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10 <br /> <br />• Recurring Capital - $194,890 <br />– Ambulance Outfitting, Equipment Replacement <br />– Increase from FY2018-19 Recurring Capital of $104,816 <br />• Comprehensive Emergency Management Plan <br />– Streamline Local Response Process Across Jurisdictions <br />– Involve All Stakeholders in Emergency Management Response <br />– Costs Shared with Municipalities <br />• EMS Revenue – Collected by Tax Administration - graph <br /> <br />Commissioner Dorosin asked if, given that every year the actual revenue exceeds the <br />budget, there is a reason to not increase the budgeted amount. <br />Travis Myren said, upon review, he notified Dwane Brinson (Tax Administrator) that staff <br />would add another $200,000 in additional revenue for this. <br />Commissioner Price said the recommendation for Operations is about $140,000 less, <br />and asked if there is a reason for this. <br />Travis Myren said he does not recall the reason for the decrease in operations, but <br />believes it to be based on the department’s requests, as opposed to budget cuts. <br />Commissioner Price said there seems to be more calls and more activity, yet the budget <br />is lower. <br />Bonnie Hammersley said it was not cut, but is based on departmental requests. <br />Dinah Jeffries, Emergency Services Director, said the department prioritized needs, and <br />there were choices for equipment for the EMS division. She said staff stayed focus on needs <br />and not wants. <br />Commissioner Price said she just wants to make sure the departments have what they <br />need, especially as natural disasters seem to be on the rise. <br />Dinah Jeffries said she would love to have everything they ask for, but her staff tries to <br />focus on the priorities for service to the community. <br />Travis Myren resumed the PowerPoint presentation: <br /> <br />• Emergency Services <br />• Community Paramedic - $55,204 <br />– 1.0 FTE Starting July 1, 2019 <br />– Included in the FY2018-19 Budget Contingent on Revenue <br />– FY2019-20 Budget Lifts the Revenue Contingency <br />• Population Served <br />– Falls at Home <br />– Congestive Heart Failure & Chronic Obstructive Pulmonary <br />Disease (COPD/Emphysema) <br />– Substance Abuse/Overdose Follow-up <br />• Program Outcomes <br />– Reduce Falls <br />– Decrease 911 Calls and Emergency Dispatch for Falls <br />– Reduce Transports to the Emergency Room for Falls <br />– Reduce Hospital Readmission Rates for Heart Failure & COPD <br />– Connect Residents with Recent Overdose Experience with <br />Treatment Resources <br /> <br />Commissioner Greene asked if there are examples of other counties that have the <br />Community Paramedic position in place, and if the is impact known. <br />Dinah Jeffries said Orange County is kicking off this program with one position only, and <br />the hope is this person will serve many people. She said currently, the County is calling people