Orientation for New Public Health Directors

1
Orientation for New Public Health Directors

• Kentucky Health Departments Association140
  Consumer LaneP.O. Box 1091Frankfort, KY
  40602-1091Phone [phone]Fax (502)
  226-5155Email khda_at_fewpb.net 

2
Vision and Mission of Public Health
Vision Healthy People in Healthy
Communities Mission Promote Physical and Mental
Health and Prevent Disease, Injury and Disability
3
What is Public Health?

• IOM
• Promote Physical Mental Health and Prevent
  Disease, Injury and Disability
• Kentucky Public Health Improvement Plan of 1998
• To Protect Ensure the Health of Citizens
  Through Quality Individual and Population-based
  Services Using Core Public Health Functions

4
Why Perform Public Health Services?

• To Extend Individual Wellness Longevity
• For the Good of Society in General
• For Protection of the Available Workforce
• To Reduce Costs to Society, Government, Business
  Individuals

5
Public Health Services Are PopulationFocused
6
Governmental Functions of Public Health

• Assessment
• Policy development
• Assurance

7
Assessment
The regular collection, analysis and sharing of
information about health conditions, risks and
resources in a community
8
Policy Development
Information is gathered from assessment is used
to develop local policies
9
Assurance
Making sure that needed health services and
functions are available
10
Evaluating Community Needs

• Assess the health of the community
• Identify health problems
• Develop plans to address the high-priority
  problems

11
Healthy People 2010 Goals

• Increase quality and years of healthy life
• Eliminate health disparities

12
Mandated ServicesThese activities required of
all health departments

• Core Services (Statute/Regulation)
• Environmental Regulations
• Disaster Response
• Health Education
• Surveillance
• Communicable Disease Control
• Risk Identification and Reduction
• Policy Development

• Preventive Services for the Medically Homeless
• Family Planning
• Prenatal Care
• Well Child Care
• WIC Program
• Adult Preventive Services
• Chronic Disease Management and Support

13
Services to Insured PersonsThese services are
authorized as local options but are not mandated
by statute, regulation or budget language.

• Population Based Services
• Home Visits
• Chronic Disease Education
• School Health
• Other Negotiated Services

• Services for Individuals
• Medicaid Preventive
• K-Chip Preventive
• HMO Preventive
• Other Negotiated Services

14
Direct Care ServicesHealth Departments
participating in these activities are expected to
be able to compete effectively in the medical
market place without requiring funds obligated
for mandated services.

• Primary Care

• Home Health

15
Definitions of Health Departments

• Independent Health Departments
• Single County Health Department
• District Health Department
• Small Districts
• Large Districts

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Regional Definitions

• ADD Districts
• Funding Impacts

17
District and County LHDs

• "County board" means the statutorily mandated
  governing body of a single county health
  department created pursuant to KRS 212.020, and
  does not exist in a district.
• "District board" means the statutorily mandated
  governing body of a multi-county agency created
  pursuant to KRS 212.855.
• "Nongoverning board" means a city-county, or
  county, board of health that is under the
  governance of a district board.

) "
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Functions of a Board.
(1) A Governing Board Shall (A) Assure That the
Services Provided Meet the Needs of the Local
Citizenry, to Protect and Promote Public
Health (B) Establish Priorities and Objectives
For 1. Service Delivery, Considering Federal
and State Disease Prevention Health Promotion
Objectives And 2. Specific Health and Safety
Needs of the Community And 3. Resources of the
Agency. (C) Assure That Financial Controls and
Program Evaluation Measures Are Ongoing to
Facilitate Effective and Efficient Agency
Services and Operations (D) Interview and Hire
an Agency Director in Accordance With 902 Kar
8040 Through 902 Kar 8140 (E) Communicate
Board Policies and Priorities to the Agency
Director (F) Evaluate the Performance of the
Agency Director And (G) Review Information and
Data Provided by the Agency Director to Assess
the Effectiveness and Efficiency of the Agency
in Complying With Federal and State Public
Health Laws, Regulations, and Board Policies.
19
Training for Board Members (1) A New Member
Appointed to the Board Shall Receive Training
From the Agency Director or Other Appropriate
Agency Representative. (2) The Training Shall
Include Discussion or Written Materials on the
Following Topics (A) Statutory Responsibilities
and Functions of the Cabinet, Agency, and the
Board (B) Board Laws, Regulations, and Local
Ordinances (C) Board Members Responsibilities
and Functions (D) Agency Services Sites and the
Services Provided at These Sites (E) Agency
Staff by Discipline or Profession (F) Review of
Agency Medical and Environmental Services, Budget
and Annual Report (G) Board Minutes for the Last
Calendar Year And (H) Tour of the Agencys Main
Facility Or, If Feasible, a Tour of Satellite  
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District and County Boards of Health

