FireStar Program Update November 17, 2009 FIRE RESCUE DEPARTMENT Carl L. Plaugher, Fire Chief Dr. George Ralls, Medical Director

Presentation Outline History Program Overview Response Data Recent Developments Level of Service Summary

Presentation Outline

History Began 1985 Joint Venture OCSO / OCFRD Hughes 500 – –Single Engine Aircraft – –Limited Range – –One Patient Only

History – –FireStar Program – –Dedicated Fire Rescue Medical Aircraft – –2008 Corporate Jet was purchased by Air Methods Inc Developed Public/Private Partnership

Presentation Outline

Program Overview 24/7 Service to Orange County, Municipalities and Surrounding Counties Exclusive On Scene Air Medical Service – No law enforcement calls – No inter-facility transports

Program Overview Trauma – – Damage caused by external source Strokes – – Blockage or bleeding in brain Heart Attacks Scene Utilization

Program Overview Fire Rescue: Air Methods: 2 firefighter/paramedics2 firefighter/paramedics Helicopter Patient carePatient careMaintenance Medical SuppliesMedical SuppliesPilots Shared hangar costShared hangar costShared hangar cost

Program Overview $903,840 annually – Personnel (6) – Risk Charges – Indirect Costs – Hangar Fire Rescue Costs

Program Overview Air Methods Collections Estimate –$1.35 million $10,500 lift-off fee $105 per loaded mile

Program Overview Stationed at Orlando Executive Airport State of the Art Hangar – –Combined 13,100 sq. ft. – –Built in 2004 – leased from GOAA Hanger / Maintenance Office Dormitory

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Response Data FY 4%↑ 24% ↓ 11%↓ 6%↓ Avg. 40 per month Avg. 42 per month Avg. 32 per month Avg. 28 per month Avg. 27 per month TransportsTransports

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Recent Developments August Air Methods expressed concerns about continuing the program due to declining call volume and revenueAugust Air Methods expressed concerns about continuing the program due to declining call volume and revenue November 2009 – received notification to terminate services pursuant to contract

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Level of Service No service level decrease if FireStar is placed out of serviceNo service level decrease if FireStar is placed out of service –Sufficient number of private hospital based carriers –More hospitals able to handle cardiac and stroke patients

Level of Service 23 miles 15 miles 27 miles 71 miles St. Cloud Medical Center Helicopters AvailableHelicopters Available

Presentation Outline

Summary Private partner has exercised option to terminate flight services contract Hospital based air medical transport is sufficient to meet current demand No impact to Public Safety

FireStar Program Update November 17, 2009 FIRE RESCUE DEPARTMENT Carl L. Plaugher, Fire Chief Dr. George Ralls, Medical Director