Body: RULAC Type: Agenda Meeting: Committee Date: 2015 Collection: Council Agendas Municipality: Frontenac County

[View Document (PDF)](/docs/frontenac-county/Published Agendas/Rural Urban Liaison Advisory Committee (RULAC)/2015/16-09-12 County of Frontenac RULAC Summary Report.pdf)


Document Text

Report to Rural Urban Liaison Advisory Committee (RULAC) To:

Chair and Members of RULAC

From:

Kelly J. Pender, Chief Administrative Officer

Prepared by:

Paul Charbonneau, Director of Emergency and Transportation Services/Chief of Paramedic Services Lisa Hirvi, Interim Administrator, Fairmount Home Marian VanBruinessen, Director of Corporate Services/Treasurer

Date of meeting:

September 12, 2016

Re:

Highlights of County of Frontenac Fairmount Home and Frontenac Paramedic Services Department – December 1, 2015 to June 2016

This report provides RULAC members with highlights of the reports between December 2015 to June 2016. The summary below provides information and links to the County Council reports. Staff will be available at the meeting to provide further information.

Fairmount Home Report No. and Title

Date to Council

Link on County of Frontenac website

2015-127

15-12-16

https://frontenac.civicweb.net/FileStorage/ Corporate 1D109A0CB4524FAC980DAAD52EF980 Services BF-2015127%20Corporate%20Services%20%202015%20Fairmount%20Home%20.p df

2015 Fairmount Home Accounts Receivable Write-Offs

Departme nt

2016-014

16-01-20

https://frontenac.civicweb.net/FileStorage/ Fairmount 9B8432D5967F47C7AC409E5C5BC3814 Home 6-2016014%20Fairmount%20Home%20%20LTC%20Homes%20Accountability.p df

16-01-20

https://frontenac.civicweb.net/FileStorage/ 364751DAB4B24240909C2B52C7C8A61 9-2016010%20Corporate%20Services%20%20Capital%20Asset%20Manage.pdf

Long Term Care Homes Accountability Planning Submission (LAPS) Report 2016-010 Corporate Services – Finance

Corporate Services Fairmount Home

Capital Asset Management Review 2016-022

16-03-16

https://frontenac.civicweb.net/FileStorage/ Fairmount 20C9300F19E54D7A84A5D5EC6428C91 Home 1-2016022%20Fairmount%20Home%20%202016-2019%20LSAA%20Agreemen.pdf

2016-026 Quarterly Update Activity Report

16-03-16

https://frontenac.civicweb.net/FileStorage/ Fairmount B5E37DD13C2E4D7EAFBCF7A8EDFC5 Home E12-2016026%20Fairmount%20Home%20%20Quarterly%20Update%20Activit.pdf

2016-062 Quarterly Activity Report

16-05-18

https://frontenac.civicweb.net/FileStorage/ Fairmount 9CD2BDA0376E41099249E676588AC4E Home D-2016062%20Fairmount%20Home%20Quarterl y%20Update%20Activity%20.pdf

2016-2019 Long-Term Care Home Service Accountability Agreement (L-SAA)

Report to RULAC Highlights of Fairmount Home and Frontenac Paramedic Services Reports – December 2015 to June 2016 September 12, 2016 Page 2 of 6

2016-060 2016 1st Quarter Financial Summary

16-05-18

https://frontenac.civicweb.net/FileStorage/ Fairmount 9CD2BDA0376E41099249E676588AC4E Home D-2016062%20Fairmount%20Home%20Quarterl y%20Update%20Activity%20.pdf

Highlights 

Fairmount Home residents are billed monthly for miscellaneous expenditures and their share of rent based on standard rates set by the Ministry of Health and Long-Term Care. The 2015 annual review of accounts receivable resulted in write-offs totalling approximately $18,000 after following policies for collection of overdue accounts.

Every three years long-term care homes must submit a planning submission to the Local Health Integration Network (LHIN). The Long-Term Care Homes Accountability Planning Submission (LAPS), a planning document that provides information about an individual long-term care home (LTCH), supports the negotiation of the Long-Term Care Home Service Accountability Agreement (LSAA) with the LHIN. The L-SAA is the service accountability agreement between a long-term care home licensee and the LHIN and is required by the Local Health Systems Integration Act (LHSIA). It assists the LHIN in fulfilling its obligations to the Ministry of Health and Long-Term Care (MOHLTC), the Province and the taxpayers in respect of funding as well as its obligations under LHSIA to plan, fund and integrate the local health system. The LAPS and L-SAA were signed for the 3-year period 2016-2019.

