Agenda 12/13/2011 Item # 9Nn
12/13/2011 Item 9.N.
EXECUTIVE SUMMARY
To request the Board of County Commissioners to amend Ordinance No. 2009 -01 as
amended which created the Emergency Medical Services Policy Advisory Board by
changing the category defmn fur one of the five members that compose the Advisory
Board.
OBJECTIVE: To change the composition of the 5 member committee by removing the
Pharmacist category and replace it with Physician Trained in Emergency Medicine.
CONSIDERATIONS: At a meeting of the Emergency Medical Services Policy Advisory
Board (EMSPAB) held on November 18, 2011 the members discussed (item7) requesting the
Board of County Commissioners to change the category of Pharmacist to that of Physician
Trained in Emergency Medicine. It was a unanimous vote at the meeting to petition the BCC for
this change and a letter requesting the change was to be submitted by the . Chaiman of the
EMSPAB.
Backup materials include:
A list of the current membership is included in the backup.
Ordinance 2009 -01
Ordinance 2009- 11(amendment)
Leiter from the Advisory Board Chairman.
Minutes of November 18, 2011
FISCAL IMPACT: NONE
GROWTH MANAGEMENT IMPACT: NONE
RECOMMENDATION: The Board of County Commissioners accepts the request of the
Emergency Medical Services Policy Board changing the Pharmacist category to Physician
Trained in Emergency Medicine and directs the County Attorney to implement the necessary
process to facilitate the change of membership category in the ordinance and advertise the
ordinance for submission at a future Board of County Commissioners board meeting.
PREPARED BY: Ian Mitchell, Executive Manager
Board of County Commissioners
AGENDA DATE: December 13, 2011
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12/13/2011 Item 9.N.
'~ COLLIER COUNTY
Board of County Commissioners
Item Number: 9.N.
Item Summary: To request the Board of County Commissioners to amend Ordinance No.
2009 -01 as amended which created the Emergency Medical Services Policy Advisory Board by
changing the category definition for one of the five members that compose the Advisory Board.
Meeting Date: 12/13/2011
Prepared By
Name: MitchellIan
Title: Executive Manager, BCC
12/5/2011 10:26:25 AM
Submitted by
Title: Executive Manager, BCC
Name: MitchellIan
12/5/2011 10:26:27 AM
Approved By
Name: KlatzkowJeff
Title: County Attorney,
Date: 12/5/20113:07:09 PM
Name: SheffieldMichael
Title: Manager- Business Operations, CMO
Date: 12/5/20113:44:04 PM
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w•— r
Bureau of E
November 29, 2011
Dear Commissioners:
12/13/2011 Item 9. N.
:
In accordance with the provisions of Collier County Ordinance Nu. 2009 -01 thatcreated the Emergency
Medical Services Policy.Advisory Board, please be advised the term of the individual who represented .
the category of "Pharmacist" has expired.
The EMS Policy Advisory 'Board is requesting to change the composition of its membership by 11
substituting the category of "Physician Trained in Emergency Medicine" for the category of
"Pharmacist," It is the intent of the Board to add an individual with experience that is more relevant to
the issues, affecting pre- hospitaLemergency medical services
If the Board of Commissioners approves the suggested -change., the Policy Advisory Board will obtain
nomination from the Medical Society for this position and shall present all nominations to the' Board for
review and approval.
Respectfully
Talano, MD'
EMS Policy Advisory Board
cc; Margaret Eddington,
Collier: County Medical Society
8075 laly Cool Parkway, Sde :267 , Naples, Florida 34113* 239 - 252 -3740 • Fax 239.252 -3298 o www.col ierga neYems,
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12/13/2011 Item 9.N.
Memorandum
To: Ian Mitchell, Executive Manager
BCC
From: Walter Kopka, Interim Chief
Emergency Medical Service
Date: December 1, 2011
Subject: EMS Policy Advisory Board
As staff liaison to the Emergency Medical Services Policy Advisory Board I am in receipt of
the advisory board's unanimous decision at a recent meeting to change the composition of
the board. I agree with the assessment that an emergency medicine trained individual
would better suit the advisory board.
