Mar 28, 2017 City Council on 2017-03-28 2:00 PM
March 28, 2017 City Council
Full Transcript
All right good afternoon everyone we wanted to open this
meeting of the
Denton City Council on Tuesday March 28th 2017 we do have a
quorum. Councilmember
Gary is absent today. We'll move on with our work session
reports agenda item 1a
which is received report hold discussion give staff
direction regarding a fourth
amendment to an economic development rate development
program grant agreement
with Alliance Hillview LP for the razor ranch development.
Thank You mayor and
good afternoon council members. My objective today is to
present red
developments request for a fourth amendment to its economic
development
agreement for the razor ranch development. Red development
requests a
total extension of six months to meet the 300,000 square
feet of commercial
and retail space in the razor ranch town center that's
needed to initiate its
incentive. The extension will allow time for it to finish
the city's processes
for its projects that are currently in progress and to
begin construction on
those projects. Their estimated construction duration is 11
to 12
months. Somebody's just cracking up over here I didn't
realize this was so
entertaining. Let's focus. All right I'm sorry. To the
details of the request more
than 227,000 square feet of the 300,000 square foot
threshold for retail and
commercial space either has a certificate of occupancy or
is currently
under construction. That number reaches 75% of the 300,000
square foot
threshold. More than 81,000 square feet were approved by
the Planning and
Zoning Commission in January 2017. That includes Elmo Draf
thouse which currently
is on second revisions to its plans and those revisions
were submitted on March
9th. Rooms to Go is on its fourth revision and that fourth
revision was
submitted on March 3rd. So again those are the two projects
that are currently
in the city's process that account for over 81,000 square
feet which will put
the development over the 300,000 square foot threshold.
Specifics of the
requested Fourth Amendment. It would provide for an
immediate deadline
extension from January 1 of 2018 to April 1 2018 so that's
three months and
then if at least 270,000 square feet or 90% of the 300,000
square foot
threshold have either received a certificate of occupancy
or have a
certified foundation by that April 1 date then we can
extend that date to
July 1 2018 so that's the second set of three months for a
total of six months.
The second set of three months would have to be granted
after demonstrated
performance of achieving 90% of the threshold. The other
significant change
to the agreement would be to memorialize the assignment of
Razor Ranch
Marketplace which is the north side or phase one of the
development and assign
the rights title interests and obligations to Razor Ranch 3
80
Associates. Because of the progress that's been
demonstrated towards meeting
the total threshold 75% as I stated we think that this is a
reasonable and
achievable request for amendment on behalf of Red
Development. The Economic
Development Partnership Board heard this item earlier in
the month and they
recommend approval of it 7-0. The other thing that's
important to point out at
this time is that our staff recommendation for approval
does come
with the stipulation that no further amendment requests
related to either
deadline extensions or threshold changes be considered by
the city after this
particular consideration. So to reiterate the key points
the incentives that are
in question are designed to reimburse Red Development for
the public
infrastructure portions of this total development. They're
requesting a six
month deadline extension and performance must be verified
for them to
receive the full six months. 75% of their 300,000 square
foot threshold has
already been met and the square footage of the projects
that are currently in
the city's development processes will exceed this threshold
. ADP board and
staff recommend approval of this request and I am seeking
your direction and
comment regarding this request. Councilmember Gregory.
Thank you Mayor. When I
first saw this coming my reaction was negative towards it
and the reason why
is because my understanding was that this would just delay
the start of the
reimbursements. I think some of our agreements are set up
like that that
that there's not a drop dead date if it's all or nothing
but that it in some
cases when the clock starts then then they may or may not
be receiving the
money and it might be later but I've come to understand
that that my
understanding is incorrect. Could you explain what the
impact is of if if we
did not do this amendment and they did not hit the 300,000
square foot goal of
CEOs by the designated time what would happen to the it's a
380 agreement right?
Yes sir. What would happen to that 380 agreement for the
Southside? So the
simple way to answer that question is to say that that as
it stands right now
this is an all-or-nothing agreement. If the 300,000 square
foot threshold is not
met there will be no incentives received to reimburse for
their public
infrastructure costs on the Southside. Okay that that that
causes me pause and
makes me think I may need to go to the different way than
what I was originally
planning to vote on this because I thought it would just
delay by one year the
reimbursements but it but it ends the whole thing. Yes. The
other question is
why would why does the city staff recommend that there be
no more
amendments or no more extensions? Well this is a fourth
amendment request and
this has been a big complicated project. There's been
significant progress made
on it and we feel that this that this is going to be a
situation where it's
important for them to perform under this amendment request
should it be approved
by the council and it will allow them to complete what they
've got in the process
and then they should be able to move forward without any
further amendments
because they've demonstrated progress they'll initiate
their incentive and the
project can can go on from there. Okay thank you. Any other
questions?
All right yes Mayor Pro Tem. So just to clarify what the
the goal is 300,000
square foot is that having obtained certificate of occup
ancy is that what
the current agreement is getting to that threshold? The
current the current
agreement specifies that everything but the first floor of
the convention center
and I'm sorry the convention center and the first floor of
the hotel development
must have a certificate of occupancy that one does not have
to have one.
Does that answer your question? Yes so all of these other
projects you're talking about in the
current in the current agreement would the trigger point is
the certificate of
occupancy in terms of meeting the threshold. Or a certified
foundation a
foundation that's been poured and checked off on by the
building official.
That's it's either that Ford Foundation certified as good
to go or a certificate
of occupancy. Okay so go back to your I think it's your
second slide then I had a
question. Okay so that first bullet point extension will
allow time to
finish city processes for projects currently in progress.
My first read of
that was that the city's delaying this to some degree like
city processes are
part of the problem. No that's not the intention. There are
just two of them that are well into the
process have been approved by PNZ and are with planning for
review and
revision. Gotcha okay thank you. Councilmember Hawkins.
Well and just while
we're talking about this and work session just to work
through the whole
thing public infrastructure they possibly would not need
this 380
agreement if the city were in a position or willing to go
ahead and put all this
in and then go try to court some sort of developer that
sort of thing. This is not
an incentive this is just to pay them back for the public
infrastructure which
is very very expensive especially in a project like this.
Yes that's correct.
Okay thank you. Yes Councilmember. I want to make sure I'm
not. Yeah I didn't see any other hands. Okay one other
thing that has always been a concern from the start of the
Razor Ranch project was the concern that that project might
I think determine the
retail industry is cannibalize or attract major retailers
from other locations and
and I know that we've all been concerned about for example
the anchor stores at
Golden Triangle Mall anchor being the big ones like like M
acy's and Dillard's
and Sears and JCPenney and that that if they were to reloc
ate to Razor Ranch how
does that work in terms of the reimbursement agreement the
380
agreement or meeting the square footage status? So the
first part of the question
any incentive payment that's made out of sales tax will
exclude any of the anchor
stores that are specifically at Golden Triangle Mall. Okay.
In terms of
something counting toward the square footage there was no
stipulation that
that any of the anchor stores would or wouldn't count
against square footage but
since what's already in process is two things that are not
anchor stores I think
that's a little bit of a side issue but it's a good
question. That wasn't
specified except to say in terms of carving it out. It's
just the square
footage threshold is a loop point because it really doesn't
involve them.
Correct. I think this falls under the category you're
either penny wise or
pound foolish and for the city to not support this project
at this point in
time I think would be not wise. It behooves the city to see
a completion of
this project to see a successful project to see it continue
to grow and thrive.
It's a huge project. Timing is hard sometimes with projects
this big. It's
hard and to come in at an exact date sometimes is risk. I
think they're trying
to also hedge their bets knowing that this gives them just
a little more time
to not just get it done but get it done right to get it
done well and then bring
it to fruition of what we all planned when we looked at
this from the get-go.
So I certainly do support the extension and I thank staff
for working hard on it.
Thank you. Yes Mayor Proctor. Was there I guess I was
expecting to see as part of
this presentation or in the back of some sort of where we
at comprehensively
where we at with the with the project was there going to be
a presentation from
and then we have some representatives here to show us the
present state of
things the future plans maybe any other ideas for what this
is shaping out to be
beyond these two announced new projects as part of this?
That's obviously not
part of my presentation today. We do have two
representatives from Red
Development here and I'm sure that they would be happy to
answer any questions
about that. I know that they don't have a presentation put
together either. I'm
sure they would be happy to provide us with some
information though if you
would like for Scott Wagner of Red Development to come up
to the podium
that's sure well to you guys. I want to get Councilmember R
iggs comments first
and then I have some comments. Yes. I just wanted to
comment that I am not in favor of the
Fourth Amendment extension. And I can respect that I think
that it comes down
to for me this is just getting them over the finish line I
mean I didn't
anticipate if Councilmember Gary's here that she'd probably
share your same
sentiment. The city first and foremost the city has we've
got a 11-story
70,000 square foot convention center that's going to be
completed at the end
of this year over there and one of the major draws to that
space in that
location and one of the things that we asked Red to do was
work with them to
maybe get it there and in the process of doing that you
know they had to make
certain business decisions in order to do that which were
beneficial to all
parties including the city. If this were coming for an
extension to ask for
additional time because they just don't have the players it
's a different ball
game for me it's a totally different ball game. If it's an
extension to say
we've got the players we can't take the risk of let's just
let's put it out there
and I don't this is my own sense of this my own opinion I
don't have this on
basically on any facts but if I were in their shoes they've
got to decide to
spend five to ten million more dollars in infrastructure
just to get these
projects moving forget building the buildings they've got
to put in the
roads the sewer lines the water lines and that costs money
and if they don't
think they're going to be able to get that money reimbursed
why in the world
would they spend that money and if they thought that they
weren't going to get
any of the money reimbursed for any of the rest of the
project why would I
spend that money I would be very I think unwise to do that
so this is a I mean to
deny this extension as it stands it and remaining in all or
nothing to me would
probably come close to killing the project and with it
being an overlay
district that means whoever bought it would have to also
abide by that
particular overlay district so we have spent a lot of time
you know I really
like your analogy I agree do we all necessarily think we
want to do this do
we all hear the grumblings of that it's too much time it's
too much you know
they had enough time sure sure but I'll tell you I look at
the north side and in
the backup it said we've made five million dollars over the
last four or
five years that's excluding the amount of property taxes
that we've had all
right and I don't think very many of those stores are cann
ibalized stores I
certainly know Academy's not I doubt very seriously that
Walmart's cannibalized
itself they wouldn't put a store over there like that so
from a financial
perspective I sure would hate to think that for some kind
of emotional or
psychological reason we're going to hurt ourselves as a
city and as a community
by investing all of our time and energy in this and let's
face it they took this
project over at the greatest one of the greatest economic
downturns since the
Great Depression now I wasn't in the Great Depression so I
don't know how bad
it was it was obviously pretty pretty pretty bad so that
speaks volumes to me
so I support the project I think they've performed as they
said they were they're
going to perform and I certainly don't mind if they want to
come and share
whatever they can share about because this isn't about just
these two spaces
there are other things most likely in the works that we may
not be aware of
because of just proprietary information that could very
easily just vanish
because they know that they can't do it and now if the city
wants to step up and
pay the 30 million dollars or so in infrastructure costs
that it's going to
take to do a project like this let's do it I don't think
anybody sitting at this
table with me would raise their hand to support that so I
am in support of this
amendment and I'm in support of it being the last one
because I agree that we've
had enough time they've got it they're just needing it to
get over the finish
line they could not take the risk of coming down to the
December of 2017
being 90% complete and come the 1st of January they don't
have a CEO and 40 to
50 million dollars worth of infrastructure reimbursement
payments
vanish into thin air nobody worth their salt in business is
going to make that
decision so there's a lot of factors involved that would be
a very grave
economic decision I think to move in a different direction
at this time maybe
some other time maybe so but I've heard that the bookings
out at the Convention
Center are astronomical the pre bookings and I think that
that whole area is going
to be more successful than what we could have even imagined
just as the north side
has been I don't think would have imagined the north side
to be as
successful as it's been and I think it's helped everybody
in this community and I
will tell you with the pressure we're getting from the
state legislature and
you know depending on certain things in the future our
budgets are going to be
pretty thin and we need to make sure that we have all the
opportunity we can
to make revenue to help continue to maintain the quality of
life in this
community that we have that's my two cents worth it's more
like a dollar so
I apologize but I feel very strongly that this would be a
very this would
probably be one of the I mean I know several decisions that
were made that in
the past that really hurt this city growth wise and I think
this would be
one of them for the amount of what it's being asked for six
months three anything
but let me make sure I understand come April the first if
they don't meet that
threshold of 270,000 either in CEOs or certified foundation
inspection which
means they're starting construction they don't get the
three months they don't
get the second set of three and it's over I mean it is an
all-or-nothing it
it so I trust that if they're willing to accept that they
know their business
better than I do because that's something that is a risk as
well so they
obviously are in the in the process of getting these things
approved and
getting them in the construction phase that they feel
comfortable that's really
all they need so I'm in support of this just council want
to hear more from
read about ongoing things or it seems like we have a
direction of not moving
forward on this but it sounds like correct me if I'm wrong
that the rest of
us say let's move forward and maybe develop this and put it
on an agenda for
a vote but if you want to hear or if you want to just save
that for the the
public hearing or the item of individual consideration when
it's on the agenda
it's up to the council anybody have just a strong desire to
hear no
well I mean as you say this is a major economic development
partnership on the
city the convention center is staking its game on what's
going on over there a
lot of people in our community are interested in this as
you alluded to
some of the calls and things I just think it's worth as we
're having this
conversation to get kind of put this in context a bit I
tell you what then if
you could limit it to yes yeah if we can limit it because I
know when we do item
for individual they will have first of all advanced notice
right that they're
going to present right because they I'm sure you know didn
't bring a
presentation today but an item of individual consideration
is in the
auditorium with all of the the big screens and everything
it's evening and
people are tuned in so they can really see what's happening
in this whole
project and so maybe just do an abbreviated today five
minutes at the
most so we do have this item on your agenda for individual
consideration
next week okay as everybody's okay with going forward with
that I think yes
like keep it rolling if possible so Scott will come up and
give us an
abbreviated presentation and then have something lovely for
us to look at
next week
well I appreciate abbreviated because I did not prepare a
presentation but you've
seen a lot of the presentations and the site plans let me
start off first by
thanking you all again yes it's been a long road been here
seven years we are
right at the brink we've performed very well I think 115
120 thousand square
feet open the hotel Convention Center under construction
those tenants are
doing very well razor ranch marketplace is doing very well
if you all recall we
built that out in phases and it was very successful in
response to the market
doing the right buildings with the right tenants at the
right time that's the way
to deliver a project and that's what we're doing phase one
is going very well
we had three new openings last month out at razor ranch
town center on the south
side and the hotels making great progress they are
scheduled for an October C of O
and November opening and he is called us and asked us if
there's any additional
land for additional projects and which restaurants we have
coming and whatnot
so he's very excited with the business we do have the
theater in the furniture
store the next phase also has up to three restaurants
another shops building
and then a new one that we're hoping to have a contract
signed soon so I can't
mention names but a large format entertainment center 40,
000 square foot
plus arcade billiards bowling and whatnot so that's
something we've been
chasing it fits very well with the mix it's down there next
to the the
convention center so there's a lot in play there's no
shortage of things to
work on last year alone we bought an additional 30 acres
that takes time and
money from our joint venture land partner but we bought
those that land to
facilitate the hotel and Convention Center project plus it
's where the rooms
to go is going that includes additional infrastructure so
we're actually
building larger land area so it's been a busy year we
closed on that property in
April got it the loan in place in May and everybody's crank
ing along we're
building the infrastructure right now for the hotel and
Convention Center I
can't release any other names of those tenants because they
're not public not
into the city but the two larger projects that we are
working through we
been trying to get those going in fourth smittle and third
smittle we had to
plat new property we had to do new public infrastructure
