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HomeMy WebLinkAboutAugust 1, 2005 Agenda AGENDA CITY OF DENTON CITY COUNCIL August 1, 2005 After determining that a quorum is present, the City Council of the City of Denton, Texas will convene in a Special Called Meeting on Monday, August 1, 2005 at 11:30 a.m. in the Council Work Session Room, 215 E. McKinney, Denton, Texas at which the following items will be considered: 1. Receive a report, hold a discussion, and give staff direction regarding Emergency Medical Services (EMS) Billing and outsourcing opportunities. 2. Receive a report, hold a discussion and give staff direction regarding the Denton Open Space Concept Plan. NOTE: The City Council reserves the right to adjourn into a Closed Meeting on any item on its Open Meeting agenda consistent with Chapter 551 of the Texas Government Code, as amended, including without limitation, Sections 551.071-551.086 of the Texas Open Meetings Act. C E R T I F I C A T E I certify that the above notice of meeting was posted on the bulletin board at the City Hall of the City of Denton, Texas, on the ________day of ___________________, 2005 at ________o'clock (a.m.) (p.m.) ____________________________________ CITY SECRETARY NOTE: THE CITY OF DENTON COUNCIL WORK SESSION ROOM IS ACCESSIBLE IN ACCORDANCE WITH THE AMERICANS WITH DISABILITIES ACT. THE CITY WILL PROVIDE SIGN LANGUAGE INTERPRETERS FOR THE HEARING IMPAIRED IF REQUESTED AT LEAST 48 HOURS IN ADVANCE OF THE SCHEDULED MEETING. PLEASE CALL THE CITY SECRETARY'S OFFICE AT 349-8309 OR USE TELECOMMUNICATIONS DEVICES FOR THE DEAF (TDD) BY CALLING 1-800- RELAY-TX SO THAT A SIGN LANGUAGE INTERPRETER CAN BE SCHEDULED THROUGH THE CITY SECRETARY?S OFFICE. AGENDA INFORMATION SHEET August 1, 2005 AGENDA DATE: Fire Department DEPARTMENT: Jon Fortune ACM: SUBJECT Receive a report, hold a discussion, and give staff direction regarding Emergency Medical Services (EMS) Billing and outsourcing opportunities. BACKGROUND In April 2005, the Denton Fire Departmentinitiated a study reviewing the operational procedures of the Emergency Medical Service (EMS) Billing Section. In addition to the internal study, a survey of 9 cities and 3 private billing companies was conducted. The purpose of the study / survey was to: 1. Review current billing method for effectiveness 2. Compare implemented fee schedule with compatible cities 3. Review processing of EMS calls, generation of invoices and transfer to collection 4. Assess cost recovery through current procedures 5. Develop strategic plan for maximum cost recovery 1. Billing Method The Emergency Medical Service industry currently bills utilizing one of three billing methods. Method #1 Flat Method: This method is simply setting a single flat charge for all ambulance services provided to the patient. Most agencies using this method base the flat rate charge from the total EMS operating expenses of the prior fiscal year. This method is not recommended, as insurance companies generally make allowable amount adjustments on a charge-by-charge basis. Method #2 Conventional Method: Used by most ambulance service providers, this method bills a set base rate, mileage, and additional charges for supplies used and treatment provided. Billing amounts are based on a percentage of what Medicare pays for certain services or compared against rates of neighboring agencies. Full cost recovery is difficult using this method. Agencies aim to establish charges that meet or exceed Medicare?s reimbursement rates in an effort to capture the most Medicare revenue possible. Method #3 Balloon Billing or Umbrella Billing: This method bills according to pre-set and defined targets of what insurance companies consider customary and reasonable rates for all healthcare related services. Each insurance Page 1 of 8 company establishes its own range of pay and makes this information nearly impossible to obtain. It requires intense research and application of statistical methods to be successful; therefore most EMS agencies and small billing services simply do not have the money or resources to continuously update or compile this information. This method allows for almost full cost recovery since rates considered customary and reasonable are based on industry pricing. The current billing method of the Denton Fire Department is the conventional method. EMS patients are billed as outlined in Attachment A. Implementing the flat method of billing would require an increase to the adopted flat rate to achieve revenue estimates. To remain comparable to other cities,the increase would be minimal and would not reflect the true cost of service as mileage and supplies would no longer be billed for. An established flat rate would more than likely be lower than the rate established by insurance companies for payment,again, not recovering full cost for service. Implementation of the umbrella billing method would require the service of a private billing company. Insurance payment information (reasonable and customary rates) cannot be obtained internally and billing software needed to obtain additional insurance information cannot be duplicated with current resources. Billing under the umbrella method would increase revenue resulting in greater cost recovery. 