╨╧рб▒с>■  68■   5                                                                                                                                                                                                                                                                                                                                                                                                                                                ье┴7 Ё┐Щ!bjbjUU &67|7|Щ      l4444444Ш╢╢╢╢ ┬Шu ╢ъъъъъъъъЇ Ў Ў Ў Ў Ў Ў $+ K╢ 4ъъъъъ ■44ъъ/ ■■■ъ 4ъ4ъ╝ 8■ъЇ ■╛■╝ 44╝ ъ▐ cЛ7х^─Ш╢Ї ╝ ╝ E 0u ╝ ■╝ ■H.v"4444┘FULTON COUNTY COUNCIL & COUNTY COMMISSIONERS JOINT MEETING June 7, 2004, 5:00 p.m., E.S.T., in Assembly Room of the Fulton County Office Building. Meeting Called To Order: Richard A. Powell, President called this Joint Meeting of the Fulton County Council and Board of County Commissioners with the Fulton County Emergency Medical Services, Inc., hereinafter referred to as УEMSФ; The goal of this meeting is to discuss the Emergency Service Agreement for the term of July 1, 2000, through and including June 30, 2004. The amount Budgeted as follows: Rich started with the category of Salaries and Wages from the 2004 estimated Budget $421, 270.00 according to the contract this includes ╜ Salaries and Benefits for Director, EMT, Paramedics, Nurses on Staff, one per shift; and $1,000.00/month for the Doctor. The financial support for volunteers $18,000.00/year; financial support for First Responders $6,000.00 (only agreed to funding for this year); administrative expenses $25, 887.00, Woodlawn does the billing, collecting & financial statements, deal with the State Board of Accounts and General Ledger. Another category is Medical Supplies $38,054.00 for just supplies used at the scene and that according to the contract is charged to us at cost. Purchase Maintenance our share of the computer used in the actual cost of the computer, $8,295.00. Rent paid on the Ambulance and garage rental $9,600.00/year. Equipment in the amount of $36,200.00/year. It was noted this is used specifically for purchasing equipment. Rich said this totals $590,600.00/year for the EMS. In this is losses for EMS $300,000.00, Building Lease $256,000.00, Garage Rent $9,600.00 and if we buy an ambulance $25,000.00/year (buying every 2 years up until this year). Rich asked if there were any questions as far as renewing the existing contract. Rich said it was discussed to increase the amount for the First Responders. Harry Richter asked if the present contract stated there would be a satellite at Kewanna and a satellite at Akron? Rich stated it does not say that specifically. Harry then asked the number of volunteers at Kewanna and the number of volunteers at Akron. There are three at Akron and six at Kewanna. The coverage was discussed; Akron has 24-hour coverage on Monday, Wednesday, and Friday is day coverage. In Kewanna there is coverage Tuesday night, every other Wednesday night and every Thursday night. At Kewanna if an ambulance is needed in the morning Rochester responds. Rich asked what is the biggest obstacle to renewing this contract for another four years? It was noted the costs, and where cuts could be made. It was noted to reduce the cost, about the only way that can be done is to reduce the service; as, to eliminate a satellite or two and ambulance, there is no way other than that. It was suggested to increase the pay of First Responders, and then eliminate a satellite to have the money. This was discussed. The State requirements for First Responders continues to rise. There was a discussion on the best way to go. Rich asked what the Boards wanted to look at on this agreement? Do we want to look at First Responders as far as changes or what other changes are we looking for, if any? It was noted most all EMS Units are run through the fire departments. Basically they are using the firemen to do two jobs and have problems recruiting anybody at all, volunteers. Chris stated the difference between the fire department and the EMS side, once you are trained as fireman, most have on-going training. The EMS you have to go through a period of training and there are continued educations you have to keep up. This was discussed. It was noted Union TownshipТs Budget was cut $17,000.00 this year. The fire department and EMS Services were discussed as both being good investments. There was a discussion on the cost differential on Paramedics vs EMSТs. It was noted that Paramedics would be more expensive. The discussion continued. There was a discussion as to this contract. It was noted there are not a lot of guidelines on the EMS. Paramedic Service carries