that takes time
and it's not a not a delay by any means by the city process
it is a long process
but we know that process we built quite a bit of projects
out here but we're
making it way through the plat got recorded yesterday for
the furniture
store so that kicks off the next round we can now get our
pre con meetings and
our plans and our permits so it's just a little slower we
're very close we're
very excited very bullish on the project it's outstanding
the tenants that are
there doing very well the theater and the furniture store
take 11 to 12 months
so they're the longer lead we can do a restaurant in four
to five months so
we'll see those site plans coming through here in the next
few months few
weeks for some of those additional users and that will be
exciting as well so our
goal is to have that phase if you will open in that spring
of 18 and so it does
include more than just those two stores six there's maybe
as many as eight
additional tenants including some restaurants and
entertainment and some
shops I will bring a presentation and a site plan
you're trying to get us all on board with this let me ask
some questions I
appreciate that you know I keep reading just this morning
as I was perusing
through some news on my Twitter feed there's a there's a
post on kind of the
the difficulty in the retail market as I'm sure you kind of
understand what in
this project is the public's looking at it what become
those confidence
building anchors apart from like things like dilards and
stuff like that that
the retail markets looking at that we currently have that
attract I mean is
Alamo draft house one of those is the fact that we're
building Convention
Center out there one of those what are those things we can
look at as a
community and say this is rolling in the right direction
sure and retail is
hard there's probably not a lot of projects similar to this
going up in the
nation let alone Texas is one of the busier so you guys are
you're insulated
sometimes it's a very productive growth area in Texas but
other communities are
struggling even even more in the retail if you will
retailers themselves are
struggling to expand but what makes razor ranch and Denton
a little different
is it's gonna be a regional destination you know the trade
area and the people
that we're hoping to grab will come from crumb and Sanger
and even Gainesville
for that entertainment aspect it's really gonna be that
experience
opportunity to shop stay a night get a theater go to go to
dinner have
breakfast in the morning so it's it's a destination if you
will and it's it's we
call it super regional it might be a little grandiose but
we expect to compete
with Highland Village and legacy and Stonebriar the people
who were in those
communities or people here who travel to those communities
we expect those to
come to Denton and raise a ranch and so we have a lot of
great new to market
uses if you think you'll Sam's Club Coles Academy Booth
Barn Guitar Center
Wynn Co in and out you know those are all new not every
tenants gonna be new
but as far as the mix of uses the reason the uses will work
well here is that
they're available so if you want to come and stay a night
at a full service hotel
you have something to do while you're there before after
during so it's really
exciting it's really gonna be about putting that
destination together okay
all right any other comments questions thanks Scott
appreciate you all right
Caroline you have anything else not unless you have
anything else for me any
other questions for staff fantastic thanks thank you we'll
move on to work
session item 1b receive report hold discussion give staff
direction
regarding proposals received for city of Denton employee
health clinic and
operation management services afternoon mayor and council
may pull us off a
little quick
Oh scary or that's never good no it's not good afternoon
thank you for your
time my name is Scott Payne I'm the risk manager for the
city the item before
you today was that a request after the February the 21st
council meeting where
we had this item as an individual item for consideration
questions were raised
and it was tabled to come back here for a work session item
today so I have a
presentation to maybe give you a little more information
about the employee
health center the evaluation process and then certainly be
available for any
questions you guys might have about that so just quick kind
of recap on where we
are our self-funded health plan began in January the 1st of
2008 as we talked
about at the 21st meeting self funding allows us during
good claims years to
retain that savings in the form of reserves and then during
bad claim years
that allows us to between our stop loss and those reserves
to kind of weather
those difficult years I'll have to make significant plan
changes since we've
been self-funded we've been able to build reserves of
almost five million
dollars as at the end of 2016 so well might directly tied
to us being
self-funded it is certainly a very important component of
our overall
health and wellness strategy that's our employee health
center our clinic we
opened it in December of 2011 it is open and available to
all of our employees
our retirees and their respective dependents who recovered
on our health
but a self-funded health plan it's essentially a family
practice model so
those things that your primary care physician could do for
you bumps bruises
strains sprains colds flus those types of things and then
certainly the
preventative phases wellness exams and then also helping
our patient base
manage their chronic health conditions so high blood
pressure diabetes high
cholesterol those types of things are be able to be managed
there at the clinic
as well our clinic is currently located in the formerly the
didn't original
medical center now medical city didn't professional
building we're on the third
floor there and care here has been our partner since we
opened it actually
before we opened it they were the ones who are helping us
come up with the
necessary medical supplies helping us assemble our staff
all those pieces of
it to get ready for that December 11th 2011 opening so just
real quick give
you guys a little insight into what the clinic looks like
again so it's the third
for their professional building the first slide there on
the left is the
clinic waiting area that's where they come to wait briefly
before they're
seen back by the providers the second slide here is the
medical assistance
area and where they check in I felt unnecessary paperwork
to be seen by the
providers just a couple other slides will eat our lab
drawer area we have two
lab drawer areas kind of a primary and secondary and then
one of our four exam
rooms that are outfitted to be available for our employees
on our patient base so
just a little brief glimpse into what the clinic looks like
I know one of the
questions that came up in our presentation on the 21st was
who are
our providers we currently have three providers the first
one is dr. Amina
Hashmi dr. H as we effectively call her she's both us since
the beginning she was
one of our first providers in the state with us throughout
this entire time
period she got her degree from Midwestern University in
Chicago and did
her residency at Parkland Hospital here in the Dallas Fort
Worth area next up is
Kim Gatlin she's one of our family nurse practitioners she
started with us
part-time in 2014 and then went full-time with us in 2015
she's been in
Denton since 2013 got her training at Stephen F Austin and
University of Texas
at Tyler so we've been very glad to have have Kim there she
's pretty much our
primary provider that sees the majority of our patients and
the last but not
least we have Julie Brinzo Julie's a family nurse
practitioner as well
training at Texas Tech University Masters in Science from
Texas Women's
University she is also a instructor at Texas Women's
University in their family
nurse practitioner program and so we're very pleased and
fortunate and happy to
have her as part of our team as well along with the
providers we have a
clinic support staff Erica Valdez and Daisy Zambrano are
our medical
assistants Erica also has been in with us since we opened
in 2011 both of them
are bilingual and just to the sweetest people you ever meet
and then Mary Ponce
is our registered nurse and our health coach this is a
fairly new addition to
the clinic staff so that's kind of what it looks like and
who they are we touch
these statistics a little bit when we were in front of you
on the 21st but
just as kind of reminder since the clinic opened in 2011 we
provide about 35,000
patient visits to our patient base since 2012 the both the
number of available
appointments and the utilization of those appointments has
continued to
increase we're running about a 90% utilization rate which
still is a good
number one of the slides we added since that point in time
was just to give you
guys about an idea about the number of people who are
accessing the clinic so
that line where it talks about unique patients accessing
that's about 1,540
patients so if one of our employees their spouse and one of
their dependent
children access the clinic that would be three unique
patients and then out of
that number all over a thousand of our employees access the
clinic in 2015 so
roughly 70% of our employees were at the clinic at least
one time during the year
the thing we talked about when we were for the 21st was
just kind of a way of
measuring success so what utilization is one of those the
other one is to look at
the cost of accessing care at our clinic versus the cost of
accessing care through
our health plan and consistently since we've been open we
've been able to do
it cheaper than we can access the care through UnitedHealth
care through their
network in 2015 it was about $73 cheaper than what it costs
to go to the health
plan so what we've looking at is that cost diversion
savings so every time we
can take an office visit and have it go to the clinic
versus going to a provider
within UnitedHealthcare we're saving about $73 and so
calculate over the
number of employees or sorry visits we have it's about six
hundred twenty
thousand dollars and we'll refer to as cost diversion
savings question on that
and I hope I can word the question where I can even
understand it okay so when I
see annual care diversion savings so let's say hypoth
etically if all of these
people had gone to an outside private physician and we'll
just say that all
of those visits combined that we've seen at the clinic were
done privately and
let's say that numbers five million dollars I don't know
what it is but
that's an easy number to deal with is what this saying to
me because when you
we've got the cost of the clinic all right all the costs
associated with her
staff space and all that so this six hundred and twenty
eight thousand
dollars is saying let's say of that five means too much let
's say three million or
whatever what do you think it'd be if what's the what's the
total if all these
people had gone out to private care in 2015 what that total
cost of cost the
city any idea just ballpark without a bin well maybe I'm
not explaining probably
myself when we look at our average cost for a preventive
health care visit right
and family practice type visit on average in 2015 it was 13
6 hours and
54 cents if I went to dr. X within the health plan yes but
if I did it the
clinic looking because the clinic we've taken all those
expenses you just talked
about and we've turned that into kind of a fixed cost
versus being a variable
cost when I go out to my provider I'm not going to pretend
to know all the
different CPT codes that go to the different levels of
office visits but
on average it's $136 so basically all we're doing is taking
that savings of
that $70 and multiplying that out times the number of
visits that went to our
clinic to come up with that seven hundred and twenty eight
thousand dollars
so ideally it would be whatever that number was backing up
the the eight
thousand six hundred fifty visits times $136 and 54 cents
basically was what it
would have cost us have they gone to the indoor health
network to access that
care right and so then you would multiply that $72 savings
per that so
really the cost of the clinic all in versus the cost of
sending it out then
just going somewhere privately that cost difference
whatever those numbers are we
don't even have is six hundred twenty eight thousand
dollars is what is what
I'm hearing you say that by having the clinic because what
I want to make sure
is that that's the all that that's based upon the all-in
cost because I know you
have fixed costs right and you have variable costs so in
other words whatever
we're paying to run that clinic whether it be you know the
office space the
personnel the supplies insurance all of that right we get
that number and then
if all those people had gone somewhere else there's that
number and what's the
difference my understanding is that six hundred and twenty
eight thousand
dollars is that I just is that difference is that what I'm
understanding
yes sir okay the average cost we calculate that 63 91 for
using the clinic
is factoring in all those costs you talked about the staff
the salaries the
rent which is the dollar a year the medical supplies the
office supplies all
that and that's what our cost per visit was in 2015 right
so yes sir and that's
one component of the overall I guess cost evaluation of
from a true number
standpoint of what the clinic is doing for us and I have
another side that kind
of talks a little bit about more detail sure okay did you
have questions here
yes any over here got some air brakes so what does it cost
the patient is it do
that do the employees come and do they pay a copay or do
they pay or is it free
completely free anything that we do at the clinic is at no
cost to our patient
base so there's no copayments no exchange of money happens
at the clinic
okay thank you you know this is a fascinating chart I mean
it really is
because I was thinking well we we diverted so much more
money in 2012 but
then I looked oh well that's because the United Health Care
visit in 2012 was
$223 compared to 2013 when it was $131 and United Health
Care every year
changes sometimes it goes up sometimes it goes down but
that's a drastic change
between 2012 and 2013 for United Health Care just out of
curiosity do you have
any idea why there was such a drop that year to be honest
Councilman I don't I
mean this is data that we get from United Health Care and
this was the first
year that we had done that evaluation and so it could be
that they included
maybe some things that we weren't anticipating it also is
going to be a lot
about the mix of the visits that are going to like I
mentioned before you know
so we dr. Meshla can speak better than I can that there's a
number of different
levels of an office visit that can be done based on if it's
a brand new
patient where they're taking a history if it's a physical
if they're doing minor
surgical procedures you know there can be a very different
in cost and so it
could be that the mix of our visits in 2012 was a little
bit different than
it's been the last few years through United Health Care
they were taking a
higher level a higher cost visit then maybe what's been
happening now but the
cost per visit for our clinic has stayed relatively similar
though over time it
seems to have dropped some yes sir is that because we have
found efficiencies
or is that because they're simply more visits and so there
's a per person cost
savings because of more visits yes sir it's both of those
things I mean we were
still having some infrastructure costs were being done in
2012 that helped
bring the cost up and then also just the number of visits
are going up and so
that's going to help bring that cost down as well thank you
I have a thought
because the clinic opened in 2011 the visits in 2012 took
longer because
everybody was a new patient in that clinic so by the time
you get to 2013
2014 2015 there's more of a rhythm because people actually
have a chart to
pull and all of that preliminary stuff and history is
already taken it's done
and possibly that had something to do with the higher
startup maybe as far
because I know you show a thousand and nine employees who
've utilized the clinic
I think in 2015 yes sir how many employees does the city of
didn't have
you're roughly 1500 ish yes sir so do we know why the other
I mean that's about a
third don't do we have an idea of why that is or so that
means we're paying
for for the full price and I guess when they go to someone
private you commented
to councilmember Briggs that there's no copay with the
clinic so when they go to
someone private do they pay a copay under our plan or do we
pay that copay
for that how does that they would definitely pay a copay
ment based on the
level of service they were receiving we have a different
copayment for a family
practice versus a specialist okay got you so it would it
would be purely
anecdotal on my part as far as why sure you know we first
opened the clinic there
was some resistance some hesitancy about the city knowing
too much about our
employees and about their health that's one of the reasons
why we decided to
hire a company to manage the process for us there are some
public entities in
Texas who actually the providers are employees of that
public entity Garland
as an example Mesquite is an example so we didn't do that
because of that fear
that that if an employee went to the clinic then suddenly
their supervisor
and risk management HR didn't know about their their
business their health
and what's going on which is not the case at all so some
people even if we
paid them money to go there when they showed up probably
wouldn't go there for
that reason other people have a relationship with their
family doctor
and that's 162 we never wanted to take that away from them
if they already had
that relationship and then we just wanted to be an option
for them if they
needed it I mean ultimately we want all of our employees to
have a relationship
with a primary care physician whether it's our clinic or
somewhere else
that's the main goal but we knew through studies and
through looking at
information the law of our employees didn't they were going
to the emergency
room or to one of the urgent care facilities as their
primary care
physician and so this is one as an attempt for us to fill
that gap for
those folks with a clinic okay councilmember Gregory do you
have one oh
I'm sure some people just don't go to the doctor okay
councilmember August and this clinic is a private clinic
for the city employees
and family there you cannot be an outside person and come
to the clinic
correct it is just for our employees the dependents and the
retirees to access
and what are the hours of the clinic it just depends on the
day of the week but
typically from 6 a.m. to around 4 or 5 in the afternoon it
just depends on the
day and the providers we have on staff Monday through
Friday yes sir okay thank
you yes and I do know that other cities across Texas and
the country are going
to this model because it is a cost-saving model because to
get your
employees into the rhythm of going to see a doctor on a
regular basis
ultimately brings down health care costs so thank you for
jumping on this in 2011
and implementing this and back to the question it's just
moms have a favorite
pediatrician people have a doctor they've known for a long
time I don't
think it has any reflection on our clinic it could also be
a geographic
decision that if an employee lives way north that it's just
far to get down at
the end of the day between four and five to try to get to
the hospital there on
35e so it could be one of a hundred different reasons but I
'm just happy the
city made this decision and thank you for that couple I
think you said you
have a slide that shows the cost of the clinic the total
cost of running the
clinic I can so we give you that figure right now it's
about eight hundred and
fifty or sixty thousand dollars per year we look at the
salaries and the all in
all in right and as far as on the appointments because I
understand that
it's sort of an electronic appointment type of arrangement
where you can log in
and but are there time slots where if people have a minor
emergency or they're
just really and they got to get in without being able to
set an appointment
a couple days in advance are there opportunities for them
to do that as
well as this pretty much you sign on get your appointment
and that's that's what
you that's when you come one of their driving factors and
are adding the
additional hours and bringing in Julie for example as
another provider was to
meet that need because we knew in certain times of the year
cold and flu
season for example we also have a push we have a deadline
very gain their
health risk assessment done by a certain time period so the
two months leading up
to that it was very hard to get an urgent care or acute
care type
appointment and so we've done things to try and alleviate
that by adding more
appointment hours we release a few visits we hold them
until the end of the
day before we release them open for the next day so if
someone is trying to get
