ORDINANCE NO. 2435
AN ORDINANCE TO REPEAL AND RECREATE
SECTION 3.40(c)(14) OF THE OAK CREEK MUNICIPAL CODE RELATING TO AMBULANCE SERVICE RATES
The Common Council of the City of Oak Creek, Wisconsin do hereby ordain as follows:
Section 1: Section 3.40(c)(14) is hereby repealed and recreated to read as follows:
(14) Fire Department
a. Definitions.
1. Advanced Life Support (ALS) Services: An advanced level of pre-hospital and inter-hospital emergency care and non-emergency medical care that includes basic life support care, cardiac monitoring, cardiac defibrillation, electrocardiography, intravenous therapy, administration of medications, drugs and solution, use of adjunctive medical devices, trauma care, on scene care and other authorized techniques and procedures, as provided in rules adopted by the Department of Health & Family Services under Chapter HFS 112.
2. Advanced Life Support Service, Level 1 (ALS-1): The provision of ALS Services and/or assessment at a level below that specified for ALS-2 Services in Section 3.40(c)(14)(a)(3), below.
3. Advanced Life Support, Level 2 (ALS-2): The provision of ALS Service and/or assessment with treatment including the administration of three or more different medications and the provision of at least one of the following ALS procedures:
§ Manual defibrillation/cardioversion
§ Endotracheal intubation
§ Central venous line insertion
§ Chest decompression
§ Intraosseous line insertion
4. Basic Life Support (BLS) Services: A basic level of pre-hospital, on scene care/assistance and inter-hospital non-emergency medical care and emergency care that includes airway management, cardiopulmonary resuscitation (CPR), control of shock and bleeding and splinting of fractures, as provided in rules adopted by the Department of Health & Family Services under Chapter HFS 110.
5. Department: The City of Oak Creek Fire Department.
6. Mileage Fee: A fee for each mile, or portion thereof, that an ambulance travels when transporting a patient in need of medical care to a hospital or medical facility.
7. Resident: A person whose primary home address is within the city limits of the City of Oak Creek.
8. Non-Resident: A person whose primary home address is not within the city limits of the City of Oak Creek.
9. Group-1 Drugs: Albuterol, Amioderone (30 Mg), Atropine, Benadryl, Heparin Sodium by IV, Lasix, Lidocaine, Ativan, Versed, Sodium Chloride, Solumedrol (up to 40 Mg), Terbutline, Dizaepam, Dextrose 50%, Nitro Spray LS, Normal Saline (capped), D50, D5W and to include any other drugs as may be approved or authorized by the Intergovernmental Cooperation Council in the future.
10. Group-2 Drugs: Calcium Chloride, Epinephrine (IM or IV, not by Epi Pen), Dopamine, Lidocaine, Sodium Bicarbonate and to include any other drugs as may be approved or authorized by the Intergovernmental Cooperation Council in the future.
11. Group-3 Drugs: Morphine, Narcan, Normal Saline and to include any other drugs as may be approved or authorized by the Intergovernmental Cooperation Council in the future.
NOTE: The confidentiality of all patient information shall be maintained pursuant to the Health Insurance Portability and Accountability Act of 1996 (HIPAA) and all other applicable Federal and/or State Laws.
b. Advanced Life Support Fees.
1. Resident Fees: Every resident of the City of Oak Creek receiving advanced emergency service from the City by way of an advanced life support unit transport to a health care facility shall pay for such service the sum of ALS-1 $585.00 and ALS-2 $635.00 base rate, plus $85.00 for defibrillation, plus $50.00 for IV and supplies, plus $65.00 for intubation, plus $70.00 for ALS supplies, plus $75.00 for oxygen and supplies, plus $85.00 for EKG, plus $25 for each drug in Group-1, plus $30.00 for each drug in Group-2, plus $40.00 for each drug in Group-3, plus $85.00 for Epinephrine by Epi-Pen, plus $80.00 for Adenosine, plus $80.00 for Glucagon, up to 1 Mg, plus 50.00 for Solumedrol, 41 to 125 Mg. If the Department provides ALS level treatment that does not end in a transport, the patient will be charged $75.00.