Please contact me with any questions.
n
Thank you.
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12/13/2011 Item 9.N.
November 18, 2011
MINUTES OF THE COLLIER COUNTY
EMERGENCY MEDICAL SERVICES POLICY ADVISORY BOARD
EMERGENCY MEETING
November 18, 2011
Naples, Florida
LET IT BE REMEMBERED that the Collier County Emergency Medical Services
Policy Advisory Board, having conducted business herein, met on this date at 4:00 PM
in EMERGENCY MEETING SESSION, at the Neighborhood Health Clinic,
12 Goodlette Road N., Naples, Florida, with the following Members present:
Chairman: James Talano, M.D.
Vice Chair: Chief Robert Metzger
Battalion Chief Tabitha Butcher
Rosemary LeBailly, RN
(Vacancy)
ALSO PRESENT:
Dr. Robert Tober, Collier County Medical Director
Walter Kopka, Interim Chief, Bureau of Emergency Services
Maria Franco, EMS Administrative Assistant
Jorge Aguilera, Deputy Chief, Medical Services /Community Relations
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12/13/2011 Item 9.N.
November 18, 2011
1. CALL TO ORDER:
Chairman James Talano called the meeting to order at 4:07 PM.
A quorum was established. Four members were present.
(Note: Jerry Pinto's term of office expired.)
Chairman Talano noted the emergency meeting was called to comply with a directive from
the Board of County Commissioners.
Chief Kopka stated the Commissioners asked if the EMS Policy Advisory Board had reviewed
and voted on the COPCN application from Ambitran. When it was noted the EMS Board had
only reviewed and discussed the Ordinance, the BCC requested the Board to review it again and
take a vote.
Chairman Talano expressed concern that approving a contract was not within the scope of the
Policy Advisory Board's responsibilities.
Vice Chairman Metzger stated the EMS Board was asked to review the changes to the
Ordinance, which is not a contract. He further stated the EMS Board has previously reviewed
other Ordinance drafts that related to EMS services.
Chief Kopka confirmed it was within the Policy Advisory Board's purview to review all factors
that relate to pre - hospital emergency care.
The Pledge of Allegiance was recited.
2. AGENDA AND MINUTES:
A. Approval of Agenda
Tice Chairman Metzger moved to approve the Agenda as submitted Second by Battalion
Chief Butcher. Carried unanimously, 4 — 0.
B. Approval of Minutes: November 4, 2011
Nice Chairman Metzger moved to approve the minutes of the November 4, 2 -011 meeting
as submitted Second by Rosemary LeBailly. Carried unanimously, 4 — 0.
3. OLD BUSINESS:
A. Ambitran's COPCN ( "Certificate of Public Convenience and Necessity ") Application
Review and Recommendation to the Board of County Commissioners
Chief Kopka reviewed the changes to the enabling Ordinance as follows:
• Page 2, "K ". (The item was added.)
Chief Kopka stated Ambitran was issued a Permit in October 2011. The
Ordinance was changed because Ambitran did not fall into any of the categories
within the COPCN. He noted the COPCN allowed inter - hospital transport services.
Ambitran is a private company that provides transport services but is not hospital -
based.
He further stated Commissioner Hiller asked for data concerning how the new
service (Ambitran) would affect the current service, i.e., how many ambulances
would be needed, how many patients Ambitran would transport. She wanted to
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12/13/2011 Item 9.N.
November 18, 2011
know what NCH had done, what was EMS doing, and what would be done by
Ambitran.
Chairman Talano stated his understanding that NCH provided only facility -to-
facility transfers, and Ambitran would provide transfers only from facility to
facility.
Chief Kopka stated EMS was still providing transfers to Physicians' Regional
Hospital.
Chairman Talano asked if Ambitran would provide service to both NCH and
HMA.