a next day appointment they have those available to them so
trying to come up
with different ways of doing that and and truly if it's a
existing patient we
don't certainly advertise this but if they've got something
pretty serious
going on you know we will try and slip them in if we can
again we don't want to
treat walk-ins because that kind of delays our bills from
being able to get
their full 20 minutes and staying on schedule with the
appointments but we'll
make it happen if we need to you just did advertise it okay
well that's good so
there was a sense that there might have been a need there
that was going
somewhat unfulfilled and that that you're trying to employ
additional staff
and create more hours to where there is a little bit more
availability for those
kind of as you call them urgent care or acute care yes sir
and then to your
first question we is through an online portal to make your
appointments but
then we also have a call center that people can call they
want to you to make
their performance as well okay good councilmember Briggs so
you mentioned
it's about eight hundred and fifty thousand a year to run
the clinic
yes sir so we recently learned that it's about close to 20
million a year for
health care costs is that included in that amount it is
okay that's part of
the overall health budget includes the operation of the
clinic okay you know
the questions at least on this particular part of the
presentation yes
you look puzzled well it does not involve the presentation
I'm just
wondering if there is a need to go into closed session to
discuss any legal
issues regarding this consideration I will leave that up to
either the city
attorney or councilman are you requesting that yes okay do
you need it
now or can we wait till the end of the presentation it
could be between our
work session items and our items for individual
consideration okay so we can
get to the works all right all right okay so taking the
care diversion savings
and rolling it forward looking at other cost saving
measures if you're looking
at a true dollar savings that come from the clinic the top
line is the care
diversion savings from the previous slide another area
where we save money
is and the lab savings this is based on the negotiated
rates that care here has
with lab core and so we see a significant reduction in the
lab costs if
they had gone out on their own that's the hundred ninety
five thousand
estimated in 2015 the productivity savings is just another
number that we
can look at on average it probably takes if you're going to
go to your private
practice physician probably by the time you drive there
wait see the position
drive back it could be up to three hours to do that we feel
pretty confident that
unless you're going in for a 40-minute exam because you're
going in for your
physical follow-up or whatever that most everybody can get
from where they are in
the city access the clinic in 20 minutes and get back
within about an hour so we
feel that's about a two-hour savings in productivity again
it's just a way of
measuring it looking at about a $15 per hour which is
probably very conservative
for our workforce that would leave about two hundred and
fifty nine thousand
dollars in additional productivity savings and then going
to councilman
Briggs comment the last line there is the patient out-of-p
ocket savings and so
that's those copayments that our employees aren't having to
pay to access
care that if they went into the medical network they would
have to pay okay so
there is a tangible savings to our employees to use the
clinic as well do
you know how our negotiated lab savings rate stack up to
you know your blue
crosses and your night at health cares I mean are we
getting about the same level
or we probably a little higher than that do you have any
idea I do because I was
very skeptical when care here first told me that they could
do it cheaper the
United Health Care could because I felt like United Health
Care giant company
lots of lives they would be able to do that but when it
comes to the very core
things that we do at the clinic like the health risk
assessment blood draw which
is a very specific panel of blood because they do it all
the time they do
we actually compared the lab rates and they were lower than
what at that point
time you know health care had available to us so one thing
we talked about too
was the patient satisfaction we try and do a patient
satisfaction survey every
year there's a lot of different things that are asked about
in that patient
satisfaction survey but here are a few that I always pull
out and look at the
clinic is my first offer illness health concern or wellness
you know 70% the
health risk assessment has helped me better understand my
health almost 90%
would recommend the clinic and on down the list the one of
course the bottom
the clinic team is friendly caring and system by needs you
have 90% feel that
way about it so I feel like we have good feedback from our
employees here are
some actual comments that people felt compelled to write in
on the survey
about the health center I will use the health center I feel
like it's one of
the biggest perks I have at the city this last one I really
like because that
was kind of our goal we wanted to make it easy and
convenient for our employees
to access the clinic and then hook them with the great care
that we're going to
provide for them people to coming back and this person said
I started out as a
patient because of the convenience and no cost but I
continue as a patient
because of the excellent care it's maybe possible to
greatly improve my health
and the last one really is what the clinic was all about
was to get our
employees and our patient base to just understand what
their risk factors are
and then give them the tools and resources to try and make
changes that
they wanted to and so this person says I think the health
risk assessment is great
I never knew some of my numbers and probably wouldn't now I
know it more
than one person that found a life-threatening illness due
to the HRA
and the health center so we're trying to make a difference
our employee the
patient base early on so basically why are we here today
and that's the
request for proposal our contract with care here expired at
the end of 2016 we
extended it twice to the end of April to facilitate the
completion of the RFP
process one thing I wanted to make clear because I think
councilman Hawkins kind
of alluded to it and I know it seemed like we got a might
have gotten confused
or the message lost in the meeting on the 21st the scope of
this RFP was to
find a vendor qualified vendor to manage our existing
clinic and so it wasn't to
replace the clinic it wasn't to have our patients be seen
by somebody else or
their patients be seen in our clinic many of the vendors
that proposed already
have a clinic presence in the DFW area concentra I believe
Cerner has a clinic
care here has several clinics in the DFW area and certainly
the community health
clinic has their clinic here in Denton it was never the
intent that we would
intermingle patient bases or that their providers would see
our and vice versa
so I just want to make that clear about the RFP scope that
was what we're
looking we were going to hire a management company to
manage our
existing clinic yes well thank you for clarifying that that
I was confused
about that and I think many were at that first time we saw
it you know I didn't
know if they were going to be commingled that sort of thing
or if this was still
specific for staff and staff's family members so thank you
for clearing that
up and as a we've received seven responses that we
evaluated so getting
into the I guess the nitty-gritty of the evaluation process
as we discussed on
the 21st we looked at this in basically three major
criteria the first was cost
or total cost which was 50% of the total evaluation 20% was
compliance with the
specifications quality reliability and then 30% was the
indicators of probable
performance under the contract so just real quick and I'll
try to keep as brief
as I can we look at total cost there are two kind of main
components there's the
administrative cost which is typically a per employee per
month cost PEPM that we
pay to the vendor for the operation and management the
overhead the profit
margin of the clinic itself and then there's the one
referred to as the
operational cost that's the salaries the benefits the lab
work you know the
supplies the office supplies on down the list so for the
purposes of this
evaluation for the total cost we were looking at that
administrative part the
per employee per month cost they were also looking at the
estimated cost
because we knew we got really good discounts with care here
in lab core so
we wanted to look at some of their frequently frequently
accessed lab work
to see how their discounts stacked up against what we have
with lab core the
cost of the annual health risk assessment some people roll
that into
the PEPM price others had it as a separate line item so we
want to
consider that the medical malpractice is also another
example of where sometimes
it's a PEPM part or it's separate but we wanted to factor
that into it and then
also the one-time implementation cost that might be
important because of the
transition or data transfer what have you so those are all
the things that went
into the cost evaluation and while this contract is a one-
year contract with up
to four one-year renewals when we looked at it we looked at
the overall potential
cost for the full five years when we evaluated it so here's
the way the cost
lined out in terms of scoring this it was a maximum of 50
points so the firm
that had the lowest cost got 50 points and the spreadsheet
portions
points based on their relationship to that lowest cost to
come up with the
other point totals and so you can see concentric came at
the lowest about 1.58
care here was at 1.9 we care a little over 2 million Cerner
and Dinton
community were at 2.2 marathon at almost 2.4 and a viral
health almost 3.3 and
the points that they received based on a cost evaluation so
any questions about
the cost component customer breaks which is on the scoring
is there a percentage
tied to like a certain amount I'm just trying to understand
like where did the
the 24.1 was the the beginning right so the score is it
where does it start does
it start at zero and go to 50 or 50 would be the most
points that anybody
could score and then as firms are more expensive than the
lowest cost then
their points go down and so I don't know if Karen could
give me the insight as
far as to the lowest points I mean I don't think anybody
would get zero right
I mean even even if they were because if you look at
variable health they were
over two times the cost of concentra and they still got
some points so I would
think even if they were three and four times there was
still be some level of
points they would get it just wouldn't be very many because
they're so far from
the lowest value that kind of answer the question so this I
mean when you those
that if you could go back to the previous slide so these
are do what well
where you talked about the cost portion includes certain
items but this is the
price for the cost but it wasn't there are some other let
me see maybe this
okay so this is just basically based upon a number there's
not any subjective
criteria in here this is based upon this is what they're
saying their cost is and
do they meet these kind of they have medical malpractice
insurance and things
such as that is that my understanding there's not really
any kind of
subjectivity in this part of it the price component purely
objective okay
gotcha so the second area was compliance with
specifications quality
reliability and characteristics to meet the needs so an
effort to try and make
it a more kind of apples-to-apples comparison what we did
was we looked at
some of the key factors that the review committee felt were
important into
demonstrating a vendor's ability to comply with our
specifications and you
know give the quality that we were expecting and so we
picked about six or
seven things that we felt were important tied back to
responses in the RFP and
then we assign weights on those so for example we felt that
the proposed
staffing model their ability to you know meet what we
already had in place to be
able to duplicate that was more important necessarily than
the after hours nurse
line it was important but not quite as important and so we
assigned the various
weights now we could have certainly had ten or twenty
things on that list but
then everything we waited like two percent or five percent
would be hard to
have any differentiation between that point and so
essentially what we did was
we took the weight 25 15 on down the line and then we
multiply that time to
times a score of between one and 20 because this is again
was worth 20% so
basically 20 point maximum and so that's how we came up
with the evaluation for
that piece of it so we oh I'm sorry go ahead so when we
apply that through the
matrix this was the way that they scored out under the
compliance section so you
had care here being the incumbent we obviously have
intimate knowledge of
what they can do for us they've done all the things we've
asked for us they got
20 and then down to concentra at the 14.85 so that was on
that component
piece of the evaluation if you could go back one slide
please is that
information and this is I just don't know so this is more
of a question of
curiosity when we sent out RFPs and we have these type of
scoring criteria or
these type of mechanisms to score I could say this one for
instance a
compliance evaluation are these percentages or the weight
tied to these
specific characteristics presented in the RFP or is this
something that's
simply in-house to staff and the the proposers don't have
any idea on how it
gets scored right the only thing that's presented in the RF
P is really those
three categories the price with a little bit more of a
verbal explanation of what
that includes them what I just have with a bullet point
line and same with each
of those but getting into the nitty-gritty of what that is
and the
weights no that was something that kind of evolved working
with purchasing on
trying to find the best way to objectively measure a lot of
different
information coming in the RFPs and so that was a way of us
trying to again
apples-apples comparison on some data that's kind of hard
to quantify sometimes
go ahead and correct me if I'm wrong but if you put all of
that information in
the RFP they're gonna answer the questions to match the
weight of the
and try to skew their answers to fit that model you know
what you want is
objective material so you can line them all up after
everything's in and then
take a look at what you have and see who matches where and
why I think that's a
very real possibility and the most part we would ask would
ask you know sort of
open any questions about somewhere yes no but a lot of them
were tell us how
you're going to do this or how you're going to do this and
so you're correct
if we built in this waiting then it might skew their
answers if you'd go
back a couple of slides to the point totals for price there
you go
consentra got 50 points because it was the lowest price yes
sir now Carol care
here got 41 points it's the second lowest price so the
number 41 was that
mathematically derived by looking at the percentage
difference between their
estimated five-year cost and concentra and it was some type
of percentage and
so instead of getting 50 points that's how you determine 41
points Karen is
shaking your head at me that that is correct okay so and
and the same formula
was applied all the way down so that so that there are the
number seven there a
whole health that's that's about a little over twice as
much in cost gets
half the number of points yes sir so there's some kind of
correlation there
yes sir it's the relationship to the lowest price proposal
determines the
points they get so those scores aren't just well they were
a little less so
we'll give them 41 points we could be 42 but I could be 40
but we'll just give
it's based on the numerical calculation yes sir thank you
and if you could go to
that that slide so this criteria is all this determined
prior to receiving the
RFPs you know the official proposals or is like I'm gonna
say these specific
bullet points with the corresponding weights is that
already in place before
they come in or are these criteria like 50% price 20%
compliance and then the
other ones are those sort of determined after the RFP has
been closed it's a
little bit of both there were some that we already had in
mind that we wanted to
definitely evaluate on but then after going through the RF
Ps and seeing some
of the discrepancies or differences in the way they were
being proposed that
helped us kind of frame formerly I guess the things were
really important to us
based on that so it was a little bit of both but that was
the first initial
exercise of the review committee when they got together was
to go through and
figure out what these kind of key components were and the
weights we
wanted to assign to those yes mayor pro tem along those
lines and this is tell me
if this is out of your domain to answer this question but
abstracting from this
particular RFP when we do RFPs generally in this in the in
the city or RFQs is it
typically the practice to display what we're objectively
measuring and the
weights I mean do we have a standard practice of how we put
out RFPs in the
city and doesn't include that or does it not or is it
different I guess go back
to councilman was he's coming I mean we didn't publish
these specific weights or
these specific questions it's usually typically these three
or four main
criteria no and I know I know for this one that was that
was your answer I guess
my question is a bit more globally does the city have a
procedure in place or
almost like a format upon which it typically puts out our
requests for
proposals requests for qualifications and does that include
typically include
things like here's what we're measuring you want and the
weighting system that
question given your role I don't know all the RFPs that I
've been involved with
the answer has been no we haven't gotten to this detail of
the weighting of
everything it's been typically three or four main
compliance or factors we want
to evaluate and that's been yet it also depends on who's
writing the RFP because
you have different people writing different RFPs based upon
what the scope
of work is so the person writing the RFP has to understand
the scope of work so
it's going to fall under department and purchasing working
together but there's
I don't think there's any cookie cutter RFP to answer your
question because
every request for proposal or our queue is different
depending on what it is
that they're after I think we have someone might be able to
give us some
illumination on this with mine taking the podium please
thank you I am Karen
Smith this is a purchasing manager so generally we don't
normally have these
criteria developed in advance of going through the RFP
process we kind of have
a standard practice that we use in standard criteria but of
course it does
change based on the product or service in this case what we
found was that the
committee was having was struggling trying to get their
arms around this
huge evaluation and so we've had to identify some key items
that were
important to us so this is a tool that we use to help get
there because it is
very complex as you can see councilmember Gregory thank you
a couple of other
questions I guess you're involved in a lot of our yeah yes
sir and do most of
these RFPs when they go out do they have some information
to the applicant or
potential respondents the potential respondent thank you
about deadlines
yes and and so it explains when the deadline is and what
the ramifications
are for not meeting the deadline yes so we have a standard
template that we use
for all of our RFPs as dates it's very clear as to the
dates when certain
milestones are when they're due question cut off those
types of things and of
course it can't be adjusted based upon the time it takes
for the evaluation
committee so sometimes we're shooting for this council
meeting but maybe the
negotiations take longer in this case the evaluation took
much longer than we
anticipate it and in that template normally goes out do we
do we have any
information to the potential what well the respondents once
they've responded
there their respondents do we have any information that we
that sends out to
them regarding who they are to communicate with and they
are not to
communicate with yes it is published in there that you're
caught there to
contact me my name and email and phone number are in there
is in in the main
template so we update that each time and then also in our
standard terms and
conditions it's clear that they're not to contact the
evaluation committee
council members or other other people thank you welcome I'm
a little concerned
and maybe I'm not hearing it correctly it sounds like what
we're saying is as a
matter of practice sometimes the city waits to determine
our criteria for
selecting the RFPs until we get and review the proposals
