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HomeMy WebLinkAboutM-80-0630SOUTH FLORIDA 1FX MERGENCY EDICAL ERUICES COORDINATING COUNCIL, INC. August 25, 1950. �1 CITy I M/;f;1' Joel yea AUG 27 AM s: i 2 3050 Biscayne: Boulovard, Suite 601 /Miami', Florida 33137 Telephone (305) 573-0220 Joseph Grassie City Manager 3500 Pan American Drive Miami, Fla. 33133. Attention: Sylvia Lawman Dear Mr. Grassier This is to request time on the September 15, City Commission Agenda for a personal appearance for Jim Hirschman., M.D. and Sanford Dernis Esq. Dr. Hirschman and Mr. Dernis are officers of the South Florida Emergency Medical Services Coordinating Council, Inc. The Council has been approved by the State E.M.S. unit and the Federal E.M.S. program as the organization to develop a regional E.M.S. System (Dade and Monroe Counties). Federal Authorities have awarded the Council $400,000 grant conditioned on raising an additional amount of $50,000 local fundinq. Dade County has provided $31,000, Monroe County has committeed $5,000. There have also been contributions from the Dade County Medical Association and individuals. The purpose of these personal appearances is to request the support of the City Commission, both programatic and financially in the amount of $5,000, by passage of a Resolution similar to the suggested enclosure. The City of Miami Fire Rescue has been a leader in the develop- ment of Paramedics, Swat-meds.and the Cooperative utilization of these life savers with Emergency Departments. Now is the time to take a further step and with formal agreements establish a regional system. ....2 80-630 Page 2 Joseph Grassie Att: Sylvia Lawman August 25, 1980. The Council also has appreciated the support of the Miami Fire Rescue Units. Chief Larry Kilburn has been a member of the Council since its inception. Fire Chief Herman Brice was a member of the Steering Committee which organized the Council. Sincerely, Y Jim Hirschman M.D., President S.F.E.M.S.C.C. Sanford Dernis, Secretary S.F,E.M.S.C.C. AGeorgeRice, Senior Planner Technical Atsistance - Health Systems Agency of So. Fla. /hf Encl. 0 0 80-630 RESOLUTION Resolution approving in principle the concepts of the South Florida Emergency Medical Services Coordinating Council, Inc., and authorizing the funding of $5,000 for assisting in the financing process. WHEREAS, the South Florida Emergency Medical Services Coordinating Council, Inc., has offered a means of planning, evaluating and coordinating the various elements and components of the emergency medical services in the geographic area of Dade County; and WHEREAS, while we have elements and components of the emergency medical services system of high quality, it is appropriate to study and evaluate our emergency medical services in order to seek more cost effective means to deliver services and to plan for better ways of providing quality and cost effective services; and WHEAREAS, it is essential to the effectiveness of the goals of the South Florida Emergency Medical Services Coordinating Council, Inc., and the emergency medical services provided by Metropolitan Dade County that the process of study, evaluation and planning be a cooperative one; and WHEREAS, the South Florida Emergency Medical Services Coordinating Council, Inc., has applied for and been awarded $400,000 of federal funds to finance the beginning of the process and thereby provide equipment, train- ing, education, data gathering and management information; and WHEREAS, South Florida Emergency Medical Services Coordinating Council, Inc., has requested and received the endorsement of the Dade County Commission yin -the amount of $31,000 and the Monroe County Commission in the amount of $5,000 and has further requested that the City of Miami assist in the financing of the process and encourage the granting of federal funds. NOW, THEREFORE, RE IT RESOLVED BY THE COMMISSIONERS OF THE CITY OF MIAMI, FLORIDA, that: 80-630 Page No. 2 A Section 1. The process of study, evaluating,.planning, education and training as proposed by South Florida Emergency Medical Services Coordinating Council, Inc., is hereby endorsed in principle. Section 2. The City of Miami and or the City of Miami Fire Department shall be involved in the process of study, evaluation, planning and implementation. Section 3. The funds requested, $5,000, shall be granted and utilized with Dade, Monroe Counties and other Public and private funds approved in the grant application to the Public Health Service, to establish a regional E.M.S. System as under Public Law 95-626, for the grant period beginning July 1, 1980. The foregoing resolution was offered by , who moved its adoption. seconded by Commissioner being put to a vote, the vote was as follows: The motion was , and upon Mayor Armando LaCasa Maurice Ferre Joe Capola Reverend Theodore Gibson, J.L. Plummer The Mayor thereupon declared the resolution duly passed and adopted this 15th day of September, 1980. COMMISSIONERS CLERK Approved by City Attorney as BY: to form and Legal sufficiency Deputy Clerk a - i L't4'• r ,JIM C. HIRSCHMAN, M. D. MICHAEL J. LERNER, CARDIOLOGY , INTERNAL MEDICINE SUITE 401 MERCY PROFESSIONAL BUILDING TELEPHONE 856.6630 3661 SOUTH MIAMI AVENUE AREA CODE 305 MIAMI, FLORIOA 33133 November 12, 1979 Mr. Joseph R. Crassie City Manager, City of Miami 3500 Pan American Drive Miami, Fla. 33133 Dear Mr. Crassie: I am writing in behalf of the South Florida Emergency Medical Services Coordinating Council. This Council was formed for the purpose of coordinating EMS in Dade and Monroe Counties into a regional system. There is a seven year history that leads up to the present status of the Council. It began by various committees and groups working together with County officials and Itealth System Agency staff to reach the point of developing an organization with the mandate of coordinating emergency medical care. Both Dade County officials and Monroe County officials and Fire/Rescue chiefs of the municipalities have been of considerable assistance it, developing the coordination approach. There are several Fire/Resctic departments actively engaged in providing; us with information and assisting in the decision malting process about the work plan and community tasks that the Council will perform, The EMS Council is applying to be designated as n 503 W Organization, and hopes to he so designated by July 1, 1980, For this reason, we are writing to request that the City of Miami participate in support of this activity in the amount of $5gn.00 monthly ($6onn culnually) beg -inning; Jelly 1, 19a0. Ilealth organizations ;Ind othuI- governmental units, as well 'is civic groups, various municipalities and 'lonroe County are being; requested to support the Cuuncil's grant request with dollars and with "in -kind" support. Total federal dollars requested the first year will I>e approximately $600,000 and a good percentage of this; will be applied to EMS in 1),ldQ County and its cities. Although you are generally familiar with tilt! effort of the EMS Council, I know that you will have gticstionc;, 1, along with others on the Council Board, are taking time out to personally contact those governmental and agency representatives from whom commitment is needed, one of us will Call you within the next week to arrange an appointment. In addition, should commission approval he required for this support beyond simple executive decision, we request ,I place on tilt! agenda of a commission meeting on or before Decumbor 