Division of Public Safety

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Mission. To give assistance to those requiring itand the methods by which tocommunicate that need.. Significant Programs. Crisis Medical Services (EMS)Emergency ManagementFire ProtectionE-9-1-1Emergency DispatchingEmergency Communication Systems (GCN)Public Safety Information ResourcesPublic Safety Logistics.

Presentation Transcript

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Division of Public Safety

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Mission To give assistance to those requiring it and the methods by which to impart that need.

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Major Programs Emergency Medical Services (EMS) Emergency Management Fire Protection E-9-1-1 Emergency Dispatching Emergency Communication Systems (GCN) Public Safety Information Resources Public Safety Logistics

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State Mandated EMS Florida Statute 125.01 Provide rescue vehicle benefit. E-9-1-1 Florida Statute 365.171 Implement a crisis interchanges number "E-9-1-1" arrangement for improved 911 administrations Emergency Management Florida Statute 252 Maintain expansive Emergency Management Program Emergency Dispatch Florida Statute 401.015 Regional Emergency Medical Communications System Emergency Communication Systems (GCN) Florida Statue 401.015 Regional Emergency Medical Communications System Florida Statute 282.7101 Statewide System Of Regional Law Enforcement Communications

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Comprehensive Plan Required EMS Goals 15, 22, 65, 68, 95 Emergency Management Goals 5, 66, 101, 102, 103, 105, 106, 109, 110, 111, 158 E-9-1-1 & Emergency Dispatching Goals 22, 65, 68 Emergency Communication Systems (GCN) Goals 13, 22, 65, 68 Fire Protection Goals 65

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BoCC Directed: How We Operate EMS & Emergency Dispatch Ordinance 08-16 (Ambulance & Rescue Services) Emergency Management Ordinance 07-20 (Post-Disaster Recovery) Emergency Communication Systems (GCN) Ordinance 07-26 (Obstructing Telecommunication Network Facilities)

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EMS Rules for Reimbursement Rules for EMS Providers to Operate Under Florida Administrative Code 64J-1 through 64J-3 Florida Statutes Chapter 401 F.S. Medicare Benefit Policy Manual Chapter 10 – Ambulance Services FAC 596-4.015 Ambulance Transportation Services for Medicaid repayment. Nearby County Ordinance: 08-16 Lee Co. Regulatory Code: External Fees 22-1 Medicare Reimbursement expense plan built up by the Balanced Budget Act of 1997. Beginning on 4/1/2002, built up installments based upon sensible expenses. Medicare now pays 80% of the permitted rate. Medicare permissible has expanded each year since 2002 however this year is in uncertainty.

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Expenses

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Five-Year History

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Budget & Revenue

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Major Revenues have expanded by 20.8% in the course of recent years.

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Background on Major Revenues EMS Revenue collateralized toward installment on 6 Capital Refunding Revenue Bonds and 1 Capital and Transportation Facilities Refunding Revenue Bonds. Arrangement 1993B; 1997A; 1999A; 2000; 2004; 2006 Last charge increment 04/05/2005. E-9-1-1 Land Line User Fee: $0.44 per line, no expansion in 5 years. Cell Line User Fee: $0.50 per telephone, no expansion in 5 years. Cell User Fee is set by the State 9-1-1 Board. Crisis Communication Systems Revenues stay consistent in recent years. Intergovernmental charges to clients Telecommunications tower rental Fines & Forfeitures ($12.50\traffic infringement per Florida Statute 318.219) Hurricane Mitigation Fee Revenues incline as improvement increments and declines

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Major Expenses

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Approved Positions

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Five-Year Status No increments in expenses in almost five years. Incomes have expanded at 20.8% because of enhanced procedures and reception of innovation. Outsourced EMS medicinal packs provider.

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Where we are today?

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FY 2010 Budget User Fee Based Ad Valorem MSTU $35,000,000 $30,000,000 $25,000,000 Total $45,159,018

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FY 2010 Approved Positions 370 positions endorsed. 9 positions empty. Positions by Program:

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Major Issues-EMS Fire Service Ability to Sustain EMS Support. Current Fire-Based Ambulance Service Stressed, Lehigh Acres. Decreased Response to Certain Requests for Service. Cost and Flexibility of Evolving Business Model. Transactions with Local 1826 for EMS street work force. Transactions with IAEP for EMS supervisory work force. Worthiness of Medical Priority Dispatch Response Matrix by Stakeholders and Public. MEDSTAR Air Operations. Helicopter Replacement. NTSB & FAA Findings & Requirements on Safety Standards. Changing Rules for Reimbursement. National Health Care Reform.

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Major Issues – Emergency Management Public desires surpass current administration level. Depending upon a similar volunteer base for expanding open requests.

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Major Issues – Others E-9-1-1. Expecting execution of local and statewide 9-1-1 framework organizing. Crisis Dispatching. Maturing Computer Aided Dispatch System (10 years of age, 2 years remaining). Substitution appraise @$2 million. Reckoning State-commanded 208-hour accreditation course for 9-1-1 administrators. Crisis Communication Systems. P25 (Project 25) Investment. 800 MHz Re-banding.

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Where are we going?

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Three Year Projections

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General Initiatives Constructing Emergency Operations Center including information room. Giving district representatives crisis assignments preparing. Enhancing cell GPS innovation for area data a noteworthy core interest. Offering 9-1-1 content informing. Giving crisis responders realistic show of house or address.

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Where are we going? Who's Public Safety's Customers? 'To be safe' versus 'In the nick of time' Business Model. Adjust User Fees to Cost of Business. What amount ought to be on the back of the citizens? Staying aware of ongoing, remote innovation and Web 2.0.

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Options for Reductions EMS Reduce Outlier Station Locations. Wisely Convert 24 to 12 hour Coverage. Completely execute Medical Priority Dispatch. Reclassify Customer Base. Crisis Management Revisit Hazardous Material Contract. Incidentally Suspend Hurricane Shelter Deficit Program. Lessen 2-1-1 Support.

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Options for Reductions Emergency Dispatching & Communication Systems Revisit Maintenance Agreement Contracts. Create Public-Public & Public-Private Partnerships. Open Safety Information Resources Continue decreases in superfluous excess innovation. Open Safety Logistics Outsource Additional Services.

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Enhanced Revenue Options EMS Increase EMS 911 Transport Fees Increase EMS Inter-office Transport Fees Increase EMS Air Transport Fees Emergency Communication Systems Increase Fees to Subscribers Increase Tower Rental Fees E-9-1-1 Increase Land Line Fee to $0.50

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Action Requested of BoCC Definition of Customer Type of Service – 9-1-1 versus Healthcare Kind of Service – Expectation Level What Business Model? To be safe. In the nick of time. Do We Increase Fees?

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Questions?

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