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INCEPTION REPORT
Prepared by Ed Boks With critical analysis of the Medical Program provided by Mary Martin, Director of Shelter Medicine, Maricopa County Animal Care & Control Phoenix, Arizona And Facilities Assessment provided by Brenda Sipes C.F.M. and Partners San Diego, California
Inception Report
Table of Contents
Initial Findings Strategic Planning Results New Name Proposal Mission Statement Vision Statement Values Statement Service Theme Service Promise Environmental Issues Nine Point Needs Assessment I. II. III. IV. V. VI. Current Operations and Potential Organizational Efficiencies Current Staff Strengths and Weaknesses Fund Raising Strategy to Support Major Capital Campaign Mayors Alliance Efficiencies Agency and Corporate Support Efficiencies Informational Technology Efficiencies 3 3 4 4 4 4 4 4 4 5 5 5 8 9 10 11 12 12 12 13 15 15 16
VII. Reporting Mechanisms VIII. A. Increase Adoption/Decrease Euthanasia Strategies B. Decrease Length of Stay Strategies IX. Capital Analysis and Capacity Issues A. Short Term Recommendations B. Long Term Recommendations C. Closing Comments on Capital Assets
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Inception Report
Initial Findings:
From July 14th through July 26th, 2003, I oversaw a comprehensive review of major portions of the CACC program. I want to thank Mary Martin, Medical Director of the Maricopa County Animal Care & Control program and Brenda Sipes, Certified Facilities Manager and C.E.O. of Sipes and Partners, for their professional pro bono analysis of the CACC medical program and facilities respectively. My findings are presented as part of the nine Needs Assessment categories I was asked to conduct by contract on behalf of the CACC Board of Directors. Concurrent with the Needs Assessments, a strategic planning process was initiated. The strategic planning is designed to prepare the organization to effectively implement program enhancements as they are identified. A culture of identifying and addressing both internal and external combustion points is being inculcated throughout the organization. Mechanisms are being introduced to help staff respond to combustion points with analysis, written processes, procedures, and training designed to enhance excellent customer service while maximizing limited human and material resources and funding.
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2. The Board/Executive Team may consider capitalizing on a possible marketing strategy around the theme of theres a new A in town. Such a marketing strategy could be a catalyst to introducing a healthy competition between the two agencies, although some may view this strategy as risky and unproductive. Overall, staff supports the new name believing it will help reinforce the feeling of a new day in New Yorks animal care and control program. New York AC&C Mission: To promote and protect the health, safety, and welfare of pets and people in New York City. New York AC&C Vision: We envision the day when residents, their property and neighborhoods, will be safe from the dangers and nuisances of irresponsible pet guardianship, and every pet born will be assured a good home and care all its natural life and will not suffer due to abuse, neglect, or ignorance. New York AC&C Values: We value the integrity of each employee, volunteer, and partner contributing to the professional delivery of excellent customer service and the humane treatment of animals, in an atmosphere of open, honest communication, predicated on our trust in and respect for each other. New York AC&C Service Theme: We create happiness by bringing pets and people together. New York AC&C Service Promise: (Acronym: For goodness SAKE) Safety, Animal Welfare, Kindness/Courtesy, Efficiency (SAKE) Environmental Issues: The purpose of an environmental scan is to determine the strategic issues facing AC&C. Once identified, a strategic plan is developed to address these issues. Six strategic issues were identified: 1. Public demand for no-kill (External Combustion Point) 2. Public demand for excellent and compassionate customer service (External Combustion Point) 3. Need to hire, train, and retain staff (Internal Combustion Point) 4. Inadequate organizational infrastructure (facilities; written polices, procedures, training, etc.) (Internal Combustion Point) 5. Need to develop alternative funding sources to fund innovative solutions to address the root cause of animal control problems (Internal Combustion Point) 6. Need to shift to cost recovery contracts for delivering municipal animal control services (Internal/External Combustion Point)
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New York City Center for Animal Care & Control Specific strategies will be developed to address these six issues.
Inception Report
II.
