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HomeMy WebLinkAbout1997 08 11 Regular Item A COMMISSION AGENDA ITEM A REGULAR X CONSENT ( INFORMATIONAL 11 August 1997 Meeting MGR tv IDEPT j! ~ Authorization REQUEST: Fire Department requesting the City Commission conduct a Public Hearing and approve the Second Reading for adoption of Ordinance No. 673, concerning the fee charges for the City's emergency medical patient transport service. PURPOSE: To request that the City Commission conduct a Public Hearing and approve the Second Reading for adoption of Ordinance No. 673 amending the fee charges that were approved with Ordinance No. 608, establishing new fees, and providing for future fee changes by Resolution of the City's emergency medical patient transport service, providing for conflicts, severability and effective date. CONSIDERA TIONS: A. December 11, 1995 - Regular Meeting City Commission The City Commission approved the Second Reading and Public Hearing by motion Ordinance No. 608 (attachment 1) authorizing the provision of Emergency Medical Services Patient Transport by the Winter Springs Fire Department. The fee charge for transport service for each person is hereby established as $184.63 per transport. This fee is to be re-evaluated each year at budget review. If a fee change is warranted, the change shall be accomplished as permitted by law and approved by the Winter Springs City Commission. B. July 14, 1997 - Regular Meeting City Commission The Fire Department presented Regular Agenda Item G (attachment 2) requesting the City Commission review the proposed fee schedule recommended by the Fire Department and approve a fee schedule that the Commission determines appropriate for this service. Discussion was held among the Commission and the proposed fee changes were approved \ August 11, 1997 Regular Agenda Item" A" Page 2 with the following addition. Regarding emergency medical transport, when a resident of Winter Springs is transported from within the city limits by another entity, the resident will pay only the established fee for a city resident. The balance of the bill will be forwarded to the City of Winter Springs for payment from the Patient Transport Fund. With approval of the City Commission of the proposed fee schedule with the addition as previously stated, the Fire Department will prepare an Ordinance amending the fee charges that were approved with Ordinance No. 608, establishing new fees, and providing for futu:e fee changes by Resolution of the City's emergency medic~l patient transport servIce. C. July 28, 1997 - Regular Meeting City Commission The Fire Department presented Regular Agenda Item B requesting the City Commission approve the First Reading for adoption of Ordinance No. 673, concerning the fee charges for the City's medical patient transport service. The City Commission discussed previous language in Ordinance No. 608 that had the word emergency in the text of the Ordinance and decided that it was important to include this language in the text of the new ordinance to avoid confusion. It is important to point out that the City is not operating a non-emergency patient transport service such as to nursing homes or doctor's offices but that the Fire Department would respond to emergencies and evaluate the patient's condition per protocols for transport to area hospitals. Non-emergency transports would be performed by the County or an agency approved by the County to conduct these services. The Fire Department would revise the language in the Ordinance to include the word "emergency" and present the revised language in the Second Reading scheduled for August 11, 1997. FUNDING: No additional funding is required. Fees collected for this service will be deposited in the Medical Transport Services Fund and will be expended as approved by the City Commission in the budget process. RECOMMENDATION: Conduct a Public Hearing and approval of Second Reading of Ordinance No. 673. August 11, 1997 Regular Agenda Item" A" Page 3 IMPLEMENTATION: Ordinance effective immediately upon passage and adoption after Second Reading and Public Hearing scheduled for August 11, 1997. ATTACHMENTS: 1. Copy of Ordinance No. 608. 2. Copy of City Commission Regular Agenda Item G dated 14 July 1997. 