Agenda 10/27/2015 Item #11D 10/27/2015 11 .D.
EXECUTIVE SUMMARY
Recommendation to accept a status report from the County Manager and County Attorney
as to the recent discussions with the North Collier Fire Control and Rescue District
concerning a new Interlocal Agreement and consider contingency plans to maintain
advanced life support (ALS) level of service standards within that District.
OBJECTIVE: To receive additional Board direction with regard to the progress towards a new
Interlocal Agreement with the North Collier Fire Control and Rescue District as well as the
proposed contingency plans to maintain ALS service levels if North Collier Fire Rescue District
no longer provided ALS non-transport services.
CONSIDERATIONS: On October 15, 2015, pursuant to Board direction, the County Attorney,
Administrative Services Department Head Len Golden Price, EMS Chief Walter Kopka and
Tabatha Butcher (Division Director, EMS Operations) met with representatives of and counsel
for the North Collier Fire Control and Rescue District (District) for the purpose of negotiating a
new Interlocal Agreement. In that the current COPCN expires at the end of the calendar year, it
is important for the Board to be updated as to what occurred at this meeting and the progress, if
any, since then,which update will be provided during this presentation to the Board.
Currently, ALS transport level services are provided by Collier EMS throughout the District.
Non-transport ALS services are delivered jointly by District personnel and Collier EMS
personnel in both the North Naples and Big Corkscrew Service Delivery Areas within the
District. North Collier Fire District personnel provide non-transport ALS services in the North
Collier Service Delivery Area pursuant to a Certificate of Public Convenience and Necessity
(COPCN) previously issued by the Board of County Commissioners. The COPCN expires on
December 31, 2015. North Collier Fire District personnel provide non-transport ALS services in
the Big Corkscrew Service Delivery Area pursuant to an Interlocal Agreement with the Board of
County Commissioners.
In the event the District discontinues the provision of non-transport ALS service in either or both
service delivery areas, staff has developed the following contingency plans to continue ALS
services at the level of service established in the County's adopted Annual Update and Inventory
Report (AUIR).
Contingency Plan for North Naples Service Delivery Area:
The tables below provide response time data by individual geographic EMS zone in this service
area. The table on the left shows the combined response times for Collier EMS and North
Collier Fire District, which represents the current condition. The table on the right shows
response times for Collier EMS personnel only, assuming a discontinuation of ALS non-
transport service by North Collier Fire District in this service delivery area.
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10/27/2015 11 .D.
Goal—Travel time of 8 minutes or less 90% of the time.
EMS and ALS Engines travel times EMS Only travel times for
For period 9/1/14 thru 8/30/15' period 9/1/14 thru 8/30/15'
Zone Under 8 Zone Under 8
40 96.56 40 91.30
42 90.53 42 . 76.38
43 86.89 43 76.23'
44 96.64 44 91.84
46 88.36 :-46 79.82
482 88.24 482 85.29
243 90.11 243 87.43
1. Source: Collier County Sheriff's Office Computer Aided Dispatch
2. EMS Zone 48 is a new zone for EMS.Response times are for the time period of 8/4/15 thru 8/30/15 when an
ambulance was moved to Station 48. Additional time and data analysis is required to determine the need, if
any,for additional resources in this Zone.
3. EMS Zone 24 encompasses portions of North Collier,City of Naples and Greater Naples departments.
Additional time and data analysis is required to determine the need, if any,for additional resources in this Zone.
If presented with this contingency, staff proposes the following actions to maintain level of
service standards in EMS Zones 42, 43 and 46 in the North Collier Service Delivery Area:
a. Phase I (FY 2016): Beginning January 1, 2016, assign three (3) 24-hour EMS
Quick Response Paramedics (QRP)per shift for nine (9) months to address LOSS deficits
in North Naples EMS zones 42, 43 and 46, utilizing existing staff on an overtime basis.
One QRP will be placed in each of the three EMS zones to provide transport protocol
level of ALS care. The QRP's will not be limited to those specific EMS zones. The QRP
will be utilized to assist with responses throughout the entire North Naples area and will
be utilized to move to "open" zones when the ambulance for a particular zone is on a call.
For example; when Medic 44 runs a call, Medic 43 may be dispatched to move to Zone
44 to cover the area, moving the QRP to Zone 44 will keep Medic 43 in its own zone
more often-thus improving response times in Zone 43. Estimated cost for overtime,
additional reserve vehicle use and supplies is $720,018.
b. Phase II (FY 2017 forward): At the conclusion of the nine (9) month period, add
nine (9) permanent Collier County EMS Paramedics to staff the three (3) 24-hour EMS
Quick Response Paramedic (QRP) units to maintain level of service standards in North
Naples EMS Zones, 42, 43 and 46. Estimated annual cost for new personnel, new
vehicles and equipment is $982,134.
