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Minutes 06/14/1989 EMERGENCY MEDICAL SERVICES ADVISORY COUNCIL AGENDA - June 14 , 1989 4 : 00 PM at EMS Headquarters OLD BUSINESS: 1. Installation of officers 2 . Capital Budget (Barton) NEW BUSINESS: 1. Business office report (Wampler) 2 . Operational report (Barton) 3 . Other EMERGENCY MEDICAL SERVICES ADVISORY COUNCIL Minutes For June 14 , 1989 Members Present: Chief Ijams Bill Erickson Egon Hill Fred Hubbard Dr. Ehrhardt Ken Ferrell Chuck Buell Gary Young Dr. Polkowski William Snapp Dr. Triplett Staff Present: George Barton Jack Wampler Bill Griffin Susan Rossi The position of EMSAC Chairman was turned over to Fred Hubbard. Chief Ijams made a motion that May minutes be accepted, Egon Hill seconded. OLD BUSINESS Capital Budget (Barton) Mandated by Growth Management to expand EMS on the east trail with one additional ALS unit. Proposed joint venture with Sheriff ' s Office, EMS and East Naples Fire Department; land, building etc next to Blockers Furniture on east 41. Egon Hill asked if EMS can lease back in same manner as we do at headquarters. Dr. Ehrhardt feels EMS should own building outright. Funding for Golden Gate and North Naples complex has been continued. Also proposed joint project with Marco Island. This was nixed, will be looked at next year. Chuck Buell inquired as to whether or not EMS has to have a unit right on the island. George advised that due to response times, a unit should be stationed on the island. Current facilities at Marco Urgent Care Center are very small. Bill Snapp advised that there is no room for expansion at Urgent Care. Dr. Polkowski suggested we approach developers in the area or possibly using school property. George will look into the idea of using school property. $85 ,000 for the relocation of one of the Immokalee units with the Sheriff' s Office. No word as yet from Immokalee Fire on this project. The lease on headquarters is up 7/27/90 . No plans at this time to renew lease. Yearly lease for headquarters is between $32 ,000 and $33 , 000; an increase is expected by the landlord. The helicopter operation centers lease also expires in July ' 90. $440 ,000 was left in capital budget to fund joint venture to house both Sheriff' s Office and EMS helicopters along with an EMS station for Medic 2 . George does not know if this project will include a headquarters for EMS. Would like to keep this on airport property, however state property is being looked at off Radio Road where the Division of Forestry' s fire tower is located. Other items nixed from Capital Budget were: MCI Vehicle, Heavy Rescue, Support Vehicle. A Mobile Command Vehicle was left in. Also nixed from the budget was a microwave communication system. . There is a great need for a second means of communications. Current radio systems are tied into UTS telephone lines. There is a possibility that UTS is going to cut off our administrative channel from NCH to tower and also from EMS headquarters to tower. NEW BUSINESS Business Report (Wampler) May collections were $124,000+; May billings were $151, 000+. Three month collection rate of 68 .5%. Operational Budget (Barton) There were no questions regarding the operational budget discussed at last months meeting. Egon Hill suggested that several EMSAC members be present at the BCC Budget hearings. This is tentatively scheduled for August 23rd. A vote was taken at this time as to whether EMSAC meetings should continue through the summer months. A vote of 12 in favor and 3 against determined that meetings will continue each month. George Barton received a of couple unusual billing complaints which he discussed with the EMSAC Board at this time. The first was from a patient who called 911 reference a cut thumb. Control sent an ambulance, patient was treated, no transport of patient. Patient was charged for a first aid charge. Patient felt she should not have been billed for this, otherwise she would not have called for an ambulance in the first place. The EMSAC Board unanimously agreed the patient should have been billed and to keep our policy as such. The second complaint was from two area fire chief. Firefighters were treated with 02 on scene of fire and EMS sent fire departments first aid bills. Several members believe that workman' s comp. should cover these charges. Dr. Triplett made a motion - If EMS services are requested, regardless of who it is, EMS should charge and collect for those services. Bill Erickson seconded the motion. All members voted in favor of this motion. Emergency Medical Dispatchers discussed briefly. George Barton to supply board with more information on this at next meeting. Egon Hill discussed putting paramedics on motorcycles as a possibility to access patients during sever traffic congestion. Gary Young advised that this is not a good idea from a law enforcement standpoint due to injuries , etc. Meeting Adjourned. ****************************************************************** Next EMSAC Meeting - Wednesday July 12 , 1989 at 4 :00 pm ******************************************************************