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Response time was another factor of major concern to those inter- viewed. A substantial number of inter -facility -transfers have .to be accomplished on short notice due to the patients condition. If the ambulance has to travel from Port St. Lucie to Indian River County, the time period would be excessive as relates to need. It should be noted that On -Call Ambulance has proposed to possibly station an ambulance in Indian River County to provide a quicker response time to those in need of the service. RECOMMENDATION Since the current EMS service providers have communicated their desire to explore and possibly develop an inter -facility transport service within the County, staff does not recommend that a Certificate of Public Gonvenienc-e and(Necessity be issued to On -Call Ambulance Company,'I.nc., at this time. If the providers or hospitals are unable tb effectivelyprovide. this service, the issuance of additional certificates for this service will be revisited and a recommendation will be made to the Emergency Services Coordinating Committee and the Board of County Commissioners. Chairman Scurlock believed the first question is why the recommendation was changed, and Director Wright informed the Board that they had a meeting with the EMS providers subsequent to the recommendation dated April 18th, and at that time, it was the feeling of the providers that they didn't want to close off all the options available to them as they agreed the availability of local resources for the inter -facility transport would be exhausted prior to ON-CALL coming into the area to provide that service. They, therefore, modified their position and requested the earlier recommendation be amended to reflect approval. Commissioner Eggert pointed out that this is primarily non -emergency transport. The volunteers were doing some but are not able to do this any more with the change that has come up. She believed they only came up with a negative response at first because they felt they could continue to do some of this, but that feeling has totally changed in the last few weeks. The Chairman asked if anyone wished to be heard, and there were none. He thereupon declared the public hearing closed. ON MOTION by Commissioner Eggert, SECONDED by Com- missioner Bird, the Board unanimously approved a Certificate of Public Convenience and Necessity for On -Call Ambulance Company to provide inter- facility ALS and BLS transport. 21 BOOK 72 F;10E 301