OES Committee Meeting

March 4, 2014

March 4th – Cash with Trustee - $222,090

Financial Report Fund 118

EMPG $41,500 in place for this year (Salaries)

Homeland Security Recommendation to accept $15,250

TVA ($17,600) DOE Completed

Grant Reports

Training – Training Calendar Almost Complete

Exercises – ◦ December 17th – Harriman Care and Rehab (Major

Fire) Planning – Exercise for Roane Medical

Center Planning Meeting Kingston TVA Fossil Plant –

March 4

Emergency Management Division

Responses Training – Chuck Hiatt – Operations Officer

◦ Modular Emergency Radiological Transportation Training Train-the-Trainer (T-T-T) 16 hours

◦ Hazardous Materials Team Operations (T-T-T) 32 hours

◦ Hazardous Materials Awareness and Hazardous Materials Operations (T-T-T) 16 hours

◦ Site Operations – 80 hours Exercises

Hazardous Material Division

Responses (October 1 – February 28)◦ Structure Fires – 16◦ Motor Vehicle Collisions – 3◦ Decontamination – 3◦ Hazmat – 2◦ Special Event – 1◦ Alarms - 7

Fire Division

Training – October 2013 – Present◦ Captain Rayburn – 154 hours◦ Firefighter Cloyd – 154 hours◦ Firefighter Taylor – 153 hours

Fire Division

ResponsesEMS Division

2011 fiscal 2012 fiscalFeb Mar Apr May June

Call Totals 746 753 729 885 749NPC Totals 83 85 120 129 106NPC Percent 11% 11% 16% 15% 14%Transport Totals 663 668 609 756 643

Transports/day 22.9 21.55 20.3 24.39 21.43DAYS IN MONTH 28 31 30 31 30

2012-13 FY 12-Jul 12-Aug 12-Sep 12-Oct 12-Nov 12-Dec 13-Jan Feb-13 Mar-13 Apr-13 May-13 Jun-13 TotalsCall Totals 804 883 708 830 822 782 823 719 789 732 719 701 9312NPC Totals 122 146 123 118 112 129 96 100 108 103 106 104 1367NPC Percent 16% 17% 18% 15% 15% 17% 12% 14% 14% 14% 15% 15% 15%Transport Totals 682 737 585 712 710 653 727 619 681 629 619 597 7951

Transports/day 22 23.23 19.5 22.9 23.7 21.06 23.45 22.1 22 20.63 19.96 19.9 21.7025DAYS IN MONTH 31 31 30 31 30 31 31 28 31 30 31 30 365

2013-14 FY Jul-13 Aug-13 Sep-13 Oct-13 Nov-13 Dec-13 Jan-14 Feb-14 Mar-14 Apr-14 May-14 Jun-14 TotalsCall Totals 802 648 668 634 659 734 732 666 5543NPC Totals 134 98 110 114 108 123 108 115 910NPC Percent 17% 15% 16% 17% 16% 17% 15% 17% 17%Transport Totals 668 550 558 520 551 611 624 551 4633

Transports/day 21.5 17.7 18.8 17.1 18.3 19.7 20.1 19.7 19.1DAYS IN MONTH 31 31 30 31 30 31 31 28 31 30 31 30 365

thru FEB total calls total tx's NPC total NPC % trans/dayFY 2012 6371 5425 946 22.3FY 2013 5543 4633 910 17 19.1

Difference 828 792 36 17 3.2

EMS Division

EMS Division

EMS Division

Incident Zone SummaryZone Calls Percentage

DISTRICT 1 Blair 135 2%DISTRICT 2 Midtown 472 9%DISTRICT 3 East 254 5%DISTRICT 4 South 274 5%DISTRICT 5 West 227 4%DISTRICT 6 Kingston 649 12%DISTRICT 7 Harriman 2,534 46%DISTRICT 8 Rockwood 883 16%OUT OF COUNTY 111 2%

Total 5,539 100%

EMS DivisionZone Breakdown 7/1/2013 to 2/28/2014

Ambulance Billing Service

Request for ProposalEvaluation

March 4, 2014

Third Party Billing◦ National Reimbursement Group - 2011

30 % of billing processed incorrectly Lack of transparence Lack of response concerning NRG’s errors

EMS Division

The Request for Proposal (RFP) was developed and advertised on December 22, 2013 for an opening date of January 16, 2014.

A legal ad was placed in the Roane County News advertising the RFP.

Additionally, the RFP was sent via email to the following vendors:◦ Bottom Line Strategies◦ EMS Consultants◦ Intermedix◦ NRG◦ 911 Billing Service

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The Solicitation

The proposals were opened on January 16, 2014 at 2:00 p.m. in the Purchasing Department.

A total of four companies responded to the RFP. They are:◦ EMS Consultants◦ Intermedix◦ NRG◦ 911 Billing Service

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Proposals Received

The proposals were distributed to the members of the Evaluation Team. Team members include:◦ Commissioner Ron Berry◦ Brandon Browning, OES/Ambulance Division◦ Commissioner Bobby Collier◦ Lynn Farnham, Purchasing Agent◦ Brenda Smith, OES/Ambulance Division◦ Scott Stout, OES Director

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The Evaluation Team

Each team member was asked to score the proposals on a scale from 1-10. The responses were weighted in so that the more important items could be given more points. Below is a list of the evaluation criteria:◦ General Information = Score x 1◦ Technical Proposal = Score x 1◦ Billing = Score x 3◦ Accounts Receivable Management = Score x 4◦ Performance = Score x 2.5◦ ePCR Solution = Score x 3◦ Billing System = Score x 1◦ Compliance = Score x 3

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Scoring the Proposal

Below are the results of the scoring:

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The Scores

EMS Consultant

sIntermedi

xNRG 911

BillingBerry 111.5 126.5 120.0 110.5Browning 136.5 159.5 69.0 136.0Collier 134.0 171.5 80.0 140.5Farnham 19.5 141.0 118.0 108.0Smith 94.0 172.5 67.5 153.0Stout 88.0 166.5 106.0 125.0TOTALS 583.5 937.5 560.5 773.0

Below is a summary of the proposed costs for providing the service of Ambulance Billing. The prices listed below are based on the percentage of collections.

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Cost for Collections

EMS Consultants Intermedix NRG 911 Billing

Option 15.5 %

Option 15.504

Option 14.95%

Option 17.5%

Option 25.25%

Option 24.75% No Option 2

Option 27%

Below is a summary of the proposed incentives that will be provided in the contract:

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Incentives

EMS Consultants Intermedix NRG 911 BillingOption 1ComputersSoftware Data Hosting

Option 1ComputersWireless Service CostHardware Maintenance

Option 1Computers

Option 1Computers

Option 2SoftwareData HostingSoftware Support

Option 2No Equipment

No Option 2 Option 2No Equipment

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AWARD OF CONTRACT

Question and Comments