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Miscellaneous NAPLES COMMUNITY HOSPITAL (941)436-5000 Location: 350 7th Street North,Naples,Florida 34102 Malt. P.O.Box 413029,Naples,Florida 34101 NORTH COLLIER HOSPITAL (941)513-7000 11190 Healthpark Blvd.,Naples,Florida 34110 Healthcare System A NOT-FOR-PROFIT HEALTHCARE SYSTEM S 002 December 12, 1997 Mr. Tim Hancock, Chairman Collier Board of County Commissioners 3301 East Tamiami Trail Naples, Florida 34112 Dear Mr. Hancock: The purpose of this letter is to regretfully state that I must resign from membership on the Emergency Medical Services Advisory Council (EMSAC). This 3-year appointment expires August 31, 1999, thereby leaving a twenty month vacancy for the Commissioners to fill. In that regard, I would like to respectfully request that the Commission consider Ms. Gail Dolan as my replacement on the Council, effective January, 1998. Ms. Dolan is a long-tenured Vice President with the NCH Healthcare System and posesses a keen grasp of the issues and challenges facing the medical community, including those that pertain to the delivery of emergency medical services. In her role as Vice President, Ms. Dolan is responsible for the operations of the Emergency Departments at both North Collier Hospital and Naples Community Hospital, Women & Children's Pavilion at North Collier Hospital and all the ambulatory centers for the System. As such, I am confident that Gail can bring a wealth of valuable experience and energy to the Council as an active member. Please express my sincere appreciation to the Commission for having had the opportunity to work with the Council this past year and a half. It has truly been an experience I will not forget. If there is anything I can do to assist the Commissioners in their selection of my replacement, please feel free to contact me at the above address. I would be happy to personally discuss my recommendation with you or any member of the Commission, at your convenience. Sincerely, -\460 Palma J. Fuson Vice President/Clinical Services cc: William G. Crone, President & CEO, NCH Healthcare System Ms. Gail Dolan, Vice President Bob Laird, Chairman, EMSAC pRE1iER • ROBERT D., LAIRD 1765 Courtyard Way#205-C, Kings Lake Naples, Florida 34112 Ph. 941/793-0933 PERSONAL I have owned property at the above address for nineteen years and have been a resident of Naples for twelve years. OCCUPATION/EMPLOYMENT I have held a Florida Real Estate license for the past eleven years. I have handled project and development work as well as general real estate in Collier county. At the present time, I am a Realtor with Kersey-Quade Realtors; telephone 941/262-7533. I was previously associated with Andrea Deane and Associates Realtors. During 1993, 1994 and 1995 I was assigned to the Pelican Bay Development-The Crescent. I was a three million dollar producer each year. I am retired from The Underwriters Adjusting Co./Continental Insurance Company as a Regional Director of Personnel and Training. The home office was located at 1111 East Broad Street, Columbus, Ohio, 43215. I am presently self employed as a part time Massage Therapist, holding Florida license No. MA 0016291. I have taught at The Florida Health Academy, both in Naples and in Bonita Springs. I am also self employed as a part time insurance Consultant, handling malpractice claims. EDUCATION Graduated from Jackson High School, Jackson, Ohio. Graduated from Ohio University, Athens, Ohio. BS Degree. Attended Ohio State University Law School and Graduate School, Columbus, Ohio. MILITARY SERVICE LT. CDR. United States Naval Reserve. Four years active duty. Served as CO of Naval Reserve Training Center. BUSINESS/CIVIC ORGANIZATIONS Member State of Florida Construction Industry Licensing Board Member of East Naples Civic Association Member of Greater Naples Civic Association Member Naples Chamber of Commerce Member Collier county EMS Citizens Advisory Committee Member of Board Tiger Bay Association Member Collier County Productivity Committee Member Collier County Sheriffs Citizens Commission Member Citizen Advisory Committee for Collier County Drill Academy Member of Sunset Rotary Club Member Lely Presbyterian Church Member Collier County 100 Club Member Collier County Forum Club Member Naples Area Board of Realtors (eleven years) Member Professional Standards Committee (three years) Member Grievance Committee (three years) Member Education Committee (two years) Taught Success Series (two years) President Courtyard Condominium Association Vice President Kings Lake Home Owners Association Member Literacy Volunteers Association (LVA) (five years) Member Man-To-Man: Prison visitation and counseling (five years) Member Insurance Companies Education Directors Association Member American Society for Training Directors Member Citizens Advisory Committee for Collier County Growth Management Plan FRATERNAL ORGANIZATIONS Member all Masonic Bodies and Aladdin Shrine, Columbus, Ohio and Naples, Florida Member American Legion and 40 & 8, Naples, Florida Member Elks Club of Naples, Florida FORMER BUSINESS/GOVERNMENT ORGANIZATIONS IN OHIO Former Member (Public Member) Ohio State Chiropractic Board (ten years) Former Member Ohio Governor James Rhodes Highway Traffic Safety Commission Robert D.Laird Resume Page 2 oft pages. 01/1 /1995 z2:51 9412624829 COMTEL BUS.TELEPHONE PAGE 01 CASH SITE DEVELOPMENT INC. 1260 39th Street S.W. Naples Florida 34117 941-348-1425 7 August 1997 Sue Filson Administrative Assistant Board of County Commissioners 3301 East Tamiami Trail Naples Florida 34112 Dear Sue; I would like to submit my name, Daniel Malinowski for the Emergency Medical Service Advisory Committee vacancy. I have been a resident of Collier County for 28 years, and a registered voter for 16 years. Graduated from Lely High School in 1981 Attended St Petersburg Junior College and Edison Community College towards Public Administration degree Employed by the City of Naples Fire Department since 1981 State certified E.M.T. Own and operate my site development business for 10 years I have worked in the field and I feel could provide some valuable knowledge and input to this community and committee. Respectfully Submitted, ?, Daniel Malinowskl 08/07/1997 12:31 9415977082 NO NAPLES PAGE 03 r3 1 ;..i ED T. MAGUIRE • 6322 Taylor Road, Naples, FL 34109 941 591-8818 . 5 OBJECTIVE c • To be an active participant and to utilize my experience in fire and emergency service to benefit the citizens of Collier County. By being a member of this committee,We can bridge the communication gap between the current services. This will establish more open communication between the different agencies, and will result in each organization providing an effective service to the citizens. •: EXPERIENCE , C JOHNSONS AIR CONDITIONING&REFRICERATION,INC. • Past President, 1975-1988 I. \ COLLIER COUNTY GOVERNMENT Director of Development Compliance Services,1988-1994 MACUIRE ENGINEERING SERVICES INC. -- • • Owner, 1994-Present BOARD OF FIRE COMMISSIONERS OF THE NORTH NAPLES FIRE COnrrRoL $RESCUE ,. • DISTRICT r; j Commissioner, 1995-Present .. Chairman,January 1997-Present ] 1 . y• COLLIER COUNTY FIRE SERVICE STEERING COMMIT EE 1995-Present t. Chairman °f. • ., ■ is , Mit- AJA-1OL43 - /— 773 -SiZi - - - 7 - Q53,6 1/250i _ 44 '20 Priab Ca CS Z3o1 Q. S. _5( Ai Alb L _s- .3(71 12_ 1/42-&/-• edil42..4% eitz4-4; /1-7P..4:2 -r. 7 ff(■of-agt, ■29e- raele.ej /7-9.04S-4-1 / 02 C /clted 5{,/(Vo , j/t1 • 624Z. /A-f,ft ,2_44re &A- 7,vacar-/-/Y-- -6‘,0241 fed LI-04/ iiraf,zebe • 4eer4.y‘ 2%24 _• 4e 1-..e-A-fe..-__-‘_e-44.4,<7,zo-tc.‹., . //-JZ7 Aetale,/ / 02& I ilAl7 6er,4 (i/X114 . ,li o..B��✓.a21 Ale tetzf.r..,yL -e.J gaeeZde art _ _ . _ . _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ - - - _____ __ _______..___ _ _ _ _ t. _ I ' 1"/LCIY-ee/12 — Yea/MOZA � v 340 Tamiami Trail 5137 Castello Drive,Suite 2 Port Charlotte,FL 33953 Naples,FL 33940 (800)741-1558 (941)263-7002 August 1, 1997 Ms. Sue Filson, Administrative Assistant Board of County Commissioners 3301 East Tamiami Trail Naples, FL 34112-4977 Re: Emergency Medical Services Advisory Council Dear Ms. Filson: I would like to be considered for appointment to the Emergency Medical Services Advisory Council as the at-large member. I have lived in Naples for 27 years, coming from up-state New York. For the last 19 years I have been in the insurance business, Green-Leamon& Associates and OMNI Financial Services. My wife has been with Collier County Schools, teaching kindergarten for 27 years. We have no children and live in the Pine Ridge area in Naples. Please call me should you have any questions or need further information. Sincerely, /- 13641/ F George T. Leamon Wj GTL/gdl G[r 3 Encl. 1 rr� ,008 3 L2:A/ eald Cinaa�xance eccal at John S. Abbott 825 Bentwood Drive Naples, Florida 34108 May 28, 1997 EMS 3301 E. Tamiami Trail Bldg. N Naples, Fl. 34112 Just a short note of commendation to the EMS team whcih responded to my call for help on Saturday, May 17th. at approximately 8: PM. This EMS team responsive,prompt, and highly competent. I could not have asked for better service, inasmuch as this team performed its function in a superb manner. Again, thank you very much, and I remain, Sincerely