WFPS 2018 Preliminary Operating and Capital Budgets ...€¦ · Winnipeg Fire Paramedic Service. 2018 preliminary operating and capital budgets. Standing Policy Committee on Protection

Winnipeg Fire Paramedic Service

2018 preliminary operating and capital budgets

Standing Policy Committee on Protection and CommunityServices and ParksDecember 4th, 2017

Slide 1

-

20,000

40,000

60,000

80,000

100,000

120,000

2009 2010 2011 2012 2013 2014 2015 2016

Today’s situation – incident statistics

Slide 2

-

500

1,000

1,500

2,000

2,500

3,000

-

2,000

4,000

6,000

8,000

10,000

12,000

14,000

16,000

18,000

20,000

22,000

2009 2010 2011 2012 2013 2014 2015 2016 -

10,000

20,000

30,000

40,000

50,000

60,000

70,000

80,000

2009 2010 2011 2012 2013 2014 2015 2016

Dispatched incidents Fire incidents Medical incidentsTotal fire

Hazardous fire

Specialty fire

TotalTotal medical

Fire only

Medical

Fire / Rescue

Fire and ambulance

Ambulance only

IFT

General fire

Public safety weighted highest importance by 82% of people

Very satisfied & Somewhat satisfied percentage trends:

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

2010 2011 2012 2013 2014 2015 2016 2017

Fire and rescue responseMedical responseFire and injury preventionDisaster preparedness

Today’s situation - citizen survey 2017

Slide 3

Service insights

Slide 4

• Service operates 24 / 7

• 88% of departmental expenditure is staffing

• Number of apparatus drives staffing need:• 49 Fire apparatus• 31 Ambulances

• Need a higher staff complement to ensure minimum number of staff available to work (the effect of vacation, training, injury, sickness)• Fire 2018 staffing ratio maintained at 1.29• Ambulance 2018 staffing ratio maintained at 1.34

Service overview

Slide 5

Staffing ratioThe multiplier that helps

determine the number of Full Time Equivalent staff required,

based on the number of operational vehicles and an

estimate for expected / unexpected staff absence

Ambulance types

Type #

24-hour emergency 16

24-hour IFT 2

Peak emergency 9

Peak IFT 1

Multiple Incident Response Vehicle (MIRV) 1

Bariatric emergency 1

EPIC 1

Ambulance only travel times

Service outcomes

Travel time(secs)

Travel time(mins)

Colour

0-120 <2120-240 <4240-300 <5300-480 <8

>=480 >=8

Slide 6

Ambulance AND Fire travel times

A unique integrated medical service model with significant medical response outcomes for citizens2015 data 2015 data

This result is achieved without any additional staffing:

• There are NO EXTRA fire fighters as a result of the integrated service. Fire fighter staffing is based on fire coverage needs

• The use of fire fighters on medical calls is part funded by the WRHA in the same way as all other costs related to the Medical Response service – this provides a funding subsidy that reducesthe overall Mill Rate cost of the fire service

Integrated service outcomes

Slide 7

Ambulance AND Fire travel times

2015 data

Slide 8

Today’s situation – EMS insights (MBNC 2016)

Winnipeg AverageAmbulanceService cost:$145/hour

AmbulanceService cost:$217/hour

74.6% 67.2%

23.1% 19.8%

Sudden cardiac arrest within 6 mins

Sudden cardiac arrest within 6 mins

Slide 9

Today’s situation – Fire insights (MBNC 2016)

Winnipeg Average

Injuries 8.16Fatalities 1.09

Injuries N/AFatalities 0.42

6:57 6:38

FIRETRUCKSERVICE COST$275/hour URBAN

FIRETRUCKSERVICE COST$308/hour URBAN

Service accomplishments

Slide 10

Company Officer Development Program

Implementation of accredited Fire Officer II for District Chiefs and Platoon Chiefs commenced this year. All fire officer training will progress to accredited programs exclusively in future years. This ensures program uniformity and is an industry best practice

