►
Description
Pre-Meeting of the Buncombe County Board of Commissioners for June 2, 2020
B
Good
afternoon,
commissioners,
a
quick
update
for
you
today
on
broadband.
This
is
a
topic
that
we
talked
about
a
few
months
ago,
but
I
haven't
in
some
time,
for
obvious
reasons.
I
just
wanted
to
update
you
on
activities.
I,
give
you
an
idea
of
where
we're
headed
and
sort
of
get
some
ideas
from
you
as
we
move
forward
I'm
so
background
and
you've
seen
some
of
this
information
from
me
before,
but
just
to
reiterate
for
y'all
and
for
the
public.
So
what
we
know
and
there's
a
little
there's
a
little
number
there
that
references.
B
The
note
we
did
a
survey
last
year
got
about
2,500
responses,
and
so
the
data
that
I'm
talking
about
today
is
informed
by
those
responses.
So,
first
off
in
terms
of
internet
utilization,
we
know
that
of
our
respondents,
60%
use
the
internet
for
educational
purposes
and
35%
for
business
activities.
Additionally,
we
know
from
an
access
standpoint.
Nearly
10%
of
our
respondents
said
that
they
didn't
have
access
to
the
Internet
from
an
accessibility
standpoint.
Seventy-Five
percent
said
the
service
was
inadequate,
so
meaning,
like
speeds
and
45%
said
it
was
too
expensive.
On
the
question
of
expense.
B
B
Additionally,
Kovan
19,
this
really
kind
of
reframed
things,
as
all
of
our
kids
went
home.
I
couldn't
go
to
school,
had
to
work
from
home.
As
you
know,
some
of
us
had
to
work
from
home.
The
use
of
internet
was,
you
know,
more
necessary
than
ever
just
to
do
our
basic
necessities
of
school
and
work.
So
some
of
the
actions
we've
taken
to
date.
You
know
we
did
a
community
profile
with
an
asset
inventory.
B
We
did
a
community
survey
where
we
had
2,500
respondents,
and
then
we
hosted
a
provider
meeting
at
that
last
calendar
year
where
we
had
30
broadband
providers
come
and
we
share
data
with
them.
That's
all
background,
that's
kind
of
where
we've
been
so
now.
Let's
talk
about
where
we're
going.
So
what's
next
in
the
short
term,
we've
got
a
few
ideas
want
to
share
with
you,
but
also
some
longer
term
ideas
short
term.
B
The
goal
here
is
to
identify
near-term
broadband
opportunities,
so
not
planning
12
months
from
now.
Let's
do
something
2
months
from
now
that
have
little
to
no
County
cost.
So
how
do
we
utilize?
What
we
already
have
to
address
some
gaps
that
improve
overall,
what
we're
doing,
but
are
just
band-aids
at
the
end
of
the
day,
these
aren't
comprehensive
solutions.
B
There's
some
examples
of
those
in
action
steps
you
see
the
land
of
sky,
Wi-Fi,
lots
project
and
that's
the
map,
that's
on
the
right
and
there's
a
web
address
right
underneath
it,
so
land
of
sky
has
gone
through
a
process
to
map
public
access
points
where
folks
can
go
get
on
the
internet.
You
know
these
aren't
people's
houses.
These
are
libraries.
These
are
parking
lots
in
some
cases
where
you
can
go
get
on
the
internet.
So
if
you
go
to
this
website,
you
click
on
any
of
those
red
dots.
B
It's
going
to
give
you
an
address,
so
you
can
go
at.
That's
the
internet,
clearly
not
ideal
in
kovat
19
timeframe,
because
you
can't
go
in
libraries
in
a
lot
of
cases,
but
perhaps
you
can
get
access
in
the
parking
lot.
I
do
recognize.
That's
not
a
long-term
solution.
If
I'm
trying
to
do
homework
every
day,
I
don't
want
to
have
to
go
sit
in
a
parking
lot
to
do
so,
but
this
is
a
short-term
low-cost
option
and
when
I
say
low-cost
and
no-cost
option.
B
Additionally
we're
looking
at
bullet
2,
which
is
county-owned,
tower
redeployment
and
so
Buncombe
County.
Has
you
know,
35
plus
towers
that
we
use
for
various
purposes?
You
know
we
have
cellular
providers
that
use
those
towers.
In
many
cases
we
have
space
on
these
towers
that
can
be
reused
for
what
we
call
fixed
wireless
providers
and
so
think
of
this
and
I'm
oversimplifying
it
outdoor
Wi-Fi.
Basically,
if
you
can
see
the
tower,
you
can
probably
get
internet
from
it.
B
There's
a
number
of
providers
locally
that
provide
the
service
currently,
and
so
what
we
want
to
do
is
work
with
those
providers
to
see
you
know
what
they
can
do
in
the
short
term,
to
read
to
utilize
these
towers
I'm
again
with
the
goal
being
you
know,
minimal,
County
cost,
but
also
not
a
comprehensive
solution.
You
know,
all
of
our
towers
aren't
intriguing
to
providers.
B
You
know
it's
a
supply
and
demand
thing
at
the
end
of
the
day,
our
best
towers
are
those
that
have
the
largest
populations
around
them,
for
instance
near
the
city
of
Asheville,
but
many
of
those
towers.
You
know
these
are
already
deployed
on
or
you
know,
they're
you
have
other
options
so
in
our
goal
to
try
to
address
the
gaps.
This
doesn't
always
work
as
a
solution.
Does
that
make
sense,
it's
a
supply
and
demand
kind
of
do,
but
nonetheless
that's
an
option.
