HomeMy WebLinkAbout2003-019 2 /-0 3
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Emergency Medical Services (EMS) County Grant Application
State Of Florida of
Department of Health
Bureau of Emergency Medical Services
Grant No. C
1 Board of County Commissioners (grantee) Identification:
Name of County: Indian River County
Business Address: 1840 25th Street
Vero Beach, Florida 32960
Phone # (772) 567.8000 SunCom # 224-1444
2. Certification: I,the undersigned official of the previously named county,certify that to the best
of my knowledge and belief all information and data contained in this EMS county Award
Application and its attachments are true and correct.
My signature acknowledges and ensures that I have read, understood, and will comply fully with
the Florida EMS County Grant Manual.
Printed Name: John King Title: Director of Emergency Services
Signature: Date Signed:
(Autho iz d Cou Official)
3. Authorized Contact Person: Person designated authority and responsibility to provide the
department with reports and documentation on all activities, services, and expenditures which
involve this grant.
Name: Brian S. Burkeen Title: EMS Chief, Indian River County
Business Address: Indian River County Emergency Services, 1840 25th Street
Vero Beach, Florida 32960
Phone# (772) 567-2154 SunCom# 224-1444
4 County's Federal Tax Identification Number: VF596000674
DH Foran 1684, an.98
5 Resolution: Attach a resolution from the Board of County Commissioners certifying the
monies from the EMS County Grant will improve and expand the county's pre-hospital EMS
system and that the grant monies will not be used to supplant existing county EMS budget
allocations.
6 Work Plan: Time Frames:
Plan to utilize grant monies as well as roll over monies to fund the
following activities within the specified time frames.
Work Activities:
12 bead EKG Software—Vendor specific software to allow the download and attachment 90 days
of 12 lead EKG's to electronic run reports. Allows for the download of AED information
from other users within the county and the approximate 40 AED's in the county.Allows
for immediate review in the Q/A TQM environment.
Stretchers-Upgrade of stretchers to allow for the improvements of technology to assist with
additional options that will increase patient comfort,increased weight limits and ease of
stretcher movements along rough terrain.Organizationally have been unable to keep up 120 days
with the newest improvements or expansions within the stretcher industry.
CPAP-Continuous Positive Airway Pressure devices to allow for the treatment and care of
patients in respiratory distress.Allows for treatment without the use of medications in most 120 days
cases of congestive heart failure. Expansion of care that currently does not exist within
Indian River County.
Memory Expansion- Provide additional memory to currently used Compaq ipac
handhelds for the writing and uploading of patient run reports.The memory expansions 120 days
will allow for the addition of training type palm software to be loaded into the unit which
only increases knowledge and training to Indian River County paramedics.
Combuter Server-Expansion of computer server to assist in a multi-line modem to provide
instant access for the uploading of patient reports immediately upon completion and
signing.Allows for the use of a roaming network for the utilization of additional training
aspects and the ability of the program to follow the employee from station to station. 120 days
Provides the ability of in-house e-mail type communications to follow employee for the
acceptance of protocol revisions and departmental correspondence.
Traction Splints- Addition of Sager style traction splints to EMS units will allow for the 90 days
expansion of new type technology and care in the area of splinting. Currently all units
utilize Hare type traction units and the addition of Sager type splints will not provide an
additional traction splint,but also increased adjuncts in the treatment of femur fractures.
Co: Grant No
7. Proposed Expenditure Plan: Prepare a line item budget. *USE FOR REPORTS
AFTER GRANT AWARDED
Recipient of Unit Total Revised Expenditure
Line Item Line Item Price Quantity Cost Budget Year-To-Date
12 Lead EKG Software $3,000.00 1 $3,000.00
Stretchers $2,200.00 14 $31,000.00
CPAP $607.00 14 $8,498.00
Memory Upgrades $190.00 20 $3,800.00
Computer Server $5,000.00 1 $5,000.00
Traction Splints $100.00 14 $1,400.00
Total XXXXXXXX XXXXXXXX $52,698.00
First Report
Earned Interest From to
f Second Report From to
Earned Interest
From to
f Final Report
Total Earned Interest
For Grant Period
*1 certify the report Is true and correct for period activities and services.