• Section 3. Functions of a Board. KAR 9028150
• (1) A governing board shall
• (a) Assure that the services provided meet the
  needs of the local citizenry, to protect and
  promote public health
• (b) Establish priorities and objectives for
• 1. Service delivery, considering federal and
  state disease prevention and health promotion
  objectives
• 2. Specific health and safety needs of the
  community and
• 3. Resources of the agency.
• (c) Assure that financial controls and program
  evaluation measures are ongoing to facilitate
  effective and efficient agency services and
  operations
• (d) Interview and hire an agency director in
  accordance with 902 KAR 8040 through 902 KAR
  8140
• (e) Communicate board policies and priorities
  to the agency director
• (f) Evaluate the performance of the agency
  director and
• (g) Review information and data provided by the
  agency director to assess the effectiveness
  and efficiency of the agency in complying with
  federal and state public health laws,
  regulations, and board policies.
• (2) A nongoverning board shall
• (a) Maintain a membership on the county public
  health taxing district board
• (b) Prepare the annual public health tax
  resolution
• (c) Maintain trusteeship of the county public
  health tax
• (d) Provide for maintenance and upkeep of the
  agency building
• (e) Determine the appropriate use of the
  facility by community groups and other
  agencies and
• (f) Provide the district board with information
  regarding specific public health needs and
  concerns of the city-county or county board.

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Single County Board of Health

• Section 3. Functions of a Board. KAR 9028150
• (1) A governing board shall
• (a) Assure that the services provided meet the
  needs of the local citizenry, to protect and
  promote public health
• (b) Establish priorities and objectives for
• 1. Service delivery, considering federal and
  state disease prevention and health promotion
  objectives
• 2. Specific health and safety needs of the
  community and
• 3. Resources of the agency.
• (c) Assure that financial controls and program
  evaluation measures are ongoing to facilitate
  effective and efficient agency services and
  operations
• (d) Interview and hire an agency director in
  accordance with 902 KAR 8040 through 902 KAR
  8140
• (e) Communicate board policies and priorities
  to the agency director
• (f) Evaluate the performance of the agency
  director and
• (g) Review information and data provided by the
  agency director to assess the effectiveness
  and efficiency of the agency in complying with
  federal and state public health laws,
  regulations, and board policies.

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Board of Health Membership

• KRS 902
• Membership of County by Population
• Judge Executives from Each County
• Board Appointments
• Election of Chairperson

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Revenues

• Revenues
• Taxing District Revenues
• Program allocations
• Service Fees
• State and Federal Dollars
• Local Contracts

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Programs

• Regional Programs Offered
• BT Coordinator
• Planners
• Diabetes Level I,II or III
• Tobacco Coordinator
• TB Coordinator
• Epidemiologist

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Statutes, Regulations and Other Rules

• Or
• How to Do Your Job and Stay Out of Trouble

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The Acronyms

• KRS Kentucky Revised Statute the laws the
  General Assembly has passed
• KAR Kentucky Administrative Regulation the
  rules the bureaucrats have written to implement
  the laws

27
The Basic Requirements

• KRS 211 The Cabinets Statute
• KRS 212 LHDs Statute
• KAR, Title 902, Chapter 8 (902 KAR 8xxx)
• KAR, Title 901, Chapter 5
• Administrative Reference
• Public Health Practice Reference
• Disaster Response Recovery Plan
• Local Regs your Board may have passed

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The Next Step Up

• KRS 61.800, 61.870, 213, 214, 215, 217, 217B,
  219, 221, 223
• KAR, Title 902, Chapters 1, 2, 4, 7, 9, 10, 11,
  15, 45, 47, 48, 115

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So You Want to be an Expert

• KRS 39, 39A, 39B, 39C, 39D, 65, 100, 109, 224,
  311, 314, 336 347, 383

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The Practical Rules

• Be a Rules Guy
• Dont go nipalatin the ragalations
• What the regulations do not specifically allow,
  they disallow vs. What the regulations do not
  specifically disallow, they allow.
• Know the difference between shall and may.

