Minutes 08/09/1989 EMERGENCY MEDICAL SERVICES ADVISORY COUNCIL
Minutes for August 9 , 1989
Members Present:
William Snapp
Bill Erickson
Egon Hill
Gary Young
Jack Winters
Dr. Polkowski
Karen Davidson
Dr. Triplett
Staff Present:
George Barton
Jack Wampler
Susan Rossi
William Snapp filled in for Fred Hubbard as chairman.
Karen Davidson welcomed as new Board member.
Egon Hill made a motion that July minutes be accepted, Bill
Erickson seconded.
OLD BUSINESS
Board Vacancies
Received copy of Dr. Ehrhardt ' s letter of resignation to
Commissioner Saunders effective August 1, 1989 . Susan to contact
Nancy Israelson of the BCC regarding this vacancy from the Collier
Medical Society.
BCC also in receipt of letter from Bill Erickson requesting his
re-appointment to the EMSAC Board for a third term. Egon Hill
moved EMSAC recommend Bill Erickson for this additional term. All
members in favor.
NEW BUSINESS
Business Report (Wampler)
Jack passed out a billing/collection report for the three month
period April - June. The collection rate for this period was
65.1%. Egon Hill complimented Jack and his staff on this
tremendous figure.
Operations Report (Barton)
George Barton shared with members a copy of a telephone survey
prepared for the County Manager' s office. In this survey,
ambulance service was rated 3rd in satisfaction and last in
dissatisfaction. Egon Hill requested George pass on to EMS field
personnel the EMSAC' s boards thanks for a job well done.
Immokalee Clinic
Effective Saturday, August 12th, Collier Health Services ' will
close it ' s emergency services at the Immokalee Clinic . George
presented this to the Board of County Commissioners on Tuesday,
August 8th. The executive summary was read to EMSAC members. EMS
will transport all patients to either North Collier or NCH who
were normally treated at the Immokalee Clinic. The BCC will
monitor this situation. However, no deadline was given as to when
a solution would be discussed.
George Barton ' s initial plan was to request $115, 000 to staff a
trailer with a paramedic and Physician' s Assistant to triage
patients. No action was taken on the proposal.
A lengthy discussion followed regarding the importance of an
emergency facility in Immokalee. The members also discussed the
need for a non-emergency transport service out of Immokalee.
' 89 Budget
EMS interim financial statements for period ending June 30 , 1989
were passed out and discussed.
Salaries and overtime for FY' 89 will exceed budgeted funds by
$94 ,000. This was caused due to a 13% increase in salaries
incurred on 10/1/88, 6.22% increase in salaries for employees '
annual merit evaluation, and 5 .66% increase in salaries with the
implementation of the Kelly Day program in June.
George Barton advised the EMSAC board of two significant solutions
that would cut down on overtime for FY' 89 . The first option,
which he has already implemented, is putting the on-duty
supervisor on a rig to fill a 24 hour vacancy. George requested
the boards opinion on shutting down the Growth Management Medic 33
on Pine Ridge Road in lieu of paying overtime, and utilize that
personnel to fill vacancies elsewhere. All agreed to this
solution, however it was decided that Medic 33 be kept running on
the weekends and only shut down during the week if needed.
' 90 Budget
George Barton handed out the EMS Department ' s budget detail FY' 90 .
Several items on the budget detail were discussed.
EMS is proposing the hiring of three additional supervisors; two
on duty per shift. One will rotate working on rigs, the other to
work the office and station rounds in supervisors wagon. This
would only cost EMS an additional $15 ,000. Dr. Tober has endorsed
this proposal.
The Lely Growth Management station is scheduled to be on-line
April 1 ' 90 , however EMS will try to get on-line by December ' 89 .
Ambulance rates were briefly discussed. A 5% increase in rates is
recommended for FY' 90. This will be the first rate increase in
two years.
Free EMS service for special events discussed. Karen Davidson
recommended eliminating free football game coverage to the area
high school. She feels that the schools are in need of this
service and will pay for if necessary. Egon Hill made a motion to
address a letter to the chairman of the BCC and copies to all
commissioners, indicating EMSAC' s disapproval with free services
for special events. Bill Erickson seconded the motion. All
members in favor.
Bill Erickson stress the importance of the EMSAC members presents
at the budget review with the County Manager on August 23 from
9 :00 to 12 : 00.
Other Business
Egon Hill suggested presenting Dr. Ehrhardt with a plaque in
appreciation of his long and dedicated service to the EMS Advisory
Council.
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Next EMSAC Meeting Wednesday, September 13 , 1989 , 4 :00 PM
EMS Headquarters
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EMERGENCY MEDICAL SERVICES ADVISORY COUNCIL
A G E N D A
August 9 , 1989
Call to Order
Review June Minutes
OLD BUSINESS
1. Board Vacancies
NEW BUSINESS
1. Business Report (Wampler)
2. Operations Report (Barton)
3. Immokalee Clinic Closure
4 . ' 89 Budget
5. ' 90 Budget