Fairmount Home recruited a Medical Director, Dr. Katherine Kilpatrick, who started in March 2016. Mrs. Gail Williams, Assistant Director of Care will be retiring in August.

Fairmount Home experienced two outbreaks during the first quarter of 2016. The legislated reporting was completed to the required ministries. The management and staff’s expertise and professionalism in outbreak management was appreciated.

Fairmount Home underwent its annual Resident Quality Inspection in January 2016 by the Ministry of Health and Long-Term Care (MOHLTC). The public version of the report is available on the MOHLTC’s Reports on Long-Term Care Homes website. All recommendations contained in the report will be acted upon by management and staff.

Fairmount Home 2016 1st Quarter Variance Report please see Appendix A

Report to RULAC Highlights of Fairmount Home and Frontenac Paramedic Services Reports – December 2015 to June 2016 September 12, 2016 Page 3 of 6

Issues/Challenges (Nothing to report at this time) Upcoming Activity Fairmount Home is in the process of updating its 5 year business plan and 2017 budget that will be presented to the Frontenac County Council in the fall.

Frontenac Paramedic Services Report No. and Title

Date to Council

Link on County of Frontenac website

2016-025

16-02-17

https://frontenac.civicweb.net/FileStorage/ ETS 712B4F3E8B8F419BB308A976F65D81A F-2016025%20Emergency%20and%20Transpor tation%20Services%20-%20C.pdf

16-03-16

https://frontenac.civicweb.net/FileStorage/ ETS 136D911AD246424EB7423DDD5539BD 99-2016039%20Emergency%20and%20Transpor tation%20Services%20-%20L.pdf

16-04-20

https://frontenac.civicweb.net/FileStorage/ ETS 31C050C3E14F425CB6A5A16A9A1550 C0-2016045%20Emergency%20and%20Transpor tation%20Services%20-%20P.pdf

16-04-20

https://frontenac.civicweb.net/FileStorage/ ETS 85D18FC68BC343F69AAB53521ECBA9

Queen’s University Community Paramedicine Research Project Update 2016-039 Lennox and Addington County Denbigh Ambulance Base 2016-045 Power Assisted Ambulance Stretcher Request for Proposal – Award of Contract 2016-046

Department

Report to RULAC Highlights of Fairmount Home and Frontenac Paramedic Services Reports – December 2015 to June 2016 September 12, 2016 Page 4 of 6

2015 Legislated Response Time Standard Performance Plan Reporting to the Ministry of Health and Long Term Care (MOHLTC) 2016-051

73-2016046%20Emergency%20and%20Transpor tation%20Services%20-20.pdf

16-04-20

https://frontenac.civicweb.net/FileStorage/ ETS FC5E4F46CDDD4F7D93B55C3C173DA 60F-2016051%20Emergency%20and%20Transpor tation%20Services%20-%202.pdf

16-06-15

https://frontenac.civicweb.net/FileStorage/ ETS 885042C29E4E498D85C9F06552EA835 F-2016074%20Emergency%20and%20Transpor tation%20Services%20-%20C.pdf

2015 Year in Review

2016-074 County Rural Response Time

Highlights 

The Queen’s Study on Community Paramedicine was presented to Council in February 2016. The Ministry of Health and Long Term Care (MOHLTC) will be looking at community paramedicine projects as part of the “Patients First; Action Plan for Health Care” initiatives. FPS will be forming an Advisory Committee to look at opportunities to leverage future funding.

The County of Lennox & Addington put forth a request to three (3) neighbouring Counties (Hastings, Renfrew and Frontenac) for financial support to keep their northern base in Denbigh open. All three (3) Counties have passed resolutions indicating they are not prepared to enter into such an arrangement. Part of the rationale is that the “download” of land ambulance was seamless and the ability to bill for cross border activity is the past practice and should continue.

Council of the County of Frontenac authorized the CAO and Treasurer to award the contract to Rowland Emergency and Specialty Vehicles to supply the Stryker

Report to RULAC Highlights of Fairmount Home and Frontenac Paramedic Services Reports – December 2015 to June 2016 September 12, 2016 Page 5 of 6

Power-Pro XT Powered Ambulance Cot and the Automated Stryker PowerLoading System as per the proposal received on January 26th, 2016. 

The performance of FPS to the Legislated Response Time Standard was reported to Council. FPS met and in fact exceeded its stated targets in 2015.

