Resolution 129-1991
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JiillIes R. Paros
Public Safety Division
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RESOLUTION NO.
129- 1991
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~;~A~ESOLUTION OF THE BOARD OF COUNTY COMMISSIONERS OF
~ M~ROE COUNTY, FLORIDA, AUTHORIZING THE SUBMISSION OF
C G~T APPLICATIONS TO THE FLORIDA DEPARTMENT OF HEALTH
AND REHABILITATIVE SERVICES, OFFICE OF EMERGENCY
MEDICAL SERVICES, TO FUND A SYSTEM EVALUATION/QUALITY
A~SURANCE 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
applications for Emergency Medical Services (EMS) Matching Grant funds, and
WHEREAS, the grant is for the fiscal year beginning on October 1, 1991
and ending on September 31, 1992; and
WHEREAS, the total grant application is for $13,278, with a 50% match
requirement; and
WHEREAS, the $6,639.00 match requirement is included in the District 6
budget request for Fiscal Year 1992; and
WHEREAS, the Key Largo Volunteer 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 Heal th 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 Cormnissioners of Monroe
County, Florida, at a regular meeting of said Board held on the 3rd day
of April , A.D. 1921....
Mayor Harvey
Mayor Pro Tem London
Commissioner Cheal
Commissioner Jones
COffirr,isSlOner Stormont
Yes
Yes
Yes
Yes
Yes
BOARD OF COUNTY COMMISSIONERS
OF MONROE COUNTY, FLORIDA
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By
(Seal)
Mayor
Attest: DANNY L. XOLHAGE, Cler.
AL.~.,iI./
Cle
Approved as to form and legal
sufficiency.
By: \l"{'{\~ ~~~
County Attorney's Office
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ill Code to be Assigned by State 'EMS Office: Ml _ _ _
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 CCM1ISSIONERS, ~mROE COUNTY, FLORIDA
Name and Title of .'
-
Grant Signer: Hilhelmina Harvey, Mayor/Chainran
Mailing 5192 Overseas Higmvay
Address: Marathon, Florida 33050 County: MONROE
Telephone Number: (305) 289-6002 SunCom Number: 472-6002
..,
Name and Title of
Contact Pel'son:
JaIreS R. paros, Public Safety Director
5192 Overseas Highway
Marathon, Florida 33050
Mailing
Address:
Telephone Number: (305) 289-6002
SunCom Number: 472-6002
3.
Legal Status of
Agency/Organization: (Check only one)
Your fiscal year:
10/01 09/30
Private Not for Prolit (you must provide copy of certilicate)
X
BEGINS
ENDS
Private for Prolit
Public
4.
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A;;ency/Organization's Federal
Tax Identification Number nine digits VF 2- ~ ~ --2- -2- ~ ~ -L L
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Application Status: (Chak only one)
This is the continuation of a project already funded by the SUte EMS matching grant program,
X This is!!!2! the continuation of a project already funded by the slate EMS matching grant program,
(, .
Type of Project: (Che;:k only one):
COllllllunicat;ons Continuing Professional Education (medical director must sign Item 15.)
Ell1':lg":I1~)' Transpon V~hid~s Public Education .
X Sy:-.I....lIl Evaluation/Qualil~' A5SlIrancc R":S~3n:h
,\1....II...'~dd{.:Sl.:1l..: E'it:ipm.:nl (:;;ign<Jtur~s r~qllir~d for It..:ms ISh and 1 :\1.:)
I)n (l lll:O'lkt...s pr.:\'\\)\J:\ t.:ditions)
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6:\. State Pla~GO'als, Objectives, and Improvement and Expansion:
State EMS Plan Goal: Identify in the space below the specific goals and their page numbers in the FY 1991-93 state
EMS plan, which your project will help accomplilih. Describe how your project will do this, and if possible, the
percentage of the goals you will accomplish.
System EValuation/Qua11ty Assurance
Goal 1: Irnt?rove the ability to rreasure the efficiency and effectiveness
of emergency medical services systems. (Page 40)
State EMS Plan Objective: Identify in the space below the specific objectives and their page numbers in the state
plan, which your project will help accomplish. Describe how your project will do this, and if possible, the percentage of
the objectives you will accomplish.
