HomeMy WebLinkAbout1998-09-28 98-392 ORDERCOUNCR,ACIION
Iftm Nri98-392
Daft: 9-28-8
Item/Subject. ORDER: Adopting Ambaknce Service Policy
ReaponaWle Departieeob• Cky Manager
andNOenlary: Finanumbuofmrding the City hieebem m discuesionwi0 repnamretiv®ern(s Pk Marina Cry
o re
and ret, Accordance A,,iro nTo regarding ewes ofc jarwwq on aMch aorde as hips was ro wne Lapse card ft Ciry of
Bang ofd AmbulaoceSmiis To May, conceptual Aamewoh for svcM1arclmimnM1ip was presmtMblM1e Ciry Coumil.A
copy, of due memarendum is enriched,
For a varren, ofnations, the original approach 0 Wis cause did not prove! ible. Subsequent disammom Iced W a now
appmach which invohres a number of accurate actions by the Coum.B. Mraw would mclutic adopting an amorkr= amine
policy, tteadng a sPecid emmgency wrivices Oversight wmmitlee. and negotiating a mutual aid agreement oche Capp
Arsitiosnl agrewnenb on crew of cooperation and as joint p achwhtg, tlairvng, billing, and dtla wllecein and reporting vary
also rewlt.
This order would atlopl the almchol mnbulance service Policy. In genual, We order tacks theframewoh PrecemN in Ile
May menwrardum. The policy establishes emugmwy refµnse and navayMtion as cur Trust priority. It allows the
depmmwm WProvide inert Indiiiunrspon whmums widnMf blemd setsoutcvhm lW use muonthisac Oichic
lamdmess rsogniad War Individuals and conscription
s widen the community renin We right W sec WeprovWer Of choice for
boL emergency mdid rtepase and trmspo.mtion ammea.
Thus pskity was occurred &the bear Mardmped Opeatiom GwmiV meding. A rtPmsentatiw of Capital Ambubnte sisal
two primary concerns wM the policy as presented. Fin, Capbml is conamM thaz flus polity would allow Bangor W jamide
in1M iliry nnnsfa npvicm tlwugbout our mutual Old mea They lad interpreted Are use of the wind "wmmunbry"in The
May d«wam W manody0e Cib OEBangor. They wouldprefertluttbe City limit the provision ofinWrfacsityswices
only W ls"em. gewM, they are slw concerned Wythe Polity rsognizenbOW iMiviMelaod wtiatiowl ngheof<hoice.
TTry world pafu thet choice he limped an iMividuila Only and nor extend W idtimtimm wnide of We Ciry limier. Overall,
Capful r osmaned chat We polity allows owin¢X' ility trawf amine A mmpse wild them not Only on Bari but ma
number ofsmmandmg wo munitim.
A reprreenmtive of SL larph Hospital was Ohio Indent and spoke an favor of a NUU which would Blow Ns instruction
wondered choice in selecting a provider Of ba wfm services.
After considerable discussion, t Commisce repassed this Policy W the Cmacil for ib review and consideMion without
nidaton.
ofcplan
nfoWcontinue yeisiW repaamtaMes ofCapiaVMwidian in the near PoMebnregmdW Wevanous issuesaMmeee
of conformation wa
tion which meY exist.
At Nu coins the Ury Cowcil may adopt the proposed potiry as prtuns4 ameed We policy, or mf the popay back m either
Or opercip l Opsathas Commitke or W a Nll fuumd Workshop. Alternatively, We Council could consider adopting dew as
arwlmrary policy peMing Norte diseresums and agreemmn with Cupiti as pmticula' a muaal end agammnL Under Wis
lata documents, We policy weld be edopted fora set period of time wbile mutuil and tleaseww go fmwand.
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Aawciated IBformatlon: Order, Memo ofMay 1, 1998
it gaD7(7xw
na" WvaQa�•eQtsalon
Budget Approval:
98-392
Fhi Dh r
Legal Approval: ^
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Iulroduced for
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Page _ of
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98-392
Anigred to Co or Aube September 28, 1998
CITY OF BANGOR
(TITLE.) (oTDPT Adopting Ambulance Service Policy
By the city Connor ofthm City of Deeper.