3, 1979 to answer questions about the job wo are Crying to do. 80-630 PACE 2 r, I lR The members of the S.F.E.M.S.C.C. are representatives from hospitals, physician groups, emergency room nurses, fire/rescue units, administrators and consumers who are interested in EMS. The Council's general purpose is to soundly increase quantity and quality of emergency medical care in the prehospital phase as well as in follow-up at the fixed health care establishments at reasonable costs, Although there have been outstanding developments in EMS in Miami, greater Dade County and beginning now in Monroe County, there has not been a coordinated regional approach which related to the State EMS program and to the Federal EMS unit. Also, there has been sparse disaster coordination of our rescue systems between the two counties. To organize and develop this program, the EMS'Council is applying for a federal grant as mentioned above un the EMS ACT P.L. 95-626 RMSS. This region appears eligible for several million dollars if a competetive application can be developed. This letter is to inform you of the application for Federal assistance and to request a letter of support and financial commitment to the program. Expenditures for fire/rescue services by the City can be utilized as in kind matching;, if you agree, of which there needs to be an aggregate sum of 50%' of the total Federal request. In addition, there must be a "hard cash" commitment from the local area to be available in equal monthly or quarterly installments beginning July 1980. My office will contact you within a few clays to arrange an appointment. We appreciate your assistance and support. Sincerely, .,Tiro C. Hirschman, M.D. ."resident, South Florida EMS Coordinating Council Marshall S. Harris, Vice President 'Chief Alvin P. kodgway, Voce 11rusident / Sanford F. Dernis, Secretary Diane Ramy-Faulconer, Treasurer JCII/nad C.C.: Mayor Maurice Ferre City of Miami 3500 Pan American Drive Miami, Fla 33133 C:C: Chief Herman Brice L'�1W1 c:rry OF `AIANII, FfL.UP A 1NT::,q•C7Ff IC't sArNIORANOU'.t IT To Mr. Joseph R. Grassie City Manager 9�1 - llel� FROM Chief H. W. Brice, Director Department of Fire vale May 16, 1980 WM South Florida Emergency Medical Services Coordinating Council R tr Eit c:NCe:� Dr. Jim Hirschman's Letter of April 17, 1980 _NCLO SUR F. 5. The concept of an Emergency Medical Service Coordinating Council has been the focal point of discussions for a number of years. The Health System Agency 4HSA) has been an instrument to do regional (Dade County.and Monroe County) planning in the area of medical services to tFe community. As a part of this responsi- bility, there is a task.for:ce.on Emergency Medical Service (EMS). The authority of HSA does not extend to implementation of plans and, therefore,the need for an implementing body. The South Florida Emergency Coordinating Council is proposing that it will be involved in the planning, evaluating and coordinating of the various elements and components of the emergency medical services of Dade County and Monroe County. This planning, evaluating and coordinating process will include not only fire rescue but also all other phases of EMS such as ambulances, emergency rooms and hospitals. Throu-bout the discussions on the need for such an organization, the Fi.:e Service has been concerned with two major areas. 1. The lack of authority this Coordinating Council would have to implement its plans. 2. The concern of where future funding will come from if and whe• the Federal Grant terminates. The Fire Service has been working with others in the community to resolve this issue primarily because of our respect for Dr. Jim Hirschman, who was one of the pioneers of our own City of Miami Fire Rescue Service. The Grant Application originally for approximately $900,000 for two years, has been amended in the regional office at Atlanta to approximately $400,000 for one year. The proposed budget for these funds is attached. Page 1 of 2 0 0 Mr. Joseph R. Grassie May 16, 1980 It is important to understand that City of Miami support of this organization should come from the point of view of being part of a regional improvement of the delivery of Emergency Medical Service rather than the City of Miami Fire Rescue being. the recipient,of major benefits. HWB : nl E r 1 Page 2 of 2 PAR T III - BUDGET INFOPMATIOr1 sr --:,.a A - BUDGET SUMMARY G.0_ P'� o'• F-w Uon o. Attl.ltr tcl ro Jorol t.eafaa Na' {.t Eort-.I.d UnAltperoJ funto N o v. o r R .. I o. d U o d 1 0, Feirrn) k) tlyn•FrJrol C+► f t•t__,._ ill. To801 Ssi.�.� t• D101-1203-2 13,284 : 400,000 s 40,000 s 400,000 s4,133;014 s 4,533,014 t. 3. 5. TOTALS 13,284 S 1100,000 S 40,000 S 400,000: S4,133,014 S 4,533,014 SECTtOti B - BUDGET CATEGORIES . ,i 6. Gbiect Class Categories - caa P. �.om, Fu�c Uon or Aaurlly . Tatit c51 cn 1203-2 c2t Cash !-latch rn IwKind 1.1atchc4) a. Pers,r:rel S 115.000 S 21,000 s2,345,474 S s 2,481 ,474 D. hisic Omfits LA3,000 4,200 515,441 542;641 c. Ti el 20,000 -0- -0- 20,000 d. Epjiptaert 91,982 - -0- 119,320 211,302 e. suplies • 9,000 4,000 254,516 267,516 1. 98,000 10,718 618,123 726,841 g. Csnztructioa -0- -0- -0- tl. Other 43,018 82 240,140 283,240 i. Total OiteclCharm 400,000 40,000 4,093,014 4,533,014 J. Indttect ChwRes It. IOIALS ]. Plogfaar Inwne S S S S S S S S i IBM SOUTH FLORIDA �'-- c; 4 _a MERGENCY r EOICAL EnUICtS 3050 Giscavne Boulevard, Su!e �301 '+harm. FIcrida 331-7 COCROINATING COUNCIL, INC. Telephone (305) 573-0220 April 17; 1980 The Honorable Maurice Ferre Mayor of Miami C/o Joseph R. Grassie City Manager 3500 Pan American Drive City Hall Miami, Florida 33133 Dear Mayor Ferre: This letter renews the request of the South Florida Emergency M1 ical: Services Coordinating Council, Inc. for endorsement and local matchLnng- funds from the Miami City Commission in the amount of $5,000. The Federal application is for $863,4801 .� On April 1, 1980 the Metro -Dade County Commission voted to endorse G7 the Counci11s efforts and committed $31,000 conditioned on the approval of the Federal grant to establish an Emergency Medical Services ..,, st: m in Region I)( ( Dade and Monroe Counties) . fhe Council's program is also endorsed by the Dade County Medical Association, the Monroe County Commission ($5,000), the Junior League of Miami, the Dade County Fire Chief Officers Association, the Health Systems Agency of South Florida,, the South Florida Hospital Association, the Dade -Monroe Lung Association, the Public Health Trust and others. The Florida Emergency Medical Services program has approved this grant application and forwarded it' to Federal emergency medical services authorities who will make recommendations concerning the application sometime in the later part of April. The suggested work plan for the first year is attached as is a suggested resolution, 0 n 0 The Honorable Maurice Ferre April 17, 1980 Page Two It is most important that the City of Miami be a major part of this regional effort which, with cooperation of all units, could lead to a most effective EMS program. We would be delighted to meet with you regarding this matter and would appreciate a decision as soon as possible. ' Sincerely, im C. Hirschman, M.D. President cc: Chief Herman W. Brice Chief Larry A. Kilburn JCFI : rg or ' ,,re, nl I ITT r)0I WHEREAS, the SOUTH FLORIDA EMERGENCY MEDICAL SERVICES COORDINATING COUNCIL, INC., has offered a means of planning, evaluating and coordinating the various elements and components of the emergency medical