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

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

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

4. 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

5. 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

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

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

8. 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

9. 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

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

11. 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

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

13. 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.

14. 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