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Published on : Mar 14, 2014
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Slide 1 - Ambulance Coverage Town of Westhampton, Ma December 17, 2012
Slide 2 - Overview Current Contract Town of Westhampton signed agreement with Northampton- 5 yr. contract 2010-2015 Provided for ALS response and transport Allowed for our personnel to join Northampton personnel in all continuing education training and refresher training free of charge
Slide 3 - Financial Provisions of Contract FY 2011- $10,800 FY 2012- $12,600 FY 2013- $14,400 FY 2014- $16,200 FY 2015- $18,000 Total over 5 years- $72,000 Remaining Amount- $34,200
Slide 4 - Potential Options Easthampton Fire Hilltown Ambulance Highland Ambulance Alert Ambulance Pioneer Valley Ambulace Westhampton Fire/EMS Combination of above resources
Slide 5 - Easthampton Fire Paramedic level Service Limited Staffing Current City Leadership-history of terminating contract due to expense
Slide 6 - Hilltown Ambulance Regionalized service Paramedic level Service 8hrs/day Longer response times Unknown response capabilities after midnight Limited resources
Slide 7 - Highland Ambulance Regionalized service Paramedic level service 0800-midnight On call personnel after midnight Long response times/winter time, etc. Limited resources
Slide 8 - Pioneer Valley EMS Sister company of MedStar Ambulance Base in Northampton 4 ambulances Paramedic level response capabilities Ability to provide additional resources if needed
Slide 9 - Westhampton Fire/EMS Option Westhampton Fire Department members provide service Work in conjunction with another ambulance partner Basic Level response capabilities
Slide 10 - Ambulance Committee Recommendation Westhampton Fire Based Ambulance transport service-Basic level Hours of Operation for transports- 4PM-Midnight / 7 days / week Midnight-4PM- Transport services provided by Pioneer Valley Ambulance Service Westhampton EMT’s continue to respond to every call regardless of hour
Slide 11 - Call History-Trends Total Call Volume- Fiscal Year FY 10- 67 FY 11-64 FY 12- 82 Calls between 4PM-Midnight FY 10- 22 or 33% FY 11- 26 or 41% FY 12- 41 or 50%
Slide 12 - Start Up Costs Ambulance- $3,000 funded from Firefighters Association-Easthampton Ambulance AmB Pro License- ePCR reporting- $2,995 start up cost License fee- $600/year Food & Drug license- $300 Additional Insurance- $1,200 Stretcher & Stair Chair- to be funded by grant funds Prelimary start up costs to Town-$5,095
Slide 13 - Funding For Start Up Costs Utilize $15,000 of funds contractually committed for FY 14 ambulance contract Funds to initially be drawn from free cash
Slide 14 - Revenue Projections 10 ALS calls @ $1,000/call= $10,000 5 BLS calls @ $800/call= $4,000 Total billed= $14,000 Total collected- $10,500 (75% collection)
Slide 15 - On-going cost/year EMS Billing- 4% collected revenue ($420/yr. based on revenue collections of $10,500) Supplies- $1,000 Fuel- $250 (15 calls @ $15/call) Vehicle repairs & maintenance-$1,000 Personnel- $1,200 ($40/call/person). This would take effect July 1, 2014. ALS intercept fee- $2,750 (based on 10 ALS intercepts /yr.) Annual insurance increase- $1,200 Ambu Pro- $600 beginning in FY 15 Training/recertification- $1,500 Total costs- $9,920
Slide 16 - Operations (4PM-Midnight) Westhampton Ambulance primary transports unit Primary ALS intercept comes from Pioneer Valley Ambulance If Westhampton unable to staff ambulance, Pioneer Valley Ambulance becomes primary transport unit
Slide 17 - Operations Cont. ALS calls (4PM-Midnight) All calls will be emergency medical dispatched (EMD’d) by Northampton Control During this time frame, if determined by Northampton Control Dispatchers that it is an ALS level call, they will automatically and immediately call for an ALS intercept ALS intercept service will meet up with our personnel and supply advanced life support equipment and supplies while Westhampton transports patient and assists with patient care
Slide 18 - Operations Cont. Midnight – 4PM Pioneer Valley Ambulance- Primary ambulance transport service If Pioneer Valley Ambulance unavailable to respond, next ambulance service on mutual aid matrix will be called Westhampton EMT’s toned and will respond as we do today Provide initial stabilization and treatment and transfer care over to transport ambulance service
Slide 19 - Benefits Provides increased level of service to community Decrease transport times from time of incident to arrival of patient at a health care facility Provides for improved continuity of care Allows us to take care of our own Provides for motivation and recruitment of additional personnel Enable personnel to increase skill level Eliminates community from continually being a bargaining piece for other services Eliminates current retain fees from other services that will continually go up each year Will provide revenue stream to help offset costs for providing expected services to the community
Slide 20 - Action Items Personnel begin orientation at Cooley Dickinson Hospital Emergency Room (minimum 4 hours / person)- January 2013 Personnel begin ride time with ambulance services to get ride time experience (minimum 5 calls each)- January 2013 Development policies & procedures- January 2013 Procurement ambulance, stretcher, stair chair- April 2013 Development affiliation agreement CDH-April 2013 Development of provider agreement with Pioneer Valley Ambulance- April 2013
Slide 21 - Action Items Cont. Apply for license- April 2013 Establish mutual aid and intercept agreements- April 2013 Internal training- Review State OEMS protocols, Ambu Pro training, report writing documentation, stretcher operations, radio reports, etc.---Ongoing Establish a EMS reserve receipt account for ambulance revenues to be later utilized for EMS operations Update insurance coverage on vehicles Implementation- July 1, 2013
Slide 22 - Proponents of this System Every Westhampton EMT Dr. Raymond Conway-Medical Director, Cooley Dickinson Hospital Pioneer Valley Ambulance- met with management staff numerous times and personnel have already come out to Westhampton Northampton Control- Tom Dunphy, Director