yours, John S. Abbott r Marco Healthcare Center A Member of the NCH Healthcare System May 29, 1997 Timothy Warner, Engineer Marco Island Fire Department 1280 San Marco Road Marco Island, Florida 34145 Dear Tim: Thank you for the invitation you have extended to various representatives of the Marco Healthcare Center to participate on your newly organized task force to explore pre-hospital medical services for Marco Island and the surrounding communities. Unfortunately, due to our busy work load, as well as a potential of a conflict of interest, we must decline participating as a member of this committee at this time. I have reviewed this matter with our Board of Trustees, and we feel that any participation by a representative from Marco Healthcare Center as a member of your task force could present the possibility for the appearance of a conflict of interest in the decision making process. However, please do not hesitate to contact me if you would like to have representatives from the Marco Healthcare Center present any information for your task force's consideration. I wish you and the department success with this project. Should you have any questions, please do not hesitate to contact me. Sincerely, 41# 6fieSPPaula M. Cam P osano Director PMC:jmf cc: Joseph P. Coriaci, Chairman Ed Dwyer, Chief Diane Flagg, EMS Commissioners, Laird, Soldano, Nrnozzi 40 Heathwood Drive.Marco Island, FL 34145 941/394-8234• FAX 941/394-4510 av , „C) O III1= 3 x V ' .° as N y Mil �'� m ° �acO�- I-- c hj Z d 4 Y:, y, � _ o 4) N!� LA as c .0 Z E = •x GQ v C am O _O 0°y Cu" �a 0 00 - 0 ° �?0 �ao 0. 0 , x N °w•° (0 2 O m {/} - o �'� Cr) ' y U rn o U0 �+' ' 4 v v � O � � Y A t. , CI oono ,°,r, 0•..Z 3 •0 g 0 �•.-- wt.�A c°).1. O ; 0 0 0 nn a >, b 0 y °.. � °'to °Y 0 vi a) O v, v GY y r).. cn.0 � p,.c) a ,0. o �1-4 o w..W 7 g c. 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O n y r.K D p vi ""• ..y "C.. p y a 0 0 C ti OC m O D O • y G. y .-O so m tr y Aa, ,. y . y D .v ~' ' °' 'p ' ny o (I PM O e o fi C.rq / , , G.e., G'y y y CD(i i ¢ e-r, i 1,1 cn (Dy 0 4 -• 0 y FL.-,,s,, 'pow N x • -o C) o o 4 co Cfl �o Ili O O p C' D y a * C is O G r Id - 0 00 3'..,a e, - ........., CI%t =‘ C) %P3 Goti • ci.e,,..- .10.la : : Vi_i •... .. _ �3 CI --I = �•.. cop O n T t ., 1.1' (11:2) 0 I ... ego °cyo n ° '& —< a w ,a Marco Healthcare Center A Member of the NCH Healthcare System May 29, 1997 Timothy Warner, Engineer Marco Island Fire Department 1280 San Marco Road Marco Island, Florida 34145 Dear Tim: Thank you for the invitation you have extended to various representatives of the Marco Healthcare Center to participate on your newly organized task force to explore pre-hospital medical services for Marco Island and the surrounding communities. Unfortunately, due to our busy work load, as well as a potential of a conflict of interest, we must decline participating as a member of this committee at this time. I have reviewed this matter with our Board of Trustees, and we feel that any participation by a representative from Marco Healthcare Center as a member of your task force could present the possibility for the appearance of a conflict of interest in the decision making process. However, please do not hesitate to contact me if you would like to have representatives from the Marco Healthcare Center present any information for your task force's consideration. I wish you and the department success with this project. Should you have any questions, please do not hesitate to contact me. Sincerely, '0111 4is214 Paula M. Cam P'osano Director PMC:jmf cc: Joseph P. 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( ) /64' /1-0e6 /9--r FA1 yJk,o cvz _ —11.e r U7:6 I, Cv771 / / A.)4/i xr, ,;/) eD Lldr,(z 72)- /4‘,/,)=4.-- AC S14 � e 1 y 4- X) _cs ir(Is/1. x H V - p ( /7 /vv py44,e _ .� pis &We/ elm f/G/�'�� tJ/W/ o l 337e?L Cargl aii J 4,1 olove /7_-t / '',' / t ( ,J_i ,, , 7)-A ,'- i,-) 4-.,.,-,,, ,',, ,‘ NI-'/ '7 - ';')/,./, / ,!I_ .,Z- / , r., / _ 1 ' J' _ L //-r, / ;ti t_° ..) f T. , -' V _k- l . r /'.J ..� % V4.` /1 /� r/ �' / 7 I ,`r L i. ._,' c'L 1.0 1 :J / / 7 •.;' I „I/ c , , 'I./1 = ; ....S) A v in S t ye r i% 2497�Winters ry}{�{ yAl�`i ate • ata a/Fai e, Wit, Wae iu 3301 East Tamiami Trail • Naples,Florida 34112-4977 i C. Norris (941)774-8097 • Fax(941)774-3602 ..,trict 1 Timothy L.Hancock,AICP District 2 Timothy J.Constantine District 3 September 24, 1997 Pamela S.Mac'Kie District 4 Barbara B.Berry District 5 Mr. George T. Leamon 7024 Trail Boulevard Naples, FL 34108 Subject: Emergency Medical Services Advisory Council Dear Mr. on: While convened in regular session on September 23, 1997,the Board of County Commissioners voted to appoint you as a regular member on the above-referenced advisory committee. Your appointment will expire on August 31, 2000, or at such time as the Board re-appoints you or appoints your successor. As with any advisory group, the primary purpose is to assist and advise the Board of County Commissioners. By law, however,the ultimate decisions rest with the Commission. At times, the Commission's decisions may not reflect the recommendation of the advisory group because many facts must be taken into consideration. By copy of this letter, we are requesting Diane Flagg, Emergency Medical Services Director, to provide you with any additional information you will need as a member of this committee. On behalf of the Board of County Commissioners, I wish to extend our appreciation to you for your willingness to serve the residents of Collier County as a member of this advisory board. V ery ly yours Timothy L. cock,AICP, Chairman Commissio er, District 2 TLH:sf cc: Diane Flagg, Emergency Medical Services Director get; Fanzn ie: ree { ' 3301 East Tamiami Trail • Naples, Florida 34112-4977 .t C. Norris (941)774-8097 • Fax(941)774-3602 .rict 1 Timothy L. Hancock,AICP September 24, 1997 District 2 Timothy J.Constantine District 3 Pamela S.Mac'Kie District 4 Barbara B.Berry District 5 Mr. Michael A. Davis 8120 18th Avenue, S.W. Naples, FL 34102 Subject: Emergency Medical Services Advisory Council Dear Mr. Davis: While convened in regular session on September 23, 1997,the Board of County Commissioners voted to reappoint you to a 3-year term on the Emergency Medical Services Advisory Council. Your new term will expire on August 31, 2000, or at such time as the Board reappoints you or appoints your successor. On behalf of the Board of County Commissioners,I wish to extend our appreciation for your willingness to continue serving the residents of Collier County as a member of this advisory committee. If I can ever be of service to you during your term,please do not hesitate to contact me. Very truly yours, Timothy ifcoc ,AICP, Chairman Commissioner, District 2 TLH:sf cc: Diane Flagg, Emergency Medical Services Director i o� � i _ _ 3301 East Tamiami Trail • Naples,Florida 34112-4977 ‘, C. Norris (941)774-8097 • Fax(941)774-3602 L,I)vlct 1 Timothy L. Hancock,AICP September 24, 1997 District 2 Timothy J.Constantine District 3 Pamela S.Mac'Kie District 4 Barbara B.Berry District 5 Mr. Robert D. Laird 1765 Courtyard Way, 205-C Naples, FL 34112 Subject: Emergency Medical Services Advisory Council Dear Mr. Laird: While convened in regular session on September 23, 1997,the Board of County Commissioners voted to reappoint you to a 3-year term on the Emergency Medical Services Advisory Council. Your new term will expire on August 31, 2000,or at such time as the Board reappoints you or appoints your successor. On behalf of the Board of County Commissioners,I wish to extend our appreciation for your willingness to continue serving the residents of Collier County as a member of this advisory committee. If I can ever be of service to you during your term, please do not hesitate to contact me. V ly yours, e 7 /+ Timothy L. ancoc , AICP, Chairman Commissioner,District 2 TLH:sf cc: Diane Flagg, Emergency Medical Services Director i / �p pp �p Ga..c..F ,% oap a/C acre p C�ou,Gtt FG�r'7'Z,ru:5.1eMe11 - la 3301 East Tamiami Trail • Naples, Florida 34112-4977 'n C. Norris (941)774-8097 • Fax(941)774-3602 strict 1 Timothy L. Hancock,AICP District 2 June 20, 1997 Timothy J. Constantine District 3 Pamela S.Mac'Kie District 4 Barbara B. Berry District 5 n / V Ms. Sharon M. Hanlon 4555 Shearwater Gj c Naples, FL 34119 RE: Emergency Medical Services P rry , _ / -p , J Dear Ms. Hanlon: Q 4 d Your term on the above-referenced a. �? /. In accordance with the Advisory Board poi ., sent to the appropriate news media. We appreciate the time and effort you have put into the .visory committee and would like to advise you that you are eligible for reappoints. wish to be considered for another term, please submit an updated resume and a letter int., o your interest in continuing to serve on the committee to this office before the July 1 1997, deadline. If you have any questions regarding this procedure,please do not hesitate to contact me at 774-8097. Sincerely, -1/i'Le' /sf Enclosure a`, '' ` cc: Diane Flagg, Emergency Medics ! _ �; , 'r�; v,r. , .,... ) ,\6 (- k \,\`0\ '' '1 ,,,, , \ \\,..s,‘A, ,, \,, \— \,.. ..\3J,, ,-,- _. ,( ,,\-( ,-- \(- 0 -..