Resolution 353-1992
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James R. Paros
Public Safety Division
'92 JUL 23 P2 :19
RESOLUTION NO.353 - 1992
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\: i. A. ,RESOLUTION OF THE BOARD OF COUNTY COMMISSIONERS OF
MONROE COUNTY, FLORIDA, AUTHORIZING THE SUBMISSION OF
GRANT APPLICATIONS TO THE FLORIDA DEPARTMENT OF HEALTH
AND REHABILITATIVE SERVICES, OFFICE OF EMERGENCY
MEDICAL SERVICES, TO FUND A SYSTEM EVALUATION/QUALITY
ASSURANCE PROJECT AND DIRECTING THE EXECUTION OF SAME
BY THE PROPER COUNTY AUTHORITIES.
WHEREAS, The Florida Department of Health and Rehabilitative Services,
Office of Emergency Medical Services, is accepting applications for
Emergency Medical Services (EMS) Matching Grant funds, and
WHEREAS, the grant is for the fiscal year beginning on October 1, 1992
and ending on September 30, 1993; and
WHEREAS, the total grant application is for $ 28,357.00 , with a
~% match requirement; and
WHEREAS, the $7,089.25 match requirement is proposed for inclusion
in the County budget requests for Fiscal Year 1993; and
WHEREAS, the Ambulance Corps will utilize the grant funds, if awarded
and accepted, to purchase computer equipment to implement a
system/evaluation project that will allow for more effective management of
their operation; now therefore
BE IT RESOLVED BY THE BOARD OF COUNTY COMMISSIONERS OF MONROE COUNTY,
FLORIDA, AS FOLLOWS:
1. That said Board has been notified of the availability of matching
grant program funds from the Florida Department of Health and
Rehabilitative Services, Office of Emergency Medical Services.
2. That the Monroe County Department of Emergency Medical Services
is hereby authorized to submit applications for grant funds to the Florida
Department of Health and Rehabilitative Services, Office of Emergency
Medical Services, to improve and expand Monroe County's EMS systems.
3. That said Board hereby directs the execution of the grant
applications by the proper County Authorities.
4. That this Resolution shall become effective immediately upon
adoption by the Board and execution by the Presiding Officer and Clerk.
. "
PASSED AND ADOPTED by the Board of County Commissioners of Monroe
County, Florida, at a regular meeting of said Board held on the 15th day
of July , A.D. 1992.
Mayor Harvey
Mayor Pro Tern London
Commissioner Cheal
Commissioner Jones
Commissioner Stormont
Yes
Yes
Yes
Not present
Yes
BOARD OF COUNTY COMMISSIONERS
OF MONROE COUNTY, FLORIDA
(Seal)
By \..U'~~.~a;~ .~~~
Attest: VANNY: .r. ~OUlAGE, Clerk
L4'~'.1V
C rk
Approved as to form and legal
SUfficii/'~
By: IS
County Attorney's Office
In Code to be Assigned by State EMS Office: ~ _ _ _
Florida Department of Health and Rehabilitative Services
Office of Emergency Medical Services (EMS)
MATCHING GRANT APPLICATION
1. Legal Name of
Agency/Organization: Board of County Commissioners, Monroe County, Florida
Name and Title of
Grant Signer: Mayor Wilhelmina Harvey, Mayor/Chairman
Mailing 490 63rd St., Suite 140
Address: Marathon, FL 33050 County: Monroe
Telephone Number: (305) 289-6002 SunCom Number: 472-6002
2. Name and Title of
Contact Person: James R. "Reggie" paros, Public Safety Director
Mailing 490 63rd St., Suite 140
Address: Marathon, FL 33050
Telephone Number: (305) 289-6002 SunCom Number: 472-6002
3.
Legal Status of
Agency/Organization: (Ched: only one)
Private Not for Profit (you mult provide copy of certificate)
Private for Profit --'L Public
Your fJSCal year:
10/01 09/30
BEGINS
ENDS
4. Agency/Organization's Federal
Tax Identification Number nine digits VF -2. ~ ~ ~ ~ ~ .2- ~ ~
s.
