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06-23-2020 - PowerPoint Fire/Emergency Medical Services (EMS) Delivery OptionsFIRE/EMERGENCY MEDICAL SERVICES (EMS) DELIVERY OPTIONS DUNE 22, 2020 • Closed • Available for sale or lease by City • Truck Company (Quint): 1 - Captain 1 - Engineer 2 — Firefighters • Paramedic Squad 2 - Firefighter /Paramedics • Engine Company: 1 - Captain 1 - Engineer 1 — Firefighter • Paramedic Squad: 2 - Firefighter/ Paramedics • Engine Company: 1 - Captain 1 - Engineer 1 - Firefighter/ Paramedic • Paramedic Squad: 2 - Firefighter/ Paramedics • Closed • Available for sale or lease by City Contract Fee for Service with Los Angeles County Fire Protection District ■ The regional approach to fire services ■ Annexation into the Los Angeles County Fire Protection District provides equipment, personnel, training, station maintenance at fee for service agreement ■ Los Angeles County assumes all liability for fire suppression and prevention services ■ All current West Covina Fire Department members are eligible to transfer ■ Los Angeles County assumes all future retirement costs $30,000,000 $25,000,000 $20,000,000 $15,000,000 $10,000,000 $5,000,000 20/21 21/22 22/23 23/24 24/25 25/26 City costs include UAL and Retiree Medical and assumes Brown Out Option ■ West Covina (+3%) ■ Los Angeles County (+4%) 26/27 11 27/28 28/29 29/30 OPTION 2: CONTRACT MEDICAL TRANSPORT SERVICES 61 :A 116 n u Private Ambulance contract — Options Option #1 -Pass Thru model ■ Provides unlimited ambulances at a set standard (9 minutes 90%) ■ Includes all patient billing ■ All revenue above a Non- paramedic transport (est. $250,000) refunded to city ■ Ambulance subscription program not available to residents Option #2 -Lease for service model ■ Dedicated 2 units within the city at all times for cost (est. $1,000,000) ■ Extra ambulance needs beyond 2 charged at $90 per hour (est. 200,000) ■ City retains billing services with current vendor (Annual revenue $2.3 Million) ■ Ambulance subscription program is still available to residents L Station 1 ad L Station 2 Station bI__ Station 4 Closed: Truck Company Engine Company: Engine Company: • Available for sale or (Quint): 1 - Captain 1 - Captain lease by City 1 -Captain 1 - Engineer 1 - Engineer • Could be used by 1 - Engineer 2 - Firefighter/ 2 - Firefighter/ ambulance company 2 - Firefighter Paramedics Paramedics under contract /Paramedics Command Unit: 1 -Assistant Chief Closed: • Available for sale or lease by City • Could be used by ambulance company under contract Reorganization through elimination of 2 Fire Engines and 3 Paramedic Rescue Ambulances, contract patient transport with private ambulance service 2 Engine Companies with 3 personnel will be staffed with 4 personnel ■ 1 Truck Company with 4 personnel will remain 4 personnel ■ 2 Engine Companies with 3 personnel will be eliminated (12 personnel) ■ 3 Rescue Ambulances with 2 personnel will be eliminated (18 personnel) OPTION 3: BROWN OUT (REDUCED OVERTIME) Station # I L A Station #2 Engine Company: 1- Captain 1- Engineer 1- Firefighter/Paramedic Paramedic Rescue: 2- Firefighter/ Paramedics Engine Company: 1- Captain 1 - Engineer 1- Firefighter/ Paramedic Paramedic Rescue: 2- Firefighter/ Paramedics Command Vehicle: 1-Assistant Fire Chief Engine Company: 1- Captain 1- Engineer 1- Firefighter ktion #4 Station #5 Truck Company (Quint): 1- Captain 1- Engineer 1- Firefighter 1- Firefighter/Paramedic Paramedic Rescue: 2- Firefighter/ Paramedics Engine Company: 1- Captain 1- Engineer 1- Firefighter OPTION 4: CONTINUE CURRENT FIRE/EMERGENCY MEDICAL SERVICES (EMS) OPERATIONS ■ Overview of Fire & Emergency Medical Services (EMS) ■ Fire Service Delivery Options: ■ No. 1 — Consolidated Fire Protection District of Los Angeles County ■ No. 2 — Contract Ambulance Transport Services ■ No. 3 — Brown Out (Reduced Overtime) ■ No. 4 — Continue Current Fire Operations Engine Company: 1- Captain 1- Engineer 1- Firefighter/Paramedic Station #2 Station #3 Engine Company: 1- Captain 1 - Engineer 1- Firefighter/Paramedic Engine Company: 1- Captain 1- Engineer 1- Firefighter Truck Company: 1- Captain 1- Engineer 1- Firefighter 1- Firefighter/Paramedic Paramedic Rescue: Paramedic Rescue: 2- 2- Firefighter/ Paramedic Rescue: Firefighter/Paramedics Paramedics 2- Firefighter/ Paramedics