATION, 2.4 MILLION FOR THE NEW FIRE TRUCK AND THE NEW COMPANY, AS WELL AS 1.2 MILLION FOR THE NEW PUBLIC TRANSIT ROUTE.
IF I'M LOOKING AT WHAT'S UP HERE, THEN FLAGSTAFF IS STILL ON THE HOOK FOR 4.75 MILLION FOR THE NEW FIRE STATION, CORRECT? HALF OF THAT.
>> CORRECT. WE FEEL THAT IS REALLY JUST A RELOCATION OF AN EXISTING SERVICE.
WE REALLY FEEL WE ARE GOING TO FUND THAT PORTION.
WE'VE ALREADY STARTED SETTING ASIDE THOSE FUNDINGS AND WE'VE GOT THE MAJORITY OF OUR CAPITAL COSTS FUNDING THOSE ONE-TIME COSTS.
IT'S THE OPERATIONAL COSTS OF FIRE WE'RE TRYING TO FIGURE THAT OUT.
>> THAT'S GOOD. THEN THE FIRE TRUCK WILL BE FUNDED BY NAH, CORRECT? WHICH IS THE 1.61 TIME?
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>> NO. WE WERE LOOKING AT SOLUTIONS INTERNALLY TO FUND CAPITAL EQUIPMENT.
THE FACILITY COSTS IS A SHEAR, BUT THE CAPITAL EQUIPMENT WE'LL LOOK AT OUR ONE-TIME RESOURCES AS WELL AS POTENTIALLY DEVELOPMENT FEES TO FUND THE EXPANSION OF OUR EQUIPMENT.
>> THANK YOU FOR CORRECTING ME. I READ THAT WRONG.
I THOUGHT IT WAS NAH WAS GOING TO COVER THE COST OF THE LADDER COMPANY STAFF, SO THAT DEFINITELY CHANGES IT. THANK YOU.
>> NO PROBLEM. YOU'RE WELCOME.
>> [BACKGROUND] THE REST OF THE PRESENTATION.
NEXT STEP ON THIS LIST, NAH WILL COORDINATE A PUBLIC PARTICIPATION IN PLANNING PROCESS WITH THE COMMUNITIES TO DEVELOP A VISION PLAN FOR THE LEGACY CAMPUS TO DEVELOP EXISTING FACILITY.
NAH WILL RETAIN THE RIGHT TO DEVELOP THE EXISTING CAMPUS UNDER CURRENT ZONING ENTITLEMENTS WHICH IS HIGH-DENSITY RESIDENTIAL WITHOUT ADDITIONAL PUBLIC PARTICIPATION.
[INAUDIBLE] IF I WRITE THERE, WE GO THROUGH THE NORMAL ZONING PROCESS.
IT'S NOT NECESSARILY A PUBLIC PROCESS UNLESS, OF COURSE, THEY DO SOMETHING CONDITIONALLY INSTRUMENT OR RESOURCE.
ALSO ON THE DEVELOPMENT AGREEMENT NAH MYTHS THAT THE BUILDING WILL BE DESIGNED TO PERFORM TO THE TOP 25TH PERCENTILE, ENGERGYSTAR 75 OR HIGHER, AND WILL BE REQUIRED TO DEMONSTRATE FIVE-YEAR PERFORMANCE WITHIN THE TOP 25TH PERCENTILE BASED ON AN INITIAL ANNUAL ENERGY PERFORMANCE REPORT.
NAH WILL CONSTRUCT ALL WATER AND SEWER IMPROVEMENTS AS REQUIRED IN THE WATER AND SEWER IMPACT ANALYSIS.
THIS IS A FEATURE WE DIDN'T PROVIDE THE COSTS MORE, BUT THERE IS ADDITIONAL COST ASSOCIATED AS WELL WITH THIS WATER AND SEWER INFRASTRUCTURE.
NAH WILL CONSTRUCT ALL REQUIRED STORMWATER INFRASTRUCTURE, AND NAH WILL CONSTRUCT ALL REQUIRED TRANSPORTATION IMPROVEMENTS AS SPECIFIED IN THE APPROVED TRANSPORTATION IMPACT ANALYSIS, WHICH WE FINALLY HAVE.
NEXT UP, SO WHAT STILL NEEDS TO BE RESOLVED? THERE ARE TWO OUTSTANDING ISSUES THAT WE'RE WORKING THROUGH TO SEE RESULTS.
ONE OF THOSE IS NAH HAS REQUESTED A CREDIT FOR THE FACILITIES [NOISE] OF THE FIRE DEVELOPMENT FEES FOR THE HOSPITAL AND ACC.
THE IMPACT FEES UNCOVER FACILITIES AND THEY COVER EQUIPMENT AND MATERIALS, DEVELOPMENT THESE DO NOT COVER STAFFING.
ALL OF THAT PORTION OF THE DEVELOPMENT FEE THAT WOULD BE ATTRIBUTED TO THE FACILITIES, IT'S APPROXIMATELY $500,000 THAT WOULD BE CREDITED TOWARDS THAT 50% COST OF THE CAPITAL FACILITY OF RELOCATING THE FIRE STATIONS.
THAT IS STILL AN ISSUE THAT NEEDS TO BE RESOLVED, BUT I WANTED TO MAKE YOU AWARE OF WHAT THAT REQUEST IS.
LASTLY, IS THE TIMING OF THE CONSTRUCTION OF THE BEULAH/PURPLE SAGE INTERSECTION TO GRADE TO ACCOMMODATE A FUTURE UNDERPASS.
WE TALKED A LOT ABOUT THIS WHEN THE MINOR REGIONAL PLAN AND THEN IT WENT THROUGH IN DECEMBER OF LAST YEAR AND IT PLACED THE MAPS UP HERE SO YOU CAN SEE WHAT WAS UNDER THE ORIGINAL PLAN AS OPPOSED TO WHAT THE ORIGINAL PLAN SHOWS NOW.
ORIGINALLY, IF YOU EVER SHOWN MOVING AWAY FROM HIS CURRENT ALIGNMENT.
THE REASON FOR THAT WAS TO BE ABLE TO MAKE GRAY UNDERNEATH I17.
WORKING WITH THE APPLICANT, THEY DID ASSURE US THAT THEY COULD BE COMPLETED AND THAT WORK TO BE DONE.
WITH THAT IN MIND, STAFF HAS PUSHED FOR THE NEW ROAD INFRASTRUCTURE TO BE BUILT TO ACCOMMODATE THAT FUTURE UNDERPASS.
ON DOING THAT WHEN YOU'RE REBUILDING THE ROAD, IT'S BETTER TO OVERBUILD TO SOME DEGREE BECAUSE IT WILL BE FAR MORE EXPENSIVE AT THE LATER STAGES.
NAH IS BASICALLY REQUESTING TO INCLUDE IN THE DEVELOPMENT AGREEMENT THAT THEY WILL CONSTRUCT THAT INTERSECTION AT GRADE WHEN THE CITY IS READY TO DEVELOP THAT UNDERPASS.
CURRENTLY, THE UNDERPASS IS NOT FUNDED AND FOR ANTICIPATED, IT'S NOT IN A FIVE-YEAR CAPITAL PROGRAM FOR DEVELOPMENT.
THOSE ARE THE TWO POINTS THAT WE CONTINUE TO WORK THROUGH WITH THE APPLICANT.
WE'RE GOING TO WORK THROUGH THE FINDINGS.
I'M GOING TO GO THROUGH THEM FAST.
IF YOU WANT ME TO STOP BACKUP OR COVER A TOPIC MORE IN-DEPTH JUST LET ME KNOW.
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QUESTIONS REGARDING THE 25TH PERCENTILE FOR ENERGY STAR FOR ALL BUILDINGS EXCEPT JUST DELUDES BUILT BY NAH IS AT ALL BUILDINGS WITHIN A SPECIFIC PLAN THAT WE DEVELOPED? [BACKGROUND] I BELIEVE IN NAH.THIS IS SPECIFIC TO THE HOSPITAL, ACC BUILDINGS ITSELF WILL HAVE ANOTHER VERSION OF THE DEVELOPMENT AGREEMENT.
BUT I KNOW THAT THE NAH TEAM HAS BROUGHT THEIR SPECIALISTS IN THIS FIELD TO ANSWER MORE QUESTIONS FOR YOU. THIS MIGHT BE ONE.
[NOISE] SECONDLY, WITH REGARD TO THE TINY BEULAH AND PURPLE SAGE CONSTRUCTION, IF IT IS TABLED UNTIL THE CITY IS WRITING, LET'S SAY ITS MANY YEARS DOWN THE ROAD, MAYBE NAH HAS SOLD ITS FACILITY, IS IT THAT COMMITMENT STILL ATTACHED? YES. THE DEVELOPMENT AGREEMENT DOES EXTEND TO OTHER LANDOWNERS THAT WOULD TAKE OVER THAT PARTICULAR PROPERTY.
MY ATTORNEY JUST GAVE ME A THUMBS UP, SO I FEEL REALLY GOOD.
[LAUGHTER] WE'RE GOING TO JUMP INTO THE FINDINGS.
DOES ANYBODY ELSE HAVE ANY QUESTIONS ABOUT WHAT WAS IN THE CODE OF AGREEMENT? NO MORE SECRETS. THERE IT IS.
SETTING THAT AMENDMENT FINDINGS, THE FIRST FINDING IS ABOUT BEING CONSISTENT WITH THE GENERAL PLAN AND ANY SPECIFIC PLAN.
IN THIS CASE, NAH IS DRAFTING AND PREPARING THEIR OWN SPECIFIC PLAN, SO WE SURE HOPE THAT THEY'RE LINKED WITH CLIENTS WITH THEIR GOALS AND OBJECTIVES.
I WON'T SPEND TOO MUCH TIME ON THIS.
THEY ARE WRITTEN FOR THE HOSPITAL, SO IT ABSOLUTELY CONFORMS WITH THE [NOISE] OBJECTIVES.
THAT OF COURSE, IS IF THE SPECIFIC PLAN IS ADOPTED.
WE'RE GOING TO GO CHAPTER BY CHAPTER.
ENVIRONMENTAL PLANNING AND CONSERVATION.
WE HAVE GOALS AND POLICIES IN TERMS OF AIR QUALITY.
OF COURSE, THE HOSPITAL IS NOT REALLY CONSIDERED TO BE A MAJOR CAUSE OF AIR POLLUTION, SO NOT A LOT OF TIME SPENT ON THAT.
THESE ARE NEUTRALS AND POLICIES TO THE PLAN.
WHAT I DO WANT TO JUST SAY IS THAT CARBON NEUTRALITY, ADOPTION GOALS, AND POLICIES IS ALSO HAPPENING GREAT.
WORLDWIDE STAFF HAS PUT DOWN THIS PROJECT FOR THE LAST FEW YEARS.
THAT IS ONE OF THE TRICKY THINGS WITH CURRENT PLANNER AND WORKING THROUGH THESE GOALS AND POLICIES AS THEY'RE BEING ADOPTED AND CHANGING.
YES, WE KNEW THAT THEY WERE COMING.
YES, WE WERE AWARE OF THEM, AND YES, WE'VE BEEN COMMUNICATING THAT WITH THE APPLICANT ALL ALONG, BUT JUST FOR THE KNOWLEDGE AND UNDERSTANDING THAT THESE ARE POLICIES THAT HAD BEEN DEVELOPED IN THE SAME TIMEFRAME AS THE NAH PROJECT THAT HAS BEEN WORKING ITS WAY THROUGH IT'S STAFF REVIEW.
NAH HAS EXPRESSED A DESIRE TO PROMOTE SUSTAINABLE DESIGN, REDUCE CARBON EMISSIONS THROUGH EFFICIENT DESIGN, ENABLE LONG-TERM CARBON PLANNING, AND MINIMIZE THE DEVELOPMENTS OF ENVIRONMENTAL FOOTPRINT.
LIKE I SAID, THEY HAD THEIR EXTRA TIME TONIGHT.
I'LL LET THEM SPEND MORE TIME ON IT, I WON'T DWELL TOO MUCH INTO IT.
WE ALSO HAVE OUR SUSTAINABILITY STAFF AS WELL IF YOUR QUESTIONS ARE NECESSARY FOR THE CITY.
IN TERMS OF DARK SKIES, NAH HAS PROVIDED A PLAN TO ADDRESS LIGHT POLLUTION.
THEY ARE WILLING TO GO ABOVE AND BEYOND THE MINIMUM CODE REQUIREMENTS TO DO SUCH.
IN TERMS OF ECOSYSTEM HEALTH, NAH HAS WORKED WITH THE LOCAL FOREST RESTORATION GROUPS TO SEND THE PROJECT SITE IN PREPARATION FOR FUTURE DEVELOPMENT.
I KNOW THIS IS ONE OF THOSE THINGS THAT CAN BE REALLY EXCITING TO THE COMMUNITY.
IT LOOKS LIKE WORK IS HAPPENING ON THE SITE.
IT LOOKS LIKE CONSTRUCTION IS STARTING, BUT WHAT HAS HAPPENED IS GOOD FOR THE PRICE OF THAT REGARDLESS, THAT WE WERE SAYING WAS VERY IMPORTANT.
IT WAS PROTECT SURROUNDING DEVELOPMENT IN THE FUTURE.
WE ALL KNOW THAT THERE HAVE BEEN ISSUES WITH WILDFIRE IN THESE AREAS IN THE PAST.
IN TERMS OF WILDLIFE, NAH IS PRESERVING APPROXIMATELY 10 ACRES OF LAND THAT IS JUST OPEN SPACE ITSELF.
THERE IS A MUCH LARGER WELLNESS RETREAT AREA THAT WILL BE OPEN SPACE, BUT IT'LL HAVE A MUCH MORE ACTIVE COMPONENT TO IT.
THAT 10 ACRES IT DOES INCLUDE THE FUTS TRAIL.
IT DOES FOLLOW AN EXISTING RIPARIAN CORRIDOR.
THERE ARE ANIMALS THAT DO USE THE RIPARIAN CORRIDOR.
THAT AREA WILL ALSO BE PRESERVED IN THIS REGARD.
I WAS CONTACTED BY A COOK IN A COUNTY THAT SUGGESTED THAT THEY USE SOME REFLECTIVE GLASS ON THE TALLEST PORTION OF BUILDING ALSO BE DISCOURAGED TO AVOID BIRD STRIKES.
THAT INFORMATION IS ALREADY COMMUNICATED TO NAH.
OPEN SPACE, SIMILARLY WE TALKED ABOUT THIS.
WE GOT ABOUT 10 ACRES AROUND THE FUTS TRAIL.
THIS IS A DRAINING SITUATION FOR US TO HAVE THE FUTS TRAIL [INAUDIBLE] WHEN YOU'VE GOT 10 ACRES SURROUNDING FUTS TRAIL YOU'VE A DONE GOOD WORK.
IN ADDITION TO THAT 10 ACRES OF OPEN SPACE, WE HAVE THAT 30 ACRE OF WELLNESS RETREAT THAT THEN ALSO PROVIDES RECREATIONAL AMENITY TO THE COMMUNITY AS WELL AS NAH.
IN TERMS OF WATER RESOURCES, THE PROPERTY IS LOCATED WITHIN THE URBAN GROWTH BOUNDARY, WE CAN SERVE IT.
THERE IS WORK THAT NEEDS TO BE DONE.
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THERE IS WATER STORAGE.WE WENT THROUGH ON THOSE DETAILS AND POINTS AT THE LAST MEETING AND IF YOU NEED MORE INFORMATION, I CAN PROVIDE IT.
IN TERMS OF EFFICIENT USE OF ENERGY, AGAIN, THIS IS GOING TO FALL INTO THAT SUSTAINABILITY REALM.
NAH HAS MADE SOME PROVISIONS FOR THE EFFICIENT USE OF ENERGY ON SITE.
NAH IS COMMITTED TO PROVIDING 20 ELECTRIC VEHICLE CHARGING STATIONS.
OUR BILLING CODES REQUIRE REVIEWS, BUT THEY'RE ACTUALLY PROVIDING THE CHARGING STATIONS.
WE ONLY REQUIRE THAT YOU PUT THE INITIAL ELECTRIC TO SUPPORT FOR CHARGING STATIONS.
NAH TAKES THAT RENEWABLE ENERGY WILL PLAY A CRITICAL ROLE.
EVEN IF THEY'RE NOT ABLE TO START OUT THE PROJECT WITH PT OR OTHER RENEWABLE ENERGY SOURCES, THEY ARE DESIGNED IN THE SANITY OF THE ACCOMMODATED FUTURE AND I UNDERSTAND THAT IT'S POSSIBLE WE HAVE VERY EXPENSIVE PROJECT.
ONE OF THE THINGS WE'VE TALKED ABOUT IS THERE ARE WAYS TO IMPLEMENT MORE OF THE ENERGY EFFICIENCY COMPONENTS OVER TIME.
THERE ARE WAY TO DESIGN THE BUILDING WHERE MAYBE SOME OF THOSE FEATURES ARE INCORPORATED AT THIS POINT IN TIME, BUT THEY'RE ADDED INTO THE SITE OVER TIME, ESPECIALLY AS ADDITIONAL FUND RESOURCES AND GRANTS BECOME AVAILABLE.
I'M GOING TO SKIP TO THE NEXT COMMUNITY CHARACTER, TALKING ABOUT SCENIC RESOURCES SUPPORT.
WE'VE GOT A FAIRLY FOLLOW IN THE LINK HERE, WE'VE LOOKED AT THE VISUAL ANALYSIS AT THE LAST MEETING.
THE PATIENT TOWER WILL BE THE MOST VISIBLE FROM I-17, BEULAH BOULEVARD, AND THE SURROUNDING BOULEVARD STREETS.
WE DID PROVIDE THAT VISUAL ANALYSIS FROM [INAUDIBLE], FROM ABDEL, FROM PONDEROSA TRAILS, AS WELL AS THE ADJACENT RURAL AREA TO THE WEST OF THE SITE.
IN TERMS OF HERITAGE RESOURCES, THE PROPERTY HAS ALREADY BEEN CLEARED THROUGH A CULTURAL RESOURCE REPORT.
IT TURNS OUT THAT THE FEATURES THAT ARE HISTORICALLY DEEP PRESERVING ALSO FALL WITHIN THE DECADE OPEN SPACE, SO THEY'RE IN A GOOD PLANNING.
IN TERMS OF ARCHITECTURAL DESIGN, NAH HAS DEVELOPED THEIR OWN ARCHITECTURAL DESIGN STANDARDS.
FLIGHTSTATS ARE ARCHITECTURAL DESIGN STANDARDS [INAUDIBLE] OF OUR TRADITIONAL MATERIALS, TRADITIONAL SIZES.
THESE DON'T ALWAYS APPLY DIRECTLY TO A BUILDING SUCH AS THE HOSPITAL.
WE ALSO IN TERMS OF FLEXIBILITY LOBBY FOR RUSTICATED MATERIALS [INAUDIBLE] MATERIALS.
THIS HAS DEFINITELY BEEN AN INTERESTING JUXTAPOSITION TO HOSPITALS AND THEY ARE REALLY LOOKING FOR FOOD, [INAUDIBLE] A HOSPITAL YOU WANT TO WALK INTO AND THINK THIS IS A TECHNICALY CLEAN, INTERESTING BUILDING.
STAFF ARE ASKING FOR A REFERENCE TEXTURES AND THE ARCHITECTURAL TEAM ARE ASKING FOR VARIOUS FORM OF ADVICE.
I THINK THAT'S A GOOD IN MIDDLE BETWEEN STAFF GETTING ADVICE.
CHARACTER PARKING LOT DESIGNS.
WE SAW A LITTLE BIT AS LAST TIME, NAH IS REQUESTING TO MODIFY THEIR SET PLANNING DESIGN STANDARDS.
THIS IS SOMETHING VERY UNIQUE AND WILL BE VERY UNIQUE TO THIS PARTICULAR LOCATION.
I COULDN'T SEE US EVER APPROVING THIS FOR ANYTHING OTHER THAN POSSIBLY THE HOSPITAL, JUST SIMPLY BECAUSE OF WHERE THEY'RE LOCATED AND HOW THEY NEED TO BE SET BACK FROM I-17, AND THE AIRPORT AREA ITSELF.
IN TERMS OF OVERHEADS UTILITY LINES, THEY'RE SEVERAL CROSSING.
THERE'S A 12KV LINE THAT WILL BE UNDERGROUND.
IT IS MORE OF THE PRIVATE PROPERTY.
THE 69KV LINES WILL REMAIN IN PLACE.
OUR CODES DO NOT REQUIRE THAT THE PROPERTY OWNERS UNDER LINE 69KV.
GROWTH AND LAND AREA, INFILL AND COMPACT DEVELOPMENT.
THE NEW NAH HEALTH BUILDING WILL NOT BE LOCATED WITHIN THE URBAN CORE WHERE CURRENTLY IS LOCATED.
THESE PHANTOM MAIN AREA INTO THE CITY PERIPHERY, IT DOES INCREASE THE COST OF PROVIDING INFRASTRUCTURE AND SERVICES TO THE SITE.
THESE COSTS ARE SUBSTANTIAL AND WILL SUPPORT THE CITY.
NAH FACE THAT REDEVELOPMENT OF THEIR EXISTING LOCATION IS NOT A VIABLE OPTION.
I CAN SEE THAT IT'S BEEN SOMETHING THAT THEY'D BEEN WORKING ON FOR, IF NOT THE ENTIRE TIME THAT I WORKED FOR THE CITY FROM ABOUT A DECADE, IF NOT LONGER, AND TRYING TO FIGURE OUT HOW TO MAKE THE EXISTING LOCATION VIABLE.
THERE ARE NO OTHER REASONABLE OPTIONS FOR LARGE DEVELOPMENT SITE WITHIN THE URBAN CORE OF FLAGSTAFF THAT WOULD MEET THE NEEDS OF THE HOSPITAL AND ACC.
NOT WITHOUT SUBSTANTIAL CHANGE WHICH INTERPRETATION TO AN EXISTING NEIGHBORHOOD.
THERE HAS BEEN ALSO MIX OF LAND USES.
THE CURRENT PROPOSAL DOES COVER MIX OF LAND USES.
THAT IS THE WHOLE CORE OF THE ACTIVITY CENTER, AND THIS HELP VILLAGE IS MAKING SURE THAT WE ARE INCORPORATING MIX OF LAND USES.
[00:30:03]
IN TERMS OF PUBLIC SERVICES AND INFRASTRUCTURE, THE PROPERTY IS LOCATED WITHIN A FUTURE ACTIVITIES.THE REASON WHY IT'S DESIGNATED THIS FUTURE IS BECAUSE IT DOESN'T HAVE THAT INFRASTRUCTURE TO SUPPORT IT, TO BE IN EXISTING.
WITH THAT, A LOT OF INFRASTRUCTURE IMPROVEMENTS ARE NECESSARY.
WE HAVE DETAILED THOSE INFRASTRUCTURE IMPROVEMENTS FOR YOU.
NAH TASK PERFORMS THE REQUIRED ANALYSES TO DETERMINE WHAT IS NECESSARY, AS WELL AS TO WORK THROUGH WHAT IS THEIR RESPONSIBILITY IN ORDER TO SERVE THE STUDY.
GOING TOWARDS EMPLOYMENT, THE EXISTING FLAGSTAFF MEDICAL CENTER IS CONSIDERED A MAJOR EMPLOYER WITHIN FLAGSTAFF.
WHILE EMPLOYMENT OPPORTUNITIES ARE NOT EXPECTED TO GREATLY EXPAND THE FIRST STAGE OF HEALTH VILLAGE, WHICH IS THE ACC AND HOSPITAL, THE CORE OF THIS ACTIVITY CENTER WILL BE OCCUPIED BY A MAJOR EMPLOYER.
THIS DOESN'T HAPPEN THAT OFTEN.
WE DON'T OFTEN SEE EMPLOYER CONVERSE WITH AN ACTIVITY CENTERS.
THAT DEMAND THAT WE SEE MOST OF THE TIME FOR DEVELOPMENT IS PRIMARILY RESIDENTIAL IN NATURE.
TO REALLY SEE AN ACTIVITY CENTER CORE BUILT AROUND A MAJOR EMPLOYER IS FOR THIS COMMUNITY.
THE ACTIVITY CENTER, THE NAH HEALTH VILLAGE CONCEPT MEETS THE DEFINITION OF ACTIVITY CENTER IN TERMS OF IT'S INTENDED USES.
NAH LOOKED AT ORIGINAL PLANS, THEY SAW AN ACTIVITY CENTER, AND THEY IDENTIFIED THAT AS A LOCATION, AND THEY DID WHAT THEY COULD TO MEET THOSE GOALS AND POLICIES IN TERMS OF INCORPORATING THE USES.
WE WOULD WANT TO SEE OR WHAT OUR REGIONAL PLAN CALLS FOR IN AN ACTIVITY CENTER.
THE OVERALL LAYOUT OF THE HEALTH VILLAGE IS INTENDED TO SUPPORT MULTIMODAL TRANSPORTATION OPPORTUNITIES.
THIS ACTIVITY CENTER WOULD BE MOST SUCCESSFUL IF IT WERE ACCESSIBLE VIA PUBLIC TRANSIT, ENSURING THE BROADER COMMUNITY ACCESS TO THIS IMPORTANT SITE.
THE GOAL OF THAT IMPACT ANALYSIS IS TO ENSURE THAT ALL TRANSPORTATION INFRASTRUCTURE REQUIREMENTS ARE CONSISTENT WITH THE GOALS AND POLICIES FOR REGIONAL PLAN.
[INAUDIBLE] DESIGNS, DESIGN INFRASTRUCTURE IN ACCORDANCE WITH THE APPROPRIATE PLACE AND PROMOTING OPPORTUNITIES TO INCREASE THE USE OF MULTIMODAL OF TRANSPORTATION AND TO MITIGATE TRANSFER TRAFFIC CONGESTION.
THAT'S A LOT LIKE I SAID TRAFFIC TICKET AND ALL OF THOSE THINGS IN EVERY PROJECT.
OVER THE LAST MEETING WE HAD ASKED ABOUT THE TIA, IF THE [NOISE] ACTIVITY AT [NOISE] KNOW DOES THIS INCLUDE THE ACTIVITY IN [INAUDIBLE].
>> THE CURRENT TIA DOES NOT INCLUDE THE FENCE AT FOUR TUDHILL AND I BELIEVE NAH IS PREPARED TO ADDRESS THAT ISSUE.
WITH THAT BEING SAID, ALL NEW TRANSPORTATION IMPROVEMENTS WILL PRIMARILY FOCUS ON REDEVELOPMENT OF THE EXISTING ROAD.
NETWORK, INCLUDING BUILDING BOULEVARD, WOODY MOUNTAIN ROAD, AND PURPLE SAGE TRAIL.
ALL THOSE TRAFFIC MITIGATION THAT ARE REQUIRED THAT'S WHAT WILL BE FOCUSED.
THE REQUIRED TRANSPORTATION PREVENTS INVOLVE THE USE OF THESE EXISTING ROADWAYS, THE REDESIGN OF EXISTING TRANSPORTATION IMPROVEMENTS IS MORE CONDUCIVE TO CONSERVATION AND PRESERVATION.
THE PROPOSED TRANSPORTATION IMPROVEMENTS WILL NOT NECESSARILY REDUCE THE USE OF FOSSIL FUELS.
THE HOSPITAL WILL BE RELOCATING OUT OF THE URBAN CORE AND WILL INCREASE THE VEHICLE MILES TRAVELED WITHIN THE CITY THAT ACCESS THE SITE.
OVER THE LONG RUN VEHICLE MILES TRAVELING WILL NEED TO BE REASSESSED AS INTERNAL CAPTURE DEVELOPS WITH OTHER LAND USES IN THE AREA.
THE PROPERTY IS MORE EFFICIENTLY LOCATED FOR VISITORS TRAVELING FROM OUTSIDE OF THE CITY AND INFRASTRUCTURE IS BEING DEVELOPED TO SUPPORT OUR [INAUDIBLE].
AGAIN, THIS SITE WILL NOT GET SERVED BY OUR LOCAL TRANSIT, AND IF YOU HAVE MORE QUESTIONS ABOUT THAT, WE HAVE TO ANSWER THOSE [BACKGROUND]
>> I HAVE A QUESTION ABOUT A TIA THAT WAS INCLUDED IN THE DOCUMENTS FOR TONIGHT.
HAS THE 2027 BUILD SCENARIO WITH THE MITIGATION RECOMMENDATIONS ON TABLE SIX THAT ARE SET AND AGREED UPON?
>> THANK YOU FOR THAT QUESTION. YES, AND NAH IS RESPONSIBLE FOR PAYING FOR THAT.
IN THE DEVELOPMENT AGREEMENT, WE DO HAVE PROVISIONS WHERE WE CAN PURSUE GRANT FUNDING.
AS PREVIOUSLY DISCUSSED, WE ARE WORKING IN CONJUNCTION WITH NAH ON A GRANT PROPOSAL RIGHT NOW FOR THOSE IMPROVEMENTS.
SHOULD THEY BE FUNDED BY THEIR BASE RENT? NO, THEY'RE TOGETHER, THE CITY MOST LIKELY WILL TAKE OVER THAT PROJECT.
SHOULD THE RAISED GRANT NOT COME THROUGH,
[00:35:02]
WE WON'T KNOW UNTIL ABOUT JUNE, THE NAH WILL NEED TO FIND ALTERNATIVES.>> THAT BUILDS SCENARIO WITH MITIGATION THAT WERE RECOMMENDED THERE [OVERLAPPING].
>> THEY ARE INCLUDED IN THERE, YES.
>> LET'S SEE HERE. TRANSPORTATION ALSO INVOLVES OUR OTHER MODES OF TRANSPORTATION BESIDES JUST CARS.
WE'VE GOT AN AUSTRIAN INFRASTRUCTURE WHICH INCLUDES BOTH ON-SITE AND OFF-SITE IMPROVEMENTS.
WE'LL COMPLETE GAPS WITHIN THE EXISTING TRANSPORTATION THAT WORKS FOR BOTH BICYCLES AND PEDESTRIANS.
MARTINEZ WAS OUR LAST MEETING TO GO THROUGH WHAT THOSE IMPROVEMENTS INCLUDE, BUT IT'S FAIRLY EXTENSIVE EXTENSION OF OUR CLIPS.
WE'VE GOT MULTI-MODAL PATHS THAT ARE PULLING SOME OF THOSE FACILITIES OFF THE STREET INTO AREAS WHERE PEOPLE ARE MORE COMFORTABLE TO USE BY SOME PATTERNS, AND TRANS SYSTEMS. THE HOSPITAL AND ACC SITE HAVE BEEN DESIGNED TO INCLUDE THAT BEST INTERNAL TO THE SITE THAT MEET THE MINIMUM STANDARDS OF OUTLINE.
YOU HAVE WORKED WITH [INAUDIBLE] IN TERMS OF LOCATING THOSE TO MAKE SURE THAT THEY FUNCTION, BUT IN THE INTERIM BEFORE PUBLIC TRANSIT, WE'LL BE ABLE TO SERVE THIS LOCATION.
NAH WILL PROVIDE A PRIVATE SHUTTLE SERVICES.
WE DISCUSSED THIS PART OF THE DEVELOPMENT AGREEMENT.
STREET CLASSIFICATION, ORIGINAL PLAN DOES IDENTIFY A HIGHER ARCHAEA ROADS.
