Orange County NC Website
2 <br />North State has submitted all required documents outlining their capabilities. Emergency <br />Services has conducted a review of the documents and worked with the applicant to complete <br />all necessary documentation. <br />Emergency Services has reviewed the overall emergency service delivery system to futher <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 pubic health, safety, <br />and welfare. There are three major franchise types: Convalescent Transport Services, <br />Emergency Medical Services, and Rescue Services. Each of these franchise types has <br />subcategories which the franchisee can perform subject to the operating agreement which will <br />be completed within 90 days of acceptance of this franchise ordinance. North State has applied <br />to perform Basic Life Support ("BLS") Transport Services which include: Convalescent <br />Transport Services and Special Event Emergency Medical Services coverage. <br />Emergency Services staff met with the applicant to review documents and discuss details of a <br />potential Franchise Agreement. The Franchise Ordinance terms have been discussed with the <br />applicant and are consistent with the terms of An Ordinance Regulating Emergency Medical, <br />First Responder and Rescue Service and Granting of Franchise and Contracts to the Operators <br />in the County of Orange and its amendments ("ES Franchise Ordinance"). The North Carolina <br />General Statutes also provide that the Board must "find that the franchise applicant is in <br />compliance with Chapter 131 E, Article 7th prior to granting a franchise. <br />Based upon the submitted documentation and review, the Emergency Services Director <br />recommends the Board approve the North State application for both a Convalescent and <br />Emergency Medical services franchise, the subcategories to be determined later in an <br />Operations Agreement which shall be entered into within 90 days of acceptance of this <br />Franchise Ordinance by North State. The terms of this Franchise Ordinance would provide for <br />a five year franchise in the following: <br />• Convalescent Transport Services <br />• Emergency Services <br />FINANCIAL IMPACT: North State anticipates performing 90 convalescent transports per <br />month and will add additional units as requests for service increase. By performing this <br />needed service, it is estimated that the cost savings to the County in the first year would be over <br />$350,000. This estimation is based upon a comparative cost analysis of a 24-hour Advanced <br />Life Support Emergency transport model versus a 12-hour Basic Life Support non-emergency <br />transport model. <br />RECOMMENDATION(S): The Manager recommends that the Board: <br />1. Approve on second reading the granting of a franchise for a five year term to North <br />State Medical Transport, Inc. for Basic Life Support Convalescent Transport Services <br />and Emergency Services, <br />2. Authorize the Chair to sign the Franchise Ordinance; <br />3: Direct staff to discuss and enter into an Operations Agreement with North State within <br />90 days that identifies the subcategories under which North State will be permitted to <br />operate the Convalescent and Emergency Medical Basic Life Support Franchise based <br />on the needs of the County and the capacity and capabilities of North State as well as <br />