WFPS 2018 Preliminary Operating and Capital Budgets ...€¦ · Winnipeg Fire Paramedic Service....
Transcript of WFPS 2018 Preliminary Operating and Capital Budgets ...€¦ · Winnipeg Fire Paramedic Service....
Winnipeg Fire Paramedic Service
2018 preliminary operating and capital budgets
Standing Policy Committee on Protection and CommunityServices and ParksDecember 4th, 2017
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Today’s situation – incident statistics
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Dispatched incidents Fire incidents Medical incidentsTotal fire
Hazardous fire
Specialty fire
TotalTotal medical
Fire only
Medical
Fire / Rescue
Fire and ambulance
Ambulance only
IFT
General fire
Public safety weighted highest importance by 82% of people
Very satisfied & Somewhat satisfied percentage trends:
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2010 2011 2012 2013 2014 2015 2016 2017
Fire and rescue responseMedical responseFire and injury preventionDisaster preparedness
Today’s situation - citizen survey 2017
Slide 3
Service insights
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• Service operates 24 / 7
• 88% of departmental expenditure is staffing
• Number of apparatus drives staffing need:• 49 Fire apparatus• 31 Ambulances
• Need a higher staff complement to ensure minimum number of staff available to work (the effect of vacation, training, injury, sickness)• Fire 2018 staffing ratio maintained at 1.29• Ambulance 2018 staffing ratio maintained at 1.34
Service overview
Slide 5
Staffing ratioThe multiplier that helps
determine the number of Full Time Equivalent staff required,
based on the number of operational vehicles and an
estimate for expected / unexpected staff absence
Ambulance types
Type #
24-hour emergency 16
24-hour IFT 2
Peak emergency 9
Peak IFT 1
Multiple Incident Response Vehicle (MIRV) 1
Bariatric emergency 1
EPIC 1
Ambulance only travel times
Service outcomes
Travel time(secs)
Travel time(mins)
Colour
0-120 <2120-240 <4240-300 <5300-480 <8
>=480 >=8
Slide 6
Ambulance AND Fire travel times
A unique integrated medical service model with significant medical response outcomes for citizens2015 data 2015 data
This result is achieved without any additional staffing:
• There are NO EXTRA fire fighters as a result of the integrated service. Fire fighter staffing is based on fire coverage needs
• The use of fire fighters on medical calls is part funded by the WRHA in the same way as all other costs related to the Medical Response service – this provides a funding subsidy that reducesthe overall Mill Rate cost of the fire service
Integrated service outcomes
Slide 7
Ambulance AND Fire travel times
2015 data
Slide 8
Today’s situation – EMS insights (MBNC 2016)
Winnipeg AverageAmbulanceService cost:$145/hour
AmbulanceService cost:$217/hour
74.6% 67.2%
23.1% 19.8%
Sudden cardiac arrest within 6 mins
Sudden cardiac arrest within 6 mins
Slide 9
Today’s situation – Fire insights (MBNC 2016)
Winnipeg Average
Injuries 8.16Fatalities 1.09
Injuries N/AFatalities 0.42
6:57 6:38
FIRETRUCKSERVICE COST$275/hour URBAN
FIRETRUCKSERVICE COST$308/hour URBAN
Service accomplishments
Slide 10
Company Officer Development Program
Implementation of accredited Fire Officer II for District Chiefs and Platoon Chiefs commenced this year. All fire officer training will progress to accredited programs exclusively in future years. This ensures program uniformity and is an industry best practice
Auxiliary power units in fire apparatus
APUs were installed in the new Water Rescue and Ladder vehicles to help reduce fuel consumption by powering essential systems when the vehicles are on scene
2017 accomplishments
Slide 11
Water rescue replacement
Replacement of two 1986 Water Rescues apparatus with improved ability to deploy quickly for water and ice rescue operations
Automated CPR device trial
