Presentation to Orange County Board of Commissioners October
Presentation to Orange County Board of Commissioners October 9, 2007 Presenter: Robert “Boo” Heffner, President West Emergency Services Group, Rural Metro Corporation
Rural/Metro Central Florida Division CFL PRESENCE • CON Emergency – Orange County • CONs Non-Emergency – Orange, Osceola, Seminole STAFFING • Employs 137 EMTs and 115 Paramedics • Maintains a Fleet of 45 Ambulances 911 SERVICE IN 2006 • Responded to over 72, 000 requests for service • Transported nearly 47, 000 patients of which 21, 000 were in Orange County.
Contract History & Payer Mix • Served Orange County and the City of Orlando for OVER 25 Years without public subsidy. • The October 2002 contract prescribed the following reductions in Rural Metro territory: 1) 10/2002 Station 58 or Hunter’s Creek 2) 10/2003 Station 59 Meadow Woods 3) 10/2004 Station 54 Sea World
Operational Performance The current contract requires Rural/Metro to arrive on scene within 10 minutes 90% of the time.
Operational Performance In 2006, OCFR transported 392 patients in Rural/Metro territory due to system overload. • 392 of 32, 814 requests for service is 1. 19% • 392 of 20, 628 transports is 1. 90% In 2007, through September 30, OCFR transported 153 patients in Rural/Metro territory due to system overload. • 153 of 22, 014 requests for service is 0. 69% • 153 of 14, 521 transports is 1. 05%
Financial Facts Rural/Metro’s publicly audited financials show that ACTUAL cash collections are far below projected collections in the Tri. Data “pro-forma” Expense data cited in the Tri. Data “pro-forma” are far below RMA’s ACTUAL per transport costs. Eg. RMA Tri. Data Supplies per transport $15 $5 Fuel per transport $3. 60 $0. 60 Unit Hours (payroll) 55, 000 20, 616
Patients First In 2007 RMA waited “On Scene”: 1. More than 10 minutes about 60% of the time. 2. Less than 4 minutes about 10% of the time. 3. On average, for all calls, about 12 minutes, 42 seconds. Medical Director protocols currently allow first-responders to transport if the acuity of the patient warrants. In 2006, OCFR exercised that protocol roughly 200 times.
Non-Emergency Ambulance Transportation in CFL Significant Partnerships Include: • Orlando Regional Healthcare • St. Cloud Regional Medical Center • South Lake Hospital • Numerous Skilled Nursing Facilities
Track Record of Successful Partnerships in Emergency Transportation • San Diego Medical Services Enterprise • Salem Medical Services Enterprise (Oregon) • Seattle-Tacoma, Washington • Aurora, Colorado • County Service Area 17 – Southern Californian Coast
Recommendation • The Tri. Data report does not adequately explore alternatives. • Response information cited in the Tri. Data report conflicts with Rural/Metro’s audited response reports as submitted monthly to the Office of the Medical Director. • Significant property tax reduction proposals have yet to be resolved leaving impact on local services unknown. • Clear conflict exists between Rural/Metro’s publicly audited financials and Tri. Data’s “pro-forma” assumptions. Given these circumstances, it is recommended that the Rural/Metro contract to be extended to 12/31/2008, allowing sufficient time to reconcile facts, explore alternatives, and conduct an RFP for services.
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