HomeMy WebLinkAboutMINUTES - 08021988 - I.O.12 BOARD OF SUPERVISORS I . 0. 12
FROM: C lta
INTERNAL OPERATIONS COMMITTEE CWIa
DATE: July 25, 1988 C J*
SUBJECT: Contracts with Many Hands, Inc. and
Contra Costa Community Recycling Center
SPECIFIC REQUEST(S) OR RECOMMENDATIONS) & BACKGROUND AND JUSTIFICATION
RECOMMENDATIONS:
1 . Authorize the Director of Community Development to negotiate
a contract with Many Hands, Inc. for the period July 1, 1988
through December 31, 1988 in the amount of $2500 to operate
the recycling center in Pacheco, said contract to be
returned to the Board of Supervisors for approval.
2 . Authorize the Director of Community Development to negotiate
a contract with Contra Costa Community Recycling Center for
the period July 1, 1988 through December 31, 1988 in the
amount of $2500 to design and implement a recycling
awareness and promotion program similar to that outlined in
their letter to the Board dated July 21, 1988, said contract
to be returned to the Board of Supervisors for approval.
3 . Urge Many Hands, Inc. and the Contra Costa Community
Recycling Center to submit a joint proposal to the Delta
Diablo Sanitation District and Central Contra Costa Sanitary
District to continue the operation of the recycling center
and the recycling awareness and promotion program after
December 31, 1988, and advise the Board of Supervisors by
December 1, 1988 of the status of their proposal and request
for funds.
BACKGROUND:
As a part of our Committee' s review of recycling programs, we
have met with representatives from the Contra Costa Community
Recycling Center and Many Hands, Inc. The Contra Costa Community
Recycling Center is interested in re-focusing their attention
from the direct operation of a recycling center to a more broadly
based recycling awareness and promotion program.
The Contra Costa Community Recycling Center has outlined in a
letter to the Board a budget of $5000 a year to operate this
program which will be more along the line of a public education
and advocacy program. At the same time, Many Hands, Inc. has
indicated to our Committee their willingness to take over the
direct operation of the recycling center in Pacheco.
CONTINUED ON ATTACHMENT: _ YES SIGNATURE:
RECOMMENDATION OF COUNTY ADMINISTRATOR X RECOMMENDATION OF BOARD COMMITTEE
X APPRO OTHER
unne W. �ak Tom Torlakson
SIGNATUREIS1: I1 pp
ACTION OF BOARD ON August 2, 1900 APPROVED AS RECOMMENDED X OTHER
VOTE OF SUPERVISORS
1 HEREBY CERTIFY THAT THIS IS A TRUE
X UNANIMOUS (ABSENT II AND CORRECT COPY OF AN ACTION TAKEN
AYES: NOES: AND ENTERED ON THE MINUTES OF THE BOARD
ABSENT: ABSTAIN: OF SUPERVISORS ON THE DATE SHOWN.
cc: Listed on Page 2 ATTESTED t-= =A �C.s.Cr d�� /9,?o
PHIL BA HELOR, CLERK OF THE BOARD OF
SUPERVISORS AND COUNTY ADMINISTRATOR
M382/1-83 BY ,DEPUTY
Page 2
The County currently funds the Community Recycling Center at a
level of $6, 900 ( includes $.5000 for an operational subsidy and
$1,900 for utilities and equipment) per year. Both the Contra
Costa Community Recycling . Center and Many Hands, Inc. need the
$5000 a .year. appropriation made by the County in order to carry
out the programs they have recommended. Rather than requesting
additional funds from the Board, our Committee is recommending.
that the existing $5000 appropriation' be split between the two
organizations to maintain their respective programs for the first
half of the 1988-89 fiscal year.
We have further suggested to both organizations, when we met with
them on July 25, 1988, that they jointly approach Delta Diablo
Sanitation District and Central . Contra Costa Sanitary District
with a request for funds to continue these programs for the last
half of the 1988-89 fiscal year. Both organizations indicated
agreement with the above recommendations and we, therefore,
recommend them for the Board' s consideration.