ORDERED,
THAT the attached Ambulance Service Policy is hereby adopted to provide
guidelines to govem the provision of ambulance and emergency medical services offered by
the Bangor Fire Department
IM CITY COUNCIL
IN CITY CONCIL
September 28, 1998
Joon 2 1999
notion for Passage Made and
Nation Made and Seconded to Postpone
Seconded Councilor Crowley E
98-392
until June 28, 1999 Meeting of the
Woodcock abstained from discussion
0 R D E R
Bangor City Council
and vote due to previously carob-
Notion Passed
llehedeonflicts Representatives
Postponed to Oman 28. 1999
of local healthcare facilities and
Title, Adopting Ambulance Service Policy
ambulance service providers urged
Council to table this item
Motion to Table Made and Seconded
'"" """ .................."'....."'
CITY CLERK
Tabled until the October 26th meet-
ing of the City Council
........... ......................
IN CITY COMIL
June 28. 1999
9
Nobles to Amend by Substitution
_
Aaed to -'
(Second Amendment) Made and Seconded
CITY C 8HR
Councilor Crowley Abstained from
/'
.
Discussion 6 Vote Motion to Pass
.....1.'. P-.'n..J. (as
Amended by Substitution (Spread
IN CITY COUNCIL
Councilman
(Amendment) Made and Seconded
October 26, 1998
Passed as Amended by Substitution
Motion to Table Until the November
Crowley Edon Disown -
Secand Amendment)
23, 1998 Meeting of the City Council
and Vote MotionI rub nave
AltoCounsand
d Seconded Councilors Woodcock
Bicsin°
esid nt. raised
Merger Resident.
d Crowle Abstained from Discussion
issifoxd.
Councilor Robawas
td
and vote due to Previously Established
Council voting No Genius, for Councilor
Conflict
Iv Vole: 5 nor I yes. 2 staining
wariAu
Councilors vorivg m: Aube.
end 1 absent voting
And
Tabled
r,
Baldanci,Councilor Palmer. Tyler E Vardamelattete
1
Councilor v°[Sta yes: 8Crowlet[e
I% 3
Councilors Crowley 6 Holman
absent:
Councilor abeenP Parolam
ITY HHT
Members at the Public opposed the Motion
to Table Andres familiar,
[Councin[ivg
IN CIT[ C23.
the
dlau,Vote urged rhe Council to Table
19
23. 1998
Motion
tfiis Order Vote an Notion to Table: 6 yea.
this
Notion to Roble Nade and Seconded
t
3 vo. 1 abstaining, 1 absent Councilors vat
-
Passed
i
Ing yea: Aube, ci. Rehman L Tyler
Tabled
Tabled
no: Blanchette, S
Councilors ng no:
owlet'
Councilor
Councils Councilor abataiviMot Crowley
ITq CL
Noodled Recon[: Motion Passed
them
Notion to econdedder the Motion to Table
Reconsider
Made and Motion to Table to a Spec
-
1N CLT, COUNCIL
it Meeting to be field June 2. 1999
dal Council
May 26, 1999
Made
at l:p.m., Nade Seconded
Jews
Notion to Table until the Su28. 1999
Motion Passed Tabled to Jose, 2, 1999 at
uTa
)p.m.
Council Meeting
( N!
Motion Seconded
�pLLL_(ductJ,U±J'}�
Ambulance Service Policy
1.0 Purpose
1s rms®>
(SECOND AMENDMENT)
The purpose of this policy is to establish guidelines to govern the provision of
ambulance and emergency medical services offered by the Bangor Fre
Department.
2.0 Policy
It is the policy of the City of Bangor to provide to Its citizens and visitors the
highest possible level of emergency medical services and emergency ambulance
response. Emergency response shall be given the highest priority for service.
The Fire Department is charged with the responsibility to meet or exceed
established national response time standards and quality standards In the
provision of this service. -
Recognizing the public Investment which has been made to train Fire personnel
and to provide the necessary equipment to meet emergency response needs, the
Fre Department is directed to establish appropriate fee schedules for emergency
medical services appropriate to recover the City's marginal costs for providing
these services.
In addition, the Department is authorized to provide interfacility transport
services to the extent that such services an be provided with existing equipment
and manpower and without negatively impacting the Department's primary
emergency response mission. The provision of such service is limited as further
described in Section 5.0 below.
