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Home My WebLink AboutItem N09 BOARD OF COUNTY COMMISSIONERS AGENDA ITEM SUMMARY Meeting Date: Wednesday, October 20,2004 Division: BOCC Bulk Item: Yes No XX Department: Commissioner Rice, District 4 AGENDA ITEM WORDING: Approyal to continue the Trauma Systems Study Group to study releyant issues and make recommendation to the Board as to the adYisability of deyeloping a Trauma Care Taxing District for uninsured and indigent trauma care and transport for the Middle and Lower Keys similar to the Upper Keys Health Care Taxing District. ITEM BACKGROUND: The Trauma System Study Group was approyed by the BOCC in August 2003 to study and recommend enhancements to the trauma care deliyery system for the Middle and Lower Keys. The group members include emergency medical service proyiders and responders for the County and municipalities, including representatiyes for area hospitals, municipal elected officials and their appointed representatiyes, as well as seyeral consultants proYiding their knowledge regarding their field of expertise. Additional funds in the amount of $7,343.00 has been requested by the Health Council of South Florida for continuation of services to the study group of Mr. Troy Johnson, a Planner with the Council, for report preparation and meeting minutes for an additional five meetings. PREVIOUS RELEVANT BOCC ACTION: The Upper Keys Health Care Taxing District was established by the BOCC in 1988 to fund the trauma care and transport of medically uninsured or indigent patients. The BOCC approyed in November 2003 funding to the Health Council of South Florida in the amount of $8,573.00 for the staff support to the study group. CONTRACT/AGREEMENT CHANGES: STAFF RECOMMENDATIONS: TOTAL COST: $7343.00 BUDGETED: Yes No XX COST TO COUNTY: $7343.00 SOURCE OF FUNDS: Ad- Valorum REVENUE PRODUCING: Yes No XX AMOUNT PER MONTH Year APPROVED BY: County Arty _ OMB/Purchasing _ Risk Management_ DIVISION DIRECTOR APPROVAL: Cft~~~ (David P. Rice, Commissioner, District 4) DOCUMENTATION: DISPOSITION: Revised I/03 Included XX To Follow_ Not Required_ AGENDA ITEM #~ Mo{U'oe County Trauma Study Group Interim Report October 2004 To determine the viability of Options 2 and 3, a request for proposal (RFP) was developed and advertised in June 2004 (per approval by the BOCC in May 20(4). Vendor requirements included two essential criteria. First, the applicant must be an FAA approved Part 135 air ambul~ce operator and secondly, have a minimum of five continuous years as a certified Florida ~ ambulance helicopter service provider. In July 2004, one vendor responded and submitted a proposal that was similar to Option 2. In September 2004, the Study Group convened to discuss the vendor's response and the recommendation of the appropriate option to the BOCC. At the September meeting, the Study Group identified several positive elements of the vendor's proposal, which included a revenue sharing arrangement (conditional on the level of excess profits), a five-year service term, coverage of maintenance service costs, and the provision of an aircraft. The proposal alSo included Part 135 training for pilots and the assumption of all risks for billing, collections, and non-payment of services. Recommendations The Study Group agreed that Option 2 (public-private partnership) was the most viable strategy for the County Commission to consider for further development. The Study Group identified two key - features as considered highly important for consideration during the contract negotiations proc~s with any vendor under this option. These features were: a) the financial stability of the vendor and b) acquiring an aircraft for long-term service that can accommodate two patients in addition to a two member patient care crew. . Staffing and logistical recommendations endorsed by the Study Group were to: · . Hire and train a flight staff comprised of a) a flight nurse and a paramedic for inter- facility transfer~.;~d b) two paramedics for trauma transport from the incident scene; · Develop appropriate standards and procedures for conducting inter-facility transfers of critical patients within trauma'transport air services; · Designate the Middle and Lower Keys as the primary service area and provide secondary support to the Upper Keys due to its closer vicinity to a trauma center; · Place the current