services in the geographic area of Dade County, and WHEREAS, while we have elements and components of the emergency medical services system of high quality, it is appropriate to study and evaluate our emergency medical services in order to seek more cost effective means to deliver services and to plan for better ways of providing quality and cost effective services, and WHEREAS, it is essential to the effectiveness of the goals of the SOUTH FLORIDA EMERGENCY MEDICAL SERVICES COORDINATING COUNCIL, INC., and the emergency medical services provided by the City of Miami that the process of study, evaluation and pl�.nning be a cooperative one, and WHEREAS, the SOUTH FLORIDA EMERGENCY MEDICAL SERVICES COORDINATING COUNCIL, INC., has applied for approximately $900,000 of federal funds to finance the beginning of the process and thershy pro-'Jin ngliipment, training, education, data gathering and management information, and WHEREAS, SOUTH FLORIDA EMERGENCY MEDICAL SERVICES COPMINATING COUNCIL, INC., has requested the endorsement of the City of Miami Conmissioners and has further requested that $5,000 be provided to assist in the financing of the process and encourage the granting of federal funds. Therefore, ..I The Honorable Maurice Ferre April 17, 1980 Page Two It is most important that the City of Miami be a major part of this regional effort which, with cooperation of all units, could lead to a most effective EIS program. We would be delighted to meet with you regarding this matter and would appreciate a decision as soon as possible. Sincerely, �. #m�,4a41-1 im C. Hirschman, M.D. ' President ' cc: Chief Herman W. Brice Chief Larry A. Kilburn JCll:rg 1 ,r �•; l' BE IT RESOLVED that: A. The process of study, evaluation, planning, education and training as proposed by SOUTH FLORIDA EMERGENCY MEDICAL SERVICES COORDINATING COUNCIL, INC., is hereby endorsed. B. The City of Miami shall be involved in the process of•study, evaluation, planning and implementation. C. The funds requested, $5,000, shall be granted upon the approval of the grant application to the Public Health Service, under Public Law 95-626, for the grant period beginning July 1, 1980. I ESTIKITEO TIMETABLE PROJECTED STAFF ADDITIONAL RESOURCE CCMJtETICN OTEER ACTION AGE11TS DAYS REQUIREMENTS STRATEGY JASONBJFPIAMJ A. Assess Lunt of high turno.er rates Sept. 'a:)ACEP. EDCA 5 None Appoint personnel/training A S ! of L S ;erscr.:el as reported ty Resc:.e ENT -paramedic Society of Florida task force with broad based Cafefs Firefighter S Nursing Unions representation to develop • Cace County f:_dical Association rodel programs. S. ReC-ce hr,e turnover rates of EMS C_Je County Fire Chief Officers ;enorrl rltn_ Association st of Eris P Enliaid roferstort- Soutn Florida Disaster Nursing 10 al organizations to icpleTent I .ire ev.elc;.ment and frplentntation Cec. 'EJ Council propased progra—zs. 0 N Q of roc7:1 1r.c:nti:e prt;ran to South Florida Hospital ec. �ra,r rccr,.it:_•nt and rrtenttcnr Association Z. Monitor effectiveness of 1 cf a^cr.-c-.cy cc;artr.crt n;.rscs. M3rrce Cc- E:S Coordinator Program G;eratton _inerea:ta focus on job satisfaction Dec- '80 4 O.N 0 of LMS Gersznnel _tte ae.elt:.en[ a:a implecentaticn Dec- 'E] S 0 N 0 of t.::el 1t.ztntt.e ;rc3razS teat 5;r::11:1lly Jz_.-C s Grctlec's of rc:C-t1c.-, a:a training of volunteer CA:'S and ;are"e� K s in MGnrse Co. _ea;er.Ze_, ;.ro.:.;ticnal examinations June '81 10 J F M A M J In fire ce;art- cnts to ir:l:ce EMS relate] ratertal far rtscar iII Gcr•;,: rcl ti A:scre '4-r.:6r cc.era;e of volunteer Monroe Co. EMS Coordinator resc..e :er.tces in f:_nroe Cancty Monroe Stab -area EMS Council Monroe Co. G_verrsent A. Assess ;crsorrel ree:s for boat Dec. 'SO Y.2aroe ;-:uterce Companies 6 tione t.ailt U r dz anccd lift ,u;port ' Refer to Monroe Committees N 0 J Capar.111tics - S. fie.elcr an-, irplenent a mechanism 6 to ccr.tlr_w ily rcnitor r-npc-er_ (ongoing) J F M A M J' c4zD111ties of res.C_e Gercnnel Increase the n.:.:.er of trained aispatcl:ers Dispatching centers in Cade Co.. -or►tng 1n the rcgicral Er.S system_ Monroe Co_. Cities of Miami. Coral Gables. Hialeth and Miami A_ Cereizp en-tte-job training programs for Nov. 'Ea Beach use ry cu;atcning agcncle: (see !...roe Co. E:L Coordinator Tralnlrg ct;ecti.es) E_ :weir and prc:.ote a recruitment Dec. 'e9 prr,gram for cis;atuen C. Assure furatrg for an additienai IS Cec. 'el full tine positions 4 Additional budget Encourage training programs 0 N allocations for as a Job requirement dispatch centers 4 Help dispatching agencies develop/adopt a training N D program 4 See also training objectives J F M A N J- • yf. • ienpower - Page 2 it ESTIMATED TIMETABLE FnOJECTEO STAFF ADDITIONAL RESOURCE CC'!71ETIC'i OTHER ACTION AGENTS 04YS REQUIREMENTS STRATEGY J A S 0 M 0 J F M A M J 4. Re-evaluate the desirability of usiog volunteer perscrr.el for pre -hospital basic life sL;;Port in ranrae County A. Establish a ccarittee to eRa-ire May '61 vol urirer vs_ professicral stafffr.g for pre-^.ns;ital emergency care. 8. If char -;es are rem-rended. devele7• June '61 a strate;y for thated ir..7le.frntaticn. This stra;e;y should consi_er: s-err.-ental s_;7orL .funllrg .yersor:r.el availability .recruitsert E trainir,, 5. Deter -ire tre fe:sttIltty of deveic7tng adwencel life s.^,:art capability jr. K;rrce Cc:.r.ty (fcr lc;rlecen:aticr. under 12C. I f..._1in;). A_ Ex -mire the use Of Lath volunteer Hay '61 and yrofessicnal ;erscrrel B_ Stu::y the ccst1tcnefit of May '31 rairtaininy- ALS servlces i C_ Ceter-ire pers:,zrel reeds Lased Hay '51 on gecgra:ly arl pre.letter utilization i D_ If feasible, de.ele; an idle -en- July '61 i tatlon plan, fcr :tS ser+ices in M:nrce Co:nty I 6. A. Assess tre reed for E':T-Interrediate Zan- '61 certification in Sccth Florida 8- If need is determined, deveiep Mar '61 mcel legislation, art stardoms fcr EeT-Inter-eefate certification (IS31) C. If reed is deterairel. work with July '61 Florida le;islatcrs an± the State EMS office fir of such legislation (1582-t:3) W 'o w o Henree Sub -area Ei1S Council 10 None Refer to Monroe Cormittee F M A M Y:.rrfe County Goverment Yc.--rce Co. A b;aance Services Dade Co_ Fire Chfzfs Association Pc;:Ical Advisors to Rescue Services 10 A M J Yar-rce Co. EMS Coordinator tr�J a Saxe as above 3 None Refer to Monroe Com.1ttee M A M 3 MAM 3 M A !1 6 N J- 4 Nore Assign to personnel/training 9 D J task force to study uses of and need for EMT-Inter„ediate 4 certification_ J F M Develop council policy fgr 3 transmittal tostate • A MJ—= If EtfT-Interrediate is desfr- able. encourage and assist DIMS with program develo;ment 1 c.C:LjadL,� u„a �,-�1-;y�-,aincZ"�ersoflll 1 1�_fueet projecceo nee as of the EMS system owl ' ESTIMA4ED Fn^DJFC7FD STAFF ADDITIWIAL AESOUACE TIMETABLE C;z:LETI ::f OTHER ACTION AGENTS DAYS REQ+JIREMENTS STRATEGY J A SONBJFMAPIJ t. Assess fr;act of Alpo turnover rates :' EIS pew er.-cl as reported by 8escoe Sept- 'EO ACEP. EDNA EMT $ None Appoint personnel/training A S iefa -Paramedic Society of Florida task force with broad based Fireftghter 6 Nursing Unions representation to develop '. Fed�ce high turnover rates of EMS Daft County Madtcal Association Dade County Fire Chief Officers - model programs_ - ,ersonrrl with: Association Enlist aid of ENS profession - _tee e_.ric;cent and irVlere Cec. 'EO Scutt Florida Disaster Nursing Ccunc11 10ntatian al organizations to ierplewent propused programs : of rc_rl incerti.e prc;rJ:s :a Soutt. F'cr1C4 Naspltal 0 N D erc;_ra;r rvcrur -,nt ar.d retentlon of t'cr;rncy Association Mlcnitor effectiveness of cc;rart:c.