SUBJECT:
Title
Request Approval of the Certificate of Public Convenience and Necessity of Advance Life Support - Transport (Level IV) AdventHealth Wesley Chapel EMS Modified Operational Restrictions (Budget Impact - None)
Body
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INITIATOR: |
DEPARTMENT: |
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James Banta, Fire Chief |
Fire Rescue |
DESCRIPTION/BACKGROUND:
The modified 2026 Certificate of Public Convenience and Necessity (COPCN) includes a limited provision allowing hospital-based ambulance services, when requested, to provide non-routine reciprocal assistance to other hospital-based ambulance services within Marion County for interfacility transfers and patient discharge transports, including discharges to home or post-acute care facilities. This authority applies only when a hospital system has temporarily exhausted its transport resources and assistance is necessary to prevent unreasonable delays in patient care of hospital throughput.
All transports under this provision are restricted to Basic Life Support (BLS) and Advanced Life Support (ALS) levels of service, must originate from a licensed hospital or freestanding emergency department within Marion County, and expressly excludes specialty care, critical care, neonatal, or other specialty transports unless specifically authorized by Marion County Fire Rescue (MCFR). This provision does not expand COPCN authority, service area, or scope of operations and remains subject to ongoing MCFR oversight, monitoring, and restrictions to ensure system stability and patient safety.
BUDGET/IMPACT:
None
RECOMMENDED ACTION:
Recommended action
Motion to approve the Certificate of Public Convenience and Necessity of Advance Life Support - Transport (Level IV) AdventHealth Wesley Chapel EMS Modified Operational Restrictions
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