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2020-175-Minutes for Meeting April 28,2020 Recorded 6/4/2020�v1ES CO > Gym BOARD OF 1 COMMISSIONERS 1300 NW Wall Street, Bend, Oregon (541) 3 88-6 570 3:00 PM Recorded in Deschutes County C J2020-175 Nancy Blankenship, County Clerk Commissioners' Journal 06/04/2020 11:28:23 AM o �iF��c('�� II�IIIIIII�IIIII�IIIIIIIIIIIIII 2020-175 FOR RECORDING STAMP ONLY l) E rD AY April i ! 28, � 0 BARNES & A. R O � �. r Present were Commissioners Patti Adair, Anthony DeBone, and Phil Henderson. Also present were Tom Anderson, County Administrator; David Doyle, County Counsel (present via conference call); Sheriff Shane Nelson; Communications Director Whitney Hale; and Sharon Keith, Board Executive Assistant. Also present via conference call was Dr. George Conway, Sgt Nathan Garibay, Public Health Director Nahad Sadr-Azodi, and Public Health Program Manager Heather Kaisner No citizens or identified representatives of the media were in attendance. This meeting was audio and video recorded and can be accessed at the Deschutes County Meeting Portal website http://des.chutescou.ntyor.iqm2.com/Citi.zens/Defa.ult.aspx CALL TO ORDER: Chair Adair called the meeting to order at 3:00 p.m. PLEDGE OF ALLEGIANCE: ACTION ITEMS The Board summarized that the purpose today is to prepare for the discussion scheduled for Wednesday, April 29, 2020. BOCC MEETING APRIL 28, 2020 PAGE 1 OF 2 1. Draft Deschutes County COVID19 ReOpening Strategy The draft plan was generated/reviewed by staff. The Board directed language changes. Discussion revolved around the first phase of proposed reopening of Deschutes County and the ability to be prepared if COVID-19 reappears in the community. Sheriff Nelson commented that there needs to be public awareness that this strategy in the plan addresses when the tracking metrics are satisfied in COVID-19 cases in Deschutes County. Dr. George Conway spoke on the statistics of confirmed cases. This document will be reviewed further at the BOCC meeting of Wednesday, April 29, 2020. The meeting was adjourned at 4:00 p.m. as the Board was scheduled to attend another meeting via conference call with Governor Kate Being no further items to come before the Board, the meeting was adjourned at 4:00 p.m. DATED this Day of 2020 for the Deschutes County Board of 177" Commissioners. PATTI ADAIR, CHAIR :7ATTEST: (��../ RECORDING SECRETARY ANTHONY EO} ` , VICE CHAIR 6� PHILIP Go HENDERSON, COMMISSIONER BOCC MEETING APRIL 28, 2020 PAGE 2 OF 2 01 E S CpG2 o �c Deschutes County Board of Commissioners 1300 NW Wall St, Bend, OR 97703 (541) 388-6570 — Fax (541) 385-3202 — https://www.deschutes.org/ SPECIAL MEETING AGENDA DESCHUTES COUNTY BOARD OF COMMISSIONERS 3:00 PM, TUESDAY, APRIL 28, 2020 Barnes Sawyer Rooms - Deschutes Services Center — 1300 NW Wall Street — Bend CALL TO ORDER PLEDGE OF ALLEGIANCE ACTION ITEMS 1. Draft Deschutes County COVID19 ReOpening Strategy Documents to be provided at the time of the meeting OTHER ITEMS These can be any items not included on the agenda that the Commissioners wish to discuss as part of the meeting, pursuant to ORS 192.640. At any time during the meeting, an executive session could be called to address issues relating to ORS 192.660(2)(e), real property negotiations; ORS 192.660(2)(h), litigation; ORS 192.660(2)(d), labor negotiations; ORS 192.660(2)(b), personnel issues; or other executive session categories. Executive sessions are closed to the public; however, with few exceptions and under specific guidelines, are open to the media. ADJOURN FUTURE MEETINGS: Additional meeting dates available at www.deschutes.org/meetingcalendar (Please note: Meeting dates and times are subject to change. All meetings take place in the Board of Commissioners' meeting rooms at 1300 NW Wall St., Bend, unless otherwise indicated. If you have questions regarding a meeting, please call 388-6572.) Board of Commissioners Special Meeting Agenda Tuesday, April 28, 2020 Page 1 of 1 April 28, 2020 The Honorable Kate Brown Governor, State of Oregon 900 Court Street, NE, Ste. 254 Salem, Oregon 97301-4047 Governor Brown, Attached please find Deschutes County's proposed Reopening Framework. We have carefully addressed the criteria that your office outlined to re -open our communities. We are committed to a comprehensive reopening strategy that balances health and welfare with the economic stability, opportunity and liberty of our community members. We are working collaboratively with our cities, local hospital system, businesses organizations, neighboring counties and other stakeholders to re -open responsibly. Deschutes County is prepared to meet Phase I of the opening criteria which would include: 1. Robust testing and case investigation and contact tracing capability 2. Healthcare system capacity and PPE supplies 3. Plans for health and safety . Deschutes County has been proactive in developing capacity to support re -opening as soon as it is medically and ethically appropriate. We have sufficient data collection and analysis to support our decision - making and will continue to track trends related to total tests, positive tests, cases, and hospitalizations. To date, our Public Health team has set high standards of care and helped to curb the spread of COVID-19 in our communities. Although we have had 75 cases locally, we have not had any deaths. We have also not had any COVID-19 cases in long-term care facilities. We currently have six employees committed to contact tracing and they have been very successful and leading Oregon's efforts. 10 of our 75 positive cases have been connected through our tracing efforts. As a community, we have and will continue to safeguard the health and safety of our citizens as our highest priorities. However, Deschutes County currently has an unemployment rate of 12.4% - the third highest in the state. We believe it is critical for our County's economic stability that we reopen for business as soon as possible. 