•
cc: County Administrator
Director, Community Development
County Counsel
Marilyn McKinney, President, .
CC Community. Recycling Center
Norton Ryne, Exec. Dir'. , Many Hands, Inca
General Managers: Delta Diablo Sanitation
and Central Sanitary' Districts
Chair, Solid Waste Commission
TO BOARD OF SUPERVISORS
Finance Committee c trd
July 2b, 1988 Coos C
DATE; V "1
SUBJECT; •
PARAMEDIC AMBULANCE SERVICES
SPECIFIC REQUEST(S) OR RECOMMENDATION(S) & BACKGROUND AND JUSTIFICATION
RECOMMENDATIONS:
1. Refer the proposal of Regional Ambulance for a change in their staffing complement
and hours for their ambulances to the Health Services Department for further review
and report back to the Finance Committee.
2. Consider placing on the November ballot an advisory measure asking the voters whether
they would be willing to accept a parcel tax to enhance emergency medical services in
the County.
FINANCIAL IMPACT:
Regional Ambulance's proposal would cost an additional $200,000 per year. In addition,
there are other impacts to other health care providers, such as base station hospitals,
which need to be evaluated. A funding source has not been formally '. identified, but a
parcel tax might be one alternative.
BACKGROUND:
Earlier this year, the Board referred the issue of ambulance protection and services to
the Finance Committee. Concern had been expressed about the timeliness of response and
the level of training of respondents in several publicized cases in West County. Regional
Medical Systems has proposed to the Finance Committee that the present system, under which
two paramedics are available in some areas for advance life support 'services, and two
EMT's are available for basic life support services, be changed so that one paramedic and
one EMT be in each ambulance, and that the hours be varied to increase availability during
peak workload hours.
The Health Services Department has asked for additional time to review the proposal and
view it from not only an organizational point of view but from a medical point of view.
The Finance Committee agrees that the department should be given more time to look at this
proposal.
The issue of emergency medical care has long been in the headlines. It is the Finance
Committee's feeling that a parcel tax of, for instance a maximum of $10 per parcel, might
be acceptable to the voters of the County. Such a tax could raise millions of dollars
which could be used to enhance emergency medical services. For that reason, we recommend
that the Board consider putting an advisory measure on the November ballot, asking the
voters if they would be willing to have the Board enact such a parcel tax. A copy of
proposed ballot language is attached to this Committee report.
CONTINUED ON ATTACHMENT; _ YES SIGNATURE:
RECOMMENDATION OF COUNTY ADMINISTRATOR RECOMMENDATION OF _ ARS,, OMMITTEE
I
_ APP-ELOYE �jO�T�H�ER���
SIGNATURE s : upervisor Nancy Fanden S Jervis r Tom powers
ACTION OF BOARD ON Augiis t 2 ., 1988 APPROVED AS RECOMMENDED OTHER X
REFERRED Regional Ambulance proposal to the Health Services Director for review and
report; and DECLARED intent to place on the November ballot an advisory measure relative
to a parcel tax to fund enhanced emergency medical services and REQUESTED Health Services
Director to provide further information on allocation of revenues received and budget of
proposed emergency care system improvements.
VOTE OF SUPERVISORS
1 HEREBY CERTIFY THAT THIS IS A TRUE
X UNANIMOUS (ABSENT �' ) AND CORRECT COPY OF AN ACTION TAKEN
AYES: NOES. `� AND ENTERED ON THE MINUTES OF THE BOARD
ABSENT: ABSTAIN: OF SUPERVISORS ON THE DATE SHOWN.