-\ ry ,- 1. l� J v.,, (, rt)., e.goae ,o9FGt000ep &Lead, Fo/n/7LG.1.1eMe1:1 3301 East Tamiami Trail • Naples, Florida 34112-4977 • `In C. Norris (941)774-8097 • Fax(941)774-3602 3 .strict 1 Timothy L. Hancock,AICP District 2 Timothy J.Constantine June 20, 1997 District 3 Pamela S.Mac'Kie District 4 Barbara B.Berry District 5 Mr. Robert D. Laird 1765 Courtyard Way, 205-C Naples, FL 34112 RE: Emergency Medical Services Advisory Council Dear Mr. Laird: Your term on the above-referenced advisory committee expires on August 31, 1997. In accordance with the Advisory Board policy, the enclosed press release has been sent to the appropriate news media. We appreciate the time and effort you have put into the activities of this advisory committee and would like to advise you that you are eligible for reappointment. If you wish to be considered for another term, please submit an updated resume and a letter indicating your interest in continuing to serve on the committee to this office before the July 18, 1997, deadline. If you have any questions regarding this procedure,please do not hesitate to contact me at 774-8097. Sincerely, Sue Filson, Administrative Assistant Board of County Commissioners /sf Enclosure cc: Diane Flagg, Emergency Medical Services Director 0UL / pp jF PJoGT� /W4.0&i, FGzezed, FGmme.1.1GMePd ' `' 3301 East Tamiami Trail • Naples, Florida 34112-4977 s. hn C. Norris (941)774-8097 • Fax(941)774-3602 '• ,istrict 1 Timothy L. Hancock,AICP District 2 Timothy J.Constantine District 3 Pamela S.Mac'Kie June 20, 1997 District 4 Barbara B.Berry District 5 Mr. Michael A. Davis 8120 18th Avenue, S.W. Naples, FL 34102 RE: Emergency Medical Services Advisory Council Dear Mr. Davis: Your term on the above-referenced advisory committee expires on September 2, 1997. In accordance with the Advisory Board policy,the enclosed press release has been sent to the appropriate news media. We appreciate the time and effort you have put into the activities of this advisory committee and would like to advise you that you are eligible for reappointment. If you wish to be considered for another term, please submit an updated resume and a letter indicating your interest in continuing to serve on the committee to this office before the July 18, 1997,deadline. If you have any questions regarding this procedure,please do not hesitate to contact me at 774-8097. Sincerely, Sue Filson, Administrative Assistant Board of County Commissioners /sf Enclosure cc: Diane Flagg, Emergency Medical Services Director QrLe ° Z ra- PRESS RELEASE FOR IMMEDIATE RELEASE JUNE 20, 1997 The Collier County Board of Commissioners is seeking applications for positions on several advisory committees. The Black Affairs Advisory Board has several vacancies. This 9 member committee identifies and evaluates problems unique to the Black Community, reviews and recommends ways to ensure open communication between the minorities and Collier County Government and provides periodic reports to the Board of County Commissioners. The Board of Adjustments and Appeals has 2 terms expiring on August 9, 1997; 1 Architect and 1 Electrical Contractor. This board hears appeals on rejections by the building official as to the materials or mode of construction used on a structure. Terms are 4 years and meetings are held quarterly or on an as-needed basis. Members must file a Form 1 Statement of Financial Interests each year with the Supervisor of Elections. The Collier County Airport Authority has 4 terms expiring on August 10, 1997, 1 of the 4 shall represent the Immokalee community and 1 shall represent the Marco Island community. This 7 member authority was created on June 22, 1993, by Ordinance No. 93-36. Members of the Authority shall be residents of Collier County with business ability and experience in one or more fields which, by way of example, may include, but are not limited to, general business, economic development, aviation, public affairs, law, finance, accounting, engineering, natural resource conservation or other related fields. No person holding elected office at the State, County, or Municipal level shall be appointed to, or be a member of,the Authority. Members must file a Form 1 Statement of financial Interests each year with the Supervisor of Elections. The County Government Productivity Committee has 1 vacancy, expiring on 2/4/99. This 13 member committee reviews the efficiency of departments of County Government under the jurisdiction of the Board of County Commissioners. Terms are 2 years. The Emergency Medical Services Advisory Council has 3 terms expiring on August 31, 1997, representing 2 At-Large members and 1 member representing Commission District 3. This 11 member council advises the Board of County Commissioners on all aspects of emergency medical services, including the operational budget, level of service and equipment. Terms are 3 years. The Hispanic Affairs Advisory Committee has 5 vacancies. This 9 member board identifies and evaluates problems unique to the Hispanic Community, reviews and recommends ways to ensure open communication between the minorities and Collier County Government and provides periodic reports to the Board of County Commissioners. Terms are 4 years. The Marco Island Beach Renourishment Advisory Committee has 3 terms expiring on August 26, 1997. This 9 member committee makes recommendations and aids and assists the Board of County Commissioners in carrying out the purposes of Collier County Ordinance No. 86-91 relating to beach renourishment, improved storm protection of beaches, and public access to beaches. The representation on the committee consists of approximately one-half from co-ops or condominium association and approximately one-half from the single-family residential areas of Marco Island. Members are subject to filing a Form 1 Statement of Financial Interests each year with the Supervisor of Elections. Terms are 4 years. The Public Vehicle Advisory Committee has 2 terms expiring on September 2, 1997; 1 representing the affiliated category and 1 representing the non-affiliated category. Three members must be holders of Certificates to Operate a motor vehicle for hire company in Collier County and two members who are in no way affiliated or associated with the vehicle for hire business. This 5 member committee reviews and approves; applications for a Certificate to Operate, taxicab color schemes pursuant to ordinance, and reviews and make recommendations to the Public Vehicle Board (BCC) regarding issues related to the motor vehicle for hire business and regarding alleged violations of Ordinance 91-93. Terms are 4 years. The Collier County Utility Authority has 1 vacancy due to a resignation. This 5 member council was established on February 27, 1996,by Ordinance No. 96-6 to regulate utility rates and related matters regarding non-exempt water and wastewater utilities in unincorporated Collier County. Members are required to file a Form 1 Statement of Financial Interests each year with the Supervisor of Elections. After initial staggered terms, the terms will be 4 years. Members of the advisory committees must be residents and electors of Collier County. Residents interested in applying for the advisory committee positions are requested to submit a letter and brief resume to the attention of Mrs. Sue Filson, Administrative Assistant, Board of County Commissioners, 3301 Tamiami Trail East,Naples, Florida 34112. The deadline for acceptance of resumes is JULY 18, 1997. # # # • MEMORANDUM TO: Sue Filson, Administrator Assi tant Board of County Commission r FROM: Diane B. Flagg, Chief Emergency Services DepS ment DATE: September 5, 1997 REF: Emergency Medical Services Advisory Council Your continued assistance and cooperation in identifying Emergency Services Advisory Council candidates for the Boards' consideration is greatly appreciated. The Emergency Medical Services Advisory Council met this week and recommended these candidates for the Council vacancies. It is my understanding that Mr. Mike Davis resubmitted his resume for consideration. The EMS Advisory Council recommended he be re-appointed as the representative for District#3. The EMS Advisory Board also recommended that Mr. Robert Laird be re- appointed to the Council. Mr. Robert Laird serves as the Chairman of the EMS Advisory Council. The final recommendation by the Advisory Council for appointment by the Board, was for Mr. George Leamon. Mr. Leamon expressed his interest in serving the Council due to his interest in EMS services. If I may offer any additional information, please do not hesitate to contact my office. Thanks again for your continued expertise. • MEMORANDUM DATE: August 11, 1997 TO: Diane Flagg, Emergency Medical Service'Director FROM: Sue Filson, Administrative Assist., � ' 2,a 4/"_ Board of County Commissioners 4 RE: Emergency Medical Services Advisory Council As you know, we currently have vacancies on the above-referenced advisory committee. A press release was issued requesting citizens interested in serving on this committee to submit a resume for ,,---consideration. I have attached the resumes received for your review as follows: Daniel Malinowski 1260 39th Street, S.W. C s aJ <.;1/4\��GF� � \Naples, FL 34117 , _ � (� Ed Maguirre Naples,FL 34109 C13/1 _� \ "" John Read, Jr. l\ 3315 Rosinka Court Naples, FL 34112 George T. Leamon ■■ti 7024 Trail Boulevard H E " ' Naples, FL FL 34108 Please let me know, in writing,the recommendation of the advisory committee for appointment and I will prepare an executive summary for the Board's consideration. Please categorize the applicants in areas of expertise. If you have any questions, please call me at 774-8097. — Thank you for your attention to this matter. SF ,y Attachments _ 01/15/1995 22:51 9412624829 COMTEL BUS.TELEPHONE PAGE 01 CASH SITE DEVELOPMENT INC. 1260 39th Street S.W. Naples Florida 34117 941-348.1425 7 August 1997 Sue Filson Administrative Assistant Board of County Commissioners 3301 East Tamiami Trail Naples Florida 34112 Dear Sue; I would like to submit my name, Daniel Maliuowski for the Emergency Medical Service Advisory Committee vacancy. I have been a resident of Collier County for 28 years, and a registered voter for 16 years. Graduated. from Lely High School in 1981 Attended St Petersburg junior College and Edison Community College towards Public Administration degree Employed by the City of Naples Fire Department since 1981 State certified E.M.T. Own and operate my site development business for 10 years 1 have worked in the field and I feel could provide some valuable knowledge and input to this community and committee. Respectfully Submitted, \_a• (),),(441 * Daniel Maiinowski 08/07/1997 12:31 9415977082 NO NAPLES PAGE 02 • ."