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Home My WebLink About1998-01-26 98-94 RESOLVEItem No._ 99-4k_ — Date: 1.26-98 IIeMSubjeet: Resolve, Making an Appropriation of Fonds to Enable the Fire Department to Commence Inter -Facility Trouspormtion Service effective March 1,1998 Responsible Depanmenh Fire Department Coninimmry: This Resolve would provide for the appropriation ofmpenditures and revenues necessary fm the Fire Depulment to begin Inter -Facility insiders effective March Ia. The budget as prepared, would cover the remaining four momhs(March - lune) of the current fiscal year. As discussed with the Municipal Operations Committee on Jmumy 6th and harbor detailed in separate memorandums from the City Manager and Fire Chief this proposal would significantly expand the City's prevision of inter-facilitytrmsters. This service involves the non -emergency transportation of individuals between various health care facilities within the community. This proposal has beenpreliminerily reviewed by the Municipal Operations Committee which recommended tbaz staffpmceed to develop an operating budget for the remainder of the year. As prepared, the proposed 4 month budget anticipates net revenue to the City of approximately $4'1,000. This is based upon conservative revenue estimetes of both cost reimbursement amounts and traysims made (5 per day for March and April; 7 per day for May and June) and full was for all necessary expmdimms to begin providing ^�thef/ s((ervI".11 .W 14 LA � 1� I pj T0.d/t fL/ffJA �UJ DePartmeM Heed Manager's Canonicals: This Resolve should be refitted to the Finance Committx for further a'1 r sevum diacusaioe. Fi,naauhaa t4.atlds4"�, O ,er1, .+f Cr♦ B -I Vo ow�w�t6f121<iN u1u�1 Ayotnu 40jc 4 truJ"' nu^ 'j City Manager leas! L AssocWed lnforandoon Resolve, Expenditure and Reverme Projections, Background Memoranda Budget Approval: Legal Approval:l/ Crty Solt Introduced for Passage ypirst Reading Page—of JL Referral fiW(C^*f Assigned to Councilor Aube January 26, 1998 _ CITY OF BANGOR (TITLE,) 712 QBOlve..._MakinganAFproEnatioo pf Funds to Enable the Fire DeRg1lAIRggFCAR�.�4N!64.9Sg.IBAES:Fpc,{lils,7_rgrepoK[a[fon,BeMces ERective,MercIs .1.. 9.9...8 Be W City Comm! ofGw CiN ajBaTgar: RE3OLV&D. Whereas, the Bangor Fire Department hes identifiedan opportunity to expand services through the provision ofinho-facility transportation services within the community; and Whereas, the Banger Fire Department bas the required capability end is willing to provide staffing, equipment and management oversight necessary to successfully offer this service, and Whereas, the provision of Us service will require supplemental appropriation of expenditures art revennes for the remainder of the torrent fiscal year; and Whereas, the City Council approves of this expanded service to be provided by the Bangor Fire Department effective March 1, 1998 NOW, THEREFORE, be it Resolved by the City Council that: an expenditure budget of ninety-five thousand, two hundred and forty-two dollars ($95,242) and a revenue budget of one hundred Porty-two thousand four hundred and fifty dollars ($142,450) is hereby appropriated for the provision ofinter-facility transfers for the period March 1, 1998 through June 30,1998; out BE IT FURTHER RESOLVED TEAT: the Finance Dvector shall establish such accounts as are required and necessary to properly account for said funds. IN CITY COUNCIL January 26, 1998 Council Voted conflict for Councilor Crowley Councilor Crowley abstained on Refermst First Reading Referred to Finance Committee IN CITY COUNCIL February 9, 1998 Representatives of Local Health - Care Facilities, Ambulance Service Providers b the Bangor Fire Depart- ment addressed this Resolve Councilor Crowley Abstained from discussion and vote Council voted Conflict for Councilor Woodcock Vote: 3 yes. 2 no, 2 ab- staining. 