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JAN 31u ,9 BOOK 10 ", 752 TO: James Chandler DATE: January 23, 1989 FILE: County Administrator SUBJECT: Approval of Contract with Dr. Roger J. Nicosia, Jr., for Medical Director for Indian River County FROM: Doug, Wright, Director REFERENCES: Emergency Management Services It is respectfully requested that the information contained herein be given formal consideration by the Board of County Commission- ers at the next regular scheduled meeting. DESCRIPTION AND CONDITIONS Pursuant to Dr. Tom Moore declining the Medical Director position due to the recent loss of emergency room physicians and based on his recommendation, Dr. Roger J. Nicosia, Jr., has accepted the position. A Medical Director is required per Chapter 401, Florida Statutes, for issuance of an advanced Life Support License for pre- hospital emergency medical services. The Indian River Memorial Hospital has compensated Dr. Moore slightly in excess of $1,500 per month for performing duties as the Medical Director. The hospital has agreed to transfer funds to the County for payment to the Medical Director contracted with under the County ALS license to be issued prior to February 1, 1989. Dr. Nicosia has agreed to the attached Medical Director Contract for the sum of $1,500 per month until •September 30, 1989, at which time the County will fund the ALS program. ALTERNATIVES AND ANALYSIS Dr. Nicosia has been Board Certified in Emergency Medicine since April, 1986. His Curriculum Vitae is attached which reflects a substantial history in Emergency Medicine and he currently serves as Director of Emergency Medicine at Humana Hospital, Sebastian. It should also be noted that Dr. Henry K. Phipps will act as his backup without additional compensation. The duties and responsibilities Dr. Nicosia will perform as the Medical Director are outlined in the contract attached. RECOMMENDATION Staff recommends approval of the Medical Director Contract wherein Dr. Nicosia will be compensated at the rate of $1,500 per month. It is specified in the Contract that Dr. Nicosia will provide his own professional liability insurance as pertains to his Medical Director function Dr. Nicosia envisions a model EMS program at the County level. The providers are pleased with his enthusiasm and philosophy regard- ing emergency medical services and agree that the contract should be approved. 26