B
The
next
idea
is
something
that
you
may
have
heard
about.
This
happened
right
before
we
really
started
focusing
on
the
pandemic,
but
we
were
awarded
a
grant
from
the
Appalachian
Regional
Commission
to
do
a
community
center
broadband
project,
and
you
know
I've
over
simplified
it
here.
But
the
basic
idea
is
air.
See
is
funding
the
installation
of
equipment
to
provide
broadband
at
three
community
centers
in
Buncombe
County
and
one
in
Transylvania.
B
The
three
in
Buncombe
County
I'll,
show
you
on
the
next
slide
are
opportunities
again
for
us
to
provide
band-aid
solutions,
we're
not
covering
every
Community
Center.
We've
just
picked
three.
We
try
to
target
those
in
areas
that
had
accessibility
gaps,
but
we've
also
in
order
to
move
forward
with
this
I
have
to
go
through
an
RFP
process.
We
don't
want
to
cut
any
of
our
providers
out
of
the
process,
so
land
of
sky
we'll
be
issuing
an
RFP
later
this
month
to
see
what
options
the
providers
can
give
us.
B
So
in
terms
of
will
remove
next,
we
plan
to
issue
an
RFP
in
June.
This
is
through
land
of
sky.
It's
a
joint
venture
between
Buncombe
and
Transylvania,
or
the
RFP
TBD.
It
depends
on
the
the
products
we
get
back
and
then
we'll
hopefully
implement
in
fall
of
2020.
The
nice
thing
about
this
is
this
is
a
grant
so
again
no
County
dollars
put
into
this.
We
did
have
to
match,
but
the
match
is
based
on
staff
time.
B
The
art
grant
the
proposed
location,
so
this
map
I
showed
you
before.
You
can
see
those
red
circles,
those
indicate
kind
of
pockets
where
we
saw
gaps
any
of
those
sort
of
light,
blue
dots
and
impossible
for
y'all
to
see
those
are
places
where
a
survey
respondent
indicated
that
the
service
was
inadequate.
So
what
we've
done
is
we
kind
of
grouped
those
together
where
you
see
a
blue
star?
B
Those
are
the
three
community
centers
that
were
included
in
the
art
grant,
so
we're
looking
at
the
Lester
ox
Creek
and
Broad
River
community
centers,
so
we're
getting
kind
of
a
spread
across
the
county.
We're
also
targeting
it
based
on
data,
though,
because
you
can
see
there's
yet
not
yellow,
there's
blue
dots
behind
each
of
those
that
indicates
a
survey
respondent
who
said
hey.
My
service
isn't
good
enough
yeah.
Those
are
good
choices.
B
We
tried
to.
We
try
to
use
the
data
to
drive
this.
What
I?
What
I
think
is
interesting
as
well
as
this
is
a
good
way
for
us
to
pilot
this.
You
know
so
it's
one
thing
for
someone
to
say
on
a
survey:
hey,
my
internet
isn't
good,
but
then,
if
we
can
provide
it,
we
can
sort
of
track
it
over
time
and
see.
You
know
how
many
users
do
we
have
and
if
there's
a
sufficient
number
of
users
and
maybe
that
positions
us
to
do
something
different
moving
forward.
B
Good
deal
so
that
the
next
short-term
solution
doesn't
really
move
the
needle
in
terms
of
providing
Internet
service,
but
I
think
it'll
help
guide
kind
of
our
next
steps,
and
so
what
we're
proposing
is
to
create
a
short-term
working
group
of
local
experts
that
will
support
Buncombe
broadband
efforts.
Their
primary
task
would
be
the
development
and
evaluation
of
the
Buncombe
broadband
RFP,
so
this
is
a
model
that
we've
used
elsewhere
with
our
solid
waste
RFP,
but
we
also
used
it
recently
during
another
RFP
evaluation.
B
But
it's
the
idea
of
using
not
just
Buncombe
staff,
but
additional
experts
in
the
field
to
help
us
evaluate
RFPs,
make
sure
that
we're
being
objective
and
thinking
about
things
that
maybe
we
wouldn't
normally
so
the
action
steps
here
is,
you
know
we
want
to
define
the
workgroup
structure
and
specifically
I'm
talking
about
on
the
workgroup.
What
kind
of
knowledge
skills
and
abilities
do
we
need
and
I?
Don't
just
need
people
with
good
intentions.
We
need
people
that
you
know
understand
broadband
from
a
technical
standpoint,
because
it
is
very
technical.
B
We
need
people
with
industry,
knowledge
and
relationships.
You
know
we
can
try
to
strong-arm
broad
ban
providers,
but
that's
not
gonna
work
unless
we
have
a
good
relationship.
We
also
need
people
that
have
done
this
before
you
know
so.
They're
folks
in
our
community,
who
have
experience
implementing
these
programs
locally.
So
we
want
to
bring
them
in
potential
membership
could
include
the
North
Carolina
Department
of
Information
Technology
land
of
sky.
We
want
to
make
sure
that
our
schools
are
involved,
as
well
as
our
local
governments
and
then
community
members
that
have
worked
in
this
field.
B
Before
from
there.
We
would
develop
an
issue
to
RFP
as
usual.
You
know
we're
gonna
put
the
RFP
out,
but
before
we're
gonna
sort
of
award
a
contract,
we're
gonna
bring
that
before
this
board.
So
you
see
what
the
options
are.