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The Practical Rules

• It is easier to ask forgiveness than permission.
• Understand Administrative Law and Fair
  Administrative Procedure.
• Dont ever be afraid to ask a question.
• Dont ask the question if you cant stand the
  answer.
• Dont bluff and dont overplay your hand.

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The Practical Rules

• If you aint got it in writing, you aint got it.
• Remember, everything you put in writing is
  ultimately an open record.
• Come to KHDA on a regular basis where else are
  you going to find 55 other people who are going
  through the same things you are going through
  everyday?

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And Finally

• You dont have to know everything, you just have
  to know where and how to look.
• http//www.lrc.state.ky.us/home.htm
• http//chfs.ky.gov/dph/

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FINANCIALS

• LOCAL HEALTH DEPARTMENT FINANCIALS

35
THE BASICS

• BASICS
• REVENUES EXPENDITURES
• MEMORANDUMS OF AGREEMENT
• TAXING DISTRICTS
• CONTRACTS
• TIME REPORTING
• TRAVEL
• AUDITS
• INTERNAL CONTROLS

36
FINANCIALS

• ADMINISTRATIVE REFERENCE MANUAL
• SECTION IV
• FINANCIAL MANAGEMENT REQUIREMENTS 902 KAR 8170
• AUDIT REQUIREMENTS 902 KAR 8165

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REVENUES

• A. REVENUES -
• STATE RECEIPT ACCOUNTS 421-425
• FEDERAL RECEIPT ACCOUNTS 431- 440
• LOCAL RECEIPT ACCOUNTS 451- 456
• SERVICE FEES RECEIPT ACCOUNTS 459-490

38
EXPENDITURES

• EXPENDITURES -
• PAYROLL SALARIES, LEAVE, AND FRINGE BENEFITS
• OTHER CONTRACTS, TRAVEL, SPACE, OFFICE
  ADMINISTRATION,
• MEDICAL SUPPLIES, AUTO COSTS, OTHER COSTS, AND
  CAPITAL EXPENDITURES

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MOAs

• B. MEMORANDUM OF AGREEMENT
• YOUR CONTRACT WITH DPH
• YOU PROMISE TO CONDUCT
• PROGRAMS ACCORDING TO DPH PROTOCOLS. DPH
  PROMISES
• THAT YOU MIGHT GET MONEY TO PAY FOR THEM
• READ THE ABOVE AGREEMENT VERY CLOSELY. ITS
  IMPORTANT!
• MASTER AGREEMENT MODIFICATION
• ALLOCATION ADJUSTMENTS MADE BY DPH DURING THE
  FISCAL YEAR, MAY BE MORE OR LESS

40
TAXING DISTRICTS

• C. TAXING DISTRICTS
• 1) CREATED BY STATUTES KRS 212.720 AND
  212.750
• 2) KNOW WHICH STATUTE CREATED YOUR DISTRICT
• 3) DPH REQUIRES A MINIMUM RATE SET ANNUALLY BY
  THE
• COMMISSIONER OF PUBLIC HEALTH
• BOARD OF HEALTH ANNUALLY SETS RATE UP TO 10
  CENTS, MUST
• BE LEVIED BY FISCAL COURT
• 5) WORDING DIFFERS BY STATUTE REGARDING FISCAL
  COURT
• RESPONSIBILITIES
• 6) TAXING DISTRICT ACCOUNT CONTROLLED BY THE
  BOARD RATHER
• THAN THE PUBLIC HEALTH DIRECTOR
• 7) FORMULA FOR ESTIMATED TAX REVENUES
  DISTRIBUTED
• ANNUALLY BY DPH
• 8) NOT NECESSARY TO DIRECT ALL TAX REVENUE TO
  LHD BUDGET

41
CONTRACTS

• D. CONTRACTS
• 1) SHALL NOT EXCEED ONE YEAR IN DURATION,
  AUTOMATICALLY ENDING ON OR BEFORE JUNE 30 OF EACH
  FISCAL YEAR
• 2) MUST BE FOR AN ESSENTIAL SERVICE
• 3) TEMPLATES PROVIDED ON THE L DRIVE
• 4) MAY BE MODIFIED DURING THE YEAR IF NECESSARY
• 5) DOS AND DONTS EXPLAINED IN DETAIL IN
  SECTION 7 OF 902 KAR 8170