and then we're
starting to determine criteria based on what we're seeing
in those proposals not
that I think anyone's doing anything wrong I think that's
just the way I'm
hearing that that imports the possibility that we have
internal staff
members that are getting the conclusions that they're
trying to get based on that
sort of process so as a as a policymaker I'm concerned
about that process so
alleviate my concerns what am I not understanding about
that all right well
the request for proposals actually we're we're giving a
scope of work and we may
not we're not experts and by any means and so sometimes
through the proposal
process you learn of a new a new better way to do things
and so because we have
the process we're allowed to ask additional questions and
get additional
information and create a fair playing field and that's
ultimately the goal is
to make sure we have that now I've done a lot of RFPs and
we haven't gone to
this sense of detail but because we were kind of really
struggling with that to
get our arms around the differences between each of the
proposers each of
them offered a lot of different moving parts and so that's
the reason why we
employed this technique to continue to move forward and is
there safeguards in
place that and I I appreciate that right I mean because you
want to be able to as
a government allow for innovation out there in the
marketplace that you're
not anticipating in your standard requests for proposals is
there a check
in place that says as we're kind of discovering say a new
something we
didn't know about the industry right that came about from a
proposal that
makes sure that the criteria that we're now looking at
based on that new
knowledge isn't exceeding the original kind of broad-based
request that we put
out there yes I mean at what point would you say we're
gonna have to put this out
again because we're asking for something else well I mean
that's typically our
role as the purchasing professional in this is to make sure
that we're creating
a fair environment for for our vendors or potential ender
and I understand the
issues that we have on hand from our staff so we want to
make sure that we're
creating a level playing field and that really comes down
to us and sometimes
we'll consult with legal as to if we you know but typically
we try to stay within
the scope that was advertised and if it's outside of the
scope that was
advertised and we feel like we may potentially have to re
solicit that to
make sure that it's clear in a level playing field for
everybody so that's
the role that we bring when we when the departments go
through a community an
evaluation process we're there to help guide them through
that and create that
level playing field and fairness and then if there's if we
stray we try to
bring them back and make sure that we can justify and and
provide a fair
environment yes. Councilmember Gregory. All right so I'm
learning something new and this is
very helpful I love this so let's imagine that when these
proposals went
out nobody had ever talked about an after hours nurse line
and call center
never heard of that never done it never been a part of
anything but in one of
the RFPs one of the respondents offered that correct and
and now the committee
is saying hmm that sounds like a good thing for our
employees let's let's
include that in the evaluation factors but nobody else none
of the other
respondents mentioned that would we go back and say do you
offer an after hours
nurse line and call center would we do that yes we can huh
yes yes we can okay
so so then that would that would help kind of even the
playing field exactly
they may they may have that but they didn't think to do it
because it's
standard practice for them and they didn't think that would
be a selling
point one of the respondents did and now we go back said
well do y'all do that is
this part of the deal and is there an additional cost
associated with us
requesting that because if if in this case we asked that
was one of the
questions I believe was we asked specific questions it was
very detailed
the questions that we were asking so they had to indicate
whether they did or
not but sometimes you do learn I've done some software
where there's an app they're
gonna include the app with it and that's a benefit to us
but we have to
understand what that cost is and is it doesn't make sense
for us we didn't ask
for it what is the benefit of that and then we might ask
the other respondents
if they have an app available and what that additional cost
would be if that's
important to us learning more about our FPs all the time
all right so you stated
that you can or we we may go back and ask the other propos
ers of an RFP if
something came up in one proposal that that was new and was
not part of the
others can and made we made that's sort of a that's that's
that's not a shall
that's we decide whether we want to do that or not well so
okay to your point
is that if it really changes the scope then we probably
wouldn't go back and
ask everybody to do that because we feel the scope has
changed greater than what
we advertised it for and what we solicited for and my fear
is that maybe
we eliminated somebody that could do that because it wasn't
included in the
original RFP so that's the key is that we're trying to
create what is the
scope change and does that really warrant that it should go
back out sure
and then I appreciate that and I count mayor pro tem my
questions aren't to try
to imply that something I'm just trying to understand the
process no no that's
fine I just wanted to make sure that you understood that
the goal here is to make
sure that we have of course of course and so you've talked
about that you would
go back and send it back out or notify people if it seemed
to change the scope
so I'm only trying to work with numbers here because you
got to find some way to
make that determination did this change the scope or did it
or did it not we
did not change the scope from what was originally requested
we did go back to
too many firms to seek clarification because we didn't feel
like maybe the
question was answered well enough maybe there were some
missing parts that some
people had left and then also the benefit that we get is we
get to see the
tabulation sheet and see that see all the pricing and so
sometimes we might
see and something that's out of the norm so we might ask
yeah and I think y'all
did that on this one there was some on the best and final
correct so then to
follow up on that question of so let's just say and people
chose this that's
the only reason I'm bringing up the the last one the after
hours nurse line and
call center which has been given a weight of 10% so you got
eight proposals
one comes in with an after hours nurse line and call center
you look at it you
go huh this really hadn't been mentioned so we that sounds
like a benefit to us
how much weight do we want to give it so we decided 10% so
given that would that
be something and maybe it's the percentage of weight you
give in other
words if it's 10% is that enough of a threshold to go over
the change
changing the scope of the RFP or does it have to be
something that you're giving
a much bigger weight to I guess is and that's very
subjective I'm just trying
to understand how you make that decision on whether to let
people know because if
you're if something's new and you're adding additional
points to it and nobody
else knows about it within its essence those people that
that one has a
advantage and whether you tell them or not I guess that's a
that's a matter of
decision I'm just trying to understand how you make that
decision I understand
your question sir so the in this case if it had changed we
didn't ask for that
then it is incumbent on us to make sure that everybody is
given an opportunity
to provide that but in this case we did ask everybody for
that particular item
if they had information regarding that but to your point is
that if it was
something new we had a respondent that said we can do XYZ
for you and we felt
that was important then we would put that back out to the
group if it didn't
change the scope so greatly I'll give you an example we
have one right now
that's out and we needed to seek some clarification because
we we wanted to
make sure that the pricing included certain components and
sometimes we'll
do that okay did that answer your question it did it's
still a little I
think there's it's still a little there's not that hard
line of that
decision-making process and I don't know that I'm not
saying there should be I'm
like in your instance where you said this one y'all did ask
for if you got one
in that you hadn't asked for I thought what I heard you say
let's say for
instance the after hours nurse line call center there was
not a question in that
RFP and someone sent that in and said hey we've got an
after hours nursing
call center because it was new and it wasn't a question
that y'all had asked
would you have automatically said we've got to send out and
ask everybody do
they have this provision as well or would you have gone
well that really
doesn't change the scope we'll give it a little bit
percentage and is that
question I think that if it felt if the committee felt that
it was something
that we really wanted to include that we would send that
out to the all of the
other respondents and see if they could provide that
service to be fair no and
understand that so if it was one that the committee decided
they didn't think
was necessary to send back out right would you still give a
weight percentage
to that component no okay we wouldn't all right because it
's it's nice and
that's an added benefit got you but it's not what we were
after perfect thank you
that that helps me greatly yes any more questions I'm sorry
any more questions
yes just because I'm learning a lot here you said committee
does the committee is
that purchasing and then people from HR who have put this
initial out um where
does that who is on the committee all right the committee
varies depending upon
the good or service is there purchasing app acts as a
liaison and an advisor in
that role so I don't necessarily have a vote per se or or
input I'm there to
help provide guidance to committee because oftentimes the
committee's they
do this very infrequently and I do it all the time so I'm
there to help them
through that process and make sure that we're being fair so
in this instance the
committee was a risk we had somebody from the employee
health insurance
committee and then we had a few people from risk and HR so
it's usually the
department that is issuing the RFP that makes up the
committee and its members
and it depends on if it's something really complex that
affects whole city
we may get a diversified group of people that are
stakeholders thank you welcome
thank you appreciate that very good information thank you
so much I mean just
to clarify I mean everything that we waited in here tied
back to a question
in the RFP because just for our own sanity we had to be
able to find out
where that answer was and so we made sure we could tie it
back to a question
no appreciate that so I think you showed us okay this yeah
okay that was the
compliance part yes okay so then moving into the last part
was the indicators of
probable performance again 30% so 30 points maximum here
were some of the
criteria again that we waited in that the two biggest ones
really in this
category were the experience and managing employer clinics
because I think
for a lot of the things we do we want people with
experience that we do it
when it's painting a wall to a software solution or
whatever it might be we're
looking for experience and then if we were going to have to
transition to a
whole new vendor what kind of experience do they have in
transitioning clinics
because that was going to be a really key component that we
could keep things
operational while we're trying to bring in a new vendor and
still serve our
patient base and so that was two of the more heavily
weighted factors that were
in that and that tied back to especially the the experience
tied back to some of
our minimum qualifications about having experience and on
and on and on and so
that's why we thought those two were two of the more
important ones so just to
give you guys some idea about the folks who proposed on
this particular RFP and
their experience you know that's the listing of their care
here has 208
clinics across the country Cerner 175 and kind of on down
the list and so we
were fortunate to have a lot of people who this is what
they do for a living as
far as managing clinics for employers and so they've been
able to replicate
show success continue earn business client after client
state after state
location after location and so we thought that was a pretty
important
factor in overall evaluation same thing with the transition
experience care here
being the incumbent that wasn't so applicable to them but
everybody else had
done multiple clinics some were not very specific as far as
our timelines
consider said you know we've done 16 in 2016 marathon said
they've done 15 but
it was kind of unclear about the time frame we care 50% of
business came from
takeover clinics those types of things and so those were
two of the evaluation
processes that we factored into that fairly heavily and so
when that all came
through the wash again care here was at the top Cerner 28.5
and on down the list
based on a lot of their experience and their transition
plan and transition
experience so we put all three of those factors together
this is kind of how
they all stacked out we looked at the price the compliance
the performance and
then the far right hand column is a total column and the
lower the number
for the valuation purposes the better it is because that's
how they ranked one
through through seven so you see that care here came in at
number one Cerner
was second concentra we care didn't community marathon and
then Vera Whole
Health we're looking at those things in totality and that
was the final ranking
that we presented you guys during the meeting on the 21st
as far as the total
point score based on all that evaluation that we've just
talked about for those
three components so with that being said staff is
recommending that we go with
care here there is an action item and the items for
individual consideration
after this portion of it to consider that we're doing that
based on a lot of
factors even though they are not the one with the lowest
cost really the main one
is just a five-year track record of having a very
successful clinic helping
us manage our patient base helping us trying to achieve the
goals that we set
out for when we had this idea a number of years ago they've
been very responsive
to our requests sometimes the the fix maybe took longer
than we anticipated
but sometimes I think that's reality we were talking about
software systems and
those types of things obviously they have exterior
extensive experience in
managing these clinics with 208 under their belt by staying
with them there's
no issue with us losing the existing staff because they're
all very
comfortable with that relationship and therefore that
patient provider
relationship is secured no other potential transition
issues that can
come in because we're not changing out electronic medical
records and what have
you they do have the after all nurse line and a call center
which some of the
proponents had and others didn't concentra for example did
not have that
option available to us I feel like they've got a very
demonstrated commitment
to continuous management clinic management improvement they
really want
to make things better they're a true partner with us in
trying to meet the
needs of our patient base there's constant dialogue between
us and them
about and the providers about ways that we can improve
things make things better
meet the needs of our patient base they have an integrated
health coach now the
Mary Ponce is here in the DFW area she can be in our clinic
whenever we need
her for to counsel with patients or to do telephonic
counseling which she does
a lot of they have a very robust wellness platform that's
kind of a key
way of accessing our healthy incentive program that we
talked about before and
so it's very important to us that they have that capability
that tech platform
to allow that and then again just being a very demonstrated
collaborative effort
with the clinic what we're trying to accomplish so with
that I'll stand for
more questions if you could just go back to the slides that
summarize the points
for each one of the categories not that one but I mean the
specific like pricing
you had the points and then you had so pricing was that one
okay yeah pricing
was that one so so because I think number one and two in
the end was care
here and concentra is that correct yes sir okay so there
there's a there's a
nine-point spread okay and then the other compliance so
there so they're
down at the bottom so you felt that they really couldn't
comply the biggest areas
for that one if you want to look at it was the after hours
nurse line and call
center they didn't have one and so we have about on average
about a hundred
calls a month they go to the call center for care here that
would not have been
accessible by them they also the minimum age requirement
they only wanted to see
patients that were five years of age or older okay and we
currently see a just
two and up and so there was about 50 patients roughly 49 I
think that would
not have been able to access care or clinic and more of
that so those were a
couple of things that helped weight them down a little bit
sure okay and then
sorry yeah and this is the one and not so much between the
two of them but this
one when you look at your criteria it's pretty heavily
weighted to the the
clinic that we already have in in other words you know they
're the incumbent I
mean between 208 140 something clinics right to me it's
okay you got 80 more
but I think once you get to that level is probably so that
was my only thought
here I'm not saying it's a complaint or an issue but it
just when I look at that
previous experience clinic transition which is primarily
that's moving from
one to the other in other words if you have an incumbent
right you're not gonna
have to transition and there are some inherent advantages
the incumbents going
to have they're not gonna have tripling transition costs
either part of the
process yes sir okay all right okay great any other
questions yes
Councilmember so I know on some of our RFPs local
businesses are given a little
bit or given some points on that and I realize I've heard
that on this one it's
not can you explain why could you repeat that question one
more time please
local preference okay gotcha I know it has to do with the
services and the
value and on local preference we do not continue local
sorry let me start over
again we do not consider local preference for RFPs so we do
for bids so
a form like if we were doing a water line there's some
there's very specific
criteria that relate to that as far as dollar limits and
when we can consider
that and that's in the state law and so we mirror the state
law here as well and
so it's not done in RFPs and we can't do that for
professional services as well
which would be an RFQ any other questions for this
presentation all right
thank you thank you guys for your time thank you thank you
Scott all right we'll go on
to agenda item 1c which is under the work session review
discuss and provide
direction regarding the duties and plans of the city
auditor I tell you what
before we let's just take a five-minute break we'll take a
five minute break
Craig if you don't mind is that okay you bet all right
thank you
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all right we're reconvening this meeting of the Dent City
Council Tuesday March
the 28th 2017 we're on it is 342 we're on work session item
1c review discuss
and provide direction regarding the duties and plans of the
city auditor
great go ahead thank you mayor members of the council I'm
going to talk a
little bit about internal audit today one of the first
things that an auditor
does when he takes a new assignment is looks at the author
itative
pronouncements that are in place for his position and you
see one of them on the
overhead section 604 the city charter there's also an
ordinance 2017 63 that
deals with access to documents and collaboration amongst
management and the
city auditor one of the things that when I looked at those
authoritative
pronouncements there were some things that I thought
perhaps should be added
to them one of the things is independence if an auditor is
not independent you do
not have an internal auditor you merely have a management
analyst when I look at
our standards generally accepted government auditing
standards 26 pages
out of 177 pages talk about independence that's how
important
independence is but I don't see it mentioned anywhere in
any of the
authoritative pronouncements something else are duties and
responsibilities
typically when I look at city charters for city auditors I
see duties and
responsibilities not necessarily specific duties and
responsibilities but
in general they are provided in the authoritative pronounce
