Summit County EMS 2018 BUDGET DISCUSSION

EMS Overview 911 emergency call system emergency medical dispatch, medical first response, ambulance transport, search and rescue, air medical transport, medical oversight, continuing medical education, quality assurance. Emergency Medical Care in Summit County include a 911 emergency call system, emergency medical dispatch, medical first response, ground ambulance transport, search and rescue, air medical transport, medical oversight, continuing medical education, and quality assurance. This System works through the coordinated efforts of a variety of agencies that include: Summit County Park City Fire District Summit County EMS Summit County Sheriff’s Office Dispatch Summit County Search and Rescue North Summit Fire District Park City Police Department University of Utah Hospital Park City Hospital Air Med Life Flight Park City Resort Ski Patrol Deer Valley Resort Ski Patrol   This system uses a tiered response with first responders, local search and rescue teams providing basic first aid and Basic Life Support (BLS) in rural areas, to limited Advanced Life Support (ALS) to the more populous areas of our County. Summit County EMS provides limited ALS and medical ground transport. Park City Fire District provides Paramedic level response and Paramedic medical ground transport and Paramedic Interfacility. Air medical resources are also used for scene response, patient transport and Interfacility transport.

DEPARTMENT REVENUES: Tax Revenue from General Fund 2015 11 % 2016 17% 2015 11 % 2016 17% 2017* 23% Fee for Service – Reimbursement 2015 89 % 2016 83 % 2017* 77 % 2017 $ 1, 983,000 $ 95,000 $ 81,500 PCA 2013 2014 2015 2016 2017* Charges $2,569,882.05 $2,703,469.44 $3,218,662.08 $3,050,877.57 $3,040,602.61 Write Offs $647,223.85 $681,884.89 $851,916.00 $919,592.95 $945,253.21 Payments $1,611,826.88 $1,517,197.93 $1,730,507.02 $1,912,983.74 $1,982,394.20 NSA 2013 2014 2015 2016 2017* Charges $173,477.12 $250,491.23 $343,708.91 $274,588.34 $255,657.90 Write Offs $52,525.87 $58,562.76 $119,365.51 $91,004.52 $69,465.06 Payments $111,979.52 $102,874.26 $174,569.77 $134,338.18 $95,063.00 2013 2014 2015 2016 2017* $195,566.62 $186,170.19 $289,439.21 $264,087.13 $215,996.20 $61,673.72 $69,501.70 $95,571.11 $88,597.29 $68,371.73 $123,533.58 $99,272.72 $135,778.25 $150,626.87 $81,530.12

2018 Budget Request Ambulance Program Actual Approved Proposed 2015   Ambulance Program Actual Approved Proposed 2015 2016 2017 2018 2019 Park City Ambulance $ 1,798,440.04 $ 1,899,144.78 $ 1,971,000.00 $ 2,098,260.00 North Summit Ambulance $ 246,726.58 $ 381,466.65 $ 373,000.00 $ 378,800.00 South Summit Ambulance $ 240,912.92 $ 372,058.18 $ 362,370.00 $ 371,850.00 $ 2,286,079.54 $ 2,652,669.61 $ 2,706,370.00 $ 2,848,910.00 EMS Response and Medical Transport   Summit County EMS is the sole provider of ground ambulance services with in the County. Ambulances responded from fixed locations throughout Summit County. The Park City area is covered by 78 cross trained Fire and EMS personnel. Park City Fire has approximately 26 Fire/EMS personnel responding from seven fire stations covering 110 square miles of western Summit County, which is home to approximately 80% of the county’s population. Four Ambulances are staffed 24/7 in the Park City area with full-time personnel comprised of a minimum of one Paramedic and one Advanced EMT. An Advanced EMT quick response unit, from one of seven strategically located fire stations in the Park City area, also responds along with an ambulance to all scene medical calls in the Park City area. During times of unusual demand up to three additional ambulances are crossed staffed by Park City Fire District personnel. These crossed-staffed ambulances response with a minimum of one Advanced EMT and one EMT. On the eastside of the County, two ambulances are staffed a minimum of one Advanced EMT and two EMT’s. These two ambulances are responsible to cover approximately 1000 square miles, or about 500 square miles each. Saturday through Sunday from 7am to 7pm these two ambulances are staffed by personnel residing at the station. Nights are cover by paid-call crew members responding from their homes. Ambulance staffing is comprised of one Advanced EMT and two EMT’s. The makeup of personnel on the east side is one Fulltime Advanced EMT/EMS Coordinator and 60 Part-time and Paid call personnel provide 24/7 ambulance coverage. These 60 EMT’s are responsible to cover 4380 12 hour shifts per year, which works out to approximately eight 12 hour shifts per month.

Summit County EMS: PC NS SS Efficiencies and budget savings: Ambulance Refurbishment Program . ≈ $30,000 to $50,000 in savings Major Improvement since 2014 to now. Decrease response time – PT -Staffed Stations Summit County EMS strives for enroute time (time from dispatch until unit rolling toward the call) in two minutes for its staffed station and five-minutes for its paid call staff. As noted in the chart below over 95% of the time units are responding from the Staffed Park City Stations in less than 3 minutes from time of dispatch. NS – 54%, SS 53%, over 35% 1 or less.

QUESTIONS. Eric Hales Battalion Chief EMS Director ehales@pcfd QUESTIONS? Eric Hales Battalion Chief EMS Director ehales@pcfd.org 435-940-2503