3.0 Ambulance Service Goals and interests
In furtherance of the policy objectives set out above, the following ambulance
service goals and interests are established. In implementing this policy, the City
will strive to:
3.1 Maintain its ability to provide a full range of emergency medical and
rescue services with response times at or below those currently Provided;
3.2 Insure the availability of an emergency services workforce necessary to
appropriately respond to all emergency and fire calls;
3.3 Maintain a sufficient workload to insure that the skills of emergency
response personnel are maintained; and
3.4 Provide a continuing revenue stream from services in order to offset a
Portion of the costs associated with maintaining a complete emergency
response capability.
4.0 Emergency Response Services
4.1 In order to meet the Department's primary emergency response mission,
the Department Shall:
a. Operate and maintain in good working condition three primary
service rescues with one rescue to operate out of each of the
Department's fire stations. One additional rescue shall be
maintained to allow for necessary maintenance and repair of front
line rescues and be put into service when necessary.
b. Insure that adequate personnel are trained and certified to provide
paramedic level response seven days a week and 24 hours per day,
C. Insure that all dispatch personnel are trained and certified In
emergency medical dispatch;
d. Insure that the Department maintains appropriate certification and
complies with all laws, rules, and regulations required for the
provision of emergency medical services;
4.2 The qty specifically recognizes that Individuals and Institutions in the
community retain the right to use their provider of choice for emergency
medical response and transportation services.
5.0 Interfacility Transfer Services
Consistent with the general policy outlined in Section 2.0 above, the City shall
provide, upon request, certain Interfacility transfer services subject to the
limitations and exclusions outlined below.
5.1 Interfacility transfer service is an ancillary service to be provided upon
request of an individual or institution and to the extent to which such
service can be provided while necessary emergency response standards
are maintained. The Department shall maintain a minimum of three
ambulances available to handle emergency medical service calls, except in
instances where one or more units are unavailable due to maintenance or
breakdown. First responder engine companies shall supplement available
units, as deemed necessary.
5.2 Prior to implementing any additional fee for service activities, specific
approval must be given by the City Council through the budget process
and by policy.
5.3 The City or Bangor Fre Department is authorized to provide interfacility
transfers originating solely within the Cities of Bangor and Brewer and
terminating witbin the Bangor Metropolitan Statistical Area (comprising the
Cities of Bangor and Brewer and the Towns of Eddington, Glenburn,
Hampden, Hermon, Holden, Kenduskeag, Milford, Old Town, Orono,
Orrington, Penobscot Nation, Winterport and Veazie).
5.4 The Department shall provide Interfacility transfer services to the City
Nursing Facility unless a patient requests an alternate provider and
payment is the responsibility of the patient not the Facility.
6.0 Miscellaneous Previsions
6.1 The Department, subject to final Council approval, is authorized to
negotiate and or revise mutual aid agreements covering emergency
medical services with other appropriate municipal, not for profit, or for
profit entities.
6.2 The Department is authorized to invesUgate and negotiate agreements
with other entities for pint services or cooperative ventures in such areas
as: dispatch and communications, purchasing, training, claims processing
and billing, medical direction, and data collection and reporting.
6.3 The Department is authorized, upon request, to provide stand-by
ambulance service at Bangor School Department athletic events and other
special events occurring within the corporate limits of the City of Bangor.
6.4 Nothing In this policy shall supersede or otherwise interfere with the
requirements of eidsting mutual aid agreements to which the City of
Bangor is a parry.
6.5 The City Council must approve all contracts between the Bangor Fire
Department and any other entity involving the provision of emergency
medical services, except in those instances where this authority has been
expressly delegated by Charter or Ordinance to the City Manager, Fre
Chief, or a subordinate Council Committee.
6.7 In any instance where a caller utilizing the 9-1-1 system requests the
services of another emergency medical service provider, the Department
shall forward that call to the requested provider in accordance with
protocols which currently exist or which will be developed for this purpose.
7.0 Responsibility to Review
The Fire Chief and the City's Emergency Medical Services Advisory
Committee shall be responsible for the pedodic review of this policy and to
recommend any changes or revisions to the City Manager for Council
consideration.
98-392
Ambulance Service Policy
1.0 Propose
The purpose of this policy is to establish guidelines m govern the provision of ambulance
and emergency medical services offered by the Bangor Fire Deposition,
2.0 Policy
It is the policy of the City of Bangor in provide to its citizens and visitors the highest
possible level of anergency medical services and emergency ambmance response.
