HomeMy WebLinkAboutFIREMED PROGRAM 1989-90 05/24/90 MINUTES INDEX Page 1
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INX CATPGCIRY 'SUB VOL PAGE DATE KEYWORDS
---"`' ------- --- ---- ---- -------- -------------------------------------------
55 43 33 05/22/89 FIRE MED PROGRAM - REPORT RQSTD
55 43 176 08/21/89 FIRE-MED MEMBERSHIP PLAN - CONCEPT APPRVD
95 43 176 08/21/89 FIRE-MED MEMBERSHIP PLAN - CONCEPT APPRVD
55 43 203 09/18/89, DISCUSS: RES 6066 - IMPROVED EMERGENCY
MEDICAL SERV - ESTAB FEE FOR FIRE-MED SERV
TO NON-RESIDENTS
21 43 203 09/18/89 DISCUSS: RES 606 - IMPROVED EMERGENCY
MEDICAL SERV - ESTAB FEE FOR FIRE-MED SERV
TO NON-RESIDENTS
23 43 203 09/18/89 DISCUSS: RES 6066 - IMPROVED EMERGENCY
MEDICAL SERV - ESTAB FEE FOR FIRE-MED SERV
TO NON-RESIDENTS
55 43 216 09/18/89 RES 606 - ADPTD - IMPROVED EMERGENCY
MEDICAL SERV - ESTAB FEE FOR FIRE-MED SERV
TO NON-RESIDENTS
21 43 216 09/18/89 RES 6066 - ADPTD - IMPROVED EMERGENCY
MEDICAL SERV - ESTAB . FEE FOR FIRE-MED SERV
TO NON-RESIDENTS
23 43 216 09/18/89 RES 6066 - ADPTD - IMPROVED EMERGENCY
MEDICAL SERV - ESTAB FEE FOR FIRE-MED SERV
TO NON-RESIDENTS
55 44 106 12/04/89 DISCUSS: PUB HEAR - FIRE-MED PROGRAM - ORD
3026 - RES 6093
70 44 106 12/04/89 DISCUSS: PUB HEAR - FIRE-MED PROGRAM - ORD
3026 - RES 6093
70 44 115 12/04/89 PUB HEAR - ORD 3026 - INTRO APPRVD - RES
6093 - ADPTD - FIRE-MED PROGRAM - ANNUAL
REPORT RQSTD
55 44 115 12/04/89 PUB HEAR - ORD 3026 - INTRO APPRVD - RES
6093 - ADPTD - FIRE-MED PROGRAM - ANNUAL
REPORT RQSTD
96 44 115 12/04/89 PUB HEAR - ORD 3026 - INTRO APPRVD - RES
6093 - ADPTD - FIRE-MED PROGRAM - ANNUAL
REPORT RQSTD
640.10 44 183 01/22/90 ORD 3026 - ADPTD - FIRE-MED SERV - FIRE-MED
PROGRAM - 510 .45
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05/24/90 MINUTES INDEX Page 2
INX CATVGOR) SUB VOL PAGE DATE KEYWORDS
-- ----- --- ---- ---- -------- -------------------------------------------
510 .45 44 183 01/22/90 ORD 3026 - ADPTD - FIRE-MED SERV - FIRE-MED
PROGRAM - 510 . 45
Page 21 — Council /Agency Minutes — 1 /22/90
A motion was made by MacAllister, seconded by Mays , to approve the new
agreement with Rainbow Disposal Co. in concept and direct the City Attorney to
prepare a contract for presentation to Council at the February 5, 1990
meeting. The meeting carried by the following roll call vote:
AYES: MacAllister, Winchell , Green, Mays , Bannister, Silva, Erskine
NOES: None
ABSENT: None
ORDINANCE NO. 3025 — ADOPTED — ASCON ROTARY MUD DUMP SITE — CODE AMENDMENT
NO 89-13 (440.50)
The City Clerk presented Ordinance No. 3025 for Council consideration — "AN
ORDINANCE OF THE CITY OF HUNTINGTON BEACH AMENDING ARTICLE 969.9 OF THE
HUNTINGTON BEACH ORDINANCE CODE PURSUANT TO LOCAL COASTAL PROGRAM AMENDMENT
NO. 89-1 ." (40 acre parcel at SW corner of Magnolia/Hamilton) (Aston Rotary
Mud Dump Site) Code Amendment No. 89-13.
A motion was made by Mays , seconded by MacAllister, to adopt Ordinance
No. 3025. The motion carried by the following roll call vote:
AYES: MacAllister, Mays , Bannister, Silva, Erskine
NOES: Winchell , Green
ABSENT: None
ORDINANCE NO. 3028 — ADOPTED — ZONE CHANGE NO. 87-14—A (450.20)
The City Clerk presented Ordinance No. 3028 for Council consideration — AN
ORDINANCE OF THE CITY OF HUNTINGTON BEACH AMENDING SECTION 9061 OF THE
HUNTINGTON BEACH ORDINANCE CODE TO PROVIDE FOR A CHANGE OF ZONING ON REAL
PROPERTY GENERALLY LOCATED IN .85 ACRES SOUTH OF HAMILTON AVENUE AND WEST OF
MAGNOLIA STREET (ZONE CHANGE NO. 87-14—A)." (Adds Coastal Conservation
District as imposed by the Coastal Commission) (Aston Rotary Mud Dump Site) .
A motion was made by Mays , seconded by MacAllister, to adopt Ordinance
No. 3028. The motion carried by the following roll call vote:
AYES: MacAllister, Green, Mays , Silva, Erskine
NOES: Winchell , Bannister
ABSENT: None
ORDINANCE NO. 3026 — ADOPTED — FIRE—MED SERVICES (510.45)
The City Clerk presented Ordinance No. 3026 for Council consideration — "AN
ORDINANCE OF THE CITY COUNCIL OF THE CITY OF HUNTINGTON BEACH ESTABLISHING
PROCEDURES AND AUTHORIZING CHARGES FOR FIRE—MED SERVICES WITHIN THE CITY OF
HUNTINGTON BEACH."
A motion was made by Mays, seconded by MacAllister, to adopt Ordinance
No. 3026. The motion carried by the following roll call vote:
AYES: MacAllister, Winchell , Green, Erskine
NOES: Mays , Bannister, Silva
ABSENT: None
1
Page - Agency/Council Minutes - 12/4/89
The Deputy City Clerk presented Ordinance No. 3027 for Council consideration
- "AN ORDINANCE OF THE CITY OF HUNTINGTON BEACH AMENDING THE HUNTINGTON BEACH
ORDINANCE CODE BY ADOPTING PRECISE PLAN OF STREET ALIGNMENT NO. 89-3 ALIGNING
WALNUT AVENUE BETWEEN MAIN STREET AND SIXTH STREET." (60 ft. right-of-way)
A motion was made by Erksine, seconded by Mays , to approve introduction of
Ordinance No. 3027, after reading by title, approve Negative Declaration
89-36 and approve Precise Plan of Street Alignment 89-3 based on the following
findings as set forth in the RCA dated December 4, 1989:
1 . Precise Plan of Street Alignment No. 89-3 to reduce the right-of-way .of
Walnut from 80 feet to 60 feet between Main and Sixth Streets will pro-
vide for orderly and efficient flow of traffic through the Downtown Core
Area by means of two travel lanes with or without turning pockets , four
travel lanes with no turning pockets , or by three travel lanes with left-
turn pockets .
2. The reduction in ultimate right-of-way width proposed by Precise Plan of
Street Alignment No. 89-3 will promote the orderly and timely development
of projects in the Redevelopment Area.
3. The proposed Precise Plan of Street Ali.gnment to create a modified
secondary arterial meets the objectives of the Circulation and Coastal
Elements of the General Plan and the objectives of the Downtown Specific
Plan.
The motion carried by the following roll call vote:
AYES: MacAllister, Green, Mays , Silva
NOES: Winchell , Silva, Bannister f
ABSENT: None
(City Council) PUBLIC HEARING - ORDINANCE 3026 - INTRODUCTION APPROVED -
RESOLUTION 6093 - ADOPTED - FIRE-MED PROGRAM - ANNUAL REPORT REOUESTED
The Mayor announced that this was the day and hour set for a public hearing to
consider implementation of the Fire-Med Program which was previously approved
in concept on August 21 , 1989.
Legal notice as provided to the City Clerk' s Office by staff had been pub-
lished and posted. No communications or written protests were received on the
matter.
Fire Chief Picard presented a staff report using slides.
Discussion was held regarding the billing process.
The Mayor declared the public hearing open.
There being no one present to speak on the matter and there being no protests
filed, either oral or written, the hearing was closed by the Mayor.
The Deputy City Clerk presented Ordinance No. 3026 for Council consideration
- "AN ORDINANCE OF THE CITY COUNCIL OF THE CITY OF HUNTINGTON BEACH ESTAB-
LISHING PROCEDURES AND AUTHORIZING CHARGES FOR FIRE-MED SERVICES WITHIN THE
CITY OF HUNTINGTON BEACH." (Establishing policies and authorizing charges
pertaining to Fire-Med services within the City of Huntington Beach. )
Page 9' - Agency/Council Minutes - 12/4/89
The Deputy City Clerk presented Resolution No. 6093 for Council considera-
tion - "A RESOLUTION OF THE CITY COUNCIL OF THE CITY OF HUNTINGTON BEACH SET-
TING ADVANCED LIFE SUPPORT, BASIC LIFE SUPPORT AND EMERGENCY AMBULANCE TRANS-
PORTATION FEES TO BE CHARGED BY THE FIRE DEPARTMENT OF THE CITY OF HUNTINGTON
BEACH." (Setting membership, Advanced Life Support (ALS), Basic Life Support
(BLS) , and emergency ambulance transportation fees to be charged by the
Huntington Beach Fire Department as part of the Fire-Mod program.)
A motion was made by MacAllister, seconded by Erskine, to
1 . Approve introduction of Ordinance No. 3026 after reading by title,
2. Adopt Resolution No. 6093,
3. Approve a 1989-90 Fire-Med Program Budget of $425,000 to implement the
program with offsetting revenues of $264,000 in FY 1989-90. The balance
of $161 ,000 will be recovered in FY 1990-9.1 ,
4. Direct staff to request proposals from licensed ambulance services to
provide contracted emergency ambulance transportation,
5. Allocate $150,000 for the acquisition of a Unisys compatible laser
printer and replacement mail insertion machine. Source of funds to be a
combination derived from the Water Fund and Unappropriated General Fund.