We
have
some
confidence
that
we're
gonna
get
some
responses
back
because
we've
talked
to
providers,
but
you
know
the
range
on
those
could
vary
substantially
and
we
want
you
all
to
be
involved
in
that
decision-making.
B
C
I've
got
it.
I've
got
a
question
good.
It's
based
on
really
based
on
personal
situation,
where
I
the
area
that
I
live.
We
have
DSL
to
AT&T
and
I
know
that
they
just
have
different
and
I.
Don't
really
know
what
it's
called,
but
they
have
different
powers
frequencies.
Whatever
that
that
allows
I
mean
the
amount
of
speed
that's
needed
today
is
just
it
seems
to
increase
over.
Oh,
so
some
of
the
speed
that
75%
says
it's
an
act,
inadequate.
C
B
C
You
know
what
kind
of
pressure
can
be
put
on.
You
know,
you
know
an
AT&T
year,
you
know
or
whatever
to
see
what
their
next
step
is.
I
mean
how
hard
is
it
to
go
from
this
speed
to
another
speed
in
my
area
and
Candler,
for
example,
I,
don't
know,
I,
don't
know
that
I,
don't
know
that
the
answer
to
that
and
so
be
good
just
to
maybe
get
some
oohs
questions
answered,
but
there
rfp's
interesting.
You
know
it's
it's
a
big
step.
We
never
had
any.
B
I'd
like
to
share
with
you
some
thoughts
about
that
RFP
and
you
know
our
approach
with
the
RFP
on
this
slide.
You
know,
so
we
want
to
solicit
proposals,
obviously
from
vendors,
that
provide
comprehensive
solutions.
So
we're
looking
for
something
broad
like
you
know,
let's
dream
big
a
little
bit
here
and
you
know
the
goals
for
that
so
scope
countywide,
but
we
want
to
prioritize
areas
that
are
limited
and
access.
We,
we
don't
need
necessary
proposals
that
just
come
back.
B
You
know
and
give
us
access
in
downtown
Asheville,
because
in
some
ways
that's
our
access
is
good.
They're,
not
perfect.
We
have
different
issues.
We
want
to
make
sure
the
proposals
utilize
our
existing
assets,
I
mentioned
we've
got
35
plus
towers.
We
think
those
are
valuable.
We
know
they're
valuable.
The
reason
we
know
they're
valuable
is
because
people
are
asking
us
to
get
on
those
towers,
but
we
want
to
make
sure
that
before
we
give
access
to
those
towers,
we're
doing
something
as
part
of
a
more
cohesive
solution.
B
You
know.
Additionally,
we
want
to
be
technology
agnostic,
and
this
gets
to
Commissioner
Belcher's
point:
you
know:
DSL
versus
fixed
wireless
versus
you
know
in
the
ground,
Wireless
very
different,
different
restrictions,
different
costs,
and
so
we
want
the
providers
to
come
back
with
us
and
say
you
know
in
this
part
of
Broad
River.
We
think
the
best
solution
is
XYZ
most
likely
it's
not
gonna
be
digging
a
trench
and
land
fiber
could
be,
but
we
want
them
to
come
back
and
tell
us
what
those
solutions
are.
B
It
could
be
utilizing
a
tower
in
Broad
River,
where,
if
you
can
see
it,
you
can
get
to
the
Internet.
So
we
want
to
see
what
those
options
are
and
let
the
providers
kind
of
recommend
solutions
based
on
our
geographic
areas.
You
know
the
timeline
on
that
we'd.
Look
to
once
we
get
the
work
group
in
place.
We'd
want
to
get
the
RFP
on
the
ground
in
fall
of
2020,
so
we
want
to
move
something
forward
and
then
you
know
review
those
results
with
you
in
2021,
and
this
is
just
a
rough
time
frame.
B
It
depends
on
what
comes
back
if
they
say,
guess
what
we'll
do
it
all
for
$500,000
might
be
back
sooner,
but
in
reality
we
think
it.
This
will
be
a
bigger,
more
comprehensive,
more
difficult
problem
to
solve,
and
probably
one
that
we'll
have
to
solve
in
phases
incrementally.
But
that's,
okay
and
we'll
have
that
discussion
with
y'all
as
we
move
forward.
D
Tim
I
know
what
the
long-term
thing
would
be,
but
what's
gonna
be
addressed
in
the
short
term
when
I
say
short
term
by
August
of
2020,
so
that
when
the
governor
decides
that
we're
going
to
let
our
schools
back
in
and
fall,
our
students
will
have
a
chance,
I'm
very
concerned
about
losing
that
instruction
face
to
face
now,
they're
having
to
try
to
go
around
the
county
to
find
internet
and
that's
just
making
it
hard
and
so
I.
Is
there
anything
we
can
do
between
now
and
August
sure.
B
Additionally,
the
arc
grant
that
I
mentioned
we're
moving
as
fast
as
we
can
on
that
and
I
think
we
may
not
be
implemented
by
August.
I
need
to
get
a
timeline
from
the
vendors,
but
I
think
we'll
be
close
and
so
I
think
those
three
community
centers
will
be
lit
up,
as
they
say
in
the
broadband
space
I'm
hip
to
the
lingo.
B
E
All
right
good
afternoon,
so
we'll
start
I'll
start
by
showing
the
dashboard
as
it
stands,
live
on
our
website,
all
right.
So
just
to
give
you
an
overall
update
today,
we're
at
350
cases
and
29
deaths
and
of
those
29
deaths.
24
were
in
residents
of
long-term
care
facilities
max
go
ahead.
Well,
let's
start
with
the
age
group.
