EMA Agenda 01/12/2022COLLIER COUNTY
EMERGENCY MEDICAL AUTHORITY (EMA)
AGENDA
January 12, 2022—Wednesday
9:30am
3299 Tamiami Trail, Bldg F 511 Floor IT Training Room
1. CALL TO ORDER AND PLEDGE OF ALLEGIANCE
2. AGENDA AND MINUTES
a. Approval of Today's Agenda
b. Approval of the December 8, 2021 Meeting Minutes
3. OLD BUSINESS
a. Performance Measures Update
4. NEW BUSINESS
a. North Collier Fire COPCN Renewal
5. FIRE SERVICE DISCUSSION
6. STAFF REPORTS
7. PUBLIC COMMENT
8. BOARD MEMBER DISCUSSION
9. NEXT MEETING DATE
a. February 9, 2022
10. ADJOURNMENT
COLLIER COUNTY FIRE & EMS CHIEFS' ASSOCIATION, INC.
MONTHLY MEETING
Naples, Florida 34119
Name
Agency
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Total Transported
550
045 Minutes
418
76.00%
16-30 Minutes
91
PR -CB - December 2021
31460 Minutes
36
6.55%
61-90 Minutes
0.73%
91-120 Minutes
PR -CO - December 2021.
61-90
Minutes,
4,
1%
91-120
Minutes,
3,
17
'� ,
16-30
Minutes,
91,
16%
Total number of patients transported
Average Offload Time for the Month in minutes
550
13.71
0.55%
Greater than 120 Minutes
Ci7
0.00%
Number of patients arrived at destination
45
35
30
25
15
EMS Arrived - PR -CB December 2021
44
42
14
26
24
27
30
24
10
10 g 9
7 6
5
0
0 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23
Time of day
Total Transported
672
0-15 Minutes
549
81.70%
16-30 Minutes
89
13.24%
Total number of patients transported
Average Offload Time for the Month in minutes
PR -PR December 2021
31-60 Minutes
27
4.02%
61-90 Minutes
5
0.74%
91-120 Minutes
PR -PR December 2021
672
12.1
Greater than 120 Minutes
Number of patients arrived at destination
EMS Arrived - PR -PR December 2021
50 -
47
45 - - - - - - _ .. ----- - --- ---- _ -- - ._.. --------- - ---- ---_ -__-
40
40 38 37 38 38 39
36 36
35
32
30
30 ---- -----
28
26
24 -- --- ---- --- ------------ - - - -_ 25 25
25 22 -- -
20
20 — =
15 13 ----- - __ _
12 12 12
10 ' - ' g - — -- - —
5
0 -
0 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23
Time of day
Total Transported
101
045 Minutes
75
74.26%
16-30 Minutes
15
14.85%
NCH -NE - December 2021
31-60 Minutes
7
6.93%
61-90 Minutes
91-120 Minutes
0
0.00%
NCH -NE = December 202jL
61-90
Minutes,
4,
4%
31-60 Minutes,
7,
7%
16-30
Minutes,
15,
15%
Total number of patients transported
Average Offload Time for the Month in minutes
Greater than 120 Minutes
Number of patients arrived at destination
EMS Arrived - NCH -NE December 2021
8 8
8
7 7 7
7 _-
6 6
6 -- ---- -- _.
5 - - — 5 5 5
5 — — - — --- ------ ---
4. 4
4
3 3 3 3 3
_.
2 2 2 2
1
1
0
0 1 2 3 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23
Time of day
NCH-NN -December 2021
Total Transported 0-15 Minutes 16-30 Minutes 31-60 Minutes 61-90 Minutes
536 261 143 90 33
48.69% 26.68% 16.79% 6.16%
Total number of patients transported
Average Offload Time for the Month in minutes
91-120 Minutes
5
0.93%
NCH-NN -December 2021
536
24.03
Greater than 120 Minutes
4
0.75%
Number of patients arrived at destination
EMS Arrived - NCH-NN December 2021
40
40 39
37
36
35 33
32
30 29
28
27 27
25
25 23 23
21
20 19
16
15 13 14
12
10
10 8 9 9
6
5
0
0 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23
Time of day
NCH-DT -December 2021
Total Transported 0-15 Minutes 16-30 Minutes 31-60 Minutes 61-90 Minutes 91-120 Minutes
818 377 237 152 37 7
46.09% 28.97% 18.58% 4.52% 0.86%
31-60
Minutes,
152,
19%
Total number of patients transported
Average Offload Time for the Month in minutes
NCH-DT -December 202�
818
24.56
Greater than 120 Minutes
8
0.98%
Number of patients arrived at destination
EMS Arrived - (NCH-DT December 2021
70
69
62
60 58 57
54
51
50
46
43
40 40
40 37
32 31 31
30
23
21 20 20 20
20
14 15
13 12
10 9
0
0 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23
Time of day
5000
4500
4000
3500
3000
2500
2000
1500
1000
500
0
Responses (911 Calls)
® #REF! ■ FY20 M.FY22
Oct Nov Dec Jan Feb Mar Apr May June July Aug Sept
CCEMS Transports
Oct
Nov
Dec
Jan
Feb
Mar
Apr
May
June
July
Aug
Sept
Total
Change
%Diff
FY20
2444
2412
2596
3177
2970
2740
1910
2238
2212
2391
2141
2149
29380
FY21
2413
2472
2711
2827
2650
3050
2898
2647
2423
2528
2816
2536
31971
2591
8082%
FY22
2552
2745
2960
661
2.07%
3500
FY20 FY21 FY22
3000
2500
2000 - - -
1500
1000 - -
500
0 ------ ..
