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Miscellaneous Letters 12/07/1995 10:47 18133942253 JOSE°HPYOUNG PAGE 01 1292 - ' Ct. Marco Island, Fl. 33837 7 December 1935 Nra. nay R. 5.Llas• President, MITA Box '1263 Marco Island, Fl. 33969 "-- Mr letter or t ovo@r LL, iyyo nas peen recni.vein an n. noted. As you know, I also attended the workshop you cited in your letter. However, I was not present at the Press Conference at which the charges of impeding patient access were made. To my knowledge, Mrs. Flagg has never made these charges at an !MAC meeting. Your interest in EMS is well known and appreciated by many in the community. Sincerely, P. Young Chairman, BMSAC cc: MNSAC tubers D. Flagg L. Ochs 1111Genotropina - Simplifies GH Therapy 'V) e / _ , 2W )P arf Pharmacia 10/18/1995 15:23 18133942263 JD3E?HP"/OUN6 PAGE 03 • 12 October 1995 Diane Flagg Director, EMS Subject: EMSAC MEETING--October 11, 1995 At the subject meeting the membership asked you to prepare presentations starting at the November Meeting on the process involved in selecting sites for ambulance coverage in the county. As a starting point you may wish to use the two sites selected for fiscal `95 and your plans for fiscal `96. In addition we ask that your presentation include the Growth Management Plan (or 5 year plan-- terminology?) and how the Level of Service fits into that plan. Accordingly, please prepare the first presentation for our November 8 meeting covering these subjects. Since these may be complex it may take several sessions to cover the material thoroughly. Forty Five (45) minutes per meeting would allow time for other matters. (:: Your recent budget included several million dollars for the two new sites. It would appear that these issues would lead ua into a discussion of the preparation of the budget for fiscal `97 . EMSAC wishes to be involved very early in the budget process this year and anticipates your cooperation in this matter. Please feel free to call me in advance of the meetings, if you have any questions. Thanks for your assistance. Sincerely, c7,:` Jo -h P. Young Chairman, EMSAC cc: BCC BMSAC Members W. N. Dorrill L. Ochs 12/04/1995 1 :38 181339422193 JOSEPHPYOUNG PAGE 01 C rrig '11W , Afh4 ,airrtonsamumcnovr.twooram LZIe -rou• r FAX:qt (4r4-2763 94( PAGES TO FOLLOW r,r,r,zsr ••• 'ea ■••••••••• ••• COA777:::FrneAlf 737 7.77. .S7 S rrATC7777 TODAY 77.CF r1.1' 12/04/1995 10:38 18133942263 JOSEPHPYOUNG PAGE 02 1282 Mulberry Ct. Marco Island, Fl. 33937 1 December 1995 To: County Attorney David C. Weigel Pram: Joseph P. Young Chairman, =BAC Subject: Role of Advisory Council The attached photocopies of articles from the Islander (Naples Daily News) and The Marco Eagle detail complaints by the BUMS Director and unnamed RMS personnel that the Marco Island Fire Fighters are taking actions to delay patient care by EMS. I have two questions. 1. S SAC is an appointed Advisory Council to the Board of County Commissioners. 'What official role does this council have in such a conflict.? 2 . If such actions by the Marco Island Fire Fighters are indeed happening, what responses are available to the EMS department? sincerely, \.f.t4i/ =BAC cc: IL1SAC Members Diane Flagg L. Ochs BCC 12/04/1995 10:38 18133942263 JOSEPHPYOUNG PAGE 03 y 8 U §, . V w"c y •° MARCO ISLAND EAGLE NOVEMBER 22,1995 24-A.