Chief Kopka confirmed that was the goal although EMS realizes there will be
occasions when Ambitran will not be available and EMS will provide the
necessary service.
Vice Chairman Metzger stated the Ordinance opened the door for a private
sector transport company, which would not be problematic as long as the provider
remained viable. His concern was that the EMS system would be altered to
accommodate the private sector and, if the provider failed, EMS would be
required to alter its system again to absorb the absence of the private sector
provider.
Chief Kopka reminded the Board that EMS was forced into providing service on
October 22, 2011 when NCH sent an email at 4:00 PM announcing it would no
longer provide facility -to- facility transports.
• Page 2 Section Two. "B ":
Chief Kopka stated Paragraph `B" summarized and combined the two stricken n
subparagraphs (2 and 3.) on Page 3 in an effort to simplify the document.
• The "Class -2" will provide post - hospital inter - facility medical transfer
services within and outside the County.
• If requested by a Class 1 -ALS Rescue Operator (i.e., EMS), the "Class -2"
will also provide emergency pre - hospital backup service.
• The "Class -2" may provide their Medical Director who will work
cooperatively with the County's Office of the Medical Director.
• The "Class -2" will comply with all guidelines and policies approved by the
Collier County Board of County Commissioners.
• The "Class -2" will notify all hospitals and facilities of the services it provides
and will work cooperatively with them.
Chairman Talano pointed out the reference to Florida Statutes, Section 401.265
and to the Florida Administrative Code, Chapter 64J- 1.004(4)(a) had been eliminated.
Suggestion: Insert a comma and the phrase, "as set forth in Florida Statutes,
Section 401.265 and the Florida Administrative Code, Chapter 64J- 1.004(4) (a)"
following the word "utilized" at the end of the last sentence in Paragraph B.
(Dr. Robert Tober arrived at 4:25 PM.)
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12/13/2011 Item 9.N.
November 18, 2011
Para "a h G - "Certi ication: "
Chief Kopka noted clarification was needed. He suggested changing the
underlined portion of the second sentence to read as follows: "Each Collier
County EMS Paramedic and Class -2 Operator Paramedic who contracts with the
County for Medical Director services must work ..."
• Pale Four, Section Sixteen:
Chief Kopka noted the word "Central" had been stricken from the title "Place of
Business" as well as from the first sentence of the paragraph.
Public Speaker:
Deputy Chief Jorge Aguilera stated North Naples concern was Item "K" on Page 2. He
referred to the current Ordinance and cited from Section Seven:
"The Board of County Commissioners shall not grant a Certificate unless
it shall find, after public hearings and based on competent evidence, that
each of the following Standards has been satisfied: (a) that there is a public
necessity for the service.
In making such determination, the Board of County Commissioners shall
consider as a minimum the following factors:
1. The extent to which the proposed service is needed to improve the
overall Emergency Medical Services capabilities of the County;
2. The effect of the proposed service on existing services with respect
to the quality of service and cost of service;
3. The effect of the proposed service on the overall cost of EMS service
in the County;
4. The effect of the proposed service on the existing hospitals and other
health care facilities; and
5. The effect of the proposed service on the personnel of the existing
service and the availability of sufficient, qualified personnel in the local
area to adequately staff all existing services."
He stated the information requested in Item "K" already exists within the Ordinance. He
stated he was not sure if Commissioner Hiller was aware of this section within the
Ordinance.
He further stated the Applicant did not respond to the questions in the COPCN application,
nor did it provide any evidence.
He continued Item "K" was redundant since there were several other sections within the
Ordinance which required the Applicant to produce evidence.
4
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12/13/2011 Item 9.N.
November 18, 2011
He reiterated North Naples' objection and noted the reason for revising the original
Ordinance was to clarify that the provider was not associated with any local hospitals. The
initial Ordinance specified that the private provider must be associated with a local hospital
in order to provide transport services.
He concluded North Naples requested deletion of Item "K" since it had no bearing on the
reasons why the Ordinance was revised.