THIS IS JUST AN UNDERSTANDING OF WHERE WE GET THE STANDARDS FOR THE ROADS THAT WE'RE WORKING WITH AND BE A LITTLE HARDER, MOUNTAIN ROAD ARE CLASSIFIED IN THE REGIONAL PLAN AS MINOR INTERIOR ROADWAYS WHERE PURPLE SAGE IS CLASSIFIED AS A MAJOR COLLECTOR.
THOSE SET THE STAGE FOR HOW WE SAID WHAT THE LANE PRINTS ARE? WHERE THE SIDEWALKS ARE? WHY THE ROADWAY AND THE RIGHT WAY? [NOISE]
>> IS IT A MINOR COLLECTOR STREET OR A MAJOR COLLECTOR STREET BECAUSE IN HERE IT SAYS MINOR?
>> I THINK CORRECTED, IT'S THIS MAJOR COLLECTOR STREET.
>> NEXT UP IS COST OF DEVELOPMENT.
THE REGIONAL PLAN DOES INCLUDE GOALS AND POLICIES IN TERMS OF COST OF DEVELOPMENT WHICH REQUIRE THAT NEW DEVELOPMENT PAY FOR A FAIR SHARE AND ROUGH PROPORTIONAL SHARE OF PUBLIC FACILITIES.
FAIR AND ROUGH PROPORTIONAL SHARE IS THE IMPORTANT COMPONENT OF IT.
IF YOU HAVE QUESTIONS ABOUT THAT, PLEASE FEEL FREE TO ASK AND WE CAN RUN THROUGH THAT.
THE APPLICANT WILL BE RESPONSIBLE FOR THEIR PROPORTIONAL SHARE OF PUBLIC FACILITIES, SERVICES, AND INFRASTRUCTURE.
WHEN I BRING OUT PROPORTIONAL SHARE EVERYBODY IN THE COMMUNITY COULD USE THAT AND IT WILL BE REBUILD, BUT THERE ARE FOLKS THAT WILL BE USING AND WILL BENEFIT FROM USE OF VILLA EVEN THOUGH IT NEEDS TO BE REBUILT TO THE HOSPITAL.
THERE IS A SHARE THAT THOSE FACILITIES THAT BORNE BY THE COMMUNITY AS WELL.
THAT'S TRUE FOR ALMOST EVERY INFRASTRUCTURE IMPROVEMENT TO A DEGREE.
BUT WITH TRAFFIC AND WATER SERVICE, WE DO THESE VERY SPECIFIC ENACT ANALYSES BECAUSE THAT HELPS US DETERMINE WHAT AN APPLICANT'S PROPORTIONAL SHARE IS.
IMPROVEMENTS REQUIRE TO BE [NOISE] COMPLETED PRIOR TO THE OPENING OF THE HOSPITAL OR ACC WILL BE FUNDED IN FULL BY NAH, UNLESS THE CITY AGREES TO COVER COSTS OUTSIDE OF THE REQUIRED PROPORTIONAL SHARE, THE CITY HAS COMMITTED TO ASSISTING NAH WITH GRANT APPLICATIONS THAT CAN ASSIST.
WE'VE TALKED ABOUT THE ROAD IMPROVEMENTS AND WHAT WE'RE EXPECTING THERE.
WE HAVE REQUIREMENTS FOR PUBLIC BUILDINGS, SERVICES, AND FACILITIES, AND THIS DEFINITELY PLAYS INTO THE FIRE DEPARTMENT.
AGAIN, NAH HAS AGREED TO CONTRIBUTE 50% OF THE CAPITAL COSTS TO RELOCATE STATION 6.
IN TERMS OF NEIGHBORHOOD HOUSING AND URBAN CONSERVATION, MOST EXISTING ACTIVITY CENTERS WITHIN THE CITY OF FLAGSTAFF LACK THE FUNDAMENTAL OF CORE OF EMPLOYMENT OPPORTUNITIES, THE PROPOSED NAH HEALTH VILLAGE WILL NOT ONLY PROVIDE THE POOR USE OF SUPPORTING A VIABLE ACTIVITY CENTER, BUT THE FUTURE STRATEGY DEVELOPMENT IS BEING INCLUDED WITHIN THE OVERALL HEALTH VILLAGE WILL FOSTER DIVERSE SUBURBAN NEIGHBORHOOD.
A QUESTION? THE CENTRAL EMPLOYMENT FOR BEING ESTABLISHED FIRST, WILL ALLOW SUPPORTING USERS INCLUDING RESIDENTIAL DEVELOPMENT TO BE GUARANTEED, IN AN INTERCONNECTED COMMON PATTERNS OF SERVICES AND RESOURCES DESIGNED TO SUPPORT HEALTHY AND VIABLE NEIGHBORHOOD, AND THE DESIGN OF THE SITE WILL ALSO FOSTER THE USE OF BICYCLE AND PEDESTRIAN CONNECTIVITY FROM OTHER TRAILS.
IN TERMS OF ECONOMIC DEVELOPMENT WE DID TALK ABOUT THE FACT THAT NAH DID AN ECONOMIC IMPACT ANALYSIS, AGAIN, THE NAH IS IN NEED OF A NEW LOCATION, THE HOSPITAL AND ACC ARE REGIONAL FACILITIES AND NAH FOUND MOSTLY VACANT LAND IN WHAT IS SELECTS TO IDENTIFY AS FEATURE ACTIVITY CENTERS OF FOCUS THIS DEVELOPMENTS.
SEVEN TAKES US THROUGH FINDING NUMBER 1,
[00:40:02]
AND THAT WAS A WHOLE LOT, BUT FINDING NUMBER 2 AND 3 ARE EASY.THE PROPOSED AMENDMENT MUST BE DETERMINED NOT TO BE DETRIMENTAL TO PUBLIC INTERESTS, HEALTH SAFETY AND CONVENIENCE.
ALL OF THIS WORK, ALL OF THOSE THINGS THAT YOU'VE SEEN BEFORE ARE HOW THE STAFF THAT MAKES THIS DETERMINATION.
STAFF HAS DETERMINED THAT THE COMMUNITY BENEFIT OF THIS PROJECT TO INCLUDE CONTRIBUTIONS TO THE IMPROVEMENT OF THE OVERALL TRANSPORTATION SYSTEM, IMPROVEMENTS TO THE EXISTING WATER SYSTEMS WILL SUPPORT THE GREATER AREA AND NOT JUST THE PROPOSED DEVELOPMENT.
OF COURSE, NAH IDENTIFIES THAT THE COMMUNITY BENEFITS AND PUBLIC ARE IN RELATION TO THESE, THAT EXISTING HOSPITAL CANNOT ADEQUATELY SERVE THE COMMUNITY SCENES IN THE FUTURE AND THAT ANY HOSPITAL STANDS CAPACITY TO MEET THOSE NEEDS, IMPLEMENT BEST PRACTICES.
FINDING NUMBER 3 IS THAT THE SITE MUST BE DETERMINED TO BE SUITABLE IN TERMS OF DESIGN, LOCATION, SHAPE, SIZE, AND OPERATING CHARACTERISTICS.
THAT'S WHY WE'VE GONE THROUGH ALL OF THIS ANALYSIS.
THERE IS A SIGNIFICANT INVESTMENT.
WE'VE GONE THROUGH WHAT THOSE REQUIRED IMPROVEMENTS ARE.
IT IS WHAT TAKES US A LONG TIME TO GET THROUGH THE DEVELOPMENT REVIEW PROCESS BECAUSE WE WANT TO MAKE ULTIMATELY SURE THAT WE CAN ADEQUATELY SERVE THE PROPOSED DEVELOPMENT AND THAT THE DEVELOPMENT IS APPROPRIATELY ACCOMMODATING AND PROVIDING THE INFRASTRUCTURE NECESSARY TO SUPPORT THE SITE.
WITH ALL OF THE CONDITIONS THAT STAFF HAS PROVIDED TO YOU, WHERE THE DEVELOPMENT AGREEMENT IS TODAY, STAFF BELIEVES THAT FINDING NUMBER 3 CAN BE MET.
THAT IS PRETTY MUCH THE END OF THE STORY AT THIS POINT IN TIME, IF YOU'D LIKE ME TO GO BACK THROUGH THE CONDITIONS OF APPROVAL, I CAN DO THAT.
I'LL SAVE THAT FOR LATER IF YOU LIKE, AND I'D LOVE TO HANDLE MIC OVER TO NAH.
>> JUST KUDOS TO YOU FOR BEING HERE.
>> FIRST AND FOREMOST, THANK YOU, TIFFANY AND THE CITY AND EVERYONE WHO HAS SPENT ENORMOUS AMOUNT OF TIME WORKING ON THIS, AND THANK YOU COMMISSIONERS FOR LISTENING TO OUR PRESENTATION.
I'M JOSH, THE CHIEF EXECUTIVE OFFICER NORTHERN ARIZONA HEALTHCARE AT THIS CURRENT TIME AND I'M GOING TO START TALKING THROUGH OUR PRESENTATION.
WE TRIED TO STRUCTURE THIS PRESENTATION A LITTLE BIT DIFFERENT THAN LAST TIME TO ANSWER SOME OTHER QUESTIONS.
MAYBE YOU HAD A REALLY PRODUCTIVE DIALOGUE.
THEY'RE JUST A BIT. FOR THE HEALTH AND WELLNESS, WHAT WE'RE TALKING ABOUT TODAY IS THE PROPOSED CAMPUS WILL BE DEVELOPED IN TWO PHASES.
WHAT WE'RE REALLY TALKING ABOUT HERE TODAY IS THE CENTER PORTION, WHICH IS THE HOSPITAL AND AMBULATORY CARE CENTER, WHICH IS PHASE 1 OF OUR PROPOSAL.
THE SECOND PHASE WILL COME AT A LATER DATE.
BUT WHEN WE TALK TODAY, WE'RE REALLY CONCENTRATING ON THE HOSPITAL [INAUDIBLE] CARE CENTER, STRUCTURED PARKING AND WELLNESS RETREAT.
AS WE TALKED ABOUT LAST TIME, WE BELIEVE THAT THIS FACILITY REALLY HELPS US CONTINUE TO MEET THE SOCIAL DETERMINANTS OF HEALTH FOR OUR REGION AND OUR COMMUNITY.
WE'VE TALKED ABOUT LAST TIME THE SOCIAL DETERMINANTS OF HEALTH ACCOUNT FOR ABOUT 80% OF THE OUTCOMES IN MEDICAL FACTORS.
WE BELIEVE THAT THIS CANVAS, WILL HIT ON EACH ONE OF THOSE FIVE FACTORS FOR SOCIAL DETERMINANTS OF HEALTH.
FOR BOTH THE PROPOSED FACILITY, ARE ONE, TO BUILD A STATE OF THE ART MEDICAL FACILITY, WE'RE LOOKING AT ADVANCED TECHNOLOGY, GETTING THE GROWING NEEDS OF PATIENTS IN NORTHERN ARIZONA.
I THINK YOU'LL HEAR FROM A LOT OF COMMENTS TONIGHT ABOUT THE NEED FOR A MORE MODERN INFRASTRUCTURE FROM THE OVER 3,000 COLLEAGUES THAT I APPEAR TO HELP REPRESENT THIS EVENING.
WE WILL CONTINUE TO CREATE AN ENVIRONMENT AND IMPROVE RECRUITMENT RETENTION FOR ALL OF OUR HEALTHCARE PROFESSIONALS.
WE WANT TO INCREASE THE ACCESS OF SPECIALIZED TERTIARY CARE THAT WE TALKED IN THE LAST MEETING ABOUT US BEING THE ONLY LEVEL 1 TRAUMA CENTER IN ORTHOPEDICS AND OVER 700,000 INDIVIDUALS COUNTING ON ANY AGE FOR THAT LEVEL OF CARE.
THEN HAVING ANY BARRIERS BROKEN DOWN, THEY WOULD LIMIT OPERATIONAL EXCELLENCE [INAUDIBLE] [BACKGROUND] WHO ARE WE? I THINK THIS IS IMPORTANT, I PRESUME EVERY SINGLE PERSON THAT IS HERE TO SPEAK ON BEHALF OF NORTHERN ARIZONA, MYSELF INCLUDED, WE ALL GOT ON HEALTHCARE FOR A VERY PARTICULAR REASON WHICH IS OF GOOD HEALTH.
IF YOU LIKE PEOPLE, THERE'S OUR ORGANIZATION.
WE WANT ALWAYS BETTER CARE, EVERY PERSON, EVERY TIME.
NOW OUR VALUE CREATED ABOUT FIVE OR SIX YEARS AGO ACTUALLY CAME FROM OUR STAFF, AND WE'LL TALK ABOUT HOW THOSE TIES AND SO FOR ALL PROJECTS MOVING FORWARD.
WE BELIEVE THIS DEVELOPMENT WILL CONTINUE TO HELP US, AND OUR COMMUNITY GROW AND IT'S TRUE THE FUTURE, WE HOPE THAT IS AVAILABLE TO EACH AND EVERY INDIVIDUAL.
AS AN ORGANIZATION, WE TAKE CARE OF
[00:45:03]
ABOUT 25% OF ALL OUR PATIENTS ARE FINANCIALLY DISADVANTAGED.WE TALKED LAST TIME, WE ARE THE SOLE COMMUNITY PROVIDER IN NORTHERN ARIZONA.
WE ARE THE BACKSTOP FOR MANY OF OUR PATIENTS AND OUR OUTLINE SISTER FACILITIES, NEAR HERE, FROM SOME OF THOSE HERE TONIGHT.
[INAUDIBLE] COUNTIES, WHICH WERE THE MOST IMPOVERISHED COUNTIES IN THE COUNTRY, AND DISPROPORTIONATELY HISTORICALLY UNDESERVED COMMUNITIES.
AS WE TALKED ABOUT LAST TIME, ABOUT A THIRD OF OUR PATIENTS AT ANY GIVEN TIME AT FLAGSTAFF MEDICAL CENTER ARE ENROLLED IN NATIVE TRIBES.
IN FISCAL YEAR '21 ALONE, WE PROVIDED OVER $125 BILLION IN CARE WHO HAD NOT BEEN ABLE TO AFFORD THOSE SERVICES.
[NOISE] WE MIGHT HAVE REALLY DEPICT WHEN WE TALK ABOUT THIS FACILITY IS BUILT IN THE CITY OF LIFESTYLE.
BUT TO GIVE YOU AN IDEA OF THE SIZE OF THE AREA OF THE COMPANY AS AN ORGANIZATION, IT REALLY IS PROVIDING COVERAGE TO MUCH GREATER POPULATION THAN JUST THE CITY OF FLAGSTAFF.
AS WE'VE TALKED ABOUT BEFORE, ABOUT 60% OF OUR PATIENTS ARE COVERED BY STUFF FROM OUTLYING AREAS.
I COULD BE MISTAKEN, BUT THAT REGION THAT WE'RE TALKING ABOUT RIGHT THERE IS LARGER THAN SOME STATES OF THE UNITED STATES.
IT'S ON 50,000 SQUARE MILES TO APPROXIMATELY MILLION PEOPLE.
WE DO PROVIDE SECONDARY AND TERTIARY CARE TO ALL OF THOSE AREAS LOCATED THERE.
AS I MENTIONED HERE, THE ONLY LEVEL 1 TRAUMA CENTER HERE IN NORTHERN ARIZONA DISTRIBUTING THAT TYPE OF SERVICE.
WITH THAT, I'LL HAND OVER TO STEVE.
>> THANKS, JOSH. AS A REMINDER FOR EVERYONE, [INAUDIBLE] VICE PRESIDENT OF REAL ESTATE DEVELOPMENT AND CONSTRUCTION IN NORTHERN ARIZONA HEALTH CARE.
THANK YOU FOR HAVING US TONIGHT.
AS JOSH MENTIONED, WE TAKE A LITTLE BIT DIFFERENT APPROACH WITH OUR PRESENTATION TONIGHT.
I APPRECIATE ALL THE GREAT QUESTIONS AND COMMENTS AND FEEDBACK THAT WE GOT NOT ONLY THE CONDITION FOR THE COMMUNITY AT OUR LAST MEETING AND WANTED TO JUST TAKE A VERY COMMON APPROACH [NOISE] [INAUDIBLE] TO MAKE SURE THAT ALL OF YOU ARE [INAUDIBLE].
THIS PICTURE IS AN AERIAL VIEW OF THE FLAGSTAFF MEDICAL CENTER CANVAS BACK IN 1987, AND THE REASON I PUT THIS SLIDE TOGETHER SPECIFICALLY JUST TO TALK ABOUT HOW HEALTHCARE HAS AND ALWAYS WILL BE CHANGING AND EVOLVING.
AS SOMEONE WHO SPENT THEIR ENTIRE CAREER DEVELOPING NON-PROFIT HEALTH CARE, I'VE ALWAYS BEEN TAUGHT THAT YOU SHOULD ALWAYS BE LOOKING FOR YEARS IN THE FUTURE.
GENERALLY, EVERY 10 OR 20 YEARS, SOMETHING EITHER IS GOING TO HAVE TO HAPPEN TO AN ACUTE HEALTH CARE SYSTEM IN ORDER TO MEET THE NEEDS OF NOT ONLY TECHNOLOGY BUT THE COMMUNITY.
I THINK THE TIMELINE IS ON THE SLIDE SET OUT VERY WELL.
DR. [INAUDIBLE] ORIGINAL LOCATION IN 1930S TO TODAY HAS GONE FROM THE BUILDING YOU SEE UP AT THE TOP LEFT TO EVENTUALLY FLIGHTS AT A HOSPITAL BEING BUILT IN 1971 WHICH IS DOWN THE BOTTOM LEFT.
IT WAS A COMMUNITY HOSPITAL PROVIDING THEM WITH SERVICES.
AS A REMINDER FOR WHAT COMMUNITY HOSPITAL SERVICES MEANING, THEY AIM TO ADDRESS THE NEEDS OF PATIENTS WITH ACUTE BUT MANAGEABLE CONDITIONS.
THEY PROVIDE MEDIUM TO LOW-LEVEL CLINICAL MANAGEMENT OF CHRONIC DEGENERATIVE DISEASES.
THEY RELY ON VISITING PROFESSIONALS FROM THE LOGIC OF ACUTE CARE HOSPITAL.
COMMUNITY FROM 1971-1987 BEFORE ANOTHER LARGE EXPANSION NEEDED TO HAPPEN, AND THAT WAS WHAT YOU SEE BEING CONSTRUCTED IN THIS PICTURE ON THIS CAMPUS, SERVING MORE ACUTE HEALTH CARE NEEDS AND GROWING POPULATION.
THEN IT CULMINATED ON THIS CAMPUS IN 2005 [NOISE] LEVEL 1 TRAUMA DESIGNATION AND TO REMIND PEOPLE THAT LEVEL 1 TRAUMA CENTER PROVIDES THE HIGHEST LEVEL OF TRAUMA CARE TO CRITICALLY ILL OR INJURED PATIENTS.
SERIOUSLY INJURED PATIENTS HAVE INCREASED SURVIVAL RATE OF 25% IN COMPARISON TO THOSE NOT TREATED AT LEVEL 1 CENTER.
IT'S CAPABLE OF PROVIDING TOTAL CARE FOR EVERY ASPECT OF INJURY PREVENTION THROUGH REHABILITATION, AND IT'S REQUIRED TO HAVE ADDITIONAL RESOURCES AND STAFFING AND VARIETY OF SPECIALIST AVAILABLE TO TREAT EVERY ASPECT OF A PATIENT'S INJURY, INCLUDING ACCESS TO THOSE SPECIALISTS.
I THINK AS I LOOK AT THAT TIMELINE, I LOOKED FROM 1930-1971, WHICH CHECKS THAT YEAR BOX.
FROM 1971-2005, WHICH STARTS TO CHECK THAT TIMELINE.
NOW I LOOK INTO THE FACILITY THAT [NOISE] STARTS TO GET US OUT TO [NOISE] I THINK WE CONTINUE TO LOOK FORWARD FOR THE NEXT 50 YEARS FOR THE REGION [BACKGROUND] [APPLAUSE] [NOISE]
YOU MENTIONED, WE CAN GET MULTIPLE THOROUGH ANALYSIS
[00:50:02]
OF HOW TO BEST MEET THE REGIONS NEED FOR NEXT GENERATIONS, OVER THE PAST 20 YEARS.SOME OF THEM IN A NEW PRIVATE SETTINGS AND OTHER MOVING TO A PUBLIC SETTING.
RECOMMENDATIONS REQUIRE A SENSE OF GROWTH AT THE CURRENT LOCATION.
AIRPLANES ARE NOT ABLE TO FIT THOSE PLANS WAS DONE JUST BEFORE WE STARTED THE PLANNING EXERCISE FOR THE NEW CANVAS, A SHORT LESSON ON EXACTLY WHAT DISRUPTION OF THEIR PATIENTS.
IT'S EFFICIENT IN ADDRESSING REGIONS AND LONG-TERM.
REALITY IS THE FIVE-STEP METHOD CAN BE EXTENDED TO MEET PATIENT NEEDS, RENOVATION FOR EXPANSION, OR LIMITED AVAILABLE SERVICES, OR EVEN AFTERWARDS.
CONSTRUCTION. CONSIDERATIONS FOR OUR PROPOSAL FOCUS ON THE IMPORTANCE OF THE NEXT 50 PLUS YEARS, NOT JUST FOR THE NEXT FIVE OR 10 MIN AFTER MULTIPLE OCCASIONS FOR A NEW CAMPUS, INCLUDING REFILLED AND REAL OPTIONS TO PROPOSE THE KITCHEN DESIGN ADDRESSES CURRENT AND FUTURE NEEDS.
ALSO CHALLENGE THE CURRENT CAMPUS PLAN, THE FLEXIBILITY FOR FUTURE.
TALK A LITTLE BIT ABOUT HOW THAT MANIFESTS ITSELF FOR OUR PATIENTS.
THEIR FAMILY MEMBERS, OR STAFF.
AGAIN, WHEN PEOPLE ARE ULTIMATE GOAL WAS TO DESIGN A HEALTH CARE SYSTEM.
THAT'S THE EFFICIENT, EFFECTIVE PATIENT CARE FROM EXAM TO THE OPERATING ROOM RECOVERY.
WE TALKED AT THE LAST MEETING ABOUT HOW OUR CURRENT FACILITY LEADS TO SUB-OPTIMAL NURSE TO PATIENT RATIOS, WHICH WE WERE ABLE TO DESIGN INTO THE NEW FACILITY, UNIVERSAL EXAM AND TREATMENT ROOMS TO MAXIMIZE CLINICAL AND OPERATIONAL EXCELLENCE.
EMERGENCY DEPARTMENT WILL ADDRESS CURRENT LIMITATIONS.
PATIENTS CAN BE SEEN QUICKLY TOO.
THEY CAN BE TREATED AND DISCHARGED ARE NEEDED FOR ADDITIONAL CARE.
ABOUT THIS IN MORE DETAIL IN A SECOND, BUT THIS IS TO TRY AND MAKE SURE THAT OUR COMMUNITY NEEDS MET AT RBCS, GET THE CARE THAT THEY NEED.
A FEW THINGS THAT WE'RE COMMITTED TO DELIVERING.
OUR VISION IS ALWAYS BETTER CARE FOR PATIENTS AND COMMUNITY FACILITIES DESIGNED TO GROW WITH THE COMMUNITY AND TO ACCOMMODATE FUTURE GROWTH OF THE CAMPUS.
WE HAVE THOUGHTFULLY MASTER PLANNING ENTIRE CAMPUS ROW.
FROM THE INITIAL 274 VECTOR, WE PLAN TO OPEN WITH 44 MORE BEDS THAT CAN EASILY BE ADDED IN SHELF SPACE TO THE PHASE MARGIN.
ULTIMATELY, AN ADDITIONAL 96 TOWER, INCLUDING ALL OF THE INFRASTRUCTURE AND SUPPORT SERVICE NEEDS THAT WOULD BE NECESSARY TO GROW BEDSIDE INCLUDING BROKEN SURGERY, EMERGENCY DEPARTMENT, PHARMACY BACK, ETC INCORPORATING THE LESSONS LEARNED FROM COVID-19 AND ITS IMPACT ON PATIENT CARE.
MOST NOTABLY, BEING ABLE TO PROVIDE A FLEXIBLE MECHANICAL SYSTEM THAT CAN HANDLE SOMETHING LIKE COVID-19 IN THE FUTURE.
ALL PATIENT ROOMS WILL BE SINGLE OCCUPANCY, PROVIDING PRIVACY IMPROVES INJECTION CONTROL.
AS I MENTIONED IN THE LAST 66 DOUBLE OCCUPANCY.
OUR PATIENTS ARE VERY GOOD CHANCE OF HAVING INTERNET SEARCH SETTINGS AND BRINGING NEW STATE OF THE ART HEALTH CARE SERVICES TO FLAGSTAFF AND REDUCING TRAVEL TO PHOENIX FOR S JOURNEY SPECIFICALLY FOR 5,600 PATIENTS.
INTERESTINGLY HERE TRYING TO CHIP.
TO MAKE THIS LITTLE MORE AT A HUMAN LEVEL, PROBABLY MOST OF YOU IN THIS ROOM HAVE EITHER BEEN THROUGH URGENCY DEPARTMENT ANYWHERE IN THERE WITH A LOVED ONE FEATURE, THE PATIENT OR FAMILY MEMBER THAT HE EXPERIENCED.
WHAT WE WANT FOR THE COMMUNITY.
I ALWAYS APPLAUD OUR STAFF FOR DOING THE JOB THEY DO AND THE CONDITIONS THEY DO IT.
THE REALITY IS THAT EMERGENCY DEPARTMENT HAS JUST PASSED HIS LIFE.
OUR NEW EMERGENCY DEPARTMENT ISN'T OPTIMAL LAYOUT AND DESIGN AN EV BASED ON THE NEEDS OF PATIENTS.
IT'S A LINEAR DESIGN, PROVIDES MORE DIRECT OBSERVATION OF PATIENTS AND ACCESS FOR CAREGIVERS.
COMPROMISING THE ABILITY FOR THE CARE TEAM TO COLLABORATE ALLOWS FOR FLEXING UP AND DOWN THE ORAL DEPARTMENT HAS PATIENT VOLUMES AND ACTUALLY CHANGE THROUGHOUT THE DAY.
IDEAL FOR FUTURE GROWTH, EXPANSION OF THE LINE CAN SIMPLY EXTEND TO THE NORTH.
AGAIN, PLANT GROWTH AS THE ACUITY AT THE INPATIENT.
PATIENT'S SEGMENTATION, MORE ISOLATED EXAM ROOMS FOR INTOXICATED PATIENTS, REDUCING THE RISK OF PROSECUTION INCIDENCE.
I THINK MOST IMPORTANTLY FROM OUR PERSPECTIVE, THE INTRODUCTION OF QUICK LIPASE CLOSE TO THE ENTRANCE TO SPEED THE TREE YOGIC TREATMENT PROMOTE COMMUNITY VISITS, MEANING THAT IF YOU ALL WANT ABOUT ESI, FIVE PATIENTS THAT IS THERE FOR LOWER LEVEL OF EMERGENCY DEPARTMENT VISIT AND OUT AS QUICKLY AS POSSIBLE.
WE'VE TALKED A LITTLE BIT ABOUT THE IMPORTANCE OF THIS MEDICAL CENTER FOR THE REGION.
[00:55:04]
I THINK WE JUST WANT TO CORRELATE THE IMPORTANCES MEDICAL CENTER TO THE REGION TO THE BEST OF WHAT MAKES BLANKS DASH SO IMPORTANT TO THE ENTIRE REGION.WE ARE READY AND REGIONAL HUB OF NORTHERN ARIZONA IN MANY CAPACITIES.
PAST HEALTH CARE, THEY HAVE ANY YOU CAN PUT ME IN A COMMUNITY COLLEGE.
WE ARE THE I75 INTERCHANGE PREMIUM.
A GREAT DEAL OF TOURISM FOR GRAND CANYON NATIONAL PARK, ARIZONA SNOWBALLED FOR A COUNTY PARK.
WE ARE THE ONLY LEVEL ONE TRAUMA CENTER IN THE NORTHERN HALF OF ARIZONA AND ALSO OUR PARTNERS AT NORTH COUNTRY HEALTH CARE, THE HEALTH CENTER AREA.
THIS IMAGE THAT'S ON THE RIGHT, IT'S FROM THE ARIZONA POPULATION PROTECTION MEDICAL ASSOCIATION OF GOVERNMENTS, SHOWS THE 5.1 MILLION POPULATION OF THE STATE OF ARIZONA AND NEW YEAR 2000S COOPERATES HERE IN A SECOND, IT WILL SHOW YOU THEIR PROJECTIONS FOR 2050.
POPULATION HERE IS DESIGNATED BY RED.
THIS IS THEIR POPULATION PROJECTIONS FOR THE STATE OF ARIZONA FOR THE YEAR 2050, 16 MILLION PEOPLE.
YOU CAN SEE THE DIFFERENCE IN RED IN THE NORTHERN HALF OF THE STATE.
THIS IS POPULATION THAT WE'RE PROPOSING, THIS PROJECT.
WE'RE PREPARING FOR THE REGION'S FUTURE HEALTHCARE NEEDS.
PROJECTED POPULATION GROWTH WILL INCREASE DEMAND FOR INPATIENT HOSPITAL ED VISITS, TRAUMA SERVICES, INPATIENT AND OUTPATIENT SURGICAL TREATMENT, DIAGNOSTIC IMAGING SERVICES, PRODUCT DISEASE TREATMENT AND MANAGEMENT, CANCER HERE IN SUPPORT SERVICES AND TIMELY AND INTEGRATED CARE.
WE DISCUSSED LAST TIME, IT IS NOW 2023.
WE'RE ALREADY ON THE CHEEK. BETTER PERSPECTIVE.
YOU CAN IMAGINE THAT BETWEEN NOW AND 20 GET WORSE.
AS I GO THROUGH THE NEXT COUPLE OF SLIDES, I'M GOING TO TOUCH ON A FEW THINGS THAT WE ARE LOOKING FORWARD TO BRINGING TO THE COMMUNITY.
ONE OF THEM IS OUR NEW HYPERBARIC AND HEALING CENTER, WHICH WILL OPEN IN A NEW INVENTORY CARE CENTER.
REGION HAS MORE THAN 1 MILLION PEOPLE IN COMMUNITIES ACROSS THEM.
IN ARIZONA, WE HAVE DISPROPORTIONATELY LARGE NUMBER OF MOONS.
MEDICALLY UNDERSERVED COMMUNITIES HAVE HIGHER AVERAGE NUMBER OF PATIENTS SUFFERING FROM CHRONIC WOUNDS THAT OFTEN REQUIRE EDUCATION.
RECEIVES FEDERAL FUNDING TO BUILD A NEW WOUND CARE CENTER, THE SPECIALIST CAMPBELL EXCHANGE TREATMENT OPTIONS AND REDUCED THE NUMBER OF PATIENTS WITH PRIOR AND IMPLICATIONS.
THERE WAS A QUESTION BROUGHT UP IN AN EARLIER MEETING.
ARE THERE ANY OTHER FACILITIES, HEALTH MILLAGE CONCEPTS THAT WE HAD STUDIED? THERE ARE, THERE ARE MANY MANY UNDERWAY AS A HEALTH CARE SYSTEM, THIS ISN'T THE RIGHT THING TO DO IN THEIR COMMUNITY TO GET INTO THE FUTURE.
TYPICALLY, VILLAGE WHICH IS IN HENDERSON.
YOU CAN VILLAGES OF MIXING ACUTE CARE HOSPITALS, AMBULATORY SURGICAL CENTERS, RETAIL, ENTERTAINMENT, RESIDENTIAL APARTMENTS, AND SENIOR LIVING.
