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BCC Minutes 04/26/2012 W (Emergency Medical Services/Fire Services) BCC EMS/FIRE SERVICES WORKSHOP MEETING MINUTES APRIL 26, 2012 April 26, 2012 MINUTES OF THE COLLIER COUNTY BOARD OF COUNTY COMMISSIONERS EMERGENCY MEDICAL SERVICES /FIRE SERVICES WORKSHOP Naples, Florida, April 26, 2012 LET IT BE REMEMBERED, that the Collier County Board of County Commissioners in and for the County of Collier, having conducted business herein, met on this date at 9:00 AM in WORKSHOP SESSION at the North Collier Regional Park Exhibit Hall, 15000 Livingston Road, Room "A ", Naples, Florida, with the following members present: Chairman: Commissioner Fred Coyle Vice Chair: Commissioner Jim Coletta Commissioner Donna Fiala Commissioner Tom Henning Commissioner Georgia Hiller ALSO PRESENT: Leo Ochs, County Manager Nick Casalanguida, Growth Management Division, Administrator Mark Isackson, Office of Management and Budget, Director Jeff Klatzkow, County Attorney Walter Kopka, EMS Operations, Director Ian Mitchell, BCC Executive Manager Dan Summers, Emergency Management Services, Director George Yilmaz, Public Utilities, Administrator 1 Collier County Board of Commissioners Emergency Medical Services/Fire Services Workshop April 26, 2012 NOTICE: All persons wishing to speak under agenda item 6 (public comment) must register prior with the Executive Manager to the BCC. All registered speakers will receive up to three (3) minutes unless the time is adjusted by the chairman, Collier County Ordinance No. 2003-53 as amended by ordinance 2004-05 and 2007-24, requires that all lobbyists shall, before engaging in any lobbying activities (including but not limited to, addressing the Board of County Commissioners), register with the Clerk to the Board at the Board Minutes and Records Department. Agenda 1. Call to Order/ Pledge of Allegiance 2. (9:00-10:00) Discussion of Potential Fire Consolidation 3. (10:00-10:30) Discussion Regarding Issues of Concern about Fire Plan Review and Field Inspections 4. (10:30) Consideration of the Proposal from Naples, Marco Island, and North Naples Fire Departments to Provide Ambulance Transport Services Agenda Item 4 will resume immediatell"'following Agenda Item 5 5. (11:00) Presentation by James G. Fogarty, Division Director of EMS, King County, , Washington 6. Public Comment All persons wishing to speak under public comment must register prior with the Executive .Manager to the BCC. All registered speakers will receive zip to three (3) minutes unless the time is adiusted by the chairman. NO= April 26, 2012 Any persons in need of the verbatim record of the meeting may request a copy of the audio recording from the Collier County Communications and Customer Relations Department. 1. Pledge of Allegiance Vice Chair Coletta called the Workshop to order at 9:03 am. The Pledge of Allegiance was recited. 2. Discussion of Potential Fire Consolidation Vice Chair Coletta welcomed the Commissioners and Staff to the annual planning exercise workshop to discuss a potential consolidation. The following attended: Jorge Aguilera, North Naples Deputy Chief Pamela Brown, Immokalee Fire Commissioner Thomas Cannon, East Naples Fire Commissioner Ramon Chao, Big Corkscrew Fire Commissioner Rita Greenberg, Immokalee Fire Chief J. Christopher Lombardo, Fire Commissioner Larry Magel, Marco Island Councilman Robert Metzger, Golden Gate Fire Chief John McGowan, Fire Commissioner Stephen McInerny, City of Naples Fire Chief Chuck McMahon, Golden Gate Commissioner Mike Murphy, Marco Island Fire Chief Gary Price, Vice Mayor of the City of Naples Orly Stolts, North Naples Fire Chief Burt Saunders, Attorney — Marco Island Kingman Schuldt, East Naples Fire Chief Robert Tober, EMS Medical Director (Commission Coyle arrived at 9:05 A.M.) Consensus was formed to hear public speakers first. Public Speakers Janet Vasey, Collier Community Alliance Eloy Ricardo, Naples Professional Firefighter Commissioner Hiller distributed The College Network/The George Washington University on -line courses related to EMS Systems, Administration and Finance of EMS Operations. (See attached) 3. Discussion Regarding