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69 <br /> <br /> Mr. Larry Justice briefly discussed the responsibilities of Lost Time <br />Control of Concord which will serve as the County's claims agent for Worker's <br />Compensation. <br /> <br /> UPON MOTION of Chairman Barnhart, seconded by Commissioner Fennel and <br />unanimously carried, the Board agreed to go with the plan for Cabarrus County to <br />self-fund Worker's Compensation as presented by Mr. Bennett and to leave the <br />Liability/Auto/Property coverage with the North Carolina Association of County <br />Commissioners Pool as it is today. <br /> <br /> UPON MOTION of Commissioner Payne, seconded by Commissioner Fennel and <br />unanimously carried, the Board approved the Claims Administration Service <br />Contract with Lost Time Control, subject to review by the County Attorney, and <br />authorized the County Manager to execute the contract for services for the next <br />year effective July 1, 1994. <br /> <br />NEW BUSINESS <br /> <br />Concord-Cabarrus County Chamber of Commerce Governmental Affairs Committee - Mr. <br />Bob Landers <br /> <br /> Mr. Bob Landers, Chairman of the Governmental Affairs Committee of the <br />Concord-Cabarrus County Chamber of Commerce, explained that the purpose of the <br />Committee is to facilitate and provide for any type of communications between <br />Chamber membership and local elected officials. He expressed the willingness of <br />the Chamber members to assist the Board whenever possible, specifically in the <br />long-range planning activities for Cabarrus County. <br /> <br />EMS Study Council Report and Recommendation <br /> <br /> Mr. Aubrey Attkisson, Emergency Medical Services (EMS) Director, introduced <br />the members of the EMS Study Council. The Study Council was established in 1993 <br />to review EMS services and the method of delivery, and make recommendations on <br />how they might be improved or modified to best meet the needs of the citizens of <br />Cabarrus County. <br /> <br /> Ms. Rebecca Yarbroughof the Centralina Council of Governments, Dr. Harold <br />Miller, EMS Medical Director; and Mr. Guy Hutchins, Chairman of the Study Council <br />reviewed the findings and recommendations of the Study Council. Ms. Yarbrough <br />explained that the Study Council had based its findings and recommendations on <br />the national standards of being able to provide response within eight (8) minutes <br />or less for 90 percent of the time for emergency calls. Findings of the Study <br />Council were summarized as follows: <br /> <br />(1) <br /> <br />(2) <br /> <br />(3) <br /> <br />(4) <br /> <br />An EMS system that is excellent in many ways, including <br />enhanced 911 to speed access to the EMS System; <br />telecommunicators trained to screen calls and provide pre- <br />arrival instructions, including CPR; excellent support from <br />trained first responders; EMS personnel trained to the highest <br />level permitted in the State; and generally good equipment to <br />work with. <br />Despite strengths, the system is challenged in many ways. The <br />emergency call volume has increased 42 percent in the last two <br />years. Cabarrus EMS units participate in "move-ups" anywhere <br />from 140 to 350 times per month. Response times indicate that <br />the system may be failing to achieve its desired outcomes, <br />because in many cases, personnel may not be getting to the <br />patient in time to make a difference. <br />Average response times (time from dispatch of a unit to its <br />arrival on the scene) appear good--7.8 minutes on the average <br />for emergency calls in 1993. However, approximately 30 <br />percent of all calls have response time greater than 8 minutes <br />with a significant number of calls having a response time of <br />11 minutes or more. <br />The calls with the longest response times are in outlying <br />areas, with Midland's calls routinely running in the 15- <br />minute-plus range. However, the greatest concentration of <br />calls over 8 minutes is in Kannapolis and Concord. This <br />indicates that distance alone is not the problem. <br /> <br /> <br />