3. Copy of Revised Ordinance No. 673. COMMISSION ACTION: , . .. ORDINAL'iCE NO. 608 AN ORDINANCE OF THE CITY OF WINTER SPRINGS, FLORIDA, AUlliORlZING THE PROVISION OF EMERGENCY MEDICAL SERVICES PATIENT TRAL'iSPORT BY THE WlNTER SPRINGS FIRE DEP ARTMDl'T; PROVIDING FOR CONFLICTS, SEVERABILITY AND EFFECITVE DATE. WHEREAS, Sections 3-01, 4.14 and 12-01 of the Wmter Springs City Charter and state law provide; and WHEREAS, the Wmter Springs City Commission with the authority to authorize the provision of emergency medical services patient transport by the Wmter Springs Frre Department; and WHEREAS, the City ofWmter Springs Fire Department has transport equipment and personnel qualified to provide medical transport; and WHEREAS, the Wmter Springs CIty Commission desires to provide such service by the Wmter Springs Fire Department NOW, THEREFORE, BE IT RESOLVED BY mE CITY COMMISSION OF THE CITY OF WlNTER SPRINGS, F1..0RIDA, AS FOLLOWS: SECTION I - The Wmter Springs Fire Department is hereby authorized to take those steps legally necessary to provide emergency medical services patient transport . utilizing equipment and personnel of the Wmter Springs Ere Department. SECTION II - The fee charge for transport service for each person transported is hereby established as $184.63 per transport This fee is to be re-evaluated each year at budget review. If a fee change is wamnted, the change shall be accomplished as pennitted by law and approved by the WInter Springs City Commission. ATTACHMENT 1 SECTION ill - All ordinances or parts of ordinances in conflicts with this ordinance are hereby repealed. SECTION IV - This ordinance shall take effect immediately upon its passage and approval. . d! Passed and adopted this II-day of -.iJ..tU..~ . 1995. cm OF WINTER SPRINGS, FLORIDA ATTEST: ~~. ,4h;J CITY FIrst Reading November 27. 1995 Posted November 28. 1995 Second Reading and Public Hearing December 11. 1995 ... COMMISSION AGENDA ITEM G REGULAR X CONSENT INFORMATIONAL Meeting . MGR~PT~_ , Authorization 14 July 1997 REQUEST: Fire Department requesting the City Commission review the proposed patient transport services fee schedule. PURPOSE: To request that the City Commission review the proposed fee schedule recommended by the Fire Department and approve a fee schedule that the Commission determines appropriate for this service. CONSIDERA nONS: A December 11, 1995 - Regular Meeting City Commission The City Commisshn approved the Second Reading and Public Hearing by motion Ordinance No. 608 authorizing the provision of Emergency Medical Services Patient Transport by the Wmter Springs Fire Department. The fee charge for transport service for each person transported is hereby established as $184.63 per transport. This fee is to be re-evaluated each year at budget review. If a fee change is warranted, the change shall be accomplished as permitted by law and approved by the Winter Springs City Commission. B. General Discussion The City of Winter Springs Fire Department has been transporting Emergency Medical Patients to area hospitals since January 15, 1996, as authorized by City Ordinance No. 608 (attachment 1). The fee charged for service is a flat fee of$184.63 regardless of destination. We are requesting to round off the $ 184.63 charge to an even $ 185.00 During the past 18 months of service the fee charged has more than covered the expenses associated with the transport. However, since most of the public agencies within Seminole County will be assuming the transport function, the City's fee is the lowest within the County (attachment 2). We are suggesting a non-resident transport fee of ATTACHMENT 2 Or. July 14, 1997 Regular Agenda Item "G" Page 2 $280.00. This would be consistent with the non-resident transport fees charged by Longwood and A1tamonte Springs. However, Seminole County and Sanford are charging $280.00 for both residents and non-residents. This $280.00 fee is what other Departments will charge our residents if they come into the City to transport. This is a rare occurrence but it has happened. We also want to establish a mileage rate of$6.00 per loaded mile to offset travel expenses if a patient is transported to a hospital outside of Orange or Seminole County. This has never happened to us but could if a 9-1-1 patient is in a stable condition, per HRS guidelines the patient can go to their hospital of choice. We can only make them go to an area hospital when they are in an unstable condition. This mileage rate is only charged from the City to the hospital facility. Therefore it is my recommendation that the following changes to the transport fee be considered. 