Resolution 11860006.90000
WSS/gjz
12/3/08
RESOLUTION NO. 1186
A RESOLUTION OF THE CITY COUNCIL OF THE CITY OF
EDMONDS,WASHINGTON, ESTABLISHING EMS
TRANSPORT USER FEES.
WHEREAS, the City Council of the City of Edmonds has proved the
establishment of EMS transport user fees, and,
WHEREAS, those fees are to be collected pursuant to a billing services contract
with a third -party biller, and
WHEREAS, the City Council wishes to establish reasonable fees for service
consistent with Medicare standards and limitations; now, therefore,
THE CITY COUNCIL OF THE CITY OF EDMONDS, WASHINGTON,
HEREBY RESOLVES AS FOLLOWS:
Section 1. The following fees for EMS transport service are established for
transport by land, and shall be effective immediately. The fees shall be imposed at such time and
date as the Mayor shall approve when a billing system and forms are in place to ensure
compliance with state and federal regulations. These fees shall remain in place until amended by
the City Council by resolution.
Fees for transport by land.
1. Basic Life Support Emergency - $475
2. Advance Life Support, Level I - $700
3. Advance Life Support, Level II - $800
4. Mileage Assessment Per Loaded Mile - $15.50
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Section 2. Definitions. When used in this fee resolution, the following terms or
phrases shall have the meanings set forth below:
Advanced Life Support (ALS) Assessment: Advanced life support
assessment is an assessment performed by an ALS crew as part of
an emergency response that was necessary because the patient's
reported condition at the time of dispatch was such that only an
ALS crew was qualified to perform the assessment. An ALS
assessment does not necessarily result in determining that the
patient requires an ALS level for service.
Advanced Life Support (ALS) Intervention: Procedure that is in
accordance with state and local laws, policies and procedures that
are beyond the scope of practice of an emergency medical
technician.
Advanced Life Support (ALS), Level 1: Transportation by ground
ambulance vehicle and the provision of medically necessary
supplies and services including the provision of an ALS
assessment or at least one ALS intervention. Advanced life support
services are medical treatment skills beyond the scope of
emergency medical technicians as defined in Chapter 18.71 RCW.
Advanced Life Support (ALS). Level 2: Transportation by ground
ambulance vehicle and the provision of medically necessary
supplies and services including (1) at least three separate
administrations of one or more medication by intravenous push /
bolus or by continuous infusion (excluding crystalloid fluids; or (2)
ground ambulance transport and the provision of at least one of the
following ALS2 procedures: manual defibrillation/cardio
conversion; endotracheal intubation; central venous line; cardiac
pacing; chest decompression; surgical airway or intraosseous line.
Advanced Life Support (ALS) Personnel: Individuals trained to the
level of the emergency medical technician -intermediate or
paramedic.
Basic Life Support (BLS), Emergency: Transportation by ground
ambulance vehicle and the provision of medically necessary
supplies and services, -including BLS ambulance services as
defined by the state (Chapter 18.73 RCW). The ambulance must be
staffed by an individual who is qualified in accordance with state
and local laws as an emergency medical technician basic (EMT
Basic). Basic emergency medical technicians perform non-
invasive, basic emergency treatment skills.
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Emergency Medical Technician (EMT) - Paramedic: Possesses the
qualifications of the EMT -Intermediate and in accordance with
state and local laws has enhanced skills that include being able to
administer additional interventions and medications.
Emergency esponse: Basic Life Support (Emergency) or
Advanced Life Support level of service has been provided in
immediate response to a 911 call or the equivalent. An immediate
response is one in which the ambulance supplier begins as quickly
as possible to take the steps necessary to respond to the call.
Mileage Assessment per Loaded Mile: One-way mileage transport
by ground ambulance with the patient on board from the
emergency scene to the appropriate medical facility.
RESOLVED this 16th day of December, 2008.
APPROVE
MAYO , GAFot HAAKENSON
ATTEST/AUTHENTICATED:
TY CLERK, SANDRA S. CHASE
FILED WITH THE CITY CLERK: 12/12/2008
PASSED BY THE CITY COUNCIL: 12/16/2008
RESOLUTION NO. 1186
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