Item R15
BOARD OF COUNTY COMMISSIONERS
AGENDA ITEM SUMMARY
Meeting Date: Wednesday. August 20. 2003
Division: BOCC
Bulk Item: Yes
No XX
Department: Commissioner Rice. District 4
AGENDA ITEM WORDING: Conceptual discussion to consider a trauma patient health care
system for the Middle and Lower Keys, and obtain a formalized agreement with Ryder Tnuma
Center to enhance trauma care in the remainder of Monroe County in a manner similar to the
services provided in the Upper Keys. With the Board's direction, an informal study group could
be formed to ascertain the local interest, and outline the issues to be addressed in the
development process.
ITEM BACKGROUND: The Upper Keys Health Care Taxing District (UKHCTD) was created
in 1988 to provide prompt trauma patient acceptance via an agreement for service with Ryder
Tnuma Center at Jackson Memorial Hospital. This taxing district system and agreement with
Ryder has performed weD, and the Middle and Lower Keys would benefit from a simUar
formalized agreement and health care system for trauma patient care services with Ryder.
PREVIOUS RELEVANT BOCC ACTION:
CONTRACT/AGREEMENT CHANGES:
STAFF RECOMMENDATIONS:
TOTAL COST:
BUDGETED: Yes
No
COST TO COUNTY:
SOURCE OF FUNDS:
REVENUE PRODUCING: Yes
No
AMOUNTPERMONTH_ Year
APPROVED BY: County Atty _ OMB/Purchasing _ Risk Management_
DMSION DIRECTOR APPROVAL:
Ql~~
(Davl . Rice, Conum sioner, District 4)
DOCUMENTATION:
Included XX To Follow_ Not Required_
DISPOSITION:
AGENDAITEM#~
Revised I/03
August 5, 2003
In an effort to enhance air ambulance response time to the Middle
and Lower Keys areas, Trauma Star operations began serving the
County as an air ambulance for trauma rescue transport in
November of2001. The BOCC approved a Memorandum of
Understanding between the Monroe County Board of County
Commissioners and the Monroe County Sheriff's Office (MCSO)
for operation of the Sheriff's Bell UH-l helicopter for public
safety missions, with the MSCO and the Monroe County
Emergency Medical Services (EMS) Department to jointly
operate and staff the helicopter for that purpose.
Some type of continuing funding source and a formal agreement
with Ryder Trauma Center should be developed to continue
trauma care services for the Middle and Lower Keys into the
long-term future, to include all the incorporated municipalities in
this area.
TRAUMA STAR MISSIONS SINCE INCEPTION:
Trauma Star Missions to date: 102
Trauma: 79 (77%)
Inter-facility*: 23 (23%)
* Inter-facility: All inter-facility patient transports were
flown an emergency basis.