Agenda 11/15/2016 Item #16E 7 16.E.7
11/15/2016
EXECUTIVE SUMMARY
Recommendation to authorize the County Attorney to advertise an ordinance repealing and
replacing the Public Safety Authority Ordinance No. 2012-23, as amended, for the purpose of
reestablishing the Public Safety Authority as the Emergency Medical Authority and bring back
such ordinance for future Board consideration.
OBJECTIVE: To repeal and replace Ordinance No. 2012-23, as amended, and reestablish the Public
Safety Authority("PSA") as the Emergency Medical Authority("EMA")to broaden its purposes,powers
and duties.
CONSIDERATIONS: On June 26, 2012, the Board of County Commissioners adopted Ordinance No.
2012-23 establishing the Collier County Public Safety Authority, which was subsequently amended on
September 23, 2014 to focus on issues pertaining to prehospital emergency medical treatment and
transport system(s)in Collier County.
The members of the Public Safety Authority recommend that the Board rename the advisory board to the
Emergency Medical Authority to more accurately reflect its current purposes and duties. In order for the
Advisory Board to assist the Board of County Commissioners with issues associated with pre-hospital
emergency medical services, they must be able to request, review and analyze information from other
government and private entities providing pre-hospital emergency medical services to properly evaluate
current and future needs.
Notable changes to the ordinance include authorizing the Emergency Medical Authority to review
requests for Certificates of Public Convenience and Necessity("COPCN"). Additional changes are listed
below(words underlined are added;ctrikethroughs are deleted):
1. To assist the Board of County Commissioners, municipalities, fire departments, fire
commission boards, and law enforcement agencies, including the Collier County Sheriffs Office and
hospitals,with issues affecting pre-hospital emergency medical services within all of Collier County.
2. To hear analyze issues associated with pre-hospital emergency medical services when
requested by a participating agency and make written recommendations to the Board of County
Commissioners and involved agencies.
3. To work to improve and enhance pre-hospital emergency medical care within Collier
County,including Advanced Life Support(ALS),Basic Life Support(BLS), first responder programs and
other future EMS delivery programs, with thorough study, education, and system-wide participation by
the response agencies and the local medical community as noted above.
4. To make its special knowledge and expertise available to any and all agencies upon
request of the governmental board or agency when so charged during regular board meetings. evaluate
current and future Collier County EMS needs, as required, monitor ALS and BLS response times in
meeting Collier County goals and evaluate system performance measures.
5. To serve as a catalyst to effect cooperative arrangements for improving and best utilizing
the improvement and better effective utilization of emergency medical resources in Collier County;,
Study and focus on utilizing the resources of all municipal, dependent and independent fire organizations,
911 call centers, law enforcement agencies and the public. Make written recommendations to the Board
of County Commissioners annually or as needed.
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11/15/2016
6. To make recommendations, as warranted, regarding first responder programs, pre-
hospital emergency training programs, communication systems, and other appropriate facilities and
services that positively impact on the delivery of emergency medical services.
7. To . . .. .. .. ...... . .. . . . . . ...... . -: . :; . -
provided by all agencies so as to adjust levels of service commensurate with the needs of citizens of
consistently countywide by all appropriate agencies. evaluate requests for all Certificates of Public
Convenience and Necessity (COPCN) from other government and private entities in Collier County,
consistent with County ordinances, and make written recommendations to the Board of County
Commissioners reflecting a majority and a minority report,if applicable.
8. The Authority may convene technical working groups from the community periodically
to address the following:
a. Community education and awareness.
b. Emergency medical dispatch.
c. Trauma triage and care.
d. Pre hospital emergency medical training.
c. Clinical coordination and quality outcomes.
f. Field coordination and operational concerns.
9. The Authority will develop general guidelines and scope(s) of study for the technical
working groups identified above. Membership of the technical working groups noted above may not
exceed 50% participation by a member(s) of the Authority and membership on a technical working
committee shall be formally recognized by the Authority before receiving a request for work or input.
Safety Authority meetings. Such guidance shall not be in conflict with the Health Insurance Portability
and Accountability Act or other laws of the State of Florida, local or state regulations, and local
ordinances. Designation of persons filling temporary or standing committees shall be approved by the
10. To perform or assist with any other function or duty as requested by the Board.
EMS Staff agrees with the advisory board recommendations.
FISCAL IMPACT: The estimated cost to advertise this Ordinance is$1,000.
LEGAL CONSIDERATIONS: This item has been approved as to form and legality and requires
majority vote for approval. -CMG
RECOMMENDATION: That the Board of County Commissioners authorizes the County Attorney to
advertise the attached proposed ordinance to repeal and replace the Public Safety Authority Ordinance
and reestablish as the Emergency Medical Authority for future consideration.