1300 NW Wa!! Street Bend, Oregon 97703 ? �(541)388-6572 hoard@deschuies.org )www.desdnuLes.org Qj Deschutes County Board of Commissioners 1300 NW Wall St, Bend, OR 97703 (541) 388-6570 - Fax (541) 385-3202 - https://www.deschutes.org/ AGENDA REQUEST & STAFF REPORT For Board of Commissioners Special Meeting of April 28, 2020 DATE: April 28, 2020 FROM: Tom Anderson, Administrative Services, 541-388-6565 TITLE OF AGENDA ITEM: Documents for Agenda Item �COVID-19 RE -OPENING STRATEG� DRAFT: APRIL 27, 2020 Commented [WH1]: From Sheriff Nelson: Hi, I see this a lot with no hyphen. I would also recommend adding a subtitle that states "A plan to ease restrictions in line with the State and Federal Government" Deschutes County COVID-19 Recovery Framework Deschutes County is committed to an evidence -based reopening strategy that considers that considers the health and welfare of our community members, to include economic stability, opportunity, and liberty. _IdDeqy� of el -r community - mom`_,_,-,hhprc Deschutes County recognizes the sacrifice of community members, businesses, first responders, employees, retirees, children and Students and healthcare workers. -have made over six weeks to flatten the curve and s-.tou_COVIp- 19 spreading illness and causing death,.- It is imperative that our strategy to re -open is deliberate, thoughtful, comprehensive and inclusive, but also urgent. jr)resid-ent Trurnp kndGovernor Brown laid out a general framework to re -open our - - --------- -------- communities, which consistso^s,st of gating criteria such as downward trajectory of influenza -like illness, COVID-like syndromic cases, documented cases and positive tests (with flat or increasing volume of tests) over a 14 day period. (Governor Brown .also identified three preparedness areas. Deschutes C=oLITrIty is prepared to meet Phase I of the opening criteria which would include: Preparedness Areas 1. Robust testing and case investigation and contract tracing capability 2. Healthcare system capacity and PPE supplies 3. Plans for health and safety In order for Deschutes County to meet the criteria to re -open we will indicate U;cPrta=i^ and establish necessary the capacities in each of the above areas. We recognize that even with increased capacity in all three areas, epidemiological data and public health guidance may pr-ec-ludesuggest a_pausepr_inecludeprecludee an the timifi of -early -_re -opening. It is also important to consider many of these capacities are the responsibility of other agencies or organizations, wh_ich.are_-a-II working withbjA- Deschutes County aR "u*_o�sc—hu.-t.e&-c-.G..._"y .and to the extent possible, will support these organizations to increase capacity. --- Currently and for the_forese.eable futuret_Deschutes County has sufficient data collection and analysis to support our _decision -making a0and will continue to track trends related to total tests, positive tests, cases, and hospitalizations. -This data haswM-will informedwifl nfor_m policy makers that when it is appropriate to proceed with GRSiderr re -opening and appropriate levels of restrictions. Deschutes County has beenwill--he proactive in developing capacity in the three preparedness areas to support re -opening as soon as it is medically and and epidemiologically appropriate. Deschutes County also considers the diverse nature of our Commented [WH2]: From Sheriff Nelson: I would include a paragraph or couple of sentences that remind our community we are not "in the clear' and that we are experiencing success and low numbers (if not zero) in the hospital because the President and Governor acted early and responsibly. We must continue the course and stay vigilant. Also that the goal is to not overwhelm the health care system so our family members have a hospital bed when they need one. Commented [WH3]: From Sheriff Nelson: "At the date of this plan, we are not seeing this downward trajectory"...also we are fifth in the state for infections, are a destination region, and on a well -traveled corridor (Hwy 97) Commented [WH4]: From Sheriff Nelson: For testing? communities and our position within the region and commits to working collaboratively with our cities, community members, businesses, neighboring counties and other stakeholders to re -open responsibly. This framework will expand on the three preparedness areas and how Deschutes County intends to meet the benchmarks set forth by Governor Brown;: Robust Testing and Case Investigation and Contact Tracing Deschutes County Health Services does not directly provide testing. -Testing is accomplished within the medical provider system by the hospital system and multiple other clinics. Deschutes County makes up 4.2-4% of the Stye of Oregon's total population. Based on the state's goal of 1Cxxx[I tests, Deschutes County has ------- ,. a� tanned to jsuppor� expanding testing up to xxx tests per[day�.lhr_c io.u._s.l in Deschutes County, 200-300 COVID-19 tests have been collected each weep Testing options and capacity are expanding as more primary and urgent care providers are coming on board to provide drive-thru testing options to community members. -Testing criteria has also eased up and will be based on two broader important factors: any typical viral symptom (e.g, fever, body aches, runny nose, sore throat, cough, or difficulty breathing) or a known COVID-19 exposure. -Local medical provider discretion is essential for this model to work effectively. —The addition of point of care Polymerase Chain Reaction testing at St. Charles Health System (St. Charles) and health care clinics will enhance the community wide testing availability. Local processing of tests coupled