!■► North Naples Fire Control & I' escue Distract 1441 PINE RIDGE ROAD • NAPLES, FLORIDA 34109 -� (941)597-3222 • Fax(941)597-7062 1 August 7, 1997 Board of Collier County Commissioners Attn: Sue Filson, Administrative Assistant 3301 Tamiami Trail E. Building F Naples,FL 34112 1 Dear Ms. Filson: 3 I would like to express my interest in serving on the Emergency Medical S Advisory Board and hope that my background and association with the independent Ere distri. 3 of Collier County would be of some benefit. I have enclosed a brief resume for your review. Thank you for your consideration. Sincerely, Ed Maguire, C an North Naples Fire Control &Rescue District .i Board of Fire Commissioners i ; •y� • • 4 08/07/1997 12:31 9415977082 NO NAPLES PAGE 03 ED T. MAGUI E 6322 Taylor Road, Naples, FL 34109 941 591-8818 OBJECTIVE To be an active participant and to utilize my experience in fire and emergency service to benefit the citizens of Collier County. By being a member of±ls committee,We can bridge the communication gap between the current services. This will establish more open communication between the different agencies, and will result in each organization providing an effective service to the citizens. EXPERIENCE JOHNSONS AIR CONDITIONING&REFRIGERATION,INC. Past President, 1975-1988 COWER COUNTY GOVERNMENT Director of Development Compliance Serrlces, 1988-1994 MAGUIRE ENGINEERING SERVICES INC. ; • Owner, 1994-Present t ; t BOARD OP FIRE COMMISSIONERS OF THE NORTH NAPLES FIRE CobrrRoL &RESCUE DISTRICT Commissioner, 1995-Present January 1997-Present , ti^ COLLIER COUNTY FIRE SERVICE STEERING COMMITTEE 1995-Present Chairman • 1 = i o JA 3:315 K9051 /■1A- - - &JA-FMS _-.- L a5�f/! ✓__ 773 - Si3/ - - U�ilE /61,joki 4D M. ,s7; 0 pr c4 - GoiviNussipledez Af Af Lis fL Z</i/ Z. /cam /�'� / �LJ 47-7E-Z•-74 )41 tip A-a-mte �! G,;,,y 3y J J 7m/a c'� / 6Z_ r‘az,y. 6-puie _ 7 � � ey GLi , / / ✓ mot- �f' -1`"eJ sip// � •r�i%'/ GQ- de-Zei G /0 .0f,, Zle-dLo z.-- �� ` �„ 55 c.:777d. . • ... . j ,vaed-,7 ZZe.... 32 4/ e,--i9-2a.0/4 x--me. /f-c./6 �Gi� .B�i�.�r �e �i„c.,-y�� yC 4,4,,,,.✓det,..".. Li , .„.,,,,..z.de," &,..7,___x_t_ .z.d....4., ...,„,..,<_,„ . 1 P/ , 14 7_ (7-. - Irf- . N - . . -"-. _ Xr-ee./12 - ► / / %( / / - , 340 Tamiami Trail 5137 Castello Drive,Suite 2 Port Charlotte,FL 33953 Naples,FL 33940 (800) 741-1558 (941)263-7002 August 1, 1997 Ms. Sue Filson, Administrative Assistant Board of County Commissioners 3301 East Tamiami Trail Naples, FL 34112-4977 Re: Emergency Medical Services Advisory Council Dear Ms. Filson: I would like to be considered for appointment to the Emergency Medical Services Advisory Council as the at-large member. I have lived in Naples for 27 years, coming from up-state New York. For the last 19 years I have been in the insurance business, Green-Leamon& Associates and OMNI Financial Services. My wife has been with Collier County Schools, teaching kindergarten for 27 years. We have no children and live in the Pine Ridge area in Naples. Please call me should you have any questions or need further information. Sincerely, George T. Leamon /� GTL/gdl 61( r J G� Encl. /92-(i MEMORANDUM DATE: July 21, 1997 TO: Diane Flagg, Emergency Medical Serv. e Director FROM: Sue Filson, Administrative Assistan , Board of County Commissioners RE: EMERGENCY MEDICAL SERVICES ADVISORY COMMITTEE As you know, we currently have 3 vacancies on the above-referenced advisory committee. A press release was issued requesting citizens interested in serving on this committee to submit a resume for consideration. I have attached the resumes received for your review as follows: Robert D. Laird 1765 Courtyard Way, #205C Naples, FL 34112 Please let me know, in writing, the recommendation4f the advisory commi forappoint ment and I will prepare an executive summary for the Board's consideration. Please categorize the applicants in areas of expertise. If you have any questions, please call me at 774-8097. Thank you for your attention to this matter. SF Attachments ROBERT D. LAIRD 1765 Courtyard Way#205-C, Kings Lake Naples, Florida 34112 Ph. 941/793-0933 July 10, 1997 Ms. Sue Filson, Administrative Assistant Board of County Commissioners 3301 East Tamiami Trail Naples, FL 34112-4977 RE: Emergency Medical Services Advisory Council Dear Ms. Filson: I apologize for the delay in responding to your letter dated June 20, 1997, but I was out of town for several weeks. I appreciate your kind comments regarding my service on the Emergency Medical Services Council. I am currently serving as Chairman of this Board and I would like to be considered for reappointment. I have enclosed an updated resume as requested. Please call me should you have any questions or need further information. Sincerely, GedeitillAf ova Robert D. Laird RDUdk Enc. ROBERT D. LAIRD 1765 Courtyard Way#205-C, Kings Lake Naples, Florida 34112 Ph. 941/793-0933 PERSONAL I have owned property at the above address for nineteen years and have been a resident of Naples for twelve years. OCCUPATION/EMPLOYMENT I have held a Florida Real Estate license for the past eleven years. I have handled project and development work as well as general real estate in Collier county. At the present time, I am a Realtor with Kersey-Quade Realtors; telephone 941/262-7533. I was previously associated with Andrea Deane and Associates Realtors. During 1993, 1994 and 1995 I was assigned to the Pelican Bay Development - The Crescent. I was a three million dollar producer each year. I am retired from The Underwriters Adjusting Co./Continental Insurance Company as a Regional Director of Personnel and Training. The home office was located at 1111 East Broad Street, Columbus, Ohio, 43215. I am presently self employed as a part time Massage Therapist, holding Florida license No. MA 0016291. I have taught at The Florida Health Academy, both in Naples and in Bonita Springs. I am also self employed as a part time insurance Consultant, handling malpractice claims. EDUCATION Graduated from Jackson High School, Jackson, Ohio. Graduated from Ohio University, Athens, Ohio. BS Degree. Attended Ohio State University Law School and Graduate School, Columbus, Ohio. MILITARY SERVICE LT. CDR. United States Naval Reserve. Four years active duty. Served as CO of Naval Reserve Training Center. I BUSINESS/CIVIC ORGANIZATIONS Member State of Florida Construction Industry Licensing Board Member of East Naples Civic Association Member of Greater Naples Civic Association Member Naples Chamber of Commerce Member Collier county EMS Citizens Advisory Committee Member of Board Tiger Bay Association Member Collier County Productivity Committee Member Collier County Sheriffs Citizens Commission Member Citizen Advisory Committee for Collier County Drill Academy Member of Sunset Rotary Club Member Lely Presbyterian Church Member Collier County 100 Club Member Collier County Forum Club Member Naples Area Board of Realtors (eleven years) Member Professional Standards Committee (three years) Member Grievance Committee (three years) Member Education Committee (two years) Taught Success Series (two years) President Courtyard Condominium Association Vice President Kings Lake Home Owners Association Member Literacy Volunteers Association (LVA) (five years) Member Man-To-Man: Prison visitation and counseling (five years) Member Insurance Companies Education Directors Association Member American Society for Training Directors Member Citizens Advisory Committee for Collier County Growth Management Plan FRATERNAL ORGANIZATIONS Member all Masonic Bodies and Aladdin Shrine, Columbus, Ohio and Naples, Florida Member American Legion and 40 & 8, Naples, Florida Member Elks Club of Naples, Florida FORMER BUSINESS/GOVERNMENT ORGANIZATIONS IN OHIO Former Member (Public Member) Ohio State Chiropractic Board (ten years) Former Member Ohio Governor James Rhodes Highway Traffic Safety Commission Robert D.Laird Resume Page 2 of 2 pages. 