-.t n.rses. 1-41's er.J :ici t::nrae Co- E:'S Coordinator program operations Far_- - _increases tccu: cn Jcb satisfaeticn Cec_ 'ED II of IMS ;cr-crrrf O N D _the ee.clo;.-.rnt anal t::Ple^•entatien Dec. 'ED 5 r� e iiCcl lace:.ti.c Zrcrrecs that ONO s;ctir�cally a:_resi prttic-s cf ar.i training of volunteer - E4:•s acd ,_ra:c:its in :-. rce Co- e r; ar.Jc: ; r :,tonal eraFirations June 'fit 20 in fire cc; arm Knts to incline Ei'.S J F M A M J relate: r.aterial far rescue I k;ertcrr.cf :.-rcur `{-sort ccrcra;e of "luntcer Y-onrce Co. EMS Coordinator kr�:c a se niter: in Y:nr--e C:u:•y Panrce Stb-ar-a EMS Council ;. Assess ;ersanrel rec:S for Loth �tas:c Cec. 'EO !lcnr:e Co. Cz,ern:.ent M_n �e ;ztulance Coi:panies 6 ef.J a_.arccJ life support None Refer to Monroe Corr_ittees f ;aLtlit�ci N 0 J I5. C-0r.? and im?lerent a cechanisa ILO ccrtrn..,,�ily ri,nit�r m�ryc.cr. 'tc,atilla r: at rr:c..e personnel 6 (ongoing) JFMAMJ- the n.yLer of trained dispatchers Dispatching centers in Dade Co.. J11:ncre3se ._r►1n3 ir. u.e rc^yicral Er.S systrz- Monrce Ca_. Cities of Miami. t cn-ire-JtL Lralnir.; prcSra fcr Aov. 'E9 Ceral Cables. fiiale h and Iiiaai E_ach _ ute ty cis;at:r.rr.g agencleS (see .rciair.S c�;cctt.czJ M.—roe Co. EKS Coo-dinator II - Additional budget d 4 allocations for Encourage training programs 0 N dispatch centers as a job requirement E_ Lc.ricp end pra:ote a recruitment Cec. 'EO II Help dispatching agencies ;:a,raa tar ni��at:r.crs develop/adopt a training '. Assure fwncirg for an ad3itienal IS Dec. 'EI program N D I ull t:.-.e ;oiitfc-.i II See also training objectives M I J F M A M J — ti af- ranpower . Page 2 T, ESTIKATED TIr.ETA6tE MIECTED STAFF ADDITI03AL RESOURCE CC':% ETIC'1 OTHER ACTION AGENTS D YS REQUIREMENTS STRATEGY J A S 0 N 0 J F 4 A N J { a. Re-evaluate t`e desirability of usieg volunteer perscnrel for pre -hospital i basic life su:part in Monroe County A. Establish a CC-Imittee to e:aaire May '61 Y.onroe Sub -area E`iS Council volur-:eer vs. professional Yvonne County Government staffing for pre-r.os,i:al emergency Y-rrce Co. Ar.bulance Services care- Dade Co. Fire Chiefs Association `:e_'ical Advisors to Rescue i 8- If Char.;rs are recc-reneed. develop_ June '61 Services a strate;y far Chased ir..pleentaticn. Monroe Co- EMS Coordinator E This s:ra;e;y sr.�uld considtr: _ Derr.-en:al s_:psrt E' _tur.ltrq _'versor:rel n.ailnEflity recrulL.ent b trainin3 c 5- Deteraine tte feasiaility of developing aevarce2 life su;:art capability In Kt nrce Cc,nty (for i-ple-.en:aticr. under 12C3-1 f_nnn;). . A. Examine the use of toth volunteer Hay '81 Same as above and professional 1erscrrel E 8_ Study tte cost/benefit of May '31 maintaining ALS services C. Geterr_tne personnel reeds tared May '0-1 1 en Secrra;ay army prc,e_teJ utiifzation c_ 0. If feasible. de.elc: an 1_p1e-en- Ja1y 'El tatfon plan. for ALS services In Munroe Co,-nt,y - 6. A. Assess Ire reed for ElT-Interrediate Jan.'81 certification in Scuth Florida 8- If need is deter-mirea. develop Mar '21 e+odel legislation and Standards far Er.T-Irterneciate certtttcatton (1931) C_ If reed is deter--.ired. work with July 'El Florida legislators ar:! the State EMS office for adc,:icn of such legislation (1982-I:3) 0 1 t?3 C�? 0 to None Refer to Monroe Comittee F N A N 10 ANJ a 3 None Refer to Monroe Comittee H A H 3 • N A N 3 N A N 6 A J_ 4 Clone Assign to personnel/training !1 D J task force to study uses of and 4 need for E:fT-Interrediate certification- J F it Oevelop council policy fgr 3 transmittal tostate • A NJ—' If EK-Intersediate is desir- able. encourage and assist OURS with program,. development TIYET;ZLE FRANJ . ES MATED {DDIt14FNt AE54URCE stR;,TEGY JASDNDJ On9oina t i 51. RE USREN.Eti15 ng DAYS n to FerSDnneUtratn Assk ParticiFation - FnD'ECTE4 4TN'cR A�14y AGEnTS Additional satarY »ith task forte hief's Rescue from Fire C CC>'� fire DePartL7ents atlacattons Rdvtsory Group Ds,e S M nroe zzulance ccc? anies in fire rescue and . Conroe count)- T fs'rans Staff;nS Dire f-110•!nT to r[et t • A s[nues �enide. tar tc.+ re:c a 4 A M J stcr.arls 1tv Oct- l :`r04I's a=t. 'g2 Save as above 1531 Sra-edic 1 1SE2 2 F-r:-�.ics. 1 Cil :ics £>:1 Oct. '63 T Fore 1 2 F�ra-� 1y33 3 r-rSrelKs �, as clove t�'C ?r ar- j.[[•=1 tstL[ Lnl tl E. of Mlle re:e -, In St'Ct a.. nd cciCent. - t„rL Olty lc•cli latio� centers a-alton and C. Cr_rtr to lfr'� fr ir;lt�cn" 123 t tetl�� € i .cntifted. 1 TOT�t S-'*f DC.YS E D_ �Lrct ftLL3ri a Y - • OD Q t i - � II IIIN III ;i O TRA1411,u_ :assure tiie avaiiabiiity or appropriaue.training and continuous education programs to meet utiyuing ifcE:US or EMS providers .f" ESTIid.4TE0 TIMETABLE PRD:ECTED STAFF ADDITIONAL RESOURCE CO':=LETICN OTHER ACTI09 AGENTS DAYS REQUIREMEES STRATEGY J A S 0 N D J F M A M J 1- Expand continuing education progra-s for ad -arced fife s:rport ea;acilities A. Is-Utitsn a f;er--`vent display of the Apr '87 8 stations fcr ute in ACLS continuing 3 Equipment costs Assign to Training Director and D J F 11 A eC cation prc;rars. (zee budget) appointed ACLS faculty 8. Institute trree ACLS training pro;ra.-s •July '81 15 J F M A !1 J= under the als�fces of ire S=uth Fiorf�a f.MS C crciratirg Cc_rcil C. wort with the .-rrican Heart Ar•^- org3in3 K-erican kealth Association of 6 Faculty stipends ongoing of Gredter 1!ta-f to cc.ttrue er.0 ei: ^d Greater Mia-i PdvanctC CerCtac Lift S r tort trainic3 end certittcaticn fcr health proi•_ssicn- a1s. 0. lncorp,rate standardized ALS training Mar 'El ilia-i-Dade Comm. College 4 0 J F N f f In ed�cattcn curricula for a:Grcprtate Flertda boys Comm- College 1!5 prc.t-'ers (e.g.a yara-.edic and e-erStnCy Cepartrent rursing Degree and certificate prcyra-s}. E- icrk with area chapters of ACE?, EC:iti, ongoing as cited 3 erg�ing EMI-Par-c-- Ci- rCc te• ^f Fi t� .y ,, or .a. etc. to ccrtir-s.;-,ly prc.to_ LS training . In�tne atser.ce cf state ster.dardz, establish train Miami Dade Community College Legal consultatiofl Assign to personnelftraining unif;;r--. s,; end recertittcatiLr.. rcqire=a rts. Flnrtda Keys Cecr.:urity College University of vita-ia Schcol of task force A_ Beier -p guieeltnes and r.Ude7 standards '^ :,,v-'EO Nursing JMk Sck-,ol o` Nursing 8 S 0 Nfcr' C:'.gS-EY.5 Office untforri trairirg E recertification Curricula .conttnufr., education programs B_ Cc=rdtrate with the Ftcrlea EMS Cec.'EO- 3 N 0 office fcr adoptton of the ato.e as stste-■Ice standards ' I- Establish continuous education of EMS persorrel that fosters Integrated Assign to personnel/training ro revs a-cr. P S 9 the p rofez '. s.••rz_ - task force A. Oe.elop an integrated plan for FeD_'fll ACED. EDNA 3 a 0 J F { centtnuaus e-Catfcn E:'.T-Para:zedic Society of Florida Dade Co. Fire Chf-:s' Association S. Proyice or.-Scing training pro;rz:ns engoirg Medical Advisors to Rescue 6 ergoing Services A--erican Heart Assoc. .L 0 C a;A 64 ►l.+i iYii l kii fi...r: 4..:: +....: >... f......f - — •_--- '--- -- - E r.ing - Page 2 ESTIH_:TED • F^nO::CTED STAFF ADDITION;L RESOURCE TIMETABLE r CCx=;E1ICi DTfiER ACTI04 ASEtiTS DAYS RFOUIn""E FtIT$ STAATEGiI JAS0NDJFMAIiJ C. Wort win hospitals and fire rescue � ors;lr.; 8 .