CC: Health Services Director ATTESTED .(, m{ 9 O'
County Administrator
County Counsel PHIL B CHELOR, CLERK OF THE BOARD OF
SUPERVISORS AND COUNTY ADMINISTRATOR
Elections .Supervisor
BY 'DEPUTY
M382/1-83
OFFICE OF COUNTY ADMINISTRATOR
CONTRA COSTA COUNTY
Administration Building
Finance Committee Martinez, California
To: Supervisor Nancy Fanden Date: July 19 , 1988
Supervisor Tom Powers
Kerry Harms-Taylor, Assistan' t PARAMEDIC AMBULANCE PROPOSAL
From: County Administrator - Finance
Subject
RECOMMENDATION•
As recommended by Health Services Department staff, refer the proposal
for additional paramedic support to the Health Services Department for
further review and report back to the Committee.
FINANCIAL IMPACT:
If Regional Ambulance' s paramedic enhancement proposal is accepted,
additional annual costs would be $200,000. Two other alternatives are
outlined which would range in cost from $378,060 to $601,817.
BACKGROUND:
Earlier this year, the Board referred the issue of ambulance
protection and services to the Finance Committee. Concern had been
expressed about the timelines of response and the level of training of
respondents in several publicized cases in West County. Regional
Medical Systems asked the Finance Committee for time to develop
alternatives to their current operating system. That report is
attached for your review.
The Health Services Department has asked for additional time to review
the proposal and develop recommendations. , The Administrative Office
supports this request.
It should be noted that the Administrative Office has concern about
all of the alternatives as they now stand because they would all
require County dollars which are not available. If the- Finance
Committee recommends any of the proposals, either an additional
funding source will need to be identified, or another program reduced
to pay for the additional ambulance services. Additionally, it is an
undesirable precedent for the County to begin subsidizing a service
which it has not subsidized in the past, especially without an '
identified new funding source. These factors should be. considered in
any recommendations the Finance Committee develops.
KH-T:gm
Enclosure
�;� - -E Health Services Department
OFFICE OF THE DIRECTOR
EMERGENCY MEDICAL SERVICES
50 GLACIER DRIVE
-
,�� Martinez, CA 94553
(415)646-4690
Coun
To: Kerry Harms Date: July 15, 1988
County Administrators Office
From: Ar , L r , EMS Director Subject. Regional Medical Systems
Paramedic Ambulance Proposal
Attached is a proposal from Regional Medical Systems to the Board
of Supervisors ' Finance Committee recommending an approach to
increasing paramedic coverage by changing existing paramedic
ambulance staffing requirements. Specifically, the Regional Proposal
recommends:
(1) That the County EMS Agency review proposed staffing changes ;
(2) That the Board appropriate $200,000 to subsidize Regional ' s
costs of implementing their proposed system;
(3) That Regional' s existing contract be extended for two
years beyond the April 30 , 1989 termination date; and
(4) That a timetable be adopted to begin implementation of the
proposal within six months.
RECOMMENDATION
EMS staff have been working with Regional on this proposal and have
scheduled a presentation by Regional to Health Services Department
staff on July 22nd. We recommend that the Finance Committee refer
this matter to the Health Services Department for review and report
back to the Finance Committee by August 8 , 1988.
Attachment
cc: Mark Finucane
William B. Walker, M.D.
Dan Bergman
AL:pb
i .
REGIONAL MEDICAL SYSTEMS
CORPORATE OFFICE: • 41300 CHRISTY STREET• P.O.BOX 7780 • FREMONT,CALIFORNIA 94537-7780
• [415)657-9999 • [415[676-7979
I
I 1
July 13 , 1988 ,
j To: The Honorable Nancy J. Fanden & Tom Powers, Finance
Committee, Contra Costa County Board of Supervisors
From: Earl Riggs, President, Regional Ambulance, Inc.
i
SUBJECT: ADDITIONAL PARAMEDIC AMBULANCES FOR CONTRA COSTA
COUNTY
I
I
The Committee has requested input relative to the cost of
i adding two additional paramedic units to West Contra Costa
County. The following information is submitted for discussion
1 and review.
i OVERVIEW
ALTERNATIVE 1. At an annual cost of $601, 817 two (2)
additional Advanced Life Support (ALS) paramedic ambulances can
be placed into service-24 hours per day, 7 days per week. At the
Board's direction, these units may either be primarily based, or
specifically based in the western end of the County.
