Ems System Performance-Based Funding And Reimbursement Model - Finance Committee Draft Advisory Page 33
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34Cost of Readiness – EMS costs include the direct costs of each emergency response, as well as
the readiness costs associated with maintaining the capability to respond quickly, 24-hours a
day, 7-days a week.” (Institutes of Medicine)
Service Cost Categories
Operations Labor Costs
Including, but not limited to, full-time, part-time, and overtime wages and salaries;
health and miscellaneous benefits; retirement; continuing education and training;
payments to volunteers; workers’ compensation; replacement costs for paid time-off
(i.e., vacation and sick); bonus pay for skills upgrade; payroll taxes; and miscellaneous
personnel costs for operations, medical communications center, maintenance,
operations support, and first line operations supervisor personnel
Vehicles and Fleet Maintenance Costs
Including, but not limited to, ambulance and other operations vehicle lease or purchase,
vehicle licenses and taxes, vehicle insurance, fuel, fleet repairs and maintenance, and
maintenance shop equipment
Medical Supply and Equipment Costs
Including, but not limited to, medical supplies (i.e., drugs, oxygen, sheets, and gloves),
medical equipment (i.e., stretchers and defibrillators), medical equipment repairs and
maintenance, and uniforms
Medical Communications Center Equipment Costs
Including, but not limited to, medical communications center equipment and software,
and communications equipment and software maintenance
Building and Facilities Costs
Including, but not limited to, building rent, lease, or purchase; property taxes; property
insurance; and repair and maintenance for operations, fleet maintenance,
administrative, station, and medical communications center facilities
Administrative and Other Operating Costs
Including, but not limited to, management and administrative support salaries, benefits,
and payroll taxes; general and professional liability insurance; utilities; office supplies
and equipment; postage and freight; dues and subscriptions; travel; accounting and
audit; legal; billing; payroll; purchasing; human resources; marketing; public
education; quality improvement; training and education; risk management; information
technology; business licenses and taxes; interest; performance penalties; performance
security; medical director fees; accreditation; miscellaneous costs; and any shared
services
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Parent category: Business