-R-• ' cl g A; 4 a 2.k n n �' 3 0 n � a � � i rn n �' � �. 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".," the debate betwee the r.7^Ail c t9(,.."71 1?",,,,,,ft;•3?.!t7 Tftking a man o!.r..:,7.,1 i,:■...ii.p;and t.:'..7.!?',,...‘7,.......—s and. the C.',3rrir, , st.,4n outi.,ne him on 4.:-,g. ...,.1.1,..,;,!..int,.., el'/..;';• .',".•:.,... thrl:.e-man concept Put .•''• '^'1 1-..l'.'7.1 -.;,•,-- w7t.:.‘:,:' lowlar the ...^.1:1'11.;CV ',1:■.,■,'! '.'..rarried ics took Rea.les,s 1 ;•81 '."+. "..rglator! ';'::. vrr••7!.i.t cl:' '"."•";''nit personallY and ?:/.'sill I er (Jo° t7,10 ti.1,0,7„, .qtalt7,. ...,..,.,,,: , i„... ,..,: .i..0”:).., ....ccorctinr:to Arai',era 1 "no',grlxi.rot.)..4.if er),.'' :•.: .4,45 EMS Director Plane r.,......".1:)7/I c 1,1 e y c , ! .,.n......,, She made a forma re- ''''.'s et% malq,1 1.-‘1"-:' cl a !7•11!il ';',1' •-, • '.:7,t'le r..r.,)commissio that rnir,'-rs-`-'''l '...-'1"1';7 II '•.; '': • ..:..:w +.he situation and take y''",.1%"..POor,P5, '..:::,. "es....,,,.ctir:c.f te'.....)•".q...A..in'.1.. ,.C.3.Ve. Ac...;..,,, :ogainst „.P.4.,eastPy l'o Ms . • ,-.'., 4,..6.• ' 7 7_,e L IAA.LA... ...I' .:';..,r»,..,..,,::.sei ';rol... .v.:z. Ow t.rt.:::-. i',..7.4 it:: ,• .'':•.:. manane by facts ‘L txiAs ;;..ir riertcts over h.. "".Ic rer'..r.iiter.N'Ir.: 5.,',0(4. put- or..,'.•!'L'.!...Y," I'l;litte,:Aid. "We u- t ...14 :. iy,.1 olf ,.,s, cr..ric,-.,i ,,.,.; sot 1,,,,,,,'•.. si.3t_ernrInts unless we ci,n liinl ■ ,..: !-..,'orni. N:;.) 0 II! ':1,... MO 04.145 to rwaltr..v.■•• .., '&4.1' .1.',yrnc 1..:4:.i.p1.,,e them Contir.tied niis. co..i.,iir.rilt•et ..,. rort11:1„ht;•.: i. s:411. .1.'t'7 :he :a,-..::. ...1 1y wL:t :.r.a.f.r.-.w.trits by Mr, 17pststey w:',1 /4 !1:...v.:. "...,.....::..,.,. at• ..". .•e RheP, gl.:::t .t =,."44 ",ut ne'' t,;,, -..J..,r,er.1 to the.ottorney c:f. ,iano,fl, ;;;In.,:: 71;,V;,^4.? i■ &i, Qr.:position l'or..:... .1-..ow.,;.-,s. riot." !,4,....,.in .". ... ;..1 :,.,... lf nbut;ince The paramee.nes .iarnmed the C"imissinn Chairman Sal :wo Cr,■!...r.r ("0 .' ..Y 7.0rn- rritir'tie, room at the !WC :;..ittiOn s,z,.'°I'C:1" said HeaaleY'5 c in t:11...:.. i• rorpowe to enuT..(!elt.t, Depn tt,"-: r,,nt,"enhance the situa 'on" •-...e ,.;orn.,,: ,...1,•:n ..rid the Ere. 7...1e4•2,`..ey,p.residetto..Dr ii,„„41 i, !:..e...yr....tn EMS and tile 'fire., ght- .,,,,y0 t.T.re "ri;:1,37; rite •during the olty;t7ti7.1 .to0; 4.: .17 c!.)(,ci.nt la...,! ‘:.e:,-.d.1.1' menttn4). in 0,,..,:ober. Soleano said the firefighters r.,.7....:•., .:.",s„,c,., ..-;;.,.......4:1 ciainatxt ,3-1,71 thz ne.erlp to remember that the c f".1- .:• ,.;:'t.i..,.. : ,; r:-.,;.,. i,', .. ?...:. ...•.tr:i- aler s of sursriw.i.bitity ar., r.F..e. M "11.1”t5 the level Of Servico 40, .:„... ,.1,..: ,, .;,;..,,,,,,...., .t.,e,., f.,,. e.•rr-);Ft....l because.Y' 'S No ;:41oy,.- .‘ .•..: ...,.....;:",,,,".:•irs whr VW I,.':: ,IT * nset ttmes ...." ,..,, the 1,r:..., "I','ho is running the show?" ,., • .. :, ,,,....;,...,.„,„. ,....,, !,...,■„,ta,L.•,•. clepvtment 1)y aaa:,',.ne.r:r Of r,,vo Sco...:.t.^.a asked . • . '' . ',,,. I .1' .) '.il r,re .,.!..7.,...- cateloric42y ,, ,, action was taken because . , -• `. ' 1 workshop, .;,...r'. aprir:wr•t1 said •Tore "441-11t.:IF..‘ '.7'...1 "t;* , , .. .. . 