Agenda 01/28/2014 Item # 11A1/28/2014 11.A.
n EXECUTIVE SUMMARY
Recommendation to consider options for improved Emergency Medical Services
response times throughout Collier County
OBJECTIVE: To improve response times in EMS zones that are not meeting currently established level
of service response time standards and propose options to improve level of service standards in the rural
zones beginning no later -than April 1, 2014.
C014SII)ERATIONS: On December 105' 2013 the Board approved the 2013,-Anrival Update and
Inventory Report (AUIR) and the as schedule of capital improvements. With respect to
Emergency Medical Services, the AUIR projected the need for five (5) additonal'EMS -units (stations,
personnel, equipment) over the next ten (10) years to maintain the current level of advanced life support
(ALS) response time goals of 8 minutes travel time to scene 90% of the time in the urban area and 12
minutes travel time to scene 90% of the time in the rural area.
At the Board meeting of January 14, 2014, staff was directed to develop a proposal to achieve a county-
wide response time goal of 8 minutes travel time to scene 90% of the time. The following proposal is
designed to meet this objective in each EMS response zone.
East Ngples (Zone 23)
n
a. Relocate one of the two ambulances located at City Station 1 (downtown Naples) to City
Station 2 (26th Ave N). The call volume in the northern half of the city is nearly 60% higher.
Relocating the ambulance will place the ambulance where a higher call volume exists, and
b. Relocate the ambulance at the EMS Station at Airport and Golden Gate Parkway (Station 24)
to East Naples Davis Blvd (Station 20). The call volume for this area is nearly four times more
than the Airport and Golden Gate Parkway area. Relocating the ambulance will place the
ambulance where a higher call volume exists. The City has expressed an interest to lease the
EMS space at Airport and Golden Gate Parkway (Station 24) and equip it with an ALS
apparatus, and
c. Relocate one of the two ambulances at EMS Santa Barbara Station (Station 75) to leased space
at Physicians Regional Medical Center- Collier Blvd. Physicians Regional Medical Center -
Collier Blvd is located in East Naples (Zone 23). This will improve response times in East
Naples (Zone 23). Additionally, East Naples Fire District has entered into an Interlocal
Agreement with Collier County. This agreement will add an ALS Engine to East Naples (Zone
23), improving response times. This program is anticipated to begin April 1, 2014.
d. Long Term: Construct a station at Hacienda Lakes (Lords Way and Collier Blvd) beginning in
FY 2017 on land donated to the County by the developer. The crews and equipment occupying
leased quarters at the hospital would then be moved to the permanent location.
North Naples / Bonita Shores (Zone 42 and Zone 43)
Add a unit (crew and ambulance) to EMS North Naples Station 44 or possibly North Naples
n Station 45 to assist in response times in North Naples Zone 42. This would be a temporary
location until a permanent EMS station is constructed at Vanderbilt Beach Road and Logan
Boulevard in FY 2015.
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1/28/2014 11.A.
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Because North Naples Medic 43 runs 22% of their calls in bordering zones (i.e.: North Naples
Zone 44), placing an additional unit in North Naples (Zone 42) will keep North Naples Medic 43
in their own zone more often- thus improving response times in North Naples Zone 43.
Long term solution that would impact North Naples (Zone 42) as well as Big Corkscrew (Zone
10) and Golden Gate Estates (Zone 71) is to build a station and add a unit (ambulance, equipment
and personnel) to Countyowned land at Collier Blvd and Immokalee Road in FY.2018.
Marco Island (Zone 50)
a. Effective February 1, 2014 a seasonal ambulance will be added to Marco Island.
b. Effective January 15th an EMS operational change was made to improve response times for
Marco Island. When the ambulance(s) on Marco Island is busy, the ambulance stationed on
Isles of Capri will automatically move to Marco Island. This will improve response times for
concurrent calls on Marco Island. An ALS engine remains on Isles of Capri for responses.
The proposed FY 2015 EMS budget will contain funding for a seasonal unit on Marco from
January through April. It should be noted that 43% of the responses on Marco occur during
January through April
Isles of Capri (Zone 90)
With the addition of a seasonal ambulance on Marco Island, an additional ambulance in East
Naples (Zone 23), as well as an additional ALS Engine in East Naples (Zone 23), the Isles of
Capri ambulance will be responding to at least 10% fewer out of zone calls. With the operational
change to send the Isles of Capri ambulance to Marco Island for coverage, response times for Isles
of Capri will be monitored every 30 days to assess Level of Service.
Big Corkscrew (Zone 10) - Big Corkscrew Island Fire Rescue are a
a. Add a Collier County EMS Paramedic/ Firefighter to Big Corkscrew Island Fire Rescue
Engine 10, and
b. Relocate EMS Battalion Chief 82 (currently located in Golden Gate Estates) to Big
Corkscrew Fire Station 12 (Everglades Blvd and Immokalee Rd). This option requires further
work to determine feasibility and costs, and
c. Provide additional funding to guarantee full -time staffing for EMS Battalion Chief 81
(currently located in North Naples). This will assure Battalion Chief 82 is dedicated to the
rural area.