Oct Nov Dec Jan Feb Mar Apr May June July Aug Sept
Calls for Service
5000
4500 35.E 4407
434
4090 4099 4099
4000
3690 3674 3784
3473
3500 3420
3000 3121
3014 3056 2998 3131 3030
2500
2000
1500
!
1000
500
0
O� tiO titi ti� Q Off' O5 Off` O� OHO 01 O`b O� ,�O
1e '�� ,y�, O� Off, O'� O� Oh 00
'y'�1� 1� ��`� ����, ��' ,y4�' ,y� ,�Ri ,yob' ,y4i ,y�i ,yob' ,ycb' ,yC ,you' ,you' �C
,yO �O ,LO ,LO ,LO ,tiO ,LO ,tiO ,LO ,tiO ,LO �O
HII Resources (BLS Response) Travel Time- Time Enroute to Time Arrive on Scene
Zone Under 4 Under 5 Under 6 Under 7 Under 8 Under 9 Under 10 Under 11 Under 12 Over 12
69 851 91 95 97 98 99 99 99 1
2 49 701 86 96 98 98 99 99 99 1
20 29 56 75 88 93 97 98 99 99 1
?1 35 50 69 84 93 98 99 100 100 0
22 31 58 80 92 97 99 99 99 99 1
23 11 25 44 61 73 82 87 94 97 3
24 19 38 61 81 90 96 98 99 gg 1
4 14 27 46 64 77 86 93 95 96 4
40 27 50 71 87 95 98 99 100 100 0
42 21 33 53 68 82 90 94 98 99 1
43 12 27 45 66 82 90 95 98 98 2
4= 28 48 68 83 92 96 98 99 99 1
45 33 49 64 77 88 93 97 98 99 1
46 37 52 70 83 92 97 98 99 99 1
48 8 22 48 70 85 90 95 96 98 2
50 48 64 77 86 92 95 97 98 99 1
70 24 45 65 83 92 96 98 99 99 1
73 12 21 41 60 73 82 90 93 96 4
751 24 45 66 83 91 95 98 99 gg 1
76 19 39 63 77 87 94 97 98 99 1
90 19 29 43 55 71 83 95 100 100 0
10 20 31 45 59 73 82 91 94 97 3
30 41 66 82 92 95 97 97 98 99 1
31 12 25 44 61 74 87 92 94 96 4
32 9 28 36 54 70 79 90 91 93 7
60 18 23 30 32 38 44 51 54 57 43
71 7 17 30 431 56 67 74 79 85 15
Criteria - Within Date Range- 10/01/21-01/01/22
Emergency Calls Only. As defined and adopted from the consultant study.
Fastest Arriving Unit Only. Responses from other arriving units are not considered.
Must have an Enroute and Arrival Timestamp.
Interval is the difference of Enroute to Arrival times by the second.
Urban Under 4
90 19
19 j
75 24
12
70 24
8
48 8
347
45 33
8
43 12
21
40 2
14
24 19
11
22 31
35
20 29
9
1
0 10 20 30 40 50 60 70 80 90 100
Rural Under 6
71
60
32
31
30
10
0 10 20 30 40 50 60 70 80 90 100
E
All EMS Resources (GPS) Travel Time- Time Enroute to Time Arrive on Scene
Zone Under 4 Under 5 Under 6 Under 7 Under 8 Under 9 Under 10 Under 11 Under 12 Over 12
1 36 59 74 82 88 91 93 95 97 3
2 40 60 74 82 88 91 93 94 95 5
20 31 52 69 81 89 92 95 96 96 4
21 36 51 69 82 89 92 94 95 96 4
22 23 48 71 84 91 94 95 95 95 5
23 24 37 54 67 81 87 93 96 98 2
24 16 32 52 71 82 89 92 95 95 5
25 20 37 52 68 80 88 92 95 96 4
40 19 39 60 74 84 90 93 94 95 5
42 15 26 44 61 72 80 84 gg 91 g
43 8 22 40 57 70 80 85 89 91 9
44 25 41 57 71 82 88 91 93 94 6
45 14 23 37 56 75 86 91 93 94 6
46 28 43 61 73 83 89 92 94 94 6
48 9 24 46 63 75 81 87 90 93 7
50 44 60 71 79 84 87 89 90 91 9
70 28 47 64 74 83 89 92 94 95 5
73 19 36 63 77 86 91 95 96 97 3
75 20 38 59 73 84 91 93 95 95 5
76 23 39 56 72 82 89 93 94 96 4
21 30 38 47 57 67 78 83 85 15
10 16 26 37 44 55 63 72 80 85 15
23 4 8 18 31 42 56 70 81 86 14
25 25 31 39 53 64 75 82 88 89 11
30 32 52 66 75 83 87 91 92 93 7
31 29 47 60 71 79 84 87 89 91 9
32 10 20 31 38 45 53 63 70 75 25
60 26 33 37 42 46 52 54 59 62 38
70 18 30 50 65 78 83 87 89 91 9
71 16 26 35 46 56 63 69 75 81 19
73 6 18 38 53 65 80 88 93 971 3
Criteria - Within Date Range- 10/01/21-01/01/22
Emergency Calls Only. As defined and adopted from the consultant study.
Fastest Arriving Unit Only. Responses from other arriving units are not considered.
Must have an Enroute and Arrival Timestamp.
Interval is the difference of Enroute to Arrival times by the second.