The motion carried by the following roll call vote:
AYES: MacAllister, Winchell , Green, Bannister, Erskine
NOES: Mays , Silva
ABSENT: None
Councilman Bannister directed the Fire Department to present to Council a full
financial report annually for five years.
Councilman Bannister left the room.
(City Council) PUBLIC HEARING - ORD NO 3028 - APPROVED INTRODUCTION - RES
NO 6096 - ADOPTED - ZONE CHANGE NO. 87-14-A SH OF MAGNOLIA STREET AND HAMILTON
AVENUE - APPROVED - ASCON PROPERTIES INC.
The Mayor announced that this was the day and hour set for a public hearing to
consider the following:
APPLICATION NUMBER: Zone Change No. 87-14-A
APPLICANT: Ascon Properties, Inc.
LOCATION: Southwest of Magnolia Street and Hamilton Avenue (southwest
0.85-acre portion of the Ascon site, adjacent to the flood control channel )
EXISTING ZONE: Q-LUD-01-CZ-FP2 (Qualified Limited Use District combined with
oil production and drilling - Coastal Zone - Floodplain) - Approved by City
Council on October 3, 1988.
REQUEST FOR CITY COUNCIL ACTION
Date November 21, 1989
Submitted to: Honorable Mayor and City Council APPROVED BY CITY COUNCIL
Submitted by: Paul E. Cook, City Administrator l2 — 19
Prepared by: Raymond C. Picard, Fire C i CITY. F ,�
:t rn
Subject: FIRE-MED PROGRAM , m
'y1
Consistent with Council Policy? [ ] Yes N1 New Policy or Exception
Statement of Issue, Recommendation,Analysis, Funding Source,Alternative Actions,Attachments:
STATEMENT OF ISSUE:
The City Council, at the August 21, 1989, meeting approved the FIRE-MED concept. Approval
of the attached ordinance, resolution and FIRE-MED budget is necessary for program
implementation on July 1, 1990.
RECOMMENDATION:
1. Approve the FIRE-MED ORDINANCE establishing policies and authorizing charges
pertaining to FIRE-MED services within the City of Huntington Beach.
2. Approve the FEE RESOLUTION setting membership, Advanced Life Support (ALS), Basic
Life Support (BLS), and emergency ambulance transportation fees to be charged by the
Huntington Beach Fire Department as part of the FIRE-MED program.
3. Approve a 1989-90 FIRE-MED PROGRAM BUDGET of $425,000 to implement the program
with offsetting revenues of $264,000 in FY 1989-90. The balance of $161,000 will be
recovered in FY 1990-91.
4. Direct staff to REQUEST PROPOSALS from licensed ambulance services to provide
contracted emergency ambulance transportation.
5. Allocate $150,000 for the acquisition of a Unisys compatible laser printer and replacement
mail insertion machine. Source of funds to be a combination derived from the Water Fund
and Unappropriated General Fund.
ANALYSIS:
Existing paramedic service in Huntington Beach is not satisfactory due to poor response times
and an inadequate number of paramedic units. These factors adversely effect patient survival
rates for victims of cardiac and traumatic incidents. This factor will be in a crisis stage if the
Fountain Valley Trauma Center ceases operation and the paramedics will be transporting to
UCI, WES-MED or Mission.
The City Council and the Growth Management Committee have established a paramedic
response time goal to arrive at the scene of medical emergencies within five (5) minutes, eighty
percent (80%) of the time. The Fire Department paramedics now arrive within five (5) minutes
only fifty-five percent (55%) of the time. Additional paramedic units are needed to meet these
standards.
Plo 5/85
REQUEST FOR CITY COUNCIL ACTION
FIRE-MED PROGRAM
PAGE 2
A fee for service program is required to fund this improved service level. Currently, the City is
unable to obtain reimbursement from insurance companies, government health programs and
individuals because there is no fee structure in place. The City can recover these funds by
establishing a fee for service and billing the proper agencies or individuals.
As an alternative to paying these direct fees, all Huntington Beach residents and businesses
have the opportunity to join the FIRE-MED membership program. A $36 annual membership fee
will allow members to participate in expanding the paramedic program while capping their costs
for emergency medical AND AMBULANCE TRANSPORTATION services.
The voluntary membership fee allows the member to prepay, at a fixed price, the uninsured
portion of emergency ambulance and medical services. The City will bill the member's
insurance company for the insured portion of the member's bill.
The enrollment period for new members would begin on April 1, 1990. Implementation of user
fees would start July 1, 1990. Persons receiving a utility billing form the City will
automatically be enrolled in the FIRE-MED program and may terminate membership at any
time.
Monies derived from this program will offset the increased cost of providing the expanded
paramedic system and will fund the private ambulance contract.
The projected start-up cost required to implement the FIRE-MED program is $425,000.
Revenues generated from the enrollment period during April-June, 1990 and the non-resident
ALS/BLS service fees will offset the cost by an estimated $264,000.
The projected cost and program reimbursement for the next three (3) years is as follows:
90/91 91/92 92/93
Program Revenues $1,677,500 $1,718,900 $1,760,732
Gross Program Cost $1,381,829 $1,484,838 $1,554,972
Net Program Reserves $ 295,671 $ 234,062 $ 205,760
The projections are based on a thirty percent (30%) participation of residents and businesses.
This level is consistent with other Orange County subscription models which also utilize their
city's utility bill for enrollment. Based on current projections, FIRE-MED will be self-funded at
a twenty percent (20%) membership participation level and a fifty (50%) collection rate of user
fees.
Staff will prepare Requests for Proposals (RFP) for emergency ambulance services. This
normal RFP process for ambulance services has been delayed pending final approval of the
FIRE-MED program.
'Since the best method of collecting membership fees is through the water bill an analysis was
made of the water billing system. The findings are that printing equipment now used by the
Data Processing Division is unable to produce the "report card" style of water and public
services bill. This larger bill format is needed to provide sufficient space for water, trash,
FIRE-MED membership billings and better presentation of other items appearing on the bill.
. r
REQUEST FOR CITY COUNCIL ACTION
FIRE-MED PROGRAM
PAGE 3
The City's mail insertion machine must be modified or replaced to accommodate a new, folded
water and public services bill format. The new inserter will enable the City to distribute
mailings in a greater variety of formats than existing equipment.
FUNDING SOURCE:
The FIRE-MED program is self-funding after the first year. Initial start-up cost, including
purchase of a Unisys compatible printer and an upgraded City mail insertion machine, come to
$575,000; $462,500 from the General Fund and $112,500 from the Water Fund. FIRE-MED
program revenues of $425,000 will be used to reimburse the General Fund for a portion of the
start-up cost; $264,000 will be reimbursed from 1989/90 operating revenues and $161,000 from
1990/91.
ALTERNATIVE:
1. Cancel the improved service concept and the five (5) minute, eighty percent (80%) response
time standard.
2. Fund the additional paramedic personnel and units directly from the General Fund.
3. Reject the membership program, but establish new ALS/BLS user fees to cover the costs of
the expanded paramedic program. Estimated fees are $270 for ALS and $180 for BLS
services.
ATTACHMENTS:
1. FIRE-MED Ordinance
2. Fee Resolution
3. Budget
4. Program Revenue 90/91
5. FIRE-MED 3 Year Projection
6. Program Comparison
7. Income Guidelines
8. Response to City Council Questions/FIRE-MED Program
9. Additional Questions and Answers/FIRE-MED Program
10. Financial Impact Statement
RCP/MO/RK/sr
9944f
r a
ORDINANCE NO. 3026
j
AN ORDINANCE OF THE CITY COUNCIL OF THE CITY OF
HUNTINGTON BEACH ESTABLISHING PROCEDURES AND
AUTHORIZING CHARGES FOR FIRE-MED SERVICES
WITHIN THE CITY OF HUNTINGTON BEACH
The City Council of the City of Huntington Beach does ordain
as follows :
SECTION 1 . The Huntington Beach Ordinance Code is hereby
amended by adding thereto Chapter 8 . 68 entitled "FireMed Program" to
read as follows :
CHAPTER 8 . 68
FIREMED PROGRAM
SECTIONS :
8 . 68 . 010 Purpose
8 . 68 . 020 Definitions
8 . 68 . 030 Administration
s 8 . 68 . 040 Eligibility
8 . 68 . 050 Enrollment
8 . 68 . 060 Member Benefits
8 . 68 . 070 Authorization of Fees
8 . 68 . 080 Implementation
8 . 68 . 090 Duty to Respond
8 . 68 . 100 Exemptions
8 . 68 . 110 Funding
8 . 68 . 120 Program Termination
8 . 68 . 010 Purpose The declared purpose of this chapter is to
reduce life loss and disability by implementing a program funding
additional paramedic units in order to meet current response time
standards . A fee for service and voluntary membership program is
desired to meet these goals by offering a mechanism for residents
and businesses to cap their emergency medical service and ambulance
transportation costs while supporting the expansion of the City' s
paramedic system.
8. 68 .020 Definitions Unless a different meaning is apparent from
the context or is ' specified elsewhere in the code, the following
definitions shall be used:
1 (a) FireMed Services : Those services provided by the
Huntington Beach Fire Department and its designated ambulance
provider related to treatment and transportation provided during the
course of an emergency medical incident .
-1-
• f -
f
(b) FireMed Program: A voluntary membership plan where its
y members shall prepay at a fixed price, the uninsured portion of
emergency medical and ambulance services provided by the Huntington
Beach Fire Department .
(c) Member : Residents of Huntington Beach households,
resident businesses and their employees, who have registered with
the City and prepaid the Voluntary Membership Fee.
(d) Advanced Life Support (ALS) : Any Advanced Life Support
medical treatment performed by paramedics (EMT-P) outside of a
hospital . This treatment shall follow the current "Advanced Life
Support Treatment Guidelines as specified by the Orange County
Emergency Medical Services Agency.
(e) Basic Life Support (BLS) : Any Basic Life Support
treatment which is authorized by the State of California Department
of Health to be performed by Emergency Medical Technicians I (EMT-I)
and/or paramedics (EMT-P) at the scene of a medical emergency.
(f) Ambulance: The designated ground ambulance service,
licensed by the State of California and the County of Orange, which
provide services for the Huntington Beach Fire Department .
