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<br />Councilman Cussen <br /> <br />Vote on the Motion <br /> <br />COMMUNITY HOSPITAL EMERGENCY <br />FACILITY - REPORT <br /> <br />9/20/83 <br /> <br />Page -4- <br /> <br />Mayor Meier inquired how long the retainage <br />fee is held. Administrator Wurl advised <br />as long as the law requires. <br /> <br />Inquired what accounted for the savings <br />of $24,597.40 on the project. <br />Director Kasch advised that some contingencies <br />in the plan for unforeseen pipe problems and <br />soil problems did not develop, as well as <br />no storm sewer installation, less asphalt <br />patching, less tie-ins, and less change overs. <br /> <br />Question called for. All in favor. Motion <br />carried unanimously. <br /> <br />Dr. Stephen L. Axelrod, Medical Director <br />Louisville Medical Center provided council- <br />members with a copy of a letter he had pre- <br />sented at the Health Facilities Review Coun- <br />cil meeting, September 1, 1983. Also gave <br />a copy of Application For A Colorado Certi- <br />ficate of Public Nessity by Boulder Community <br />Hospital to the City Clerk. Dr. Axelrod <br />stated that he was a member of the American <br />College of Emergency Physicians and was on <br />the Board of Directors of the National Asso- <br />ciation of Freestanding Emergency Centers. <br />Appreciated the opportunity to present his <br />side of the issue relative to the Boulder <br />Community Hospital's proposed facility. <br />He and his partner Dr. Opitowski, started <br />their facility on 333 South Boulder Road <br />in June 1981. 20% to 25% of their patients <br />were from the Louisville-Lafayette area. <br />International surveys say that a 35,000 - <br />50,000 population is required to sustain <br />a facility like this. Their facility was <br />open 12 hours a day, 7 days a week, with <br />a physician always on the premises. The <br />facility has full x-ray and rapid developer, <br />lab E.K.G., and cardiac monitors on the pre- <br />mises; capability of providing advance car- <br />diac life support. They adhere to the American <br />College of Emerengcy Physicians and the <br />National Association of Free-standing Emergency <br />Center guidelines. The NAFEC does not recommend <br />emergency centers accept ambulances unless they <br />have 24 hour physician staffing, a capacity <br />to observe a patient for prolonged periods <br />of time, and 2-way communications directed to <br />the ambulances. Felt that Louisville Medical <br />Center was equipped and capable of accepting <br />