Urban Under 8
90 57
76 82
75 84
73 86
70 83
50 84
48 75
46 M83
45 75
44 82
43 070
42 M72
40 84
25 80
24 82
23 81
22 91
21 89
20 89
2 88
1 88
0 10 20
30
50
70
i11
ral Under 12
70
60 62
32 �75
30 93
0 10 20 30 40 50 60 70 80 90 100
All ALS Resources (GPS) Travel Time- Time Enroute to Time Arrive on Scene
Zone Under 4 Under 5 Under 6 Under 7 Under 8 Under 9 Under 10 Under 11 Under 12 Over 12
1 48 68 80 86 91 94 95 95 96 4
2 34 51 69 86 92 96 97 98 99 1
20 21 44 64 80 90 95 97 98 98 2
21 32 44 61 78 88 94 96 97 98 2
22 29 54 77 90 95 97 98 99 99 1
23 15 35 59 77 86 92 96 99 99 1
24 17 35 57 78 86 93 96 97 98 2
25 9 22 41 65 80 89 94 96 97 3
40 26 49 69 85 94 97 98 99 100 0
42 21 34 52 67 81 90 94 gg gg 1
43 12 27 45 65 82 90 95 97 98 2
44 27 47 67 81 91 95 97 99 99 1
45 33 47 63 75 87 93 97 98 99 1
46 38 52 69 82 91 97 98 99 99 1
48 8 21 47 69 84 89 95 96 98 2
50 43 59 72 83 88 92 94 97 98 2
70 19 36 55 72 83 91 95 96 97 3
73 13 23 45 63 77 85 88 91 93 8
75 19 38 56 70 80 88 93 97 98 2
76 18 36 58 70 78 89 92 97 98 2
19 29 43 55 71 83 95 100 100 0
10 11 17 29 38 49 61 72 80 85 15
23 3 6 17 30 48 65 73 87 95 5
25 7 15 26 43 60 72 84 88 91 9
30 30 51 68 77 84 88 90 92 95 5
31 11 24 38 52 67 80 87 91 93 7
32 6 19 32 44 55 61 69 71 77 23
60 17 23 28 32 36 43 48 52 55 45
70ff 8 19 37 50 71 87 89 90 92 8
71 8 15 26 39 49 62 70 77 83 17
73 7 12 351 56 67 771891 931 98 2
Criteria - Within Date Range- 10/01/21 - 01/01/22
Emergency Calls Only. As defined and adopted from the consultant study.
Fastest Arriving Unit Only. Responses from other arriving units are not considered.
Must have an Enroute and Arrival Timestamp.
Interval is the difference of Enroute to Arrival times by the second.
Urban Under 6
90 71
76 78
75 80
73 1 77
70 83
50 188
48 84
46 91
45 87
44 91
43 82
42 81
40 94
25 80
24 86
23 86
22 95
21 188
20 90
2 92
1 91
SMOM
0 10 20
Cif]
50
rL
;
71
70
60
32
31
30
0 10 20 30
40
50
60
70
77
80 90
�92
All ALS Resources Travel Time- Time Enroute to Time Arrive on Scene
Zone Under 4 Under 5 Under 6 Under 7 Under 8 Under 9 Under 10 Under 11 Under 12 Over 12
1 48 68 80 86 91 94 95 95 96 4
2 34 51 69 86 92 96 97 98 99 1
20 21 44 64 80 90 95 97 98 gg 2
21 32 44 61 78 88 94 96 97 98 2
22 29 54 77 90 95 97 98 99 99 1
23 10 24 44 60 72 82 87 94 97 3
24 17 35 57 78 86 93 96 97 98 2
25 9 20 36 58 74 84 91 94 95 5
40 26 49 69 85 94 97 98 99 100 0
42 21 34 52 67 81 90 94 98 99 1
43 12 27 45 65 82 90 95 97 98 2
44 27 47 67 81 91 95 97 99 99 1
45 33 47 63 75 87 93 97 98 99 1
46 38 52 69 82 91 97 98 99 99 1
48 8 21 47 69 84 89 95 96 98 2
50 43 59 72 83 88 92 94 97 98 2
70 18 34 54 70 82 90 94 95 97 3
73 10 18 40 60 72 81 88 92 95 5
75 19 38 56 70 80 88 93 97 gg 2
76 17 34 57 69 78 88 92 96 97 3
90 19 29 43 55 71 83 95 100 100 0
10 11 17 29 38 49 61 72 80 85 15
30 30 51 68 77 84 88 90 92 95 5
31 11 24 38 52 67 80 87 91 93 7
32 6 19 32 44 55 61 69 71 77 23
60 17 23 28 32 36 43 48 52 55 45
71 8 15 26 391 491 62 70 77 83 17
Criteria - Within Date Range- 10/01/21-01/01/22
Emergency Calls Only. As defined and adopted from the consultant study.
Fastest Arriving Unit Only. Responses from other arriving units are not considered.
Must have an Enroute and Arrival Timestamp.
Interval is the difference of Enroute to Arrival times by the second.