8 . 68. 030 Administration The Fire Chief or his/her designee shall
- be responsible for the development of rules, policies and procedures
relating to implementation and administration of the FireMed
Program. The Fire Chief shall report on a yearly basis to the City
Administrator and the City Council on the status of the FireMed
Program. The report shall include a full financial statement which
sets forth the Program' s financial status .
8. 68 .040 Eligibility The FireMed Program is open to residents ,
businesses and employees of non-member businesses located in the
City of Huntington Beach.
8. 68. 050 Enrollment Each resident and business of the City will
have the opportunity to join the FireMed Program annually during an
enrollment period designated by the Fire Chief .
(1) Persons receiving a utility billing from the City will
automatically be enrolled in the FireMed Program and may terminate
:;membership at any time.
(2) Households and businesses not receiving a utility bill
may enroll without penalty during the enrollment period .
The Fire Chief shall have authority to charge a processing
. fee for late enrollment . New residents and new businesses shall be
j
exempt from this processing fee.
{ 8 . 68 .060 Member Benefits FireMed members shall receive the
following benefits by joining the voluntary membership program:
(1) Prepayment of the uninsured portion of
(a) ALS charges
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3026
(b) BLS charges
(c) Emergency ambulance transportation
(2) Medical Information File (optional)
(a) Medical information to responding paramedic unit
(b) Minor child treatment release
(c) Member ' s physician
(3) Emergency Contact File (optional)
(a) Notification of parents at work
(b) Notification of other family members
(c) Senior citizen family contact
Additional member benefits may be added at the discretion of
the Fire Chief .
8 . 68 . 070 Authorization for Fees Advanced Life Support, Basic
Life Support and Ambulance fees are hereby authorized and shall be
charged in connection with emergency medical care and ambulance
services provided by the Huntington Beach Fire Department . The
amount of such fees shall be set from time to time by resolution of
the City Council . There shall be two categories of fees as follows :
1. The "Fee for Services" shall be a user fee designed to
recover costs associated with the delivery of emergency medical care
and ambulance services . Such fees shall be based on:
(a) Emergencies requiring Basic Life Support (BLS)
services; and
(b) Emergencies requiring Advanced Life Support (ALS)
services; and
(c) Emergencies requiring ambulance transportation to
the nearest medical facility best suited to meet the patient ' s
emergency medical needs .
2 . The "Voluntary Membership Fee - FireMed" shall be a
membership offered to Huntington Beach residents and businesses on a
voluntary basis for the purpose of allowing its members to prepay,
at a fixed price, the uninsured portion of emergency ambulance and
emergency medical charges for services provided by the Huntington
Beach Fire Department .
(a) Payment of the voluntary fee by households shall
entitle membership to permanent residents of that household, related
or not . Fees paid by businesses entitle membership to employees
only. Guests , customers, patrons, visitors or others using the
facilities of such households and businesses shall be charged
directly for paramedic and ambulance services.
8 . 68 . 080 Implementation Implementation of user fees for
paramedic services shall begin July 1, 1990 . The- Fire Chief shall
be authorized to administer the FireMed Program beginning thirty
(30) days after adoption of this ordinance.
-3-
3026
8. 68.090 Duty to Respond Under no circumstances will the
delivery and application of available emergency medical services and
ambulance transportation be delayed or refused based upon whether or
not a person is a FireMed member or can demonstrate an ability to
Pay•
8. 68. 100 Exemptions Determination for ,an exemption or reduction
of "Fee for Services-" or the "Voluntary Membership Fee" by persons
claiming a hardship shall be based on guidelines established by
resolution of the City Council .
8. 68 . 110 Funding Revenues derived from the FireMed Program shall
be used to improve and maintain the emergency medical services
provided by the Huntington Beach Fire Department .
8 . 68. 120 Program Termination The FireMed Program may be
cancelled by a majority vote of the Huntington Beach City Council.
If the Council chooses to terminate the program prior to the new
program year, the City may, at its option, refund membership fees
back to FireMed members on a prorated basis . The City shall be
obligated to provide thirty (30) days written notice to FireMed
members prior to program termination.
SECTION 2 . This ordinance shall take effect thirty (30) days
after its adoption. The City Clerk shall cause each ordinance to be
posted in three places designated by the City Council within the
City and to be published by title with a brief summary at least once
within fifteen days after its adoption in a daily, semi-weekly or
weekly. newspaper, published in the County or the City. and circulated
in the City, which is selected by the City Council for that purpose.
PASSED AND ADOPTED by the City Council of the City of
Huntington Beach at a regular meeting thereof held on the 22nd day
of January , 1990 .
Mayor
ATTEST: APPROVED AS TO FORM:
City Clerk City Attorne
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3026
REVIEWED AND APPROVED: INITIATED AND APPROVED:
I
City Administrator Fir ief
c
i
e
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3026
Ord, No. 3026
'J STATE OF CALIFORNIA
COUNTY OF ORANGE ss:
CITY OF HUNTINGTON BEACH )
I , CONNIE BROCKWAY, the duly elected qualified City
Clerk of the City of Huntington Reach and ex-officio Clerk of the
City Council of the said City, do hereby certify that the whole number
of members of the City Council of the City of Huntington Beach is seven;
that the foregoing ordinance was read to said City Council at a regular
_ meeting therof held on the 4th day of December _
l° 89 and was again read to said City Council a' aregular ad'ourned
meeting therof held on the 22nd day of January 1? 90 , aru
was passed and adopted by the affirmative vote of at least a majority of
ail the members of said City Council .
AYES: Councilmembers:
MacAllister, Winchell , Green, Erskine
NOES: Councilmembers:
Mays, Bannister, Silva
ABSENT: Councilmembers:
None
City Clerk and ex-officitf Clerk
of the City Council of the City
of Huntington Beach, California
SEE 5 PEC/aC F r eec n ve
RESOLUTION NO. 6093
A RESOLUTION OF THE CITY COUNCIL OF THE CITY OF
HUNTINGTON BEACH SETTING ADVANCED LIFE SUPPORT,
BASIC LIFE SUPPORT AND EMERGENCY AMBULANCE TRANSPORTATION
FEES TO BE CHARGED BY THE FIRE DEPARTMENT OF THE
CITY OF HUNTINGTON BEACH
WHEREAS, Section 8. 68 .070 of the Huntington Beach Municipal
Code provides that the City Council shall by resolution establish
fees for all recipients of Advanced Life Support, Basic Life Support
and Emergency Ambulance Transportation services provided by the Fire
Department of the City of Huntington Beach; and
In order to assist in defraying the cost of paramedic and
ambulance services, the City Council desires to establish new fees
to be paid by persons who utilize or benefit from having said
paramedic and ambulance services readily available; and
The fees hereinafter established do not exceed the estimated
reasonable cost of providing paramedic and emergency ambulance
services in the City of Huntington Beach for which the fees are
charged; and
The City of Huntington Beach has complied with the notice
provisions of the California Government Code pertaining to
establishing fees .
NOW, THEREFORE, BE IT RESOLVED by the City Council of the
City of Huntington Beach that the fees set forth herein below are
hereby established as follows :
VOLUNTARY MEMBERSHIP FEE ANNUAL FEE
Residence $36 .00
Low Income Household $18 .00
-1-
Business Location $36 . 00 per 10 employees/
$720 maximum
Late Enrollment Fee $12.00
FIRE DEPARTMENT FEES COST PER CALL
Emergencies requiring $100. 00
Basic Life Support Services
by paramedics and/or EMT-
Emergencies requiring $150 .00
Advanced Life Support
Services rendered by
Fire Department Paramedics
AMBULANCE TRANSPORTATION FEES
Type Basis for Charge Rate
Base Rate Applicable at time of request $150 . 00
for ambulance response
Emergency Applicable for Code Two or Code $ 40 . 00
Response Three response at the request of
a public safety employee.
Mileage Per patient mile or fraction thereof $ 8 . 00
Night Call Applicable at the time of request $ 30 . 00
between 7:00 p.m. and 7: 00 a .m.
Oxygen Applicable when administered $ 30 . 00
Standby Per 15 minutes after the first $ 22 .00
minutes and any fraction thereof
Expendable Maximum per response or fair market $ 10 . 00
Medical value, whichever is less .
Supplies
These standard transportation rates were approved by the County of
Orange Board of Supervisors August 8, 1989 .
EXEMPTION AND REDUCTION OF CHARGES
Determination for an exemption or reduction of fees shall be
made by the Fire Chief . His finding shall be based on the following
criteria :
(a) Membership Fees - Low Income Household: Persons who
wish to participate in the FireMed program but claim an inability to
pay because of hardship conditions may enroll at the "Low Income
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6093
Household" rate. Determination shall be based on "HUD Income
Guidelines - Very Low Income Category" currently on file at the
City' s office of the Housing Rehabilitation Administrator.
(b) Inability to Pay: Persons receiving services from the
FireMed Program and claiming an inability to pay may apply to the
Fire Chief for a reduction of charges. The Fire Chief will take
into account the availability of insurance, government assisted
.programs and total household income. Based upon his findings he may
reduce the charges to no less than the full annual membership fee.
(c) Medi-Cal Patients : Persons who receive emergency
medical services provided by the Fire Department, who are eligible
under the State of California Medi-Cal program, may provide the City
with a Proof of Eligibility (P.O.E. ) sticker for the month service
was provided and have no further liability for the charges incurred.
(d) Non-Member Medicare Patients: Persons who receive
emergency medical services provided by the Fire Department, who are
eligible for Medicare and demonstrate an inability to pay, may
supply the City with their Medicare number and a signed Medicare
form. They may then apply to the Fire Chief for an exemption of
charges . Based upon his findings, the Fire Chief may reduce or
waive the remaining balance.
BE IT FURTHER RESOLVED that the effective date of the
voluntary membership fees set forth in this resolution shall be the
date of passage of Ordinance No. 3026 effective February 7, 1990,
and the remaining fees shall become effective July 1, 1990 . Nothing
contained herein shall prohibit the combination of Fire Department
and ambulance charges for the purpose of billing.
PASSED AND ADOPTED by the City Council of the City of
Huntington Beach at a regular meeting thereof held on the 4th day
of December 1989
1 .
