HomeMy WebLinkAbout2011-07-06 PACKET 04.K.REQUEST OF CITY COUNCIL ACTION COUNCIL AGENDA
MEETING ITEM #
DATE 07/06/11 d
PREPARED BY Public Safety Craig A. Woolery
ORIGINATING DEPARTMENT STAFF AUTHOR
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COUNCIL ACTION REQUEST
Consider passing an ordinance amending city fees relating to ambulance services as it relates
to Emergency Medical Service scene treatment and authorizing its publication.
STAFF RECOMMENDATION
Consider passing an ordinance amending city fees relating to ambulance services as it relates
to Emergency Medical Service scene treatment and authorizing its publication.
SUPPORTING DOCUMENTS
® MEMO: memo dated 06 -30 -11 from Director of Public Safety Craig Woolery
ORDINANCE
ADMINISTRATORS COMMENTS
City Administrator Date
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COUNCIL ACTION TAKEN: ❑ APPROVED ❑ DENIED ❑ OTHER
City of
COtta
Minnesota
To: Honorable Ma
Ryan Schroed
From: Craig Woolery
Date: June 30, 2011
Subject: Cottage Grove EMS Scene Treatment Fee
Introduction
Public Safety is requesting Council's authorization to amend the current ambulance fee
schedule to add a scene treatment fee for patients who are evaluated and treated by
paramedics and /or EMT's. An advanced life support (ALS) no transport with treatment fee of
$400.00 and a basic life support (BLS) no transport with treatment fee of $200.00 is proposed.
Discussion
Currently, when a patient is treated at the scene of an ambulance call but either refuses or
does not need transport to a hospital the patient is charged a full transport fee. Problems then
occur due to federal and state supplements not paying for non transported calls. The patient's
insurance company generally will not pay a full transport rate and typically the bill goes to
collections or ends up as a write off or bad debt for the service.
The scene treatment only fee is consistent with Medicare and Medicaid payment schedules
and the patient is more inclined to pay the smaller fee. The scene treatment only fees
proposed are:
ALS No Transport with Treatment $400.00
- Includes IVAM /SQ medication infusion or injection (such as an unresponsive diabetic)
BI_S No Transport with Treatment $200.00
- Includes 12 lead, oral or nebulizer medication, 02 delivery and blood sugar evaluation
No Charge to Patient
- Cancelled calls, refusal of treatment/transport
- EMS assessment, vitals, basic bandaging /splinting, ECG 3 lead monitoring, SP02 and
CO monitoring
The fee proposed is near the average of other metro area EMS services.
City
ALS
TX /No
Transport
BLS TX /No
Transport
Burnsville
$325.00
$325.00
HCMC
$460.00
$460.00
Mahtomedi
$255.00
$255.00
Maplewood
$520.00
$520.00
Oakdale
$600.00
$325.00
Redwing
$550.00
$550.00
St. Paul
$319.00
$319.00
White Bear
Lake
$135.00
$135.00
Woodbury
$300.00
$300.00
Average
$384.00
$354.00
Cottage
Grove
(Proposed)
$400.00
$200.00
Recommendation
Approve the recommendation to authorize the fee for ALS and BLS No Transport with
treatment fees.
70311 .:
AN ORDINANCE FOR THE CITY OF COTTAGE GROVE, MINNESOTA,
AMENDING CITY FEES RELATING TO AMBULANCE SERVICES
The City Council of the City of Cottage Grove, Washington County,
Minnesota, does hereby ordain as follows:
SECTION 1. AMENDMENT The official fee schedule for the City of
Cottage Grove shall be amended by amending the following fees:
Ambulance Services:
Basic life support treatment and transport
$1,330.00
Basic life support treatment without transport
(Includes 12 lead oral or nebulizer medication 02
$200.00
delive and blood su ar evaluation
Advanced life support treatment and transport - Tier 1
$1,640.00
Advanced life support treatment and transport -Tier2
$1,890.00
Advanced life support treatment without transport
4$ 00.00
(Includes IV /IM /SQ medication infusion or iniection
such as an unresponsive diabetic
Mileage charge (per loaded mile from city limits)
$24.00
Non - resident Fee
$151.00
Vehicle Extrication
$400
Basic life support stand -by (EMT & Paramedic)
$75.00 per hour
Advanced life support stand -by (EMT & Paramedic)
$160.00 per hour
Part-time paramedic stand -by
$30.00 per hour
Cancelled calls refusal of treatment/transport
No charge
EMS assessment vitals basic bandaging /splinting
ECG 3 lead monitoring SP02 and CO monitorin
SECTION 2. EFFECTIVE DATE This ordinance shall be in full force and
effect from and after its passage and publication according to law.
Passed this 6th day of July 2011.
Myron Bailey, Mayor
Attest:
Caron M. Stransky, City Clerk
Published in the South Washington County Bulletin on [Date].