1 PRESERVE MARCO ISLAND TAXPAYERS' ASSOCIATION (MITA) Post Office Box ,1263 o J mi o Marco Island, Florida, 34146 Fay R. Biles, Ph.D. President ti4, PGt' (941) 394 3089 Fax. same 0,944 P�S� June 19, 1997 Mrs. Diane Flagg Director, Emergency Services Department Government Center, Collier County 3301 E. Tamiami Trail Naples, FL 34112 Dear Diane: Got a real shock when I went through the agenda for the BCC meeting Tuesday. Have I missed something at an EMSAC meeting? I missed only one meeting, and I don't recall ever discussing an increase in ambulance fees. Where and when did all this come about, and and why wasn't it brought up before the advisory committee. Second question regards why John Yonkosky introduced it, signed by Leo Ochs? You are the Director and only you should be bringing up fees for ambulance services. Prior to bringing it before the BCC it certainly should be thoroughly researched. Third is the question of cost for outlying area that would pay entirely too much. Medicare pays only $257, and we already did go to $302. Why go to $310 plus $5.00 a mile. Marco Islanders would pay $310 plus $150 (30 miles away). What would Immokalee pay being about 40 miles away? We are talking about $500. It does not make sense. I talked briefly with Bob Fernandes about the item. He seemed surprised too. Something is not right about this.Is there a hidden agenda? Did you know about it? Perhaps it is time to look at the whole picture again, now that this has come up. Don't know about you,but as an administrator, I did not like shocks like this coming from center field. Sincerely, ,(9.?i, Z.A.4 Fay R. Biles Member, EMSAC and President, Marco Island Taxapyers' Association(MITA) ∎,i 1 O I IA I,U„ TO: Leo Ochs, Jr., Administrator ' Support Services Division � FROM: John A. Yonkosky Director Revenue Services Department �`)J . DATE: December 2, 1996 ,t''~ SUBJ: Ambulance Billing STATUS REPORT ON AMBULANCE BILLING 12/02/96 ♦ Trip Tickets Received 11/18/96 ♦ Insurance Information Obtained 11/14/96 ♦ Coding Completed 11/14/96 ♦ Data Entry 11/11/96 ♦ . Billed (Electronic/Individual) 11/11/96 ♦ Days Out (15 day lag) 6 STATUS REPORT ON CASH RECEIPTS ♦ FY 96/97 Budget for fees $ 3,450 000 ♦ Monthly Cash Required ( = 12) $ 287,500 ♦ Monthly Cash Required @ 11/30/96 (2 times $287,500) $ 575,000 • Actual Cash Received @ 11/30/96 $ 421 ,212 ♦ Overage (Shortage) @ 11/30/96 $ (153,788) • November Cash Collections through 11/30/96 $ 236,791 • November Billing through 11/30/96 $ 625,792 ♦ Medicare in process but not received $ 146,866 COLLECTION AGENCY ♦ As of 11/27/96 $1,501,349 has been turned over to collection agency. RECOMMENDATION THAT THE BOARD OF COUNTY COMMISSIONERS CONSIDER ADOPTING THE ATTACHED RESOLUTION UPDATING THE COLLIER COUNTY AMBULANCE SERVICE USER FEES OBJECTIVE: To have the Board of County Commissioners review empirical data concerning ambulance fees and charges and, if appropriate, adopt a resolution updating ambulance service user fees. CONSIDERATIONS: On September 13, 1994 the Board of County Commissioners approved an ordinance and resolution to establish a new ambulance billing process. This process allowed staff to accept patient insurance payments including Medicare/Medicaid assignments prior to direct billing the patient for any allowable unpaid balance due. The initial rate established in 1994 was a single charge of$250 for a transport. On June 25, 1996, the Board amended the 1994 ordinance and adopted a new billing resolution. These changes were approved to optimize and maximize the allowable revenues from Medicare and other sources. The rate approved by the Board was $302 for an ambulance transport. Medicare increases its allowable amount every January based on charges billed for an ambulance transport for the twelve month period ending the previous June 30. Attached as Exhibit 1 is the fee screen (allowable fees) Medicare provided to Collier County for the twelve month period beginning January 1, 1997. Attached as Exhibit 2 is a listing of the counties Medicare uses to develop Collier County allowable rates. Attached as Exhibit 3 is a schedule of definitions (charge categories) used by Medicare to determine the allowable rates for Collier County. Attached as Exhibit 4 is a Medicare provided worksheet used by Medicare to determine the allowable rates for Collier County. Attached as Exhibit 5 is a projection of revenues for Collier County based on four different sets of assumptions. They are (assuming 14,500 billable runs): • Continue the existing rate of$302 = $3,202,600 • $302 plus $5/mile (average 7 miles) = $3,549,700 • Existing rate increased by 2.8% to $310 = $3,284,700 • $310 plus $5/mile (average 7 miles) = $3,631,700 AGE A ITEM No. JUN 2 4 1997 Medicare has pre-approved a mileage allowable rate for Collier County of $4.11 per mile. See Exhibits 1 and 4. At the present time, Collier County's rate resolution does not provide a mileage charge. The attached rate resolution includes a charge of $5.00 per mile for each ambulance transport. Attached as Exhibit 6 (2 pages) is the results of a recent survey taken by Escambia County. Every county respondent except Collier County has a mileage charge and most have an oxygen charge. The addition of a $5.00 per mile charge for each billable transport will generate a net positive cash flow to the County of$337,000 over a twelve month period. FISCAL IMPACT: Board approval of the attached resolution would generate a net ambulance fee revenue of $3,631,700 based on 14,500 billable transports. At 15,200 transports, as reflected in the FY 98 budget, the ambulance fee revenue generated would be $3,787,000. There is no additional operating cost to the Board to implement the new fees. GROWTH MANAGEMENT IMPACT: NA RECOMMENDATION: The Board review the facts and, if appropriate, adopt the attached resolution. Y Prepared by: �C\ � Date: 03k1 P � D Joh A. YonkAsky Director Rev- ue Services Department Reviewed by: Date: (, t _ l%i Leo Ochs, Jr., Administrator Support Services Div sion Approved by: Date: Robert F. Fernandez County Administrator NoAGE A ITEM . 17/ JUN 2 4 1997 Pg. 06/Z1/1996 16.47 5417744010 COUNTY MANAQER ?AQE 04 • RECOMMENDATION THAT THE BOARD OF COUNTY COMMISSIONERS APPROVE AN ORDINANCE KNOWN AS THE "BILLING AND COLLECTION PROCEDURE FOR COLLIER COUNTY AMBULANCE SERVICES ORDINANCE", FOR COLLIER COUNTY AMBULANCE SERVICES AND A RESOLUTION TO APPROVE USER FEES FOR SAID SERVICES. OBJECTIVE: The Board of County Commissioners approve an Ordinance known as the "Billing and Collection procedure for Collier County Ambulance Services Ordinance", for Collier County Ambulance services and a resolution to approve user fees for said services. CONSIDERATION: On 9/13/94 the Board of County Commissioners approved Ordinance #94-44 which established a new billing procedure. This billing procedure allowed Collier County to accept patient insurance payments including Medicare/Medicaid assignment prior to direct billing the patient for any unpaid balance due. The new Ordinance sets standards for providing for findings and purposes; providing for applicability; providing for rates, fees, and charges; providing for billing and collection procedures; including removal of past due accounts from active accounts receivable; providing for Medicaid billings; providing for Medicare billings and other third party billings; providing for alternative methods of payment; providing civil action procedures; repealing in part previously adopted ordinances; providing for conflict and severability: providing for an effective date. The new Resolution allows for a higher user fee which is more in line with 2 Medicare's allowable rate and more in line with the cost of operating a ambulance service. The Resolution also sets standards for the billing and collection procedure; adjustments of EMS user fees, waiver of EMS user fees and establishes guidelines for hardship cases and payment plans. Staff is recommending the approval of the Ordinance and Resolution to streamline the billing and collection procedures and to obtain the maximum reimbursement from Medicare and Medicaid and other third party insurances. The Boards' Emergency Management Services Advisory Committee unanimously approved the recommended rates at their May, 1996 meeting. FISCAL IMPACT: Board approval of this Ordinance and user fee Resolution will provide approximately X9976 00 Fiscal 1996/97 of user fee revenue to support EMS operations. q.Th 9 11, MD-NUTS) JUN Z 5 1996 • l , 06/21/1996 15:47 9417744010 COUNTY MANAGER RAGE 05 i GROWTH MANAGEMENT IMPACT: NA RECOMMENDATION: That the Board of County Commissioners approve an Ordinance known as the "Billing and Collection Procedure for Collier County ambulance services Ordinance", for Collier County ambulance services and a Resolution to approve user f s for said services. • ii./(IlZffi PREPARED BY: f,.,(---a — eresa A. Riesen, Revenue Manager ate Revenue Services Department REVIEWED BY: 11111 •..r.V.\-\ (.f\3frtL .- Jo ' . Yonkosky,_' ector Date Reven±.fe Services Departn ent f REVIEWED BY: -.• C U: \ ... _ 41/71?(' Leo Ochs, Jr., Divi on Administrator Date Support Services (vision i` AGENT" T • oo- I JUN 251996 • , . . rQ7,)7`-/ c -A) (-e V/At) i )i' , 0, 0 i', is: / _____, . \6\) A\. il Sk ( \' Qt,:o , A)...