Meetings Steering Committee(Folders 1-2)

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stated that health care reform is very volatile right now. Within the next 18 months, we'll know more about where we are, she added. . Jack Munro reminded the committee that the end result is to develop a plan that is built on a foundation of assumptions. We will need to articulate with greater clarity and be much more specific. Randy Curtis stated the population figures in the report were conservative. The consultants concede that a growth rate of 2.28% annually would be realistic. Every department may not have the same growth, he continued. There might, for example, be a 20% growth in demand for service and a 0% population growth. Ken Roudybush reiterated the need for information from other sources and a specific discussion of services in order to avoid duplication. Larry Oglesby again mentioned that space needs may be reduced over the years by improved technology. Valerie Vollmar stated the need for justification for staffing increases. Lydia Buchanan asked if that were not in the consultant notes. Valerie Vollmar responded that a narrative description is needed. Randy Curtis pointed out that the data varies from department of department. His department needs, for example, are based on what other departments do. Jack Munro said that anyone looking at Exhibit 3 would wonder at the different rates of growth and he agreed that justification might be needed. Space needs are an important issue, Ruth Johnson added. The kind of service provided should determine what kind of facility is planned. A discussion on space needs followed, and Ken Sherman mentioned that the subcommittees were asked to design their space needs. Jack Munro pointed out that the public might feel that those needs are suspicious, but those involved with the department on a daily basis wouldn't agree. Mark Caillier said their department went through the = report page by page to agree or disagree with it. In some cases they disagreed vehemently. Valerie Vollmar again suggested specificiry in terms of service provided, staff needs, facility description, a narrative of how operations are expected to change, their impact, and the departmenYs recommendations of how facilities will be used to address the needs of the population.