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HomeMy WebLinkAboutFire Med Fee Schedule - effective 01-10-2010 - Resolution 20 11 Council/Agency Meeting Held: Deferred/Continued to: �fAppr e�, ❑ Conditionally Approved ❑ Denied Cit Cle Signat e Council Meeting Date: 12/21/2009 Department ID Number: FD 09-010 CITY OF HUNTINGTON BEACH REQUEST FOR CITY COUNCIL ACTION SUBMITTED TO: Honorable Mayor and City Coup",I Members °" "!rSUBMITTED BY: Fred A. Wilson, City Administrat `°';I PREPARED BY: Duane Olson, Fire Chief 040 SUBJECT: ADOPT FEE RESOLUTION FOR REVISION OF THE CITY'S FIREMED FEE SCHEDULE FOR EMERGENCY MEDICAL SERVICES Statement ofissue,Funding Source,Recommended Action,Alternative Action(s),Analysis,Environmental Status,Attachment(s) Statement of Issue: The Fire Department is requesting approval to adjust user fees to improve and/or maintain the Fire Department's emergency medical services. Funding Source: Not applicable. Recommended Action: Motion to: Adopt Fee Resolution 2009 - 80 , A Resolution of the City Council of the City of Huntington Beach Setting Advanced Life Support, Basic Life Support, Emergency Ambulance Transportation, Medications and Specialized Supply Fees to be Charged by the Fire Department of the City of Huntington Beach, amending Resolutions No. 2009-23, Revision of the City's FireMed Fee Schedule for Emergency Medical Services. Alternative Action(s): 1) Hold the Public Hearing and adopt only a portion of the fees. 2) Do not adopt any of the recommended fees. REQUEST FOR CITY COUNCIL ACTION MEETING DATE: 12/21/2009 DEPARTMENT ID NUMBER: FD 09-010 Analysis: FireMed user fees were last reviewed by the City Council during a Public Hearing held on May 4, 2009. Fee revisions were authorized by the City Council to conform to changes approved by the County of Orange Health Care Emergency Medical Services Agency (OCEMSA) and to recover costs for Basic and Advanced Life Support (ALS) services, including personnel, equipment and apparatus, and emergency ambulance transportation. The FireMed Program provides several benefits to the community by funding: • Complete cost of twelve (12) Firefighter Paramedic positions • Free CPR training to all FireMed members • Funding for all Ambulance Program costs • Funding for the Quality Assurance Program • Funding for two Mechanic III positions in the Fire Shop • Providing better customer care through the Emergency Medical Information Program • Funding for all emergency medical service and transportation supplies and medications • Enhancing the operational readiness of City fire stations through paramedic equipment and facility upgrades City Ordinance section 8.68.110 allows revenues derived from the FireMed Program to be used to improve and maintain the City's emergency medical services system. The proposed fee adjustments will allow the Fire Department to recover costs associated with emergency medical services and activity in the Fire Department. Revision to FireMed Emergency Medical Services Fee Schedule Resolution 2009 - 80 (Attachment 1) includes the user fee schedule proposed by staff for approval by the City Council. A Notice of Public Hearing (Attachment 2) was published. This schedule represents fees for emergency transport, basic and advanced life support, supplies and medications, additional specialized ALS services, emergency medical assessment and membership rates, effective January 1, 2010. Supplies and Medications In the FireMed User Fee Schedule A for Advanced Life Support Supplies and Medications, staff proposes a 1% increase of the fees charged for existing supplies and medications. This increase is a result of increased purchasing costs. In the past six months, the Huntington Beach Fire Department completed training in the use of the EZ-10 Intraosseous Infusion System. EZ-10 gives paramedics an alternative way to deliver fluids and medications to patients when intravenous access is not possible. Although expensive, a significant difference is made in survivability for