Mayor
ATTEST: APPROVED AS TO FORM:
City Clerk City Attorne3c
-3- \�
6093
REVIEWED AND APPROVED: INITIATED AND APPROVED
City Administrator Fi ' e
-4-
6093
Res. No. 6093
STATE OF CALIFORNIA
COUNTY OF ORANGE ss:
_ CITY OF HUNTINGTON BEACH )
I. CONNIE BROCKWAY, the duly elected, qualified City
Clerk of the City of Huntington Beach, and ex-officio Clerk of the
City Council of said City, do hereby certify that the whole number of
members of the City Council of the City of Huntington Beach is seven;
that the foregoing resolution was passed and adopted by the affirmative
vote of at least a majority of all the members of said City Council
at a regular meeting thereof held on the 4th day
of December 19 89 by the following vote:
AYES: Councilmembers:
MacAllister, Winchell , Green, Bannister, Erskine
NOES: Councilmembers:
Mays, Silva
ABSENT: Councilmembers:
None
l y MerK and ex-offTeio Clerk
of the City Council of the City
of Huntington Beach, California
CITY OF HUNTINGTON BEACH
DEPARTMENT FUNCTION PROGRAM NARRATIVE PROGRAM[ NO PROGRAM NAME
------------------------ ---------- ------------
Fire Public Safety t 311 FIRE-MED
PROGRAM OBJECTIVE: To implement a FireMed membership program which will reduce life loss and disability by
funding additional paramedic units to arrive within five (5) minutes 80% of notification. The fee for service
and voluntary membership program will provide a mechanism for residents and buinesses to .cap their emergency
medical service and ambulance transportation costs while supporting the expansion of the City's paramedic
system. By combining pre-hospital emergency fees with ambulance transportation billings, the program will
maximize reimbursement to both the City and the patient.
SIGNIFICANT CHANGES: This is a new program which upgrades the local Emergency Medical Services (EMS) system by;
adding one paramedic unit: converting an existing paramedic engine company back to a regular engine company
and putting a paramedic van in service in its place. A private ambulance company will be contracted to provide
dedicated emergency medical transportation. Paramedic personnel now assigned to fire companies will be
transferred to staff the four (4) paramedic vans in 1990/91. The combined increase -in. paramedic vans and
dedicated emergency ambulances will significantly increase the fire department's ability.to assess, treat and
transport during peak demand and disaster situations.
BUDGETARY RESPONSIBILITY: Deputy Fire Marshal (Paramedic coordinator)
ESTIMATED DEPARTMENT ADMINISTRATOR
ACTUAL BUDGET ACTUAL REQUEST RECOMMENDATION PROJECTED
SERVICE ACTIVITIES FY 86/87 FY 87/88 FY 88/89 FY 89/90 FY 89/90 FY 90/91 FY 91/92 FY 91/93
1. Respone to 7,150 med. 0 0 6850 7150 7250 7500 7750
aid calls. ►�
2. Arrive within 5 min. 0 0 55% 55% 60% 80% 80% H y
3. Maintain brief med. 0 0 0 0 . 11,250 11,750 12,250
history of members. 3 x
4. Train public for 0 0 0 0 500 500 500 C
CPR, First Aid z
5. Maintain membership 0 0 0 0 22,500 23,500 24,500 roster. 0 0 w
ro
3
TABLE OF ORGANIZATION
n
RANGE CLASSIFICATION
418 FireMed Coord 1 1 1 1
371 Fire Fighter 9 9 9 9
296 Account Tech. II 1 1 1 1
11 11 11 11
CITY OF HUNTINGTON BEACH
REQUEST FOR REVISION TO TABLE OF ORGANIZATION
FISCAL PROGRAM CLASSIFICATION/ JUSTIFICATION AND/OR IMPROVEMENT POSITION ADDITIONAL
YEAR NAME DESCRIPTION TO PROGRAM SERVICES -COST EXPENSES
89/90 FIRE-MED FIRE-MED One (1) coordinator is required for the -$43:,041.00 $12,255.00
COORDINATOR program. The coordinator will be
responsible for planning, coordinating
and supervising the operations of
the FIREMED program.
(Position Cost equals salaries and
benefits for 7 months)
FIRE-MED ACCOUNT TECH. II A account tech. II will be required to $18,619.00 $2,950.00
enter and maintain membership rosters,
medical historys of members, billing,
various clerical and typing duties, .etc.
(Position Cost equals salaries and
benefits for 7 months)
FIRE-MED FIREFIGHTER Fire fighters will be assigned to. $46;611.00
existing fire companies to fill
vacancies created by the transfer of
paramedics to paramedic vans.
(Position Cost equals salaries and
benefits for 1 months)
CITY OF HUNTINGTON BEACH
DEPARTMENT FUNCTION PROGRAM COST DETAIL PROGRAM NO. PROGRAM NAME
------------- -------- ------------------- ----------- ------------
Fire Public Safety 311 FIRE-MED
ESTIMATED DEPARTMENT ADMINISTRATOR
ACCT ACTUAL BUDGET ACTUAL REQUEST RECOMMENDATION ------------PROJECTED------------
NO PERSONAL SERVICES FY 86/87 FY 87/88 FY 88/89 FY 89/90 FY 89/90' FY 90/91 FY 91/92 FY 92/93
---- ----------------- -------- -------- -------- -------- -----.--- -------- -------- --------
110 Salaries, Permanent 0 0 0 61436 361290 393806 429249
120 Salaries, Temporary 0 0 0 1500 2000 2000 2000
130 Salaries, Overtime 0 0 0 2000 75000 81750 89108
140 Salaries, Holiday 0 0 0 1892 13033 14206 15485
150 Salaries, Ed.Incentive 0 0 0 7000 9100 9919 10812
161 Retirement 0 0 0 16003 91804 100066 109072
162 Insurance,Wkrs. Comp. 0 0 0 6978 43227 47117 51358
163 Insurance, Employees 0. 0 0 12006 62314 67922 74035
166 Deferred Compensation 0 0 0 1850 10895 11876 12944
168 F.I.C.A. , Medicare 0 0 0 907 5266 5740 6257
Total Personal Services 0 0 0 111572 673929 734402 800320
OPERATING EXPENSES
------------------
211 Postage 0 0 0 12000 12600 13230 13892
221 Sp. Dept. Supp. 0 0 0 1000 2000 2000 2000
320 Books 0 0 0 200 400 400 400
390 Contr. Svcs. 0 0 0 33600 10000 10000 10000
400 Contractual Srv. Prnt 0 0 0 24328 26250 27563 28941
401 Contr. Svs. ,Advertising 0 0 0 25000 26250 27563 28941
433 Radio Maint. 0 0 0 100 200 200 200
442 Uniform Allowance 0 0 0 200 200 200 200
460 Meetings 0 0 0 200 400 400 400
500 Dues & Memberships 0 0 0 100 200 200 200
540 Training & Schools 0 0 0 200 400 400 400
590 Contr. Svs. , Ambulance 0 0 0 0 576000 593280 611078
Total Operating Expenses 0 0 0 96128 654900 675436 696652
Total Capital costs 0 0 0 217300 53000 75000 58000
GROSS PROGRAM COST 0 0 0 425000 1381829 1484838 1554972
Program Reimbursement 0 0 0 264050 1677500 1718900 1760732
Net Program cost 0 0 0 160950 295671 234062 -205760
CITY OF HUNTINGTON BEACH
DEPARTMENT FUNCTION CAPITAL OUTLAY PROGRAM NO. PROGRAM NAME
---------- -------- ------------- ----------- ------------
Fire Public Safety 311 FIRE-MED
DEPARTMEN ADMINISTRATOR
REQUEST RECCHMENDATION -----------PROJECTED----------- -
DESCRIPTION OF CAPITAL FY 89/90 FY 89/90 FY 90/91 FY 91/92 'FY 92/93 JUSTIFICATION
---------------------- -------- -------- -------- -------- ---.--�-- -------------------------
1. Paramedic Vans 100000 1. Two additional Paramedic
units are required to
place four (4) units
in service.
3. Radio Equipment 23000 3. Emergency Fire & medical
corm. equip needed for
new units.
4. Micro Commuter 24000 4. To automate billings and
records.
5. ALS Equip/Supplies 54100 5. Required standard equip.
6. Workstation 4500 6. To provide workstations
for clerical & coord.
7. Typewriter 700 7. For new clerical
position.
8. Compact Station 11000 8. To provide transport
wagon for new program coord.
ACCT.
NO. COST SUM4ARY
640 Equip/Automobile 11000
645 Vehicles/Fire 100000
650 Equip/Office 5200
653 Equip/Radio 23000
661 Equip/Medical ALS 54100
662 Equip/Data Processing 24000
TOTAL CAPITAL 217300
FireMed
Program Revenue 90 / 91
Revenue in Millions Program Cost
2.00 - 2.00
------------ -
............... .
..............
..............
1 .50 -------................. ............. .................. ...... ............
..................
1 .50
...........
............
............. .............
............ .......
1 .00 ............. --------- 1 .00
.. ........
.... .........
........... -.-- 0.50
H �-3
�U �-3
0.00 1 0
0.00
5 10 15 20 25 30 35 40
0
% of Membership
Z
Membership Ambulance Collection
ALS/BLS Collection Program Cost
ATTACHMENT #5 - RCA,
FIRE-MED PROGRAM
FireMed
3 Year Projection
Revenue in Millions Cost
2 2
1.718 1.76
1.677
.;:::::.... .
....::::...:::::::::::
1 . 1.5
_.:::::::::.......::::::::.: ...
1 ......................................................................... .................. 1
0.5 ................................. ................................. 0.5
0.263
o 0
Start Up 90/91 91/92 92/93
Program Year
Membership ® Ambulance Collection
ALS/BLS --g— Cost
PROGRAM
COMPARISON
ANAHEIM FULLERTON ORANGE SANTA ll1 ` f1'I< > '
.....................................................
....................................................
.....................................................
ANA
....................................................
.....................................................
r;*
Revenues 1 494 000 $400 000 $600 000 N/A 7" `5 ...............:
Program $ . �....................
24 35
14b
Dues $36 $ $ $ ::::;:::::
Y YES 'YES
New User Fees? YES YES ES
7 75
Basic Life Support (BLS) Fee $150 $ 5 $ $ ;$ 3.. .. ...
i 25 r
Advanced Life Support(ALS) Fee $250 $725 $150 $ a;;;
Ambulance Se rvice Included YES 150
'.� H
In MembershipProgram? NO/$200 NO/$200 /$ /$ �r � :;:
9
Computer uter Based
3
x
.
r�
Medical& Notification Files? NO NO z
H
.