1 absent Councilors vot- ing yes: Farnham, Leer 6 tyler Councilors voting u Aube A Baldacci Councilors abstaining: Crowley A Woodcock Councilor absent Rohman Councilor Tyler chaired the remaining vote and discussion at this time Council voted no Conflict for Councilor Farnham Vote: 4 no, 3 abstaining, 1 absent Councilors voting no: Aube, Baldeccl, Leen A Tyler Councilors abstaining: Crowley, Farmbae A Woodcock Councilor absent: Rohmen Motion for Passege Failed - 4 no, 1 yes, 1 absent, 2 abstaining Councilors voting no: Baldaccl, ratchets, Leen 6 Tyler Councilor voting yea: Aube Councilor absent: Rohman Councilor abstaining: Crowley S Woodcock Notion to Reconsider Passed Motion to Table and Refer back to Municipal OPara n Committee Passed ,�ti d 98-94 R E 5 0 L V E McHn n Avo nolo rvlon f Famen to Enable F1 ➢e$� �[m nt to Commence Iectiv Facility /Tj��rpnegptlYe.tion Services Effective Mercb LII%981��/UC IN CITY COUNCIL May 11, 1998 Motion to Indefinici[ely Postpone Made and Seconded Motion Passed Councilors Crowley 6 Woodcock Abstained from Voting Indefinitiley Postponed 98-94 provider of choice. In order to be able to bid to be the provider of choice we will need to provide all needed transportation services. We also could be forced to receive our reimbursement from another party who has been contracted with the managed care organization. But, receive that revenue at well below the current levels. This would certainly reduce the amount of current revenue being generated by providing E.M.S.. It is our believe at the Bangor Fire Department that we need to be proactive not reactive. Being proactive is to further expand our current level of Inter -Facility Transport. This not only allows the Fire Department to retain current revenue from providing E.M.S. but, allows the Fire Department to increase the current revenue from providing E.M.S.. 98-96 To: Honorable Council Chair and Members of the City Council From: Jeffrey Cammack, Fire Chief Subject: Inver -Facility Transports Daze: January 20, 1998 Atraclwd please find a copy ofCosl Projections and Reverme projections for Inter - Facility Trampmrs to cover from March 1, 1998 thea Jmre 30, 1998. These are non- emergency transfers of individuals between various facilities in the community such as hospitals and musing homes. The Departsnem currently does a limited number ofthese The City ofBangor could realize a net revenue of $ 47,208.00 for this 4 mouth period. I have projected the cons and revemse by looking at ono past history in Use Inver -Facility Transfer business.I feel very confident that these projections are a hue reflection ofwhat we should anticipate for was end revenues. As discussed in the Municipal Operations meeting on January 6,19%,1 believe it is important for the Fire Department 10 pursue the haen-Frulhy business our only to further enhance car merge but also, to ensue that ono curter rnat essays at its current level. 98-94 COST PROJECTIONS FOR INTER -FACILITY TRANSPORTS MARCH 1,1998 -JUNE 30,1998 l maprojxdwuaeL Oape3 Iv, dmarofeulnok�aa�rcd mhe�erm. 'Ihedg,ae BaN is B m 7f1198 waew anal a is usog 0mpay saelar aIwsW aForma�amW+o wlw av agbaledegce BblNe i'h%5ap� l0 ypt5 pf5CNlee. ]DaysaW k2lTV lONWyx5210.0WWy 5301400 WeWy Be Ua35% f105500WoWy ToAd Fm6etr Wanessad HmefiGtrwriad March L1998-3useb. 1998 $ 7314200 EMS, Supplies 05,00000 E lfm Rescues 50.000.00 Matanval Work $8100000 a Awares Rma DD ERMI. 849d9A9 Laurence 8100000 TOW Associated Ex"ad0wres For puiod Much 11""cme 3111998 822JI00.00 TOIOI Wages aiE efits $ n342A0 TOWAua wExMxliN OOo00 REVENUE PROJECTIONS FOR INTER-FACR,TTY TRANSPORTS MARCH 1, 19984UNE 303 1998 M.rria 1, 199&MareL 31, 19M 5 TholiggN/Daly x 518500 I T500gpw1 $ 925.00➢vry 5925.00/DOyx7 Dpyx/ WrrNy 56,425,00 Weekly 5 k475M Waklyx4 Wal¢ 121,9N April 1,1998-April30, 19M S Tsaiap9pe/Dairy x$18300/Tsmup9n 5 925.00 Wily 5925.W/Days 7 Dip /WceYly 56,47500 Ws v $6,475.WWaklyx4Wa 621r9M69 May 1, I9 May 31, 1998 7Tvoslpns/WJyx$185W/Tim9Ur1 $ 1,295.MMly $1,295 W /Day x 7Days I Weekly $ 9,065, W Weedy 5 9,005.00/WoWyx5Weela 345,0110A Jove 1, I9MJoue M, 19M 7 Tuoepana/ Daily x$ IMMI Tn0rp9n 5 1,29500 Daly $129500IDayx7Daynl Weekly 8 91065.00 WaWy $ a%5 W / Weekly x 5 Wad 3 4MAN TOW Projected aauec 5142450.00 TOW Projected Coe4 -$ 95.24200 t .OD 98-94 To: Honorable Council Chair and Members ofthe City Council From: Edward A. Barrett, City Manager Subject: Fire Department Ambulance Service--Inter-Facility