patients in extreme trauma and medical situations. Schedule A shows the addition of needles and lidocaine used for EZ-10 therapy. Supplies and medications are priced at actual cost recovery plus administrative processing. -2- 11/30/2009 1:16 PM REQUEST FOR CITY COUNCIL ACTION MEETING DATE: 12/21/2009 DEPARTMENT ID NUMBER: PD 09-010 Analysis (continued) Additional Specialized ALS Services Staff proposes increasing the Additional Personnel rate to reflect the approved Fire Department fully burdened rate sheet developed by Public Resource Management Group and adopted, by reference, in City Resolution 2009-31. All other Additional Specialized ALS Services are maintained at existing rates. These fees recover costs of training and equipment costs for vital diagnostic protocols, such as the 12- Lead EKG Acquisition that provides information to paramedics so that cardiac patients may be transported directly to a cardiac center. Current and proposed rates for Additional Specialized ALS Services are located in Table 1 that follows. Table 1: Current and Proposed Rates for Additional Specialized ALS Services TYPE OF CHARGE CURRENT PROPOSED Defibrillation $ 55.00 $ 55.00 (no change) Advanced Airway 70.00 70.00 (no change) Additional Personnel 66.00 126.00 (increase) 12-Lead EKG Acquisition 100.00 100.00 (no change) In summary, the new rate schedule permits the City's emergency medical service programs to maintain current levels of service while reducing economic impacts on the General Fund. Staff recommends the adoption of the revised rate structure contained in the attached resolution. Strategic Plan Goal: Maintain and Enhance Public Safety. Environmental Status: None Attachment(s): e o - • ® - o • 1. Resolution No. 2009 — 80 A Resolution of the City Council of the City of Huntington Beach Setting Advanced Life Support, Basic Life Support, Emergency Ambulance Transportation, Medications and Specialized Supply Fees to be Charged by the Fire Department of the City of Huntington Beach 2. Notice of Public Hearing — Revision of the City's FireMed Fee Schedule for Emergency Medical Services -3- 11/30/2009 1:16 PM ATTACHMENT 1 'PIC>e c RESOLUTION NO. 2009-80 A RESOLUTION OF THE CITY COUNCIL OF THE CITY OF HUNTINGTON BEACH SETTING ADVANCED LIFE SUPPORT, BASIC LIFE SUPPORT, EMERGENCY AMBULANCE TRANSPORTATION, MEDICATIONS AND SPECIALIZED SUPPLY 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 City of. Huntington Beach Fire Department; and FireMed user fees were last revised by the City Council pursuant to Resolution No. 2009-23; and In order to assist in defraying the cost of paramedic and ambulance services, the City Council desires to revise 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, NOW, THEREFORE, BE IT RESOLVED by the City Council of the City of Huntington Beach that the fees set forth herein below and on the attached Schedule A are hereby established as follows: Voluntary FireMed Membership Annual Fee Household $60.00 Low Income Household $30.00 Business—First three (3) employees $60.00 Each additional group of three employees $60.00 Fire Department ALS/BLS Fees Basic Life Support(BLS)- Emergencies requiring Basic Life Support services rendered by paramedics and/or EMT personnel $225.00 Advanced Life Support(AL,S)- Emergencies requiring Advanced Life Support services rendered by paramedic personnel $325.00 09-2307/40780 Page 1 of 3 Resolution No. 2009-80 Additional Specialized ALS services provided: o Defibrillation $55.00 ® IV tubing; solutions; drugs; special supplies Schedule A Advanced Airway $70.00 ® Additional Personnel $126.00 12-Lead EKG Acquisition $100.00 Fire Department ALS/BLS Assessment Fees Basic Life Support(BLS)Assessment— Emergencies requiring Basic Life Support services rendered by paramedics and/or EMT personnel when the patient is not transported to a hospital and is released at scene $225.00 Advanced Life Support(ALS) Assessment— Emergencies requiring Advanced Life Support services rendered by paramedic personnel when the patient