ALTERNATIVE 2 . At an annual cost of $378, 060 three (3) ALS
units, 10 hours per day - 5 days per week each, can be placed
into service at strategic locations in the western portion of the
County.
ALTERNATIVE 3 . With the existing resources in the County
EVERY ambulance in the County could be turned into a paramedic
ambulance by changing our staffing patterns to one paramedic and
one emergency medical technician (EMT) instead of 2 paramedics.
Increased operational and equipment costs would amount to
$200, 000 per year.
RECOMMENDATION
ALTERNATIVE 3 offers the best response times and level of
service to ALL the citizens of the County. It also offers the
lowest cost alternative.
Currently more than one out of every seven patients in a
potentially life threatening situation go without paramedic
services. At the same time, responding units from a maximum of
10 locations in the County, as opposed to the proposed 20+
locations, unnecessarily lengthens response times.
a division of
REGIONAL AMBULANCE, INC.
PARAMEDIC & NON-EMERGENCY AMBULANCE SERVICE • CHAIR-A-VAN • MEDICAL EQUIPMENT/SUPPLIES
Finance Committee July 13, 1988
Contra Costa County Board of Supervisors Page 2
The change in the staffing will have no measurable
deteriorating effect on medical performance. The "on-scene
consultation" of complex cases would be shifted from the
paramedic partner to the ALS Base Hospital Nurses (MICN's) and .
Physicians who appropriately direct the paramedics' activities.
An overwhelming benefit of the split-team approach to ambulance
services is that all patients in the community receive access to
Advanced Life Support intervention early on in the field setting
where it is most appropriately administered.
Therefore, it is our recommendation that the Committee
recommend to the Board of Supervisors:
1. That the EMS Office develop recommendations on the medical
and operational efficacy, complete with pros and cons, of
changing the EMS system to one of total Advanced Life
Support ambulances using the recommended staffing patterns.
2 . That the Board appropriate $200, 000 to be applied totally
to these system enhancements.
3 . That the current contract with Regional Ambulance be
extended for two years to allow for the necessary planning
and implementation of the system.
4. That a timetable for approval and implementation be
developed which would, barring unforeseen obstacles,
facilitate the transition to begin within 6 months.
These recommendations can only move forward when there is
clear consensus between the County, the medical community, the
Emergency Medical Care Committee, and the provider and field
personnel. Thus, all of these groups and interests must be
contacted to insure that all issues and concerns are met.
Your Committee might even desire that monthly status reports
be submitted by either ourselves or the EMS office on current
developments in the implementation.
DISCUSSION
ALTERNATIVE 1.
Two (2) additional 24 hour paramedic units could be placed
into service in the West County area at an annual cost of
$601,817.
The positioning of the units could take on several different
approaches. The units could be based in E1 Cerrito and Rodeo,
thereby offering better response times and paramedic coverage to
the low call volume areas such as Kensington, Crockett, Port
Costa, and Rodeo. They could then be moved to the busier areas
Finance Committee July 13, 1988
' Contra Costa County Board of Supervisors Page 3
when paramedic resources are depleted in Pinole, San Pablo, and
Richmond, thereby improving both ALS coverage and response times
to some degree.
The alternative would be to infuse one or two of the
additional units into the higher call volume areas, such as
Richmond and San Pablo, reducing the overall response times more
dramatically in those areas, which would have a greater overall
impact on response times. While this would not improve response
times to Kensington and Crocket overall (it currently takes a
minimum of 10 minutes to Kensington and 8 minutes to Crockett) ,
it would improve the ALS response capability because ALS
resources would not be pulled into those heavy call volume areas
as often.
ALTERNATIVE 2.
"Peak Load" staffing is a better, more cost effective
approach, to provide ambulance services than simply placing more
24 hour units in service at fixed locations. By working units 10
hours per day, five days per week, they can be placed in
locations where calls are anticipated to occur, rather than some
fixed base.