He also suggested requesting a review of one of the changes, i.e., the inclusion of the
reference to the Florida Statutes and the Florida Administrative Code, by the County
Attorney's Office since it may be problematic for the COPCN provider under its quality
assurance program because it required sharing documents with the County. He stated it was
a problem when North Naples applied for its COPCN.
It was noted that Ambitran was issued a Certificate to Operate despite not answering the
questions.
Vice Chairman Metzger stated he supported removing Item "K" from the revised
Ordinance.
Battalion Chief Butcher asked if Ambitran was required to provide ride time.
Chief Kopka confirmed it was not required to do so.
Vice Chairman Metzger moved to approve the revisions to the draft Ordinance as amended
by discussion by the Policy Advisory Board, to wit.
• To strike Item "K" on Page 2; n
• To insert a comma and the phrase "as set forth in Florida Statutes, Section
401.265, and Chapter 64J- 1.004(4)(a) of the Florida Administrative Code."
following the word "utilized" at the end of the last sentence in Paragraph B
o Interim Chief Kopka will submit the revision to the County
Attorney's Office for review.
• Paragraph G, "Certification:" The underlined portion of the second sentence is
changed to: "Each Collier County EMS paramedic and Class -2 Operator's
paramedic that contracts with the County,for Medical Director services must
work with a ...."
• Paragraph H, "Ride Time Requirement:" the underlined portion of the first
sentence is changed to: "that has entered into a contract with the County fo
Medical Director services ..."
• Section Sixteen: Strike the word "Central" from the title "Place of Business" as
well as from the first sentence.
Second by Battalion Chief Butcher. Carried unanimously, 4 — 0.
Vice Chairman Metzger moved to approve providing advance approval of the revised
Ordinance pending the determination by the County Attorney's Office and any changes
suggested by the County Attorney's Office relative to the portions concerning inclusion of
the reference to Florida Statutes and the Florida Administrative Code.
Second by Battalion Chief Butcher. Carried unanimously, 4 — 0.
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12/13/2011 Item 9.N.
November 18, 2011
4. NEW BUSINESS:
(None)
5. STAFF REPORTS:
(None)
6. PUBLIC COMMENT:
(None)
7. BOARD MEMBERS DISCUSSION:
Chairman Talano:
• suggested changing the meeting time during "Season" from 3:30 PM to 5:00 PM.
Dr. Tober concurred, stating it would be impossible for him to arrive earlier than
5:00 PM.
Consensus: Meeting will begin at 5:00 PM only during "Season."
Chief Kopka:
• noted Jerry Pinto's term as a member of the Policy Advisory Board has expired and
he has not submitted an application to renew his membership.
• He suggested changing the representative category from "Pharmacist" to "Physician"
or "ER Physician."
• It was noted nominations would be made by the Medical Society.
Vice Chairman Metzger moved to approve revising the Committee's composition by
replacing the position of "Pharmacist" by a "Physician Trained in Emergency Medicine"
as nominated by the Medical Society. Second by Rosemary LeBailly.
Carried unanimously, 4 — 0.
Chairman Talano suggested contacting Margaret Eddington at the Medical Society for
potential candidates.
Staff will prepare a notification letter to the Board of County Commissioners petitioning for
a change of composition of the Policy Advisory Board.
Consensus: The Committee approved allowing the Chairman to sign the letter to the
Board of County Commissioners without their prior review.
Vice Chairman Metzger:
• Stated there was an error of interpretation in the Minutes of the November 4th
meeting concerning the use of 12 -lead technology by North Naples.
Vice Chairman Metzger moved to approve authorizing North Naples to use I2 -lead
n technology under its protocol. Second by Battalion Chief Butcher.
Carried unanimously, 12 — 0.
6
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12/13/2011 Item 9.N.
November 18, 2011
8. NEXT MEETING DATE: Friday, January 20, 2012 at 5:00 PM
There being no further business for the good of the County, the Meeting concluded by
order of the Chair at 4:45 PM.
