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HomeMy WebLinkAboutOrdinance 9856-L 1-7 ORDINANCE NO AN ORDINANCE DECREASING THE UNDESIGNATED FUND BALANCE OF THE GENERAL FUND OF THE CITY OF FORT WORTH FOR FISCAL YEAR 1986 -1987 BY $383,000 AND APPROPRIATING SAID SUM TO GENERAL FUND ACCOUNT NO 34- 10 -00, AMBULANCE DEPARTMENT, FOR THE PURPOSE OF PROVIDING FUNDS TO SUBSIDIZE AMBULANCE SERVICE OPERATIONS IN THE CITY OF FORT WORTH; PROVIDING FOR A SEVERABILITY CLAUSE; MAKING THIS ORDINANCE CUMULATIVE OF PRIOR ORDINANCES AND REPEALING ALL PRIOR ORDINANCES IN CON- FLICT HEREWITH, PROVIDING FOR ENGROSSMENT AND ENROLL- MENT, AND PROVIDING AN EFFECTIVE DATE. BE IT ORDAINED BY THE CITY COUNCIL OF THE CITY OF FORT WORTH, TEXAS SECTION 1. That the Undesignated General Fund balance of the General Fund of the City of Fort Worth for fiscal year 1986 -1987 is hereby decreased by appro- priating $383,000 from said fund to General Fund Account No 34- 10 -00, to provide funds for subsidizing Ambulance Service Operations in the City of Fort Worth SECTION 2 Should any portion, section or part of a section of this Ordinance be declared invalid, inoperative or void for any reason by a court of competent jurisdiction, such decision, opinion or judgment shall in no way impair the remaining portions, sections or parts of sections of this Ordinance, which said remaining provisions shall be and remain in full force and effect. SECTION 3 That this Ordinance shall be cumulative of Ordinance No. 9690, and all other ordinances and appropriations amending the same except in those instances where the provisions of this ordinance are in direct conflict with such other ordinances and appropriations, in which instances said conflicting provisions are hereby expressly repealed. SECTION 4 The City Secretary of the City of Fort Worth is hereby directed to engross and enroll this ordinance by copying the caption and effective date of this ordinance in the minutes of the City Council and by filing the ordinance in the ordinance records of the City SECTION 5 That this Ordinance shall take effect and be ins full force and effect from and after the date of its passage, and it is so ordained APPROVED AS TO FORM AND LEGALITY City Attorney Date ADOPTED ADOPTED 76' — EFFECTIVE n City of Fort Worth, Texas Mayor and Council Communication WASTER F ` "DA E REFERENCE SUBJECT AMBULANCE SERVICE CONTRACT PAGE CCGUNTING,' ? 4/07/87 NUMBER MODIFICATIONS C -10217 _ ' �` 6 _ R;E CPMMF NDAT I ON .HATER AL*� ;.t11� i � - � It is recommended that the City Council- 1) Approve a new rate for the average emergency bill of $299, 2) Approve an increase in the ambulance subsidy of $383,000 for the period of April 1, 1987 to March 31, 1988, resulting in a new subsidy level of $1,223,000, and - 3) Approve the substitution of a $200,000 performance bond as security, in lieu of the letter of credit. y 4) Adopt the attached supplemental appropri ati ons ordinance, increasing appropriations to the General Fund O1, Ambulance Department #34- 10 -00, and decreasing the General Fund's unreserved undesignated fund balance by $386000. DISCUSSION On July 23, 1985 (M &C C- 9153), the City Council voted not to renew its ambulance contract beyond the scheduled expiration date of March 31, 1986 and authorized the City Manager to proceed with the necessary steps to select a new contractor. The City Council's Emergency Medical Services Committee was authorized to oversee the procurement process. In addition, the City Manager was authorized to enter into a contract with a consultant, the Fourth Party, Inc., to design a new ambulance system and manage the procurement process. primary charge the EMS Committee made to the consultant was to design a .___­,u'"�system that would provide the highest possible level of clinical and medical control, while minimizing the possibility of disruption of service in the event of a contractor default. As a result, the consultant recommended implementation of a Failsafe Franchise Model (FFM) system. This system provides for medical oversight by an Emergency Physicians Advisory Board (EPAB) that consists of physicians knowledgeable in the area of pre - hospital care. A Fort Worth Ambulance Authority (FWAA) was also created to oversee administrative matters, including those related to rates, subsidy, ownership or control over the system's account receivables, facility, communications equipment, ambulances and other equipment. The procurement process attracted bidders from all over the country, as opposed to the previous solicitation that only had two area companies tc submit bids. The current system is the only one of its kind in operation nationwide. The successful bidder was Texas Lifeline Corporation, a subsidiary corporation wholly owned by Med- Trans, d /b /a Harst on Ambulance Service and Mercy Ambulance, Inc. They are operating under the City's registered trade name of MedStar. The following general terms were agreed to for start -up of the new system on April 1, 1986, r A. DATE REFERENCE SUBJECT AMBULANCE SERVICE CONTRACT PAGE 4/07/87 NUMBER MODIFICATIONS 2 of 6 C -10217 1. The response time would be 90% of life threatening calls in 8 minutes or less and 90% of non -life threatening calls in 10 minutes or less. Failure to meet the response time would result in late run penalties. (Implementation of this standard would be contingent on having the agreed upon communication system in operation.) 