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1989-04-12-24- Council Packet - Budget Work Session
Kenai City Council Work Session April 12, 1989 April 18, 1989 April 24, 1989 Budget '. fitifiif!:a�'t:• ,f ......... ::ttY.. �':.::...:.lt•" 't :: •,'... ..::. .. .'t.... ..... �krS:'!iiff.;t......sa.. s! , •r��t }P��i��i iiiit.:rs'..•t}r "?• .s '� f.. f k ., ._;:} irf�C•5i _•ii�.3f ! I. f Work session- 0 The Kenai . Ctty 'Council :• will hold a work session on the 1989.1990 budget and ' the fire training school. The•'� presentation of the Visitors and Convention Board will also be discussed. The work session will be held Wednesday at 6:30 p.m. ••• in the Library conference room. The public is invited. i.' ��}� ='•r:}F; :iiF .: rit!.l ::':iEiii:t,::iti:i :fp:• ..._.... .. �� •�� (T'1...: • �•E. t. �• '�.�^ ii r• r.T7 t?': if: It}�,y,!ii}!}stc`�:r'''`f::.,�.;``;�x. ••, u��''•fR 't �'iyil,: ,c7:r��.S} ?+uiif•'irz.'::... ...�:..:: �',,FF } :. • ?-•�' ! j?i, !f ,r='fit .. a _ _ iff!=•fi+: ''ri a Gf.^;,,.: r•=i:•i:2i.i1: l.. ! h � � •— - - ..t - :.t r t it �!i}• i .n dl • .I .. ...t .. .. ... .... ..i i •. ..t .• .. .l a ...... .. .._.. f• .f 'a. n 4.. R ti. it "S• Kenai b .: • • : udgot •• 0 The Kea; city Ci � I .-will -hold its Councilsecond • budget - •'• -work. s .;. ession at 7 p.m. Tues.. :•: .: day at Kenai City Hall. • .•. • 1791-1991 CITY OF KENAI %%Oil i2alood'.4ai a/ 4,142,i4ia'" 210 FIDALGO KENAI, ALASKA 99611 TELEPHONE 283 - 7535 FAX 907-283-3014 NOTIC.E OF WORK SESSION % The Kenai City Council will be holding a worK session on Wednesdav, April 12, 1989 at 6:30 PM in the Library conrerence room. To be discussed: 11 Presentation of Visitors & Convention Board 2, Fire Training School 3, 1989-90 Budget The public is invited to attend and participate. Janet Ruotsala, CMC City Clem DATED: April 6., 1989 1791-1991 CITY OF KENA1 "'Od Cap;J"V1 4 44z&4a It 210 FIDALGO KENAI, ALASKA 99611 TELEPHONE 283 - 7535 FAX 907-283-3014 April 3, 1989 TO*- Council FROM: Janet Ruotsala City Clerk oce Mayor Williams has requested that the budget session scheduled for April 12 begin at 6-000 PM instead of 7:00 PM, and 1380 minutes be given to a presentation of the Bicentennial Committee. In addition, a light dinner would be served-. He also asked me to inform you the the Aj-rport Commission has requested a work session to begin at 6.-00 PM on April 1.9. There is a teleconference scheduled. for 6:30 this date, anti regular meeting of the Council is scheduled for 7:00 PM. If Council agrees', we could schedule the teleconference for 5:30 PM to 6 : 0 0 PM and the work session for 6:00 PM to 7 : 0 0 PM, We would serve a light dinner during the work session. In, addition, he asked me to remind you that there will be a discussion on pull tabs and a possible executive session A. relating to the Inlet Woods Subdivision at the April 19 meeting, it 6 : 3 � J �+^ti'' BICENTENNIAL VISITORS CULTURAL CENTER PROGRAMMED AREAS Area, Square Foot a e Arctic Entry 120 Reception/Gift Shop Area 430 Visitor Information Storage 256 Director' s Office 196 Chamber of Commerce Office 196 Conference Room 336 Curator's Office 196 Artifact Storage/Preparation 360 Museum 4, 800 Additional Museum Exhibit Area: Fishing Display 100 Homesteading 100 Native 100 .Petroleum 100 Russian 100 Central Exhibition Hall -1,200 Video/Viewing Room 11200 Video Storage 200 Video Control Room 120 Restrooms 400 Janitor 80 'Mechanical Room 216 Prep Kitchen 4 0 0 SUB -TOTAL BUILDING SQUARE FOOTAGE 11,206 6% Circulation Factor 672 TOTAL 11, 878 file:areas.8248 xEnat DieEntZnnia1 (VUUoU a)2d Convention Buuau BICENTENNIAL RA L TO: Kenai City Council Members FROM: Kenai Bicentennial Visitors and Convention Bureau RE: Bicentennial Funding for Fiscal 1989-1990 The Kenai Bicentennial Visitors and Convention Bureau (KBVCB) requests that the City Council continue to fund the 1991 Kenai Bicentennial Celebration through our organization. This will insure that the celebration in 1991 will be a memorable event for all the people of Kenai as it focuses on our historical past and rich heritage, The City Council funded the bicentennial project and visitor information service with $110, 000 in fiscal year 1988-1989. These funds are expected to be expended approximately as follows: Visitor information services Salaries and taxes (partial year) Professional services Office, utilities, phone, supplies Advertising Printing Promotional Equipment Travel, memberships, misc. ? ', �' 0 00 30,000 51000 70,000 51000 10,000 15,000 12,000 61000 The funds have been used to provide visitor services and to build a foundation for the 1991 Bicentennial Celebration. It is not possible to detail for you the many contacts and enthusiastic responses we have experienced with the community. However, we would like to outline some of the major accomplishments of the past 7 months, Community involvement has grown from a board of 12 to over 50 active committee members. Plans to develop an heritage/cultural center are being detailed and funding sources pursued. Historical information is being compiled and will be used for public education and information. L-0. 