Item C11
BOARD OF COUNTY COMMISSIONERS
AGENDA ITEM SUMMARY
Meeting Date: January 19,2005
Division: County Administrator
Bulk Item: Yes X
No
Department: Fire Rescue
AGENDA ITEM WORDING: Resolution authorizing the Mayor to execute an EMS County Grant
Application and related Request for Grant Distribution to the State of Florida Department of Health,
Bureau of Emergency Medical Services.
ITEM BACKGROUND: The Department of Health, Bureau of Emergency Medical Services (EMS) is
authorized by Chapter 401, Part II, Florida Statutes to distribute county grant funds. County grant funds
are derived from surcharges on the fines for various traffic violations. A portion of these funds are made
available to eligible county governments to improve and expand their pre-hospital emergency medical
services (EMS) systems. Local matching funds are not required.
On-going costs for EMS and replacement of equipment cannot be funded under this grant program. They
remain the responsibility of the counties and EMS agencies and organizations. Furthermore, county grant
funds cannot be used to supplant the existing county budget allocations.
The projected amount of Monroe County's award for FY 2005 is $60,157.66. The application being
submitted is a request for the following: Purchase of electronic reporting tablets and software (EMS PRO)
along with respective training and salary reimbursement. This purchase will be a continuation of
expansion of Monroe County Fire Rescue (MCFR) field data collection and reporting to include area
municipal fire rescue systems. The grant funds will provide for continuing upgrades to MCFR's EMS PRO
reporting system, which includes but is not limited to a billing extract software program which allows for
the exchange of medical billing information between MCFR and MCFR's billing agent electronically.
Grant funds will provide for travel expenses to Rural Health EMS, State Advisory Council Meetings, and
EMS PRO summits and conferences to keep MCFR apprised of all current information which will improve
our rescue servIces.
PREVIOUS RELEVANT BOCC ACTION: The County Award Grant is a yearly grant that provides
funding for EMS enhancement, and the Board has seen fit to approve the grant application every year these
grant funds have been available and requested. The date of the last BOCC approval for a County Award
Grant was December 17,2003.
CONTRACT/AGREEMENT CHANGES: This is not a contract.
STAFF RECOMMENDATIONS: ApprovaL
TOTAL COST: 0.00
COST TO COUNTY: 0.00
REVENUE PRODUCING: Yes
BUDGETED: Yes
No
N/A
SOURCE OF FUNDS: Grant
No_N/A AMOUNT PER MONTH_Year
APPROVED BY: County Atty YES OMB/Purc
DEPARTMENT HEAD APPROVAL:
DIVISION DIRECTOR APPROVAL:
Clark O. Martin, Jr.
~~
Thomas J. Willi
DOCUMENTATION: Included ~
DISPOSITION:
Revi sed 1/03
To Follow
Not Required_
AGENDA ITEM #111-
Clark O. Martia, Jr.
Fire Rescue
RESOLUTION NO. -2005
I
A RESOLUTION OF THE BOARD OF COUNTY
COMMlSSIO~RS OF MONROE COUNTY, FLORIDA
AUTHORlZlNGI MA VOR TO .EXECUTE AN EMS COUNTY
GRANT APPU(j:A nON AND RELATED REQUEST FOR
GRANT DISTRlBUTION TO TIlE STATE OF FLORIDA
DEPARTMENT OF IlEALm, BUREAu OF EMERGENCY
MEDICAL SERVICES
WHEREAS, an EMS County ~ant will improve and cxpaud the County's pr~
hospital EMS system to include t~ area municipal fire rescue systems; will continue
to upgrade MCFR' s reporting system; will continue education of statT to improve the
Counly's fire rescue services; andl wiJJ improve the area municipal fire rescue systems
with updated medical equipmenl~ inow therefore,
BE IT RESOLVED BY TIlE BOARD OF COUNTY COMMISSIONERS OF
MONROE COUNTY, FLORID~ as follows:
1. The Mayor is hereby authorized to execute an EMS County Grant
Application and related Request for Grant Disnibution to the State of Florida Department of
Health. Bureau of Emergency Meaical Services, and copies of same being attached hereto.
2. The monies from the EMS County OTant will improve and expand the
County's pre-hospital EMS syst~ to jJ)(;lude the area municipal fire ft:5CUe systems; will
continue to upgrade MCFR t S reporting sYStem; wiIl continue education of!ttafF to improve the
County's fire rescue services; and will improve the area municipal fare n:scue systems with
updated medical equipment.
3. The grant mpnies will not be used to supplant exi:tting County EMS
budget allocations,
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 .200S.
