HomeMy WebLinkAboutDocumentation_Regular_Tab 12_02/14/2008~ VILLAGE OF TEQUESTA
~ "' AGENDA ITEM TRANSMITTAL FORM
1. VILLAGE COUNCIL MEETING:
Meeting Date:
February 14, 2008 Meeting Type: Regular Ordinance #: Click here to enter text.
Consent Agenda: No Resolution #: 3- -08
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 ifem)
Annual review and requested EMS Transport Fee Adjustment for 2008.
5. APPROV
Dept.
(for~gal sufficiency)
Finance Director:
Yes No ^
Village Manager: ~~'-
SUBMIT FOR COUNCIL DISCUSSION: ^
APPROVE ITEM: ^/
DENY ITEM: ^
__ _ _
Memoracndum
TO:
FROM:
MICHAEL R. COUZZO, VILLAGE
JAMES M. WEINAND, FIRE
SUBJECT: EMS TRANSPORT FEE ADJ
DATE: 1 /15/2008
I am requesting this item be placed on the Village Council Agenda for February 14, 2008, 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. The Code states that this should be done with a
detailed analysis of associated costs. The current cost of the program is hard to determine because the
labor costs are built into the fire control budget. We have crossed-trained personnel who provide both
pre-hospital care and fire suppression activities. Likewise, the labor costs for the EMS billing;
management and administrative support activities cannot be separated.
In 1994/95 the Emergency Medical Services Division budget was established when the Village Council
elected to bring the treatment of patients, in conjunction with pre-hospital emergency care, under the Fire-
Rescue Department control. The Vllage Council authorized the hiring of additional firefighter/paramedics
and established a five person minimum crew to provide the necessary treatment and care of the citizens.
In 1996/97 the ~Ilage Council decided that the ambulance transport service should be placed in the Fire-
Rescue Department. We were providing all of the pre-hospital treatment with all associated expenses
borne by the taxpayers of Tequesta. Jupiter Medical Center was providing the transportation, expending
0% of the treatment costs and was receiving 100% of the revenue. After deliberation, the Village Council
approved this request and established the EMS Transportation budget allocation.
Below, I have provided you the FY 07/08 Budget Year budget expenditure allocations for the Rescue
Division and the projected EMS transport revenues for this budget year.
Rescue Division expenditure allocation $371,597.00
Projected EMS transport revenues $237.1.38.00
Difference $134,459.00
Since our EMS transport rates have not been adjusted for several years now, we are currently charging
less than the Medicare allowable for this area.
Village's Rates Charged Verses Medicare Allowable Reimbursement
BLS
Rate Oxygen
Usa a ALS-1
Rate ALS-2
Rate
Milea a Rate
Medicare $320.37 $0.00 $380.44 $550.63 $6.42
Village of Tequesta $365.00 $0.00 $365.00 $495.00 $6.50
82% of our calls are billed at the ALS-1 rate
Our previous user fee rate philosophy has been to establish a user fee rate centered on the
average transport rates of providers in Paim 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 afour--mile transport, which represents approximately 95% of our transports in the
Tequesta area.
Palm Beach County
Ambulance Fee Schedule
For 2007
Agency
BLS
Rate
Oxygen
Usa a
ALS-1
Rate
ALS-2
Rate
Mileage
Rate
Specialty
Care Spinal
Imob.
Fee
4-Mile ALS
Trans rt
merican Medical Res nse $275.00 $30.00 $359.00 $419.00 $7.7 $439.00 $419.8
oca Raton Fire Rescue $512.66 $512.66 $631.50 $9.3 $656.25 $550.1
o nton Beach Fire Rescue $325.00 $400.00 $500.00 $8.0 $20.00 $432.0
elra Fire Rescue $412.00 $433.00 $546.00 $8.1 $620.00 $465.6
reenacres Public Safe $395.00 $395.00 $495.00 $7.95 $426.8
ake Worth Fire Rescue N/A $400.00 $550.00 $6.00 $424.0
edits Ambulance Ser. $280.00 $30.00 $360.00 $7.7 $439.00 $420.8
orth Palm Beach Public Safet $450.00 $450.00 $450.00 $7.0 $478.0
alm Beach Fire Rescue $390.00 $408.00 $513.00 $8.0 $440.0
alm Beach Count Fire Rescue $395.00 $395.00 $495.00 $7.9 $426.8
alm Beach Gardens Fire Rescue $297.50 $27.50 $340.00 $7.0 $425.00 $395.5
iviera Beach Fire Rescue $340.00 $340.00 $7.0 $16.00 $368.
est Palm Beach Fire Rescue $390.00 $540.00 $540.00 $8.00 $640.00 $572.0
Avera a $371.85 $29.17 $410.20 $513.95 $7.6 $463.38 $18.00 $447.6
edicare Allowable $320.37 $0.00 $380.44 $550.63 $6.4 N/A $0.00 $406.1
e uesta Fire Rescue $365.00 $0.00 $365.00 $495.00 $6.5 $0.00 $0.00 $391.0
2007 Statistical Information on Patients transported
Percentage of patients Tequesta residents 54.0%
Percentage of patients outside Tequesta 39.0°~
Percentage of patients outside Florida 7.0%
Uninsured Patients 9.0°~
Insured Patients 91.0%
Medicare or HMO Medicare Coverage 58.0%
Other Insurance Coverage 33.0%
If recommended rates are implemented we should be able to generate an additional $10,000.00 in
revenue next year.
Attached is a Resolution for your consideration.
RESOLUTION NO. 3 - 08
A RESOLUTION OF THE VILLAGE COUNCIL OF THE VILLAGE
OF TEQUESTA, FLORIDA, PROVIDING FOR THE 2008
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 $365.00 to $400.00 for ALS
service and from $495.00 to $575.00 for ALS Level 2 service; and to increase the per mile
charge, from $6.50 per mile to $6.75 per mile; therefore, establishing a 2008 user fee rate
schedule as follows:
Emergency Medical Treatment $ 0.00
Emergency Medical Transportation ALS $400.00
Emergency Medical Transportation ALS Level 2 $575.00
Plus, per mile charge, pickup to hospital $ 6.75
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.
The foregoing Resolution was offered by
its adoption. The motion was seconded by
being put to a vote, the vote was as follows:
who moved
_, and upon
For Adoption Against Adoption
Mayor Jim Humpage
Vice-Mayor Pat Watkins
Council Member Dan Amero
Council Member Tom Paterno
Council Member Calvin Turnquest
The Mayor thereupon declared the Resolution duly passed and adopted this
day of , 2008.
MAYOR OF TEQUESTA
Jim Humpage
ATTEST:
Lori McWilliams, CMC
Village Clerk