1 / 34

OFD Fire-Based EMS Transport

Orlando Fire Department. OFD Fire-Based EMS Transport. Orlando Fire Department. Orlando Fire Department. Transport Evaluation Criteria.

Download Presentation

OFD Fire-Based EMS Transport

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript


  1. Orlando Fire Department OFD Fire-Based EMS Transport

  2. Orlando Fire • Department

  3. Orlando Fire • Department Transport Evaluation Criteria Operational Evaluation: Did the addition of Fire-Based EMS Transport impact the high quality of service already being provided to the citizens and visitors in the City of Orlando? Financial Evaluation: Did the addition of Fire-Based EMS Transport generate sufficient revenue ?

  4. Orlando Fire Department OFD Fire Based EMS Transport EvaluationMay 1, 2011 to April 30, 2012

  5. Orlando Fire Department How we got here. • OFD History • Ambulance RFP • Safer Grant • Fire Based EMS Transport Proposal

  6. Orlando Fire Department OFD History • Leaders in EMS in Central Florida • Mid 70’s introduced Advanced Life Support (ALS) • Introduced ALS Engines in the 80’s • All Stations ALS and then all Units in the 90’s • OFD has always provided the “Back Up” transport system

  7. Orlando Fire Department Ambulance RFP • Orange County Fire took over Transport (2008) • Orlando contracted with Rural Metro for services (2008) • First full RFP for Ambulance Service

  8. Orlando Fire Department Safer Grant • OFD submitted for 46 personnel • Equal to the number of persons in the required budget reduction • IAFF and City worked together for the Grant • 2 year Grant Awarded for the 46 personnel

  9. Orlando Fire Department Fire Based Transport Proposal • Since OFD doing most of the work on scene, we proposed doing transport • No expansion of personnel • OFD proposed ALS and Auto Accidents Transport • BLS calls to a Private Provider • Approximate 2/3 to 1/3 split of Transports • OFD added Rescues 6, 9, &15 from redistribution of manpower

  10. Orlando Fire Department What did we do?

  11. Orlando Fire Department What did we do? • Start up preparations • Capital Purchases • Medicare/Medicaid • Billing Company • EMS Reporting System • Ambulance Support Contract

  12. Orlando Fire Department Start Up Preparations • Established Working Committees on • Operations Changes Fire/EMS/Transport • Supply/Logistics Trucks and Stations • Training both in EMS Transport and Hospitals • Quality Assurance, Report Writing and Treatment • EMS Policies • General Policies • HIPAA

  13. Orlando Fire Department Capital Purchases • New Rescue Trucks • On Board Computers for Dispatch and Mapping • Power Pro Stretchers • Lifepak 15’s • All needed equipment and supplies

  14. Orlando Fire Department Medicare/Medicaid • Average time to receive is 9-12 months + • Medicare submitted in December and received Medicare # in March • First payment received in May • Medicaid submitted after Medicare award • First payment received in June

  15. Orlando Fire Department Billing Company • OFD needed an experienced Billing Company • OFD Piggybacked on an Orange County contract for services • Advanced Data Processing Inc (ADPI) leaders in EMS industry on billing and recovery

  16. Orlando Fire Department EMS Reporting System • OFD Report system was inadequate for EMS Transport reporting • Changed to a mobile reporting system on ruggedized laptops • Crews able to complete reports at the hospitals & obtain signatures from hospitals and patients for billing

  17. Orlando Fire Department Ambulance Support Contract • City Contracted with Rural Metro for BLS/ALS backup support • Contract Includes: • Supplied Dedicated Units to the City • Units dispatched by OFD • Has the same Computers in units as City • Able to talk on our radio system • Full time Dispatcher in OFD Communications Center

  18. Orlando Fire Department Operational Statistics

  19. Orlando Fire Department Operational Statistics • Transports • Daily average transports • Ratio OFD /RMA Transports • Compliance summary • Service Level Mix • Transport Related injuries and complaints

  20. Orlando Fire Department .

  21. Orlando Fire Department .

  22. Orlando Fire Department Compliance • System Goal to provide a transport unit on the scene in 10 minutes or less 90% of the time Study Period May 2011 to April 2012 • OFD Average is 95.92% • RMA Average is 93.80% • System Average is 94.86%

  23. OFD Service Level Mix Orlando Fire Department

  24. Orlando Fire Department .

  25. Orlando Fire Department Financial Statistics

  26. Orlando Fire Department Financial Statistics • Billing Summary • Medicaid/Medicare Adjustments • Payer Mix Comparisons • Revenue Collected

  27. Orlando Fire Department Billing Summary May 2011 to April 2012 • Total Billable: $18,263,927 Gross • Adjustments to Billable: $4,351,904 (Medicaid/Medicare) • Net Adjusted Billable: $13,912,023 • Total Deposits in Bank: $ 4,800,394

  28. Orlando Fire Department Medicare/Medicaid Adjustments • Medicare and Medicaid are capped by Law BLS ALS1 ALS2 • City Rates are $700 / $900 and $1000 • Medicare pays $268 / $319 and $462 • Difference $432 / $581 and $538 • Medicaid pays $136 / $190 and $190 • Difference $564 / $710 and $810 • Differences are reported as adjustments

  29. Orlando Fire Department Agency Pay Class Comparison

  30. Orlando Fire Department Total Billable • For the study period, OFD has submitted $18,263,927 in gross billable Transports • This results in a gross average of $1,521,993 in billable transports per month • After Adjustments the average is: $1,159,335 in billable per month

  31. Orlando Fire Department Total Revenue Collected • For the study period $4,800,394 has been deposited in the EMS Transport Account • The results in an average of $400,032 a month deposited (cash in the bank) • Sent to Collections: $1,131,269

  32. Orlando Fire Department Where do we go from here?

  33. Orlando Fire Department Where do we go from here • Continue the same model of service • Allow billing account to fully mature • Begin the RFP process for Ambulance Support • Monitor call volumes for future needs • Continue the high excellence of service

  34. Orlando Fire Department Saving Lives and Protecting Property

More Related