­wicel t0 StSLre t'-t »inircn ongoing _;rtfr.utnq ed":sti.7n sten_arCs are rtt I±•elzp a pilot pro;r-- that exchanges June '81 6 j -cr.tinu:ng ej,:-Lion classes anang A A J _.rttcip-t:rg prc.ic;rs -ewelop arc provide a pilot training Mar.'81 Dispatch agencies 6 Faculty stipends Assign to Training Director J F M r ;ran fer emergency dispatcters that :ri GT: Gra ;e: L•:vT staG �a r�� r•;erd E;f7-� traintn3 capabilities to Assign jointly to Monroe Co. -<et H1 nr:e Canty reeds Monroe Sub -area Council staff and training director Florida Keys Me-brial Hospital (with development of council A. Assist Florida ►eys Menortal College ongoing Otter education,; in—ituticns 2 Faculty stipends policy) ongoing In EAT -A training (via scan of Council as need '-c:.lty a..,, ►;,ip rr.;j Mon.oe County t,,S Coordinator E_ Institute a training pragrae on M.:r.'Bl 3 Vehicle S equipment H 0 J F M .'eels for cLr.;fn_1r.; p.ofessferel costs c--catici in tte Kicsle 6 Upyer 1'eys . C_ Co•nsider E`i7-A extension course& ongoing 3 ongoing frcr. laze CcLnty yrrwidcrs Integrate EMT -A training in Monroe Same as above tlone Assign to Training Director :Canty with area -■ice prowiders of energenc, care- _ lA. Eayasd clinical training experiences Apr.'81 4 y A S. Link ErS stud±nts with potential Apr.'E1 2 A r.plo)ers to increase ;ersor.nel in areas of Lr-tt need Train 30 E'iT-S'a and 250 ongoing Ali;_r4 25' bone Coordinate council and ongoing ..:rerrJies via cc-r.Lnitj and council M.iaml-Dade Community College community training programs training pre;rcns_ Florida reys Memorial Hospital OD County S Municipal Rescue Svcs. ACEP•EUTA EMT-Fara»edie Society of Florida Di TOTAL STAFF DAYS 110 *In adllticn to training and ccordfnation functions already identified rf C0114UNICATIONS: Increase appropriateuse of the 9-1-1 system for access to emergency services r-0 ESTIM0.TED STAFF ADDITIONAL RESOURCE TTIMETABLEF;31ECT_r ? [Cr:LET[G9 OTHER ACTION AGENTS C YS REQUIREMENTS STRATEGY J A S 0 N D J F M A M J 1. .Expand ccrr.unity education progre-s Dade b Bonroe County Goverr.-ent Printing. audio- Assi;n to Public Information st,aut apprr;rfste use of 9-1-1 (also Dislatching agencies visual and media Oirector see Public Infortion and Education Public Sc`0015 supplies eD;e,ti�es) Cr.•- un1r, organizations Local rcdia A- Assure on-gaing distrit�jtion of cr.331rg 3 E.tiS and 9-1-1 liter2Lure to So�LI ongoing Florica visitors and tourists E. Distritute 9-1-1 stickers for Cec. 'EJ 2 eorrercial S resicential tele hcres _ D i p I � 2. Discourage ina;pro;rtate use of 9-1-1 Apr.'81 ACEP.EDNA q by cr.elcPirg educaticrai prcgra-s E'::-rara�'.edic Society ttet increase puLlic a.areress cf South Fla. hospital Association alterr_ti.e sources of nca-e.-..er;ent Dade Co. Medical Association Care h:._r.rce Co. l:edical Association Pri-.ary Care Association s 9! j -ling - Page 2 ESTIN4TED FRO_FCTEO STAFF ADDITIONAL RESOURCE TIMETABLE CC=_ETI,,I OTFER ACTI08 ASENTS DAYS F.FOJIn"FuFflTS $TP_ATEGY JAS0NJFJFMAMJ iiort wit':.•.zspitals and fire rescue crc:fr.; B ..r ices tc assLre t^_t-inic-a ongoing :_rttrutng e—:3tUn standards are rrt t .elcp a pilot prn;ra- teat exchanges June 'El 6 •cr•tipu:ns a-. Cation classes a .ong A M J -_rt1U pat1rg prc.ietri J Zewelap and provide a pilot training Mar -'El Dispatch agencies 6 Faculty stipends Assign to Training Director J F M :r Sran fcr vter;ency dispatchers that :r.:�rcra:ts LZl sttn. arts "•:end E:tT-; trainirt c!;ta ilities to Assign jointly to Monroe Co_ -eet fikn r--e Cz r.ty reeci Monroe Sub -area Council staff and training director Florida Keys Necorial F3spital (with development of courcil A_ Assist Florida refs t•en4rial College ongoing Other education.,; in,-ituticns 2 Faculty stipends policy) ongoing :n ErT-A training (via loan of Council as neet:.• 1ec0ty :a. e�,ip-�ect) P.on.oe County t..5 Coordinator 6- Institute a training program on P.r-'Bl 3 Vehicle E equipment N D J F M -gels far cLr.:frJng professicril costs rd-cattcz in tae ricale 6 17;;er reys " C. Consider Elf, -A extension courses ongoing 3 ongoing from. Cade CCLnty providers, I Integrate M-A training in M,-nrce Sa.-e as above hone Assign to Training Director _e L.nty with are:-.1:c prsvicer. of r �er;e9:x care- A- Expand clinical training experiences tpr-'BI C •y A 9. lint itiS students with potential Apr.'81 2 A e�g10)tfi to increase ;ersonnel in areas of brCet nceJ i :rain a;;rpxfrately 301 L4T-S'a and 200 orgaing AIi:G't 25• done Coordinate council and ongoing izrrredics via ant council Miami -Dade Community College community training programs training prG;ra-.i_ Flcrtda Yeys Memorial Nosaitai County 6 Municipal Rescue Svcs. A.CE'r•ELUA Q EMT-'raramedtc Society of Florida TOTAL STAFF DAYS 110 •In adltticn to training and ccardfnatfon functions already fdenttfied Corr.4-i rati:. ia;e a �� ' COM'JUNICATIONS: Upgrade Monroe County communication capabilities W ESTIKITED _ TIY.ETABLE PROJECTED STAFF ADDITIONAL RESOURCE CCXPiETION OTi!FR ACTIO111 AGENTS DAYS REQUIREMEWS STRATEGY J A S O i'1 O J F M A M 1. Coordinate frequency allocatiers of Jure '61 Monroe Co. Dispatch Centers 5 Assign to Monroe Co.'mittees F !t A M t•:,cr--e Cts;at:n Centers rttn the Mcnrde Co. Hospitals areas 04.1 prc.iccrs Yanroe Co. -EMS Coordinator 2. Ir.;rr-.e :rdical control of Yonne Cer;ency Ser.icri ty: - A. lrstallirg a tele;"one patch system Y.ar.'Si flanroe County Government 4 Work with Yanroe EMS Council F M a: aps Cc-,-r.ity hzspltal • Keys Corr..unity Hospital e. Inittate :eieretry strvtces using July '81 same as Grove 4 J F M A M cols:tr; r�u:;'cfit , C. :r.terfectn; r-nroe and Dade County Dade County Cc-runications Systen 5 Contract with Monroe Co. to re_1 Lire sai:cs for inter -county Yanroe County EMS Coordinator purchase S operate equipment ;Stunt transfers ' k 3- Estatltsn e-_rSercy 9-1-1 call tuts on Oct. 151 Florida Highu3y Patrol 6 equipment costs Sarre as above J F M A M tee 'ct:,aren-stir stretcr,' cf U.S. I Yoarce County EmS Coordinator kE tr3t lis.s Lz:r S r nrre Counties it re —nosey t - ESTIit.;TcD ADDITIONAL AESDURC£ S1pATfGlf J A S O ,y D J F M A M J ,eicatic": •vase A5sure coordinated medical control o P STAFF CQi uiu.,ilcriTIONS REQUTAEYEt;TS N p J F N rAYS pgU�EC;ED DTh_A ACTIO'i AsPil Assign to assistant prp]ect r r CCr.?llEilC•i ly director E medical director vt !•_c•,6l F-edteal directors for rescue and Hedic3l Ad•.tser Corncittee J i ,t K M T. [cntinuc and co--plete efforts to unify e_yulance Services Sane as stove rt-t.az7ttal treat—ent C'ct--ols 8 existing v . 2. Derelo7 star and trstniag to a er--,e'CY !'sy 'S1 FALE7 yrylicains ;a.: Crc" r di c,r.:rci via rac!o ea1 Lrle'etry Cc rcalts:ic'S. TOTAL STAFF DAYS 53 • r j' a __. - - - - --- effective trans*.ation system that meets both local and regional ids 7A.At:5F0 7IOt�: Develop an efficient and of _ . tIiiETAELE ESTIlt4TED STAFF ADDITIOtfAI RESOURCE STRATEGY J A S 0 H D J IF A M J PROJECTED DAYS _ REQUIREMENTS CC47LETTCy OTt!EA A[TIOtI AGEt1T5 Develop model agreements and J F 4 work with provider agerctes Feb_'fil A:.oulence Companies _ 1, Estaolisn fprril plans for copperstlen Ajr_;,-jhularce Companies for tw;lecentatipn Let.cen and a-nry air, water, and U.S. Coast Guard _ SM_r.d tren:partat:Gn U.S. Navy - Dade S Monroe A-.buiance Companies 6 tre eificiercy and !' r_'E] Dade Co. Transportation Director 2. A. Dcter..ire Of t'r carrtrt t--a-tiered ' Eire -Fescue Services effcctl•eness t ran',,: rt�tl3n $y1Lca jI:r ec, ;leLf:.j^• padr b M.onroe Co. Governments C-fir.; 1:3: fu:.'lr•i) , • 3 da1Tlrs IOSt, quality of i!ar_'BT B. pa:itr.t care e'•. c.rr.:e of ptr:cnnel itrca ;'1 ir.cfticitn:fes in tLe t.3- titfC.