Minutes 05/19/2010
May ]9,2010
MINUTES OF THE COLLIER COUNTY
EMERGENCY MEDICAL SERVICES BLUE RIBBON
COMMITTEE
Naples, Florida, May 19, 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
Robert Tober, MD
Phil Dutcher, COO, NCH
Joe Bernard, COO PRHS ICollier Blvd.
Andrea Synder, Lee Memorial
Todd Bethel, MD (Alternate)
John Zelahy, MD (Alternate)
Chief Jeffpage, EMS
Deputy Chief Wayne Watson, EMS
Deputy Chief Dan Bowman, EMS
Deputy Chief Chris Byrne, FirelMarco Island
FF/Paramedic, Eric Watson
Chief Jorge Aguilera (Alternate)
Chief Robert Metzger (Non-Voting)
Dan Summers, Collier County Mgr Liaison
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AGENDA Pre-Hospital Care
5 pm May 19,2010
Naples Chamber of Commerce
Topic
Presenter
Opening Remarks
G. Moebius/Others
Data Review - Sub committee update
a. Status update
b. Next steps
c. Other items
J. Bloom/E. Morton
ALS and BLS standards and training - Sub committee
a. Framing the challenge draft document
b. Comments
G. MoebiuslTeam members
Equipment and Supplies and Communication - Sub committee
a. Status update
J. Bernard
b. other items
Report to the County Commissioners Discussion
G. Moebius
Other issues
Next meeting
Attendees
Medical Director (1)
Robert Tober MD
Alternate Douglas Lee MD
Hospitals (3)
NCH Phil Dutcher COO
PRHS Joe Bernard COO PRHS Collier Blvd
Lee Memorial Andrea Synder
ED Physicians (2)
NCH John Lewis MD
Alternate Todd Bethel MD
PRHS Todd Carlson MD
Alternate John Zelahy MD
EMS (2)
Chief Jeff Page
Deputy Chief Wayne Watson
Alternate Deputy Chief Dan Bowman
Fire (2)
Deputy Chief Chris Byrne Marco Island
FF/Paramedic Eric Watson Big Corkscrew Island
Alternate Chief Jorge Aguilera
Chief Bob Metzger non voting attendee
Sheriff Department (1)
Chief James Bloom
Alternate Chief Greg Smith
Collier County Manager Liaison
Dan Summers
Original Panel
Edward Morton
Adria Starkey
Pat Barton
Joe Gauta MD
Russell Budd
Geoff Moebius
May 19,2010
I. Opening Remarks - G. Moebius/Others
The Meeting was called to order by Chairman Geoff Moebius at 5:00 PM.
A copy of the minutes were passed around to the members until a system is in place for
all members to receive a copy prior to their next meeting.
Mr. Moebius stated multiple meetings have been held. He thanked everyone for all their
cooperation and support from each Department. All the issues will not be resolved in six
weeks and will be an ongoing process. Structure and doing the best for the community is
needed.
II. Data Review - Sub-Committee update - J. Bloom/E. Morton
a. Status update - Wayne Watson gave a report on the status of the data review
stating they are on their fourth version of statistics and are in the process of
refining terms with the statistician.
Mr. Moebius stated they discussed dispatch, EMS, and Fire data for the total
picture.
b. Next steps - He passed a letter around with attachments that will go to County
Manager Ochs along with Lisa's resume. Comments will be taken and can be
changed before submittal. They have all the data and will have the professor
approve it.
c. Other items
III. ALS and BLS Standards and Training-Sub committee - G. MoebiuslTeam members
a. Framing the challenge draft document - Mr. Moebius presented a power point
presentation draft. It was a basis for the report to the County.
b. Comments - a brief summary:
· "Challenges" providing Basis Life Support in Collier County in 4 minutes or
less, at a consistent and equal level of service throughout all parts of Collier
County. It is something they are trying to accomplish which represents BLS
travel time and ALS being 8 minutes including travel time. A lengthy
discussion continued. Adding "Provide ALS in Collier County in 8 minutes
or less to appropriate emergencies" was agreed upon for a second bullet. The
public should receive the same level of service.
· They agreed the bullet concerning "Incorporating Stakeholders" needs to be
enhanced.
· Defining the terms "BLS and ALS" being defined from the State, and who is
providing the BLS type services were discussed.
· "Developing a Basic Frame Work/or a Tiered Response" - what is the best
two-tiered design in terms of effectiveness and efficiency was discussed at
length.
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May 19,2010
· Fire trucks are still needed, but transitioning to a smaller medical response
vehicle was discussed and felt it could be a great opportunity.
· Emergency Medical Dispatch (language/codes etc.) and transport resources
were also discussed.
· Under "How to Educate & Maintain Level of Competency Amongst
Providers of Different Level" - Office of the Medical Director with reference
to "all testing and training will be developed and/or monitored utilizing
independent resources" was discussed thoroughly. The need to be consistent
across the board was talked about. All testing and training will be
administered and monitored was one idea conveyed.
· "lncorporate Stakeholders in the Medical Community into the 1!-MS
System" - not comfortable with the word "authority" (Collier County
Emergency Medical Authority.) It was noted the Medical Director should
report to the Collier County Commissioners - not to an Authority. There were
many reservations on having an "Authority." A lengthy discussion took
place.
IV. Equipment and Supplies and Communication - Sub-Committee - J. Bernard
a. Status update
b. Other items
V. Report to the County Commissioners Discussion - G. Moebius
VI. Other Issues
VB. Next Meeting
The next meeting of the Blue Ribbon Committee will be Wednesday, June rd, 2010 at
5:00 PM at the Chamber of Commerce, rd floor Conference Room.
VITI. Adjournment
There being no further business to come before the Committee, the meeting was
adjourned at 6:30 PM.
COLLIER COUNTY EMERGENCY MEDICAL
SERVICES BLUE RIBBON COMMITTEE
The minutes were approved by the Board/Cojl1mittee Chairman on
as presented , or as amended. .............. ..
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