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HomeMy WebLinkAbout09.17.90 Council Packet AGENDA COUNCIL MEETING REGULAR SEPTEMBER 17, 1990 1. CALL TO ORDER 2. APPROVE AGENDA 3. APPROVE MINUTES a. September 4, 1990 - Regular 4. CITIZENS COMMENTS 5. PUBLIC HEARINGS 6. PETITIONS, REQUESTS AND COMMUNICATIONS a. Request to Pro Rate Therapeutic Massage License Fee - Doris Louis dba Rite Touch b. Sidewalk Replacement - 101 Spruce Street 7. ORDINANCES AND RESOLUTIONS a. Accept Assessment Roll/Set Public Hearing - Project No. 89-3 b. Accept Assessment Roll/Set Public Hearing - Project No. 90-3 c. Accept Assessment Roll/Set Public Hearing - Project No. 90-6 8. UNFINISHED BUSINESS a. Project 87-7 - Water Main Easement Agreement b. Project 87-7 - Approve Construction and Service Agreement c. Project 87-7 - Award Contract - Fairgrounds Utility Improvement d. Possible Liquor Store Relocation 9. NEW BUSINESS a. Fall Clean Up Day 10. MISCELLANEOUS a. Review ALF 5 Year Plan b. Project No. 89-7 - Flagstaff Bridge Replacement 11. CONSENT AGENDA a. School/Conference Request - Rescue Squad b. Pay Estimate No. 1 - Project No. 89-3 and Change Order No. 2 c. Final Pay Estimate - Project No. 90-4 - 1990 Seal Coat Project d. Final Pay Estimate - Project No. 90-5 - 1990 Sidewalk Maintenance Project e. Pay Estimate No. 1 - Project No. 90-3 - Dakota County Estates Sixth f. Approve Payment of the Bills 12. ADJOURN THE AGENDA IS CLOSED OUT AT NOON ON THE TUESDAY PRECEDING THE MEETING. AGENDA REQUEST FORM ITEM NO. __Aa(r NAME: Larry Thompson DEPARTMENT: Administration / J / - � DATE: August 30, 1990 r MEETING DATE: September 17, 1990 CATEGORY: Miscellaneous / SUBJECT: Review ALF 5 Year Plan EXPLANATION: Per request of ALF Board REFERENCE MATERIAL/RESPONSIBILITY: 5 Year Plan - Larry Thompson REFERRED TO: (NAME) DEPARTMENT: Larry Thompson Administration Karen Finstuen Administration Wayne Henneke Finance Dan Siebenaler Police 11 :772tre SIGNATUA U N E .. 14200 Cedar Avenue South Apple Valley, Minnesota 55124 Phone — 612-432-5664 MEMORANDUM TO: Apple Valley, Lakeville and Farmington City Councils FROM: Kevin J. Raun, Ambulance Director DATE: August 28, 1990 SUBJECT: ALF Ambulance Five Year Plan The ALF Ambulance Joint Powers board was presented with the ALF Five Year Plan at their Board meeting of August 23, 1990. This plan is designed to cover operating years 1991 - 1996 and is broken down into four basic areas: A. Proposed Capital Equipment Purchases B. Proposed Staffing C. Proposed Budgets D. Proposed Revenues and Subsidies The Board has directed that this proposed plan be circulated to the City Councils and staff of the three member cities for their review and comment prior to the adoption of the plan by the Board. Please find attached a synopsis memo of the Five Year Plan to the Board, as well as the draft Five Year Plan. I am available to meet with individual City Councils if you should so desire or please feel free to call me with any questions or comments you might have. Thank you. KJR .: 155'A o� Hc 14200 Cedar Avenue South Apple Valley, Minnesota 55124 Phone — 612-432-5664 MEMORANDUM TO: ALF Ambulance Joint Powers Board FROM: Kevin J. Raun, Ambulance Director DATE: July 30, 1990 SUBJECT: ALF Ambulance Five Year Plan The ALF Ambulance Five Year Plan is submitted herewith for review and comment by the Operations Board. I wish to highlight for the Board the rationale that was used in compiling this plan and some of the items and conclusions that are contained within it. This plan covers operating years 1992 - 1996. Due to an increasing service area population and changing demographics, this plan allows for an increased call load within the next five years. It is not always easy to predict and project what lies ahead, but our past operating record is a good barometer as to what we might anticipate for the future. The two main goals in mind during the preparation of this plan were: (1) Providing and maintaining proper levels of emergency medical care to the ambulance service area, and (2) Accomplishing the first goal through prudent and responsible fiscal management and utilization of resources. With that in mind, I believe this plan is designed to ensure the realization of those goals. A. Proposed Capital Equipment Purchases This plan reflects that in 1992 it will be operationally prudent to upgrade our (16) hour unit to a full (24) hours. Of course, the final determining factor will be the call volume experienced in the down hours of this unit between the hours of 11:00 p.m. to 7:00 a.m. With that increase in coverage we would also anticipate more wear and tear on ambulances and equipment. In the years 1995 and 1996 we would anticipate additional hours of staffing on a third unit may be necessary. This staffing would occur via a power shift utilizing part-time personnel to cover peak call volume periods. Once again, as we draw closer to these years, the picture will be clearer on this need. The largest capital expenditure that the reader will see in this plan has to do with our ambulances. In 1995 we are projecting the purchase of a new fourth ambulance with all associated equipment. I felt the need to show this purchase as it