PSA Minutes 11/13/2013November 13, 2013
MINUTES OF THE MEETING OF THE COLLIER COUNTY PUBLIC
SAFETY AUTHORITY MEETING
Naples, Florida November 13, 2013
LET IT BE REMEMBERED, the Public Safety Authority in and for the County of Collier,
having conducted business herein, met on this date at 10:00 A.M. in REGULAR SESSION
at Collier County Growth Management Division Building, Conference Room #609/610,
2800 N. Horseshoe Drive Naples, Florida with the following members present:
Chairman: Reg A. Buxton, Citizen Representative
Vice Chairman: Janet H. Vasey, Citizen Representative
Joseph Bernard, Hospital Administrator
Captain Robert Montagano, Naples Police Department
Chief Walter Kopka, Collier County EMS Chief
David Mennini, EMT, Collier County EMS
Mr. Justin Gibson, Paramedic, Outside Collier County EMS
Dr. Todd Bethel, Active ER Physician
Bobby Allen, Paramedic, Collier County EMS
Dr. Robert B. Tober, Collier County Medical Director
Dr. Matt Everett, Active ER Physician
Chief James S. Bloom, Collier County Sheriffs Office
Chief Michael D. Murphy, Collier County Fire Chief s Assoc.
Jose Santana, EMT, Outside Collier County EMS
Phillip C. Dutcher, Hospital Administrator
Dr. Jeffrey A. Panozzo, Medical Director - COPCN Holder
(Vacancy)
ALSO PRESENT: Maria Franco, Administrative Assistant, EMS
COLLIER COUNTY
PUBLIC SAFETY AUTHORITY (PSA)
AGENDA
November 13, 2013 —Wednesday
10:00 am
Growth Management Division - Planning and Regulation
2800 North Horseshoe Drive
Conf Room 609/610
1. CALL TO ORDER AND PLEDGE OF ALLEGIANCE
2. AGENDA AND MINUTES
a. Approval of Today's Agenda
b. Approval of Minutes from the October 30`h PSA Meetings
3. ELECT CHAIR /VICE CHAIR
4. OLD BUSINESS
a. PSA Logo
b. Office of the Medical Director Re- Organization
5. NEW BUSINESS
a. BCIFD COPCN application- (Note this is a large volume of materials... too big to print and
mail, 1 have the application electronically and we will need to discuss a web link for the
document. (Time sensitive — To be hear first)
b. Establishment of a schedule for 2014 meetings
6. STAFF REPORTS
a. Board Direction regarding Advisory Committees - Len Price
b. Ordinance Changes — Scott Teach
c. Mass Medical Incident Initiative — Dan Summers
7. PUBLIC COMMENT
a. NNFD /EMS Council Update —Jorge Aguilera
8. BOARD MEMBER DISCUSSION
9. ESTABLISH NEXT MEETING DATE
a. January 29, 2014 @ 10:00 AM
10. ADJOURNMENT
November 13, 2013
Scott Teach, Deputy County Attorney
Len Golden Price, Administrator, Administrative Ser. Div.
Dan Summers, Director, Bureau of Emergency Man. Services
1. Call to Order and Pledge of Allegiance
Chairman Buxton called the meeting to order at 10:00am.
A quorum was established.
The Pledge of Allegiance was recited.
2. Agenda and Minutes
a. Approval of Today's Agenda
Mr. Dutcher moved to approve the Agenda subject to hearing item 5.a before item 3. Second by
Ms. Vasey. Carried unanimously 12 - 0
b. Approval of Minutes from the September 30, 2013 PSA Meeting
Chief Kopka moved to approve the minutes of the September 30, 2013 meeting as presented.
Second by Ms. Vasey. Carried unanimously 12 — 0.
Dr. Panozzo arrived at 10: OSam
Chief Bloom arrived at 10: OSam
Dr. Everett arrived at 10: IOam
5. New Business
a. BCIFD COPCN application- (Note this is a large volume of materials... too big to print and
document. (Time sensitive — To be heard first)
The following documents were provided in addition to the application:
• Executive Summary "Recommendation to issue Big Corkscrew Island Fire and
Rescue District a Certificate of Public Convenience and Necessity for Advanced Life
Support non - transport services for one year and authorize the Chairwoman to execute the
Permit and Certificate. "
• Letter dated April 23, 2013 from Dan Summers, Director of Bureau of Emergency Services
to Rita Greenberg Fire Chief, Big Corkscrew Island Fire Control and Rescue District- Re:
COCPN Application.
• Letter dated May 1, 2013 from Rita Greenberg, Fire Chief, Big Corkscrew Island to Dan
Summers, Director of Bureau of Emergency Services - Re: COPCN application response.
