Showing posts with label Ambulance. Show all posts
Showing posts with label Ambulance. Show all posts

Friday, July 10, 2015

Rural/Metro: Naw, it's all good. Heh

Rural/Metro fired back at its critics late Thursday, issuing a statement in response to Knox County's July 1 letter, asking the company to explain some potential problems. (I have a brief thought after all this.)

Its spokesperson said: "I can tell you that Rural/Metro will have more to say regarding this matter in light of events late this afternoon, and will likely be reaching out to media tomorrow (today) to lend additional perspective.

Key messages for the public to know: 
  • Rural/Metro has served Knox County for some 30 years and is in 100% compliance with its Knox County contract.
  • Much of the information in the original letter from Knox County was erroneous, the most egregious of which was that Rural Metro engaged “use of Mutual Aid approximately 78 percent of the time from January—March 2015,” when in actuality, the use of mutual aid, during that time period, was less than one percent.
The company had a more detailed response in a file it sent us. Read it RIGHT SMACK HERE.

Rural/Metro added: Despite the troubling inaccuracies in the original letter from Knox County, Knox County has yet to redact any of the false information, opting not to do so in late-day media interviews and via its own press release late this afternoon, following meetings with Rural/Metro in which it was made clear the problems with the memo.

One of the issues the county had was tied to June response times. It should be noted that Rural/Metro does not address that in its file (RIGHT SMACK HERE) other than to say that officials had not reviewed them or signed off on them. That's often code for "oops."

Thursday, July 9, 2015

County asks Rural/Metro to explain potential 'service related issues'

Knox County has asked its ambulance provider Rural/Metro to explain why a number of "potential indicators of service-related issues" have occurred.

In a letter, dated July 1, Knox County Purchasing Director Hugh Holt asks for a  “written explanation and an action plan to remedy these performance related issues.”


The letter, county officials say, is a  "proactive effort to identify potential issues that could develop into problems that impact public safety."

MORE: Contract, compliance reports and Letter from Holt

Officials said they were concerned about the company's local staffing levels, and "its seemingly frequent use of mutual aid and an early assessment of June 2015 performance numbers that indicate Rural Metro’s response times may not meet contractual obligations."

The county’s contract with Rural/Metro allows the company to use mutual aid agreements in responding to calls when necessary, and also requires that, at least 90 percent of the time, a first responder arrives on-scene within 10 minutes of a call for emergency medical service.

The early assessment of June’s response data may indicate a 10-minute-or-less response time of just under 90 percent, which could trigger fines for Rural/Metro.

That's why, county leaders say, they asked the company to explain it's "frequent use of mutual aid and what appear to be below-benchmark response times."

“When someone calls 911 for a medical emergency, they deserve to know they’ll receive an appropriate response, which is why Knox County is doing its due diligence. It’s our duty to ensure public safety,” said Knox County Mayor Tim Burchett. “A primary reason we have a contract for this sort of service is to ensure performance and maintain accountability.”

Thursday, February 26, 2015

Parker appointed to replace McNutt on Knox County Election Commission

Republicans in the local Legislative delegation appointed Hannah Parker, a media relations expert, to the Knox County Election Commission.

Parker, who worked for Bill Haslam when he was mayor and governor, replaces Rob McNutt on on the 5-member panel.

The state lawmakers on Thursday also re-appointed the commission’s chairman, Chris Heagerty, and Robert Bowman, both attorneys, to fill the other two slots Republican slots.

“It was a very close vote and there was a lot of discussion,” said state Rep. Ryan Haynes, chairman of the delegation.

Haynes declined to say how members voted.

“I’m tremendously honored for the opportunity to serve and look forward to working to ensure that elections are conducted fairly and with integrity,” Parker told WBIR 10News Thursday. “I don’t have any reason to believe that hasn’t been the case, but that was my main reason for wanting to participate (on the commission).”

The Democrat members of the Legislative delegation will make their appointments in the coming days.

Cassandra McGee Stuart, who works at Oak Ridge National Laboratory, and lawyer Tammy Kaousias currently represent the party on the commission.

Under state law, the political party that holds a majority in the General Assembly also holds a majority on local election commissions. The local delegation makes the appointments, which are then rubberstamped by state Election Commission.

Parker joined Knoxville-based PR firm Moxley Carmichael in June 2014. Prior to that, she served in Gov. Haslam’s administration as deputy for operations. She also worked in the Office of Policy and Communications for Haslam during his tenure as Knoxville’s mayor.