6ox 1991 Kenai Alaska 99611 • 1907) 283-1991 -- Promotional items (pins, balloons, bumper stickers) have been obtained and are being distributed to promote public awareness. -- Computer equipment and software is online for developing marling lists, budgets, schedules, and communications. -- Discussions for bringing a major museum exhibit during the summer of 1991 are under way. -- Relationships with Russian/Siberian contacts are being established to include their participation in the 1991 events. -- Major promotional ideas are being developed to attract statewide and national attention. A plan for old town as the focus of our historical past has been outlined and discussed with the city. -- Buildings have been selected for historical/cultural murals. The first mural is being planned for summer 1989. -- Obtaining outside funding for the bicentennial and visitor activities has been established as priority, We believe the council should continue to fund the bicentennial effort. There are four major reasons for the cit 's involvement in this project. First: The KBV&C Bureau has accomplished many things with the initial funding. The celebration planning is well organized and many sectors of the community are being involved in the process. The city has received an excellent return for its funding and in -kind community donations are multiplying the value of that funding, Second! A full time staff person will be needed to coordinate the bicentennial celebration plans during the next two years. We believe it is cost effective for the city to accomplish this through our organization rather than use city employees. Third: The council and mayor have indicated that the bicentennial project is a priority for the city in 1991. It is our belief that this priority should consist of a well planned celebration with events throughout the year. Furthermore, that the bicentennial will develop a pride that all our citizens can share about this place we call home and its heritage. Fourth: Efforts to diversify the local economy should include an expansion of the visitor and convention industry.' We believe one of the best investments by the city in this industry is made through the KBV&C Bureau program. We would like to request that the city fund the 1991 bicentennial celebration and the visitor information program with $110,000 in FY 1989-1990. The proposed use of the funds would be as follows: Staff salary --part time, taxes $40r000 Office, utilities, phone, supplies 51000 Printing 10,000 Promotional items 10,000 Old Town enhancement funds 10,000 Professional services 51000 Advertising, travel, memberships 10,000 Visitor information services 25,000 Please advise us what the city's interest is in the bicentennial and visitor industry. If changes are needed in our forecasted activities we would be pleased to discuss those changes with.you. t M E M O TO: Kenai City Council FROM: William J. Brighton, City Manager W:�k* Charles A. Brown, Finance Director l�°G7Q DATE: March 30, 1989 SUBJECT: 1989-90 Budget Enclosed is the City Manager Recommended 1989-90 Operating Budget. This memo summarizes significant elements of the budget and identifies large changes from last year. GENERAL FUND Revenues: Property taxes are increased slightly ($47,000); this is more a matter of Collections being higher than anticipated, rather than property values increasing. Actually, the Borough expects a decrease of about 10% in values. The mill rate is the same, 2.7. (Also see Exhibit I.) Sales tax is increased to $2,000,000 (up by $150,000). Sales taxes are in a slow upward trend. See the attached graph marked Exhibit II. I expect that we will receive about $2,200,000 in sales tax in the current year, so the estimate for next year probably seems a little conservative. But, until we see stronger signs that the increases are sustainable, I would prefer to remain conservative. State Revenue Sharing and Municipal Assistance are both reduced by 20%. This is a rough guess; I have no real basis for this. (Also see Exhibit III.) Interest on investments is $1,070,000 (up by $291,200). I have increased the projected rate of return to 8%. It is possible that the actual rate for the full 1989-90 fiscal year could be higher because we have over $17 million of investments that will mature before July 1, 1989, and can be reinvested at a higher rate. We will look at this again before budget adoption if necessary. Transfers from other funds are generally lower because I have made a budgeting change. Insurance expenses are now charged directly to the various funds, rather than all charged to General Fund and transfers used to reimburse the General Fund. This new method will reduce revenue and expense equally in the General Fund (it has no effect in the other funds). Note the $100,000 transfer from Other Special Revenue Funds. This is what should be nearly the last of the Federal Revenue Sharing money. It will be used for Police salaries. The appropriation of fund balance is $709,541. This is the amount needed to balance the budget; the amount by which expenditures exceeds revenues. This figure was $846,364 in the 1988-89 original budget. The General Fund Unreserved Fund Balance will probably be about $7,500,000 at June 30, 1989, so this appropriation of $709,541 is well within a reasonable range. The graph marked Exhibit IV gives more information on fund balances and appropriations designated to help finance annual budgets. Exhibit V shows an overview of all General Fund revenues. Expenditures: Total General Fund expenditures