HomeMy WebLinkAboutReg 2013-08-05 Item 2B - Powerpoint Presentation Shown at Meeting - Medic One / Emergency Medical Services LevyEmergency Medical Services
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Emergency Medical Services
A Regional, Tiered, Medical Model
Citizen Involvement
Dispatcher /Police /AED
Basic Life Support Services
Advanced Life Support Services
Hospitals
Clinical Outcomes
50% r
45%
40%
35%
30%
2596
ZO%
159E
10%
59
Cardiac Arrest Survival Rate Comparison
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60%
50%
40%
30%
20%
10% —
0%
2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012
Year
Cardiac Arrest Survival in Seattle &
King County, 2002 -2012
35%
28%
1
45%
141 %
45%
49% 49%
46%
1
52%
111
57%
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Clinical Outcomes
"These coordinated care systems should be in
every single EMS System in the Country"
RAND Study 2012 AHA Circulation June
• STEMI
• Traumatic Injury
• Allergic Reaction
• Safety Net of Clinical Services /Care
• Research: AHA, NHTSA,LSDF
"The most important care decisions for
heart attack patients are made
long before they get to the hospital"
Dr. James Jollis Duke University 2012
2014 -2019 EMS Strategic Planning Process
• Nine -month planning process, initiated in
October 2011
• EMS Levy Advisory Task Force
- 19 elected officials /decision makers
- Mayor Jim Haggerton represented Tukwila
- Chair of Regional Services Subcommittee
- Served on five-member Steering
Committee
2014 -2019 EMS Strategic Planning Process
• Task Force worked with nearly 100 Stakeholders
representing all parts of the Medic One /EMS
system
• Agreed that it was not time to expand the
program — rather, it was time to examine current
programs
• July 2012 — Task Force endorsed
Recommendations which became Medic
One /EMS 2014 -2019 Strategic Plan to be funded
by six -year, 33.5 -cent EMS levy.
• Strong collaborative and regional effort
ALS Recommendations
• Maintain existing ALS services
— 26 medic units
— Fully funded
• Continue reserves (includes place
holder for new 12 -hour unit)
• Implement cost efficiencies
2014 -2019 Strategic Plan, pages 23 -31
12008.2013 [eq. veil odj
{2014.2010 levy period)
Beginning
End
Bellevue Medic one
42 units
4D unfits
4.0 units
$. ing County Medic One
7.5 wits
8.0 units
8.0 units
Redmond Medic One
32 unit
3D wit
3.0 ants
Seattle Medic One
70 units
7.-D unit
72 unit
Siicreiine Medic °ie
2.5 roil
3.0 units
3.0 units
Yeshon Medic One
10 units
1.0 units
10 units
25 - .
• Continue reserves (includes place
holder for new 12 -hour unit)
• Implement cost efficiencies
2014 -2019 Strategic Plan, pages 23 -31
BLS Recommendations
• Maintain partial funding for BLS Services (23% of LEVY)
• Support programs that reduce impact on BLS agencies
Seattle -King County EMS Service Trends 1998 -2011
200,000 -
174, 754 178,327
180,000 • 167 255
.................... ............................... 1.71.. 832.............. .
157,325
162,839 �� 166,022 164,915
449,840 -1 152, 623 ...................
160,000 1.47..1.84......... 'F47 898 ..... .............................._
51
140,000 •
120,000 •
100,000
80,000 •
60,000 • 49,788 50,366 ......5.0, 787...........49,. 305............46;842 48;943
40,000
20,000
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GALS
--BLS
48,724 .............48,277 .......... ...51,46.7............51, 422.............50,.924 ............50,2.18...........47156............45.2.20......
•
•
•
•
•
•
•
•
1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011
2014 -2019 Strategic Plan, pages 32 -35
Regional Services /Strategic Initiatives
Recommendations
Regional Services
• Maintain programs that support critical
functions & direct services of the entire
Medic One /EMS system
• Re -scope programs to meet emerging
needs
• Two independent studies added while
at Regional Policy Committee
V EMERGENCY DEFIBRILLATOR
Strategic Initiatives
• Encourage efficiencies, innovation and
leadership
• Provide for the future needs of regional
EMS system
2014 -2019 Strategic Plan, pages 36 -41
Distribution of Costs
E7CPENSM RES f;'f PROGRAnMAREAS
2014 -2019 Medic One /Emergency Medical Services Levy
EMS Program Areas
0ctober 2012
Pineal ilAreaapeas
Advanced Life Support (ACS?
Ea-sic life SLIppMtiOL$ :'
Regional Skippott Seri ice' & Audit
Strategic Initiatives & Rvnal Choi
SUb•iotal
Resemes
$270,338534
s 1 ., - S103210,353
55 ,178,E
$10,017546
'243,.2235+68 $..3$.744,563
$.12,396.310
339:L728,6.42
=5„043,813
$55 ,178,130
110,017,54.6
5681.768,131
$12,398.31~3
• Conservative Financial Policy
Medic One EM 2014 -2019 Levy
Proposed Distribution by Program Area
(Scuffle & King County EMS Fund
#552 re6� $ O.1•
$225 , 3294
• Advanced Life Support
• Regl Svcs & Audits
r. lismerves
$ix.4, 2%
Basic Life Support
■strategic Initiatives & CUT
2014 -2019 Medic One /EMS Levy Package
6 -year 33.5 -cent levy
Impact on the Tukwila Rate Payer
2008 2014*
Average Tukwila
residence value
EMS levy rate
Levy amount for
Tukwila residence
$266,100 $188,880
$0.300 $0.335
$79.83 $63.27
* = based on overall King County increase of 3.78% projected by the King County economist
• The Medic One /EMS 2014 -2019 Strategic Plan
and six -year 33.5 -cent EMS levy are the
results of a transparent and open process
spanning nearly one year.
• The Plan adheres to the principles put before
the EMS Advisory Task Force in every aspect.
• Approval Process:
— ✓Cities over 50K in population (9)
— ✓King County Council
— November 5, 2013 election (60% yes vote)