Resolution 95-831:1
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EIVP,S CA ,S Rr DISPA'I'CI{ES UN['IS
._VIDES FIR57' RESPONSH & PATIENT CARE
"'AMED[C RIDES IN WITF[ SL^RIO[JS PATIENTS
~VQJE 1RAiNING & RECERT FOR DUAL EMPLOYEES
PROVIllE ADDiTIONAI. MANPOWER POR PIREFIGFITING
'I'RA1V ORT ~TI~TT~ PROV E
IRE NICE
2
PRIVATE PROVIDER
3
A4 2 ~ ~`.
.L_J~-~-. -_ _
TRIANGLES ARE THE FULL TIME
PRIVATE AMBULANCE LOCATIONS
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'~-~- ~-~~ - I --- 1- - +-- --
CROSSES INDICATE F. D. AMBULANCES
SQUARES ARE STATION WITHOUT AMBULANCES
5 YEAR AI,ARNI FIIS'I'ORY
tczty ~.Iar>~S ®nIy)
350
2,006
-TOTAL
-EMS
---FIRE/OTHER
1,164
843
131 ALARMS
PER YEAR
A~/G INCREASE
1991 1992 1993 1994 1995*
5 YEAR ALARM 1'1~.®Jf EC'.I"I®1V
(City alarms only)
1996 1997 1998 1999 2000
' s ~
PROJECTED PATIENT TRANSPORTS
fCity alarms only)
zooo - ~ 872
__ , 543 EMS = 58% OF
TOTAL ALARMS
1999 ~F'C ~~
1, 68
_ ®PATIENT
- ------- ~ - TRANSPORTS
1998 _ _ ®EMS ALARMS
1,3 2
~.
_- _. _. -
1997
__ 1,31
lsss ~ `<c inn 1,240 ss.SroF~ESiKS°ni.~Ms
o goo ,~ soo aoo ; o00 , Boa , <oo , sao
~~
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r~'~ 1
1
1997 104.47~~- 244.94'
199 108,935 2415
I ~ >>..Gt-1 .5r
200u 118,51 _ _ 237.0%.
BILLING
EMTS BILLING CORD OF PENNSYLVANIA WILL BILL EACH PT 4 TIMES
FOR $9 PER PT + $500 ANNUAL, ADMIN FEF, AND A ONE TIME $350 SE'CUP.
THE EMS MANAGER WILL SEND THE REQUIRED INFO TO THE BILLING CO.
THE CHECKS WILL 6E RECEIVED AT THE F. D. WHERF, THE EMS MANAGER
WILL ENTER TI-IEM INTO OUR COMPU"IER. THIS INFO W[LL THEN BF, SENT
TO THE BILLING CO TO UPDATE THEIR RECORDS.
THE CHECKS WLLL THEN BE TAKEN TO FINANCE WHERE THEY WILL BE
ENTERED W'1"O Tl-IE PROPER REVENUE LINE AND TAKEN TO THE BANK [
HAVE ALLOWED $1 PER PT FOR FINANCE'S TIME. THIS SHOULD BE
APPROXIMATELY 15 TO 18 CHECKS PER WEEK.
VEHICLES
MOVE EXISTING AMBULANCE TO ST 15
LEASE PURCHASE NEW HEAVY AMBULANCE IN 1996
1985 AMBULANCE MOVES TO RESERVE
START BUDGET FOR 4 YR AMBULANCE REPLACEMENT IN 2000
i
1996 Gross Per
_
Cost
Transport _
Total Estimated Transports 700
Personnel Costs 22,215 31.72 includes sa lary an d ben efits
3 personne l x 2 hrs.
Part time EMS Manager 6,800 9.71 4 hrs per week avg.