0 cPr t ,.11.)1,t.rt.::: "UrCO 04.1 (br'.'.'..' :'•:'..4-:'.:Y 1..1.-N.r diseussing the three- :.:.I.). ::".0. al■e :7'. .'C. • .,..-!: haw)zio., '''LIV! .7.-t iS r.,.ot tr,,!.1'.. niP., concevt, Co•-.MieStelier ••.€,121.1 :ZiAL::IA ''...! l'n;,Iracr,7 r::..i.. rms omcxals 5r0,....,,,:ht, re. L);1". T.,:.%ittl. said he is concerned 1%.11. ';'hey clini t?..i, rT 7.,re 117.rr.. spo.liie, times„.from abr,:.st. the absences of rettow ....ar. • 1,-. re,:,: i:,... r, .7,, ,......:iti,01,.s 0,7„;,..., . ot tne .c, .:»tissioner David Mikelson. • ' •Jc. 7. ')y ..,:::. : f.'r Cr.)...ticT •'!„;i'..ie:. Cozusty S11,7 rirr's ',)f.'cico, T,...1.;.rd said Mikelson I has ,;;•:•(4 ti+i, ..:v0 ris,7Rrtine.:•.i, Lr. noentim tierit,!,..t,ser,,, A;olt... ...„., .,. the „. • . . .,• ,,,$,..,:i s!ric.... ylk:. r..:»Icury. ir,re v:tiy:t, ror ,}10 .,.„..„nol or fl.....,..,), '''''''...:14 ,,,e ias; three meetii Fs, ,:•<..partment steer told 191 .,•..• o•..,. ...it,;(..0,*pe,.i. ...r..-. :.717 ,,'hower-+ tl'e.'6'. =.4,1 .(1P7,'".,,ai i:,;.k t.son' trissed not rr,r ,.., 0.:01,..ai.1.,v, 1.,- ..,i):crence betweor,..`....r.,:.;a:.. ' 'IP. ....,•!.t. 1.!;.:utar meeting Mike■sen r!rt.: depiArtnieLit'S ;;,rt',,va: e.■ ,1 ,.:11 0, ,0,.0. atene in ,A,,' • `-- st eciries 1.) ',s '!'!wil.,. aTe ;./...11.1. iti&UC?. 0114r, have cllj On the i5lr'ld 91,4 thr'.:'e 7"in' wurk.,,thop, • rl ignore,' •y'r• are concern;'(' ti-.'5 tints 42 secor-c3. ,..,tiout the aniourv. of' 1..irik. .0._:- Izitliera said there are occa- "rm a little annoyed," .ird a:.a frng!:ti ref.',u!.:(:.c.; " s:Itrls when the ambo;.anee might said. "I think we should req est I.,. ,.er...., so,.Atz q.ic: I... . ,. .,. s`v w up later b ,%1,fie c1.1' ,,4_1,..,; t1:44 '.';'sghntion.He is hot he e to v.„......r,,, ,It h :, to tv,vt, ‘..,...,f),..,.i, . ,..at th.,:ty arc„ z.;ut era, egm. .....:3. •••':* Ole nit' gritty of I 311. „: .,,s1,-A•nk he ir-. fltriCtioni. : as ;)... ,fhnat. to laincll€, a r.:.!=,,:.•.. .'"IOn• (Jiii hellse fire I•le fluted t'lw ,:'e- A''..,,ough Hearley did r........t rertment nc...V.. !lei 5: A V i,:*:..1(..• ha'”' the docurr)ci;.;..tiov.). ..`4., re- " . spend a lot of time h e," ning of !.....N. )CO)"e r)e.- •1... •''. %.te ni:MS at the ‘,..erkiiinup. he, l'.:;='..::: t7".cd. lie does not .veri ,5 perc.Ilt Of tf; [I rn.i,, 1,,,.,::.,,,,...4 sa.11.is!...till working or:-.1: rIn.it. k,7.",7•1.' 1,,,•.',..=:.',is going on," . . . A. 0 .. • . 1 , 1 11!18/1995 15:23 18133942263 JOSEPHPYOUNG PAGE 03 12 October 1 95 Diane Flagg Director, EMS Subject: BM.SAC MEETING--October 11, 1995 At the subject meeting the meMbership asked you to prepare presentations starting at the NoveMber Meeting on the process involved in selecting sites for aMbulance coverage in the county. As a starting point you may wish to use the two sites selected for fiscal 195 and your plans for fiscal `96. In addition we ask that your presentation include the Growth Management Plan (or 5 year plan-- terminology?) and how the Level of Service fits into that plan. Accordingly, please prepare the first presentation for our November B meeting covering these subjects. Since these may be complex it may take several sessions to cover the material thoroughly. Forty Five (45) minutes per meeting would allow time for other matters. Your