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Annual Report 2014 2015

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Annual Report 2014 2015

  1. 1. BLAIR TOWNSHIP EMS ANNUAL REPORT FY 2014 - 2015 Competence, Integrity, Safety, and Compassion
  2. 2. BLAIR TOWNSHIP EMS: ANNUAL REPORT FY 2014-2015 Page 2 Contents To Those For Whom We Provide and Care______________________________________________________________3 Mission and Values _______________________________________________________________________________________4 Run Statistics___________________________________________________________________________________________ 5-8 Financial Considerations_____________________________________________________________________________9-11 Independent Auditor’s Report_________________________________________________________________________ 12 What People Are Saying ________________________________________________________________________________ 13 Company Contact Information_________________________________________________________________________ 14
  3. 3. BLAIR TOWNSHIP EMS: ANNUAL REPORT FY 2014-2015 Page 3 To Those for Whom We Provide Care Dear Friends and Colleagues, I am proud to present to you the Blair Township EMS annual report, covering the fiscal year 2014 to 2015. Within it, you will find highlights of our operational statistics, financial position, technology, and our vision looking forward. Statistical Highlights As our patients are the most important aspect of what we do, you will notice that we have monitored the amount of quality time we spent caring for them. I have praised our crews for maximizing this time with them, which is not typically what is suggested within our initial education. We have often been taught that the principle of pre-hospital medicine is to minimize this time, when in reality, this thought process is antiquated, as what is most important to us is providing the highest level of care, while showing the patient we truly care. Additionally, we have benchmarked our response times so that we can further assess the process of bringing emergency medical care to the point of injury or illness of our patients in their time of need. We also looked at the age group, type of injury or illness, and type of response requested, so we can ensure that our training is balanced around the type and group whom is most critical and we are least exposed to in order to sharpen our skills and increase our knowledge level in those areas. Lastly, we have benchmarked the utilization and success rate for our critical procedures. These standards will help plan for times of higher utilization as well as finding areas where we need to train more frequently to ensure the highest standard of care. Financial Highlights When it comes to our financial condition we have improved. Changes to our billing and documentation processes have increased the revenue we receive from billing insurance companies and non-Blair Township taxpayers for medical services rendered. This financial condition has afforded us the ability to offer cutting edge technology at no additional cost to the taxpayers of Blair Township adding value to each dollar paid as part of our millage. Technology Blair Township set the standard for preparation in the event of an outbreak of the Ebola Virus. Your Blair Township EMS providers were better prepared than any other department in the region and helped design the process for which a patient would be transported to the hospital as well as how we would prevent the spread of the virus to subsequent patients. We added patient ventilators which provide a more consistent and controlled respiration to patients who are not breathing. We became the first agency in Northern Michigan who does not do interfacility transfers to have this of equipment. Furthermore, we began using a new style IV pump, which has a drug library built in. This technology ensures that medications that are used on an infrequent basis are given in the most controlled manor. Looking Ahead In looking ahead, we will continue to offer the greatest level of care available at the best possible cost to our taxpayers. We promise to continue to improve as an organization and will be excited to share these accomplishments with you as they come. Please follow us on Facebook and YouTube; you can also visit us at www.blairtownship.org. Thank you for reading. Sincerely, Edward J Draper EMS Medical Director April 12, 2016
  4. 4. BLAIR TOWNSHIP EMS: ANNUAL REPORT FY 2014-2015 Page 4 Our Mission Our Blair Township EMS providers will safely provide for our patients, the best patient care available through our customer service, competence, integrity, and compassion. Core Values Blair Township EMS deeply believes in the following values:  To treat our patients and their families with respect and dignity  To be compassionate emphasizing in comfort and care  To advocate for the best interested our patients  To achieve individual excellence to support personal and organizational growth