are $6,124,241, up $220,877 from the current year's original budget. See Exhibit VI for a summary of dollar and percentage changes by department. Below is a recap of some significant changes: All G/F Departments - PERS to 0% $ (170,000) All G/F Departments - Health Insurance 70,000 (to $5,000) All G/F Departments - Supplemental Retirement 48,000 (2% to 4%) Non -Dept. - change in budgeting for insurance (121,000) Non -Dept. - Debt Service (spec. assessments) 266,000 Police - Vehicles 32,000 Parks - Buildings 10,000 Other - contingency (increased to $75,000) 25,000 160,000 Items not identified (minor personnel changes, step increases, workers' compensation increases, numerous small items), net 60,877 Total increase, General Fund $ 220P877 The City's contribution for PERS will be 0% next year. This year it is about 5.5%. That savings, about $170,000 in'the General Fund, is mostly offset by the increase in health insurance cost and an increase in -the supplemental retirement from 2% to 4% (still capped at $37,500 of base wages). Council would have to approve the supplemental retirement change, of course. I cannot predict how long the PERS rate will be zero (it is a result of over -funding in prior years - a rare occurrence). The other large item is the General Fund Contribution to pay special assessment debt that property owners will not pay. Exhibits VII and VIII show General Fund Expenditures by department groups and by type. nmuFu TnTmnc Boating Facility The total budget is $197,000, up $101,854 from last year's original budget. However, year-to-year comparisons are not realistic. The single largest expense increase is operating supplies (fuel), which is offset by increased revenues. No appropriation of fund balance or General Fund contribution is required. Airport Terminal Temporarily, until the renovation is complete, this fund will have a shortage of revenues. Expenses are $201,000; up by $14,800 which is more than explained by the increase in depreciation. To balance the fund, I am taking $22,000 from retained earnings; about $600,000 is available in retained earnings. Water and Sewer Revenues have leveled off, as expected in this economy. Expenses of $683,000, are pretty much unchanged and contingencies are adequate. No rate increases are requested. The fund balance is about $1,000,000. Airport Land System This fund is in excellent financial condition. Of the $1,357,500 budget, $882,193 is contingency (in effect, excess revenues). Fund balance will be over $3,000,000 by June 30, 1989. Senior Citizen Funds All Senior Citizen funds total $371,614 (a $16,846 increase). No big changes. No general fund contribution, except for $2,000 (travel money), $2,706 (building maintenance, operating, and miscellaneous), insurance, and administrative time. Debt Service Nothing new, except for the special assessment bonds, which are being paid primarily with General Fund money. PERSONNEL CHANGES There have been some minor personnel changes, none of which are at great cost. The Police Department has requested a six-month, twenty -hour per week secretary, at a cost of $5,358. Public Works has asked that the Dock Manager position be combined with the temporary Street Department position. This makes one full-time position rather than two temporary positions, at a cost of about $15,000 more. The Parks and Recreation Department has requested an increase from Range 3 to Range 9 for the Teen Center and Recreation Supervisor. The cost is nearly offset by elimination of the Summer Parks Supervisor. FINAL COMMENTS This budget: 1) Has no tax increases. 2) Has no salary increases. 3) Proposes a 2% increase supplemental retirement. 4) Makes no contribution for bicentennial. 5)- Is 3.7% higher than this year's original budget. 6) Requires a smaller appropriation from Fund Balance than was needed this year. ;Irmo*! 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(Itrlllrillll; }II, M TO DO IST April 1 1989 KENAI C Y COUNCIL WORvL SESSION 1. J. Ruotsala - Report o Council on,changing election dates to coincide wi State elections. 2. B. Brighton - Check n employee discount for car rentals. 3. L. Swarner - Cance 4-19-89 teleconference with local legislators. J. Ruotsala - Sch dule budget work session for 4-18-89. jr 1791-1991 CITY OF KENAI ;,/".7 1 11 "Od (?af u� 4ia"a 210 FIDALGO KENAI, ALASKA 99611 TELEPHONE 283 - 7535 FAX 907-283-3014 NOTICE OF WORK SESSION The Kenai City Council will be holding a work session on Tuesday, Apri:i 18, i.989 at 7 : 00 :PM in the Council chambers. To be discussed 1989-90 Budget The public is invited to attend and participate. /G Jaanet Ruotsala, C~MC ty Clerk BATED: Aprii 13, 1989 0 KENAI MEDICAL CENTER, INC. BENCO BUILDING TELEPHONE 283-461 1 POST OFFICE BOX 1390 KENAI, ALASKA 99611 April 18, 1989 TO: Kenai City Manager Kenai City Council Members FROM: Peter 0. Hansen, M.D. Kenai Fire Department 1 Sponsoring Physician -�/=, FOR: Kenai Fire Department EMS System Council Work Session, April 18, 1989 7pm GOALS FOR MEETING: A. Paramedic Upgrade Proposal Memorandum to Council December 13, 1988 from City Manager. I. Copy of my October 30, 1985 letter to Mayor Wagoner following Council work session 2. Statistics of calls: 1985 Fire Calls 116; EMS Calls 326 1988 Fire Calls 168; EMS Calls 364 B. INTERQUAL assessment of KFD EMS dated October 7, 1988 and KFD reply. C. Additional Recommendations: 1. Identify an EMS coordinator within the Department to: a. Coordinate ongoing education, training and certification b. Communicate regularly with other agencies and hospitals as laison C. Supervise Quality Assurance of Care. D. From Whence We've Come Since 1985 1. 