EMSAC By Laws COLLIER COUNTY EMERGENCY MEDICAL SERVICES ADVISORY COUNCIL
BY LAWS
ARTICLE I
Section 1. The name of this organization shall be the Collier County
Emergency Medical Services Advisory Council (hereafter called the EMSA
Council) .
ARTICLE II
PURPOSE
Section 1: The purpose, objectives, and functions of the EMSA Council
are to:
A. To act as an advisory body of the Board of County
Commissioners (BCC) on all aspects of emergency medical
services (EMS) in Collier County.
B. To study and analyze all opportunities and problems
associated with providing optimum EMS throughout Collier
County. This shall include the right and the responsibility
to hear and investigate any complaints formally received
pertaining to the quality of EMS services being rendered by
any duly authorized provider.
C. To develop and promote standards for the provision of EMS in
Collier County.
D. To encourage and assist in the training and education of both
the professional provider and members of the general public
in the provision of EMS care.
E. To coordinate all services that impact in any way with the
provision of EMS in Collier County.
F. To foster and promote the development and utilization of
improved methods of EMS.
G. To promote area-wide coordination and liaison with EMS of
adjacent counties on matters of mutual concern.
H. To establish liaison and planning with the County Emergency
Management Department G v41--Be€eese and other agencies as
appropriate for the purpose of utilizing EMS resources in an
optimum manner in the event of a major disaster involving
mass casualties.
I . To recommend to the BCC and adoption of such resolutions or
other measures as may be required to insure the
accomplishment of the purposes stated herein.
Rev. 10/24/83 "1"
J. Review complaints or problems brought before the Council by
the County EMS Director EPOS-GeeEdiaateE. A procedure for the
receiving, processing, and disposition of complaints shall be
adopted.
K. To periodically evaluate and report to the BCC on the quality
of EMS in the County and to recommend corrective actions
where deficiencies are thought to exist. Prior to June 1st
of each year, the EMSA Council shall submit an annual report
to the BCC on its activities and accomplishments and an
evaluation of EMS services and needs.
ARTICLE III
MEMBERSHIP
Section 1. The regular membership of the Collier County Emergency
Medical Services Advisory Council shall consist of 11 members to be
appointed by subsequent resolution by the Board of County Commissioners
as follows :
A. 1 Physician to be nominated by the Collier County Medical
Society.
B. 1 person to be nominated by the Collier County Health
Officer.
C. 1 person nominated by the Naples Community Hospital , who is
in a responsible position pertaining to the providing of
emergency medical service, on behalf of said organization.
D. A consumer nominated by each County Commissioner living in
his district.
E. 1 representative of the County Fire System nominated by the
County' s Fire Chief' s Association.
F. 1 person nominated by Collier Health Services , Inc. , who is
in a responsible position pertaining to the providing of
emergency medical service, on behalf of said organization.
G. 1 representative with law enforcement background jointly
nominated by the Sheriff and Naples Police Chief.
Section 2 . The following will serve as ex-officio members with the
right to vote, or may designate an alternate to serve in their place on
a regular or "as needed" basis.
A. Sheriff of Collier County
B. Collier County Health Officer
C. The Naples City Manager
Rev. 10/24/83 "2"
Section 3 . The following will serve as advisors to the EMSA witheet a
vote:
A. Public Safety Administrator
B. EMS Director GeeEdiaateE
C. EMS Medical Director
Section 4 . All regular members of the Advisory Council will serve for
a three (3) year period. Emeept-that-init}ally-feuE-f4}-members-shall-
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Section 5. The membership, by majority vote, shall have the authority
to recommend to the BCC the removal of any Council member for failure
to attend meetings (See Art. V, Sec. 5) .
Section 6 . All members shall be required to file financial disclosure
form 1 with the Clerk of Courts.
ARTICLE IV
MEETINGS
Section 1. The regular meeting of the membership of the Council shall
be held not less than monthly at such time and public place as
designated by the Chairman. The Chairman may call special meetings of
the Council when such meetings are deemed necessary. Notice of special
meetings shall be give each member of the Council as provided in
Section 2 below. Pursuant to Florida Statutes, all meetings shall be
open to the public. This also includes committee meetings.
Section 2 . Notice of the time, place and purpose of all regular
meetings and special meetings of the Council shall be mailed to each
member of the Council not less than five days before such meetings.
Attendance by any members at such meetings shall constitute his waiver
of the requirement of written notice.
Section 3 . Six voting members shall constitute a quorum for the
transaction of any business at any regular or special meeting of the
Council.
Section 4 . Only the appointed members and ex-officio members and
advisors shall be entitled to vote at any meeting of the Council.
