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PROCLAMATION
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o EMERGENCY MEDICAL SERVICES WEEK ••I�(o,:: �
May 15 May 21
WHEREAS, emergency medical services are a vital public service, and
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[o)� •° WHEREAS, the members of emergency medical services teams are ready to provide ..„ iy
° lifesaving care to those in need 24 hours per day, seven days a week, and O ti :mow(
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.. WHEREAS, access to quality emergency care dramatically improves the survival and -0'
I recovery rate of those who experience sudden illness or injury, and
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S WHEREAS, the emergency medical services system consists of emergency physicians,
it emergency nurses, emergency medical technicians, paramedics, firefighters, educators,
e administrators, and others, and
WHEREAS, the members of emergency medical services teams, whether career or ,�.
`( )p volunteer, engage in thousands of hours of specialized training and continuing education °l'IN ,(
to enhance their lifesaving skills, and
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- WHEREAS, it is appropriate to recognize the value and the accomplishments of fi
o emergency medical services providers by designating Emergency Medical Services Week. ° F k
o NOW, THEREFORE, be it hereby resolved that the Board of Weld County Commissioners •:'.0.:,,:l''
\�t does hereby proclaim the week of May 15 through May 21, 2011, as Emergency Medical
i ' Services Week and encourages Weld County citizens to observe this week with =� t
l a appropriate programs, ceremonies, and activities. ° .-c
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BOA OF COUNTY COMMISSIONERS
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Barbara K' kmeyer,Q air fl
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David E. ; flj-
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/_' T:i° We County Clerk to the Board .,
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R N Mi ( �_ la i .� i , r otn ��i iii �,it.J��,L2r// 2011-1243
A 2011 snapshot of EMS in Colorado
Emergency Medical Services Association of Colorado
Depth and breadth of service
• There is no mandate in Colorado law to provide Emergency Medical Service at any level of government!
• Emergency Medical Services are an essential public safety service along with police, fire and rescue services and
is also an essential health care "safety net"for communities.
• EMS must provide services 24-7-365 regardless of a patient's ability to pay.
• 581,485 ambulance calls were reported in 2009.
• Colorado has: 195 licensed ground ambulance services,
24 licensed air ambulances(helicopter and airplane), and
> 17,000 Emergency Medical Technicians(-Paramedic, -Intermediate and-Basic).
• Ambulances are staffed by 12,809 people, of which 26% are volunteer.
Ambulance services are operated by:
• Private For-Profit companies • Local& County governments • Special Districts
• Private Non-Profit organizations • Hospitals
Revenue Sources • Private Health Insurance • State&Federal Grants
• Medicare • Medicaid • Local Taxes
• Auto Insurance • Patient Payments
Ambulance Service Funding
• Approximately 57% of patients contacted by EMS require transport to a hospital. Patients not transported can usually
not be billed for service.
• The average call bill is$1,043 but the effective collection rate is only 38% ($396 of that bill).
• EMS collections vary from 20—80% of charges billed, depending on the payer mix and number of uninsured patients.
• Medicare and Medicaid pay fixed amounts for ambulance service substantially below the cost of providing
service. This causes costs to be shifted to commercial health insurers.
• The cost of providing EMS in rural areas has been estimated to cost 2-3 times as much as in urban areas due
to: expansive geography,lower call volume and decreased economies of scale.
• Many urban areas, and almost all rural areas, require local tax support to provide adequate EMS services in their
communities.
• 127 ground ambulance services (67%)rely on volunteers, in whole or in part, to provide EMS.
• EMS has received less than 4% of federal homeland security funding nationwide.
• The Colorado Department of Public Health and Environment Health received$1 per vehicle registration WrIT
from 1989 to 2009,and now$2 per vehicle,to fund statewide EMS regulation and EMS grants.
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