Mayor Spehar
Mayor Pro Tem McCoy
Commissioner Nelson
Commissioner Neugent
Commissioner Rice
BOARD OF COUNTY COMMISSIONERS
Of MONROE COUNTY; FLORIDA
By:
Mayor/Chairman
(SEAL)
Attest: DANNY L.KOLHAGE, Clerk
By;
Deputy Clerk
FLORIDA DEPARTMENT OF
FLORIDA DEPARTMENT OF HEALTH
BUREAU OF EMERGENCY MEDICAL SERVICES
EMS COUNTY GRANT PROGRAM
APPLICATION PACKET
Revised: June 2002
DESCRIPTION OF PROGRAM
OVERVIEW:
The Department of Health, Bureau of Emergency Medical Services (EMS) is authorized by
Chapter 401, Part II, F. S., to dispense grant funds. Forty-five (45) percent of these funds are
made available to the 67 boards of county commissioners (BCCs) to improve and expand
prehospital EMS systems in their county.
On-going costs for EMS and replacement of equipment cannot be funded under this grant
program. These costs remain the responsibility of the counties and EMS agencies and
organizations.
ELIGIBILITY:
EMS County grants are awarded only to BCCs. However, each BCCs is encouraged to
assess its countywide EMS needs and establish priorities before submitting a grant
application. The assessment should be coordinated with area EMS councils, when available.
COUNTY GRANT PROCESS
APPLICATION FORM:
BCCs must CODV and comDlete the form titled "EMS County Grant Application, DH Form 1684,
June 2002". The BCCs will return the county grant application and resolution ( item 5 on the
application) to the department.
NOTICE OF GRANT AWARD:
The Department shall send a Notice of Grant Award letter to the BCCs. This is the BCCs
official notice that its grant application has been approved for funding. The letter and its
attachments will include the amount of the award, the beginning and ending dates of the grant,
due dates for required reports, the approved budget, and additional grant conditions, if any.
1
APPLICATION SUBMISSION:
The BCCs must submit:
1. A completed application (DH Form 1684, June 2002) with original signatures of the
authorized county official.
2. A county resolution certifying the EMS county grant funds received shall be used to
improve and expand prehospital EMS and that the funds will not be used to supplant
existing county EMS budget allocations (item 4 in the application).
A complete EMS County Grant packet consists of the above two items. No cODies are
reauired.
Mail the application to:
County Grant
Emergency Medical Services
4052 Bald Cypress Way I Bin C 18
Tallahassee, Florida 32399-1738
Retain this application packet because it contains the grant conditions and requirements, and
other information and forms needed.
2
EMS COUNTY GRANT ApPLICATION
FLORIDA DEPARTMENT OF HEALTH
Bureau of Emergency Medical Services
Complete all items
10. Code (The State Bureau of EMS will assign the 10 Code - leave this blank) C
2. Certification: (The applicant signatory who has authority to sign contracts, grants, and other legal
documents for the county) I certify that all information and data in this EMS county grant application and
its attachments are true and correct. My signature acknowledges and assures that the County shall
comply fully with the conditions outlined in the Florida EMS County Grant Application.
Sianature: Date:
Printed Name: n;x;p M ~ .
Position Title: H
3. Contact Person: (The individual with direct knowledge of the project on a day-to-day basis and has
responsibility for the implementation of the grant activities. This person is authorized to sign project
reports and may request project changes. The signer and the contact person may be the same.)
Name: Clark O. Martin Jr.
Position Title: Fire Chief
Address: 4 0 6 140
4. Resolution: Attach a current resolution from the Board of County Commissioners certifying the grant
funds will improve and expand the county pre-hospital EMS system and will not be used to supplant
current levels of county expenditures.
5. Budget: Complete a budget page(s) for each organization to which you shall provide funds.
List the organization(s) below. (Use additional pages if necessary)
Monroe Count
Ocean Reef Public Safety (ORPS)
3
DH Fonn 1684, Rev. June 2002
BUDGET PAGE
1 of 3 (MCFR)
A Salaries and Benefits:
.
