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Wed, 22 May 2002 09:50:56 -0700

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Chris-

I run as a Volunteer Paramedic with two services -

1)  Service #1
Semi-urban small city "stand-alone" service  with 20,000 pop nights, =
60,000 days.   5 min transport time to an unregistered Emergency =
Facility. Air transport available within 20 min to 2 level 1 trauma =
centers.  Formerly part of the local all-volunteer Fire Department until =
spun off to allow paid staff.  Ambos =3D 2 mainline units, 1 reserve, =
MICU capable. 4 full time paid staff on weekdays with volunteer =
supplements nights and weekend.  Paramedic level staff (either paid or =
volunteer) assigned to each shift to provide MICU service 24/7. The City =
owns and maintains the rolling stock and provides office and garage =
space. The Service pays for all wages, insurance, training, supplies, =
etc.  An annual fund drive is held to provide funding for the =
Volunteers. Users are billed with fees set at 75% of the area average =
charges, with a stipend from the City to cover unrecoverable portions of =
the bills.  A small annual contribution is provided by the County to =
cover costs of providing Mutual aid to surrounding cities and =
unincorporated areas.

This funding system has consistently provided an adequate level of =
funding for the services provided with pay scales at the top of the pay =
rates for Paramedics in our County. =20

2) Service #2  (20 miles south of the above city)
Rural coastal resort town and extra-territorial jurisdiction with a =
combination paid and volunteer Fire and EMS department with 1,000 =
population during off-season and up to 50,000 on holiday weekends.  =
Paramedic level staff available weekdays from 8am to 4pm, other times =
are up to availability of Volunteers or Paramedic intercepts available =
from adjoining towns via mutual aid agreement, ( they get the billing =
for the call when the local department acts as a "First Responder").  Up =
to 45 min transport times to an unregistered Emergency Facility. Air =
transport available within 20 min to 2 level 1 trauma centers. 2 full =
time paid staff with volunteer supplement on nights and weekends.  Ambo =
=3D 1 MICU capable unit. The Fire Department owns the rolling stock =
houses and maintains the unit and pays all the bills. Users are billed =
with fees set at 100% of the area average charges.  The City pays an =
annual lump sum fee for the entire Fire and EMS Department. An annual =
fund drive is held to provide additional funding for the entire =
Department. A small annual contribution is provided by the County to =
cover costs of providing Mutual aid to surrounding cities and =
unincorporated areas.

This funding system consistently provides an sub-adequate level of =
funding for the services provided with pay scales at the bottom of the =
pay rates for Paramedics in our County. Volunteers and local donors =
frequently dip into their own pockets to keep the lid on.

The same Medical Director provides protocols and on-line direction to =
both services.  Protocols are less aggressive than some, (No clot =
busters or 12-lead in the field) but provide adequate MICU level care.

I hope this is not too wordy for you - It's hard to fry these diverse =
systems down to just a "One-Liner"!

Regards,

T.A. Dinerman EMTP

----- Original Message -----=20
  From: Cotton, Chris (SAAS)=20
  To: 'trauma-list@trauma.org'=20
  Sent: Tuesday, May 21, 2002 11:42 PM
  Subject: Calling all Ambo's, calling all Ambo's!

  Hello all,
                    I am currently in "Lurker" mode (whew! i hear some =
of you
  saying ... but don't worry, i'll be back! - best Arnie Schwarzenegger
  accent), as i am running close to the wire with some Uni assignments =
due up
  (too) soon. This is a more unusual request, but for those of you =
involved in
  ambulance services out there, i would like your help on something.

  I need to know essentially how your service is funded. Either entirely
  privately; a partership between governments, county's  and private
  enterprise or some other method/combination. =20

  It would also be advantageous to have a "one or two liner" about how
  efficient this system is in your country. Any printed texts that i =
could
  access over the net that might summarise the things i am after would =
be
  greatly appreciated. Replies off the list would be more appropriate - =
unless
  of course members would be interested in hearing about such things (i
  wouldn't have thought so, but whatever pleases the list).
  Hope you all cope without me! ;o)

  If i get swamped with replies, please don't be offended if it takes me =
a
  while to get back to you all. Thankyou in advance.