Section 5. All official records of the Council, including meeting
notices, agendas, minutes and resolutions duly adopted, shall be
maintained by the Clerk of the Board.
Section 6. At the first regular meeting, the Chairman will establish
the times for regular meetings and will file the results with the BCC
and the Clerk of the Board.
Rev. 10/24/83 113"
ARTICLE V
OFFICERS
Section 1. The members of the Council shall elect from the members the
following officers at each meeting held in June of each year:
A. Chairman
B. Vice-Chairman
C. Secretary
Section 2 . The term of office of all officers of the Council shall be
one year or until their successors are elected. The terms will begin
on the first day of October to September 30th.
Section 3 . Any officer may be re-elected for the same office.
Section 4 . A vacancy in any office of Chairman, Vice-Chairman, or
Secretary, may be filled by the Council at any regular meeting or
special meeting called for that purpose.
Section 5. Duties:
A. Chairman: The Chairman shall have the power, with the advice
and consent of the Council, to recommend policy actions the
emeeuties--a€-eeetEaets in the ordinary course of business to
the BCC. The Chairman shall else perform the normal duties
of the Chief Policy Officer or the Council. He shall preside
at all meetings of the Council and be a member ex-officio of
all committees. The Chairman shall have further powers and
duties as may be assigned by the Council.
B. Vice-Chairman: In the absence of the Chairman or his/her
inability to act, the Vice-Chairman shall exercise all powers
and duties of the Chairman. The Vice-Chairman shall have
other duties and powers as may be assigned by the Council.
C. Secretary: The Secretary shall cause to be kept all minutes
of all meetings of the Council. He shall be responsible for
the giving of proper notice of all meetings of the Council
and, in general, shall perform all duties incidental to the
Office of the Secretary. He shall have such further duties
and powers as may be assigned to him by the Chairman or the
Council. It shall be the responsibility of the Secretary to
report to the Executive Committee those Council members who
have missed two (2) unexcused consecutive or three (3)
unexcused total Council meetings within one year. Included
in his report shall be indication of follow-up contact, to
establish cause, and recommendation as to the appropriate
disposition of said Council member. The Secretary' s report
shall be submitted to the Executive Committee which, in turn,
shall report to the Council membership. Excused absences
shall be coordinated with Secretary 24 hours prior to each
meeting in order to meet attendance requirements.
Rev. 10/24/83 "4"
ARTICLE VI
COMMITTEES
Section 1. The Chairman is empowered to appoint such permanent or ad
hoc sub committees as are deemed necessary for the successful execution
of the Council program. All committee activities must be reported at a
regular Council meeting.
ARTICLE VII
AMENDMENTS
Section 1. These Bylaws may be amended by the Board of County
Commissioners on its own initiative, or by a two-thirds vote of the
EMSA Council membership present and voting at any regular, special or
annual meeting of the Council after notice of such proposals for
amendment has been given to all members as provided in these Bylaws.
All EMSA recommended amendments shall be subject to approval by the
Board of County Commissioners of Collier County, Florida.
Section 2 . Notice of any proposed amendment shall be submitted in
writing to all members of the Council not less than thirty (30) days
prior to the meeting at which such amendments are to be considered.
ARTICLE VIII
RULES OF PROCEDURE
Section 1. All meetings of the Council and any committees shall be
conducted and governed by Parliamentary Procedure and usage as
contained and set forth in Robert ' s Rules of Order - Revised Edition
unless otherwise provided for in these Bylaws or except where
modification of such rules is required because of the nature of the
work to be accomplished by the Council.
Section 2 . The Chairman of the Council and the Chairman of each
committee may appoint, if they so desire, an individual to be
designated as Parliamentarian to assist them in the proper conduct of
the business affairs of this organization.
ADOPTED by the Board of County Commissioners while convened at regular
session this day of , 1981.