2. Fee Schedule Comparison The Denton Fire Department has remained competitive to other cities of comparable size utilizing the conventional method of billing. The last change in emergency ambulance fees was in July 2004. ProviderResidentNon-Resident Transport Charge Transport Charge Carrollton$400$475 Farmers Branch $450$550 Flower Mound $525$625 Lewisville$522$653 Lake Cities $500$700 McKinney$305$330 Plano$415$500 City of Denton (current)$475$600 Page 2 of 8 3. Billing Procedures Under current billing procedures, a review of each EMS calls entered by operations personnel is conducted. Additional information required for billing is added at that time. Invoices are submitted to insurance companies or patients directly for payment. Invoices are submitted to secondary insurance companies when applicable to recover full payment. After a 120 day billing cycle, the invoice is transferred to a contracted collection agency for follow-up. Internal processes were found to be effective and efficient. The EMS billing section currently has one of the highest collection rates compared to other agencies with in- house billing and outsourced billing. CityBilling ProviderCollection Rate Adjusted CarrolltonIn-house60% Lake Cities In-house64% LewisvilleIn-house73% KellerTMDS40% - 50% GarlandTMDS60% McKinneyTMDS50% - 60% CoppellMangt.Concepts60% DentonIn-house63% 4. Budget and Cost Recovery In FY 03-04, the Fire Department responded to a total of 8,929 emergency calls for assistance. Of those, 7012 were emergency medical service (EMS) calls. This statistic shows that 78.5% of the Fire Department?s business in FY 03-04 was EMS. Over the past ten years, EMS responses have consistently averaged over 70% of total emergency responses. The City?s four (4) front line ambulances respond to all EMS calls as well as some fires. In addition to an ambulance, a fire engine responds to those medical calls from the nearest fire station. The budget for FY 03-04 was $13,675,659. Our existing budget(FY04-05)is$13,929,401 and our proposed budget for FY 05-06 is $15,068,963. While our costs to provide EMS services have increased substantially, adopted rates have not. Although we recover some of the costs to provide emergency medical transports, the revenue generated from the ambulance transport fees only recovers a small portion of our actual costs to provide the service. Estimated revenues in 2004/2005 for EMS ambulance transport fees are $1,283,000. Based on 78.5% of the Fire Department?s budget, $10,934,579 is the cost to provide EMS to the community. The City recovers an additional $314,035 from interlocal agreements with the County and two small cities (Sanger and Ponder) which helps offset the City?s costs, however, this funding will decrease with the loss of the Ponder contract in FY 05-06 and the anticipated loss of Sanger within the next 2 years. The cost per ambulance run is $601.23 based on expenditures and the number of calls. The cost significantly increases when apparatuses are added to reflect their response to EMS calls. The average cost of recovery is $240.00 per call. Page 3 of 8 5. Strategic Planning A review of each billing method and current billing procedures along with the evaluation of other cities shows the EMS Billing Section is very successful in its efforts at collection under the conventional method of billing and the adopted rates. It also shows that the implementation of the flat rate method would have a negative effect on revenue but the implementation of the umbrella method has the potential to increase revenue and maximize cost recovery. Implementing the umbrella method of billing would require the outsourcing of EMS Billing to a private company offering such service. Under this method of billing, insurance companies are billed at ?reasonable and customary? rates established by their company. Cities adopting this form of billing elect to exercise their authority to waive co-pay and deductibles for city residents (including university students and residents of assisted living facilities) effectively eliminating out of pocket expenses. This is also known as ?insurance only? billing. This would affect approximately 22.8% of our current collections, which reflects the portion of revenue collected from insurance companies (Attachment B). Additional services provided by outsourcing agencies include submitting required reporting to state and federal agencies, assuring compliance with HIPPA laws, statistical gathering, and access to software developed for specifically