For instance, certain calls tend to occur around the freeways
a Spm while other types of calls occur in neighborhoods a Bpm.
If you base the units for the former you will have longer
response times for the latter. Therefore, by adding additional
equipment commensurate with demand patterns, much like the police
departments, we achieve better coverage for the resources
available. This is accomplished by basing the unit in a freeway
access location at peak traffic periods, and near neighborhoods
in the busy evening hours. Three. such units can be added to the
West County system for $378, 060 per year.
ALTERNATIVE 3 .
Currently over 1 out of 7 patients (14% to 20%) in Contra
Costa County go without ALS care on potential life threatening
emergencies. The numbers break down as follows:
West County - 22% *
Central County - 8% *
East County - 11% *
* May Figures
Also, approximately 236 patients each month do not receive a
paramedic response because they are not perceived to be in a
potentially life-threatening situation. While this latter
category are not "life-threatening", many of them would benefit
from ALS level care, including being stabilized for transport to
a hospital of their choice, often avoiding subsequent transfers.
Finance Committee July 13, 1988
Contra Costa County Board of Supervisors Page 4
We propose that ALS be provided to every patient in Contra
Costa County at an annual cost to the County of $200, 000. This
would be accomplished by converting our current fleet of over 20
ambulances into ALS units and staffing units in relation to the
demand patterns of both emergency and non-emergency services.
The units would be staffed with .one paramedic on each ambulance
instead of 2 paramedics on some of the ambulances, as is
currently the case.
We now staff 10 paramedic units and 8 Basic Life Support (BLS
or EMT) ' units 24 hours per day, 7 days per week; and 8 BLS units
10 hours per day 5 days per week. We operate, effectively, 2
separate services with the ALS units primarily responding to
emergency calls for service and the BLS units primarily
responding to non-emergency calls for service.
The BLS non-emergency services heavily subsidize the ALS
emergency services. In addition, the BLS services "back-up" or
support the ALS services by:
a. Responding to non-life-threatening medical emergencies
(Code 2 urgent requests) . These are mainly psychiatric
patients, but often are more medical in nature. Many of
these patient would benefit from ALS intervention in the
field, particularly drug overdoses and diabetic cases that
begin as non-critical or are misdiagnosed by the
dispatchers. A small percentage of these patients become
critical and receive a Code 3 transport to the hospital
b. Responding to life-threatening medical emergencies (Code 3)
when ALS units are not in position to respond.
c. BLS units are being asked to transport patients with an
increasingly unstable medical condition between medical
care facilities. The shortage of paramedic units and the
lack of supporting nursing staff, coupled with the nature
of sub-acute care in-"today's medical care, causes these
patients more and more often to be diverted; or not be
moved at all to more appropriate care because of,
transportation limitations. Also, paramedics are better
trained to monitor patients over long distances,
often-times allowing patients to be admitted closer to
family, physician, and loved ones.
During our presentation to the Committee we will be
demonstrating the actual response demand patters in Contra Costa
County, and what impact this recommendation will have on these
issues. During the review phase, should the Board choose to move
forward, the following legitimate issues must be addressed:
1. Can a single paramedic perform at a medically acceptable
level in Contra Costa County in the absence of a paramedic
partner? While this staffing pattern exists throughout the
Finance Committee July 13, 1988
Contra Costa County Board of Supervisors Page 5
state and the nation, perhaps the medical standard in the
County is justifiable, and therefore justifying the
existing system.
Many of our own personnel have voiced concern about their
capability, and the capability of their co-workers, to
perform at the same level of medical proficiency without a
paramedic partner. Because of this, their concerns and
confidence levels, as well as that of the medical community
(particularly the base station hospitals) must be addressed
before we can even begin to implement such a program.
At the same time some of our personnel voice concern about
the proposal, others with experience in single paramedic
systems voice no reservations at all. To the contrary,
based on their experience they say there are no medical
issues of consequence at all. Thus, what we clearly need
is a thorough review of this issue from all sides.
