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11 fly- 1 If. fl - In N .a °i'- k t . . L:n •a -+ a '5 ... 5„ .;- ."v,., f .cNv. . �F"r3` ?. . , 4-s . .: ,, t ,- . . `�rw- , , x` �4,: .+i" x 4 . .,. a . .: z. f' 1 *. .. ♦ ...: , . . . x� x.: . . .t d: If -?�. d� ' "'r�" rrs a convenience to the Board , I have scheduled both applications for the same public hearinu Chapter 304 requires the Director to review the population density and composition of likely areas in which ALS/BLS transport may operate . Furthermore, the Director is required to evaluate the need of the people in Indian River County compared to the annual requests for service in all cateeories . After investigation by the Emergency Medical Services Division, we have found thirty (" 30 ) facilities utilize one or more of the medical transport classifications on a routine basis . Each facility was contacted by EMS and asked numerous questions about past service, current service, and future needs . The majority of the facilities indicated they would support more providers for convenience purposes, but could not provide justification to warrant a need for more ALS/BLS service. Each facility was queried about expansion plans and further transport needs . The facilities that indicated expansion plans could not provide a completion date or a need for further transport needs . During the same investigation, EMS questioned each facility about Class E type service . The majority of the facilities indicated the need for more wheelchair/stretcher service. The overwhelming justification for additional Class E type service is the untimely response when transport is requested . This type of service continues to increase and current Class E providers have some delays due to the volume of requests . With the continuing growth in advanced care living facilities and increased outpatient care, a need has been identified for further wheelchair/stretcher transport . Staff reviewed the ALS/BLS transport information submitted by Indian River Memorial Hospital (IBNR Transport for 2001 . The advanced life support transports for 2001 are 53 8 and the basic life support transports are 347 . This averages to 67. 25 ALS transports per month and 43 . 38 BLS transports . The IRMH transport run numbers remain consistent until the beginning of May when an increase of 20 to 25 runs occurs . This increase is attributed to Able Ambulance ceasing ground transport in Indian River County. Staff cannot identify any overwhelming reason why Indian River County should increase the number ofALSBLS transport services above two (2) . All County Ambulance originally requested a transfer of the COPCN from Able Ambulance when they purchased Able ' s vehicles and routes . All County Ambulance did not purchase the business and Chapter 304 only addresses COPCN transfer when the business ownership is modified . All County Ambulance will renew service to clients previously served by Able . All County Ambulance is located in Ft . Pierce, Florida and currently provides service to Okeechobee County and St . Lucie Countv . Owner of All County Ambulance is located in Ft . Pierce, Florida. American Medical Response submitted an application when Able Ambulance announced the termination of ground transport . American Medical Response is located in L contiguous county service other than stat Lake Worth, Florida and currently provides no dministrion transport . American Response will also attempt to provide transport to clients pre ously at by Able . American Medical al Response has indicated they will open an office in or near Indian River County if their application is approved . The president of American Medical Response is located in Kennesaw, Georgia . Staff met with representatives from all municipalities, other county transport services, and the applicants . The informal meeting with All County Ambulance occurred on August 23 , 2001 , and the informal meeting with American Medical Response occurred on August 31 , 2001 . At the All County Ambulance meeting, company representatives stated that they had originally requested a transfer of the COPCN, but All County Ambulance purchased the Able Ambulance assets and not the business . Therefore. they were submitting new applications to avoid any conflict . The meeting participants did not express any the American Medical Response meetiopposition to All County Ambulance . At ng, many of the participants had comments and questions about the October 2 , 2001 56 BK i C 1110 ! U 1 771W7 7 If a If 14 If, If 07 , If If : s