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Home My WebLink AboutAgenda Report - November 18, 1987 (64)Conte nuec Nc.' ember 1J. j 1987 CITY COUNCIL MEETING NOVEMBER 18, 1987 RATE MODIFICATION APPROVED FOR LODI AMBULANCE SERVICE RES. NO. 87-159 Council at its last meeting received a letter from the Lodi Ambulance Service requesting a rate modification effective CC -22.1(x) November 18, 1987. Representatives of the Lodi Ambulance CC -132 Service were .iot able to be present at the November 4, 1987 meeting. Council requested that the matter be placed on the agenda for this meeting. Council was presented with back-up data from the Lodi Ambulance Service, including some d&i'y dispatch logs_ Mr. Michael Nilssen, President, Lodi Ambulance Service was in attendance and addressed the Council regarding the matter and responded to questions as were posed oy the Council. Following discussion., on motion of Council Member Pinkerton, Ninchman second, Council adopted Resolution No. 87-159 approving the request of the Lodi Ambulance Service for a rate modification effective November 18, 1987. EVE L1 M 01,1101N, t11. rVor 7017^51 F: ii"anctt•� j•'�;IEi14 .m .5 or to � f. Tn( DAVID FRED %' RF iD C -ITT '' 0-F LORI C:ll HAU. 271 WEST PI.4 STREET CALL 30X 3046 t ()DI. CAI.tFORtiiA 9~241 1910 (209) 334-5634 TELFCOPIER (109133i -679S December 2, 1987 T)IOMAS A. PETERSON Cqv Manager At ICF M RFI\+.CEDE 1_IC-, Of -'k - RONALD M STEM City Atiorney Mr. Michael Nilssen President Lodi Ambulance Service 1709 South Stockton Street Lodi, CA 95240 Dear Mr. Nilssen: Enclosed herewith please find a certified copy of Resolution No. 87-159 approving the request of the Lodi Ambulance Service for a rate modification effective November 18, 1987. Should you have any questions regarding this matter, please do not hesitate to call this office. AMR:J3 Very truly yours Alice M. RAe e City Clerk Life `ted_cal Ambulance Service Rate `todif.c3t10n rent Rat !s ase hate \or.-=mer2en<<•------ asP tiate EmerPenc�---- - - - - -- Base hate -------------------- ,�nvance Life Sopor_ Night Call - - - - - - - - - - - - - - - - - -- 3rl,0 ( i . J 0 D n - . - 0 0 a m ) Oxygen (per use)------------- 22,i10 Mileage ( per Fni l •y) - - - - - - - - - -- 6. 50 Waiting Time - - - - - - - - - -- - -- - -- 20.0 (per 1/3 hours) JFI/MN;i:v "rate" £nclosur<! #1 14/8- RESOLUTION NO. 37-159 RESOLUTION APPROVING THE REQUEST OF TME LODI AMBULANCE SERVICE FOR A PATE MODIFICATION EFFECTIVE t'3VEMBER 18, 1937 RESOLVED, that the City Council of the City of Lodi does hereby approve the request of the Lodi Ambulance Service for a rate modification ef'ective Noverxiber.18, 1987, as shown on Exhibit A attached hereto and thereby r,'ade a part hereof. Dated: November 18, 1987 I hereby certify that Resolution No. 87-159 was passed and adopted by the City Council of the City of Lodi in a regular meeting held November 18, 1987 by the following vote: Ayes: Council Members - Hinchman, Pinkerton, Reid, Snider and Olson (Mayor) Noes: Council Members - None Absent: Council Members - None Alice M. Reimche City Clerk 87-159 F (:TY HAI. t- 221 wf>T PINE St!if, f , ( ALI- BOX iWt, )[)I, CALIFORNIA 95241 -1.01,E) ;'09133-7633 Flovember 6 , I c87 rh• Clerk N'ONA113,NS STEIN (. )tt At:ornet Ms. Joann Hodge Chief Financial Officer Life Medical industries, Inc. Lodi Ambulance Servi;,e 1709 South Stockton Street Lodi, CA 95240 Dear Ms. Hodge: Please be advised that your October 15, 1987 letter giving thirty day notification of a rate modification was presented to the Lodi City Council at its regular council meeting of November 4, 1987. Council was advised that representatives of your company were unable to be present at this meeting but if there were questions you would be available for the November 18, 1987 meeting. Council directed that this matter be placed on the agenda for the meeting of November 18, 1987. Should you have any questions, please do not hesitate to call this office. Very truly yours, Alice M. Reimche City Clerk AMR:JJ v 1 U n` C I L FROG:: THE CITY MANAGER'S OFFICE C O Y.