Objective 1.2: By July 1991, identify the data needed to develop performance
measures for the three highest priority areas. (Page 40)
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The enhanced ability to carpile data on the operational perfonnance of our
system such as response tine, manpower requirements, infonnation on the types
of emergency medical service calls and maintenance problems will enable us
to,elevate our quality assurance and the ability to evaluate the performance
of our EMS system. It will also enable us to expedite subnittal of this
data to the state EMS system planners.
For both th~-ueed and outcome statements: include numeric data, the time frame for the data,
the dat:l source, and the target population and geographic area.
7. Need Statement (use only the space below):
The run report log from Key Largo Volunteer Ambulance Corp shows 1200
calls in 1990. The Corp maintained four (4) ALS vehicles and had 36
active EMI's and Pararredics during 1990. Using a manual quality assurance
review system slow dawn our ability to pinpoint problems within our EMS
system and initiate changes in a timely marmer. We need to be able to
input and evaluate our date rrore expeditiously.
8. Outcome Statement (use only the space below):
A computerized system will enable us to review medical run reports, vehicle
maintenance records, and personnel training and licensure records rrore
thoroughly. Between October 1, 1991 and September 1992, we will be able to
evaluate the efficiency and effectiveness of our EMS system and make the
necessary changes to irrprove the quality of our overall service. Our rronth1y
Quality Assurance Logs will enable us to follow our progress during this
time period.
9. Research Projects Only:
If you are nol conducting a research project, skip this item and go to hem 10.
If you are conducling a resoarch project, attach at the end of the application concise sUltemenlS of the hypothesis, design/method, instruments, methods
10 prOleCI hUfllJn subjects, any limitations involving the sludy, research instruments, forms and lislings of other relevanl studies,
10. Work Activities, Objectives and Time FI.ames (Use only the space below):
Purchase and install computer equipment within two rronths after the grant
begins.
Review run reports, vehicle maintenance logs and personnel records on
a rronth1 y basis after carputer system is installed.
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-'-- -.-------- --- ~.. - --
-~
(Rolin;! :0 :\ .; rl':,1 Collar)
--- -..-
-- APPLICANT
- ~Iale
~ash In-Kind rant TOTAL
CA TEGORrES 1\ atch M:1lch unds
11. Salaries and n~nefits: ,
a. New positions. Do Not Write
In This Area
.-
.-
0.00 0.00 0.00
b. Existing/In-Kind Positions
Do Not Wrile Do Not Write:
In This Arca In This Area
.
0.00 0.00
c. Total Salaries and Benefits
0.00 0.00 0.00 0.00
12. Expenses Do NOl Write
a. New Expenses In This Area
~
0.00 0.00 0.00
b. Existing/In-Kind Do NOI Write Do Not Write:
In This Arca In This Area
t 0.00 0.00
C. ToLd Expenses 0.00 0.00 0.00 0.00
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(\!Ia"h a ~dl!J('rl'll pages If nceded)
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CATEGORIES
13. Equipment:
a. New cquipmcnt.
(2) Personal CCIYputers, (2) M::mitors
(3) Token Ring Cards, Multi-Station
Access and Housing, Land Manager,
( 3) PC Land Programs, MS Dos, Q/'A
Software and Accessories
b. Existing/In-Kind Equipment
c. Total Equipmcnt Costs
--- ,-----
(Rllund III N~llr~sl Dollar)
A I'I'LICANT
Cash In-Kind
~Ial~h ~Jal~h
~Iale
rail!