YOU JUST OPENED ABOUT FIVE OR SIX YEARS AGO.
I THINK THE HARD FOR US AS FLAGSTAFF RESIDENCES, NEW ROW, IT IS ANCHORED BY MAPLE TO A HOSPITAL, RETAIL, PUBLIC TRAILS, MULTIFAMILY HOUSING, LIVING RESEARCH AND EDUCATION USES.
I THINK IT'S ALSO WORTH NOTING THAT NEIGHBOR GIRL IS A SUBURBAN COMMUNITY, IS A POPULATION THAT IS ANCHORED BY A COMPANY IN BOSTON SCIENTIFIC AND COMFORT, FLAGSTAFF.
I THINK THE MOST IMPORTANT COMPONENT OF A HAP-TEN, SOMETHING THAT NIH HAS REALLY BEEN FOCUSED ON IS THEIR TRUE POWER BEHIND GETTING THIS RIGHT, ISN'T JUST TAKING THE OTHER PEOPLE HAVE DONE AND TRIED TO REPLICATE IT.
IT'S REALLY TRYING TO TAILOR FIT THE HEALTH AND WELLNESS.
HEALTH AND WELLNESS IS FOR A COMMUNITY.
OUR VISION IS HONORING A COMMITMENT TO PROVIDING ALWAYS BETTER CARE WITH A FOCUS ON WELL-BEING.
THAT'S KEY IN HIGH-QUALITY HEALTH CARE CLOSER TO HOME FOR THE PATIENTS AND COMMUNITY COLLEGES OR STRENGTHEN REGIONAL DEVELOPMENT AND JOB CREATION, PARTNERING FOR TRAINING AND EDUCATION OPPORTUNITIES, HELPING ADDRESS THE LOCAL HOUSING CRISIS, INCREASING ACCESS THAT OUTDOOR ACTIVITIES AND CITY PARKS AND TRAILS [NOISE] [LAUGHTER] SHOULD GET.
THE REST OF MY SLIDE PRESENTATION HAS ANY IMMEDIATE QUESTIONS,
[01:00:02]
IS GOING TO BE A SERIES OF SLIDES, SPECIFICALLY ADDRESSING RECENT PUBLIC COMMENTS AND QUESTIONS [INAUDIBLE] AND COME BACK AND HELP ME.THEY ALSO HAVE THE ENGINEER ON THE PROJECT.
[INAUDIBLE] [NOISE] [OVERLAPPING] I DON'T REMEMBER IF IT WAS [INAUDIBLE] INTEGRATE.
POSSIBLY, THE AREA AROUND THE HOSPITAL HASN'T BEEN COMPLETELY DEVELOPED.
WE HAVE AN OPPORTUNITY TO BE ABLE TO PUT SENIOR LIVING IN.
I THINK THAT'S PART OF OUR BABIES TO GOAL IS TO START TO TALK TO DEVELOPMENT PARTNERS AND STARTED TO MATURE TO PERFORM AN ANALYSIS, UNDERSTANDING THAT WERE ON YOUR WAY.
THE HOSPITAL E-CC, WE DO? I DO THINK SENIOR LIVING UNITS, IF NOT THE TARGET.
I ALSO THINK COMPONENT OF SEATING AT THE EXISTING CANVAS COULD BE ANOTHER UTILIZATION FOR SOME PORTION.
YESTERDAY. [INAUDIBLE] THERE WERE CONCERNS ABOUT THIS NEW CAMPUS AND HOW IT PROMOTES HER ACHIEVE GOALS AND POLICIES SET FORTH IN FLAGSTAFF MUTUAL PLAN, GIVEN THROUGH THEM ONE BY ONE.
WE DECIDED NOT TO SHOW THAT WE'RE ACHIEVING NEW 100 GOALS AND POLICIES SET FORTH IN FLIGHT PLANS.
I'LL JUST READ THE ONES IN PROVIDING HIGH-QUALITY EMERGENCY RESPONSE AND PUBLIC SAFETY SERVICES, INCLUDING MEDICAL, AMBULANCE, TRANSPORT SERVICE.
INVESTING IN THE DEVELOPMENT OF A NEW PLANT ACTIVITY CENTER, WHICH PROMOTES THE CONTINUED PHYSICAL AND ECONOMIC VIABILITY OF THE REGIONS COMMERCIAL DISTRICTS, ACCOMPLISHING NEW DEVELOPMENT ON THE PERIPHERY, WHICH WILL CONTRIBUTE TO COMPETE IN NEIGHBORHOODS INCLUDING INTERCONNECTED WITH OTHER NEIGHBORHOODS, PROVIDING CIVIC SPACE AND A VARIETY OF HOUSING TYPES, ALL ABOUT PROTECTING SENSITIVE AND NATURAL.
THE NEXT COMMENT THAT WE HEARD A LOT ABOUT WE DO DOES EMERGENCY RESPONSE REQUIRE AN EMS RESIDENTIAL DEVELOPMENT NEAR D-W TOWEL IS ALREADY DRIVING INCREASED NEED FOR EMERGENCY RESPONSE SERVICES.
THE DONATION OCCUPIED BOSTON VERTICES TRAFFIC THROUGH DOWNTOWN, WHICH THE LOSSES NOW IT GETS A LITTLE BIT TIGHT.
SMALL VEHICLES TO GET THROUGH.
THEN RESIDENTIAL DEVELOPMENT ONE NICE 17 WILL REQUIRE US TO EXPAND MEDICAL TRANSPORT, WHICH WE OWN AND OPERATE ON SERIOUS RESPONSES.
SIMILAR. EARLIER, WE ARE COMMITTING TO COVER HALF OF THE CAPITAL COST TO RELOCATE IT, ENHANCED URBANIZATION.
SIX, I LIKE THE ROAD TO A NEW LOCATION WITH THE NEXT ONE WAS EASY TO ACCESS FOR FLAGSTAFF, ARIZONA.
AS WE MENTIONED BEFORE, 60% OF THE PATIENTS THAT WE SERVE SUPPLIES THAT MEDICAL CENTER COME FROM OUTSIDE OF THE CITY OF BIKES THAT ARE LOCATED WITHIN THE REGION.
DOWNTOWN TRAFFIC AS IT STANDS TODAY, DOESN'T MAKE IT DIFFICULT FOR PATIENTS TO GET TO F-O-M-C.
MOST OF THE [INAUDIBLE] IS EMPLOYEES WILL HAVE A MORE CONVENIENT COMMUTE FROM THEIR EXISTING ADDRESSES.
THE MATURITY OF THE DOWNTOWN AND ALL THAT WILL MAKE IT DIFFICULT TO ADD CAPACITY TO THE TRACK NETWORK IF WE WERE STANDING THE HOSPITAL, FORMATTING TERTIARY LEVEL ONE, TRAUMA CARE CLOSE TO HOME VERSUS TRAVELING TO PHOENIX.
T WE DO ON THE RIGHT-HAND SIDE, I'M SURE CHRIS LINING OR DOES THIS ART EXPERT REALLY TOOK THE OPPORTUNITY TO LOOK FROM DIFFERENT NEIGHBORHOODS AND SAY WHO'S GONNA BE POSITIVELY AND ANYTIME YOU CHANGE OR MOVE, THEY'RE GOING TO PEOPLE AFFECTED, NEGATIVELY IMPACTED.
I THINK THE NICE THING THAT YOU SEE HERE IS THERE FOR COMMUNITIES THAT ARE A LITTLE BIT LONGER COMMUTE TIME, THAT EIGHT COMMUNITIES EITHER WILL HAVE LESS TIME FOR IMPROVED ACCESS TO THE FACILITY HERE.
I'M GOING TO TALK ABOUT BEFORE I HAND OVER, IS REALLY THE AIR-TRAFFIC DISCUSSION TOPICS.
THEY'RE ASSET FORMULA ACROSS PAIR IS AN EXTREMELY IMPORTANT ASSET FOR THE REGION.
BEING ABLE TO GET PATIENTS QUICKLY TO THE LEVEL ONE TRAUMA CENTER AS HE WAS TALKING ABOUT.
WE CURRENTLY PROVIDE LIFE-SAVING PHYSICAL TRANSPORT FOR PATIENTS.
ABSOLUTELY GET THROUGH THIS LITTLE ONE TRAUMA CENTER OF MANY OF YOU MAY OR MAY NOT KNOW.
WE HAVE LOCATED THROUGHOUT THE REGION, THOSE BEING IN FLAGSTAFF AND IT HAS ALWAYS BEEN LOCATED AT LEAST EVERY TWO POINT AIRPORT THERE AND YOU'RE DIRECTED BY AIR TRAFFIC CONTROL.
WE DO NOT ANTICIPATE ANY ADDITIONAL IMPACTS ON THE PLUNGER AREA BASED ON CURRENT EXPERIENCE CONCURRENTLY AS WE CURRENTLY HAVE.
JUST TOUCHING ON EASE OF ACCESS TO TRENDS IN ROAD DESIGN.
[01:05:03]
YOU DON'T KNOW WE HAVE BEEN IN DISCUSSION WITH MOUNTAIN LINE SINCE THE BEGINNING OF THIS PROCESS.WE DO PLAN INCLUDES SUPPORT NOT MIND'S EFFORTS TO SECURE FUNDING FOR FUTURE EXPANSIONS OF OTHER TRAFFIC SYSTEM.
[INAUDIBLE] TIFFANY SAID EARLIER WILL PROVIDE SHUTTLE SERVICE BETWEEN THE NEAREST BUS STOP.
FUTURE IS AT NO COST TO ANY WRITER.
WE HAVE PARTNERED WITH MOUNTAIN LION TO LOCATE AND DESIGN WE DO SHUTTERS ON THE CANVAS.
TRANSIT BIKE AND PEDESTRIAN TRAFFIC WITH ENHANCED SEE, TRUCE WILL CONTINUE TO PROVIDE LIFT UBER RIDES FOR PATIENTS WHO DO NOT LIVE ON THE BUS LINE, WHICH RIGHT NOW WE ARE AVERAGING ABOUT 1,600 IT-U WE ALREADY PROVIDE TO THE COMMUNITY.
PATIENTS COVERED BY THE ARIZONA HEALTHCARE COST CONTAINMENT SYSTEM ON THE NOSE ACCESSIBLE PROVIDED RISE TO HEALTH CARE SERVICES AT NO COST.
WE TALKED EARLIER ABOUT THE ROAD DESIGN.
WE PARTNER IN A VERY COLLABORATIVE FASHION FOR THE CITY OF FLAGSTAFF.
EXTRA PLAN TO SUBMIT FOR $45 MILLION US DOT TO ASSIST WITH THE IMPROVEMENTS THAT YOU BOULEVARD.
IT'S BEEN A GREAT PARTNERSHIP WE'VE HAD WITH THE CITY OF METRO PLAN.
IT WAS MAINLY FUNDED FROM ANDREW [INAUDIBLE].
WE WILL KNOW MORE ABOUT THE IMPROVEMENTS WILL INCLUDE A RE-LAUNCH MOUNTAIN DELL ROAD INTERSECTION, IMPROVING SAFETY WITHIN 90 DEGREE INTERSECTION, AND PROTECTED REFUGEES.
THAT INTERSECTION NOW, IT IS AT A VERY STEEP ANGLE AS IT COMES INTO.
WE'RE WORKING WITH ADA TO ACCOMMODATE FOR THE WIDENING OF THE J-W 17 BRIDGE, ANOTHER PARTNERSHIP BETWEEN OURSELVES AND THE CITY OF FLAGSTAFF AS PART OF THEIR PLAN REPLACEMENT TO WIDEN THAT BRIDGE WHEN THEY REPLACE IT WITH [INAUDIBLE] 17.
THE CITY OF LIKES THAT HAS ALREADY AGREED TO BE THE LEAD APPLICANT FOR A BREACH IMPROVEMENT PROGRAM.
$36 MILLION IN FEDERAL FUNDS [INAUDIBLE] ON THE TOPIC OF TORT TOUGH HILL, AND AT ANY TRAFFIC ACCESSING THE BOARD TITLE OFFENSES, WIDENING THE [INAUDIBLE], CALIBRATION AMPULES WILL PROVIDE ADDITIONAL CAPACITY, CAN IMPROVE SAFETY DURING EVENTS, AS IS REQUIRED NOW, SPECIAL EVENT ORGANIZERS MUST PLAN AND IMPLEMENT TRAFFIC VACATION PLANS TO GET IMPROVEMENTS TO BEULAH AND THE J-W K-E I75 RITUAL PROVIDE ADDITIONAL OPTIONS, ESPECIALLY WHEN WE TALK ABOUT IT AND CONCEPTS OR THE CONTEXT OF THE CURRENT CAMPUS VERSUS THE PROPOSED LOCATION.
NAH, PATIENT IS CURRENTLY MUST NAVIGATE TRAFFIC CONGESTION AND THAT'S SUPPOSED TO DOWNTOWN.
SEASONAL TOURISM CONTRIBUTES TO DOWNTOWN TRAFFIC THAT IMPEDES ACCESS TO [INAUDIBLE], WHICH WOULD BE HIGHLY MOVED.
THIS RELOCATION AND THE PROPOSED CAMPUS WILL BE MORE EASILY ACCESSIBLE VIA 17, 40 FOR PATIENTS AND AMBULANCES, EVEN DURING SPECIAL EVENTS.
[01:16:03]
[01:16:05]
I DON'T KNOW IF THIS IS [INAUDIBLE] BUT POSSIBLE USE RENEWABLE ENERGY.WELL, YOU MENTIONED THE HEAT FOR CIRCULATION BUT WHAT ABOUT SOLAR AND ARE YOU STILL CONSIDERING USING GAS [INAUDIBLE]
>> THAT IS A GREAT KEY QUESTION TO THE SLIDE. I JUST PULLED UP.
[LAUGHTER] ONE OF YOUR QUESTIONS IN THE LAST SESSION WAS ROUND, WHAT IS OUR CARBON STRATEGY AND HOW DOES IT PLAY INTO THE OVERALL LIFESPAN OF BUILDING? YOUR COMMENT ABOUT RENEWABLES AND NATURAL GASOLINES SITE.
WE'LL GO INTO THIS NEXT SLIDE.
BUT THIS FIRST WATERFALL DIAGRAM, IT MAY BE HARDER FOR PEOPLE IN BACK TO SEE THE FIRST HALF SO THE GRAY BAR TO THE LEFT AS A TRADITIONAL, THE, SAY THE FIRST TWO-THIRDS, THAT YOU CAN SEE A FAINT GRAY LINE UNDER IT, IS WHAT WE CAN DO WITH THE SITE AND HOW THAT REDUCES OUR CARBON STRATEGY AND WHAT WE CAN ACTUALLY AFFECT.
ENERGY EFFICIENCY IS THAT VERY FIRST PART.
YOU ALWAYS THINK THAT GETTING NATURAL GAS AND DRIVING ENERGY EFFICIENCY AND ENERGY RECOVERY IS THE REAL LINCHPIN.
IT ACTUALLY REPRESENTS ABOUT 30% AND IT DOES AFFECT YOUR BRACHIAL HOSPITAL.
NAH HAS LOOKED AT IT FROM AN INVESTMENT STRATEGY AND PARTICIPATE IN ALL OF OUR DECISION-MAKING.
THE NEXT COUPLE OF PIECES, AS YOU LOOK TO THAT, ONLY MAKE UP ANOTHER 20%.
IT'S 50% IS WHAT WE CAN DO WITH THIS CONSTRUCTED ON SITE PROJECT.
THE OTHER 50% OF NAHS COMMITMENTS TO CARBON REDUCTION IN 2050 COMMITMENT IS AROUND THE PARTNERSHIPS AND SUPPLY CHAIN VENDORS.
MATERIALS, THEY'RE ONGOING INTERNAL REUSE OF MATERIALS.
THEY GOT THE NEXT PIECE OF THIS AND MAKE VERY GOOD JOB OF OUTLINING IT AND WILL BE GOLDEN AGREEMENT.
BUT WE'RE PREPARED TO ANSWER FURTHER QUESTIONS AS NEEDED.
GETTING INTO WHAT WE'RE DOING SPECIFICALLY AROUND OUR CARBON REDUCTION STRATEGY AT THAT VERSE, 50% WITH OUR HEAT ENVIRONMENTAL SITE.
THE MAJORITY OF OUR HEATING IS BEING PROVIDED BY ELECTRICITY THROUGH THAT HEAT PUMP TECHNOLOGY WE TALKED ABOUT WE'RE ACTUALLY RECOVERING HEAT.
WE'RE TAKING OUT OF THE HOSPITAL COOLING PROCESS REGIONAL ELECTRICITY TO DRIVE THAT HEAT.
THAT WILL BE TO PROVIDE HEAT MAJORITY OF THE YEAR IT WILL PROVIDE ALL THE BASELINE KEY.
>> YOU SAID WHETHER ITS MAJORITY.
>> MAJORITY MEANS ALL THE SUMMER MONTHS, MOST OF THE FALL, MOST OF THE SPRING, ROUGHLY SEVEN MONTHS A YEAR, BECAUSE HE CAN SHOW WILL PROVIDE ALL THE HEAT, NOT JUST TO HEAT THE BUILDING, BUT ALSO TO HEAT DOMESTIC HOT WATER [INAUDIBLE] HEAT PROCESSES.
REST OF THE YEAR. WE HAVE INCREDIBLY HIGH EFFICIENT, 96% EFFICIENT BOILERS THAT WILL PROVIDE THAT TREND OF HEATING DEMAND AND WHERE WE GET INTO THE SEVERE SEASONS.
THE REASON FOR THAT IS WE ARE LEVEL ONE TRAUMA.
RESILIENCY IS THE MOST PARAMOUNT FEES AN EXTREME COLD ENVIRONMENT TO FLAGSTAFF CAN BE AND WINTER MONTHS.
THE BOILERS GIVE US THE ABILITY TO PROVIDE REDUNDANCY AND A VERY SMALL FOOTPRINT.
YOU HAVE TO BILL AS MUCH CENTRAL PLAN TO DO IT.
THE OTHER PIECE OF IT IS THERE'S EIGHT OF THEM AND SO WE SCALE THEM UP AND DOWN IN VERY SMALL MODULES TO MEET ONLY THE DEMAND THAT WE NEED AT THAT TIME.
>> MOST BOILERS WHAT WE [INAUDIBLE]
>> THAT IS THE NATURAL GAS. NATURAL GAS.
IN TODAY'S MARKET, TODAY'S DEVELOPMENT IS
[01:20:04]
THE MOST RESILIENT FUEL SOURCE THAT WE CAN GET TO THE SITE, THE HEAT.>> YOU DON'T CONSIDER ELECTRICAL [INAUDIBLE] POWER SHOULD BE IN FICTION. [INAUDIBLE]
IT HAS CHALLENGES JUST LIKE ANY GRID SYSTEM DOES.
IF WE CHANGE THIS TO ALL ELECTRIC OR GENERATORS GET MUCH BETTER TO THE AMOUNT OF IMPROVEMENT THAT WE NEED TO SEE TO THE SITE AS MORE DISRUPTION, MORE ASSOCIATIONS.
NATURAL GAS IS BEING USED AS AN ELEMENT IN THE ZOO AS RESILIENCE MAJOR HOSPITAL SO WE HAVE STUDIED IT TO MAKE IT AS MINIMAL AS POSSIBLE AND PROVIDE THE HIGHEST LEVEL OF PERFORMANCE AND SAFETY AND RISK MITIGATION FOR OSCAR.
LET ME GO AHEAD AND I'LL ANSWER YOUR ON-SITE RENEWABLES QUESTION WHILE WE'RE AT IT.
WE'VE PROVIDED AND WHAT YOU'RE SEEING IN THE TOP TWO REALLY SMALL VISUALS AND THEN THAT I GRAPHED OUT TO THE SIDE.
THAT'S THE SOLAR POTENTIAL OF OUR DESIGN AS WE MASK THE HOSPITAL AND GOING ALL THE WAY BACK CONDITIONING.
WE PRESENTED THREE VERSIONS OF THE BLOCKING DIAGRAMS TO NADH.
PHOTOVOLTAIC POTENTIAL IS ACTUALLY ONE OF THE KEY FACTORS THAT THEY VOTED ON.
WHEN WE STUDY IN WAVE AND MEASURED IT.
YOU CONTINUE TO THE END WHERE THOSE PHOTOVOLTAIC PANELS COULD GO OVERTIME.
THEY TOOK ME OUT ON IN HER PRESENTATION.
WE'D HAVE THE INFRASTRUCTURE TO ACCEPT PHOTOVOLTAIC AT A POINT IN THE FUTURE.
THEN WE HAVE INVESTMENT MONEY OR GRANT MONEY TO MAKE THAT INVESTMENT THAT IS PART OF THE INITIAL DAY ONE PHASE, DOES NOT HAVE FINANCIAL LIABILITY FOR WHAT IS BEST FOR PATIENT CARE OR TO TRY TO MEET THE NEEDS OF THE PROGRAM, THE HOSPITAL AT THIS TIME.
DID THAT ANSWER YOUR QUESTION?
ALL MEDICAL EQUIPMENT, KITCHEN EQUIPMENT ARE BEING EVALUATED AND REUSING ELECTRIC EQUIPMENT.
WHERE IT MAKES SENSE AGAIN, WHERE IT MAKES SENSE FOR THAT EQUIPMENT TO BE ELECTRIC FIRED AND CAN BE READILY ACCESSED, MAINTAINED, AND SERVICED INTO FLAGSTAFF.
SOME OF THOSE TYPE PERFORMANCE PIECE OF EQUIPMENT HAVE REALLY HARD FOR PARENTS AND SO ASKING VENDORS TO DRIVE HALFWAY ACROSS THE STATE TO DO THOSE ON A MONTHLY SERVICE ON TRACK AND IT STARTS TO DEFEAT THE PURPOSE BEING A CARBON NEUTRALITY STRATEGY AGAIN, THAT 50% OF YOUR VENDOR RELATIONSHIPS, SERVICE RELATIONSHIPS, THAT LONG-TERM, 50-YEAR PLUS STRATEGIES.
THOSE WERE THE LENSES THAT WE'RE LOOKING AT MEDICAL ONE AND KITCHEN EQUIPMENT SELECTION.
THIRD POINT HERE DOES GO BACK TO ELECTRIFICATION THAT'S REDUCING THOSE EMISSIONS OVER TIME.
IT'S NOT JUST THE LEMONADE OUT OF NATURAL GAS THAT WE'RE USING BUT IN AGES PARTNERSHIP WITH APS AND FLIGHTSTATS PARTNERSHIP AND APS TO MAKE THOSE RENEWABLES AND OTHER STRATEGIES THAT THEY'RE USING A GRID LEVEL AND OR SYSTEM LEVEL WILL PAY HIM BACK INTO THE OVERALL CARBON CALCULATION USED FOR THIS OFFSETTING STRATEGY.
I THINK I'VE ALREADY TALKED ABOUT THE VENDOR PARTNERSHIPS AND HOW THAT PIECE WORKS.
WE ARE USING THE EMBODIED CARBON METRICS WHEN WE'RE DOING A STRUCTURAL DESIGN AND EVALUATE THE PROJECT, WE ACTUALLY HAVE OUR STRUCTURAL STEEL FABRICATORS ON AS OUR COLLABORATION PARTNERS SINCE DESIGNED TO DALTON'S PROJECT IN HELPING US REDUCE STILL COST OF HELPING US REDUCE THE OVERALL SCALE OF THE PROJECT SUGGESTING ADVANCED TECHNOLOGIES THAT LIMIT THE AMOUNT OF WELDING AND REDUCING THE TONNAGE AT THE SAME TIME.
TOWARDS THE END OF THE PROJECT, AND WE'LL LOOK AT THAT [INAUDIBLE].
>> A COUPLE OF QUESTIONS, HAVE YOU [INAUDIBLE]?
[01:25:03]
>> SECOND ONE IS AS FAR AS THE SOLAR PANEL ANALYSIS, WITH YOUR PARKING FUEL THERE, ARE YOU ABLE TO BUILD A STRUCTURE SAFE IT'S OUT HERE WILL THAT BE A VIABLE OPTION, PHASE ONE.
FIRST QUESTION [INAUDIBLE] WE DID ACTUALLY START WORKING ON CHILLER TECHNOLOGY THAT WE HAVEN'T DESIGNED CURRENTLY AT THE HOSPITAL.
WE LOOK AT GEOTHERMALLY ON SHOULDERS AT THAT BAR SCALE, SYSTEM SCALE.
I'M SURE THERE'S NOT A COST ADVANTAGE TO DOING THAT AND THE EFFICIENCY OF THE CHILDREN IS ACTUALLY GREATER THAN YOU ARE EXTRACTING WATER AND CONVERTING THAT BECAUSE THE TEMPERATURE DIFFERENTIAL ON THE SIDE OF THAT SHOW HAS A BETTER POTENTIAL PERFORMANCE FOR THE POST SEASON, ESPECIALLY WHEN YOU'RE AT THE HOSPITAL THAT YOU'RE CONSTANTLY [INAUDIBLE] WHEN WE EVALUATE THE SYSTEMS, WE ACTUALLY LOOK AT WHAT THE SWEET SPOT IS THAT [INAUDIBLE] 24,7 AND 365 DAYS, MAKING A CENTRAL [INAUDIBLE].
>> SOUTHERN CLIMATES THAT PROBABLY ARE BETTER SUITED FOR THAT SYSTEM THERE?
>> THERE ARE OTHER CLIMATES AND OTHER SOIL CONDITIONS.
THAT IS FOR TITLE SITE AS A BIG GEOGRAPHIC CHANGE IN THE LIMIT AND SO THAT'S THE PART WHERE IT GETS REALLY.
IT ALSO HELPS IF YOU HAVE A GROUNDWATER SOURCE BELOW YOU THAT YOU CAN DO A CLOSE WITH THE I'VE ACTUALLY DONE THAT INTO A [INAUDIBLE] REALLY EFFECTIVELY [INAUDIBLE]
>> RELATED TO THAT QUESTION. [INAUDIBLE] [NOISE] [OVERLAPPING] [FOREIGN] I READ ABOUT THE BUILDINGS THAT ARE USING ALL MY CHECK MY OCTET.
WHY IS IT THIS IS THE ANALYSIS THAT'S NOT POSSIBLE WITH THE HEALTH CARE.
THERE'S SOME OTHER FACTOR, OR YOU ACTUALLY HAD A LARGE KIND OF HIGHLY HIGH-PERFORMANCE BUILDINGS OF ALL TYPES.
A LOT OF THEM ARE GOING ELECTRIC.
WE'RE ACTUALLY DOING THE FIRST ALL-ELECTRIC HOSPITAL RIGHT NOW IN SOUTHERN CALIFORNIA.
THE INTERESTING PART IS THE CHARGE FROM THE OWNER TO MAKE IT ALL RECTORY.
IT WAS ACTUALLY THE LIMITING FACTOR WITH ELECTRICAL THREE.
KEVIN, IF I'M IN NATURAL GAS IN THE HOSPITAL FOR THE FIRST TEN YEARS, BECAUSE UTILITY PROVIDER COULDN'T GET US POWER TO THE SIDE AND UP POWER TO THE SITE.
REDUNDANCY AT THE SUBSTATION LEVEL, WHICH IS THE HIGH VOLTAGE LEVEL BY UPSTREAM.
THEY'RE EVALUATING THAT BASED ON WHAT MAKES SENSE.
NOW, THIS ISN'T A SOUTHERN CALIFORNIA CLIMATE.
THEY DON'T HAVE DESIGNED TEMPERATURE BELOW 30 DEGREES.
THEY'RE HEATING DEMANDS ARE NOT WELL.
THAT IS WHERE HE WANTED TO TRADE.
WE HAVE THE BOILERS IN VERY SMALL INCREMENTS TO SCRATCH IT UP AND IT'S TO REALLY MEET THE EXTREME TEMPERATURES OF BEING AT 7,000 FT AND HAVING ZERO DESIGNED TO MEASURE TRAIN CASES.
WE'RE ALSO LOOKING AT WHEN WE MAKE THOSE CONSIDERATIONS AROUND HOW WE'RE GOING TO HEAT THE BUILDING FOR THE LONG TERM STRATEGY.
WINTERS WERE HARSH AND SOVEREIGNTY CAN BE AND SO OUR PARKLAND CAN ACCOMMODATE THAT IN THE CALCULATOR AND EFFICIENCY.
HE SAID WORKING FOR FUTURE STRUCTURED CANOPY SYSTEMS HAVE STANDING SYSTEMS ARE BEING DESIGNED EXCEPT THE HANDLER HANDLE.
PARKINGS WILL NOT FEASIBLE TO DO THAT IN PHASE ONE.
I THINK IT'S SOMETHING THAT WE'RE HOPING THAT WE CAN FIND SOME DARK COMPANIES THAT ARE BRINGING SOME OF THESE TO MARKET
[01:30:01]
NOW NEUTRALIZE SOME CONSTANT.IT'S NOT SOMETHING THAT WOULD BE SOMETHING THAT WE'RE ABLE TO CONNECT TO.
YOUR QUESTIONS ON THE SUSTAINABILITY. APPRECIATE IT.
JUST TO TALK A LITTLE BIT ABOUT THE REDEVELOPMENT PROCESS FOR THE EXISTING CANVAS, WE'VE HEARD THIS AS CONCERNED AND RIGHTFULLY SO SINCE THE BEGINNING OF THIS PROCESS.
IN OUR ANSWER HAS BEEN FAIRLY CONSISTENT FOR ABOUT THE LAST SIX TO NINE MONTHS OR SO.
WE ARE COMMITTED TO SEEING THE CURRENT CANVAS ENHANCED THIS RENEGADE.
I'VE HEARD FROM PEOPLE THAT TAKING, WE'RE GOING TO LEAVE A VACANT AND ATTENUATE LIGHT IN THE COMMUNITY.
I CAN TELL YOU THAT IT'S ABSOLUTELY NOT OUR PLAN, NOT FROM A FINANCIAL PERSPECTIVE OR FROM A COMMUNITY STEWARDSHIP PERSPECTIVE, OR OUR PLAN.
SOMETHING THAT WE'RE ALREADY UNDERWAY ON.
HOW TO TRUE TRANSPARENT COLLABORATIVE PROCESS TO A COMMUNITY DEVELOPMENT ADVISORY COUNCIL.
ADVISORY COUNCIL THAT CONFORM TO SOME MEMBERS OF ADVISORY COUNCIL ARE SITTING IN THROUGH MY NAP ALREADY RETAINING THE SERVICES OF WHICH ISN'T URBAN MANAGEMENT COMPANY OUT OF COLORADO.
THE REASON WE SELECTED THEM ON TOP OF THEM BEING A GREAT PARTNER.
THEY WERE THE COMPANY THAT WE'RE WORKING WITH PROCEDURES LIKE THEFT AND WENT DOWNTOWN ON ENVISIONING THE FUTURE OF DOWNTOWN TO THE LIKES THAT WE THOUGHT THEY WERE PRETTY PARTNER FOR US TO KIND OF ADD OUR LOCATION, WHICH IS A DOWNTOWN.
WE PLAN ON SHORTLY AFTER WE GET THE WORK STARTED ON THE NEW CAMPUS.
REALLY ENGAGING PUMA AND HAVING MEETINGS WITH THE COMMUNITY AND SOME MEMBERS OF THE COMMUNITY THAT ARE IN THIS ROOM EVERY INUNDATED WITH US.
I DIDN'T PUMA TO TOWN ABOUT SIX MONTHS AGO.
WE HAVE TWO DAYS FOR THE OPEN HOUSE MEETINGS WITH CITY STAFF, COMMUNITY MEMBERS, BUSINESS ADVOCATES FOR THE CITY.