Signature of County Authority Submitted Report Date
Signature of State EMS Grant Officer Date
Attach additional pages if necessary for Item 7
3 APPLICATION (Requires Signature)
REQUEST FOR COUNTY GRANT DISTRIBUTION (ADVANCE PAYMENT)
EMERGENCY MEDICAL SERVICES (EMS)
COUNTY GRANT PROGRAM
In accordance with the provisions of section 401.112(2)(a), F.S., the undersigned hereby
requests an EMS county grant distribution (advance payment) for the improvement and
expansion of prehospital EMS.
Payment To: Indian River County Board of County Commissioners
Name of Board of County Commissioners (Payee)
Federal Tax ID Number of County: VF596000674
Authorizing County Official
SIGNATURE: Date: 01-21 -2003
Printed Name: Kenneth'Macht Title: Chairman,Board of County Commissioners
SIGN AND RETURN WITH YOUR GRANT APPLICATION TO:
Department of Health
Bureau of Emergency Medical Services
EMS County Grants
2002D Old St. Augustine Road
Tallahassee, Florida 32301-4881
For Use Only by Department of Health
Bureau of Emergency Medical Services
Amount: $ Grant Number:
Approved By: Date:
Signature, State EMS Grant Officer
Fiscal Year: Amount:$
Or anization Code E.O. Object Cod64-25-60-00-000 e
Federal Tax I.D. VF
Beginning Date: Ending Date:
FLORIDA DEPQZM MWr IMLOF
Jeb Bush `
Governor John O. Agwunobi,M.D. M.B.A.
S�
ecretary
BUREAU OF EMERGENCY MEDICAL SERVICES
December 16, 2002
Brian S. Burkeen, EMS Chief
Indian River County EMS
1840 25h Street
Vero Beach, Florida 32960
Dear Chief Burkeen:
This is in response to your letter of December 10 regarding approval of the purchase of computer
equipment and related software that you wish to purchase under the county award grant. After
reviewing your request, we feel it will support the delivery of emergency medical services in
Indian River County and as such your request is approved.
If we may be of further assistance,please contact me at(850) 245-4440, extension 2737.
Sincerely,
wd L. i n
Program Admin' r
Grants Unit
Phone (8 0) 245-4440 Fax (850) 488 9408
4052 Bald Cypress Way Bin C-189 Tallahassee, FL 32399-1738
www.doh-state.fl.us/ems/
i
RESOLUTION NO.2003- 001 ESD
A RESOLUTION OF THE EMERGENCY SERVICES DISTRICT BOARD OF
COMMISSIONERS, INDIAN RIVER COUTY,FLORIDA, AUTHORIZING THE
APPLICATION FOR FUNDING COUNTY EMERGENCY MEDICAL
SERVICES(EMS)GRANT AWARDS TO BE SUBMITTED TO THE STATE OF
FLORIDA DEPARTMENT OF HEALTH, BUREAU OF EMERGENCY
MEDICAL SERVICES.
WHEREAS, The Florida Department of Health, Bureau of Emergency Medical Services announced that
applications for funding County Emergency Medical Services(EMS) Grant awards are now being accepted
and a grant application has been prepared for Indian River County;and
WHEREAS,an application for grant funds for fiscal year 2002/03 has been prepared by the County;and
NOW, THEREFORE, BE IT RESOLVED BY THE EMERGENCY SERVICES DISTRICT BOARD OF
COMMISSIONERS OF INDIAN RIVER COUNTY,FLORIDA,that the Chairman is authorized to sign and
execute the application for EMS grant funds certifying that monies from the EMS Grant Program For
Counties will improve and expand the County's pre-hospital EMS system and that the funds will not be used
to supplant existing County EMS budget allocations.
The foregoing Resolution was offered by Commissioner Adams
Who moved its adoption.The motion was seconded by Commissioner1 n n
put to a vote,the vote was as follows: and, upon being
Chairperson Kenneth Macht Aye
Vice Chairperson Caroline Ginn
A�rg
Commissioner Fran Adams -may
Commissioner Thomas Lowther
Commissioner Arthur NeubergerAye-
- tee
The Chairperson thereupon declared the resolution duly passed and adopted this_21 s t da of January
2003. Y
EMERGENCY SEVICES DISTRICT
BOARD OF COMMISSIONERS
INDIBy
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Kenneth Macht,Chairperson
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