E
We
see
that
we
still
have
that
disproportionality
of
about
25%
of
cases
being
in
individuals
who
identifies
Hispanic
or
Latin
X
when
we
know
that
our
County's
population
is
about
6.3
percent,
go
to
race
now
max.
If
you
don't
mind
and
again,
we
see
disproportionality
when
we
look
at
cases
in
terms
of
how
they
identified
with
about
six
point
nine
percent
identifying
as
black
or
african-american.
E
So
I
wanted
to
point
that
out
in
terms
of
the
testing,
so
you
see,
we've
had
you
know
almost
eighty
four
hundred
tests
completed
as
of
today,
knowing
that
there's
you
know
a
lag
time
there
and
in
terms
of
how
quickly
those
get
reported
to
us,
but
when
I
do
the
math
about
cases
and
the
number
of
tests
that
we're
done
we're
about
four
point:
two
percent
positivity
rate
and
when
I
go
back
May.
Eighth,
we
were
about
three
percent.
C
E
3.6
was
May,
19th
and
4.2
today.
So
again,
that's
not
I,
don't
know
how
statistically
significant
that
is,
but
it's
still
trending.
If
we
could
compare
three
to
four
point,
two
percent,
the
good
news
is
testing
is
getting
done.
I
will
say
it
is
still.
You
know
it's
nowhere
near
as
streamlined
as
we
want
it
to
be
in
any
way,
shape
or
form,
but
there
are
lots
of
providers
out
there
doing
testing
when
they
are
worried
about
kovat
19.
E
In
terms
of
the
cases
at
the
long-term
care
facilities,
we
still
have
four
facilities
that
have
outbreaks
83
residents,
total
staffing,
so
just
I
wanted
to
point
something
out.
Cuz
I
haven't
necessarily
made
this
clear.
We
have
to
remember
that
we
have
people
who
work
in
this
county.
You
don't
live
in
this
county
right
and
so
59
staff
total
and
these
long-term
care
facilities
are
have
kovat
19,
but
not
all
of
them
are
Buncombe
County
residents
right.
E
So
so
the
when
you
see
the
report,
that's
on
the
state
website
the
report
of
the
outbreaks
gonna
say
you
know
total
59
staff,
but
Emily
isn't
per
my
count.
46
46
of
them
are
Buncombe
County
residents
and
that's
not
uncommon.
We
know
we
have
people,
we
live
in
this
county.
You
work
in
other
counties
as
well,
so
you
can
go
to
that
PowerPoint,
no
max
if
you
want
so
this
is
that
same
dashboard,
but
with
our
kind
of
trend,
coloring,
so
again,
I
would
say
you
know
we're
doing
well.
E
Could
we
do
better
with
testing
sure
we
can
always
do
better
with
testing
contact
tracing
capacity?
So
we
now
have
access
to
the
platform
that
the
state
has
rolled
out
to
to
help
with
contact
tracing.
We
have.
We
have
requested
staff
from
the
community
care
of
North
Carolina
program
that
hired
people
and
it
sounds
like
those
will
be
coming
on
board
any
day.
Now
we
are
currently
training
arts.
E
We
talked
about
trends,
so
our
you
know
case
counts,
going
up
our
positivity
rates
going
up,
we've
heard
from
dr.
Hathaway.
If
you
listened
yesterday
to
the
to
the
media
briefing,
you
know
there
are
seeing
more
individuals
being
admitted
with
kovat
19
in
terms
of
their
ICU
availability.
They
look
at
looking.
Fine
PPE
is
still
fine,
ventilators
still
fine,
but
it's
just
you
know
something
we
expected
would
happen
and
we're.
You
know
we're
all
just
watching
that
closely
and
in
terms
of
syndrome,
aches
of
a
list.
E
Suppose
that
mean
what
that
means
is
the
visits
to
the
emergency
department
for
symptoms
that
fit
Kovan
19,
and
that
is
a
more
regional
that
can't
be
drilled
down
necessarily
to
the
county
level.
Very
easy,
so
regionally
that
number
is
decreasing,
but
then
not
everybody
goes
to
the
emergency
department
with
with
those
symptoms.
So
it's
a
you
know,
there's
limitations
to
all
this
data,
any
questions
about
any
of
that.
F
Yeah,
thank
you.
This
is
really
great
to
have
it
presented
this
way.
It
might
be
something
y'all
are
planning
to
address,
but
I
would
love
to
hear
what
your
current
thoughts
are
on
sort
of
how
what
we're
looking
for
and
this
data-
and
you
know
we
as
we've
discussed
many
times-
we
knew
that
with
various
stages
of
reopening
we'd
see
cases
go
up.
We'd
see
deaths
go
up,
unfortunately,
but
just
to
hear
your
latest
thinking
about.
G
E
When
I've
heard-
and
this
was
a
while
ago,
but
when
I've
heard
like
the
state
epidemiologists
talk
about
stuff,
they
don't
talk
about
like
a
number
or
a
threshold.
It's
more
the
trend
right,
and
so
we
are
working
on
I
know
our
business
intelligence
folks
are
working
on
additional
things
to
add
to
this
dashboard,
which
would
include
that
positivity
rate,
which
would
show
what
the
trend
of
that
we're
going
to
add.
More
information.
I
think
this
week
about
the
demographics
of
the
death.
E
Those
who've
died
from
Cove
in
nineteen,
but
yeah
I
think
that
it's
it's
the
whole
picture
like
the
trends
but
I
would
say
yeah
we
expect
a
case
to
go
up.
The
positivity
rate
is
somewhat
concerning
to
me.