�. :j:tC'a of an ordinance at - a 1=n • 1 Nnroe County Coscission 3 Y<•nroe County E`iS Coordinator 3_ t sore a3.:4Lion rc._irti M..nrce Coa:nty to Cpntract a :n ratty cf its Er:S ;fpviCcrs (as rc: •r •__1 in Me f one C,urty Stu:Y± w�.aric3 Life S-;; srt 3 Y.ar_'Bl Sate as above a_ 1Lssis: v.e K;nroe C:•rission to s furdirg :•xL.^.ods retiieo Cf c,:rrtnt for E+.S tfan6:Grt3ticn in that county • i - taTAL STAFF DAYS iD Assign TO Doan ww c.• ....� o=,-.Ittee Implement reco=e^Cations in Monroe County Advanced Life SupDOrt Study Refer to Monroe C—ittee J F H 41 DJFH • . F PUBLIC SAFETY AGENCIES: More effectively integrate•public safety programs with the EFTS system ESTItt4TED F,DJECTEO STAFF ADDITIONAL RESOURCE TNETABLE CCYPLE71CU OTHER ACTION ASE%TS DAYS REQtlIREMENTS STRATEGY A l_ Assure that every police officer and Nee E Monroe Co_ Police Dept:- J S 0 N 0 J F ?aA M J hi;r,ay petrcl. n tas current trainin,^ In: S training academies Assign training director to _access to ani use of tie EMS syste: Florida Hi5hway Patrol I'Z"ttree Cocnty EMS Coordinator work with public safety agencies and training Coordinators _ - -inittai trla;e an: e,aluatica C:i;tasic ltto to: develop a rtodel course sc,-rzrt implement this course as A_ Deveicp rolel traintny^ SLar.Cara far L_ 7 part of onSoing trainingc.'81 the eta:e N D J F M A !t B. Ir:lescnt standards in police and June 'E1 4 patrol etecc-y curricula a^.1 c_r.ttcale; ' ND.i1I ed4cation reyuire-ents C. Prnvice at least three [curses based Dec_ 'el 10 en tte ebo.e for pz�ilce officers ane N D J F H patrol: n currently-zrkirg in Vie syste^.. i 2_ Ir..,le-crt a first rezp-rider :rat:i-; Course tent trcar,c n_tes LOT st_rc.rds Dade. Xznrce 3 r,-unicipal Fire Sate as above Assign training director to work for ail ftrefl;nters, park ran;ers, and Ce:arL:tints Sate d Federal Parks services with other action agents lttc; a:cs Municipal E County Depts. of A. Levelop a =del [curse E curriculw•z Apr.'=1 Parks 5 Recreaticn Monroe County EMS Ccordinator 10 1 F 't A D_ Assure iMPlenentation of course in all A ,_ lei 5 fire college tratnirg prc^saws C_Provide at least three [curses in Sept.'gl 15 1923-El for firefighters. rakers and r p} life;uares currently ..crking in tce region a 3. ee•elop wtual aid pacts anon; E"a and Cate-asszre pudic S 0 N 0 1 L" l: Jar..'&1 Cade. !'an ce 6 municipal Governments 7provid Assign staff to develop andel safety safety to assure ap;rc;rlete (police, fire services) Office of Disaster Preparedness agree'ents and work with local F Inteasenrface p50 tr,tertece .it1 tt:e EMS systea- E other pubitc safety agencies t!•arrce County EMS Ccordinator gov^raments for icpler.entatton TOTAL STAFF DAYS 53 �4 - a F - 1 I f I � I w lu nmm� i Y1050 T d s ,r 3rid back"up u5 a{ evoer e�'c + . UZ £�6Ut5 ara'� for tStlt"'Ito p�OLtS� S ri ra>> Pj an Sz�:E 66fit an Ove Dom-' ?: I,plea p't. c ZtD A "PLC'; Assoc- pnDJ-jlyy Dtr- Kospitdl 3SPitdl! C� coyth E�°snfce Loun�icaI Directors 40 Co`S tel react De��dtcs nsSCtetY cwwcY E' ' r C%tY redical e Lne Nteyoritatian �f ,g1 C�-,a{Ce CountY 35 June Ids 1 facilities t �rSency�nepre Sat 6 `al LtY CV.A?Q%t1tT ► Qee:Sest arylittes J,ae ttS51SLt L,C'' csrtyta t g.ya?.,r,tal Sit FC .s t.;,rvyt Cc- al 6dv11 r C fts to K?3 tciyt i'.JStini t teat iotttt9 cV^?onent e{tom ti z see d=cess cat` •T.. attes's 1 trat4{`T {,r detentTL1� C3Ye tton Lttsin {yn cs icli5=n ecti"csi {"T .tda Kos���als ssocta 2- n:11- iti p l {Lc.dir.3 °Doti' F �prida teas?t' re, `^_ c;sy�iiY 12---1 r atn; sa'lth f (sec . y._o e:+T S � •y 15 tier.dl L' tnttr_1TStttV tf.y Cu�'r� _ an ,ter cc'Y' .ive d 1 3• t�.eli to t� t. _c ini5tra- S� as t 1 Ca-t"a1 1r.els Tice r"tt E f ttti Vzr.`'ss tre e• atient e•s1''a tt anS t4T f { 0 A. C tc `Tt Hatt r.3 t tr. t.0 e a- s .� s `5'-rcY s nrF nY5 11 c rts•, to cn e 12 S•- 6 i ptst tiatwn +1et1Gn uvslyatt,n jOtnt �'• 1C� 3 t f 4Y' �yn♦♦CS� tJ1C�t1 JA�'Jx�J• �prittGY �.SOxp�f�AM, I S0x0JFIt 'A on�trq d&,lsorj FP?Dirt d fdcltties ccr�tttee r A4'4otnt e'laluitton sco „�tttee I y CRITICAL CARE: Assure adequate back '-r care-ard z)propriate use of facilitses providing the seven critical care services- prg*rCTED C-,--iTIL! OTHER ACTIC9 Atc TITS ESTI!LiTED . STAFF RDOITIOIUIL RESOURCE TIMETc3LE 1. A. U.^Cott tft lnventcry of cc-r:::rity Jcnz 'E1 CATS PEQUIREPEIITS STWEGY JASONDJFMAr C attlities for hanlitrg p:tie-ts I o the se.cn critical S_uth Florida Hospital Dace S larvae County llo Assoc.ssoc.s 2O Appoint an assessment cc.-nittee S 0 N D J F M A v arras "anree County EmS Coordinator to work with project staff. D. Le'.er-ire irtermecla:e `cspital Sa-re as above • medical director S critical care consultants ca:etilitics to r.:r=?e the folls.fr critical Cri:ic31 Care Consultants tienti t- ` - Ja:lscn Mer_rial Hospital .s;.tc:1 Carl Liec. c3 Fe'a.'a _c3r.:ta: tec_'El treu , E3 2- D==LL re;?Cnal tr:-_e tre-pert S tra^.:fcr .. __colsfur each level of care ir. Lrc sev_: critical areas A_ :;.:oirt a ccr_-ittee of fire -rescue Feb.'21 rreical ac.is:rs b e-er-ye.cy -,hy:i[iars to unify existing trta;e S treat -gat - prctcccls 8- Lc.eicp i trplenent yodel transfer. July '51 policies for inter -institution_] trans- port of critically III ,tatien is (see { also Patient Irarsier etlect:ves) I I 3. Identify. Ce.elcp it assure fun:!iny sources fcr tat:-_p critical care ::•t - crosses ;:11tical Lcur.�aries (fcr eor;Aenrr, r._cr 12:�3-2 fcrdirg - see &I--zA:ccssitility a;;e::ivzs) •. Dettrrine tie fe•sibilt, f a South F1crida Hospital Assoc_ Cade S .'"rr.rCe Canty Hos,iLals Fela:ed professional organizations It:nr:e Ccunty EMS Coordinator F'.e-PESCUe Services r.=r,ree-bularce Services See accessibility ccmpcnent 5 5 70 10 .. 5 TS SEE ACCESSIBILITY W-VOiIENT L'e Lwn cer.Lcr eL JacaancY.cexpan 3 Oct. El. - Public Health Trust/Jackson 5 hospi Lei t•e: arial Naspf tal (FHTJw'ti{) Ce aicp a re;leral -olfcy Cn tr-e centraltzatisn of acute siiral cord I njuries. Univ- of Mizzi School of ,9edlcfne VS.'': Burn Center Endo —meat Dade Co. Firesen's Benevolent Assoc - Dade S Monroe County Rescue Services Nay- 'cJ A=ute Spinal Cord Injury Center 5 ( FHTJJ".ii) Ileurologists b Neurosurceons D!Zc S r:.rrce Co. Rescue Services " in •Cattion to staff days preriou,ly fC:rtiffed Assign to assessment project and medical director with special task forces l ONO OJF NAND JAS0ND SONDJF Expansion Costs Assign to Subcommittee of A S 0 .Medical Director. JY_4. buta consultant d fire : depart..*nt Assign to SubcCTnittee of S 0 N Medical Director. Inli. ileurosurgeons b spinal cord consultants DJFMANJ 0 lvv - Increase the nrrter l availability of trt'1 le.els It an-- III nezr.atal ILtt.^.Si►e care tccs ESTIMTED TIMETABLE ROJECTED :.iaFF ADDITIONAL RESOURCE C-=LETIcs OTHER ACTION AGEtITS MIS EzCUTAF!!F11TS STRATEGY J A SON 0 3 F M A K J Jan.'81 South Florida Hospital Assoc. 3 Lotby state legislature with M D a JMAI?hT HSA and FHT Cade S flonroe Co. Hospitals health Spstems Agency of - Sc4n Florida Di!RS Florida Legislature Ic.el.; b"crycXy ;.ycr.tatric a 1rtUteL ca�at�li;icS In ►1cnrt'e Co- 14ar.*81 acnrce Co. Hospitals S Co:rQnity 3 Assign to Honroe Staff J F M Mental Health Centers Icectify 24-tz-r e-crSen:Y ;.sy:rlauie ser.ltr. t;.r ..one 'El Cceuuntt Mental Heai Y Health.Centers 3 Work with Oade-Yanroe Mental 1 F M A Porn of Me Cc.r..:.:ity lcr.tal hi eltL ctnter catc �r-nt areas, Healtt- Board 1. II, IIL. YI. S 1II ie-r%D a r—t._ri:a for tr.e initial Dace-Y.enroe `rental Health Board � t- _1 r.; of alc_r.;l and cru3 cetcrat- (lcat-_ •tt SMonroe Co_ Hospitals ' r. ;atitr.:z ScutnFlorida Hospital ASSOC- A. Oe:ernme triage t treatnent June 'El q ifi'Cc :-re'. t^ai If:;3r�^,reit Qc;Oai- F M A M flc_ticr. cciters es .ell as Hospital r l:rr�c'Cy �r;arL'_:.LS j fs- be-1Cp (cr-41 operating agree- July a81 3 ffff c(-r.ts fir t'c transfer Of Patients M j i to Cety-I(Izattyr rrcStaCS . 