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Agenda 05/22/2012 Item #11D5,122/20 1 2 Item D. EXECUTIVE SUMMARY Recommendation to approve a proposed ordinance establishing the Collier County Public Safety Authority, direct the County Manager to formalize stakeholder endorsement and authorize the County Manager to advertise the final ordinance for subsequent Board adoption. OBJECTIVE: To establish a Public Safety Authority as proposed by the Blue Ribbon Panel on Pre - Hospital Emergency Treatment and Transport Services. CONSIDERATIONS: On January 11, 2011, the Board heard the final report from the citizens Blue Ribbon Panel on the pre- hospital emergency medical treatment and transport system in Collier County. Following the conclusion of this public hearing, the Board directed the County Manager and the County Attorney to work with the leadership of the Blue Ribbon Panel to develop options for the creation of a Public Safety Authority to carry-out the functions recommended in the Panel's final report and to present these options to the Board in a publicly noticed workshop. Following the conclusion of this workshop held on March 3, 2011, the Board directed that a Public Safety Authority advisory board ordinance be prepared for its review. Over the past year, staff has been working with all stakeholders to develop a draft ordinance as suggested by the Board following the 2011 Blue Ribbon Committee report. This proposed ordinance would abolish the current EMS Policy Board and expand the membership to address closer inter- agency collaboration and integration of the pre - hospital emergency medical services delivery system. The proposed ordinance requires both cooperation and funding from the Independent Fire Districts, Municipalities, Hospitals, the County and Sheriff. It is staff's position that there is little sense in establishing this Authority without the support of these outside agencies. Accordingly, staff is asking the Board for direction on whether the proposed Ordinance meets with the Board's approval, and if so, requests the Board direct the County Manager to work with the following outside agencies to endorse the proposed ordinance by resolution, letter or otherwise: (a) The City of Marco. (b) The City of Naples. (c) The Independent Fire Districts. (d) The Sheriff of Collier County. (e) Physicians Regional Medical Center. (f) Naples Community Hospital. Following endorsement, staff would bring back the proposed ordinance for adoption by the Board. FISCAL IMPACT: Minor administrative cost will be self - imposed by the Authority should it be authorized. GROWTH MANAGEMENT IMPACT• None Packet Page -495- 51222/2012 Iter r. LEGAL CONSIDERATIONS: The County Attorney worked with staff in drafting this proposed ordinance. This item requires majority support for approval. -JAK RECOMMENDATION: That the Board approve a proposed ordinance establishing the Collier County Public Safety Authority, direct the County Manager to formalize stakeholder endorsement and authorize the County Manager to advertise the final ordinance for subsequent Board adoption. Prepared by: Dan Summers, Director, Bureau of Emergency Services 2 Packet Page -496- 5/22/2012 Item 11I.D. COLLIER COUNTY Board of County Commissioners Item Number: 11.D. Item Summary: Recommendation to approve a proposed ordinance establishing the Collier County Public Safety Authority, direct the County Manager to formalize stakeholder endorsement and authorize the County Manager to advertise the final ordinance for subsequent Board adoption. (Dan Summers, Bureau of Emergency Services Director) Meeting Date: 5/22/2012 Prepared By Name: FrancoMaria Title: Administrative Assistant, EMS 5/11/2012 9:13:44 AM Approved By Name: SummersDan Title: Director - Bureau of Emergency Services, Date: 5/11/2012 9:36:00 AM Name: KlatzkowJeff Title: County Attorney Date: 5/11/2012 3:38:36 PM Name: KlatzkowJeff Title: County Attorney Date: 5/11/2012 4:24:49 PM Name: PryorCheryl Title: Management/ Budget Analyst, Senior,Office of Management & Budget Date: 5/14/2012 9:13:24 AM Name: OchsLeo Title: County Manager Date: 5/14/2012 2:56:26 PM Packet Page -497- 5,2 2 / 2 0 1 2 It e r r '.. . ORDINANCE NO. 2012 - AN ORDINANCE CREATING THE COLLIER COUNTY PUBLIC SAFETY AUTHORITY; PROVIDING FOR CREATION, PURPOSE, POWERS AND DUTIES; PROVIDING FOR APPOINTMENT AND COMPOSITION, TERMS OF OFFICE, ATTENDANCE AND FILLING OF VACANCIES; PROVIDING FOR MEDICAL DIRECTORS SUBCOMMITTEE: PROVIDING FOR REMOVAL FROM OFFICE FOR FAILURE TO ATTEND MEETINGS; PROVIDING FOR OFFICERS, QUORUM AND RULES OF PROCEDURE; PROVIDING FOR SUNSET OF THE COLLIER COUNTY EMERGENCY MEDICAL SERVICES POLICY ADVISORY BOARD AND REPEAL OF ORDINANCE NO. 2009- 01, AS AMENDED; PROVIDING FOR INCLUSION IN CODE OF LAWS AND ORDINANCES; PROVIDING FOR CONFLICT AND SEVERABILITY; AND PROVIDING FOR AN EFFECTIVE DATE. WHEREAS, encouraged by the Board of County Commissioners of Collier County, a citizen Blue Ribbon Panel was assembled in September 2009 to study and review the elements of a continuum of care of pre- hospital emergency medical treatment and transport system in Collier County; and WHEREAS, on January 11, 2011, the Board heard the final report from the Blue Ribbon Panel on pre - hospital emergency medical treatment and transport system in Collier County; and WHEREAS, following the conclusion of this public hearing, the Board directed the County Manager and the County Attorney to work with the leadership of the Blue Ribbon Panel to develop options for the creation of a Public Safety Authority to carry -out the functions recommended in the Panel's final report and to present these options to the Board in a publicly noticed workshop; and WHEREAS, following the conclusion of this workshop held on March 3, 2011, the Board directed that a Public Safety Authority advisory board ordinance be prepared for its review; and WHEREAS, it is the intent of the Board that the Collier County Emergency Medical Services Policy Advisory Board