THEY HAVE ALREADY SEEN WHAT THE PROCESS LOOKS LIKE.
IN ADDITION TO THE WORK AND YOU PLAN ON DOING WITH WHOM.
WE ARE MEANING THAT THE CITY PLANNING AND DEVELOPMENT, THE ISSUE OF TWO BINDING EVENTS, E VISIONING EXERCISE WITH TEARS HERE IS FAIRLY GOOD INCIDENTAL TIMING THAT THAT PROCESS IS KICKING OFF IN OUR PROCESSES KICKING LOSS.
WE PLAN ON PLUGGING OURSELVES TO THAT PROCESS TO MAKE SURE THAT WE'RE OKAY, WE'RE IN THE HOME STRETCH FOR THIS PROBLEM WHERE PUBLIC COMMENTS THAT WE'RE GOING TO ADDRESS HERE.
THERE'S A QUESTION LAST TIME ABOUT WHAT'S THE IMPACT ON THE EXISTING STRUCTURE THIS AROUND THE CAMPUSES.
WE TOOK THE OPPORTUNITY TO DO IS REALLY LOOK AT ALL OF THE INFRASTRUCTURE AROUND THE CAMPUS MORE YOU'RE GOING TO SEE THESE THREE DIFFERENT COLOR CODES.
THEY'RE YELLOW, GREEN, AND RED.
RED ARE THE ONES THAT WILL BE RELOCATING.
GREEN ARE THE ONES THAT WILL BE SCANNING.
THEN YELLOW IS REALLY THE OPPORTUNITY TO RELOCATE.
THERE'S A VARIETY OF RELOCATION WITHIN THOSE.
WE WILL WORK DIRECTLY WITH ALL OF THOSE PRACTICES TO ENSURE E.G.
JUST YESTERDAY, YOU GUYS POSITION THEY'RE GOING TO PLAN ON MAINTAINING THEIR SURGERY CENTER AND OVER HERE AND PROBABLY HAVE SOME SPACING THIS DISLOCATION.
MANY OF YOU, I THINK WE'RE ON PLANNING ZONING WHEN YOU IMPROVE THE SEARS DEVELOPMENT.
IT'S KIND OF A BOX IN THE TOP RIGHT UP THERE, WAS ORIGINALLY PLANNED FROM AFRICA.
WE HAVE THE OPPORTUNITY TO LEASE, NOT BUILDING FROM THE DEVELOPER, AND INSTEAD WE'RE PLANNING ON PUTTING PRIMARY AND SECONDARY SERVICES STRUCTURE.
PRIMARY CARE, PHYSICAL THERAPY, ENERGY, ETC.
THERE WILL BE WHO WILL MAINTAIN A PRESENCE IN CENTRAL FLAGSTAFF ARE PRIMARILY FOR THOSE SERVICES THAT YOU'RE GOING TO ACCESS ON A REGULAR BASIS, NOT YOUR PLACEMENTS THERE, ETC., ETC.
AS YOU LOOK THROUGH ALL THE ANIMALS ARE WORKING VERY CLOSELY WITH THE POSITION IS TO DECIDE WHO WANTS TO MOVE, MOVE, MOVE, AND WHO.
I GUESS IT'S NOT GOING TO PASS ONCE WE HAVE ALL OF THAT KIND OF DIAL UP AND WE WILL WORK WITH A THIRD-PARTY DEVELOPERS ON WHAT THAT POTENTIAL.
[NOISE] [NOISE] I'M GOING TO LET US DO THIS FUN.
WE WENT THROUGH THIS LAST TIME, ABOUT 300 INDIVIDUALS AND COMMUNITY LEADERS SUPPORTED US AS WELL AS THESE OTHERS LISTED ON HERE.
[01:35:01]
WE CONTINUE TO HAVE COMMUNITY ENGAGEMENT.WE'RE OVER A COUPLE OF HUNDRED MEETINGS IN THE COMMUNITIES THAT WE SERVE AS BOTH HERE AND APPLYING SENTENCE MILES DOWN THE VERDE VALLEY.
WE'VE ALSO HAD RECENT GAMES, JUST AS RECENT AS LAST WEEK, WITH SOME WORK LOOKING AT COUNTING LEADERSHIP, NOT LYING, ADA COUNTY, PUBLIC WORKS, ARIZONA FARMERS ARE ALREADY A CONGRESSMAN.
YOU LIKE CREAM. I CAME UP WITH OUR FACILITY AS WELL [BACKGROUND].
A CULMINATION OF ALL THE INFORMATION THAT WE PROVIDED IS REALLY A ASK OR REQUEST.
WE REQUEST THE OPPORTUNITY TO RESPOND TO QUESTIONS DURING TODAY'S MEETING, AND WE WOULD LIKE YOU TO APPROVE OUR REQUESTS HERE TODAY.
WE'VE BEEN WORKING ON THIS FOR OVER TWO YEARS, FROM START TO FINISH.
WE RESPECTFULLY REQUEST PERMISSION PUT ON THIS EVENING AND RECOMMEND FOR APPROVAL [INAUDIBLE].
>> [INAUDIBLE] I TRIED TO DO A BUNCH OF BREEDING.
I'D LIKE TO UNDERSTAND WHY [INAUDIBLE] E.G.
HOSPITALS CARE CENTER, OF COURSE ITEMS, OFFICES.
THOSE [INAUDIBLE] THEN ONCE YOU GET TO RESIDENTIAL, IT'S NOT RESIDENTIAL FOR HEALTH CARE RELATED STUFF RESIDENTIAL.
THEN THINGS LIKE A CONFERENCE CENTER, I ASKED MYSELF OR CONFERENCE CENTER, SO ON AND SO FORTH.
I GET TO THINKING WHAT IS THE THINKING BEHIND.
IT'S REALLY FROM OUR PERSPECTIVE AS SAYING IT'S A MIXED USE DEVELOPMENT THAT'S ANCHORED BY A HOSPITAL.
IT COULD BE MUCH LIKE A MALLS DEPARTMENT SCALING.
WHAT IS YOUR THINKING BEHIND THAT? SOMETHING RATHER THAN THEM HAVING HOSPITAL, WHICH IS THE DISCUSSION UP TO NOW.
A COUPLE OF THINGS ARE CHANGING IN HEALTH CARE.
ONE, I THINK WE'VE TALKED ABOUT IT A LOT.
IT'S PROBABLY THE ONLY INDUSTRY THAT I'M AWARE OF, COUNTRY THAT ALL OF THE REVENUE IS ESSENTIALLY FIXED.
THAT'S A SOURCE, RIGHT? WE DON'T GET PAID ANYMORE, SO IT'S ITS OWN COSTS.
ALL OF THE EXPENSES ARE VARIABLE, RIGHT? LABOR GOES UP, YOU'LL HEAR A LOT ABOUT THAT.
AS WE MOVE FROM AN ACUTE DELIVERY SYSTEM, SO WHEN PEOPLE GET SICK, WE TAKE CARE OF THAT'S GOING TO CONTINUE TO OCCUR UNTIL THE END OF TIME.
WE BELIEVE FOR US TO BE SUSTAINABLE AND BE SUCCESSFUL LONG TERM, WE NEED TO BETTER MANAGE PEOPLE'S HEALTH CARE AND MAKE SURE THAT THEY DON'T WASTE FACILITY.
ONE WAY THAT YOU DO THAT IS THROUGH HEALTH AND WELLNESS IN THE BROADER VILLAGE PERSPECTIVE.
THE NEXT STYLE, COMMUNITY, FINANCIAL, THINGS OF THOSE NATURE THAT ALL CONTRIBUTES TO THE OVERALL SOCIAL DETERMINANTS OF HEALTH.
THAT'S HOW WE WILL DEAL WITH ROBERT VILLAGE IS IMPORTANT TO THE OVERALL WEALTH.
I DON'T GET THE REASONING FOR MEANING HOTELS ON MY PROPERTY.
HOW'S IT ON THE PROPERTY? WHY DON'T WE JUST A HOSPITAL WITH A WELLNESS VILLAGE IF THAT IS NEEDED.
WHY DON'T YOU JUST BUILDING A HOSPITAL AND ACC SO I JUST DON'T GET THE REASONING BEHIND ANY OF THEM.
I'LL ANSWER THAT THE HOUSING LIMB FIRST.
WHILE WE ABSOLUTELY WANT TO BREAK OUT INTO THE COMMUNITY AND IT'S PART OF OUR PLAN.
IT'S ALSO PART OF OR DID YOU NOT TO CENTER.
THERE IS DENSITY HOUSING THAT WE HAVE TO AS PART OF THE ORIGINAL IMAGE.
WITH THAT SAID, WOULD ALSO NOTE THAT THE CITY COUNCIL HAS DECLARED A HOUSING PRICES IN THE CITY OF FLAGSTAFF.
AS JOSHUA, AN EARLIER PART THAT'S SOCIAL DETERMINANTS OF HEALTH IS ACCESS TO HOUSING IS ECONOMIC DEVELOPMENT.
WE DO FEEL THAT THAT PLAYS INTO THE OVERALL PICTURE.
WE ARE ASKING FOR ZONING THROW HOTEL.
I CAN'T TELL YOU RIGHT NOW THAT WE'RE DEFINITELY
[01:40:02]
ON YOUR CALENDAR WHEN WE'RE DEFINITELY BUILDING IN THE TOWN.I THINK IT'S IMPORTANT TO UNDERSTAND THAT THIS DEVELOPMENT AND UNDO THIS DEVELOPMENT IS A 20-YEAR VISION THAT WE'RE TRYING TO ZONING CASE IN THE YEAR 2023.
PRIME NICE AND PLEASANT E, FOR US TO BE ABLE TO MEET THE NEEDS OF THEIR BUSINESS PERSPECTIVE.
IF WE IF WE DO GO FORWARD WITH THE HOTEL, IT'S GOING TO BE SOMETHING THAT'S THOUGHTFULLY THAT OUT FROM A PERFORMANCE PERSPECTIVE THAT IS A NEED FOR THE COMMUNITY.
I WILL ALSO ADD FROM A MEDICAL PERSPECTIVE THAT IS VERY COMMON TO HAVE HOTEL ONSITE HEALTHCARE FACILITY, NOT ONLY FOR VISITORS OF PATIENTS, BUT ALSO FOR VISITING FACULTY ARE PHYSICIANS.
TO ME, CURRENTLY, IT, IT'S TOO SMALL TEAM OR HOUSE WOULD SERVE TO THAT EIGHT PEOPLE THAT COME IN FROM OUTSIDE OF THESE ENTITY TO STAY HERE IN THE HOSPITAL? OBVIOUSLY, IT'S IT'S UNDER MY HOUSE.
I'M NOT SURE WHAT THEY CHARGE ANYMORE FOR STAYING HERE.
BUT WHY WOULD SHE LOOK AT, YOU KNOW, IF YOU WERE LOOKING AT SOMETHING LIKE THAT, HAVING SOME TYPE OF VIABLE LOW COST OPTION AND RELOCATING TAYLOR HOUSE WITH THE HOSPITAL INSTEAD OF ENVISIONING A HOTEL IN THE FUTURE.
I DID. I THINK IT'S TWO DIFFERENT POPULATIONS WE'RE TALKING ABOUT.
WE DO ENVISION EITHER REPLICATING WHAT HOUSE AND OR LEADING TELEHEALTH WHERE IT IS TO SERVE AS THE POPULATION OF PATIENTS AND VISITORS SAID CURRENT SERVICES.
WHAT WE'RE TALKING ABOUT IS SOMETHING THAT IS INCREMENTAL, ARE ALREADY PROVIDING VISITORS COMING FROM OUT OF TOWN TO STAY AT HOTELS.
THAT'S WHY I SAY WE'RE NOT TRYING TO FORCE THE ISSUE OF HAVING A HOTEL.
IF YOU'RE TRYING TO LEAD THE FLEXIBILITY FOR US TO DO YOU HAVE ANY QUESTIONS? I'LL TAKE CARE OF SEDIMENT WITH IT.
IT ALMOST FEELS LIKE A RUGGED ARIZONA HEALTH IS TAKEN ON THIS LAND.
ENTITLEMENTS, AND NOW WE'RE BECOMING A BIT DARKER.
THAT'S KINDA WHAT SMELLS LIKE.
CAN I GET THE HOSPITAL NOWADAYS? THINGS.
TRUE. I MEAN, IS WHAT WE'RE DOING.
I THINK IT'S IMPORTANT TO NOTE THAT WE'LL TALK ABOUT TONIGHT IS THE PHASE ONE COMPONENT OF IT.
WE WILL BE BACK IN FRONT OF YOUR FACE TO A LEVEL OF DETAIL AND BUSINESS PLANNING AROUND IT THAT IS SIMILAR TO WHAT YOU SAW FROM THE HOSPITALS.
YOU THINK THAT NEEDS TO BE KEPT IN MIND? YES.
BUT IN ESSENCE, IN ORDER TO MAKE THIS HOPEFULLY MOM, THIS ORANGE OR POSSIBILITY FOR THE COMMUNITY, WE DO HAVE TO BECOME A BIT AFTER.
OUR INTENTION IS TO NOT EITHER DEVELOP OR INTENTION IS TO PARTNER WITH DEVELOPERS.
WE ARE SUBSTITUTE UP IN THE HOSPITAL AND ANDREW KITCHENER IS OUR BUSINESS.
WE ARE BUILDING IT OURSELVES AND NOT GETTING IT THROUGH OUR OWN DOLLARS AND CONTRACTING.
THAT'S NOT OUR INTENTION CORRECTLY.
>> TO ME, I THINK THAT DOING THIS VILLAGE AND NOT JUST BUILDING A HOSPITAL AND ACC.
BECAUSE IF YOU'RE BUILDING A HOSPITAL ON ACC, YOU COULD LOCATE IT IN A DIFFERENT AREA OF THE COMMUNITY, WHICH WOULD BE MORE CENTRALLY LOCATED TO EVERYONE.
BUT BY BUILDING THIS VILLAGE, YOU'RE NOT SEXUALLY LOCATED.
IF YOU ARE NOT, I SIT ON THIS CONDITION THAT'S A REFERENCE TO THE CITY.
I DON'T SERVE ON THIS COMMISSION AS A REPRESENTATIVE OF THE OUTLINE OF THE TRAUMA CENTER THAT YOU OUTLINED.
MY CONCERN IS FOR ASSISTANCE OF FLAGSTAFF AND BEING ABLE TO GET TO THE HOSPITAL QUICKLY BECAUSE THERE ARE MANY MINUTES COUNT AS MY MONDAY, BUT NEAR THE AIRPORT.
BUT MINUTES COUNT TO OUR POPULATION OF THE CITY OF FLAGSTAFF.
WHEN HE TOLD ME THAT SUGAR IS WHAT IS GOING TO TAKE A LOT MORE TIME FOR PEOPLE WHO ARE FROM THE GERBIL.
[01:45:01]
SOME PARTS OF TONY PARK, I BELIEVE WILL TAKE LONGER.THEORY OF TOWN I LIVE IN WILL TAKE LONGER.
THERE ARE GOING TO BE PEOPLE WHO ARE IN TRAUMA WHO CAN'T GET TO THE HOSPITAL QUICKLY.
YOU ALSO REFERENCED THAT HE SERVED A THIRD OF YOUR CLIENTS COMES FROM THE RESERVATION AND IF THEY'RE DRIVING HERE, IT'LL BE FURTHER.
I JUST DON'T KNOW WHY WE NEED THIS VILLAGE AS OPPOSED TO WHY IS IMPOSSIBLE IN NHCC.
I DID A GOOD JOB OF EXPLAINING THAT ON THE TIME STUDY SLIDE.
THERE'S NOT AN IDEAL LOCATION THAT DOESN'T IMPACT ANYONE.
IN THIS NEW, IT GETS BETTER PEOPLE AND IT GETS WORSE FOR SOMETHINNG.
I THINK THE THING WE GOT TO THINK ABOUT FOR THE TRIBAL NATIONS THAT WE DO SERVICE WHILE THE MILEAGE DISTANCE THAT IT'S ACTUALLY FASTER BECAUSE THEY CAN GET ON BIGGER THOROUGHFARES TO GET THERE.
THERE ARE CERTAIN COMMUNITIES, YES, BECAUSE WE WERE VERY TRANSPARENT, THEN WE'LL HAVE LONGER TIMES.
BUT THE OPPOSITE OF THAT IS RIGHT NOW IF YOU PUT THAT UP, YOU WOULD SAY PONDEROSA TRAILS TAKES LONGER TO GET THE HOSPITAL THAT GESTURE AS AN EXAMPLE.
IT'S A TRADE FOR VARIOUS PERSONAL COMMUNITY WHO STUDIED IT IN MULTIPLE FASHIONS.
TWO OR THREE OR FOUR YEARS, I GET A LOCATION WAS IF WE COULD POPULATE WITH RESPECT TO AB OVER THE CITY CENTER AND THERE WASN'T GOING TO BE ANY GROWTH, MOST OF THE GROWTH OF THE COMMUNITY IN THE FUTURE, AS YOU GUYS PROBABLY SAW, IT IS ACTUALLY TO THE SOUTH AND WEST, SO WE'D HAVE TO WATCH IT BECOME CLOSER FOR MOST OF YOU ANSWERED IT.
I APPRECIATE YOU SPEAKING ON BEHALF OF THE CITIZENS.
THEY'RE BLACK STAFF, BUT I CAN TELL YOU AS NHS LEADERSHIP AND SPEAK ON BEHALF OF THE REGION, BEING VERY RESPECTFUL OF THE FACT THAT OUR HOSPITALS WILL SERVE FLAGSTAFF IN THIS LOGIN PLACE, THAT POPULATION TO THINK ABOUT.
WE DO FEEL THAT THIS IS THE IDEAL LOCATION.
I JUST WANTED TO REMIND YOU LOVE ABOUT THIS IS THAT I DON'T WANT THESE WORDS TO KIND OF CROSSING T'S AND ONE SHOT.
ONCE EVERYTHING IN WRITING AND I THINK EVERYBODY ELSE DOES TOO.
I APPRECIATE IT ADDRESSES BOTH SO MANY QUESTIONS ON PREVIOUS SESSIONS THAT YOU HAD AND THINGS IN A WAY.
CAN YOU TELL US A LITTLE BIT MORE ON THAT? THE LANGUAGE ABOUT THAT OPEN SPACE EASTMAN AND HOW IT'S BEEN IN THE PUBLIC AND WHAT YOU DECIDED ON THE MANY LOOSELY DEFINED THINGS THAT I THINK MAYBE SOME DETERMINATION ON THAT.
YES. YOU'RE TALKING ABOUT THE 22 NEIGHBORS AND WE HAVE WEST OF THE ANDROID CARE CENTER AND HOSPITAL.
IT IS COMPLETELY OPEN SPACE TO THE COMMUNITY NOT BEING CLOSED DOWN.
THEY CAN'T THIS CAN BE ACCESSED AT ANY TIME OF THE TACIT AGREEMENT WILL CROSS OUT THAT WE HAVE NOT TO THE POINT OF DETAIL WITH THEM, PROVIDE THIS TO WORK WITH THE CITY PARKS DEPARTMENT EXACTLY WHAT THAT LOOKS LIKE.
IT DID SEND US SOME EXAMPLES OF ABUJA AND WE TOLD THEM THAT WE WERE JUST WORKING OUT.
A LITTLE FURTHER DESCRIPTION ON IT.
AS FAR AS ENERGY EFFICIENT AND 25% ENERGY STAR, I WAS JUST WONDERING IF YOU'RE ALIGNED WITH ANY OF THE EDITOR.
BUILDING GUIDELINES ARE LOOKING TO ANY OF THOSE FOR A DIRECTION, LIGHTS OR NEED OR ANY OTHER CERTIFICATIONS OR SOME OF THE THINGS THAT I SAW WERE THE AMERICAN SOCIETY FOR HEALTHCARE ENGINEERING OR HEALTH CARE WITHOUT HARM, GREENHOUSE GAS PROTOCOLS AND SOME OF THEIR REQUIREMENTS.
I'M JUST WONDERING IF YOU'RE LOOKING TO ANY OF THAT IS ACTUALLY GOING TO BE IN WRITING WITHIN THE SPECIFIC I MEAN, WHAT NOLAN ME TODAY.
I APPRECIATE THAT. GOTTEN AN INROAD AMERICAN PARENTS YEARS.
[01:50:02]
IS PERFORMANCE REQUIREMENTS THAT WE PUT UP HERE IN THIS DEEP X RATINGS AND ALL THAT IS BASED ON THE REQUIREMENTS OF ASHRAE IN HEALTHCARE ENGINEERS AND REQUIREMENTS GUIDELINES REQUIRED FOR GI GUY DESIGN GUIDELINES.EVERYTHING THAT WE HEAR IN HIS OFFICE AGREEMENTS OR NARRATIVE.
THE INDUSTRY STANDARDS AND EXCEED BECAUSE WE'RE NOT JUST LOOKING AT WHAT'S RESTRICTED LABOR REQUIRED UNDER THE CURRENT BUILDING CODE OR AREN'T LICENSED.
LICENSURE. LOOKING AT WHAT THE TREND IS GOING TO BE FOR THE NEXT CYCLE.
[FOREIGN] THE STANDARD IS CAN THAT BE PART OF THE SPECIFIC PLANS SO THAT ALL HAS TO BELONG TO A CERTAIN LEVEL.
OFTENTIMES WE SEE THAT IN AGREEMENTS AMONG MASTERPLAN COMMUNITIES FOR RESIDENTIAL AND ALL OF THE BELLS FOR CERTAIN STANDARD.
OUR INTENTION IS YES, THEN IT'S NOT CLEARLY MY DAD.
I WILL SAY THAT WE'VE HAD THIS DISCUSSION INTERNALLY.
YOU'RE TALKING ABOUT TYPES OF BUILDINGS AND NOT EVERY MONDAY.
I'M TRYING TO FIND SOME EQUIVALENT RATING TO GO ACROSS.
I JUST WANTED TO SAY, BUT LET'S MAKE SURE THAT YOU USE THIS FOR QUESTIONS AND DISCUSSION AMONGST OURSELVES.
MY QUESTION TO YOU IS PART OF WHAT PROBABLY THIS IS THAT YOU'RE PLANNING A SEVEN STORY, 160 FOOT TALL TOWER.
THIS COST, THE COST FOR THE CITY TO SERVICE APP WITH FIRE.
I KNOW WE HAVE WE HEARD FROM THE HIGHER DETERMINE ABOUT WHAT THEY'D BE DOING.
BUT A LOT OF THAT IS, YOU KNOW, TAXING OUR COMMUNITY.
MY QUESTION IS WELL, MY COMMENT AND THEN QUESTION IS, I DON'T THINK IT'S A GOOD DESIGN.
I THINK YOU COULD DO BETTER AND COME LOWER AND IT HAS MAYBE MORE WINGS TO THE TOWER.
THE TOWER TO FIVE STORIES, PERHAPS THEN WE ALL NEED THIS TALL LADDER THAT'S GOING TO COST THE CITY OF BODY PLENTY.
I REALIZED THE CITY WILL STILL NEED MORE PERSONNEL.
BUT IF WE CAN SAVE MONEY BY A BETTER DESIGN THAT FITS WITHIN THE STANDARDS OF PLANNING AND ZONING.
I THINK THAT WOULD BE A BETTER DESIGN ALL IN ALL.
I HAVE A QUESTION OF MENTAL MINE.
I'LL ASK THAT YOU DON'T LIKE REPUBLICAN, BUT I JUST WANTED TO KNOW HOW MUCH THEY PROJECT IT WOULD COST TO HAVE A LINE OUT TO THE HOSPITAL.
HOW LONG DO THEY BELIEVE IT WOULD TAKE TO SERVE THAT PROPOSED LOCATION? OKAY.
I'M GOING TO JUST STOP HIM TOO.
BUT I'M REALLY CONSCIOUS OF THE FACT THAT THERE ARE A TON OF PEOPLE REALLY COMMENT, COMMENT AND THEY DON'T WANT TO WAIT FOREVER.
WE WILL HAVE A PERIOD THAT WILL SET ASIDE TO DISCUSS VIEWS ON WHAT WE THINK OF VARIOUS THINGS.
HERE. I'D RATHER NOT TAKE THAT KIND OF DISCUSSION IN THE EMPTY CARS.
IT'S TIME. BUT ABSOLUTELY, AND I THINK WE ALL WANT TO TALK ABOUT IN THE NEXT LECTURE.
I APPRECIATE THE QUESTION AND UNDERSTAND.
I THINK I WOULD OUTSIDE OF YOUR FIRE COME AND DISAGREE THAT A BETTER DESIGN TO THE SMALLER BUILDINGS AND MORE WINGS.
WE EXPERIENCED A 50 YEARS WORTH OF GETTING PROPER DESIGNING GROWTH LOOKED LIKE ON HEALTH CARE ON CANVAS.
WE'RE COMMITTED TO NOT ONLY ENSURING THAT WE'RE DESIGNING AND
[01:55:02]
BUILDING THAT MAXIMIZES EFFICIENCY FOR OUR STAFF AND PATIENTS.YOU SAID AT TIME MATTERS, RIGHT? WELL, TIME MATTERS ALSO IN HOW WE GET OUR PATIENTS AND REALLY GET INTO THE BUILDING AT VERTICAL OR HORIZONTAL MULTIPLE NAMES CONSTRUCTION IS NOT EFFICIENT AND HEALTHCARE DESIGN VERTICAL CONSTRUCTION MEANS THERE'S A VERY GOOD REASON THAT HOSPITAL TOWERS ARE USUALLY CALLED HOSPITAL TOWELS.
IF YOU GO TO MOST HOSPITALS, MANY CLUJ BUILT TALLER.
WHAT WE HAVE DESIGNED ISN'T VERY COMMON IN CHASSIS OR INPATIENT HEALTHCARE SYSTEM.
I DO THINK WE ARE LOOKING AT 50 YEARS OF GROWTH AND BEING SMART AND HOW WE GROW AND MAKING SURE YOU DON'T GET OURSELVES IN THE SITUATION.
WHERE WE'RE AGAIN CHATS FROM CAPACITY.
PLEASE UNDERSTAND MISSIONARY SERVING AS A CEO AMOUNT ONE TRANSIT.
I'M GOING TO START WITH YOUR QUESTION.
SHERIFF, MAP MY ESTIMATED THE COST OF SERVING THE HOSPITAL WITH A NEW ROUTE.
WE HAVE THAT WOULD PROVIDE 20-MINUTE FREQUENCY, WHICH IS WHAT THIS CURRENT HOSPITAL HAS. TWO.
IT WOULD REQUIRE THREE VEHICLES TO DO THAT BECAUSE IT IS AN HOUR LONG ROUTE DOWNTOWN TO THE HOSPITAL AND BACK TO THE NEW WORLD.
HOW LONG DO YOU THINK IT WOULD TAKE UNTIL WE WOULDN'T BE ABLE TO IMPLEMENT? IF WE HAD AN AGREEMENT IN PLACE, WE WOULD BE ABLE TO OFFER THAT SERVICE PROBABLY ON THE FIRST DAY THAT THE ACC OPENS.
OUR LONGEST DELAY FOR DELIVERY OF THAT SERVICE IS DELIVERY OF VEHICLES.
AGAIN, THIS WILL TAKE THREE VEHICLES TO PROVIDE.
OUR LAST VEHICLE TOOK 18 MONTHS FROM THE DATE THE ORDERED IT TELLS US TO LOOK AT.
BUT WHAT ABOUT FUNDING? FUNDING? CURRENTLY, MOUNTAIN LINE DOES NOT HAVE THE FUNDING REQUIRED FOR THAT SERVICE.
WE ORIGINALLY HAD PROPOSED TO NAH A PARTNERSHIP FOR FUNDING.
WE REQUESTED THAT THEY ASSIST WITH THAT FUNDING BASED ON THE FACT THAT WE WOULD NOT OTHERWISE BE SERVING THIS LOCATION, THE HOSPITAL AND ACC DID NOT EXIST AT THAT LOCATION.
WHEN WE LOOKED AT THE MAP, MOUNTAIN LION WAS ABLE TO READ THE LINES, SEVERAL SERVICE ROUTES AND PROVIDE ABOUT 30%, ABOUT 1.29.
WHEN WE WERE SEEKING JUST OVER 800,000 FROM NADH, AT THIS POINT IN TIME, WHAT WE'VE TAUGHT CITY COUNCILS THAT WE PLAN TO PURSUE ADDITIONAL PUBLIC FUNDING.
THE BALLOT IN NOVEMBER OF 2024 TO OPERATE THAT SERVICE.
THAT INITIATIVE IS APPROVED BY CITY COUNCIL AND GOES ON THE BALLOT IN NOVEMBER.
WE WOULDN'T NEED TO COLLECT ABOUT A YEAR'S WORTH OF FUNDING TO BE ABLE TO OPERATE THAT SERVE AS THEIR BACK OUT.
WE HAVE TAUGHT CITY COUNCIL AT NORTHERN ARIZONA HEALTH CARE.
WE HAVE TO HAVE FUNDING FOR THAT SERVICE.
IF THAT BALLOT MEASURE FAIL, WE WOULD STILL BE IN THE SAME POSITION WE ARE RIGHT NOW, WHICH IS IDENTIFYING FUNDING FROM OTHER SOURCES TO PROVIDE THAT SERVICE.
WE DO NOT HAVE IT UNDER EXISTING FOUNDATION. NADH.
DID THEY READ THOUSAND DOLLARS? WE HAD MULTIPLE CONVERSATIONS WITH NADH AND THEY DID NOT HAVE THE FUNDING CAPABLE OF MAKING THAT COMMITMENT.
IT WAS AT THAT TIME WE AGREED TO PURSUE IT AS A QUESTION.
WE ALSO WANT TO TAKE A QUICK BREAK THESE WORK PUBLIC COMMENT, BUT I WONDER IF [INAUDIBLE] SUSTAINABILITY.
I KNOW THERE WERE SOME QUESTIONS.
>> [OVERLAPPING] I'M GOING TO TALK ABOUT SOMEBODY TALKING ABOUT.
I WANT TO SEE IF WE HAVE SOME QUESTIONS.
I KNOW I HAVE A QUESTION FOR YOU [INAUDIBLE].
I AM INTERESTED IN, ONE OF THE THINGS ON MY MIND IS, THIS IS DEFINITELY NOT AN INFILL PROJECT.
IT'S MOVING FROM INSIDE THE CITY PROJECT,
[02:00:03]
TO EDGE OF TOWN PROJECT.I'M WONDERING, IN TERMS OF SUSTAINABILITY, HOW DO YOU LOOK AT THAT? I DON'T KNOW THAT ALL FACTORS ARE [INAUDIBLE] CONSIDERING THE GOALS AND POLICIES OR IS IT POSSIBLE TO TALK GENERALLY ABOUT HOW YOU APPROACHED THAT?
>> SURE. THANK YOU, CHAIRMAN JONES.
JENNY NEIMAN, CLIMATE AND ENERGY PROGRAM MANAGER IN THE SUSTAINABILITY OFFICE.
I'M GOING TO KEEP MY VIDEO OFF AS THE CONNECTION IS FAIRLY CHOPPY.
IN TERMS OF SUSTAINABILITY WE LOOKED FROM THE BEGINNING AT THE WHOLE PICTURE.
WE HAVE A NUMBER OF DIFFERENT SECTIONS IN THE CARBON NEUTRALITY PLANS.
