EMS Project Phases Goals 1 st Maintain and

EMS Project Phases

Goals • 1 st Maintain and improve current ALS response and patient care • 2 nd Give the crew chiefs some relief while maintaining crews on the ambulances • 3 rd Add staff but we need a place to house them • 4 th Improve response times • 5 th Minimize impact to tax payers

Phase in approach • Building the system in phases will allow us to take small steps towards the goals set in place • I recommend the phases are implemented one at a time with no set time between the phases • Continued data will be collected and shared through out the phase in process for evaluation and determination of movement to the next phase • Volunteer staffing will dictate how quickly we need to add staff

Phases • Phase 1 • Rent a house in Montello and Westfield to house staff • Add enough staff to have one full time shift to rotate between Westfield and Montello where they are needed • Back fill with full / part time staff at the other stations • Purchase a SUV for a back up MED 1 • Continued evaluation of phase 1 to recommend when to start phase 2

Phases • Phase 2 Build one station Continue to rent one or two houses for staff Continue to back fill other stations as needed After evaluation of phase 1 a recommendation for adding more staff will be made • Continued evaluation of phase 2 to make recommendation of phase 3 • •

Phases • Phase 3 • Build station 2 • Evaluate staffing shortages to give recommendation on adding staff • Continued evaluation of phase 3 to make recommendations of phase 4

Phases • Phase 4 • • Build station 3 Evaluate staffing needs and add staff as needed Continued evaluation of phase 4 When ready add remainder of staff to make the service 100% full time

Phases • Phase 5 • • • Continued evaluation of the service and presented to public safety committee Move service level to Paramedic if not done already Constant monitoring of staffing levels and response times and call volume Possible expansion of services Possible expansion of service area

Phases • Operation changes • Paramedic implantation will happen once staff is at 100% full time or if the state moves away from EMT Intermediate • EMT-I to Medic bridge class continue work with tech school to get class as soon as we have enough staff hired to cover the ambulances so current volunteers can have time off to take the class • Updates to our operational plan needs to be submitted to the state for each phase • As a station becomes full time response area changes will have to be made with dispatch. So the patients are getting the fastest response.

Phases • Alternative for coverage • DSH to cover Moundville and Douglas townships • $35, 000 lost in revenue plus the cost of contract • No more Marquette County EMS 1 st responders in these 2 areas. There will be no oversight of the 1 st responders from Marquette County EMTs so they no longer will be a part of Marquette County EMS.

PHASE 4 PHASE 3 PHASE 2 PHASE 1 2017 Budget Revenue Marquette County User Fees (excluding Neshkoro) $458, 524 $458, 524 Adams County User Fees $166, 476 $166, 476 Neskoro Area User Fees $0 $0 $0 Adams County Contract $49, 300 $41, 412 $33, 524 Misc Revenue: $13, 500 $13, 500 $687, 800 $679, 912 $672, 024 1200000 $800, 000 $400, 000 $0 $0 $120, 000 $80, 000 $40, 000 $0 $0 $15, 000 Expenditures: Building Total Cost Payment Spread over 10 years Housing Rental (includes utitlites) 1 location Housing Rental (includes utitlites) 2 nd location Ambulance/Fly Car Outlay (to build up replacement funds) $15, 000 $55, 000 2 nd Fly Car Initial Purchase $55, 000 $25, 000 Waushara Contract (2019/2018/2017 contract price) $51, 488 $44, 842 $38, 000 $32, 000 Administrative Staffing Cost (Director, Admin Assist. ) $157, 913 $157, 913 Crew Chiefs ( One per station) $157, 554 $157, 554 $1, 079, 000 $719, 333 $359, 667 $177, 660 0 $72, 101 $0 $93, 523 $187, 045 $280, 568 Medical Director $33, 500 $33, 500 Additional Misc Expenses (buildings & grounds) $35, 000 $25, 000 $15, 000 $0 $0 $155, 900 $155, 900 $1, 845, 355 $1, 594, 667 $1, 286, 680 $1, 271, 680 $1, 122, 196 $1, 157, 555 $914, 755 $614, 656 $599, 656 $450, 172 Staffing Cost (Mix of Full & Part Time Employees) Staffing Cost (to Backfill shifts part time employees) Paid On Call Volunteer EMTs (supporting 1/2/3 station) Other Expenditures Total Net Levy (including 10 yr loan for stations) Per Capita Building Cost over 10 years Per Cap Without Building Cost Total Per Capita Per $100, 000 (based on 2017 EV) building $8 $5 $3 $0 $0 $69 $56 $38 $40 $30 $77 $61 $40 $30 $7. 88 $5. 25 $2. 63 $0 $0 $68. 11 $54. 79 $37. 72 $39. 36 $29. 55 $75. 98 $60. 05 $40. 35 $39. 36 $29. 55 Net Levy Increase over 2016 Levy of $19 $57 $41 $20 $11 Additional Levy for Buildings $16 $20 $1 $10 $0 Per $100, 000 (based on 2017 EV) without building Total Per $100, 000 Equalized Value County Equalized Value (Tid Out) 2017 Estimated Marquette County Population $1, 523, 445, 300 15, 000

Montello Full Time = Red Westfield Vol. = Blue Oxford Vol. = Black 20 min response Westfield Full Time = Red Montello Vol. = Blue Oxford Vol. = Black 20 min response

2 full time Stations with DSH Red = Montello Blue = Westfield Green = DSH

3 full time stations with DSH Red = Montello Green = DSH Blue = Westfield Black = Oxford