She will take over as director of community relations for the Emerald Youth Foundation on March 9.
In her cover letter to state lawmakers, she noted: “As a lifelong Knoxvillian, I genuinely care about our community. Should I have the honor of being selected as an election commissioner, I will serve with the utmost integrity, putting policy over personality and always seek to maintain the public’s trust in our election process.”

Local political insiders expected the delegation to keep Heagerty and Bowman, but McNutt’s appointment was in question.

A number of insiders felt he was picked back in 2011 only to help oust then-Knox County Elections Administrator Greg Mackay, a Democrat.

A few years prior, Republicans attempted to replace Mackay, but then-commissioner Paul Crilly voted with the two Democrats to retain him. Upset, the delegation replaced Crilly with McNutt.

The commission, with McNutt on board, then ousted Mackay in a 3-2 vote, and later hired current administrator Cliff Rodgers.

Rodgers has since been unanimously retained once and is expected to be kept the next time the commission votes, which more than likely will be in April.

A number of state lawmakers were upset with McNutt after it was revealed that he voted outside his precinct more than half a dozen times prior to his appointment on the commission.

His strongest supporter on the delegation was former state Rep. Steve Hall, who lost his re-election bid last year.

The commissioners and the administrator of elections serve two year terms, although the administrator serves at the pleasure of the panel. Neither is term-limited.

Thursday, December 13, 2012

AMR ends ambulance contract protest

Well, looks like the whole ambulance contract services bid thing is over.

American Medical Response declined to take its protest to the next level Wednesday afternoon when it opted not to appeal to county finance director "Casual" Chris Caldwell.

Mike Cohen, spokesman for the company, confirmed it for me in an email.

The contract, which Rural/Metro won, is good for five years with two, five-year extensions. From early discussions most people figure it will roll over each time, so Rural/Metro will be around for another 15.

In the meantime, from the brief discussions I've had with commissioners, most are glad it's over as they didn't want a repeat of the mess/headaches from 10 years ago.

Sunday, December 2, 2012

Comparing ambulance transport costs

So, Rural/Metro got the ambulance contract. Conspiracy theories start in 3. . . 2 . . . 1 . . . .

Heh.

Anyhoo, I'm curious just how much these ambulance companies make off the contracts. I mean really. We report that it's more than $60 million over the life of the five-year deal, but I've heard it's as much as $50 million A YEAR!

But, the money, folks, isn't made off those trips to the ER, it's made off transports to the dialysis centers. And we got plenty of those here.

The county, though, in the bidding process, did make the three companies that bid on the contract disclose some stuff, like transport fees. Its not a lot of info, but it provides some insight into how much you or your insurance company is going to shell out.

Here's the numbers for Rural/Metro:
  • Advance Life Support Emergency Service: $755.25 base charge and $8.73 a mile
  • Advance Life Support Non-Emergency Service: $755.25 base charge and $8.73 a mile
  • Basic Life Support Emergency Service: $755.25 base charge and $8.73 a mile
  • Basic Life Support Non-Emergency Service: $326 base charge and $8.73 a mile
  • Critical Care Transport: $936.64 base charge and $8.73 a mile
American Medical Response (AMR) was runner-up in the bidding process, so here's a look at their rates (please not that the rate costs were just one of a number of things the evaluation committee studied):
  • Advance Life Support Emergency Service: $825 base charge and $12 per mile
  • Advance Life Support Non-Emergency Service: $695 base charge and $12 per mile
  • Basic Life Support Emergency Service: $575 base charge and $12 per mile
  • Basic Life Support Non-Emergency Service: $353 base charge and $12 per mile
  • Critical Care Transport: $825 base charge and $12 per mile
Third place was Falck. Here ya go:
  • Advance Life Support Emergency Service: $750 base charge and $9.95 per mile
  • Advance Life Support Non-Emergency Service: $750 base charge and $9.95 per mile
  • Basic Life Support Emergency Service: $595 base charge and $9.95 per mile
  • Basic Life Support Non-Emergency Service: $325 base charge and $9.95 per mile
  • Critical Care Transport: $750 base charge and $9.95 per mile
In addition, Falck had some ad-on fees, charging $75 for each of the following: oxygen administration, EKG, IV administration, medication administration (really?), and “treatment no transport.”