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Productivity Committee EMSAC Subcommittee Minutes 02/19/2008 RECEIVED AUG 12 2008 ala alas Board of County Commissionen ginning Dyle COLLIER COUNTY GOVERNMENT oletta EMERGENCY MEDICAL SERVICES ADVISORY COMMITTEE (EMSAC) and PRODUCTIVITY COMMITTEE EMS MASTER PLAN REVIEW Minutes—February 19,2008 Productivity Committee Members Present: Janet Vasey, Steve Harrison, Larry Baytos and Joe Swaja. EMSAC Members Present: Victoria DiNardo,Nancy Lascheid and Mike Murphy. Staff Present: Alan Drescher, Mark Willis,Artie Bay, Jeff Page, Jennifer Florin from EMS; Mike Sheffield,Assistant to the County Manager and Barbetta Hutchinson, Office of Management and Budget. Others Present: Ilene Stackel,Naples Daily News. 1. Call to Order Nancy Lascheid called the meeting to order at 1:07 p.m. 2. Review of the Master Plan Review performed by EMSAC Nancy stated that the main mission of EMSAC is patient welfare. Three areas of the report were discussed: A. Feasibility B. Financial C. Improvements 3. Discussion of the EMS Master Plan Discussion was made within the group regarding insurance payments, electronic filing, reluctance in the reduction of EMS units, fire district consolidation and an Ave Maria emergency clinic. Janet Vasey will draft a letter from the joint sub-committee for submission to the BCC containing the results of the committee's discussions: • Reasons for funding shortfall. • Reductions in patient care and service impacts. • Relationship between service calls,reduced ambulance transports and the potential reduction in EMS units. • Fire District Advanced Life Support(ALS)units. Page 1 of 2 • Additional EMS cost reductions such as replacing overtime with regular time unfunded employees and reducing incentives and capital terms. • New revenue sources such as a$500 fee for response to auto accidents, an EMS fee added to auto and boat tags, cost recovery from drunk driver restrictions fees, a hazardous materials cost recovery charge, a Municipal Services Taxing Benefit Unit(MSTBU)for new growth units. • Unfunded units' impact on ambulance response time goal of 8 minutes 90% of the time. • Stationing unfunded units to better achieve improved response time. The subcommittee will volunteer to the BCC to: • Review the FY 08 and FY 09 EMS budgets to identify potential cost reductions and revenue enhancements. • Assist in determining the impact of the four unfunded EMS units (24 employees) improving response times. • Look for other potential financial trade-offs within the county budget, specifically lower priority programs that could be reduced or eliminated to reallocate funding to EMS for health and welfare services to the community. 4. Adjourn The meeting was adjourned at 3:02 p.m. J lam.f- Sic 1`1 Page 2 of 2