FIRE/EMERGENCY MEDICAL SERVICES (EMS) DELIVERY OPTIONS JUNE 22, 2020 OBJECTIVES
Overview of Fire & Emergency Medical Services (EMS) Fire Service Delivery Options: No. 1 – Consolidated Fire Protection District of Los Angeles County No. 2 – Contract Ambulance Transport Services No. 3 – Brown Out (Reduced Overtime) No. 4 – Continue Current Fire Operations OVERVIEW OF FIRE & EMERGENCY MEDICAL SERVICES (EMS) FIRE EQUIPMENT OVERVIEW
Fire Pumper Engine Fire Ladder Truck (Quint Capable) EMERGENCY MEDICAL SERVICES OVERVIEW
Advance Life Support (ALS) Transports:
Paramedic Rescue Ambulance Paramedic Rescue Squad AMBULANCE SERVICES OVERVIEW
Basic Life Support (BLS) Transports:
CARE Ambulance AMR Ambulance EMERGENCY MEDICAL SERVICES (EMS)
Tiered Dispatch (Medical Calls) Evaluate Incident Type Appropriate level of care dispatched (error on higher care) Emergency Medical Dispatch (EMD) Pre-Arrival Medical Care Advanced Life Support (ALS) Transport Local Emergency Medical Services (EMS) Agency Policy Two (2) Paramedics on the same unit Basic Life Support (BLS) Transport Local Emergency Medical Services (EMS) Agency Policy Two (2) Emergency Medical Technicians (EMT) 911 CALL RESPONSE
Emergency Medical Service (EMS) Call Fire Emergency Call
1 - Fire Engine: 4 - Fire Engines: 1 - Fire Truck:
3 - Person Crew 3 – Persons/Engine 4 – Persons Captain Captains Captain Engineer Engineers Engineer Firefighter Firefighters Firefighter /Paramedic Firefighter 1 - Paramedic Ambulance: 2 - Rescue Ambulances: 1 - Command Unit: 2 - Person Crew 2 – Persons/Ambulance: Assistant Chief Firefighter / Paramedics Firefighter / Paramedics Total: 5 personnel Total: 21 personnel OPTION 1:
CONSOLIDATED FIRE PROTECTION DISTRICT OF LOS ANGELES COUNTY OPTION 1 – CONSOLIDATED LOS ANGELES COUNTY MODEL
Station #1 Station #2 Station #3 Station #4 Station #5
• Closed • Truck Company • Engine Company: • Engine Company: • Closed • Available for sale or (Quint): 1 - Captain 1 - Captain • Available for sale or 1 - Engineer 1 - Engineer lease by City 1 - Captain lease by City 1 – Firefighter 1 - Firefighter/ 1 - Engineer Paramedic 2 – Firefighters • Paramedic Squad: 2 - Firefighter/ • Paramedic Squad: • Paramedic Squad: Paramedics 2 - Firefighter/ 2 - Firefighter Paramedics /Paramedics Contract Fee for Service with Los Angeles County Fire Protection District The regional approach to fire services Annexation into the Los Angeles County Fire OPTION 1 – Protection District provides equipment, personnel, training, station maintenance at fee CONSOLIDATED for service agreement LOS ANGELES Los Angeles County assumes all liability for fire suppression and prevention services COUNTY All current West Covina Fire Department members are eligible to transfer MODEL Los Angeles County assumes all future retirement costs OPTION 1 – CONSOLIDATED FIRE DISTRICT COST COMPARISON WEST COVINA VS LA COUNTY 10-YEAR SNAPSHOT
$30,000,000
$25,000,000
$20,000,000
$15,000,000
$10,000,000
$5,000,000
$0 20/21 21/22 22/23 23/24 24/25 25/26 26/27 27/28 28/29 29/30 City costs include UAL and Retiree Medical and assumes Brown Out Option West Covina (+3%) Los Angeles County (+4%) OPTION 2:
CONTRACT MEDICAL TRANSPORT SERVICES Private Ambulance contract – Options
Option #1 -Pass Thru model
Provides unlimited ambulances at a set standard (9 minutes 90%) Includes all patient billing OPTION 2 – All revenue above a Non- paramedic transport (est. $250,000) refunded to city Ambulance subscription program not available to CONTRACT residents
MEDICAL Option #2 -Lease for service model
TRANSPORT Dedicated 2 units within the city at all times for cost (est. $1,000,000) Extra ambulance needs beyond 2 charged at $90 per hour (est. 200,000) City retains billing services with current vendor (Annual revenue $2.3 Million) Ambulance subscription program is still available to residents OPTION 2 – CONTRACT MEDICAL TRANSPORT
Station 1 Station 2 Station 3 Station 4 Station 5
Closed: Truck Company Engine Company: Engine Company: Closed: (Quint): • Available for sale or 1 - Captain 1 - Captain • Available for sale or lease by City 1 - Captain 1 - Engineer 1 - Engineer lease by City • Could be used by 1 - Engineer 2 - Firefighter/ 2 - Firefighter/ • Could be used by ambulance company 2 - Firefighter Paramedics Paramedics ambulance company under contract /Paramedics under contract