Urban Under 8
90 71
76 8
75 80
73 72
70 82
50 8
48 84
46 91
45 8
44 91
43 1 1 1 1
82
42 81
40 94
25 74
24 86
23 72
22 95
21 8
20 90
20 92
1n of
0 10 20 30 40 50 60 70 80 90 100
Rural Under 12
71 83
60 55
32 1 7
31 1 93 ■ Rural Under 12
30 95
10 85
.0 10 20 30 40 50 60 70 80 90 100
Patie
12-1-2020 - 12-31-2020
Agency Assist 6
Canceled (Prior to Arrival At Scene) 372
Canceled on Scene (No Patient Contact) 213
Dead at Scene 37
Hospital Transport (Non-ED) 1
Interfacility (From ER) 6
No Patient Found 144
Refused All (Evaluation, Treatment, and Transport) 84
Refused Transport (Patient Evaluated/Treated) 488
Standby Only (No Patient Contact) 18
Telehealth Patient Treated, Released with Referral 0
Transported by Another Unit from the Scene 11
Transported to LZ or Other (Care Transferred) 22
Treated and Transported by this EMS Unit 2769
Unit Assist (BC/Supervisor/QRP) 20
Grand Total 4191
nt Disposition
12-1-2021 - 12-31-2021 Difference
Agency Assist 2 -4-66.67%
Canceled (Prior to Arrival At Scene) 415 43 11.56%
Canceled on Scene (No Patient Contact) 226 13 6.10%
Dead at Scene 25 -12-32.43%
Hospital Transport (Non-ED) 0 -1-100.00%
Interfacility (From ER) 16 10 166667%
No Patient Found 192 48 33.33%
Refused All (Evaluation, Treatment, and Transport) 89 5 5.95%
Refused Transport (Patient Evaluated/Treated) 608 120 24.59%
Standby Only (No Patient Contact) 17 -1 -5.56%
Telehealth Patient Treated, Released with Referral 0 0 0
Transported by Another Unit from the Scene 11 0 0.00%
Transported to LZ or Other (Care Transferred) 18 -4-18.18%
Treated and Transported by this EMS Unit 2963 194 7.01%
Unit Assist (BC/Supervisor/QRP) 22 2 10.00%
Grand Total 4604 413 9.85%
Primary Impression
12-1-2020 - 12-31-2020
Abdominal Pain/Acute Abdomen 143
Agency Assist 6
Alcohol Intoxication 85
Allergic Reaction 25
Altered Level of Consciousness/Non-Trauma 111
Back Pain (Non -Traumatic) 42
Blood Glucose - High 12
Blood Glucose - Low 33
Burns 0
Canceled (Prior to Arrival At Scene) 372
Canceled on Scene (No Patient Contact) 213
Cardiac Arrest (Cardiac Origin) 38
124-2021-
nt Disposition
12-1-2021 - 12-31-2021 Difference
Agency Assist 2 -4-66.67%
Canceled (Prior to Arrival At Scene) 415 43 11.56%
Canceled on Scene (No Patient Contact) 226 13 6.10%
Dead at Scene 25 -12-32.43%
Hospital Transport (Non-ED) 0 -1-100.00%
Interfacility (From ER) 16 10 166667%
No Patient Found 192 48 33.33%
Refused All (Evaluation, Treatment, and Transport) 89 5 5.95%
Refused Transport (Patient Evaluated/Treated) 608 120 24.59%
Standby Only (No Patient Contact) 17 -1 -5.56%
Telehealth Patient Treated, Released with Referral 0 0 0
Transported by Another Unit from the Scene 11 0 0.00%
Transported to LZ or Other (Care Transferred) 18 -4-18.18%
Treated and Transported by this EMS Unit 2963 194 7.01%
Unit Assist (BC/Supervisor/QRP) 22 2 10.00%
Grand Total 4604 413 9.85%
Primary Impression
12-1-2020 - 12-31-2020
Abdominal Pain/Acute Abdomen 143
Agency Assist 6
Alcohol Intoxication 85
Allergic Reaction 25
Altered Level of Consciousness/Non-Trauma 111
Back Pain (Non -Traumatic) 42
Blood Glucose - High 12
Blood Glucose - Low 33
Burns 0
Canceled (Prior to Arrival At Scene) 372
Canceled on Scene (No Patient Contact) 213
Cardiac Arrest (Cardiac Origin) 38
124-2021-
Primary Impression
12-1-2020 - 12-31-2020
Abdominal Pain/Acute Abdomen 143
Agency Assist 6
Alcohol Intoxication 85
Allergic Reaction 25
Altered Level of Consciousness/Non-Trauma 111
Back Pain (Non -Traumatic) 42
Blood Glucose - High 12
Blood Glucose - Low 33
Burns 0
Canceled (Prior to Arrival At Scene) 372
Canceled on Scene (No Patient Contact) 213
Cardiac Arrest (Cardiac Origin) 38
124-2021-
124-2021-
12-31-2021
Difference
Abdominal Pain/Acute Abdomen
180
37
25.87%
Agency Assist
2
-4
-66.67%
AlcoholIntoxication
90
5
5.88%
Allergic Reaction
21
-4
-16.00%
Altered Level of Consciousness/Non-Trauma
129
18
16.22%
Back Pain (Non -Traumatic)
68
26
61.90%
Blood Glucose - High
13
1
8.33%
Blood Glucose - Low
32
-1
-3.03%
Burns
3
3
0
Canceled (Prior to Arrival At
Scene)
415
43
11.56%
Canceled on Scene (No Patient
Contact)
226
13
6.10%
Cardiac Arrest (Cardiac Origin)
28
