2012 Annual Report 2012 Annual Report

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1 YOE FIRE CO. AMBULANCE SERVICE INC Annual Report 2012 Annual Report Our Resolute Commitment to the Community s Our Resolute Commitment to the Emergency Healthcare Needs Community s Emergency Healthcare Needs

2 Board of Directors From Left to Right: Outgoing President David Wise, EMS Chief Ted Hake, Incoming President Donald Butch Potter Jr., Vice-President Charles Webb, Treasurer Allen Emenheiser, Director Adam Friend, Director Scott Laird and Director Terry Fix. Mission Statement Yoe Fire Company Ambulance Service is committed to providing high-quality emergency medical services to the communities we serve on a twenty-four hour a day basis. 2

3 2012 Report to the Community Greetings, I am honored to have been selected by the Yoe Fire Company Ambulance Service Board of Directors as its new President. Yoe Ambulance is an organization with strong community roots and for the past 40 years has provided prompt, professional emergency medical services (EMS). Yoe Ambulance has evolved throughout its history based on a forward looking assessment of the community s EMS needs. To this end, we have instituted an advanced life support program that staffs our ambulances with highly trained paramedics and established a partnership with Goodwill Fire Company of York Township to station an ambulance in the Spry area to reduce response time. Like other facets of the healthcare system, the EMS industry is experiencing declining reimbursements and increased costs to provide service. We are constantly challenged with how to increase efficiency without sacrificing the quality of our care. With many aspects of the federal Affordable Care Act yet to be implemented, these challenges are likely to be sustained for years to come. The successful EMS organization of the future must be prepared to anticipate and respond to changes in the healthcare system by adopting a philosophy of community-driven EMS. It must be prepared to expand its scope of services beyond that of traditional EMS care; to be proactive, not just reactive. EMS will always be ready to respond in times of crisis, but also must embrace its emerging role in injury and disease prevention and management. With the your continued support, whether responding to a medical emergency, lending support to our fire and law enforcement colleagues or providing other healthcare services, Yoe Fire Company Ambulance Service stands ready, 24 hours a day, to meet the community s needs and expectations. Sincerely, Donald E. Potter, Jr., EMT-Paramedic President/Chief Executive Officer Yoe Fire Co. Ambulance Service Inc. 2

4 2011 REPORT TO Yoe THE Fire COMMUNITY Co. Ambulance Service Inc. I am pleased to present to you Yoe Fire Company Ambulance Service s 2012 report to the community. During 2012, our agency responded to exactly 4,000 requests for emergency ambulance service. Despite issues with stagnant or declining reimbursement from various insurers, our EMS agency has continued to implement proven advances in emergency medical technology and we have not decreased any services. We are truly doing more with less as is evidenced by the following accomplishments: To enhance survival from cardiac arrest we placed three Lucas II automatic CPR devices into service. This device provides consistent high quality uninterrupted CPR to the pulseless patient. In order to better manage all types of cardiac related emergencies and standardize our equipment we purchased two additional Lifepak 15 cardiac monitors. Now all cardiac monitors in use at Yoe are the same state of the art model. Four paramedic shift supervisors were promoted from within our agency to address the need for an additional level of frontline management. Each supervisor is highly experienced in the delivery of EMS and has received formal education in preparation for their new role. The supervisors have improved our ability to respond Ted s to and resolve Letter issues (Include more efficiently photo) and they serve as a front-line resource to all of our staff and public safety colleagues on a 24-hour a day basis. Yoe provided comprehensive proposals for the delivery of emergency medical services to two municipalities within York County. Over 400 citizens participated in blood glucose screening and hypertension screening offered by Yoe Ambulance at community health events. The Board of Directors was expanded from five experienced directors to seven in response to the growth and complexity of our EMS agency and the industry as a whole. Our contract with the Federal Emergency Management Agency for disaster response was renewed, bringing with it the opportunity for Yoe to be better prepared to respond to disasters as part of a federal task-force. Our staff achieved a 91% overall patient satisfaction rating, a significant achievement in light of the very difficult and challenging situations we encounter patients in. Please see page five of this report for an overview of our ongoing efforts to measure patient satisfaction. While many uncertainties lie ahead, I am confident that our agility and resolute commitment to the community s emergency healthcare needs will ensure our EMS agency not only survives, but excels. I welcome any questions or inquires you may have after reviewing this report. Sincerely, Ted Hake B.S., NREMT-Paramedic EMS Chief/Chief Operating Officer Yoe Fire Co. Ambulance Service Inc. 3 4