COLLIER COUNTY EMERGENCY
MEDICAL SERVICES POLICY ADVISORY
:•X•01
James Talano, M.D., Chairman
The Minutes were approved by the Board/Committee Chair on , 2011, n
"as submitted" [1 OR "as amended" [_I
7
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ORDINANCE NO. 2009 - 01
AN ORDINANCE CREATING THE COLLIER COUNTY
EMERGENCY MEDICAL SERVICES POLICY ADVISORY
BOARD; PROVIDING FOR CREATION AND PURPOSE;
PROVIDING FUNCTIONS, POWERS AND DUTIES;
PROVIDING FOR APPOINTMENT AND COMPOSITION,
TERMS OF OFFICE, ATTENDANCE AND FILLING OF
VACANCIES; PROVIDING FOR REMOVAL FROM
OFFICE FOR FAILURE TO ATTEND MEETINGS;
PROVIDING FOR OFFICERS, QUORUM AND RULES OF
PROCEDURE; PROVIDING FOR SUNSET OF THE
EMERGENCY MEDICAL SERVICES ADVISORY
COUNCIL AND REPEAL OF ORDINANCE 1980 -80, AS
AMENDED; PROVIDING FOR INCLUSION IN CODE OF
LAWS AND ORDINANCES; PROVIDING FOR CONFLICT
AND SEVERABILITY; AND PROVIDING FOR AN
EFFECTIVE DATE.
12/13/2011 Item 9.N.
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WHEREAS, the Board of County Commissioners of Collier County approved creating
the Collier County Emergency Medical Services Policy Advisory Board on December 17, 2008;
and
WHEREAS, the purpose of this Advisory Board is to review and advise the Board of
County Commissioners all issues concerning emergency medical services within Collier County,
as set forth in the "Raymond H. Alexander, M.D., Emergency Medical Transportation Services
Act," Florida Statutes Sec. 401.2101 et seq. (2008), as amended from time to time; and
WHEREAS, it is the intent of the Board of County Commissioners that the Collier
County Emergency Medical Services Policy Advisory Board take on all duties and
responsibilities of the current Emergency Medical Services Advisory Council, which was created
by Ordinance 1980 -80, such that following the first meeting of the Collier County Emergency
Medical Services Policy Advisory Board, the Emergency Medical Services Advisory Council
shall be disbanded.
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12/13/2011 Item 9.N.
NOW, THEREFORE, BE IT ORDAINED BY THE BOARD OF COUNTY
COMMISSIONERS OF COLLIER COUNTY, FLORIDA that:
SECTION ONE: Creation and Purpose of the Collier County Emergency Medical
Services Policy Advisory Board.
There is hereby created the Collier County Emergency Medical Services Policy Advisory
Board (hereinafter the "Advisory Board "). The Advisory Board is created to assist the Board of
County Commissioners with all issues affecting pre- hospital emergency medical services within
all of Collier County.
SECTION TWO: Functions, Powers and Duties of the Advisory Board.
The Advisory Board shall have the following duties:
1. To review and advise the Board of County Commissioners all issues concerning pre -
hospital emergency medical services within Collier County.
2. To hear all disputes arising out of the ALS Engine Interlocal Agreements between
Collier County and the various fire districts, and make written recommendation to the
Board of County Commissioners for resolution of such disputes.
3. To work to improve and enhance pre- hospital emergency medical care within Collier
County.
4. To review and make written recommendation to the Board of County Commissioners
all changes to established protocol and practices recommended by the Medical
Director's Quality Assurance Committee.
5. To make its special knowledge and expertise available to the Board of County
Commissioners upon written request by the Board of County Commissioners.
Page 2 of 5
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12/13/2011 Item 9.N.
SECTION THREE: Appointment and Composition; Terms of Office; Attendance and
Filling Vacancies.
The Advisory Board shall be composed of five members as follows:
1. An Emergency Room Physician.
2. An Emergency Room Nurse.
3. A Pharmacist.
4. A representative from one of the Collier County Independent or Municipal Fire
Control Districts.