BOARD OF COUNTY COMMISSIONERS
ATTEST: COLLIER COUNTY, FLORIDA
WILLIAM J. REAGAN, CLERK
BY:
JOHN PISTOR, CHAIRMAN
Rev. 10/24/83 "5"
Report id: Statprofil.rpt EMS District / County Wide Operations Profile Page : 1
Service Period: 10/01/88 thru 09/30/89 t of days: 365
Naples East N North N Marco G.Gate Ismokalee E.C/O.0 Other Cty Wide
otal Responses 2180 3283 2413 1098 1235 3325 155 640 14329
Average Runs/Day 5.97 8,99 6.61 3.01 3.38 9.11 0.42 1.75 39.26
Cancellations 562 1202 657 336 572 1973 92 284 5678
Average Emery Response (sin) 5.30 6.78 6.96 7.37 8.27 7.04 25.48 6.74 6.93
Medivacs (Eserg 8 Non-Eserg) 173 51 14 109 17 73 48 12 497
Average Air Response (sin) 7.00 11.04 14.50 15.95 20.47 21.21 19.73 21,25 13.71
Transports 1618 2081 1756 762 663 1352 63 356 8651
Average Transports/Day 4.43 5.70 4.81 2.09 1.82 3.70 0.17 0.98 23.70
Average Miles/Transport 0.28 6.34 7.74 11.71 10.70 35.05 30.23 5.96 13.00
Advance Life Support 361 681 529 223 253 579 35 135 2796
P.A.L. Support 242 218 358 131 79 144 10 44 1226
Basic Life Support 659 953 589 283 298 521 17 158 3478
Non-Emergency 236 145 165 44 19 46 1 15 671
Continued Transport 112 49 100 78 3 33 0 2 377
Average Bill/Transport 199.52 186.09 182.98 204.23 201.48 277.50 368.23 188.48 206.46
Average Bill/ALS 292.58 271.73 274.57 303.43 284.15 363.14 406.30 266.31 298.96
Average Bill/PALS 339.06 201.20 179.45 228.95 175.54 267.47 413.39 169.76 231.76
Average Bill/BLS 139.14 144.34 146.16 155.92 150.76 213.61 280.06 138.49 155,93
Average Bill/Non-E. 173,55 125.01 135.11 225.38 119.23 214.01 83.16 111.87 156.73
Average Bill/C-XPORT. 16.66 18.11 24.11 47.63 78.27 99.44 0.00 14.11 32.96
Rescue Assists In Transport 19 33 20 19 24 13 1 2 131
..edical Assists By Sup, 10 25 3 2 7 4 0 1 52
Rescue Assists 1453 2833 1568 783 1160 456 103 540 8896
Cardiac Resuscitations 3 5 10 6 2 3 0 0 29
Drowning Resuscitations 1 0 1 0 0 0 0 0 2
NCH N.Collier MIUCC CHS Lee Mes F.M.C. Nur H. Other Total
Transport Destinations : 6940 511 318 87 77 206 138 374 8651
Immediate Scheduled Ground Medivac Total
Out of Counts Transports: 44 261 104 201 305
Amount Billed .
Amount Collected .
Collection Percentage :
Total Miles Transported : 112499.70
Total Miles Driven :
End of report
1
1
D R A F T
EXECUTIVE SUMMARY
SEEK THE BOARD' S ADVICE AND CONSENT TO REGULATIONS PRUSUANT TO THE
TRANSPORT OF NON-EMERGENCY AND FULLY AMBULATORY PERSONS WHO
REQUEST EMS TRANSPORT.
OBJECTIVE:
CONSIDERATION:
1. EMS no transport calls in Immokalee area in excess of
50% of the total calls for service. EMS paramedics face
a frequently occuring decision process for patients who
are not in need of EMS transport.
2. EMS has sought an opinion of the County Attorney on the
issue. When no immediate medical need exists or will
exist, the decision can be made to refuse transport.
(The decision is attached. )
FISCAL IMPACT:
1. EMS estimates that current transports for 3 of 10 calls
are unnecessary if an alternate means of transport
existed.
2. The financial impact is negligible. The service impact
is considerable in that EMS units will be freed to
respond to true emergencies as apposed to using the unit
unnecessarily for an 86 mile round trip.
RECOMMENDATION: The Board authorizes EMS to refuse transport to
persons requesting service who:
a. Do not have a medical emergency as diagnosed by the
paramedic and confirmed by a physician via radio.
b. Are fully ambulatory or unimpaired by a physicial
disability which keeps them from an alternate means of
transport in a private car.
PREPARED BY: DATE:
George R. Barton, EMS Director
APPROVED BY: DATE:
James P. Reardon, Emergency Services Administrator
August 25, 1989
Mr. and Mrs. John Doe
1989 Main Street
Naples, Florida 33940
Dear Mr. and Mrs. Doe:
All of us at the Collier County Emergency Medical Service
extend our deepest sympathy to you and your family upon
the recent death of your daughter/son . We
are concerned about you since we know how difficult it
can be after the death of a child.
Listed below is some information regarding community
resources available to you and your family. If you
have any questions regarding the emergency Medical
treatment received by your child please call us at
(telephone number) .
With warm regards,
Collier County EMS
{
Compassionate Friends of Naples, Florida
Contact person: Pam Arsenault
150 4th Avenue South Loss of a child to any age
Days: 649-6888
Eves: 262-0554
SHARE of Collier County, Florida
Contact Person: Ann Aquino
2603 64th Street SW Loss of an infant up to one year
Eves: 263-3695
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