Minutes 04/17/2009 R
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COLLIER COUNTY EMERGENCY MEDICAL SERVICES
POLICY ADVISORY BOARD
Friday April 17 , 2009
3:00 P.M.
Collier County EMS Headquarters
8075 Lely Cultural Parkway, Suite 267
Naples, FL 34113
Conference Room B
Members:
Physician Representative - Dr. James Talano; Present
Pharmacist Representative - Steve Shafor; Present
Nurse Representative - Linda Mitchell; Present
EMS Representative - Walter Kopka; Present
Fire Representative - Robert Metzger; Present
Staff Present:
Dr. Robert Tober
Dr. Douglas Lee
Jennifer Florin
Jeff Page
Les Williams
Tabatha Butcher
Audience Present:
Diana Watson, ENFD
The regular meeting was called to order by Jennifer Florin.
A quorum was present at this time.
As this is the first meeting of this board, each person was asked to introduce themselves and give their background.
Agenda
Motion to adopt today's agenda; passed unanimously
Housekeeping
Bylaws & Mission Statement
It was discussed if the board should have a mission statement. Dr. Tober had one prepared prior to the
meeting as a sample that read: "The mission of the EMS Policy Advisory Board is to serve as a review and
advisory council to the medical directors of Collier County EMS reference the application and privileging of
medical protocols for EMS and Fire." Bylaws written up by the County Attorney were passed out as a sample.
It was expressed that the Board has the authority to vote to have or not have bylaws. Bylaws are not mandatory.
Chief Metzger stated concern that the mission statement represents what the BCC tasked this board to
accomplish. Walter added that the ordinance that created the board has specific objectives listed. Dr. Tober
read the objectives from the ordinance for the group. Chief Metzger suggested that the mission statement be
altered to reflect this board as being an advisory council to the BCe. The group all agreed and the final mission
CC EMS Policy Advisory Board 04/17/2009 Page 2
statement will read: "The mission of the EMS Policy Advisory Board is to serve as a review and advisory
council to the Board of County Commissioners reference the application and privileging of medical protocols
for EMS and Fire." Steve moved to accept the by-Iaws...hearing no second the motion failed. The question was
raised whether we had to have by-laws, and Walter stated that the ordinance states we do. It was decided that
the group wanted a little more time to review the bylaws and would vote on them at the next meeting.
Motion to accept the mission statement as modified; seconded; passed unanimously
Election of Chairman & Vice Chairman
There were no volunteers for chairman or vice-chairman. Chief Page stated that he thought we should
work on the bylaws and decide who can be chairman, and how long the terms are before we elect someone.
With the group agreeing, we will vote on the positions at the next meeting.
Establish Term Expirations
The idea of staggering the term expirations was discussed, and all members said that they didn't mind
being a two year term or a four year term. They would allow the staff to decide for them.
Establish Frequency of Meetings
In the bylaws it is designated that the board meet on a quarterly basis. The members were asked what
they thought of quarterly meeting. Linda stated that she felt it depended on the amount of work that needed to
be done. Walter asked if we decide on quarterly meetings if we could meet more often than that ifthere was a
need. It was explained that the Chairman can call meetings more often than quarterly if need be.
Dr. Talano joined the group at this point and he was introduced to all members, and was briefly caught
up to speed. He was asked his opinion on term expirations, and he stated that he feels you can do more and be
more effective the longer you are on a board. He also agreed that quarterly meetings are appropriate.
New Business
Review of Last Quarter Stats
Dr. Tober asked Les Williams from EMS' training department to put together information from the first
quarter of 2009 on call types run by the different fire departments; medications carried and administered by
both EMS and Fire, and ALS procedures done by both EMS and Fire. Before going through the charts some
members had general questions regarding the difference between EMS and the fire departments, the types of
calls each responds to, who decides which vehicles respond, and if there is a paramedic on board each
apparatus. After the general discussion, Dr. Tober went through the charts and explained all the data to the
group. The group had several questions along the way, where Dr. Tober and Les were able to answer. The
group also had several suggestions on how to present the data differently next time, and those suggestions were
noted by Les and Tabatha for use next quarter.
Medications & Protocols
Any new medications brought into the pre-hospital medical protocols along with supporting literature
will be reviewed by the board.
Board Member Discussion
Location of meetings discussed, and it was decided to try and hold meetings at the Neighborhood Health Clinic.
It is much closer for all the members.
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Additionally, the sunshine law was discussed and if there is an email sent out by a staff member, the board
members are welcome to reply back, but do not hit "reply all." There is no communicating allowed between the
five members, but communication between board members and staffliaison's are ok.
Establish Next Meeting Date
The next meeting will be held on July 10, 2009 at 2:30 p.m. Staff will check with the Neighborhood Health Clinic to see
if their meeting room will be available.
Adjournment
Respectfully Submitted,
Jennifer Florin
Date Adopted:
Chairman / Board Member Signature