Command Vehicle: 1- Assistant Fire Chief Engine Company: 1- Captain 1- Engineer 1- Firefighter Station Improvements ■ Rebuild Station 1 (including training facility) ■ Deferred Repairs Stations 2 — 5 Vehicles • • ■ 2 Engines � Quint ■ Rescue Ambulances Equipment ■ Personal Protective Equipment ■ Breathing Apparatus ■ Communications 1122[441201y' Personnel ■ Engine 4 ■ Deputy Fire Marshall ■ Fire Inspector Training ■ Hazardous Materials ■ Urban Search & Rescue Cities without Sales Tax Increase or Utility Users' Tax (UUT): West Covina FD West Covina PD $191.92 106,311 16.04 1540.74 Manhattan Bch FD Manhattan Bch PD $423.97 35,135 3.94 1254.82 Beverly Hills FD Beverly Hills PD $1,459.23 34,109 5.7 516.80 LAco Fire Palos Verde's EST PD $329.59 13,438 4.77 895.87 Cities with Sales Tax Increase or Utility Users' Tax (UUT): West Covina FD West Covina PD $191.92 106,311 16.04 1540.74 Alhambra FD Alhambra PD $235.53 83,653 7.6 1349.24 Burbank FD Burbank PD $357.92 103,340 17.3 956.85 Downey FD Downey PD $218.60 1 1 1,772 12.41 1643.71 Pasadena FD Pasadena PD $364.03 137,122 23.00 811.37 Santa Monica FD Santa Monica PD $500.56 89,736 8.42 1031.45 *Source 2019/2020 Fiscal Year budgets of respective organizations Cost Per Capita: National - $348 California - $414 West Covina - $191 Firefighters Per Capita: National - 1,000 Locally - 1,100 West Covina - 1,541 County Consolidated Fire District ■ Station 2 ■ Quint 4 positions $3,333,716 ■ Paramedic Squad 2 positions $840,032 ■ Station 3 ■ Engine 3 positions $2,629,351 ■ Paramedic Squad 2 positions $1,260,048 ■ Station 4 ■ Engine 3 positions $2,629,351 ■ Paramedic Squad 2 positions $1,260,048 City of West Covina ■ Station 2 ■ Quint 4 positions $2,940,807 ■ Rescue Ambulance 2 positions $1,343,400 ■ Station 3 ■ Engine 3 positions $2,400,165 ■ Rescue Ambulance 2 positions $1,343,400 ■ Station 4 ■ Engine 3 positions $2,400,165 ■ Rescue Ambulance 2 positions $1,343,400 LA COUNTY FIRE STATIONS - ONLY WEST COVINA FIRE STATIONS - ONLY LEGEND • LACoFD Station • West Covina Station 0 LACoFD Station Juris. West Covina City Bndry Travel Time: Engine 0 — 6 Minutes 0 — 6 Minute Overlap z �} Hnnsng 32 a - .�'. �' Azusa Gf a E Foothill Blvd v 66 a ❑u a r le Rd p 4 m m / �__� R ¢ _ E Longoan Ave � 48 Ci 4us EGI 1e s't 'N GI stw-St 64 L, -�. ti.Ww kAVa .. "0.ir. Vincent Wp..... Hw _-. .... S Dimas 169 152 y E Arrow Hwy 153 29 154 .�... err EC's31 . ' Los Ang eles# 167 4*Pa E BaIillo'St = 1'41 0. 166 �* 6al<I w:i F F'D re Station 3 El Monte168 d_ecV ;vc3i,l184� an4e G��! F lHoHAc- �. Rte Station w $ q�� 146 aq�•'.187 N+n _: one{ •n 26alin<la F 1 F a o- ` Station 4 121 81 Ten, t ! . V!e �,:� �i�, 1:0 Walnut f =p�- .c.�• d La Puente aPt[ 43 Qt'` V3 g "12Q 118 Bal b y Ra Heigh (,:r7/ 1-- Ms 9 11 's'rRe I 28 f.s,j er �r m 35000000 1 30000000 25000000 15000000 10000000 5000000 0 West Covina 4.5% 106,000 Azusa 3.2% 46,361 Covina 4.0% 47,796 El Monte 3.8 % 113,475 ■Azusa (1996) ■ Covina (1996) ■ El Monte (1997) ■ West Covina (1996) ■ Pomona (1994) QUESTIONS OVERVIEW OF FIRE &EMERGENCY MEDICAL SERVICES (EMS) FIRE EQUIPMENT OVERVIEW L '\ IF3 IIL � 9 I _ Egon EMERGENCY MEDICAL SERVICES OVERVIEW R�srrorer:r FIRE DEP7'• � 2 qt$T 20 111, -- aiw FIRE. REM'. 1 1 "'�p� iiki OEPT. _ ■ Basic Life Support (BLS) Transports: CARE Ambulance INDA�-- -� ... a,�rnnxGe ■ ■ , AMR Ambulance ■ Tiered Dispatch (Medical Calls) ■ Evaluate Incident Type ■ Appropriate level of care dispatched (error on higher care) ■ Emergency Medical Dispatch (EMD) ■ Pre -Arrival Medical Care ■ Advanced Life Support (ALS) Transport ■ Local Emergency Medical Services (EMS) Agency Policy ■ Two (2) Paramedics on the same unit ■ Basic Life Support (BLS) Transport ■ Local Emergency Medical Services (EMS) Agency Policy ■ Two (2) Emergency Medical Technicians (EMT) Emergency Medical Service (EMS) Call 1 - Fire Engine: 3 - Person Crew Captain Engineer Firefighter 1 - Paramedic Ambulance: 2 - Person Crew Firefighter / Paramedics Total: 5 personnel Fire Emergency Call 4 - Fire Engines: 3 — Persons/Engine Captains Engineers Firefighters 1 - Fire Truck: 4 — Persons Captain Engineer Firefighter /Paramedic Firefighter 2 -Rescue Ambulances: 1 - Command Unit: 2 — Persons/Ambulance: Assistant Chief Firefighter / Paramedics Total: 21 personnel OPTION 1: CONSOLIDATED FIRE PROTECTION DISTRICT OF LOS ANGELES COUNTY