Operating Costs 21,214 30.29 supplies, training, maintenance
Vehicle r_e_placement
50,000
_71.39 health maint, reverts
1/4 lease-purchase of new
_______
ambulance & equipment
----
Total --------- -
100,229
143.11 -- - -
Uncolle ctibles 66,820 95.41 based on 60 % collection rate
Billing Fees 7,854 11.21 $10 per pt + $500 annual admi n f
e
e
_
__
___
+ $350 one time startup fee
Total Charge to Citizen 174,903 249.73 _ ~~
STAFFING
STATION 15:
R-15 (ALS)- 3 FROM 0800 TO 2100 THEN 2 FROM 2100 TO 0800
E-15 (BLS) \
2 PERSON SPLIT CREW
T-15 (BLS) /
STATION 17:
E-17 (ALS)- 2 FROM 0800 TO 2100 THEN 3 FROM 2100 TO 0800.
12 Month Budget Projection
_
_
Current
Fire Dept.
_ --
____
Procedure Transport
1996 Butlge tetl City Revenue 6,468,892 8,468,692 ____
1996 FD transport revenue 0 100,229
Total City revenue 8,466,892 8,569,121
FD budget ~ 1,720,433 1,770,433 (50, 000 ad ded f or
ambulance lease purch ase) _
Revenue af ter FD 6,748,459 6,798,688
additional Cit revenue 60,229
1996 BUDGET FISCAL IMPACT
(Prorated 7 Months) __
Fiscal 1996 Butlget Current Fire Dept.
Procedure Transport
7996 eutlgeted City Revenue 8,468,892 8,468,692 ~_____-___'
1996 FD transport revenue 0 58,467 (pro rated 7 mon ths)
i
Total Ci[y r evenue 8,468,892 8,527,359
FD budge[ 1,720,433 7,770,433 (50, 000 ad tled f or
ambulance lease purchase)
Revenue aft er FD 6,748,459 6,756,926
additional Ci revenue 8,467
Impact on sample LONGWOOD TAXPAYER requiring transport
private FD
transport Transport '
Home value 100,000 100,000
City Property tax
5.0601 mills 380 380
transport charge 325 249
total paid 705 629
Amount saved b citizen
requiring transport
76 _
--------
---- ---- ------- ---------- -------
approximate tax equivalent of revenue collected
-- - p p
0.1005 mills $ 10.05 er sam le houshold
1
2000
1999
1998
1997
1996
°7 113,614
~. ~u':9 100,229
8,518
LICENSE & PERMITS
THE EMS MANAGER WILL COMPLETE THE FOLLOWING:
CHANGE LICENSE FROM NON TRANSPORT TO TRANSPORT
GET STATE PERMIT FOR AMBULANCE
ASSIST THE BILLING AGNECY IN APPLYING TO MEDICARE
AND MEDICAID AS NECESSARY
DISPATCH
PERSONNEL WILL BE ASSIGNED TO WORK WITH DISPATCH TO
REWORK ZONES
REWORK ZONE ASSIGNMENTS
ADDRESS EMD CHANGES
ESTIMATED 45 TO 60 DAYS TO COMPLETE
PARAMEDIC TRAINING
BUDGET SCHOOL FOR A MINIMUM
OF 1 NEW PARAMEDIC PER YEAR
(QUALITY ASSURANCE
COMPLETE PDOCS TRANSTI'ION
START CUSTOMER SATISFACTION SURVEY PROGRAM
EXPANDED SERVICES
WORK WITH HEALTH DEPARTMENT, HOSPITALS. HMOS
MONITOR HEALTH CARE REFORM AT SPATE & FEDER A T LEVEL
RESOLUTION
ENACT NEW RESOLUTION PERMITTING TRANSPORT
RESEND RESOLUTION 487
Q,~ ~~{
5 YEAR. ALAII.IOI IIIST®I3Y
(City ~.lar ~ ®nly~
dao I .--~"I . ! 14
1 ,956
1,433
-CITY
a- EMS
-e-FIREIOTHER
523
124 ALARMS
PER YEAR
AVG INCREASE
1991 1992 1993 1994 1995'
REU. ~a-~v»~
5 YEAR. ALAR.NI PROJECTION
(City slat ~ ®ray)
1996 1997 1998 1999 2000
PROJECTED PATIENT TRANSPORTS
(City alarms only)
2000 F `' ''` _ _, , i 1_ 123 _ I
1,988
_
'..._-
_ - ry 1,877
t
- - ~ --~- m 998
19sa i __ 1,
_ __ __ -_ _
I
~ '€ 935
1s9~ ~ -i., --
1,6:
® PATIENT
TRANSPORTS
®EMS ALARMS
1996 ~.3%2 -
1,544
TRANSroxrs-
56.5% OF F..MS ALARMS
RFV ~a-.v v6
~.L
1 1
(CALENDAR _.