2'additional EMT III's trained 2. 5 EMT III's trained in Advanced Cardiac Life Support 3. Regular Quarterly continuing medical education sessions attended by Paramedic and all EMT's. 4. Quality Assurance program implemented, 1989. 5. A spirit of improved cooperation, cohesion, and enthusiastic morale among the Paramedic/EMT's/Sponsoring Physician. t October 30, 1.985 Tom Wagoner, Mayor City of Kenai 210 Fadiigo St. Kenai, Alaska 99511 Re. Kenai Fire Department EMS System Dear Mayor Wagoner, .Thank you for the opportunity of meeting with the city council during their work seesion last evening. The following are ray suggestions you requested in writing, My most urgent concern. is that our three EMT III ' s and paramedic need to spend time working with and communicating with other paramedic teams, using in a clinical setting the knowledge they 'ain in our classroom setting. They need this clinical practice not only to feel competent but to be competent in treating cardiac arrests and other serious injuries. This clinical on the Job training can best be carried out in Anchorage; a reasonable goal would be two weeks of this training per year for each : MT III/paramedic, our exsist ng problem is that the department does not have enough trained F14T II I's/parammedics to permit this type of .absence from the job. I believe a workabit solution would be for the city to', negotiate with a neighboring fire department to have one of their pparamedics come in and replace our EMT III/paramedic for that period of time. If the city administration could accompl ish this, than I could get on with a, setting up the clinical training. The next pressing problem is our immediate need for an additional EMT III/ paramedic so we can provide coverage of all the shifts with an EFIT tra i ne �- in cardiac resuscitation add defibrillation. I'm suggesting that any new ffremen hired be at least an EDIT II and that the individual agree in writing prior to hire ` to upgrade himself to an EMT III within six to twelve months and the paramedic level within two years. The third recammeddation is that council expedite planning ahead for the future needs- of Kenai s emergency medical services. I believe it's reasonable to assume we are going to need fully trained paramedics within a couple of years, not only because of the growth of our city, but because of the rapid changes taking place in emergency medical care. This includes the administration of various types of Iv medications coming on the market and becoming a part of pre -hospital care in many progressive communities our size, I believe a reasonable target date to accomplish this would be January 1, 1988, and a reasonable number of paramedics to be in the department, by then bo be six or more. Finallys I think incentives could be given to encourage more of our. EMT II Is 1791-1991 CITY OF KENAI 0 eapd*ai 4 4ia"a it 210 FlDALGO KENAI, ALASKA 99611 -- TELEPHONE 283 - 7535 FAX 907.283-3014 MEMORANDUM TO: Mavor John Williams and Members of Kenai City Council FROM: Wm. J. Brighton, City Manager i�� DATE: December 13, 1988 RE: upgrade of five EMT III's to Paramedic Level David C. Burnett, Assistant Fire Chief, and Dr. Peter O. Hansen, the sponsoring physician for the Kenai City EMS program, have presented to me a proposal whereby five EMT III's can upgrade to a Paramedic level of education, certification and performance. Under Exhibit "A", please find a copy of a letter from the Assistant Fire Chief to the City Manager in which he lays out his proposal of timing, manpower and costs to achieve proposed paramedic certification. Under attachment Exhibit "B", please find a memorandum from Dr. Peter O. Hansen in connection with his meeting with Winnie Hobbs, who is Program Director for the Daniel Freeman Memorial Hospital in Inglewood, California , for the training of paramedics. This exhibit also includes information about the program provided at the hospital, a proposed breakdown of costs for the paramedic training and additional expenses needed by those being trained. Under Exhibit "C" please find KMC 23.40.070 which is the Personnel Code for the City of Kenai relating to educational opportunities as provided by the City's code. Also find Exhibit "D" , which after working with the Finance Department, it is our opinion the total cost of the proposal is approximately $200fOOO and would not be completed for a period of three years. Additionally, find Exhibit "E" which is a letter written on July 20, hand delivered to City Hall on August 5, containing a quarterly report update from Dr. Hansen in connection with the EMT program and noting his investigation of the Daniel Freeman Hospital in Inglewood, California, in connection with a six month paramedic training program designed to achieve the recommended improvement program. -1- Exhibit "F" is a listing of the requirements under Alaska Statutes to be licensed in the State of Alaska as a Paramedic. After having long and in-depth conversations with the Chief, Assistant Chief, and sponsoring