Auxiliary power units in fire apparatus

APUs were installed in the new Water Rescue and Ladder vehicles to help reduce fuel consumption by powering essential systems when the vehicles are on scene

2017 accomplishments

Slide 11

Water rescue replacement

Replacement of two 1986 Water Rescues apparatus with improved ability to deploy quickly for water and ice rescue operations

Automated CPR device trial

Throughout 2017, the trial of automated chest compression devices evaluated multiple models for operational effectiveness. The selection of the preferred model will be made by the end of the year. These devices will significantly improve responder safety when performing CPR in a moving ambulance, and are expected to improve the quality of CPR provided while moving cardiac arrest patients


Slide 12

Update of fire squad vehicles

Replacement of two Urban Squad vehicles to improve responder and patient safety by providing an enclosed treatment space within the vehicle while at the same time reducing vehicle cost by 2/3rds

Specialty fire training scheduling

All new fire recruits receive accredited specialty rescue training in HazMat or Technical Rescue while undertaking their regular program. This aims to reduce overtime cost by reducing the incidence of backfill for staff attending these training programs after entering operational duty


Slide 13

Spark Innovation Grant

The Community Paramedicine program received a grant to conduct research utilizing specific assessment modules used by WRHA Home Care Services. The goal was to improve overall care by allowing multiple providers to collect data on common terms, using common language and therefore able to provide continuous care during patient transitions. This helps improve patient referrals to community support networks thereby avoiding over-reliance on emergency resources

Replacement of water tanker

The 1986 Water Tanker ceased operation in 2016 and was replaced in 2017, thereby restoring fire suppression capability outside of the water district


Slide 14

Preliminary operating budget

Slide 15

2018 preliminary operating budget– departmental financial overview

2017 adopted 2018 preliminary

Change % 2019 forecast 2020 forecast

Total expenditure 199.2m 193.5m - 5.7m - 2.9% 207.2m 211.0m

Total revenue 64.3m 62.7m - 1.6m - 2.5% 64.4m 65.6m

Mill rate support 134.9m 130.8m - 4.1m - 3.0% 142.8m 145.4m

2018 major expenditure changes+ $3.0m salary increments+ $0.4m EOC upgrade+ $0.3m provincial ambulance operating cost- $5.2m 2018 capital program funding- $3.2m EPIC and MSP expansion removal- $0.8m fire apparatus replacement program

2018 major revenue changes+ $7.8m ambulance fee reduction subsidy+ $0.3m provincial ambulance operating grant+ $0.4m building inspection fees- $7.4m ambulance revenue- $2.0m removal of transfer of care charges- $0.9m WRHA cost share

Slide 16

2018 preliminary operating budget– departmental financial overview

Slide 17

$340

$189

• Ambulance rates in 2018:

• No ambulance rate changes in 2018

$529 Patient $425

Province $104

from April

Base

line

2017

rate

January to March

These rate changes derive the ambulance revenue reduction of $7.4m

This new subsidy fills the funding gap created by the rate change dollar for dollar

Salaries and benefits, $169.5Services, $12.9

Materials, parts & supplies, $5.5

Assets & purchases, $0.6Debt & financing, $3.5

Grants, transfers & other, $2.8Recoveries, -$1.3

Other expenditure

2018 preliminary operating budget– expenditure summary ($193.5m)

Slide 18

87.6% 12.4%

6.7%

2.8%

0.3%

1.8%

1.4%-0.6%

, $24.0

Professional servicesProperty maintenanceFleet rental costs

Fleet operating costsMedical suppliesProtective clothing

Debt interest and principalBad debt expense

Building rentalRadio network

Medical Response, 35%

Fire and Rescue Response, 61%

Fire and Injury Prevention, 3%

Disaster Preparedness and Response, 1%

2018 preliminary operating budget– service area expenditure ($193.5m)

Slide 19

$117.6m

$6.3m

$1.2m

$68.4m

2018 preliminary operating budget– service area expenditure year over year changes