ment another item
are standards I follow generally accepted government aud
iting standards
provide credibility to what an auditor does and so I don't
see any mention of
those in the authoritative pronouncements backing up to
this first
screen when I read this first screen it says the city
auditor shall be appointed
by the council shall serve at the pleasure of the council
and should
perform such auditing duties as may be assigned from time
to time by the council
by the city manager at the direction of the council now
when it comes to the
audit plan which I will present one to you today the way I
interpret this it
sounds like the audit plan comes from the council that's
what it sounds like
but typically in every city I've been in the audit plan
comes from the city
auditor and moves up to the city council so I think that
there should be some
clarification exactly what that means it could be done in
the duties and
responsibilities section but I just wanted to provide you
with my input I
know that there's a city charter review Commission in place
right now and these
are items that I thought that should get some attention I
have a question help me
understand you said that there's independence and if you
don't have
independence then you're simply a management analyst yes so
I think I
understand what you're saying but share with me in your own
words what you mean
by that well if you're not independent you really can't be
called an internal
water because if you have don't have independence then
basically you fall
under management and you're a management analyst so you
have to it's the
independence that the auditor has that makes that person an
auditor and if
there's no independence from what they audit then they're
really not an
internal auditor they're just an analyst management analyst
okay and I I still
help clarify that just a little bit when you say
independent okay because we we
the City Council you're a council appointee right and so
when you say
independence you mean what when you think of that word what
do you what does
that mean I'm saying it's independence from what I audit
and in other words in
this case would be independence from management okay that
means that you
don't talk with management they don't talk with you they
don't review your
your reports you don't I mean what I'm still trying to
understand what that
means and obviously they're not telling you what to do so
what right yeah well
and this came up during the interview process also I
remember mentioning that
sure one of the most difficult things that an auditor has
to do is the auditor
has to be independent but at the same time the auditor has
to collaborate
with management and there's a real fine line there but
independence it's
independence from what we audit and who we audit that's
what independence means
okay all right okay council member Gravey
well you I thought you were very familiar with your
question mayor because the
auditor is serves at the pleasure of the council correct so
when you say you're
independent do you mean you're independent of the council
or from the
council no no independent from what I what I audit and and
from management I'm
independent from management so do you read anything in the
city charter as
it's written right now that we prohibit you from developing
a an audit plan and
presenting it to the council to be approved no that's what
I'm going to do
tonight okay present one tonight and is that standard kind
of what you've done
in the past oh yeah and that's what you're familiar with
that other
auditors have done that is correct so right now I think
what I'm hearing you
say is while the city the wording in the charter may be
imperfect it certainly
does not prohibit you from doing what you have done in the
past and what
you're proposing to be doing here now yeah you guys would
be correct yes okay
thank you yes Kathleen I'm sorry if I could take a stab at
clarification
independent internal auditor is basically a checks and
balance of all of
the things that are going on at the city if if the auditor
is merely staff who
reports to city manager and its city manager who says let's
just say case and
correct me if I'm wrong auditor comes and says this is an
area of the city
that I would like to audit and if you report it directly to
the city manager
and didn't have independence theoretically it would give
the city
manager the power to say no can't you can't audit there am
I right with that
right I could be influenced by management if I reported to
management if
I was doing an audit and so part part of this is the risk
assessment to take a
look at where should I where should I audit first which are
should I audit
second what should I audit third fourth fifth as time goes
on and I think that
independence means that the auditor also with direction of
council if we have
let's just call them some hot buttons of things that we we
would like you to drill
into or down to but it's very different than council saying
here's something we
would really like you to take a look at versus management
saying I don't want
you to look there or I don't want you to look that deep so
that the purpose of
an independent internal auditor is so he has that knowledge
and assurance to say
this is a this is a risk and this is where I would like to
do an audit and
there isn't someone who's gonna step in and say no don't
want you to do that am
I am I that is describing that correctly that is correct
yes ma'am
councilmember Gregory yeah I agree and and and I I don't
read anything in the
way the Charters currently say did that contradicts what
you're saying and in
fact what it says is that that the auditor may be assigned
audits from the
council maybe that he didn't even suggest in his audit plan
he brings an
audit plan and we say well that's great but we want to add
this and we would add
it and I as I read in it also the city manager may be aware
of something that
needs to be audited that that we're not aware of that our
auditors not aware of
and he could bring that up but only at our direction only
at the council's
direction would the auditor do that the manager can't can't
start directing the
the auditor to do certain things nor and it's clear that
the manager can't
prohibit the auditor from doing certain things that's that
's because the auditor
answers to the council not to the manager well and I think
you answered my
question in a sentence in your response to councilman Was
ney and you said that
and you would not be independent if you reported to the
city manager well the
very structure of our governance of the city you report
directly to the city
council so in that sense by the very nature of the
structure of the
organization you're independent because you do not report
directly to the city
manager so that helps clarify it for me where you're coming
from on the
independence thank you okay okay well that was just the
input that I had on
the no I appreciate that absolutely yep okay the next topic
I have is this you
know when I look at the anti-fraud program here at the city
I see that we
have an audited finance committee we have ethics and fraud
training we have a
fraud directive in place we have an internal audit
department now but the
one thing that I don't see is an anonymous reporting
mechanism to report
fraud waste and abuse tips are the number one way to catch
fraud waste and
abuse and so that's what I just wanted to get get your
thoughts some direction
on that if that is something you believe that we should
have yes
because I would like to have you because I'm assuming that
you've had this tool
in other cities that you've worked correct correct and so
if you could do a
staff report to council kind of outlining what those
programs look like
in other cities that you've worked in so that council could
see how it was
structured how it worked how it was effective and I think
that would instead
of asking you know for approval today just let us learn
about how how it works
and I'd appreciate that yeah I mean I could briefly very
quickly tell you how
it worked in the in the last two assignments that I had
there was a
direct line coming into my office it was an anonymous phone
line we also had on
the internet an anonymous report form that vendors citizens
and employees
could fill out we also had an email that was a fraud hot
line email they could do
it through the US Postal Service or they could come in
person so those were the
five different modes of communication that we had that was
in-house I've also
seen it where it was outsourced to a third party and so
those are the two
different ways that I've seen before I think that's almost
a whole work session
discussion so what provides the direction at the end yeah
thanks okay
my next item that I wanted to go over I want to share with
you the different
types of reports that can be issued by the internal audit
department and all
these are dictated by the objectives or needs of the user
and so the one that is
most prevalent that has the highest assurance would be the
audit report and
so this is an example here of an audit report and just
quickly to go over the
format you see the authorization from the audit plan gets
approved the
objectives scope and methodology then I have the background
and then I also have
the opportunities then for improvement and so and I have an
overall conclusion
the opportunities for improvement you will see have five
elements they have
condition that's what the problem is the criteria the way
it should be the
effect what's the big deal here and then the cause what's
the difference between
the condition and the criteria and the recommendation then
you have the
management response typically management has two weeks to
do the management
response and then an action plan and then implementation
date so this is an
audit report this again gives the highest assurance there's
test of records
sufficient and appropriate evidence has to be received to
come up with
conclusions and recommendations now the other report that I
want to show that
the real quick question hold on just you were testing my
Evelyn would reading I'm
sorry I'm sorry Graham there when you were okay no no when
you're talking
about cost in the in the summary of the report I'm assuming
you're talking about
the cost of not implementing the recommendations in terms
of possible
violations or you know hurting your your getting the grant
renewed or something
like that well the cost in this particular audit here I
believe there
was a mention I'm not sure you saw it but there was a
mention in here that you
know it's very inexpensive to use p cards compared to other
types of payments so
that's what I was I think I may have been sitting at okay
so so so then it
could be cost to cost savings correct or it could be
expenditure of extra funds
that may ultimately reduce result in some savings you you
might want to be
putting into some new systems that might initially have
some upfront cost but
then have some savings down the road correct okay so so the
cost could be any
of those kinds of it could be any of those things yes yes
Councilman Wasney did your audit reports where did they go
did they were they
posted on a city website yes how these particular order
ports flowed was first
they went through the Audit and Finance Committee then they
went up to the full
council after the full council then they were public
information the reports were
the work papers are prohibited from being public
information but the reports
did go on the website yes and that's the way it's been in
every situation that
I've had experiences with and that's encouraged in the
standards that they
would go on the website and I see that with many cities in
the state of Texas
correct thank you right
okay now another type of report that an internal audit
department can issue is
one that gives moderate assurance this is not high
assurance like an audit
report it's moderate assurance now it is limited to inqu
iries and analytical
procedures this is called a review and so it's limited to
that in this particular
situation this Convention of Visitors Bureau they weren't
interested in a high
assurance through an audit all they wanted to know was did
anything look out
of sync that's all they wanted to know and so therefore
this was good enough
for them this this was it and the reason I'm presenting
this also these
different types of reports is because of scarce resources
some of these reports
don't take as long but it depends on the needs and
objectives of the users you'll
notice in this particular report it says based on our
review where you're not
aware of any material modifications that should be made to
the company
financial statements in order for them to be in compliance
with GAP so that's a
negative assurance report is what a review is but it's
limited to inquiries
and analytical procedures okay now another type of report
that internal
audit can provide is called a prospective analysis and this
is going
to be analysis or conclusions based on assumptions and
methodologies that would
be based on a forecast and so in this case here what we did
is council wanted
us to look at revenue estimates the city of Dallas we took
the largest funds and
we audited the assumptions and methodologies as to how they
came up
with their forecasted revenues and so this is called a
prospective analysis
this one ends in an opinion it says in our opinion the
accompanying forecast
and underlying assumptions provide a reasonable basis for
management's
forecast so that's how that report what that report can
give you and is audit on
futuristic information okay now another type of report that
internal audit can
provide is called an agreed upon procedures engagement and
this is exactly
what it says it's agreed upon between management through
the council to the
city auditor or from the City Council to the city auditor
this is a chance for
the council to give me procedures and I just do exactly
what the procedures are
and you can see here this is at the city of Dallas they do
agree upon procedures
all the time for sole source bids and and other types of b
ids in this case this
was another type of bid this dealt with underground storage
tank removal and
replacement and it was about 14 procedures that they had to
go through
and they all they do was no exceptions were found as a
result of applying the
procedure if there was an exception that would be so stated
here but all it is is
these procedures came from their council and they fulfill
those procedures and so
you may ask well why would they do that this doesn't give
much assurance to us
so why would we have an agreed upon procedures engagement
well the the
benefit that the internal audit brings to this is that they
're wanting an
independent third party independent assessment and that's
what they got
here and so that's an agreed upon procedures report okay so
that was my
third does anybody have any questions on the different
types of reports
right that is correct and I think you're going to find that
when I go over
the FY 17 audit plan that's my next topic here I think you
'll see that
because I make recommendations on that so but they bet you
're right that's
exactly right okay so this is the FY 17 audit plan now in
the process here what I
did is this was done through inquiries and through my own
observations and I
saw likelihood and impact to observations in the inquiries
and that
was done through complexity through materiality through the
concerns of
council and management any past issues and so I took all
that into effect and I
signed the risk factors the likelihood and impact so there
were certain things
that popped out once I had those subject areas what I did
was I had to deal with
my scarce resources that being ours and so as auditors what
we do we split out
our time three ways we have administrative hours we have
time off
hours and we have audit hours and so you'll see them here
so for this is for
a six month period of time it's 1,040 hours is what I have
budgeted here I'm
budgeting 175 hours for administrative time 40 hours for
time off and then 825
hours for audits so what I've come up with here is the plan
for the next six
months I have a contract administration audit to evaluate
the process and
determine if accountability is in place I have that budget
ed at 400 hours now
what would this audit entail we'd be looking at policies
and procedures we've
been looking at training we'd be looking at the initial
review of contracts I'd
be looking at the renewals on the contracts and so and the
most important
thing is I'll be looking at accountability for these
contracts is
there a central repository for all councilmember Hawkins
has a question do
you work on all these together or one at a time or is it
not yeah what I usually
do is I usually have several of them going at one time and
here's here's why
I do that because sometimes there's a hold up on one of the
audits I may be
waiting to interview somebody or waiting for some
information and so so as to not
to waste time I'm usually working on like in this case
probably a couple at a
time I'll probably do yes okay so the contract
administration audit is is one
of the audits I have here the other one and this this is a
full-blown audit we
have agreed upon procedures engagements as the next one
evaluate certain
contracts bids purchases etc I have 150 hours allocated to
those type of
engagements and this was from requests that I got and so
these are agreed upon
procedures so this is where you have the opportunity to
provide me procedures and
I will carry them out carry them out and provide you a
report now one of the
things I want to mention here is there's five components of
the internal control
framework management is responsible for those one of those
components is
monitoring and that's called ongoing monitoring and so as
an auditor I audit
that I make sure that management has an ongoing monitoring
process in place now
if the auditor gets involved in ongoing monitoring then I'm
performing a
management function which is an independence issue I can't
do that the
other thing I will mention is if I get involved in
something like that I could
end up auditing my own work which also would be an
independence issue now the
other type of monitoring is separate evaluations that's
what the auditor does
separate evaluations so we don't I don't do ongoing
monitoring so I just I just
wanted to make sure that everybody understood that so that
's agreed upon
procedures engagements now the last audit that I have here
is a vendor master
file audit now you might not be familiar with a vendor
master file the vendor
master file basically is the key to the door for payments
in the city it is a
repository of vital information on who pays us or who we
pay I'm sorry the
thing is we don't want any unauthorized or inappropriate
activity in that
particular file it's a critical file here at the city that
some people are
not familiar with but but it's one that needs to take take
a we need to take a
look at it a vendor master file audit so that is the audit
part now what I have
here in this section I have investigations advisements risk
assessment annual audit plan annual reports at 75 hours now
one thing I want
to mention out of this is advisement so so how does
internal audit how they
provide advisements to the city to the city organization
well many times I may
get calls let's say somebody has a question about internal
controls they
can call me up I provide advisement to them the other way
that internal audit
can help the organization is by sitting on committees in an
advisory capacity for
example I was on an RFP for a travel management company I
've been an RP
committee for a accounting system I've been on the risk
advisory committee for
a garland power and light so those are other ways that
internal auditors can
benefit the organization through advisements so the hours
that I have
here are 75 hours and that gets me to my 825 there so I'm
presenting this to you
if you want to make any modifications to it that would be
fine just I'd just like
to get some direction as to if you want me to pursue this
or if there's any
changes you want to make to this do you have any other
slides after this or is
this the last I was gonna say we'll just give you direction
on several of the
things that you'd mention okay go ahead yeah this this is
my last okay all right
yeah I guess the question for me is because I know this is
going to be a
fairly new process for all of us right on the council I
think and as far as
what you decide to look at I mean when I read the charter
and I hear your your
discussion here today that I guess what I don't want to
happen is for individual
council members to come to you and initiate some kind of
audit process that
the rest of the council does not know about I mean so I
would certainly implore
you that this is a council decision just like you're
presenting this audit plan
for a council direction and decision that that be how that
's that's moves
forward and that because I think the whole council needs to
be in discussion
of those matters yes councilman Wozni. Does that fall under
number two agreed
upon procedures engagements so that the council agrees? Yes
ma'am that would be
the way I would prefer that would keep me out of trouble.