5 2012 Report to the Community Shown Above: Numerous units from Yoe Ambulance Service on the scene of a sudden cardiac arrest at a local golf course. FAST FACTS Founded: October, 1972; Incorporated as a 501c3 Non-Profit Corporation in 1978 Municipalities Served: Yoe Borough, Dallastown Borough, Windsor Township & York Township Population Served/Response Area: 42,845 People in 21 Square Miles Number of Stations: 2 Number of Licensed Vehicles: 5 Level of Service: Basic & Advanced Life Support Care & Transportation Total Number of Staff: 51 Number of Full-Time Employees: 16 Number of Part-Time Employees: 21 Number of Volunteers:14 Annual Operating Budget (2013): $1,488,920 Annual Call Volume (2012): 4,000 Emergency Responses Average Time from Dispatch until Responding (2012): 66 Seconds Average Time from Responding until On the Scene (2012): 7.2 Minutes Overall Customer Satisfaction Score (2012): 91% 5 4

6 Yoe Fire Co. Ambulance Service Inc. PATIENT SATISFACTION Care shown by the medics who arrived with the ambulance Degree to which the medics took your problem seriously Degree to which the medics listened to you and/or your family Skill of the medics Extent to which the medics kept you informed about your treatment Extent to which medics included you in the treatment decisions (if applicable) Degree to which the medics relieved your pain or discomfort Medics' concern for your privacy Extent to which medics cared for you as a person Overall Section Score Benchmark Section Score How well did our staff work together to care for you Extent to which our staff eased your entry into the medical facility Appropriateness of Emergency Medical Transportation treatment Extent to which the services received were worth the fees charged Overall rating of the care provided by our Emergency Medical Transportation service Likelihood of recommending this ambulance service to others Overall Section Score Benchmark Section Score 5

7 2012 Report to the Community Shown Above: Station 36 - Yoe Borough ANNUAL RESPONSES BY MUNICIPALITY Yoe is truly a regional provider of EMS; having provided service in 28 municipalities in Municipality Station 19 Station 36 Total Chambersburg Borough Chanceford Township Cross Roads Borough Dallastown Borough Felton Borough Gettysburg Borough Hallam Borough Hanover Borough Harrisburg City Hopewell Township Jacobus Borough Lower Chanceford Township Lower Windsor Township North Hopewell Township Red Lion Borough Seven Valleys Borough Spring Garden Township Springettsbury Township Springfield Township West Manchester Township West York Borough Windsor Borough Windsor Township Winterstown Borough Yoe Borough York City York Township 1, ,579 Yorkana Borough Total: 1,896 2,104 4,000 6

8 Yoe Fire Co. Ambulance Service Inc. ANNUAL RESPONSES BY TYPE OF EMERGENCY Shown Below: Station 19 - York Township 7

9 2012 Report to the Community 5% 3% 1% 9% 10% 72% OUTCOME OF EMS INCIDENTS Transported Cancelled Refused Transportation Not Injured Standby Only Dead At Scene % % SERVICE LEVEL REQUIRED Basic Life Support (BLS) Advanced Life Support (ALS) MICU 36-1 and MICU 19-2 on the scene of a winter recreational accident. 8

10 Yoe Fire Co. Ambulance Service Inc. Yoe Ambulance MICU 19-2 on the scene of a motorcycle crash. EMS Billing Subscriptions Tax Dollars Other 11% 6% 7% 76% REVENUE AND EXPENSES 5% Personnel & Benefits 4% Vehicle Maintenance & Fuel Management/Administration General Operating Facilities 17% 2% 75% Revenue Sources Expenses 5000 INCREASING DEMAND FOR SERVICE Call Volume:

11 2012 Report to the Community Shown Above: Yoe Ambulance began operations from Goodwill Fire Co. in York Township in 2004, the last time an ambulance was based within York Township was THE COST OF UNCOMPENSATED CARE Beginning Accounts Receivable 01/01/12 $326,912 Total Amount Billed $2,853,403 Less Contractual Allowances* $1,266,929 Less Bad Debt/ Charity Care Less Billing Service Fees Less Membership Write-offs $91,678 $83,553 $261,469 Actual Revenue Collected 12/31/12 $1,222,373 $0.0 $1,000,000.0 $2,000,000.0 $3,000,000.0 *Contractual allowances represent revenue that cannot be collected due to insurance regulations, such as those regulations that exist within the Medicaid and Medicare programs. The patient cannot be billed for contractual allowances. 10

12 Yoe Fire Co. Ambulance Service Inc. P.O. Box 485 Dallastown, Pennsylvania (717)

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