2. The provider would be the sole provider of both emergency and non - emergency (transfer) service, except as provided for in the ambulance ordinance. 3. The contractor would provide at least 17 ambulances, as opposed to the 8 that were used under the old system. , 4. The City would acquire a facility and communication system for use by the contractor. 5. The average total bill would not exceed $230. 6. The subsidy would be reduced from $1,100,000 to $840,000, with the remaining $260,000 being used to finance the cost of the facility and communications system. 7. The contractor would be notified of any changes in the rate of subsidy) level on or before April 1, 1987. SYSTEM PERFORMANCE Prior to the start -up of the new system, two local ambulance companies filed a suit requesting a temporary injunction to prevent the City from implementing the system as planned. The primary challenge was whether or not the City had the right to enter into a contract in which there would be a sole provider of both emergency and non - emergency ambulance service. After a federal district judge ruled in the City's favor, the case was appealed to the Fifth Circuit Court where it was also upheld. One of the major changes from the old system was the elimination of the "average" response time standard and the use of "actual" time from when a call is received until the unit arrives on the scene. Although the contract calls for 17 ambulances, MedStar currently has 20 in operation. Because problems were initially experienced with the installation of the communications system as designed, a 10 minute response time for both life threatening and non -life threatening emergencies was used until December, 1986. Since that time, the more strict 8 minute standard has been used for all life threatening calls. Although the response time standards is one of the most demanding in the country, it is currently being met by the contractor. DATE REFERENCE SUBJECT AMBULANCE SERVICE CONTRACT PAGE 4/07/87 NUMBER MODIFICATIONS „11 , 3 of 6 The Emergency Physicians Advisory Board (EPAB) is fully functional. The clinical requirements for the system are constantly monitored, regular audits of field work are performed, response time is being reviewed, tests to evaluate the level of proficiency of field personnel have been developed and are in the process of being administered, medical research to assure that the most up-to-date medical protocols are employed is taking place and any complaint regarding the quality of care received by a patient is investigated. The Medical Director also serves on the Ambulance Authority to make sure there is adequate communications about any proposed changes to the system that EPAB recommends. Although the clinical and response time performance is well ahead of expectations, the current system is experiencing unanticipated financial difficulties. In order to determine what, if any, adjustments should be made, the Ambulance Authority requested the system designer, Mr. Jack Stout of the Fourth Party, Inc., to review the system's progress to date and suggest any adjustments or corrections that may be considered appropriate. CONSULTANT'S EVALUATION Although the problems associated with system finances can be traced to several sources, the primary one is the low collection rate. The successful bidder based its bid on a 63% collection rate, assuming that a low emergency collection rate could be offset by higher non - emergency collections. For the purpose of calculating subsidy reduction options, the request for proposal (RFP) used a 70% collection rate variable, which is a generally acceptable target for ambulance systems similar to Fort Worth's. However, the overall rate has been about) 46.7 %. The consultant has estimated that MedStar has lost about $1,000,000 during the first year of operation. Other factors that have contributed to the problems include 1. ORDINANCE VIOLATIONS. Although MedStar was granted exclusive rights to all ambulance business originating within the City limits, except that which is excluded by ordinance, there has been evidence that other firms have continued to operate in violation of the ordinance. City staff, including Police, Fire, the Chief Prosecutor and EMS Coordinator, have developed a monitoring process that is designed to identify and prosecute violators. 2. "WHEEL CHAIR TRANSPORT" PROBLEM. Since MedStar is prohibited from refusing transportation to any patient, it is frequently called upon to transport wheel chair patients as though they were ambulance patients,' even though no life threatening emergency exists. This situation has contributed to the reduction in the overall collection rate. Since' MedStar is unable to certify the medical necessity for ambulance transport, it is unable to collect from third party payors. EPAB has DATE NUMBER REFERENCE SUBJECT AMBULANCE SERVICE CONTRACT PAGE 4/07/87 C -10217 MODIFICATIONS 4 of 6 been requested to develop a better definition of a "wheel chair transport patient" and the City Attorney's office will be recommending an amendment to the ordinance to allow for wheel chair transport companies. 