WE LOOK AT BUILDING ENERGY, WE LOOK AT TRANSPORTATION, WE LOOK AT WASTE AND CONSUMPTION, OR THOSE THREE CORE THINGS THAT WE WOULD LOOK AT FOR THIS PROJECT.
ON THE TRANSPORTATION SIDE, AS I THINK TO YOUR COMMENTS ABOUT INFILL VERSUS A MORE OUT OF TOWN DEVELOPMENT.
IN THAT CASE, WE REALLY RELY ON THE TRAFFIC IMPACT ANALYSIS PROCESS, TO GIVE US A PICTURE OF THE NUMBER OF TRIPS THAT WILL INCREASE.
TIFFANY MENTIONED IT IN HER PRESENTATION.
THIS DEVELOPMENT WILL INCREASE VMT.
WE KNOW THAT IT WILL SEND MANY MORE TRIPS OUT TO THE SOUTH WEST SIDE OF TOWN.
THAT'S REALLY OUR MAIN FACTOR OF LOOKING AT THINGS, WHAT TRIPS WILL THERE BE AND HOW MANY WILL THERE BE? THE CURRENT LOCATION OF THE HOSPITAL IS VERY CENTRAL, AND AS NPH AND TIFFANY HAVE MENTIONED, RIGHT? WE KNOW THAT SMALLER TRIPS LEAD TO MORE ALTERNATIVE TRANSPORTATION, THEY LEAD TO MORE WALKING, BIKING, AND TRANSIT.
WE KNOW THAT LONGER TRIPS AND PLACES THAT ARE NOT ESSENTIALLY BEING TWO MORE VEHICLE TRIPS.
THAT IS WHAT THE TIA TELLS US AS WELL, RIGHT? IT TELLS US THEY'RE GOING TO BE A LOT OF TRIPS GOING DOWN MILTON GOING DOWN VIOLA, THROUGH THIS TO THIS DEVELOPMENT.
THAT IT REALLY IS COVERED IN THE TRANSPORTATION PROCESS IN TERMS OF THINKING ABOUT THAT INFILL VERSUS DEVELOPMENT ON THE OUTSKIRTS.
LET ME KNOW IF THAT DIDN'T ANSWER THE QUESTION.
>> WHILE OUR ANALYSIS IS, WE LOOK AT VEHICLE MILES TRAVELED, WE LOOK AT TRIPS TAKEN, GREENHOUSE GAS EMISSIONS WILL GO UP.
IT WILL MAKE IT MORE DIFFICULT TO REACH THE CITIES CARBON NEUTRALITY GOALS, WHICH ARE TO MAINTAIN VEHICLE MILES TRAVELED IN ORDER TO GET OUR EMISSIONS DOWN TO WHERE THEY NEED TO BE.
>> ANYBODY ELSE HAVE ANY QUESTIONS?
>> I NEED TO COME BACK TO YOU.
BUT, I THINK, WAS THERE ANYONE ELSE WANTED TO TALK TO YOU [INAUDIBLE]?
>> [INAUDIBLE] TRAFFIC ANALYSIS?
>> THE QUESTION IS ABOUT TRAFFIC ANALYSIS [INAUDIBLE] AS WELL [INAUDIBLE].
>> WE HAVE REQUESTED MORE INFORMATION ON THE TRAFFIC STUDY BECAUSE YOU SEE IT UPDATED.
[INAUDIBLE] IT SOUNDS LIKE IT IS HERE.
WE'RE CONCERNED ABOUT HOW THE TRAFFIC WAS MAINTAINING.
THIS OVERALL OUTLINE FACTORS HAVE THE GRADUATIONS ARE THINGS THAT WILL HAPPEN WHEN THE SEA FLOW ANALYSIS IS DONE. [NOISE]
>> I AM THE ASSISTIVE SANTANA WITH THE CITY OF FLAGSTAFF TRAFFIC ENGINEERING.
I BELIEVE THIS QUESTION MAY BE BETTER FOR NH
[02:05:04]
TO ANSWER ON WHAT ANALYSIS THEY PERFORM FOR EVENTS.IS THAT WHAT YOU'RE REFERRING TO?
>> YES, THAT WAS ONE OF THEM AND JUST OVERALL, THE UPDATED TRAFFIC ANALYSIS WAS IN GENERAL.
>> OKAY. CAN WE TALK ABOUT THAT APPROVED PHASE 1 TIA THAT I WILL ASK NH TO DISCUSS THE EVENTS IN MORE DETAIL.
>> WE HAVE DAWN PARTYING WITH THE TECH IN REGARDS TO THE EVENTS, THE ANALYSIS WE DID WAS TO LOOK AT THE ADDITIONAL CAPACITY THAT WE WOULD BE PROVIDING TO USE THE IMPROVEMENTS THAT WERE BEING PUT IN BY NAH.
TODAY WHEN THERE'S AN EVENT, LACK OF CAPACITY ON THE ROADS, BUT IT WILL BE BINDING THOSE ROADS TO PROVIDE ORDINATE SECTION YOU WANT, THAT WIPING THE BRIDGE.
WE'RE LOOKING AT ESPECIALLY IN THE SHORT TERM.
THE PARK ITSELF ON IT THEN PAYS WILL HAVE ADDITIONAL CAPACITY BEYOND ANYTHING THAT THEY'VE HAD PREVIOUSLY, BECAUSE IT'LL BE BUILT IN PHASES.
WE WILL BE NOW TRAFFIC IN A QUESTION.
WHAT YOU'RE LOOKING AT RIGHT NOW IS JUST THIS ONE.
WE'LL KEEP LOOKING AT THIS AS WE STUDY EACH PHASE OF DEVELOPMENT.
BUT WE'RE BUILDING INFRASTRUCTURE AS IT WERE BUILDING FOR THE ULTIMATE, AS IT'LL GIVE US A LOT OF TIME AND A LOT OF RUNWAY TO SEE WHAT HAPPENS WITH THE PARK.
ONE THING WE'VE BEEN TALKING ABOUT A LOT, AND I KNOW ALREADY HAPPENS TODAY IS WHEN THERE ARE EVENT.
IT REQUIRES THAT MAN HITS THAT WILL CONTINUE TO BE THE CASE.
EVEN THE ONCE WE'RE HERE, WE'RE IN PHASE 1 FOR PROVIDING A LOT OF ADDITIONAL CAPACITY BEYOND WHAT WE WOULD RECOMMEND THAT THEY STILL LOOK AT EVENT MANAGEMENT AS THEIR PRIMARY CONTROL OUT OF THE PARK ON A DAY TO DAY BASIS.
THE PLANS AND STUFF THAT WE'RE LOOKING AT TO MAKE SURE THAT EVEN IF THE CAR HAS AN EVENT, THAT WE CAN GET EMERGENCY VEHICLES IN AND OUT OF THE HOSPITAL QUICKLY AND EASILY.
THE IMPROVEMENTS THAT ARE PLANNED ACTUALLY HAS SLIPPED LANES AND BYPASS THINGS IN ORDER TO ALLOW THAT TO HAPPEN.
>> WE HAVE THAT ANALYSIS IN THOSE OPTIONS.
ARE THERE SECONDARY AND TERTIARY INTERESTS IS LIKE WHAT WE MOUNTAIN ROAD AS A BACKUP OR SOME OTHER INSURANCES IF THAT AREA BECOMES CONGESTED, BUT IT'S NOT POSSIBLE.
>> THE ANSWER TO THAT WOULD BE EVENTUALLY, IN THE FIRST PHASE, WE ARE ANTICIPATING A FULL CONNECTIONS TO BOOTY MODELING, BUT WE DO ANTICIPATE THAT THAT CONNECTION WILL BE THERE AS DEVELOPMENT CONTINUES.
AGAIN, ONCE WE'RE PAST THE PHASE 1, WHICH IS PRIMARILY THE HOSPITAL, WE'LL RE-EVALUATE ALL OF THAT ONCE AGAIN TO LOOK AT WOMEN AND HOW THOSE CONNECTIONS HAPPEN.
WE REALLY DO NEED THE IMPROVEMENTS THAT ARE HAPPENING HERE.
WE'LL GET THE HOSPITAL EASY ACCESS FROM TWO DIRECTIONS.
EVEN THOUGH IT SEEMS LIKE WHAT IS THEIR ACCESS? WE'VE GOT HEADING SOUTH OUT OF THE CITY, BUT WE'VE ALSO GOT BEULAH.
COMING OFF OF THE FREEWAY AND AROUND AND BUILDING ANY EXTRA LIGHTS IN BOTH DIRECTIONS TO MAKE SURE WE'RE HANDLING THAT IN PHASE 1.
WAS THERE ANYONE ELSE WHO WANT TO HEAR FROM THE APPLICANT SIDE BEFORE WE CAN DO IT? LET'S KEEP IT SHORT, AS SHORT AS WE CAN WITH ONE HALF. [NOISE] [NOISE] I'D LIKE TO MAKE ONE NOTE BEFORE WE START WITH CARLOS COMMENT WHICH IS THAT, YOU KNEW THAT IN THE EVENT WE HAVE TO PLACE CLOSES.
WE CAN [INAUDIBLE] ACTUALLY EVERYBODY HERE AND SO EITHER WAY.
BUT I'M CARLOS, YOU ONLY ONE HAS A LIMIT ON TIME.
ON THE NEXT STAGE IS TO COME UP TO OUR QUESTION.
[02:10:05]
2 HOURS FOR WE ALSO FOUND ON THE SOUTH AND YOU HAVE 3 MIN.I THINK WE HAVE SOME CREDIT SOMEONE ON CALL TIME.
IF YOU HAVE IF YOU ARE REPRESENTING TEN PEOPLE WHO ARE PRESENT, YOU CAN SPEAK FOR 10 MIN BECAUSE THIS IS STANDARD COUNCIL RULES.
BY THOSE, IF YOUR PEOPLE AREN'T HELD THERE, YOU CAN HAVE TWO OR 3 MIN.
IF YOU CAN'T BE IN TWO GROUPS.
ANYWAY, LET'S GO TO THE FIRST PERSON, THE NEXT PERSON WHO WILL BE COMING UP, AND THAT IS KEY. THANK YOU VERY MUCH.
THE OVERWHELMING SUPPORT HOSPITAL.
I'LL SEE YOU'RE ABOUT I FELL IN LOVE WITH THIS ORGANIZATION FROM THE MEN I INTERVIEWED, FEEL THE SENSE OF COMMUNITY AND BOTH OUR MISSION AND HOW WE SERVE.
MY HUSBAND GREW UP IN NORTHERN ARIZONA, RIGHT? DEPRESSED MOOD AND MEMBERS OF THE COMMUNITY.
PROGRESS IS PART OF THAT GROWTH.
WHAT THAT PROGRESS COMES GREAT RESPONSIBILITY.
OUR FIFTH PLUS YEAR OLD FACILITY THAT'S BEEN STRETCHED TO CAPACITY AND HAS BEEN REMODELED OVER AND OVER AGAIN TO MEET THE NEEDS OF OUR GROWING COMMUNITY.
CONTINUAL GAME OF TETRIS, MOVING AND EXPANDING, REPURPOSING WHAT IS AVAILABLE TO KEEP PACE.
WHAT OUR COMMUNITY DESERVES IS A FACILITY THAT PROVIDES BOTH CARE DURING ILLNESS AND FOCUS ON WELLNESS FACILITY THAT ALLOWS FAMILIES TO BE PART OF THAT CARE SEAMLESSLY.
A FACILITY THAT ATTRACTS BOTH PROVIDERS AND SERVICES IN THE NEEDS OF ALL OF MURDER AND ARIZONA.
PEOPLE WHO RECEIVE CARE CLOSER TO HOME TO BE THE FUTURE OF HEALTH CARE FOR THOSE WHO LOVE THOSE FEET, CARE FOR THOSE THAT TRUST CAN BE FOLLOWED BY DR. JIM CROW.
EXCUSE ME, MY NAME IS STEVEN WHILE I ACTUALLY WAS BORN EFFLUX OUT MEDICAL CENTER THROUGHOUT MY ENTIRE CHILDHOOD HERE, WENT AWAY TO COLLEGE AND CERTAINLY THE MILITARY AND CAME BACK AFTER WORKING IN SIX DIFFERENT HEALTHCARE SYSTEMS IN THE MILITARY.
I'VE BEEN HERE FOR 18 YEARS AND HAS SEEN US HOSPITAL GROW AND CHANGE.
I'M ACTUALLY HERE TO SPEAK ON BEHALF OF OUR PEDIATRIC PATIENT IN THE NICU CLINICAL MANAGER THERE.
I'M SO THRILLED ABOUT THIS NEW HOSPITAL AND HOW IT WILL POSITIVELY IMPACT OUR CHILDREN AND OUR FAMILIES AND OUR COMMUNITY.
RIGHT NOW ARE SPECIAL CARE NURSERY AS THE NEONATAL INTENSIVE CARE UNIT NORTH OF PEANUTS FOR ALL OF NORTHERN ARIZONA.
OUR CURRENT BUILDING, OUR CURRENT FACILITY, WE DO NOT HAVE PRIVATE ROOMS. WE HAVE AN OPEN SYSTEM.
FOR ME, MAYBE THE LADY IN THE YELLOW SWEATER AND BRIGHTNESS FAMILIES.
WE DON'T HAVE A SPACE FOR FAMILIES TO STAY.
WE ENCOURAGE THEM TO SAY INSTEAD THE NIGHT, BUT EVEN THERE MAYBE LEARN TO TAKE CARE OF THEIR CHILD.
WAIT TO SHARE ALL MY LONG FOR SIX MONTHS.
CAN WE KEEP SOME OF OUR BABIES FOR SIX MONTHS OR MORE IN OUR NICU ENVIRONMENT.
THIS NEW FACILITY WILL PROVIDE PATIENT ROOMS SO THEY CAN HAVE A SPACE TO STAY WITH THEIR CHILDREN, TO BE PART OF THE CARE TEAM, TO LEARN HOW TO CARE FOR THEIR STICKER OR PREMATURE INFANTS AND BE PART OF THAT TEAM SO THAT THEY FEEL COMPETENT GOING HOME TO TAKE CARE OF THEIR CHILDREN.
THERE'S BEEN SO MUCH RESEARCH ON HOW PARENTS BEING INVOLVED IN THE CARE OF THEIR CHILDREN AND THAT CONTACT OF STUFF, BILLS, NEURODEVELOPMENT, GROWTH AND BETTER OUTCOMES FOR OUR PATIENTS AND ADD THAT COMMUNITY REGIONAL CENTER.
HE WANTS TO SEE FAMILIES AND CHILDREN GROWING AND BECOMING A STRONGER, BECOMING MORE ENGAGED IN OUR COMMUNITY AND IN THIS NEW HOSPITAL WITH THIS BILL THAT FOR THIS PEDIATRIC AND NEONATAL PATIENT POPULATION.
[02:15:03]
I'M SUPER THRILLED TO SEE THIS.I THINK IT'S GOING TO BE AMAZING FOR OUR FAMILIES, SOMETHING UP COMPLETELY LACK RIGHT NOW AND THAT WE WANT TO PROVIDE THAT CARE FOR EVERYBODY.
NEXT WILL BE CERTAINLY GLORY ON HI, I'M DR. DEBRA IN PLACE THERE.
I'VE BEEN PRACTICING THEIR PLACE AT MEDICAL CENTER SINCE 1991.
THE MEDICAL ONCOLOGISTS WITH NEEDS A CANCER, DR. THINKS THAT MORE AND MORE FUTURE, WE HAVE SO MUCH MORE WE COULD DO FOR PATIENTS.
IT REQUIRES MORE AND MORE STAFF TO DO THAT.
I HAVE TWO OTHER PEOPLE IN THE LITTLE OFFICE LED HIM TO OTHER PEOPLE IN AN EXTENDED ANTIBIOTIC.
THAT'S THE KIND OF SPACE WE'RE TRYING TO WORK AT.
WE'RE TRYING TO TAKE CARE OF CANCER CARE WITH PATIENTS WHO MEET THE BEST AND NEWEST WITH EVERYTHING.
NOW WE'VE GOT CIRCULATING TUMOR DNA, ALL THESE NEW THINGS, NEW TREATMENTS.
WE NEED A PLACE TO BE ABLE TO DO THAT WEALTH.
THANK YOU FOR YOUR ATTENTION IN THIS ARMY IS INVESTED IN LEARNING AND DETAILS AND IMPACTS CAN HELP THE PATIENT CONSIDER.
I'VE HAD THE PLEASURE OF SERVING OR FLAGSTAFF COMMUNITY AS NURSE FOR OVER 23 YEARS.
NOW, MAJORITIES THAT TIME SPENT IN APPLIES TOP EMERGENCY DEPARTMENT, THOSE 18 YEARS OF OPPORTUNITY FOR MY SPECTRUM, COMMUNITY IMPLIES TOP IS DURING THAT TIME INDICATING INCREDIBLY CLEAR TO ME I HAD CHOSEN TO SERVE A PHENOMENAL COMMUNITY PLACE WHERE FAMILY COMES FIRST.
NEIGHBORS CARE ABOUT ONE ANOTHER.
HELP THEM ON THIS. OUR PRIORITY, WHERE EVERYONE STRIVES TO FIND A WAY OUTDOORS.
CHOOSING TO TRANSITION INTO A LEADERSHIP ROLE AT ANY AGE WAS EASIER THAN I EXPECTED.
NORTHERN ARIZONA HEALTH CARE IS INVEST IN NOT ONLY TO COMMUNITIES AND THE PATIENTS WE SERVE, BUT ALSO IN ENSURING THAT BETTERMENT AND WELL-BEING OF THEIR PEOPLE OVER THE PAST THREE YEARS.
I HAVE THE HONOR TO SERVE AS A CHIEF NURSING OFFICER FOR OUR HEALTH SYSTEM.
TO SAY MANAGING A HEALTH SYSTEM THROUGH GLOBAL PANDEMIC HAS BEEN CHALLENGING, BUT MAYBE SLIGHTLY OVERSTATEMENT.
HOWEVER, THESE YEARS AND EXPERIENCES HAVE AFFORDED ME THE OPPORTUNITY TO UNDERSTAND THE NEED FOR ENSURING HAVE A HOSPITAL THAT AS WELL PREPARED FOR THE HEALTH CARE CHALLENGES THAT ARE PROPOSED HEALTH AND WELLNESS VILLAGE WILL CREATE A SPACE THAT IS NOT ONLY SAFE, BUT MORE CONDUCIVE TO HEALING.
A SPACE THAT WILL BENEFIT OUR PATIENTS.
THAT COMMUNITY OR NURSES, PHYSICIANS, AND TEXTS FOR TYLER TIRELESSLY TO PROVIDE THE BEST CARE.
WE'RE NOT JUST PLANNING FOR THE NEXT TEN YEARS.
YOU'RE PLANNING FOR THE NEXT 50 YEARS.
WE'RE PLANNING FOR THE FUTURE HEALTHCARE NEEDS OF THE PEOPLE LIVING IN FLAGSTAFF, ARIZONA.
WE'RE PLANNING SO THAT YOU CAN ADVANCED HEALTH CARE TECHNOLOGIES ARE PLANNING SO THAT WE GET CARE FOR A POPULATION, SO THAT WE CAN RECRUIT AND RETAIN THE BEST HEALTH CARE PROFESSIONALS.
THAT ALL OF OUR PATIENTS, HAVING PRIVATE ROOM AND HOUSE, OUR STAFF DESERVE CAMPUS WHERE THEY CAN SPEND TIME IN NATURE.
DURING YOUR BREAKS TO RECHARGE WITH LIVESTOCK IN NORTHERN ARIZONA DESERT.
A HEALTH AND WELLNESS VILLAGE DESIGNED TO ENSURE HIGH-QUALITY, PATIENT-CENTERED CARE WELL INTO THE FUTURE.
THANK YOU FOR YOUR TIME AND ATTENTION TO SUCH INCREDIBLY.
>> [SPANISH] [APPLAUSE] [APPLAUSE] I FORGOT TO ASK HER FOR THE ADDRESS FOR THE RECORD.
[OVERLAPPING] [INAUDIBLE] [OVERLAPPING]
>> [INAUDIBLE] PRACTICING POSITION AT A MEDICAL CENTER IN [INAUDIBLE] FOR TEN YEARS, [INAUDIBLE] OR SO IN HEALTHCARE, I LIVE AT 2017 OF STREET FREMONT BOULEVARD AND HAVE BEEN HERE FOR SEVERAL YEARS.
I'M READING A LETTER ON BEHALF OF DR. JENNIFER COLLINS, MY COLLEAGUE FLEX UP MEDICAL CENTER AND THE CEO OF LIFE STEP EMERGENCY DECISIONS.
FOR THE LAST 48 PLUS YEARS, FLAGSTAFF EMERGENCY PHYSICIANS AT BP HAS BEEN A PARTNER IN NORTHERN ARIZONA HEALTH CARE.
STAFF EMERGENCY PHYSICIANS ONLY HIRES EMERGENCY MEDICINE TRAINING BOARD-CERTIFIED PHYSICIANS TO PROVIDE THE HIGHEST QUALITY CARE POSSIBLE LIFE STYLE.
WE'VE WORKED TOGETHER WITH AN H PROVIDED FOR THE EMERGENT AND URGENT MEDICAL NEEDS, LIKES THAT COMMUNITY WHILE MEETING THE NEEDS OF THE UNDERSERVED REGARDS TO THEIR ABILITY TO PAY, TO HAVE EMERGENCY PHYSICIANS AND THE BICEP CITY COUNCIL WERE WITNESS TO GROWTH, AND THE NEED TO MOVE FROM THE DESTROYED HOSPITAL SIDE OF PROSECUTOR STREET TO EXPAND THE FACILITY FOR STREET IN SAN FRANCISCO.
THERE HAVE BEEN MULTIPLE EXPANSION SINCE THAT TIME, TO CONTINUE TO UPDATE THE PHYSICAL PLANT AND THE NEEDS FOR BOTH GENERAL MEDICAL CARE AND SPECIALTY CARE,
[02:20:03]
INCLUDING SPECIALTY SURGICAL SERVICES FOR FLEXIBILITY, WE FIND OUR CURRENT EMERGENCY DEPARTMENT PHYSICAL PLANT IS STORING.IT WAS BUILT THE 1990'S WHEN THE PATIENT AND PROVIDER EXPECTATIONS WERE VERY DIFFERENT.
ROOMS HAVE CURTAINS, WHICH DOES NOT ALLOW THEIR PATIENT PRIVACY.
ALTHOUGH YOU'RE A LEVEL ONE TRAUMA CENTER OR TRAUMA BASE OR 1990'S ERA, VERY SMALL AND DIFFICULT TO ACCOMMODATE THE ENTIRE TRAUMA TEAM PLUS THE EQUIPMENT NECESSARY TO CARE FOR THESE CRITICALLY ILL PATIENTS.
THE LACK OF A SINGLE INPATIENT ROOMS, THINGS THAT THE BOARD OF PATIENTS IN THE ED GIVING US GROUP OF PATIENTS IN THE WAITING ROOM.
AS WE LOOK TO THE FUTURE OF THEIR HEALTH CARE AND DELIVERY IN FLAGSTAFF TOGETHER, PLEASE SUPPORT NADH IN ITS QUEST TO REMEDY THESE AS CENTRAL PHYSICAL PLANT NEEDS FOR THE FUTURE.
HAVING A TRUSTED AND RELIABLE PARTNER FOR AGE OR THE PREVIOUS FOUR THAT GIVES YOU IMPORTANT THAT DYNAMIC AND CHALLENGING FUTURE THAT LIES AHEAD.
STEPH EMERGENCY PHYSICIANS WILL START WITH LIKES DEAF COMMUNITY AND PROVIDE THE FINEST QUALITY EMERGENCY HEALTH CARE TO OUR PATIENTS FOR YEARS TO COME.
SINCERELY GENERIC, FORGOTTEN [INAUDIBLE]
>> THANK YOU. JOHN AND THEN ANDY. [OVERLAPPING]
>> WANT TO START BY SAYING, I AM AN ARCHITECT AND I EXAMINE MEDICAL CENTERS FOR 32 YEARS OF MY CAREER.
I AM THE LEAD ARCHITECT FOR THIS PROJECT, SO I LOVE TO TALK TO YOU ABOUT THE DESIGN, SOME OF THE COMMENTS YOU HAD IN THE WHY BEHIND IT, YOU UNDERSTAND IT.
I'M HERE TO TALK TO YOU MORE AS A RESIDENT OF FLAGSTAFF.
I'VE BEEN DOING THIS ALL OVER ARIZONA IN THE WEST IN THE US, AND AT THE TRIPLET TO D0 IN THIS FACILITY AS WELL.
WHAT I WANT TO TELL YOU WHY I BELIEVE THIS HOSPITAL AND THIS CANVAS IN THE HOSPITAL BILLING REALLY ALWAYS WATCHING.
ITS ONLY JOB IS TO FACILITATE THE TREATMENT AND THE TREATMENT NEEDS OF THE PATIENT.
OKAY. YOU'VE HEARD OF TIME AND TIME AGAIN, A LOT OF THIS FOLKS IN THIS ROOM, I'M WORKING WITH THEM AND DESIGNED IN THIS PLACE.
THE CURRENT FACILITY IN THE AREA AROUND IT JUST CAN'T DO THAT ANYMORE.
STEVE DID A GOOD JOB SHOWING YOU THE TIMELINE.
WE DESIGNED FACILITIES WITH A 50 YEAR HORIZON.
IF WE DO IT RIGHT AND WE'VE MASTERED PLAN THIS NEW COMMUNITY.
WE LOOK BEYOND 50 WE KNOW WE GET 15, AND FOR THIS COMMUNITY, THIS PROJECT DOESN'T GET APPROVED FOR MOVE.
YOU'RE REALLY LIMITING HOW WE TAKE CARE OF HER OF OUR CITIZENS HERE, IT IS WEARING THAT.
I'M NOT SAYING THAT JUST BECAUSE I DO THIS FOR A LIVING, I'VE BEEN THROUGH THOSE HALLS, I'VE SEEN EVERYTHING IN THERE.
YOU'RE GOING TO HEAR A WHOLE LOT MORE LIKE THE NICU SOURCE.
MY MANAGER SAID, IT'S TIME FOR THIS PLACE.
I'M COMING TO YOU AS PRESIDENT IN FLAGSTAFF, NOT AS AN ARCHITECT TO GET YOUR SUPPORT TO XD, SAY YES ON THIS AND GET THIS HOSPITAL BECAUSE IT'S TOUGH TIMES NOW.
>> THANK YOU. ASK A QUESTION IF YOU GOT. [OVERLAPPING] [LAUGHTER]
>> I'VE SEEN HOSPITALS IN SHORTER HEIGHTS.
>> I DON'T UNDERSTAND WHY YOU CANNOT DO THAT.
>> I'VE MET WITH THE HOSPITAL ADMINISTRATOR IN ANOTHER COMMUNITY INSURANCE BASICALLY.
THIS COMMUNITY AND HIS GROWTH.
WE'VE DONE HOSPITALS FOR SEVERAL WEEKS.
WHAT YOU'VE LOOKED AT WHEN YOU DESIGN A HOSPITAL IS AN EFFICIENCY OF A BUILDING FOR PATIENTS AND STAFF AND FAMILIES TO SURGEON THAT THROUGH.
THE GROWTH OF THE COMMUNITY VIEW THAT STEVE SHOWED YOU UP HERE AND WHAT THE WHAT THE HORIZON IS FOR THE POPULATION OF ARIZONA HOSPITALS DESIGNED TO GO 450 BEDS AT 40, 50 BEDS.
I AM A MASTER PLANNERS AND ARCHITECTS AT FLORIDA AND 50 BEDS, THE LAND USE IN THE LAND AREA REQUIRED TO DO MULTIPLE WAYS SHORTER BECOMES A MAJOR HINDRANCE.
THEY WOULD HAVE TO BUY A WHOLE LOT MORE LAND.
WE'D HAVE TO CUT DOWN A WHOLE LOT MORE TREES TO BE ABLE TO GET 450 BEDS IN AND FINISH IT OFF WITH A CHASSIS NETWORKS AROUND ALL OF THE CENTRAL SERVICES.
WE DECIDED TO DO INSTEAD TWO TOWERS ON TOP OF ALL THE SERVICES, IMAGING, PHARMACY, LAB, SURGERY, ALL RIGHT BELOW ALL 300 BEDS DATE ONE, AND THEN WITH THE OTHER BEDS COME ONLINE, THEY'RE STILL READ FIVE IS ONE VERTICAL GRIND DOWN TO ANYTHING YOU'D NEED AN EMERGENCY.
WHEN YOU DO MULTIPLE WAYS, IT IS A LONG PUSH, LONG PUSHES TAKE TIME AS SOMEBODY SAID, MINUTES MEAN EVERYTHING.
[02:25:02]
YOU'RE TALKING ABOUT AN AMBULANCE TRYING TO GET THROUGH TOWN AND GET THIS FACILITY.WHAT IF SOMEBODY COLORS MINUTES TO THE LR ARE JUST AS CRITICAL, SO WE DECIDED TO CHECK IF THERE IS A STRAIGHT DOWN, STRAIGHT AND THEY'RE CARRIED DOWN.
IT IS FINE AND YOU CAN DISAGREE WITH THEM.
I'M JUST SAYING THAT'S WHY THIS IS DONE THE WAY IT IS.
WE DIDN'T GO TOO HIGH, WE STOPPED AT SIX STORES TO MEET THE BETHANY.
THAT'S KIND OF THE BASIS BEHIND [INAUDIBLE].
CAN YOU GO BACK AND DESIGN A DIFFERENT DESIGN?
>> IF THE HOSPITAL DECIDED TO NOT GO TOO FAR INTO THE HOSPITAL, DECIDED NOT TO GO TO 450 BEDS, SERVE THE COMMUNITY NEEDS, WHICH I WOULDN'T RECOMMEND BECAUSE I'VE SEEN THE NUMBERS.
WE'RE SHORTING THE COMMUNITY'S ABILITY TO GET HEALTH CARE IF WE FEEL A LESS THAN.
I CAN DECIDE WHATEVER THEY NEED.
THE NEED IS A 450 BEDS [INAUDIBLE]
>> IF WE'RE LOOKING AT THAT PROPERTY, YOU HAVEN'T YOU HAVE THE ABILITY OF THAT PROPERTY.
THERE'S A LOT OF PROPERTY HERE.
WHY CAN'T YOU USE THE PROPERTY? MORE LIKELY IF INSTEAD OF HOUSING, LOOKING AT BUILDING A HOSPITAL WITHIN THE RANGE OF FLAGSTAFF, NEED TO BUY A NEW TRUCK, FIRE TRUCK, AND BUILT WITHIN A REASONABLE [OVERLAPPING].
SHORTER ISN'T BUTTON FOR THE EFFICIENCY OF ALL OF THE CAREGIVERS THAT ARE IN HERE.
IT'S LONGER PUSHES ITS INEFFICIENCY OF CARE DELIVERY.
MOST BILL MAKES IT UP THE LADDER TRUCKS.
THERE ARE BUILDINGS ALL OVER THIS STATE WHERE A LIGHTER TRUCK CAN'T REACH THE TOP FLOOR, THE BUILDING IS DESIGNED TO BE ABLE TO GET PEOPLE OUT AND DOWN TO A LEVEL FOR A LADDER TRUCKS TO BE ABLE TO ACCOMMODATE IT.
WE SHOULD JUST HAPPEN IN THE FACT THAT WE DON'T HAVE ONE YET.
IT IS WHAT IT IS. [OVERLAPPING]
>> NO BETTER CHARLES, HIS PALACE BUILDINGS.
