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1993 CC ADJ MIN APR 27
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1993 CC ADJ MIN APR 27
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lesser amount than the present service provider. .Attorney elan <br />referred to the case of Sprinas Ambulance service vs. Rancho Mira e, a <br />1984 case from the 9th Circuit, Court of Appeals, where it holds that it <br />is inappropriate to have a department, supported in part by a tax <br />revenue, to charge for its service as it constitutes a double payment to <br />the government by the citizenry. Attorney Nolan said three ambulances <br />may not be sufficient as there have been occasions where Courtesy <br />.Ambulance has used up to 5 or 6 ambulances. Also, there would be a need <br />for back-up ambulances. Courtesy records show that private ambulances <br />provide back-up on 30% of their calls to the City of Rialto. <br />on fee setting, where Medicare is accepted for full payment, Attorney <br />Nolan referred to the Knox Keane Act which covers "acceptance" but does <br />not provide for "collection." <br />He warmed about 'dry rune" where an ambulance is called but no <br />transportation is required. Courtesy Ambulance records show that 31% of <br />their calls are not revenue generating. Courtesy Ambulance does not <br />charge for a dry run.. The City would be solely responsibile in a <br />malpractice suit. Presently, without a major medical facility located <br />in Colton, the average ambulance trip ties up a vehicle for an average <br />of one .hour and 15 minutes, He suggested that staff would be depleted <br />for the main purpose of fighting fires. A.ttorney Nolan pondered what <br />impact this would create for the Fire Department whose primary duty is <br />firefighting. He requested that information be provided to all <br />Councilmembers for their study. Full consideration is owed to their <br />constituents. <br />Mr. Karl Kolodzik., 1.54 Benita Dr., praised the City Council for its <br />foresight to provide paramedic training and services to its staff. it <br />has the finest firefighters. As Fire Captain for the City of Rialto, <br />Karl Kolod.zik remarked that firemen are not in the business to make <br />money but to serve the people.. He provided data about the. City of <br />Rialto which has: the finest ambulance service around. With two <br />ambulances and a backup, the department is never short on fire calls; it <br />responds to emergencies when needed; and., it has generated a million <br />three hundred dollars in revenue with $53,000 applied to ambulance <br />expenditure. private ambulance service has been called 19 times in <br />Rialto. In some instances, the private ambulances have refused to <br />respond to the City of Rialto. He stressed. the fact that there is <br />reciprocity between the Cities, where Colton will help Rialto and. Rialto <br />will respond in kind. He supported establishing an ambulance service <br />for the people who deserve it. <br />City Attorney Brown propounded the following questions to Fire Chief <br />Hall: Recognizing a great deal of information has been compiled, was <br />the Fire Chief confident with his recommendation on the number of <br />ambulances requested to do the job and the initial staffing agreement. <br />Fire Chief Hall agreed that his current data shows one ambulance was <br />required 93.43% of the time, with a second ambulance required an <br />additional 5.47% of the time with the third ambulance required required <br />.82%. <br />3 <br />�w <br />3 <br />
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