1 n for a ces Dedicated Ambu
0
NO YES NO YES. <> `
Exclusive Fire Dept Use? NO �
i
3
Emergency n tin ambulance ce transportation
ns
P
ort ao
YES > > .. `5 > >< I.-...
with no direct cost to members NO NO NO >
*Projected revenues
INCOME GUIDELINES -NEIGHBORHOOD ENHANCEMENT PROGRAM-MARCH 1989
TARGET AREA ONLY ,
Family Deferred Very Low Installment Lower Installment Median Installment 120% Median
Size Payment Loan Income 3% Income 6% Income 8% Income
1 16,400 23,800 32,800 39,360
2 18,750 27,200 37,500 45,000
3 21,100 30,600 42,200 50,640
4 23,450 34,000 46,900 56,280
5 25,350 36,150 50,700 60,840
6 27,200 38,250 54,400 65,280 H y
� y
7 29,100 40,400 58,200 69,840 3
d r�
Pd 1-3
z
8 30,950 42,500 61,900 74,280 0
z
4566r
ATTACHMENT #8 - RCA,
FIRE-MED PROGRAM
Submitted to: Honorable Mayor and City Council
Submitted by: Paul E. Cook, City Administrator
Prepared by: Raymond C. Picard, Fire Chief
Subject: RESPONSE TO CITY COUNCIL FOLLOW-UP #89-149
FIRE-MED QUESTIONS & ANSWERS
The following are in answer to the questions asked by the City
Council during the September 21, 1989 meeting:
1. WHAT IS THE COST OF THE FIREMED PROGRAM?
START UP
The projected start-up cost required to implement the FireMed
program is $425, 000. Revenues generated from the enrollment
period during April-June, 1990 and the non-resident ALS/BLS
service fees will offset this cost by an estimated $264, 000 .
The net amount required from the General Fund to fully implement
the program in July, 1990 is $161,000. This amount can be
recovered during the first program year when the membership and
complete fee structure is in place.
YEARS 1-3
The projected cost and program reimbursement for the next 3
years is as follows:
90/91 91/92 92/93
Program Revenues 1 ,677 ,500 1,718, 900 1,760 , 732
Gross Program Cost 1, 377, 919 1,481, 098 1, 551, 417
Net Program Reserves $ 299, 581 $ 237 ,802 $ 209, 315
2. WHAT ARE THE PROGRAM MILESTONE MARKS?
The projections are based on a 30% participation level of
residents and businesses. This participation level is
consistent with the. Anaheim, Fullerton and Orange subscription
models which utilize the city utility bill for enrollment.
The "break-even" point is achieved at a 20% participation level .
The other revenue components (ambulance and ALS/BLS) will vary
slightly (appox. 10%) based on membership enrollment. See
attached graph 1-A.
Ambulance and ALS/BLS revenues are based on a 50% collection of
amounts billed. Other Orange County cities and ambulance
services collection rates range from 50-65%. The more
conservative rate was used for projection purposes.
3. HOW DOES THE CITY TERMINATE THE FIREMED PROGRAM?
A termination section is included in the FireMed ordinance which
states:
"The FireMed program may be canceled by a majority
vote the City Council . If the Council chooses to
terminate the program prior to the new program year, the
City may, at its option, refund membership fees back to
FireMed members at a prorated basis. The City shall be
obligated to provide thirty ( 30) days written notice to
FireMed members prior to program termination. "
4. WHAT IS THE BILLING PROCESS?
There are two categories for revenue collection. They are as
follow:
Membership revenue which are funds derived from residents
and businesses who participate in the FireMed program; and
User fees from ALS/BLS and ambulance transportation
charges.
MEMBERSHIP REVENUES: Membership revenues are collected during
an enrollment period (April-June) via the City utility bill and
direct solicitation. Persons receiving a utility bill from the
City will automatically be enrolled in the FireMed program.
Those persons may pay on a bi-monthly basis which will be
included in the utility bill . Households and businesses not
receiving a utility bill may enroll without penalty during the
enrollment period. Membership may be terminated at any time by
the member.
USER FEES: User fees for both ALS/BLS and ambulance
transportation charges will be processed internally within the
Fire Department. The new Fire CAD/RMS computer system has a
well defined ambulance billing software module that will support
the FireMed billing and membership requirements.
The collection of revenue will be administered by the City
Treasure' s office to maintain accurate accounting records.
5. HOW WILL THE BILLING FOR THOSE WITH MEDICARE, MEDI-CAL OR WHO
ARE UNABLE TO PAY BE HANDLED?
The fee resolution which accompanies the FireMed ordinance
establishes criteria for the exemption or reduction of fees. It
provides for a reduction of fees for those experiencing economic
hardship who may or may not be covered by government assisted
medical programs.
6. WHAT IS THE COLLECTION PROCEDURE?
The collection procedure will follow existing city policy which
provides for assignment to a collection agency for those
accounts not paid within ninety ( 90) days. Certain exceptions
would apply for accounts in process for payment by insurance
companies.
7. HOW WOULD THE CASH FLOW/INCOME BE MONITORED?
The FireMed ordinance requires the Fire Chief to report
regularly to the City Administrator and City Council on the
financial status of the program. The City' s CAD/RMS computer
and software can provide reports that will include; membership
participation, accounts receivable, amounts collected, health
care allowances and other financial information.
8. WHEN SHOULD THE COUNCIL TERMINATE THE FIRE-MED PROGRAM?
It should not be canceled. The City' s paramedics are currently
responding within 5 minutes only 55% of the time. To meet the
guidelines established by the Growth Management Committee and
City Council , more paramedic units are needed.
Based on current projections, FireMed will be self financing at
the 20% participation / 50% collection level . Should the
program fall below this projection the council would have 3
choices:
1. Continue the FireMed program and underwrite a portion of
the total program from the general fund; or
2. Terminate the FireMed program and underwrite ALL of the
program costs from the general fund; or
3. Terminate the FireMed program, eliminate nine (9) paramedic
positions and two ( 2) paramedic van units from service.
Cancel the ambulance contract and reduce the number of
emergency ambulances available.
9. HOW WILL THE PRIVATE SECTOR BE INVOLVED WITH FIRE-MED?
Under the FireMed program, the Fire Department will contract for
the exclusive use of 3 emergency ambulances to be located within
the City limits. Back up ambulances from adjoining cities would
be provided during peak demand and disaster periods. The
contracted ambulances would be utilized for Huntington Beach
Fire Department emergencies only. The Fire Department also has
emergency transport capability.
The private ambulance service would be paid with FireMed funds
on a monthly basis to provide emergency transportation. FireMed
would then bill the patient, their insurance or government
assisted health program for charges incurred under a combined
ambulance/Fire Department billing. These funds would be used to
offset the ambulance contract cost. The combined billing is
required to fully recover paramedic (ALS) charges.
11. WILL THE AMBULANCE COMPANY BE LICENSED?
Yes. The Request For Proposal (RFP) will require the ambulance
service to be fully licensed by the State, County and City
agencies.
12. WHERE WILL THE NEW PARAMEDIC UNITS BE PLACED?
The first paramedic unit will be placed at the Magnolia fire
station (Hamilton/Magnolia) . The next will be converted from
the medic/engine at Warner station and be kept there. The
following is a list of paramedic placement:
Murdy Station - 16221 Gothard
Lake Station - 530 Lake Street
Warner Station* - 3831 Warner
Magnolia Station* - 21441 Magnolia
*New paramedic van under FireMed program
13. WHAT IS THE HUNTINGTON BEACH FIREMAN'S ASSOCIATION POSITION ON
FIRE-MED?
The Fireman' s Association is in favor of increasing the number
of paramedic vans. The association takes no stand on the issue
of user or membership fees.
ATTACHMENT #9 - RCA,
: FIRE-MED PROGRAM
Submitted to: Honorable Mayor and City Council
Submitted by: Paul E. Cook, City Administrator
Prepared by: Raymond C. Picard
Subject: FIRE-MED/ADDITIONAL QUESTIONS AND ANSWERS
In order to clarify the program, staff has outlined additional
questions and answers.
1. WHAT IS FIRE-MED?
* A voluntary membership program
* Provides emergency ambulance transportation
* Limits cost of pre-hospital BLS/ALS/Ambulance service
2. WHO IS ELIGIBLE TO ENROLL?
* Any resident or business of Huntington Beach may join
* All members of a residence are covered for any medical
emergency that occurs in Huntington Beach
* All employees are covered under a business membership
* Apartments, mobile homes and retirement homes suites
are considered a residence and require a separate
membership for each unit
3. WHAT DOES IT COST FOR ENROLLMENT?
* Residential membership is $36 per year
* Business membership is $36 per 10 employees to a
maximum of $720 per year
4. WHAT DOES THE $36 MEMBERSHIP FEE COVER?
* All emergency medical services provided by the Fire
Department, including emergency medical transportation
for one (1 ) year.
5. WILL MEMBERSHIP COVER ROUTINE AMBULANCE TRANSPORTATION?
* Routine ambulance transportation is not a benefit at
this time.
6. MUST I PAY THE FULL $36 AT THE TIME I JOIN?
* Households and businesses receiving a utility bill will
be charged $6 bi-monthly. All others will be required
to pay the annual fee at time of enrollment.
7. IF I MISS THE ENROLLMENT PERIOD, CAN I STILL JOIN THE
PROGRAM?
* Yes, but there is a $12 processing fee for late
enrollment.
8. IF A FAMILY OR BUSINESS MOVES INTO HUNTINGTON BEACH AFTER
THE ENROLLMENT DEADLINE, DO THEY HAVE TO WAIT UNTIL THE
ENROLLMENT PERIOD TO JOIN?
* No. Anyone who moves into Huntington Beach after the
deadline date may join without a late charge.
Membership will be pro-rated at $3 per month for the
remainder of the year.
9. ARE VISITORS OF MEMBER RESIDENCES AND BUSINESSES COVERED?
* No. Only permanent residents and employees while on
the job are covered.
10. IF I CALL THE FIRE DEPARTMENT FOR SOMEONE ELSE AS A GOOD
SAMARITAN, WILL I BE RESPONSIBLE FOR THE CHARGES?
* No. The patient is responsible if they elect to accept
the medical care.
11. WHAT IF SOMEONE CAN'T AFFORD THE ENROLLMENT FEE?
* A reduced fee of $18 is available for low income
families.