Keep us all out of
trouble. Okay so let's take these one at a time you had
asked about in the
earlier presentation earlier in the presentation about the
fraud hotline I
think the direction seemed to be that's going to be
something we're probably
gonna want a work session on to come back and get a little
bit more
understanding of that and maybe the mechanics of that how
that works and
then we'll probably able to provide a little bit better
direction after that
discussion and then it sounds like the only other direction
you're needing is
what you just presented and that is this sort of audit plan
for the first six
months correct yes I guess I need a little bit more
understanding when you
say let's just take the first one for example contract
administration audit
evaluate the process determine if any accountability is in
place so what does
that mean give me just an example well what I'm gonna what
I'm gonna look at
again is gonna be policies and procedures training I'm
gonna look at
initial review of contracts is there a central repository
for contracts do we
have a person that's assigned accountability you know about
any
contract yes sir and I'm sorry I should have stated this
would be an entity wide
audit so any department's contracts would be fair game to
be looked at okay
so when you say that what when you say entity wide you're
saying I'm gonna look
at how each department handles the contracting procedure
how does it what's
the training for whoever's handling them reviewing them are
they reviewed by this
person are they reviewed by legal are they reviewed by in
other words just try
to have an understanding of a flow chart of how a contract
moves through the
department that is correct and what I what I correct and
what I may do also is
I may take samples of contracts and follow them through the
process okay I
appreciate that any other questions or of course he's asked
for some direction
on this councilmember Hawkins well sure I I wouldn't really
know how to change up
any you know how you change up the hours or that sort of
thing so I would be okay
with moving forward with it especially it only being six
months right
Councilmember Pro Tem. I don't have any issue with the
suggestions and thinks
it's fine fine the only thing I would think are in earlier
independence
discussion you know while I completely agree that's the
only way you're gonna
be able to be able to do your job and do it in a way that
makes sense we have
four council appointees and while they're all technically
independent of
one another by kind of the structure of the city we are
best served to the
extent that everyone's kind of playing well together and
heading in the same
direction direction and solving strategic goals for the
city so my only
thought with this I mean this is just a six month kind of
run is that moving
forward what might be the healthiest thing to do is be able
to kind of there
might be something that the city manager wants to bring to
bear for this
discussion because he's seen something with his new fresh
new eyes our city
attorney who's going to be involved in some of these things
as well probably
has some sense of some of that I would just I think would
be healthy to have a
bit of a collaborative approach because there's things that
we don't know what
to even ask as it relates to these sorts of things that our
other appointees
could probably bring the bear on that discussion that helps
us make sure we're
heading in the right direction or even if there's any
concerns I'd want to hear
that so I don't know how best to foster that I do know we
have teed up some
conversations with our appointees in the next few months so
just a thought moving
forward to try and structure that better well and one of
the problems is the term
limited resources and it's not money it's just personnel
you know we have one
internal auditor and so because this is what he does and
what he has done I think
this is his starting point so this will lay a foundation
and correct me if I'm
if I'm headed in the right direction this will lay a
foundation for him so
that after six months then the council has information
coming in the city
manager the city attorney and so I'm I agree with you I
just know that we can't
give him a 20-point to-do list because it's just one guy
just one man and so
I I do like this list I think council then would get
involved with number two
the agreed upon procedure engagements so that we'd have a
council decision on
what is kind of the what are certain contracts bids
purchases or areas that
you know council would like him to do a look at so help
help me think through
this this is kind of a establishing the concrete foundation
for where you will
go after the first six months that is correct and the other
one thing I will
mention particularly when it comes to the contract
administration audit since
that is entity wide there could be offshoots from that
audit in other words
once I see what's going on in that audit I may find some
weaknesses that I want
to more get into more detail and so it's possible and very
probable that that
that could happen with this particular audit then I would
put that into FY 18
audit plan so you know that's just something I wanted to
add on to what you
said so a work in progress and that this is kind of a broad
brushstroke to say
these are the three basic priorities for the first six
months and then after that
of course we'll have a new council seat it as well so okay
that that helps me
thank you I'm good with this but I'd also just like to go
on record to say
that I'm I'm okay and in favor of an anonymous tip line I
think that's a
great idea and we heard many auditors bring that up during
our interview
process so I think more information would be great but I
think it's a great
idea and this looks fine to me
okay all right yes yeah I just want to be on the record
that I like the idea of
the anonymous tip line too I just need to see the logistics
of how it works and
I'm sure it's a little different in different cities and
you can kind of
point out pluses and minuses of different systems before
the council
decides if and how they pursue this right right and that
that's fine because
I wanted to do today was get yes or no from y'all if you
were interested in it
so that's good so I'll bring something back to the council
good thank you yes
mr. city attorney in terms are here interim I just wanted
to add what he's
asking for and it seems the council is going in that
direction it'd probably be
wise to memorialize that in an ordinance for adoption for
the next six months
just to make sure that it is there keep it in mind that we
do have a charter
review committee that this is one of the topics that they
are currently discussing
and have some proposed language that they'll vote on it
sometime in the
future to bring back to you that addresses some of the
initial concerns
the independence duties and responsibilities and standards
that
Craig has raised to you all would it help to have mr. hamn
itor actually go to a
charter committee meeting and answer questions that they
have sometime in the
future we're going to pick this back up this this
particular provision right now
they are engaged in the ethics discussion and so when they
do come back
that is something that we can present to the chair of the
committee as well as
the rest of the committee I'm sure that they would be
interested in hearing more
from the internal auditor now that he is on board yeah I
agree thank you yeah and
and I had asked Greg to contact chairman Mollroy and I
think I was probably a
little premature in that because I think this presentation
needed to occur first
so that the council can give some direction so that the
charter committee
would understand if there's any additional direction they
would have it
so he did reach out and the request was that the council
hear this presentation
first so I appreciate you doing that again apologize for my
sort of
prematureity on that yes so if we could have a resolution
sooner than later so
that we can vote on that and that gives mr. hamnitor his
his assignment and we
can tackle the anonymous tip line later and good thank you
all right any other
questions on this presentation you have your direction yes
sir all right
fantastic thank you thank you and pronounce your last name
for me just
pronounced Hametner Hametner that's exactly right and it's
all right so I
apologize for not for being so informal but I didn't want
to misspeak thank you
all right so we will now is are we going into there was a
request that was made
prior to our special called session special call meeting to
move into a
closed session just to discuss I guess a legal advice for
one of the open I'm so
are we going to go in a closed session that is that what it
is yes this is your
memorandum our legal opinion justifying the reason for
going into closed session
all right then we will is there a I'm just gonna say we
will now convene in
closed session pursuant to Texas government code section
five five one
point oh seven one as it relates to agenda item 1a on the
agenda for the
Denton City Council dated Tuesday March the 28th 2017
caption for agenda item 1a
not 1a oh 1a for the individual items yeah okay individual
item for individual
consideration which is considered option of ordinance
accepting competitive
proposals and awarding a contract for the city didn't
employee health clinic and
operation management services
you have a quorum it is 430 p.m. we're moving on to agenda
item 1 which is
items for individual consideration agenda item 1a is
considered option of
ordinance accepting competitive proposals and awarding a
contract of the city of
didn't employee health clinic and operation management
services and
providing an effective date and we do have blue cards so we
will take public
comment before our motion and vote I didn't have another
presentation
prepared for you I know you'll relieve about that but so we
glad to answer any
more questions that might have come up any additional
questions for staff all
right thank you appreciate Scott we do have some cards and
somehow the cards if
I call your name for this agenda item and it was meant for
another one just
please correct me or if you vice versa so we'll go through
these mr. Willie
Hutzpah the agenda item 1a is he still here in the building
do you know okay
I'm gonna put him at the back yeah yeah just somebody needs
to let him know
we've started Chloe Wenzel if you if you'll come and state
your name and
address and your time will begin and Jennifer you will be
keeping the time
and and it'll be just a little ding or something like that
okay and how many
minutes is it three minutes okay name an address your time
will begin um hi my
name is Chloe Wenzel and my address is 105 heritage lane
and didn't
so I'm a student intern at the Denton Community Health
Clinic which was up
for bid for the city employee health clinic contract so I
can just bring this
up I have some concerns about the the accuracy of the
proposal presentation
for the care here clinic we we understand that the the cost
slide was
was not really accurate with comparing apples to apples and
the cost of
employees of the vendors were not accurate the the care
here was much more
and there was other vendors that were half of the cost of
the care here that
would be better
yeah that's all I got okay thank you
both be marsh Marsh Raleigh you want to come state your
name and address in your
time begin American a support oh yes yes and maybe it's
more of a legal
question and I sure I feel like we've been in this position
before is there
any legal or procedural issue with actual bidders for a
request for proposal
before us speaking to us during that item for individual
consideration seems
like we had that issue coming for us on previous bids that
were being questioned
by the applicant or by the people doing the proposed
proposals and at this point
at the in the process where you're the item is up for
action and if they will
choose to want to come up and speak they have that ability
to do that it's what
happens before them thank you thank you
, thank you.
My name is Phil Marsh Raleigh address 525 South Locust
Suite 200 here in Denton.
I'm Dr. Marsh Raleigh I'm not here to plug our clinic I am
here to kind of
discuss maybe what could be expected of a health clinic
that we're going to
spend good money good taxpayer money on for our area. I'd
like to look at three
areas quickly one is a robust electronic health record and
what that means one is
the importance of accessibility to a primary doctor and the
other is the
overall cost of health care and actually certified EHR is
what the expectation is
of our primary care in the US and the current EHR unless it
's changed in
side views that last did not meet those standards that didn
't have the
accessibility to data that we need and the ability for us
to use the data in a
usable fashion. In terms of accessibility having a call
center is helpful but
you're talking to a someone who doesn't know you a stranger
so one of the ideas
on what we do in primary care and family medicine is to
have access to your
provider after hours weekends holidays and to be able to
get a meaningful
intervention in terms of your overall care and guidance.
