Okaloosa County BOCC — July 26, 2016 — Emergency Medical Services PBB

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:  Responded to 25,989 requests for assistance. (Increased from 2014)  Provided 190 standbys for sporting, educational, career and community festival events.  Managed 4866 Non-Emergency types of transfers (ambulance and stretcher van).  Graduated 9 paramedic students enrolled at NWFSC and promoted them to full paramedic duty in the EMS system.  Graduated 1 candidate from the Okaloosa County Leadership Academy  Awarded the American Heart Association’s Mission Lifeline: Gold Award for Excellence in out-of-hospital cardiac care.  Received the National Association of Counties’ National Achievement Award for Comprehensive Emergency Medical Training and Quality Assurance 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 FY14/15 FY15/16 FY16/17 Number of ALS ambulances 11 11 11 Input Number of full time staff (EMT/Paramedic) 33/33 33/33 33/33 Total number of ALS calls Answered 25,644 25,000 Est. 25,000 Output Hospital turnaround times (<15min 90%) 90% 95% 95% Efficiency Incomplete or missing reports (90% by EOS) 98% 95% 95% Effectiveness Rural Response time < 15:00 minutes 10:58 minutes 14:59 minutes 14:59 minutes Urban Response Times < 9:00 minutes 6:44 minutes 8:5