Throughout 2017, the trial of automated chest compression devices evaluated multiple models for operational effectiveness. The selection of the preferred model will be made by the end of the year. These devices will significantly improve responder safety when performing CPR in a moving ambulance, and are expected to improve the quality of CPR provided while moving cardiac arrest patients
2017 accomplishments
Slide 12
Update of fire squad vehicles
Replacement of two Urban Squad vehicles to improve responder and patient safety by providing an enclosed treatment space within the vehicle while at the same time reducing vehicle cost by 2/3rds
Specialty fire training scheduling
All new fire recruits receive accredited specialty rescue training in HazMat or Technical Rescue while undertaking their regular program. This aims to reduce overtime cost by reducing the incidence of backfill for staff attending these training programs after entering operational duty
2017 accomplishments
Slide 13
Spark Innovation Grant
The Community Paramedicine program received a grant to conduct research utilizing specific assessment modules used by WRHA Home Care Services. The goal was to improve overall care by allowing multiple providers to collect data on common terms, using common language and therefore able to provide continuous care during patient transitions. This helps improve patient referrals to community support networks thereby avoiding over-reliance on emergency resources
Replacement of water tanker
The 1986 Water Tanker ceased operation in 2016 and was replaced in 2017, thereby restoring fire suppression capability outside of the water district
2017 accomplishments
Slide 14
Preliminary operating budget
Slide 15
2018 preliminary operating budget– departmental financial overview
2017 adopted 2018 preliminary
Change % 2019 forecast 2020 forecast
Total expenditure 199.2m 193.5m - 5.7m - 2.9% 207.2m 211.0m
Total revenue 64.3m 62.7m - 1.6m - 2.5% 64.4m 65.6m
Mill rate support 134.9m 130.8m - 4.1m - 3.0% 142.8m 145.4m
2018 major expenditure changes+ $3.0m salary increments+ $0.4m EOC upgrade+ $0.3m provincial ambulance operating cost- $5.2m 2018 capital program funding- $3.2m EPIC and MSP expansion removal- $0.8m fire apparatus replacement program
2018 major revenue changes+ $7.8m ambulance fee reduction subsidy+ $0.3m provincial ambulance operating grant+ $0.4m building inspection fees- $7.4m ambulance revenue- $2.0m removal of transfer of care charges- $0.9m WRHA cost share
Slide 16
2018 preliminary operating budget– departmental financial overview
Slide 17
$340
$189
• Ambulance rates in 2018:
• No ambulance rate changes in 2018
$529 Patient $425
Province $104
from April
Base
line
2017
rate
January to March
These rate changes derive the ambulance revenue reduction of $7.4m
This new subsidy fills the funding gap created by the rate change dollar for dollar
Salaries and benefits, $169.5Services, $12.9
Materials, parts & supplies, $5.5
Assets & purchases, $0.6Debt & financing, $3.5
Grants, transfers & other, $2.8Recoveries, -$1.3
Other expenditure
2018 preliminary operating budget– expenditure summary ($193.5m)
Slide 18
87.6% 12.4%
6.7%
2.8%
0.3%
1.8%
1.4%-0.6%
, $24.0
Professional servicesProperty maintenanceFleet rental costs
Fleet operating costsMedical suppliesProtective clothing
Debt interest and principalBad debt expense
Building rentalRadio network
Medical Response, 35%
Fire and Rescue Response, 61%
Fire and Injury Prevention, 3%
Disaster Preparedness and Response, 1%
2018 preliminary operating budget– service area expenditure ($193.5m)
Slide 19
$117.6m
$6.3m
$1.2m
$68.4m
2018 preliminary operating budget– service area expenditure year over year changes
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$0.0
$10.0
$20.0
$30.0
$40.0
$50.0
$60.0
$70.0
$80.0
$90.0
$100.0
$110.0
$120.0
Medical Response Fire and Rescue Response Fire and Injury Prevention Disaster Preparedness andResponse
20172018
-5.3% -2.2% 3.3% +100.0%