I
think
the
hospital
stuff
is
important
to
follow,
because
that's
our
that's
what
we
always
said
this
these
measures
were
to
do
right
was
worse
to
prevent
overwhelming
our
health
care
system
right
to
make
sure
that
there
was
adequate
PPE
to
make
sure
there
were
adequate
ICU
beds
and
ventilators,
and
so.
F
That's
something
that
I
kind
of
just
keep
thinking
about
partly
thinking
about
the
families
involved,
but
also
just
partly
thinking
about
like
what.
What
does
that
tell
us
and
is
there
anything?
Does
that
mean
we're
doing
a
good
job
at
infection
control
and
so
generally
at
the
level
of
community?
And
so
we're
not
seeing
other
communities
have
like
1,300
cases
and
40
deaths?
We
have
350
cases
and
20
almost
30
deaths
so
anyway,
yeah.
E
Mortality
rates
hard
right
because
again,
not
everybody
well
again,
testing
is
getting
better
and
more
people
getting
tested.
That's
always
been
the
problem.
Is
you
don't
really
know
all
the
cases
out
there,
because
for
so
long
people
were
told
to
stay
home
and
so
mortality
rate
is
I?
Think
one
of
those
things
we
won't
have
a
good
grasp
on
until
much
later,
when
we
have
fully
yeah
anybody
can
get
tested
quite
quite
easily,
so
so
yeah
I
haven't
really
I.
E
G
E
Here
so
this
is
I
wish
you
guys
could
come
and
join
my
my
calls
with
these
long-term
care
facilities.
So
we
had
a
call
this
morning.
Every
week
we
have
a
call
we
invite
them
all
clearly
were
on
the
phone
of
communities.
Nurses
are
on
the
with
with
them
daily,
but
some
of
them
have
been
able
to
obtain
the
resources
to
be
able
to
start
doing
or
to
at
least
do
one
time,
testing
of
all
their
staff
and
residents.
E
Some
have
done
that
and
in
some
of
those
cases,
they've
found
no
K,
nothing
right,
no,
no
positive
results
and
any
staff
and
residents
a
few
have
sound
like
one
case
in
a
resident
or
one
case
and
a
staff
member,
but
the
many
and
many
of
them
are
looking
at
that
recommendation,
because
we've
shared
that
with
them
and
said.
If
you're
able
to
do
this
like
we
want
you
to
do
it,
but
but
I've
I
brought
my
notes
here.
E
So
I
could
read
to
you
like
the
things
that
they're
they're
telling
me
you
know
they're
there
looking
at
it,
it's
just
very
complicated
to
amass
you
know,
do
all
those
testing
when
you
think
about
they
might
have
you
know
150
residents,
150
staff.
It
gets
very
costly
very
quickly
and
it's
they're
not
they're,
worried
about
the
sustainability
of
it
because
doing
it.
One
time
again
is
a
snapshot
in
time,
but
it's
not
the
end-all
be-all
and
the
recommendation
is
to
keep
doing
weekly
testing
of
your
employees.
E
We've
had
instances
last
week
where
one
of
our
facilities,
who
is
in
the
midst
of
an
outbreak,
their
employee
insurance,
said
we're
not
paying
any
more
for
these
employees
to
get
tested.
That's
a
hundred
and
basically
a
hundred
dollars
at
least
out-of-pocket.
These
employees
would
have
to
pay
or
the
facility
would
have
to
pay
in
order
for
their
staff
to
continue
get
weekly
testing.
We're
hearing
that
other
health
insurance
companies
are
saying
we
aren't
going
to
cover
testing
of
asymptomatic
employees
in
these
facilities
unless
the
test
is
ordered
by
their
personal
physician.
E
That
is
a
that
is
a
barrier
right.
That
is
not
helping
with
streamline
testing
and
so
I've
shared
those
concerns
with
the
state
DHHS
folks
and
they're,
going
to
take
that
to
their
payers
group,
which
involves
all
the
state
and
the
insurance
companies
in
the
state.
But
but
that's
like
one
right:
that's
that's
one
issue
we're
running
into
we're
who's,
paying
for
the
tests,
and
so
some
of
these
facilities
are
digging
into
their
pockets
and
paying
for
it.
E
So
there
is
an
opportunity
that
if
we
as
a
county
really
want
to
help
support
these
facilities
doing
this
testing
they're
there
there
is
an
opportunity
financially
where
the
county
could
help.
You
know
get
into
contract
with
mako
and
say
if
facilities
you
know,
are
trying
to
do
the
testing
but
they're
running
into
barriers
where
there
is
no
insurance
company
to
pay
for
their
employee
testing
that
you
know
Mako
the
lab
could
invoice
the
county
for
testing
or
we
could
work
out
a
deal
with
the
facilities.
E
E
I
have
I
got
a
contract
this
morning,
a
draft
contract
this
morning
from
Mako
I.
They
would
be
in
partnership
with
they.
Basically,
they
would
hire
range
to
go
in
and
do
the
testing,
potentially
or
Mako
would
send
people
out
here
to
do
testing.
So
there's
there's
multiple
ways,
but
we're
hitting
that
wall
right
now
already
and
so
I
think
that's
what
the
other
facilities
are
worried
about,
like
if
I
start
doing
this
now
and
I'm
supposed
to
keep
doing
this
weekly
we're.
You
know
this
is
June.
E
E
I
feel
like
I'm
on
a
call
trying
to
logistically
get
testing
set
up
for
facilities
that
are
in
the
midst
of
like
having
an
outbreak
or
dealing
with
an
outbreak
where
something
you
know
we're
all
of
a
sudden
they
find
out.