* Anyone experiencing a medical emergency should call the
fire department. Under no circumstances will paramedic
service be delayed or denied based on ability to pay.
* The city has an exemption program for persons who claim
a financial hardship which are handled on a
case-by-case basis.
* The membership fee can be prorated throughout the year
on the City' s utility bill .
12. WILL THE PARAMEDICS RESPOND TO NON-MEMBERS?
* Yes. The fire Department paramedics will respond to
any medical emergency.
* Non-members will be charged a fee based on the level of
service required. $100 Basic Life Support, $150 for
Advanced Life Support.
* If required, non-members will be charged for ambulance
transportation. Average ambulance fees are $220 .
13. IF I DO NOT JOIN, WILL MY INSURANCE COMPANY COVER THE
CHARGES?
* Insurance coverages vary and this should be checked
with your carrier. However, the $36 annual fee is a
small portion of most insurance companies' deductibles
14. IF I HAVE MEDICARE OR MEDI-CAL COVERAGE, SHOULD I STILL
ENROLL?
* The billing provider will assist in handling Medicare,
Medi-Cal and other insurance claims. These carriers do
not usually cover 100% of charges and there is still
the annual deductible to satisfy.
* You should still enroll to cover the remainder of your
household.
15. WHAT ARE SOME OTHER BENEFITS OF THE FIRE-MED MEMBERSHIP
PROGRAM?
* A brief medical history of each member can be placed on
the computer and made available to responding emergency
personnel to better serve the member.
* Emergency notification information can also be
available to Fire Department personnel for notification
of family, relatives or friends.
* Medical history and emergency notification information
is optional and strictly confidential .
16. DOES THE FIRE DEPARTMENT PROVIDE AMBULANCE TRANSPORTATION?
* Transportation is provided by the Fire Department
through a private ambulance company which FireMed has
contracted with to meet the needs of the Fire
Department. This will consist of three ( 3) dedicated
ambulances assigned to the City of Huntington Beach
only.
17. DOES FIRE-MED PAY FOR NON-EMERGENCY AMBULANCE
TRANSPORTATION?
* No. FireMed pays only for emergency transportation at
this time.
` Y ATTACHMENT 010 - RCA,
FIDE/MED PROGRAM
CITY OF HUNTINGTON BEACH
INTER-DEPARTMENT COMMUNICATION
HUNTINGTON BEACH
To PAUL E. COOK From ROBERT J. FRANZ
City Administrator Deputy City Administrator
Subject REQUEST FOR APPROPRIATION Date NOVEMBER 22, 1989
TO FUND FIRE/MED PROGRAM
THROUGH FY 1989/90, FIS 89-35
As requested under the authority of Resolution 4832, a Fiscal Impact Statement has been
prepared and submitted relative to the proposed implementation of the 1989/90 Fire/Med
Program and the projected cash shortfall over the duration of the current Fiscal Year due to
the unavoidable material start-up costs associated with the new program. Anticipations by
the requesting entity are that a one-time appropriation of $575,000 would be adequate for
this purpose, to be funded by both the General and Water Fund.
An affirmative response by the City Council would reduce the balance of the unreserved,
undesignated Genera] Fund by $462,500 to $1.,104,350 and that of the City's Neater Fund by
$112,500 to $1,278,413.
RO R. J. F 1Z
Deputy City Adrilinistrator
RJF:sd
A,rg%W,*W to PubhP ��-
t;atxes ®► DVc►co of the sup 10? COWTI of p►anpe o�rmy.
California. 01umbot A-6214. oared !0 5®pI&mbe1. toil, and
A•28431."led t t Jum. tt�3
STATE OF CALIFORNIA
County of Orange owe" "WACO Ae"""►«..e "
fit � SWADW • r w t Mrw
w. to so Csk~weo
1 am a Citizen of the United States and a resident of
the County aforesaid; I f1m over the age of eighteen
years. and not a party to or interested in the below
entitled matter. I am a principal clerk of the Orange
Coast DAILY PILOT. with which is combined the
NEWS-PRESS. a newspaper of general circulation,
printed and published in the City of Costa Mesa.
County of Orange. State of California. and that a
Notice of Public Heari nq
of which copy attached hereto is a true and complete
copy. was printed and published in,the Costa Mesa.
Newport Beach. Huntington Beach. Fountain Valley. j' PUBLIC NOTICE �! PUBLIC NOTICE
TICE OF
Irvine. the South Coast communities and Laguna NO Beach'Ptanninl Commission
PUBLIC HEARING ,will hold apubtc hearing in
Beach issues of said newspaper for 2 ORDINANCE :the Council Chamber at the
RESOLUTION Huntington. Beach Civic
consecutive weeks to wit the issue(s) of NO.W93 Center, 2 Huntingto n Main Street,
' n Beach, .Cali-[
(FlreMed Servicbs fornia,on the date and at they
within the City time indicated below to re-
of Huntington ceive and consider the state-
Beach) ments of all.persons.who
NOTICE IS HEREBY wish to be heard relative to
November 23
1982 LGIVEN that the Huntington the application described,
below.
DATE/TIME:Monday,De-
cember 4,1989,-7:00 PM
APPLICATION.NUMBER
:
November 30 . 198_9 Ordinance No. 3026 and
Resolution No.6093
APPLICANT:City of Hunt-
198 ington Beach Fire Depart-I
ment
LOCATION:City-wide
REQUEST: An ordinance+
to establish procedures and
198 authorizing charges for Fire-
Med services within the City
of Huntington Beach;and a
resolution setting advanced
198 life support, basic life sup-,
port and. emergency am-
bulance transportation feesi
to be chrged by the Fire De-
partment of the City of Hunt-
ington Beach.
1 declare. under penalty of perjury, that the ON FILE: A copy on f of tile in
he
foregoing is true and correct. proposed request is the Fire Department, 2000
Main Street, Huntington
Beach,California 92648,for
inspection by the public.
ALL INTERESTED PER
Executed on November 30
, 1 98 9 SONS are Invited to attend
said hearing and express
at Costa Mesa, California. opinions or submit evidence
for or against the application
as outlined above. If there
are any further questions
please call the Fire Depart-
Signature ment,(714)536-5411
Connie Brockway, City
Clerk
City of Huntington Beach
(714)536-5227
Published Orange Coast
Daily Pilot November 23,30,
1989
Th-926
00^t%C AC 011121 lift-AAnnul
ATTACHMENT #10 - RCA,
FIRE-MED PROGRAM
CITY OF HUNTINGTON BEACH
INTER-DEPARTMENT COMMUNICATION
HUNTINGTON BEACH
To PAUL E. COOK From ROBERT J. FRANZ
City Administrator Deputy City Administrator
Subject REQUEST FOR APPROPRIATION Date NOVEMBER 22, 1989
TO FUND FIRE/MED PROGRAM
THROUGH FY. 1989/90, FIS 89-35
As requested under the authority of Resolution 4832, a Fiscal Impact
Statement has been prepared and submitted relative to the proposed
implantation of the 1989/90 Fire/Med Program and the projected
cash shortfall over the duration of the current Fiscal Year due to the
unavoidable material start-up costs associated with the new program.
Anticipations by the requesting entity are that a one-time
appropriation of $161,000 would be adequate for this purpose.
An affirmative response by the City Council would ,reduce the balance
of the unreserved, undesignated General Fund to $1,405,850.
1�BERT J. FRANZ
Deputy City Administrator
RJF:skd
REQUEST FOR CITY COUNCIL ACTION
Date October 30, 1990
Submitted to: Honorable Mayor and City Council
Submitted by: Michael T. Uberuaga, City Administrator
Prepared by: Raymond C. Picard, Fire Chi
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Subject: QUARTERLY FIREMED PROGRESS REPORT ^ <c rn
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Consistent with Council Policy? Yes [ ] New Policy or Exception
Statement of Issue, Recommendation,Analysis, Funding Source,Alternative Actions,Attachments:
STATEMENT OF ISSUE:
The City Council has requested QUARTERLY FIREMED PROGRESS REPORTS.
RECOMMENDATION:
Receive and file.
ANALYSIS:
The FireMed improved paramedic service delivery system began operation on June 28, 1990 and
the attached report provides an executive statistical and financial summary of the program.
The report includes all FireMed activities commencing with the nonresident fee collection
implementation on October 1, 1989 thru the end of the last quarterly reporting period
September 30, 1990.
The program has proven its value and is now well established operationally as well as
financially. A great amount of effort was required to begin implementation and much more
work is still required; i.e., business enrollment, private ambulance request for proposal, etc.
The medical history and emergency contact portion of the program created a much higher
workload than expected.
The billing system is operational and working under the supervision and guidance of the City's
financial offices. The desire is to more fully integrate the billing operation under the City
accounts receivable system.
FireMed has successfully met its primary operational and financial objectives as proposed to the
City Council in December 1989.
FUNDING SOURCE:
Program is operating within budget and is a self-funded enterprise fund.
ALTERNATIVE:
None should be made until the end of the first year's milestone and after a complete program
analysis has been made.
ATTACHMENT:
Status Report On The FireMed Program.
RCP/sr
0799f /
PIO 5/85
J� CITY OF HUNTINGTON BEACH
INTER-DEPARTMENT COMMUNICATION
HW"NGTON BEACH
To Michael T. Uberuaga From Raymond C. Picar
City Administrator Fire Chief
Subject STATUS REPORT ON THE Date October 24, 1990
FIREMED PROGRAM
On September 17, 1990, the City Council requested an executive summary of
the FireMed program. Revenue and expenses from the implementation period,
October 1, 1989 through June 30, 1990, and the first three (3) months of the
current fiscal year are included in this report
FireMed Implementation: October 1, 1989 - June 30, 1990
At the December 4, 1989 City Council meeting, the FireMed ordinance, fee
resolution, and an implementation budget of $425,000 were approved. An
additional allocation of $112,500 from the Water Fund and $37,500 from the
Unappropriated General Fund was added to provide for a laser printer and letter
folding equipment to prepare the new Municipal Services Statement for
mailing. This equipment is available for general City use. The revised,
approved 1989/90 FireMed budget was $575,000.
The Fire Department projected a net cost to the general fund for 1989/90 of
$161,000. Due to reduced approved budget expenditures and advance
membership fee collections the program received $202,911 more than it spent
during program implementation period fiscal year 1999/90. This does not allow
-for an amount of $47,700 which is estimated to be.uncollectible and leaves, a, ;
y*y net of $155.211.