If there are, in fact, clear medical issues, they must be
addressed before we could ever implement such a program.
If we have more of an educational issue based on a lack of
experience by those involved in our system it, too, must be
approached with equal vigor.
The first rule of EMS is "to do no greater harm" . It would
be ludicrous to try to help 15% of our patients while
causing harm to the other 85%. Therefore, we must have
clear consensus on this issue, and still remain committed
t to meeting the needs of the individual paramedic.
2 . Can EMT's be trained to the level necessary to assist
paramedics in the field? Certainly, and without a doubt.
In addition, this is one of the primary benefits of the
system as proposed. EMT's today respond to so few
life-threatening emergencies that, by the time they attend
paramedic school, they simply do not have the experience
they used to get when there were fewer paramedic units.
This system will allow Contra Costa County to attract and
retain the highest trained and most proficient EMT's in the
Bay area, thereby ultimately producing the best and most
proficient paramedics. A complete training and orientation
program to our system will be developed and put into place
that assures competency in those areas that an EMT can
assist with care.
3 . Protocols and Communications must be addressed. Currently
we have a paramedic to talk to the base station hospital
and one to perform patient care. No longer will a
paramedic be free to return to the ambulance or go to
another location to use the phone to contact the "base" .
Finance Committee July 13, 1988
Contra Costa County Board of Supervisors Page 6
Therefore, we will, at our expense, provide each paramedic
with portable radio and mobile phone capability so they can
contact the base from the patient's side.
Additionally, protocols must be developed that allow
paramedics the maximum, medically appropriate, latitude to
treat life threatening patients before contacting the
base. Appropriate protocols are currently in effect
throughout California, but must be reviewed for
appropriateness in our County. -
4 . Dispatch. The appropriate movement and placement of units
is as much a part of the delivery of care as is the
staffing of the units themselves. We have already
contacted both Richmond Police Department and Consolidated
Fire Department concerning interfacing our dispatch centers
to eliminate time delays and having to make telephone
contact prior to ambulances being dispatched.
In addition, we plan to contact the County Sheriff to
perform the same interface with the new CAD system so all
calls can be entered and tracked in the County's computer
without the need for the existing radio traffic. Also, we
are considering the purchase of the top rated EMS Computer
Aided Dispatch (CAD) system in the nation. This could
eliminate the need for the Sheriff's Dep't to monitor
ambulance responses, as it would be performed
automatically, thereby reducing department man-hours
dedicated to this task.
We believe that we are prepared to launch a new era of higher .
quality EMS in Contra Costa County, and believe that Alternative
3 best meets those needs. It would take millions of dollars and
an extended time period to implement this same level of service
with the existing staffing patterns, with no measurable
difference in patient outcomes.
We are committed to continuing toofferupgrades to our
system as resourges and service options become available to us.
Please continueo call on us with issues and options that are
viewed as eitheiconcerns or opportunities.
Re epltfully ubmitted,
arl Rigg
President
WER:drb
cc: Emergency Medical Services
COUNTY OF CONTRA COSTA MEASURE
Advisory Vote Only
(Suggested Language)
COUNTYWIDE EMERGENCY MEDICAL SERVICES: Shall a Countywide
service area be established in Contra Costa County to finance
improved paramedic service, trauma care, and other emergency
medical services in accordance with needs and priorities to be
identified as a result of a comprehensive review of emergency
medical services in the County performed by the Health Service
Department and subject to a maximum assessment on real property
of ten dollars annually for each single family residence or
benefit unit as defined in Resolution No. a copy of
which is contained in the Voter Information Pamphlet?
