Okaloosa County BOCC — July 15, 2015 — 7-5 Emergency Medical Services-done — reading text

BOARD OF COUNTY COMMISSIONERS OKALOOSA COUNTY, FLORIDA SERVICE AREA: PUBLIC SAFETY DEPARTMENT/PROGRAM: EMERGENCY MEDICAL SERVICES DIVISION/ADVANCED LIFE SUPPORT PROGRAM PROGRAM DESCRIPTION: This program consists of the Public Safety Director, EMS Division Chief, Office Supervisor, Program Technician (Billing Coordinator), 3 Shift Commanders, 3 Shift Training Officers, 33 full-time Paramedics, 33 full-time Emergency Medical Technicians (EMTs), 24 relief Paramedics, 24 relief EMTs, an EMS Supply and Logistics Supervisor, and a Supply Coordinator. The EMS Division operates eleven (11) 24-hour Advanced Life Support (ALS) ambulances stationed throughout the county that respond to emergency calls and transport patients to medical facilities within and bordering Okaloosa County. Florida Statutes Chapter 125.01 (e) gives the governing body of the county the power to provide ambulance service. This Division is authorized by the Board of County Commissioners under County Ordinance 93-45, and regulated by Florida Statutes Chapter 401 and Florida Administrative Code Chapter 64J. The Division maintains mutual aid agreements with Santa Rosa and Walton Counties and provides emergency medical support to all military bases and operations within Okaloosa County. REVENUE: Emergency Medical Services Division is funded within the Emergency Medical Services Enterprise Fund. Supporting revenue of the Emergency Medical Services Enterprise Fund are ad valorem taxes, ambulance fees, charges for services, interest, other miscellaneous revenue and transfers in from state shared revenue. MAJOR ACCOMPLISHMENTS LAST YEAR: Ø Responded to 25,613 requests for assistance. (Increased from 2013) Ø Provided 177 standbys for sporting, educational, career and community festival events. (Increased from 2013) Ø Managed 4903 Non-Emergency types of transfers (ambulance and stretcher van). (Increased from 2013) Ø Seven paramedic students enrolled at NWFSC will graduate this summer. (Increased from 2013) PROGRAM GOAL: To provide the highest quality patient care while maintaining compassionate care and excellent customer service. KEY OBJECTIVES: 1. Provide professional and compassionate care to every patient. 2. Maintain a response time that meets or exceeds the accepted national standard. 3. Maintain a cost effective and efficient fleet of ALS ambulances. 4. Maintain accurate patient care reports that will provide a revenue source to maintain operations. 5. Increase professional training opportunities to improve proficiency in current treatment protocols.  PERFORMANCE MEASURES: Actual Approved Proposed Performance Measures FY13/14 FY14/15 FY15/16 Number of ALS ambulances 10 (+seasonal) 11 11 Input Number of full time staff (EMT/Paramedic) 27/30 33/33 33/33 Est. Total number of ALS calls Answered 21,845 23,500 Output 25,000 Hospital turnaround times (<10min 90%) 90% 95% 95% Efficiency Incomplete or missing reports (90% by EOS) 90% 95% 95% Effectiveness Response times (8.59 minutes or < 90%) 86% 90% 90%  BOARD OF COUNTY COMMISSIONERS OKALOOSA COUNTY, FLORIDA SERVICE AREA: PUBLIC SAFETY DEPARTMENT/PROGRAM: EMERGENCY MEDICAL SERVICES DIVISION/BASIC LIFE SUPPORT PROGRAM PROGRAM DESCRIPTION: This program consists of 4 Emergency Medical Technicians. The EMS Division operates two (2) 9- hour Basic Life Support (BLS) ambulances stationed in the north and south county, responding to inter-facility transports of patients to medical facilities and nursing homes within and bordering Okaloosa County as well as out-of-county BLS transports. The BLS ambulances carry basic life support equipment that allows them to first respond to medical emergencies if they are closer to a call. Florida Statutes Chapter 125.01 (e) gives the governing body of the county the power to provide ambulance