Agenda 02/08/2022 Item #16F 1 (COPCN Class 2 w/Just Like Family Consierge Medical Transport Services d/b/a Brewster Ambulance Service)02/08/2022
EXECUTIVE SUMMARY
Recommendation to renew a Certificate of Public Convenience and Necessity for a Class 2 ALS
non -emergency inter -facility ambulance transports to Just Like Family Concierge Medical
Transport Services (D.B.A. Brewster Ambulance Service) to allow post -hospital inter -facility
medical ambulance transfer services.
OBJECTIVE: To proceed in the best interest of the public health, safety and welfare by
renewing a Certificate of Public Convenience and Necessity (COPCN), Class 2 Advanced Life Support
(ALS) inter -facility ambulance transport certificate(s) to Just Like Family Concierge Medical Transport
Services (D.B.A. Brewster Ambulance Service). These certificates are subject to certain conditions noted
below.
CONSIDERATIONS: Just Like Family Concierge Medical Transport Services (D.B.A. Brewster
Ambulance Service) was originally granted a Certificate of Public Convenience and Necessity on March
8, 2018, by the Board. The certificate requires annual renewal, and the current COPCN expires on March
7, 2022. The renewal application was brought before the Emergency Medical Authority on December 8,
2021, and unanimously recommended to the Board that the Certificate be renewed. Staff has deemed the
application complete and recommends that the COPCN be renewed for one year.
Section 50-60 of the Code of Laws and Ordinances provides:
Each certificate holder shall file within 90 days of expiration applications for renewal of his
certificate. Renewals shall be based upon the same standards as the granting of the original
certificate along with such other factors as may be relevant. The renewal application shall be
accompanied by a $250.00 renewal fee. The renewal certificate may be approved routinely by
the Board, upon advice of the administrator, or the Board may hold a hearing on the same.
These requirements have been met, and the administrator recommends renewal.
FISCAL IMPACT: There is no fiscal impact to the Board for the granting of this certificate. The
Board is requested to accept and recognize as revenue in Fund (001) the $250.00 application fee with the
corresponding application.
GROWTH MANAGEMENT IMPACT: There is no Growth Management Impact resulting from
this action.
LEGAL CONSIDERATIONS: A hearing is not required for renewal. If a hearing is held, the Board
must find that the standards set forth in Section 50-57 of the Code of Laws and Ordinances have been
satisfied based on competent evidence as follows:
(1) 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:
a. The extent to which the proposed service is needed to improve the overall emergency
medical services (EMS) capabilities of the County.
b. The effect of the proposed service on existing services with respect to quality of service
and cost of service.
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02/08/2022
C. The effect of the proposed service on the overall cost of EMS service in the county.
d. The effect of the proposed service on existing hospitals and other health care facilities.
e. The effect of the proposed service on personnel of existing services and the availability of
sufficient qualified personnel in the local area to adequately staff all existing services.
(2) That the applicant has sufficient knowledge and experience to properly operate the proposed
service.
(3) That, if applicable, there is an adequate revenue base for the proposed service.
(4) That the proposed service will have sufficient personnel and equipment to adequately cover the
proposed service area.
Additionally, then Board has the option to appoint a hearing office as provided by Section 50-58 of the
Collier County Code of Laws and Ordinances.
Sec. 50-58. - Appointment of hearing officer.
In making the determinations provided for in section 50-57 above, the Board may, in its sole
discretion, appoint a hearing officer to hold a public hearing and to make factual findings and
conclusions as a result of the hearing. Should a Hearing Officer be appointed, said hearing officer
shall render a written report to the Board within 30 days of the hearing, which report shall contain
the officer's findings and conclusions of fact, and a recommended order. The findings and
conclusions of fact shall be binding upon the Board, but the recommended order shall be advisory
only.
Accordingly, this item is approved for form and legality and requires a majority vote for Board action.
JAB
RECOMMENDATION: That the Board of County Commissioners:
1) Accepts the Director of the Bureau of Emergency Services' findings;
2) Approve and authorize the Chairman to execute a Class 2 Certificate of Public Convenience and
Necessity to Just Like Family Concierge Medical Transport Services (D.B.A. Brewster
Ambulance Service) for one year.
PREPARED BY: Dan E. Summers, Director, Bureau of Emergency Services
ATTACHMENT(S)
1. Collier COPCN 2021-2022 Renewal Application Updated (PDF)
2. restamped 2022 Permit Brewster (PDF)
3. Brewster Certificate stamped CAO 2022 (PDF)
4. VIN List (PDF)
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16.F.1
02/08/2022
COLLIER COUNTY
Board of County Commissioners
Item Number: 16.F.1
Doe ID: 21046
Item Summary: Recommendation to renew a Certificate of Public Convenience and Necessity for
a Class 2 ALS non -emergency inter -facility ambulance transports to Just Like Family Concierge Medical
Transport Services (D.B.A. Brewster Ambulance Service) to allow post -hospital inter -facility medical
ambulance transfer services.
