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The ability to fund the ALS service prior to October 1, 1989, is being addressed in a cooperative manner between the County and the Hospital. Subsequent to October 1, 1989, Indian River County will have the funding mechanism in place for the ALS service. No fees will be charged of the patient in need and only third party billing will occur. The BLS providers in the County will continue to provide the emergency transport vehicles and service. The South County Fire District will participate in the ALS service providing one emergency transport vehicle at this time. Locations of staff and equipment are iden- tified in the proposal prior approved as referenced above. Financial reports and data as to the financial status of the County is available in the public records. Insurance for the service will be constantly monitored by the Risk Manager since the County is partially self insured at this point in time. ALTERNATIVES AND ANALYSIS Alternatives to this approach has prior been discussed and debated in depth and will not be revisited in this agenda item. The Board of County Commissioners has approved an ALS Service with the Department of Emergency Management Services being the single focus of management for the BLS and ALS service with the County. Implementation of this approach is being accomplished in a cooper- ative spirit with the Indian River Memorial Hospital staff and a tentative date of February 1, 1989 has been agreed on as a target date for operations to being at the County level. RECOMMENDATION The EMS Director recommends that the Emergency Services Coordinating Committee approve the Application for a Certificate of Public Con- venience and Necessity from Indian River County. If approved, a public hearing has been set for January 10, 1989, for the Board of County Commissioners to_act upon the Committee recommendation. The Chairman asked if anyone present wished to be heard. Emergency Management Director Wright believed the memos are pretty self-explanatory. This will be an umbrella license that the County will have. The other organizations, such as IRCVAS, South County Fire, etc., will be operating under that, and we will be issuing internal certificates of public convenience and necessity to the providers. It was determined that no one else wished to be heard, and Chairman Wheeler thereupon declared the public hearing closed. ON MOTION by Commissioner Eggert, SECONDED by Com- missioner Scurlock, the Board unanimously approved the application for a Certificate of Public Conveni- ence and Necessity for Indian River County to operate a countywide ALS service. JAN 10199 23 gar FuE553