with drive-thru locations will increase community pOcip-a---t---i--o-.n and testing capacity in our community -Deschutes County provides are _ready for that. Contaeur°_acing Commented [NG5]: Need to confirm with state what 1 metric is required �JI tommented [NG6]: 30 per 10,000 pop per week ented [NG7]: Can we poll capability of weekly from clinics. Commented [WH8]: From Sheriff Nelson: Does Deschutes County have control over this? Commented [WH9]: From Nathan: I would say we would be better served to change the number... rather than include previously. As the number increases, we can update the numbers to maintain accuracy If the State of Oregon expects Deschutes County to maintain responsibility over case investigation and contact tracing, Deschutes County Health Services will need to re -deploy `ass pl hire additional staff to accom Ilsh this task. The State of h- — Commented [WH10]: From Nathan: Already doing ai"n� y i -- - - -p i- - - - - -- - - Oregon has indicated a need for �1 8 qq additional public health staff needed for thiS...probablynota long-term Strategy. commented [NG11]: Need to verify this number COVID-19 response. -There has yet to be any granular data related to the make-up or duties of these positions, but based on Deschutes County's percentage of total Commented [NC12]: oHAisusing 600,asofyesterday state population, a total of_21 staff will be assigned to or in direct support of Commented [WH13]: From Nathan: 4 of 6 are Deschutes County ar>_a ne-ecJed i�asls,_ Cul rent) we_hav� siX,em __I_o ee_s Y ) redeployed from other positions temporarily. They offer short term surge capacity, but probably not sufficient. They corn ilted1to_t_racim and we have been very successful and lead _InE Oregon's ---- are also funded through different programs and some =-- -- --- -- ---- -- efforts.10 of C)Ur /pOSItIV(_case -hdVe I)eorl connected tI Yau� i1.0U1 tIaCI�E'ffoYfS�� actually generate revenue when doing their regular job. Additionally, Keri Coe is shared with two other counties and focused long-term care. One possibility is that some of these positions will be hired at the state level on an Commented [V11H14]: This has been very valuable and on -call basis, while some at the local level. �_nother p irJn Is a re -de ployr e_rltof key to our success.... some counties had to abandon this effort. 9thet"_C(�(�li1ti,�1_2IlIRloy CS, �JOSSIiJ�_� U(13Ct Uill_I7eQ OI�__d�� �_i-t time IJaSI$ _ DeSCiIUteS Commented [WH15]: From Nathan: Have we identified County Health Services does not currently have funding to hire additional staff. —If these? Theywould need have case investigation skills and knowledge? funding becomes available to hire staff specific to COVID-19, Deschutes County estimates needing at least five additional public health staff to continue to support the local public health response: • Communicable Disease Nurse $118,746 /dear f-U-111_belr efits._ • Communicable Disease Nurse $118,743 /year • Communicable Disease Health Educator $109,454 /y/year • Environmental Health Specialist $113,987 wear • Health Communications Specialist $123 7744 /year cor MUnitles, Additional personnel could be mobilized through state resources to support Deschutes County if an outbreak overwhelms local resources. 1owsin Deschutes County has established a plan to house COVID positive patients who are unhoused, to minimize the threat of spread within the community. This plan is dependent upon securing a hotel or similar location. The estimated cost to accomplish this is $x175 00 per month. Su pport Deschutes County has established the need for wrap -around services to support those persons isolated or quarantined due to COVID-19. Many will need little to no assistance, but for those who do require assistance Deschutes County can provide: Expand Healthcare System Capacity and PPE supplies St. Charles Health System (SCHS) has created an impressive medical surge plan related to COVID-19 and is likely able to meet the hospital needs of COVID-19 patients as long as staff and supplies are available. I(See attached.)_;Additionally, Deschutes County has a well -developed plan for an alternate care site to provide up to 100 additional beds for lower acuity patients. (Flan attached),[In order to - - -------------- operationalize this alternate care site, Deschutes County would need additional medical personnel and would likely request assistance from the State or Federal governments to provide the personnel and equipment to do so. Deschutes County, Commented [WH16]: From Nathan: Would ..."annually" be better? We could add until not needed. Commented [WH17]: From Nathan: I would find it highly unlikely we would not need this capability. As we ease restrictions cases are likely to have more contacts, which will require more contact tracing. Commented [WH18]: From ,.than: High end would be� about $175,000...working on a waiver from FEMA to get 75% reimbursed. Commented [WH19]: From Nathan: I don't think we can attach St. Charles plan since it isn't ours. I think the reference is enough. We already got more information than Baker County got. Commented [WH2O]: From Nathan: Again, not sure we need to attach. I think referencing it. Also we would need to review it and redact some security sensitive issues. I am sending it to the US Army Corps of Engineers for a peer review (they have been developing these for other counties) to make sure we are as good as we can be. i derr,o dent yinde pendently has also p wch ase�dprocu red 30 additional ventilators, which include 20 transport ventilators and 10 ICU type ventilators. BeforeWithAi -tthe alternate care site is Initiated and emergency waivers are ; created St. Char Ies_-SCHS (inclusive of facilities in Crook, Deschutes and Jefferson C^ flescounties) can provide a maximum of: Hospital Beds - 6-1-0 •---ICU Beds - 38 Eeaus Red.,;Ventilators ------------------------------------------------------------------------------------------------ - With certain waivers in place, SCHS can expand further if absolutely necessary and had -has developed a tiered response to provide more beds. St.. CI_7anes_is actively procuring additional Personnel Protective Equipment and will require the following on -hand in order to support re -opening: • IN95 masks � • Procedural masks - • Isolation gowns - • Face Shields - • Nitrile Gloves - Deschutes County is collectin -providing information f romto all Io� our�irst - ----- responder agencies,, healthcare providers, and safety_net providers to Identify and-_ __ ..