2018 preliminary operating budget– revenue summary ($62.7m)
Slide 21
0
5
10
15
20
25
Regulation fees Ambulance fees Inspection fees Other WRHA grants Provincial grants Ambulance feereduction subsidy
$20.2$0.6 $0.7 $0.9 $20.7 $7.2 $7.8
32.2%1% 2.4% 0.2% 40.3% 11.5% 12.4%
$4.6
}$25.3
Medical Response, 91%Fire and Rescue Response, 7%
Fire and Injury Prevention, 2%
Disaster Preparedness and Response, 0%
2018 preliminary operating budget– service area revenue ($62.7m)
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$57.1m $4.7m
$0.9m
$0.0m
2018 preliminary operating budget– service area revenue overview
Slide 23
Revenue Source Fire Rescue Response
MedicalResponse
Fire Prevention / Inspection
Provincial grantsNew fee reduction grant
$4.1m $3.1m$7.8m
$0.0m
WRHA base grant (2016 level)Estimated shortfall
$0.0m $20.7m$4.6m
$0.0m
Service revenue $0.6m $20.9m $0.9m
Total $4.7m $57.1m $0.9m $62.7m
2018 preliminary operating budget– service area revenue year over year changes
Slide 24
$0.0
$10.0
$20.0
$30.0
$40.0
$50.0
$60.0
Medical Response Fire and Rescue Response Fire and Injury Prevention Disaster Preparedness andResponse
20172018
-4.0% +6.8% +80.0%
Service areas
Slide 25
Fire and rescue responseService descriptionTo provide quick, proficient, emergency and non-emergency fire suppression and rescue assistance
Financial overview
Slide 26
2017 adopted
2018 preliminary
2019 forecast
2020 forecast
Total expenditure 120.3m 117.6m 126.7m 128.8mTotal revenue 4.4m 4.7m 4.7m 4.7mMill rate support 115.9m 112.9m 122.0m 124.1m
Mill rate change: -3.0m
Full time equivalents 851 852 852 852
Citizen satisfaction 2017: 99%
2018 preliminary operating budget– Year over year change
Slide 27
Expenditure changes 2017 adopted Change 2018 preliminary
Total expenditure 120.3mSalary and benefits 0.6mCapital charges -2.6mFleet -0.8mMiscellaneous other 0.1mTotal expenditure 117.6m
2018 preliminary operating budget– Year over year change
Slide 28
Revenue changes 2017 adopted Change 2018 preliminary
Total revenue 4.4mRefinement of service based view +0.3mTotal revenue 4.7m
FTE changes 2017 adopted Change 2018 preliminary
One program manager – asset management 851 +1 852
Fire and rescue responseFleet funding supports replacement of ageing apparatus in accordance with industry standards (target: no front line vehicle older than 15 years):
2017 replacements: 2018 replacements: 2019 replacements:
This represents the continuation of the minimum replacement plan approved in 2016
Additions: 2018 additions: 2019 additions:
Slide 29
Apparatus Age Status
Water rescue x2 31 yrs Jul 17
Rescue x4 25 yrs 2x Dec 172x Jan 19
Rehab vehicle 32 yrs Jan 19
Apparatus Age Status
Engine x2 20 yrs Apr 18
Hazmat 21 yrs Aug 18
Apparatus Age Status
Engine x2 20 yrs Jan 19
Suburban squad 24 yrs Jan 19
Apparatus #
Water tanker 1
Apparatus #
Water tanker 1
Medical response
Slide 30
Service descriptionTo provide quick, proficient, primary response to all medical emergency situations, including pre-hospital patient care, transport and standby at critical Police, Fire and special events
Financial overview2017
adopted2018
preliminary2019
forecast2020
forecast
Total expenditure 72.2m 68.4m 73.1m 74.5mTotal revenue 59.5m 57.1m 58.6m 59.8mMill rate support 12.7m 11.3m 14.5m 14.7m
Mill rate change: -1.4m
Full time equivalents 501 477 477 477
Citizen satisfaction 2017: 87%
Slide 31
2018 preliminary operating budget– Medical Response revenue detailMajor changes:
• Provincial ambulance fee reduction funding introduced• Baselined at 2017 rates
• Cessation of Transfer of Care delay charging
• The end of the funding formula for emergency ambulances
Major issues:
• Confirmed funding commitment from WRHA set at a 2016 baseline• Creates a funding shortfall due to cost increases between 2016 and 2018• Will need WRHA to increase funding or direct where service reductions are to be made
Slide 32