Meeting Date: 02/08/2022
Prepared by:
Title: Executive Secretary — Emergency Management
Name: Kathy Heinrichsberg
01/12/2022 12:29 PM
Submitted by:
Title: Division Director - Bureau of Emer Svc — Emergency Management
Name: Daniel Summers
01/12/2022 12:29 PM
Approved By:
Review:
Emergency Management
Agenda Clerk Preview
County Attorney's Office
Office of Management and Budget
County Attorney's Office
Office of Management and Budget
County Manager's Office
Board of County Commissioners
Daniel Summers
Director Review
Michael Cox
Agenda Item Preview
Jennifer Belpedio
Level 2 Attorney of Record Review
Debra Windsor
Level 3 OMB Gatekeeper Review
Jeffrey A. Klatzkow Level 3 County Attorney's Office Review
Laura Wells
Additional Reviewer
Geoffrey Willig
Level 4 County Manager Review
Geoffrey Willig
Meeting Pending
Completed 01/12/2022 12:39 PM
Completed 01/13/2022 4:44 PM
Completed 01/18/2022 3:23 PM
Completed 01/18/2022 3:30 PM
Completed 01/18/2022 3:51 PM
Completed 01/18/2022 4:09 PM
Completed 01/31/2022 11:15 AM
02/08/2022 9:00 AM
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16.F.1.a
XREWSTER
AMBULANCE SERVICE
Collier County 2021-2022 Renewal Application for our
CLASS "2" TRANSPORT COPCN
Just Like Family Concierge Medical Transport Services LLC.
DBA: Brewster Ambulance Service
Contact: Yohandy Machin
1061 Collier Center Way
Naples, FL 34110
239-682-8907
November 3rd, 2021
The enclosed information is the complete 2021-2022 renewal application for a Certificate of Public
Convenience and Necessity for Collier County, Florida.
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16.F.1.a
Brewster Ambulance Service — Collier County 21-22 COPCN Renewal Application
An applicant for a certificate shall obtain form from the department to be completed and
returned to the division administrator. Each application shall contain:
1. The name age and address of the owner of the ambulance or ALS provider,
or if the owner is a corporation, then of the directors of the corporation and
all of the stockholders holding more than 25 percent of the outstanding
shares. For governmental units, this information shall be supplied for
members of the governing body.
Service Owners/ Directors
Paul Hobaica MD, 54 — 1061 Collier Center Way Suite #1 42.0%
Brewster Ambulance - 25 Main Street, Weymouth MA 35.0%
Jeffery Panozzo MD, 60 — 1061 Collier Center Way Suite #1 13.0%
Chris Dibona, 46 — 1061 Collier Center Way Suite #1 5.0%
Yohandy Machin, 30 — 1061 Collier Center Way Suite #1 5.0%
Mark Brewster, 44 — 1061 Collier Center Way Suite #1 0.0%
2. The Boundaries of the area to be served.
All area contained within Collier County, Florida boarders.
3. The number and a brief description of the ambulances or other vehicles the
applicant will have available.
Brewster Ambulance Service currently has (12) licensed ambulances in its
Florida division.
Brewster Ambulance Service uses the most current technology for staffing units. N
We staff ambulances to meet the anticipated needs of our service area by using N
FirstWatch Solutions. FirstWatch turns raw data into meaningful information, N
helping us improve situational awareness, operational performance and clinical z
patient outcomes. Our system does this by securely capturing, translating and a
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transmitting information about our callers, patients and systems via FirstWatch
triggers all in real-time. A FirstWatch "trigger" is a representation of data based
on a set of user -defined data filter criteria using one or more FirstWatch
analytical methods. Triggers draw data from one or more data sources, like CAD,
ProQA, RMS and ePCR. Typically, data is consumed as events; each event is
uniquely identified and has a date time stamp. Each event can also be
supplemented with additional information, such as location and comments. This
information is then used to calculate need and location of available ambulances a
like never done before.
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16.F.1.a
Brewster Ambulance Service — Collier County 21-22 COPCN Renewal Application
Continued...
Tracking of vehicles is accomplished with FleetLocate by Spireon, we are able to
track (in real time) our vehicles exact location and provide more accurate arrival
times to our customers, thus improving the patient flow at the local hospitals.
4. The address of the intended headquarters and any substations.
Brewster Ambulance Service Naples Substation location is:
3200 Bailey Lane, Suite 198 Naples FL 34105
Our Lee County Location is:
11820 Lacy Lane, Fort Myers FL 33966
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16.F.1.a
Brewster Ambulance Service — Collier County 21-22 COPCN Renewal Application
5. The training and experience of the applicant.
The management team at Brewster Ambulance Service collectively has over 300 years
of experience in the EMS industry with varied experience in Field training, education,
management, air medical and critical care transport. With over a century in the
ambulance industry, we can provide the expert leadership needed to run a respectable,
high quality service.
Our Quality Assurance Department is staffed by 10 full-time Paramedics. All QA staff
have a minimum of 10 years with a Paramedic certification. Our QA staff reviews patient
care reports for quality assurance and adherence to our medical protocols and
standards of care. Brewster Ambulance Service is committed to maintaining compliance
with all federal, state and local laws and regulations. We are compliant with Florida
Statute 401 and Florida Administrative Code 64J in accordance with standards set forth
by the Bureau of EMS and Department of Health. Our state license is valid through May
15, 2022
Brewster Ambulance Service accepts all insurance providers. All billing and collections
are done in house with our team of close to 60, to ensure patient confidentiality and a
payment plan for all patients with financial difficulty.