Trauma Star helicopter on back-up status as a resource to the newly acquired aircraft; · Station the aircraft in Marathon; · Explore (through long range planning) the designation of a trauma agency to improve data collection and quality assurance mechanism for the provision of trauma care; and · Review possible funding sources for trauma care services for the Middle and Lower Keys. ~? The Study Group acknowledged that further meetings would be needed to detennine possible methods for funding trauma care for the uninsured and indigent trauma patients transported to a trauma center from the Middle and Lower Keys. It was concluded that having a contractual relationship with an eXperienced air ambulance operator would provide the best opportunity to ensure the local EMS system will continue to provide timely, quality air transport services for residents and guests of Momoe County who are critically injured. 9 -.... ....._'... ~......v ..._ _v____v"'v"" ~...a.......&& """"-',nv,a..u \\"'/11 ~Q ...., . a::: ~ ~ -: ." ~.,- " I'''' September 30. 2004 lilW1 L. Roberts. County AdmiuistrBtol' Monroe CoUDty Oovemmeut ~ 100 College Road, Wing n. Room 212 Key Wesr, Fl33040 Re; Monroe County Trauma System Study Group Continued Staffsupport DC8I'Mr. Roberts; The HeeJtb Council of South Florida (CoWlCiI) is interested in continuation of its providiq staff support to the MOIIIDC Couoty Tmnua System Study Group. 1'11e toCalfimding rcques1ed for staff support ilIdivitics is 57,343. As described ill tho Study Group's In:rim ~ members have be. lldively iDvolved in idealifyina the best stnmgy to m4inhlm 10caJ air trauma trIIuport service b the Middle and Lower Keys. FlUID their recI:Ot meetiDs bold on September 22, 2004. the SttIdy Group decided to convene additioDll ~eetinp to determine possible ways of funding 1numa QI'e provided. to . UDirimred and indisent patieots of the Middle aad Lower Keys. The Study Group RCOrnmended the Realtll Council continue in its technical support m1c to the members as 1hey pursue the developlllem of strategies and interventions to improve the reaional trauma system. The COUDcil recosnizes the dedicatioo of Study Group members and is submitting this proposal in support of the Study Group's n1eo.dcd activities. The following information briefly descr.ibcs the proposed scope of work, projected timelines, and the budget Seop.ofWork The Council proposes to .coD1iDue attcuding and recotdiog minutes for five scheduled monthly meetings, distribute meeting minutes to the stwIy pup's voting members and tecbnica1 experts, COIlduct secondary research on areas (c.g.. Health Care Responsibility Act [HCRA] funds~ taxing district funds) identified by the TraQll1a System Study Group. and develop a final report of the Trauma S}'5tem Study Groupts lmdinp and recommendations. Monroe County has expressed iDren:st to continue scheduling and noticing the meetings. 'I!:IUO:: 81r1llillillt" ., ..... III ,.. ,. "-r J4 """"", -..In.__.. "r _........ ..", ....",,- ~ 8085 .12 ShIlt SUIIe _ IIIIft. R ..26 TIt 3III.5IZ. ,. FIx ~ ~ MIll ~.llfI ornc.a .... B.1IaIlIIIIIl, J.D.. LLM. ow Ur ..... fUt. _0. M:IM 0... "-' 0IItilt ~ R.N., as-N. liIlIIIIrt . ...... ..... CdIII~ BrvM. Ed.D. ~L GIrvin. W). PlU GIudc. ".D. "..,... .., Kerry ~ t.P.A. AnI RIa VIIIzIJJer. Sc.D. &ecIIu. ...... 5DlJlt R.Muy AnEqu/l~EnrJIow 1U/U1I04 14: 46 FAX:l055920589 HEALTH COUNCIL ~03 TiJDeliae Activity Date Tllum. Scudy Group monthly meeting November 2004 - April 2005 participation and meeting minutes distribution (5 mee1iqs) Rescarch'FioaJ. hpon Development December 2004 - Apri1200S Final Report Submission May 13, 200S Budget Monroe COunty Traum. ~ Group FWIdI 0I.II'c. TotIIl Monme County Monroe County BOCC Health CollYJl Cost BOCC In-Kind It In-I<ind 8u $1.200 $720 $$,600 $5,400 $600 $500 $7.300 '1.'20 $500 $500 $223 $223 $100 $100 .23 S723 PenlOllllel Executive Director .....Ith P1lnner lnisIr8IJve Assi5tant SUIJtaUI I'etsonnfll Operallng ExpenHS StaIr TnNeI Printing. DupIcatIon & Mailing IIIIphgne SubtGGI &pense. .'" =-~ ;r ... :.~~ - ....- - "I" -. -1>.1.... r ....~,.:!!- -.' \ \.' ,,',jI - J., ..~....; , .. ~~~~<.,"-,Ii~J..i.A.i.a;.