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Minutes 07/13/1983 Naples, Florida July 13, 1983 LET IT BE REMEMBERED, that the Emergency Medical Services Advisory Council met on this date at 4:00 P.M. in the 5th Floor Conference Room, Building "F" of the Courthouse Complex with the following members pre- sent: CHAIRMAN: Egon Hill MEMBERS: Dr. Hanns Ehrhardt Sgt. Richard Davidson (Absent) Mike Jones for Chief Jim Billman David C. Graham (Absent) Marvin Cecil (Excused) W.H. "Biff" Comte (Absent) Sharon Aragona for Richard Akin Jonathan Smelko William Shaughnessy EX-OFFICIO MEMBERS: Chief Norris Ijams Dr. James Meli Dr. William Cox E.G. Whidden for Sheriff Rogers STAFF ADVISORS: Anne Foster (Absent) Doug Greenfield W. Neil Dorrill Dr. Robert Tober (Absent) ALSO PRESENT: Jack Wampler, EMS Billing; and Billie Moyer AGENDA 1. Roll Call II. Reading and/or Approval of Minutes Special Meeting of June 29, 1983 III. Advisors Report IV. New Business V. Old Business VI. Adjournment EMERGENCY MEDICAL SERVICES ADVISORY COUNCIL July 13, 1983 MINUTES APPROVED The minutes of the special Meeting of June 29, 1983, of the Emergency Medical Services Advisory Council were approved as sub- mitted. ADVISORS REPORTS REPORT ON TASK FORCE: Mr. Dorrill said in terms of the Task Force report that it was generally well received, by the Board. He went on to explain that the Board went over each of the items of the report. I think the staff will ultilmately be in favor of a modified postion in terms of fees and ambulance structure, somewhere between certainly not a free service, and certainly not a fee structure in which we have proposed. There did not seem to be any support or motions, tendered by the Board, in regards to putting the ambulance service out for bids. There also did not appear to be any fragmenting the service at this time, by allowing various Fire Districts to support the pro- vision of Emergency Medical Services, within their jurisdiction, and to let the County continue to provide service in other areas outside the Fire Districts. Egon Hill stated that there was one item wh ch was approved by the BCC, in which they requested him to find someone from the out- side that has accounting or CPA experience. This person would come once a month and discuss the situation with Neil Dorrill and Doug Greenfield. NEW BUSINESS RECLASSIFICATIONS: Doug Greenfiel reported that the EMS has been approved for some reclassifications. These will help put a cap on the pryamid effect from vacations and sick time which the Task Force pointed out. AIR AMBULANCE REQUEST: Mr. Hill asked if anyone knows about the request from Flight Nursing, Inc. on the certificate of convenience. Mr. Dorrill said that he has two (2) requests for air ambulance certificates of need and convenience. One is from Flight Nursing, Inc. which is an air ambulance that works out of Broward County who are going to petition the Board for a certificate of convenience. They are an on- going ALS Service. This Council requested Mr. Dorrill to get together with Anne Foster and go over the Flight Nursing, Inc. request and bring the information back to the Board, before we make a decision or recommendation. The second request is from Royal Airways for a certificate for BLS air ambulance service. Royal Airways is a locally based firm. William Shaughnessy moved to let Mr. Dorrill follow up the requests, it was second by E.G. Whidden and unanimously passed. -2- EMERGENCY MEDICAL SERVICES ADVISORY COUNCIL July 13, 1983 REPORT ON COLLECTIONS: Jack Wampler reported that the col- lection rate was 81.6% for the month. The total percent since April 1981 is 62.2%. Dr. Ehrhardt presented a letter to the Chairman Egon Hill for study on the 1983/84 budget. See enclosure, OLD BUSINESS REPORT ON AMBULANCE FEES FOR COLLIER COUNTY SCHOOL BOARD: E.G. Whidden reported that three counties Lee, Hillsborough and Alachua were contacted and they reported the following: 1. Hillsborough County does not stand-by but they have a very quick response time. 2. Lee County does stand-by for no charge. 3. Alachua County also stand-by for no charge. At this time we would like to ask the BCC to rescind the $100.00 charge for stand-by to the School Board only. There was general discussion on stand-by ambulance fees, and it was decided to agree with the reduced fee. If the School Board decides not to accept the reduced fee the ambulance will attend but they will be subject to other calls. Egon Hill suggested that Mr. Dorrill talk to Dr. Richey and discuss this matter further. Doug Greenfield suggested that the Board, through Public Safety consider an ordinance for large gatherings, that would have some type of Public Safety coverage. HANDLING OF MEDICAL COMPLAINTS: Doctor Cox suggested that the committee Egon Hill appointed hear all medical complaints for the next year. This committee is made up of Doctor Cox, Chief Ijams and Marvin Cecil. PROVISION OF BY-LAWS: Financial disclosure, Article III, Section VI. See enclosure. ATTENDANCE RULES: Mr. Hill motioned to contact the BCC in reference to David Grahams attendance. Out of the last twelve (12) meetings he has attended only one (1) meeting, with three (3) excused absences and eight (8) non-excused. It was second by Sharon Aragona and passed unanimously. OPERATION EVERGLADES The Emergency Medical Services Advisory Coucil would like to commend Sheriff Rogers on a job well done. -3- EMERGENCY MEDICAL SERVICES ADVISORY COUNCIL July 13, 1983 There being no further business to come before the Council, the meeting was adjourned at 5:00 P.M. J.C. Smelko Acting Secretary Enclosurers (2) -4- MEMORANDUM DATE: July 20 , 1983 TO: EMSAC Members FROM: W. Neil Dorrill , Public Safety Administrator SUBJECT: Minutes of EMSAC Meeting In accompaniment please find copy of Minutes of the regular meeting held on July 13 , 1983 . Please review these in order that they can be adopted at the next meeting to be held on Wednesday, August 10 , 1983 at 4 : 00 P .M. in the rear section of the Board Room on the 3rd floor , Bldg "F" . WND/bm cc : C . William Norman, County Manager Grace Spaulding , Administrative Aide File 14-D