Oh,
that's,
not
gonna
pay
for
it
anymore.
How
can
I
do
it
and
so
I've
hesitated
to
say
you
have
to
do
this
because
I
know
there
are
so
many
steps
that
have
to
go.
E
They
have
to
fall
into
place
for
them
to
actually
be
able
to
implement
that
plan
for
those
facilities
that
once
they
have
a
case,
then
we
say:
okay,
you
have
to
test
everybody
all
staff
and
all
residents
initially
and
then
again,
weekly
until
you
get
two
weeks
without
a
new
case
identified
all
right
and
then
they
would
go
back
to
just
testing
their
staff
weekly.
So
again,
there
are
in
terms
of
they
need
to
find
the
if
they
don't
have
the
staff
internally
to
do
the
testing.
E
They
have
to
find
a
health
care
provider
to
come
in
and
do
the
testing
they
have
to
have
a
lab.
Who
can
run
the
tests?
They
have
to
have
a
way
to
pay
for
all
that
make
sure
they
have
adequate
PPE,
and
then
they
have
to
be
prepared
to
handle
the
results
right.
Knowing
how
to
cohort
and
there
they're
doing
I
would
say
it's
it's
great
to
be
on
those
calls
they're
learning
from
each
other.
E
You
know
Aston
Park
who's.
In
the
midst
of
this
you
know,
horrible
outbreak
is
being
very
willing,
like
here's,
what
we're
learning
here's,
what
we
recommend?
Here's
what
we
would
do
you
know
and
and
to
hear
them,
learn
from
each
other
and
stand
there.
They
all
know
they're
in
it
together
and
they
want
to
help
each
other
out.
It's
it's!
It's
again.
It's
a
heartwarming
story
in
the
midst
of
such
tragedy,.
C
So
if
you,
if
you
had
no
restraint
so
I'll,
just
give
you
a
little
story
and
commissioners
had
asked.
If
you
just
endure
this
personal
discussion,
my
mother,
passed
away
a
couple
of
years
ago,
she
spent
many
years
in
Aston,
Park
I'm,
very
familiar
with
what
families
do,
what
they
documents,
they
sign
decisions
they
make
regarding
the
care
of
their
loved
one
I.
C
Would
you
know
when
I
saw
the
the
numbers
associated
with
the
nursing
homes,
the
first
thing
that
I
thought
that
I
would
do
the
first
thing
that
I
thought
is
that
that
I
would
do
whatever
I
could
do
to
stop
it
from
getting
there?
Okay,
and
because
I
mean
what
you
know,
what
took
my
mother
home
in
the
last.
You
know
the
last
time
was
a
fever.
C
They
are
very
fragile,
so
I
can't
imagine
you
know,
kovat
gets
it,
I
mean
you
know,
and
it
went
of
the
I
mean
the
you
know,
the
anything
the
flu
pneumonia
typically
I
would
guess
that
most
of
those
that
pass.
You
know
with
that.
Pneumonia
ISM
is
an
issue
and
a
problem.
You
know
their
curse,
and
so
when
that
occurs,
that
that
family
has
either
immediate
decisions,
major
decisions
they've
already
made
regarding
that,
and
so
you
know,
I
would
think
that
you
know
and
I
understand
we're
going
through
an
opening
phase
and
that
we
could.
C
C
F
C
I'm
not
gonna
get
on
soapbox,
but
I
would
want
to
know
for
that
population
for
nursing
homes.
I
could
get
pretty
emotional
in
this
conversation,
but
I'm
not
going
to
it's
a
it's
a
it's
a
fact,
a
difficult
fact.
Any
of
if
there's
insurance
situations,
things
such
as
you're
discussing
you
know,
then
that
goes
on
the
board.
We
figure
out
how
we're
going
to
handle
those.
You
know
you
just
mentioned
away:
that's
a
possibility.
County
managers
mentioned
that
we
were
looking
at
those
numbers.
C
You
know
I'm
glad
to
hear
that
and
I'm
not
saying
that,
because
we
haven't
done
X,
Y
or
Z
that
we're
not
doing
what
we
ought
to
be
doing
at
this
point.
But
to
me
you
know
when
I
see,
29
deaths
and
25
are
in
nursing
homes.
You
know,
then,
to
me
it's
you
know
it's
put
up
on
the
wall,
all
hands
on
deck
figure
out
how
to
how
to
stop
that
from
getting
in
there.
Numerous
friends
that
have
family
members
in
in
Aston,
Park
and
others,
but
particularly
Aston,
Park,
I,
guess
it's!
C
Maybe
you
know
the
reputation
has
been
so
good
within
the
people
that
I
know
in
the
community
that
my
friends
and
their
families
you
know
happen
to
to
seek
that
place
out,
but
and
I.
Think
one
of
the
other
things
about
about
Aston
Park
is
Eston.
Park
has
an
incredible
dementia
department,
it
used
to
be
the
500
wing
and
you
know
just
say
what
happened
with
my
mother
is.
She
was
in
the
500
we
shed.
C
H
Want
to
win
and
I'll
ask
dr.
Mullen
door
to
expand
some
more,
but
exactly
what
you
said
is
really
started.
We
started
our
planning
back
in
March
targeting
nursing
homes,
and
you
were
in
the
EOC
with
us,
and
that
was
day
one
after
we
got
food
to
organize
for
the
kids
to
school,
our
next
top.