service. This Division is authorized by the Board of County Commissioners and regulated by Florida Statutes Chapter 401 and Florida Administrative Code Chapter 64J. REVENUE: Emergency Medical Services Division is funded within the Emergency Medical Services Enterprise Fund. Supporting revenue of the Emergency Medical Services Enterprise Fund are ad valorem taxes, ambulance fees, charges for services, interest, other miscellaneous revenue and transfers in from state shared revenue. MAJOR ACCOMPLISHMENTS LAST YEAR: Ø Further utilization of BLS ambulances on non-ALS standbys. Ø Managed 3261 inter-facility transfers. Ø Increased utilization of BLS to take over care and transport of minor EMS calls, if available. Ø Increased utilization of BLS ambulances for Non-Emergency Transports (NET). Ø Increase utilization of BLS ambulances for NET long-distance transports. Ø Increased utilization of BLS ambulances for late night/early morning out-of-county NET. PROGRAM GOAL: To provide professional, cost effective transport of patients to physician’s offices, nursing homes, treatment facilities and hospitals. KEY OBJECTIVES: 1. To provide timely and professional customer service to facilities and patients. 2. Maintain a cost effective and efficient fleet of BLS ambulances (vans). 3. Deploy BLS assets effectively to increase availability of ALS ambulances. 4. Provide extended hour coverage with two overlapping shifts. PERFORMANCE MEASURES: Actual Approved Proposed Performance Measures FY13/14 FY14/15 FY15/16 Two BLS ambulances 2 2 2 Input Number of full time staff: BLS EMTs 4 4 4 Output Total number of BLS calls 3261 4000 4300 Efficiency Incomplete or missing reports (90% by EOS) 100% 100% 100% Effectiveness All BLS Inter-facility transports handled by BLS ambulances 88% 88% 90% HISTORICAL STAFFING SUMMARY: Category FY13 FY14 FY15 FY16 Full-time Administrative & Support 4 4 4 4 Full-time Management & Professional 8 8 8 8 Full-time Operations & Trades 57 57 66 70 Relief 38 38 48 48 Total 107 107 126 130 EXPENDITURES: Expenditures Budget FY13 FY14 FY15 FY16 FY15/FY16 Increase/ Category Actual Actual Approved Proposed +/- Decrease Personnel Services $5,054,770 $5,320,098 $5,923,369 $6,099,087 $175,718 2.3% Operating Expenses $2,170,365 $2,247,463 $1,663,535 $1,718,981 $55,446 3.5% Capital Outlay $553,174 $691,252 $716,400 $846,605 $130,205 18.2% Debt Service $0 $0 $0 $0 $0 0% Grants & Aids $0 $0 $0 $0 $0 0% Other Uses $0 $0 $0 $53,327 $53,327 0% Total $7,778,309 $8,258,814 $8,303,304 8,718,000 $361,369 5.0% ACCOUNTS: FY14 FY15 FY16 FY15/FY16 Increase/ Code Category Actual Approved Proposed +/- Decrease 10 SALARIES & WAGES $3,657,256 $4,006,298 $4,027,570 $21,272 0.5% Request based on current staffing levels; realizes wage increase 20 BENEFITS $1,681,961 $1,917,071 $2,071,517 $154,446 8.1% Increase due to all employees on County Health Insurance 31 PROFESSIONAL SERVICES $34,650 $33,000 $33,000 $0 0% 32 ACCOUNTING & AUDITING $10,270 $10,000 $10,000 $0 0% 34 CONTRACT SERVICES $490,920 $398,600 $429,819 $31,219 7.8% Billing and collection services; temporary staff; medical waste disposal 40 TRAVEL & PER DIEM $1,500 $4,000 $4,000 $0 0% 41 COMMUNICATIONS SERVICES $28,000 $38,000 $40,000 $2,000 5.3% Radio user fees; radio and related items for staff communications 42 FREIGHT & POSTAGE $3,000 $3,000 $3,000 $0 0% 43 UTILITY SERVICES $24,500 $24,600 $27,600 $3,000 12.2% Budget based on historical data; added COPSCOM building 44 RENT & LEASES $22,620 $1,500 $1,500 $0 0% 45 RISK MANAGEMENT ALLOCATION $79,702 $87,926 $87,926 $0 0% 46 REPAIR & MAINTENANCE $332,886 $330,899 $383,868 $52,969 16.0% Repairs to EMS stations; repairs to EMS equipment; predominantly vehicle maintenance/repairs 47 PRINTING & BINDING $3,000 $4,000 $4,000 $0 0% 48 PROMOTIONAL ACTIVITY $1,000 $3,000 $3,000 $0 0% 49 MISCELLANEOUS CHARGES $15,700 $19,100 $19,500 $400