Minutes 04/28/2010
April 28, 20 I 0
MINUTES OF THE COLLIER COUNTY
EMERGENCY MEDICAL SERVICES
BLUE RIBBON COMMITTEE
Naples, Florida, April 28, 2010
LET IT BE REMEMBERED that the Collier County Emergency Medical Services
,Blue Ribbon Committee, having conducted business herein, met on this date at 5 :00
~
PM in REGULAR SESSION at the Chamber of Commerce Building, Naples, Florida,
with the following members present:
Chairman: Geoff Moebius
Edward Morton
Adria Starkey
Pat Barton
Robert Tober, MD
Phil Dutcher, COO, NCH
Joe Bernard, COO PRHS /Collier Blvd.
Andrea Synder, Lee Memorial
John Lewis, MD, NCH
Chief Jeff Page, EMS
Deputy Chief W ayne Watson, EMS
Deputy Chief Dan Bowman, EMS
Deputy Chief Chris Byrne, Fire/Marco Island
FF /Paramedic, Eric Watson
Chief Jorge Aguilera (Alternate)
Chief Robert Metzger (Non-Voting)
Chief James Bloom, Sheriffs Dept.
Dan Summers, Collier County Mgr Liaison
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AGl',;l~DA Pre-Hospital Care
5 pm April 28,2010
Naples Chamber of Commerce
Topic
Presenter
Opening Remarks
G. Moebius/Others
Data Review - Sub committee update
J. Bloom/E. Morton
a. Discussion on expert
b. Existing Data points
i. What makes reasonable sense as a key point
ii. Why such points
lit. When such points and do some data points work in
different areas of Collier County
c. Other items
ALS and BLS standards and training - Sub committee E. Morton/J. Gauta MD
a. What are the standards and training required for different potential
providers
b. Best Practices
c. other items
Equipment and Supplies and Communication - Sub committee J. Bernard
a. What are the standards that should be used for different potential providers
b. Best Practices, hospital and county
c. What, where and frequency of key issues
d. other items
Other Issues/
ALL
r. :t meeting
April 28, 2010
Pre-Hospital Care
5 PM, April 28, 2010
Naples Chamber of Commerce
Tonic
The meeting was called to order at 5:00 PM by Mr. Moebius. Minutes of the April 12, 2010
meeting were passed around.
OoeninIl Remarks
Mr. Moebius stated everyone has been meeting with their Sub-committees and working
diligently.
Sub-Committees
Data Review - Sub-Committee Update - J. Bloom/E. Morton
a. Discussion on expert
b. Existing Data points
i. What makes reasonable sense as a key point
ii. Why such points
iii. When such points and do some data points work in different areas of
Collier County
c. Other items
Chief Bloom handed out a draft that had been tweaked after their subcommittee met
twice. (Draft Attached)
The data used were 2009 figures from CAD database. (Medical and fire) Figures
were given by month, day of week, time of day and by priority. The call breakdowns
were discussed. Information was broken down into classifications and response
times. The average response time now is close to 9 minutes with the goal being 4
minutes.
Chief Bloom has added Commodore Rule (Dispatch) and Diane Flanigan (CAD) to
the sub-committee to capture more information accurately.
Definitions will be listed and broken down.
Response times and frequency of calls were also discussed. The 4-minute response
time will need to be defined. The call intake time is very critical.
The 1710 definitions will be sent to the Committee.
The Dispatch System (EMD), being script driven, was discussed along with, when the
tone button is hit and how much time may be saved if the call can be sent out sooner
from Dispatch. EMD is working on shrinking the response times.
Dan Summers mentioned there is the "911 Dispatcher Legislation" coming out of the
Legislature and is not sure what the ramifications will be.
Chief Bloom continued with his draft report noting the zones/districts with the
percentage of calls coming out of each zone. The density maps and the amount of
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April 28, 20 10
calls were looked at. The countywide map showed where the majority of the medical
calls are coming from. Each area showed the different medical calls. More details
will be forthcoming to the entire Committee.
ALS and BLS Standards and Training -Sub-Committee - E. Morton! J. Gauta MD
a. What are the standards and training required for different potential
providers?
b. Best practices
c. Other Items
Mr. Morton reported he received approximately 30 documents and will give
everyone a chance to send other articles or documents. They had a productive
meeting and will continue to look at the best Comprehensive Systems in other areas
as well.
Equipment, Supplies, and Communication - Sub-Committee - J. Bernard
a. What, where and frequency of key issues
b. Best practices, Hospital and County
c. Identify Attendees - Sheriff, EMS, Fire, Hospitals, ED Physicians
Mr. Bernard handed out a synopsis of their meeting on April 20th. (Attached)
Under "equipment", he discussed a coordinating approach between EMS, fire and
Hospitals. He suggested they establish a team that would meet on a regular basis,
and mentioned education on the King tubes and SALT devices. The team would
continue to discuss new and different changes, standardization, training etc. It was
decided ER Physicians and Nurses need to be included. The turnover ofER
Doctors was questioned and discussed.
Under "supplies", IV tubing and narcotics were mentioned as being compatible
with EMS and the ER.
"Communication" was important with ER expectations needing to be standardized.
EKG transmissions and cell phones were discussed focusing on continuing
education.
Having a standing committee established was again mentioned.
The next meeting of the Blue Ribbon Committee will be Wednesday, May 19, 2010 at 5:00
PM at the Chamber of Commerce, r floor Conference Room.
*****
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April 28, 2010
There being no further business to come before the Committee, the meeting was adjourned
at 5:55 PM.
COLLIER COUNTY EMERGENCY MEDICAL
SERVICES BLUE RIBBON COMMITTEE
These minutes approved by the C9JIlIIIittee on ,) 12- b j"J-b I ~
as presented V" or as amended f I
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