  5. 5. BLAIR TOWNSHIP EMS: ANNUAL REPORT FY 2014-2015 Page 5 Run Statistics Minutes Spent with Patients: The time we spend with our patients is of utmost importance to us; therefore, it is the first statistic we have documented for you. As you can see below, our average time per employee was 34.6 minutes from arrival at the patient until the time we left them either at their home when transport was unnecessary or when we transferred care at the hospital. You can also see that we have spent a total of 58,418 minutes with these patients, which equates to over 973 hours or over 40 days’ worth of time with our patients.  Average Per Employee: 34.6 minutes  Total Time Spent with Patients: 58,418 Minutes (973.63 Hours/ 40.56 Days) Patients by Age: Knowing the distribution of age for our population helps us determine the type and frequency of training we need to implement to be prepared for the type of patient we see frequently and the ones we see most infrequently. 0 1000 2000 3000 4000 5000 6000 25 30 35 40 45 50 Total Minutes Spend with Patients 1 23 24 32 131 273 232 403 167 0 - 30 Days 1 Mth-3 Yrs 4-11 Years 12-17 Years 18-29 Years 30-49 Years 50-59 Years 60-79 Years 80+ Years Patient By Age FY 2014-15
  6. 6. BLAIR TOWNSHIP EMS: ANNUAL REPORT FY 2014-2015 Page 6 Response Times: Monitoring our response times (Dispatch to Scene time) ensures that we are getting out the door and providing getting to the patients who need us the most in the shortest amount of time available. As the use of lights and siren only minimally effect the end result of response times, these numbers are most effected by the time it takes to get out of the door, traffic, traffic signals, and the distance between the patient’s home and our station. Type of Call by Month: At Blair Township, we monitor the types of call we respond to in order to help determine the distribution of our work. As you can see, we respond to a similar number of scene responses as requests for ALS intercept, with most months having a few more intercepts than scene responses. 6.47 6.71 6.85 6.66 6.2 6.3 6.4 6.5 6.6 6.7 6.8 6.9 FY 2011 - 2012 FY 2012 - 2013 FY 2013 - 2014 FY 2014 - 2015 Amb Ave Response Time (Disp - Scene) 16.38 16.7 16.63 16.72 16.1 16.2 16.3 16.4 16.5 16.6 16.7 16.8 FY 2011 - 2012 FY 2012 - 2013 FY 2013 - 2014 FY 2014 - 2015 Echo Unit Ave Response Time (Disp - Scene) 0 100 200 JAN FEB MAR APR MAY JUN JUL AUG SEP OCT NOV DEC Call Category By Month FY 14-15 Intercept Medical Transport Mutual Aid Public Assistance/Other Not Listed Scene Standby No Data Total:
  7. 7. BLAIR TOWNSHIP EMS: ANNUAL REPORT FY 2014-2015 Page 7 Call Type Distribution: The pareto chart below shows the types of incidents we respond and the numbers of each. We use this type of chart to determine the highest percentage of calls as well as the highly acute calls that we see infrequently. We use this to plan our training for the year to come. Number of Patient Transports: The chart below is used to monitor the number of patients we transport in a year; this is helpful when determining supply need as well as utilization of equipment. This also helps us forecast the number of transports when we consider our revenue expectations. 374 354 339 437 300 320 340 360 380 400 420 440 460 FY 2011 - 2012 FY 2012 - 2013 FY 2013 - 2014 FY 2014 - 2015 Patients Transported
  8. 8. BLAIR TOWNSHIP EMS: ANNUAL REPORT FY 2014-2015 Page 8 Procedure Percentages: The chart below shows that we have had an increase in our percentage for success with advanced life support procedures. This benchmark is what we monitor to continuously improve the care we provide to our patients. The chart below indicates within which quarter of FY 2014-2015 we performed each of the procedures. 0.00% 20.00% 40.00% 60.00% 80.00% 100.00% FY 2012 - 2013 FY 2013 -2014 FY 2014 - 2015 72.40% 71.90% 75.90% 100% 100% 83.30% 76% 76% 91.30% 100% 100% 100%100% 100% 100% Procedure % By Year IV IO ETT Cric Needle Thoracotomy 1st 2nd 3rd 4th -25 25 75 125 175 225 275 325 Procedures Per Qtr FY 14-15 1st 2nd 3rd 4th
