Agenda 01/24/2012 Item #17C1/24/2012 Item W.C.
EXECUTIVE SUMMARY
Recommendation to adopt an ordinance that amends Ordinance No. 04-12, as sanded, for the purpose of
/1 revising the Class 2 Certificate of Public Convenience and Necessity for post-hospital interfacility transport
services.
OBJECTIVE: To obtain the Board of County Commissioners (Board) adoption of an ordinance that
amends Ordinance No. 0412, as amended, for the purpose of revising Class 2 Certificate of Public Convenience
and Necessity ( COPCN) for Post - hospital interfacility transport services.
CONSIDERATIONS:. On October 25, 2011 the Board approved a COPCN for Ambitrans Medical
Transportation to provide Class 2 (post - hospital inter- facility medical transfer services) within Collier County
and authorized staff to bring necessary amendments to the COPCN ordinance related to Class 2 certificate
holders.
On December 13, 2011, the Board authorized staff to advertise an amendment to the COPCN ordinance that:
• Revised description and specification of duties for Class 2 operators providing interfacility transport
services.
• Provides that those Class 2 and Class 3 Operators that have separately entered into a contract with the
County for Medical Director services shall be certified pursuant to the terms of the contract.
• Provides for a Ride Time Requirement for all Operators that have entered into a contract with the
County for Medical Director services. Not subject to the ride time requirements are those Operators
who have not contracted with the County and serve under their own medical director.
n • Provides that each Operator, within 90 days of Certificate issuance, shall maintain a place of business
which shall be within the designated operating zone, provide communication with Operator's vehicles as
well the Collier County Emergency Medical Services Department.
• Requires that business, training and vehicle records, along with daily logs be maintained and available
for inspection or audit by the Administrator.
• Requires that every Operator keep on file with Administrator and County Emergency Medical Services
Department a current business address and phone number.
• Clarifies that ALS transfer certificate holders may provide post - hospital medical transfer services for
routine and emergency ALS and BLS patients.
FISCAL IMPACT: Advertising cost is estimated to be $250.
GROWTH MANAGEMENT IMPACT: There is no Growth Management Impact associated with this
Executive Summary.
L-Eg . CONSIDE1tA„� TIONS:.The proposed ordinance has been reviewed by the County Attorney, and is
legally sufficient. This item requires majority vote for approval. -JAK
RECD IENDATION: To adopt an ordinance that amends Ordinance No. 0412, as amended, for the purpose
of revising the Class 2 Certificate of Public Convenience and Necessity for post - hospital interfacility transport
services.
Prepared by: Artie R. Bay, Supervisor, Emergency Medical Services Admin.
Jennifer B. White, Assistant County Attorney
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COLLIER COUNTY
Board of County Commissioners
Item Number: 17.C.
1/24/2012 Item W.C.
Item Summary: Recommendation to adopt an ordinance that amends Ordinance No. 04-
12, as amended, for the purpose of revising the Class 2 Certificate of Public Convenience and
Necessity for post - hospital interfacility transport services.
Meeting Date: 1/24/2012
Prepared By
Name: BayArtie
Title: Supervisor - Accounting,EMS Operations
1/9/2012 8:12:10 AM
Approved By
Name: KopkaWalter
Date: 1/9/2012 2:33:28 PM
Name: WhiteJennifer
Title: Assistant County Attorney,County Attorney
Date: 1/9/2012 3:19:40 PM
Name: MuckelCynthia
Title: Applications Analyst,lnformation Technology
Date: 1/17/2012 3:24:46 PM
Name: MuckelCynthia
Title: Applications Analyst,lnformation Technology
Date: 1/17/2012 3:35:53 PM
Name: MuckelCynthia
Title: Applications Analyst,lnformation Technology
Date: 1/17/2012 3:38:43 PM
Name: OchsLeo
Title: County Manager
Date: 1/17/2012 4:37:09 PM
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1/24/2012 Item 17.C.
ORDINANCE NO. 2012 -
AN ORDINANCE OF THE BOARD OF COUNTY COMMISSIONERS OF
COLLIER COUNTY, FLORIDA, AMENDING ORDINANCE 04 -12, AS
AMENDED, BY AMENDING, SECTION TWELVE, CLASSIFICATIONS
OF CERTIFICATES; SECTION FIFTEEN, GENERAL OPERATING
REGULATIONS; SECTION SIXTEEN, CENTRAL PLACE OF
BUSINESS; PROVIDING FOR CONFLICT AND SEVERABILITY;
PROVIDING FOR INCLUSION IN THE CODE OF LAWS AND
ORDINANCES; AND PROVIDING FOR AN EFFECTIVE DATE.