°`-nt�--�
ARGUMENT IN SUPPORT OF THE u u u
PROPOSED EMS BENEFIT ASSESSMENT DISTRICT
A "yes" vote on Measure would advise the county Board
of Supervisors and the city councils of each Contra Costa city
to establish a countywide benefit assessment district to finance
improvements in our paramedic, trauma, and other emergency
medical services. Currently, the number of paramedic-staffed
ambulance units is sufficient to cover only about 85 percent of
emergency medical calls . The communication system which links
paramedics with base hospitals providing on-line medical
direction in the care of critical patients is antiquated and
insufficient for the volume of calls. Medical dispatchers in
many areas of the county are not trained in priority dispatching
or in providing medical assistance to .9-1-1 callers while
3 waiting for help to arrive. Most firefighter first responders
are not trained to the EMT-I level.
The establishment of a countywide EMS benefit assessment
district would provide the funding necessary to increase the
number of paramedic units to ensure adequate coverage for all
victims of medical emergencies, to provide additional medical
training and equipment for firefighter first responders, to
upgrade paramedic communications and dispatch, and to provide a
high level of trauma care in all parts of the county. While the
general areas of need for upgrading our EMS system have been
well identified, a detailed plan for expenditure of funds will
be approved by the Board of Supervisors following a
comprehensive review of the EMS system by the Health Services
Department and the Emergency Medical Care C_=mittee .
TME BOARD OF SUPERVISORS OF CONTRA COST/ COUNTY, CALlronNIA
Adopted this Order on , by the lullowing vole:
AYES:
NOES: p D
ABSENT:
ABSTAIN:
SUBJECT: Emergency Medical Services Resolution Number 881
WHEREAS, this Board of Supervisors proposed to establish,, with the concur-
rence of each city council, a County Service Area for the provision of
paramedic service, trauma care, emergency medical services on a county-
wide basis; and
WHEREAS , a county may levy an assessment upon each property within a
service area to pay for cost of the services; and each assessment may be
determined by apportioning the total cost of the service, not otherwise
offset by other available revenue, to each property in proportion to the
estimated benefits to be received by each property from the service; and
WHEREAS , a special advisory election will be held to determine whether
this Board of Supervisors should undertake the formation of an emergency
medical services area and the levy of an assessment; and
WHEREAS , a schedule of benefit units reflecting the degree to which
different kinds of properties according to use would benefit from the
service has been established, and the estimated dollar value of the
benefit unit necessary to defray the cost of the service has been set
at a maximum of ten dollars per unit;
i
NOW, THEREFORE, BE IT RESOLVED that this Board of Supervisors adopts the
Schedule of Benefit Units for the different kinds of properties within
the County as a guideline for purposes of the advisory election as
follows :
SCHEDULE OF BENEFIT UNITS
Categories of Improved Property Benefit Units
Assigned
Residential
Single Family 1
Small Multiple (2-4) 2
Large Multiple (5 or more) 6
Commercial and Industrial
(To be developed)
BE IT FURTHER RESOLVED that the dollar value of each benefit unit shall
not exceed ten dollars annually without further voter approval.
Orig. Dept.:
cc:
• A r,
PROPOSED EMS BENEFIT ASSESSMENT DISTRICT i p
Budget Illustration @ $9.00/Benefit Unit
EXPENDITURES
1. Paramedic ambulance coverage $ 500,000
2. Fire first responder training
and equipment
EMT-I training and equipment 250,000
First responder defibrillation
program (training and equipment) 200,000
3. Dispatch and communications
Sheriff's dispatch (ambulance
dispatch and tracking) 350,000
Priority dispatch training 200,000
Paramedic-to-hospital communications, 550,000
4. Trauma care 200,000
5. Base hospital medical direction 100,000
6. EMS Administration ' 552,257
TOTAL 2,902,257
REVENUE
322,473 benefit units x $9.00/unit $2,902,257
Estimate of benefit units:
Benefit Units Total Benefit
Parcels Per Parcel Units
Residential property
Single family 227,659 1 227,659
Small multiple (2-4) 5,674 2 11 ,348
Large multiple (5+) 1,673 6 10,038
Commercial' and industrial 18,357 4 (average) 73,428
TOTAL BENEFIT UNITS 322,473
7/26/88