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Ind. county officials debate benefits of private and fire-based EMS

Floyd County officials are undecided on ambulance service options

New_Chapel_EMS.jpg

A New Chapel EMS ambulance.

New Chapel EMS/Facebook

By Brooke McAfee
The Evening News and the Tribune

FLOYD COUNTY, Ind. 鈥 It is unclear how Floyd County officials will proceed with EMS coverage as opinions remain mixed on which option to choose.

The county commissioners and council debated the subject at a Friday joint meeting. Officials are considering two bids from private EMS agencies, including New Chapel EMS and AmeriPro Health, but many county officials would like to pursue a fire-based EMS service.

However, some officials are questioning the feasibility of pursuing the hybrid EMS option at this time.

New Chapel EMS is the county鈥檚 current ambulance provider. The existing contract is set to expire at the end of May.

The commissioners have received bids on potential three-year contracts from the two EMS agencies.

On Tuesday, the Floyd County EMS board tabled a recommendation on an EMS contract, opting to receive information on the possibility of a hybrid EMS-fire service from Highlander Fire Protection District before proceeding.

The EMS board is expected to issue a recommendation at its next meeting, which is scheduled for 5 p.m. next Thursday at Pine View Government Center.

WEIGHING THE OPTIONS

Al Knable , president of the Floyd County Commissioners, said he is concerned about entertaining a third option from Highlander Fire while the two bids from New Chapel and AmeriPro are on the table. Highlander did not respond to the commissioners鈥 request for proposals, which was issued in December.

He said he obtained advice from Rick Fox, the commissioner鈥檚 attorney, on the matter. Fox told him that 鈥渨e should not entertain a third option unless we reject the first two in order to avoid any sort of liability on that RFP process,鈥 Knable said.

鈥淲e have to be very, very cautious even entertaining such numbers [from Highlander] since we put out an RFP and we have two contracts before us,鈥 Knable said.

He emphasized the tight deadline the county is facing to select an option for EMS coverage as the current contract is set to expire. New Chapel EMS is not giving Floyd County an option for a month-to-month agreement, he said.

Many officials have voiced concerns about New Chapel EMS amid the ongoing criminal investigation into Jamey Noel, the former Clark County Sheriff and co-founder of the EMS agency. Noel is facing 25 felony charges, including counts of theft, tax evasion, corrupt business practices, ghost employment, official misconduct and obstruction of justice.

Officials have also debated for years whether to pursue another agency due to concerns about response times and quality of service from New Chapel.

Floyd County Commissioner John Schellenberger said the county is faced with 鈥渙ne of three choices鈥 for EMS.

鈥淭he first choice is to pick one, the second choice is to pick the other and the third choice is to deny them all, which we have the authority to do,鈥 he said. 鈥淲e鈥檝e done that before on other bids as well.鈥

Floyd County Commissioner Jason Sharp said county officials are seriously considering fire-based EMS, but he does not want to rush into implementation of that model without adequate preparation. Sharp also serves as a firefighter with the Jeffersonville Fire Department.

He said the county needs to conduct a geographic information system study to understand what kind of assets are needed for fire departments, and officials need to consider affordability.

The county has the 鈥渙pportunity to do it right the first time,鈥 Sharp said.

鈥淚f you don鈥檛 do it right the first time, if you set it up and it fails, I promise you it鈥檚 going to be much more expensive than what you鈥檙e looking at right now,鈥 he said.

Schellenberger questioned whether the county should veer away from a three-year contract with a private provider.

Knable said the commissioners have the ability to negotiate the length of the contract, but he feels that county officials should be prepared for at least a one-year or two-year contract with one of the private agencies.

鈥淚 think the most realistic plan is going to be for us to contract with someone for one to two years, and then purposefully and diligently bring on the fire-based system if we find out that the numbers make sense,鈥 he said.

Schellenberger said one possibility would be to consider one year with a contractor while also pursuing a 鈥減arallel path鈥 to implement a fire-based EMS service that could eventually take over.

Floyd County Council President Danny Short voiced concerns about whether Highlander Fire 鈥 previously the Lafayette and Greenville fire districts 鈥 would be the correct option for EMS ambulance service, saying the 鈥渂all has been dropped many places鈥 over the years.

鈥淭hey had ambulances for 10 to 15 years and never budgeted to replace them like they do other apparatus,鈥 he said. 鈥淭hey never increased the training levels of anybody on those ambulances, so those are all opportunities that were missed.鈥

Schellenberger said that local fire departments are already responding to EMS calls in Floyd County but noted the need to increase personnel for fire departments in order to provide EMS service.

鈥淲hat needs to be done with fire-based EMS, [to] my understanding, is you man up and you have people to man both ambulances in addition to having people to man the fire trucks,鈥 he said. 鈥淚t鈥檚 working right now because when a call comes in, someone from the fire district is responding. But when you look at the term working, that pales to where it should be working.鈥

Floyd County Council Member Tony Toran said the county should keep the fire-based EMS possibility 鈥渁t the forefront,鈥 noting that he was hoping to receive proposals from Highlander Fire.

鈥淚 think that we need to exhaust every effort and do the taxpayers鈥 due diligence,鈥 he said. 鈥淭his is safety 鈥 public safety 鈥 that we鈥檙e talking about, and I think that all options need to be on the table.鈥

Floyd County Council Member Brad Striegel said if county officials 鈥渄on鈥檛 invest in our own fire departments to do the right thing, we鈥檒l be here again and again and again.鈥

鈥淚t鈥檚 time to invest in our own backyard,鈥 he said.

Staffing shortages and timing are concerns for Floyd County Council Member Connie Moon, and she does not believe the fire-based option will work in the available timeframe.

鈥淭here鈥檚 already a national shortage of EMS workers and paramedics, so it鈥檚 going to take longer than average to hire people because we don鈥檛 have a very good pool,鈥 she said.

Striegel said although the county is facing a tight deadline, he feels that action can be taken in that period to move toward fire-based EMS.

鈥淏ut moving the goalposts and saying we鈥檙e not ready, we鈥檙e not ready, we鈥檙e not ready...we鈥檙e not doing ourselves any justice on that,鈥 he said. 鈥淚 think we need to explore this much further.鈥

Floyd County Council Member Dale Bagshaw expressed reservations about Highlander Fire鈥檚 ability to step in for EMS service.

鈥淚 would conclude...they don鈥檛 have the ability right now to do that, to have countywide service,鈥 he said. 鈥淭hat鈥檚 why they didn鈥檛 put in an RFP, in my opinion.鈥

Floyd County Council Member Denise Konkle said the county needs to consider what could be offered by local fire departments.

鈥淭his is a public safety issue, and we have to make sure that we provide services,鈥 she said. 鈥淎nd we can鈥檛 have any lapse of time. I understand that, but we also have to do the right thing for the taxpayers.鈥

Sharp said if the county focuses on the data and takes its time to create a countywide hybrid model, it has 鈥渢he potential to build a system in Floyd County that everyone could be proud of.鈥

鈥淲e don鈥檛 want to just wing it,鈥 he said. 鈥淭hat鈥檚 the worst thing we could ever do.鈥

He praised the work of Floyd County鈥檚 fire departments.

鈥淲e have some outstanding firefighters and outstanding fire departments here in Floyd County,鈥 Sharp said. 鈥淲e truly do. It鈥檚 not about them letting us down. It鈥檚 about us letting them down by not giving them the tools and the equipment 鈥 what鈥檚 necessary to properly do their job.鈥

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