Okaloosa County BOCC — July 14, 2014 — 1-7 Emergency Medical Services

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, 30 full-time Paramedics, 27 full-time Emergency Medical Technicians (EMTs), 19 relief Paramedics, 19 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. EXPENDITURES: Expenditures Budget FY12 FY13 FY14 FY15 Category Actual $ Actual $ Original $ Approved $ Personal Services 4,790,188 4,910,193 5,188,027 5,784,395 Operating Expenses 1,943,991 2,082,731 1,693,961 1,620,283 Capital Outlay 0 27,221 644,400 716,400 Other 0 0 0 0 Total 6,734,179 7,020,145 7,526,388 8,121,078 HISTORICAL STAFFING SUMMARY: Category FY12 FY13 FY14 FY15 Full-time 75 69 69 78 Part-Time 0 0 0 0 Relief 38 38 38 38 Total 113 107 107 116  MAJOR ACCOMPLISHMENTS LAST YEAR:  Responded to 24,566 requests for assistance.  Provided 110 standbys for sporting, educational, career and community festival events (Reduced).  Managed 4512 Non-Emergency types of transfers (ambulance and stretcher van).  Two paramedic students enrolled at NWFSC will graduate this summer. 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 Estimated Adopted Performance Measures FY12/13 FY13/14 FY14/15 10 10 Eleven ALS ambulances 11 (+seasonal) (+seasonal) Input Number of full time staff (EMT/Paramedic) 27/30 27/30 33/33 Hospital turnaround times (<10min 90%) 95% 95% 95% Output Total number of ALS calls 22,232 23,700 Est. 24,700 Efficiency Incomplete or missing reports (90% by EOS) 97% 97% 97% Effectivenes Response times (8.59 minutes or < 90%) 100% 86% 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. EXPENDITURES: Expenditures Budget FY12 FY13 FY14 FY15 Category Actual $ Actual $ Original $ Approved $ Personal Services 139,510 151,860 151,190 152,336 Operating Expenses 59,710 64,414 52.031 43,252 Capital Outlay 0 0 0 0 Other 0 0 0 0 Total 199,220 216,274 203,221 195,588 HISTORICAL STAFFING SUMMARY: Category FY12 FY13 FY14 FY15 Full-time 4 4 4 4 Part-Time 0 0 0 0 Relief 0 0 0 0 Total 4 4 4 4 MAJOR ACCOMPLISHMENTS LAST YEAR:  Further utilization of BLS ambulances on non-ALS standbys.  Managed 3250 inter-facility transfers.  Increased utilization of BLS to take over care and transport of minor EMS calls, if available.  Increased utilization of BLS ambulances for Non-Emergency Transports (NET).  Increase utilization of BLS ambulances for NET long-distance transports. 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 Estimated Adopted Performance Measures FY12/13 FY13/14 FY14/15 Two BLS ambulances 2 2 2 Input Number of full time staff: BLS EMTs 4 4 4 Output Total number of BLS calls 3500 4000 4,000 Efficiency Incomplete or missing reports (90% by EOS) 100% 100% 100% Effectiveness All BLS Inter-facility transports handled by BLS ambulances 88% 88% 90%