Collection rates for fees generated during the first three (3) months of the start
up period (October, November, and December 1989) were 55%, 58%, and 60%
respectively. A 50% collection rate has been used for budgetary purposes. The
overall average collection "rate for user fees generated during the entire
implementation period (October 1, 1989 - June 30, 1990) is 45%. This will
continue to increase to over 50% as billing takes nine (9) to twelve (12) months
before reaching a resolve.
October 24, 1990
Page 2
1989/90 FireMed Accounting (October 1989 thru June 1990)
Source of Funds
Program Reimbursement
Membership . . . . . . . . . . . . . . . . $ 96,631
User Fees-Billed . . . . . . . . . . . . . 95,400
Water Fund . . . .. . . . . . . .. . . . . . 112,500
Interest . . . . . . . . . . . . . . . . . . . . . 9,718
TOTAL REVENUE $314,249
Expenses
Salaries . . . . . . . . . . . . . . . . . . . . . $ 51,169
Operating . . . . . . . . . . . . . . . . . . . . 24,412
Capital . . . . . . . . . . . . . . . . . . . . . . 35,757
TOTAL EXPENSES $111,338
Program Revenue - 1989190 $202,911
FireMed's Allowance For Non-Collection -47,700
Projected Net Revenue Fiscal Year 1989/90 $155,211
FireMed-First Three (3) Months: July 1, 1990- September 30, 1990
For the 1990/91 budget. year $1,686,106 has been appropriated_. to the FireMed
program. An additional $265,313 was carried over from.. the 1989/90 FireMed
budgeted start up funds. These funds are being used to' pay for capital and
operational items encumbered during the 1989/90 start up period. The total 1990/91
revised FireMed budget is $1,951,419.
A 30% residential membership rate was projected. As of September 30, 1990,
25,412 Huntington Beach households have enrolled in the FireMed program,
representing 35% of the 72,000 eligible residences.
Over 5,500 participating homes have provided the program with their medical
history and emergency contact data for over 12,000 members. This information has
been entered into the Fire Department's Computer Aided Dispatch (CAD) system.
This information is made available to dispatchers and paramedics when an
emergency call is initiated from a member's home. Numerous accounts from field
personnel have validated the importance of this information.
October 24, 1990
Page 3
1990/91 FireMed Accounting(July, August, September 1990)
Source of Funds
Program Reimbursement
Membership . . . . . . . .. . . . . . . . $274,803
User Fees-Billed . . . . . . . . . . . . . 521,565
Interest . . . . . . . . . . . . . . . . . . . .. 1,580
TOTAL REVENUE $7977948
Expenses
Salaries . . . . . . . . . . . . . . . . . . . . . $167$ 51
Operating . . . . . . . . . . . . . . . . . . . . 144,261
Capital . . . . . . . . . . . . . . . . . . . . . . 179,428
City Services . . . . . . . . . . . . . . . . . . 35,268
TOTAL EXPENSES $5261508
Program Revenue - Three (3) months ending September 30, 1990 $271,440
Allowance For Non-Collection -260,782
' Projected Net Revenue $ 10,658
FireMed Program Recap-To Date
Revenue Expenses Total
October 1, 1989- June 30, 1990 $ 314,249 $111,338 $202,911
July 1, 1990 - September 30, 1990 797,948 526,508 271,440
TOTAL $1,112,197 $637,846 $474,351
Program Revenue (October 1, 1989 - September 30, 1990) $4749351
FireMed's Allowance For Non-Collection 3082482
Projected Net Revenue To Total Program Date $165,869
October 24, 1990
_Page,'+
Major Program Goals Achieved:
Redesigned the "Water Bill" to a"Municipal Services Statement."
Purchased high speed laser printer, letter folder and paper cutter to process the
Municipal Services Statement -a City asset available to FireMed.
Acquired two (2) fully equipped paramedic vans.
Hired nine (9) new firefighter/paramedics.
Distributed 72,000 FireMed information packets to every residential address
within the City.
Produced a video program and commercial hosted by William Shatner of
television's "RESCUE 9-1-1."
Developed an interim agreement with the existing ambulance service (SEAL'S)
which increases ambulance coverage and services.
Established FireMed business office with on-line capability to City's computer
billing system.
Received approval from Medicare for partial reimbursement of paramedic and
ambulance fees.
Received approval from Orange County's Indigent Medical Services (IMS) for
partial reimbursement of ambulance transportation charges.
Entered over 12,000 medical and emergency notification files into Fire
Department's Computer Aided Dispatch(CAD) system.
Responded to 1,850 requests for Advance Life Support (ALS); 105 Basic, Life
Support (BLS);'and.transpotted 1,380 patients.
Program Goals and Objectives-October 1, 1990 - December 31, 1990:
Distribute enrollment information to over 6,500 business within the City.
Distribute 'FireMed Services' brochure with membership cards to all member
households.
Install a direct dispatch printer at the ambulance dispatch center.
Obtain approval from the Orange County and State of California Emergency
Medical Services Offices for ambulance contract and "Request for Proposal"
(RFP).
Refine collection procedures to speed up the billing process and to increase cash
flow and revenue.
Integrate FireMed's accounts receivable into the City's General Ledger system.
RCP/RK/sr
0756f/9
3�
NOTICE OF PUBLIC HEARING
ORDINANCE NO. 3026/RESOLUTION NO. 6093
(FireMed Services within the City of Huntington Beach)
NOTICE IS HEREBY GIVEN that the Huntington Beach City Council will
hold a public hearing in the Council Chamber at the Huntington Beach
Civic Center, 2000 Main Street, Huntington Beach, California, on the
date and at the time indicated below to receive and consider the
statements of all persons who wish to be heard relative to the
application described below.
DATE/TIME: Monday, December 4, 1989, 7: 00 PM
APPLICATION NUMBER: Ordinance No. 3026 and Resolution No. 6093
APPLICANT: City of Huntington Beach Fire Department
LOCATION: City-wide
REOUEST: An ordinance to establish procedures and authorizing
charges for FireMed services within the City of Huntington
Beach; and a resolution setting advanced life support,
basic life support and emergency ambulance transportation
fees to be charged by the Fire Department of the City of
Huntington Beach.
ON FILE: A copy of the proposed request is on file in the Fire
Department, 2000 Main Street, Huntington Beach,
California 92648, for inspection by the public.
ALL INTERESTED PERSONS are invited to attend said hearing and
express opinions or submit evidence for or against the application
as outlined above. If there are any further questions please call
the Fire Department, (714) 536-5411.
Connie Brockway, City Clerk
City of Huntington Beach
(714) 536-5227
(4165d)
TR.A'',.N.SMI SS I ON REPORT
'714-535-4693
PHONE/TTI NO. 6315902
DATE AND TIME 11-21 03 : 59PM
DURATION 0 1' i 9
MODE
PAGE 02
RESULT GOOD
REQUEST FOR CITY COUNCIL ACTION
FIRE-MED PROGRAM
PAGE 2
As an alternative to paying these direct fees, all Huntington Beach residents and businesses
have the opportunity to join the FIRE-MED membership program. A $36 annual membership fee
will allow members to participate in expanding the paramedic program while capping their costs
for emergency medical AND AMBULANCE TRANSPORTATION services.
The voluntary membership fee allows the member to prepay, at a fixed price, the uninsured
portion of emergency ambulance and medical services. The City will bill the member's
insurance company for the insured portion of the member's bill.
The enrollment period for new members would begin on April 1, 1990. Implementation of user
fees would start July 1, 1990.
Monies derived from this program will offset the increased cost of providing the expanded
paramedic system and will fund the private ambulance contract.
The projected start-up costs required to implement the FIRE-MED program is $425,000.
Revenues generated from the enrollment period during April-June, 1990 and the non-resident
ALS/BLS service fees will offset the cost by an estimated $264,000.
The net amount required from the general fund to fully implement the program in July, 1990 is
$161,000. This amount can be recovered during the first program year (90/91) when the
membership and complete fee structure would be in place.
The projected cost and program reimbursement for the next three (3) years is as follows:
90/91 91/92 92/93
Program Revenues $1,677,500 $1,718,900 $1,760,732
Gross Program Cost $1,377,919 $1,484,098 $1,551,417
Net Program Reserves $ 299,581 $ 237,802 $ 209,315
The projections are based on a thirty percent (30%) participation of residents and businesses.
This level is consistent with other Orange County subscription models which also utilize their
city's utility bill for enrollment. Based on current projections, FIRE-MED will be self-funded at
a twenty percent (20%) membership participation level and a fifty (50%) collection rate of user
fees.
Staff will prepare Requests for Proposals (RFP) for emergency ambulance services. This
normal RFP process for ambulance services has been delayed pending final approval of the
FIRE-MED program.
FUNDING SOURCE:
Self-funding through fee for services and the voluntary membership program, with $161,000
requested from the general fund to supplement start-up costs, recoverable from FY 90/91
FIRE-MED revenue (estimated 1990/91 reserve $299,000).
REQUEST FOR CITY COUNCIL ACTION
FIRE-MED PROGRAM
PAGE 3
ALTERNATIVE:
1. Cancel the improved service concept and the five (5) minute, eighty percent (80%) response
time standard.
2. Fund the additional paramedic personnel and units directly from the general fund.
3. Reject the membership program, but establish new ALS/BLS user fees to cover the costs of
the expanded paramedic program. Estimated fees are $270 for ALS and $180 for BLS
services.
ATTACHMENTS:
1. FIRE-MED Ordinance
2. Fee Resolution
3. Budget
4. Program Revenue 90/91
5. FIRE-MED 3 Year Projection
6. Program Comparison
7. Income Guidelines
8. Response to City Council Questions/FIRE-MED Program
9. Additional Questions and Answers/FIRE-MED Program
10. Financial Impact Statement
RCP/MO/RK/sr
9944f
V
REQUEST FOR CITY COUNCIL ACTION
Date November 21 1989
Submitted to: Honorable Mayor and City Council
Submitted by: Paul E. Cook, City Administrator
Prepared by: Raymond C. Picard, Fire Chi fr
Subject: FIRE-MED PROGRAM
&o.2-
Consistent with Council Policy? [ ] Yes [XI New Policy Exception ` ` " O
Statement of Issue, Recommendation,Analysis, Funding So rce,Alternative Actions,Attachments:
STATEMENT OF ISSUE:
The City Council, at the August 21, 1989, meeti g approved the FIRE-MED concept. Approval
of the attached ordinance, resolution and IRE-MED budget is necessary for program
implementation on July 1, 1990.
