ALS OPTIONS OVERVIEW
The Warrant Committee has prepared this Options Overview for Article 15.
Option 1. As Is – For a Limited Time Period
Rely on neighboring communities to provide ALS intercept service (as we have in recent past) while evaluating an optimal long term solution
Expected Investment: Potential $25K to study committee (no over-ride required)
Service: Effective – ALS intercept will continue to work well for us if neighbors continue to support us while we evaluate other solutions
Uncertainty: Not a long term solution
Option 2. Contract out ALS Services
Contract with a private service to dedicate an ambulance and 2 Paramedics to Medfield 24/7
Expected Investment: $570K per year (based on one quote only)
Service: Response time fast (have 2 ambulances available – ALS & BLS)
Ambulance utilization low
Staffed from a pool of paramedics with high utilization/experience
Uncertainty: Control of resources, Potential to share costs & services
Option 3. Hire FF/Paramedics
Hire paramedics and equip current ambulance to accommodate ALS service
Expected Investment: 6 hires < $700K ($544K-$606K per year + $90K startup costs)
(Lower if we hire entry level Paramedics but will grow to this level within 7 years as a result of step increases)
4 hires would decrease investment 30%
8 hires would increase investment 30%
Service: Response time fast (assuming no concurrent calls),
Equipment and Paramedic utilization low
Uncertainty: Number of hires/level of coverage
New Fire Chief not yet available – who will hire/train?
Cost (contract negotiations ongoing, retirement benefits not included,
budget to support required wage growth without future over-rides)
Option 4. Regionalize ALS Services
Share resources (either hired or contracted ALS) with other towns locally
Expected Investment: Unknown – but lower than other long term options.
Potentially half (or less) than other options; could it be a profit center?
Service: Response time fast (assuming no concurrent calls) especially if ambulance housed in Medfield, Utilization higher
Uncertainty: Partners, cost sharing, location of ambulance