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Minutes 11/09/1982 MEMO TO: Members of EMSAC FROM W. Neil Dorrill , Public Safety Administrator—IS-22) DATE November 24, 1982 SUBJECT: Minutes of Meeting of November 9 , 1982 In accompaniment, please find copy of the Minutes from the Regular Meeting of November 9 , 1982 . Please review these in order that they can be adopted at the next meeting on December 14 , 1982 , at 4 :00 PM. WND/bm cc: C. W. Norman, County Manager File 14D P.S . Attached also are the minutes of the Special EMSAC Meeting held on November 15 , 1982 . Naples , Florida , November 9 , 1082 LET IT RE REMEMBERED, that the Emergency Medical Services Advisory Council met at 4 : 00 P.M. in Building "F" of the Collier County Courthouse Complex , East Naples, Florida , on this date with the following members present : CHAIRMAN: Egon Hill Richard Akin Pr . H. R. Ehrhardt W. H. Comte Marvin Cecil Jim Billman ALSO PRESENT: Maureen Keyon, Deputy Clerk; Dr. John Adams , Health Department ; E. C. Whidden, Sheriff ' s Department; Doug Greenfield , EMS Director ; and Neil Dorrill , Public Safety Administrator . SPECIAL MEETING Chairman Hill indicated that there would he a special meeting for Monday, November 15, 1982, at 4 :00 P.M. regarding a complaint received on an ambulance bill . MEMBERS WELCOMED Joan Hamilton , Bill Walker and Sgt. Richard Davidson were welcomed as new members to the EMSAC . GUEST SPEAKERS Chairman Hill indicated that the following visitors and guest speakers were from the Hillsborough County Emergency Medical Services : Mrs. Nancy Lee McKay, Chairman Mr . Ed Mitchell , Chief of Basic Life Support Mr. Mike McNellis , pilot, Suncoast Helicopters Page 1 EMERGENCY MEDICAL SERVICES ADVrSORY COUNCIL November 9, 1882 Mr. Hubert NcNelly, Training Officer Mrs . McKay stated that the Council in Hillsborough County is called the EMS Planning Council which was formed in 1976 to be reponsible for the daily operation of the ambulance service. She reported that she is a volunteer member with no medical training. She noted that , about 1? years ago , she started the Mast project which is a group of military projects that provide military helicopter ambulances to transport civilian medical emergencies, adding that 17 counties are involved . Mrs . McKay reported that the EMS Council in Hillsborough County employs 207 people and runs 37 ambulances. She noted that the council works very closely with the Mast project. She stated that the Mast project also has a non—emergency helicopter called the alternative which does not respond to an emergency. Mrs . McKay stated that the Hillsborough EMS provides basic life suppport to the entire county which is over one thousand square miles. She noted that last year there were over 60, 000 ambulance calls and that their budget is over 6 million dollars a year with most of it coming from ad valorem taxes and some from patient payments. She said that they also do third party collection for the patients . She stated that the EMS council is composed of an attorney, an insurance executive , a businessman , a registered nurse , a special agent Page 2 EMERGENCY MEDICAL SERVICES ADVISORY COUNCIL November 9 , l9R2 of the FBI and a volunteer retired senior citizen. She noted that they work well together and draw from each others expertise. She stated that EMS has to be part of a system in a county that includes the fire department , the police department and the Sheriff' s department , adding that this is how you obtain the proper response time. Mrs. McKay reported that she is very impressed with the helicopters and units in the Collier County system. She noted that there seems to be good moral which is very important in this type of a system. She concluded by stating that Collier County EMS has a good leader . Mr . Hubert McNeely stated that he felt Collier County had an excellent system from what he had seen and felt truly honored to be here. GENERAL DISCUSSION Neil Dorrill , Public Safety Administrator , stated that the Board of County Commissioners authorized Staff to prepare a final lease agreement with options to buy a comprehensive EMS facility that will consolidate six different functions that are now spread over the east end of the Naples area to one facility that , in addition to housing administration and training , will also serve as a vehicle service and medical supply storage point. He stated that the new facility is to be located one street north of Davis Boulevard across from the United Telephone substation in East Naples. He stated Page 3 EMERGENCY MEDICAL SERVICES ADVISORY COUNCIL November 9 , 1982 that the existing lease expires in April and , hopefully, halfway through this fiscal year , the move could be made. Mr. Dorrill stated that there were excused absences from Chief Ijams , David Graham and Sgt. Tavidson. Mr. Dorrill reported that the special meeting on November 15, 1982, at A : 00 P.M. is relating to a citizen that wishes to protest an ambulance bill , adding that he feels that this advisory council is the proper channel for complaints or requests to alter particular billings . Also , Mr . Dorrill reported that his only other item was that last month he had received a request to begin supplying billings monthly comprehensive and cumulative billing information along with every agenda , adding that this was to begin this month but , due to his secretary being in the hospital , it was not possible to be included this month . Jim Hillman questioned if the money for the lease agreement is in the EMS budget , to which Mr . Dorrill stated that all of the lease amounts for the existing administration, the training facilities and for the sub-stations are within fund 450 which is Collier EMS. Fie stated that it required a budget amendment to move some money into the fund for additional rent , adding that this was anticipated . VICE-CHAIRMAN AND SECRETARY ELECTED Chairman Hill stated that he would recommend that Jim Page n EMERGENCY MEDICAL SERVICES ADVISnPY COUNCIL November 9 , 1982 • Billman be elected as Vice-Chairman and Joan Hamilton as Secretary to the EMSAC. Dr . Adams moved , seconded by Dr. Ehrhardt and carried unanimously, that Jim Hillman be elected Vice-Chairman and Joan Hamilton be elected secretary to the EMSAC. GENERAL DISCUSSION There was a general discussion regarding the rational regulating non-emergency ambulances . Neil Dorrill stated that the former state regulations that were recently appealed , effective October 1, required that respective county commissioners provide a certificate for operation , in addition to having a state license. He reported that the new regulations do not require that one possess, as a matter of state law, a county certificate , adding that under the Homerule Authority that has been vested back in the Board of County Commissioners. He noted that if they want to continue to do such , they may do so . He reported that , based on Mr . Greenfield' s original request , this matter has been researched by the County Attorney and the County Attorney has recommended that EMSAC continue to regulate or provide certificates for any non-emergency or emergency transport. He reported that one purpose is to regulate the quality of the transport. He stated that non-emergency transport provides a substantial portion of the user fee revenue. Page r EMERGENCY MEDICAL SERVICES ADVISORY COUNCIL November 0 , 19P7\ ADJOURNMENT Chairman Hill stated that the next regular meeting of the EMSAC is scheduled for December 14 , 19P2. There being no further business to come before the EMSAC , the meeting was adjourned by Order of the Chair — Time 4 : 45 P.M . Egon Hill , Chairman Page (;