RECOMMENDATION:
1. Approve the FIRE-MED ORDI ANCE establishing policies and authorizing charges
pertaining to FIRE-MED servic within the City of Huntington Beach.
2. Approve the FEE RESOLU ON setting membership, Advanced Life Support (ALS), Basic
Life Support (BLS), and ergency ambulance transportation fees to be charged by the
Huntington Beach Fire D artment as part of the FIRE-MED program.
3. Approve a 1989-90 FI,E-MED PROGRAM BUDGET of $425,000 to implement the program
with offsetting rev'9nues of $264,000 in FY 1989-90. The balance of $161,000 will be
recovered in FY 19 0-91.
4. Direct staff t . REQUEST PROPOSALS from licensed ambulance services to provide
contracted em rgency ambulance transportation.
ANALYSIS:
Existing para edic service in Huntington Beach is not satisfactory due to poor response times
and an inad uate number of paramedic units. These factors adversely effect patient survival
rates for vi tims of cardiac and traumatic incidents. This factor will be in a crisis stage if the
Fountain alley Trauma Center ceases operation and the paramedics will be transporting to
UCI, WES-MED or Mission.
The Ci y Council and the Growth Management Committee have established a paramedic
respon e time goal to arrive at the scene of medical emergencies within five (5) minutes, eighty
perce t (80%) of the time. The Fire Department paramedics now arrive within five (5) minutes
only fifty-five percent (55%) of the time. Additional paramedic units are needed to meet these
stantrds.
A fee for service program is required to fund this improved service level. Currently, the City is
unable to obtain reimbursement from insurance companies, government health programs and
d�'
inividuals because there is no fee structure in place. The City can recover these funds by
es,,tablishing a fee for service and billing the proper agencies or individuals.
P10 5/85
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,jrW to Pubkoh ABvSrtr 0"%31 I5
"f Or rp�er A-�?1i 6 i0 laeP " "et a
California. v
A-24331.6010d i l dun'. 1063
6TATE OF CALIFORNIA
County of Orange m ter • "
... N su c-.ram
1 am a Cltlten of the United States and a resident of
the County aforesaid; I pm over the age of eighteen
years. and not a party to or interested in the below
entitled matter. I am a principal clerk of the Orange
Coast DAILY PILOT, with which is combined the
NEWS-PRESS, a newspaper of ,general circulation,
printed and published in the City of Costa Mesa,
County of Orange. State of California. and that a
Notice of Public He ng
of which copy attached hereto is a true and complete
copy. was printed and_pubiished In the Costa Mesa, _ 71
Newport Beach. Huntington Beach. Fountain Valley, PUBLIC NOTICE PUBLIC NOTICE
�
Irvine. the South Coast communities and Laguna PU NOTICE OF PUBLIC HEARING I Beach planning Commission
ORDINANCE will hold'apublic hearing in
Beach issues of said newspaper for 2 NO.3026/ the Council Chamber at the
Huntington Beach Civic
RESOLUTION Center, 2000 Main Street,
consecutive weeks to wit the issue(s) of NO.GM Huntington Beach, Cali-
(FlreMed Services fornia,on the date and at the
Within the City time indicated below to re-
of Huntington ceive and consider the state-
Beach) ments of all persons who
NOTICE IS HEREBY•,wish to be heard relative to
GIVEN that the Huntington the application described
November 23 198_9___ )
— below.
DATE/TIME:Monday,De-
cember 4, 1989,7:00 PM
APPLICATION NUMBER:
November 30 198 9 ordinance No. 3026 and
Resolution No.6093
APPLICANT:City of Hunt-
ington Beach Fire Depart
198 ment
LOCATION:City-wide
REQUEST: An ordinance
to establish procedures and
196 authorizing charges for'Fire-
Mad services within.the City .
of Huntington Beach;and a
resolution,setting advanced
i98 life support, basic life sup-
port and emergency am-
bulance transportation tees
•j
to be chrged by the Fire De
partment of the City of Hunt
ington Beach:
I declare. under penalty of perjury, that the ON, FILE: A copy Of the
foregoing is true and correct. Iproposed request a t: 20 0
the Fire.Department. 2000
Main Street, Huntington
Beach,California 92648,for
inspection by the public.
November 30 198 9 ALL INTERESTED PER-
Executed on SONS are invited to attend-
said hearing' and express
at Costa Mesa, California. opinions or submit evidence
for or against the application
as outlined above. If there
/p are any further questions
v / please call the Fire Depart-
ment,(714)536-5411
Signature Connie Brockway, City
Clerk
City of Huntington Beach
(714)536-5227
Published Orange Coast
m Daily Pilot November23,30,
1 1989
------ Th-926 i
9%2%f%f% 0%C 0111 111F_AT11%W
Bach
City of Huntington e
�- 2000 MAIN STREET CALIFORNIA 92648
FIRE DEPARTMENT
June 18, 1990
Transamerica Occidental-Medicare
Preston Prothro, Profile Analyst
Certification & Profile Department
P.O Box 54905
Los Angeles, CA 90054-0905
Re: Billing Agreement
Huntington Beach Fire Department & Sears Ambulance
Dear Mr. Prothro;
This correspondence will serve as the letter of understanding between Seal's Ambulance
Service, Provider #ZA393 and Huntington Beach Fire Department, Provider#77ZA446.
The purpose is to provide a consolidated billing plan to process claims for authorized
Medicare and Medi-Cal procedures.
Beginning July 1, 1990, the Huntington Beach Fire Department and Seal's Ambulance
will provide two levels of ambulance service to the City of Huntington Beach; Basic
ambulance transportation and Advanced Life Support. These services will be provided in
the following manner:
ADVANCED LIFE SUPPORT
The Huntington Beach Fire Department will provide required equipment and certified
paramedics who are trained and authorized to administer IV's, including drugs and
biologicals, provide anti-shock trousers, establish and maintain a patient's airway,
defibrillate the heart, relieve pneumothorax conditions and perform other advanced
life support procedures or services such as cardiac monitoring. Equipment is provided
for radio-telephone contact with base station hospitals and physicians.
BASIC AMBULANCE BASIC LIFE SUPPORTI
Seal's Ambulance Service will supply ambulances and personnel to transport patients,
Fire Department paramedics and equipment to local area hospitals that have facilities
to treat the patient.
In order to provide an improved level of service and minimize program costs, the
Huntington Beach Fire Department and Seal's Ambulance Service agree to the following
conditions:
1) The Huntington Beach Fire Department will provide Advanced Life Support
services and Seal's Ambulance will provide ambulance transportation.
2) Seal's Ambulance Service will bill the City of Huntington Beach for ambulance
services rendered when requested by the Fire Department at a rate agreed upon by
both parties.
3) The Huntington Beach Fire Department will bill for Basic and Advanced Life
Support ambulance services for those requests made by persons who contact the
Fire Department directly.
4) The Huntington Beach Fire Department shall bill Medicare, Medi-Cal, insurance
companies and individuals for services provided by its personnel and for
transportation provided by Seal's Ambulance service. Such billings will comply with
Medicare guidelines and procedures for reimbursement of services provided by both
the City of Huntington Beach and Seal's Ambulance.
5) Seal's Ambulance Service will NOT bill Medicare, Medi-Cal,insurance carriers or
individuals for ambulance services which are billed by the Huntington Beach Fire
Department.
6) Seal's Ambulance Service may bill Medicare, Medi-Cal and others for BASIC
ambulance service for those persons not requiring Fire Department intervention
and which are NOT billed by the Huntington Beach Fire Department.
The City of Huntington Beach and Seal's Ambulance Service agree to notify
Transamerica Occidental and the Medicare Administration of any changes or
cancellation of this agreement.
Huntington Beach Fire Department
' 440000,
BY 6ym ri'' icar ,_ ate
Fireliief, City of Huntington Beach
Sealson nc. DBA 's bulance Service
By
ice rest ent ate
Transamerica Occidental
Transamerica
r Life Insurance Company
U�cidentat life 1150 South Olive
115o soutn a;ve
Los Angeles,CA 90015-2211 777FFF(213)748-2311
Mailing Address
P.O.Box 54905
Los Angeles,CA 90054-0905
December 1, 1989
Huntington Beach Fire Department
2000 Main Street
Huntington Beach, CA 92648
Attention: Raymond C. Picard
Dear Mr. Picard:
We are pleased to inform you that your request to become a Medicare Part
"B" provider has been approved.
Your Medicare Identification Number is 77ZA446.
This provider number should be used for all BLS and ALS services provided
by your ambulance company.
In reference to your arrangement with an outside ambulance to provide the
transportation which you stated will become effective July of 1990, we
will need a copy of the contract and a statement as to how these services
will be billed.
Should you and/or your staff need assistance with general billing
questions or problems, please call our Professional Relations Department
at (213) 742-3934. They can assist you over the telephone or you may
schedule an appointment to meet with one of the representatives at our
office. Also now available for your use, through the Professional
Relations Department, is the new "Billing Manual ". If interested, please
ca.].
If you have any further questions, please feel free to contact me at
(213)742-3832.
Sincerely,
res on P Pro iie Analyst
C -ific I o le Department
PP:ch
cc: Richard Kaump
Medicare Administration
T
J, CITY OF F- UNTINGTON BEACH
2000 MAIN STREET CALIFORNIA 92648
OFFICE OF THE CITY CLERK
t.
July 2, 1990
Marguerite Galich
939 - 10th Street
Huntington Beach, CA 92648
I have transmitted your letter regarding the Fire Med Insurance to the
City Council members. I have also sent a copy to Michael T. Uberuaga,
City Administrator and Fire Chief Picard.
Connie Brockway
City Clerk
CB:bt
(Teiepnone:714-536-5227)
t
y
0
CITY OF HUNTINGTON BEACH
INTER-DEPARTMENT COMMUNICATION
HVNTINGTON BEACH
To Honorable Mayor and City From Connie Brockway, City Clerk
Council Members
Subject Fire Med Insurance Date July 2, 1990
Attached is a memo from Marguerite Galich, 939-10th Street,
regarding the Fire Med Program.
CB:bt
CC: Michael T. Uberuaga, City Administrator
Ray Picard, Fire Chief
JUL 2 �YI2`iro Fi9 '90
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