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EVAC Ambulance A not-for-profit agency

EVAC Ambulance A not-for-profit agency. Serving our entire Community since 1981. EVAC Ambulance A Community-Based Consolidated Ambulance Service . County-wide consolidated Ambulance service began advanced life support operations on October 1, 1981

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EVAC Ambulance A not-for-profit agency

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  1. EVAC AmbulanceA not-for-profit agency

    Serving our entire Community since 1981
  2. EVAC AmbulanceA Community-Based ConsolidatedAmbulance Service County-wide consolidated Ambulance service began advanced life support operations on October 1, 1981 EVAC created as a unique, non-profit community charity. Board of Director’s are a cross section of communityleaders . External oversight of performance contract (monthly County review). Typically exceed contract better than 1% to 6% Given the mandate to provide efficient, cost effective, Emergency Medical Service (EMS), county-wide, ambulance transportation of sick and injured citizens and visitors.
  3. H H H H H H H H VOLUSIA COUNTY EMERGENCY MEDICAL SERVICES EMS System Components Designated Receiving Facilities Hospitals What determines where you go? Obstetrical, STEMI, Stroke and Trauma Florida Hospital Memorial Medical Center Florida Hospital- Oceanside Halifax Health Medical Center Halifax Health Medical Centerof Port Orange Florida Hospital - DeLand Bert Fish Medical Center Florida Hospital - Fish Memorial Central Florida Regional Hospital
  4. EVAC Ambulance Response Time Performance Standards ` EVAC responds to Emergency Medical Conditions in: Urban Areas: 8 minutes and 59 seconds (8:59) or less from time call is dispatched to time on scene. All Countywide responses: 11 minutes and 59 seconds (11:59) or less from time call is dispatched to time on scene. The response time performance standard is “Ninety percent (90%) of the time as determined on a monthly basis using a Fractile Response Time Measurement”. Also of note is the destination hospital is the patient’s choice (unless unconscious). Source: County of Volusia Ambulance Contract
  5. EVAC Ambulance FY 2008 Response Statistics Responded to 71,500requests for assistance. Transported42,276patients Source: EVAC Ambulance
  6. Source: EVAC Ambulance
  7. EVAC Ambulance Posting Zones Over 50 Flex - Posting Locations 6 Fixed Posting Locations

  8. EVAC Financials

  9. VOLUSIA COUNTY EMERGENCY MEDICAL SERVICES EMS Subsidies in Florida
  10. Source: Volusia County Government - September 2007 Report – Analysis of Volusia County Emergency Medical Transportation Services to Other Counties in Florida
  11. Source: Volusia County Government - September 2007 Report – Analysis of Volusia County Emergency Medical Transportation Services to Other Counties in Florida
  12. No Subsidy Source: EVAC Ambulance
  13. Source: EVAC Ambulance
  14. Ambulance bills written off in each Hospital District during 2007 $ 3,060,000 $ 900,000 Not graphed: 2% out of County hospitals $ 4,860,000 Source: EVAC Ambulance
  15. Source: Volusia County Fire Services (using data from: FireDeptSurvey.xls)
  16. Call and Cost Distribution All Fire Agencies EVAC $81,406,471 $3,561,000 Source: Volusia County Fire Services (using data from: FireDeptSurvey.xls)
  17. Source: University of Florida Bureau of Economic Business Research & EVAC Ambulance
  18. % of Medicare allowed increased from 120% to 150% (a 25% increase) Source: EVAC Ambulance
  19. EVAC Ambulance Estimated 2009 Budget Gross Billings $ 27.5M Entitlements & Write-off’s $ 14M Operations $ 17.2M Volusia County Funding $ 3.5M * * FY 2008 = 3.5M Source: EVAC Ambulance
  20. Trends

  21. How are Federal Ambulance Rates Adjusted?

    Annual adjustments of ambulance rates are set by federal government using a calculation of the Consumer Price Index (CPI). 2009 formula is (2008 July CPI%) minus 1% which becomes the ambulance rate increase effective January 2009 July 2007 CPI = 3.7% Therefore, EVAC’s 2008 rates were adjusted in January by 2.7% 3.7% minus 1%=2.7%
  22. Medicare Cuts Three Year Rate Freeze President George W. Bush released his 2009 budget Feb. 4 Federal Freeze of annual adjustments to ambulance reimbursement rates for : 2009 – rate freeze (EVAC’s budget assumed 2.5% or $194,192 now zero) 2010 – rate freeze 2011 – rate freeze In 2012 instead of 1% the proposed adjustment is “inflation(CPI) minus 0.65%” Source: EMS Insider
  23. Medicaid No rate change since 1992 ! 1992 BLS$ 136.00 ALS$ 190.00 Diesel Fuel $ 1.13 2008 BLS$ 136.00 ALS$ 190.00 Diesel Fuel $ 5.00 (now $ 2.43) Source: Federal Highway Administration, Office Freight Management and Operation & EVAC Ambulance
  24. EVAC AmbulanceRoutinely coordinates with Helicopter Unified Since 1981
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