Emergency response shall be given the bighestpriority for service. TheFre Depmnent
is charged with the responsibility to meet or exceed established national response time
standards and quality standards in the provision of his service.
Recognizing the public investment which has been made to train Fire pemonnel and to
provide the necessary equipment m meet emergency response needs, the Fire Department
is dhxted m establish appropriate f schedules for emergency medical services
appropriate to recover the City's marginal costs for providing these services.
in addition, the Department is authorized to provide interfacility transport services to the
extent that such services can be provided with existing equipment and manpower and
without negatively impacting the Department's primary emergency response mission.
The provision of such service is limited in further described in Section 5.0 below.
3.0 Ambulance Service Goals and lnteresls
In furtherance of %a policy objectives set out above, the following ambulance service
goals and interests are established. In implementing Nu policy. the City will strive to:
3.1 Maintain its ability to provide a fail range of anagency medical and rescue
services with response times at or below those currently provided;
3.2 humethe availability of an emergency services workforce necessary
appropriarely, respond to all emergency and fire calls;
3.3 Maintain a sufficient workload in insure that the stills of emergency response
personnel are maintained; and
3.4 provide a continuing revenue stream from services in order to offset a portion of
the costs associated with maintaining a complete emergency response capability.
4.0 Emergency Response Services
4.1 In order to meet the Department's primary emergency response mission, the
Department shall:
98-392
a. Operate and mai dmn in good working condition three Primary service
ambulances with one such unit to be located at each of the DepaNunfs
the stations. An additional backup unit shall be maintained to allow for
necessary maintenance and repair of front line equipment;
b. Insure that adequate persommel are trained and certified to provide
paramedic level response seven days a week and 24 hours per day;
C. Insme that all dispatch persowel are trained and certified in emergency
medical dispatch;
d. lnsure that the Department maintains appropriate certification and
complies with all laws, rales, and regulations refined for the provision of
emergency medical services;
4.2 The City specifically recognims that individuals and institutions in the
community retain the right to use their provider of choice for emergency medical
response and transportation services.
5.0 Interfacility Transfer Services
Consistent with the general policy outlined in Section 2.0 above, the City shall Provide,
Won request, certain imerfacility transfer services subject to the fimitations and
exclusions outlined below.
5.1 Interfacility header service is an ancillary service to be provided upon request of
an individual or institution and to the extent m which such service can be
provided while necessary emergency response standards are maintained.
5.2 Interfacility transfer services shall not extend to critical care transfers.
5.3 Interfacility transfers shall be limited to transfers originating within the area
covered by existing mutual aid o eements between the City and other area
communities for fire and emergency medical services.
5.4 The Department shall provide interfacility transfer services m the City Nursing
facility unless a patient requests an alternate provider and payment is the
respwvbdity of the patient not the facility.
6.0 Miscellaneous Provisions
6.1 The Department, subject to final Council approval, is authorized to negotiate and
or revise mutant aid agreements covering emergency medical services with other
appropriate municipal, not for profit, or for profit entities.
6.2 The Department is authorized tu investigate and negotiate agreements with other
entities for joint services or cooperative ventures in each areas as: dispatch and
communications, purchasing, training, claims processing and billing, medical
direction, and data collection and reporting.
98-392
6.3 The Department is authorized, upon request, to provide stand-by ambulance
service at Bangor School Departrnent athletic events and other special events
occurring within the corporate limits of the City of Bangor.
6.4 Nothing in this policy shall supersede or otherwise interfere with the requirements
oferisting context aid agreemenw N which the City of Bangor is a party.
umaulassapol
Ambulance Service Policy
1.0 Purpose
(AMENDED)
The purpose of this policy is to establish guidelines to govern the provision of
ambulance and emergency medical services offered by the Bangor Fire
Department,
2.0 Policy
It is the policy of the City of Bangor to provide to its citizens and visitors the
highest possible level of emergency medical services and emergency ambulance
response. Emergency response shall be given the highest priority for service.
The Fre Department is charged with the responsibility to meet or exceed
established national response time standards and quality standards in the
provision of this service.
