Orange County Board Of County Commissioners AmbuMed Ambulance COPCN (Certificate of Public Convenience and Necessity) Orange County Board Of County Commissioners April 10, 2007

AmbuMed Ambulance COPCN (Certificate of Public Convenience and Necessity) Transport Providers COPCN Process Recommendation Action Requested

AmbuMed Ambulance COPCN (Certificate of Public Convenience and Necessity) Transport Providers COPCN Process Recommendation Action Requested

Transport Providers 911 – Emergency Transports 911 Providers routinely transport their patients to a hospital Non-Emergency Transports Interfacility Transports provides transportation of patients between hospitals and other medical facilities

Interfacility Providers Transport Providers 911 Providers Orange County Fire Rescue Apopka FD Health Central Paramedics Maitland FD Reedy Creek FD Rural Metro Ambulance Winter Park FD Interfacility Providers American Ambulance Florida Hospital EMS Health Central Paramedics Orlando Regional Mobile Care Rural Metro Ambulance

AmbuMed Ambulance COPCN (Certificate of Public Convenience and Necessity) Transport Providers COPCN Process Recommendation Action Requested

County Ordinance 2001-09 Sec. 20-92 (4) COPCN Process County Ordinance 2001-09 Sec. 20-92 (4) Applicant must “Provide a statement of facts showing the demand or need for the proposed service”

COPCN Process EMS Office must EMSAC then makes recommendation to BCC Notice application in newspaper as well as to all potentially affected parties Investigate accuracy of application of the public need for the proposed service Make Recommendation to the EMSAC EMSAC then makes recommendation to BCC

The BCC has three options AmbuMed Ambulance COPCN (Certificate of Public Convenience and Necessity) The BCC has three options Approve the application Deny the application Schedule a public hearing

AmbuMed Ambulance COPCN (Certificate of Public Convenience and Necessity) Transport Providers COPCN Process Recommendation Action Requested

AmbuMed Ambulance COPCN (Certificate of Public Convenience and Necessity) Recommendation The Office of the EMS Medical Director recommends Denial based the lack of a clear indication of Public Need for Service The Emergency Medical Services Advisory Council voted 5 – 2 to deny the application based on a lack of demonstrated Public Need

AmbuMed Ambulance COPCN (Certificate of Public Convenience and Necessity) Transport Providers COPCN Process Recommendation Action Requested

AmbuMed Ambulance COPCN (Certificate of Public Convenience and Necessity) Action Requested Denial of the Certificate of Public Convenience and Necessity for Ambumed Fl. Corp to provide Interfacility Advanced Life Support Transport Services.

Orange County Board Of County Commissioners AmbuMed Ambulance COPCN (Certificate of Public Convenience and Necessity) Discussion Item Orange County Board Of County Commissioners April 10, 2007