- ------- ----- ---- -------- collate support their acquisition of personnel protective equipment. Deschutes County is building a local cache) of personnel protective equipment and seeks to maintain an invent�i __ _ __ of: • IN95 Masks • Procedural masks - • Isolation gown - • Face shields - • Coveralls - • Nitrile Gloves -� Deschutes County estimates it will cost approximately $xxxxxx to ensure this cache of protective equipment is available. Plans for Health and Safety Deschutes County recognizes the need to have plans in place to meet the needs of our community during this pandemic and to consider contingencies. As this Commented [NG21]: Tier 3...higher tiers require waivers and non-traditional settings. Will send to St. Charles for review. Commented [WH22]: From Nathan: We may want to confirm with St. Charles they are good with this. Commented [WH23]: From Nathan: Did some calculations on this. Waiting to hear what is best practice. Due to the insecurity of supply chain, we propose 90 days. Baker county did 30 days, but I am not sure that would be enough in a real surge which we could see in the fall/winter. Commented [NG24]: What does our survey say about agencies PPE supply Commented [WH25]: From Nathan: According to my understanding, we only need to certify there is adequate for first responders. We are providing guidance for all others to stock up. Commented [NG26]: May not be required, but still a best practice. Survey shows a wide variety of preparedness Commented [NG27]: Based on 90 day surge requirement from first responders... Governor's plan only requires we certify first responder agencies. incident continues and more is known, we will continue to address issues and develop plans to meet the health and safety needs of our community. M_ovirw, forward: Surveillance Strategy Deschutes County is working with critical partners in the healthcare sector, schools, Long Term Care Facilities, and Social Service Organizations to develop effective COVI_D-_19COVIDI9 surveillance. (Organization chart attached.) Deschutes County also has an epidemiologist solely focused on communicable diseases who also supports Jefferson and Crook Counties. The regional Epidemiologist will continue to conduct active surveillance and provide timely data reports to help inform decision makers. Communication Strategy Deschutes County -continues to nos to maintain a strong capability to communicate with the community in real-time regarding the current situation, best practices, and protective measures. _\rVe have a very _caina�rhensve_yvebstc (www.deschutes.org)and daifi ileGuidance � around wearing masks, appropriate distancing, vulnerable populations and environmental concerns hasare constantly chan�ecVingc-haRg4Rg. As the medical community is continually learning about the virus, this will require staff dedicated to health communication. Currently this capacity is being provided by a Joint Information Center and the Deschutes County Public Health Preparedness Coordinator, and- but -this is not sustainable in the long-term due clue as I eRg ^ �iaaimpmw th,ngs % r t,_rv,oto those personnel needing to return to their normal duties. A dedicated Public Health Communication Specialist vulli-s-will be needed to continue to provide important and timely communications to the public and our partners. Long Term Care Facilities Deschutes County has an established program .and very, succe_s_sfull to coo rdinatesdc©er-d+nate with our 33_Long Term Care Facilities L( TCF). There is a regional Public Health Infection Prevention Nurse (0.8 FTE) who has established relationships with all long term care facilities in Central Oregon related to communicable disease prevention and control training/technical assistance to prevent and respond to communicable disease outbreaks. Due to the fact COVID- 19 is significantly affecting Long Term Care Facilities in other parts of the country and the population is high -risk, this program may require additional staffing._Rt this Doint we cantle Dort that none of our Dos itlu cases have involved L 1 C1=_patients or resid_ents.1 COVID-19 Positive Unhoused Shelter Plan Deschutes County has developed a plan to shelter unhoused populations who are symptomatic and awaiting test results or are positive for COVID-19. So__far ue_have not Initiated anv_stays_but weare-organized to do so, Awaiting Approval Evacuation and Sheltering Plan Deschutes County is located in a fire -risk -adapted ecosystem.i_`;,,O%-of Qeschutes Count is ederal Lands. Wildland fire is a reality in Deschutes County and every year the potential for evacuations due to wildland fire are present. Working with our partners at the American Red Cross, we have guidelines and strategies in place to minimize the spread of COVID-19 in shelters. These include use of non - congregate shelters, expanded shelter space when congregate shelters are required, and effective screening and shelter management practices to limit spread. Not yet completed. Business Sector Guidance Working with ^;Jr tearn ates with o4rstaff_at_th-eour Health Department's Environmental Health Division, and_t_he at,es of 13ehd