SUBJECT:
Title
Request Approval of the Certificate of Public Convenience and Necessity for Advance Life Support - Transport (Level IV) Marion Community Hospital, Inc. D/B/A HCA Florida Ocala Hospital 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 Marion County Board of County Commissioners approved a Certificate of Public Convenience and Necessity on May 3, 2022, authorizing Marion Community Hospital, Inc. D/B/A HCA Florida Ocala Hospital (HCA) to provide interfacility basic life support (BLS) and advanced life support (ALS) transports between HCA facilities. The 2022 agreement required HCA to transport 90% of all such patients, which was increased to 100% in a February 14, 2024, modification. The latest revision further expands operational permissions allowing HCA to transport BLS and ALS patients from any of its hospitals, freestanding emergency departments, and HCA-operated facilities within Marion County to any HCA facility in the county as well as to patient homes, skilled nursing facilities (SNF), and assisted living facilities (ALF). To support EMS system coordination, the restrictions now allow Marion County Fire Rescue (MCFR) to authorize phased expansion of HCA's transport services beyond interfacility transfers to include special events, SNFs, ALFs, and 911 calls under MCFR oversight.
BUDGET/IMPACT:
None.
RECOMMENDED ACTION:
Recommended action
Motion to approve the Certificate of Public Convenience and Necessity for Advance Life Support - Transport (Level IV) Marion Community Hospital, Inc. D/B/A HCA Florida Ocala Hospital Modified Operational Restrictions.
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