ORDER NO. 20 217
MOTION TO ADOPT THE PROPOSAL TO ESTABLISH
SERVICE NEEDS AND COSTS IN REFERENCE TO E.M.S.
AND THE SAFETY COMMITTEE
On this the 25th day of April 1991, upon motion made by
Commissioner Morgan, seconded by Commissioner Oehler, the
Court unanimously approved by a vote of 4-0-0 to adopt the
Proposal To Establish Service Needs And Cost in reference to
E. M. S. and the Safety Committee. A copy of the proposal is
attached hereto and made a part hereof.
oZ . oC.
PROPOSAL TO ESTABLISH SERVICE NEEDS AND COSTS
A. Expand Safety Committee by 2 members. I each appointed by
the city and county from the citizens at large with no special
interest involved or conflict of interest.
New ideas and fresh look at facts.
B. This 6 member board may call upon any person of experience to
provide needed information.
If the city or county desire special consultants-each may seek
these consultants, but these expenses will be born by the entities
requiring the consultants.
C. Suggestion that transfers be removed and addressed as a
separate issue.
Main objective shall be for Emergency Service only with
transfers a separate item addressed as to cost being paid by those
requiring this special service.
D. Suggest that if a response time of 8 minutes is desired, it be
considered for 75% of the calls made.
E Suggest that first responders be organized for the remote
areas outside the 8 minute response time zone.
F. Suggest that there be a 6 months evaluation done and the
contract contain provisions for adjusting services on an annual
schedule. If needs seem evident and the present contract parties can
agree on reasonable costs revision of the contract can be achieved.
If the parties can not agree, then other bids can be received on the
additional service and the adjusted service cost can be determined
by the average of the bids costs received or may be addressed on a
proportional cost of service justification.
O All records must be made available for evaluating response
times and need for improvements.
These bid specifications can be arrived at in the next month or
take 1 year to investigate depending on present E.M.S. providers
agreement to extend 1 year the present contract.
Above all I feel this suggestion allows individual needs of the
respective representatives to obtain what ever they feel they need
to make an informed decision.
The final decision must be arrived at by the individuals
involved and cannot be based on any one consultants ideas.
Especially regarding a guaranteed agreement to abide by the report
even before anyone knows what they are agreeing to commit their
respective governing bodies and tax payers to, in the way of dollars
or service.
I hope this can be the basis of a constructive step forward for
E.M.S. service in Kerr County. I would hope this court could ratify or
approve this suggested proposal and carry it to the Safety
Committee and hopefully gain an approval of this basic concept by
the City council of Kerrville making it possible to continue a
cooperative effort.
ODDER NO. 19576 -
APPROVAL TO ACCEPT THE SAFETY COMMITTEE'S
RECOMMENDATION 'TO EXTEND THE AMCARE CONTRACT
FOR ONE (1) YEAR
On this the 14th day of June 1990, came on to be considered
by the Court the renewal of the AMCARE Contract. The
City/County Safety Committee's un:snimous recommendation is to
extend the AMCARE Contract for a period of one (1) year with
the basic ALS rate increased to 5205.00. AMCARE will
continue to provide or maintain the same level of services
now being provided, and the City and County will continue
their efforts to establish or formulate a City/County Joint
Ambulance Service.
On motion made by Commissioner Morgan, seconded by
Commissioner Ray the above recommendations were unanimously
approved by the Court.
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