and--Redmo_nd_and_the Redmond and Bend Chambers of-CommerceQan,bs w )Economic Development of Central Oregon (EDCO) and Visit Bend. Deschutes County has deve4epedis committed to providing sector -specific guidance and direct consultation to support safe and responsible practices at our local businesses. It is antic pated_hGPthis guidance will be include written checklists, infographics, and videos to support the education of our local business owners. This was developed after listening to the needs and concerns of manyof_our local business community. Local businesses have communicated the need for a cautious re -opening plan. Additional detail and feedback from local business is included below. Health Staff Not yet cernplet&G� Phased Re -opening Strategies Deschutes County recognizes that some businesses can more readily meet the physical distancing, disinfection, and safe practices needed to re -open. In addition, Some businesses by their nature are also -lower risk and less likely to support community spread. Other businesses nn_a wi-44 require much more stringent restrictions and change in business practices to facilitate re -opening. When Commented [WH28]: From Nathan: I would suggest not ncluding this...it is only a snapshot in time and this could change. nreached ented [WH29]: From Nathan: I believe they have out to the other chambers and cities...I asked them possible, Deschutes County supports a risk -benefit analysis when considering which businesses can re -open sooner (in pPhase 1).: Encouragement of Alternative Business Practices Deschutes County businesses, non -profits, and government agencies should continue to utilize practices that minimize physical contact between employees and patrons. Much has been learned during this time and with the expanded use of technology, environmental design, scheduling, and safer work practices could not only increase public safety, but improve customer service over the long-term. Deschutes County -employers should encourage and support tele-work and other remote work options whenever feasible. Tourism / Mobility Considerations Deschutes County's economy is largely influenced by tourism. There are also a large number of second homes belonging to people that live in larger urban areas. The travel between larger urban areas, possibly those with localized outbreaks places Deschutes County ats_a higher -risk, date, the cities of lDeschutes_Co.unty as well_ as Deschutes County have discouraged and in some case prohibited out -of - area travel (sc-ae attached Deschutes County ordinance on ch&rrshort-term rentals, Edict of Bend City q'Re rnond,La pPine, Sisters??)jand Redm_ol id airpoi t po-I cy, ,t or_r'cL h'nhMonitoring key communities that travel to Deschutes County and taking proactive measures will be critically important to manage possible disease transmission to Deschutes County. -This non-resident population significantly affects demand for services (public safety, contact tracing, case investigation, healthcare), but our capacity is based more on our por.Y �. or *row' �o^*permanent resident population. Re i stKute-L_ockdown Plan Commented [WH30]. From Nathan: No other cities did to my knowledge. The airport was mainly signage at our equest. Deschutes County also recognizes the need for an reinstituted Ioc_kdown__plan to re - implement closures or other restrictions in the event there is a siLm ficant resurgence in (-OVI D_-1_9_cases. This plan needs to be based on clear and agreed - upon metrics. IMetricsI could iRc-lude-be based on number of case, average new commented [NG31]: what are the best S- - -- ---------------------- --------------- accu acy versu g. dail cases, and/or hospitalizations. -Once thresholds are met, there should be re- metrics metric, but lagging. . H Hospitalizations may be d y p p better metric, but lagging. How does the fit into determined re -instituted_ escalating restrictions to stem the tide of new infections. surveillance. These should be provided to the community in advance to encourage Commented [WH32]: From Nathan: looks like state is preparedness by community members and businesses. going to provide these metrics. How about a "state" diagram. Phase 1 F--) Phase 2 F 4 Phase 3 Business Sector Considerations - - -- _.. mented [NG33]: Look at most impacted �businesses...can we invest more in the most impacted Traded Sector Employmentrs to increase ROI of reopening resources. EDCO has conducted a series of roundtables with traded sector businesses to gain an understanding of current impacts and needs. That summary is included as Attachment A. Formatted: Font: Bold Service Employment As noted above our local cities and Chambers of Commerce have coordinated focus groups in the following areas: 1. Retail 2. Restaurant / Food Service 3. Professional services 4. Health care 5. Childcare That summary is included as Attachment B. _ -- Formatted: Font: Bold rForrmatted. List Paragraph, Numbered + Level: 1 + bering Style: 1, 2, 3, ... + Start at: 1 + Alignment: + Aligned at: 0.5" + Indent at: 0.75" Phase IBusinesses. �,afetv, ommented [NG34]: What can we learn to provide — —-----------------_------------------------- — ". information to consumers to educate that it is okay Note: no leisure travel go to businesses • Restaurants with strict measures in place _ e a------ Formatted • Retail • Personal services Font: : (Default) Open Sans, 12 pt, Bold • Childcare o Representatives from the retail food services and personal services ------- Formatted: Bulleted + Level: 2 + Aligned at: 0.75" + sector have identified childcare availability as a need so that Indent at: r employees can return to work. - Formatted: Font: Not Bola • Attorneys and aCCOUntdntS? Commented [WH351-Question from Commissioner Adair • �eterinarldnS(Commented[WH36]:FronnCommissionerAdair �h _.a-I�A.Jp•�'.,rlo-l.,,-I� -�. •, +h rarer-�nr_iat�-RR� outdoor Recreatio---------- ---- ----- -- - ------------ �qmc _and i_a%th F iiitie si Ch rchoc Phase 11 Businesses Restaurants with new standards in place ("prudent measures") Bars with new standards in place Phase III Businesses • Outdoor Recreation Our local cities and Chambers of Commerce have conducted focus groups with the outdoor industry to identify needs and sector specific re -opening criteria. Their framework is attached as Attachment C. Transit Local ,_ �ik�lie transit has n2t.been directed to Ilmtt: servlce„or make„adjustments. Current service reductions -are related to service needs andfunding,. Commented [V11H37]: From COIL 'Commented [WH38]: From Visit Bend Formatted: Normal Formatted: Font: (Default) Open Sans, 12 pt =phase ed [WH39]: From Nathan: Did I miss these in ? Formatted: Font: (Default) Open Sans, 12 pt, Bold Formatted: Normal, No bullets or numbering Formatted: Font: Bold Formatted: Font: (Default) Open Sans, 12 pt, Bold t---- matted: List Paragraph, Bulleted + Level: 1 + Aligned at: 0.25" + Indent at: 0.5" Formatted: Font: Bold ��Formatted: graph ld -formatted: Font:(Default) Open Sans, 12 pt, Bold Formatted: Font: (Default) Open Sans, 12 ptt:==] Formatted: Normal Partnership page Cha_rnbers ®fi C®rn._. rye Business participants Signature Page Hospital County Health Deschutes Coun_y Commission Traded -Sector Roundtables (via Zoom) Monday, April 27, 2020, 10-11:00am and 2:00-3:00pm Agenda • Brief overview of current status of restart framework (see attachment, but specifically pages 6- 8, 13 and 15-16) Roundtable Discussion: Impact of COVID-19 shutdown on your business, operations 1. What is needed for impacted/closed parts of your business for PPE, testing & social distancing to reopen 2. What financial support and/or employee training is needed to cover needed protections for employees or customers 3. Recommendations and ideas for state/local public leaders on restart • Adjourn Comoanv Leaders Participating: First Roundtable Steve Bettis, Medline Renewal, Sr. Director, Manufacturing Operations Larry Sidor, Founder & President, Crux Fermentation Project Wyatt Woods — Founder & Owner, Holy Kakow Stephanie McVey, Controller, Crux Fermentation Project Second Roundtable Michael LeLonde, CEO, Deschutes Brewery Karin Devencenzi, CEO, Sunriver Brewing Marc Papageorge, COO, SiCamore Semi Dave Benson, CEO & Founder, Basx Ryan Duley, VP Marketing, Sunriver Brewing Wade Underwood, Owner, Three Sisters Brewing Steve Emery, CEO, Earth20 Pam Martin, Founder, Oregon's Wild Harvest EDCO Staff & Government Partners: Patricia Lucas, Interim Director, Sunriver-La Pine Economic Development, EDCO Don Myll, Bend Area Director, EDCO Jon Stark, REDI Senior Director Caprielle Lewis, Sisters Area Director, EDCO Ben Hemson, Bend Business Advocate Brian Vierra, EDCO Venture Catalyst, EDCO Chuck Arnold, City of Redmond Economic Development/Urban Renewal Program Manager Meghan Gassner, City of Redmond Economic Development/Urban Renewal Roger Lee, CEO, EDCO General Overview Over the past 30 days, EDCO initiated roughly 200 outreach calls via our five offices to a subset of the region's approximately 900 traded -sector companies (manufacturing, tech and certain professional services). We found that most traded -sector businesses have already figured out how to remain open and in production under the Governor's executive order, which did not specify those operations for closure. We also found that a small percentage of traded -sector employers were experiencing severe impacts from the closure orders for the retail elements of their operations. The best example are breweries, a large percentage of which had more than their half of revenue earned from tasting rooms/brew pubs or keg sales to other restaurants or bars. Many of these companies, particularly the smaller or new they are, are "treading water" at best, and will not survive unless the things 1) begin to reopen sooner than later, and 2) there is not second shutdown in the fall/winter. Other manufacturers had their supply chain disrupted from COVID-19 shut downs internationally which created partial or full closures of assembly or production operation here. Still, these are in the minority and roughly an equal number of businesses, about 10%, are expanding and hiring because their products are in high demand during this time. The largest group of traded -sector businesses have had some negative impact, but not yet a concern for viability. All within this group of companies have shared that the longer shutdown persists, the more uncertain the demand for their products and the more constrained raw material and pieces and parts from other manufacturers becomes. Meeting Summary Notes What is needed for impacted/closed parts of your business for PPE, testing & social distancing to reopen? It should be generally noted that most manufacturers have already implemented protocols for employees and visitors including: temperature testing upon arriving and leaving work, questionnaires for visitors, requiring and providing masks and gloves for all employees, social distancing, scheduled hand washing, scheduled sanitizing, and testing (if readily available most would implement). • We have an open air tasting room attached to our brewing facility with a large outdoor courtyard and food service provided by our kitchen and independent food carts that is different than most of our peers that could allow us to social distance our customers could allow us to open earlier, but not if we're grouped in the same category. Hand washing stations are already in place for customers and we've implemented strict protocols for employees on sanitation, hand washing, wearing masks and social distancing. We've not yet gone to temperature testing of employees or contemplated