is not transported to a hospital and is released at scene $325.00 Fire Department Emergency Transport Fees Type Basis for Fee Emergency Applicable at time of request for Base Rate $671.75 ambulance response Mileage Per patient-transported mile or fraction $15.50 thereof Oxygen Applicable when oxygen is administered and $76.00 includes mask or cannula Medical Utilized by patient during incident Schedule A Supplies Expendable Medical Supplies $30.00 Advanced Life Support(ALS) Medications Schedule A Exemption And Reduction Of Charges Determination for an exemption or reduction of fees shall be made by the Fire Chief His findings shall be based on the following criteria: 09-2307/40780 Page 2 of 3 Resolution No. 2009-80 (a) FireMed Membership Fees-Low Income Household: Persons who wish to participate in the FireMed Membership program but are unable to pay the full membership fee because of hardship conditions may enroll at the "Low Income Household" rate. Determination shall be based on "HUD Income Guidelines - Very Low Income Category" currently on file at the City's office of Economic Development. (b) User Fees-Inability to Pay: Persons receiving emergency medical services from the Huntington Beach Fire Department and claim an inability to pay may apply to the Fire Chief for a reduction of charges. The Fire Chief will evaluate the availability of insurance, government assisted programs and total household income to determine the reduction of fees. The Fire Chief may reduce fees to no less than the annual membership fee. BE IT FURTHER RESOLVED that the effective date of the fees set forth in this resolution shall be on January 01, 2010 . Nothing contained herein shall prohibit the combining of any Fire Department ALSBLS, ambulance transportation, medication, or supply fee for billing purposes. BE IT FURTHER RESOLVED that all resolutions in conflict herewith are hereby repealed. PASSED AND ADOPTED by the City Council of the City of Huntington Beach at a regular meeting thereof held on the 21st day of December 2009. r REVIE APPROVED: INITIATED AND APPROVED: City 'm trator ire ief 1 PP;Attomey VED AS TO FORM: i X\ A-C1- 09-2307/40780 Page 3 of 3 Resolution No. 2009-80 HBFD EMERGENCY TRANSPORT FEES - SCHEDULE A - SUPPLIES Price SUFPLIES,CON'T „ Price 12 Lead �8 Splint 2' Aerosol Mask 2i Suction Kit 12; Airway NP 6 Syringe 21 Bag Valve Mask 22 Tourniquet, Combat App 281, Bandaging, Small 2 Triangular Bandage -�� 2 Bandaging, Medium 61 Urinal/Bed Pan 2 Bandaging, Large 18 V Vac 38 Bedding Pack 2 Vacuum Splint 42 Blanket, Disposable 8 Blanket, Fabric 18 Burn Pack _ 56 _ Capnographym28MEDICAI'IOV1_19-Pri961 ce `' Cold Pack 2 Adenosine 6mg/ Combitube 1063 Adenosine 12mg/2ml 180 Communicable Disease Kit 16 Albuterol _2E Defib Pads 62 Amiodarone 30 Electrode Set 2 Aspirin, low dose 21 Emesis Basin 4 Atropine 4 ET Kit 18 Atropine Vial 27 EZ 10 Kit, Adult 260 Benadryl 4= EZ 10 Kit, Ped 260 Dextrose 6 EZ 10 LD Needle 302 Dopamine 4 Flexible Intubation Guide 32 EPI 1:1,000- 1cc Amp_ 4 _ _ _ �r Gloves, pair _ x 2` EPI 1:1,000-30cc Vial 8' Glucose Strip_ 4 EPI 1:10,000- 10cc Syr 4 �HipSplint/Wrap �60 Glucagon 250` Irrigation Solution 4 Glucose, Oral (gel) 10 _...__ ....... _ _ ��..�...�_.._._. IV Bag and Tubing 10 Lidocaine 14= IV Kit and Cath 12 Midazolam 4 _.._. _... .__ _ ,_ ......_ __._.._ - IV Needles, additional 21 Morphine Syringe 16 M_yClyns 25 Morphine Vial 2' N95 Mask4 NaloxoneT 40 Neb_ulizer _ 2 Nitrospray__ Needle Thoracostomy 173 Normal Saline Pillow 2 OB Kit _ 14 Normal Saline Vial_ 2j Oral Airway 4 Sodium Bicarb 6 P100 Mask 14 Sodium Thiosulfate 40j Pillow 8 Pulseoxymeter 2 Saline Lock 6 Sharps Tube (sgl use) 10! Soft Restraints 8 Spinal Immobilization 24 Spit Sock _ December 2009 Res. No. 2009-80 STATE OF CALIFORNIA COUNTY OF ORANGE ) ss: CITY OF HUNTINGTON BEACH ) I, JOAN L. FLYNN 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 December 21, 2009 by the following vote: AYES: Carchio, Coerper, Hardy, Green, Bohr, Dwyer, Hansen NOES: None ABSENT: