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EMT-Paramedics <br />Fiscal Impact: <br />Position Annual Pos Cost <br />(SalaryBenefits) Operatin <br />g Cost One Time <br />Start Up Cost Offsetting <br />Budget Total Net 99-00 <br />County Cost <br />First Paramedic $39,545 $1,372 $27,750 $20,000 $48,667 <br />Second Paramedic $39,545 $1,372 $3,000 $12,000 $31,917 <br />Third Paramedic $39,545 $1,372 0 $26,000 $14,917 <br />TOTAL $120,321 $4,116 $30,750 $58,000 $95,501 <br />The start up costs cover one 12-lead ECG defibrillator, Advanced Life Support medical <br />equipment, portable radios and vehicle equipment to convert two off-line Sheriff's cars into <br />paramedic response vehicles.. The average per year additional cost after 1999-00 to amortize <br />the cost of a new replacement vehicle is $5,000 a year per car for four years. <br />EMS Revenue Collection: <br />Fiscal Year 1996-97 (start 10-96) 1997-98 1998-99 (projected) <br />Amount Collected $152,916 $471,842 $530,000 <br />Workload Trends and Impacts: <br />This chart below shows the changing relationship between various paramedic workload <br />components. The solid black represents the portion of the paramedic workload consisting of <br />priority medical responses. The shaded portion represents other paramedic responses that <br />EMS was able to virtually eliminate in 1997. These included "possible injury" car crashes, <br />convalescent ambulance transports, doctor's office visits, unknown fire scene standbys, and <br />contracted calls to northern Chatham county. The solid white indicates the number of <br />potential EMS calls under the "old" EMS system. <br />EMS Call Volume <br />Trend shows approximate 15 percent annual increase in Priority Medical Calls <br />20000 <br />~sooo <br />W <br />U <br />O 10000 <br />c <br />0 <br />v <br />sooo <br />0 <br />92-83 83-94 94-9s 95-96 96-97 97-98 98-99 99-00 <br />O Workload <br />Avoided <br />Other <br />Responses <br />^ Priority <br />Medical <br />Responses <br />10 <br />By reducing the number ofnon-priority calls handled by paramedics, EMS has maximized <br />the efficiency of the current staff that has remained the same since 1992. The workload has <br />been held relatively constant by developing alternatives for handling non-priority calls. <br />