that for customers. • It has been a conscious decision of our corporation to remain open and at full employment for as long as possible so there have been no layoffs despite the fact that our Central Oregon facility is done about 70% of the business it did pre-COVID. We have lost about 10% of headcount to those who chose not to come in, but the company continues to cover their PTO, health, etc. outside normal accrual and use. About 35% of our production team is already gowned and masked pre -pandemic, so we have strict sanitation protocols already in place. We also shifted our reprocessing to including mask reprocessing for our existing clients (hospital systems, surgery centers and other similar primary health care providers. Mask reprocessing is winding down as manufacturing operations here and abroad have expanded. We have been doing temperature check for nearly 5 weeks. • Our specialty food business produces and supplies restaurants, coffee shops and other food outlets, and we saw a 90% drop in revenues the last half of April and about 75% drop in April compared to last year. Industry experts we listen to expect 25-30% of restaurants to not reopen and an additional 10-20% will fail even after reopening. Required for our business to open are masks, gloves and wash stations in the manufacturing/production environment, but most importantly some protocols around use of PPE. Suggests "shopping hour" for other businesses for those with compromised immunity/health issues. • More definition needed around "robust" testing in Oregon/Deschutes County • Need accurate testing (antibody and confirmation of active cases) and contact tracking for positive cases. This could have great impact on the current fear and panic, and thereby return to some normalcy. • Current testing nationwide is 2% positive. Rumor is that current testing could be as much as 30% false negative. • Are State/County/Health Officials and industry associations aligned re reopening standards/best practices? • Many traded -sector businesses are temperature scanning/health screening employees. Will businesses be expected to temperature scan customers? • County Commissioners: Testing capability? What is the gating/Phase 1 criteria for Deschutes? Will local cities have control/say or is all up to the counties? • Public spaces could invest in enhanced HVAC filtering to ensure that viruses can't be transmitted through air system. • Tens of thousands of lives are being impacted permanently by shutdowns, most small business owners have personal guarantees on their business loans so they will be financially ruined for decades if closure persists when the health crisis really has not materialized here in our region. • Banks have been great, willing to offer concessions and deferment, but if you can't legally operate, there is no way to dig out of the deferment hole. • Keg inventory at distributors is a big # (EDCO's intelligence is that it is in the hundreds of thousands) that will soon have to be dumped either by the brewers at their facilities or distributors. Could have a serious impact on the dissolved solids and extra strength charges exacted on brewers in various cities. What financial support and/or employee training is needed to cover needed protections for employees or customers? It won't require state aid to train for needed protections, businesses are savvy and focused on protecting their people and customers. Most of the protections we are implementing is basec on common sense and what we are learning from our peers. We have a group of highly trained employees, some of whom may not come back. Some will find other jobs/careers and given how we think consumers will respond, we will need fewer employees. Those that don't continue with us will need training on a large scale not just for pandemic, but for other jobs. This will require state/federal help because the fallout will be staggering. Recommendations and ideas for state/local public leaders on restart. • Need some warning — more than 12 hours. Closing does not happen overnight without huge financial impacts, and neither does starting. If all businesses like ours open along with restaurants, there will be significant supply chain issues/shortages. • Start with smaller businesses opening first (they have had the greatest impact and are most at risk of closing) and work up to 50+ employee businesses later. • Recommend two week notice and plan needs to be clear and concise. If it's too complicated, people will do their own thing. • Recommend opening with one week's notice, as soon a possible. It could be the difference for hundreds of businesses making or not making it. • Customers will also dictate how quickly things re -open. Businesses that have been operating to keep some of their employees on but are still losing money won't be able to sustain ongoing losses if there are few customers to start, or capacity is too limited due to ongoing restrictions. • Please implement a rational pace to restart. • Many local service workers will need re-training and skill development to be hired in other industries • Need more information from OR Dept of Ed as to when students will return as this impact workforce, this department has done our kids, parents and teachers a real disservice by not being clearer in its direction and support. • Suggestion: restaurants and retail in Deschutes reopen May 4th with safety measures in place • Businesses need information, a clear and predictable timeline for re -opening • Suggest enhanced protocols to protect vulnerable populations while loosening protocols for the general population • If there is the chance that another closure order might come down from the Governor's office, it should be part of the communications in this phase. Some businesses may choose to keep parts of their operations