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HomeMy WebLinkAbout45-City Clerk -CITY OF SAN BElt ARDINO M~EQUEST .~OR COUNCIL ACTIO~ From: Lee Gagnon, Business License Supervisor Dept: City Clerk Date: February 20, 1990 Subject: Proposed Increase in Number of Medical Transportation VehiclE Synopsis of Previous Council action: Medical transportation rate increase as set forth in Resolution No.89-406 adopted by Mayor and Common Council October 16, 1989. ::J /','/ -, t-'" (...!/ " " ~,'M, '.j . .. r'-~ Recommended motion: 1':: ~ .....j ~r, That the City Attorney be instructed to prepare an ordinance amending Municipal Code Section 5.76.060 subsection B 3 and 4 to permit one ambulance per 10,000 residents and one wheelchair passenger transportation vehicle per 30,000 residents of the City respectively. J _ C-/ ,-!...-e.<::.- ....-/~ ~ ~------ Signature Lee Gagnon Phone: 384-5036 Contact person: Supporting data auached: Yes Ward: N/A FUNDING REQUIREMENTS: Amount: Source: (ACCT. NO.) (ACCT. DESCRIPTION) Finance: Council Notes: AQenda Item No. if-5 , ,CITY OF SAN BER ARDINO - REQUEST .:OR COUNCIL ACTION STAFF REPORT At their meeting of December 12, 1989, the Bureau of Franchises received the attached proposal from Court'esy Services of San Bernardino for an increase in the permitted number of ambulance and wheelchair passenger transportation vehicles. The increases are requested based upon a study of calls for ambulance and wheelchair van services con- ducted by Courtesy Services from June through November, 1989 and contained in the attached proposal. The increased service levels are being proposed by Courtesy Services without any request for increase in the current rate structure. The Bureau of Franchises considered the proposal and then unanimously recommended that the San Bernardino Municipal Code Section 5.76.060 subsection B 3 be amended to read, "Not more than one ambulance shall be permitted for each 10,000 residents of the City, or major portion thereof," and subsection B 4 amended to read, "Not more than one wheelchair passenger transportation vehicle shall be permitted for each 30,000 residents of the City, or major portion thereof; provided, that if the number of calls average over ten per day per vehicle in any ninety-day period, then the bureau may authorize an additional vehicle." Listed below is a comparison of current and proposed standards to more clearly depict the effect of the ordinance amendments relative to ambulance and wheelchair van services. Current Standard Proposed Standard 1 ambulance per 10,000 residents Allotted permits or vehicles -- 15 A. 1 ambulance per 25,000 residents Allotted permits or vehicles -- 6 B. 1 wheelchair van per 100,000 residents Allotted permits or vehicles -- 2 1 wheelchair van per 30,000 residents Allotted permits or vehicles -- 5 The service levels for ambulance and wheelchair transportation have not been revised since adoption of the taxicab, ambulance, and chartered vehicle ordinance in 1953. 75-0264 . > ,i, _.~. U~.\';. ~" " . ,\. . ... ..........~~. UU"i..i:i~ Ambulance Service of San Bernardino Since 1948 "~ '- '. . _ ~ I..:: ~" ' . December 6, 1989 .' Bureau of 'Franchises City of San Bernardino San Bernardino City Hall 300 North "D" Street San Bernardino, CA 92401 .' Attention: Lee Gagnon, Secretary RE: Proposed Increase in Permitted Number of Ambulances and Wheel Chair Passenger Transportation Vehicles Gentlemen: As you are aware, Courtesy Services of San Bernardino, Inc. ("Courtesy") has provided medical transportation to the citizens of the City of San Bernardino ("the City") since 1948 and has, since the City first undertook regulation of that service in 1956, been its exclusive ambulance provider. As the exclusive provider of medical transportation services for the City, Courtesy requests the number of medical transportation vehicle permits be increased and issued