sunset upon the establishment of the Collier County Public Safety Authority, whose role shall include, but not be limited to, all duties and responsibilities of the current County Emergency Medical Services Policy Advisory Board, which was created by Ordinance 2009 -01, such that following the first meeting of the Collier County Public Safety Authority, the Collier County Emergency Medical Services Policy Advisory Board shall be disbanded. Packet Page -498- 5/22/2012 Item 11.D. NOW, THEREFORE, BE IT ORDAINED BY THE BOARD OF COUNTY COMMISSIONERS OF COLLIER COUNTY, FLORIDA that: SECTION ONE. Creation, Purpose, Powers and Duties of the Collier County Public Safety Authority. There is hereby created the Collier County Public Safety Authority (hereinafter the "Authority "). The Authority is created as an Advisory Board and shall have the following purposes, powers and duties: 1. To assist the Board of County Commissioners, municipalities, fire departments, 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 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 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. 5. To serve as a catalyst to effect cooperative arrangements for improving and best utilizing emergency medical resources in Collier County, utilizing the resources of all municipal, dependent and independent fire organizations, 911 call centers, law enforcement agencies and the public. 6. To make recommendations, as warranted, regarding first responder programs, training programs, .communication systems, and other appropriate facilities and services that positively impact on the delivery of emergency medical services. 7. To assist in the development of Interlocal Agreements and appropriate standards of care provided by all agencies so as to adjust levels of service commensurate with the Page 2 of 8 Packet Page -499- 5/22/2012 Item needs of citizens of Collier County. Such efforts shall be in a cooperative fashion so as to implement those changes consistently countywide by all appropriate agencies. 8. All organizations represented that comprise the Public Safety Authority will report annually on their anticipated legislative initiatives to the Authority, if such legislative efforts have an impact on the delivery of pre- hospital emergency medical services. 9. All members of the Authority, except those citizens appointed by the Board of County Commissioners, including hospitals, fire agencies, municipal law enforcement agencies, the Collier County Sheriff's office, County EMS, shall contribute annually to an account approved by the Board of County Commissioners from which the cost of administrative duties may be drawn from during the fiscal year. Administrative costs are limited to the cost of reproduction of documents and minutes, postage, electronic media, secretarial support, court reporters, and other routine support cost for the Authority and its technical sub - committees when approved by the Authority. The Authority shall establish a policy and approve a self- imposing budget to collect the proportionate share from the agencies represented to accumulate funds and pay for the services and administrative work noted above. Funds collected and funds dispersed to conduct the business of the Authority referenced above shall meet the guidelines and requirements of the County and the Clerk of Courts. Failure to pay the annual administrative cost -share shall, after 90 days, be reported to the Board of County Commissioners for determination -of -fact and continuance of membership. Organizations including, but not limited to, the Collier County Sheriff's Office providing more than one service such as its 911 center and law enforcement operations, shall be charged as one agency contributing funds. Similarly, the City of Naples Police and Fire organization with its respective 911 center shall be charged as one agency contributing funds. 10. 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. (e) Clinical coordination and quality outcomes. (f) Field coordination and operational concerns. Page 3 of 8 Packet Page -500- 5/22/2012 Item 'I 1 .D. 11. 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. Specific guidance and charge will be given to technical working groups at regularly scheduled Public 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 Authority and their charge clearly stated. Written reports of findings and oral presentations to the Authority will be duly recorded and submitted on behalf of the body. 12. To perform or assist with any other function or duty as requested by the Board. SECTION TWO. Appointment and Composition; Terms of Office; Attendance and Filling Vacancies. The Authority shall be composed as follows: 1. The Collier County EMS Medical Director or designee. 2. The Medical Director or designee of each non - transport agency holding a Class III Certificate of Public Convenience and Necessity or designee. 3. An active Emergency Department physician representing the collective campuses of the Physicians Regional Medical Center organization or designee. 4. An active Emergency Department physician representing the collective campuses of the Naples Community Hospital organization or designee. 5. A senior staff representative from the Collier County Sheriff's Office, as recommended by the Sheriff. 6. A representative from one of the municipal police departments (City of Naples or City of Marco Island), as recommended collectively by such police Departments. Such law enforcement representation from a municipal law enforcement agency shall be "rotated" by filling alternate terms. Page 4 of 8 Packet Page -501- 5,221201-9 Item 7. A representative from the Collier County Fire Chief s Association. Such fire service AOW representation shall be chosen from a municipal, dependent or independent fire district. S. The Chief or designee from Collier County Emergency Medical Services. 