WE'VE DESIGNED THIS BUILDING IN THE BUILDING CODE AT 75 FEET IS DESIGN AS A HIGH-RISE.
THE BUILDING IS DESIGNED TO TAKE CARE OF ITS OCCUPANTS IN ANY EVENT, SO THAT CHIEF AND THE FIRE DEPARTMENT COULD HANDLE ANY EVENT THAT'S THERE.
IF IT GOES ABOVE THAT, WE PUT IN VERTICAL CIRCULATION COMPONENTS FOR THE FIREFIGHTERS WHO USED TO GET PEOPLE OUT.
WE STAY BELOW THAT ON PURPOSE SO THAT WE WOULD MAKE IT EASIER FOR THE DEPARTMENTS.
WE STAY BELOW THE TOP OCCUPIED FLOOR OF 124 FEET TO MAKE IT EASIER.
WE HAVE GOT THE EFFICIENCY FOR THE CAREGIVERS AND MADE IT SHORT ENOUGH SO THAT WE DON'T NEED FIRE SERVICE ACCESS VOLUMES.
THAT WAS THE COMPROMISE WE CAME UP WITH AND THE STORE MADE AN INITIAL INVESTMENT IS WORTH 50 BEDS.
IT'S A, IT'S A VERY COMPLICATED PUZZLE.
I THINK WE'RE LOOKING AT SOMETHING THAT WOULD BE A DETRIMENT IF WE TRIED TO REDESIGN IT TO WHAT YOU'RE ASKING FOR, THAT IS MY OPINION.
>> NEXT, WE HAVE ANDY FOLLOWED BY JESSICA GIRARD [NOISE].
>> HI, ANDY. I LIVE AT 500 WEST 366.
MY READING THIS ON BEHALF OF CATHERINE SHE'S NOT AROUND, SHE'S AT THE HOSPITAL.
DOING PLANNING ZONING COMMITTEE MEMBERS THANK YOU FOR THIS OPPORTUNITY TO SPEAK REGARDING THE NEED FOR IMPROVEMENTS OR HOSPITAL FACILITIES IN NORTHERN ARIZONA.
YOUR HAVE HEARD VIOLENCE CONCERNS FROM BOTH SIDES OF THE ISSUE.
AS A PHYSICIAN WHO WORKS IN THE CURRENT HOSPITAL BUILDING AND SPEND MY DAYS ENDED UP IN PATIENT ROOMS ALL OVER THE HOSPITAL.
MY THINKING IS BASED ON WHAT IS BEST FOR MY PATIENTS CARE NOW AND IN THE FUTURE.
HERE A CONCRETE EXAMPLES OF HOW MY PATIENT'S CARE WILL BE INCLUDED NEW CAMPUS.
WHEN I HAVE A PATIENT ON THE WARD AT THE FAR WEST SIDE OF THE HOSPITAL EVEN FOR A SIMPLE CHEST X-RAY, THEY HAVE TO BE TRANSPORTED THE EQUIVALENT OF TWO CITY BLOCKS TO CROSS THE BRIDGE TO THE EAST SIDE OF THE MAIN BUILDING.
IT SHOULD NOT ONLY TAKE SIGNIFICANT AMOUNT OF TIME, IT ALSO TAKES THEM THROUGH HALLWAYS OF OTHER BOARDS HOW SADAT AND FAMILY MEMBERS OF OTHER PATIENTS.
NEW BUILDING WILL ALLOW MY PATIENTS LESS PHYSICAL MOVEMENT AND MORE PRACTICE EVEN BEING TRANSPORTED FOR PROCEDURES.
WHEN I AM SEEING A PATIENT WHO IS ACUTELY ILL, I MUST TURN ON LIGHTS IN THE ROOM AND SPEAK TO MY PATIENT,
[02:30:02]
NOTABLY DISTURBING THE PATIENT RESTING AMONG OTHER SIDE OF THE CURTAIN.A NEW BUILDING WILL ALLOW EACH PATIENT THEIR OWN ROOM ALLOWING APPROPRIATE REST AND COMFORT.
PATIENTS WILL NOT BE WELCOMED THROUGHOUT THE NIGHT WHILE STAFF ATTENDS TO THIS OTHER ROOMIES.
WHEN MY PATIENTS IS A FAMILY MEMBER ONE CAN SPEND TIME WITH THEM OR BE PRESENT FOR IMPORTANT CONVERSATIONS.
ABILITY OF THEIR FAMILY MEMBERS TO VISIT IS DETERMINED BY THE ROOM, IF THEY AREN'T SHARED ROOM THERE WAS ONLY PHYSICAL SPACE FOR ONE FRIEND OR FAMILY MEMBER.
IN THE NEW BUILDING [NOISE] FAMILY WILL HAVE A SPACE FOR SITTING INSIDE AND BE IN THE PATIENT'S BY THE ROOM.
BEING ILL AND HOSPITALIZED IS A STRESSFUL TIME FOR PATIENTS AND THEIR FAMILIES.
THE NEW CAMPUS ADDRESSES CONCERNS SUCH AS LESS DISTANCE PATIENTS MUST BE MOVED THROUGH THE BUILDING, PRIVATE SPACE FOR PATIENTS AND FAMILIES AND YOU CAN CONCERN LIKE ADEQUATE.
MEDICINE HAS ADVANCED IN TO [INAUDIBLE] SINCE THE 1980S WHEN OUR CURRENT CAMPUS WAS CONSTRUCTED.
UNFORTUNATELY, AS A CONSTRUCTION TEAM HAS ALREADY DEMONSTRATED PROVIDING ADEQUATE UPDATES TO THE CURRENT FACILITY IT IS NOT POSSIBLE WITHOUT UNREALISTIC RESTRICTIONS TO SPACE FOR PATIENT CARE THERE'S JUST NOT ENOUGH ROOM.
YES THE HOSPITAL WILL BE A FURTHER DISTANCE FOR SOME PATIENTS AND HOSPITALS STAFF BY STAFF INCLUDING MYSELF.
IT WILL BE CLOSER AND DISTANCE TO OUR COMMUNITY AND THE SURROUNDING REGIONS BE SERVED.
THERE WILL BE ENVIRONMENTAL IMPACTS AS THERE ARE WITH ANY CONSTRUCTION PROJECT.
THE TEAM HAS WORKED DILIGENTLY TO ENSURE THIS NEW BUILDING IS BUILT WITH SUSTAINABILITY IN MIND SO WILL NOT HAVING ANOTHER DISCUSSION SUCH AS THIS IN 30 YEARS.
IN TODAY'S HEALTH CARE ENVIRONMENT IT IS UNUSUAL TO HAVE A LOCALLY OWNED AND OPERATED HOSPITAL AND HEALTHCARE SYSTEM.
PLEASE SUPPORT YOUR LOCAL NORTHERN ARIZONA HEALTH CARE STAFF, SO WE CAN CREATE A HOSPITAL THAT IS ALIGNED TO OUR PATIENTS EXPERIENCE AND PERSPECTIVE IN MIND.
PLEASE SUPPORT YOUR LOCAL NORTHERN ARIZONA PATIENTS AND ALLOW US TO BUILD THE FACILITY TO DESERVE.
THANK YOU AGAIN FOR YOUR TIME.
>> THANK YOU, JESSICA [LAUGHTER].
>> HELLO, MY NAME IS JESSICA GIRARD AND I AM PRESIDENT AND REPRESENTING THE NORTHERN ARIZONA ASSOCIATION OF REALTORS.
I WAS AT 22:29 WAS TALKING TO? WE ARE IN FULL SUPPORT OF NORTHERN ARIZONA HEALTH CARE IN THIS VILLAGE AS REAL TRUE AS WE STRIVE TO IMPROVE THE COMMUNITY IN WHICH WE LIVE IN THROUGH PROTECTING PRIVATE.
PRIVATE PROPERTY RIGHTS EXPANDING ACCESS TO HOUSING, AND SUPPORTING INITIATIVES AND IMPROVE THE QUALITY OF LIFE FOR CLIENTS AND COMMUNITY MEMBERS.
THE PROPOSED RESPONSIBLE DEVELOPMENT AND EXPANSION OF NORTHERN ARIZONA OF HEALTH CARE SERVICES AND FACILITIES AFFORDED BY HEALTH AND WELLNESS VILLAGE DOES EXACTLY THIS.
NOT ONLY WILL IT CREATE LOTS OF BREADTH ANNUAL REVENUE FOR THE ECONOMY AND PROVIDE QUALITY EMPLOYMENT OPTIONS FOR OUR RESIDENCE BUT IT INCLUDES DEVELOPMENT ON ADDITIONAL RESIDENTIAL HOUSING WITHIN THE HEALTH AND WELLNESS CAMPUS.
ADDING DESPERATELY NEEDED HOUSING UNITS FOR FLIGHTSTATS WORKFORCE.
PERHAPS EVEN MORE EXCITING MAYBE THE PROSPECT OF REDEVELOPING THE CURRENT CAMPUS TO INCLUDE DIFFERENT UNITS AS WELL UTILIZED INFRASTRUCTURE THAT'S ALREADY IN PLACE.
WITH LIVE SASS ANTICIPATED GROWTH IN THE COMING YEARS IT'S ACCESS TO EXPANDED HEALTH CARE FACILITIES AS WELL AS THE DEVELOPMENT OF MORE RESIDENTIAL HOUSING UNITS ARE CRITICAL IMPORTANCE.
THERE IS A POST HEALTH AND ALL THIS VILLAGE WILL FACILITATE REACHING THESE GOALS AS FLAGSTAFF CONTINUES TO GROW RESPONSIBLY. THANK YOU.
>> THANK YOU. DEBORAH FOLLOWED BY TRACY.
[BACKGROUND] WILL MOVE ON TO CASEY FOLLOWED BY STEPHANIE REING.
MY NAME IS MRS. CASEY WRAPPED AROUND THE DIRECTOR OF SECURITY MCMILLAN AND ARIZONA HEALTH CARE PLUS 30 YEAR RESIDENT OF A CITY OF FLAGSTAFF, 17 50 NORTH BELIEVE ROAD JOINED NAH AFTER RETIRING FROM THE CITY OF FLAGSTAFF POLICE DEPARTMENT, HAS SERVED OUR COMMUNITY FOR 20 YEARS, SO I'M HERE TO SPEAK IN FAVOR OF THE DEVELOPMENT OF A NEW HOSPITAL.
MY CURRENT ROLE AT MY AGE AND COVER THE FMC CAMPUS CORNER TO CORNER.
I CAN PERSONALLY SPEAK TO THE NEED OF AN UPDATED FACILITY, THE BETTER DESIGN IN SPACE.
ONE OF THE THINGS THAT CHERISH MOST ABOUT WORKING IN THE POLICE DEPARTMENT, WAS WORKING ALONGSIDE PEOPLE WHO TRULY DEDICATED TO THE COMMUNITY THAT THEY SERVE.
CANDLY, ONE OF THE THINGS THAT CHERISH MOST ABOUT WORKING AT MY AGE IS THAT VERY SAME THING.
EVERY DAY I PARTICIPATED IN MEETINGS IN COORDINATED CONTACTS EVERYONE RANGING FROM JOSH AND HIS TEAM, SO FRONTLINE STAFF INCLUDING HOUSEKEEPING, SECURITY, NURSING, AND PHYSICIAN TEAMS. EVERYDAY THERE'S COMMUNICATION ABOUT HOW WE CAN BETTER SERVE OUR PATIENTS AND HOW WE CAN BETTER SERVE OUR COMMUNITY.
I WOULD SUBMIT THE DEVELOPMENT OF THIS NEW HOSPITALS SERVED TO DO JUST THAT.
[02:35:07]
THE DEVELOPMENT OF THE NEW HOSPITALS THAT NEED TODAY AS WE START A NEED FOR TOMORROW.I TRULY BELIEVED THAT OUR COMMUNITY DESERVES THIS.
OUR FAMILIES, FRIENDS, NEIGHBORS DESERVE A HOSPITAL THAT HAS NOT ONLY THE STATE-OF-THE-ART FACILITY, BUT HAS DESIGNED AROUND THE DEVELOPMENT OF AN ENVIRONMENT THAT FOSTERED PATIENT CARE. THANK YOU.
>> THANK YOU. WE HAVE STEPHANIE, FOLLOWED BY [NOISE].
HOMER WARRANTY. YOU'RE PLANNING AND ZONING COMMISSION.
MY NAME IS DR. ALBEIT, AND I'M AN INTERVENTION CARDIOLOGIST.
WHEN THEY'RE GOING TO HELP YOU AND WORKING AT CURRENT LIKE SADNESS.
I HAVE AN INTERVENTIONS CARDIOLOGIST OR 16 YEARS WITH 15 OF THOSE YEARS SHARED BICEP.
I SEEM TO CHANGES IN HEALTH CARE ACROSS THE COUNTRY AS LONG AS LOW AS THEIR OWN COMMUNITY.
WHAT HEIFER CENTER CHANGED INTO A REGIONAL REFERRAL CENTER TAKING CARE OF THE SICKEST PATIENTS IN NORTHERN ARIZONA.
WHILE THE MOVES TO THE NEW FACILITY OR PERSONALLY REQUIRE ME TO MOVE A BIT FURTHER FROM MY HOME RESIDENTS AND SUPPORTIVE AND EXCITED ABOUT THE MOON. ITS NECESSARY OF OTHERS TO ARRIVE NEW CARDIAC SERVICES.
NEW FACILITY WILL ALLOW US TO PROVIDE NEW CARDIAC SERVICES AND CONTINUED TO PROVIDE WORLD-CLASS QUALITY PRIMARY CARE FOR OUR LOVED ONES, NEIGHBORS AND FRIENDS.
I'D ASK THAT YOU VOTE IN UNANIMOUS APPROVAL OF THE PLANNING AND ZONING CASE BEFORE YOU TONIGHT.
WARMEST REGARDS [NOISE] THANK YOU.
NEXT IS DR. ANGELA HEATERS, FOLLOWED BY MICHELLE JAMES.
[NOISE] MY NAME IS [INAUDIBLE] I AM READING THE LETTER FROM DR. DAVID TCHAIKOVSKY OF INSTITUTE, INCLUDING PATIENTS THAT ARE ON AIRS ON ORTHOPEDICS.
I WANTED TO READ. THERE'S PURPOSE OF POTENTIAL INVESTMENTS IN THE HOSPITAL AND STRATEGIC PARTNERS ARE MAKING INTO THE FUTURE PRICE OF MEDICAL CAMPUS, OTHER LARGE INDEPENDENT PROVIDER [INAUDIBLE] IN TOWN.
WE RECOGNIZE THAT ONLY INVESTMENTS MADE IN HEALTH LYE [INAUDIBLE] CARE WITH A SECONDARY BENEFIT OF BERLIN JOB OPPORTUNITIES FOR LOCAL CITIZENS.
INVESTMENT INTO A NEW INFRASTRUCTURE, INVESTMENT IN HEALTH CARE NOTHING LESS THAN X LIMITS AND WELLNESS AND ABILITY OF THE COMMUNITY.
THESE INVESTMENTS ARE INDEPENDENT PROVIDERS TO SEE ME WALK STABILITY IN HEALTHCARE BY [INAUDIBLE] IN PICTURES.
I HAVE REWRITTEN MY COMMENTS, SO HOPEFULLY THEY WON'T REGRET THAT MICHELLE JAMES AND I'M THE EXECUTIVE DIRECTOR OF CLASSES FUTURE.
HERE'S SOME DETAILS FROM AN AGE TODAY ABOUT THEIR PLANS FOR ENERGY EFFICIENCY, IS A LOT OF NEW INFORMATION AND I'LL ADMIT I HAVEN'T HAD TIME TO STUDY, OF COURSE, THIS EVENING IS THAT NADH IS IMPLEMENTED IN ENERGY EFFICIENCY IN THEIR HOSPITAL.
PLANNERS DO NOT MAKE A HOSPITAL, NOT MAKE THE HOSPITAL CARBON-NEUTRAL FOR SURE, 1.2 EMISSIONS.
THE TIME IS NOW TO INCLUDE LOW CARBON AND CARBON SEQUESTRATION BUILDING MATERIALS AND TO MAKE SOLID PLANTS TO GENERATE AND PURCHASE RENEWABLE ENERGY.
I'M SURE YOU KNOW, SAYING EVERY MACHINE THE EXISTING POSSIBLE WILL BE THE BEST PLANS MINIMIZED CARBON EMISSIONS.
ONLY BRAND-NEW HOSPITAL OR CREATE WILL CREATE A LOT OF CARBON EMISSIONS, NADIR, AND ADDRESS THE OVERALL CARBON EMISSION [INAUDIBLE] [INAUDIBLE] S RELATED TO THIS BUILDING AND INCREASE THE VEHICLE MILES TRAVELED BY COMMITTING TO BUILD A TWO-CARBON AND CAPABILITIES IMMEDIATELY OR WITHIN TWO YEARS OF OPERATION.
IT'S IMPERATIVE THAT AN H ADDRESS THE COMMUNITIES CAN RUN TO CARBON NEUTRALITY BY 2030 AND BE IN COMPLIANCE WITH OUR REGIONAL PLAN CARBON NEUTRALITY GOALS AND POLICIES.
THAT PEOPLE ALSO LIKE TO SEE A FAIR, EQUITABLE, AND TRANSPARENT AGREEMENT BETWEEN THE CITY AND AGE THAT PROVIDES A CLEAR UNDERSTANDING OF THE DOLLAR AMOUNT THAT WILL BE EITHER RESPONSIBILITY OF THE CITY AND ASSIST IS A FLAG SET TO PAY FOR WROTE A GROUP, FIRE DEPARTMENT AND NICE.
THIS PROPOSED ACTION THAT HE FEARS GENERATION OF ACCUSED CONCERNS. THANK YOU.
[02:40:06]
ANDY.GOOD EVENING. I'M [INAUDIBLE].
I'M DEPUTY COUNTY MANAGER FOR COCONINO COUNTY, ARIZONA.
I'M REPRESENTING TOKEN, YOU KNOW, COUNTY I LIVE IN FOR 11 LESS JUNIPER AVENUE IN FLAGSTAFF.
THE AGE PROPERTY IS DIRECTLY NORTH HILL COUNTY PARK.
OUR POSITION AS ONE OF PROTECTING THE PUBLIC'S INTERESTS IN REGIONAL RECREATIONAL GEM FOR THOSE WHO ENJOY IT TODAY AND IN THE FUTURE.
COCONINO COUNTY HAVE HAD A FEW MEETINGS TO REVIEW THE INITIAL DEVELOPMENT CONCEPT, DISCUSS A REQUEST FOR EASEMENTS, AND MORE RECENTLY AS A FOLLOW-UP RESULTING FROM THE MARCH, 22ND PLANNING AND ZONING COMMISSION.
THANK YOU FOR THAT. WE HOPE TO ESTABLISH REGULAR MEETINGS AS WE FEEL IT'S IMPORTANT THAT WE STRIVE TO LAY A FOUNDATION FOR COLLABORATIVE NEIGHBORLY RELATIONSHIP.
THE FOCUS IS ON MUTUALLY BENEFICIAL OUTCOMES.
THE BEST SERVES THE COMMUNITY.
WE BELIEVE THAT THE PARK WILL BE A VERY BENEFICIAL NEGATIVE AT THEIR AGE.
LIKE STAFF EXTREME, FAIRGROUNDS, RODEO, IT MIGHT CREATE SOME CLIENTS.
[LAUGHTER] THE COUNTY PROVIDING INPUT DIRECTLY TO AN H IN THE CITY IN RESPONSE TO THE DRAFTS SET BY THE PEOPLE MADE A LETTER IN NOVEMBER OF 2022.
FEEDBACK, THE PARTIES CAME FROM MULTIPLE COUNTY DEPARTMENTS AND THE BOARD OF SUPERVISORS.
AT THE PREVIOUS MEETING, THE COUNTY PARKS AND RECREATION DIRECTORY, BUTTE COUNTY PRIORITIES.
WE LIST THEM, TRAFFIC IMPACTS, EMERGENCY VEHICLE ACCESS, TRAFFIC ANALYSIS AT THE INTERSECTION OF EULA.
CAREFUL ANALYSIS ON THE NUMBER OF SIGNAL LIGHTS, INTERSECTIONS, ACCESS TO THE PARK.
WE THANK YOU FOR YOUR COMMENTS TONIGHT.
WE REALLY APPRECIATE THOSE SLIDES AND WE'D LIKE TO TAKE AN OPPORTUNITY TO REVIEW THOSE.
WE ALSO WANT TO THANK YOU FOR ADDRESSING THE CONVERSATIONS WITH NOVEL LINE AS DUTY COCONUT OIL COUNTY SUPPORT THOSE CONVERSATIONS AND PROVIDING PUBLIC TRANSPORTATION SERVICES.
THIS REGIONAL FACILITY WANT TO PROTECT PARK THE PARK VISITOR EXPERIENCE AND PARK AESTHETICS THROUGH ADEQUATE BUFFERS.
REQUESTS FOR A FORMAL ACKNOWLEDGMENT OF THE EXISTING LARGE, LOUD EVENTS THAT CAN HAPPEN TRAFFIC, THAT THOSE POTENTIAL NUISANCES WILL NOT EVER NEED INCUR AGAIN.
ENSURE AN ADEQUATE NORTHERN ACCESS IS MAINTAINED THAT CAN ACCOMMODATE THE TYPE OF TRAFFIC WE EXPERIENCE.
GIVEN THE SIGNIFICANT CHANGE NORTH OF THE COUNTY'S PROPERTY AND THE APPROACH TO THE PARK, WE'D LIKE TO PARTNERSHIP ON THE MASTER PLAN TO TRAIL-HEAD AND POSSIBLE REALIGNMENT OF TRAILS OR ROADS OR BUILDINGS AFFECT THE USER EXPERIENCE.
WE'VE TALKED ABOUT ACTIVITY CENTER FOR TOCQUEVILLE ISN'T ACTIVITIES.
WE HAVEN'T HAD A LOT OF NEIGHBORS HISTORICALLY.
WITH THIS PARTNERSHIP AND NEIGHBORHOOD EXPERIENCED, IT'S GOING TO CHANGE THE DYNAMIC OF THE AREA.
TODAY, I WOULD LIKE TO REPORT THAT THE COUNTY IS REVIEWING ANY H'S REQUESTS FOR EASEMENTS? WE'VE ASKED THE NH SUBMIT A FORMAL RESPONSE TO THE NOVEMBER 2022 LETTER THAT WE HAD WRITTEN AND PRECEDENT NADH INDICATED THAT DON'T PROVIDE A RESPONSE BY THE END OF NEXT WEEK.
ALSO NOTE THAT THE SUPERVISORS [OVERLAPPING] [LAUGHTER] HOLD ALL CALLS.
>> MY NAME IS KEITH GARRISON. I'M THE DIRECTOR FOR THE CHILDREN'S HEALTH CENTER FOR NORTHERN ARIZONA HEALTHCARE.
I RESIDE AT 4013 GANNETT WAY AS THE POPULATION OF NORTHERN ARIZONA AND CONTINUES TO GROW.
TO SYDNEY FOR PEDIATRIC SERVICES IN CHILDREN'S HEALTH CENTER CURRENTLY SERVES OVER 16,000 PATIENTS PER YEAR WITH MANY DIFFERENT NEEDS INDICTMENTS.
ARE MULTIDISCIPLINARY, COLLABORATIVE APPROACH [INAUDIBLE] TO CARE THAT THEY NEED IN A ONE-STOP-SHOP FOR THOSE TWO OFF FROM OUR INSPIRED PROGRAM FOCUSED ON DISEASE PREVENTION AND REDUCTION OF CHILDHOOD OBESITY, TRUE EDUCATION, NUTRITION, AND SERVICES.
TO OUR SAME CHILD PROGRAM WORKING WITH LAW ENFORCEMENT AND BADLY ADVOCATES HELP CHILDREN THAT HAVE BEEN A PART OF TRUMP'S.
YOU NEED TRAUMATIC EXPERIENCE.
WE STRIVE TO SERVE INDIAN EVERY PEDIATRIC PATIENTS.
WE CURRENTLY CONTRACT WITH 14 DIFFERENT PHYSICIAN SPECIALISTS FROM THE PHOENIX AREA TO PROVIDE SERVICES AS OUR CURRENT HOSPITALS DO NOT HAVE THE CAPACITY TO CERTAINLY SHOW.
[NOISE] IN ADDITION, IS SURGICAL INTERVENTION IS REQUIRED.
CARE MUST BE PROVIDED IN VENUS'S NADH DOES NOT HAVE PEDIATRIC SPECIFIC DESIGN OPERATING ROOMS, TOOLS, AND SPECIALISTS LOCALLY.
THIS REQUIRES COMPANIES TO HAVE THE GREATEST NEED, SELF-CARE TO SPEND TIME AND MONEY MAKING SEPARATE APPOINTMENTS WITH OTHER HEALTH CARE SYSTEMS, WAITING FOR AVAILABILITY FOR APPOINTMENTS AND
[02:45:01]
ITS OPERATIONS INTO JOBLESS IN PHOENIX AREA AND PAPER OVERNIGHT STAYS.ALL OF THIS IS FOR ONLY ONE APPOINTMENT AND CAN COST UPWARDS OF $300 PER TRIP.
THINK OF HOW MANY TIMES THIS MUST BE COMPLETED FOR INITIAL DIAGNOSIS, TREATMENT AND FOLLOW-UP CARE.
THIS IS ALSO ASSUMING THAT THE CHILD IS FROM THE BICEP AREA,50% OF THE PATIENTS THAT CHC IS FROM OUR SURROUNDING NATIVE AND TRIBAL LANDS, THEY CAN TRAVEL 2-3 HOURS TO REACH LIFESTYLE.
ASKING THIS POPULATION TO TRAVEL AN ADDITIONAL TWO-AND-A-HALF HOURS AT PHOENIX IS ADDED COST TODAY AND CONTINUES TO LIMIT THEIR ACCESS TO CARE.
THIS IS A HUGE DISSERVICE TO THE PEOPLE IN NORTHERN ARIZONA THAT DESERVE THE BEST, MOST AFFORDABLE CARE AND THE COMMUNITIES IN WHICH THEY RESIDE.
THE NEW HEALTH AND WELLNESS VILLAGE WILL ALLOW FOR SIGNIFICANT EXPANSION IN PEDIATRIC SERVICES FOR THE NEXT SEVERAL DECADES.
THIS WILL ALLOW US TO PERFORM FULL SERVICES FOR OUTPATIENT, INPATIENT IN SURGICAL SERVICES AND ARE [NOISE] DESPERATELY NEEDED IN NORTHERN ARIZONA.
WITH ADDITIONAL STATE OF THE ART TECHNOLOGY WE BUILD THROUGH TRUTH, THE BEST PEDIATRIC SPECIALIST FROM AROUND THE COUNTRY.
THIS WILL ALLOW FAMILIES TO STAY IN NORTHERN ARIZONA FOR ALL APPOINTMENTS AND BE CLOSE TO HOME FOR FOLLOW-UP TREATMENT AND RECOVERY.
THIS IS ALSO THE REASON THAT HEALTH AND WELLNESS VILLAGE IS THE BEST CONCEPT.
WE NEED THIRD-PARTY VENDORS TO BE ABLE TO OUR SISTER, OUR CHILDREN IN FIGHTING CHILDHOOD OBESITY, PROVIDING GOOD NUTRITION SERVICES, UPDATED GROCERY SHOPPING, GOOD EXERCISE FACILITIES FOR THEM TO BE ABLE TO COMBAT THIS.
WE NEED HOTELS THAT ARE [NOISE] FACILITY TO ALLOW FOR FAMILIES TO STAY CLOSE TO THEIR CHILDREN WHEN THEY REQUIRE MULTIPLE DAYS OF SERVICES.
IN ORDER FOR IT TO ACHIEVE THEIR MISSION OF IMPROVING HEALTH HEALING PEOPLE, AND OUR VISION OF ALWAYS BETTER CARE OF EVERY PERSON EVERY TIME TOGETHER, AS STATE OF THE ART FACILITY IS NEEDED WITH ACCESS FOR PEOPLE THAT LIVE THROUGHOUT NORTHERN ARIZONA, NOT JUST FLAGSTAFF.
THIS NEW FACILITY WE'RE PROVIDING THE CARE AND SERVICES THAT IS LONG OVERDUE AND DESPERATELY NEEDED BY THE PEOPLE THAT CALL THIS HOME.
REMEMBER THAT THESE CHILDREN WILL BE THE INDIVIDUALS THAT PROVIDE OUR CURRENT ADULT POPULATION TO HEALTH CARE SERVICES THAT THEY WILL NEED IN THE FUTURE.
>> THANK YOU. IT'S THE [INAUDIBLE] [NOISE] KEEGAN AND THEN STOPPED.
>> HELLO, I'M KEEGAN MAHONEY, I LIVE IN CRESTVIEW ESTATES.
I HAVE THE PLEASURE TODAY TO READ A LETTER FROM JULIET WALTER'S, THE CEO OF TUBA CITY REGIONAL HEALTH CARE CORPORATION.
AS THE CEO OF THE CITY REGIONAL HEALTH CARE.
I AM PLEASED TO OFFER THIS LETTER TO SUPPORT FOR ANOTHER ARIZONA HOUSE PROPOSED HEALTH AND WELLNESS VILLAGE TO BUILD UPON AND EXPAND AND EFFORTS TO ADVANCE HEALTH EQUITY ACROSS NORTHERN ARIZONA.
LAST, FLAGSTAFF MEDICAL CENTER HAS PROVIDED CRITICAL LIFE-SAVING SERVICES TO ITS PATIENTS FOR SEVERAL DECADES NOW AND MORE THAN HALF THE PATIENTS WHO RECEIVE CARE AT FMCG OR FROM AN OUTSIDE OF THE CITY OF TEXTURE.
ACROSS THE [NOISE] ENTIRE NORTHERN ARIZONA REGION.
THERE ARE PATIENTS COMMUNITIES AND LOCAL HOSPITALS THEY RELY ON AN AGE TO PROVIDE HIGH-QUALITY SPECIALIZED CARE CLOSER TO HOME.
THE DEMAND FOR HEALTHCARE SERVICES AND FMCG IS OUTPACING AND ANXIOUS ABILITY TO PROVIDE THE NEEDED CARE.
NOT BECAUSE OF ANY AGE PROVIDERS LACK THAT NOT PROVIDE THE SKILL, BUT BECAUSE THE HOSPITALS SIMPLY DOES NOT HAVE THE SPACE TO ACCOMMODATE THE PATIENT'S VOLUMES MEETING NH'S CARE.
THIS BEANS ARE PATIENTS MUST BE SENT TO HOSPITALS MUCH FURTHER FROM THEIR HOMES.
INSTEAD OF A ONE-AND-A-HALF HOUR DRIVE TO FLAGSTAFF OR PATIENTS AND THEIR FAMILIES FOR FACING DRIVES OF 4 HOURS OR MORE TO PHOENIX AND BEYOND.
THIS DISTANCE IS A COST BURDEN THAT MAKES IT IMPOSSIBLE FOR OUR PATIENTS TO HAVE THE FAMILIAR SUPPORT THEY NEED WHEN THEY MUST HAVE SERIOUS LIFE SAVING SURGERIES AND WHEN THEY NEED NECESSARY FOLLOW UP CARE THAT WE'RE NOT ABLE TO PROVIDE THAT TUBA CITY AND EACH HAS OUTGROWN THE CURRENT FLAGSTAFF MEDICAL CENTER CAMPUS.
IT CANNOT BE EXTENDED TO MEET THE GROWING DEMAND FOR HEALTH CARE IN OUR REGION.