physician, I have -indicated to them that I will present all of the material to the individual City Council members and at the same time recommend against following through on this proposal at the present time for the following reasons: 1. I think the Finance Department's cost figures of approximately $200,000 are more accurate than those furnished in the material provided by the Fire Department or supervising physician. I also think it is very important for the Council to put into perspective the cost of achieving this advanced goal by relating to the Council that the overall cost is approximately $200,000 and is going to take approximately three years to accomplish. To put that into prospective, if we were to charge everyone $100 per ambulance call and everyone paid that charge (and you and I know it is an impossible collection situation) it would result in only collecting approximately $40,000 per year. In order to get back the expense of the training, and the upgrading under this set of circumstances, would take approximately five years without including the additional cost to the City of the additional certification pay. 2. It has been five years since we have replaced any fire apparatus in the department and at the present time we have two 1971 pumpers, approximately 18 years old, and the City needs to be looking at replacing one or both in the very near future, at a replacement cost in excess of $200,000 each. 3. It is entirely possible to hire at the present salary and scale of cross -trained Paramedics and Firefighter at the existing salaries on the department without any additional expense for major upgrading. 4. In every public opinion survey we have done since 1981, the Emergency Medical Technicians have rated at the top for the delivery of the emergency medical services now provided by the City of Kenai. -2- 5. We have seven other major departments that at budget tim e will be requesting additional funding for such things as improving the delivery of services, repair and maintenance on existing facilities, and the possibility iof requesting additional personnel n order to keep up with the increased demand for services within their departments. 6. Last, but not necessarily least, the City is facing reduce d revenues in each of our sources of income and the possibility of having to pick up heavy debt loads in such areas as utility relocates, funding special asse ssment bonds for which we have never budgeted for in our annual budgets, paying debt on foreclosed property (just to mention a few), all at a time when p Y � the constituency is aware of increased pressure on revenue sources on all governmental agencies. -3- WJB/kh /kh It, /01 �z CITY OF 4CEtVAI FIRE DEPARTMENT 105 SOUTH WILLOW STREET KENAI, ALASKA 99611 (907) 283-7666 June 2 g, i QO ' f - vo . TO: William J. Brig h ton t City Manager �l FROM: avid C. Burnett} Ass`t Fire Chief SUBJECT: Paramedic Training Proposal This is a proposal for the institution of a Paramedic certification program whicht in the opinion of this administration and our sponsoring physiciant Dr. Peter 0. Hansen# is the most adaptable program that could be integrated within the department. This department has always felt that we should be providing the best services possible. With the continuous increase in medical calls, it is imperative this proposal be seriously considered, if not instituted. At present} the Kenai Fire Department is operating with one (i) Paramedic# five (5) EMT III`s (ACLS certified), and three (3) EMT II's. I have personally spoken with the five EMT iII's (Jason Elsont Scott Walden; Walter Williamson, Roger Anderson and Gene Backstrom) and all are read; and willing to accept the training and move ahead to the Paramedic level of service. This would provide the department with si:: (6) Paramedics; allowing for two (2) Paramedics per shift. We would require these individuals to sign a five (5) year contract with the City of Kenai. The participant(s) will be sent to the Daniel Freeman Hospital which is located in Inglewoodt Californiat for a period of six (6) months. D Hansen recently visited this facility to review their program and a synopsis (Attachment "A") of his visit is attached. Due to manning problems within the department# we will only be able to send one (i) man at a time# therefore the certification program will take an estimated two and one half (2-1/2) years to complete. In order to alleviate the department's manpower reduction and to save overtime costs, it is requested that the City provide a temporary hire for a period not to exceed three (3) years.. --.The temporary hire will be required to be Paramedic certified and be willing to cross -train in firet rescue and airport emergencies. Paramedic Training Proposal P a g e The cost estimate would be appro;:imately $ id#000,00 providing" two C.D personnel attended per year. This does not include the cost for a temporary hire. With the program instituted, there would be a further reduction in the department's required overtime due to a reduced need for EMT refresher courses and testing, i.e.. Z Z.4 hrs O/T per man, 6 „ 24 = 144 hrs, which would equal appro:.:imately r' 00 saved per year. --% oo . v ' v jr.. Dr. Hansen's budget is acceptable, however, it does not include housing which is included in the Daniel Freeman budget (Attachment "B") It is recommended that we utilize the Daniel Freeman budget due to that particular inclusion. Also attached you will find an informational brochure on the Daniel Freeman Paramedic School (Attachment "C" ) and an overview (Attachment "D" ) of Alaska's requirements for Paramedic certification. Dr. Hansen and I would appreciate an opportunity to review this proposal with you. BCB / Re h Attachments cc: Alfred Ivanoff, Fire Chief Dr. Peter C. Hansen* Physician Advisor F-X �.