Identify the one state plan objective this project primarily addreues: Objective #:
38.1
6. Type of Project: (Check only one):
V
,A
Communications Continuing Professional Education (medical director mult sign Item 16a)
Emergency Transport Vehicles Public Education
System Evaluation/Quality Auurance Research
Medica1JRescue Equipment (signature. required for Items 16b and 16c)
Does your project include the purchase of any communications equipment?
yes
x
No
HRS Ponn 1767. March 89
1
For both the need and outcome statements: include aU available numeric data, the time frame
for the data, the data source, the number of people who will directly receive project services,
and other infonnation which clearly identifies your need and expected outcome for this project.
7. Need Statement (use only the space below): The run reports recorded for 1991
indicate that Key Largo Volunteer Ambulance responded to 1300 EMS calls and
Tavernier Volunteer Ambulance responded to 790 EMS calls. The results of a
recent HRS/EMS inspection found Key Largo with 17% and Tavernier with 100/0 compliance
on required patient run report documentation. The accuracy of patient run report
documentation is a major concern of these two ALS providers and needs to be
enhanced.
8. Outcome Statement (use only the space below): Utilizing in-field computers
to enter patient run report information the EMS personnel will be prompted to
input information in a standardized format and record all required information.
This should ensure that all patient run report information will be properly
documented thus allo\ving for complete compliance with the statewide patient
run reporting system.
9. Improvement and Expansion of Prehospital EMS. Describe how your project improves and expands
prehospital EMS. Also, show how it builds coordination and cooperation with other EMS systems.
This "lill enable EMS personnel in the field to directly input patient run
report information into a computer thus ensuring complete report documentation
in a statewide reporting format. This also enhances the accuracy for direct
computation of patient report statistics without transposition errors. The in-
field computers llill also provide the EMS personnel with the capability of
rapidly retrieving situation specific EMS protocols, procedures and medical
history for patients who frequently utilize their services. The system will
have the potential for decreasing the time a transport unit is out of its service
area due to writing patient run reports to leave a copy for the receiving
facility by permitting electronic transmittal of the run report to the hospital
once back in its servie district.
10. Research Projects Only:
If you are !!2l conducting a relellrch project, akip fbi. item and '0 to Item II.
If you are conducting a relCltch project, attach at the end of the application concilC ltatementl of the hypothe.i., de.iJll!method, il1ltrUmentl, methods
to protect human IUbjectl, any limitatiol1l involving the ItUdy, relellrch il1ltIUmentl, fOnIII and listings of other relevant ItUdie..
11. Major Work Activities and Time Frames (Use only the space below):
Purchase hardware and software; develop software format for recording pati~st
run reporting within 2 months after grant begins.
Train EMS personnel in use of in-field computers within 3 months AGB.
Begin using computers in the field within 4 months AGB.
Evaluate and refine system periodically there after.
2
APPLICANT
State
Cash Grant
CATEGORIES Match Funds TOTAL
12. Salaries and Benefits:
N/A
TOTALSAL~andBENEnTS
13. Expenses
N/A
TOTAL EXPENSFS
APPLICANT
State
Cash Grant
CATEGORIES Match Funds TOTAL
14. Equipment:
In-field computer, printer, battery pacJ\:, $7,089.25 21,267,75 28,357.00
case, and softvlare
-one system for each of the seven
EMS transport vehicles
TOTAL EQUIPMENT COSTS
7,089.25 21,267.75 28,357.00
3
APPLICANT
State
Cash Grant
CATEGORIES Match Funds TOTAL
15. Final Summary - Total of salaries
and benefits, expenses and equipment,
all combined
$ 7,089.25 $21,267. 5 $28,357.cb
========== ======= ========
The above figure The above figure The above figure
muat equal 25 percent muat equal 7S muat equal the
of the total Percent of the lum of the
total precedm, two
columna
Note: You may attach a page or pages to explain and justify as necessary the need for any and all positions, expenses, and
equipment in terms of the items, their quantities, their costs, and their roles in the project.
4
APPLICATION ITEM 17 (signature required)
REQUEST FOR MATCHING GRANT DISTRIBUTION (ADVANCE PA YMENn
EMERGENCY MEDICAL SERVICFS (EMS)
Governmental Agency and Non-profit Entity ONLY
In accordance with the provisions of paragraph 401. 113(2)(b), F.S., the undersigned hereby requests an EMS matching
grant distribution (advance payment) for the improvement and expansion of prehospital EMS.