  9. 9. BLAIR TOWNSHIP EMS: ANNUAL REPORT FY 2014-2015 Page 9 Financial Summary Statement of Financial Position Blair Township EMS is primarily funded through a millage of 1.5 mils, fee for service revenue received, and fees for service of contracted services. As of June 30th, 2015 our fund balance was $474,611; which is over six (6) months operating costs at 51.7% of our next year’s budget. Statement of Comprehensive Income (Profits and Losses) During this budget year, ambulance was purchased for $250,000, which the funding for this had simply been saved for through the growth of our fund balance over the previous years, resulting in an expense into fund balance to purchase the apparatus. When this purchase is not considered in the equation, we put $16,220 toward fund balance with the daily operative budget. • Income: $855,856 • Expenses $1,089,636 • Profits ($233,780) 0 200000 400000 600000 800000 1000000 2014-2015 2016-2017 Fund Balance - Budget Ratio -400,000 -200,000 0 200,000 400,000 600,000 800,000 1,000,000 1,200,000 Income Expenses Spent from Fund Balance Profit - Loss
  10. 10. BLAIR TOWNSHIP EMS: ANNUAL REPORT FY 2014-2015 Page 10 Billing and Collections • Approximately 54% of our budget depends on revenue from patient services at $465,839 for FY 2014-2015. About 43%. The remaining 3% of our budget comes from other • Patient Services Revenue: $465,839 • Millage Revenue: $368,941 • Other Operating Revenue: $21,076 Each year for the past three years, we have made changes to our billing process and rates. With these changes we have increased our average daily revenue by 28% percent. This improves our ability to provide better equipment and technology to our residents with no change in the millage assessment. 0 500 1000 1500 2000 2500 3000 3500 4000 July August September October November December January February March April May June Average Daily Revenue Average Daily Revenue by Month $2,000.00 $2,200.00 $2,400.00 $2,600.00 $2,800.00 $3,000.00 $3,200.00 FY 12-13 FY 13-14 FY 14-15 Average Daily Revenue - Annual Change
  11. 11. BLAIR TOWNSHIP EMS: ANNUAL REPORT FY 2014-2015 Page 11 Billing and Collections (Continued) The average number of days our billing is in accounts receivable affects the flow of cash-on-hand. As you can see in the chart, we were hovering around 42 to 44 days average and after implementing a new system for monitoring our documentation, we were able to drop our average nearly 10 days. The chart below represents the cash receipts for the past 4 years. It shows that the changes we have made to the billing over the last year have increased our cash receipts. Takeaways Ultimately, our financial position is better than it has been in years past. We have increased our average daily revenue and cash receipts, as well as decreased the average days that our billing is in accounts receivable. 30 32 34 36 38 40 42 44 46 0 1 2 3 4 Average Days in Acounts Receivable 300000 350000 400000 450000 500000 550000 FY 11-12 FY 12-13 FY 13-14 FY 14-15 Cash Receipts by Fiscal Year
  12. 12. BLAIR TOWNSHIP EMS: ANNUAL REPORT FY 2014-2015 Page 12 Independent Auditor’s Report The Township was audited by a certified public accounting firm, TOBIN & CO.,P.C.; a report was provided. Their statement is provided below: We have audited the accompanying financial statements of the governmental activities, each major fund, and the aggregate remaining fund information of Blair Township as of and for the year ended June 30, 2015, and the related notes to the financial statements, which collectively comprise the Township’s basic financial statements as listed in the table of contents. Management’s Responsibility for the Financial Statements Management is responsible for the preparation and fair presentation of these financial statements in accordance with accounting principles generally accepted in the United States of America; this includes the design, implementation, and maintenance of internal control relevant to the preparation and fair presentation of financial statements that are free from material misstatement, whether due to fraud or error. Auditor’s Responsibility Our responsibility is to express opinions on these financial statements based on our audit. We conducted our audit in accordance with auditing standards generally accepted in the United States of America. Those standards require that we plan and perform the audit to obtain reasonable assurance about whether the financial statements are free from material misstatement. An audit involves performing procedures to obtain audit evidence about the amounts and disclosures in the financial statements. The procedures selected depend on the auditor’s judgment, including the assessment of the risks of material misstatement of the financial statements, whether due to fraud or error. In making those risk assessments, the auditor considers internal control relevant to the entity’s preparation and fair presentation of the financial statements in order to design audit procedures that are appropriate in the circumstances, but not for the purpose of expressing an opinion on the effectiveness of the entity’s internal control. Accordingly, we