Transports Date: December 12, 1997 Attached please find a memorandum prepared by the Fire Chief outlining a proposal b expand our provision of interfacility aausfers. These are non -emergency transfers of individuals between various facilities in the community such as hospitals and nutaing homes. The Department does a limited number of these cumently but has not aggressively pursued them due to our recut emphasis on upgrading our emergency services. The Chief has estimated that the City could realize net revenues after expenses in excess of $500,000 per year. Beveuue projections are also attached for your review. Chief Cammack believes the most accurate athese to he the one based on $275 in revenue per 4ansport which results in an annual net of $730,024 per year. Over rhe past several years, we have placed a strong emphasis on upgrading our emergency medical services. We have expanded our ambulance fleet, provided paramedic level care, and rmently have located an ambulance at each of our fire stations. Every improvement and expansion of this service has resulted in objections from Capital Ambulance and various proposals from them order which the City would limit its services under a cormactual ammgemew with them which, based on my analysis, would reduce the revenues received by the City. Generally, these proposals have them based an a system where the City would provide the initial response to an emergency, Caphal would provide nmupost services and the City would respond ambulance personnel when thea units were not available. I anticipate that Capital Ambulance will object to this proposal as well. Since there is likely m be such objection, I thought it would be helpful to provide this information m advance. Itwill he scheduled for discussion atthe Municipal Operations Committee in several weeks. In the comment, I have asked the Chief to comact each of you over the next week or w to discuss the proposal further and answer any questions you may have. Please also feel fice to let me know your thoughts end comments. I/!R, �-vv EAB1j w: Jeff Cammack, Fire Chief Bob Farrar, Assistant City Manager 98-94 Memorandum December 10, 1997 To: Councilor Timothy Woodcock, Mayor Councilor James Tvler Councilor Michael Aube Councilor Joseph BaldacCi Councilor David Leen Councilor Nichi Farnham Councilor Jon Rohman Councilor Michael Crowley From: Jeffrey Cammack, Fire Chief Re: inter -Facility Transports As you are aware the Fire Department provides the emergency rescue service for the city. This is done by staffing each of the three (3) Rescues at each station with a Firefighter/Paramedic. The driver of each Rescue performs dual roles. When responding to a Fire call they perform the duty of a Firefighter and ride the Fire Engine. When responding to an E.M.S. call they perform the duties of driver for the Rescue and perform E.M.S. duties. By operating in this manner we have increased the amount of personnel immediately available to respond to emergency calls in each stations response area. We also have reduced our response time by as much as five (5) minutes for E.M.S. calls in some areas of the city. This allows for the Rescues to respond to all areas in the city in 4 minutes or less when responding to E.M.S. calls. The Fire Department currently generates around $400,000.00 annually by providing emergency service and limited Inter - Facility Transport service. We believe by increasing o efforts in the Inter -Facility Transport area we could triple the current amount of revenue generated. We believe that not only could w generate more revenue by increasing o efforts but, the number of personnel readily available to go to work, would increase, should the need arise. Another reason we find it important to increase our efforts is it would allow the Fire Department to retain current revenue collected in a managed care environment. A Managed Care Organization (M.C.O.) contracts with one (1) agency to provide all of the transportation needs of the clients they service. This could mean we still respond, treat and transport patients but, would not be reimbursed by the M.C.O. because we were not the