recent budget included several million dollars for the two new sites. It would appear that these issues would lead ua into a discussion of the preparation of the budget for fiscal 197 . EMSAC wishes to be involved very early in the budget process this year and anticipates your cooperation in this matter. Please feel free to call me in advance of the meetings, if you have any questions. Thanks for your assistance. Sincerely, Jo . ,h P. Young Chairman, EMSAC cc: BCC / EMSAC Members ✓ W. N. Oorrill L. Ochs MEMORANDUM TO: W. Neil Dorrill, County Manager FROM: Leo Ochs, Support Services Administrator DATE: October 3, 1995 RE: Citizens Emergency Medical Services Advisory Council The Emergency Medical Services Advisory Council has discussed proposed revisions to their by-laws. A format reflecting the revisions has been developed and will be submitted to the County Attorney's Office for approval of legal form and sufficiency prior to presentation to the Board of County Commissioners. The Emergency Medical Services Advisory Council has formed a subcommittee to review the EMS Department's current process of resolving customer issues and/or complaints. The subcommittee plans to develop recommendations following their review. Please do not hesitate to contact my office if I may be of further assistance. LO/sr cc: Diane B. Flagg, Director, Emergency Services Department • June 14 , 1995 To: Board of County Commissioners From: Emergency Medical Services Advisory Council Subject: EMS 95/96 Budget At a meeting of the Council (6 members in attendance) the following recommendations to the Board are presented: 1. Since the Medical Director has not had an increase in salary in 6 years, it is unanimously recommended that an upwards adjustment be negotiated at the next opportunity. 2 . Establish ALS Service in the Corkscrew area and the S.R. 951/Capri Service Area--4 votes in support, 1 abstention and the Chairman in opposition. There are reservations by some of the members regarding the placement of the unit in the Capri Fire Station by default since no site is detailed in the budget. 3. Recommend that a small fund be established to support and encourage an EMS Community Outreach Program. This would provide for development of printed materials of a consumer education information nature. 4 . Other subjects are under consideration. Jose. P. Young Chairman, EMSAC i CC: John C. Norris Timothy L. Hancock Timothy J. Constantine Pamela S. Mac' Kie Bettye J. Matthews, Chairman Diane Flagg Norris Ij ams EMSAC Members June 14, 1995 To: Board of County Commissioners From: Emergency Medical Services Advisory Council Subject: EMS 95/96 Budget At a meeting of the Council (6 members in atten.= ce) the following recommendations to the Board are presented: 1. Since the Medical Director has not had an increas- in salary in 6 years, it is unanimously recommended that an upwards adjustment be negotiated at the next opportunity. 2 . Establish ALS Service in the Corkscrew area and the S.R. 951/Capri Service Area--4 votes in support, 1 abstention and the Chairman in opposition. There are reservations by some of the members regarding the placement of the unit in the Capri Fire Station by default since no site is detailed in the budget. 