-10
-26.32%
Cardiac Arrest (Traumatic)
0
Cardiac Emergencies
196
Choking
17
Chronic/Terminal Illness
45
Dehydration
7
Drowning/Near Drowning
0
Electrocution
1
Environmental Emergencies
2
Excited Delirium
1
Hazmat Exposure (Toxic fumes or Liquid Exposure)
4
Headache
19
Hemorrhage - G.I. Bleed
26
Hemorrhage - Other Non -Trauma
30
Hemorrhage - Vaginal
5
Hypertension
39
Hypotension
27
Hypothermia
1
Near -Syncope / Weakness / Dizziness
296
No Apparent Illness/Injury, Adult
126
No Apparent Illness/Injury, Child
15
No Patient Found
144
OB Delivery
1
OB Emergencies
7
Obvious Death
30
Other Medical
134
Overdose- Alcohol
0
Overdose - Non-Opioid
15
Overdose - Opioid
34
Pain
250
Poisoning
0
Psychiatric/Behavioral
120
Public Assist Only
3
Pulmonary / Respiratory Emergency
179
Respiratory Arrest
2
Cardiac Arrest (Traumatic)
3
3
0
Cardiac Emergencies
176
-20
-10.20%
Choking
22
5
29.41%
Chronic/Terminal Illness
29
-16
-35.56%
Dehydration
13
6
85.71%
Drowning/Near Drowning
2
2
0
Electrocution
0
-1
-100200%
Environmental Emergencies
2
0
0.00%
Excited Delirium
1
0
0.00%
Hazmat Exposure (Toxic fumes or Liquid Exposure)
3
-1
-25.00%
Headache
27
8
42.11%
Hemorrhage - G.I. Bleed
25
4
-3.85%
Hemorrhage - Other Non -Trauma
39
9
30.00%
Hemorrhage - Vaginal
5
0
0.00%
Hypertension
27
-12
-30.77%
Hypotension
23
4
-14.81%
Hypothermia
0
-1
-100.00%
Near -Syncope / Weakness / Dizziness
354
58
19.59%
No Apparent Illness/Injury, Adult
108
-18
-14.29%
No Apparent Illness/Injury, Child
7
-8
-53.33%
No Patient Found
192
48
33.33%
OB Delivery
3
2
200200%
OB Emergencies
16
9
128.57%
Obvious Death
22
-8
-26.67%
Other Medical
177
43
32.09%
Overdose- Alcohol
0
0
0
Overdose - Non-Opioid
22
7
46.67%
Overdose - Opioid
40
6
17.65%
Pain
292
42
16.80%
Poisoning
0
0
0
Psychiatric/Behavioral
139
19
15.83%
Public Assist Only
4
1
33.33%
Pulmonary / Respiratory Emergency
189
10
5.59%
Respiratory Arrest
3
1
50.00%
Seizures
70
Sepsis
26
Sexual Assault
/ Rape
1
Sick Person / Illness
Standby Only (No
/ Flu
Patient Contact)
301
18
Stings / Venomous Bites
3
Stroke / CVA /
TIA / Neurologic Distress
106
Trauma - Non -Trauma
Alert
675
Trauma Alert
43
Unconscious /
Fainting / Syncope
92
Grand Total
4191
Seizures
79
9
12.86%
Sepsis
35
9
34.62%
Sexual Assault
/ Rape
2
1
100000%
Sick Person / Illness
/ Flu
330
29
9.63%
Standby Only (No
Patient Contact)
17
-1
-5.56%
Stings / Venomous Bites
3
0
0.00%
Stroke / CVA /
TIA / Neurologic Distress
74
-32
-30.19%
Trauma - Non -Trauma
Alert
715
40
5.93%
Trauma Alert
Unconscious /
Fainting / Syncope
43
134
0
42
0.00%
45.65%
Grand Total
4604
413
9985%
Sum of Primary Count
SQ System Suspected Substances
Sum of Primary Count
SQ System Suspected Substances
Sum of Primary Count
ec(emo(er ZU 2m
BENZODIAZIPINE COCAINE/CRACK
SCE System Suspected Substances
November 8, 2021
HAND DELIVERED
Marl< R. Isackson, County Manager
Collier County
3299 Tamiami Trail East
Naples, Florida 34112
Re: Application to renew Certificate of Public Convenience and Necessity
Dear Mr. Isackson:
Ja6eue� �uno�
a 11 fo a0giO
�zoz 6a noM
:uO40V
Pursuant to Collier County Ordinance 81-75, please consider this correspondence as the District's application
to renew its Class 3 Advanced Life Support (ALS) non -transport Certificate of Public request Convenience and
Necessity (COPCN).
With this application, I have enclosed a check for the renewal fee in the amount of $250.00, the names of
the District's Board of Fire Commissioners, (Attachment "A a list Of the District's Apparatuses (Attachment
"B"), and our references (Attachment " CIT
The District has continued to provide high quality ALS Non -Transport services through one of the most trying
times in Collier CLiu" ty's history. The District also continues to participate in the Collier County Non -Transport
Quality Assurance Committee, the Collier County Fire/EMS Chiefs Protocol Sub -Committee, and
communication with Dr. Tober and Dr. Lee.
With that said, I respectfully request the approval of the District's application to renew its COPCN.
In the meantime, if you have any questions reference this matter, please feel free to contact my office at
your convenience.
