City Council Agenda

CITY COUNCIL EMS SUBCOMMITTEE AGENDA August 27, 2019, at 6:00 p.m. City Hall Council Chambers, 201 First Avenue East A. CALL TO ORDER B. DISCUSSION ITEMS 1. Emergency Medical Services C. PUBLIC COMMENT Persons wishing to address the council are asked to do so at this time. Those addressing the council are requested to give their name and address for the record. Please limit comments to three minutes. D. CITY MANAGER, COUNCIL, AND MAYOR REPORTS E. ADJOURNMENT UPCOMING SCHEDULE / FOR YOUR INFORMATION City Offices Closed – September 2, 2019 – Labor Day Next Regular Meeting – TUESDAY, September 3, 2019, at 7:00 p.m. – Council Chambers Next Work Session – September 9, 2019, at 7:00 p.m. – Council Chambers Reasonable accommodations will be made to enable individuals with disabilities to attend this meeting. Please notify the City Clerk at 758-7756. Page 1 of 1  City of Kalispell Post Office Box 1997 - Kalispell, Montana 59903-1997 Telephone (406) 758-7700 Fax - (406) 758-7758 MEMORANDUM To: Members of the EMS Subcommittee From: Doug Russell, City Manager Re: EMS delivery options Meeting Date: August 27, 2019 BACKGROUND: During budget discussions regarding Emergency Medical Services, the City Council requested reconvening the EMS subcommittee to discuss options related to soliciting requests for proposals for the provisions of these services. This follows from previous efforts to address the fiscal challenges in funding this service. Previous efforts have included a levy election that failed to pass, revamping the rate schedule, and various activities to facilitate efficiencies within the operations. The operation continues to require a transfer from the general fund in order to meet financial requirements of the operations, prompting the discussion during budget sessions. At a previous EMS subcommittee meeting in July, we reviewed various benchmarks from several communities. Since that time, we have been able to assimilate a more comprehensive comparison, which we will review with the committee. Additionally, a private entity has received information on department operations and call information. We are hoping they are able to provide feedback between now and the meeting on Tuesday. RECOMMENDATION: Information will be presented for the EMS Subcommittee to further discuss options related to a solicitation of services. ATTACHMENTS: Comparison information from other communities.  Review of Best Practices Ambulance Company Fire Department Dedicated ALS or transport units BLS What level of care does Call volume in contract per Service EMS Response time Does City Fire Is City reimbursed for the FD respond (ALS, BLS Contract/Ordinance/Other arrangement (EMS) call volume (or both) expectations Respond responses or Both) Subsidy Paid Payer Mix Billings Ordinance N/A AMR ALS/AMR AMR Yes No Both no Unknown 9 minutes or less @ 34,000 Annual upon Missoula Ordinance and Contract 6040 See note both 90% yes new contract Both no Unknown ALS or Based on BLS 9 minutes response Service Great Falls Ordinance and Contract 5451 performance (or both) Yes No ALS non transport no Unknown No, unless we cover the call with our ambulance at which Approx 2,200 8:00 or less 90% of point we charge AMR Bozeman Ordinance in city only No ALS the time Yes not the patient Both no Unknown Butte Contract/Ordinance/Other arrangement Unknown A-1 Amb Both A-1 Amb Yes, we use No BLS with endorsements no Unknown EMD to triage calls and HFD = 3000, respond to Not with money, but Total System is 3 to 4 during priority calls SPAS gives us some Both, Depends on daily Helena Contract with St. Pete's (SPAS) 6000 day, 2 at night ALS none with SPAS. supplies. staffing Anaconda Fire based Transport 1200 Yes N/a BLS with endorsements N/A unknown Havre Fire based Transport 1221 Yes N/A BLS with endorsements N/A Unknown Miles City Fire based Transport 1284 1 Both None Yes No Both N/A see note 2 Livingston Fire based Transport 1700 N/A N/A N/A Yes N/A ALS Transport N/A Unknown NOTE: 1. MESI currently staffs 4 ALS units 24/7 with a 5th unit on call 24/7 and 1 supervisor on shift from 06:00-18:00 and on call from 18:00-06:00. This is staffing for their whole response area including the City of Missoula. 2. 51.31% Medicare, Part B, 9.24 %, Medicaid Payment 7.84 % Commercial ins7.68 % VA payment7.14 % Personal check5.58 % Medicare copay ins 3.20 % Work Comp 2.84 % Blue cross