Okaloosa County BOCC — July 26, 2016 — Emergency Medical Services PBB — 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:  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 8:59 minutes 8:59 minutes  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:  Further utilization of BLS ambulances on non-ALS standbys.  Managed 3290 inter-facility transfers.  Increased utilization of BLS to take over care and transport of minor EMS calls. 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 FY14/15 FY15/16 FY16/17 Two Basic Life Support (BLS) ambulances 2 2 2 Input Number of full time staff: BLS EMTs 4 4 4 Output Total number of BLS calls 3290 4300 4000 Efficiency Incomplete or missing reports (90% by EOS) 100% 100% 100% Effectiveness All BLS Inter-facility transports handled by BLS ambulances 88% 90% 90% HISTORICAL STAFFING SUMMARY: Category FY14 FY15 FY16 FY17 Full-time Administrative & Support 4 4 4 4 Full-time Management & Professional 8 8 8 8 Full-time Operations & Trades 57 66 70 70 Relief 38 48 48 48 Total 107 126 130 130 EXPENDITURES: Expenditures Budget FY14 FY15 FY16 FY17 FY16/FY17 Increase/ Category Actual Actual Approved Proposed +/- Decrease Personnel Services 5,320,098 5,774,948 6,122,715 5,904,389 (218,326) -3.6% Operating Expenses 2,247,463 2,060,530 1,718,980 1,905,779 186,799 10.9% Capital Outlay 691,253 (6,437) 846,605 976,500 129,895 15.3% Total 8,258,814 7,829,041 8,688,300 8,786,668 98,368 1.1% ACCOUNTS: FY15 FY16 FY17 FY16/FY17 Increase/ Code Category Approved Approved Proposed +/- Decrease 10 Salaries & Wages $4,006,298 $4,044,898 $4,017,652 ($27,246) (0.7%) 20 Benefits $1,917,071 $2,077,817 $1,886,737 ($191,080) (9.2%) Reduction is based on the retirement and worker compensation rates for the department’s positions 31 Professional Services $33,000 $33,000 $48,000 $15,000 45.5% Provides additional funding for Medical Directors 32 Accounting & Auditing $10,000 $10,000 $40,000 $30,000 300.0% Provides funding for an external assessment of Emergency Medical Services. 34 Contract Services $398,600 $429,818 $500,740 $70,922 16.5% Increase for additional Intermedix tablets and collection costs. 40 Travel & Per Diem $4,000 $4,000 $10,000 $6,000 150.0% Increase funding for travel related to training, State EMS advisory council and healthcare board meetings. 41 Communications Services $38,000 $40,000 $34,911 ($5,089) (12.7%) Reduction is due to canceled modem service. 42 Freight & Postage $3,000 $3,000 $4,000 $1,000 33.3% Provides additional funding to ship equipment out for repairs. 43 Utility Services $24,600 $27,600 $33,204 $5,604 20.3% Increase is due to the addition of station 4. 44 Rent & Leases $1,500 $1,500 $123,972 $122,472 8164.8% Increased funding is for the 2016 cardiac monitor lease 45 Risk Management Allocation $87,926 $87,926 $82,632 ($5,294) (6.0%) Reduction is due to the decrease of insurance costs and usage. 46 Repair & Maintenance $330,899 $383,868 $366,610 ($17,258) (4.5%) 47 Printing & Binding $4,000 $4,000 $5,000 $1,000 25.0% Additional funding to support the historical spending trend. 48 Promotional Activity $3,000 $3,000 $3,000 $0 0.0% 49 Miscellaneous Charges $19,100 $19,500 $19,500 $0 0.0% 51 Office Supplies $6,000 $6,000 $6,000 $0 0.0% 52 Operating Supplies $679,410 $620,268 $601,710 ($18,558) (3.0%) 54 Books/Pubs/Subs & Memberships