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Draft
budget for the proposed EMS Board
Just how was the anticipated cost of operating the Kentucky Board of
Emergency Medical Services, as proposed in House Bill 405, calculated?
The
Kentucky Ambulance Providers Association has provided a copy of
the draft budget, prepared by Ira Dyer, that was used to come up
with the appropriation for HB 405 HCS. KAPA asks that you
pay particular attention to the areas under specialized training
programs with emphasis on pediatrics, management and medical
oversight.
Kentucky
EMS Board Proposed Budget
Personnel:
$1,238,090
Executive Director: The KY Board of EMS will select and
employ an Executive Director. This person should have a Master's
degree in a field closely related to Public Administration, Public
Safety or Health Care Administration. He / She should have
extensive experience with EMS systems and would be responsible for
the administration and management of all office and Field Staff.
Deputy Director: Will be selected by the Executive Director. This
person should have background and education similar to the Executive
Director. He/She will supervise the Education Specialists and all Field
Representatives.
Attorney: Will be selected by the Executive Director. He/She will
administer and supervise the Regulation Specialist, Investigator's,
Licensing Specialist and Credentials Specialist.
Grant Specialist: Will be selected by the Executive Director. He/She
will administer the statewide grant programs.
Information System Specialist: Will be selected by the Executive
Director. He/She will be responsible for selection, maintenance and
training of staff on computer systems operated by the Board.
Medical Advisor: Will be a contracted position based upon
approximately 500-600 hours annually. Shall be a physician that provides
guidance to the staff on topics related to acceptable medical standards
of care in both educational and operation issues. This person may act as
an informational resource to local physicians on EMS issues, but is not
intended to dictate to or replace local medical directors.
Total Staff: 33 Persons
Office Expenses: $552,500
Rental: To provide space for the office and
field staff of the KBEMS. This will include a centralized office and
remote offices for field staff. Use of technology will be maximized to
decrease the need for regional office space
Equipment: Primarily represents start up expenses the first year.
This includes the cost of establishing an effective computer system that
can be utilized by all staff in an effective manner.
Mailing, Office Supplies, Utilities and Telephone: Estimates only.
Board Expenses: $54,000
This represents the cost directly related to
meetings of the KBEMS. This is an estimate only. Expenses may vary
according to activity of the Board.
Specialized Training Programs: $434,500
Overview: These funds are
designed to "seed" needed educational efforts within the EMS
programs at Eastern Kentucky University and the KY EMS Academy of
Western KY University. Each university will then promote and offer
specific educational programs to EMS personnel within their respective
area of the state and/or specialty.
ALS Level: Directed towards strengthening the Paramedic educational
programs historically conducted in the rural areas of Kentucky.
Utilization of current technologies should be used to solidify the core
sciences presented to paramedic students. This may include the use of
interactive computer based education, telelectures and other innovative
approaches to adult education.
BLS Level: Directed to enhancing the quality of instruction to
persons currently offering continuing medical education to the primary
emergency responders in Kentucky. This may include a series of workshops
on adult educational methodology or coordinating this process with
existing educational institutions throughout the state.
Hazardous Materials: The risk of injury to EMS personnel at a
Hazardous Materials incident is great and growing daily. This includes
their ability to effective deal with the consequences of an incident
involving weapons of mass destruction. This program is geared in these
specific areas.
Pediatrics: Addressing the specialized needs of our youth. This will
be directed towards emergency care and injury / illness prevention
strategies to be carried out by the local EMS providers in conjunction
with existing local programs and resources.
Communications: Aimed at improving the initial and continuing
educational needs of emergency call takers and dispatchers throughout
Kentucky.
Critical Care Transfer: The demands placed on local EMS providers and
hospital staffs in effectively caring for a critically ill or injured
person during a transport from the local hospital to specialty care
hospital are increasing rapidly. This has caused an immense strain on
EMS systems across the state. This educational program seeks to prepare
EMS providers in effectively and safely dealing with these critical
incidents.
Management: This is aimed at improving the management skills of the
local EMS manager and for those wishing to become supervisors and
managers. These programs should deal with such basic skills as:
budgeting & cost accounting; effective supervision techniques,
report writing, employee health and safety; mentoring, ECT. Use of
existing resources at both universities may be utilized to conduct these
programs.
Medical Oversight: This is aimed at the local physician serving as
the Medical Director and the manager responsible for administering the
local EMS system. The purpose of this program is to provide a forum to
explore the responsibilities of each role and to develop methods of
jointly accomplishing their duties in a manner that enhances cooperation
and planning.
Miscellaneous Expenses: $351,000
Travel/Seminars/Out of State Travel:
To be utilized by Board and staff members. Estimate only.
Vehicles: This calls for the purchase of cars for assignment to the
eight field representatives and two (2) cargo vans to transport
equipment to various locations around the state. Start-up costs only. It
is anticipated that a vehicle replacement program will be initiated
during the third year of operation.
Vehicle Expenses: This is an estimate related maintenance and fuel of
these vehicles.
Total Cost of Funding the KY Board of EMS:
$2,610,090
Less Current
Budget from Cabinet for Health Services for EMS Branch:
(- $750,000)
New Dollars Requested Under HB 405:
$1,860,090
Grants to Local Government:
This represents an increase of $4,200,000
of spending for this grant program. These moneys will be available to
local units of government as a 50% matching grant program that is
currently in existence.
The current plan allows funds based to a county based on per capita
bases. The language of HB 405 removes this ratio and allows a maximum of
$50,000 to each county. Funding is tied to the applicant counties plan
to meet the goals the statewide KY EMS Plan.
Total Cost of Increased Grants to Local Units of Government for EMS:
$6,000,000
Less Current Budget from Cabinet for Health Service for EMS
Grants:
(- 1,800,000)
Deleted during bill development:
$4,200,000
New Dollars Requested Under HB 405:
Grants: $1,800,00
Board Operations:
$2,610,000
TOTAL REQUESTED: $4,410,000
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