Sincerely,
Eloy Ricardo
Fire Chief
Enclosure
cc: Dan E. Summers, Director, Bureau of Emergency Services
Tabatha Butcher, Chief, Emergency Medical Services
NORTH COLLIER FIRE CONTROL AND RESCUE DISTRICT
1885 Veterans Park Drive Naples, FL 34109 . (239) 597-3222 . northcollierfire.com
BOARD OF FIRE COMMISSIONERS
M. James Burke .Reg Buxton .James A. Calamari .Norman E. Feder . J. Christopher Lombardo
BOARD DF FIRE COMMISSIONERS
1. M. James Burke
1885 Veterans Park Drive
Naples, Florida 34109
2. James Calamari
1885 Veterans Park Drive
Naples, Florida 34109
3. Reg Buxton
1885 Veterans Park Drive
Naples, Florida 34120
4. Norman E. Feder
1885 Veterans Park Drive
Naples, Florida 34109
5. J. Christopher Lombardo
1885 Veterans Park Drive
Naples, Florida 34109
Attachment "A"
List of Apparatuses
2010 Pierce Quantum 4P1CU01E3AA010553
2002 Pierce Quantum 4P1CT02S02A002256
2004 Pierce Quantum 4P1CT02S93A003679
1998 Pierce Quantum 4P1CT02S5WA000816
2005 Ford F450 1FDAF56P95ED24543
2012 Ford F350 1FT8W3BT6CEC56211
2013 Pierce IMPEL 4P1CJ01A8EA014108
2013 Pierce IMPEL 4P1CJ01A8EA014125
2005 International MEDTEC 1HTMNAAM67H460580
2006 Pierce Quantum 4P1CU01S36A006032
2005 Pierce Contender 4P1CC01M65A004732
2016 Pierce Pumper 4PIBAAFF7GA015968
2013 Ford F550 1FDOX5HTXDEA80905
2015 Ford F550 1FDOX5HT2FEB71542
2006 SUTPHEN S2 1S9A1BLD261003097
2016 Pierce Quantum 4PIBAAFF5HA017350
2016 Pierce Quantum 4PIBAAFF9HA017349
2017 Ford F450 1FDUF4GT4HEC04205
2017 Ford F450 1FDUF4GTXHDA02636
2017 Ford F-450 1FDUF4GT1HDA02637
1998 Pierce Quantum 4PICT02S4WA000600
1998 Pierce Quantum 4PICT02S1WA000604
2017 Pierce IMPEL 4PIBAAFF7HA0187379
2017 Pierce VELOCITY 4PIBCAGFXHA017417
2017 Pierce VELOCITY 4PIBCAGF1JA019028
2013 Ford F250 1FT7W2B69DEA80904
RE45
P J46
ENG 12
LA 480
SRU 451
SQ 10
ENG 44
ENG 43
SQ 40
LA 48
PU 45
ENG 42
AT 12
AT 10
PU11
ENG 46
ENG 40
SQ 45
SQ 44
SQ 46
ENG 480
PU43
ENG 10
LA44
LA47
SQ 480
Attachment "B"
County of Collier
OA
CLERK OF THE CJRC611T COURT
COLLIER COUNTY�COURTIOUSE
3315 TAMIAMI TRL E STE 102 Dwight E. Brock - biprk of Circuit Court
)\APLES, Fl. 34112-5324 P.O. BOX 413044
Clerk of Courts • Comptroller Audrto v C}�stoditttt of Counh Funds MAPLES, FL 34101�044
March 239 20l 6
Margaret Hanson, Secretary -Treasurer
Board of Fire Commissioners
North Naples 14 ire Control & Rescue District
1885 Veterans Park Drive
Naples, FL 34109
Re: Settlement Agreement between North Collier Fire Control And Rescue
District and the Board of County Commissioners of Collier County Florida
Ms. Hanson,
Attached for the records of North Collier Fire Control &Rescue District Board of Fire
Commissioners is an original copy of the Interlocal Agreement, approved by the
Board of County Commissioners during their meeting held on March 22, 2016,
The second original agreement is being recorded in the Official Records of the Collier
County Clerk of the Circuit Court and will subsequently be held in the Minutes and
Records Department for the Board's Official Record.
If you need further information, please feel free to contact me at 252-8406.
Thank you.
DWIGHT E. BROCK, CLERK
Ann Jennejohn,
Deputy Clerk
Attachment
Phone- (239) 252-2646
Website- www.CollierClerk.com
Fax- (239) 252-2755
Email-
lliercl
MEMORANDUM
Date: April 1, 2016
To: Jeff Klatzkow, County Attorney
Collier County Attorney's Office
From: Ann Jennejohn, Deputy Clerk
Minutes & Records Department
Re: Interlocal Agreement between the North Collier Fire Control &
Rescue District and Collier County Board of County Commissioners
Attached for your records is a copy of'the agreement referenced above, (Item #l0A)
approved by the Board of County Commissioners on Tuesday, March 22, 2016.
The original has been held by the Minutes and Records Department for the Off cial
Records of the Board.
if you have any questions, please contact me at 252-8406.
Thank you.
Attachment
Irvs 1 K 5243339 OR 5254 PG 803
RECORDED 312412016 9 54 AM PAGES 10I t
DWIGHT E BROCK
CLERK OF THE CIRCUIT COURT
COLLIER COUNTY FLORIDA
REC S86 50
IN'TERLOCAL AGREEMENT
THIS INTERLUCAL ACRE k:ME!� 1, dated this .�+day of March, 2016, is entered
into as authorized by Ch. 163, Florida Statutes ("F'la. Stat."), Intergovernmental Programs by and
between the North Collier Fire Control and Rescue District (hereinafter "District") and the
Collier County Beard of County Commissioners (hereinafter "County").
WITNESSETH:
WHEREAS. Section 163.01, Fla. Stat.. authorizes the joint exercise of any power,
privilege, or authority which the public agencies involved herein share in common and which
each might exercise separately; and
WHEREAS, District filed a lawsuit against the County in the litigation titled North
Collier Firc Control and Rescue District, Distric�'Plaintiff �. Board of County Commissioners of
Collier County, Respondent'Defendant (Case No. l 1-2015-CA-001871), pending in the
Twentieth Judicial Circuit in Collier County, (hereinafter referred to as the "Lawsuit"); and
WHEREAS, the Parties have engaged in the Ch. 1 t54, Fla. Stat., Governmental Dispute
process and have agreed to settle the litigation pursuant to the terms of this Interlocal Agreement
as specifically authorized by Sec. 164.1055(2), Fla. Stat., which provides for a joint public
meeting and mediation process; and
WHEREAS. District and the County, ��ithout either Party admitting any liability or fault,
desire to settle the Lawsuit and any and all disputes that arise from, relate or refer in any way,
whether directly or indirectly, known or unknown, to the incidents described or allegations made
in the Lawsuit; and
WHEREAS, nistrict and the County desire to execute this Interlocal Agreement as
required by Sec. I6i4.1057, Fla. Stat., and so that it shall be binding upon them as well as their
Page I of 10
respective ownersI principals, elected officials, officers, employees, ex -employees, agents,
attorneys, representatives, insurers, successors, assigns, and affiliates; and
NOW, THEREFORE, in consideration of the mutual covenants, promises and
consideration set forth in this Interlocal Agreement, and with the intent to be legally bound,
District and the County agree as follo«s:
I. District and the County adopt and incorporate the foregoing recitals, sometimes
referred to as "V►�hereas Clauses", by reference into this Interlocal Agreement.