None ABSTAIN: None �ityClerkCand ex-off' o Clerk of the City Council of the City of Huntington Beach, California A TTA CHMEN T 2 NOTICE OF PUBLIC HEARING CITY OF HUNTINGTON BEACH REVISION TO THE CITY'S FIREMED EMERGENCY MEDICAL SERVICES FEE SCHEDULE NOTICE IS HEREBY GIVEN that a public hearing will be held by the City Council of the City of Huntington Beach in the City Council Chambers of the Civic Center located at 2000 Main Street, Huntington Beach, California, at the hour of 6 p.m. or as soon thereafter as possible on Monday, the 21ST of December, 2009, for the purpose of considering revisions to the City's FireMed user fee schedule. All proposed revisions are cost recovery in nature. It is proposed that a new rate schedule be adopted which will require higher fees to be paid by persons, or their respective insurance companies, that use the City's Emergency Medical Services system. The types of fees under consideration for revision include emergency ambulance transportation, specific medications, and related paramedic supply charges. The Huntington Beach Fire Department is proposing a revised user fee schedule that recovers the increased cost of these items or services. A complete report detailing proposed revisions to the FireMed Emergency Medical Services fee schedule is available for review by the public at City Hall, 2000 Main Street, in the City Clerk's office between the hours of 8:00 a.m. and 5:00 p.m., Monday through Friday. Interested persons may also contact the Fire Department at 2000 Main Street, Huntington Beach, California 92648 to receive additional information. All citizens are invited to attend the public hearing and provide the City Council with written and oral comments or ask questions concerning proposed revisions to the City's FireMed Emergency Medical Services fee schedule. The City of Huntington Beach endeavors to accommodate persons of handicapped status in the admission or access to, or treatment or employment in, City programs, or activities. The City of Huntington Beach is an equal opportunity employer. Dated: CITY OF HUNTINGTON BEACH JOAN FLYNN, City Clerk 2000 Main Street Huntington Beach, CA 92648 Telephone: (714) 536-5227 RCA ROUTING SHEET INITIATING DEPARTMENT: FIRE SUBJECT: ADOPT FEE RESOLUTION FOR REVISION OF THE CITY'S FIREMED FEE SCHEDULE FOR EMERGENCY MEDICAL SERVICES COUNCIL MEETING DATE: December 21, 2009 RCA ATTACHMENTS STATUS Ordinance (w/exhibits & legislative draft if applicable) Attached ❑ Not Applicable Resolution (w/exhibits & legislative draft if applicable) Attached Not Applicable ❑ Tract Map, Location Map and/or other Exhibits Attached ❑ Not Applicable Contract/Agreement (w/exhibits if applicable) Attached ❑ Signed in full by the City Attorney) Not Applicable Subleases, Third Party Agreements, etc. Attached ❑ (Approved as to form by City Attorne ) Not Applicable Certificates of Insurance (Approved by the City Attorney) Attached ❑ Not Applicable Fiscal Impact Statement (Unbudgeted, over $5,000) Attached ❑ Not Applicable Bonds (If applicable) Attached ❑ Not A plicable Staff Report (If applicable) Attached ❑ Not Applicable Commission, Board or Committee Report (If applicable) Attached ❑ Not Applicable Findings/Conditions for Approval and/or Denial Attached ❑ Not Applicable EXPLAHATOCo.N FOR WOMSM ATTACHMENTS REVIEWED :e.._ - �� RET R ED F®R RDED Administrative Staff Deputy City Administrator (`Initial --- City Administrator (initial) 31 City Clerkt4,�a��': ) E LANATION FOR RETURW6_PF,4T M:- � RCA Author: Olson/Justen/Cameron Revision of the City's FireMed Fee Schedule for Emergency Medical Services Huntington Beach Fire Department December 21,2009 Overview ® FireMed Program Authorized by Municipal Ordinance in 1990 to: • Maintain and Improve the Paramedic Delivery System ® Offset New Emergency Medical System Costs as Provided by the Fire Department T,,), Current Funding ® The FireMed Program provides numerous benefits to the community by funding: • Twelve (12) Firefighter Paramedic positions • Free