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One AC&C strength is the newly hired HR Manager. Initial indications are that he will well serve AC&C. The HR Manager has also been tasked to ensure every AC&C employee has a Performance Management Plan with clear expectations and goals. A schedule of quarterly reviews will also be established. As stated earlier, there are many employees that have never been permitted to thrive in the old CACC. I established a program called, Let Your Genius Out of the Bottle. I charged the Controller to set aside funds for this Employee Incentive Program. The HR Manager is developing the program so that employees can be rewarded for suggestions and ideas that lead to measurable cost savings or revenue increases. Management Deficiencies The physical and even psychological separation of senior management from operations is a serious weakness. I propose building out the Manhattan shelter to include accommodations for senior management. This would save CACC and DOH $160,000 each annually in rent. This remedy is discussed further in the Sipes Report. Another deficiency that needs improvement is the working relationship between CACC and DOH when it comes to facilities needs. Staffing Deficiencies A training curriculum, and written policies and procedures need to be developed, implemented, and enforced. Currently, there is no logical plan for the treatment of sick and injured animals. Staffing is so inadequate so the quick triage of sick and injured animals is critical. Currently, less serious, but contagious, cases are overlooked for days allowing these sick animals to put all the other animals in the shelter at risk. At the same time valuable resources are applied to higher risk animals that are ultimately euthanized. Kennel operations is required to provide runners and handlers to supplement medical operations. As a result, animals not fed or their cages cleaned adequately or in a timely fashion. This stresses the animals further increasing the risk of illness. Staff dissatisfaction due to the impossible workload and poor pay results in high rates of absenteeism, and difficulty in recruiting and retaining quality staff. This contributes to staff stress. Veterinarians time and skills are misdirected to managerial and technician tasks instead of surgery, further slowing the life saving process of moving animals out of the shelters.
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The current chain of command has veterinarians answering to shelter managers who have little or no medical background. Managers with no understanding of medical processes plan and oversee all the medical programs and facilities without any input from the medical team. Veterinarians and technicians were hired that do not have the appropriate levels of expertise resulting in: The need to outsource and pay for spay/neuter services for any dog over 40 pounds. The need to outsource and pay for spay/neuter services for any dog or cat with any kind of unusual condition (e.g. retained testicles). Increased illness due to animals waiting long periods of time for surgery. High numbers of animals leaving the shelter unsterilized (voucher system). Increased work for shelter staff that must transport animals to other agencies for surgery and follow up to ensure spay/neuter compliance. Training Deficiencies CACC provides no medical training to any of its staff. I asked the Board, and received approval, to bring Dr. Neufeld, DVM, and Mary Martin for the week of August 18 to train the medical team in the latest innovations in spay/neuter surgery (Neufeld/Martin techniques) and shelter medicine. The lack of medical training has resulted in: field and kennel officers not knowing how to manage medical emergencies; veterinarians doing technical work because they do not trust the skill level of their support staff; poor or no information given to the public; high rates of disease; unrealistic expectations of the medical team. Kennel staff is not trained appropriately in disease transmission. They are not given the tools necessary to protect themselves and the animals in their care. Diseases like Distemper and Parvo when not managed correctly and quickly can cause the needless death of large numbers of dogs and cats. These pathogens spread quickly and are hard to eradicate once they take hold. Skin conditions such as Ringworm and Sarcoptic mange are improperly managed, placing both humans and animals at risk. Kennel attendants handling sick animals followed by well animals without washing their hands or wearing protective clothing. (Hand sanitizers are not readily available.) No gowns or protective clothing are available. Gloves are available but used only to protect hands not stop the spread of disease. (The gloves are not changed between handling animals.) Animals are moved from cage to cage during the cleaning process allowing for further exposure to disease. Feces and urine are washed from cage to cage; the Manhattan shelter is particularly bad due to kennel design.
