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I <br />UG 14 1985 <br />BOOK 61 FA GF. 78 7 <br />Mr. Lamb came before the Commission to make his presentation <br />and thanked OMB Director Barton, Administrator Wright, and Com- <br />missioners Bowman and Bird for their input and help on the <br />committee. Mr. Lamb then gave a brief overview, noting that when <br />the Committee found there was a need for ALS, it was originally <br />felt the County should run it, but after much discussion about <br />feasibility, finances, etc., it was found there were some severe <br />millage limitations with the county versus the hospital and that <br />it would be more feasible for the hospital. Since that time the <br />Hospital has more or less taken the ball, and their Board of <br />Trustees and Finance Committee have unanimously approved all <br />funding for ALS. <br />Mr. Lamb then introduced Alan Guy, Executive Director of <br />Indian River Memorial Hospital to bring the Board up to date. <br />Mr. Guy expressed his belief that a very good job was <br />performed by the Committee in reviewing this process, and it was <br />determined that the community at large was generally in favor of <br />being able to extend the emergency room and the hospital's <br />capabilities out to a medical emergency site and that they would <br />support such a program. He noted that the committee made a point <br />of getting the input of representatives from the County, the <br />ambulance squad, the fire department - all those involved in the <br />emergency response system of the county. Mr. Guy emphasized that <br />it was known from the beginning that the ambulance squad would be <br />an integral part of anything that was put in place; that they <br />have kept the squad advised and involved and will continue to do <br />so; and that, in fact, the District Board now has found that the <br />role of that squad will be even more significant than originally <br />anticipated because the entire system will have to be certified <br />by the state as an ALS system. <br />Mr. Guy noted that ALS is not only a part of the emergency <br />response system, but it also is a medical delivery system, and <br />while the Board is in control of a part of the emergency response <br />system, the Hospital is in control of a good part of the medical <br />36 <br />