Slide 20

$0.0

$10.0

$20.0

$30.0

$40.0

$50.0

$60.0

$70.0

$80.0

$90.0

$100.0

$110.0

$120.0

Medical Response Fire and Rescue Response Fire and Injury Prevention Disaster Preparedness andResponse

20172018

-5.3% -2.2% 3.3% +100.0%

2018 preliminary operating budget– revenue summary ($62.7m)

Slide 21

0

5

10

15

20

25

Regulation fees Ambulance fees Inspection fees Other WRHA grants Provincial grants Ambulance feereduction subsidy

$20.2$0.6 $0.7 $0.9 $20.7 $7.2 $7.8

32.2%1% 2.4% 0.2% 40.3% 11.5% 12.4%

$4.6

}$25.3

Medical Response, 91%Fire and Rescue Response, 7%

Fire and Injury Prevention, 2%

Disaster Preparedness and Response, 0%

2018 preliminary operating budget– service area revenue ($62.7m)

Slide 22

$57.1m $4.7m

$0.9m

$0.0m

2018 preliminary operating budget– service area revenue overview

Slide 23

Revenue Source Fire Rescue Response

MedicalResponse

Fire Prevention / Inspection

Provincial grantsNew fee reduction grant

$4.1m $3.1m$7.8m

$0.0m

WRHA base grant (2016 level)Estimated shortfall

$0.0m $20.7m$4.6m

$0.0m

Service revenue $0.6m $20.9m $0.9m

Total $4.7m $57.1m $0.9m $62.7m

2018 preliminary operating budget– service area revenue year over year changes

Slide 24

$0.0

$10.0

$20.0

$30.0

$40.0

$50.0

$60.0

Medical Response Fire and Rescue Response Fire and Injury Prevention Disaster Preparedness andResponse

20172018

-4.0% +6.8% +80.0%

Service areas

Slide 25

Fire and rescue responseService descriptionTo provide quick, proficient, emergency and non-emergency fire suppression and rescue assistance

Financial overview

Slide 26

2017 adopted

2018 preliminary

2019 forecast

2020 forecast

Total expenditure 120.3m 117.6m 126.7m 128.8mTotal revenue 4.4m 4.7m 4.7m 4.7mMill rate support 115.9m 112.9m 122.0m 124.1m

Mill rate change: -3.0m

Full time equivalents 851 852 852 852

Citizen satisfaction 2017: 99%

2018 preliminary operating budget– Year over year change

Slide 27

Expenditure changes 2017 adopted Change 2018 preliminary

Total expenditure 120.3mSalary and benefits 0.6mCapital charges -2.6mFleet -0.8mMiscellaneous other 0.1mTotal expenditure 117.6m

2018 preliminary operating budget– Year over year change

Slide 28

Revenue changes 2017 adopted Change 2018 preliminary

Total revenue 4.4mRefinement of service based view +0.3mTotal revenue 4.7m

FTE changes 2017 adopted Change 2018 preliminary

One program manager – asset management 851 +1 852

Fire and rescue responseFleet funding supports replacement of ageing apparatus in accordance with industry standards (target: no front line vehicle older than 15 years):

2017 replacements: 2018 replacements: 2019 replacements:

This represents the continuation of the minimum replacement plan approved in 2016

Additions: 2018 additions: 2019 additions:

Slide 29

Apparatus Age Status

Water rescue x2 31 yrs Jul 17

Rescue x4 25 yrs 2x Dec 172x Jan 19

Rehab vehicle 32 yrs Jan 19


Engine x2 20 yrs Apr 18

Hazmat 21 yrs Aug 18


Engine x2 20 yrs Jan 19

Suburban squad 24 yrs Jan 19

Apparatus #

Water tanker 1

Apparatus #

Water tanker 1

Medical response

Slide 30

Service descriptionTo provide quick, proficient, primary response to all medical emergency situations, including pre-hospital patient care, transport and standby at critical Police, Fire and special events

Financial overview2017

adopted2018

preliminary2019

forecast2020

forecast





Slide 31

2018 preliminary operating budget– Medical Response revenue detailMajor changes:

