ORDER NO. 20075 APPROVAL TO PAY ONE-THIRD OF THE CONSULTANT FEES FOR A STUDY OF EMERGENCY MEDICAL NEEDS FOR KERR COUNTY WITH A MAXIMUM EXPENSE OF 51,100.00 On this the 31st day of January 19131, upon motion made by Commissioner Holekamp, seconded b;r Commissioner Oehler, the Court unanimoumly approved by u votQ of 4-0-0 to pay one-third of the consultant tees for a study of emergency medical needs for Kerr County, with 51,100.00 being set as the maximum expense being charged to Kerr County. Said funds are to be charged against Line Item No. 10-401-571, Contingency Fund, in Commissioners' Court. OTT1S L. LAYNE~ M.D., F.A.C.E:P. 116 Ptcan Crte,~ Road ~~d~,~aurg, r~s 78624 {S12J 669-2343 January 24, 1991 RDCONIl`~IDATION TO CITY COUNCIL AND COUN'T'Y Kerr County and Kerrville need acounty-wide, well-designed, co-ordixiated system for prehospital care, addressing at least the following items: 1. Ordinance establishing Kerr IInergency Medical Service Authority with business board and medical control board 2. Medical Director, answerable to KFT~,SA and responsible for the medical. care of the entire system 3. Dnergency Medical Dispatch, co-ordinating entire system 4. First Responders with defibrillation capabilities 5. ALS Transport Units with more effective locations 6. System of continuous review and evaluation Steps: ,. Feb.- consultation with a nationally recognized and e~erienced II~1S evert March- finalize the elements of the system and offer Amcare the first '~ refusal to operate the ALS transport units, dispatch, and billir~ portions of the system April- receive bids (if needed) May- finalize contract with a private company or formalize a county system June- hire personnel July- system on-line