WHEREAS, Collier County Ordinance No. 2004 -12, as amended, is codified as Article
III of Chapter 50 of the Code of Laws and Ordinances of Collier County, and originally enacted
through its predecessor Ordinance No. 81 -75; and
WHEREAS, Collier County desires to make available to its citizens safe, professional
emergency health care transportation and non - transportation services for emergency pre - hospital
responses and the transfer of patients between and among local hospital facilities; and
WHEREAS, this amendment to Ordinance No. 2004 -12, as amended, is primarily
intended to expand the Class -2 post - hospital transport certificate.
NOW THEREFORE: BE IT ORDAINED BY THE BOARD OF COUNTY
COMMISSIONERS OF COLLIER COUNTY, FLORIDA:
SECTION ONE: Amendments to Section Twelve of Ordinance No. 04 -12, as amended.
Section Twelve of Ordinance No. 04 -12, as amended, is hereby amended as follows:
SECTION TWELVE: CLASSIFICATIONS OF CERTIFICATES.
There shall be three (3) classifications of service in Collier County, as follows:
B. Class 2: Collier County Hospitals Inter - Facility Transport Services:
4-- -- -ALS Transfer: An EMS Operator who rvaiem provides post - hospital
ALS - inter- facility medical transfer services, both within and outside the County.
If requested by the appropriate Class 1 — ALS rescue Operator, will provide
emergency pre - hospital backup service ALS transfer certificate holders may
provide post - hospital medical transfer services for routine and emergency ALS
and BLS patients. Class -2 transfer certificate holders must either provide for their
own medical director or contract with the County Medical Director, and will
operate under protocols approved by the County Medical Director. If the
Operator provides for its own medical director, that medical director shall work
cooperatively with the County's Office of the Medical Director to ensure
continuity of care. Class 2 Operators shall comply with all guidelines and policies ^
approved by the Board of County Commissioners and shall notify and work with
Words underlined added and words stmele thmugh are deleted.
^ - -- 1 -1.
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1/24/2012 Item 17.C.
i-. all hospitals and facilities to educate them as to the services OQerator.provides.
The County reserves the right to review and evaluate all calls made by the
Operator to ensure that the appropriate level of personnel, supplies, equipment
and vehicles are being utilized, as set forth in Florida Statute and Florida
Administrative Code. An EMS Maier whe is awaFded -a Class- 2 ALS
SECTION TWO: Amendments to Section Fifteen of Ordinance No. 04 -12, as amended.
Section Fifteen of Ordinance No. 04 -12, as amended, is hereby amended as follows:
SECTION FIFTEEN: GENERAL OPERATING REGULATIONS.
All certificate holders, operators, and drivers shall comply with all state statutes and
administrative regulations as following regulations:
G. Certification. (i). In addition to the State of Florida Department of Health,
Bureau of Emergency Medical Services requirements for certification, each
Collier County EMS paramedic, Class -2 Operator's paramedic, and Class -3
Operator that has separately entered into a contract with the County in order for
the County's Medical Director to serve as its medical director for the performance
of services set forth in Section 401.265, Florida Statutes, and Chapter 64J-
2.004(4)(a), Florida Administrative Code, must be certified by the County
Medical Director. Each Collier County EMS paramedic and Class -2 Operator
paramedic, that contracts with the Countv for Medical Director services, must
work with a Collier County EMS ambulance for a sufficient length of time
pursuant to paragraph H. for the County's Medical Director to properly judge the
^ paramedic's capability. Salaries of other than Collier County EMS paramedics
will be paid by the agency seeking the Medical Director Certification.
Words underlined added and words 94HOk *Mugh are deleted.
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,.
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ON
SECTION TWO: Amendments to Section Fifteen of Ordinance No. 04 -12, as amended.
Section Fifteen of Ordinance No. 04 -12, as amended, is hereby amended as follows:
SECTION FIFTEEN: GENERAL OPERATING REGULATIONS.
All certificate holders, operators, and drivers shall comply with all state statutes and
administrative regulations as following regulations:
G. Certification. (i). In addition to the State of Florida Department of Health,
Bureau of Emergency Medical Services requirements for certification, each
Collier County EMS paramedic, Class -2 Operator's paramedic, and Class -3
Operator that has separately entered into a contract with the County in order for
the County's Medical Director to serve as its medical director for the performance
of services set forth in Section 401.265, Florida Statutes, and Chapter 64J-
2.004(4)(a), Florida Administrative Code, must be certified by the County
Medical Director. Each Collier County EMS paramedic and Class -2 Operator
paramedic, that contracts with the Countv for Medical Director services, must
work with a Collier County EMS ambulance for a sufficient length of time
pursuant to paragraph H. for the County's Medical Director to properly judge the
^ paramedic's capability. Salaries of other than Collier County EMS paramedics
will be paid by the agency seeking the Medical Director Certification.