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TIME REPORTING

• E. TIME REPORTING
• 1) ADMINISTRATIVE REFERENCE, SECTION IV, PAGE 6
• 2) CHECK TIME SHEET REPORTING AGAINST TRAVEL
  REPORTING

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TRAVEL

• F. TRAVEL
• 1) 902 KAR 8170, SECTION 5, PAGES 4 THROUGH 7
• 2) BE ECONOMICAL NEVER USE A HELICOPTER WHEN
  A GOLF CART WILL DO

44
AUDITS

• G. AUDITS
• POLICIES DESCRIBED IN 902 KAR 8165, SECTION 2
• LHDS SOLICIT PROPOSALS EVERY THREE YEARS
• FIRM SELECTED IS FOR ONE FISCAL YEAR, MAY BE
  UTILIZED
• FOR THREE CONSECUTIVE YEARS IF LHD DESIRES ( IF
  SCOPE OF CONTRACT AND PRICE REMAIN UNCHANGED )
• AFTER THREE YEARS, LHD MUST SOLICIT NEW PROPOSALS
• MAY STILL UTILIZE SAME AUDITOR DEPENDING UPON
  PROPOSALS

45
INTERNAL CONTROLS

• H. INTERNAL CONTROLS
• 1) LHD MUST HAVE WRITTEN PROCEDURES IN PLACE
• 2) DETAILED DESCRIPTION IN ADMINISTRATIVE
  REFERENCE, SECTION IV, PAGES 14 AND 15

46
OTHER ADVICE

• I. OTHER
• 1) EXPECT AN ON-SITE FISCAL REVIEW ANNUALLY BY
  DPH
• 2) IF YOU HAVE A HEALTH TAX, KNOW WHAT EACH RATE
  POINT IS WORTH (THESE VALUES CHANGE ANUALLY)
• 3) LEARN YOUR BALANCE SHEET ACCOUNTS AND COST
  CENTERS
• 4) UNDERSTAND THAT, BY KRS 212.120(2), DPH ONLY
  HAS TO ALLOCATE 2,500.00 PER YEAR TO YOUR HEALTH
  DEPARTMENT (THATS CALLED LEVERAGE)
• 5) YOUR STATE AND FEDERAL DOLLARS COME TO YOU
  THROUGH ELECTRONIC FUND TRANSFERS TRY TO GET A
  HANDLE ON THIS SYSTEM

47
OTHER ADVICE (cont)

• 6) COME CLOSEOUT, HAVE A FAST WAY TO TRACK WHERE
  YOU BUDGETED YOUR 799 MONEY BECAUSE ITS MOVEABLE
• 7) KNOW WHAT YOU CAN LEGALLY INVEST IN
• 8) KNOW THE PARAMETERS OF BONDING
• 9) THE EXPLANATION FOR YOUR INDIRECT COST POOLS
  IS ON PAGES 7 8 OF SECTION IV IN THE
  ADMINISTRATIVE REFERENCE
• 10) IF YOU UTILIZE A FUNCTION CODE MATRIX, KNOW
  THAT ITS A GUIDE AND NOT A RULE
• 11) ALTHOUGH ITS IMPORTANT TO KNOW HOW AND WHY
  YOUR ALLOCATIONS COME TO YOU, ITS MORE IMPORTANT
  TO SPEND THEM

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TEAMWORK LHD BUDGET PROCESS
49
LHD Operating Budget Process

• Preparation paving the way
• Training designating and educating staff
• Compile entering the data
• Submit/Revisions Board of Health, DPH
• Approval Congratulations!

