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Minutes 08/10/1982 MEMO TO: Members of EMSAC FROM W. Neil Dorrill, Public Safety Administrator DATE August 19 , 1982 SUBJECT: Minutes of Meeting August 10 , 1982 In accompaniment, please find copy of Minutes from the Regular Meeting of August 10 , 1982. Please review these in order that they can be adopted at the next meeting on Sept. 14 , 1982, at 4 : PM. WND/bm cc: C.W. Norman, County Manager Grace Spaulding BCC File 14D w Naples, Florida August 10 , 1982 LET IT BE REMEMBERED, that the Emergency Medical Services Advisory Council met on this date at 4 : 00 P .M. in the Board Room, Building "F" of the Courthouse Complex with the following members as indicated below: CHAIRMAN: Egon Hill MEMBERS: Jan Fillinger (Absent) Dr. Hanns Ehrhardt Sgt. Richard Davidson Chief Jim Billman Mr. David Graham Mr. Tom Hafner Mr. Marvin Cecil Mr. Biff Comte (Excused) Mr. Richard Akin (Excused) EX-OFFICIO MEMBERS: Chief Norris Ijams Dr. John Adams for Dr. Wm. Cox C. G. Whidden for (Excused) Sheriff Rogers STAFF ADVISORS: Dr. John Adams Douglas Greenfield Dr. Robert Tober (Absent) W. N. Dorrill (Excused) ALSO PRESENT: "Skip" Camp, EMS, and Billie Moyer. AGENDA I. Roll Call II. Reading and/or approval of minutes a) Regular meeting of July 12, 1982 III. Advisors Reports IV. Old Business V. Adjourn EMERGENCY MEDICAL SERVICES ADVISORY COUNCIL August 10 , 1982 APPROVAL OF MINUTES OF JULY 13 , 1982 : Minutes approved as submitted. ADVISORS REPORTS: Mr. Greenfield advised that both he and Mr. Neil Dorrill had been working with.the fire departments in developing a response protocol. Recalling that he had submitted a sample response pro- tocol for review to the Fire Chiefs last June, Mr. Greenfield hoped to obtain enough information from the coming Fire Chief ' s meeting on August 19 , to enable him to put together a formal recom- mendation to present to the Board. He added that Chairman Wimer hA'd expressed a concern in this area out of public concern and that Mr. Dorrill had requested consideration of this in the next meeting. Mr. Greenfield reported there was new information on the col- lections but preferred to let the Chairman deal with the figures . Mr. Hill expressed delight in reporting that the collections for July were 88 . 3%, adding that he wanted to write to the Board of County Commissioners giving them this report, but felt that it was best to wait until the end of the fiscal year. Mr. Hill sug- gested that to determine what we have accomplished and where we stand, we collect the figures for 1 year and always check the first month so that we have a cumulative figure and proportion of our collections. Mr. Greenfield mentioned that EMS had not had a budget review yet and there had been indications earlier that there may not be one. This however has been changed, and there will be one later this week. Mr. Hill asked to be informed of the time so that he could attend. - 1 - EMERGENCY MEDICAL SERVICES ADVISORY COUNCIL August 10 , 1982 Dr. Ehrhardt wondered if the increase in revenue had anything to do with the remarkable increase in our rates . Mr. Greenfield first spoke of the rate structure survey which Henry Hill had obtained from the State of Slorida and was used as backup in presenting the Ececu- tive Summary to the Board asking for a rate structure increase. He pointed out that the concept of our rates having doubled is incorrect, since the base rate had increased from $50 to $75 , ALS from $80 60 $85 , fluid was $10 and remained $10, oxygen was increased by $5 , and mileage was increased $1 per mile. It is important to realize, Mr. Greenfield said, that we have generated a lot more revenue than anticipated as a result of changes made in collection policies and by keeping on top of things on a daily basis . David graham asked who figures out the operational budget and Mr. Greenfield replied that this is done by the Fiscal Department now. He added that a Profit and Loss Statement is issued by them and offered to bring one to the next meeting. Mr. Greenfield said he did not know of any Board policy requiring us to collect any certain amount but that he had checked with Lee County and found their policy has a resolution requiring them to collect 25% of their total budget in revenue fees. Since this might give us a target to shoot for, he felt this may be something which should be looked into by this committee. OLD BUSINESS: TWO EMSAC RESIGNATIONS: Mr. Hill announced that Tom Clark had resigned and had been re- placed by Mr. Richard Akin, who had been excused from this meeting since his presence was requested in Washington. Mr. Hill expressed 2 - , EMERGENCY MEDICAL SERVICES ADVISORY COUNCIL August 10 , 1982 regrets at the resignation of Dr. Greenfield, whom he felt was a good man, with a lot of good ideas . NEW BUSINESS: NEW OFFICERS ELECTED: Mr. Hill asked the Nominating Committee to name the persons nominated for office for the next year 's Emergency Medical Services Advisory Council and Dr. Ehrhardt, as Chairman of the committee, reported that the following persons had been nominated: Egon Hill, Chairman; Tom Hafner, Vice-Chairman; and Jim Gillman, Secretary. One (David Graham) was opposed to accepting nominations stated. Nominations from the floor were in order; none were made. Accepting nominations as stated, the vote was as follows : Egon Hill - Chairman - Unanimous Tom Hafner - Vice-Chairman - One opposed (David Graham) Jim Gillman - Secretary - Unanimous Mr. Hill advised he will notify the Board of County Commissioners of the new officers. OLD BUSINESS: Jim Billman asked how the collection percentage rate was de- termined and Mr. Greenfield replied that this is arrived at by divid- ing the amount of the current month' s collections by the previous month' s billings, and in the cumulative column by dividing the current month to year to date collections by the previous month to year to date billings. He said he feels having the system under the Clerk of the Courts is good, since it is governed month by month and is audited at the end of the year and he could not ask for a better recording procedure. Mr. Hill stated he felt these figures to be as honest as they can be and that "we don't have to take second place to any outfit in the state of Florida. " - 3 - EMERGENCY MEDICAL SERVICES ADVISORY COUNCIL August 10 , 1982 Norris Ijams asked if the collection rates were broken down by different areas. Mr. Greenfield replied that there eleven (11) zones in the County and that the new computer program is set up to identify each individual zone. NEXT MEETING: The next meeting of the Emergency Medical Services Advisory Council will be held on Tuesday, September 14 , 1982 , at 4 :00 PM, in the Board of County Commissioner 's Chambers . ADJOURNMENT: There being no other business to come before the Council, the meeting was adjourned at 4 : 29 PM. Egon Hill, Chairman Minutes Prepared by: Billie Moyer - 4 - AGENDA EMERGENCY MEDICAL SERVICES ADVISORY COUNCIL MEETING OF AUGUST 10 , 1982 I . Roll Call II . Reading and/or approval of minutes a) Regular meeting of July 13 , 1982 III. Advisors Reports IV. Old Business V. New Business VI. Adjourn /bm . . MEMO TO: ALL EMSAC MEMBERS FROM W. Neil Dorrill , Public Safety Administrator DATE August 2 , 1982 SUBJECT: Monthly Meeting Attached is a copy of the agenda for the next regular monthly meeting to be held on August 10 , 1982 Board of Commissioners Chambers 4 : 00 PM If for any reason you will be unable to attend, please notify my office (774-8468) or Chairman Hill (261-0569) so that your absence will be considered as excused. /bra