Community Project Funding/Congressionally Directed Spending - Construction - Address: One Children's Place, St. Louis, MO 63110-1002 Project Director: Joshua Hernandez Project Director Phone: (314) 265-3055 Project Director E-mail: joshua.hernandez@bjc.org Applicant Website: www.stlouischildrens.org/conditions-treatments/transport-services Grant Program Funds Requested: $1,861,535.21 Activities Include: Critical care transport, EMS field response and community training/education services for pediatric, maternal-fetal and newborn patients residing in Missouri communities and six states (i.e. Arkansas, Illinois, Indiana, Iowa, Kentucky, and Tennessee) within a 250-mile ground service area. Funding will be used to purchase three mobile intensive care units (MICUs), one EMS field response vehicle, one EMS trauma community outreach/education vehicle, and supplemental equipment to make the EMS vehicles field ready. These vehicles will support our highly specialized pediatric, maternal-fetal, newborn services and the only certified Level 1 pediatric trauma center in the region. Proposal for purchase totals $1,861,535.21 (3 MICUs:$1,762,056 (per unit cost:$587,352); EMS Field Response vehicle:$45,835; EMS trauma community outreach/education vehicle cost:$45,835; and supplemental add-on equipment for EMS field response and trauma community outreach/education vehicles:$7,809.21). Each ambulance/vehicle will be customized to the specifications needed to serve our critical care patients (i.e. 2,600+ critical care patients annually) and navigate the complex terrain of the underdeveloped rural populations in our service area. Additionally, these units will include all essential equipment to ensure full operational readiness upon delivery (e.g. Powerload system, Zoll X-Series Cardiac Monitor, Driver/Crew communication system). Delivery of units is projected to be completed in 2024. Upon delivery of the units, three units of the current fleet will be retired. These three units have been selected based on Key Performance Indicators(i.e. oldest manufactured year, current mileage, cost of repairs, consumption of fuel, out of service/serviceability rate and reported patient safety events).