Recognizing the public investment which has been made to train Fire personnel
and to provide the necessary equipment to meet emergency response needs, the
Fre Department is directed to establish appropriate fee schedules for emergency
medical services appropriate to recover the City's marginal costs for providing
these services.
In addition, the Department Is authorized to provide interfacility transport
services to the extent that such services can be provided with existing equipment
and manpower and without negatively impacting the Department's primary
emergency response mission. The provision of such service is limited as further
described In Section 5.0 below.
3.0 Ambulance Service Goals and Interests
In furtherance of the policy objectives set out above, the following ambulance
service goals and interests are established. In implementing this policy, the City
will strive to:
3.1 Maintain its ability to provide a full range of emergency medical and
rescue services with response times at or below those currently provided;
3.2 Insure the availability of an emergency services workforce necessary to
appropriately respond to all emergency and fire rails;
3.3 Maintain a sufficient workload to insure that the skills of emergency
response personnel are maintained; and
3.4 Provide a continuing revenue stream from services in order to offset a
portion of the costs associated with maintaining a complete emergency
response capability.
4.0 Emergency Response Services
4.1 In order to meet the Departments primary emergency response mission,
the Department shall:
a. Operate and maintain in good working condition three primary
service rescues with one rescue to be located at each of the
Departments fire stations. An additional rescue shall be
maintained to allow for necessary maintenance and repair of front
line rescues and be put Into service when necessary.
It. Insure that adequate personnel are trained and earthed to provide
paramedic level response seven days a week and 24 hours per day;
C. Insure that all dispatch personnel are trained and certified in
emergency medical dispatch;
d. Insure that the Department maintains appropriate certification and
complies with all laws, rules, and regulations required for the
provision of emergency medical services;
4.2 The City specifically recognizes that individuals and institutions In the
community retain the right to use their provider of choice for emergency
medical response and transportation services.
5.0 Interfacility Transfer Services
Consistent with the general policy outlined in Section 2.0 above, the City shall
provide, upon request, certain interfacility transfer services subject to the
limitations and exclusions outlined below.
5.1 Interfacility transfer service is an ancillary service to be provided upon
request of an individual or institution and to the extent to which such
service can be provided while necessary emergency response standards
are maintained. Generally, the Department shall maintain a minimum of
two ambulances available to handle emergency medical service calls, to be
supplemented, as deemed necessary, by first responder ergine
companies.
5.2 Prior to implementing any additional fee for service activities„ specific
approval must be given by the City Council through the budget process
and by policy.
5.3 Interfacility transfers shall be limited to transfers originating within
the Metropolitan Statistical Area which includes the City of Bangor.
Specifically, this shall include the following: Bangor, Brewer,
Eddington, Glenburn, Hampden, Hermon, Holden, Kenduskeag,
Milford, Old Town, Orono, Orrington, Penobscot Nation, W nterport
and Veazie.
5.4 The Department shall provide interfacility transfer services to the
City Nursing Facility unless a patient requests an alternate provider
and payment is the responsibility of the patient not the Facility.
6.0 Miscellaneous Provisions
6.1 The Department, subject to final Council approval, is authorized to
negotiate and or revise mutual aid agreements covering emergency
medical services with other appropriate municipal, not for profit, or for
profit entities.
6.2 The Department is authorized to investigate and negotiate agreements
with other entitles for joint services or cooperative ventures in such areas
as: dispatch and communications, purchasing, training, claims processing
and billing, medical direction, and data collection and reporting.
6.3 The Department is authorized, upon request, to provide stand-by
ambulance service at Bangor School Department athletic events and other
special events occurring within the corporate limits of the City of Bangor.
6.4 Nothing in this policy shall supersede or otherwise interfere with the
requirements of existing mutual aid agreements to which the City of
Bangor is a party.
6.5 The City Council must approve all cormacts between the Bangor Fire
Department and any other entity Involving the provision of emergency
medial services, except in those instances where this authority has been
expressly delegated by Charter or Ordinance to the City Manager, Fre
Chief, or a subordinate Council Committee.
6.7 In any Instance where a caller utilizing the 9-1-1 system requests the
services of another emergency medical service provider, the Department
shall forward that all to the requested provider In accordance with
protocols which currently exist or which will be developed for this purpose.
7.0 Responsibility to Review
The Fre Chief shall be responsible for the periodic review of this policy
and to recommend any changes or revisions to the CM Manager for
Council consideration