3. Recommend that a small fund be established to support and encourage an EMS Community Outreach Program. This would provide for development of printed materials of a consumer education information nature. 4 . Other subjects are under consideration. % iiO Jose. - P Young Chairman EMSAC CC:John C. Norris Timothy L. Hancock Timothy J. Constantine Pamela S. Mac' Ki.e Bettye J. Matthews, Chairman Diane Flagg Norris Ij ams EMSAC Members 07/03/1995 09:08 18133942263 JOSEPHPYOUNG PAGE 02 MEMORANDUM To: Diane Flagg, EMS Director From: Joe Young, EMSAC Chairman Date: July 3, 1995 Subject: EMSAC Meeting July 12 , 1995 Two new members will be joining our group this meeting. For the purpose of orientation to EMS will you please provide someone to give us an overview of EMS for approximately 20 to 30 minutes beginning at 3PM. Please advise me if you will be able to provide a speaker. In my absence Rhona will be chairing the meeting. Thanks for your usual _ covae,ration with EMSAC. CC: Rhona Saunders A)\+: � 5 "• o t U 07)° °) M E M O R A N D U M icN ', ,I DATE- j/::- �./ ACIIG;t '01495 . 1 DATE: September 14, 1995 _ i' TO: Neil Dorrill, County Administrator ! AI f\ ---___ ;, J E FF F_ - _ t CC: Board of County Commissioners "f - __ „ I I FROM: Bettye J. Matthews, Chairman Board of County Commissioners RE: Emergency Medical Services Advisory Council ( tog x (id)41 :1°114-nc? Attached is a copy of the letter I received from Joseph You 114 Chairman of the Emergency Medical Services Advisory Council (EMSAC) In conjunction with his request that we make changes to their by-laws Mr. Young has also asked that we develop a process for EMSAC to review ,_ and possibly resolve complaints regarding EMS services. PU�As we discussed on Monday, September 11, 1995, you agreed that a process may be a good idea. I am forwarding this information to you so that we can proceed with the requested changes to the by-laws for EMSAC. 47 Bettye J Matthews, Commissioner BJM:sf Attachment )/#-\\ ' -lam 5 I vAc,A • 1282 Mulberry Ct. Marco Island, Fl. 33937 1 September 1995 Bettye Matthews, Chairwoman Board of County Commissioners Collier County Gov' t Center 3301 E. Tamiami Trail Naples, Fl. 33962 Subject: Amendment to EMSAC By Laws The Council requests the Board to approve an amendment to the current By Laws in accordance with the process outlined in Article VII, Section 1 of the By Laws to wit: Article" III details the regular membership of the Council as well as ex-officio members. The Council proposes to move the position of President of the Collier County Fire Chief Association from an ex-officio membership to a REGULAR MEMBER. The working relationships between EMS and The Collier County Fire Districts are becoming more intermingled as time passes and is the reason for our request. In addition, minor changes in terminology should be made to reflect the present makeup of County Government Management such as: (Article III, Section 3) A. Delete the Position of EMS Operations Chief as a Staff Advisor B. Delete the position of Emergency Services Administrator and substitute Administrator of Support Services as a Staff Advisor. (Article V, Section 5c) A. Substitute the Director of EMS as the Secretary of EMSAC in place of Administrator of Emergency Services. Sincerely, (-:A1411 41 Jos Young Chairman, EMSAC cc:BCC R. Saunders, EMSAC