5. A representative from Collier County Emergency Medical Services.
To the extent possible, candidates for the Emergency Room Physician, Emergency Room
Nurse, and Pharmacist positions shall be recommended by the Collier County Medical Society,
its successor, or a substantially similar local or regional organization, and candidates for the Fire
Control position shall be recommended by the Collier County Fire Chiefs' Association, its
successor, or a substantially similar local or regional organization. Advisory Board members
shall be sought in accordance with the provision of Collier County Ordinance 01 -55, as
amended, or by its successor ordinance.
Members of the Advisory Board shall be appointed and serve at the pleasure of the Board
of County Commissioners. Members shall meet the qualifications for membership and
requirements as outlined in Ordinance No. 01 -55, as amended, or by its successor ordinance.
Appointment of members to the Advisory Board shall be by resolution of the Board of County
Commissioners, which resolution shall set forth the date of appointment. Appointments to fill
any vacancies on the Advisory Board shall be for the remainder of the unexpired term.
Page 3 of 5
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12/13/2011 Item 9.N.
In order to stagger the terms of the Advisory Board, two of the initial terms shall be for
two years, with the remaining three Board members appointed for an initial term of four years.
Thereafter, terms for all Advisory Board members shall be four years.
Section Four. 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 Five. Officers; Quorum; Rules of Procedure.
At its earliest opportunity, the membership of the Advisory Board shall elect a chairman
and vice chairman from among the members. Officers shall serve for a one year term with
eligibility for reelection.
The presence of three or more members shall constitute a quorum of the Advisory Board
necessary to take action and transact business.
The Advisory Board shall, by majority vote of the entire membership, adopt by -laws for
the scope and transaction of business to be approved by the Board of County Commissioners.
The Advisory Board shall keep a written record of meetings, resolutions, findings and
determinations. Copies of all Advisory Board minutes, resolutions, reports and exhibits shall be
submitted to the Board of County Commissioners.
Section Six. Sunset of Emergency Medical Services Advisory Council
The Emergency Medical Services Advisory Council shall discontinue meeting
immediately following the first meeting of the Collier County Emergency Medical Services
Policy Advisory Board. Ordinance 1980 -80, as amended, which created the Emergency Medical
Services Advisory Council, shall be repealed and of no further force or effect as of March 1,
2009.
Page 4of5
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12/13/2011 Item SIX
Section Seven: 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 Eight: 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 Nine: 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 %3*,,day of January, 2009.
AT$T:
D�1GHT E. BRd�K, CLERK
:.13.
erk
Approved as to form
BOARD OF COUNTY COMMISSIONERS
COLLIER COUNTY, FLORIDA
By:
DO FIALA, CHAIRMAN
Page 5 of 5
- Packet Page -627-
This ordirfonce filed with the.
Secretary of State's Office the
-t`doy of --6n _, 20M
end acknowledgement f that
filing received tf'�is �-� day
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12/13/2011 Item 9.N.
STATE OF FLORIDA)
COUNTY OF COLLIER)
I, DWIGHT E. BROCK, Clerk of Courts in and for the
Twentieth Judicial Circuit, Collier County, Florida, do
hereby certify that the foregoing is a true and correct
copy of:
ORDINANCE 2009 -01
Which was adopted by the Board of County Commissioners
on the 13th.day of January, 2009, during Regular Session.
WITNESS my hand and the official seal of the Board of
County Commissioners of Collier County, Florida, this 16th
day of January, 2009.
DWIGHT E. BROCK
Clerk of Courts and Clerk
Ex- officio to Board b£ :. `
County Commissioggrq ,...
By: Martha VexgAVia;. a
Deputy Cleric...
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12/13/2011 Item 9.N.
