08-27-19 EMS Work Session Agenda and MaterialsCITY COUNCIL
EMS SUBCOMMITTEE
KALISPELL AGENDA
August 27, 2019, at 6:00 p.m.
City Hall Council Chambers, 201 First Avenue East
A. CALL TO ORDER
B. DISCUSSION ITEMS
1. Emergency Medical Services
C. PUBLIC COMMENT
Persons wishing to address the council are asked to do so at this time. Those addressing
the council are requested to give their name and address for the record. Please limit
comments to three minutes.
D. CITY MANAGER, COUNCIL, AND MAYOR REPORTS
E. ADJOURNMENT
UPCOMING SCHEDULE / FOR YOUR INFORMATION
City Offices Closed — September 2, 2019 — Labor Day
Next Regular Meeting — TUESDAY, September 3, 2019, at 7:00 p.m. — Council Chambers
Next Work Session — September 9, 2019, at 7:00 p.m. — Council Chambers
Reasonable accommodations will be made to enable individuals with disabilities to attend this meeting.
Please notify the City Clerk at 758-7756.
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City of Kalispell
Post Office Box 1997 - Kalispell, Montana 59903-1997
Telephone (406) 758-7700 Fax - (406) 758-7758
MEMORANDUM
To: Members of the EMS Subcommittee
From: Doug Russell, City Manager
Re: EMS delivery options
Meeting Date: August 27, 2019
BACKGROUND: During budget discussions regarding Emergency Medical Services, the City Council
requested reconvening the EMS subcommittee to discuss options related to soliciting requests for
proposals for the provisions of these services.
This follows from previous efforts to address the fiscal challenges in funding this service. Previous
efforts have included a levy election that failed to pass, revamping the rate schedule, and various activities
to facilitate efficiencies within the operations. The operation continues to require a transfer from the
general fund in order to meet financial requirements of the operations, prompting the discussion during
budget sessions.
At a previous EMS subcommittee meeting in July, we reviewed various benchmarks from several
communities. Since that time, we have been able to assimilate a more comprehensive comparison, which
we will review with the committee. Additionally, a private entity has received information on department
operations and call information. We are hoping they are able to provide feedback between now and the
meeting on Tuesday.
RECOMMENDATION: Information will be presented for the EMS Subcommittee to further discuss
options related to a solicitation of services.
ATTACHMENTS: Comparison information from other communities.
Emmsmumucm
Mnbula'ce
Company
Fire Deportment
Detlicated
AIS or
transport units
BLS
What level of care does
Call volume
co —per
Service
EMS Response time
Does City Fire
IS City r,imb.,,d for
the FDresporM(AIS,BIS
Cont,d/OMinance/Other arrangement
(EMS(
all volume
(or both(
expectation
Respond
responses
or Both(
Subsidy Paid
Payer Mu
Billings
OMi'a'ce
N/A
AMR
AB/AMR
AMR
Yes
No
Both
o.
Unknown
9 minutes or loss @
34,OOOAnnu.I upon
Missoula
Oodi'a'cea.d Contract
6040
See note
both
90%
yes
o'tract
Both
o.
Unknown
AB or
B.od oo
response
BB
Service
9minutes
Great Falls
Oodi'a'cea.d Contract
5451
performance
(or both(
Yes
No
ALB non transport
Unknown
No, unless we cover
the call with our
ambulance at which
Approx 2,200
B:OR or less 90%a
point vre charge AMR
Bozeman
Oodi'a'ce
'city only
No
AB
thetime
Yes
not the patient
Both
oo
Unknown
Butte
Coot ract/Oodi'a'ce/Other arrangement
Unknown
11Amb
Both
11Amb
Yes
No
BB with oodorseme'ts
oo
Unknown
EMD to triage
calls antl
HFD=3000,
respood to
Not with money, but
Total System is
3to 4 tluri'g
priority ails
SPAS gives us some
Both, Depe'tls on doily
Helena
Contract with St. Pete's(SPAS)
6000
tlay,2at'ight
AL8
with SPAS.
supplies.
staffing
Anaconda
Fire basetl Transport
12.
Yes
N/a
BB with e'tlorsem e'ts
N/A
unknown
Havre
Fire basetl Transport
1221
Yes
N/A
BB withoodorseme'ts
N/A
Unknown
Miles City
Fire basetl Transport
12M
1
Both
None
Yes
No
Both
N/A
note2
Livingston
Fire basetl Transport
1100
N/A
N/A
N/A
Yes
N/A
ALBTra'sport
N/A
Unknown
NOTE: 1. MESI currently staffs 4 ABu'it524/J with a 51h .,it o'a1124/J antl l supervisor oo shifffrom 06:00.18:00 antl oo milfrom 18:00-06:00. This isstaffingfor their wholeresponse area i'clutli'g the Gly of Missoula.
2. 51.31%Metliare, Part B, 9.24 %, Modimid Payment 1.84 % Commercial i'S1.68 % - payment—% Perso'a1 check5.58 % Metliare copy ins 3.20 % Work Comp 2.84 %Blue cross