50
LHD Operating Budget Process

• I. Preparation
• A. Thoroughly read budget instructions from DPH
• B. Review YTD Clinical Radiology/Laboratory
  Services
• C. Request Projected Clinical
  Radiology/Laboratory Services from data
  processing company (CDP) if applicable.
  Otherwise, suggest averaging services take the
  number of services performed and divide by the
  number of months completed to equal the average
  number of services performed per month X 12
  months.
• D. Review YTD Community Services
• E. Community Assessment top 5 identified
  issues
• F. Review YTD Environmental Services
• G. Review YTD Supplemental (Hands Services)
• H. Review Salaries
• I. Review Financial data Revenues Expenses

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LHD Operating Budget Process

• II. Training
• Designate appropriate staff responsibilities
• Attend DPH training
• Enlist assistance of consultants
• Enforce submission deadline

52
LHD Operating Budget Process

• Compile
• Review all tentative budgeted services
• Review allocation of all funding streams
• federal
• state (799 funding)
• receipts generated by anticipated services
• interest historical data
• contracts

53
LHD Operating Budget Process

• Enter all data into Budget Excel Spreadsheet
• Save ALL data including revisions
• Contact Resource Management contact or specific
  program coordinator with questions

54
LHD Operating Budget Process

• IV. Submit/Revisions
• Present to Board of Health for approval
• Board of Health determines salary increment for
  budget
• Submit to LDrive for Resource Management to
  review
• Revisions may be requested as the budget is
  reviewed must resubmit data to the LDrive

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LHD Operating Budget Process

• V. Approval
• LHD will receive a letter from Resource
  Management once approved
• Will receive comments on all cost centers
• Share appropriate information with designated
  staff members for implementation

56
Working With The Kentucky General Assembly
57
Background

• The Kentucky General Assembly has utilized Local
  Health Departments as a Safety Net.
• Presentations to better educate Legislators
• Preparation

58
GENERAL ASSEMBLY Legislative Sessions
Even-numbered years Odd-numbered years
Working Visitors Lobbyist (legislative
agents) represent particular groups
59
Legislative Process

• Standing Committees
• Sub-Committees

60
Bills

• Pre-filed Bills
• Bills

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Process of Becoming Law

• Introduction and Committee Referral
• Committee Consideration

62

• Process of Becoming Law
• First Reading
• Second Reading
• Third Reading

63
Process of Becoming Law Enrollment Governors
Action Law Your Involvement
64
Summary
It takes a lot of commitment and teamwork to get
the Public Health message heard. You are a part
of that Team and knowing your legislators is very
important.
65
Resources
Kentucky Legislature http//www.lcr.ky.gov Kentuc
ky Legislative Ethics Commission http//klec.ky.go
v KY State Government http//kentucky.gov
66
Environmental Health Services
67
Environmental Health ServicesFood Service
Kentucky Food Drug and Cosmetic Act KRS 217.005
to 217.285

• Limited Food Concessions
• Temporary Food Establishments
• Food Service
• Vending Machines
• Retail Food Establishments (combination)
• Bed and Breakfast Establishments
• Retail Food Stores
• Food Processing and Distributing Establishments
• Agriculture Samples

68
Environmental Health ServicesPublic Facilities

• KY. Hotel Establishment Act
• KRS 211.760, 194.050
• KY. Mobile Home and Recreational Vehicle Park Law
• KRS 219.310 to 219.410
• KY. Public Restrooms Regulation
• KRS 212.210
• KY School Sanitation Regulation
• KRS 211.180, 212.210 and 212.990
• KY Septic Tank Vehicle Cleaning Law
• KRS 224.220 to 224.237 and 224.992
• KY Youth Camp Regulation
• KRS 211.180
• KY Public Swimming and Bathing Facilities Reg.
• KRS 211.180, 211.990
• KY Tattooing and Body Piercing Law
• KRS 211.760, 194.050

69
Environmental Health Services
Outcome Standards

• Each Establishment shall possess a valid permit
• Operates under a satisfactory compliance level
• Achieve administrative compliance

70
Environmental Health ServicesGeneral Sanitation

• KY Public Health Nuisance Law
• KRS 212.210 and 211.180
• KY Private Sewage Regulation
• KRS 211.180 and 212.210
• KY Rabies Control Law
• KRS 258.005 to 258.085, 258.990
• Includes
• Private Water Supplies, Vector and Rodent
  Control

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Environmental Health ServicesProgram Standards

• METHODS
• Personnel must have a 4 year degree and receive
  state training
• Maintain all records, reports, and documents
• Transmit state fees to Frankfort by 10th of month
• Ensure use of proper equipment
• Conduct inspections at required frequency
• Conduct enforcement inspections as law requires
• Notices served in accordance with section 39 of
  code (timely and with correction date)
• Program publicity, education construction review

72
Environmental Health ServicesObjective

• Onsite Sewage Law
• KRS 211.350
• To Prevent the Spread of Disease Into Groundwater
  Sources by Proper Treatment and Safe Disposal of
  Wastewater.