1 l ORDINANCE NO. 2009 - 11
t�
AN ORDINANCE OF THE BOARD OF COUNTY
COMMISSIONERS OF COLLIER COUNTY, FLORIDA,
AMENDING ORDINANCE NO. 2009 -01, WHICH
CREATED THE COLLIER COUNTY EMERGENCY
MEDICAL SERVICES POLICY ADVISORY BOARD,
BY AMENDING SECTION THREE, "APPOINTMENT
AND COMPOSITION; TERMS OF OFFICE;
ATTENDANCE AND FILLING VACANCIES," TO
CLARIFY CERTAIN QUALIFICATIONS FOR
APPOINTMENT AND TO PROVIDE FOR WAIVER OR
MODIFICATION OF THE STATED QUALIFICATIONS
WHEN DEEMED NECESSARY TO APPOINT THE
BEST QUALIFIED CANDIDATES; PROVIDING FOR
INCLUSION IN CODE OF LAWS AND ORDINANCES;
PROVIDING FOR CONFLICT AND SEVERABILITY;
AND PROVIDING FOR AN EFFECTIVE DATE.
WHEREAS, on January 13, 2009, the Board of County Commissioners adopted
Ordinance No. 2009 -01, creating the Collier County Emergency Medical Services Policy
Advisory Board; and
WHEREAS, the Board of County Commissioners desires to amend Section Three of
Ordinance No. 2009 -01 entitled "Appointment and Composition; Terms of Office;
Attendance and Filling Vacancies" in order to clarify certain qualifications for appointment
and to provide for waiver or modification of the stated qualifications when deemed necessary
to obtain the best qualified candidates for appointment.
NOW, THEREFORE, BE IT ORDAINED BY THE BOARD OF COUNTY
COMMISSIONERS OF COLLIER COUNTY, FLORIDA that:
SECTION ONE: AMENDMENT TO SECTION THREE OF COLLIER COUNTY
ORDINANCE NO. 2009-01.
_
Section Three is hereby amended to read as follows:
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12/13/2011 Item 9.N.
SECTION THREE: Appointment and Composition; Terms of Office; Attendance and
Filling Vacancies.
The Advisory Board shall be composed of five members as follows:
1. An Physician, with preference for an Emergency Room Physician.
2. An Emergency Room Nurse.
3. A Pharmacist.
4. A representative from one of the Collier County Independent or Municipal Fire
Control Districts.
5. A representative from Collier County Emergency Medical Services.
To the extent possible, candidates for the Emergency Room Physician, Emergency
Room Nurse, and Pharmacist positions shall be recommended by the Collier County Medical
Society, its successor, or a substantially similar local or regional organization, and candidates
for the Fire Control position shall be recommended by the Collier County Fire Chiefs'
Association, its successor, or a substantially similar local or regional organization. Advisory
Board members shall be sought in accordance with the provision of Collier County
Ordinance 01 -55, as amended, or by its successor ordinance.
Members of the Advisory Board shall be appointed and serve at the pleasure of the
Board of County Commissioners. Members shall meet the qualifications for membership
and requirements as outlined in Ordinance No. 01 -55, as amended, or by its successor
ordinance. Appointment of members to the Advisory Board shall be by resolution of the
Board of County Commissioners, which resolution shall set forth the date of appointment.
Appointments to fill any vacancies on the Advisory Board shall be for the remainder of the
unexpired term.
Words Underlined are added; Words 81mek Tk-esgk are deleted.
Paec 2 of 4
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12/13/2011 Item 9.N.
In order to stagger the terms of the Advisory Board, two of the initial terms shall be
for two years, with the remaining three Board members appointed for an initial term of four
years. Thereafter, terms for all Advisory Board members shall be four years.
It is the intent of the Board of County Commissioners that the best candidates for this
Advisory Board be appointed. Accordinely the Board of County Commissioners shall have
the power to waive or modify any stated qualification for membership on this Advisory
Board. included but not limited to County residency.
SECTION TWO: 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 THREE: 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 FOUR: EFFECTIVE DATE.
This Ordinance shall become effective upon filing with the Florida Department of
State.
Words Underlined are added; Words &Lmek-Thyeugh are deleted.