„ ,. ■, o . ,_,_ c\--.( ,,,, cs?( ,,,,,,, ',\ •. c,‘,.,3 v-sl,\IN ,-...--... - -2- . ■k )IN:Nrwik"- AA* C — , '.),( ' --._ -------r.' 3 O.\'CO-, GA\ 6 s". C. 'CC\1.,(■\GI\)(5.,z,tNiTt —, •V\ C\''"0`k)\--\\-•.-- \.'.'1\ V1.,9,..4 y ct,yv,,,t, sbk.... f-q_5-1..,-;_\--,\,-,_ \6 0,... -.k- -) c z\-- v,\-.) --- -•\, ,:p Vo.'. \\ 1) _ .--.)-Ca-V.-\L., '\s) C.I..oc--\')fv...)....--, AA-0 ,Pe.., 0T—Ci',....- 'L--\-7 c-w■ C... 3f. '\ "c34- A\tt,-.4 --\)---L tIA-- .) fr-uNctriC,-/\ ) ' '\-Z_ ■, N.'La (y- ' - ( \U-0 ''' C''-VI\5V /".-- 0',( \ C --\c- . 4 ' 14" \NSLCS-rt9 -----\--7- --)4\ LD. thi:C 'e3\ \Rv-15k,, • . toil's Dinosaurs Are eoI?nlag! b y Doug Duble While praying one morning with a pastor Jesus,we enthrone You, friend, I had a vivid prophetic vision of We proclaim You are King. God's plan to bring restoration to the Standing here in the midst of us, church. I saw myself standing in a room of immense size. The distance between the We lift You up with our praise. walls spanned many city blocks and the ceil- And as we worship, build Your throne... ing extended countless stories upward. In Come,Lord Jesus, and take Your place! the center of the room was a lavishly fur- "Come, Lord Jesus, and take Your rightful niched throne with a long flight of steps place," is my heart's cry! I was still caught up leading up to the royal seat. I instinctively with the grandeur of the King and His throne, knew that this was the throne room of the when He said to me,"There is more to come." King of Kings. As I turned around and looked again to the My eyes were then directed toward the back of the hall,some dancing ladies appeared. back of the hall where I saw the King Himselfl Each had a tambourine in her hand and wore On His head was a golden,jeweled crown.He a full-length dress with a sash at the waist. was wearing a royal crimson robe and held a They were twirling, leaping, kicking and golden scepter in His hand.Kindness could be spinning as they moved forward. The danc- seen on the King's bearded face; determina- ers were radiantly alive, and their enthusi- tion could be seen in His eyes.Walking quickly asm was contagious. I soon found myself and purposefully to the throne, He mounted wanting to join in their celebration. the steps without slowing His pace and took "What does this mean?"I asked the Lord. His place on the high seat. "It represents joy," He responded. "I will The Lord said,"This speaks of my author- lead my church with joy and it will be conta- ity in the church."My thoughts immediately gious to all." went to the words of a familiar song: • 40 THE MORNING STAR '' GOD'S DINOSAURS ARE COMING! Doug Duble, founder of Africa Aflame Ministries, a,equips served as atrwo nationals in worship for ten years church planting. Prior to embarking on his outreach to y Doug Christian Community Church in pastoring Ohio.Doug,his wife Kathy,and their two sons currently reside planted Russian church along with a team of Kenyans. in Saratov,Russia,where they a p $ This is an awesome vision, I thought to church forward,the ugliness and wickedness ` myself. When the church truly comes under Jesus' of the human heart the will come out."nation, I authority,it will then fully experience the joy became particularly aware of the pride and of His presence. disunity At this point I thanked the Lord for the wrong attitudes that so often bring insights He had shown me, and prepared to to the chu church art e tided procession,h e nakesuneed an not continue on with my prayers. But the Lord be a negative P be spoke again: "There's still more." a positive one;for only as you see your sin can It soon became obvious that I was viewing you deal with it and be purged from it." an unlikely procession. Behind the dancers I was encouraged as I saw the dancers, the came hundreds of butterflies, flitting and snakes and crushing them beneath th their feet. floating toward the throne. "What does this represent?" I"nquired. shake, and the mhghty rumbling,"Change and transformation," responded thunder.As I looked again to the back of the the Lord."Constant change is here to stay for hall,my jaw dropped in utter amazement at i.1' the church." the sight before me.Dinosaurs,larger than I Behind the butterflies came scores of ever imagined them,were proceeding toward pure-white rabbits, hopping toward the the throne! They were all the Brontosaurus throne."This represents reproduction," the type,creatures I later learned were typically I Lord continued. "I will reproduce godly 70 feet long,20 feet high,and 80,000 poun ds seed after My kind." of weight. I now saw why the throne room - The next section of the procession repulsed needed to be so large. me.Ugly black snakes were slithering from "This is My great power," the Lord explained, "which I am restoring to the `4 L church. Although you do not always see it, L My power is not extinct.. Power belongs to '' . ' �► God(see Psalm 62:11).As surely as I live,My �' dinosaurs are coming to the church." side ... to side as they So authority, joy, reproduction, change,•_' ' and finally, power, are to be key 'L worked their way purging, .� forward. I found myself wanting to ingredients for the restoration of the church. .., Lord Jesus, and take Your place. A past them to the next part of the proses- Come, that is contagious. Use Though I hesitated to ask the Lord Fill us with holy joy ` t these symbolized—I wasn't sure I even us to reproduce godly seed.Chanu where we us where . 1 Y ted to know—He told me anyway."Look we need to be changed; purge ;`,;Ahem," He said. "These snakes stand for need the dinosaurs 'g THE MORNING STAR 41 z, r Thursday,April 20,1995 , - John Lunsford The second bold stroke was to Let s count send the bill directly to the insur- ance carrier rather than to the pa- tient.The check came back our. blessings directly to county EMS.Thus the county instead of the customer got Ihst crack at the money. I Next,information about a pa- - Occasionally,we are pleased tient is sometimes difficult to ob- te report that some things work Itain in an emergency situation. just fine in county government. EMS struck a deal with the hospi- It's only fair to mention those oc- tal to provide them with billing in- Pasions when they occur. formation from the hospital's ..:.. For many years,Emergency more complete data base.As you Medical Services raised fees regu- know,no hospital will let you out larly in an attempt to make the the door without obtaining your department self-supporting.It got 'complete personal history includ- sp bad that if you thought you had ' ing where to send the bill. any chance to arrive alive,you - Finally,a new computer sys- 'Might call a taxi instead of an am- tern was installed to expedite bill- 'bulance even though cabs don't ar- 1 ing.While that can be dangerous, rive as quickly and drivers hardly this one kicked in with only a ever are capable of providing re- slight delay.EMS is catching up suscitation on the trip to the hospi- with back bills quickly. . tal. - EMS director Diane Flagg said ,*-I- Still it might be worth the risk the result has been marvelous. since the savings were significant. -"' Although the average bill is A trip costing perhaps$8 in a taxi much smaller,the agency is col- Pould wind up costing you as much lecting more of them.That's be- 'at$800 in a county emergency ve- cause almost all bills are paid and hide depending on the distance the money goes directly to the and the treatment required en county. route: ' ''•'' '' - - ::" At the same time,says Flagg, The second blow came when 'gone is the confusion and distress 1 clients learned that the bill was of trying to track down and collect Tour or five times as much as in- ' 1rom constituents who thought ',"stirance companies would pay for they were overcharged in the first -a ride to the hospital.Most insur- "I place.More than$100,000 in col- . , -arice plans would pay no more -'I - -ection expenses have been elimi- :than 80 percent of$150 for a sin- ' :mated. °gle ambulance ride,leaving pa- '-- Making the change was not tients with a tremendous overage easy.Nobody got serious until the to make up on their own. ::city of Naples threatened to start '4 ,The Cost was so high that many -its own ambulance service to pro- people did to send in the :test the high fees. amount received from their in.stu.- :"...'2" All of the above makes perfect ance carrier:if they couldn't pay ...gense and probably should have the entire amount they would pay ';been done sooner.On the other nothing.EMS was stuck with a , • :land,let's count our blessings that mountain of unpaid bills,which , _the new and more efficient strate- were very expensive to track 2-'4?.' :.gy was initiated at all -, down and collect. •-t- . ,-, - .-;..-.. -, LAGNIAPPE—There is talk • Finally,CountY‘adniiiiitiliiirs in county board circles of expand- admitteotthe system was not "' - ing the role of EMS.Instead of sit- working and took several bold "fing around waiting for , . steps.<-ger.,,,,,, , - ., .