for EMS calls / billing.An average of 7% - 12% of gross collections is paid to the outsourcing company depending on services provided. Adoption of this method has the potential to bring increased revenue (net ? after payment) and result in internal cost savings. Increased revenue would benefit the City?s General Fund and would also recover the initial start-up costs for EMS Billing. Associated expenditure reductions could be reallocated to fund certain liabilities that are currently unfunded such as retirements. (Attachment C) Benefits to outsourcing could still be obtained under the current method of billing. Changes in the fee structure can be made to increase revenue and cost recovery. Increasing the current rates and charging separately for Basic Life Support (BLS) and Advanced Life Support (ALS, ALS I, ALS II) would more accurately reflect costs for service and keep the City compatible with surrounding Cities. Resources unavailable to the department such as the gathering of insurance information and the utilization of specific software would also result in enhanced revenue and budget savings. OPTIONS 1.Outsource EMS Billing with the adoption of the umbrella billing method. 2.Outsource EMS Billing with the current method of billing under a revised fee schedule. 3.Continue EMS Billing operations with current procedures and fee schedule. RECOMMENDATION Staff recommends the approval of outsourcing EMS Billing under the umbrella method of billing. Page 4 of 8 FISCAL INFORMATION A change in the billing method has the potential to produce a significant increase in revenue. Outsourcing combined with the umbrella billing method could increase projected estimates by 40% - 50%. Outsourcing with the current method and a change in fee schedule could increase revenue by 25%. Achieving the projected estimates will be dependant on the final terms agreed upon with a contracted company and continued analysis after implementation to assess associated cost savings. RespectfullySubmitted: ____________________________ RossChadwick FireChief Report Prepared By: ____________________________ Laura Behrens Fire Department Management Assistant Attachments A.Outline of Current Billing Method B.Collection Statistics / Cost for Service C.EMS Billing Budget Page 5 of 8 Attachment A Current Method of the Denton Fire Department: Conventional Method Flat Rate + Mileage + Supplies = Service Invoice Resident Flat Rate = $475.00 Non-resident Flat Rate = $600.00 Non-transport when an IV is administered = $100.00 Non-transport when an IV and one (1) medication and treatment are administered = $200.00 Mileage = $9.00 Supplies: Bandaging/splinting - $45 Cardiac monitoring - $45 Cardioversion - $45 CPR- $80 Defibrillation - $45 12-lead EKG - $45 Glucometer - $20 Pacing - $45 Carrying a patient downstairs - . $50 20% over the cost paid by the City Private Payers, Private Insurance and Medicare / Medicaid all billed the same. Bill primary insurance ? remainingbalance is submitted to secondary insurance. If there is a remaining balance after the secondary insurance or if there is no secondary insurance available, balance is billed to patient direct. A portion of the balance on Medicare / Medicaid is considered a contractual adjustment and the remainder is billed to the patient. Current collection rate is 63%. Page 6 of 8 Attachment B Collection Statistics / Cost of Service Breakdown of Payer:* Medicare 34.2% Medicaid 5.8% Insurance 22.8% Contract 4.2% Private19.5% Unknown 13.5% *Based on 5,675 calls providing services that could be billed. 10 major insurance companies Over 500 misc. insurance companies listed in system 3% denial rate on submitted claims to insurance -attributed to questions in coding (?medically necessary?), rarely rejected for overcharging Cost of Service Per Run: AmbulanceService= $568.32 Ambulance + EMS Billing = $601.23 Ambulance + Engine = $1,333.06 Ambulance + Quint = $1,604.36 Ambulance + Truck =$4,482.52 Page 7 of 8 Attachment C Budget Analysis EMS Billing Start-up Investment Amazon Upgrade Approximately $80,000 Sanitas / EMS Pro Upgrade $162,600 (Tech 1 & Tech 2 Bonds) Operational Costs* Personal Services ** $2,808,446.00 Office Supplies $500.00 Books and Magazines $2,000.00 Document Printing $200.00 Cell Phone $1,545.00 Uniforms$23,600.00 Licenses $5,800.00 Dues $1,000.00 Employee Training $22,000.00 Medical Control Contract $40,000.00 Medical Supplies $107,000.00 Insurance $29,835.00 Medtronic Maintenance $17,963.00 Total$3,059,889.00 *Excludes vehicle and machinery costs associated with emergency responses **Personal Services reflects: F/F + Driver salary ($638,128) x 4 Ambulance Companies + EMS Battalion Chief salary + Paramedic education pay ($144,000) EMS Billing Administration Cost Personnel Services * $144,785.00 Document Printing $2,500.00 Office Supplies $2,000.00 Postage$8,000.00 Uniforms$300.00 Employee Training $1,000.00 Tech Serv. (computers @$2,500 each)$7,500.00 Tech Serv. (phone lines @$900 each)$4,500.00 Software Agreement (Zoll Data) $18,850.00 Total$189,435.00 *Personal Services reflects: EMS Billing Coordinator + 2 EMS Billing Assistants Admin. Cost: Revenue Ratio 16.5% Page 8 of 8 AGENDA INFORMATION SHEET August 1, 2005 AGENDA DATE: Parks and Recreation Department DEPARTMENT: Howard Martin, Utilities 349-8232 ACM: SUBJECT Receive a report, hold a discussion and give staff direction regarding the Denton Open Space Concept Plan. BACKGROUND The Denton Plan frequently references open spaces to be used for recreational purposes, the preservation of environmental resources, or to serve as a buffer between land uses. Community support for the use of open space to preserve Denton?s character was clearly indicated during Denton Plan public meetings and hearings. The Open Space Concept Plan is intended to guide implementation efforts regarding the location and use of open space in Denton and to develop an open space acquisition strategy. The plan defines existing open space in public and private ownership that provide both environmental and social importance in areas of urban development including, local parks, state and federal lands, golf courses, ranches, farms and other agricultural lands. Existing floodplains and riparian areas are defined and designated as important open space areas, including environmentally sensitive areas that are designated in the Denton Development Code. Priorities: The concept plan calls for a system of prioritization to identify lands to be protected. It identifies land that has significant resource value and is most threatened, but does not call out specific tracts of land or prioritize acquisition areas. Key plan elements included the need for: pursuing a community trail network to link open space areas and other destinations development of regional parks that provide recreational areas and protect valuable open space protecting and restoring ecosystem habitats preserving scenic corridors The plan then identifies the levels of priority including: the acquisition or protection of environmentally sensitive areas that are under immediate threat of development high priority areas that not under immediate threat high priority areas to be considered for long-range consideration 1 The plan also defines several land protection tools and techniques including: acquisition land exchange conservation easements environmental overlay zones density transfers development rights transfers On November 10, 2004, the Planning and Zoning Commission held a public hearing to consider adoption of the Open Space Plan. The sub-committee recommended approval of the plan with the following conditions: 1. Remove specific sites listed in the ?Priority Locations? section of the plan; 2. Clearly identify and distinguish between open space resources and areas that need to be protected; 3. Consolidate departmental master plans to develop open spaces into use areas or multiple use corridors for the sake of efficiency; 4. Re-title document as Open Space Concept Plan and Coordination Tool; 5. Parks and Recreation staff, in conjunction with other city departments, study the feasibility of implementing an open space and trail dedication requirement for new subdivisions to connect and provide access/linkages where appropriate and in areas where there is a plan or proposed network in place, and identify incentives; 6. Reword ?Implementation Techniques? section as Land Protection Tools and Techniques; 7. Establish a Five-Year Action/Implementation Plan; and 8. Hire a Master Plan Coordinator to achieve Open Space Master Plan. The Planning and Zoning Commission recommended approval of the Open Space Plan by a vote of 5-0. OPTIONS The City Council may: Accept the revisions as proposed by the Planning and Zoning Commission and direct staff to schedule a public hearing prior to final adoption of the Open Space Concept Plan request additional revisions to the plan prior to formal Council action provide alternative directives to staff. RECOMMENDATION Staff recommends that the Open Space Concept Plan be placed on the August 16, 2005, City Council agenda as a public hearing. ESTIMATED PROJECT SCHEDULE City Council Public Hearing August 16, 2005 City Council Regular Session September 6, 2005 PRIOR ACTION/REVIEW Planning and Zoning Work Session March 10, 2004 and April 14, 2004 Parks, Recreation and Beautification Board April 5, 2004 and May 3, 2004 Planning and Zoning Commission November 10, 2004 Environment Committee January 31, 2005 2 EXHIBITS 1. Open Space Concept Plan 2. Proposed Resolution of adoption 3. Parks, Recreation and Beautification Board minutes of April 5, 2004 and May 3, 2004 4. Planning and Zoning Commission minutes of November 10, 2004 (refer to pages 41-57) 5. Memorandum from the Open Space Master Plan Subcommittee of the