~..... The proposed funding is requested in two installments of 53,671.50 on December is. 2004 and March 15, 2005. The Council is tbanlcfuJ to be considered as the organim:tioll of choice to assist 1I1e Study Group improve the delivery of trauma em: services for residents in the Lower aad Middle Keys. I appreciate your CODSidcration of th is proposal. Please feel free to contact me or Troy Johnson, HeaJrh Plumer. if there any questions. Thank you. Sincerely, /J ~ ~ /t'- Sonya R. Albury Executive Director ~ \\Ullt/I ~ --.. c:z: ~ ? ? 2~CJ ~ ~ V 1 8 ""(I" NO ....~:,J ~IO'1 ,~ y November 3, 2003 Jim L. Roberts, County Administrator Monroe County Government 5100 College Road, Wing II, Room 212 Key West, FI 33040 Re: Monroe County Trauma System Study Group Staff Support Dear Mr. Roberts: The Health Council of South F:lori~a (Council) is pleased to convey its interest in providing staff support to the Monroe County Trauma System Study Group. The total funding requested for staff support activities is $8,573. Monroe County's geography, especially for the Middle and Lower Keys, poses certain challenges for the provision of trauma transport services. Although trauma transport service by air presently exists for the Middle and Lower Keys, sustained operation of this valuable service remains uncertain. At the August 20, 2003 regular Monroe County Board of County Commissioners meeting, a discussion was held on creating an informal study group to ascertain local interest in enhancing trauma care in the Middle and Lower Keys and to outline the issues associated with trauma transport system improvement. The Council, a private, not-for-profit organization. has engaged communities in Monroe County for over 35 years in health planfling and would like to be considered for engagement to help staff this initiative. Recent Council involvement in Monroe County includes the Monroe County Local Coordinating Board for the transportation disadvantaged, the Monroe County Community Health Initiative and participation on the Rural Health Network Insurance Task Force. Regarding activities in trauma system planning, the Council has: 1) provided staff support to the Miami-Dade County Trauma Advisory Committee for the past five years; 2) drafted the 2001 Miami-Dade County Trauma Plan; 3) assisted the TAC in its efforts to re- designate a Miami-Dade County Trauma Agency; and 4) participated in meetings of the State Trauma Plan Implementation Committee and the Trauma Agencyffrauma System Evaluation Subcommittee. Through these professional activities, Council staff maintains current knowledge and involvement in trauma related initiatives and issues both at the local and state levels. Scope of Work The Council proposes to attend and record minutes of six scheduled monthly meetings, distribute meeting minutes to the study group's voting members and technical experts (see Attachment A), provide technical assistance to the Structure/Operations Committee, conduct secondary research on areas identified by the Trauma System Study Group, and develop a final report ofthe Trauma System Study Group's findings and recommendations. Our missioll is III itnpro"lI healrh care in _alOi-Oade and NonfrJe Counlies. 8095 NW 12 Street Suite 300 Miami, Fl 33126 Tel 305.592.1452 Fax 305.592.0589 www.heallhl:cuncil.lIfg e-mail hcsNDh8lllthcGuncil.0I9 Officers Paul Gluck. M.D. ow Liz Kern. R.N. Vite tIlaIr Max B. Rothman. JD..lLM T'9SInT Charles Gray ~:c<) Board Members Albert Collazo Thomas l. Garvin. M.D. Michaellannon Debbie Premaza. R.N.. B.S.N. Ann Rhode Steven D. Sooenreich Executive DifeclDr Sonya R. AIJury An Equal ~ Employer ... Monroe County has expressed interest in scheduling and noticing the meetings. The followin g information describes the timeline and proposed budget for the Council's scope of work. Timeline Activity Date Trauma Study Group monthly meeting October 2003 - March 2004 participation and meeting minutes distribution (6 meetings) Technical Assistance at Structure/Operations November 2003 - March 2004 Subcommittee Meetings (4 meetings) Research/Final Report Development November 2003 - June 2004 Final Report Submission June 10, 2004 Budget Activity Monroe County Trauma S stem Stud Group Personnel Executive Director Health Planner Administrative Research Associate Subtotal Personnel Operating Expenses Staff Travel Printing, Duplication & Mailing Telephone Subtotal Expenses Total Total Cost Fundin Source Monroe County BeC In-Kind Suppcrt Health Council In-Kind Support Monroe County BCC $1,200 $6.400 $500 $8,100 $720 $6,200 $500 $1,420 $480 $200 $730 $423 $300 $1,153 < p~m ,;j~:;:> .'