NH'S PROPOSAL FOR THE FUTURE OF HEALTH AND WELLNESS VILLAGE WILL BE A SIGNIFICANT INVESTMENT IN THE NEXT GENERATION OF HEALTHCARE.
I'M SURE THAT PATIENTS ARE PROCESSING NORTHERN ARIZONA, HAVE HIGH-QUALITY, STATE-OF-THE-ART HEALTH CARE CLOSER TO ALMOST ANY NH PROPOSED HEALTH AND WELLNESS VILLAGE INJURED BY A STATE OF THE ART HOSPITAL AND AMBULATORY CARE CENTER WILL BENEFIT THE COMMUNITY.
FLAGSTAFF IN NORTHERN ARIZONA, RESIDENTS DESERVE TO HAVE ACCESS TO THE HIGHEST QUALITY HEALTH CARE ON BEHALF OF THE PATIENTS, TO THE CITY REGIONAL HEALTH CARE SERVICES.
I SUPPORT THE VOTE IN FAVOR OF ANY NHS FUTURE OF HEALTH AND WELLNESS VILLAGE CITY REGIONAL HEALTH CARE CORPORATION IS A TRIBAL HEALTH CARE ORGANIZATION THAT SERVES THE RESTAURANT REGION OF NAVAJO NATION.
>> THANK YOU. [NOISE] FOLLOWED BY BETH [BACKGROUND]
[02:50:06]
>> I'M GOING TO SHOW IT TO YOU GUYS IN THE BACK. CAN YOU HEAR ME? [BACKGROUND] GOOD EVENING, CHAIR COMMISSIONERS.
THANK YOU VERY MUCH FOR LETTING ME SPEAK.
MY NAME IS SOUGHT BEST ON IT IN PARADISE ON PARIS ROAD, THREE TO FIVE-YEAR PARADISE IN THERE FOR 35 YEARS.
I WANT TO THANK GOT NA'S FOR RESPONDING TO REQUESTS.
SOME OF US NEED TO GET US MORE INFORMATION ABOUT THE CLIMATE CHANGE NUMBERS.
I STILL DON'T REALLY SEE A NUMBER OF INCLUSION, A SUMMARY, BARLEY OR ARE WE NOT COMPLIANT WITH FLAGSTAFF REGIONAL PLAN? ARE WE HEADED FOR CARBON NEUTRALITY IN 23 BECAUSE OF THIS PROJECT? ARE WE HEADED THE OTHER THING? CLIMATE CHANGE IS A VERY IMPORTANT HEALTH-CARE ISSUE.
THE RECENT UNITED NATIONS INTERGOVERNMENTAL PANEL ON CLIMATE CHANGE REPORT IT, SAYING THAT WE NEED TO GET EMISSIONS DOWN BY 60% BY 2035 OR FACE DIRE CONSEQUENCES.
MANY OTHER SOURCES OF INFORMATION THAT WE ALL HERE.
THEY TELL US THAT WE SHOULD TAKE THIS ISSUE SERIOUSLY.
I UNDERSTAND THAT WHEN AN APPLICANT WALKS IN THE DOOR AND IS OFFERING A BILLION DOLLAR FOR ECONOMIC DEVELOPMENT AND HOUSING, HEALTH CARE.
SOME OF THE OTHER VALUES IN THE RACIAL PLAN AND FALL IN SHADOW THEM.
ANC COMMISSIONER MYSELF IN THE COUNTY.
MY JOB IS I THINK TO BALANCE POSITIVE VALUES.
I THINK THAT I'M JUST MAKING A CASE FOR CLIMATE CHANGE TO BE A PRIMARY VALUE HERE.
I URGE YOU TO CONTINUE THIS CASE.
[NOISE] NORTHERN ARIZONA HEALTH CARE, WORK WITH CITIES, SUSTAINABILITY FOLKS, COME UP WITH REAL NUMBERS, REAL COMMITMENTS.
THERE'S A COMMENT ABOUT MASS TIMBER IN THE SPECIFIC PLAN THAT'S HUGE BUILDINGS OUT OF WOOD.
THEN TONIGHT THERE'S AN ENGINEER TALKING ABOUT STEEL.
THAT IS THEY'RE GOING COMPLETELY OPPOSITE DIRECTIONS.
I WOULD SUGGEST CONTINUOUS TO RESOLVE THIS AND GET TO FIRM NUMBERS AND FIRM COMMANDS.
>> [INAUDIBLE] UP IN NORTHERN ARIZONA FELT SECURE.
CITIES, SUSTAINABILITY FOLKS COME UP WITH REAL NUMBERS.
OKAY. BRANDON CLARK [INAUDIBLE].
>> HELLO. MY NAME IS BETHANY AND I LET NAH SYSTEMS DIRECTOR FOR CRITICAL CARE SERVICES.
I HAVE BEEN WITH AN NAH FOR 21 YEARS AND LIKE GE, I WAS ALSO BORN AT FLAGSTAFF MEDICAL CENTER.
I ALSO GREW UP AT THE HOSPITAL AS MY GRANDMOTHER WAS A LABOR AND DELIVERY NURSE.
I HAVE SEEN THE INS AND OUTS OF MANY, MANY REMODELS ACROSS THE CAMPUS THROUGHOUT MY ENTIRE LIFETIME.
SIMPLY WE JUST OUTGROWN OUR CURRENT BLUEPRINTS.
THERE'S LOTS STANDS HERE FOR HOURS TALKING TODAY ABOUT ALL OF THE STRUGGLES WE HAVE.
BUT I'M GOING TO JUST OUTLINE A FEW THAT WE HAVE IN OUR ICUS. IN PARTICULAR.
ONE OF THEM, WE HAVE GREAT EXCUSE CURRENTLY UNDERCLASS THAT CAMPUS IN ONE OF OUR UNITS, ITS LITERALLY A THOROUGHFARE THROUGH THE REST OF THE HOSPITAL.
WE'RE TRYING TO TAKE CARE OF CRITICAL PATIENTS WHILE OTHER PATIENTS ARE BEING TRANSPORTED THROUGH THIS UNIT.
THAT DOES NOT ALLOW DIGNITY TO OUR PATIENTS, THE PRIVACY THAT THEY DESERVE.
SECOND, MOST OF OUR ICU ROOMS ARE VERY SMALL.
YOU SAW IN THE PRESENTATION, ONE OF THE PICTURES OF OUR ICU ROOMS. IT MAKES IT NEARLY IMPOSSIBLE FOR US TO FIT ALL OF THE NECESSARY EQUIPMENT TO SAVE THE LIVES OF OUR FEATURES AND OUR COMMUNITY.
ADDITIONALLY, IN ONE OF OUR ICUS IN PARTICULAR, WE DO NOT HAVE GREAT SUNLIGHT.
IN FACT, SOME OF OUR ROOMS LOOK DIRECTLY AT ANOTHER BUILDING.
OUR PATIENTS NEED SUNLIGHT TO HEAL.
OUR PATIENTS NEED TO USE NATURE TO HEAL.
SHARE BATHROOMS IN OUR ICU ROOMS. THAT MAKES ONE PATIENT TO ONLY BE ABLE TO UTILIZE THAT SIDE, PROMOTE OUR PATIENTS DESERVE ACCESS TO PRIVATE BATHROOMS. THE LAST CONCERN IS THAT WE HAVE SEVERAL UNITS WITH SHARED ROOMS.
[02:55:03]
AS YOU HEARD IN ANY OF THE OTHER LETTERS, THIS CAUSES LOTS OF PURCHASE TO OUR STAFF, BUT MOST IMPACTFUL TO OUR PATIENTS WHO DESIRE A PRIVATE ROOM WHILE THEY'RE IN THE HOSPITAL.BECAUSE MY HUSBAND WAS RAISED IN FLAGSTAFF AND WORKS FOR THE CITY AS A FIREFIGHTER.
HE IS ALSO IN APPROVAL OF THIS PROJECT.
WE'RE RAISING OUR TWO BOYS IN THIS WONDERFUL COMMUNITY AND WE PLAN TO RETIRE IN THIS COMMUNITY.
THIS PROJECT WILL ONLY ENHANCE THEM EASY TO DO.
OUR PATIENTS, STAFF AND COMMUNITIES DESERVE BETTER HEALTH AND WELLNESS FOR BETTER HEALTH AND HEALTH CARE AND WELLNESS VILLAGE WILL PROVIDE US. THANK YOU.
>> THANK YOU GUYS FOR HAVING ME.
BRIAN CLARK JONES, I'M THE [INAUDIBLE] DIRECTOR AT ANY AGE 6123 GELATIN BRANCH ROAD.
GOING TO SPEAK ON BEHALF OF ANY AGE WHO SUPPORT THE NEW HEALTH AND WELLNESS PATIENT CARE PERSPECTIVE AND THE DELIVERY OF HIGH-QUALITY HEALTH CARE AND CRITICAL SERVICES PERSPECTIVE.
WE'RE REALLY JUST THE COSINES AS FAR A BETTER AVAILABILITY AND PATIENT ACCESS.
I THINK THAT ALMOST 5,600 PATIENTS AWAITING SEE THE TOTAL AREA, MAINLY DOWN TO THE VALLEY OF PATIENTS THAT WE'D LIKE TO KEEP OUR COMMUNITY AND CONTINUE TO SERVICE AND PROVIDE HEALTH CARE NEEDS NOT ONLY TO THEM AS A FAMILY AS WELL.
THE NEW FACILITY ALLOWS FOR EXPANSION IN UNIVERSITY DEPARTMENTS, PROVIDING SIGNIFICANT MORE BEDS.
CURRENT STATE OF EMERGENCY DEPARTMENT IS THAT IN OUR WAITING TIMES CAN BE SIX TO 8 H, WHERE A LOT OF PEOPLE TRAUMA OR COMMUNITY LEVEL TRAUMA ACCIDENTS THAT YOU DON'T WANT TO ABLE TO GET TO A BET.
SOMEBODY THAT'S GOT A SHOULDER DISLOCATION SITS FOR SIX 8 H BECAUSE THEY CAN'T GET TO A ROOM.
DID THAT DO A LOT OF THAT'S BECAUSE OF ALL THE PATIENTS AND THEY'RE NOT ABLE TO GET THOSE UPSTAIRS TO THE BED BECAUSE BACK TO EXPENSE AS MORE ORS WORK WITH CURRENTLY.
WHAT TIME IS 6-8 WEEKS HOURS OUT ON ELECTED CASES? CASES SCHEDULED RABBITS FOR THOSE PATIENTS AWAY BECAUSE WE'RE NOT ABLE TO TAKE YOU BECAUSE WE JUST DON'T HAVE ACCESS TO THE OR.
OBVIOUSLY WE WANT TO CHANGE THOSE BETTER FACILITY AND PROVIDED THOSE NEEDS.
I THINK SPEAKING WITH PEOPLE AS FAR AS HAVING MORE ASSERTIVE, MESSY BEDS AND MCCLESKEY BEST ROOMS, ALL OF THAT STUFF WILL PROVIDE BETTER PATIENT ENCOUNTER AND A BETTER PATIENT OUTCOMES.
I JUST WANT TO HELP YOU ENCOURAGE THAT SUPPORT AROUND THE FACILITY AND BETTER HEALTH CARE FOR.
NEXT WEEK AFTER MARCH, WE HAVE WHAT'S CALLED REGARDING MY NAME IS DAVID.
I'M AN INTERVENTIONAL CARDIOLOGIST, EITHER THE 21, 30 TO TWO OR THREE MONTHS.
I'M READING IT ON BEHALF OF DR. MARK CASSIDY WHO COULDN'T BE HERE.
HE STATES THAT HE IS THANKFUL FOR THAT CHANGE TO SPEAK.
HE IS A CARDIOTHORACIC SURGEON.
HE'D BEEN PRACTICING IN THE COMMUNITY FOR THE LAST 12 YEARS.
IMAGINE YOURSELF OR LOVED ONE UNDERGOING A MAJOR SURGERY OR SUFFER A MAJOR MEDICAL EVENT THAT REQUIRES HOSPITALIZATION.
BEING IN HOSPITAL IS INHERENTLY UNCOMFORTABLE AND RODE WITH INTERRUPTIONS IN REST.
MUCH OF THIS IS UNAVOIDABLE AND NECESSARY AS PART OF PATIENTS TREATMENTS.
NOW TOSS IN ANOTHER PATIENT AS A ROOMMATE WHO HAS HIS FLESH HER INTERRUPTIONS AS PART OF THEIR TREATMENT PLAN.
THEY ARE MERE 4 FT AWAY FROM YOU OR YOUR LOVED.
REST IN A LOW-LEVEL STRESS ARE IMPORTANT ASPECTS FOR RECOVERY FROM SURGERY AND ILLNESS.
THE CURRENT HOSPITAL DOES NOT AFFORD THIS DUE TO MANY PATIENTS THAT HAVE ISSUE OF ROOMS. LAST STEP MEDICAL CENTER SAW HIS FIRST PATIENT IN 1936.
SINCE THIS TIME, THE HOSPITAL THAT HAS BEEN GROWING AND EXPANDING SERVICES IN AVERAGE, YOU'D BETTER CARE FOR THE NORTHERN ARIZONA POPULATION.
THIS INCLUDES A 78,000 RESIDENTS OF PLANNING STAFF, MORE THAN 160,000 MEMBERS OF THE NAVAJO NATION, AND MORE THAN 12,000 MEMBERS OF THE HOPI NATIVE AMERICAN RESERVATION.
[03:00:04]
THE CURRENT FACILITY IS NOT HAVE THE CAPACITY TO SERVE THE SIZE OF THIS COMBINED PATIENT POPULATION.THE GROWTH AND EXPANSION OF A HOSPITAL NEEDS TO CONTINUE IN ORDER TO SERVE NORTHERN ARIZONA POPULATION.
BUT ALSO THE CURRENT FACILITY HAS NO FURTHER.
I BELIEVE THAT THE PROPOSED NORTHERN ARIZONA HEALTH CARE HEALTH AND WELLNESS BILL, WHICH IS NECESSARY FOR MULTIPLE REASONS.
THE FIRST BEING A BETTER PLACE FOR CONVALESCENCE FOR PATIENTS WHERE THEY ARE AFFORDED PRIVACY THAT WILL ONLY ENHANCE THE RECOVERY.
ANOTHER IMPORTANT CONSIDERATION IS THAT THE MEDICAL FIELD IS CONSTANTLY CHANGING.
WE HAVE GREAT PROVIDERS CURRENTLY, BUT MANY OF THESE INDIVIDUALS WILL ULTIMATELY RETIRE OR MOVE ON TO OTHER POSITIONS FOR VARIOUS REASONS.
HAVING AN UP-TO-DATE FACILITY IS CRUCIAL TO ATTRACTING NEW POSITION AT ANDERSON TALENT NORTHERN ARIZONA HEALTHCARE SYSTEM, AND ALLOWS FOR EXPANSION OF SERVICES TO CARE FOR THE PEOPLE OF NORTHERN ARIZONA.
THOSE ARE DR. CHAD'S WORDS I'D LIKE TO SAY PERSONALLY, I'VE BEEN PART OF FLAGSTAFF NAH IS NOT A MEDICAL COMMUNITY FOR FIVE YEARS, WHICH I UNDERSTAND MAKES ME A NEWBIE AROUND HERE BUT WE LOVE IT HERE.
THIS IS A WONDERFUL COMMUNITY AND I'M VERY PROUD TO BE PART OF THE HEALTHCARE COMMUNITY COMPLEX THAT IS VERY LUCKY TO HAVE THE QUALITY OF TALENT THAT IS HERE AND DEDICATION OF THE PHYSICIANS AND NURSES THAT SERVICE COMMUNITY.
I HAVE NOT SEEN IN OTHER MAJOR URBAN AND LARGE ACADEMIC CENTERS.
I THINK THIS IS A PLACE WHERE I'M VERY PROUD TO WORK.
IT'S A PLACE IT I WANT TO RETIRE.
WE'RE RAISING OUR FAMILY HERE.
I WHOLEHEARTEDLY SUPPORT THE NEED FOR NEW FACILITIES TO TREAT THE PATIENT POPULATION HERE WHICH IS THROWN INTO THE FIVE YEARS THAT WE'VE BEEN HERE.
I THINK I WOULD ACT ON THE COMMENTS OF OTHERS THAT THAT'S NEEDED TO RETRACT IN THE COUNTY.
I'M THE PRESIDENT OF NAH MEDICAL GROUP.
I'M A PEDIATRICIAN BY TRAINING.
I'VE BEEN THROUGH ABOUT 10 MONTHS, NINE TO 720, PROGRESS PERFECTLY IN FLAGSTAFF.
ONE OF MY PRIMARY RESPONSIBILITIES IN MY ROLE IS RECRUITING, BRINGING IN PHYSICIANS AND OTHER PROVIDERS TO THE NAH, DR. PRAKASH, CHAIR, I SUPPOSE IN FLAGSTAFF AND INVERT THAT, I'M GOING TO FOCUS ON RECRUITING, RECRUITING, PHYSICIAN SHORTAGE IN THE COUNTRY.
WORSE SINCE DEPENDENT IN RECRUITING IS VERY CHALLENGING, IT'S VERY COMPETITIVE.
WE KNOW WE'VE GOT A LOT GOING FOR US OR WE GOT AN OUTSTANDING ORGANIZATION, GOT EXCELLENT PROVIDERS, OUTSTANDING STAFF.
YOU'VE HEARD HIM TALK TONIGHT.
I DON'T HAVE TO TELL PEOPLE IN THIS ROOM AND THAT FLAGSTAFF SELLS ITSELF.
EVEN DOCTORS COMPLAIN ABOUT HOUSING PRICES AND FACILITIES DON'T HELP US.
THEY'RE GOING TO BECOME MORE AND MORE OF A LIABILITY WHEN IMPORTANT TO HER TO LIKE DR. LINDQUIST ABOUT A HUGE ASSETS AS COMMUNITY ONCOLOGISTS SPEAK ABOUT THE CHALLENGES IN ONCOLOGY.
IT IS REALLY HARD TO BRING CANDIDATES THROUGH.
IT'S LIKE THAT AS PART OF THE PROCESS.
NOT INSURMOUNTABLE, BUT DEFINITELY A CHALLENGE.
THERE WILL BE A HUGE ADVANTAGE TO US TO BE ABLE TO WALK THEM THROUGH AND JUST NEW FACILITIES BUT STATE OF THE ART FACILITIES, NEXT-GENERATION TREATMENT OPTIONS, VISION DOES NOT PROVIDE BETTER CARE.
TO ME, THE METAL GROUP, THIS IS NOT JUST NOT JUST ABOUT FIELD PROVIDE BETTER CARE TO ME, BUT ALSO ABOUT HELPING US TO BRING IN PEOPLE WHO CAN HELP TO DRIVE THERE. THANK YOU.
>> THANK YOU. ALLIE HALEY AND THAT'S IS RODNEY ENGEL.
>> MY NAME IS TAYLOR AND I'M READING A LETTER ON BEHALF OF DR.
CHRISTOPHER DEEPENBACH [INAUDIBLE] PHYSICIAN STANDPOINT, OUR EXCITEMENT FOR THIS PROJECT REVOLVES AROUND OPTIMIZE PATIENT CARE.
THE COMPARABLE BONDS, VILLAGES MASCULINITY AS A LITTLE LOUD FOR THE CONTINUUM OF CARE AND THE TYPE OF PATIENT.
THE VILLAGE BRINGS PARTICULAR FOCUS ON PREVENTIVE MEDICINE IN CARE WITH EASE OF PATIENT ACCESS AND INTEGRATION OF CARE THAT PROVIDES A SUPPORTIVE ENVIRONMENT.
THE SURGEONS AND PROCEDURALISTS AT THE TOP OF THE LINE, FACILITIES AND EFFICIENCIES [INAUDIBLE] THE HIGHEST LEVEL OF PATIENT CARE FOR OUR COMMUNITY MOVING IN TO THE [INAUDIBLE]
>> THANK YOU. AFTER BROADY ME IS SCOTTY ROSIE.
>> I'M RUNNING LOW FOR THE 2073 CALLS TO THE CIRCLE.
I AM GASTROENTEROLOGISTS IN TOWN AND PRIVILEGES THAT BICEP MEDICAL CENTER,
[03:05:03]
I BELIEVE IN ONE OF THE ONLY PHYSICIANS HERE IS MEDICAL CENTER.I'M VERY MUCH AGAINST THE HOSPITAL THEM DEFINITELY NEEDS AN UPDATE TO THE HOSPITAL DEFINITELY USE THE FACILITIES.
BUT THE HOSPITAL IS NOT WORKING WITH LOCAL PROVIDERS.
THEY HAVEN'T RESPECTED THE MEDICAL COMMUNITY THAT WE HAVE AROUND HOSPITAL HELP, AS IT IS LOCALLY CALLED, THEY'VE NOT REACHED OUT.
THEY EXPECT US TO MOVE TO THAT AREA WITHOUT RESPECTING WHAT WE HAVE NOW THEY HAVE NOT MADE ANY PLANS ARE CERTAINLY HAVEN'T COMMUNICATED THAT MEAN FOR WHAT THEY EXPECT FOR THAT AREA WHICH IS NEAR MY HOME.
THEY HAVE NOT COMMUNICATED TO ME HOW THE CURRENT SURGERY CENTER AND MY OFFICE WILL HAVE PATIENTS GO TO A HOSPITAL NOW ON THE OTHER SIDE OF TOWN OR AS I CURRENTLY HAVE MY OFFICE ON THEIR PROPERTY.
THESE THINGS ARE VERY CONCERNING FOR ME AND THERE'S BEEN VERY LITTLE COMMUNICATION, SOMEWHAT UPSET.
THEY HAVE NOTES FROM A MEDICAL DIRECTOR IN PHOENIX OR TO THE CITY, BUT HAVEN'T REACHED OUT TO ME.
THAT GIVES AN IDEA OF WHAT WE'RE DEALING WITH WHEN TALKING TO MR. TINKLE REFERS TO MY PARTNER ANDREW TO OVER HIGHS FROM TALKING TO HIM.
HE ALSO ENCOURAGED ME TO SAY HE'S NOT IN FAVOR OF THIS.
I CAN HAVE MAJOR CONCERNS WITH HOW NORTHERN ARIZONA IS APPROACHING CURRENT HEALTH CARE AND CURRENT PROVIDERS IN TOWN TO EXPAND AN ENTIRE BONUS PILLAGE.
BUT NOT RESPECTFUL IF THEY ALREADY HAVE HERE.
I THINK THAT'S A MAJOR CONCERN FOR OUR COMMUNITY, FOR PROVIDERS.
THE PEOPLE THAT ARE HERE THAT WE'RE GOING TO ACCEPT THAT DON'T FEEL EMPOWERED TO SPEAK TO THEIR BOSSES ABOUT SOMETHING THAT THEY MAY NOT BE.
THESE ARE MY MAJOR CONCERNS, THANK YOU FOR YOUR TIME. [NOISE]
>> HI, GOOD EVENING MY NAME IS RODRIGUEZ.
I WORK AT ANY AGENTS OF THE SYLLABUS LICENSING MANAGER.
I ACTUALLY RESIDED AND SHOW [INAUDIBLE] WHEN WE THINK ABOUT EVERYTHING THOSE SMALLER COMMUNITIES WITH RESOURCES [INAUDIBLE] GENERALLY LOCATED A FAIR DISTANCE FROM HEALTHCARE FACILITIES ARE SPECIALISTS.
MANY TIMES THIS CAN REQUIRE PATIENTS, FAMILY MEMBERS TO HAVE TO TAKE A DAY OR A WHOLE DAY OFF WORK OR SOMETHING AS SIMPLE AS NEEDED JUST TO FOLLOW UP WITH.
THESE INCONVENIENCES OFTEN RESULT IN PATIENTS PUTTING OFF THEIR HEALTH CARE.
UNFORTUNATELY, THE CHALLENGES OF RURAL HEALTH CARE IS SIMPLY TO KEEP THE DOORS OPEN.
LET ALONE TO EXPAND THE SERVICES THEY ARE MOUNTING.
CMS TELLS US THAT SINCE 2010, MORE THAN 137 RURAL HOSPITALS HAVE CLOSED.
MANY OTHER HOSPITALS WITHIN RURAL COMMUNITIES ARE AT RISK OF CLOSING, WITH MORE THAN 47% OF THE COUNTRY'S RURAL HOSPITALS REPORTING NEGATIVE OPERATING MARGINS.
MANY OF THEM TRYING TO STAY AFLOAT JUST BY SIMPLY CLOSING OR SPECIALTY UNITS SUCH AS OB-GYN, ONCOLOGY AND SO FORTH.
HOWEVER, IN SPITE OF THESE TRENDS IS BROKEN INTO THESE DO NOT HAVE TO BE DESTINED FOR THIS FUTURE.
WORLD COMMUNITIES CAN STRIKE TO SURVIVE, TO PROVIDE THE CARE AND SPECIALTY SERVICES REQUIRED BY RESIDENTS DIFFUSIVITY.
TO PROVIDE THIS DEPTH OF SERVICE, THE COMMUNITY MUST BE ABLE TO ATTRACT AND SUPPORT PHYSICIANS, PHYSICIANS, NURSES, HEALTH CARE PROFESSIONALS REQUIRED TO DELIVER THAT CARE.
THIS MEANS HAVING FACILITIES THAT MEET CURRENT CODE LEVELS AND CAN ACCOMMODATE THAT TECHNOLOGY AND EQUIPMENT THAT THE PROFESSIONALS ARE BEING TRAINED ON DURING THEIR SCHOOL.
AS FAST PAST FIVE YEARS, I'VE WORKED IN THE HEALTH CARE ORGANIZATION THERE AND SHOW UP.
I CONSISTENTLY, SEND PEOPLE OFF THAT MOUNTAIN TO DELIVER SPECIALIZED CARE AND OTHER COMMUNITIES. EVEN HERE.
I WITNESS, THE STRUGGLE TO OBTAIN AND KEEP PROVIDERS IN THE SHOW LOW COMMUNITY DUE TO THE LACK OF FACILITIES AND TECHNOLOGY NEEDED FOR THOSE SPECIALTIES.
SINCE JOINING ANY NHA OVER A YEAR AGO, MY FAMILY AND I HAVE ALSO EXPERIENCED FIRSTHAND THE CHALLENGE AND THE FLUX THAT PASSES IN CRISIS.
I HEARD A COUNTLESS OTHERS THAT NADH HAS TRIED TO RECRUIT FOR OPEN POSITIONS ONLY TO HAVE THE OFFICE BEING NOT ABLE TO AFFORD TO RELOCATE HERE.
THIS PROPOSED DEVELOPMENT WILL NOT ONLY HELP PROVIDE AFFORDABLE HOUSING OPTIONS, ALSO UNLOCKS BROADER REACHING HOUSING OPPORTUNITIES THROUGH THE DEVELOPMENT AND REDEVELOPMENT OF EXISTING NAH PROPERTIES, AS WELL AS PROVIDING ACCESS AND INFRASTRUCTURE TO NORMAL LANDS.
NO PROJECT WILL EVER PERFECTLY ADDRESS EVERY CONCERN IN EVERY COMMUNITY, AS I'VE SEEN IT MULTIPLE.
WELL, THE NEW HOSPITAL, AMBULATORY CARE OR MAY NOT BE CARBON-NEUTRAL AT THEIR OPENING.
THE BENEFITS THEY WILL PROVIDE TO THIS COMMUNITY CANNOT BE FULLY QUANTIFIED.
[03:10:01]
I'M FULLY IN SUPPORT OF AN NAH HAVING A HEALTH AND WELLNESS PILLAGE.[NOISE] AFTER BRADFORD WILL BE SARAH REEVES.
>> THANK YOU MRS. ROBERT CROFT AND I'M A FAMILY PHYSICIAN WHO WORKS AT [INAUDIBLE] FOR TWO YEARS.
I HAVE HAD THE OPPORTUNITY TO SEE A LOT OF THE EVOLUTION I'M TALKING ABOUT IN THEIR CARE AND I WILL MAKE AN OBSERVATION AFTER BEING HERE FOR DECADES THAT WHAT USED TO BE THE PRACTICE OF MEDICINE AS WELL TURNED INTO THE BUSINESS OF MEDICINE.
THAT'S REALLY CHANGING THE FACE OF WHAT WE'RE DOING IN [INAUDIBLE] PROFITABLE CERTAINLY PROBABLY HEARD OF PEERS, IS ALL PROPERTY MEDICINE, IT'S ALL A MATTER OF MONEY.
IF WE TAKE A LOOK AT WHERE WE ARE IN THIS COMMUNITY, MY CONCERNS ARE THAT AGE AND [INAUDIBLE] WE'VE SEEN A NUMBER OF THINGS THINKING ABOUT HEALTH CARE COMMUNITIES AS THEY'RE ABSORBING SIMPLY SPECIALISTS.
IS THAT WHEN ABSORBED CARDIOLOGY, DR. WILLIAMS WANT AN EXCELLENT JOB.
THERE'S SOME COMPETITION THERE.
IT TOOK ABOUT [INAUDIBLE] THEY BOUGHT WHEN CELLS, THIS IS THE MANAGEMENT OF THAT HAS REALLY GONE DOWN, THAT INITIALLY YOU WOULDN'T GET SOME TO ASK THE THRONE, OR HAVE SOME VAGUE ANSWER IN THE PHONE BETWEEN WOKER, BUT MESSAGE IT WAS NEVER RETURNED.
BECAUSE IT WAS SUCH BAD SERVICE THEN COMPETITION PEAK CARDIOLOGY TEAM CONTINUES DURING CARDIOLOGY OFFICE REPLACEMENT, BASICALLY THAT IS THE SECRACY, LIKE 77,000 FT PROBABLY HAS THE MOST PRE-CAPITALIST SLEEP APNEA PATIENTS IN UNITED STATES.
SLEEP APNEA IF YOU DON'T TREAT, IT WILL LIKELY LIMIT YOUR LIFE EXPECTANCY FOR EVEN 10 YEARS.
THE CLOSEST PEOPLE THINK WE DON'T HAVE THAT PASSION WITH WORK CAREFUL WITH PATIENTS, THIS IS A FISH YOU WANT TO SEE IT.
THAT'S FAR AS THE RECENT THINGS WITH THE CLOSING OF THE POOL ANALOGY, BUT HERE'S A CLINIC OR APPROXIMATELY LOOKING UP.
BUT THERE IS NO LONGER HAVING THAT PATIENT CARE AT 7,000 PEOPLE DESPERATE LUNG ISSUES.
THAT'S HOW THE INTESTINE JUST SERVING THE SAME GROUP WHICH SHOULDN'T BE TESTED CARE WITH CRITICAL CARE, THE QUESTIONS THAT I'M LOOKING AT AS FAR AS MOVING FORWARD WITH THIS BECAUSE THE BOX IS BEAUTIFUL.
I MEAN I UNDERSTAND WHAT YOU'RE LOOKING TO DO WITH THIS OF BEAUTIFUL.
[INAUDIBLE] THE QUESTION OF IT ISN'T THE RIGHT THING THE RIGHT TIME TO WORK WITH [INAUDIBLE] BECAUSE AS THE FACILITIES MIGHT UNDERSTAND AS FAR AS THEY NEED FOR NEW FACILITY IS BECAUSE THEY WERE TURNING PEOPLE AWAY OR THEY BRING ADMISSIONS, BUT WHAT I UNDERSTANDING FOR PEOPLE ON THE INSIDE, IS BECAUSE THEY DON'T HAVE STAFF WERE CLOSING UNITS THAT WE'RE CLOSING FORKS AND WE'RE NOT HAVING THAT SERVICE.