It
was
long-term
care
and
we
spent
lots
of
time
figuring
out
how
to
keep
it
from
even
getting
in
there
in
the
first
place
and
that
planet
you
talked
about
on
a
war
room.
We
have.
H
We
started
out
with
our
priorities
and
one
of
the
things
that
we
did
is
we
sent
our
employees
of
our
mental
health
employees
and
our
fire
marshals
to
every
nursing
home
and
not
just
a
skilled
nursing
home,
but
anyone
that
had
residential
senior
care
in
their
facilities
and
we
started
targeting
our
plan
and
working
that
plan
to
make
sure
we
don't
get
it
there.
We
have
211
facilities
in
our
community
that
takes
care
of
our
senior
folks.
H
Ashton
Park
are
the
big
ones,
but
they're,
also
small,
at
home,
cure
facilities
and
we've
personally
visited
everyone,
give
them
guidance
of
how
to
make
sure
that
Don
PPE
how
to
access
whether
it's
testing
now
the
supplies
education.
We
spent
time
making
sure
we
focused
on
that
community,
because
we
agree
that
it's
very
fragile,
dr.
Mohler
can
expand
on
that
a
cherished
a
but
and
since
then,
we've
gone
back
a
second
time
as
she
mentioned.
We
have
weekly
calls
just
like
we
do
in
a
business
community.
H
We
also
prioritize
our
long-term
care
and
any
congregate
living
facility
in
our
community.
So
we've
been
working
really
hard
and
it
was
heartbreaking
for
us
to
even
get
it
in
one
facility
I'm
sure
there
was
no
guidance
really
coming
from
state.
We
were
trying
to
create
our
own
guidance
and
trying
to
make
sure
we
do
that
in
a
responsible
manner.
So
we
have
looked
at
she
I
didn't
know.
We
had
a
contract
that
was
new,
so.
H
But
we
have
been
working,
how
can
we
get
tests
and
organized
so
Public?
Health's
role
has
not
been
ever
in
history
of
public
health
has
been
the
ones,
don't
had
actual
testing,
but
we
have
providing
guidance
to
make
sure
that
testing
is
available
in
our
community
well
beyond
what
we
would
typically
does
a
public
health
organization.
So
the
next
thing
we
talked
about
is:
can
Volcom
county
staff?
Do
that
testing
and
the
answer
is
that's
not
a
sustainable
model
as
well?
So
what
else
can
we
do?
H
H
We
took
our
folks
and
said:
well,
hopefully,
I
know
you
work
money
to
Friday,
but
let's
do
one
Saturday
and
go
do
this.
You
can't
do
that
to
our
staff
day
in
and
day
out,
but
we
did
do
that
for
one
instance.
Well,
we
knew
we
needed
to
get
in
there
quickly
and
do
some
testing
so
that
war
room
that
you're
talking
about
it.
Is
there
we're
working
at
it
on
a
daily
basis?
Now
we
struggle
on
how
to
actually
get
funding
done.
H
The
federal
reimbursement
or
in
urgent
care
is
counting
on
they're
having
problems
as
well.
We
not
been
able
so
we've
been
reaching
out
to
Senator
Tillis
his
office
and
other
offices.
Can
you
get
help
to
get
these
people
paid,
because
at
some
point
we
need
to
have
revenues
and
resources
to
get
things
paid
as
well.
So
we're
not
doing
this
without
that
big
one
Rock
Gym
plan
that
you
mentioned
so.
C
I
think
if
just
a
couple
of
points
I
couldn't
think
of
the
term,
it
was
EOC
and
Warren
came
out
from
a
previous
business.
Sorry,
but
you
know
I
mean
it
is
important
to
acknowledge,
as
I
said
that
that
a
a
fever
can
in
this
fragile
population
can
can
take.
You
know
that
make
make
that
difficult,
passing
I
would
like
to
I
would
like
to
know
I'm
glad
we're.
Having
this
conversation,
I
would
like
to
see
this
information
provided
I.
C
You
know
in
a
regular
meeting
where
it
can
just
be
very
simple,
and
very
you
know
you
can.
We
can
have
our
you
know
our
ducks
in
row,
so
people
can
hear
that
know
that
be
comforted
Paul.
Whatever
information
we
can
give
them
I
think
it
can
be
delivered
better
than
in
the
in
the
briefings
that
we
have
where
we
have
to
have
a
certain
cadence.
You
know
so
that
we
can
do
the
sign,
sign
and
other
things,
I,
think
I.
Think
people
need
to
hear
the
way.
C
You
normally
speak
yeah
and
you
can
deliver
it
that
way
and
but
they
I
think
they.
This
is
information.
They
need
to
hear
when
we,
when
we
hear
if
we
can
make
an
investment
or
if
we
should
you
know,
then
that
would
be
good
information.
Also
it's
a
difficult
conversation,
but
it
needs
to
be
had
and
that
information
needs
to
be
dissected.
E
Any
questions
before
I
move
on
what
do
you
guys
say
about
long
term
care
facilities
yeah?
So
if
we
go
back
to
my
powerpoint,
there
were
some
other
things.
I
think
you
guys,
you
all
had
questions
about,
go
to
the
next
slide,
so
community
testing
just
wanted
to
give
you
an
update
on
that,
and
so
we
today
is
the
sixth
round
of
community
testing
sites.
E
When
I
did
the
math,
the
long-term
care
facilities
again
have
done
the
majority
of
tests
about
30
100
tests
conducted
at
long-term
care
facilities
by
my
count
hospitals.
