Item N42
CM
ounty of onroe
BOARD OF COUNTY COMMISSIONERS
Mayor George Neugent, District 2
Mayor Pro Tem David Rice, District 4
TheFloridaKeys
Danny L. Kolhage, District 1
Heather Carruthers, District 3
Sylvia J. Murphy, District 5
County Commission Meeting
December 14, 2016
Agenda Item Number: N.4
Agenda Item Summary #2406
BULK ITEM: DEPARTMENT:
Yes County Attorney's Office
TIME APPROXIMATE:STAFF CONTACT:
Cynthia Hall (305) 292-3470
No
AGENDA ITEM WORDING:
Approval of a resolution granting authority to terminate
outstanding contracts between the Upper Keys Health Care Taxing District and third parties, and
disposing of unused surplus office equipment.
ITEM BACKGROUND:
The Upper Keys Health Care Taxing District (Trauma District), a
municipal services taxing unit (MSTU), was created in 1988 via Ordinance 008-1988, to provide
revenues to ensure access to critical trauma care at appropriate trauma centers within time frames
established by the American College of Surgeons. The Trauma District had taxing authority, and
collected taxes until 1997. In September 2016, the Advisory Board of the Trauma District passed a
motion recognizing that the Trauma District is no longer necessary in light of various improvements
in health care, and recommended that the Trauma District should be abolished. An ordinance
abolishing the Trauma District will be heard at a public hearing at the December 14, 2016 BOCC
meeting.
The Trauma District currently has several outstanding contracts with third parties (Public Health
Trust of Dade County/University of Miami School of Medicine, Baptist Hospital of Miami, and
Keys Hospital Foundation, Inc. dba Mariners Hospital). The contracts in essence guaranteed
payment to the hospitals, for uninsured or underinsured Monroe County residents transported to and
treated at the hospitals. The contracts have termination clauses requiring either 30 (Baptist,
Mariners) or 60 day notice (Public Health Trust/University of Miami School of Medicine) to the
third parties in order to terminate. In anticipation that the ordinance to abolish the Trauma District
will be approved in December, the resolution seeks authority to notify the third parties that the
contracts will be terminated. The notices of intent to terminate can be rescinded if the ordinance is
not approved in December.
The resolution also asks for direction in disposing of a few pieces of office equipment, including
computers, that meet the definition of surplus property as defined in the Monroe County Purchasing
Policy.
This resolution is brought forward at the request of Commissioner Murphy.
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PREVIOUS RELEVANT BOCC ACTION:
Please see further chronology in attached
resolution.
CONTRACT/AGREEMENT CHANGES:
N/A
STAFF RECOMMENDATION:
Approval.
DOCUMENTATION:
Resolution Trauma District 9.28.2016
Trauma Agreement
MOU Baptist 12-01-1987
MOU Baptist 2-16-1988
MOU Baptist 12-20-1988
Addendum to MOU Baptist Hospital of Miami 5-23-1989
Reso 246-1990 and Trauma Care Agreement with Keys Hospital Foundation Inc.
Name change Keys Hospital Foundation Inc. to Mariners Hospital Inc.
FINANCIAL IMPACT:
Effective Date: N/A
Expiration Date:
Total Dollar Value of Contract:
Total Cost to County: $0
Current Year Portion:
Budgeted:
Source of Funds:
CPI:
Indirect Costs:
Estimated Ongoing Costs Not Included in above dollar amounts:
Revenue Producing: No If yes, amount:
Grant:
County Match
:
Insurance Required:
Additional Details:
None
REVIEWED BY:
Cynthia Hall Completed 11/14/2016 6:14 PM
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Bob Shillinger Completed 11/15/2016 9:05 AM
Budget and Finance Skipped 11/14/2016 6:15 PM
Maria Slavik Skipped 11/14/2016 6:14 PM
Kathy Peters Completed 11/15/2016 9:16 AM
Board of County Commissioners Pending 12/14/2016 9:00 AM
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RESOLUTION NO. ______-2016
A RESOLUTION OF THE BOARD OF COUNTY COMISSIONORS OF MONROE
COUNTY, CONCERNING THE ABOLISHMENT OF THE UPPER KEYS HEALTH
CARE TAXING DISTRICT, TERMINATION OF ALL CONTRACTSTO WHICH THE
TAXING DISTRICT IS A PARTY, AND DISTRIBUTION OF SURPLUS PROPERTY
BELONGING TO THE UPPER KEYS HEALTH CARE TAXING DISTRICT.