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Sick animals are left in wards with the healthy animals for inordinate periods of times, sometimes for days and even weeks. Euthanasia training is inadequate and supervision is lax resulting in: Animals not euthanized correctly. Inappropriate verification of death (euthanized animals found recovered in the freezer the following day). Rodent infestations handled inhumanely (employees stomping on live mice). Policies and procedures are unclear and unevenly enforced. Job descriptions are vague. No description of position competencies exists. This results in: Unclear understanding of expectations. Staff mistrust of management due to perceived unfair enforcement of policies. Low morale and high inefficiency. Each shelter and sometimes each employee making up their own rules. Policies and procedures do not allow the veterinary team to focus on their areas of expertise. Medical staff is required to perform animal behavior evaluations, and yet no one on the medical staff has had any animal behavior training. This results in inappropriate evaluations and an inordinately high euthanasia rate. Statistics are faulty due to erroneous evaluations. Volunteers Volunteers are difficult to recruit because the conditions in the shelter are so unpleasant and in some cases even dangerous. Shelter managers are not sure what volunteers can and cannot do, so there is no concerted effort to utilize volunteers. Staff and managers believe volunteers cannot do any task that is assigned to an employee. Despite these obstacles, AC&C has recruited some truly outstanding volunteers. Inadequate staffing and too few volunteers mean animals get little or no time outside of their cage. Animals are confined in small cages 23 hours and fifty minutes each day and are only taken out and tied to a post for 10 minutes a day while their cage is cleaned. Soon these animals begin to mentally deteriorate and are then euthanized for temperament. Staff is being crushed by the workload. In most shelters across the United States, volunteers are plentiful and participate in almost every aspect of shelter operations.
III.
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September. We have also secured the help of Clear Channel and other local vendors to help us with this initiative. Several celebrities have also agreed to participate. Before AC&C can begin in earnest a fund raising campaign, a serious effort at friend raising must be initiated. The PR Campaign is designed to reimage AC&C to the community. After all, AC&C is already the number one pet rescue agency in New York (45,000 dogs and cats annually) as well as the number one pet adoption agency in the City (11,000 annually).
IV.
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euthanasias, an expansion of our Adoption Program, a better utilization of our resources, reduced animal control costs, etc.
V.
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VI.
IT Efficiencies:
The AC&C executive teams in both NY and Maricopa County are reviewing and evaluating several shelter management software programs. All indications are that a web based shelter management program will bring many significant enhancements to AC&C operations. Web based applications are the future and the transition to such a program will position AC&C to take advantage of the newest technologies as they become available. These programs are also more economical than the current program used by AC&C. More in depth analysis is necessary. Kiosks I may have secured a funding source to help AC&C place kiosks in all our shelters. These kiosks will allow customers in all five boroughs to see pictures and descriptions of all the lost and adoptable animals in all our shelters. It is hoped that we will eventually see these kiosks in many key locations all over NYC. This initiative will likely be tied into our PR Campaign described above. IT Deficiencies Medical records are incomplete and data entry is often days behind resulting in inaccurate animal inventory and animals getting lost in the system. Kennels cages are not numbered. This means animals cannot be tracked using available technology. As a result much time is wasted trying to physically locate and identify animals in the shelters. Often some animals cannot be found. This deficiency is being addressed and should be remedied by 8/12/03. New Hope Software Numbering the cages will allow for more effective use of the Chameleon shelter management software. In addition, this innovation will allow for the introduction of the New Hope software package developed in Maricopa County. This program will allow AC&C to send a daily e-mail to its 50 rescue partners advising them of the animals scheduled for the next days euthanasia. This prompt daily alert will provide the rescue groups the pertinent information and time (seven days) they need to maximize their resources to affect real rescues without having to go from shelter to shelter searching for animals. Tracking Animals Inappropriate use of technology has necessitated hanging computer printouts on cages that get wet, lost or destroyed by the dog or cat in the cage. As animals are moved from cage to cage during the cleaning process the paperwork is often misplaced or lost. This has often been the cause of euthanizing the wrong animal. Rather than numbering the cages to track the animals, animals are microchipped so they can be tracked in the shelters, and then they are later euthanized. This is a very expensive and ineffective tracking methodology. The numbering of the cages will preclude the need to microchip animals for tracking purposes.
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VII.
Reporting Mechanisms:
I introduced a daily reporting system that gives staff a daily goal to reduce euthanasia by a specific number and increase adoptions by a specific number each day. This is our Plus One/Minus One program. Data collection is very inaccurate when captured at all. A web-based program would bring the efficiencies of being able to simply cross-reference multiple databases. This is being explored. Implementation of the New Hope software the week of August 4th, will require a concerted effort to accurately capture pertinent data. It is hoped this program will serve as a catalyst for obtaining meaningful data. Effective tracking and reporting will be a primary focus during my tenure.
VIII.