• Provincial ambulance fee reduction funding introduced• Baselined at 2017 rates

• Cessation of Transfer of Care delay charging

• The end of the funding formula for emergency ambulances

Major issues:

• Confirmed funding commitment from WRHA set at a 2016 baseline• Creates a funding shortfall due to cost increases between 2016 and 2018• Will need WRHA to increase funding or direct where service reductions are to be made

Slide 32

2018 preliminary operating budget– Comparison of funding formula to baseline 2016

Total EMS net cost($62.3m)

City ofWinnipeg

WRHA

Patient fees ($17.9m)

Provincial fee reduction ($7.8m)

Emergency Ambulance EMSnet cost

(OLD) Funding formula (NEW) Funding 2018(preliminary budget)

Patient fees

City of Winnipeg ($11.3m)

FUNDING GAP ($4.6m)

25.0%each

50.0%

2016 baseline funding

2016 to 2018 cost increases: $4.6m

Total: ($57.7m)

Issues:

Special EMS Programs fully funded by WRHA

Special ($9.4m)Emergency Ambulance ($11.3m)Total ($20.7m)

WRHA(*)

(*) Indicative only

Slide 33

2018 preliminary operating budget– Comparison of Provincial funding to 2016 baseline

2014 actual (funding formula)

2015 actual (funding formula)

2016 actual(funding formula)

2017 adopted (fundingformula)

2017 forecast (October)

2018 preliminary

(2016 baseline)

2019 forecast(2016

baseline)

2020 forecast(2016

baseline)

WRHA cost share $17.29m $18.44m $21.64m $25.55m $23.21m $25.29m $26.82m $27.98m

WRHA grant $11.54m $12.69m $15.89m $19.80m

$20.68m $20.68m $20.68m $20.68mProvincial Fire EMS grant $0.50m $0.50m $0.50m $0.50m

Provincial EMS grant $5.25m $5.25m $5.25m $5.25m

Total $17.29m $18.44m $21.64m $25.55m $20.68m $20.68m $20.68m $20.68m

Shortfall $0.0m $0.0m $0.0m $0.0m $2.53m $4.60m $6.14m $7.30m

Unpaid as at Oct 2017 (^) $0.6m $1.0m $5.6m

Provincial grants $2.52m $2.83m $2.83m $2.83m $2.83m $3.1m $3.1m $3.1m

Ambulance fee reduction $0.0m $0.0m $0.0m $0.0m $3.00m $7.8m $11.88m $12.92m

Total Provincial (*) $19.81m $21.27m $24.47m $28.38m $26.5m $31.58m $35.66m $36.7m

(^) – plus $0.978m outstanding from 2013(*) – excluding shortfalls

2018 preliminary operating budget– Year over year changes

Slide 34


Total expenditure 72.2mIncrease in salary and benefits 2.0mAmbulance operating cost 0.3mRemoval of EPIC and MSP expansion -3.2mCapital charges -2.6mMiscellaneous other -0.3mTotal expenditure 68.4m


Slide 35


Total revenue 59.5mDecrease in ambulance revenue -7.4mProvincial ambulance fee reduction subsidy +7.8mWRHA Grant

Decrease in grant arising from changesIncrease above $20.7m baseline

-5.5m+4.6m

Provincial ambulance operating +0.3mRemoval of transfer of care charges -2.0mRefinement of service based view -0.3mMiscellaneous other +0.1mTotal revenue 57.1m

Medical response

Slide 36


7 MSP paramedics17 EPIC paramedics 501 -24 477

Fire and injury prevention

Slide 37

Service descriptionTo protect citizens and minimize loss of life and property through fire by checking compliance with building standards and providing fire and life safety education, and advice to reduce need for emergency intervention

Financial overview2017

adopted2018

preliminary2019

forecast2020

forecast






Slide 38


Total expenditure 6.1mIncrease in salary and benefits +0.2mTotal expenditure 6.3m


Total revenue 0.5mService fees +0.4mTotal revenue 0.9m


Two fire inspectors 44 +2 46

Disaster preparedness (jointly with Community Services)