Planning and Zoning Commission dated November 10, 2004 Respectfully submitted by: Janet Fitzgerald, Director Parks and Recreation Department 3 DRAFT EXHIBIT 1 Parks, Recreation and Beautification Board Water Works Park April 5, 2004 Members present: Jo Kuhn, Geri Aschenbrenner and Reginald Heard. Staff present: Janet Simpson, Bob Tickner, Emerson Vorel, Janie McLeod, John Whitmore and Lancine Bentley. Vice Chair Jo Kuhn called the meeting to order at 6:00 p.m. ? Janet announced that the department had been presented with three Awards and Recognition awards from the state TRAPS conference. ? Minutes were approved as distributed with one correction. Under Approval of Minutes Discussion Item ? Civic Center Concept Plan ? in the second paragraph first sentence read: ?She added? and should read ?He added?. ACTION ITEMS Open Space Master Plan. No action taken due to a lack of quorum. Consider a Request from Metzler?s Restaurant to Sell Alcohol Beverages at Cinco de Mayo. It was the consensus of the Board members present to allow staff to conduct a poll of absent members on this item. Janie McLeod polled the Board and received unanimous approval for the sell of alcohol beverages at Cinco de Mayo. DISCUSSION ITEM Lake Forest Concept Plan. Bob reviewed the concept plan map and the comments from the public th meeting held on February 26 at Lake Forest. The long-range concept plan includes unlighted athletic fields, recreation facilities, tennis courts, picnic and play ground facilities, a dog park, and nature and jogging trails. He said there were about 50 citizens in attendance. Bob added that there were no negative comments about the Dog Park being located in this park but that the residents did say that they did not want lighted athletic fields in the park. There were concerns expressed about the traffic flow on Ryan Road and the current entry location of the park might contribute to more traffic problems. Bob told the residents that issue would be addressed. Bob said the Concept Plan would be brought back to the Board at a later time for the Board?s formal approval. DIRECTOR?S REPORT Staff Presentation on Keep Denton Beautiful - Lancine Bentley gave an overview of the Keep Denton Beautiful history, activities, the three main areas, and their committees. Project Status Report. Bob said the skate park bids would be presented to City Council on Tuesday and that the skate park should be operational by the end of June. Keep Denton Beautiful Report ? There were no questions on the distributed report. EXHIBIT 3 Items for Next Meeting ? Open Space Master Plan. There being no further business, the meeting was adjourned at 6:50 p.m. Parks, Recreation and Beautification Board Minutes American Legion Hall May 3, 2004 Members present: Geri Aschenbrenner, Teresa Andress, Dale Yeatts, Jo Kuhn, and Chuck Smith. Members absent: Ross Richardson and Reggie Heard. Staff present: Janet Simpson, Bob Tickner, Janie McLeod, Emerson Vorel, and Ken Washington. Others present: Jane Malone, Anna Broderick, Hal Evans, and Jim Avera. Chairman Teresa Andress called the meeting to order at 6:00 p.m. Awards and Recognition ? The Park Operations staff was congratulated for their work on making the Denton Arts Festival and Cinco de Mayo successful events in spite of the poor weather conditions. Approval of Minutes ? The minutes stood as distributed. ACTION ITEMS Consider a Recommendation to Endorse the Denton Open Space Master Plan. Janet reminded the Board that the Open Space Plan had been brought before them at the March meeting and they directed staff to bring the Plan as an action item before the Plan goes before Planning and Zoning and finally to City Council. Jo Kuhn made a motion to recommend the Denton Open Space Master Plan to the Planning and Zoning Commission. Dale Yeatts seconded the motion and it passed unanimously. Consider a Recommendation to Approve the Lake Forest Conceptual Master Plan. The Board requested this item be brought back as an Action Item at the June meeting. Consider a Recommendation for a Chapter 26 Use of Park land at the New Briercliff Park for Purposes of a Public Street. Bob reviewed the plans and maps for the development of the Briercliff Park. He said that the City Engineering Department has requested the use of 0.546 acres of park land for a new street right-of-way in order to construct a new roadway to avoid a floodway. After the land was purchased for the street, detailed engineering determined the right of way needed to shift to the North to avoid major modifications to a small pond and the stream channel. Geri Aschenbrenner made a motion to allow the construction of the new proposed Unicorn Lake Boulevard onto a 0.546 acre strip of Briercliff Park. Dale Yeatts seconded the motion and it was unanimously approved DISCUSSION ITEMS Receive a Report and Discuss the 2005 Capital Improvement Program. Janet reviewed the