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Agenda 02/11/2014 Item # 10A
2/11/2014 10.A. ES Commissioner Hiller request for Reconsideration Subject: Fw: Reconsideration original Message From: HillerGeorgia Sent: Tuesday, January 28, 2014 10: 57 AM To: OchsLeo; Klatzkow)eff Subject: Reconsideration Please bring back 11A from today's meeting as to North Naples, Big Corkscrew, Immokolee and Ave Maria. with thanks - Commissioner Georgia Hiller Under Florida Law, e-mail addresses are public records. If you do not want your e-mail address released in response to a public records request, do not send electronic mail to this entity. Instead, contact this office by telephone or in writing. under Florida Law, e-mail addresses are public records. If you do not want your e-mail address released in response to a public records request, do not send electronic mail to this entity. Instead, contact this office by telephone or in writing. Page 1 Packet Page-139- 2/11/2014 10.A. COLLIER COUNTY Board of County Commissioners Item Number: 10.10.A. Item Summary: Reconsideration request by Commissioner Hiller regarding Item 11A from the January 28, 2014 BCC meeting titled: Recommendation to consider options for improved EMS response times throughout Collier County, as it pertains to North Naples, Big Corkscrew, Immokalee and Ave Maria. Meeting Date: 2/11/2014 Prepared By Name: BrockMaryJo Title: Executive Secretary to County Manager, County Managers Office 2/3/2014 1:08:54 PM Submitted by Title: Executive Secretary to County Manager, County Managers Office Name: BrockMaryJo 2/3/2014 1:08:56 PM Approved By Name: OchsLeo Title: County Manager, County Managers Office Date: 2/4/2014 11:36:53 AM Packet Page -140- 2/11/2014 10.A. 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. CONSIDERATIONS: On December 10, 2013 the Board approved the 2013 Annual Update and Inventory Report (AUIR) and the associated schedule of capital improvements. With respect to Emergency Medical Services, the AUIR projected the need for five (5) additional EMS units (stations, personnel, equipment) over the next ten (l0) 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 Naples (Zone 23) 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 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. Packet Page-141- 2/11/2014 10.A. 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 County owned 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. Bit! Corkscrew(Zone 10) -Big Corkscrew Island Fire Rescue area 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 1St 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. Packet Page-142- 2/11/2014 10.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. Ochopee (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. Explore the possibility of a rapid response emergency center located at Everglades Blvd and lOt Ave SE. Several years ago there were discussions between the School Board, Golden Gate Fire District, Emergency Medical Services and the Sheriffs 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 Packet Page-143- 2/11/2014 10.A. 01 00 O M LD e-+ r\ v N O I1 Ln ei O o0 O 011 O 4 Ol N 01 N LD CT N O N ."1 O Ln 00 r. Lr1 CD M 01 O ei e-1 M e-i O r-N r 1 o Lrl r-1 O Ni Ni O r-+ Ni .-+ .--i N Ni m er 00 N. L r-1 N N c-1 a 0 -1 N O N et al M LD 00 0 Ln Ln O1 O N 1._!_,,. ., O N ef O n Ol N 00 Ol In r-i N et LD �, L Cr; 00 00 Ol et 00 01 n n a1 00 N 00 00 N C) Cl Cl Cl Cl Cl Cl Cl Cl Cl Cl Cl 01 Cl Cl Cl a) c ' a) r..1 M O N N. Ln CO N. 0 Cl 1.0 L0 ei CO N O LJ1 Cl Cl ID 00 _ ‘„1 00 LD CO O LD et O N 00 N 00 N M 00 00 M Ol et. N N -0 C d00 00 N. 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