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United States and can serve the NYC rescue community and the Mayors Alliance well. Create a New Hope/foster coordinator at each full service shelter to be the liaison between the rescue groups to ensure no opportunity to place a dog or cat is missed. Create an evaluation team at each full service shelter to include a member of the Medical Team, the New Hope Coordinator, and a Kennel Supervisor. This team will make lists of animals that are not appropriate for the Shelter Adoption Program. These animals will be available to all approved New Hope partners. These lists will be e-mailed to all participating New Hope partners daily to allow the rescue partners ample time to find space in their programs to take at risk animals. The greatest concern voiced by rescue partners is the difficulty of the rescue process compounded by inaccurate information and communication. This technology will help address this concern. Evaluate the current status system to ensure guidelines are user friendly and allow New Hope partners appropriate access to animals in the AC&C shelters. Better utilize technology to manage movement of animals out of the shelters. Adoption Process Deficiencies The adoption process is overly restrictive, expensive and time consuming resulting in: Fewer adoptions. Increased euthanasia. Poor customer service. High levels of disease in the shelter due to long waits for adopted animals. There are too many long term holding cases resulting in: A shortage of space for more adoptable animals. High levels of disease. Increased stress for staff and animals because the hold cases are often difficult to handle (DOH bite quarantines for example).
IX.
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All five facilities have inherent problems; ranging from poor site selection, failing building materials used by the previous tenant, to the lack of funds resulting in delayed maintenance by both the previous and current management. The overall first impression of the facilities looks grim. However, our analysis suggests there may be an opportunity to save these buildings and make them usable for animals and employees, and safe for the public. Any building that supports a 24-hour, 7 days a week operation requires additional diligence to maintenance and repair. It was very apparent upon entry to each of these buildings that they have remained open and running using the duct tape approach. This can work for basic functions but it does not work for air quality, clean-ability and safety. After years of neglect and lack of proper funding to care for the facilities any real effort to salvage them must begin soon. Many consistencies in the buildings indicate more than just delayed maintenance. Two of the five facilities, Manhattan and Staten Island are in immediate need of repair in multiple areas. The repairs required are not only essential for the health and safety of the animals but for the staff and public entering and working in the buildings. These particular facilities must be brought into compliance with building and health codes to be environmentally safe and sound. There is a tremendous amount of moisture damage in the Manhattan and Staten Island facilities. There are several causes for the excessive moisture, which are addressed in the Sipes Report. The outcome of the ongoing moisture from leaks, unsealed floors, and lack of airflow has caused highly visible concentrations of mold. Common indoor molds are not usually troublesome unless someone has a high sensitivity or allergy to mold. There is a concern on the presence (testing has not been done), of the more harmful mold, Stachybotrys atra. Stachybotrys (sick building syndrome) may not have a significant effect on the one time visitor; however, full-time employees may have reason for concern. It is not my intention to open a Pandoras box but merely to emphasize that by addressing the root cause (moisture) this concern can immediately be minimized. The Sipes Report also addresses reoccurring facility problems in the Manhattan, Stanton Island and Brooklyn Shelters. Specifically, HVAC concerns, odors, flooring issues, cross contamination, moisture problems and a lack of storage, along with improper space utilization. A major concern is the many years of inaccurate reports submitted by DOH building inspectors stating the facilities meet code. If the reports had been accurately completed, higher levels of management would have had the July 2003 14
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necessary information to make more timely decisions to address what has now become a litany of very serious concerns. (Refer to the expanded Sipes Report to review these reports and accompanying pictures.)
Inception Report
stories and bring the front of the building as far forward as possible. This project should be implemented in two phases. The Park Place staff should transfer to this location when complete. Phase 1: Build out the two-story facility and transfer relocate operations into the build out. Phase 2: This would allow the existing facility to be cleared for complete refurbishment. Staten Island: There are advantages to the Staten Island lot. We should consider a plan to build this facility out. We are allowed to build right up to the lot line. The disadvantage is that the facility is not on a sewer system. Brooklyn: Consider the feasibility of a build out on the vacant lot adjacent to the Brooklyn facility. This lot has been cleared of a condemned building. There are numerous possibilities for enhancing this shelter using this space if it became available.
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Continued negligence in the repair and refurbishment of these facilities may soon bring us to a point in time when repair becomes completely unmanageable and is no longer an option. At that point, the only option will be to vacate the current facilities and move into other properties. An extremely expensive price to pay for delay.
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