Certainly we have
individuals that I see in our practice and that only come
to the clinic for HRA
but that's not preventative health care and that's not
continuity of care for
chronic health conditions. It would be essential that we
would decrease
absenteeism by having good access after hours and probably
limit some of our
absenteeism on Fridays and Mondays that are very common in
the area as we have
heard. It's important that clinic providers have a good
communication
system with the emergency rooms the hospitals and
specialists in the area in
order to better communicate expedite care have more
efficient care decrease
complications. I had worked in the clinic in the past I was
the first physician
there and I did have some difficulties at the time and
looking at some
screening procedures that we needed for some diabetes
chronic care management
and having software that didn't allow me the ability to
take care of those issues
and in a meaningful way. I just got some text right now and
one of our patients
that had some difficulty with the quality of care that they
're being exposed
to at times and the accessibility that they have as a
result of that. Currently
I've expressed some of my frustrations in the past with
inadequate
communication and and accessible software. All right the
next speaker is
Alice Macherelli. My name is Alice
Macherelli 525 South Locust Denton Texas. I am here as a
business leader who is
also a healthcare provider and who has concerns about how
healthcare services
have been evaluated for this RFP. The cost of healthcare
not solely dependent
on the cost of primary healthcare services which is all
that has been
looked at. The National Association for Worksite Clinics
stresses that looking
at and decreasing hospital hospitalization days decreasing
non
primary care costs and decreasing the cost of emergency
room and urgent care
centers are essential to judging the successfulness of an
on-site healthcare
clinic. One of the issues that was brought up during the
work session was
the whether the vendors who submitted proposals understood
that they were
proposing to manage a healthcare clinic. The RFP was very
clear and I think
unless a vendor was an idiot would not have been proposing
to manage the
healthcare clinic in their RFP proposal. So that all bid
ders should be
considered as managers of that healthcare clinic. You may
ask in our
case and I'll put on the other hand just to clarify what I
'm saying is when we
talk about our clinic and everybody's worried because we're
a public clinic
well we're also a business. We can have different business
lines and managing
employee healthcare clinics is a business line that we are
launching to sustain
the clinic. So not in this case we are approaching other
employers. I also have
concerns when the cost was presented as the cost savings in
primary care and it
was said again maybe I misunderstood that the cost included
all of the costs
for the managing the clinic. If you multiply 63.91 times
the 8650 number of
visits that were there it would come out to 549,275. Is
that all that it costs to
run that clinic? On this slide I also have that which is
what the young lady
was trying to present that we're not comparing apples and
apples in your
spreadsheet that you have. One of the examples is on the
screen. My
understanding if you look at Cerner and their bid and their
summary they clearly
say that there are no employee costs they are in their PEPM
costs. Therefore
this is the summary if you add the number of employees that
is stipulated
in the care here proposal which is now public entity that
they would have one
doctor 15 hours a week, two nurse practitioners for a total
of 45 hours
and three medical assistants. Considering that I multiplied
the salaries that each
vendor was proposing and that's the difference.
All right thank you. Next speaker is Mr. Willie Hutsmith.
Is he okay okay all right. If he comes back we'll get him
on the next one.
Mr. well I'm sorry Terry Thomas. Is there Terry Thomas and
is this the right
agenda item? Is there a it's a different one okay it's it's
B it's the next one I
think I'm sorry yeah there's there's sort of been some
confusion here and I'm
assuming Kevin Taladeca is also B all right. That's not y'
all's mistake
that's my mistake and then I Kyle Taylor is also B is that
correct all right.
Thank you. Okay there are no more cards wishing to speak on
this agenda item. I
do have a question for Mr. Payne if you don't mind just so
I can make sure I
understand what what the concerns have been or at least so
the cost of the
clinic forget patient visits and just what we're having to
write them a check
for at the end of the you know end of the year the total
amount what did you
say that was all in all employees all all rent.
It's about three hundred and forty thousand or so for the P
EPM fee that we
pay because that's based on the number of employees so as
we've had employees
that cost goes up and about five hundred and sixty or so
five hundred thirty five
hundred sixty four salary supplies tests lab work all those
things combined and
so that would be the cost for like a year of operation
basically. Okay so then
the cost here I see on this slide and I'm gonna use the
first column which is
reflective of your slide originally which is the total cost
per total cost
per by city staff report okay but those costs that we're
seeing there that's
what they're saying this is where we're gonna charge you to
manage this clinic
and do the fees that we think are gonna be correct and the
cost that we compared
on that that slide was not including the salaries and the
staff benefit piece of
it that was the admin piece to run the clinic so that's
that PEPM fee right and
then the labs that are fairly common right the malpractice
and I believe it
was one of those things but yeah so the salaries that piece
of it was not
included in that because that is truly a pass-through cost
to care here for their
basically we get a bill every month that shows the number
of hours that each
provider work there the early rate and how much lab work
was done everything
else that's a pass-through and we felt like since those are
things are really
gonna be set by the market those are the things that we're
gonna have to
negotiate if we bring new providers in or you know year
after year to keep
providers there it is what the market tells us it's going
to be and that's a
a partnership between us and the vendor they come to us and
say hey we would
like to you know maybe change a nurse practitioner to
another physician or a
medical assistant to an RN for example and we would have
that dialogue about
the cost benefit of doing that and why we want to do those
types of things and
so those mid-year adjustments can affect that that piece of
it the salaries and
the benefits and everything else whereas the other things
the PEPM is just going
to be what it is and it's going to fluctuate based on our
employees so we
didn't really pull that in there it's in the not to exceed
amount but it is in
the piece that we were comparing when we look at the cost
okay so I'm gonna make
sure I understand last year let's say we're considering a
contract for this
year correct so last year or up till last year we this year
we wrote them a
total amount of what they provided in their last RFP plus
then what you're
saying to me is the cost of the salaries and the benefits
of the employees in
other words this 1.582265 no I'm sorry two million dollars
for care here on
the in this column the one that you had presented in your
in your that's there's
gonna be something added to that in the end that we have to
pay them for things
that you're like you talked about staffing employee
benefits and things
such as that correct that was truly just the PPM fee for
the administrative cost
the overhead their profit margin those frequently performed
tests that we
wanted to do so you know flu shots and strep tests and
those types of things
the cost of the HRA the health with assessment the medical
malpractice and
then it need one-time implementation fees were part of that
process that was
the cost evaluation that we looked at so then the savings
amount the six hundred
and twenty eight thousand dollars I think it was that you
said that we're
saving by not directing these people to private right is
that based upon this
1.9 million or is that based upon adding the salary and the
benefits of the
employees on to that to get that savings right that's the
full cost of managing
the clinic from 2015 and so that's what that's based on
that's evaluated on that
total cost that's that's the full boat the the salaries and
all that so and I'm
not trying to belabor the point but this is so I'm trying
to understand the
process so when we send out an RFP and we're asking for
these certain things
but there's another major component that is going to be a
cost that we I mean is
it immaterial is it I mean how is that how is that not part
of the RFP there's
the total all-in cost to me I was I've been thinking this
is a total all-in so
help it just help me understand that the total all-in cost
is what we proposed in
the AIS and the agenda item for tonight for the total cost
of it so when you see
that that not to exceed amount that's everything sure in it
sure but the
evaluation because we looked at this there are a lot of
variables obviously in
the practitioners that we bring to us it's about the market
that's available at
the time yes you know maybe we can bring in a brand new
provider out of medical
school versus having to bring in a 30 year provider so that
that that rate is
going to be very different but that's indicative of what we
're trying to
accomplish at the time that's happening and so that cost is
going to be kind of
that cost regardless of who the vendor is because it's not
just the vendor
coming in and telling us what we're going to pay this that
may be the idea
but once we start trying to recruit for that position kind
of like other
positions with the city that may change what happens or
maybe we aren't finding
a good medical assistant to fill a vacant position so we're
looking at maybe
bringing in an LVN or something on those lines and so that
fluctuates more than
those other costs that we could more clearly enumerate and
kind of more
objectively look at which is what we told you is what we've
included in that
cost evaluation so like to their point that was one of the
challenges we had
in trying to get this to an apples-to-apples comparison was
because
some people bid we're gonna bid everything under the PPM
that includes
everything and so it's very hard because their PPM would be
much higher than
everybody else's correct and so we had to send some
communication back and forth
so help us break that out so we can do an apples-to-apples
comparison and so
sort of may have said that but in the evaluation tool we
actually got their
breakdown by a PPM fee separating out the salaries
separating out other things
are like that okay all right okay so then in the agenda
item where we talk about
the $20 per employee PPM for an estimated energy cost of 38
6,325 for
management and then 666 for salaries and supplies does that
include also the
lease is only a dollar right it but includes utilities I
mean this is those
are all those are pass-through costs to us that we're
already paying for so
they're fairly immaterial in the grand scheme of things
okay so the five years
is not to see over five million dollars so this 19, 1.9
million that's the
five-year cost of just what you said all those components
of that cost we're
excluding the salaries and benefits on your chart is that
okay I'm just trying
to understand how the numbers are different yeah the chart
became very
long and very complex and trying to identify all the
different factors we
went to a value okay all right okay all right thank you yes
Councilmember Brady's so on that comment so we add those
two together the
management costs and the salaries and it's nine it's an
estimate like 952
325 per year is that that's what we're voting on that's the
contract right
right and then we added in a an escalator for increasing
number of
employees because that impacts the admin costs you know as
we have more employees
we're paying more $20 per employee per month and so we
added in a factor for
that increase over I got 2% increase and then a 3%
potential increase to
salaries if warranted by performance so that's in the not
to exceed amount so
if you just did the math of this multiplying that number
times five it
wouldn't come out exactly because we're allowing some
increases for different
things okay thank you so to follow up on that maybe I have
a better
understanding so the number here in the agenda item which
is five hundred and
sixty six thousand for salaries and supplies was that a
constant number that
we applied throughout each one of the proposals or did we
just sort of tag
that on once we decided in other words all these five
proposals if we were to
add this it all be constant right the same so it's still
come out that all the
costs would still come out the same if they had the same
employees same
supplies because those would be a variable that would be
applied to
anybody who was doing the contract for us you know we would
apply those same
variables to the cost of it now some of the providers did
want escalators in
their PPM cost so they anticipated a year to it would be
more year three or
four or five some didn't some held it you know constant and
so that was
factored into what you saw in the that one chart that was
included in that but
obviously not the increase in employees or salaries okay
because that would be
true of anybody who was doing the contract I guess I just
want to make
sure in my mind that the savings that we show is inclusive
of everything the
stuff that we see for the RFP proposed price and then also
these salaries that
we're adding it's all those costs together we still saving
six hundred and
twenty eight thousand dollars answer every year with the
stewardship report
you know care brings us they they show all the costs we've
paid through them
and they use that in their calculation of what their per
visit per cost is okay
all right sounds all very complicated okay all right okay I
apologize that it
is even even the president has found out that health care
is complicated yeah
I thought we can get out of this without a okay any other
questions for mr. Payne
all right we are on agenda item we've had all public
comments no more questions
for staff presentation chair would entertain any action as
deemed
appropriate by the council councilmember Gregory approval
of item 1a of let me
see if I can find it awarding the RFP 6198 to health care
care here LLC okay we
have a motion have a second I'll second councilmember Haw
kins seconds we can I
had just one other comment I would like to get just either
an informal staff
report or something about just the process and how you know
the numbers
work together and these additional costs that are added
that aren't necessarily
part of the RFP because of salaries I just want to
understand this process a
little bit better because I know that this was a my
understanding is this is a
one-year contract with the option of four one-year renewals
am I correct in
that and are these automatic renewals or these ones that
the council has to take
affirmative action on I left my computer at home so all the
backups there I
correct me if I'm wrong but I believe they would be as long
as they are within
the not to exceed amount we would be able to renew those
year after year if
that was our if that was the council's pleasure but would
it come back for a
vote next year for the council or is the council have to
take a an affirmative
action to not renew it which do we know which ones that
which I'm assuming it
would be that one that we'd have to bring it back to you to
vote to not
really yes okay so it always renews unless okay okay thank
you now I
apologize as I said my computer we have a motion in a
second let's vote on the
board I'll signify by raising your right hand all signify
by raising or all those
in opposed signify by like sign raising your right hand the
motion carries five
to one we have a going on to agenda item 1b consider
adoption of an ordinance
approving amendments to the term of the agreement adding
baseline metrics adding
a general termination clause and adding an appropriations
clause to the
management agreement between the city of Denton and the
Dallas Entrepreneur
Center yeah I need to step out oh and you're recusing
yourself Councilmember
Gregory's recusing himself from this item so we will wait
until he leaves the
premises before we okay do we have a staff presentation on
this okay
that's what I was gonna say I have a very short review
presentation four
slides one's a title slide if you don't need it because you
've already had two
work sessions on this I'm happy to just stand for questions
and skip the
presentation if you have a slide that sort of gives the
basics of the the just
for the public's benefit baseline metrics and a general
termination clause
what are we what are we adding that is not in the current
one that would be
helpful just real quickly okay so the recommendations for
amendments include
requiring establishment of those baseline measurements for
the number of
events held and attendees visitors mentor sessions
available and used and
entrepreneurs assisted the baseline measurements then will
be used to set
future performance goals we're gonna change the term of the
contract we'll
change that wording to be from will be renewed annually to
may be renewed
annually the expiration date of the agreement will change
from excuse me
March 1 2017 to September 30th of 2017 will add a general
30-day written notice
termination option and an appropriations clause and finally
we're gonna be
specifying remittance of the 10% of the collected
membership fees directly to
the city of Dunton and these are all the same things that y
'all have heard as far
as recommendations in the prior to work sessions okay
Councilmember Briggs so is
the contract currently expired since the date is March I
mean when we started it
it wasn't but right it's past it's been it's been extended
by a 30-day letter to
the deck through the end of March so we're operating under
a 30-day extension
okay okay so the to establish baseline measurements for the
number so have we
established those that's what they're gonna be is the
events held and the
number of attendees there the visitors and mentor sessions
that are available
and used and the entrepreneurs assisted that's gonna be the
baseline and then
we'll use that to set performance goals after if you guys
approve another
agreement after this one expires we're trying to baseline
since it's a first
year of operations so that's the intention with those and I
know that we
talked about in our last meeting about some of the uses in
there and were they
consistent with the intent of the project and initiative
how does what I'm
seeing here address that because I think that was a concern
if I remember
correctly maybe concerns too strong of work was an
observation of some that
right what are we doing as far as tech related some of
those were absolutely
not tech related at all so last time we did a work session
I
presented to you some information that came from Stoke
staff about their six
month plan to right focus more on technology really boost
the mentorship
program in the area of technology entrepreneurship be
focused on recruiting
technology related companies so that was heard during the
first work session
they worked on a plan we brought that back to you all in
the second work
session and they they clearly understand what the council's
intention is and just
to touch on further evaluation we're not we're gonna be
gathering this
information to those though these things are not specified
in the contract
amendments we're gonna look at the occupancy rate the
graduation rate of
companies successfully working at Stoke but then moving on
because they've been
funded or had the other kind of success that they're
looking for recruitment of
tech sector members and business generation and growth and
member
satisfaction overall these are all things that city staff
will be monitoring