9. A full -time Florida certified and actively practicing Emergency Medical Technician who is providing pre - hospital care services within either a dependent, municipal or independent fire district who is not a member of Collier County Emergency Medical Services. The Emergency Medical Technician shall be selected by the Collier County Fire Chief s Association. 10. A full -time Florida certified and actively practicing Emergency Medical Technician, who is a member of Collier County Emergency Medical Services, selected by the County Manager or designee. 11. A full -time Florida certified and actively practicing Paramedic who is providing pre - hospital care services within either a dependent, municipal or independent fire district who is not a member of Collier County Emergency Medical Services. The Paramedic shall be selected by the Collier County Fire Chief s Association. 12. A full -time Florida certified and actively practicing Paramedic who is providing pre- hospital medical services and is a member of Collier County Emergency Medical Services, selected by the County Manager or designee. 13. A hospital administration representative from each of the local hospital corporations. (Physician's Regional and Naples Community Hospital- respective organizations). 14. Three citizen representatives whose applications may include an interview by the Public Safety Authority. The Public Safety Authority will make recommendations to the Board of County Commissioners for their appointment. Such interviews and recommendations to the Board of County Commissioners for appointment to the Public Safety Authority shall be the Authority's first order of business to ensure a complete roster of membership before other business can be conducted. Citizen representatives shall not have a fiduciary relationship with first - responder public safety organizations noted above. Terms for all Authority members shall be four years. Page 5 of 8 Packet Page -502- 5/22/2012 Item 11.Q. SECTION THREE. Medical Directors Subcommittee. It is the intent of the Board that to the extent possible, pre - hospital emergency medical services operate at a uniform level of care throughout all of Collier County. Accordingly, at or shortly following its first meeting, the Authority will take the following action: 1. Create a permanent Medical Directors Subcommittee, chosen by the Authority and comprised of (a) Voting Members: (1) A Medical Director from each pre - hospital C.O.P.C.N holder. (2) One Emergency Department Physician from each hospital provider currently operating in Collier County (Physician's Regional and Naples Community Hospital- respective organizations). (3) One physician or designee from the Regional Trauma Center. (b) Non - voting, advisory members: (1) A Paramedic from Collier County Emergency Medical Services, chosen by the County Manager or designee. (2) An Emergency Medical Technician from Collier County Emergency Medical Services, chosen by the County Manager or designee. (3) A Paramedic chosen by the Collier County Fire Chief s Association. Such fire service representation shall be chosen from a municipal, dependent or independent fire district. (4) An Emergency Medical Technician chosen by the Collier County Fire Chiefs Association. Such fire service representation shall be chosen from a municipal, dependent or independent fire district. 2. The Chairperson of this Subcommittee shall advise and counsel the Authority regarding the training, performance, testing and certification of all agency - represented emergency responders. The Authority may from time -to -time create, disband, or utilize an existing subcommittee to engage in discussions regarding training, performance, testing, and certification(s). Such efforts shall be properly noticed and formed by a majority vote of the Public Safety Authority. Page 6 of 8 Packet Page -503- 5/22/2012 Item SECTION FOUR. Meetings. 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. SECTION FIVE. 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. SECTION SIX. Officers; Quorum; Rules of Procedure. 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 County Manager an annual report describing the activities of the Authority. The presence of eight or more members shall constitute a quorum of the Authority necessary to take action and transact business. The Public Safety 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. 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, reports, and exhibits shall be filed with the Board of County Commissioners and or its Clerk when appropriate. SECTION SEVEN. Sunset of Emergency Medical Services Advisory Council The Collier County Emergency Medical Services Policy Advisory Board shall discontinue meeting immediately following the first meeting of the Authority. Ordinance 2009- Page 7 of 8 Packet Page -504- 5122/2012 Item 11.D. 01, as amended, which created the Collier County Emergency Medical Services Policy Advisory Board, shall be repealed and of no further force or effect as of SECTION EIGHT. 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 to accomplish such, and the word "ordinance" may be changed to "section," "article," or any other appropriate word. SECTION NINE. Conflict and Severability. In the event this Ordinance conflicts with any other Ordinance of Collier County or other applicable law, the more restrictive shall apply. If any.phrase or portion of the Ordinance is held invalid or unconstitutional by any court of competent jurisdiction, such portion shall be deemed a separate, distinct and independent provision and such holding shall not affect the validity of the remaining portion. SECTION TEN. Effective Date. This Ordinance shall become effective upon filing with the Florida Department of State. PASSED AND DULY ADOPTED by the Board of County Commissioners of Collier County, Florida, this day of ATTEST: DWIGHT E. BROCK, CLERK By: Deputy Clerk Approved as to form and legal sufficiency: Jeffrey A. Klatzkow County Attorney BOARD OF COUNTY COMMISSIONERS COLLIER COUNTY, FLORIDA Page 8 of 8 Packet Page -505- , CHAIRMAN