CPR training to all Firemed members > • Ambulance Program costs • Quality Assurance Program • Two Mechanic III Fire Shop positions • Emergency Medical Supplies and Equipment • Fire Station Facility Upgrades for enhanced operational readiness Staff Recommendations A • Fee Modification for Advanced life Support Supplies and Medications overall increase of 1% • Adjustments due to reflect increased or decreased purchasing costs • OCEMSA periodically changes protocols for medications and equipment due to treatment advancements, affecting overall costs • Fee Modification of Additional Personnel Rate • Adjustment needed to reflect the fully burdened personnel cost as approved by City Council in November 2009 Summary Fee modifications allow the Fire Department to recover costs associated with emergency medical services and activity Recommendation ® Motion to: Adopt the proposed resolution revising the City's FireMed Fee Schedule for Emergency Medical Services s Revision of the City's FireMed Fee Schedule for Emergency Medical Services Huntington Beach Fire Department December 21, 2009 NOTICE OF PUBLIC HEARING CITY OF HUNTINGTON BEACH REVISION TO THE CITY'S FIREMED EMERGENCY MEDICAL SERVICES FEE SCHEDULE NOTICE IS HEREBY GIVEN that a public hearing will be held by the City Council of the City of Huntington Beach in the City Council Chambers of the Civic Center located at 2000 Main Street, Huntington Beach, California, at the hour of 6 p.m. or as soon thereafter as possible on Monday, the 21ST of December, 2009, for the purpose of considering revisions to the City's FireMed user fee schedule. All proposed revisions are cost recovery in nature. It is proposed that a new rate schedule be adopted which will require higher fees to be paid by persons, or their respective insurance companies, that use the City's Emergency Medical Services system. The types of fees under consideration for revision include emergency ambulance transportation, specific medications, and related paramedic supply charges. The Huntington Beach Fire Department is proposing a revised user fee schedule that recovers the increased cost of these items or services. A complete report detailing proposed revisions to the FireMed Emergency Medical Services fee schedule is available for review by the public at City Hall, 2000 Main Street, in the City Clerk's office between the hours of 8:00 a.m. and 5:00 p.m., Monday through Friday. Interested persons may also contact the Fire Department at 2000 Main Street, Huntington Beach, California 92648 to receive additional information. All citizens are invited to attend the public hearing and provide the City Council with written and oral comments or ask questions concerning proposed revisions to the City's FireMed Emergency Medical Services fee schedule. The City of Huntington Beach endeavors to accommodate persons of handicapped status in the admission or access to, or treatment or employment in, City programs, or activities. The City of Huntington Beach is an equal opportunity employer. Dated: December 3, 2009 CITY OF HUNTINGTON BEACH JOAN FLYNN, City Clerk 2000 Main Street Huntington Beach, CA 92648 Telephone: (714) 536-5227 CITY COUNCIL/REDEVELOPMENT AGENCY PUBLIC HEARING REQUEST FORM MEETING DATE: December 7,2009 SUBJECT: REVISION TO THE CITY'S FIREMED EMERGENCY MEDICAL SVCS FEE SCHEDULE DEPARTMENT: FIRE CONTACT NAME:jANF cAmp:Rmg PHONE37F-r;nA7 N/A YES NO ( ) (x) ( ) Is the notice attached? ( ) ( x) ( ) Do the heading and closing of the notice reflect a hearing before the City Council and/or Redevelopment Agency? ( ) (x) ( ) Are the date, day and time of the public hearing correct? (x ) ( ) ( ) If an appeal, is the appellant's name included in the notice? (x) ( ) ( ) If Coastal Development Permit, does the notice include appeal language? (x ) ( ) ( ) Is there an Environmental Status to be approved by Council? (x) ( ) ( ) Is a map attached for publication? (x) ( ) ( ) Is a larger ad required? Size (x) ( ) ( ) Is the verification statement attached indicating the source and accuracy of the mailing list? (x) ( ) ( ) Are the applicant's name and address part of the mailing labels? (x) ( } ( } Are the appellant's name and address part of the mailing labels? ( x) ( ) ( ) If Coastal Development Permit, is the Coastal Commission part of the mailing labels? (x) ( ) ( ) If Coastal Development Permit, are the resident labels attached? (x) ( ) ( ) Is Summary Report 33433 attached? (Redevelopment Agency items only) What is the minimum number of days from publication to hearing date? 10 DAYS What is the minimum number of times to be published? 