• Letter dated September 6, 2013 from Rita Greenberg, Fire Chief, Big Corkscrew Island to
Dan Summers, Director of Bureau of Emergency Services - Re: COPCN application.
Chief Rita Green, Big Corkscrew Island Fire Control and Rescue District presented the
Slideshow "Big Corkscrew Island Fire Control and Rescue District COPCN 2013" dated
November 13, 2013. The presentation included:
• An overview of the training and continuing education undertaken by BCIFD personnel.
• How the service will adhere to Collier County EMS medical protocols.
• How the District currently utilizes reserve monies to assist in funding operating expenses.
• A review of the response time data and the goals for program.
November 13, 2013
• How there are incidents where the District is awaiting ALS service due to overlaps in
coverage during emergency events when the out of District ALS provider is assisting in
other emergency calls.
She reported the overall goal is to support Collier County EMS and improve emergency treatment
for the citizens in the community District and achieve a 90 percent rating for a 12 minute or less
response time in the service.
Dr. Panozzo reported he has a conflict of interest in the application and will be abstaining from
voting.
Speaker
Eric Watson, Big Corkscrew Fire Control and Rescue District, EMS Coordinator reported
response times are critical to a patient who is in distress (especially respiratory) and requires ALS
treatments. The program is designed to augment the service provided by County EMS in an area
currently requiring the need for improved service.
Mr. Santana arrived at 10: 33am
Dr. Tober expressed concern the requested would fragment the current service provided by the
County given the program will add another COCPN provider not directly under the supervision of
Collier County EMS. A better option may be to initiate an ALS swap program between Collier
County EMS and the BCIFD to address the needs of the citizens.
Chief Murphy outlined the positive aspects of the request and noted the program will provide a
valuable service to the residents in the District. He noted the application is for a 1 year term with
renewal whereby the item may be revisited if necessary.
Ms. Vasey expressed concern the applicant has not met the requirement of the application for
demonstrating an adequate revenue base for the proposed service. The District is currently utilizing
reserve funds for operations and intends to in 2014. This practice may not be sustainable over the
long term.
Chief Greenberg reported, in order to address financial concerns, the District obtained price quotes
for service from the Collier County Medical Director and the North Naples Medical Director. She
provided an overview of the quotes and reported after review of the data, the District determined it
would be more cost effective for the North Naples Medical Director to provide the service. The
request is for one year, and the FYI the budget accounts for the additional expense required to
provide the service.
Discussion occurred on the feasibility of developing a "swap" program between the County and
District (as currently exists between the County and the City of Marco Island). It was reported the
current requirement for "pump operators" in the District (minimum 2 years of operation experience
with BCIFD) may not lend itself to establishing the program.
November 13, 2013
Chief Murphy moved to recommend the Board of County Commissioners approve the Big
Corkscrew Island Fire Control and Rescue District's application for COPCNfor ALS non
transport. Second by Mr. Bernard.
Speakers
Mike Ramsey, Golden Gate Estates Area Civic Association reported the Association requests
the District focus their resources on extinguishing brush fires and does not support the request
given the service is currently provided by the County.
Chris DelaCroix, Big Corkscrew Fire Control and Rescue District Fire Commissioner the
District is not attempting to "fragment" the current system but upgrade the existing level of service
provided to the citizens of the District.
Ramon Chao, Big Corkscrew Fire Control and Rescue District Fire Commissioner reported
faster response times (even minutes) are critical for the residents of the District and supports the
request.
Discussion occurred on if personnel from the Golden Gate Fire District and East Naples Fire
District could adequately service the BCIFD "pumps" at this point in time.
Kirkman Schuldt, Chief, East Naples Fire Control and Rescue District reported the personnel
would need training to perform all functions adequately as the some of the pumping system are
different.
Motion carried 9 `yes" — S "no." Dr. Bethel, Dr. Tober, Mr. Allen, Mr. Dutcher and Ms. Vasey
voted "no. " Chief Bloom abstained. Dr. Panozzo was not present for the vote and previously
reported he was abstaining from the vote.
3. Elect ChairNice Chair
Chief Kopka nominated Janet Vasey for Chairman of the Public Safety Authority.
Chief Murphy nominated Reg Buxton for Chairman of the Public Safety Authority.
** Chairman Buxton requested a show of hands to determine the number of votes for each
nominee.
Ms. Vasey received 7 votes; Mr. Buxton received 8 votes. Mr. Buxton was declared Chairman of
the Public Safety Authority.
Mr. Buxton nominated Janet Vasey for Vice Chairman of the Public Safety Authority.
Nominations were closed.
