HomeMy WebLinkAboutDocumentation_Regular_Tab 10_03/12/2009~` VILLAGE OF TEQUESTA
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AGENDA ITEM TRANSMITTAL FORM
1. VILLAGE COUNCIL MEETING:
Meeting Date:
3/12/2009 Meeting Type: Regular Ordinance #: Click here to enter text.
Consent Agenda: No Resolution #: 6-09
Originating Department: Fire
2. AGENDA ITEM TITLE: (Wording form the SUBJECT line of your staff report)
EMS Transport Fee Adjustment
3. BUDGET /FINANCIAL IMPACT:
Account #: Click here to enter text. Amount of this item: Click here to enter text.
Current Budgeted Amount Available:
Click here to enter text. Amount Remaining after item:
Click here to enter text.
Budget Transfer Required: No Appropriate Fund Balance: No
4. EXECUTIVE SUMMARY OF MAJOR ISSUES: (This is a snap shot description of the agenda item)
Annual review and requested EMS Transport Fee Adjustment for 2009.
5. APPROVALS:.
Dept.
Attorr~.~y: (fof legal sufficiency)
Village Manager:
.~ /, ^ ~'
Finance Director: 1C
Yes ^ No ^
SUBMIT FOR COUNCIL DISCUSSION: [~'
APPROVE ITEM: 0'
DENY ITEM: ^
Memorand um
TO: MICHAEL R. COUZZO, VILLA
FROM: JAMES M. WEINAND, FIRE C
SUBJECT: EMS TRANSPORT FEE ADJU
DATE: 2/18/2009
I am requesting this item be placed on the Village Council Agenda for March 12, 2009, for their
consideration. In accordance with Section 34-124 of the Village Code of Ordinances the pre-
hospital emergency care user fees shall be reviewed annually.
Our previous user fee rate philosophy has been to establish a user fee rate centered on the
average transport rates of providers in Palm Beach County and at least 5% above the Medicare
allowable rates for this area. It is always prudent to keep our transport and mileage rates above
the current Medicare allowable to maximize future revenues.
Below is a spreadsheet denoting the surrounding advanced life support providers in Palm
Beach County and their current fee schedule. For comparison purposes, I have included a
column titled Four Mile Transport. This column was added to denote the total fee associated
with a four-mile transport, which represents approximately 95% of our transports in the
Tequesta area.
Palm Beach County
Ambulance Fee Schedule
For 2009
Agency
BLS
Rate
Oxygen
Usa a
ALS-1
Rate
ALS-2
Rate
Mileage
Rate
Specialty
Care Spinal
Imob.
Fee
4-Mile ALS
Trans ort
merican Medical Res onse $300.00 $375.00 $470.00 $8.50 $550.00 $409.00
Boca Raton Fire Rescue $650.00 $650.00 $750.00 $12.00 $750.00 $698.00
Bo nton Beach Fire Rescue $350.00 $425.00 $575.00 $8.00 $650.00 $457.00
Delra Fire Rescue $435.00 $450.00 $570.00 $8.66 $660.00 $484.64
Greenacres Public Safet $430.00 $430.00 $555.00 $8.55 $464.20
Lake Worth Fire Rescue $400.00 $400.00 $550.00 $6.00 $424.00
Medics Ambulance Ser. $410.00 $30.00 $460.00 $8.75 $580.00 $525.00
North Palm Beach Public Safet $450.00 $450.00 $450.00 $7.00 $478.00
Palm Beach Fire Rescue $450.00 $470.00 $590.00 $9.00 $506.00
Palm Beach Count Fire Rescue $490.00 $490.00 $650.00 $9.00 $526.00
Palm Beach Gardens Fire Rescue $480.00 $30.00 $495.00 $588.00 $9.00 $561.00
Riviera Beach Fire Rescue $450.00 $450.00 $8.00 $20.00 $482.00
West Palm Beach Fire Rescue $390.00 $540.00 $540.00 $8.00 $640.00 $572.00
Avera e $437.31 $30.00 $468.08 $570.00 $8.50 $650.00 $20.00 $506.68
Medicare Allowable $346.46 $0.00 $411.42 $595.48 $6.87 N/A $0.00 $438.90
Te uesta Fire Rescue $400.00 $0.00 $400.00 $575.00 $6.75 $0.00 $0.00 $427.00
• ~~• ~~ ~~ ~~ $464.00
GEM R
HIE
S M T
2008 Statistical Information on Patients transported
Percentage of patients Tequesta residents 61.0%
Percentage of patients outside Tequesta 34.0%
Percentage of patients outside Florida 5.0%
Uninsured Patients 7,0%
Insured Patients 93.0%
Medicare or HMO Medicare Coverage 71.0%
Other Insurance Coverage 21.0%
If recommended rates are implemented and if we have consistency in call volumes, this rate adjustment
should generate an additional $17,000.00 in revenue next year.
Attached is a Resolution for your consideration.
RESOLUTION NO. 6-09
A RESOLUTION OF THE VILLAGE COUNCIL OF THE VILLAGE
OF TEQUESTA, FLORIDA, PROVIDING FOR THE 2009
SCHEDULE OF USER FEES FOR PRE-HOSPITAL EMERGENCY
MEDICAL SERVICES, IN ACCORDANCE WITH THE VILLAGE
CODE OF ORDINANCES, CHAPTER 34, ARTICLE V, SECTION 34-
124, ESTABLISHMENT AND REVIEW OF FEES, TO PROVIDE FOR
THE REPEAL OF THE EXISTING SAID USER FEES; PROVIDING
FOR SEVERABILITY; PROVIDING AN EFFECTIVE DATE; AND
FOR OTHER PURPOSES.
WHEREAS, The Village of Tequesta, Florida, provides pre-hospital care and
transport service and has established a schedule for user fees to offset the cost of this
service; and
WHEREAS, The Village Code of Ordinances, specifically Section 34-124, provides
for the ability to adjust the user fees by means of changing conditions, inflation, or other
cost factors associated with providing such service; and
WHEREAS, the Village Council of the Village of Tequesta, Florida, deems it
necessary to amend its user fee rates as set forth herein,
NOW, THEREFORE, BE IT RESOLVED BY THE VILLAGE COUNCIL OF THE VILLAGE
OF TEQUESTA, PALM BEACH COUNTY, FLORIDA, AS FOLLOWS:
Section 1. Chapter 34 of the Code of Ordinances, Article V, Pre-Hospital
Emergency Medical Services, Section 34-124, Establishment and review of fees, shall be
amended to increase the medical transportation charge from $400.00 to $435.00 for ALS
service and from $575.00 to $625.00 for ALS Level 2 service; and to increase the per mile
charge, from $6.75 per mile to $7.25 per mile; therefore, establishing a 2009 user fee rate
schedule as follows:
Emergency Medical Treatment $ 0.00
Emergency Medical Transportation ALS $435.00
Emergency Medical Transportation ALS Level 2 $625.00
Plus, per mile charge, pickup to hospital $ 7.25
Section 2. Repeal of user fees and conflict. All other user fees of the Village of
Tequesta, Florida, are parts hereof which are in conflict with this resolution or part of any
other ordinance associated with user fee rates for ambulance transport service are hereby
repealed.
Section 3. Severability. If any portion of this resolution or the application thereof is
held invalid, such invalidity shall not effect the other provisions or applications of the
existing ordinance, which can be given effect without the invalid provisions or applications,
or to this end, the provisions of this resolution are hereby declared severable.
Section 4. Effective date. These user fees shall take effect upon passage of this
resolution.