--,-. .; - - . *smergency calls,some commis- '-'-` First,the cost of an ambulance , . . -sioners believe that highly trained ride was reduced to a flat$250 for , - :EMS personnel could use their 1 -.. most trips:At the same time,EMS Idle hours providing medical as- , . talked Medicare and other insur- . , r .7, 4 . ' --sistance for shut-ms. ers to cover that amount. : - , , r , , Thursday, April 20,1995 John Lunsford T The second bold stroke was to I Let S count t send the bill directly to the insur- ance carrier rather than to the pa- '_ tient.The check came back- our blessings directly to county EMS.Thus the county instead of the customer got first crack at the money. Next,information about a pa- - Occasionally,we are pleased tient is sometimes difficult to ob- to report that some things work fain in an emergency situation. just fine in county government. EMS struck a deal with the hospi- It's only fair to mention those oc- tal to provide them with billing in- ,casions when they occur. formation from the hospital's .._'For many years,Emergency more complete data base.As you ;Medical Services raised fees regu- know,no hospital will let you out larly in an attempt to make the the door without obtaining your department self-supporting.It got complete personal history includ- so bad that if you thought you had ing where to send the bill. any chance to arrive alive,you Finally,a new computer sys- .might call a taxi instead of an am- tern was installed to expedite bill- bulance even though cabs don't ar- ing.While that can be dangerous, -rive as quickly and drivers hardly this one kicked in with only a ever are capable of providing re- slight delay.EMS is catching up suscitation on the trip to the hospi- with back bills quickly. tal. EMS director Diane Flagg said ,,. Still it might be worth the risk � the result has been marvelous. since the savings were significant. " Although the average bill is A trip costing perhaps$8 in a taxi much smaller,the agency is col- .could wind up costing you as much letting more of them.That's be- 'as$800 in a county emergency ve- cause almost all bills are paid and -hide depending on the distance the money goes directly to the and the treatment required en count °route . At the same time,says Flagg, The second blow came when 'gone is the confusion and distress i clients learned that the bill was of trying to track down and collect ;four or five times as much as in- :from constituents who thought durance companies would pay for •;they were overcharged in the first •a ride to the hospital.Most insur- 'I place.More than$100,000 in col- :ance plans would pay no more- 1 alection expenses have been elimi- :than 80 percent of$150 for a sin- ::hated. "' le ambulance ride,leaving pa-gg g P �•-' Making the change was not tients with a tremendous overage -easy.Nobody got serious until the to make up on their own. •n •city of Naples threatened to start The cost was so high that many its own ambulance service to pro- people'did m4 bother to send in the test the high fees. amount received from their insur '''. All of the above makes perfect ance carrier.If they couldn't pay -sense and probably should have the entire amount they would pay `' Y P Y 'been done sooner.On the other': nothing.EMS was stuck with a 'hand,let's count our blessings that mountain of unpaid bills,which the new and more efficient strate- were very expensive to track . ' gy was initiated at all down and collect .f .. LAGNIAPPE-There is talk Finally,county admimstrafors in county board'circles of expand- admitted the system was not ing the role of EMS.Instead of sit- working and took several bold Ling around waiting for i:.1 steps.t ;, ,r< , ,• .-., emergency calls,some commis- ' First the cost of an'ambulance sioners believe that highly trained .I reduced ride was re to a flat$250 for.. CMS personnel could use their most trips At the same'time,EMS sidle hours providing medical as talked Medicare and other instil.- '- I , ers to cover that amount sistance for shut-ins. { Thursday,April 20,1995 .John Lunsford .. _ -' I The second bold stroke was to Le 0011 Yt send the bill directly to the insur- �.LL ance carrier rather than to the pa- tient.The check came back our blessin �s directly to county EMS.Thus the g county instead of the customer got first crack at the money. Next,information about a pa- • Occasionally,we are pleased tient is sometimes difficult to ob- to report that some things work "fain in an emergency situation. just fine in county government. EMS struck a deal with the hospi- It's only fair to mention those oc- tal to provide them with billing in- casions when they occur. formation from the hospital's v_For many years,Emergency more complete data base.As you Medical Services raised fees regu- know,no hospital will let you out i larly in an attempt to make the the door without obtaining your department self-supporting.It got ! complete personal history includ- so bad that if you thought you had ! iing where to send the bill. I any chance to arrive alive,you Finally,a new computer sys- migght call a taxi instead of an am- tern was installed to expedite bill- :I/glance even though cabs don't ar- ; lug.While that can be dangerous, •rive as quickly and drivers hardly this one kicked in with only a :ever are capable of providing g re- slight delay.EMS is catching up suscitation on the trip to the hospi- with back bills quickly. tal. EMS director Diane Flagg said N Still it might be worth the risk the result has been marvelous. since the savings were significant. Although the average bill is A_trip costing perhaps$8 in a taxi much smaller,the agency is col- .Could wind up costing you as much letting more of them.That's be- •as$800 in a county emergency ve- . cause almost all bills are paid and :hide depending on the distance the money goes directly to the and the treatment required en lCoanty route At the same time,says Flagg, «-„ The second blow came when ',"gone is the confusion and distress 1 clients learned that the bill was of trying to track down and collect Tour or five times as much as in- - • from constituents who thought ;surance companies would pay for `;they were overcharged in the first °a-ride to'the hospital.Most insur- I •place.More than$100,000 in col- ,•ance plans would pay no more .lection expenses have been elimi- ;than 80,percent of$150 for a sin- ' :hated. ~" °gle ambulance ride,leaving pa- :- Making the change was not tients with a tremendous overage `easy.Nobody got serious until the to make up on their own. ,city of Naples threatened to start v The cost was so high that many -its own ambulance service to pro- people-did jnot,bother to send in the .test the high fees. amount;received from their insur-. ri'. >All of the above makes perfect ance carrier:If they couldn't pay -sense and probably should have the entire amount they would pay "1beeen done sooner.On the other nothing.EMS was stuck with a :Band,let's count our blessings that • mountain of unpaid bills,which rjtjie new and more efficient strate- were very ex ensive to track 3 ' y p _ , gy was initiated at all. -, " 'Glow/land collect �, :a--i 5- ,,t LAGNIAPPE—There is talk Finally,county administrators in county board circles of expand admitted the system was not ' ;mg the role of EMS.Instead of sit- working and took several bold `tmg around waiting for <, steps.? , " emergency calls,some commis First the cost of an'ambulance • � .. �-sioners believe that highly trained rule was reduced to a flat$250 for: ,FMS personnel could use their most trips.AAt the same time,EMS Idle hours providing medical as- talked Medicare and other instil.- - -sistance for Shut-ins. - ers to coffer"that amount i Thursday,April 20,1995 •John Lunsford The second bold stroke was to L et c count send the bill directly to the incur- �? v ance carrier rather than to the pa- ",' tient.The check came back Our y blessings direcy.t,LL county instead of the customer got first crack at the money. Next,information about a pa- - Occasionally,we are pleased tient is sometimes difficult to ob- ., to report that some things work tarn in an emergency situation. just fine in county government. EMS struck a deal with the hospi- It's only fair to mention those oc- tal to provide them with billing in- .I casions when they occur. formation from the hospital's For many years,Emergency more complete data base.As you Medical Services raised fees regu- know,no hospital will let you out larly in an attempt to make the the door without obtaining your 'department self-supporting.It got complete personal history includ- °so bad that if you thought you had I 'Mg where to send the bill. any chance to arrive alive,you - Finally,a new computer sys- inigght call a taxi instead of an am- tem was installed to expedite bill i ulance even though cabs don't ar- tng.While that can be dangerous, .rive as quickly and drivers hardly this one kicked in with only a ever are capable of providing re- slight delay.EMS is catching up suscitation on the trip to the hospi- with back bills quickly. tal. °> EMS director Diane Flagg said :r Still it might be worth the risk -the result has been marvelous. I since the savings were significant. "° Although the average bill is A.trip costing perhaps$8 in a taxi much smaller,the agency is col- .could wind up costing you as much lecting more of them.That's be- as$800 in a county emergency ve- . cause almost all bills are paid and ;hicle depending on the distance the money goes directly to the and the treatment required en :, °° count route '; - :. - . At the same time,says Flagg, -' The second'blow came when •gone is the confusion and distress -clients learned that the bill was of trying to track down and collect -four or five times as much as in- :from constituents who thought durance companies would pay for .they were overcharged in the first °a°ride to the hospital.Most insur- 'I ,place.More than$100,000 in col- :ance plans would pay no more :aection expenses have been elimi- • :than 80 percent of$150 for a sin- :`Hated. •gle ambulance ride,leaving pa-; . Making the change was not tients with a tremendous overage .easy.Nobody got serious until the to make up on their own. :city of Naples threatened to start The cost was so high that many -its own ambulance service to pro-, people"ddid not;bother to send in the 'Nest the high fees. amount received from their insur- , '. All of the above makes perfect , ance carrier.If they couldn't pay .sense and probably should have the entire amount they would pay .been done sooner.On the other nothing.EMS was stuck with a ;".Band,let's count our blessings that mountain of unpaid bills,which „tie new and more efficient strate- were very to track ?..,;-'a expensive f. down and collect ', gy was initiated at all LAGNIAPPE.