2 TIMES What is the specified number of days between publications? 5 DAYS FOR ADMINISTRATION AND CITY CLERK USE ONLY Approved for public hearing Date noticed to newspaper Date published Date notices mailed RCA Process Training Manual 10-05-06 -24- Huntington Beach hidependent has been adjudged a newspaper of general circulation in Huntington Beach and Orange County by Decree of the Superior NOTICE OF PUBLIC HEARING,; Court of Orange County,State of California,under date of Aug.24, 1994,case CITYOF - A50479. HUNT INGTON BEACH REVISION TO THE (ITS FIREMED PROOF OF EMERGENCY MEDICAL SERVICES FEE SCHEDULE PUBLICATION NOTICE IS 'HEREBY GIVEN that a public hearing will be held'by the,City Council of.the City of Huntington Beach STATE OF CALIFORNIA ) 1 the City Council i Chambers of the Civic Center'located at -2000 Main Street; Huntington ORANGE ) SS. Beach, California, at'the COUNTY OF O l�GE ) hour of a p.m. or as soon thereafter as pos-. sible. on Monday, the 21ST of December,.2009, for the Purpose'of,con- I am the Citizen of the United States and a sidering revisions to the City's FireMed user fee- resident of the County aforesaid; I am over schedule. All proposed; revisions are cost.recov- ery'in nature. the age of eighteen years, and not a party It'is proposed that a new rate schedule be to or interested in the below entitled matter. adopted which will re am a principal clerk of the HUNTINGTON quire higher fees to be paid by.persons;,or their respective insurance BEACH INDEPENDENT, a newspaper of companies, that use the City's.Emergency Medi- general circulation, printed and published in cal Services system. The'types, of fees un- the City of Huntington Beach, County of der consideration for re- vision include emergency Orange, State of California, and the am b,u Van c,e• transportation, specific attached Notice is a true and complete copy medications, and related paramedic supply as was printed and published on the charges.The Huntington Beach. Fire Department following date(s): is proposing a, revised user fee:schedule. that recovers the 'increased cost of these items or services. A complete report de-1 tailing proposed nevi-' sions to the FireMed_ Emergency.Medical Ser- vices .fee ,schedule is December 3, 10, 2009 available.for review. by the public at City Hall„ 2000 Main Street, in the City'.Clerk's office ,be tween the hours'of 8i00 a.m.'and 5:00 p.m:,,Mon-- Mon— day through Friday.:In-i terested persons may al- so contact the Fire! Department at 2000I Main Street, Huntington 1 declare, under penalty of perjury, that the Beam, California 92648. to receive additional im tormation. ; foregoing is true and correct. All citizens are invited+ to 'attend the.. public hearing and provide•the.; City Council with written .and oral.;comments or ask questions concern- Executed on December 15, 2009 ing proposed revisions to.i the'City's FireMed:Emer--� at Costa Mesa, California gency schedule. Services `fee schedule.. �� 11 The City,of Huntington) J� Beach 'endeavors"to ac- commodate i l/ handicapped tus in the admission or access to, or treatment Lor em- ployment.in,.'City pro- Sign t grams,or activities. The City of.Huntington Beach is an equal opportunity employer. Dated:December 3,2009 CITY OF, HUNT-INGTON BEACH JOAN'FLYNN,'City Clerk 2000 Main Street Huntington Beach, CA 92648 " Telephone: . (714)536-5227 Published: Huntington Beachlndependent; December 3,10,2009 121-138