-PER
YEAR __IR EVENUE _ PATIEN
_l
1.996~~
i 104 76~~ ~
9 _
211.1?
,~ _
199:,
1.. __. 110,970
...... 208.3"--'
_..... ._
;.?, aa7 FF. 707.03
199'! 124 855 206.69'
2000'. 132,606 207.21''..
Rad ia~o if
Y T
2000 I - .. _: _ . _; _ ..,:_.~ 182.606
1999 '~.. -.--. _ _ -- ".... _ _._ _ ---.: _:.:. - :._..-- 124
1998 - :__.._... _..__ __~: 117,6:
1997 -_ _ 110,970
1996 __.. ~..-.,.~~,._... _--..-.~...,--.,,.,._ 104,769
1996 Gross Per
Cost
Transport __
'
_
Total Estimated Transports 872 __ -~
Personnel Costs 23,526 26.97 includ es sal ary an d benefits o
------- ------
Parttime EMS Manager
-----
8,898
_
----------- -
10.20
-
1.66
--
6 _-
personnel hours per transport
hrs per week avg.
~~ _
Op
e
rating Costs 22,346 25.61 50 % of ems supplies, training,
_
_
maint __
enance, health maint, recerts
Vehicle replacement ~ 50,000 57.32 25 % lease-purchase of new
ambulance & equipment
Total 104,7691 120.10
Uncollectibles
-------
Billing Fees 69,846
9,574 80.07
10.97 based on 60 % collection rate
--- - --
$10 per pt+ $500 annual admi
--
n fee
+ $350 one time startup fee
__
Total Charge to Citizen
184,189
211.14 _
~i7isv~
1
12 Month Butlget Projection
Current Fire Dept.
Procedure Transport
1996 eudge tetl Ctty Revenue 8,468,892 8,468,892 __ ___
1996 FD transport revenue 0 704,769
~~
Total Cit revenue 8,468,892 8,573,661
__ _____
FD butlge[
1,720,433
1,770,433
50,000
added .
for _____
___ ambulan ce lease pu rchase
Revenue after FD
additional Ci revenue 6,748,459
54,769 6,803,228
k~v apse'
o~a,~ ~mq
1996 BUDGET FISCAL IMPACT
_ _ _ (Prorated 7 Month s) __
Fiscal 1996 Budge[ Current Fire Dept.
1996 Budgeted City Revenue Procedure
8,466,892 Transport
8,468,892
1996 FD transport revenue
0
61,115
prorated
7
months _
r._._T.-_. _
Total City revenue 8,468,892 8,530,007
FD budge[ 1,720,433 ~ 1,770,433 1 __ 50,000
ambulanc added for
e lease
rcha
pu
se
Revenue ak er FD 6,748,459 6,759,574 _
__
additional Ci revenue 11,115
d4Afi
i
Impact on sample LONGWOOD TAXPAYER requirin g transport
_ private FD
Cransport Transport
home value 100,000 100,000
homestead exempt 25,000 25,000
Taxable va lue 75,000 75,000
City Property tax
5.0601 mills
380 _ ____
380 _
transport charge 325 211
total paid 705 591
Amount saved by citizen
- - -
requiring transport
-----
--------
114
---
-----
approximate tax equivalent of revenue collecfed
0.1095 mills $ 10.95 per sample h
oushold
-----
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