1. March 4, 2014

2.  March 4 th – Cash with Trustee - $222,090

3.  EMPG $41,500 in place for this year (Salaries)  Homeland Security Recommendation to accept $15,250  TVA ($17,600)  DOE Completed

4.  Training – Training Calendar Almost Complete  Exercises – ◦ December 17 th – Harriman Care and Rehab (Major Fire)  Planning – Exercise for Roane Medical Center  Planning Meeting Kingston TVA Fossil Plant – March 4

5.  Responses  Training – Chuck Hiatt – Operations Officer ◦ Modular Emergency Radiological Transportation Training Train-the-Trainer (T-T-T) 16 hours ◦ Hazardous Materials Team Operations (T-T-T) 32 hours ◦ Hazardous Materials Awareness and Hazardous Materials Operations (T-T-T) 16 hours ◦ Site Operations – 80 hours  Exercises

6.  Responses (October 1 – February 28) ◦ Structure Fires – 16 ◦ Motor Vehicle Collisions – 3 ◦ Decontamination – 3 ◦ Hazmat – 2 ◦ Special Event – 1 ◦ Alarms - 7

7.  Training – October 2013 – Present ◦ Captain Rayburn – 154 hours ◦ Firefighter Cloyd – 154 hours ◦ Firefighter Taylor – 153 hours

8.  Responses

12. Incident Zone Summary ZoneCallsPercentage DISTRICT 1 Blair 1352% DISTRICT 2 Midtown 4729% DISTRICT 3 East 2545% DISTRICT 4 South 2745% DISTRICT 5 West 2274% DISTRICT 6 Kingston 64912% DISTRICT 7 Harriman 2,53446% DISTRICT 8 Rockwood 88316% OUT OF COUNTY 1112% Total 5,539100% Zone Breakdown 7/1/2013 to 2/28/2014

13. Request for Proposal Evaluation March 4, 2014

14.  Third Party Billing ◦ National Reimbursement Group - 2011  30 % of billing processed incorrectly  Lack of transparence  Lack of response concerning NRG’s errors

15.  The Request for Proposal (RFP) was developed and advertised on December 22, 2013 for an opening date of January 16, 2014.  A legal ad was placed in the Roane County News advertising the RFP.  Additionally, the RFP was sent via email to the following vendors: ◦ Bottom Line Strategies ◦ EMS Consultants ◦ Intermedix ◦ NRG ◦ 911 Billing Service 15

16.  The proposals were opened on January 16, 2014 at 2:00 p.m. in the Purchasing Department.  A total of four companies responded to the RFP. They are: ◦ EMS Consultants ◦ Intermedix ◦ NRG ◦ 911 Billing Service 16

17.  The proposals were distributed to the members of the Evaluation Team. Team members include: ◦ Commissioner Ron Berry ◦ Brandon Browning, OES/Ambulance Division ◦ Commissioner Bobby Collier ◦ Lynn Farnham, Purchasing Agent ◦ Brenda Smith, OES/Ambulance Division ◦ Scott Stout, OES Director 17

18.  Each team member was asked to score the proposals on a scale from 1-10. The responses were weighted in so that the more important items could be given more points. Below is a list of the evaluation criteria: ◦ General Information = Score x 1 ◦ Technical Proposal = Score x 1 ◦ Billing = Score x 3 ◦ Accounts Receivable Management = Score x 4 ◦ Performance = Score x 2.5 ◦ ePCR Solution = Score x 3 ◦ Billing System = Score x 1 ◦ Compliance = Score x 3 18

19.  Below are the results of the scoring: 19 EMS ConsultantsIntermedixNRG911 Billing Berry111.5126.5120.0110.5 Browning136.5159.569.0136.0 Collier134.0171.580.0140.5 Farnham19.5141.0118.0108.0 Smith94.0172.567.5153.0 Stout88.0166.5106.0125.0 TOTALS583.5937.5560.5773.0

20.  Below is a summary of the proposed costs for providing the service of Ambulance Billing. The prices listed below are based on the percentage of collections. 20 EMS ConsultantsIntermedixNRG911 Billing Option 1 5.5 % Option 1 5.504 Option 1 4.95% Option 1 7.5% Option 2 5.25% Option 2 4.75%No Option 2 Option 2 7%

21.  Below is a summary of the proposed incentives that will be provided in the contract: 21 EMS ConsultantsIntermedixNRG911 Billing Option 1 Computers Software Data Hosting Option 1 Computers Wireless Service Cost Hardware Maintenance Option 1 Computers Option 1 Computers Option 2 Software Data Hosting Software Support Option 2 No Equipment No Option 2Option 2 No Equipment

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