  Regards,
  Chris Cotton
  IC Paramedic
  South Australia

  --
  trauma-list : TRAUMA.ORG
  To change your settings or unsubscribe visit:
  http://www.trauma.org/traumalist.html

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<DIV><FONT face=3D"Comic Sans MS">Chris-</FONT></DIV>
<DIV><FONT face=3D"Comic Sans MS"></FONT>&nbsp;</DIV>
<DIV><FONT face=3D"Comic Sans MS">I run as a Volunteer Paramedic with =
two services=20
-</FONT></DIV>
<DIV><FONT face=3D"Comic Sans MS"></FONT>&nbsp;</DIV>
<DIV><FONT face=3D"Comic Sans MS">1)&nbsp; Service #1</FONT></DIV>
<DIV><FONT face=3D"Comic Sans MS">Semi-urban small city "stand-alone" =
service=20
&nbsp;with 20,000 pop nights, 60,000 days.&nbsp;&nbsp; 5 min transport =
time to=20
an unregistered Emergency Facility. Air transport available within 20 =
min to 2=20
level 1 trauma centers.&nbsp; Formerly part of the local all-volunteer =
Fire=20
Department until spun off to allow paid staff.&nbsp; Ambos =3D 2 =
mainline units, 1=20
reserve, MICU capable. 4 full time paid staff on weekdays with volunteer =