2018 preliminary operating budget– Comparison of funding formula to baseline 2016
Total EMS net cost($62.3m)
City ofWinnipeg
WRHA
Patient fees ($17.9m)
Provincial fee reduction ($7.8m)
Emergency Ambulance EMSnet cost
(OLD) Funding formula (NEW) Funding 2018(preliminary budget)
Patient fees
City of Winnipeg ($11.3m)
FUNDING GAP ($4.6m)
25.0%each
50.0%
2016 baseline funding
2016 to 2018 cost increases: $4.6m
Total: ($57.7m)
Issues:
Special EMS Programs fully funded by WRHA
Special ($9.4m)Emergency Ambulance ($11.3m)Total ($20.7m)
WRHA(*)
(*) Indicative only
Slide 33
2018 preliminary operating budget– Comparison of Provincial funding to 2016 baseline
2014 actual (funding formula)
2015 actual (funding formula)
2016 actual(funding formula)
2017 adopted (fundingformula)
2017 forecast (October)
2018 preliminary
(2016 baseline)
2019 forecast(2016
baseline)
2020 forecast(2016
baseline)
WRHA cost share $17.29m $18.44m $21.64m $25.55m $23.21m $25.29m $26.82m $27.98m
WRHA grant $11.54m $12.69m $15.89m $19.80m
$20.68m $20.68m $20.68m $20.68mProvincial Fire EMS grant $0.50m $0.50m $0.50m $0.50m
Provincial EMS grant $5.25m $5.25m $5.25m $5.25m
Total $17.29m $18.44m $21.64m $25.55m $20.68m $20.68m $20.68m $20.68m
Shortfall $0.0m $0.0m $0.0m $0.0m $2.53m $4.60m $6.14m $7.30m
Unpaid as at Oct 2017 (^) $0.6m $1.0m $5.6m
Provincial grants $2.52m $2.83m $2.83m $2.83m $2.83m $3.1m $3.1m $3.1m
Ambulance fee reduction $0.0m $0.0m $0.0m $0.0m $3.00m $7.8m $11.88m $12.92m
Total Provincial (*) $19.81m $21.27m $24.47m $28.38m $26.5m $31.58m $35.66m $36.7m
(^) – plus $0.978m outstanding from 2013(*) – excluding shortfalls
2018 preliminary operating budget– Year over year changes
Slide 34
Expenditure changes 2017 adopted Change 2018 preliminary
Total expenditure 72.2mIncrease in salary and benefits 2.0mAmbulance operating cost 0.3mRemoval of EPIC and MSP expansion -3.2mCapital charges -2.6mMiscellaneous other -0.3mTotal expenditure 68.4m
2018 preliminary operating budget– Year over year changes
Slide 35
Revenue changes 2017 adopted Change 2018 preliminary
Total revenue 59.5mDecrease in ambulance revenue -7.4mProvincial ambulance fee reduction subsidy +7.8mWRHA Grant
Decrease in grant arising from changesIncrease above $20.7m baseline
-5.5m+4.6m
Provincial ambulance operating +0.3mRemoval of transfer of care charges -2.0mRefinement of service based view -0.3mMiscellaneous other +0.1mTotal revenue 57.1m
Medical response
Slide 36
FTE changes 2017 adopted Change 2018 preliminary
7 MSP paramedics17 EPIC paramedics 501 -24 477
Fire and injury prevention
Slide 37
Service descriptionTo protect citizens and minimize loss of life and property through fire by checking compliance with building standards and providing fire and life safety education, and advice to reduce need for emergency intervention
Financial overview2017
adopted2018
preliminary2019
forecast2020
forecast
Total expenditure 6.1m 6.3m 6.4m 6.6mTotal revenue 0.5m 0.9m 1.2m 1.2mMill rate support 5.6m 5.4m 5.2m 5.4m
Citizen satisfaction 2017: 88%
Mill rate change: -0.2m
Full time equivalents 44 46 46 46
2018 preliminary operating budget– Year over year changes
Slide 38
Expenditure changes 2017 adopted Change 2018 preliminary
Total expenditure 6.1mIncrease in salary and benefits +0.2mTotal expenditure 6.3m
Revenue changes 2017 adopted Change 2018 preliminary
Total revenue 0.5mService fees +0.4mTotal revenue 0.9m
FTE changes 2017 adopted Change 2018 preliminary
Two fire inspectors 44 +2 46
Disaster preparedness (jointly with Community Services)
Slide 39
Service descriptionTo provide a prompt and co-ordinated response by the City of Winnipeg to major peacetime disasters
Financial overview
2017 adopted
2018 preliminary
2019 forecast
2020 forecast
Total expenditure 0.6m 1.2m 1.1m 1.1mTotal revenue 0.0m 0.0m 0.0m 0.0mMill rate support 0.6m 1.2m 1.1m 1.1m
Mill rate change: 0.6m
Citizen satisfaction 2017: 88%
Full time equivalents 5 6 8 8