would correlate to our anticipated growth. I feel there is good rationale to place it in the plan knowing it would be easier to extract it (rather than add it), if the need cannot be demon- strated. The plan also shows the continued upkeep of our present ambulances. The system I have used for the repower, rechassis and eventually the replacement of the units is a sound one and economically viable. I am very pleased with the outcome of Medic Unit #11 which was recently repowered and refur- bished for a total of $13,700. This system puts an almost new ambulance back on the street for another 80,000 to 100,000 miles with a cost savings of just over $30,000 compared to if the patient module had been remounted on a new chassis. B. Proposed Staffing As has been indicated earlier, this plan calls for the upgrade in coverage for the second unit to a full (24) hours in 1992, call load permitting. The plan also calls for power shifting of a third unit in 1995, (8) hour days, (3) days a week. Power shifting in 1996 is planned at (8) hour days, (5) days a week. The board should notice that this plan has removed the in-house position of clerical-billing. This is a result of earlier discussions during our budget hearings, in which the Board stated they would be inclined to remain with private contractual services. Discussion should probably be held on this decision to confirm the Boards' desire on this position. From my perspective the contractual arrangement is working out very nicely. The major reason this position has been included in past plans was for ALF to gain more independence with their clerical needs, while at the same time taking care of our billing needs in-house. I firmly believe that contractual billing is cost effective for us as long as we can continue to rely on the Cities for in-kind clerical support. C. Proposed Budgets All line items here have been calculated with estimated cost of living increases, as well as costs for additional staffing and equipment as reflected in this plan. 2 Capital equipment purchases are taken from our equipment escrow account. The assumption here is that escrow monies will remain at an adequate level to ensure sufficient funds for capital purchases as identified in this plan. The Board may still wish to consider special funding to this account as per the proposal of the City of Lakeville during this years budget process. The overall objective of this fund, of course, to maintain adequate funding. The Board has expressed a desire to not issue debt in this area. Current escrow funds appear very adequate at this time and they will continue to be monitored for appropriate reserve levels. D. Proposed Revenues and Subsidies I believe most of the good news is contained on this page. While per capita subsidy rises in 1992 to fund the level of (2) twenty-four hour ambulances, by year 1996 it progressively drops to $.18 per capita. Assumptions used here are, constant population growth, a growing run volume and user fee increases at the level of 4% per year with a slightly higher increase for year 1996. We have found in the past that we have been conservative on our population estimates and from time to time they have been adjusted. The results of the 1990 census should give us a good baseline to work from. The reader should be cautioned that numbers on this page are vulnerable to change, and could therefore, change the bottomline. However, given almost five years of operating history, I feel the numbers reflect very closely to where the service should be in the years listed. If you should require further information or explanation of the materials contained herein, please feel free to give me a call . Thank you. KJR 3 DRAF A.L.F. AMBULANCE FIVE YEAR PLAN P 1992 - 1996 • IDRAF/T A.L.F. AMBULANCE FIVE YEAR EQUIPMENT AND PERSONNEL PLAN PREFACE This document has been prepared for the ALF Ambulance Board to assist them in the planning process for the future growth of the ALF Ambulance Ser- vice. It is well known that the Cities that comprise the ambulance service area are growing at a very rapid pace and it appears that residential and commercial growth will not be slowing for some time. Met council estimates currently place the entire ambulance service area population at just over 70,000. This plan will outline proposed major equipment purchases, staffing needs, projected operating budgets and revenues for the five year period covering 1992-1996. All budget computations have been calculated as accurate as possible, but the reader should be cautioned that these amounts are extremely vulnerable to inflation and other market factors. ALF Ambulance is currently in a growth phase and this plan allows for an orderly growth as well as replacement needs for aging equipment. The goal over this five year period is to ensure that the service is able to respond on demand to normal call loads well as maintaining our vehicles and capital equipment in a reasonable manner to the demands and needs of our service. The Operations Board is committed to providing quality emergency medical services for the residents of our area and in that endeavor it may be necessary to review and update the plan on an annual or as needed basis. BIOGRAPHY 1986 January: ALF Ambulance begins operations with (6) full-time paramedics and (1) Ambulance Director. ALF Ambulance maintains (2) fully- equipped licensed advanced life support ambulances. One unit operational 24 hours a day. June: (4) Part-time paramedics hired to cover vacation and sick time leave. Additionally utilized as on-call paramedics. October: (5) additional part-time paramedics hired. Staff of (9) part- timers utilized to staff second ambulance for a power shift. Second unit is operated four days a week, 8 hours a day. 1987 January: Service area coverage and manpower remains at same level as that of October 1986. One full-time paramedic promoted to Ambulance Supervisor/Paramedic. 