Agenda - 04-10-2007-6c - Laserfiche WebLink

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North Carolina Office of Emergency Medical Services Rules and Regulations identify the County's role in providing or ensuring the provision of public Emergency Medical Services. The County's Franchise Ordinance and EMS System Plan provide a framework for other agencies to assist in providing services. Participation in the provision of medical services to the public is subject to review by County staff and requires the approval of the Board of County Commissioners. The County maintains responsibility for all the public service provided in the County, whether it is directly provided by the County or provided by another entity. Medical service that is provided strictly for private purposes is not included in the County's oversight, so private businesses are able to establish programs for medical response outside of the County's EMS System. This sort of arrangement is common in industrial facilities, where there are frequently on-site response teams who are not part of the county EMS System. This is also the same provision that allows the Speedway to employ their own responders for on-track incidents (since the track and pits area are not "open to the public"). There are currently fourteen (14) remaining racing days scheduled this season. The recommended coverage staff consists of two ambulances, one paramedic, and three emergency medical technicians at each race. The ambulances are staffed with either County EMT's or Squad members, and the paramedics are County staff. The paramedic acts as the on-scene manager for EMS resources and is empowered to request additional resources if necessary. By stationing two ambulances at the Speedway, appropriate medical service is still available on-site even if one of the units is occupied in transporting a patient to the hospital. The contract also calls for payment of an additional one-half hour of travel time per person per event above the actual time on scene at the Speedway. The racing season began March 10, 2007, with a second race on March 17, 2007. The next race is scheduled for April 21, 2007. FINANCIAL IMPACT: The proposed revised fees reflect full cost recovery at the average position salary at an overtime staffing rate, and should offset the personnel and vehicle use costs. Speedway coverage has an impact on the administrative workload for both the Emergency Management and Revenue Departments. RECOMMENDATION(S): The Manager recommends that the Board authorize the Chair to sign the contract upon review by the County Attorney.