WHEREAS
Florida, is authorized by Article VIII of the Florida Constitution and Chapter 125, Florida
Statutes, to adopt ordinances not inconsistent with general law; and
WHEREAS,
Section 125.01(1)(q), Florida Statutes, grants to counties the
authority to establish and abolish municipal service taxing units for the provision of
numerous municipal services; and
WHEREAS,
was
created by the BOCC via Ordinance No. 008-1988, as adopted by the BOCC in January
1988; and
WHEREAS,
the purpose for the Trauma District was to provide revenues to
ensure access to critical trauma care at appropriate trauma centers within time frames
established by the American College of Surgeons on Trauma, for residents within the
geographical area covered by the Trauma District; and
WHEREAS
, in 1997, the BOCC adopted Ordinance No. 050-1997, terminating
the taxing authority of the district; and
WHEREAS,
authority now stand at approximately $800,000; and
WHEREAS
, on September 9, 2016, the Advisory Board of the Trauma District
passed a motion, recognizing that the Trauma District is no longer necessary in light of
various improvements in health care coverage laws, and recommending that the
Trauma District should be abolished; and
WHEREAS,
on September 21, 2016, the BOCC passed a motion authorizing
staff to advertise an ordinance abolishing the Trauma District; and
WHEREAS
, the Board of County Commissioners finds it necessary to terminate
all contracts to which the Trauma District is a party; and .
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WHEREAS,
between 1987 and 1998, Monroe County entered into agreements
with the Public Health Trust of Dade County/University of Miami School of Medicine,
Keys Hospital Foundation, Inc. d/b/a Mariners Hospital, and Baptist Hospital of Miami,
Inc., whereby the County agreed to guarantee the costs of transport and treatment
above and beyond insurance proceeds for Upper Keys patients from Trauma District
funds; and
WHEREAS,
in light of the dissolution of the Trauma District, it is advisable for the
County to take steps to terminate each of the agreements; and
WHEREAS,
the BOCC wishes to dispose of certain personal property owned by
Monroe County heretofore used for Trauma District business, located in the Trauma
not-for-profit entity, by transferring title to the personal property (listed below) to the
Ambulance Corps. in accordance with Chapter 12 of the Monroe County Purchasing
Policy.
NOW THEREFORE BE IT RESOLVED by the Monroe County Board of County
Commissioners
, as follows:
Section One.
The following agreements are hereby terminated, and staff is
hereby authorized and directed to notify the contracting parties that the County is
exercising its right to terminate the respective agreements in accordance with the
various termination or cancellation clauses:
(a) Trauma Agreement dated July 16, 1990 by and between the Public
Health Trust of Dade County, University of Miami School of Medicine, and Monroe
County;
Memorandum of Understanding (MOU) by and between Monroe
(b)
County and Baptist Hospital of Miami, Inc. dated 12-1-1987, Memorandum of
Understanding (MOU) by and between Monroe County and Baptist Hospital of Miami
dated 2-16-1988, Memorandum of Understanding between Baptist Hospital of Miami,
Inc. and Monroe County dated 12-20-1988, and Addendum to 12-20-1988 MOU, dated
5-23-1989;
(c) Trauma Care Agreement dated 4-18-1990 by and between Monroe
County and Keys Hospital Foundation, Inc. dba Mariners Hospital, approved by
Monroe County Resolution No. 246-1990.
Section Two. Disposition of Property Used By The Trauma District.
A. Monroe County is currently in possession of the following
Largo Ambulance Corps. building:
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4 vertical file cabinets; 2 horizontal file cabinets; 1 ink jet printer; 1 fairly
old (about 7 years) copier/scanner/fax machine; one desk.
B. Each item of Property is estimated to have a fair market value that
is less than five thousand dollars ($5,000.00).
C. The Property has no further use to the County due to
obsolescence, inefficiency, or being uneconomical.
D. The BOCC wishes to donate the Property to the Ambulance Corps
and is advised that the Ambulance Corps wishes to accept the Property. Staff is
directed to execute any paperwork required by the Purchasing Policy in order to transfer
the property to the Ambulance Corps.
E. In addition to the foregoing, Monroe County is also the owner of
and in possession of two computers. One computer (a 1998 Dell DXW4V workstation,
P5MMX200, with monitor and keyboard) is in storage in the Murray Nelson building.
The other (Lenovo Think Centre with Lenovo monitor and keyboard) is currently in use
remain the possession of Monroe County, subject to disposal as surplus property in the
future in accordance with Monroe County Purchasing Policy rules. Prior to dissolution,
Trauma District personnel will make appropriate arrangements to safeguard any public
records on them, including protected health information in accordance with HIPAA rules.
PASSED AND ADOPTED by the Board of County Commissioners of Monroe County,
Florida, at a regular meeting of said Board held on the ____ day of November, 2016.
Mayor __________________________ _____________
Mayor Pro Tem ____________________ _____________
Commissioner ______________________ _____________
Commissioner _____________________ _____________
Commissioner ___________________ ___ _____________
(SEAL) BOARD OF COUNTY COMMISSIONERS
Attest: AMY HEAVILIN, Clerk OF MONROE COUNTY, FLORIDA
By___________________________ By____________________________
Deputy Clerk Mayor/Chairperson
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