closed rather that start and then stop, which for many will be the final straw. ,/ \5► �QnMON� 0 CITY OF BEND BEND&—odet REDMOND a�eu�aDIM1rzvIND �q®`�• BUSINESS SECTOR RE -OPENING CRITERIA NEEDS Overarching (or cross -sector) guidelines needed 1. Customer guidance on protocols & a restoration of consumer confidence 2. New signage and guidance to all businesses from proper authorizing agencies 3. Enforcement support 4. Procurement of cleaning supplies and PPE 5. Adequate time to enact guidelines and prepare to re -open 6. Childcare availability so employees can return to work 7. Protocols if a customer is symptomatic From the food services sector, the businesses see the following as criteria for re- opening 1. Guidelines how to set up their physical space -each size business is different 2. Guidelines for kitchen (back of the house) 3. Guidelines for "public" gathering size 4. Adjust UI benefits to encourage employees to return From the retail sector, the businesses see the following as criteria for re -opening 1. Guidelines for merchandise touching and cleaning 2. Guidelines for clothing fitting rooms and cleaning 3. Stability of supply chain 4. Guidelines on enacting PPE protocols 5. Adjust of UI benefits to encourage employees to return From the personal services sector, the businesses see the following as criteria for re- opening 1. Guidelines for waiting rooms 2. Guidelines for cleaning procedure rooms between clients 3. Guidelines for customers and employee interactions 4. Guidelines for shared use areas and recreation center showers, hot tubs, pools, etc. Traded sector and tourism will be sent to Tom directly from Roger and Kevney. VISIT tih.,tBEND Re -opening Guidelines for Deschutes County Outfitters and Guides Overview: As the governor's office continues to work with multi -stakeholder groups including medical, business, and state and local government representatives on the plan to re -open Oregon, proposing a public health framework for restarting public life and business, we, the outfitters, guides, and tour operators at the local level in Bend and the region of Central Oregon have prepared the following statement of guidelines and health and safety protocols we commit to in order to provide a safe, healthy, and enjoyable experience for our staff and customers as we slowly move forward out of the current crisis situation. These guidelines and commitments present what we will do to keep our customers, employees, and our community safe. It relies on the best available science on sanitization and social distancing protocols. We will continue to refine and update the plan as the governor's office, as well as health experts, provide more advice, timelines, and recommended operating standards. Potential Schedule: Phase I - Deschutes County residents; family groups only. Maximum of 10 in any family group. Phase II - Guests from outside of Deschutes County but in -state only. Open to non -family groups with social distancing in place. Phase III - Guests from outside state allowed as well as larger groups. Social distancing still in place whenever possible. Safety Commitments: Phase I - All staff will wear face masks. - Smaller family groups only - up to 10. Can accommodate in vans but prefer to meet guide at tour location in private vehicle(s) whenever possible. -Pre and post trip sanitation of rental equipment, vans, and meeting areas. -Check in tables outside for waivers, pre -trip meetings, and waiting area. -Guests must bring their own masks and have no symptoms of sickness for the previous two weeks. -Maintain 6' social distancing between guide and family group while on tour, barring emergency situation. Phase II - All staff will wear face masks. - Larger, mixed groups allowed in vans with social distancing between non -family groups. -Pre and post trip sanitation of rental equipment, vans, and meeting areas. -Guests must bring their own masks and have no symptoms of sickness for the previous two weeks. -Maintain 6' social distancing between guide and groups on tour whenever possible. Phase III - All staff will wear face masks when inside vans or office/indoor check -in areas. - Larger, mixed groups allowed in vans -Pre and post trip sanitation of rental equipment, vans, and meeting areas. -Guests must have no symptoms of sickness for the previous two weeks. -Maintain 6' social distancing between guide and groups on tour whenever possible. TRANSITIONING TO RE -OPENING OREGON Goals: 1. Deploy Re -Open Oregon protocol that monitors public health, implements state protocols and keeps the spread of the virus in check 2. Asssist businesses in preparing to re -open 3. Create/increase consumer confidence that they are safe MERS COUNTY ATE Businesses — Physical & Operational Safety • Clear guidance & information on State of Oregon protocols • Ability to clearly communicate protocols to customers (signage, etc.) • Adequate supply of PPE & sanitation supplies • Physical configuration of customer & production areas • Financial means to prepare to re -open Customers — Comfort & Confidence • Adequate supply of PPE & sanitation supplies • Confidence/comfort in going out in public/businesses' protocol to protect them • Financial means to purchase City, County & State — Monitor, Assist, Enforce • Expertise and information to businesses on safety protocols and physical space • Policies and actions that support business re -opening needs • Signage and communication for staff and customers Professional Assistance — Physical & Operational Expertise • Assist businesses in meeting requirements for COVID-19 protocols • Provide physical space and operational expertise • Identify sources for PPE & Sanitation supplies • Provide financial insights/guidance on funding required for transition to opening • Communication to customers on new protocols