10. Fr.lsr the St_te S-itr Act e,AanCtrg June '81 Erer;ency Dept. physicians 3 Develop policy with ad hoc ;tur.c ystan eotrtty to dttali per-,-.ns for ysyctietrlc e.aluatien cc--nittee of emergency dept. physicians 11_ tir.l tit Jac►scn re-crial Hr-pital ,31scn Inforrdtizi% ct:rtcr with nztiCnal J.1y at Jackson Memorial Hospital - - 2 Work with 1NH 3 poison consultant Poi:on tcr.trGl pr-;rs-4 TOTAL STAFF DAYS I11 jl. PATIVIT TMISF-tR: Forrlalize inter -institutional or transfer agreements _ ESTMTED TIMETABLE STAFF AGOITIONAL RESOURCE Mt-- E -, I a OTHER ACTION DENTS LAYS REQUIREMENTS STPATEGY J A S 0 4 0 J F !1 A M J Develc, written protocols and tyree.nents J.A y '51 Sauth Florida Faspitrl Assoc. 15 Develop rndel protocols and N 0 J F n A 4 J —s I for ta;h instituticnsl ans Physician Health Syste:rs A e- , agreements with con -unit Y ¢ services 4�rin; an! after inter-tcs;ltal n•c. 6 f'cnrce Count Hospitals hospitals N yatie;.t transfers ranrve County EMS Coordinator n _ _ Develop a r<c"aatsm fzr rectt3rtr7 t.._ Saw_ as atave Assign to ad hoc cob=ittee a;prc;riateress ct Patient transfers R- Ircluce mrnttcrtr; functions in .formal July '21 3 transfer tyro .e-ts A !i J � e_ Cevelap cr, ing Council data ccllectica July 'fit 10 and re;,crtln; re: ,_ttent transfers A M J C_ Ce.eicp a plan to evaluate effectisecess July 'El 3 of Patient transfers (for ir;IE--a :Luton J i I I TOT;,L STAFF CAYS 31 � r l ,• g"► I �Ut�tl the on e un udaenldtnree9sponYSsjipoxiil EGtI ies a So art' Oat arid P input fSSI!"SJRE8015 a ree�srole Consumer g �e3toias. ��Sure loll: �ias 7 CC 03 E IE0 OlYFa sa A4eney of South s �---'� ., si eat .cry Heal Florida CauntY govern >t act. b ,,,f a C°uncit tiredness ansoia4 asrteceI yi Osncae Co-pissster P1s tea -Gittee ax StC rg encY Cc office a f wart Ss c - P9? iat a f tnt is u� it strutturt �o�sl s ?, s.ntY rze ° -.d cross ies o a co i. .Le elo? resit° s7 5 tunrte e,C art i.il Lefcnse ntt �rc Flc ida H� Vita1 pssac. as G t C tth s3u.tt 5 f4 ti.e 4ti1J.rl �cl�narY ae3 Nesrt ttti tcto gc3� n a Crc:si yaarce Ca. E `.ash tal3Fssat• ;sync.. A;Get . ;^uta fit s l cct +Ltee b T • Z t�?,nitY r�tattc1 Y ^fcsr *tir i'S c^�riry / StnEF p. zts s 2 F�:�intC , Ce nLit t EY$ SjSte as ZOT:. tee, t L t! 1 :+ `cc rf'r1_C:S ACCESS 70 CARE: Asst;re immediate access to emergency care 'for all persons in South Florida ESTIKATED TI`:ETAZLE PROJECTED STAFF ADDITIONAL RESOURCE Cc*!PLETI01..11 OTHER ACTIC3 AZFfTS OATS REQUIREMENTS STRATEGY J A S 0 N D J F M= 1. Assure that all e.'ergercy patients have Dade d Y.anroe County Goverrw ents Decentralize patient Have assessment task fcrce access t: h_spital Cased a .er;cncy care South Florida Hospital Assoc, payments develop a plan based on at tce nearest apprc;:-13te fa_ility Health Syste.ms Agency categorization and Sisk - 9 Monte County EMS Coordinator regionalization study A- Ieenfity regtoaal treitment centers July 'El li J A S 0 N 0 J F !i - Lases c❑ y^ ;ra�ry and tte ea:e, rl:a_ tfcn if e--ryc::y ca;,_Slltttes 'I B_ Esta_lish a rettz d of decent-ali:edl C_c. 'El 20 J A S 0 N D J F M re;lc-..a f:ed ,ay ,°nt fcr frdt; nt ever- 5er:ycare privi-'ed u-_ r the p,an_ CCnsicrr ' i_cr b t'anrce Ceun: -en: Y Gai' directly to rrtvate tospi:als I - Jicatcn r.-crial Hospital contracts .ttt: reyton al er..�rgency facilities L.%1n; rill-Bcrton re;utrec_n's fcr ' L- satea care 6 C_ Ge.elc.p gLality standards and a Cec. '81 15 F M mnitortrg racr.artsm for cc --sty f,,aced trer;ency care pro:idct Later tae at_.e plan IIDTE: Star -carts art plans will to develcsed In 1353-51, but trey cane t Le t7ple- 1 rwntet til catr;�rizatlD. f.!S t:e:n - ccrple:eC 1 } 2. Assure financial res:ensibility for Cade 6 Nance County Govern.ents Sane•as above Cut-of-ec_,:y indisent ;ztien:s South Flcrida Hospital Assoc. receiving e-errncy Ln1 tack-Lp care Cade S Y.nnrce County Fospitals in Late or f._nr:e Ccsnties Yarrce f' r _r1S Coordinator A Cevelcp p;ccecures for 1-plc-4nu tltn Feb- '31 6 0 J F of tte hcalth Care pet: nsiL' ili:y :t. _ B. Fee+aluate the state deffntttonef Apr. '21 5 'Indigent yattert' as defined to I'tdicstd regalaticrs C_ Estst-lish inter -county and Inter- Dec. '91 l2 ` institutional contracts for tack -up - a J F M A r a extfcal ser.ices ant critical care 73 , F I ��' III Il�plll WPM I PUBLIC -i ORMATION & EDUCATION: Develop a community aware�►.•s about the availability& a * `' - appropriate use of er,,�,�ency Services FnNFCiE9 ESTIKITEO TIMETABLE - �CC"JtETTC`i OTHER ACTION AGENTS STAFF D:1S ADDITIONAL RESOURCE - REQUIREMENTS STRATEGY J A S O fi O J FM A"J 1. Assist in a redid CaMaiSn on use of Local media 1Q 9-1-1 for access to tie EMS systea (see also Cc-r_ntcattc-s ctjectt.es) Dade County Coarunteattons _ Center _ 2- A. De-eloa titerat�re in bath Spantsn Ft4.•31 t Errlisr, tt-t ccscrites u•e EMS Local Media 4 Printing Costs Assign to Public Infama-tion 0 J F systt_ an.t 6c. to u:e it Director 8_ Dtstm ,te literature to heavy indus- Apr.'81 try i caber S.i•„- florTCa t.'^;,lcyers Major employers in South Florida 3 F M A C. Listrlt, to literature throw;+, the ongoing Cha':er Lf CC-icrcc to tatels b fitter Tourist Develo rent Authority rerce 3 F M A tr.rast Lriented L-:treSSti Cha�L;rs of Co 3. Cc.elnp ♦ local sreaitrs Lurtau to Feb.•El t._:ete ear_r.ity ers_:izaticrs aL.3ut Local EMS specialists 7 Save as above D J F relt.—It ttjiCS In e-,cr;ency reoical a. Eayard the ;L erican heart ASSOC. E cn;aing ::~rlt_n A-HAC•i 6 0 J F AcJ Cross CPR. a first ;Id A.SC training pmSr_=s S. fe wlz;) a P4tia;td pm,,ra: about Mar.'ol t-ar;en:y Scr.itcs for use by schools Dade b 1"onroe County Public 14 Media costs sane as above 0 J F M as cc:r-nits Crs,nizati=._ T* Schools pr�yrt... St;,.,11 tstl;.,._ infGr�•tiDti __.-;,rrpriate use of e=krSercy services -altcr= t1%e sources for ncn-e+-..trSent - care i .asscase i accident prevention 6. E:teblt:h local Councils tea of the ;.rrtcan «pr.•cl Fed trs 1 scrican reart Ass:c. to F�A."i 3 Assign to Monroe Corti -tee i4:afi.e �.i 1ty- AR C - 7. PerfLrc a tralectcry analysis to detemine Lec.'6l Sa;,S 1n EMS p-Llic tcucation Arogr_= South Fla tda Hospitals IO Assign to Public Education 0 M D Pri.:ary Care Centers Cocmtttee DCY.A kerican Heart Association A-ertcen Red Cross Disaster :.ur�i 7 Council ACEP.EC,:. _ ETiT-Para-edic Society of South Floridr TOTAL STAFF DAYS 60 jl_ PATIENT RECORDKEEPING: -Deti-elop a system of patient records that facilitates system analysis for efficiency and quality assurance ESTIY.STED F;3JiCTEO STAFF ADOITIONAL RESOURCE TIM--TABLE CCU?L.TI y 07iiER FCTION AGENTS DAYS REQUIF.EMENTS STRATEGY J A S 0 N D J F M A M J E. Establish cr-patable reporting syste-s for South Florida Hospital Assoc. all prcrteers of e-ergency care Cade S Monroe Co. Hospitals A. Ex and use of tee unffor- rescue report Feb_ '81 Dade S kontoe Co. Anbulance CC::-panieS 4 from Cade to Yanroe County Fire; Rescue Services Assign EMS - D J F Dispatching Services - Coordinator E. Asiure retrievatility of uniform data June'51 Hanrce County EMS Coordinator _ 30 ffr-. trer;tncy ee;art-,ent patient rec3rts Identify nlntrua data require- C data A S 0 M 0 J F M A Y J rents S obtain y support Ct.elcp a coordinated reporting maoi^.is.