1988 January: (5) additional part-time paramedics hired. Staff of (14) part- timers utilized to staff second ambulance for a power shift. Second unit is operated seven days a week, 8 hour days on weekdays and 10 hour days on weekends. One more full-time paramedic hired to cover full-time leave and power shifts. August: A third fully equipped ambulance is purchased. 1989 January: (4) additional full-time paramedics hired. One ambulance operated 24 hours a day with a second ambulance operated 16 hours a day (0700 - 2300 hrs), seven days a week. Staff of (6) part-time paramedics for on-call status to cover vacation and sick time leave. 1990 January: Service area coverage and staffing remains at same level as that of 1989. One full-time paramedic promoted to Ambulance Supervisor/- Paramedic for a total of two shift supervisors. February: One paramedic is placed in the position of Community Education/- Promotions. Responsibility includes coordinating and conducting first aid and CPR training for citizens and allied first responder personnel. This position also covers open shifts due to leave requests and/or training needs of other personnel . FIVE YEAR PLAN A. PROPOSED CAPITAL EQUIPMENT PURCHASES ITEM PURCHASE YEAR COST 1. Repower/Refurbish Medic #12 * 1992 $ 18,200.00 2. Miscellaneous Office Furniture 1992 1,200.00 3. Airway Manikins 1992 1,200.00 4. (1) Battery Support System 1992 1,800.00 5. (1) M.A.S.T. Suit 1992 500.00 6. (2) Backboards 1992 600.00 TOTAL 1992 $ 23,500.00 7. (1) EKG Monitor/Defibrillator 1993 $ 9,500.00 8. CPR Manikins 1993 1,000.00 9. Miscellaneous Office Furniture 1993 500.00 10. (1) Backboard 1993 250.00 11. (3) Pulse Oximeters 1993 4,500.00 12. (2) Portable Suction Units 1993 1,500.00 TOTAL 1993 $ 17,250.00 13. Repower/Refurbish Medic #10 * 1994 $ 18,900.00 14. (2) Portable Radios 1994 3,000.00 15. (2) Pagers 1994 800.00 16. (1) M.A.S.T. Suit 1994 500.00 TOTAL 1994 $ 23,200.00 17. Type III Ambulance ** 1995 $ 82,000.00 18. Mobile Radio/Telephone 1995 6,500.00 19. Defibrillator/Monitor 1995 9,800.00 20. Misc. Equipment for New Ambulance 1995 7,000.00 TOTAL 1995 $ 105,300.00 21. Rechassis/Remount Medic #11 *** 1996 $ 48,000.00 22. (2) Portable Radios 1996 3,400.00 23. (2) Backboards 1996 700.00 24. CPR Manikins 1996 1,000.00 25. Miscellaneous Office Furniture 1996 750.00 TOTAL 1996 $ 53,850.00 * Repower/Refurbishment of an ambulance is estimated to be done at 100,000 miles. It is possible that more or less miles may be obtained before a unit is ready for refurbishment. Refurbishment is contingent upon the overall chassis condition of the unit. If a chassis is found to be in poor repair/condition it may be more prudent to opt for a new chassis remount. A refurbished vehicle should be able to obtain an additional 80,000 to 100,000 miles of us. ** The purchase of a new ambulance and necessary equipment has been included in this plan to allow for anticipated growth and expansion of the service. In 1995 we are predicting that a third ambulance will be placed into service on a power shift basis (partial coverage during peak call load hours). This is subject to change as call volume and population growth in the service area will be the final determining factor on this purchase. *** Re-Chassis/Remount of an ambulance includes the remounting of the patient module onto a new vehicle chassis. The patient module can either be totally or partially stripped depending on refurbishment needs of the module at the time. This procedure generally has a price tag slightly higher than half the cost of a new ambulance. B. PROPOSED STAFFING YEAR STAFFING LEVEL 1992 (1) Ambulance Director/Paramedic (3) Ambulance Supervisors/Paramedics (9) Full-Time Paramedics (24 Hours) (8) Part-Time/On-Call Paramedics Increase the second unit to a full 24-hour .day (two 24-hour units). Consider staffing the third unit on a power shift basis. YEAR STAFFING LEVEL 1993 (1) Ambulance Director/Paramedic (3) Ambulance Supervisors/Paramedics (9) Full-Time Paramedics (24 Hours) (8) Part-Time/On-Call Paramedics Continue to maintain staff and hours of operation at the 1992 level . Consider staffing the third unit on a power shift basis. YEAR STAFFING LEVEL 1994 (1) Ambulance Director/Paramedic (3) Ambulance Supervisors/Paramedics (9) Full-Time Paramedics (24 Hours) (8) Part-Time/On-Call Paramedics Continue to maintain staff and hours of operation at the 1993 level . 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