Ambulance Coverage
Town of Westhampton, Ma
December 17, 2012
Overview Current Contract
•Town of Westhampton
signed agreement with
Northampton- 5 yr. contract
2010-2015
•Provided for ALS response
and transport
•Allowed for our personnel to
join Northampton personnel
in all continuing education
training and refresher training
free of charge
Financial Provisions of
Contract
•FY 2011- $10,800
•FY 2012- $12,600
•FY 2013- $14,400
•FY 2014- $16,200
•FY 2015- $18,000
•Total over 5 years- $72,000
•Remaining Amount- $34,200
Potential Options
•Easthampton Fire
•Hilltown Ambulance
•Highland Ambulance
•Alert Ambulance
•Pioneer Valley Ambulace
•Westhampton Fire/EMS
•Combination of above
resources
Easthampton Fire
•Paramedic level Service
•Limited Staffing
•Current City Leadershiphistory of terminating
contract due to expense
Hilltown Ambulance
•Regionalized service
•Paramedic level Service
8hrs/day
•Longer response times
•Unknown response
capabilities after midnight
•Limited resources
Highland Ambulance
•Regionalized service
•Paramedic level service
0800-midnight
•On call personnel after
midnight
•Long response times/winter
time, etc.
•Limited resources
Pioneer Valley EMS
•Sister company of
MedStar Ambulance
•Base in Northampton
•4 ambulances
•Paramedic level response
capabilities
•Ability to provide
additional resources if
needed
Westhampton Fire/EMS
Option
•Westhampton Fire
Department members
provide service
•Work in conjunction
with another
ambulance partner
•Basic Level response
capabilities
Ambulance Committee Recommendation
•
Westhampton Fire Based Ambulance
transport service-Basic level
•
Hours of Operation for transports4PM-Midnight / 7 days / week
•
Midnight-4PM- Transport services
provided by Pioneer Valley
Ambulance Service
•
Westhampton EMT’s continue to
respond to every call regardless of
hour
Call History-Trends
Total Call Volume- Fiscal Year
•FY 10- 67
•FY 11-64
•FY 12- 82
Calls between 4PM-Midnight
•FY 10- 22 or 33%
•FY 11- 26 or 41%
•FY 12- 41 or 50%
Start Up Costs
•Ambulance- $3,000 funded from
Firefighters AssociationEasthampton Ambulance
•AmB Pro License- ePCR
reporting- $2,995 start up cost
•License fee- $600/year
•Food & Drug license- $300
•Additional Insurance- $1,200
•Stretcher & Stair Chair- to be
funded by grant funds
•Prelimary start up costs to Town$5,095
Funding For Start Up Costs
•Utilize $15,000 of funds contractually committed for FY 14 ambulance
contract
•Funds to initially be drawn from free cash
Revenue Projections
•10 ALS calls @ $1,000/call=
$10,000
•5 BLS calls @ $800/call=
$4,000
•Total billed= $14,000
•Total collected- $10,500
(75% collection)
On-going cost/year
•
EMS Billing- 4% collected revenue ($420/yr. based on revenue collections of $10,500)
•
Supplies- $1,000
•
Fuel- $250 (15 calls @ $15/call)
•
Vehicle repairs & maintenance-$1,000
•
Personnel- $1,200 ($40/call/person). This would take effect July 1, 2014.
•
ALS intercept fee- $2,750 (based on 10 ALS intercepts /yr.)
•
Annual insurance increase- $1,200
•
Ambu Pro- $600 beginning in FY 15
•
Training/recertification- $1,500
•
Total costs- $9,920
Operations (4PM-Midnight)
• Westhampton Ambulance primary transports unit
• Primary ALS intercept comes from Pioneer Valley Ambulance
• If Westhampton unable to staff ambulance, Pioneer Valley Ambulance
becomes primary transport unit
Operations Cont.
•
ALS calls (4PM-Midnight)
– All calls will be emergency medical dispatched (EMD’d) by Northampton Control
– During this time frame, if determined by Northampton Control Dispatchers that it is an
ALS level call, they will automatically and immediately call for an ALS intercept
– ALS intercept service will meet up with our personnel and supply advanced life support
equipment and supplies while Westhampton transports patient and assists with patient
care
Operations Cont.
•
Midnight – 4PM
– Pioneer Valley Ambulance- Primary ambulance transport service
– If Pioneer Valley Ambulance unavailable to respond, next ambulance service
on mutual aid matrix will be called
– Westhampton EMT’s toned and will respond as we do today
– Provide initial stabilization and treatment and transfer care over to transport
ambulance service
Benefits
•
Provides increased level of service to community
•
Decrease transport times from time of incident to arrival of patient at a health care facility
•
Provides for improved continuity of care
•
Allows us to take care of our own
•
Provides for motivation and recruitment of additional personnel
•
Enable personnel to increase skill level
•
Eliminates community from continually being a bargaining piece for other services
•
Eliminates current retain fees from other services that will continually go up each year
•
Will provide revenue stream to help offset costs for providing expected services to the community
Action Items
•
Personnel begin orientation at Cooley Dickinson Hospital Emergency Room (minimum 4
hours / person)- January 2013
•
Personnel begin ride time with ambulance services to get ride time experience (minimum 5
calls each)- January 2013
•
Development policies & procedures- January 2013
•
Procurement ambulance, stretcher, stair chair- April 2013
•
Development affiliation agreement CDH-April 2013
•
Development of provider agreement with Pioneer Valley Ambulance- April 2013
Action Items Cont.
•
Apply for license- April 2013
•
Establish mutual aid and intercept agreements- April 2013
•
Internal training- Review State OEMS protocols, Ambu Pro training, report writing
documentation, stretcher operations, radio reports, etc.---Ongoing
•
Establish a EMS reserve receipt account for ambulance revenues to be later utilized for EMS
operations
•
Update insurance coverage on vehicles
•
Implementation- July 1, 2013
Proponents of this System
Every Westhampton EMT
Dr. Raymond Conway-Medical
Director, Cooley Dickinson
Hospital
Pioneer Valley Ambulance- met
with management staff numerous
times and personnel have already
come out to Westhampton
Northampton Control- Tom
Dunphy, Director