Ambulance Contract Annual Report - Vancouver, Washington

25 Pages·2016·1.45 MB·English

by  Jordan, Jilayne

Ambulance Contract Annual Report
May 16, 2016
Vancouver City Council Workshop

Chief Joe Molina, Vancouver Fire Department
Deputy Chief Dan Olson, Vancouver Fire Department
Rocco Roncarati, AMR
Tom Somers, Fitch & Associates
5/11/2016 11:28 AM Dr. Wittwer, Clark County MPD
Presentation Overview
Objectives of Presentation:
•
Background
•
Update Council and community on the results of the first year
ambulance services agreement.
• City’s overview of performance benchmarks
• Provider’s perspective
• Third-party evaluation of ambulance contract administration –
Fitch & Associates
• Clinical performance assessment
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Prior Council Review
• 2013 – 2014 Council policy direction to establish an ambulance service
contract reporting to the City of Vancouver
• Council adopts VMC 5.85 to contract directly for the provision of
ambulance transport services
• After extensive evaluation, Council awarded ambulance contract to
AMR

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Major Performance Benchmarks
• Response time performance standard
• Innovation
• Public Relations & Community Education

• Financial
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Response Time Performance – 90th Percentile

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Response Time Performance

2015 2015 Count
Alarm Type Standard Actual
Priority 1 and 2 – High Density 9:59 09:30 21,161
Priority 1 and 2 – Low Density 19:59 17:12 1,545
Priority 3 and 4 – High Density 12:59 12:30 16,292
Priority 3 and 4 – Low Density 19:59 19:25 1,062
Priority 5 and 6 – High Density 17:59 14:51 10,725
Priority 5 and 6 – Low Density 29:59 20:49 563
Routine – EMSD2 Area Only – Scheduled ≤ 15 mins 04:21 348
(12 hr pre-scheduled)
Routine – EMSD2 Area Only – Non Scheduled ≤ 60 mins 43:57 2,675
(less than 12 hr pre-scheduled)
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Innovation
• Pit Crew CPR
• DOC Integration
• Bariatric Program
• Sim Man Training
• AMR Mobile Training Unit

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Public Relations / Community Education
Topic Attendance Hours County
Community Events
Hands Only CPR 4,818 43.5 Clark
Health Fairs 525 16 Clark
Car Seat Installation Clinics 216 58.5 Clark
Fall Prevention 130 17.5 Clark
Ambulance Show and Tells 85 3.5 Clark
Car Seat Tech Class 21 59 Clark
Safe Kids 13 81 Clark
Total 5,808 279
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Financial Review
• Financial Considerations
• Franchise Fee for Oversight
• Viable & sustainable
• Patient Charges
• One Year Results
• Franchise fee did not increase from 2015 to 2016
• First year financial results indicate the contract with the City is financially sustainable for
the provider.
• Patient rates increased by a lower amount than agreed to in the contract due to
willingness of both parties to work together on a value based recommendation
benefiting the community.
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Third Party Review of Contract Administration
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