THE CHALLENGE WITH THAT WAS NO SERVICE, SO THE REVENUE MAYBE THE REASON THAT THEY ARE IN A RED FOR WELL.
THE CHALLENGE THAT I SEE WITH THAT IS TO BUILD THIS NEW BOX, THERE WAS A MOVIE.
THEY KNOW THAT THEY WILL [NOISE] THE DREAMS BECAUSE IF WE DON'T HAVE AN ADEQUATE AMOUNT OF STAFFING AND PROFESSIONAL CARE AT THIS POINT IN TIME IS WILLING TO FACILITY.
IS GOING TO ALLOW US THAT THOSE ARE GOING TO AUTOMATICALLY COME TO US BECAUSE IT'S A BEAUTIFUL PLACE.
I WOULD CHALLENGE YOUR ADMINISTRATION TO DO A BETTER JOB GETTING PEOPLE TO CLEAN UP.
THE SOLDIERS THAT WE HAVE NOW UTILIZING THROUGH THOSE PEOPLE TAKEN CARE OF.
THANK YOU FOR LISTENING TO ME FOR SOMETHING DIFFERENT THAT [NOISE] AS FAR AS THE 7410 HOUSES.
>> THAT GOES TO A NEW HOSPITAL.
MORE THAN GETTING OPPOSED TO JUST HAVE THE QUESTION IS THIS IS THE APPROPRIATE USE FOR THAT SPACE? DOES THIS FIT THE NEIGHBORHOOD? DOES IT FIT WITH THE IDEAS AND THE MANAGEMENT THAT LONG-RANGE PLANNING THAT THE CITY HAS [NOISE] THERE IS PROBLEM, SOLUTION TO THAT PROBLEM.
>> STEPHEN, SARAH AND THEN REEVE ROWLENCE.
>> HELLO EVERYBODY OKAY? STRAIGHT AWAY, THANK YOU AS ZOOMING COMMISSION FOR GOING THROUGH THIS PROCESS AND THANK EVERYBODY FOR THEIR COMMENTS TONIGHT.
MY NAME IS DR. STEPHENS SUMMER I HAVE BEEN IN FLAGSTAFF FOR JUST OVER 20 YEARS AND AT 3855 SOUTH TO [INAUDIBLE] I'M NOT A MEDICAL DR.
[03:15:06]
I'M A PHD RETIRED PROFESSOR AFFIRMED IN A AU, SO I HAVE GOT A SLIGHTLY DIFFERENT PERSPECTIVE ON THIS BECAUSE I DO READ THE SCIENTIFIC LITERATURE ON CLIMATE.MANY OF YOU READ THE CASE THAT THE DOCTORS AND NURSES COMMUNITY CARE FOR PEOPLE'S HEALTH AND THERE'S NO QUESTION [NOISE] THAT YOU ALL CARE ABOUT THE COMMUNITY IN THAT SENSE, BUT ALSO THE PEOPLE WHO PUT THE LANGUAGE INTO OUR REGIONAL PLANNING THAT REQUIRES THAT WE BECOME CARBON NEUTRAL BY 2030, AND THAT ANY NEW DEVELOPMENTS TAKE THAT INTO CONSIDERATION AND LOOK AT WHAT THEIR CARBON IMPACT WILL BE AND FOR HOW IT WILL AFFECT THE CITY MEANING THAT FOR EVERY UP TO MEET THAT GOAL BECAUSE IT'S EVERYBODY'S RESULT, AND SO FOR THE CITY BOOKS AND Y'ALL TO BE ABLE TO EVALUATE THIS PLAN YOU NEED TO KNOW WHAT IS THE ACTUAL CARBON FOOTPRINT SO BY DEFICIENCIES AND SOME THINGS THAT ARE BEING DONE PERHAPS A BETTER WAY THAN THEY COULD OTHERWISE BE DONE, BUT WE DON'T KNOW THE BOTTOM LINE, WE DON'T KNOW WHAT THE ACTUAL CARBON FOOTPRINT OF THIS PLAN IS, AND WE NEED TO KNOW THAT BEFORE YOU OFTEN PICK IT [INAUDIBLE].
YOU CANNOT MAKE THIS DECISION IN A VACUUM.
FOR THOSE OF YOU WHO DON'T READ THE SCIENTIFIC LITERATURE ON CLIMATE CHANGE I'D BE HAPPY TO MAKE A PRESENTATION AND GIVE YOU THE UPDATE ON WHAT IT BUT IT'S NOT GOOD.
YOU DON'T NEED TO JUST RELY ON THE SCIENTIFIC LITERATURE TO REACH THAT.
YOU KNOW THAT OUR COMMUNITY HERE HAS BEEN SUFFERING FROM INCREASED RISK OF WILDFIRE, ACTUALLY HOUSES BURNING DOWN LETTING ALL OVER TOWN BECAUSE WE'RE GETTING 4.500 YEARS SWARMS TWICE IN THE SUMMER.
IT'S INSANE, AND WHAT'S COMING IS MUCH MORE, SO WE NEED TO PUT THAT INTO OUR PLANNING FOR THE FUTURE.
PERHAPS I THINK PEOPLE HAVE MADE THE CAKES DOES NEED TO BE AN INFRASTRUCTURE IMPROVEMENT IN THE HOSPITAL, SO PEOPLE CAN CARE FOR THE COMMUNITY AND THE BEST POSSIBLE WAY, CHEAP PART OF THAT IS WHAT IS THE CARBON FOOTPRINT AND SO YOU GUYS KNOW [INAUDIBLE] FROM ME.
GOOD LUCK HAS FALLEN LIVES IN TOWN [BACKGROUND].
>> I'M READY ABOUT THIS DIABETES CEDAR [INAUDIBLE] JUST THE EXISTING HOSPITALS.
MADAM CHAIR, AND MEMBERS OF THE STAFF, THANK YOU FOR LISTENING TO SO MANY PEOPLE WHO HAVE A VARIETY OF OPINIONS ON THIS ISSUE.
I'M HERE TO GIVE YOU A PERSPECTIVE OF SOMEONE WHO'S THIRD-GENERATION NATIVE OF HIS LIFE IN FLAGSTAFF, AND DURING MY LIFETIME I'VE SEEN OUR COMMUNITY CHANGE FROM A SMALL SLEEPY TOWN THE NORTHERN ARIZONA ARE FEWER THAN 10,000 PEOPLE.
TO ROBUST AND DYNAMIC COMMUNITY ALMOST 80,000 PEOPLE SURROUNDED BY ANOTHER 20 TO 30,000.
SOME OF THE CHANGES THAT I'VE SEEN IT FOR THE BETTER AND SOME NOT SO MUCH.
THERE'S ONE THING THAT HAS PLAGUED OUR COMMUNITY, BETTER PART OF MY LIFETIME.
THAT BEING THE LACK OF VISION OF WHAT WE COULD BE.
AS A RESULT, MOST PART DEVELOPMENT HAS BEEN REACTIVE RATHER THAN PRODUCT THAT HAS BEEN INJURED BY THOSE WHO WISH WE COULD KEEP THINGS THE WAY THEY ARE, FROM THOSE WHO MOVE TO YOUR MOST RECENTLY IN ONE CLOSE THE GATE NOW THAT THEY'RE HERE.
[LAUGHTER] IN MANY WAYS, I WISH WE COULD GO BACK TO 1960 TO THAT SLEEPY TOWN I GREW UP.
IN THAT TRAIN LEFT THE STATION ALONG TIME AGO.
THE HOSPITAL TODAY IS SERVED US VERY WELL WHEN THE YEARS AND IT WOULD BE EASY FOR US TO SIMPLY SAY WHY CAN'T THIS HOSPITAL COULD TURN IT CONTINUES TO SERVE AS WELL INTO THE FUTURE.
HEALTH CARE IS A COMPETITIVE INDUSTRY, AND I KNOW THE PAINTINGS METRO AREAS ADDING AS MANY AS FOUR NEW HOSPITALS IN THE NEXT FEW YEARS.
I REMIND YOU THAT THERE'S A COST TO DOING NOTHING.
THE COMMUNITY PLANS THAT WILL BEAR THE COST OF MAINTAINING THE STATUS QUO FOR THIS HOSPITAL.
THE COST AND NOT BEING ABLE TO ATTRACT THE BEST DOCTORS, THE BEST PIERCES, THE BEST TECHNICIANS OR HAVE THE BEST TECHNOLOGY.
WITHOUT QUESTION NAH HAS NUMEROUS ISSUES BESIDES THE LOCATION OF THEIR HOSPITALS.
SOME OF THOSE ISSUES HAVE BEEN IMPOSED ON THEM BY OUR COMMUNITY, SUCH AS THE LACK OF HOUSING IS AFFORDABLE EVEN SOME OF THE BEST PAID NURSES OR TECHNICIANS.
[03:20:01]
IS MY HOPE THAT ANY AGE WELL AS OTHER LARGE EMPLOYERS WILL STEP UP AND HELP OUR COMMUNITY DRESS THAT HOUSING.THE FLAGSTAFF THAT COULD MEAN SHOULD INCLUDE THE FIRST-CLASS HEALTH CARE.
DON'T LET THE LACK OF VISION IN PREVIOUS GENERATIONS PLAYED THE GENERATIONS YET TO COME.
NO MATTER WHAT NAH WILL PROPOSE WILL BE THOSE WHO OPPOSE IT.
THOSE WHO DON'T THINK HE GOES FAR ENOUGH FOR SUSTAINABILITY.
THOSE WHO THINK THAT DOESN'T DO ENOUGH OR PUBLIC TRANSPORTATION, AND THOSE WHO THINK IT DOES TOO MUCH TO FACILITATE FUTURE GROWTH.
SOME OF US HOWEVER, SINCE THE COST OF DOING NOTHING FAR OUTWEIGHS THE COST OF DOING SOMETHING.
I'D ALSO LIKE TO ADD ONE COMMENT REGARDING MY CAPABILITY.I FIRST STARTED ATTENDING IN THE YEAR LATE 60S, AND THEN YOU BUILT A NINE STORE-Y BLOCK, WHICH REQUIRED THE CITY OF FLAGSTAFF TO BUY A LADDER TRUCK.
[LAUGHTER] I GUARANTEE YOU CONTRIBUTE $0.10 CENTS [APPLAUSE]
>> MY NAME IS SUSAN HOUGHTON, THE ASSISTANT DIRECTOR FOR SURGICAL SERVICES.
I'M SPEAKING ON BEHALF OF DR ADAM WEISS.
HI MY NAME IS DR WEISS, I'M SPEAKING TO YOU IN SUPPORT OF THE [INAUDIBLE] HOSPITAL PROJECT.
I'VE BEEN LIVING IN FLAGSTAFF AND PRACTICING AT FLAGSTAFF MEDICAL CENTER FOR SEVEN YEARS.
I'M A CARDIAC ANESTHESIOLOGIST AND ASSISTANT MEDICAL DIRECTOR FOR ANESTHESIOLOGY SERVICES.
I'VE WORKED IN A PRIVATE GROUP AND AS AN EMPLOYED POSITION WITH THE HOSPITAL.
BUT MOST IMPORTANTLY, FLAGSTAFF IS MY HOME.
PROVIDING HIGH-QUALITY HEALTH CARE FOR THE COMMUNITY IS MY TOP PRIORITY.
I RECOGNIZE THAT MOVING THE HOSPITAL WILL WORSEN MY COMMUTE, MAKE CALL MORE DIFFICULT AND EXPOSE NEW CHALLENGES FOR THE CITY.
BUT LIKE MOST THINGS IN MEDICINE, WE MUST CONSIDER RISKS AND BENEFITS.
IN THIS CASE, THE RISKS ARE FAR OUTWEIGHED BY THE BENEFIT OF A NEW STATE-OF-THE ART HOSPITAL FOR OUR COMMUNITY.
PRACTICING IN AN OUTDATED, UNDERSIZED FACILITY CREATES MAJOR CHALLENGES FOR PATIENT CARE.
TOO OFTEN WE DELAY, CANCEL OR TRANSFER PATIENTS BECAUSE OUR OPERATING ROOMS ARE TOO FEW AND TOO SMALL FOR THE GROWTH OF OUR COMMUNITY.
HAS EXPERIENCED, MODERN MEDICAL EQUIPMENT HAS ALSO CHANGED.
WHEN WE'RE TREATING MORTALITIES REQUIRE MORE SPACE AND RESOURCES.
UNTIL OUR FACILITY CAN ACCOMMODATE THIS NEW TECHNOLOGY, WE CAN'T OFFER THE HIGHEST LEVEL OF CARE TO OUR PATIENTS.
OVER THE LAST 50 YEARS, THE CURRENT FFC CAMPUS HAVE BEEN REPURPOSED, REMODELED, AND RECONFIGURED AS MUCH AS POSSIBLE.
THE ONLY WAY WE CAN HAVE EQUAL ACCESS TO GROWING HEALTH CARE NEED IS A LARGER, MODERN FACILITY AT FORT [INAUDIBLE].
ALTHOUGH THERE'S A VOCAL MINORITY OPPOSING THIS MOVE, MY COLLEAGUES OVERWHELMING SUPPORT THE NEW HOSPITAL.
YES, THERE WILL BE CHALLENGES TO OVERCOME, BUT MOST OF THE PHYSICIANS I TALKED TO AGREE THAT A NEW CAMPUS IS NECESSARY FOR DELIVERING HIGH QUALITY CARE.
IN FACT, THERE IS ALSO A PARENTS AND A VISITING POSITION FOR RECRUITMENT.
ONLY DAYS AGO I WAS ASKED BY AN INTERVIEWING PEDIATRIC ANESTHESIOLOGIST HOW WE CAN GROW OUR PEDIATRIC SERVICE LINES IF HE MOVES TO FLAGSTAFF.
UNFORTUNATELY, THE LIMITED SPACE ALREADY STRETCHED CAPACITY OF OUR CURRENT HOSPITAL HAS NO ROOM FOR GROWTH.
IF WE WANT TO RECRUIT HIM AND OTHER HIGH-QUALITY PHYSICIANS, WE NEED A CAMPUS THAT CAN ACCOMMODATE NEW SERVICE LINES AND THEIR GROWING NEEDS IN NORTHERN ARIZONA.
FOR THESE REASONS, MY COLLEAGUES AND I STRONGLY ENCOURAGE YOU TO SUPPORT THE NEW CAMPUS AT [INAUDIBLE]. THANK YOU FOR YOUR TIME.
>> THANK YOU. WE HAVE BILL JACKSON.
NO, I'M SORRY. [LAUGHTER] BRANDON ABBOTT.
>> I'M BRANDON ABBOTT, A RESIDENT OF FLAGSTAFF, CATTLE DRIVE TRAIL. [LAUGHTER] HERE WE GO.
AS A HOSPITALIST AND A MEDICAL DIRECTOR AT [INAUDIBLE] CONSULT CENTER AND AS WELL AS THE PRESIDENT OF THE ARIZONA OSTEOPATHIC MEDICAL ASSOCIATION WHO HAS ALSO SUPPORTED THE DEVELOPMENT OF THE NEW ARIZONA HOSPITAL.
I ALSO WANT TO TALK IN SUPPORT OF THE HOSPITAL.
I THINK THERE ARE A LOT OF THE STUFF THAT I WAS PLANNING ON SAYING HAS ALREADY BEEN SAID 15 TIMES ALREADY.
BUT LARGELY IT COMES DOWN TO ON MY END, IN MY ROLE AS A HOSPITALIST, HAVING TO TELL, MY HOPE IS THAT THIS FACILITY WILL HELP TO ALLOW ME TO HAVE THE CONVERSATION WITH MY NEIGHBORS LESS FREQUENTLY THAT WE CAN'T TAKE CARE OF THEM IN THEIR LOCAL HOSPITAL.
HAVING TO HAVE THAT CONVERSATION ON A REGULAR BASIS IS JUST REALLY HEARTBREAKING.
[03:25:01]
WHEN I GO SEE SOMEBODY IN THE ER AND SAY ACTUALLY, WE CAN'T TAKE CARE OF YOU HERE, WE'RE GOING TO HAVE TO TRANSFER YOU.WHEN WE HAVE THE CHILDREN'S HEALTH CENTER, WE HAVE TO DEFER A PATIENT WHO, LIKE I SAID, HAVE TO TRAVEL SEVERAL HOURS EVEN JUST TO GET TO FLAGSTAFF.
NOW, I SCROLL ALL THE WAY, [INAUDIBLE].
THAT'S MY LARGER PART ITEM. THAT'S IT.
>> JACKSON, ARE YOU HERE? [NOISE]
>> I'M HERE, JACKSON THE PRESIDENT, CEO, TILL NOW WE'RE AT A REGIONAL ECONOMIC DEVELOPMENT AGENCY.
I'M HERE TONIGHT TO STRONGLY SUPPORT NAH'S PLAN THAT THEY HAVE PRESENTED TO YOU.
80% OF THE NEW JOB GROWTH AND CAPITAL INVESTMENT COMES FROM EXISTING BUSINESSES.
BUSINESSES LIKE ORDINARY ARIZONA HEALTH CARE.
WE'VE ALREADY ESTABLISHED A PRESENCE HERE.
ACCORDING TO ARIZONA PROSPECTOR, THERE ARE 10,000 HEALTH CARE AND SOCIAL SERVICE JOBS CURRENTLY IN NORTHERN ARIZONA, AND 534 HEALTHCARE BUSINESSES.
OF THOSE 534 BUSINESSES, THERE'S ONLY ONE LEVEL 1 TRAUMA CENTER.
THESE NUMBERS DEMONSTRATE THAT HEALTH CARE IS A LEADING ECONOMIC DRIVER FOR NORTHERN ARIZONA.
NORTHERN ARIZONA HEALTH CARE PROVIDES OVER 3,000 JOBS FOR OUR REGION, WITH MORE THAN 60% OF PATIENTS COMING FROM OUTSIDE FLAGSTAFF AREA.
THIS REGIONAL ASPECT IS CRITICAL TO THE FUTURE OF OUR VITALITY IN THIS REGION.
NORTHERN ARIZONA HEALTH CARE PROVIDES EMPLOYMENT, THE TALENT PIPELINE FOR NURSES THAT ARE GRADUATING FROM OUR EDUCATIONAL INSTITUTIONS THAT ARE HERE, COOKING COMMUNITY COLLEGE AND A NUMBER 1 RANKED BEST NURSING SCHOOL IN ARIZONA, NORTHERN ARIZONA UNIVERSITY.
A MODERNIZED HEALTHCARE SYSTEM WILL HELP THE HOSPITAL TO ATTRACT PHYSICIANS, NURSES, AND STAFF.
IT WILL ALLOW HOSPITAL EMPLOYEES THE ROOM THEY NEED TO CARRY OUT THEIR JOBS EFFICIENTLY.
LOOKING TO THE FUTURE, COMPANIES THAT WANT TO EXPAND, THEY LOOK FOR QUALITY SCHOOLS, THEY LOOK FOR QUALITY HEALTH CARE SYSTEM, NOT ONE THAT'S ANTIQUATED.
BOTH OF THESE COMPONENTS PROVIDE WHAT'S NEEDED TO ATTRACT AND RETAIN THEIR EMPLOYEES.
THE ADDITION OF A WELLNESS VILLAGE PROVIDES OPPORTUNITY TO CARE FOR FUTURE AND CURRENT EMPLOYERS TO CONSIDER EXPANSION OR RELOCATION.
SHOVEL-READY SPACE WITH INFRASTRUCTURE IS LIMITED WITHIN THE CITY OF FLAGSTAFF.
PLANNING AND ZONING COMMISSIONERS, I STRONGLY ENCOURAGE YOU TO APPROVE THIS SPECIFIC PLANNING REQUEST.
THIS PROJECT WILL PROVIDE OPPORTUNITY FOR NORTHERN ARIZONA TO STAY ECONOMICALLY VIBRANT AND GIVES US ACCESS TO MODERN HEALTH CARE.
THIS IS JUST WHAT WE NEEDED FOR OUR VISITORS AND OUR CURRENT FUTURE RESIDENTS AND VISITORS. THANK YOU.
ALEXANDER, ARE YOU READY TO SPEAK? [NOISE]
>> I'M SORRY. I JUST HAD TO STEP AWAY.
I HOPE YOU DON'T MIND GETTING DOWN.
I'M ALEXANDER SCHENKEN AND I'M A RESEARCH PROFESSOR AT NAU HERE.
I LIVE AT 54 WEST NICE TRAIL IN PONDEROSA TRAILS.
I'VE BEEN FOLLOWING THIS NAH DEVELOPMENT AS MUCH AS A LAY PERSON TO THESE PROCESSES CAN.
I'D LIKE TO CHIME IN MY CONCERN ABOUT THIS PROJECT.
NAH HAS SHOWN THAT THEY'VE GONE THROUGH A WHOLE BUNCH OF COMMUNITIES AND THEY PROUDLY SHOW A LIST OF ALL THE COMMUNITIES THAT THEY'VE SPOKEN WITH.
BUT I'VE HEARD ABSOLUTELY NOTHING ABOUT WHAT THEY'VE LEARNED FROM THAT, WHAT LESSONS THEY'VE TAKEN FROM IT, AND WHAT LESSONS FROM THOSE INTERVIEWS, WHICH LARGELY HAVE BEEN PANNED AS BEING UNHELPFUL FROM THE POINT OF VIEW OF THE RESIDENTS.
I SEE NONE OF THAT MAKE IT INTO ANY OF THE PLANS.
I WILL ALSO NOTE THAT THE DOCUMENT THAT WAS PRODUCED IN MARCH BY THE PLANNING AND ZONING COMMISSION MAKES NO MENTION OF A COMMUNITY CONSULTATION BEING ADVISED TO THE CITY COUNCIL AS A STEP IN THE PROCESS TO FIGURE OUT IF AND HOW NAH,
[03:30:03]
THE NEW VILLAGE WILL HAPPEN.IT'S CONCERNING TO ME, IT'S CONCERNING TO A LOT OF MY FELLOW COMMUNITY MEMBERS HERE.
PREVIOUSLY IN SOME OF THE CITY COUNCIL MEETINGS, I DO RECALL, I FORGET EXACTLY WHO IT WAS, A WOMAN WHO WAS WORKING ON THE MAH PROJECT HAD SAID THAT TAKING ACCOUNT OF THE COMMUNITY CONCERNS WAS NOT AN ISSUE TO BE CONSIDERED AT THAT TIME, BUT RATHER IN THE ENTITLEMENT PROCESS.
AGAIN, I'M A LAY PERSON TO THESE PROCESSES, BUT I BELIEVE THAT THIS IS THE ENTITLEMENT PROCESS AT THIS MOMENT.
PLEASE CORRECT ME IF I'M WRONG.
IF THAT'S THE CASE, I STILL HAVE HEARD NOTHING, ABSOLUTELY NOTHING ABOUT TAKING COMMUNITY CONCERNS INTO ACCOUNT IN THIS DEVELOPMENT.
THESE INCLUDE TRAFFIC, NOISE, POTENTIALLY INCREASE VAGRANCY, HELICOPTERS ZOOMING OVERHEAD, A HUGE, TALL, POTENTIALLY UGLY BUILDING GREETING VISITORS AND RESIDENTS TO FLAGSTAFF AS THEY COME UP I17 OR I40.
NONE OF THIS HAS BEEN ADDRESSED.
IT'S HUGELY CONCERNING AND HONESTLY, I THINK THAT THESE ARE THE THINGS THAT THERE'S BEEN A LOT OF TALK ABOUT HOW THIS IS SO IMPORTANT FOR THE COMMUNITY. I'M SORRY.
>> I NEED TO INTERRUPT YOU BECAUSE THAT'S YOUR TIME.
>> THANK YOU. [NOISE] [FOREIGN] [OVERLAPPING] [NOISE] [FOREIGN] [NOISE] [FOREIGN] [OVERLAPPING] WE ALL NEED A RECOMMENDATION THAT WE'RE GOING TO DO NEXT.
WE HAVE A MOTION TO CLOSE THE PUBLIC MEETING AND CONTINUE THE REST OF THIS MEETING.
I'LL LET'S DO THAT IN TWO STEPS.
THERE'S SOME THINGS THAT I WANTED TO HAVE AS AN ASKED BEFORE OUR NEXT MEETING.
CAN I MAKE THOSE KNOWN NOW? THIS TABLE HERE. OKAY.
DURING DISCUSSION, LET'S JUST DO THIS RIGHT.
I WAS HOPING THAT BETWEEN NOW AND WHENEVER WE NEED THE NEXT MEETING.
JUST TOLD ME THAT BETWEEN NOW AND THE NEXT MEETING THAT YOU ASKED THAT WE WOULD BE ABLE TO HAVE THOSE SLIDES FROM AN NIH, PARTICULARLY TO ENERGY EFFICIENCY SLIDES SEND TO US SO THAT WE CAN LOOK AT THEM BECAUSE IT WAS HARD TO SEE THE FINE PRINT.
THERE WAS A LOT OF WORK DONE BETWEEN THE PUBLIC HEARING THIS TIME WITH REGARD TO THE SPECIFIC GLANDS.
FOR US TO EVEN BE ABLE TO VOTE ON THIS SPECIFIC PLAN, I WOULD WANT TO SEE A NUMBER OF PIES.
DEVICE WORKS WITHIN 2 MIN AND THEN A SPECIFIC PAGE.
THINGS LIKE THE TIAA CAME IN AND THERE WAS THE AGREEMENT TO ADD IN ALL THOSE MITIGATIONS AND THEN THOSE CONDITIONS ARE ALREADY THERE THAT THEY'LL SEE YOU HAVE THE INFORMATION.
WELL, I'LL STATE THE DOCUMENT WHEN IT MAKES IT THROUGH, BUT THOSE CONDITIONS OF APPROVAL OR THEY'RE JUST GOING TO BE CONDITIONS.
THIS DOCUMENT HERE ALREADY WRITTEN OR REVISE SPECIFIC ONES, THAT MAKES IT ALL THE WAY THROUGH THE HEARING PROCESS.
OKAY? OKAY. THOSE ARE THOSE JUST GET ADDED TO THE CONDITIONS.
OBVIOUSLY WHAT WE'D BE LOOKING AT, ENERGY EFFICIENCY TO NET-NET BE INCLUDED FOR ALL THE DEVELOPMENTS WITHIN THE SPECIFIC PLAN.
HOPEFULLY SEE THAT THERE WAS SOME MENTION OF THE COUNTY COOPERATIVE AGREEMENTS THAT WERE MENTIONED.
OBVIOUSLY, I'M SURE TO 50% CONTRIBUTION TO THE CAPITAL IMPROVEMENTS AND HOPEFULLY GAVE YOU THE CITY FINANCIAL DETAILS WILL BE PART OF THAT.
ESPECIALLY IF THE RAYS BRAND, DOES IT COME THROUGH, I THINK BACK 50% IS FOR THE COST OF A BUYER'S AGENT RESPONSIBLE FOR THE TRANSCRIPTION.
WHERE DOES THAT WHERE WAS THAT THAT YOU PRESENT
[03:35:03]
CAPITAL THAT IS SPECIFICALLY FOR THE RELOCATION OF FIRE STATION NUMBER SIX.THAT IS, I GO INTO THE DEVELOPMENT AGREEMENT.
I'M JUST GOING TO CLARIFY SOME OF THOSE OTHER PUBLIC USE OF THE SPACE AND THE DETAILS ARE EXAMPLES OF THE RECREATIONAL ITEMS. WHETHER IT'S A SPECIFIC PLAN OR WHETHER IT'S FURTHER DETAILS ON THE DEVELOPMENT AGREEMENT.
I THINK ALL OF THOSE FINE DETAILS BUT HELP US MAKE IT GET APPROVAL OR OR NOT TO RECOMMEND.
BUT I'D ALSO ASK ANY AGE TO CONSIDER IN THE MEANTIME, ANY POSSIBILITY FOR SOLAR PANELS ON THE PARKING GARAGE.
ANY DETAILS? OUTLINE THE COMMITMENT TO THE CARBON FOOTPRINT NUMBER.
I KNOW THAT WAS MENTIONED HERE TONIGHT AND IN NUMEROUS LETTERS THAT KEYNES WAS TRYING TO WORK 50 WRITTEN COMMENTS.
THERE WAS AN OVERWHELMING THREAD CONCERN FOR CARBON NEUTRALITY.
THERE WAS A MENTION OF THE SCOPE 1.2 GOALS.
I'M ASSUMING THAT'S WITHIN THE GREENHOUSE GAS PROTOCOL SERVICE.
ANY DETAILS THAT CAN HELP THE COMMUNITY AND HELP US TO UNDERSTAND WHAT THE TRUE GOALS IN ENERGY EFFICIENCY AND CARBON FOOTPRINT ACTUALLY ODD TO ME.
OUR CARBON NEUTRALITY, THAT WOULD BE HELPFUL.
THEN LASTLY, I THINK THERE'S ANY PRESERVING SOME OF THAT HOUSE SITTING FOR THE EMPLOYEES RETENTION AND ATTRACTION PURPOSES? THOSE ARE THE THINGS THAT I'M SEEING THAT ITEM THAT QUESTIONS ON THAT WOULD HELP ME NEXT TIME.
I THINK WE'RE WE'RE DISCLOSING THE PUBLIC MEANS THAT WE DON'T HAVE TO OPEN IT UP AGAIN.
LIKE NICK, JUST NEED A MOTION TO CONTINUE.
WE CAN DO WE CAN ASK QUESTIONS AND EVERYTHING.
OKAY. THOSE ARE JUST OUT THERE.
I WOULD AGREE I AGREE TO ASK CITY STAFF TO PUT TOGETHER SOME SORT OF A WE HAVE ALL THESE PIECES AND THOUSANDS OF DIFFERENT PLACES FROM A FINANCIAL PERSPECTIVE, I WOULD REALLY THE AUDIENCE, PLEASE MAKE SURE THAT I WOULD LIKE A TRUE ANALYSIS OF WHAT THE TOTAL COST WILL BE AND WHAT THE SPLIT IS BETWEEN THE CITIZENS IN FLAGSTAFF AND NADH, RIGHT? YES. ESTIMATES ARE FINE.
BUT I THINK JUST ALMOST LIKE A ONE-PAGE HANDOUT THAT JUST SAYS, HEY, THIS IS WHERE WE STAND RIGHT NOW.
THEN HERE'S OUR SOLUTIONS FOR THE PORTION THAT FLAGSTAFF, THE CITIZENS OF FLAGSTAFF, WE'RE GOING TO HAVE TO PAY FOR IT.
WHAT IS THAT RIGHT? BECAUSE IF THAT'S PROPERTY TAXES AND WE ALREADY HAVE A PROBLEM WITH AFFORDABLE HOUSING, YOU DON'T SAY I THINK I JUST NEED TO SEAT BACK.
ALSO, I WOULD LIKE TO SEE MORE FROM NADH ABOUT THE BUILDING ITSELF.
WHAT I HAVE, EVERYTHING THAT I GOT IS JUST THE BUILDINGS THAT I HAVE.
NOTHING ABOUT. THE INTERIOR OF THE BUILDING.
I KNEW THAT THIS IS AN OKAY. ALRIGHT.
THANK YOU. YOU WANT TO GET LOOKING AT THE SAME TIME? SORRY. IT'S GOING TO BE ESPECIALLY SPECIAL NAME FOR THAT.
[03:40:11]
ON APRIL 19TH, WHOEVER WASN'T ME.I MOTION TO CONTINUE THE MEETING ON APRIL 18TH.
AGAIN, PLEASE. OKAY.
* This transcript was compiled from uncorrected Closed Captioning.