Ms. Vasey was declared Vice Chairman of the Public Safety Authority.
** After review of the video of the meeting, the minute taker has determined Ms. Vasey and Mr.
Buxton both received 8 votes for Chairman of the Public Safety Authority.
Chief Bloom, Mr. Mennini, Dr. Bethel, Mr. Allen, Chief Kopka, Mr. Dutcher, Dr. Tober and Ms.
Vasey voted for Ms. Vasey.
Chief Montagano, Mr. Gibson, Dr. Panozzo, Mr. Santana, Dr. Everett, Chief Murphy, Mr.
Bernard and Mr. Buxton voted for Mr. Buxton.
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November 13, 2013
Chairman Buxton left the meeting at 11: 30am
Ms. Vasey assumed the Chair
4. Old Business
a. PSA Logo
Chief Kopka submitted the proposed PSA Logo for consideration.
Chief Murphy moved to approve the Logo as proposed. Second by Mr. Dutcher. Carried
unanimously 15 -0.
b. Office of the Medical Director Re- Organization
Continued
5. New Business (Continued)
b. Establishment of a schedule for 2014 meetings
Staff submitted the document "Collier County Public Safety Authority Schedule of Meetings for
2014 "for consideration.
Chief Kopka moved to approve the 2014 meeting Schedule as proposed. Second by Mr. Gibson.
Carried unanimously 15 — 0.
6. Staff Reports
a. Board Direction regarding Advisory Committees - Len Price
Ms. Price requested the Authority review the powers and duties of the Public Safety Authority and
provide input to Staff /BCC on if the Advisory Board as currently exists, is structured and
functioning adequately. The request is based on concerns raised on voting vs. non voting members,
potential Sunshine Law violations of County Staff, etc. The review should include any
recommended changes to the Ordinance.
b. Ordinance Changes — Scott Teach
Mr. Teach reported:
• He is preparing amendments to the Ordinance governing the PSA for consideration by the
Board of County Commissioners.
• The amendments include expanding the powers and duties to include Community Outreach
and Education.
• Other issues to be addressed include if a representative of an Agency should be a liaisons as
opposed to a voting member, correcting scrivener's errors (i.e. number of members required
to constitute a quorum), and removal of allowing "alternate members."
• Staff is also reviewing the requirements of the Sunshine law to address the concerns raised
by members on inadvertently creating a Sunshine Law violation.
He reported a "strike through" version of the amended Ordinance will be disseminated to the
Authority 14 days prior to the meeting where it will be considered.
Dr. Everett left the meeting at 11: SSam
c. Mass Medical Incident Initiative — Dan Summers
November 13, 2013
Mr. Summers presented the document "Medical Ambulance Bus" which outlined the County's
proposal to obtain a vehicle(s) designed to transport multiple patients during an emergency event.
He noted:
• The primary purpose is to provide a vehicle to transport multiple patients during mass
causality events, hazardous transportation incidents, mass transportation accidents, etc.
• The vehicle(s) could also be utilized during public events, fire fighting, etc. as an aid station
for fire personnel and the public.
• It could also provide training and education of County Staff or other interested parties.
Authority discussion occurred noting it may be prudent to utilize smaller capacity vehicles vs. one
large capacity vehicle so the patients may be transported to different emergency providers during an
event. This observation is based on the smaller size hospitals in the region and their individual
limitations for provision of emergency room services should they receive a large influx of patients
at one time.
Mr. Dutcher left the meeting at 12: 20pm
The Authority recommended Staff consider soliciting Stakeholder input on design of the
vehicle(s).
Ms. Vasey moved to find the PSA strongly supports acquisition of 1 or more medical ambulance
buses and recognizes the need to handle multiple patients incidents. Consideration be given to
obtaining multiple vehicles to ensure a single hospital is not overwhelmed by too many patients
and the PSA would be willing to assist in any medical aspect of the design of the vehicles if
requested by Staff. Second by Dr. Tober. Carried unanimous 13 — 0.
7. Public Comment
a. NNFD/EMS Council Update — Jorge Aguilera
None
Sneakers
Mike Ramsey wants to ensure any monies obtained from raising funds for Outreach are
specifically directed to the purpose intended.
The Authority reported the concept is for the funds to be used in public education programs such as
fall prevention, drowning prevention, etc.
S. Board Member Discussion
None
9. Establish Next Meeting Date
a. January 29, 2014 @ 10:00 AM
November 13, 2013
There being no further business for the good of the County, the meeting was adjourned by
order of the chair at 12:25P.M.
Collier County Public Safety Authority
Chairman, Reg A. Buxton
These minutes approved by the Board /Committee on I (9q 1/4
as presented or as amended
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