Page 3 of 4
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12/13/2011 Item 9.N.
PASSED AND DULY ADOPTED by the Board of County Commissioners of Collier
County, Florida, this 1gWay of March, 2004.
ATTEST.— ., ; �.. .
DWIGHti BROC�I „CLERK
••n
B C.
d�
Approved as to form
BOARD OF COUNTY COMMISSIONERS
COLLIER COUNTY, FLORIDA
By: /9. C/ —
DO ,
This ordinance filed with the
Sel oof tote's fficeetti6;
11L day 0 1
and acknowledge that
filin ec 'ved is day
o ,
B
Words Underlined are added; Words Stark ThFOUS are deleted.
Page 4 of 4
- Packet Page - 632 - - -• __.__ _ - -... .
12/13/2011 Item 9.N.
STATE OF FLORIDA)
COUNTY OF COLLIER)
I, DWIGHT E. BROCK, Clerk of Courts in and for the
Twentieth Judicial Circuit, Collier County, Florida, do
hereby certify that the foregoing is a true and correct
copy of:
ORDINANCE 2009 -11
Which was adopted by the Board of County Commissioners
on the 10th day of March, 2009, during Regular Session,
1--IN, WITNESS my hand and the official seal of the Board of
County Commissioners of Collier County, Florida, this 12th
day of March, 2009.
DWIGHT E. BROCK ,
Clerk of Courts and Clerk
Ex- officio to Board of
County Commissioners"
By: Ann Jennejohn,
Deputy Clerk
�- Packet Page -633-
12/13/2011 Item 9.N.
Emergency Medical Services Policy Advisory Board
Name Work Phone
Home Phone
Appt'd Exp. Date Term
DateRe -appt 2ndExpDate 2nd Term
Ms. Rosemary LeBailly
7/27/10 09/25/11 1+ years
5131 Tamarind Ridge Drive 353 -0842
Naples, FL 34119
E Mail: m_roe @hotmail.com
District: 3
Category: Emergency Room RN
Dr. James V. Talano 261 -2000
02/10/09 09/25/13
3430 Anguilla Way 596 -5443
Naples, FL 34119
E -Mail. jvtalano @comcast.net
District. 3
Category: Emergency Room Physician
Mr. Jerome J. Pinto
7/27/10 9/25/11 1+ Years
7567 Novara Court 793 -1542
Naples, FL 34114
E Mail. jjprx @aol.com
District: 5
Category: Pharmacist
Mr. Walter Kopka 593 -2760
02/10/09 09/25/13
2705 Horseshoe Drive, S. 253 -8596
Naples, FL 34104
E-Mail: walterkopka @colliergov.net
District: 2
Category: EMS - Battalion Chief
Chief Robert Metzger 348 -7540
02/10/09 09/25/13
8970 Shenendoah Circle 253 -2134
Naples, FL 34113
E -Mail. bobmetzger @ggfire.com
District: 1
Category: Fire Control District Representative
Monday, December 05, 2011 page I of 2
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12/13/2011 Item 9.N.
Emergency Medical Services Policy Advisory Board
Name Work Phone Appt'd Exp. Date Term
Home Phone DateRe -appt 2ndExpDate 2nd Term
The Emergency Medical Services Policy Advisory Board was created on January 13, 2009 by
Ordinance 2009 -01. This 5 member board will review and advise the Board of County
Commissioners on all issues concerning pre - hospital emergency medical services within Collier
County; hear all disputes arising out of the ALS Engine Interlocal Agreements between Collier
County and the various fire districts; work to improve and enhance pre - hospital emergency
medical care; and make recommendations on all changes to established protocol and practices
recommended by the Medical Director's Quality Assurance Committee. The board is composed
of an Emergency Room Physician, an Emergency Room Nurse, a Pharmacist, a representative
from the Fire Control District, and a representative from EMS. Terms are 4 years.
FL STAT.•
&ajj: Walter Kopka, Assistant Chief. 252 -3740
Monday, December 05, 2011 Page 2 of2
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