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4.0. SR 12-02-1996,ty of ver MEMORANDUM TO: Mayor & City Council FROM: Pat Klaers, City Adm~h~is~trator December 2, 1996 /~/ DATE: SUBJECT: Ambulance Services This past fall, there were a number of articles and letters to the editor in the Star News regarding the city ambulance service. The articles, both pro and con, discussed the quality of the services that are delivered, the cost of the service, and whether or not there is a need to go from the current service of basic life support (BLS) with the advanced life support (ALS) as a back up to one where the local service is entirely of the ALS level. This is somewhat the same issue that the city reviewed, discussed, and responded to in 1991, and some very positive steps were taken to improve the local service at that time. David Miller and Mark Stutelberg from HealthSpan Transportation Services and Elk River Ambulance Coordinator Steve Dittbenner will be in attendance at this meeting to discuss some of the issues that have been raised this past fall, to review the services that are currently being provided, and to address any questions the Council may have on the Elk River Ambulance Service. council\ambserv.doc 13065 Orono Parkway · P.O. Box 490 · Elk River, MN 55330 · (612) 441-7420 · Fax: (612) 441-7425 Elk River Emergency Medical Services Educational Workshop Presented to: Elk River City Officials by Elk River Ambulance Service & HealthSpan Transportation Services l)cccmber 2. 1996 1) 2) 3) 4) ~) 5 illili 5 rain 10 rain A (; E N !)~ \ Introductions Purpose tin' Educational V~'orlcqhop Emergency Medical Service Model · ttistorical Reviews' · Current Model - l)eployment - Medical Protocol Data Reviews' X'olume Response Times · Financial Miller l)ittbenner Smtelberg Stutell)er,~/ l)ittbenner 6) 7) 5 rain Comparisons t(} Surroun(lin~ Area Questions & Answers Stutelberg Elk River Emergency Meq~¢a Educational Services Workshop Elk Presented to: River City Officials December 2, 1996 bY' iElk River Ambulance & pan Transportation AGENDA Introductions Purpose tbr Educational Emergency Medical Historical Review Current Model Deployment Medical Protocol Data Review Workshop Services Model Volume Response Financial Times Comparisons to Surrounding Area Questions & Answers Purpose for Educaional Workshop Introduction of leaders River Ambulance and Transportation from Elk HealthSpan General inlbrmation about the Emerge c? Medical Services Ibr the Elk River Area Receive input about sr~tiafactio. level of the emergency ~medical services E ergency Med-ical Model Serv'~ces HISTORICAL REVIEW Organizational structure Role of the Fire Department Tralnlno level of personnel Requirements personnel ambulance of ambulance Emergency Medical Model Services CURRENT MODEL 911 Ambulance Request Duel Response of Elk River BLS and HealthSpan ALS Pre-Arrival Instructions 'by HealthSpan Communications Medical dete '~ nn'nation of need for .A L S 'by Elk R i v er Charges based, on level of transport Data, .~port Elk River Ambulance and HealthSpan Transportation Services Data RESPONSE SUMMARY YEAR 1992 1993 1994 1995 1996 TOTAL NO LOAD % of Total ~:.!~ % of Total ALS 630 200 31.7 281 44.6 149 734 267 36.4 304 41.4 163 762 271 35,6 291 38.2 200 882 335 38 298 33.8 249 893 339 38 300 33.6 254 % of Total 23.7 22.2 26.2 28.2 28.4 RESPONSE TIME RELIABILITY YEAR 1992 1993 1994 1995 90% 50% Page 1 300q 100- 0 Response Volume Sum~mary 1992-1. 996 (YTD-Nov) No Load BLS ALS Total ~ '1992 a '1993 a '1995 ~ '1996 YTD 25 20 Response 15 Volume as Percent of Total '~992 1996 (¥i'~-~-" - , ..D Nov..) ~ 734I ~ '93 - . , ~ '94- 762 I1 '95 - 882 No Load BLS ALS 90% Response Time Reliability 20 16 ~ 14 i n 12 U t 10 ~ 8 6 4~--- 2 04- '1992 '1993 '1994 '1995 BLS 1 ALS Linear (ALS) --- Linear (BLS) 5O% Response Reliability 12 .... _ r-~BLS ALS '1992 '1993 '1994 '1995 (BLS) Financial Average Cost of Ambulance Transport Elk River BLS - $425 HealthSpan ALS - $700 Comparisons to Am'bulance Surrounding Services Rogers Big Lake / Monticello Zimmerman -Ramsey City Questions Answers Thank l?ou!