HomeMy WebLinkAboutPresentation EMS Levy Briefing2020-2025 Medic One/EMS
Strategic Plan and
Levy Reauthorization
Overview
Shoreline City Council Briefing
May 13, 2019
Tiered EMS �
System / �lz -1
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2.1 million
Population
2111551
Number of EMS
responses
56%
Cardiac arrest
survival rate
21134
Square Miles
7.7
Average medic
response time
*EMS 2018 Annual Report
Regional EMS
System
Seattle -King Count
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EMS system remains committed to medical
model.
Remains a regional, tiered system that is
rooted in partnerships.
Remains committed to finding cost
efficiencies and system effectiveness.
Remains supported by levy to ensure
financial security.
Current 6-year Medic One/EMS levy expires
December 31, 2o1g.
Need to develop Strategic Plan and financing plan
(levy) for King County voters to renew in 2019.
EMS Advisory Task Force: governing body for this
process.
Priority: Ensure integrity of our regional, tiered
EMS system.
Levy Planning Steps
Starting in early2018, EMS stakeholders, regional leaders, and decision makers convened to reviewthe Medic Qne/FMS system
and develop programmatic and financial recommendations far2020 and beyond.
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STEP 1 STEP 2 STEP 3
Identify EM5
Create. focused,
Advisory Task
expert
Force members
Subcommittees
and stakeholders
Initiate
Review
Process
STEP 4
Develop and review
Subcommittee
recommendations
STEP 5
Finalize EMS System
and Financial
Recornmendations
Recommendations
Endorsed by
the Task Force
Presented to the Task Force at its 9/18/18 meeting
CONTINUE USING the unit allocation to fully fund
Advanced Life Support (ALS).
INCLUDE A "PLACE HOLDER" for adding a
potential future unit.
EXPLORE OPTIONS to address paramedic
workforce needs and other efficiencies.
CONTINUE the Basi
STREAMLINE the BL
DISTRIBUTE it using
service levels.
life Support (BLS) allocation;
S funding sources and
agencies' current AV and
COMMIT $4 million a year to exploring a Mobile
Integrated Healthcare (MIH) model; DISTRIBUTE
to all agencies.
ESTABLISH guidelines for MIH to create
consistency around data collection, measures and
program reporting.
CONTINUE delivering programs that provide
essential support to the system.
MAINTAIN regional focus on creating additional
efficiencies and system effectiveness to improve
patient care and outcomes.
SUPPORT Strategic Initiatives that leverage
previous regional investments to improve patient
care and outcomes.
MAINTAIN financial policies that provide stability
to the system:
Meet King County "Rainy Day fund" policy.
Incorporate sufficient reserves to mitigate
unforeseen financial risk.
Support an EMS levy length that ensures
sufficient funding.
Financial Plan —Summary of Seattle & King County
2020-2025 EMS Levy: Financial Proposal
EXPENDITURES & REVENUES
(in millions)
Total Expenditures
Reserves (Expenditure & Rainy Day)
2020-2025 Property Tax Forecast
2020-2025 Other Revenues (KC)
Carryforward Reserves from 2014-2019
Funds available to supplement reserves
Aug.20i8 Mar.2019 Mar.2019
@ .27 cents @ .27 cents @ .265 cents
$11073.9 $11073.9 $1/073-9
$41.6 $41.6 $41.6
$11094.7
$11117.4
$1,096.7
$8.6
$8.7
$8.0
$20.0
$20.0
$20.0
$7.8 s.30. 6 $9. 2
Financial Plan - Seattle & King County
2020-2025 EMS Levy: Financial Proposal
REVENUES:
Property Taxes
Other Revenue (KC EMS Fund)
TOTAL REVENU17.
EXPENDITURES:
Advanced Life Support (ALS)
Basic Life Support (BLS)
Mobile Integrated Healthcare (MIH)
Regional Services (RS)
Strategic Initiatives (SI)
ALS Reserves
Required Rainy Day Reserves (90-days)
Based on OEFA March 2osg Forecast
(in millions -- levy rate)
Seattle KC EMS Total
$452.1 $644.6 $1,096.7
$8.0 $8.0
$149.1 $370.1
$519.2
$302.2 $140.6
$442.8
$26.3
$26.3
$78.9
$78.9
$6.7
$6.7
$13.8 $13.8
27.8 27.8
Financial Plan — King County, excluding Seattle
Program Comparison: Status Quo and Proposed
(difference of $74 million TOTAL or $1z million a year)
■ ALS BLS MIH/CMT RS/SI
$700
$600
o $500
$400
44
$300
Q
$200
$100
$o
PSG Proposed
*ALS includes ALS Reserves
2020-2025 EMS Levy: Distribution of Programmatic Increases
for King County, excluding Seattle
Strategic Initiatives
3% 1
Regional Services
4%
Mobile
Integrated
Healthcare (MIH)
23%
BLS
g%
*Rainy Day Reserves ONLY; ALS Reserves shown as part of ALS
IN SUMMARY, THE PROPOSAL:
Ensures our programmatic and
financial needs are met.
Includes sufficient reserves to protect
the system from unforeseen financial
risks.
Incorporates sound financial policies
that provide additional protection
and flexibility.
Continues the practice of prudent use
offunds.
PROPOSAL SUPPORTS:
6-year levy
26.5 cents per s1,00o assessed value
Total financial plan: $1.115 billion
2o1g ballot timing —November201g
Annual cost to a homeowner:
$132.5
Based on $500,00o home price
City and County
Approval of EMS Levy
RCW: Levy proposal must be approved by cities
with over 50,000 in population, and the King
County Council to be placed on the ballot
Recent RCW change = 75% of those cities must
approve (formerly Z00%)
Approval by 11 cities
Approval by King County Council
Questions?