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RE: Ambulance service

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To: Judge Chad Adams

Commissioner Dennis Robinson

Commissioner Bill Dodson

Commissioner Heath Sims

Commissioner Ron Brown

Gentlemen, we have the following questions and concerns in regard to the contract that was just signed with CareFlite.

We would appreciate your answers within the next 10 days.

We have been told there will be an ambulance in Palmer and one in Italy, will they both provide 24 hour service?

Are they ALS or MICU?

Where will the back up ambulances respond from?

Will the backup ambulance be ALS, MICU and will they be a transfer crew or true emergency crew?

(Transfer crews very seldom run emergency runs).

With there being a nursing home in Italy, will a 911 truck be used to do a non emergency transfer?

Will they honor the East Texas Membership 100 percent for the people who are current members?

Do the ambulances have an AVT (Which gives GPS coordinates and has a computer on the ambulance that shows the location of the call).

Can you really count on a helicopter?

What if weather will not allow flight?

How are they going to get a patient from a residence to the helicopter?

In most cases the helicopter cannot land in a residential driveway.

Who will land an air ambulance in Waxahachie Rural area on a say a broken leg from a fall when all two ambulances are out of service?

Or for that matter in any area when the FRO’s are busy with care of patient or pushing the patient five blocks to the helicopter?

If they do use their helicopter for an "ambulance transport" will the patient receive a ground ambulance bill or will they get an air ambulance bill which is approximate 8,000-9,000 dollar difference.

Will there be penalties for not meeting their response times?

When will the times start and stop on calls?

Will it stop when FRO’s arrive on scene or when the ambulance arrives?

When will the times start?

When the call is received by their call taker or when the call is dispatched to an ambulance?

What hospitals will the ground ambulances utilize, will it only be the local hospitals?

How many attendants on the ambulance? Are they all EMT-P? National Registry/Licensed?

Do they have a medical director? (Doctor)

Will he be the medical director for all the first responder organizations in Ellis County?

Will he assist FRO’s with their paper work for the state?

Will this be done before the date they take over?

When will CareFlite meet with the departments to talk about transition, training, response protocol, supplies, certifications?

Will they provide continuing education for the first responders?

Will they provide training for fire fighters wishing to become an EMT?

Will CareFlite send a dedicated ambulance for structure or large wild land fires?

The article in the Daily Light stated they have 30 days to sign mutual aid contracts.

What if they do not get these contracts signed, what happens to their contract?

Will it cost the county more due to the fact that CareFlite will have to add more ambulances to Ellis County or will the level of care be lowered to just two ambulances for the rural areas?

Who will dispatch for the ambulance service?

Do they have their own or will the county dispatchers do it for them? If they have their own dispatch center, where is it located?

Is the center capable of receiving 9-1-1 transfers?

Is it a 24 hour center?

Do they have an E-911 dispatch system which is where the dispatchers are certified at least to a EMT-Basic so they can give callers instructions on what to do in an emergency prior to the ambulance arriving on scene.

Will the trucks be equipped with radios capable of talking to the fire departments?

Quality assurance program ( how are they doing and make it public information)

What is the fine if they do not make the 20:59 and 29:59 time tables?

An ambulance over site committee ( there was one in place for years start it up again).

This committee should be composed of qualified EMS personnel. All fire departments should be provided with a copy of the signed contract with the provider.

The paper says the county will save $120,000 a year (what a price for a life). Where is the $120,000 going to be spent?

Will it go toward communications equipment for the fire departments?

Will it go toward hiring more deputies to help land those helicopters?

Will it go toward hiring more telecommunication operators to handle the increase in 911 calls from people calling over and over wanting to know when the ambulance will arrive?

Most of us know the agenda is posted 72 hours prior to a meeting, however, the judge, Holly Davis and each commissioner knew what this meant to each department.

Why were we not contacted in regards to the meeting to consider this contract?

Why were we not contacted in regards to the "workshops" the commissioners held for the past year?

Why were we not allowed to be on the court agenda in May as we requested many times?

Did you have a meeting with the three cities chiefs and city manager’s (Red Oak, Ennis, Waxahachie) about ambulance protection for Ellis County in the last 30 days?

Did you not talk about raising the EMS rates and adding a truck to Italy and Palmer and the cities agreed to raise the rate in the cities also?

Did you ever call another meeting with the three cities and tell them you were not going with that plan?

Why do five men who have only been given rides in a helicopter have a better understanding of the EMS system than those who deal with it on a daily basis including the chiefs of the large cities?

Officers and Members Ellis County Fire Fighters Association

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Nelson Propane

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