Words underlined added and words 94HOk *Mugh are deleted.
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,.
SECTION TWO: Amendments to Section Fifteen of Ordinance No. 04 -12, as amended.
Section Fifteen of Ordinance No. 04 -12, as amended, is hereby amended as follows:
SECTION FIFTEEN: GENERAL OPERATING REGULATIONS.
All certificate holders, operators, and drivers shall comply with all state statutes and
administrative regulations as following regulations:
G. Certification. (i). In addition to the State of Florida Department of Health,
Bureau of Emergency Medical Services requirements for certification, each
Collier County EMS paramedic, Class -2 Operator's paramedic, and Class -3
Operator that has separately entered into a contract with the County in order for
the County's Medical Director to serve as its medical director for the performance
of services set forth in Section 401.265, Florida Statutes, and Chapter 64J-
2.004(4)(a), Florida Administrative Code, must be certified by the County
Medical Director. Each Collier County EMS paramedic and Class -2 Operator
paramedic, that contracts with the Countv for Medical Director services, must
work with a Collier County EMS ambulance for a sufficient length of time
pursuant to paragraph H. for the County's Medical Director to properly judge the
^ paramedic's capability. Salaries of other than Collier County EMS paramedics
will be paid by the agency seeking the Medical Director Certification.
Words underlined added and words 94HOk *Mugh are deleted.
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1/24/2012 Item 17.C.
(ii). q:he a edi .84 Dire, er- of a ntar 3 n_.... ter- ., Class 1_ All Operators,
shall certify its paramedics pursuant to
Section 401.265, Florida Statutes, and Chapter 64J- 2.004(4)(a), Florida
Administrative Code.
(iii). A Class -2 and Class -3 Operators that has have separately entered into a
contract with the County in order for the County's Medical Director to
serve as its medical director for the performance of services set forth in
Section 401.265, Florida Statutes, and Chapter 64J- 2.004(4)(a), Florida
Administrative Code, shall be certified pursuant to the terms of such
contract.
H. Ride Time Requirement. Each paramedic employed by a Collier County EMS, a
Class -1 Operator or a Class 2 Operator that has entered into a contract with the
County for Medical Director services must work, at a minimum, with a Class -1
Operator's ambulance not less than one full month's work shift annually. Each
paramedic employed by a Class -3 Operator that has its own medical director must
accompany a patient on the Collier County EMS ALS transport from scene to
hospital when the paramedic for such Class -3 Operator initiates ALS services on a
patient prior to Collier County EMS transport arrival or if the patient's condition
requires that additional level of expertise. Each paramedic employed by a Class -3
Operator that has separately entered into a contract with the County in order for
the County's Medical Director to serve as its medical director for the performance n
of services set forth in Section 401.265, Florida Statutes, and Chapter 64J-
2.004(4)(a), Florida Administrative Code, shall either work with a Collier County
EMS ambulance not less than one full month's work shift annually or must
accompany a patient on the Collier County EMS ALS transport from scene to
hospital when the paramedic for such Class -3 Operator initiates ALS services on a
patient prior to a Collier County EMS transport arrival or if the patient's condition
requires that additional level of expertise, as provided for in its contract with the
County.
SECTION THREE: Amendments to Section Sixteen of Ordinance No. 04 -12, as
amended.
Section Sixteen of Ordinance No. 04 -12, as amended, is hereby amended as follows:
SECTION SIXTEEN: CENTRAL PLACE OF BUSINESS.
Within 90 days of Certificate issuance. each €A& Operator shall maintain a eentrad place of
business which shall be entirely within his designated operating zone, at which place he shall
provide twe- wayFadie communication with his vehicles, the Collier County Emergency Medical
Services Department Gentfel Gemmtmieatiens Gente , and his place of business, a properly listed
telephone for receiving all calls for service and at which eentEal place of business he shall keep
such business records, training records, vehicles, and daily logs available for inspection or audit by
the Administrator. Every Operator shall keep on file with the Administrator and the County
Emergency Medical Services Department a business address and
Words underlined added and words stmsk twodgh are deleted.
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1/24/2012 Item 17.C.
telephone number at which the Operator may be reached at all times. This information will be
maintained at the Emergency Medical Services Department G8atfel Genwf.
SECTION FOUR: Conflict and Severabflity.