-,, b-,, + p Daniel Freeman Memorial Hospital Memorandum of Meeting with Winnie Hobbs, Program 1 333 North Prairie Avenue, Inglewood, CA 90_ Thursday, March 24, 1988 By: Peter 0. Hansen, M.D. This prearranged meeting took place as part of our contractual services for the City of Kenai in overseeing and upgrading the quality of medical education for the city's emergency medical services. The intent is to progressively upgrade the city's EMT IIIs to a Paramedic level of education, certification and performance. Since the Kenai Medical Center, Inc. sponsors the Kenai City EMS Program, I am the one selected to investigate the Daniel Freeman Paramedic Training Program. Met with Winnie Hobbs, Paramedic Program Director, from 11:00 AM to 1:00 PM. She is an enthusiatic and energetic appearing woman about 50 who has been involved in Paramedic programs for many years. At the Daniel Freeman Hospital Program 1,586 paramedics have been trained since the early 1970s and these have included groups of paramedics from various states such as Utah and from various countries such as Australia. Several paramedics have been trained from Alaska...one from Cantwell just graduated. Current changes in the prospectus manual which she has given me copies of include a current tuition of $2,300 per five -month training program, and an 80% passing score required on all exams including the final exam. Students are usually responsible for providing their own housing, food, and local transportation during their five months in Inglewood (downtown LA area) and .an estimate of total costs for all of these including tuition will be forthcoming within the next few days by mail from Winnie Hobbs. She suggested, since our five EMT IIIs for training are all paid fire department personnel, that the Kenai Fire Department Chief contact one of the following two fire department chiefs to see if our fellows could room at their fire hall during their time in California. Those names and addresses are: Chief Louis Wright Manhattan Beach Fire Department 415th Street Manhattan Beach, CA 90272 (one of the best for this) 213/545-5621 Chief Black 401 South Broadway Redondo Beach, CA 90277 213/372-5633 There are about 38 fire departments in the LA area; Inglewood will no longer allow paramedic trainees to room in their department. 1 Im Enrollment requirements for Kenai FD EMT IIIs: 1. A letter of recommendation from me would be suitable for initial enrollment. 2. A pre-screening exam would be forwarded for me to give to the KFD applicants which consists of primarily reading vocabulary, reading comprehension, and reading science. I would give the exam and return the answer sheets to Ms. Hobbs for grading. 3.. One-two months advance registration is essential so that the KFD EMTs will be able to adequately study preparation materials for their first incourse exam which is given the second day of the program. 4. Ms. Hobbs felt a vehicle for transportation was quite essential even though there was local transportation (public transportation) available. This is because she feels it's unsafe for students to be standing on the street corners of many transfer points while going to and from various hospitals; also it would take 1 1/2 hours by bus from the Manahattan Beach Fire Department and only 20 minutes by car ... a student would spend a lot of time in travel daily. Other facts about the Program -- 22 different hospitals are used for teaching purposes in this training program and KFD students would each use many of these. Class : Schedule --Didactic program lasts for approximately 60 days at Daniel Freeman hospital; the clinical in -hospital program lasts approximately 28 days in any number of other hospitals; the internship field work lasts 60 days and this could be split up with 1/2 or all of the internship being in either LA or Anchorage, Alaska. (I would suggest one month in each state.) The ninth week of didactic sessions is for ACLS training and our ACLS certified EMTs could have that week off...they could also have three to seven days off during their clinical in -hospital program during which time they could return to Kenai or remain in the LA area spending time with their families there (Disneyland, beaches, Universal Studios, etc.). Each five -month program begins on a Monday with the first program next year beginning January 2, 1989. A new program then begins every loth Monday thereafter. Programs for 1988 are scheduled to run from May 23rd through October 16, 1988, August 1 through December 25, 1988, October 10, 1988 through March 5, 1989. All trainees take the LA County examination upon completion of their clinical in -hospital stage which then allows them to work as paramedic interns. 