1. The transport rate for a City resident of$185.00. 2. The transport rate for a non-resident of$280.00. 3. A mileage rate established of$6.00 per loaded mile transporting patients to facilities located outside of Seminole and Orange Counties. FUNDING: No additional funding is required. RECOMMENDATION: Approval of the recommended fee schedule. Il\1PLEMENTA TION: Rates effective immediately upon approval. ATTACHMENTS: 1. Copy of Ordinance No. 608. 2. Copy of Ambulance Transport Rate Schedule for Seminole County. COl\tIMISSION ACTION: Ambulance Transport Rate Schedule for Seminole County Transport Rate Transport Rate Mileage Other Resident Non-Resident Rate Fees Altamonte Springs $ 200.00 $ 280.00 $ 4.75 $ Per loaded mile outside City limits Casselberry Property owners are $250.00 Basic Life Support or $ - $ - assessed 1.25 mills for $350.00 Advanced Life this service. Support Lake Mary Anticipate transporting next budget year. Longwood $ 211.00 $ 280.00 $ - $ - Oviedo $ 250.70 $ 250.70 $ 5.30 Oxygen $32. I.V. (each) $10.70, ALS Drugs (each) $10.70. Immobilization Equipment $25.95. Infection Control Charge $31.10. Intubation $25.95. Sanford $ 280.00 $ 280.00 $ 6.00 $ - Per loaded mile transporting patients to facilities located outside of Seminole and Orange Counties. Seminole County $ 280.00 $ 280.00 $ 6.00 $ - Per loaded mile transporting patients to facilities located outside Qf Seminole and Orange Counties. Winter Springs $ 184.63 $ 184.63 $ - $ - ORDINANCE NO. 673 AN ORDINANCE OF THE CITY OF WINTER SPRINGS, FLORIDA, PROVIDING FEE CHARGES FOR THE CITY OPERATED EMERGENCY MEDICAL PATIENT TRANSPORT SYSTEM; PROVIDING FOR CONFLICTS; SEVERABILITY AND PROVIDING FOR AN EFFECTIVE DATE. WHEREAS, the City Commission of the City of Winter Springs, Florida, has upon available information and data deemed it to be in the best interest of the citizens of the City that it operate a emergency medical patient transport system; and WHEREAS, the City Commission of the City of Winter Springs, Florida, has deemed it important to the citizens of the City that the City's operation of the emergency medical patient transport system be at a cost that is equal to and/or less than that of private industry, so that no public monies are used to subsidize said system; and WHEREAS, the City Commission of the City of Wmter Springs, Florida, has the authority to establish fees for services; NOW, THEREFORE, BE IT ORDAINED BY THE CITY COMMISSION OF THE CITY OF WINTER SPRINGS, FLORIDA, AS FOLLOWS: SECTION I: That the following schedule of fees relating to the City's operation of the emergency medical patient transport system is hereby established; 1. Transport rate for a City resident of$185.00 2. Transport rate for a non-resident of $280.00 3. A mileage rate established of $6.00 per loaded mile transporting patients to facilities located outside of Seminole and Orange Counties. 4. Regarding emergency medical patient transport, when a resident of Winter Springs is transported from within the city limits by another entity, the resident will pay only the established ATTACHMENT 3 fee for a city resident. The balance of the bill will be forwarded to the City of Winter Springs for payment from the Medical Transport Services Fund. SECTION II: That in the event it is determined by the City Commission that a change to the fee schedule is warranted, the change shall be accomplished by Resolution approved by the Winter Springs City Commission. SECTION ill: That is any section or portion of a section or subsection of this Ordinance proves to be invalid, unlawfu~ or unconstitutional it shall not be held to invalidate or impair the validity, force or effect of any other section or portion of a section or subsection or part of this Ordinance. SECTION IV: That all ordinances or parts of ordinances in conflict herewith are hereby repealed to the extent of said conflict. SECTION V: This ordinance shall take effect upon passage and adoption. PASSED AND ADOPTED this day of 1997, m Chambers at Winter Springs, Seminole County, Florida. CITY OF WINTER SPRINGS, FLORIDA PAULP. PARTYKA, MAYOR ATTEST: MARGO HOPKINS, CITY CLERK FIRST READING SECOND READING AND PUBLIC HEARING POSTED