Ullds
TOTAL
Do Not Write
In This Ar~a
6,639.00
6,639.00 13,278.00
Do Not Wril~
In This Ar~a
Do Not Write
In This Ar~a
0.00
0.00
6,639.00
0.00
6,639.00 13,278.00
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14. Financial Summary - Total of salaries
and benefits, expenses, and equipment,
all combined:
S6,639.00 S 0.00 s 6,639.00 s 13, 278.00
:=:======= ======== ======== --------
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Cash The above figure The above figure The above figure
Malch must be equal must equal the must equal the
Grand 10 or less than the sum !,f the the sum of the
TOlal th~ cash malch two preceding preceding thr~e
Grand Total columns three columns
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(An Ich ;d"11IOI..1 pag.,~ It n~cded)
APPLICATION ITEM 16 (signature required)
REQUEST FOR MA TClIING GRANT DISTRIBUTION (ADVANCE PAYMENT)
EMERGENCY MEDICAL SERVICES (EMS)
. Governmental Agency and Non-profit Entity ONLY
In accoruance with the provisions of paragraph 401. 1 13(2)(b), F.S., the undersigned hereby requests an EMS matching
grant distribution (advance payment) for the improvement and expansion of prehospital EMS.
p;\YJ11Cl1t To:
Board of Cmmty Coornissioners,
M:mroe County,
Florida
Legal Name of Agency/Organiz.ation
5192 Overseas Highway
Marathon
(City)
Addrcss
Florida
33050
(Slate)
(Zip)
Authorized Offirm
ATE: " 3 q l
e:Wilhelmina Harve Title: Mayor/Chainnan
SIGN AND RETURN WITH YOUR MATCHING GRANT APPLICATION TO:
Department of Health and Rehabilitative Services
Office of Emergency Mcdical Services (HSTM)
EMS Matching Grants
1317 Winewood Boulevard
Tallahassee, Florida 32399-0700
For Use Only by D~panmenl of H~allh and Rehabililalive Servic~s,
Office of Emorgoncy Modical Sorvic~s
1\btching Gr:\nt Amount:$
,,\pl'ro\'cd Uy:
Grant ID Code:
Date:
" Signature, Title, State EMS Grant Officer
State Fiscal Year:
Amount: S
Qc~anizQtion Code
6D-20-60-30-100
E.O.
HS
Ob;ect Code
Federal Tax 10 V F:
G~ant .Beginning Date:
Ending Date:
17. ,\SSUHAi'\CES AND APPLICATION SIGNATURE (Applications without an appropl'iate signature
for this item willnol he coll',idtred for funding):
Certification or Standards Slatement
I. the undersigned, certi fy that if granted funds under Chapter 401, Part II, F.S.; as amended, all applicable regulalions and
~l.md;lrds will be adhered to including: Chapter 401, F.S.; Chapter 10D.66, F.A.C.; Minimum Wage Act; Title VI of the
C1\'jJ Rights Act of 1964 (42 ISC 2000D et. seg,); DHEW Regulalion (45 CFR Part 80); Rehabilitation Act (Sec 504);
Developmentally Disable<.l Assistance and Bill of Rights of 1975 (P.L. 95-602) as amended by Title V of the
Comprehensive Rehahilitative Services Amendments of 1978: Confidentiality; Human Rights; Habilitation Plans;
Employment of the Handicapped; Services for Persons Unable to Pay,
SlalellH'/ll of Cae;h & In-Kind Commitment
I, the undersigned, certify that cash arid in-kind 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 lhiro.party in-kind 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 final approved project
during th.: grant period.
Aen'Ptanee of Terms :lnd Conditione;
Acceptance of the grant terms and conditions in Appendix C of the booklet, "Florida Emergency Medial Services Malching
Grant Program 1991-, by the Department of Health and Rehabilitative Services is acknowledged by the grantee when funds
are drawn or otherwise obtained from the grant payment system.
Di<;elnimer
I. the undersigned, hereby certify that the facts and information contained in Ihis 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.; Chapter IOD-66, F.A.C.; as amended
by Chapter 85-167, Ul\\/S of Florida, may be revoked, and any monies erroneously paid and interest earned will be
reiundcd to the department wilh any penalties which may be imposed by law or applicable regulations.
!\'ntifie;.!.l!oTl of ,\ wards
I understand the availahility 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 aWMU grants.
)(
Signature of Authorized Grant Signer
(Individual Identified in Item 1)
~3\(U
Date
!\OTE: .
Please clieck to insure that all required signatures have been made for Items 15, 16, and 17.