-There is talk -Finally,county administrators .)n county board circles of expand- admitted the system was not ing the role of EMS.Instead of sit- working_and took several bold ' wing around waiting for '. steps.t `°' k '..emergent calls,`soine commis .: First,the cost of an ambulance sioners believe that highly trained, ride was reduced to a flat$250 for :EMS personnel could use their . most trip"s`At the'same time,EMStdle°hours providing medical as-'J.: talked Medicare and other insur- stance for shut-ins.•ers to cover that amount. •, r•,.. a Thursday,April 20,1995 -John Lunsford The second bold stroke was to Le 1" Q count send the bill directly to the insur- ance 1. V ance carrier rather than to the pa- tient. ' tient.The check came back our ��SSll l S directly to county EMS.Thus the g county instead of the customer got first crack at the money. Next,information about a pa- -- Ocasionally,we are pleased tient is sometimes difficult to ob- to report that some things work stain in an emergency situation. just fine in county government. EMS struck a deal with the hospi- t's • only fair to mention those oc tal to provide them with billing in- •casions when occur. formation from the hospital's r.For many years,Emergency more complete data base.As you ;Medical Services raised fees regu- know,no hospital will let you out larly in an attempt to make the the door without obtaining your :department self-supporting.It got :complete personal history includ- Ao bad that if you thought you had ! ing where to send the bill. any chance to arrive alive,you - Finally,a new computer sys- :Might call a taxi instead of an am- tern was installed to expedite bill- , ;balance even though cabs don't ar- i log.While that can be dangerous, rive as quickly and drivers hardly this one kicked in with only a ever are capable of providing re- slight delay.EMS is catching up 'suscitation on the trip to the hospi- with back bills quickly. =tal EMS director Diane Flagg said v Still it might be worth the risk $ the result has been marvelous. ,since the savings were significant. '; Although the average bill is 1 A trip costing perhaps$8 in a taxi much smaller,the agency is col- -could wind up costing you as much letting more of them.That's be- :a§$800 in a county emergency ve- cause almost all bills are paid and hide depending on the distance the money goes directly to the •slid the treatment required en county. route •` y ; At the same time,says Flagg, The second blow came when gone is the confusion and distress -clients learned that the bill was of trying to track down and collect "-four or five times as much as in- ' from constituents who thought durance companies would pay for .they were overcharged in the first -a ride to the hospital.Most insur "- 1 --place.More than$100,000 in col- 4-., :ance plan's would pay no more :.lection expenses have been elimi- ,':,than 80,percent of$150 for a sin- riated. •ggle ambulance ride,leaving pa- - Making the change was not tients with a tremendous overage "easy.Nobody got serious until the to make upon their own. :city of Naples threatened to start _# .The cost was so high that many -its own ambulance service to pro- people diet not;bother to send in the 'test the high fees. amount received front their incur 'Z.: All of the above makes perfect ante carrier.If they couldn't pay ' ense and probably should have the entire amount they would pay been done sooner.On the other nothing.EMS was stuck with a .land,let's count our blessings that mountain of unpaid bills,which Ale new and more efficient strate- were very expensive to track '-, 'and y p gywas initiated at all. ,� b down and collect. . ,,,. - .4 LAGNIAPPE—There is talk ' •Finally,county`administrators adrrutted the system was not '- in county board circles of expand - admitted -ing the role of EMS Instead of sit working and took several bold -, around waiting for , steps.v -c t r', :;. 'emergent calls"some commis- ',.' First the cost of an`ambulance y ' s -sinners believe that highly trained t,s rule was reduced to a flat$250 for "EMS personnel could use their most trips At the same time,EMS ".idle hours providing medical as-;4.' talked Medicare and other instil-- 'sistance for'shut-ins ers to cover that amount. ,_; • Thursday,April 20,1995 John Lunsford L e The second bold stroke was to send the bill directly to the insur- �0 � a nte carrier rather than to the pa- " tient.The check came back ---- o blessm.gs LLl d irectly to county EMS.Thus thecounty instead of the customer got first crack at the money. ' Next,information about a pa- Occasionally,we are pleased tient is sometimes difficult to ob-. to report that some things work lain in an emergency situation. just fine in county government. EMS struck a deal with the hospi- It's'only fair to mention those oc- - tal to provide them with billing in- casions when they occur. formation from the hospital's For many years,Emergency More complete data base.As you •Medical Services raised fees regu- know,no hospital will let you out larly in an attempt to Make the the door without obtaining your -department self-supporting.It got ; complete personal history includ- :so bad that if you thought you had ! ing where to send the bill. any chance to arrive alive,you Finally,a new computer sys- :might call a taxi instead of an am- ! tern was installed to expedite bill ;butane even though cabs don't ar- lag.While that can be dangerous, :rive as quickly and drivers hardly this one kicked in with only a -, ever are capable of rovidin re- � g alight delay.EMS is catching up suscitation on the trip to the hospi- with back bills quickly. - tal• EMS director Diane Flagg said .• Still it might be worth the risk B the result has been marvelous. since the savings were significant. "'.` Although the average bill is A trip costing perhaps$8 in a taxi much smaller,the agency is col- could wind up costing you as much g g y lecting more of them.That's be-, 'as$800 in a county emergency ve- . cause almost all bills are paid and -hicle depending on the distance the money goes directly to the :ad the treatment required en county. . r :; At the same time,says Flagg, `"• The second blow carne when .gone is the confusion and distress clients learned that the bill was of trying to track down and collect `four or five times as much as in- ` ^ from constituents who thought •surance companies would pay for ';"they were overcharged in the first :a.ride to'the hospital.Most insur-' ,place.More than$100,000 in"col- -ance plans would pay no,more ::lection expenses have been elimi- •than 80.percent of$150 for a sin- ;;dated. - °ggle ambulance ride,leaving°pa- - Making the change was not °' tients with a tremendous overage easy.Nobody got serious until the to�makeup on their own. - ::city of Naples threatened to start . The;cost was so high that many µits own ambulance service to pro-_ peopledid 04,1i-other to send in the -. .test the high fees. - • amount teceived from,their incur ' 'All of the above makes perfect ante carrier.if the couldn't pay sense and probably should have the entire amount:they would pay been done sooner.On the other nothing.EMS was stuck with a • ,'Band,let's count our blessings that mountain of unpaid bills,which ::the new and more efficient strate- were very expensive to track •." - i dowii and collect ',, �y was initiated at all �. � LAGNIAPPE,:�There is talk Filially;county administrators in county board circles of expand admitted the system was not ", , • ing the role of.EMS.Instead of pit working unf took several bold doing around waiting for _ , d';; ; steps , ,,,,,,,„2..,i im s .4,, ,y emergency calls,some commis . :.; t-_ First the cost of an ambulance ` ride was'~` uceil to a flat$250 �� °signers believe that highly trained . $ ,Z;EMS personnel could use their .,. most trips At the same time,:EMS ;Idle hours providing medical as '.;.: talked Medicare and other insur--'r °sistance for shut-ins ers tnedei hat amount