licensing requirements. Attorney Bob Peterson compiled this Emergency Service Agreement. Rich said as far as the contract, are there any changes that we would want to make in our Emergency Service Agreement that will expire on June 30, 2004? Chris said something he would like to see added to the Agreement is, if the Fire Departments are willing to take on the responsibility, as they are the first line of defense and will be on the scene before an ambulance; therefore, he said that is something he would like to see continued; also, put in this in Emergency Service Agreement from the TownshipТs perspective. As this discussion continued, it was suggested to make up a proposed model of the contract specifying what the County may think they want in the way of service and detail several options, i.e. basic Service, etc. and the hospital could quote the cost, rather than say we want changes. This is to be discussed in detail and the consensus was to have a contract with a little more direction; also being affordable was also stressed. Some comments from the Council were that the present contract is just a blank check. As the discussion continued the consensus was the present contract could be extended for a 6-month period until the end of the year; however, decisions should/need to be made before July or August when the Budgeting Cycle begins for 2005. This was discussed. It was suggested to go to the surrounding communities and see what services they are willing to pay for. It was suggested to publicize this and find out what type of service the people want and are willing to pay for. This could also be done at the Town Board Meetings, put it on the agenda, Township Trustees, as a result of this we can find out just what are their priorities; make sure the Commissioners and Council are notified of the meetings so representation is present. This was discussed and determined it would be best to go to each community and put every effort into have this resolved in the next thirty (30) days, because of the County Budget for 2005 coming up soon. Rich said, in conclusion it was the consensus of those present to extend the present contract for just six (6) months, that will run through the fiscal year and we will have an idea where we stand with the budget. Rich stated the next step is the Commissioners and Council wants to get the feedback from the communities and go from there. There was a discussion of the distances to all the different communities and the response time being crucial. It was noted in the southwest part of Fulton County it takes twenty-five minutes to reach from Rochester. There was more discussion regarding distance and time and this should be one of the priorities. Also, it is necessary to get the cost figures in time for the 2005 Budget. Chris Sailors made a motion to adjourn. Gary Sriver seconded this motion. Motion passed and this meeting adjourned. BOARD OF COUNTY COMMISSIONERS FULTON COUNTY COUNCIL ______________________________ _____________________________ ______________________________ _____________________________ ______________________________ _____________________________ _____________________________ _____________________________ _____________________________ _____________________________ Attest: _______________________________ AuditorТs 1st Deputy, Viki Lawson Хнr!t!Щ!№·H*5Б\Б-;<ФХоА+,]^ёЄU V У Ф   ы ь М Н  ¤√ЎЇяяяяяяяяяяяяяяяяяяяяяяя$a$$a$Щ!■  ╣║pq┴┬│┤./вглм^_;<▓│шщ' ( f g е ж ·····························$a$ж ╦ ╠ ё Є !!=!>!F!G!g!К!Л!Ф!Щ!···············$a$$&P1Рh░╨/ ░р=!░"░#Ра$Ра%░ i8@ё 8 NormalCJ_HaJmH sH tH <A@Є б< Default Paragraph Font*>@Є* Title$a$5Б\Б,B@, Body Text$a$0J@0 Subtitle$a$5Б\БЩ6       аzЩ   аzЩ   аzЩМ [ЩМ-;<ФХоА+,]^ёЄUVУФыьМН  ╣ ║ p q ┴┬│┤./вглм^_;<▓│шщ'(fgеж╦╠ёЄ=>FGgКЛФЫШ0ААШ0ААШ0ААШ0ААШ0ААШ0ААШ0ААШ0ААШ0ААШ0ААШ0ААШ0ААШ0ААШ0ААШ0ААШ0ААШ0ААШ0ААШ0ААШ0ААШ0ААШ0ААШ0ААШ0ААШ0ААШ0ААШ0ААШ0ААШ0ААШ0ААШ0ААШ0ААШ0ААШ0ААШ0ААШ0ААШ0ААШ0ААШ0ААШ0ААШ0ААШ0ААШ0ААШ0ААШ0ААШ0ААШ0ААШ0ААШ0ААШ0ААШ0ААШ0ААШ0ААШ0ААШ0ААШ0ААШ0ААШ0ААШ0ААШ0ААШ0ААШ0ААШ0ААШ0ААШ0ААШ0ААШ0ААШ0ААШ0ААШ0ААШ0ААЩ! ж Щ!Щ!ЫЫ  CharleneTC:\WINDOWS\Application Data\Microsoft\Word\AutoRecovery save of COMMCOUNJT060704.asdCharleneTC:\WINDOWS\Application Data\Microsoft\Word\AutoRecovery save of COMMCOUNJT060704.asdCharleneTC:\WINDOWS\Application Data\Microsoft\Word\AutoRecovery save of COMMCOUNJT060704.asdCharleneC:\COMM\COMMCOUNJT060704.docCharleneTC:\WINDOWS\Application Data\Microsoft\Word\AutoRecovery save of COMMCOUNJT060704.asdCharleneC:\COMM\COMMCOUNJT060704.docCharleneC:\COMM\COMMCOUNJT060704.docCharleneC:\COMM\COMMCOUNJT060704.docCharleneA:\COMMCOUNJT060704.docFulton Co. 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