„i i v I C t :' T C. Ni CC ',"CII, MEETING DATE NO- November O_November 18, I987 l j SUBJECT: CONSIDER REQUEST OF LODI AMBULANCE SERVICE FOR RATE MODIFICATION PREPARED BY: City Manager RECOMMENDED ACTION: That the City Council consider the request of Lodi Ambulance Service for a rate modification and take action as deemed appropriate. BACKGROUND INFORMATION: At its last regular meeting the City Council heard a proposal submitted by Lodi Ambulance Service for a rate modification (Exhibit A). The City Code provides that the City Council "reserves the right to finally determine and fix by resolution, the rates to be charged by the operator of the ambulance service.” Staff has met with Mr. Mike Nilssen, the ambulance service operator, obtained back-up data from him, including some daily dispatch logs (Exhibit B), and prepared the attached report. Mr. Nilssen will be in attendance at Wednesday night's meeting to present his request and to answer any questions Councilmembers may have. Respectf,11submitted, Thomas A. Peterson City Manager TAP:br Attachments TXTA.07A COUN280 CURRENT AMBULANCE PATES 0- COI;;dTY JURISDICTIONS Maximum Rate COUNTY i U R I SCI CT ION by Service Lodi Ripon Escalon Stockton Manteci Tracy Base Rate Non -Emergency 5100.00 $138.00 $138.00 $138.00 $138.00 $149.50 Base Rate Emergency 143.00 181.00 181.00 181.00 181.00 241.50 Advance Life Support Rate 285.00 331.00 331.00 331.00 331.00 274.00 Night Call (7pm-7am) 30.00 43.00 43.00 43.00 43.00 46.00 Oxygen (per use) 22.00 26.00 26.00 26.00 26.00 46.00 Mileage (per mile) 6.50 8.00 8.00 8.00 8.00 8.00 Standby rates are not regulated by the County; the current rate for Lodi is 520.00 per half hour with a proposed rate of $24.00) Base Rates refers to standard charges for emergency and non -emergency transfers of ill or injured persons, as opposed tc Advance Life Support Rate, which would apply to transfers where the patient requires extensive care (such as resuscitation) in life-threatening circumstances. Night Calls involve an additional charge to one of the three above mentioned rates where the transfer occurs between 7:00 p.m. and 7:00 a.m. Oxygen is a flat rate added to one of the three base ;'ates for any transfer wherein the patient requires oxygen. Mileage refers to a set charge added to one of the three base rates for each mile involved in the patient transfer. On September 29, 1987 the San Joaquin County Board of Supervisors adopted Resolution 87-874 Resolution Setting Ambulance Rates (Exhibit C) which allows ' ambulance providers to charge rates equal to or below set rates effective October 1, 1987: Base Rate Non -Emergency $138.00 Base Rate Emergency $181.00 Advance Life Support Rate $331.00 Night Cali $ 43.00 Oxygen $ 26.00 Mileage $ 8.00 Page 2 This rate structure applies to county areas and to incorporated areas where the City Council has adopted the ordinance. In order to allow charges above these maximum rates, the am' -glance provider must provide justification to the City Council within its service zone. The City Council must then approve the higher rates and obtain the concurrence of the County Board of Supervisors. As of November II, 2987 the cities of Ripon, Manteca, Escalon, and Stockton are observing the County -approved rates; the City of Tracy has adopted a different rate structure (shown on chart); and the City of Lodi maintains its own rate structure by ordinance. In preparing this study, Elaine Hatch, San Joaquin County Emergency Medical Services Coordinator, was contacted and confirmed this information. She noted that San Joaquin County conducted a very extensive survey of ambulance rates and that the County reviewed them every year. In comparison to other counties, rates for San Joaquin County are somewhat below the average charges. It was her belief that the new San Joaquin County rates are soundly based, reasonable from a consumers point of view and fair to ambulance service providers. Also, rates in the county include a wide variety of miscellaneous charges which are often listed separately in other counties. TXTA.07A COUNC280 0•ctober 15, :98 `'Er. Thomas Peterson Lodi City Manager Lodi City Hail 222 t_ Pine Street Lodi, California 952»0 a J� OCT Z u '87 City Managers Off;Cc Dear `Sr. Peterson, We are advising you wlth s thirty (30) day notification of a fee adjustment. Due to an increase in operational expenses during the past nineteen (19) months and the projection for expanding systems we deem it necessary