For each poeftJOn title. provide the amount of 88JaIy per hour, FICA per
hour, other fringe benefits, and the total number of hours. Amount
TOTAL Salaries
TOTAL FICA
Grand total Salaries and FICA
,t"lf ....._ '
Amount
Trainin ' which includes salary reimbursement for
employees on new version of pen-based system
Travel to Rural Health EMS Consortium meetings and
State Advisory Council meetings
Travel to EMS Pro (EMS reporting system) Summit and
$
13,200.00
2,160.00
Conference
TOTAL $
3,392.00
18 752.00
c. Vehicles, equipment, and other operating capital outlay means equipment, fixtures, and other
tangible personal property of a non consumable and non expendable nature with a normal expected life
of one (1) vear or more.
list the ftem and, If applicable, the quantity Amount
. , '," ""''..'; '/.'j
Enhancements and replacement equipment for pen-based
EMS patient care reporting system $ 14,590.32
EMS billing extract software program (for sending of
medical reoorts electronically from EMS reoorting
system) 7,50IT.mr
Completion of FY03 and FY04 projects already in
progress with the EMS patient care reporting system 27,315.34
TOTAL $ 49,405.66
Grand Total $ 68.157.66
DH Form 1684, Rev. June 2002
**
4
BUDGET PAGE 2 of 3 (KLVAC)
A Salarl.. and Benefits:
.
For 8IGh poeitIQn tlUe, provide the amount d safary per hour, FICA per
hour, other fringe benefits, and the total number of hours. Amount
TOTAL Salaries
TOTAL FICA
Grand total Salaries and FICA
B. Expens..: These are travel costa and the usual, ordinary, and incidental expenditures by an
agency, such as, ~mmodities and supplies of a consumable nature excluding expenditures classified
as ratin ital outl see next o.
,.",~-,
~,;:,.~".:
. 4uihtfft.
Amount
Training which would include salary reimbursement
for employees
$
12,500.00
TOTAL $
12 500.00
C. Vehlc'". equipment, and other operating capital outlay means equipment, fIXtures, and other
tangible personal property of a non consumable and non expendable nature with a normal expected life
of one (1) vear or more.
u.t .... Item and, If app'lcaIJIe," quantItJ Amount
' . .' :., ,..,-,i:.. l'';, "".~ .; >..-
Pen-based EMS field data collection and reporting
system $ 57,444.04
TOTAL $ 57,444.04
Grand Total $ 69 , 944.04
**
DH Form 1684, Rev. June 2002
4
BUDGET PAGE 3 of 3 (ORPS)
A. Salaries and Benefits:
For each position title, provide the amount of salary per hour, FICA per
hour, other fringe benefits, and the total number of hours. Amount
TOTAL Salaries
TOTAL FICA
Grand total Salaries and FICA
B. Expenses: These are travel costs and the usual, ordinary, and incidental expenditures by an
agency, such as, commodities and supplies of a consumable nature excludina expenditures classified as
ooeratina caoital outlav (see next cateaorv).
List the item and, If applicable, the quantity Amount
Training which would include salary reimbursement
of employees $ 8,000.00
TOTAL $ 8,000.00
c. Vehicles, equipment, and other operating capital outlay means equipment, fixtures, and other
tangible personal property of a non consumable and non expendable nature with a normal expected life
of one (1) year or more.
List the item and, if applicable, the quantity Amount
Pen-based EMS field data collection and reporting
system $ 40,630.04
TOTAL $ 40,630.04
Grand Total $ 48,630.04
**
DH Form 1684, Rev. June 2002
** $68,157.66 + 69,944.04 + 48,630.04 = $186,731.74; broke down as follows:
Includes roll-over funds in the amount of $126,574.08 ($125,640.83 with accrued
interest of $933.25 through September 30, 2004), and FY2005 share of $60,157.66
which equals a TOTAL OF $186,731.74.
4
FLORIDA DEPARTMENT OF HEAL TH
EMS GRANT PROGRAM
REQUEST FOR GRANT FUND DISTRIBUTION
In accordance with the provisions of Section 401.113(2)(a), F. S., the undersigned hereby
requests an EMS grant fund distribution for the improvement and expansion of pre-hospital
EMS.
DOH Remit Payment To:
Name of Agency: Board of County Commissioners, Monroe County, FL
Mailing Address: 490 63rd Street, Suite 140
Marathon, FL 33050
Federal Identification number 59-6000-749
Authorized Official:
Signature
Date
Dixie M. Spehar, Mayor
Type Name and Title
Sign and return this page with your application to:
Florida Department of Health
BEMS Grant Program
4052 Bald Cypress Way, Bin C18
Tallahassee, Florida 32399-1738
Do not write below this line. For use by Bureau of Emergency Medical Services personnel only
Grant Amount For State To Pay: $
Grant ID: Code:
Approved By :
Signature of EMS Grant Officer
Date
State Fiscal Year:
Oraanization Code
64-25-60-00-000
E.o.
N_
OCA
N2000
Obied Code
7
Federal Tax ID:
VF _________
Grant Beginning Date: October 1,
Grant Ending Date: September 30,
DH Form 1767P, Rev. June 2002
5