3. MEDICARE CUTBACK. Effective January 1, 1987, Medicare implemented a new reimbursement rate that is significantly lower than the one their officials represented would be available when they appeared at the pre -bid conference in 1985. At that time, everyone was told that the rate for both emergency and non - emergency transports would be $143.50. The new rates provide for a reimbursement of $145.90 for emergency runs and reduces the reimbursement for non - emergencies to $91.50. In order to address this problem, Medicare has been requested to grant a one time equity adjustment that would bring the rates more in line with the costs incurred for providing service. 4. REFUSAL TO PAY. The Texas Debt Collection Act: does not allow practical avenues for collection of bills owed by individuals unwilling to pay, such as liens, garnishment of wages, etc. Since MedStar cannot refuse service to anyone, there is a significant number of system abusers and individuals who have the ability to pay, but refuse to. MedStar will be working with the EPAB on developing and implementing a program to reduce the number of abuses, but there is little that can be done about those who refuse to pay unless State Law is changed. 5. LOCAL ECONOMIC CONDITIONS. Although the impact of this factor is di ffcult to measure, the slowdown in the Texas economy is believed to have had an impact on the collection rate. All of the problems identified above need to be resolved in order for the system to perform as designed. FORT WORTH AMBULANCE AUTHORITY RECOMMENDATIONS During the past couple of months, the Ambulance Authority has been briefed on system finances in an effort to determine what, if any, adjustments to make. After reviewing information provided by MedStar and the consultant, the Ambulance Authority met on March 25, 1987 and recommended that the following short -term adjustments in the ambulance contract be submitted to the City Council for approval 1. Increase the average total rate for emergency service to $299 per patient transport. 2. Increase the subsidy by $383,000, resulting in a new subsidy level of l $1,223,000. I DATE REFERENCE SUBJECT PAGE NUMBER AMBULANCE SERVICE CONTRACT 5 6 4/07/87 C -10217 MODIFICATIONS o+ a) The increased subsidy will be eliminated after twelve months. A decision will be made at that time on how much the original subsidy of $840,000 can be reduced. b) $149,076 of the increase will be used to provide two clinical upgrades that have been recommended by the EPAB. An Emergency Medical Technician- Defibilat or (EMT -D) program will be implemented for Fire Department personnel serving as first responders. In addition, an ETAK system which provides automatic vehicle location information has been recommended. c) A portion of the increase will be used to conduct a new subscription, or membership program. The proceeds above the cost of conducting the campaign will be used to offset the $383,000 subsidy increase. d) The ambulance budget will still include about $260,000 to pay for the infrastructure that is owned by the City, in particular the facility that was purchased and the communications system. 3. Allow MedStar to substitute a performance bond for the $200,000 letter) of credit. 4. Conduct a new subscription program. The City will work with MedStar in offering a new subscription program. A budget will be submitted to the Ambulance Authority for approval and the cost of the campaign wil cone fran the $383,000. The revenue generated over expenditures will be used to offset the subsidy increase. 5. The City and MedStar will continue to work on the problem areas identified by the consultant. 6. F1edStar will make quarterly financial reports to the Ambulance Authority on the impact of the changes recommended above. SUMMARY The medical community has rated the emergency medical service system that the City now has in place as superior. For the first time, they have been able to take an active part in determining the level of clinical care in the field. The contractor has performed according to the standards that have been imposed by the EPAB and there is a joint effort to assure that the latest in protocols and equipment is made available to the citizens of Fort Worth. Although the system has sufferd financially, the quality of service has not. 1 DATE REFERENCE SUBJECT AMBULANCE SERVICE CONTRACT PAGE 4/07/87 NUMBER MODIFICATIONS 6 6 C -10217 of It is impossible to anticipate all of the factors that will have an impact on a new system. However, even with the proposed changes in the rate and subsidy level, the system is extremely cost effective, when compared to jurisdictions with systems in place similar to Fort Worth's (see attached system comparison chart) . In its meeting on March 25, 1987, the Ambulance Authority voted unanimously to forward the above recommendations to the City Council for approval. FINANCING A supplemental appropriation to the General Fund 01, Ambulance - Department, #34 -10 -00 from the General Fund unreserved undesignated fund balances will be necessary to fund this contract increase. The General Fund's unreserved undesignated fund balance will be $25,5,605 after the supplemental appropriations. Index Code #290650, "Other Contractural Services" will be used. BT /sfqqq Attachment SUBMITTED FOR THE CITY MANAGER'S OFFICE BY / ORIGINATING DEPARTMENT HEAD: Bob Terrell APPROVED BY CITY COUNCIL ':s Fuel APR 7 1967 City Secretary of the City of Port Worth, TexcA DISPOSITION BY COUNCIL: ❑ APPROVED ❑ OTHER (DESCRIBE) PROCESSED BY CITY SECRETARY I CONTACT DITIONAL INFORMATION B. Terrell X6143 IAdOpted Ordinance N0. DATE I