Disaster preparedness (jointly with Community Services)
Slide 40
Expenditure changes 2017 adopted Change 2018 preliminary
Total expenditure 0.6mIncrease in salary and benefits +0.2mIncrease in EOC office costs +0.4mTotal expenditure 1.2m
FTE changes 2017 adopted Change 2018 preliminary
One Emergency Management Officer and One Social Media OfficerOffset by refinement of the service based view
5 +1 6
Future plan:
Disaster preparedness
Slide 41
Assistant Chief Emergency
Preparedness
Emergency Management Co-ordinator
Emergency Management
Officer
Emergency Management
Officer
Public Information
Officer
Social Media Officer
Communications Assistant
Administrative Assistant
2016
2017
2018
2019
Preliminary capital budget
Slide 42
2018 preliminary capital budget – overviewProject / program 2018
estimate2019
forecast2020
forecast2021
forecast2022
forecast2023
forecast
Facilities optimization 0.6m 7.5m 2.2m 0.4m 7.2m 2.8m
Equipment obsolescence 0.9m 1.0m 1.6m 1.1m 4.2m 6.9m
Station capital maintenance 2.6m 2.7m 2.9m 3.0m 3.1m 1.7m
EMS training equipment 0.1m
Total 4.1m 11.2m 6.8m 4.5m 14.5m 11.4m
Slide 43
Computer aided dispatch 7.5m
This program seeks to maximize the long term efficiency of the station networkEnsures station coverage across the city so that all citizens benefit from a common level of service
$20.7m program cost over 6 years provides:• design and evaluation for three station optimizations• land acquisition and construction for two station optimization
$0.6m in 2018 provides:• evaluation and design for Station 9 (Marion) and 15 (Autumnwood) – includes
community engagement
Facilities optimization – overview
Slide 44
This program seeks to replace the critical equipment used by fire fighters and paramedics in a systematic and ongoing basis to ensure service delivery can be maintained
$15.7m program cost over 6 years provides:• cyclical replacement of specialized emergency equipment: cardiac
monitor/defibrillators; Toughbook portable computers; stair chairs; self contained breathing apparatus; SimMan mannequins; rescue equipment; power stretchers; decontamination units; radio equipment
$0.9m in 2018 provides:• Annual program to replace cardiac monitor defibrillators• 3 yearly replacement of stair chairs
Equipment obsolescence – overview
Slide 45
These capital funds seek to replace the current CAD system that manages emergency call taking and fire/ambulance dispatch functions
Removed from the capital program for 2018 – planned to resubmit into 2019 as part of the 2019 budget process once best option is fully scoped
There are no funds allocated in 2018 as we are still working through the options and procurement/proposal phases of the project. This complex project is not yet at a stage to determine a class 3 or better cost estimate and so has been deferred to meet policy requirements.
What has become clear through this process is a significant interdependency between the core CAD system and seven associated systems. This has changed the scope of the project and will likely result in a broader program to ensure the systematic replacement over a number of years of these associated systems. A number of options are being explored to minimize the cost of replacing this essential and complex system.
Computer aided dispatch – overview
Slide 46
These capital funds support the ongoing repair and structural maintenance of the station network to ensure the asset lives are maximized
$16.0m program cost over 6 years provides:• critical works identified to move station assets closer to a Facility Condition Index
classification of “managed care” – this is a below average target when compared with other City Council assets
$2.6m in 2018 is planned to fund the following work (tender outcome dependent):• Asbestos abatement and renovations $1.5m• Roof repairs $0.4m• Heating systems $0.5m• Security system installation $0.2m
Station capital maintenance – overview
Slide 47
Questions
Slide 48