express no such opinion. An audit also includes evaluating the appropriateness of accounting policies used and the reasonableness of significant accounting estimates made by management, as well as evaluating the overall presentation of the financial statements. We believe that the audit evidence we have obtained is sufficient and appropriate to provide a basis for our audit opinions. Opinions In our opinion, the financial statements referred to above present fairly, in all material respects, the respective financial position of the governmental activities, each major fund, and the aggregate remaining fund information of Blair Township, as of June 30, 2015, and the respective changes in financial position and, where applicable, cash flows thereof for the year then ended in accordance with accounting principles generally accepted in the United States of America. Other Matters Accounting principles generally accepted in the United States of America require that the management’s discussion and analysis and budgetary comparison information on pages 9 through 12 and 35 through 45 be presented to supplement the basic financial statements. Such information, although not a part of the basic financial statements, is required by the Governmental Accounting Standards Board, who considers it to be an essential part of financial reporting for placing the basic financial statements in an appropriate operational, economic, or historical context. We have applied certain limited procedures to the required supplementary information in accordance with auditing standards generally accepted in the United States of America, which consisted of inquiries of management about the methods of preparing the information and comparing the information for consistency with management’s responses to our inquiries, the basic financial statements, and other knowledge we obtained during our audit of the basic financial statements. We do not express an opinion or provide any assurance on the information because the limited procedures do not provide us with sufficient evidence to express an opinion or provide any assurance. Other Information Our audit was conducted for the purpose of forming opinions on the financial statements that collectively comprise Blair Township’s basic financial statements. The introductory section, combining and individual nonmajor fund financial statements, and statistical section are presented for purposes of additional analysis and are not a required part of the basic financial statements. The combining and individual nonmajor fund financial statements are the responsibility of management and were derived from and relate directly to the underlying accounting and other records used to prepare the basic financial statements. Such information has been subjected to the auditing procedures applied in the audit of the basic financial statements and certain additional procedures, including comparing and reconciling such information directly to the underlying accounting and other records used to prepare the basic financial statements or to the basic financial statements themselves, and other additional procedures in accordance with auditing standards generally accepted in the United States of America. In our opinion, the combining and individual nonmajor fund financial statements are fairly stated, in all material respects, in relation to the basic financial statements as a whole. The introductory and statistical sections have not been subjected to the auditing procedures applied in the audit of the basic financial statements and, accordingly, we do not express an opinion or provide any assurance on them. TOBIN & CO., P.C. Certified Public Accountants December 7, 2015
  13. 13. BLAIR TOWNSHIP EMS: ANNUAL REPORT FY 2014-2015 Page 13 What People Are Saying “Thanks for coming to visit, Blair!” “I would like to wish the department a Merry Christmas and Please all of you be safe” “I just wanted to thank all of you for the medical help I have received from you in the past… GOD BLESS ALL OF YOU” “Appreciate the planning” “Congrats on your new unit and thank you for keeping our community on the priority list when it comes to spending dollars.” “That unit is just beautiful” “Great Job All”
  14. 14. BLAIR TOWNSHIP EMS: ANNUAL REPORT FY 2014-2015 Page 14 Contact Information EDWARD J DRAPER EMS MEDICAL DIRECTOR Tel (231) 276.9354 Fax (231) 276.6686 ems@blairtownship.org Company Information Blair Township Emergency Medical Services 2121 County Road 633, Grawn, Michigan 49637 Tel (231) 276.9354 Fax (231) 276.6686 www.blairtownship.org https://www.facebook.com/BlairTownshipFireAndEms/ https://www.linkedin.com/company/blair-township-emergency-servcies

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