Contingency Plan for Big Corkscrew Service Delivery Area:
If North Collier Fire Rescue decides to opt out of the current Interlocal Agreement, which
deploys a Big Corkscrew service area engine/attack truck staffed with a Collier County EMS
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10/27/2015 11 .D.
paramedic, staff proposes the following actions to maintain level of service standards in EMS
Zone 10.
Goal—Travel time of 12 minutes or less 90% of the time.
EMS Only travel times for EMS Only travel times for
period 9/1/14 thru 8/30/15 period 9/1/14 thru 8/30/15
Zone Under 8 Zone Under 12
10 79.95 10 97.24
a. Phase I Cost (FY 2016): Move the existing paramedic and equipment that is staffing
the engine/ attack truck to a Quick Response Vehicle, utilizing an existing EMS
reserve vehicle; minimal cost for use of vehicle.
b. Phase II Estimated Cost (FY 2017): Purchase an additional Quick Response Vehicle
and return the temporary use vehicle to the EMS reserve inventory. Estimated cost
for vehicle, radios and laptop is $47,050.
EMS staff will monitor, evaluate and adjust these resources for optimal improvement in response
times. Not only will the impacts in the North Naples area be evaluated but neighboring zones as
well.
FISCAL IMPACT:
North Naples Service Delivery Area Costs:
Phase I-Three(3)QRPs Utilizing Existing Personnel,Vehicles &Equipment $720,018
Phase II-Nine(9)FTEs,three(3) Quick Response Vehicles and Equipment $982,134
Big Corkscrew Service Delivery Area Costs:
Phase I -Move existing paramedic to QRP utilizing existing EMS vehicle no additional cost
Phase II-Purchase vehicle, radios and laptop $47,505
Phase I costs represent approximately 2.75% of the FY16 EMS Net Operating Budget of
$26,096,100.
FY 16 contingency plan costs will be funded through a reduction in General Fund (001) reserves,
and a subsequent transfer to EMS fund (490). Current General Fund (001) contingency reserves
total $7,316,900. Total reserves, which include cash flow, are in excess of $27.8M. Budget
amendments will be required to provide additional budget in EMS fund (490).
GROWTH MANAGEMENT IMPACT: There is no Growth Management Impact associated
with this Executive Summary.
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10/27/2015 11 .D.
LEGAL CONSIDERATIONS: This item has been reviewed by the County Attorney, is
approved as to form and legality and requires majority vote for further Board action or direction.
-JAK
RECOMMENDATION: Recommendation to accept the status report from the County
Manager and County Attorney as to the recent discussions with the North Collier Fire Control
and Rescue District concerning a new Interlocal Agreement and approve the proposed
contingency plans to maintain advanced life support (ALS) level of service standards within the
District, if necessary.
Prepared by: Leo Ochs, County Manager
Jeff Klatzkow, County Attorney
Len Price,Administrative Services Department Head
Walter Kopka, Collier EMS Chief
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10/27/2015 11 .D.
COLLIER COUNTY
Board of County Commissioners
Item Number: 11.11.D.
Item Summary: Recommendation that the Board accept a status report from the County
Manager and County Attorney as to the recent discussions with the North Collier Fire Control
and Rescue District concerning a new Interlocal Agreement and consider contingency plans to
maintain advanced life support (ALS) level of service standards within that District. (Chief
Walter Kopka, Emergency Medical Services)
Meeting Date: 10/27/2015
Prepared By
Name: BayArtie
Title: Supervisor-Accounting,Administrative Services Department
10/15/2015 2:46:38 PM
Approved By
Name: pochopinpat
Title: Operations Coordinator, Administrative Services Department
Date: 10/15/2015 3:16:28 PM
Name: KopkaWalter
Title: Chief-Emergency Medical Services,EMS Operations
Date: 10/15/2015 3:20:20 PM
Name: KlatzkowJeff
Title: County Attorney,
Date: 10/15/2015 3:37:58 PM
Name: PriceLen
Title: Department Head-Administrative Svc, Administrative Services Department
Date: 10/15/2015 6:35:41 PM
Name: KlatzkowJeff
Title: County Attorney,
Date: 10/16/2015 8:16:47 AM
Name: WellsLaura
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10/27/2015 11 .D.
Title: Management/Budget Analyst, Senior, Office of Management&Budget
Date: 10/16/2015 9:37:10 AM
Name: OchsLeo
Title: County Manager, County Managers Office
Date: 10/21/2015 3:00:50 PM
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10/27/2015 11 .D.
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