Issues of Concern about Fire Plan Review and Field Inspections Nick Casalanguida presented a PowerPoint presentation on recommendation to address Issues of Concern as follows: ➢ Public Service vs. Public Trust 2 April 26, 2012 ➢ Existing Service Model ➢ Proposed Hybrid Service Model - Involves Customer, Collier County and Fire - Analyze Fire Review criteria - Establish accountable performance measures - Standardize and improve technology - Establish common customer service initiatives - Quarterly reviews with administration and chiefs - No fire inspector reductions - Set joint office hours for fire and building official He emphasized that Staff is committed to make a difference in addressing the issues and recommended that the County allow people who care more and know the County better than anyone else; work together over a period of 180 days to streamline the plan. A consensus was formed directing Nick Casalanguida to work with all Districts and the Fire Chiefs on the study. Public Speakers Bill Varian, Business Owner Kathy Curatolo, CBIA Dalas Disney, Architect Ray Allain, CBIA 4. Consideration of the Proposal from Naples, Marco Island and North Naples Fire Departments to Provide Ambulance Transport Services Burt Saunders, Attorney for Marco Island gave preliminary comments on the program and on the Blue Ribbon Panel recommendations. He placed into record the "Report on EMS Field Experiments" dated September 2010. (See attached) He proposed the adoption of the "Medic One" (Seattle King County Emergency Medical Service Model) program. It was noted the Blue Ribbon Committee is not formed by the BCC. It was formed independently by concerned citizens To be continued after S. Recessed at 10:50 A.M. Reconvened at 11: 05 A.M. 5. Presentation by James G. Fogarty, Division Director of EMS, King County, Washington Dr. Robert Tober introduced James Fogarty, Division Director of EMS, King County, Washington; via video. James Fogarty gave a PowerPoint presentation on the Medic One System used in King County, Washington. Tiered Response System 3 April 26, 2012 • EMS Division (Advanced Life Support, Basic Life Support, Regional Services and Strategic Initiatives • Per year costs avoidance with growth management • Medical Leadership (Commissioner Henning left at 11:30 A.M.) James Fogarty took questions via telephone were addressed on live video. (Commissioner Henning returned at 11:34 A.M.) (Commissioner Coyle left at 11:58 A.M.) Public Speaker Duane Billington Future questions can be made directly to James Fogarty. 4. Consideration of the Proposal from Naples, Marco Island and North Naples Fire Departments to Provide Ambulance Transport Services - Continued Jorge Aguilera, North Naples Deputy Chief gave a PowerPoint presentation "The Concept" to improve and expand the current level of EMS service utilizing existing resources and level of funding. The proposal mirrors the Seattle Fire based EMS model. Conceptual estimated costs for the City of Naples, City of Marco Island, North Naples Fire Control & Rescue District and Unincorporated Collier were provided. A Regional program was recommended. A question and answer session was held. (Commissioner Henning left at 1:00 P.M.) (Commissioner Fiala left at 1:00 P.M.) Recessed at 1:10 P.M. Reconvened at 1:15 P.M. (Commissioner Fiala returned at 1:15 P.M.) 6. Public Comment Public Speakers Janet Vasey Duane Billington Christopher Spencer, North Naples Professional Firefighter Eloy Ricardo, North Naples Professional Firefighter Much discussion was had on working together and developing a plan. The Commissioners formed a consensus (2 -1) to move forward, full force and direct Staff to work together with other agencies and bring back a plan in 6- months. L, April 26, 2012 Commission Coletta invited the attendees around the table to make remarks. 7. Adjourn There being no further business for the good of the County, the meeting was adjourned by order of the Vice Chair at 2:15 P.M. COLLIER COUNTY BOARD OF COUNTY COMMISSIONERS 1R—� Lo C"�'4. Commissioner Fred Coyle, airman a Tyl: DVVI EBO�'s= CLERK KM 4J _ These Minutes Y re approved by the Board/Committee on as presented or as amended 5