over the next six months and if you because this will come
back before
council prior to September 30th yes and if you could also
work on trying to get
your arms around how many jobs that you can say have been
created by virtue of
activity at Stoke and I know that's that's a hard one but I
'm I'm just
trying to hone in on again accountability on the cost of
this
program and if our goal is to create tech jobs then let's
let's try to see if
we can come up with some matrix to show us in September
this not just member
satisfaction you know that's I call that soft information I
'd like to see hard
information in the fall in terms of if we're gonna talk
tech jobs let's talk
tech jobs and see what is really coming up bubbling up from
this operation okay
thank you for bringing that up because we have you might
recall from the last
time we've done a member survey with the Stoke folks how
many jobs how many
employees do you have is one of those questions and we're
gonna be
distributing that to the larger Denton Tech community as
well to try to get a
good comparison between what's happening at Stoke and what
's happening in the
community at large and that will will be doing that in
April I will send the
larger survey out and then we have the opportunity then to
do it at subsequent
points in time to judge changes but job creation and
employment are a part of
that survey and I know that you didn't have a high
percentage of Stoke members
who had completed the survey and I encourage you last time
to really kind
of chase that because I think that will really help you
create that baseline for
right now and then compare it going out in the future what
where where we are
and where we are in the future so thank you yes any other
questions before we
take public comment
they can say where's the alt but I know where he is okay mr
. Willie Hutzpah has
filled out a card don't believe he's here oh thank you
Caroline I'm sorry
Terry Thomas I got the right one yes okay good right agenda
again my
apologies oh I've called it in the wrong agenda item so
well I am Terry Thomas
I'm a web developers you can tell by the hoodie I'm a
tenant at Stoke Oh an
address too and that'll start your time where's your what's
your address 80 100
Clear River Lane okay and then okay so I'm not a public
speaker but I'm gonna
give this the best that I can I am a Silicon Valley
transplant I worked in
the tell the tech scene out there it startup environments
and on the business
development side I've had a career since then but after
coming to Denton about
three or four years ago now I wanted to reinvent myself
back into technology
and get back into that scene back into that mindset and I
found a way to do
that it was something that took it has will take always but
a lot of iteration I
needed a place to do that iteration meaning I had to sit
there and practice
and practice and practice and practice I needed a place to
do that and although
coffee shops are great that it's really hard to it's kind
of weird to go over to
somebody and say you know how do you do a query on a
database you know they're
trying to enjoy their coffee doing their own work so I
needed a place that I could
collaborate with people who are doing kind of the same
thing and Denton
didn't really have that to offer when I graduated from the
retraining until a
month later and I signed up right away I've been in a
tenant over there ever
since it's given me the opportunity to to network and
collaborate with other
people that have a similar mindset and eventually prepare
me for a job here in
Denton which is amazing because I really was planning on
having to go outside of
Denton and eventually probably move outside of Denton
because I don't like
to commute but I was able to network with some people
within or through Stoke
that eventually did lead to a job so I'm very happy about
that there is a tech
scene here I want to stick around and be able to help do my
part to help it grow
it takes time though I don't know what else I can say about
that what else
did I mention I'm not a public speaker anyway I think I'm
gonna go ahead and
leave it at that. Thank you very much appreciate it thank
you Kevin Tadlacka I'm sure I didn't get
that right so you're gonna you're gonna correct me I'm sure
so thank you
Tadlacka okay name and address please my name is Kevin Tadl
acka and I live at
1409 Marble Cove Lane so I as you guys continue to evaluate
and partner with
Stoke as part of the economic development initiatives of
this city I
wanted to tell you a little bit about myself and hope to
represent a growing
demographic in the US workforce and I believe a very
important one and that's
specifically remote workers or telecommuters and I'll be
speaking
specifically from remote workers working in the tech
industry in general so I
work in the mobile app industry I'm a data engineer and app
developer that
manages business intelligence and big data systems for a
few app companies
based out of Austin Texas and I love my job I love working
remotely I work
entirely remotely so that means I never go into the office
every day I get to
choose where I work and it typically just needs to have
power and internet and
that's all I need and I use that freedom to live and work
in places like Austin
for a few years in Nashville as well and then about a year
ago my wife and I
moved here to Denton and I really falling in love with the
city and with
the community it's a it has a real small town close-knit
feel but it has big city
amenities and there is a really neat energy in the tech
scene here it really
feels like you get to be a part of something formational
and really make a
difference and a huge factor of the development of my this
this affection
for the city has been Stoke so I could choose to work from
home every day and in
fact did for several months after I moved here and was used
to that but I
had heard about Stoke opening and on day one I rolled over
there and became a
dedicated member and and I've really enjoyed it it's given
me a community it
allows me to keep my finger on the pulse of the city
because the city is involved
with Stoke which I really greatly appreciate because as a
newcomer to
Denton that's really how I've gotten into the community and
seeing what events
are going on and gotten to take part in those because I
hear about them through
people at Stoke like Terry said just the tech support you
get web any sort of
software developments difficult to do in a bubble and you
need people to help you
out with problems that you you run into so I'm likely not
going to an open off
open an office and hire 50 people here in Denton I'll
probably always work
remote but I wanted to speak a little bit about what I
think is a really
important demographic and why it's important to attract
people like me
remote workers in general to the city and some thoughts or
stats on that is
well I guess the workforce is transitioning to that to that
whether or
not didn't is prepared to capitalize on it the latest data
from the Bureau of
Labor Statistics for 2015 said that 24% of them the
employed people did some or
all of their work at home in 2015 that was led by workers
in management business
and financial operations which came in at 37.8% was closely
followed by
professional related occupations which would be your tech
industry fields at
thirty four point six percent these are both growing these
are all growing under
my personal experience in the experience of a number of my
peers remote workers
tend to reinvest the time and money that they save and comm
uting and spending
you'd otherwise spent on gas or thank you for your time
thank you appreciate
that next speaker will be Kyle Taylor state your name and
address and your
time will begin afternoon counsel my name is Kyle Taylor
live at 1331 the
rate of court so last week I just got back from a trip from
Boulder if you've
ever heard of Boulder it's great city it's similar to Dent
on 110,000 people
it's a college town it's a you know it's very pedestrian
bicycle friendly and
it's definitely growing town it has a booming downtown if
you've ever been to
Pearl Street and been to Boulder so what people might not
know is that Boulder is
actually really large tech community and it didn't just
become a large tech
community overnight there are many head headquarters for
you know big startups
there there's tech stars which is a big VC firm that invest
s in companies that
come through Boulder you know you can find companies that
receive anywhere
between 1.5 to 27 million dollars in funding for example
Google just decided
to open an office there in 2015 they'll be hosting about I
think 1,500 employees
and IBM also has a very large office there but of course
they didn't just
move there because they found a big slot of land those open
they liked it
because actually IBM is a low-risk community to live in and
you know
there's no you know I guess like fire hazard there as well
anyways so I'm
mostly known for my role as a president Tecmo and a leading
advocate for open
didn't but that doesn't pay the bills I don't make any
money from Tecmo I don't
make any money from open didn't I work for a web
development agency in Dallas
called level 10 interactive I've been there for about five
years we do anywhere
between one to two million dollars in revenue a year and we
have just under
ten employees we build large triple projects which if you
don't know what
Drupal is it's really popular for city governments and
Whitehouse.gov you
might have heard of it it's also built on Drupal I work
remotely in Denton
because I choose to work remotely didn't also because I
really hate 35 the with
our company we're trying to grow our development team right
now we also
partner with an agency in San Diego and working remotely it
has allowed us
opportunity to retrieve developers from anywhere we would
like now if we have we
have a sales team in San Diego a production team in Dallas
and engineering
team in Denton it doesn't matter as long as the culture is
fit we are starting
internship program at Stoke starting June we'll have three
interns over eight
weeks and we'll pull them from UNT or TW without Stoke we
wouldn't really have a
place to have that program but that's not really metric
that you can measure
let's see what else yeah so really we want to I think Stoke
is a great
opportunity to kind of point the community in direction
that we want to
build right anyone can move to Boulder you can go visit
Boulder see how great
it is and then decide to move there and that's easy that's
the easy choice it's
really hard to build that community where you want to live
so you know we
really want to encourage people to move here and pay
property taxes but that's
not a metric or accounting so we have a question I'll go to
Councilmember Braggs and then
Councilmember Washington. Are those paid internships? Yes.
Do the ten employees live and work in Denton? Actually that
's ten including
contractors five or six of them work in Dallas there's one
in San Diego and me
up here and then there's a few others so. So currently you
're the only one at
Stoke? Mm-hmm from my company yeah which in addition to
like we I wouldn't open
an office inside of Stoke because I don't need to but if we
if I can run this
internship program and we can build an engineering team
here then maybe we will
open a remote office in Denton if we can have the people to
support it. Thank you.
Sure. Thank you appreciate it. Those are all the cards that
I have for this agenda
item so we've had staff presentation and public comment.
Chair would entertain
action on this agenda item. Councilmember Hawkins. I move
approval of item 1B. We
have a motion Councilmember Mayer-Prince Pro Tem Roden.
Second. We have a motion and a
second. All in favor please signify by raising your right
hand. All opposed by
like sign. Measure passes four to one. All right thank you.
All right we'll go on to
agenda item C which is consider adoption of an ordinance
approving a city
sponsorship in amount of not to exceed $154,000 of in-kind
services and
resources for the Denton Arts and Jazz Festival.
Oh I thought somebody did he go get him.
Just give us just a sec so Dalton can come back. I want
counsel to know that in
spite of the fact that the topic today is Arts and Jazz
Fest I am not scheduled
for any musical presentations today. Okay. Thank you. Okay
you ready to rock and
roll. All right I'm here to present the request from Arts
and Jazz Fest for city
sponsorship this year. This is the same thing that we do
every year. The one
exception is in years past council has approved this on the
consent agenda. As
a result of council request the one change that we've made
to our
co-sponsorship agreement is that we added line number five
that says the
event organizer assumes all liability for damages done to
city property
whatever the cause while hosting this event and agrees to
reimburse the city
for reparations within 30 days of notice or invoice. That's
the only significant
change to this document again that came at the request of
council. So a question
regarding that when we had the big rain event I think it
was two years ago. Yes
sir. That created quite a bit of damage because it's a rain
or shine event. Yes
sir. How much did it cost us to repair? We were in the
neighborhood of fifty to
sixty thousand dollars to go back and fix the park. And
does the Festival
Foundation understand that cost? Yes they do. And do you
know if they either have
an insurance policy or a bond or they have enough cash
reserves that they can
cover that? Well I happen to know in this case that there
are cash reserves for
the Arts and Jazz Fest for their Festival Foundation
because we see their
reports as part of their sponsorship agreement. Okay thanks
.
Emerson this is above and beyond what we allocate from the
Hotel Motel tax fund.
That is correct. To Arts and Jazz. And do we know what that
amount is? I think
it's close to about a hundred or something. Yeah yeah I don
't have my
computer so. But anyway I just wanted to make sure that we
understood that
this is in addition to, so that's sort of the hard money
from Hotel Motel.
This is in kind meaning we've got personnel, park service,
fire personnel,
police personnel that we pay that are there at that event.
Yes sir and then the
the there we donate or they receive at no charge the use of
the Civic Center,
Senior Center, the park itself all of which have rental
fees that would
normally be attached to them. Okay. And just as a note this
this line will now be
attached to all special events that take place in parks.
Okay not just this
event, it's not just limited to this. That is correct.
Alright fantastic. Any other
questions for staff? Mayor Pro Tem? Has the Arts and Jazz
Fest have they agreed
to these terms? I mean I know we haven't approved this yet
and handed this to
them for their signature but in conversations with them is.
They have been
made aware of this yes. But I guess my question is. That's
a very good answer. So we'll
find out I guess. Yeah at the risk of sounding like a smart
aleck have you all
received phone calls from them? Okay so they're made aware
okay and understand
that we're discussing this here tonight. Yes sir. My other
question is more of a
legal question and I'm kind of we see some pretty extensive
legal agreements as
it relates to binding us with folks that we're working with
. This is like a
bullet point list with pretty informal language seemingly.
Is that does this
meet legal muster that if there's a $50,000 charge we're
trying to recoup
that this is going to stand? Yes it just depends. I mean
some contracts more
complex you're going to see the document. Others this is
more simple. It's
mostly an in-kind contribution that you're making and then
they're
returning some promises in exchange for that including re
imbursing you. This
would be sufficient for us to go forward. That's all I need
to hear and I
guess a question for you. I know when we were talking about
this over the last
couple years and different ideas were floated discussions
of even does the
does the city have a trigger event in which we'll call
things off because of
rain events or things like that and I don't know where we
came down on that or
do we have policies in place regarding vehicles being
driven? I remember that
next morning after all that rain I saw some vehicle driving
I was just pulling
my hair out thinking this is just causing more damage. Have
there been
other controls in place along those lines that we feel can
maybe help prevent
some things in the future? One of the things that the park
staff came up with
last year was very strongly limiting where traffic would
flow as the vendors
and the artists set up and left the park almost a roadway
through the park as
opposed to a free-for-all. That greatly reduced now the
weather event was
nothing like it was the prior year but it still greatly
reduced the damage in
the park. Great. Any other questions? Just so that I can be
true to the process we
do have a blue card wishing to speak. Mr. Willie Hutspeth I
don't know I don't
see Mr. Hutspeth in attendance so no public comment on this
particular item.
Councilmember Wasley. I'd like to make a motion to approve
item 1C. We have a
motion. Councilmember Pro Tem Brodin. Second. We have a
motion and second for agenda item 1C.
All in favor please raise your right hand. All opposed by
like sign. Motion
carries six to zero. Thank you. Moving on to concluding
items. Concluding items.
Yes Councilmember. I do thank you. So first I want to thank
staff because they
work so hard on this. It's the employee benefit book that
came to all of us and
very comprehensive. Lots of time spent. It was just very
very helpful as a
council member to have this information. So I just want
staff to know how much I
appreciate all the hard work and time that they spent on
this. I also wanted to
say that the council committee met to talk about vacation
time and sick time
but we weren't able to really talk about the whole book
because our purview was
limited to vacation time and sick time and it'd be nice to
meet one more time
and kind of take a look at all the stuff that the staff you
know has put together.
So I would ask that a resolution be prepared for council to
discuss next
week on opening up the purview of that committee to be able
to talk about
whatever staff brought forward in our benefits book. Okay
and yes and just I
want to remind that we are in concluding items so we have
to you know make sure
our discussion is not outside of posting but from what you
're asking there will
be an opportunity if there's a resolution drafted to where
council
will be able to talk about the merits of that. I just say
that I don't know what
so yes go ahead. Okay from time to time I like to uplift
our group with
literature and I ran across a poem from the typewriter rode
o folks that do
poems but on demand and this one is titled never read the
comments and
unfortunately some of us do especially when there's an
article in our local
daily newspaper and we want to see what what the comments
are but apparently
well here's the point never read the comments. This is an
interesting article
you think I will read it you think it was interesting you
think did other
people also think it was interesting you think so you do
the thing you should
never do you scroll down your curiosity betraying you and
afterwards you feel
dirty sullied worried for mankind you've forgotten the
interesting article you
forgotten your curiosity because your brain your soul is
now a blackened a
shell never read the comments you think by God I will
remember. All right good
thank you any other concluding items councilmember Briggs.
So there's been a
lot of discussion about the minimum square footage that we
have in our code
of being 900 square feet and during the tiny house talks
and I know that that
has come up several times in council but I've never really
seen it in a
conversation about reducing that or what it would take or
you know so I'm just
looking for either a work session or staff update on the
minimum squirt
footage of homes and if there somebody did want to build a
tiny home what if
it was allowed or what they would need to do in the city.
Great any others?
All right seeing none we will stand adjourned at 525.
you