- Jlne'al that eratles [atfent tracking from initial sane as above Costs for: Assign to Data Coordinator A S 0 entry to discharge from the system. -developing developsputer N D J F 4 A M J 1pPoint.srec a tteeIdentify ti v program cally de .sGec!fftaliy teem fy data ele^en s .conversion of necessary fGr tracking patients reporting g S tracking SySLe7'S .rake recoarcfldattcns aimed at desticplr; a cc -;user prcgre-- for tracking t analysis -work with the Mate EMS Office, the Flerlds Y.rticsl ;ssoc.. the Florida Hcspttal t-'-cc_ and tre Fealth Syste-s A;ency to assures Cc-:atability with tLcfr cat! collection efforts _cttain Initial cooperation from local tcspftal,rescue 6 dfs;ttch a;ercies h3TE: `-ystc- will to icale.nented unttr 12%: funlirg) it _ Assure an engntrg mechanism for internal Sane. as above review of ;atlent records A_ Develop q.:altty standards for pre- 1!3r-'al 12 - hospital E hos:f:al tased e-ergercy care - Assign to Data Coordinator 6 (tased es ratianally recagnized criteria) - _ Medical Director 0 J F M B. fork with tospitals and rescue services July'al 4 to develop an cnSiIng review process that same as above 0 J F M A M J tnccr;orstrs these stsrcarCs_ C_ U;en req.est. provide redJcal con- ongoing 6 saltation re: same as above ongoing _tnterprttetton of findings _ . sys'.w. frprowtnents related to these a findings I (Evaluate tre feasibility of lrple=entirg Aug.181 same as above 8 a date rtnairrrnt system for on-line use Assign staff to perform cost! Jure In pre-hcsprtal t h3spttal based patient 11 care - benefit analysis TOTAL STAFF DAYS 123 IIIIIIIiiiII0W�__ M ` t Cev i� o.. r 04S System Dade"t�on�J -,� h�3 s�{Or the • ' Ztr.ESPOLE TIG, Es:d eva�uat{o , "$ Q N o l y ",� s Fyn Yocess p x AESpURCE director E5� 4tEL •eeCata _ IvItEO �pTt1 �UIRcuftii4 Assi4n to for I t sYstev, cc, ion g p 1 e. aya .stRS 10 3 �Cttpy Rom- sa;e as above p above FK" - 34 � syme as ItJ �tersus � Ks tons'• sale as above ittee tJ 10 tom reds as above on5oin4 rcy yre c•a1 a 7 -1 j 'ca for �s 1yn. 8� sve as above wig 40 pre. t syb sYst Fpr SA 10 sake as aba Cv!ttCt. pc..e+ nin9 cats 11ttt ?tisc.. 3u^e'E1 s above on4oin4 S tL A sale a •cl ? G3ta y''s,I%ls i_ rparl 1"n. U'8� as above l pta^ rC rert -re ,p 53s1e na 1 > Le�cicp uteri' i��Y`E1 - � t evatustion 5 a rc•ie+ o - uteri �,r,e`til - � x•tlt? 1- plau C rteGort 126 � riy Lna cn5o1n9 YS yeic? tsna t0iR1 ��Ff 0R 8. ye nt of 9syut tut Cc* n Q aI ate `rto,sart st"ri•le 9" f >rotr.r. �„S prt- ;tint - 1 1 - r 1 fi f I � c, . S 1 DISASTER PLANNING: Assure the development, continuous testing, and revision of a regional disaster for Dade and Monroe Counties plan PrOJETED C ETED ESTiK%TED OTHER ACTIG:I RSEtITS STAFF - ADDITIONAL RESOURCE I TIMETABLECM TIMETABLE DAYS _ REQUIREMENTS STRATEGY J A S 0 M 0 J F M A M J 1. Integrate Dade i Monroe disaster plans Into cne regional plan that a"_1reS:es Mar.'al Dade I Manrce Depts. of Civil Defense 8 Assign staff staffproblto to Identify Inter- D J F M Inttr-county activities any relation- Disaster nursing Council county 9 potential plans for their resolutions sh1p� 2. Assist in tee rc,itorfng and evalu_tton of disaster drills orgatng sa-e as above South Florida Faspitals 4 Assign sfgntsta staff I council curers or.gn or -Going g Szuth Florida Fire Depts. rdrills -'. Upgrade county I regicnal disaster plans to lnclu=e: •• SmL as above , A- Provisions for a nuclear disaster Y.ar.'dl Office Of E-E-gercy Preparedness 4 at Tur:ey Paint Fleric•a Po.:er I Light D J F M Ceders B. M:ore effective provisions for June 'El ofination Dept.- fit. of Tranfern 8 hurricane ;.reparecness, ar.1 ;ge.,iecn Fuhlic Safety A;e.�ies O J F M A M J evacuaticn Dade S Monroe Co. transportation C. For_a1 I expanded ccrrcunlcation Mar- '61 agencies 6 net.orks during disaster aa2 p J F R potential disaster Situations • hV'� ! TOIAL STAFF DAYS 30 I - a TIe.ZTA6lE - EST 1Y ATED STAFF ADDITIONAL RESOURCE STRATEGY J A S O N D J F M A M PnOJFCTfO CP;._i1DN U" OTHER AM -CH ASEGTS _ D:.r_S _ HEQUIPiMEVS Monroe County so N O J p Appoint a special (M 1. forralize cwtual aid agreements for EyS April '81 E'aS providers in Monroe County 10 Cor:.ittee ;rc�jters rttlsln Monroe tot..^.Ly _ Appoint a co=tttee representing N 0 J f M A N 2. for-,Aoutual aid agreements Let.een ' June '81 Cade. Monroe. Collier(& 9roraro a Funds for inter- -county patient care rP Dade. Nanroe. Broward S Collier Counties EMS providers adjacrrt counties fire. rescue, a:zbulance) larroe Co. £Y.S Coordinator Approach above cccnisstoni R ]. Utetn g3.errz nt su;;_rt necessary to Jone '61 2 tc;.le.-ant tt.e:e nSree'enis Work with offices of Civil a. 1:ccrTarate ,tca1 aid agreements `:n r. June 'E1 2 Defense prc.111us of me rejiznal 0sastcr cl.n TOTAL. STAFF DAYS 22 a 7 J►i- Assure effective, efficient Agency operations ESTIX%TED P iECTED STAFF ADDITIONAL RESMJRCE TIMETABLE CG":2ET ate OT ER ACTIC'i AGENTS D+YS REQUIREMENTS STR„TEGY 1ASONDJF!iAY Estatlish a;er-cy end c;erations staff A. Recruit ► htre medical and project Jul_'5J HSASF (for -staff su;•Fort in 0 To be hired by Executive Cem_ _ A y dlrectcrs t`e recruftrent prccess) - with endorseeent by full Councll ' Fl:):rd B. Ce•el,p perscnnel policies, benefit Aug-'Eg 12 _ ' To be developed by Project dir. J A pec�a es and ctaer re;-Arcl prcfesstz-al for adoption by full council ser.t:es 10 C. Recruit S hire re --1nfrg ager:y staff Se;t.'EJ To be hired b Y project director J A J 5 Assign to Pro.Gir_ S council4011) D. Cttaln t furnish council offices Jul-'81 officers with endorser..ent h,. .1 l+gnitcr fe:eral grant and develcp req+.ired p egress re;.orts Develcp resoirces to carry out agency ob;ectf.es tncludtrg: A. Prc::-e S assure adoption of er:rcal wart plan B. PreG.are S sul-it se:cnd annual cunt application far funsing under EMISS Act i L_ De.rlcP a cetatled lire ite= and pr,.;rz:r b.:;rt ongoing Mm'scl Mar.'81 Yar.'31 S I.^.-;clve.-ert frrlm other EMS and 10 cc znity agencies 20 5 Assign to project director Project director with adoption by full council p sane as above same as above onSoing J J F Y 0 N D J F M ' J A D J F fi Develop ar.: rainziln a fi-an:ial en,Cin;systm 8 Accountant Services Project director. council rlstraticn Lrst ;roriGes treasurer S Executive onsairg con contrct, ecc,..^t:�titty a.., taLlli eftecti—nes - • Cocnittee Manage L r._intain tte m;rcil's e, ongoIng Project Director pe noel Syaea - _ ongoing coqCu:t anrua1 3 !� e.alu:ttons of all per:c reel pro.tce on;3t ng staff dewlap- 12 . - .assure the ,intenince cf 4 a II ;er�Q-rel rQtOr:s .rrritor S ekes: staffing reeds 2 ,i'`Le►flop and fr•ple-ent i pr,grt3 for 5ec.'c3 24 Project.0irector ►olunterr rrcrufir•:nt b e_.e1an o • Dec. in Place-oc~oir.^ I '-- ► �� —_-. _ _. �Y' •�'{ � �!11Q ��i'' ��Afi � ilir'� �ir�i►Y �— i GOV Agency Parc`:nt - lu Page 1 TIMETA:LE ? f ESSTAFFED ADDITIONAL RESOURCE J A S 0 It 0 J IF M !rx J Pao)ECTED DA,S R=QUIRFnEt.TS STRATEGY CC ?_ET_! OTkER ACTIGtI AGENTS — ongoing 24 Project Director T. Assure local ccrrtini support ongoing -- —trt and Ongoing 8. Aa..re G„,11c a.a rrr.c;i Of Ccu'Ctl Cn;�tr.^y ect��t:re:: LrC•{cc cc'r:-�rity ant referrals c;.n re;aest tct rr�tt_n 9. Yatr:oia atC.+rett, o-Gate Cc�ncil Ongoing rcCcrG: t r Elie tr.:;eCticn 10. E::e lt:h e•1 rsfnLatr. relattcn:.i:h Ongoing S rrlaLe� t'•% S CC. : —ratty GrSantZLLlerS I.t, SJ::t. '— ;;erCY .r. E-;S Ciftce of Et. :`,ier E!t: C3;.r.Cils in the regicn Cn-e C;. MCJ a al A:soeiatier. ttir.r;a Co. t!ecical Socte:Y .ect. :sistance;crisis On;oirg 11. prc_le= sol+in; u;on re: est { 25 Director Project Director 3 Office J A N M 4 Ftanagcr Project director ongoing 25 3 I J 100 Assign to appropriate staff ongoing TOTAL STAFF OAYA 29a a