2 Photographs of Ms. Hobbs and Scott Davis, RN and various views of the hospital were taken to submit to the KFD with this report. I'm going to suggest to KFD that we put together a proposal for the City Council requesting the City to provide the following per each trainee: Air Travel --two round trips (Kenai/LA/Kenai) $1,500 Housing by LA fire departments -0- Subsistence--food 1.9250 Local Travel 750 Tuition 2,300 Total: $5,800 We need funds to train two individuals per fiscal year. Trainees should continue drawing their same salary and benefits. The Department would need to hire an additional paramedic as a local replacement for the next 2 1/2 years. In the future any additional KFD employees hired as replacements would be required to be at the paramedic level. P.O.H. 3 Photographs of Ms. Hobbs and Scott Davis, RN and various views of the hospital were taken to submit to the KFD with this report. I'm going to suggest to KFD that we put together a proposal for the City Council requesting the City to provide the following per each trainee: Air Travel --two round trips (Kenai/LA/Kenai) $1,500 Housing by LA fire departments -0- Subsistence--food 19250 Local Travel 750 Tuition 2,300 Total: $5,800 We need funds. to train two individuals per fiscal year. Trainees should continue drawing their same salary and benefits. The Department would need to hire an additional paramedic as a local replacement for the next 2 1/2 years. In the future any additional KFD employees hired as replacements would be required to be at the paramedic level. P.O.H. 3 23.40.060-23.40.070 benefits to which he is entitled. Military leave with pay shall be granted only when an employee receives bona fide orders to temporary active or training duty, and shall not be paid if the employee does not return to his position immediately following the expiration of the period for which he was ordered to duty. (3) Conferences and Conventions: Decisions concerning attendance at conferences, conventions, or other meetings at City expense shall be made by the department heads with the approval of the City Manager. Permission shall be granted on the basis of an employee's participation in or the direct relationship of his work to the subject matter of the meeting. Members of professional societies may be permitted to attend meetings of their society when such attendance is considered to be in the best interest of the City. (Ords. 336, 537) 23.40.070 Educational Opportunities: (a) The City shall reimburse an employee for the full amount of tuition for courses directly related to the employee's work and conducted outside the employee' ular working hours, provided that: (1) Funds for such expenditures are available in the current budget; (2) The employee has made application for approval of the course to his department head and the department head subsequently gives such approval; and, (3) The employee submits evidence of satisfactory ' completion of the course; and, (4) The employee is not receiving reimbursement for tuition from any other source, (b) Courses which are only offered during regular working hours may be approved by the department head w*i th full tuition reimbursement therefor provided time off can be arranged conveniently and reasonable arran e nt bQ made t make time of -to (c) The City shall allow time off with pay and shall reimburse an employee for the expenses of attending classes, lectures, conferences, or conventions when at endance is on an ass-ianment basis with prior approval of the employee s department head. (d) Normally, the cost of textbooks and technical publications required for such -courses shall be the responsibility of the employee. If the City purchases any of the textbooks and publications for such courses, and textbooks and publications shall become the property of the City. (Ords. 336, 537) 23-26 ( City of Kenai Supp. #45 - 7/10/87) f_. THE DEPT. E S TT'"IA*.r IUD PARAMEDIC TRAINING COST TUI TT ON AND BOOKS 2.300 lISC. 221 101SItiG 2,500 -- TRANSPORTATION 500 ,- PARKING 50 LIVING EXPENSES ($30 Y 150) 49500 FIELD UNIFORM & FEES 175 .VTR TRAVEL-2 TRIPS ,500 TOTAL PER PERSON ;1,746 _- 0 TO PERSONS 5 TOTAL SCHOOL- COSTS 81730 s REPLACEMENT FOR 3 YEARS 1401347 TOTAL COST OVER 3 YEARS 1999577 D T yC r)E BY 3 3 ANNUAL COST 66, 526, KENAI MEDICAL CENTER, INC. .tat. "`tY '?�h i,_ �•� �- EX POST OFFICE BOX 1390 July 20, 1988 William J. Brighton, City Manager City of Kenai P.O. Box 598 Kenai, AK 99611 Re: Kenai Fire Department EMS Update Dear Mr. Brighton: / Z - '92 UFO,-� Periodic reviews of ambulance runs with Kenai EMTs and our Kenai Paramedic have been carried out on a regular quarterly basis since my last update to you December 10, 1987. These sessions each also included a didactic continuing medical education program. Firemen in shifts A, B, and C have taken part in all of these seminars. The Assistant Fire Chief, Dave Burnett, has worked out a program requiring each shift to cover several hours of continuing medical education, monthly, between our quarterly seminars. PLEASE NOTE I spent Thursday, March 24, 1988 at the Daniel Freeman Hospital in Inglewood, California (Los Angeles) studying their six month paramedic training program and submitted a report in detail within the following two weeks to Assistant Chief Dave Burnette, with the recommendation that the City of Kenai begin immediately up -grading the quality of our emergency medical services to a paramedic level of education, certification, and performance. I understand Mr. Burnett recently communicated this to your office. Could we please meet to discuss the paramedic program with you by August 5, 1988? COULD YOU PLEASE CALL ME TO SET UP A TIME TO MEET WITH YOU AND DAVE BURNETT TO REVIEW THE PROPOSAL THAT HE AND I PUT TOGETHER? Sincerely, r Peter 0. Hansen, M.D. POH:ht �X L-1 Imo; t CITY OF KENAI FIRE DEPARTMENT 105 SOUTH WILLOW STREET KENAI, ALASKA 99611 (907) 283-7666 June 18, 1988 According to Alaska Statute 08.64.100 and Alaska Statute 08-64.107, under 12AAC 40.300 through 12AAC 40,390, to be licensed in the State of Alaska, the following requirements must be met: 1. An application for licensure must be submitted under oath. 2. Applicant must be 19 years of age or older. 