2. The County shall issue the District a certificate of public convenience and
necessity ("COPCN") to provide advanced life support ("ALS") non -transport services
throughout the boundaries of the District on the Effective Date of this Agreement subject to the
follo►ving terms ttnd conditions:
a. The District shall retain the services of the Collier County Mcdical Director to
serve as the District's Mcdical Director (hereinafter referred to as the County
Medical Director/District Medical Director) by this Agreement with the
County for this service and shall utilize the protocols and standards issued by
the County Medical Director/District Medical Director to govern the
provisions of advanced life support services authorized by the COPCN and
licensed by the State. There shall be no charge to the District for these
services. The District mad employ an Associate Medical Director to assist the
District with the implementation of the protocols, standards, training, and
certification/recertification standards established b}- the County Medical
Director/District Medical Director relating to ALS services provided by the
District. The Associate Medical Director or any other medical professional
Page2of'10
employee and/or volunteer of the District shall work under the supervision of
the County Medical Director/District Medical Director. It is acknowledged by
bA Parties that the District does not, by this Agreement or any other
agreement or requirement, report to the Collier County Emergency Medical
Services ("EMS") Division or Collier County, and that all statutory and rule
requirements related to medical direction shall be made directly to the District
by the County Medical DirectorlDistrict Medical Director. The County
Medical Director/District Medical Director and, if applicable, the Collier
County Deputy Medics! Director, shall comply w°ith the provisions of Ch.
! 19, Fla. Stat., the Health Insurance Portability and Accountability Act
("HIPAA"), Health Information Technology for Economic and Clinical
Health requirements, and any other federal or state applicable laws relating to
records and/or confidentiality of records. To that end, the County Medical
Directar/District Medical Director, and, if applicable, the Collier County
Deputy Medical Director. shall execute a HlPAA Business Associate
Agreement with the District. The County Medics! Director/District Medical
Director may delegate any or all of his responsibilities under this Agreement
to the Collier County Deputy Medical Director.
b. The District shall operate under the emergency medical technicians ("EMTs")
and paramedic crcdentialing and recredentialing standards issued by the
County Medical Director/District Medical Director, except, all current
c edentialing shall be honored by the County Medical Director/District
The recredentialing standards
Medical Director until December 31, 2017
.
used presently by the District shall remain in place through March 31, 20170
The County Medical Director/District Medical Director shall develop, with
input from the District, the recredentialin6 standards for AI.S non -transport
paramedics and EMTs on or before January 1, 2017,
c. The District shall adhere to the paramedic and EMT credentialing and
recertification ride -time requirements as established b� the County Medical
Director/District Medical Director. The District may meet its ride -time
requirements by accompanying a patient on the Collier County EMS ALS
transport from scene to hospital when any AI.S service has been performed on
the patient prior to the transport. However, the Collier County EMS Chief,
District Fire Chief and the County Medical Director/District Medical Director
may identit}in writing any exceptions to the ride time requirements. The
District agrees that any time a Collier County EMS paramedic requests a
District paramedic to accompany a patient on the Collier County EMS ALS
transport from scene to hospital regardless of the level of service, the District
paramedic shall accompany the patient to the hospital.
d. The District shall have its own qualit} assurance program for District
paramedics and EM7's a_s established by the County Medical Director/District
Medical Director. The District's quality assurance program shall solely consist
of the County Medical Director/District Medical Director, the District's
Associate Medical Director and District staff. "1-he District shall also
participate in a county vide Quality Assurance Committee as established by
the County Medical Director/District Medical Director, contingent upon all
Page 4 o f 10
e
interested parties entering into a written mutually agreeable business associate
agreement to ensure compliance with the NlPAA requirements and any other
e. The District shall adhere to the patient care reporting system requirements that
allows for view only access to patient care reports. The District will pravide
to Collier County eons -user login account to a view only patient care report
dashboard of the District's Patient Care Reporting System to be used for
contA
nuum of care for a patient, quality assurance and performance
benchmarking. Collier County will provide to the District a one -user login
accaunt to a view only patient care report dashboard of Collier Caunty's
Patient Care Reporting System to be used for continuum of care far a patient,
quality assurance, and performance benchrnarking. The Parties agree that it
shall control the access and use to such patient care reports. The District wilt
provide login access to the District's Patient Care Reporting System to the
County Medical Director/District Medical Director, with such access
protected from disclosure by the County Medical Director/District Medical
Director. Bath Parties will work cooperatively to ensure that any necessary
third party providers, such as hospitals and emergency rooms, have view only
access to the District's patient care reports. The Parties will also work
cooperatively to implement a single consolidated patient. care reporting system
as soon as practicable. The Parties shall use their best efforts to negotiate and
enter into any agreements that may be necessary to meet any and all lawful
requirements, including Chase related to NlPAA.
PageSoflO
3. This lnterlocal Agreement shall take effect upon execution by the Parties
("Effective Date"). The term of the COPCN and this lnterlocal Agreement shall be effective
through March 3 I , 2017.