Immokalee (Zone 30)
Currently there are two ambulances located at the EMS Station on South I" Street in Immokalee.
An improvement in response times for Immokalee can be realized if one of those ambulances is
moved to Immokalee Fire Department Station on Carson Road. This option needs to be further
explored with Immokalee Fire as well as renovation costs to the Immokalee Fire Department
Carson Road station.
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1/28/2014 11.A.
Ave Maria (Zone 32)
Ave Maria (Zone 32) has the lowest call volume of all the EMS zones in the County- with a total
of 138 EMS responses in 2013. With the addition of EMS ALS resources in Big Corkscrew (Zone
10), potentially the Ave Maria ambulance will be responding to 12% fewer out of zone calls.
Ochol2ee (Zone 60)
Mile Marker 63 Station is under construction and is anticipated to be complete late 2014. This
station will be staffed full -time . with an EMS paramedic responding with ALS apparatus/
equipment.
Golden Gate Estates (Zone 71)
a. Effective April 1, 2014, add an EMS Quick Response Paramedic (QRP) to address LOSS
deficit in Golden Gate Estates (Zone 71), and
b. Effective FY 2015, replace QRP with a fully staffed transport unit, and
c. Ex�lore the possibility of a rapid response emergency center located at Everglades Blvd and
10` Ave SE. Several years ago there were discussions between the School Board, Golden Gate
Fire District, Emergency Medical Services and the Sheriff s Office to build a station on land
owned by the School Board. This is a long term option that can be explored to affect Golden
Gate Estates (Zone 71) as well as the Everglades corridor of Big Corkscrew Fire District (Zone
^ 10). This would be the ultimate and long term solution. Should this location became
available, the additional unit could be moved from Station 71 (Golden Gate Estates) to this
new location, closer to the high call volume area, and providing the ability to respond to
multiple locations (Golden Gate Estates and Big Corkscrew).
FISCAL IMPACT: Currently EMS Impact Fee Trust Fund (350) has borrowed $3,215,900 from the
General Fund in order to satisfy growth related public safety infrastructure debt service. All FY2014
appropriations within this impact fee trust fund are earmarked to satisfy debt service. Sufficient capacity
does exist within the General Fund to fund the $881,500 cost associated with the short-term option (time
frame April 2014) contained within this Executive Summary. This can be achieved through re-
appropriation of budget dollars where actual expenses are below budget and /or through redirecting certain
General Fund transfer dollars. This approach will have no impact upon budgeted General Fund reserves.
Recurring costs would be budgeted accordingly for the FY2015 and beyond. Exhibits 4 and 5 provide a
summation of the FY2014 pro -rated costs as well as the one time and recurring costs by appropriation unit
over time through FY2023 consistent with the AUIR.
LEGAL CONSIDERATIONS: This item has been reviewed by the County Attorney, and raises no
legal issues at this time. Majority vote is required for any Board action. -JAK
GROWTH MANAGEMENT IMPACT: None.
RECOMMENDATION: Recommendation to consider the proposed report and provide direction to
staff.
PREPARED BY: Walter Kopka, Chief, Emergency Medical Services
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1/28/2014 11.A.
COLLIER COUNTY 10-1�1
Board of County Commissioners
Item Number: 11.11.A.
Item Summary: Recommendation to consider options for improved EMS response times
throughout Collier County. (Chief Walter Kopka, EMS)
Meeting Date: 1/28/2014
Prepared By
Name: BrockMaryJo
Title: Executive Secretary to County Manager, CMO
1/22/2014 8:48:34 AM
Submitted by
Title: Executive Secretary to County Manager, CMO
Name: BrockMaryJo
1/22/2014 8:48:35 AM
Approved By
Name: OchsLeo
Title: County Manager
Date: 1/22/2014 6:03:05 PM
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1/28/2014 11.A.
Patricia L. Morgan
From: Brock, MaryJo
Sent: Monday, January 27, 2014 7:15 AM
To: DLCOMM; Ochs, Leo; Minutes and Records; Bartlett, Kristi; Flanagan, Jim; Hayes, Karen;
Pettit, Jim; Scardino, Alexandra; Smith, Camden
Cc: Brock, MaryJo; Kopka, Walter, Price, Len; Durham, Tim
Subject: Item 11A
Attachments: Attachment 1.pdf
Good morning,
Attached please find Attachment A, from Item 11A, which was included in your printed agenda packet to tomorrow's
meeting. It was discovered that the first column, titled Zone, was cut off when printed so the information doesn't
appear. ——'
The attached copy is a complete copy of Attachment A.
Thank you, MJ
Mary-Jo Brock - Executive Assistant to Leo E. Ochs, Jr. - County Manager's Office
maryjobrock@colliergov.net
239.252.8364
please consider the environment before printing this email
r.3c.t ; ida ...aw- e-nlail addresses are t)�.b ir; rcrords. if you do not wanl your e -:ryad a<,.ire:ss re eased in response, to a public records request- rid. not stand
e e,,'J;o is it :.aal to this entity.:. nsead. contact this office by telephone or in writing.
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