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Emergency Services in providing EMS transport upon request during times of system surge. <br />AAA had provided uninterrupted convalescent services to Orange County for over fifteen years. <br />Staff has been in discussion with AAA on ways to improve services to the community as well as <br />communications between agencies. <br />Emergency Services staff have reviewed the overall Emergency Services System to further <br />identify for the Board services that are necessary to assure the provision of adequate and <br />continuing ambulance services and to preserve, protect, and promote the public health, safety <br />and welfare. Staff have identified the following services as necessary to supplement and <br />enhance the ambulance services within the Emergency Management System and to the <br />residents of the Orange County. The services are: <br />Convalescent Transport Services <br />• ALS Transport <br />• BLS Transport <br />Emergency Services <br />• BLS Transport <br />Medical Responder Non-transport <br />EMT Non-transport <br />Rescue Services <br />• Confined Space <br />• Extrication <br />• Heavy Rescue <br />• High/Low Angle <br />• Swift Water <br />• Trench Collapse <br />• Underwater <br />• Wilderness Search & Rescue <br />The terms outlined in the attached Franchise Agreement have been negotiated and are <br />consistent with the terms of An Ordinance Regulating Emergency Medical, First Responder and <br />Rescue Service and Granting of Franchise and Contracts to the Operators In the County of <br />Orange and its' amendments ("ES Franchise Ordinance"). The North Carolina General Statutes <br />provide also that the Board prior to granting a franchise must "find that the franchise applicant is <br />in compliance with Chapter 131 E, Article 7." 2 <br />The terms of this Franchise Ordinance provide for a five year franchise for the following: <br />Convalescent Transport Services <br />• Basic Life Support Transport Services <br />Emergency Services <br />• BLS Transport Services <br />FINANCIAL IMPACT: AAA is a private provider of ambulance services capable of providing <br />nearly 30 convalescent transports in Orange County per month. By performing this needed <br />service, it is estimated that the cost savings to the County in the first year will be over $120,000. <br />This estimation is based upon a comparative cost analysis of a 24 hour Advanced Life Support <br />Emergency transport model versus a 12 hour Basic Life Support non-emergency transport <br />model. <br />z N.C. Gen. Stat. 153A-250(a). <br />