to our company. San Bernardino Municipal Code Section 5.76.060 sets forth the number of medical transportation vehicles that can be permitted to operate within the City. At the present time, pursuant to Section 5.76.060(B)(3), no more than one ambulance may be permitted for each 25,000 residents of the City. Since the current approximate population of the City is 150,000, a limit of 6 ambulances is in effect. ' .; r In addition to providing ambulance service, Courtesy also provides wheel chair vans under permit from the City. Here again, the number of vans is, by Code, limited based upon populati~ levels. Specifically, Section 5.76.060(B)(4) provides that there may be no more than one wheel chair van per 100,000 population or major portion thereof, except in the instance where there are an average of more than 10 calls per day, in which case one additional van is authorized. As a result, wheel chair vans are currently limited to two, or at most three, if the current call demand, which exceeds 10 calls per day, continues in existence. Courtesy has conducted a detailed analysis and review of the calls for ambulance and wheel chair van services, and has prepared a repqpt relating thereto, a copy of which is enclosed herewith for your review. Based upon the results of that review, Courtesy is of 'the belief that it is both necessary and appropriate for the Paramedic, Van and Wheelchair Services ~1A Wocl C:Owmtr. Stl"f>et San Bernardino. California 92401 (714)884-3155 Bureau of Franchises -2- December 6, 1989 City to modify the existing Code provisions to increase the number of permitted ambulances and wheel chair transportation vehicles. It is the position of Courtesy that the Code should promptly be changed to authorize one ambulance for every 10,000 persons residing within the City, thus currently making available permits for a total of 15 ambulances. Additionally, Courtesy believes that the wheel chair van authorization should be modified to provide one " van for every 30,000 persons residing within the City, thus making permits available for a total of 5 such vehicles. Courtesy provides ambulance and wheel chair van service no~only to the City, but also to unincorporated areas of San Bernardino County and certain other municipalities. As a result, Courtesy already has available, or immediate access to, the necessary additional equipment and personnel to provide the increase service to the City that it is hereby recommending. This request is being made without any request for increase in current rate structure, and is intended simply to provide a lawful mechanism whereby Courtesy can continue its 40 year performance of excellent and timely medical transportation to the citizens of the City. : Your favorable consideration of this request is very much appreciated. Rice ,', DSR:df Enclosure ; ,. : Ambulance service is, in general terms, a" cr~s~s oriented service with an intense single unit to single patient relationship. Over sixty percent of the service requires code three response (activation of emergency warning equipment with an immediate response). The average time to complete a call is 45 minutes from activation of the unit. ., . The attached graphs illustrate the high and low call demand by hour of the day for each month from June through November, 1989. We use similar graphs (hour of the day, day of the week by month) for staffing purposes. As you can see we peak out in the month of June to seventeen responses. We staff by peak call demand by hour of the day with a fudge factor of 26% for dry run and cancellations in which the units are available within three to ten minutes from receipt of the call. We currently have seventeen emergency ambulances within our fleet and plan to add an additional a unit in February or March, 1990. In 1987 we modified the traditional 24 hour unit staffing by adding daily 10 and 12 hour units. In