Payment To:
Board of County Commissioners, Monroe County, Florida
Legal Name of Agency/Organization
490 63rd Street, Suite 140
Address
Marathon, Fl. 33050
(City)
(State)
(Zip)
SIGNATURE:
Printed Name:
thorned Official
ATE: J u 1 y 1 5, 1 992
itre: Mayor/Chairman
:':~~V'tJ17
BY ,V"
Attorney's Office
SIGN AND RETURN WITH YOUR MATCHING GRANT APPLICATION TO:
Department of Health and Rehabilitative Services ATTEST: DANNY L. KOLHAGE, CLERI
Office of Emergency Medical Services (HSTM)
By
EMS Matching Grants
1317 Winewood Boulevard
Tallahassee, Florida 32399-0700
Deputy Clerk
Matching Grant Amount:$
Approved By:
For Use Only by Department of Health and Rehabilitative Servicel,
Office of Emergency Medical Servicel
Grant ID Code:
~
Date:
Signature, State EMS Grant Officer
State Fiscal Year:
Amount: $
Oraanization Code
60-20-60-30-100
E.O.
HS
Obiect Code
Federal Tax ID V F:
Grant Beginning Oate:
Ending Oate:
6
18. ASSURANCES AND APPLICATION SIGNATURE
Certification of Standards Statement
I, the undersigned, certify that if granted funds under Chapter 401, Part II, F.S.; as amended, all applicable regulations and
standards will be adhered to including: Chapter 401, F.S.; Chapter 10D-66, F.A.C.; Minimum Wage Act; Title VI of the
Civil Rights Act of 1964 (42 ISC 2000D et. seg.); DHEW Regulation (45 CFR Part 80); Rehabilitation Act (Sec 504);
Developmentally Disabled Assistance and Bill of Rights of 1975 (P.L. 95-602) as amended by Title V of the
Comprehensive Rehabilitative Services Amendments of 1978: Confidentiality; Human Rights; Habilitation Plans;
Employment of the Handicapped; Services for Persons Unable to Pay.
Statement of Cash Commitment
I, the undersigned, certify that cash match will be available during the grant period and used in direct support of this grant
project. State and federal funds will not be used for matching requirements, unless specified by law. No costs or third-
party contributions count towards satisfying a matching requirement of a department grant if they are used to satisfy a
matching requirement of another state or federal grant. Cash, salaries, fringe benefits, expenses, equipment, and other
expenses as listed on this application shall be committed and used for the department's fmal approved project during the
grant period.
Acceotance of Tenns and Conditions
I, the undersigned, accept the grant terms and conditions in Appendix B of the booklet, "1992 Florida EMS Matching
Grant Program", by the Department of Health and Rehabilitative Services and acknowledge this when funds are drawn or
otherwise obtained from the grant payment system.
Disclaimer
I, the undersigned, hereby certify that the facts and information contained in this application and any follow-up documents
are true and correct to the best of my knowledge, information, and belief. I further understand that if it is subsequently
determined that this is not correct, the grant funded under Chapter 401, Part II, F.S. and Chapter 10D-66, F.A.C., may be
revoked, and any monies erroneously paid and interest earned will be refunded to the department with any penalties which
may be imposed by law or applicable regulations.
Notification of Awards
I, the undersigned, understand the availability of the notice of award will be advertised in the Florida Administrative
Weekly, and that 30 calendar days after this Florida Administrative Weekly advertisement I waive any right to challenge or
protest in anyway the decisions to award grants.
Maintenance of Imorovement and Expansion
I, the undersigned, agree that any improvement or expansion brought about in whole or part by grant funds, will be
maintained for five years after the project ends, unless specified otherwise in the approved application or unless the
department agrees in writing to allow a change. Any unauthorized change within the five years will necessitate the return
of grant funds involved, plus interest if any to the department.
f
Signature of Authorized Grant Signer
(Individual Identified in Item 1)
July 15, 1992
Date
NOTE: Please check to insure that all required signatures have been made for Items 16, 17, and 18.
The application will not be considered for funding without any required signature.
ATTEST: DANNY L. KOLHAGE, CLERK
By
7
,::,;''ft E}!;:~;
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Atrvrnvy':; Office
Deputy Clerk