Prepared by: Tabatha Butcher,Chief
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ATTACHMENT(S)
1.Proposed Ordinance-Emergency Medical Authority (PDF)
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16.E.7
11/15/2016
COLLIER COUNTY
Board of County Commissioners
Item Number: 16.E.7
Item Summary: Recommendation to authorize the County Attorney to advertise an ordinance
repealing and replacing the Public Safety Authority Ordinance No. 2012-23, as amended, for the purpose
of reestablishing the Public Safety Authority as the Emergency Medical Authority and bring back such
ordinance for future Board consideration.
Meeting Date: 11/15/2016
Prepared by:
Title: Legal Assistant/Paralegal—County Attorney's Office
Name: Virginia Neet
10/31/2016 11:39 AM
Submitted by:
Title: County Attorney—County Attorney's Office
Name: Jeffrey A. Klatzkow
10/31/2016 11:39 AM
Approved By:
0 Review:
Administrative Services Department Pat Pochopin Level 1 Division Reviewer Completed 10/31/2016 12:11 PM
County Attorneys Office Colleen Greene Level 2 Attorney Review Completed 10/31/2016 12:29 PM
Administrative Services Department Len Price Level 2 Division Administrator Review Completed 11/01/2016 4:11 PM
County Attorney's Office Jeffrey A.Klatzkow Level 3 County Attorneys Office Review Completed 11/02/2016 8:44 AM
Office of Management and Budget Valerie Fleming Level 3 OMB Gatekeeper Review Completed 11/02/2016 1:18 PM
Office of Management and Budget Laura Wells Additional Reviewer Completed 11/02/2016 2:16 PM
County Manager's Office Nick Casalanguida Level 4 County Manager Review Completed 11/06/2016 5:50 PM
Board of County Commissioners MaryJo Brock Meeting Pending 11/15/2016 9:00 AM
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16.E.7.a'
ORDINANCE NO. 2016-
AN ORDINANCE OF THE BOARD OF COUNTY COMMISSIONERS OF
COLLIER COUNTY, FLORIDA, REESTABLISHING THE PUBLIC
SAFETY AUTHORITY, CREATED BY ORDINANCE NO. 2012-23, AS
THE EMERGENCY MEDICAL AUTHORITY; PROVIDING FOR
CREATION, PURPOSE, POWERS AND DUTIES; PROVIDING FOR
APPOINTMENT AND COMPOSITION, TERMS OF OFFICE,
ATTENDANCE AND FILLING VACANCIES; PROVIDING FOR a)
MEETINGS; PROVIDING FOR REMOVAL FROM OFFICE, FAILURE
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TO ATTEND MEETINGS; PROVIDING FOR OFFICERS, QUORUM,
RULES OF PROCEDURE; PROVIDING FOR THE REPEAL OF
ORDINANCE NO. 2012-23, AS AMENDED, PROVIDING FOR
CONFLICT AND SEVERABILITY; PROVIDING FOR INCLUSION IN
THE CODE OF LAWS AND ORDINANCES, AND PROVIDING FOR AN 75—
EFFECTIVE
EFFECTIVE DATE.
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WHEREAS, on June 26, 2012, the Board of County Commissioners (Board) adopted
Ordinance No. 2012-23, which created the Collier County Public Safety Authority; and
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WHEREAS, the Board subsequently amended Ordinance No. 2012-23 through its c
adoption of Ordinance No.2014-37;and
WHEREAS,the Public Safety Authority recommends that the Board rename the advisory N
board to the Emergency Medical Authority to more accurately reflect its current purposes,
powers and duties and further recommends that the Board authorizes the advisory board to
evaluate all requests for Certificate of Public Convenience and Necessity; and
WHEREAS, the Board desires to reestablish the Public Safety Authority as the
Emergency Medical Authority and broaden its purposes,powers and duties as recommended.
NOW, THEREFORE, BE IT ORDAINED BY THE BOARD OF COUNTY d
COMMISSIONERS OF COLLIER COUNTY, FLORIDA,that:
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SECTION ONE: Creation, Purpose, Powers and Duties of the Collier Countyca
Emergency Medical Authority.
There is hereby created the Collier County Emergency Medical Authority(hereinafter the
"Authority"). The Authority is created as an Advisory Board and shall have the following
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purposes,powers and duties: a
1. To assist the Board of County Commissioners, municipalities, fire departments,
fire commission boards, and law enforcement agencies, including the Collier County Sheriff's
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Office and hospitals, with issues affecting pre-hospital emergency medical services within all of 3
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Collier County. c
2. To analyze issues associated with pre-hospital emergency medical services and Q
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make written recommendations to the Board of County Commissioners and involved agencies.