All BAS field employees maintain their credentials in a proactive manner as well as
pursue continuing education tracks so they achieve individual career and certification
objectives. During orientation and throughout the year, all employees are required to
take a course or refresher course in infection control, airborne pathogens, blood -borne
pathogens, HIPAA, injury prevention, and emergency vehicle operations. EMTs and
Paramedics are responsible for maintaining their own credentials and certifications.
Brewster Ambulance Service sponsors continuing education support in order for
employees to maintain their certifications thru CMTI which is an accredited EMS
education provider.
The required 16-hour Emergency Vehicles Operators Course is handled by our in house
EVOC Instructor. We uses a combination of classroom and practical driving to train staff
on the proper driving techniques to safely drive an emergency vehicle in the state of o
Florida. All staff is required to renew this certification every two years by completing an
online update course.
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16.F.1.a
Brewster Ambulance Service — Collier County 21-22 COPCN Renewal Application
6. The name and addresses of three Collier County residents who will act as
references for the applicant.
Michael V. Reagen — Former president and CEO of the Greater Naples Chamber of
Commerce
10391 Regent Circle
Naples, Florida 34109
Nicole Bishop-Tregea BSN, RN — NCH Nursing Director
13523 Pond Apple Drive E
Naples, FL 34119
Jim S. Bloom — CCSO Undersheriff
3319 Tamiami Trail East
Naples, FL 34112
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16.F.1.a
Brewster Ambulance Service — Collier County 21-22 COPCN Renewal Application
7. Schedule of rates, which the service intends to charge.
Code
Service Description
Rate
A0428
BLS Non- Emergency
$395.00
A0429
BLS Emergency
$425.00
A0426
ALS Non- Emergency
$395.00
A0427
ALS Emergency Level 1
$500.00
A0433
ALS Level 2
$725.00
A0434
SCT
$900.00
A0425
Mileage (PLM)
$10.00
A0999
Oxygen
$45.00
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16.F.1.a
Brewster Ambulance Service — Collier County 21-22 COPCN Renewal Application
8. Such other pertinent information as the administrator may require.
At this time, we are unaware of any other mandatory information required by the
administrator for this application. We have included copies of all pertinent
information.
9. An application or renewal fee of $250.00 (Exception Collier County EMS).
Enclosed check
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10. Financial data including assets and liabilities of the operator. A schedule of
all debts encumbering any equipment shall be included.
Attached a
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COLLIER COUNTY FLORIDA
Class "2" COPCN
ALS Transfer Services
Effective Date: March 7, 2022
Expiration Date: March 7, 2023
Name of Service: Just Like Family Concierge Medical Transport Services LLC
D.B.A. Brewster Ambulance Service
Name of Owner: Paul H o b a i e a
Brewster Ambulance
Jeffery Panozzo
Chris Dibona
Yohandy Machin
Mark Brewster
Principle Address of Service
1061 Collier Center Way
Suite 1
Naples, FL 34110
Business Telephone: (239) 682-8907
Description of Service: Inter -facility for Collier County
Number of Ambulances: (12) Twelve (As referenced in the application)
This permit, as provided by Ordinance No. 2004-12, as amended, shall allow the above
named Ambulance Service to operate intra-facility, inter -facility and out of county
transports for a fee or charge for the following area(s): Collier County for the term set
forth herein, except that this permit may be revoked by the Board of County
Commissioners of Collier County at any time the service named herein shall fail to
comply with any local, state or federal laws or regulation application to the provisions of
Emergency Medical Services.
Issued and approved this day of
ATTEST: CLERK
CRYSTAL K. KINLEL
Deputy Clerk
Approved as to form and legality:
Jennifer A. Belpedio a '
Assistant County Attorney
2022
BOARD OF COUNTY COMMISSIONERS
COLLIER COUNTY, FLORIDA
Chairman
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16.F.1.d
AMBULANCE
MAKE
MODEL
YEAR VIN
A2
Mercedes
Sprinter 2500
2015 WD3PE7CD8FP118959
A3
Mercedes
Sprinter 2500
2015 WD3PE7CD89FP121112
A4
Ford
Transit 150
2017 1FDYR2CMlHKA15492
A5
Ford
Transit 150
2018 1FDYR2CMXJKA87880
A6
Ford
Transit 150
2018 1FDYR2CM2JKA81006
A7
Ford
Transit 150
2019 1FDYR2XM2KKA63049
A8
Ford
Transit 250
2019 lfdbw2xm7kka63062
A9
Ford
Transit 150
2019 1FDYR2XM6KKA21192
A10
Ford
Transit 150
2018 1FDBW2XMOHKB22414
All
Ford
Transit 150
2018 1FDBW2XM3HkB23132
Al2
Ford
E350
2015 1FDWE3FS2FDA16137
A13
Ford
E350
2015 lfdwe3fs7fda29045
Packet Pg. 655