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A) Plan for coordination of available EMS services. <br />B) Plan for development and implementation of a County -wide <br />Advance Life Support (i.e., Paramedic) system. <br />C) Detailed implementation time table. <br />D) Detailed implementation budget to include both start up costs <br />(e.g., equipment,.training-) and anticipated annual operating <br />costs (e.g., personnel, supplies, space, insurance). <br />E) Appropriate letters of support from participating.agencies and <br />institutions. <br />umr <br />2. As part of the planning process, determine the probable funding sources <br />and amounts for support of both the County -wide EMS Council and the new <br />Advanced Life Support system. This should include an evaluation of <br />Federal, State, County, municipal, and voluntary funding sources, with <br />particular emphasis being placed on the potential for a significant <br />portion of funding to be derived from non -county sources, preferably <br />voluntary contributions. <br />3. Such other activities as deemed necessary or desirable by the Board of <br />County Commissioners. <br />Question arose re funding, and Dr. Frazier noted that <br />systems he has worked with in the past have had costs <br />ranging between $800,000 and two million dollars, but as he <br />looks at the county, many of the pieces of the system are <br />here already. He felt there are some federal funds <br />available for training, and voluntary contributions must be <br />considered also. It was the doctor's opinion that the plan <br />can be put together in six months and be ready before -thea -- <br />next budget sessions. <br />Chairman Scurlock felt it should be made plain from the <br />beginnning that the Board is faced with some severe funding <br />problems. <br />Commissioner Lyons agreed and stated that he personally <br />was not sure that it has been proven that this program will <br />provide sufficient improvement over the emergency services <br />presently provided to justify it. He wished to be sure that <br />any planning that is done will provide statistics which will <br />show that we have used what we have to the fullest extent <br />and also what we will open up to as far as expenses are <br />concerned since other counties already have run into <br />problems with this. <br />Commissioner Lyons emphasized that we <br />71 <br />