supplements nights and weekend.&nbsp; Paramedic level staff (either paid =
or=20
volunteer) assigned to each shift to provide MICU service=20
24/7.&nbsp;T</FONT><FONT face=3D"Comic Sans MS">he City owns and =
maintains the=20
rolling stock and provides office and garage space. The Service pays for =
all=20
wages, insurance, training, supplies, etc.&nbsp; An annual fund drive is =
held to=20
provide funding for the Volunteers. Users are billed with fees set at =
75% of the=20
area average charges, with a stipend from the City to cover =
unrecoverable=20
portions of the bills.&nbsp;&nbsp;A small annual contribution is =
provided by the=20
County to cover costs of providing Mutual aid to surrounding cities and=20
unincorporated areas.</FONT></DIV>
<DIV><FONT face=3D"Comic Sans MS"></FONT>&nbsp;</DIV>
<DIV><FONT face=3D"Comic Sans MS">This funding system has consistently =
provided an=20
adequate level of funding for the services provided with pay scales at =
the top=20
of the pay rates for Paramedics in our County.&nbsp; </FONT></DIV>
<DIV><FONT face=3D"Comic Sans MS"></FONT>&nbsp;</DIV>
<DIV><FONT face=3D"Comic Sans MS">2) Service #2&nbsp; (20 miles south of =
the above=20
city)</FONT></DIV>
<DIV><FONT face=3D"Comic Sans MS">Rural coastal resort town and =
extra-territorial=20
jurisdiction with a combination paid and volunteer Fire and EMS =
department with=20
1,000 population during off-season and up to 50,000 on holiday =
weekends.&nbsp;=20
Paramedic level staff available&nbsp;weekdays from 8am to 4pm, other =
times are=20
up to availability of Volunteers or&nbsp;Paramedic intercepts available =
from=20
adjoining towns via mutual aid agreement, ( they get the billing for the =
call=20
when the local department acts as a "First Responder").&nbsp; Up to 45 =
min=20
transport times to an unregistered Emergency Facility. Air transport =
available=20
within 20 min to 2 level 1 trauma centers. 2 full time paid staff with =
volunteer=20
supplement on nights and weekends.&nbsp; Ambo =3D 1 MICU capable unit. =
The Fire=20
Department owns the rolling stock houses and maintains the unit and pays =
all the=20
bills. Users are billed with fees set at 100% of the area average =
charges.&nbsp;=20
The City pays an annual lump sum fee for the entire Fire and EMS =
Department. An=20
annual fund drive is held to provide additional funding for the entire=20
Department. A small annual contribution is provided by the County to =
cover costs=20
of providing Mutual aid to surrounding cities and unincorporated=20
areas.</FONT></DIV>
<DIV><FONT face=3D"Comic Sans MS"></FONT>&nbsp;</DIV>
<DIV><FONT face=3D"Comic Sans MS">This funding system consistently =
provides an=20
sub-adequate level of funding for the services provided with pay scales =
at=20
the&nbsp;bottom of the pay rates for Paramedics in our =
County.&nbsp;Volunteers=20
and local donors frequently dip into their own pockets to keep the lid=20
on.</FONT></DIV>
<DIV><FONT face=3D"Comic Sans MS"></FONT>&nbsp;</DIV>
<DIV><FONT face=3D"Comic Sans MS">The same Medical Director provides =
protocols and=20
on-line direction to both services.&nbsp; Protocols are less aggressive =
than=20
some, (No clot busters or 12-lead in the field) but provide adequate =
MICU level=20
care.</FONT></DIV>
<DIV><FONT face=3D"Comic Sans MS"></FONT>&nbsp;</DIV>
<DIV><FONT face=3D"Comic Sans MS">I hope this is not too wordy for you - =
It's hard=20
to fry these diverse systems down to just a "One-Liner"!</FONT></DIV>
<DIV><FONT face=3D"Comic Sans MS"></FONT>&nbsp;</DIV>
<DIV><FONT face=3D"Comic Sans MS">Regards,</FONT></DIV>
<DIV><FONT face=3D"Comic Sans MS"></FONT>&nbsp;</DIV>
<DIV><FONT face=3D"Comic Sans MS">T.A. Dinerman EMTP</FONT></DIV>
<DIV><FONT face=3D"Comic Sans MS"></FONT>&nbsp;</DIV>
<DIV><FONT face=3D"Comic Sans MS"></FONT>&nbsp;</DIV>
<DIV><FONT face=3D"Comic Sans MS"></FONT>&nbsp;</DIV>
<DIV><FONT face=3D"Comic Sans MS"></FONT>&nbsp;</DIV>
<DIV><FONT face=3D"Comic Sans MS"></FONT>&nbsp;</DIV>
<DIV>----- Original Message ----- </DIV>
<BLOCKQUOTE=20
style=3D"PADDING-RIGHT: 0px; PADDING-LEFT: 5px; MARGIN-LEFT: 5px; =
BORDER-LEFT: #000000 2px solid; MARGIN-RIGHT: 0px">
  <DIV=20
  style=3D"BACKGROUND: #e4e4e4; FONT: 10pt arial; font-color: =
black"><B>From:</B>=20
  <A title=3Dcotton.chris@saambulance.com.au=20
  href=3D"mailto:cotton.chris@saambulance.com.au">Cotton, Chris =
(SAAS)</A> </DIV>
  <DIV style=3D"FONT: 10pt arial"><B>To:</B> <A =
title=3Dtrauma-list@trauma.org=20
  href=3D"mailto:'trauma-list@trauma.org'">'trauma-list@trauma.org'</A> =
</DIV>
  <DIV style=3D"FONT: 10pt arial"><B>Sent:</B> Tuesday, May 21, 2002 =
11:42=20
PM</DIV>
  <DIV style=3D"FONT: 10pt arial"><B>Subject:</B> Calling all Ambo's, =
calling all=20
  Ambo's!</DIV>
  <DIV><BR></DIV>Hello=20
  =
all,<BR>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp=
;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;=20
  I am currently in "Lurker" mode (whew! i hear some of you<BR>saying =
... but=20
  don't worry, i'll be back! - best Arnie Schwarzenegger<BR>accent), as =
i am=20
  running close to the wire with some Uni assignments due up<BR>(too) =
soon. This=20
  is a more unusual request, but for those of you involved =
in<BR>ambulance=20
  services out there, i would like your help on something.<BR><BR>I need =
to know=20
  essentially how your service is funded. Either entirely<BR>privately; =
a=20
  partership between governments, county's&nbsp; and =
private<BR>enterprise or=20
  some other method/combination.&nbsp; <BR><BR>It would also be =
advantageous to=20
  have a "one or two liner" about how<BR>efficient this system is in =
your=20
  country. Any printed texts that i could<BR>access over the net that =
might=20
  summarise the things i am after would be<BR>greatly appreciated. =
Replies off=20
  the list would be more appropriate - unless<BR>of course members would =
be=20
  interested in hearing about such things (i<BR>wouldn't have thought =
so, but=20
  whatever pleases the list).<BR>Hope you all cope without me! =
;o)<BR><BR>If i=20
  get swamped with replies, please don't be offended if it takes me =
a<BR>while=20
  to get back to you all. Thankyou in advance.<BR><BR>Regards,<BR>Chris=20
  Cotton<BR>IC Paramedic<BR>South Australia<BR><BR>--<BR>trauma-list :=20
  TRAUMA.ORG<BR>To change your settings or unsubscribe visit:<BR><A=20
  =
href=http://www.trauma.org/index.php/community/list/url/http:list.ftech.net/pipermail/trauma-list/2002/3D"http://www.trauma.org/traumalist.html">http://www.trauma.org/trau=
malist.html</A><BR><BR></BLOCKQUOTE></BODY></HTML>

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