4. Should the District he found to have breached the terms of this lnterlocal
Agreement or the COPCN in any vtiay, all written complaints shall be investigated by both the
County staff and the District staff, and a report thereon made to bath the Board of County
Commissioners and the District Board of Fire Commissioners, together with findings and
recommendations, within 15 days of such complaint. If termination of the lnterlocal Agreement
or revocation, suspension or alteration of the COYCN appears warranted, the Board of County
Commissioners shall give notice to the District that the same will be considered at a specific
commission meeting, provided the date of such meeting shall not be less than five days from the
date of the notice. Tate Board CC # I Commissioners shall thereupon consider the complaint
and either revoke or suspend the C'UPCN, terminate the lnterlocal Agreement, suggest
alternatives to the COPCN, or dismiss the complaint. Notwithstanding, this procedure shall be
held in compliance with the County's COPClti' Ordinance No. 44-12, § 14, as amended.
5. Should the County or the County Medical Director/District Medical Director be
found to have breached the terms of this lnterlocal Agreement or the COPCN in any way, all
written complaints shall beinvestigated by both the County staff and the District staff, and a
report thereon made to both the Board ofCounty- Commissioners and the District Board of Fire
Commissioners, together with findings and recommendations, within 15 days of such complaint.
If termination of the lnterlocal Agreement or alteration of the COPCN or the lnterlocal
Agreement appears warranted, the District shall give notice to the County that the same will be
considered at a specific commission meeting, provided the date of such meeting shall not be less
Page 6 o f I 0
than five days tom the date of notice. The District Board of fire Commissioners shall
thereupon consider the complaint and either terminate the Interlocal Agreement or suggest
alternatives to the COPC'N or the fnterlocal Agreement.
6. In consideration of the resolution of all disputes or claims arising from or
referring or relating in any way, whether directl}or indirectly, to the Lawsuit, the District agrees
to dismiss the Lawsuit with prejudice.
7. In consideration of the resolution of the Lawsuit, and for other goad and valuable
consideration, the receipt and adequacy of which is hereby acknowledged, the Parties, on behalf
of themselves, their attorneys, agents, representatives, insurers, heirs, successors and assigns,
hereby expressly releases and forever discharge each other, as well as their elected officials,
oMcers, employees, ex -employees, agents, attorneys, representatives, successors, assigns,
insurers and affiliates from any and all claims, demands, causes of actions, damages, costs,
attorneys fees, expenses and obligations of anv kind or nature whatsoever that they have
asserted or could have asserted in the Lawsuit or that arise from or relate or refer in any way,
whether directly or indirectly, to the Lawsuit or any incident, event or allegation referred to or
made in the Lawsuit.
8. Notwithstanding anything that ma} be to the contrary in this Interlocal
Agreement, District and the County agree that either of them (as well as any other persons or
entities intended to be bound) shall, in the event of any breach. retain the right to enforce the
terms and conditions of this Interlocal Agreement,
9. District and the ount} acknowledge and agree that this Interlocal Agreement is
intended to and shall he binding upon their respective ow•ncrs, principals, officials, officers,
Page 7 of 10
employees, ex -employees, agents, attorneys, representatives, insurers, successors, assigns, and
affiliates.
10. District and the County recognize and acknowledge that this Interlocal Agreement
memorializes and states a settlement of disputed claims and nothing in this Interlocal Agreement
shall be construed to be an admission of any kind, whether of fault, liability, or of a particular
policy or procedure, on the part of either District or the County.
1 1. District and the County acknowledge and agree that this Interlocal Agreement is
the product of mutual negotiation and no doubtful or ambiguous language or provision in this
Agreement to be construed against any Party based upon a claim that the Party drafted the
ambiguous provision or language or that the Party was intended to be benefited by the
ambiguous provision or language.
12. This tnterlocal Agreement may be amended only by a written instrument
specificalIv referring to this Agreement and executed with the same formalities as this
Agreement.
13. In the event of an alleged breach of this Interlocal Agreement, District and the
County agree that all underlying causes of action or claims of District related to the September 8,
2015 denial of the District's COPCN, have been extinguished by this Agreement and that the
sole remedy for breach of this Agreement shall be for specific performance of its terms and
conditions or any damages arising from the breach. In this regard, District and the County
further agree that the sole venue for any such action shall be in the "rwentieth Judicial Circuit in
and for Collier County, Florida in Naples, Florida.
14. This Interlocal Agreement shall be governed by the laws of the State of Florida.
Page 8 of 10
15. Either the County or nistrict may terminate this Interlocal Agreement after
providing written notice of its intent to terminate at least thirty (30) days in advance of the date
of termination. The District's COPCN is revoked on the termination date of this Interlocal
Agreement without further action by the County. This Interlocal Agreement shall automatically
terminate if the District is notified by the Florida Department of Health that its license to provide
ALS service has been revoked under Ch. 4014 Fla. Stat., and associated rules. Upon receipt of
such notification. the District shall inform the County in writing.
16. This Interlocal Agreement supersedes the agreement titled `'Interlocal Agreement
Advanced Life Support Partnership Berw•een Collier County and Big Corkscrew Island Fire
Control and Rescue District" dated March .15. 2014.
17. Prior to its effectiveness, this Interlocal Agreement shall be filed with the Clerk of
Courts for the Circuit Court for Collier County pursuant to Sec. 163.Of (2), Fla. Stat.. The
County shall file said agrcemcnt as soon as practicable after approval and execution by both
partics.
IN WITNESS WHEREOF, District and the County have signed and sealed this
Interlocal Agreement as set firth below.
Date: j(�o
ATTEST:
UWIGHIE
By:
Jeffrey
County
HItUCK, Clerk
and legality:
B0.4RU OF COUNTY COMM
C'OLLIE)� CUUVI Y, t•LUkIUA
DONNA FIALA, CHAIRMAN
Page 9 of 10
DISTRICT
scue (District
Page ) 0 o f I 0