Slide 39

Service descriptionTo provide a prompt and co-ordinated response by the City of Winnipeg to major peacetime disasters

Financial overview

2017 adopted

2018 preliminary

2019 forecast

2020 forecast


Mill rate change: 0.6m



Disaster preparedness (jointly with Community Services)

Slide 40


Total expenditure 0.6mIncrease in salary and benefits +0.2mIncrease in EOC office costs +0.4mTotal expenditure 1.2m


One Emergency Management Officer and One Social Media OfficerOffset by refinement of the service based view

5 +1 6

Future plan:

Disaster preparedness

Slide 41

Assistant Chief Emergency

Preparedness

Emergency Management Co-ordinator

Emergency Management

Officer

Emergency Management

Officer

Public Information

Officer

Social Media Officer

Communications Assistant

Administrative Assistant

2016

2017

2018

2019

Preliminary capital budget

Slide 42

2018 preliminary capital budget – overviewProject / program 2018

estimate2019

forecast2020

forecast2021

forecast2022

forecast2023

forecast

Facilities optimization 0.6m 7.5m 2.2m 0.4m 7.2m 2.8m

Equipment obsolescence 0.9m 1.0m 1.6m 1.1m 4.2m 6.9m

Station capital maintenance 2.6m 2.7m 2.9m 3.0m 3.1m 1.7m

EMS training equipment 0.1m

Total 4.1m 11.2m 6.8m 4.5m 14.5m 11.4m

Slide 43

Computer aided dispatch 7.5m

This program seeks to maximize the long term efficiency of the station networkEnsures station coverage across the city so that all citizens benefit from a common level of service

$20.7m program cost over 6 years provides:• design and evaluation for three station optimizations• land acquisition and construction for two station optimization

$0.6m in 2018 provides:• evaluation and design for Station 9 (Marion) and 15 (Autumnwood) – includes

community engagement

Facilities optimization – overview

Slide 44

This program seeks to replace the critical equipment used by fire fighters and paramedics in a systematic and ongoing basis to ensure service delivery can be maintained

$15.7m program cost over 6 years provides:• cyclical replacement of specialized emergency equipment: cardiac

monitor/defibrillators; Toughbook portable computers; stair chairs; self contained breathing apparatus; SimMan mannequins; rescue equipment; power stretchers; decontamination units; radio equipment

$0.9m in 2018 provides:• Annual program to replace cardiac monitor defibrillators• 3 yearly replacement of stair chairs

Equipment obsolescence – overview

Slide 45

These capital funds seek to replace the current CAD system that manages emergency call taking and fire/ambulance dispatch functions

Removed from the capital program for 2018 – planned to resubmit into 2019 as part of the 2019 budget process once best option is fully scoped

There are no funds allocated in 2018 as we are still working through the options and procurement/proposal phases of the project. This complex project is not yet at a stage to determine a class 3 or better cost estimate and so has been deferred to meet policy requirements.

What has become clear through this process is a significant interdependency between the core CAD system and seven associated systems. This has changed the scope of the project and will likely result in a broader program to ensure the systematic replacement over a number of years of these associated systems. A number of options are being explored to minimize the cost of replacing this essential and complex system.

Computer aided dispatch – overview

Slide 46

These capital funds support the ongoing repair and structural maintenance of the station network to ensure the asset lives are maximized

$16.0m program cost over 6 years provides:• critical works identified to move station assets closer to a Facility Condition Index

classification of “managed care” – this is a below average target when compared with other City Council assets

$2.6m in 2018 is planned to fund the following work (tender outcome dependent):• Asbestos abatement and renovations $1.5m• Roof repairs $0.4m• Heating systems $0.5m• Security system installation $0.2m

Station capital maintenance – overview

Slide 47

Questions

Slide 48

WFPS 2018 Preliminary Operating and Capital Budgets ...€¦ · Winnipeg Fire Paramedic Service. 2018 preliminary operating and capital budgets. Standing Policy Committee on Protection

Documents