to adjust our fees. Our future goals are to computerize our Communications Center. This will enable us to track our ambulances and systematically send the closest ambulance. We have added an additional ambulance to service the community due to an increase in simultaneous calls. However, we nave not really generated anv significant increase in patient transports. Our personnel costs and benefits have increased and will continue to do so during the next year. We will be adjusting fees to the County maximum allowance except for mileage of which will be adjusted to $7.00. Any questions with regard to this communication, please contact me at (209) 339-4021. Respectfully, LIFE ?MEDICAL INDUSTRIES, Inc Mrs. Joann Hodge All Chief Financial Officer JH;cy SERVING SAN JOAOUIN.COUNTY SINCE 1969 ALL CITY AMBULANCE 245 W. CHARTER WAY LODI AMBULANCE L_:e Medical Ambulance Service Rate `fodi:icat-on int Rates -ase Rate Non-ErnoPrsen,_%•------ ` :sl0 0.0 BaseRate _me gencN---------- i.3.i] Base RaL..--------------------- 285.00 Advanc- Support :ighI Ca: - - - - - - - - - - - - - - - - - - -- 3;1,[IiI (7 I)CIpr^ - , 760am) Oxygen ( per use) - - - - - - - - - - - -- -- CIO Mileage per mile) - - - - - - - - - -- 6. 5(' Waiting Time ----------------- 2Fj.(lf, (per I/2 hours) JH/.MN;cv "rate" Enclosure Ol F0/87 -,7 loi(' l R:l t er. 26.00 tj al -5-36.2-50 R-2tes to be char2ed for � ambulance ser -%ice. A. Tri�- `e^ � ambulance Tr � —_shal:_-fiiz--- with-- / ' -"~~` ^'~^^ an 77,nu27z�o czto --' _—_--- aled cb anyrrianner� Or ...,^..`z './ B. ^^'` c-,--- `"u_x r��--ves the night ' / ^'~'. "e ^a`=s to c�coz i azorothe zm | ' ,r _ �� v) "Tel IF -7j 14- Lill, 77 30W NNV,�,, \Jl 71 :71 7�1 UL c—� cl� ir r 42 -2 a=- ci On 1 IS Ell 1 mz 47 c � f � v � � I ! f i 1 I Y�. V Lodi Ambulance Dispatch Log CALL uwy MAME COMPLAINT No. I No. 0/ M-291 M.11 I T PlInIA xqAs ler (!A, ,;I Ain CALLED Py tOCATO OF CALL %$INATION r C 100E 1091 SUATING 1049 1010 ENDING IC -98 DAIVI VAAGF VILAGE 2 Z5_i J120--dj! MUL I)Z75— 10 .0 /0 4.,P; 1D5a 62L 1/11/ //37 1/70 /,,,76 ' eQ. -- . _qrc _Lq� o I 1 1k41a ---- 12 1,0 1 9 y j, L.-__-._._..- Al. -1 _7 -A Millis 1 tf 41 V JA fl—I 2�1 Blum .......... U Millis 1 tf 41 V JA fl—I 2�1 Blum 19 W1, Mi 11 Ise. te lo Vi 2,i -z t it I },_�� ;N K4 h7 cr :1 .. NI.. RES: LUT ION SETT1NG ANJBULANC E RAT=S -000- JL `ZES,.�__.�D teat thi Jcaru o S i i D e r v 4. s o r s aierebY sets L 1to a m b 111,_^ce rate u-"Lde r tine Ord; _.^.a C' 'Code o_4 San .loaqu4. n. Count:', Section 4- .09 a _oll;'ws. C, _l : S Ambaia;:__ :cyders may charge rates equal to or belo'• the rates listed in Sections iI G III below. B. The rate applies to county areas and to incorporate-.: areas where the City Council has ado�Dzed zke ordinance. C. Changes _.. _, tes must be posted with the EMS Agency at lust a �da,s prior to its implementation. I. IMUM RATES FOR 3.-'%SiC LIFE SUPPORT SERVICES i- fective October 1, 1987) (Effective -May 1, 1985) Base Rate SI38.00 $148.00 E-iergency S 43.00 $ 46.00 I leage S 8.00 $ 8.60 Night S 43.00 $ 46.00 0:•.ygea S 26.00 $ 28.00 III. MAXIMUM RATES FOR ADVANCED LIFE SUPPORT SERVICES (Effective October 1, 1987) (Effective May :, 1988) Not to exceed S331.00, not Not to exceed $3S6.00, not it:c'_uding the following including the following,. maximum charges: maximum charges: ; Oxygen $26.00 $28.00 Night Call S43.00 $46.00 Mileage S 8.00 $ 8.60 I V . CHARGES ABOVE MAXI,ti4U Y RATES An Ambulance provider may charge above the rates listed in Sect;on ii and IT_1 above after meeting ti.,-`o=lowing conditions: 7he ambulancprovider must present ust�.�cation or its higher --har ges to the Cit Coi_-, C i _ts service _one. B. Upon the Ciz; Council approval and the Board o� Supervisor`_ concurrence with ti� 'u11e.r charges, the ambulance providers may set higler fees for its service areas. PASSED AND D)PTED .his n�(++(1 dam of 1Q°- b', t e 1011owing vote of the Board oT supervisors to wi': yyES : tv I LHO I T , COSTA, C.?R 'ER , B ^.RBER vGES : SOUSA i ABSENT: vGiv v At tE5; . uORr1_. �A J. r�A.Dr Clerk of :.he Board of Super-—,= EBUHAiRNIA.. visors of the County of San Board of Supervisors Joacuin, State of California County of San Joaquin State of California By ;, CC LLtL Deputy .ler DIST: COB-Orig.; CAP-2 County Counsel, HCS-2