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3. To work to improve and enhance pre-hospital emergency medical care within
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Collier County, including Advanced Life Support (ALS), Basic Life Support (BLS), first a)
responder programs and other future EMS delivery programs, with thorough study, education, E
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and system-wide participation by the response agencies and the local medical community as 7.5
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noted above. _
4. To evaluate current and future Collier County EMS needs, as required, monitor
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ALS and BLS response times in meeting Collier County goals and evaluate system performance w
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measures.
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5. To serve as a catalyst to effect cooperative arrangements for the improvement and12-
better effective utilization of emergency medical resources in Collier County;. Study and focus a
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on utilizing the resources of all municipal, dependent and independent fire organizations, 911 Q
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Board of County Commissioners as needed.
6. To make recommendations, as warranted, regarding pre-hospital emergency o
training programs, communication systems, and other appropriate facilities and services that Q
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positively impact on the delivery of emergency medical services.
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7. To evaluate requests for all Certificates of Public Convenience and Necessity 0
(COPCN) from other government and private entities in Collier County, consistent with County c
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ordinances, and make written recommendations to the Board of County Commissioners El,
reflecting a majority and a minority report, if applicable. w
8. To perform or assist with any other function or duty as requested by the Board. c
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SECTION TWO: Appointment and composition; terms of office; attendance and filling o
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The Emergency Medical Authority will be a five member citizens committee with o
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members having no affiliation with any hospital, fire district, EMS, municipality or Collier c
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County Sheriff's Office. E
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Terms for all Authority members shall be four years. Q
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SECTION THREE: Meetings. Y
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1. Regular Meetings. The Authority shall meet quarterly and at other times as necessary.
2. Special Meetings. Special Meetings of the Authority may be called by the Chair, or
the Chairperson of the Medical Directors Subcommittee in cases of emergent protocol or
pharmacological issues, at the request of a majority of the appointed members. I
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SECTION FOUR: Removal from office; failure to attend meetings.
Removal from office and attendance requirements shall be governed by Ordinance No. 01-
55,as amended,or by its successor ordinance.
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SECTION FIVE: Officers; quorum; rules of procedure. w
At its earliest opportunity, the membership of the Authority shall elect a chairman and
vice chairman from among the members. Officers shall serve for a one year term with eligibility
for reelection. At the end of each term, the Chair shall prepare and submit to the Board and the Q..
County Manager an annual report describing the activities of the Authority. Q
The presence of a majority of the members shall constitute a quorum of the Authority
necessary to take action and transact business.
The Emergency Medical Authority shall, by majority vote of the entire membership,
adopt by-laws for doing its work and conducting its business as provided by county ordinances. Ta
The by-laws shall include,but not be limited to,its general procedure, funding,and expenditures.
The Authority shall operate in the Sunshine, and shall keep a written record of meetings,
resolutions, findings, and determinations. Copies of all of the Authority minutes, resolutions,
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reports, and exhibits shall be filed with the Board of County Commissioners and or its Clerk E
when appropriate. W
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SECTION SIX: Repeal of Ordinance No. 2012-23, as amended.
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Ordinance No. 2012-23, as amended by Ordinance No. 2014-37, is hereby repealed in its
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entirety.
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SECTION SEVEN: Conflict and Severability.
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In the event this Ordinance conflicts with any other ordinance of Collier County or other f
applicable law,the more restrictive shall apply. If any phrase or portion of the Ordinance is held
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invalid or unconstitutional by any court of competent jurisdiction, such portion shall be deemed a
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separate, distinct and independent provision and such holding shall not affect the validity of the w
remaining portion. 73Q
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SECTION EIGHT: Inclusion in the Code of Laws and Ordinances.
The provisions of this Ordinance shall become and be made a part of the Code of Laws
and Ordinances of Collier County, Florida. The sections of the Ordinances may be renumbered
or relettered to accomplish such, and the word "ordinance" may be changed to "section,"
"article," or any other appropriate word.
SECTION NINE: EFFECTIVE DATE.
This Ordinance shall be effective upon filing with the Department of State.
PASSED AND DULY ADOPTED by a vote of a majority of the Board of County
Commissioners of Collier County, Florida,this day of ,2016. Q
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ATTEST: BOARD OF COUNTY COMMISSIONERS
DWIGHT E. BROCK, CLERK COLLIER COUNTY,FLORIDA
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By: By:
,Deputy Clerk DONNA FIALA,CHAIRMAN
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Approved as to form and legality:
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Colleen M. Greene
Assistant County Attorney
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