So
you
know
we're
talking
about
mission,
we're
talking
about
the
VA,
we're
talking
about
Advent
and
Part
II
and
then
also
a
few
smattering
of
others.
I've
done
close
to
2,000
tests,
primary
care
providers,
so
we
got
pediatricians
out
there.
We
got
family,
Doc's,
internist,
all
doing
testing.
E
You
know
close
to
1750
1750
tests
being
done
by
them
and
then
the
urgent
cares
again
mercy.
Urgent
Care
has
been
doing
a
lot
of
testing
along
with
range
and
so
about
1400
tests
more
and
more
facilities.
So
again
it's
it.
There
are
many
opportunities
from
primary
care
providers.
Urgent
cares,
hospitals,
community
testing
sites
where
people
are
able
to
get
testing,
and
then
the
opportunity
was
the
one
I
mentioned
to
you
about
the
helping
out
with
long-term
care
facility
testing.
So
there
any
other
questions.
I
will
take
them.
Otherwise,
I'll
get
back
to
work.
E
A
D
H
Ii
go
over
at
two
weeks:
I
had
to
give
you
time
to
ask
questions
our
research,
so
one
of
the
things
you
return
to
combat
was
the
the
conversation
around.
There
was
no
oversight
of
staff
and
you
were
getting
things
at
the
last
minute
to
vote
on.
So
one
of
the
reasons
we
brought
a
pre-meeting
is
to
give
you
two
weeks
notice
of
any
big
items
that
we
were
bringing
forward
to
you
for
a
vote.
H
But
the
question
came
up
as
well,
because
this
meetin,
sometimes
you
give
guidance
or
you
give
direction
to
staff,
it's
not
a
vote
and
they
wanted
to
and
Commissioner
Newland.
When
we
talked
with
him,
he
wanted
to
make
sure
that
the
title
showed
out
to
the
public.
They
know
it
wasn't
just
a
meeting
that
we
just
talked
about
items
because
guidance
is
given
and
the
last
one
that
we
can
talk
about.
I'm
point
to
guidance
was
when
we
bought
the
ambulance
before
you.
It
was
a
conversation,
but
you
all
had.
H
We
talked
about
anomalous
that
we
can
purchase
and
you
kind
of
give
us
some
guidance
to
where
you
wanted
us
to
go.
So
he
was
thinking
and
the
reason
I'm
putting
on
a
board
is
for
you
guys
to
weigh
and
I'd
give
us
some
direction.
Is
its
pre
meeting
the
right
term
that
you
want
to
use
I?
Was
there
a
different
name
that
you
would
prefer
that
would
kind
of
encapsulate
the
fact
that
there's
direction
given
maybe
not
of
not
a
formal
vote,
but
some
guidance
and
direction
is
sometimes
given
to
stop
at
these
mediums.
H
C
C
C
C
So
we
post
all
that
it's
online,
we're
posting
everything.
That's
on
the
pre-meeting
I
know
the
the
original
intent
for
me
of
the
pre
meeting
was
that
there,
as
as
the
the
county
is
an
ongoing
operation
and
ongoing.
You
could
say
business
and
there's
things
that
we
should
know
about
that
are
being
worked
on
and
then
it
airs
it
in
the
public
and
provides
additional
information.
Then
later
we
tend
to
those
things
at
some
point
will
show
up
on
a
meeting
I
mean
if
they're
budget
items,
if
at
some
point,
they'll
show
up
now.
H
So
the
clerk
and
and
Stacy
actually
went
through
and
looked
at
other
North
Carolina
counties
that
have
meetings
and
came
up
with
a
list
of
names
is
what
you
have
here,
that
they
call
it
whether
it's
the
work
sessions
are
typically
single
focused
like
we
do.
Budget
work
sessions
and
us
all
be
talked
about
on
some
of
them,
but
there's
no
real
definition
on
description.
So
it
is
up
to
you
what
name
you
like
to
rename
this
or
keep
it,
as
is.
A
C
F
I
C
C
A
Okay,
we're
ready
the
July
board
meeting
scheduled
it's
on
the
second
page
that
we
got
2016.
We
had
no
July
meetings
and
I.
Think
most
of
us
was
here
except
Commissioner,
Edward
and
Penland,
and
then
17.
We
had
two,
but
there
was
a
reason
with
the
investigation
going
on.
We
had
a
lot
of
things
going
on
and
then
18.
We
only
had
one
July
meeting
can't
remember
that
but
and
then
19
so
words
were
we
had
on
that.
H
G
H
H
H
16Th
is
a
public
hearing
and
then
on
June
23rd
we
to
go
back
in
and
do
that,
but
I'm
looking
at
Michael
now,
because
I
believe
we
could
also
adopt
on
the
23rd
on
the
16th.
After,
if
you
didn't
want
to
come
back
on
the
23rd
we
could
adopt
on
the
16th.
If
you're
all
are
here
right.
If
you're
all
are
here
in
person
we
could
adopt
on
the
16th
okay,
the
idea
was
that
we
would
have
a
public
hearing
and
the
next
week
we
will
come
back,
do
the
actual
vote
on
the
budget.
H
C
I
asked
you
a
question
on
so
you
talked
about
public
hearing.
Is
there?
Is
there
a
way
to
I
mean?
Are
we
getting
enough
public
input
on
the
budget,
I
mean?
Are
we
getting
I
mean
I
get
I
mean
I've.
Had
that
me,
you
know
where
people
will
call
me,
or
you
know
particularly
playground,
so
they
love
them.
You
know
and
other
things
you
know,
but
are
we.