06-04-2019 KC EMS Levy
Update on the
2020-2025 Medic One/EMS
Strategic Plan and
Levy Reauthorization
Overview
Federal Way City Council Briefing
June 4, 2019
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Tiered EMS System
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Population
Square Miles
Number of EMS responses
Average medic
response time
2.1 million
2,134
211,551
7.7
56%
Cardiac arrest
survival rate
*EMS 2018 Annual Report
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Regional EMS System
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The Medic One/EMS System
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The Medic One/EMS System
Insert Dispatch Map
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The Medic One/EMS System
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The Medic One/EMS System
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The Medic One/EMS System
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The Medic One/EMS System
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Guiding Principles of our EMS System
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 a levy to ensure financial security.
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2020-2025 Levy Planning Process
Current 6-year Medic One/EMS levy expires December 31, 2019.
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.
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Recommendations Endorsed by
the Task Force
Presented to the Task Force at its 9/18/18 meeting
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ALS Program
Recommendations
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.
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CONTINUE the Basic life Support (BLS) allocation; STREAMLINE the BLS funding sources and DISTRIBUTE it using agencies’ current AV and service levels.
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.
BLS Program
Recommendations
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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.
Regional Services Programs
Recommendations
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Finance Recommendations
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.
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Financial Plan – Summary of Seattle & King County
2020-2025 EMS Levy: Financial Proposal
Based on OEFA March 2019 Forecast
Financial Plan - Seattle & King County
2020-2025 EMS Levy: Financial Proposal
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Financial Plan – King County, excluding Seattle
Program Comparison: Status Quo and Proposed
(difference of $74 million TOTAL or $12 million a year)
*ALS includes ALS Reserves
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What are the changes?
2020-2025 EMS Levy: Distribution of Programmatic Increases for King County, excluding Seattle
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Endorsed
Recommendations
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 of funds.
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Endorsed
Recommendations
PROPOSAL SUPPORTS:
6-year levy
26.5 cents per $1,000 assessed value
Total financial plan: $1.115 billion
2019 ballot timing – November 2019
Annual cost to a homeowner: $135 $132.5
Based on $500,000 home price
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Next Steps
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 100%)
Approval by 11 cities
Approval by King County Council
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Questions?
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