In the event this Ordinance should ever conflict with any other Ordinance of Collier
County or other applicable law, the more restrictive shall apply. If any phrase or portion of this
Ordinance is held invalid or unconstitutional by any court of competent jurisdiction, such portion
shall be deemed a separate, distinct, and independent provisions and such holding shall not affect
the validity of the remaining portions.
SECTION FIVE: Inclusion in the Code of Laws and Ordinances.
The provisions of this Ordinance shall be made a part of the Code of Laws and
Ordinances of Collier County, Florida. The sections of the Ordinance may be renumbered or re-
lettered and internal cross - references amended throughout to accomplish such, and the word
"ordinance" may be changed to "section," "article," or any other appropriate word.
SECTION SIX: Effective Date.
This Ordinance shall be considered adopted upon the date written below and subject to
filing with the Florida Department of State.
PASSED AND DULY ADOPTED by a vote of majority of the Board of County
Commissioners of Collier County, Florida, this day of , 2012.
ATTEST: BOARD OF COUNTY COMMISSIONERS
DWIGHT E. BROCK, CLERK COLLIER COUNTY, FLORIDA
, Deputy Clerk
Approved IF
and legal s y:
Jeffrey A.
County Ai
By:
CHAIRMAN
Words underlined added and words stFuck thfough are deleted.
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M
1/24/2012 Item W.C.
i8D W Friday, January 13, 2012 N N -A P L E S D A I LY N E W S
NOTICE
NOTICE OF INTENTTO CONSIDER ORDINANCE .
Notice is hereby given that on Tuesday; Januarryy 24, 2012 m the eoardniorr -
floo�, Administration Budding, Calher.County'.Governm11, renter, 3299.Tam►aml-
Trail East, Naples, Fionda; the Board of County commissioners will consider the .
enactment of a Count
y Ordinance. .The ,meeting will commente. at 9:00:.i M,. The -
title of the proposed Ordinance is as follows:
AN ORDINANCE OF-THE BOARD OF. COUNTY •-COMMISSIONERS OF. COLLIER .
..COUNTY, FLORIDA "AMENDING ORDINANCI 04=12, - -AS AMENDEb;-BY:AMENDING,
SECTION • TWELVE :. CLASSIFICATIONS OF .CERTIFICATES SECTION FIFTEEN GENEM,
4 ' OPERATING REGULATIONS; SECTION SIXTEEN, CENTRAL PLACE : AF BOSINES�,
PROVIDING FOR CONFLICT AND SEVERABILITY; PROVIDING FOR INCLUSION IN THE
CODE OF LAWS AND ORDINANCES; AND PROVIDING FOR AN EFFECTIVE DATE.'
Copies of the proposed Ordinance are on file with the Clerk .to" the loar6 and are..
available for inspection. All interested parties;are Invited to attend and be .heard.
NOTE, All g *
persons wishing to speak on any-agenda item must register with the"
Coun ty. administrator- prior .to presentation of the agenda 'item ao:.be addressed::,
Individual speakers •will be limited to 3 minutes on any -item. j The selection of an
individual to speak on behalf of an organization ..or .group is encouraged..If
i recognized by the .Chairman, a spokesperson for a 4roup:or organization may be
allotted 10 minutes to speak on an item.
Persons wishing to ave written or graphic materials included in the Board agenda
packets must submit said material a "minimum of 3 weeks prior to the .resppeective
public hearing. In any .case,. written materials intended to be considered by the
Board shall be submitted to -the appropriate County staff a minimum of seven days
prior to the public hearing. Ail. material used sin presentations before the egard
wIII become.a permanent part of the record.
Any person who decides to appeal a decision of the Board:,wlll need a record of
the proceedings ;pertaining thereto and therefore, may need to ensure that a
verbatim record of the' proceed n s is: made, which record -includes.- the testimony
and evidence upon which the appeal Is based. crr
If you are a person- with a" disability who needs any. accommodation in order to ' "
- participate in this proceeding; you are entitled,.at,no cost to.you, to. the.-prov`1siq,Q
of certain assistance. Please contact .the 'Collier County:`Facllities Management;
Department, located . at 3335 Tamiami Trail East, Suite 101 ;i Naples, Ikohda -34112
(239)252-8380. Assisted listening devices for the hearing impaired ar, available.jn'
the, Count Comm issioners'.Office.
BOARD OF COUNTY:COMMISSIONERS.}•
COLLIER COUNTY, FLORIDA yi ±•
FRED COAE, CHAIRMAN
DWIGHT E.'BROcr,CLERK °� s
/By: Teresa Polaski, Deputy Clerk
(SEAL)..
Janu=l3_2017 a a.
' `Nn 7giMS6' .
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