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Environmental Health ServicesOther Activities

• Radon Testing, U.S. EPA/Grant
• Class V Injection Wells, U.S. EPA/Grant
• Confinement Facility
• Lead Assessment
• Epidemiology Investigations
• (Food and Communicable Diseases)
• Emergency /Disaster Services

74
Environmental Health ServicesSummary of Services

• FY-2003
• Planned (unannounced) Inspections (Enforcement
  Inspections
• Complaint Inspections
• Soil Evaluations
• Lab Samples
• Field Visits
• Office Services
• Animal Bites

75
Environmental Health ServicesState and Local Fees
TOTAL FEES COLLECTED
LOCAL FEES
STATE FEES
FOOD SERVICE
PRIVATE WATER
ONSITE SEWAGE
76
Environmental Health ServicesFunding Services
77
Personnel
78
PERSONNEL

• Salary and fringe benefits will account for
  approximately 80 of the LHDs annual budget.

79
Bob Nelson, ManagerLocal Health Personnel

• 502-564-3796

80
MERIT REGULATIONS
81
The Rules

• Kentucky Revised Statutes (KRS)
• KRS 211.1751, 211.1752, 211.1755
• Kentucky Administrative Regs (KAR)
• 902 KAR 8040 through 902 KAR 8140
• 902 KAR 8160
• Administrative Reference for Local Health
  Departments in Kentucky
• Local Personnel Policies (approved by the Board
  of Health)

82
More Rules

• FMLA Family Medical Leave Act
• EEO Equal Employment Opportunity
• ADA Americans with Disabilities Act
• Fair Labor Standards Act
• Equal Pay Act
• ADEA Age Discrimination in Employment Act

83
Merit vs. Non Merit (Unclassified)

• Public Health Director is the only non-merit
  employee.
• Serve at the pleasure of the BOH and the
  department.
• BOH not required to use progressive discipline.

84
Exempt vs. Non-exempt

• Compensatory time
• Supervisory/ management responsibilities
• Overtime

85
Classifications

• Pay Grades
• Job Classifications
• Job Descriptions/ P65
• http//chfs.ky.gov/dph/ lhdmeritclass.htm
• Review with employee
• Review periodically
• Reclassifications
• Promotions

Other duties as assigned.
86
Recruitment

• Advertising for a position.
• Hard to fill.
• Open register.

87
Compensation

• Evaluation
• Pay range
• Tweener
• Lump sum merit

88
Discipline

• Progressive
• Verbal
• Written
• Suspension
• Termination
• Appeal
• Administrative Hearing
• Personnel Council

89
Trainings/ Changes

• Take advantage of supervisory trainings offered
  by the state.
• Stay current on changes in regulations.
• Inform your staff of changes.

90
Tips

• Be fair.
• Be deliberate.
• Always call Frankfort if youre unsure.
• Take care of your staff and they will take care
  of you.

91
Public Health Department Directors Guide

• Contacts and Communications

92
Ways to Communicate One-On-One

• E-mail
• Effective, Guaranteed Contact
• Phone calls
• When you need information ASAP
• Person to Person
• The best way to build partnerships

93
Communicating as a Group

• Inviting
• Conference Calls
• E-mails

94
Protocol for Problems

• Programs
• Finances
• Urgent needs

95
Dont waste Your time On

• Trying to Change things that are already a
  done deal
• Complaining

96
Focus your Energy On

• Surveys and reporting for Programs
• Budgets and Grants
• Building Networks
• Coalitions
• Peers
• Partnerships
• Equity with Personnel
• Stay fully staffed
• Utilize different talents
• Expect the best from everyone

97
Importance of Training to

• Learn everything you can
• Get to know program directors
• Implement your programs correctly

98
Looking to the Future

• Get answers before deadlines arrive
• Good Organization can head off emergency
  meetings
• Secure commitments from people who can help

99
Advice from Other Directors

• Listen Carefully Grasshopper

100

• Learn what you can, then do what you think is
  right
• Dont panic. CHS will let you know if you are
  doing things wrong
• Spend your allocation money
• Stay in touch with your Board of Directors
• There will never be a dull momentwhich makes
  life very interesting
• Always form a committee when hiring

101
ENJOY!