2. Non-Resident Fees: Every non-resident of the City of Oak Creek receiving advanced emergency service from the City by way of advanced life support unit transport to a health care facility shall pay for such service the sum of ALS-1 $635.00 and ALS-2 $685.00 base rate, plus $85.00 for defibrillation, plus $50.00 for IV and supplies, plus $65.00 for intubation, plus $70.00 for ALS supplies, plus $75.00 for oxygen and supplies, plus $85.00 for EKG, plus $25 for each drug in Group-1, plus $30.00 for each drug in Group-2, plus $40.00 for each drug in Group-3, plus $85.00 for Epinephrine by Epi-Pen, plus $80.00 for Adenosine, plus $80.00 for Glucagon, up to 1 Mg, plus $50.00 for Solumedrol, 41 to 125 Mg. If the Department provides ALS level treatment that does not end in a transport, the patient will be charged $125.00.
3. Mileage Fees: Every resident and non-resident shall pay $12 for each mile, or portion thereof, that an ambulance travels when transporting a patient in need of medical care to hospital or medical facility.
c. Basic Life Support Fees.
1. Resident Fees: Every resident of the City of Oak Creek receiving basic emergency service from the City by way of basic life support unit transport to a health care facility shall pay for such service the sum of $375.00 base rate, plus $35.00 for oxygen, plus $30.00 for consumables, plus $25.00 for EKG. If the Department provides medical treatment and or assistance only, that does not end in a transport; the patient will be charged a flat $75.00 fee. No additional fees will apply for medical care.
2. Non-Resident Fees: Every non-resident of the City of Oak Creek receiving basic emergency service from the City by way of basic life support unit transport to a health care facility shall pay for such service the sum of $425.00 base rate, plus $35.00 for oxygen, plus $30.00 for consumables, plus $25.00 for EKG. If the Department provides medical treatment and or assistance only, that does not end in a transport; the patient will be charged at flat $75.00 fee. No additional fees will apply for medical care.
3. Medical treatment/assistance without conveyance: Every resident or non-resident of the City of Oak Creek receiving medical treatment and or assistance only, that does not end in a transport; will be charged a flat $75.00 fee. No additional fees will apply for medical care.
4. Fees for Transfer Services: In all cases where the ambulance service of the City is requested to transfer an Oak Creek resident from a hospital in Milwaukee County to a nursing facility in Milwaukee County or to the resident’s home in Oak Creek, such person shall pay a base rate of $375.00, plus $35.00 for oxygen, plus $30.00 for consumables, plus $25.00 for EKG’s. All transfers shall be and are limited to Oak Creek residents.
5. In-City Facility Fees: Every resident or non-resident of the City of Oak Creek receiving basic emergency service from the City by way of basic life support unit transport to a health care facility located within the boundaries of the City shall pay for such service the sum of $275.00.
6. Mileage Fees: Every resident and non-resident shall pay $9.00 for each mile, or portion thereof, that an ambulance travels when transporting a patient in need of medical care to hospital or medical facility.
d. Fire alarm connections.
1. Every person, firm or corporation connecting to the console system of the Oak Creek Fire Department or fire alarm service shall pay for such service as follows: $50.00 for installation of service lines; $100.00 annual charge.
2. Annual charges shall be billed by the Fire Department on January 1st of each year. For service installed subsequent to January 1st, the annual charge shall be pro-rated on a monthly basis.
e. Replacement of cost of any extinguishment agent, neutralizers, chemicals or materials. Any person, firm or corporation shall reimburse the City for personnel costs, equipment expenses and replacement costs of any extinguishing agent, chemical, neutralizer, or materials used in the extinguishment, confinement, neutralizing or cleanup of any flammable or combustible liquid, gas, solid or any hazardous material or chemical involved in any fire or accidental spill.
f. False alarm. Any person, firm or corporation having a fire alarm, smoke detector or any other type of alarm, and the alarm calls for response from the Fire Department, shall not be charged a fee for the first 1-3 alarms within one calendar year but shall be charged $50.00 per alarm for 4-7 alarms within one calendar year and $200.00 per alarm for 8 or more alarms within one calendar year.
g. Nuisance fire alarms. Any person, industry, commercial establishment, railroad, apartment house complex or other who shall cause nuisance fires (multiple rubbish fires, grass fires, etc.) shall be liable for the sum of $300.00 per hour or fraction thereof.
Section 2: All ordinances or parts of ordinances contravening the provisions of this ordinance are hereby repealed.
Section 3: This ordinance shall take effect and be in full force and effect from and after its passage and publication, as required by law.
Introduced at a regular meeting of the Common Council this 5th day of December, 2006.
Passed and adopted this ____ day of ___________________, 2006.
__________________________
President, Common Council
Approved this _____ day of ___________________, 2006.
__________________________
Mayor
ATTEST:
__________________________ VOTE: Ayes ____ Noes ____
City Clerk