.\', ~":. '<. $~AQ The proposed funding is requested in two installments of $4,286.50 on December 15, 2003 and June 10, 2004. Please see Attachment B for background information of participating staft~ The Council is eager to be involved with this important study group which will provide direction in improving trauma care services for residents in the Lower and Middle Keys. I appreciate your consideration of this proposal, and feel free to contact me if there any questions. Thank you. Sincerely, :2::~ Executive Director Oct 19 04 07:12a Jam@s L Rob@rts Co Admin 305-292-4544 \\UoC// ~Q -... . c:c::::\ , ~ ~ ? ,#' Qf a\'\\ r f September 30, 2004 OCT 1Jm4 .j 1 ! Jim L. Roberts, County Administrator Monroe County Government 5100 College Road, Wing n, Room 212 Key West, FI 33040 COUNTY ADMINISTRATOR Re: Monroe County Trauma System Study Group Continued Staff Support Dear Mr. Roberts: The Health Council of South Florida (Council) is interested in continuation of its providing staff support to the Monroe County Trauma System Study Group. The total funding requested tor staff SUPPOlt activities is $7,343. As described in the Study Group's Interim RepOlt, members have been actively involved in identifying the best strategy to maintain local air trauma transport service for the Middle and Lower Keys. From their recent meeting held on September 22, 2004, the Study Group decided to convene additional meetings to determine possible ways of funding trauma care provided to uninsured and indigent patients of the Middle and Lower Keys. The Study Group recommended the Health Council continue in its technical support role to the members as they pursue the development of strategies and interventions to improve the regional trauma system. The Council recognizes the dedication of Study Group members and is submitting this proposal in support ofthe Study Group's extended activities. The following information briefly describes the proposed scope of work, projected timelines, and the budget. Scope of Work The Council proposes to continue attending and recording minutes for five scheduled monthly meetings, distribute meeting minutes to the study group's voting members and technical expelts, conduct secondary research on areas (e.g., Health Care Responsibility Act [HCRA] funds, taxing district funds) identified by the Trauma System Study Group, and develop a final report of the Trauma System Study Group's findings and recommendations. Monroe County has expressed interest to continue scheduling and noticing the meetings. p. 1 Our mission is to engage in community-based planning lIrat Improves heanh and promotes we/lness in Miami-Dade and Monroe Counties. 8095 NW 12 Street Suite 300 Miami, FL 33126 Tel 305.592.1452 Fax 305.592.0589 www.heallhcouneil.org e-mail hcsf@heallhcouncil.org Officers Max B. Rothman, JO..l.LM. Cooir Liz Kem. AN Vice Cllair Alberl Collazo lreU3\lI(!l Debbie Premala, RN. R.SN SeCletm}' Board Mern bers Cas/ell Vaughn [Jryanl. [lJ.D. T110mas L. Garvin, M.O Paul Gluck, M.D. Charles Gray Kerry Shelby, C.P.A. Ana Rita Velazquez, Sc,D. Executive Director Sonya A Albury All Equal Opportunity fIT/player jJ,.Cj Oct 19 04 07:12a James L Roberts Co Admin 305-292-4544 p.2 Timeline Activity Date Trauma Study Group monthly meeting November 2004 - April 2005 participation and meeting minutes distribution (5 meetings) Research/Final Report Development December 2004 - April 2005 --- Final Report Submission May 13,2005 Budget Activity Monroe County Trauma System Study Group Personnel Executive Director Health Planner Administrative Assistant Subtotal Personnel Operating Expenses Staff Travel Printing. Duplication & Mailing Telephone Subtotal Expenses !t~ltL Total Cost Fundln Source Monroe County Monroe County BOCC BOCC In-Kind Support Health Council In-Kind Support $1,200 $5,600 $500 $7,300 $720 $5,400 $500 $6,620 $480 $200 $500 $223 $100 $7~Q The proposed funding is requested in two installments of $3,671.50 on December 15, 2004 and March IS, 2005. The Council is thankful to be considered as the organization of choice to assist the Study Group improve the delivery of trauma care services for residents in the Lower and Middle Keys. I appreciate your consideration of this proposal. Please feel free to contact me or Troy Johnson, Health Planner, if there any questions. Thank you. Sincerely, /J c-=- ~ /1'. Sonya R. Albury Executive Director