Command Unit: 1 - Assistant Chief Reorganization through elimination of 2 Fire Engines and 3 Paramedic Rescue Ambulances, contract patient transport with private ambulance service OPTION 2 – 2 Engine Companies with 3 personnel will be staffed with 4 CONTRACT personnel MEDICAL 1 Truck Company with 4 personnel will remain 4 personnel 2 Engine Companies with 3 personnel will be eliminated TRANSPORT (12 personnel) 3 Rescue Ambulances with 2 personnel will be eliminated (18 personnel) OPTION 3:
BROWN OUT (REDUCED OVERTIME) OPTION 3 – BROWN OUT
Station #1 Station #2 Station #3 Station #4 Station #5
Engine Company: Engine Company: Engine Company: Truck Company Engine Company: 1- Captain 1- Captain 1- Captain (Quint): 1- Captain 1- Engineer 1 - Engineer 1- Engineer 1- Engineer 1- Firefighter/Paramedic 1- Firefighter/ Paramedic 1- Captain 1- Firefighter 1- Engineer 1- Firefighter Paramedic Rescue: Paramedic Rescue: 1- Firefighter 2- Firefighter/ 2- Firefighter/ 1- Firefighter/Paramedic Paramedics Paramedics Paramedic Rescue: Command Vehicle: 2- Firefighter/ 1- Assistant Fire Chief Paramedics OPTION 4:
CONTINUE CURRENT FIRE/EMERGENCY MEDICAL SERVICES (EMS) OPERATIONS OPTION 4 – CURRENT DEPLOYMENT
Station #1 Station #2 Station #3 Station #4 Station #5
Engine Company: Engine Company: Engine Company: Truck Company: Engine Company: 1- Captain 1- Captain 1- Captain 1- Captain 1- Captain 1- Engineer 1 - Engineer 1- Engineer 1- Engineer 1- Engineer 1- Firefighter/Paramedic 1- Firefighter/Paramedic 1- Firefighter 1- Firefighter 1- Firefighter 1- Firefighter/Paramedic Paramedic Rescue: Paramedic Rescue: 2- 2- Firefighter/ Paramedic Rescue: Firefighter/Paramedics Paramedics 2- Firefighter/ Paramedics Command Vehicle: 1- Assistant Fire Chief Station Improvements
Rebuild Station 1 (including training facility) Deferred Repairs Stations 2 – 5
Vehicles
2 Engines Quint OPTION 4 – Rescue Ambulances Equipment
Personal Protective Equipment Breathing Apparatus CURRENT Communications DEFICIENCIES Personnel Engine 4 Deputy Fire Marshall Fire Inspector
Training
Hazardous Materials Urban Search & Rescue LOCAL CITIES COMPARISON
Cities without Sales Tax Increase or Utility Users’ Tax (UUT): City Fire Service Police Service Cost per Population Sq. Population pop Miles per FF Cost Per Capita: West Covina West Covina FD West Covina PD $191.92 106,311 16.04 1540.74 National - $348 Manhattan Beach Manhattan Bch FD Manhattan Bch PD $423.97 35,135 3.94 1254.82 California - $414 Beverly Hills Beverly Hills FD Beverly Hills PD $1,459.23 34,109 5.7 516.80 Palos Verdes Estes LAco Fire Palos Verde’s EST PD $329.59 13,438 4.77 895.87 West Covina - $191
Cities with Sales Tax Increase or Utility Users’ Tax (UUT): City Fire Service Police Service Cost per Population Sq. Miles Population pop per FF Firefighters Per Capita: West Covina West Covina FD West Covina PD $191.92 106,311 16.04 1540.74 Alhambra Alhambra FD Alhambra PD $235.53 83,653 7.6 1349.24 National - 1,000 Burbank Burbank FD Burbank PD $357.92 103,340 17.3 956.85 Locally - 1,100 Downey Downey FD Downey PD $218.60 111,772 12.41 1643.71 West Covina - 1,541 Pasadena Pasadena FD Pasadena PD $364.03 137,122 23.00 811.37 Santa Monica Santa Monica FD Santa Monica PD $500.56 89,736 8.42 1031.45
*Source 2019/2020 Fiscal Year budgets of respective organizations COST COMPARSION – CONSOLIDATED FIRE DISTRICT
County Consolidated Fire District City of West Covina
Station 2 Station 2 Quint 4 positions $3,333,716 Quint 4 positions $2,940,807 Paramedic Squad 2 positions $840,032 Rescue Ambulance 2 positions $1,343,400
Station 3 Station 3 Engine 3 positions $2,629,351 Engine 3 positions $2,400,165 Paramedic Squad 2 positions $1,260,048 Rescue Ambulance 2 positions $1,343,400
Station 4 Station 4 Engine 3 positions $2,629,351 Engine 3 positions $2,400,165 Paramedic Squad 2 positions $1,260,048 Rescue Ambulance 2 positions $1,343,400 TRAVEL ANALYSIS MAP
LA COUNTY FIRE STATIONS – ONLY WEST COVINA FIRE STATIONS – ONLY
LEGEND LACoFD Station West Covina Station LACoFD Station Juris. West Covina City Bndry
Travel Time: Engine 0 – 6 Minutes 0 – 6 Minute Overlap COMPOSITE MAP SHOWING CITY & LA COUNTY FIRE STATION LOCATIONS LOS ANGELES COUNTY FIRE MODEL
35000000 Cities Avg. % Population Increase Per Year 30000000 West Covina 4.5% 106,000 Azusa 3.2% 46,361 25000000 Covina 4.0% 47,796 El Monte 3.8 % 113,475 20000000 Pomona 3.5% 149,058
15000000
10000000
5000000
0
Azusa (1996) Covina (1996) El Monte (1997) West Covina (1996) Pomona (1994) THANK YOU QUESTIONS