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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 `zMH f' .Q.� -- '' C�e LI Z 4 f L t., s c,\ Cava M iec40 F�4 v "AtI I 15C-z:4e 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