the summer season and late winter season we increase staffing to a maximum of 15 units and lower staffing to a maximum of 11 units during the spring and fall season. Exhibit A is the actual graphs used for staffing purposes for the month of September, October and November, 1989. FLEET VEHICLES COPY ~ REG. DATE VIN # LICENSE # MAKE/YR REG. 1 3-31-90 CGL2590150950 IP66514 Chevy '79 Yes 2 3-31-90 1GDGG35M607510224 3A03046 Chevy '83 Yes 3 11-30-89 2GCGG35M7GH106031 2T57407 Chevy '86 Yes 4 6-30-90 2GBHG31J7F4134950 2V50008 Chevy '85 Yes 5 3-31-90 1GDGG35MXD7510243 3A93945 GMC '83 Yes 9 8-31-90 CGL2A7141000 lW74885 Chevy '80 Yes 10 6-30-90 IGBJR34J84J145697 3J'36323 Chevy" , 87 Yes 11 3-31-90 1GCGG35MaF7131574 2N90547 Chevy '85 Yes 12 5-31-90 2GBHG31M7F4142458 2R18707 Chevy '85 Yes 14 8-31-90 1FDHS34M6J'HB94866 3N83832 Ford '88 Yes 15 8-31-90 1FDHS34MXJ'HB93963 3S35716 Ford '88 Yes 16 9-30-90 1FDHS34M1J'HB93964 3N83883 Ford '88 Yes 17 10-31-89 IFDHS34M6JHB93961 3R06015 Ford '88 No 18 10-31-89 IFDHS34M3JHB93965 3T19275 Ford '88 No 19 11-8-89 IFDHS34M3J'HB88233 2KYC989 Ford '88 Yes ; '::; -' ",~ :=,~ ~ ':,:'" C) -,.; c: ;:::, :~ := ~ c: .:..: ~""f .:"7~ ~ :::: c-: ~: '. 1--' '.-' " ..... ..... "',., .... '- r' .... 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(t" ...... -.... CD <D (Q I (f.; -" I ......... ~ 'oJ )> I " -> I ". -" ~:- , I. . , . 1/ f\) - '.'. -" ~ ,. (;.., ;. -" , I ~ - . OJ t <D -" ~ - Oi (D -" i I CD O- r I i OJ -" I --..J r;i ::T-" ! : --0:' ..... (0-> ::reo - !\ l'0 I . 0 V J\.) -" I J\.) : J\.) ~ r~ I i.- (iJ I I .. . --' ?: -0 ....t.m 9s: .....\.> IZ ~o i!~ :t1::c Co -=-c 0:0 I ~o .1 II to (!) .. ~ .)'J""" , ~/. h. '\ +- : \, i- ; ~ ......, . ''-. .~ . 1"1 /. : / : ., .... ,,",-' .~: . :7- ./ -+ .,+ , ;: ~. : I . \ : : ~' , , . . : : y: : '>0:- . . . I .. . . .. . . . . . . -i ::I: m C ~ , ........- . -" : . :;7 yY.::::+. . . .. . . . . . . . . . . . . . .. .. .. .. . . . . . . ... . . . . . . . . . I . . . . Unlike ambulance service, wheel chair van service is not crisis oriented. Efficient wheelchair van service mandates multiple patient movement by each unit through proper scheduling and routing. In the past we kept one unit to serve the City and used two others to provide service in outlying areas and back up City services. Due to difficulties created by undercompensated and uncompensated care for indigents demand has increased for wheel chair van services. That demand has also changed in complexion in that transfers to outlying areas (Barstow, Needles and surrounding counties) is increasing. . . The key to staffing is reduce the maximum demand by a 40% multiple patient factor. At present, to properly serve the City, 4.9.units is needed. We currently have five wheel chair vans to provide this service. Exhibit B is the actual call demand graphs for the months of September, October and November, 1989. WHEELCHAIR VANS 51 11-30-89 '86 '- 1GCE625F6S7100163 2S7888 Chevy No 52 7-31-90 1GCEG25F3B7129225 2D35537 Chevy '81 Yes 53 6-30-90 CGL3590161767 1V20975 Chevy '79 Yes 54 7-31-90 CGL257U212202 1H06637 Chevy '77 Yes 55 7-31-90 1FTJE3516GHA20998 2W46981 Ford '86 Yes 56 10-31-89 1FTHS3519GHC09586 2X51258 Ford '86 Yes .' I , .. r- ~ ->. ~ , , ...' o-r- ->. ....- ~. .:: -.- , C~ T , , , ~~ i (,'Il ~ . ''-.., r ........~-- 0) -- i ; -"" r OJ J! .... (j) ~- <C r- '"" i W ->. , ~, r- > 'oJ ->. , ->. ... ..L.. OJ CD - fj)o CJj OJ .,. - - G) .... .... 00 --........--. --> I ;'~ ~ ~ ~..." v:: L "- i .....'A -' I ,.1. ~ ;,c; I --> I 01.... -->1 ::r -..lr -->1 a:~ " - '. ~ I - ,.- .... ,~. \.,_'J \..-- ,'.- ~.----;------ .~.. ", --~ ", -.... .....-. .;.~... "- " ' . /........-'~ -*J". -. .'.... :..... :~--- ~ , ....---:--~ -r--:. · , i . : . I ,- ~ : /~ ' /' . ->. /.' . (.'J ';::'" I i'.)1 aT 1\); -->T I\)+. l\) , :'VI (..:IT ~ <: -r- ....... m m 5 I - > <0 - I :0 .-. 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