process that the Parks and Recreation Department staff used to develop a preliminary list of park and facilities needs, including the 2000 Denton Parks and Recreation Master Plan, individual park master plans, service and program demand and citizen input. Janet stated that as the process continues the board would have an opportunity to comment and offer suggestions for the future bond program. DIRECTOR?S REPORT Staff Report on the Denton Youth Sports Association. Representatives from various sports organizations gave reports on league participation and anticipated growth in their programs. Jane Malone with the Denton Soccer Association reported a total of 1,545 participants with 147 teams. Jane added that the number of participants could double in the next10 years. She discussed the need for an indoor soccer facility and that more outdoor practice fields are needed. Anna Broderick with Denton Girls Softball Association reported 268 players with 65 select players making a total of 23 teams and six select teams. Anna said within the next five years there could be 40 or more teams. Hal Evans and Jim Avera with Denton Boys Baseball, Inc. said that they had 960 players with 83 teams and that they play games every day of the week except for Wednesdays and Sundays. They expected their numbers to double within the next 10 years. They stated that more practice fields are needed. Ken Washington, Athletic Coordinator gave a presentation of the responsibilities and duties of the athletic manager position. Customer Requests Bring Changes at Water Works Park for 2004 Season. Janet reviewed the distributed press release regarding the new prices for Water Works Park. CCA Update. Janet provided an update on the annual testing for arsenic levels in the wood at Eureka playground. In addition to testing, staff has placed precautionary and informational signs at the playground and on the department?s website. Project Status Report. Janet commented that the contract for the renovation construction for the th Civic Center would be on the May 5 Council agenda. Keep Denton Beautiful Report. There were no questions. Items for Next Meeting. Lake Forest Conceptual Master Plan and the 2004-05 Budget. There being no further discussion, the Vice Chair adjourned the meeting 7:16 p.m. EXHIBIT 4 PLANNING & DEVELOPMENT DEPARTMENT M E M O R A N D U M TO: PLANNING AND ZONING COMMISSIONERS FROM: OPEN SPACE MASTER PLAN SUBCOMMITTEE SUBJECT: OPEN SPACE SUBCOMMITTEE REPORT AND RECOMMENDATIONS (SI04-0015) DATE: NOVEMBER 10, 2004 In January 2004, the Environmental Committee of the Denton City Council requested that Parks and Recreation staff bring the Open Space Master Plan to the City Council for consideration. The plan was presented to the Planning and Zoning Commission in work session on March 10, 2004 and April 14, 2004. The Planning and Zoning Commission held a public hearing on May 12, 2004, and at this time, the Commission formed an Open Space Subcommittee to review the plan and make a recommendation to the full Commission. The Open Space Subcommittee has met on June 11, July 8, and November 4 to consider the Open Space Master Plan. At the July 8 meeting, the committee requested that the master plan data be made available digitally and staff has been working on this request. Primary considerations included whether or not open space in Denton is already protected through other officially adopted documents, applicability of scenic corridors and time-frames for acquiring or protecting the open spaces identified in the plan. The Subcommittee reviewed and discussed this data at their last meeting and concluded that the digital mapping allows comparison of the master plans of a variety of city departments and their effects of these on open space, and the ability to coordinate open space in a more efficient and effective manner. The Open Space Subcommittee recommends approval of the Open Space Master Plan with the following conditions: 1. Remove specific sites listed in the ?Priority Locations? section of the plan; 2. Clearly identify and distinguish between open space resources and areas that need to be protected; 3. Consolidate departmental master plans to develop open spaces into use areas or multiple use corridors for the sake of efficiency; 4. Re-title document as Open Space Concept Plan and Coordination Tool; 5. Parks and Recreation staff, in conjunction with other City Departments, study the feasibility of implementing an open space and trail dedication requirement for new subdivisions to connect and provide access/linkages where appropriate and in areas where there is a plan or proposed network in place, and identify incentives; 6. Reword ?Implementation Techniques? section as Land Protection Tools and Techniques; 7. Establish a Five-Year Action/Implementation Plan; and 8. Hire a Master Plan Coordinator to achieve Open Space Master Plan. EXHIBIT 5