3. Must be a high school graduate (NO G.E.D). 4. Must currently be certified as an EMT by the National Registry and the State of Alaska. 5. Must be under the direct supervision of a physician at all times. (The procedure we are doing at present is proper). 6. Successfuliy completed an approved curriculum. 7. Pass the written and practical examination for EMT Paramdic administered by the National Registry. 8. Submit a non-refundable license fee of $50.00. Approved curriculum is defined as follows: The U.S. Department of Transportation National Training Course Emergency Medical Technician Paramedic, 1977, or an equivalent program approved by the State Board of Medical Examiners. The curriculum must prepare the Mobile Intensive Care Paramedic to demonstrate the skills established by the National Academy of Sciences/National Research Council Task Force on Emergency Medical Technicians, Standards for Emergency Medical Technician -Paramedic Performance, 1977. The training program must be under the supervision of a physician licensed in the state where the training takes place. �! .a !J e �. INTERNSHIP ider. r-ec t s u Q e ry i .. i on o f .k Dh *''= i c i •fin nur•'=e rjY►_ i ztn s i s tan t or mob i l e i n ten'_ i Ve c .+.re paramedic, :. -1u•_ t ver- i t i ed i n vir i t i no that the cand i date tc)r. cer t i f i at i cin is capable of per form i n q the acti'•'itied listed in the r•equir•ements. '.!J=r i t ten l.ier i f i cat i on that the sand i date has acc e sr.fu l l Y completed �o tvie n tY--four- hoar• s h i t t s. or the equ i va l en t number of hour'=., at a l oc at i on pry' -approved b-f the Board of Medical Examiner PEnd&JAL OF LI CENSE Licen_emust_ - _ _ __ _ s a _ U b iT4 i t = •�, t i t •� �_ t ci r 'r e v i d e n !_ e ! 1+ completion of conrinuino medical education in tine amount of �x� i h !)u r _• c,t c I s•= r oc !m an d U hours of c l i n i cal education for each :rear of prac t ice be tt,�jeen certification periods., '. Must be _ubm i t tea ever' tt,jo >.ears 1`1u = t be signed and ver i f i ed b , the Physic i an on or. . Pa::.men t of the non-retundabl e "It.50 . 00 tee • SCCPI-- OF PRACT I CE Mob i le I n ten = i !:!e ..are r-ar•.�med i c m.�`r per•�orm the fE � { I oi.fj i no vih i I e under :he d i r•ec t super•v i i un Wit . Ph 1. CPR and Def i bri l l at i on 2. IV's and IVso] ution admini•-tr•ation 3. Perform i rg pu I mon•=ir r' glen t i I ._it i on bJ - =cpprc v .d me thod= 4. Performing gastric Suction 5. r Obtaining blood for lab anal r._ i .= 6. Applying rotating tourniquets ?. Admi n i =.ter• i ng medi cat ionsor-al 1 :.°, parentor•al l y, or topically any age n t� or so l u t ions, S. Performing other emergency procedures outlined and approved by the =pon nor i ng ph r i c i an . Persons may perform activitieset out in this section inso- far as: The ac t i v i t i e s are regr.,,i i r•ed par t of the tr•.y. i n i no program, activities performed in the hosp i tal are =•uper v i sed b:Y a ph %r.--c i an and ac t i v i tes per -Formed in the field are -supervised by a licensed mobile i]e intensive care paramedic. Imm l ''. - Iz 11 I. - -1. I* . I I 1. . I I . . I . � I . I . .-� � - I I . � I .. w ,,, .. . % � I I . . I , -.- �. . I I I . - I -.. - I . �.' % - . - � : :-, 1� , ,% ..- .. . . I ..-.----. I - I . - uj .,.--.. -', , . � . � . , . . - I � -.- � -1 . . 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X LUUJ , O O r L O O (oO n rn fn t� O us"a; a3 un Lo ^ q � t O G " w - Lr Lr co W s i-i Lt1 Q ?C _ �} T f 6 — CL < t�i L L` L' 1 Lid i :.i= -_ i tr` 3'^ i;_t s.1 = L CL uj L11 ti.t 0 Q £_? : a. �e t1' r-. ii;=:: £„3f �• N A r 1 10 A 1 M A O �' N ♦ W 10 P A Qf rr r r- # ';: O •- N A 1* 10 10 n 1b A O � /V 1°JI r 10 b ^ A A O � N pl ♦ 14 N N N N N N N N N N /r1 /°l P7 go N Co #I " A M q* f -W ♦ ♦ qw TO DO LIST April 18, 1 9 KENAI CITY CJJUNCIL WORK SESrION 1. C. Brown, Dave Burnett - ork with Dr. Hansen re/EMS Proposal: a. Develop training pl n b. Review of Interqua Program c. Include Borough S vice areas (Discuss with Borough Mayor) d. Costs for replac ment person during training period e . Research grant WI CHE Program, airport funds for funding f. Review propos 1 for EMS Coordinator within dept. g. For August 2 1989 work session jr TO DO LIS April 24, ]89 KENAI CITY/COUNCIL WORK SESSION 1. B. Brighton - Report f m Dept. heads re/requests for additional personnel: a. Justification ('ncreased work load?) b. Part time or f 11 time c. Any grant mo y available to offset costs d. Reports due or June 7 meeting 2. K. McGillivray - Get price of materials to build covered picnic area by ball fields j r