Paramedic Week celebrations are occurring during this week of May 22nd to 29th, 2016 including a display at the Cataraqui Mall, staff BBQ in City Park and staff recognition.

Two FPS Paramedics were recognized by the Hon. Dr. Eric Hodgins, Minister of Health, on May 12 at a ceremony held at Queen’s Park. Paramedics Dale Hodgins and Joe Ferguson were awarded the Ontario Award of Paramedic Bravery. See article: http://www.thewhig.com/2016/05/18/frontenac-paramedicsrecognized-for-heroic-act

Frontenac Paramedic Services 2016 1st Quarter Variance Report please see Appendix A

Report to RULAC Highlights of Fairmount Home and Frontenac Paramedic Services Reports – December 2015 to June 2016 September 12, 2016 Page 6 of 6

Appendix A

County of Frontenac Fairmount Summary 2016 First Quarter Variance 2016 BUDGET $

2016 BUDGET $

2016 ACTUALS $

VARIANCE $

VARIANCE %

Operating Revenue Taxation and User charges User charges

2,979,822

744,956

753,387

8,431

1.13%

5,440,035

1,360,009

1,377,490

17,481

1.29%

Grants Federal and Provincial

Other Financing Other

94,077

23,519

16,880

-6,639

-28.23%

8,513,934

2,128,484

2,147,757

19,273

0.91%

137,774

0

0

0

8,651,708

2,128,484

2,147,757

19,273

0.91%

8,988,436 976,137 1,285,456 534,897

2,200,324 248,290 327,839 133,724

2,204,850 221,539 313,707 134,897

4,526 -26,751 -14,132 1,173

0.21% -10.77% -4.31% 0.88%

11,784,926

2,910,177

2,874,993

-35,184

-1.21%

112,681

0

0

0

11,897,607

2,910,177

2,874,993

-35,184

-1.21%

3,245,899

781,693

727,236

-54,457

-6.97%

534,897

133,724

134,897

1,173

0.88%

NET MUNICIPAL CONTRIBUTION less depreciation

2,711,002

647,969

592,339

-55,630

-8.59%

City of Kingston

-1,802,082

-450,521

-467,346

-16,825

3.73%

County Contribution

908,920

197,448

124,993

-72,455

-36.70%

NET CAPITAL EXPENSE

233,172

37,838

37,838

0

City of Kingston

-233,172

0

0

0

0

37,838

37,838

0

210,295

83,824

82,501

-1,323

-1.58%

1,119,215

319,110

245,332

-73,778

-23.12%

Total Transfer from reserves

Total Operating Revenue and Reserve Transfer Operating Expense Salaries & benefits Materials Contracted Service Depreciation

Total Operating Expense Reserve Transfers

Total Operating Expense with Reserve transfers NET MUNICIPAL CONTRIBUTION less depreciation ( non-cash)

County Contribution NET CONTRIBUTION TO DEBENTURE Requisition

County of Frontenac Frontenac Paramedic Service Summary 2016 First Quarter Variance 2016 BUDGET $

2016 BUDGET $

2016 ACTUALS $

VARIANCE $

VARIANCE %

2,047,884

2,082,446

34,562

1.69%

Operating Revenue Taxation and User charges Grants Federal and Provincial

8,196,938

Other Financing Other

0

0

3,578

3,578

Total

8,196,938

2,047,884

2,086,024

38,140

1.86%

Total Operating Revenue and Reserve Transfer

8,196,938

2,047,884

2,086,024

38,140

1.86%

Salaries & benefits Materials Contracted Service Rent and Financing Depreciation

13,138,040 870,853 1,402,653 228,402 619,424

3,288,423 248,706 377,817 56,101 154,856

3,407,715 222,596 368,567 44,809 134,275

119,292 -26,110 -9,250 -11,292 -20,581

3.63% -10.50% -2.45% -20.13% -13.29%

Total Operating Expense

16,259,372

4,125,903

4,177,962

52,059

1.26%

650,861

0

0

0

16,910,233

4,125,903

4,177,962

52,059

1.26%

8,713,295

2,078,019

2,091,938

13,919

0.67%

619,424

154,856

134,275

-20,581

-13.29%

NET MUNICIPAL CONTRIBUTION less depreciation

8,093,871

1,923,163

1,957,663

34,500

1.79%

City of Kingston

-6,366,920

-1,591,730

-1,572,816

18,914

-1.19%

County Contribution

1,726,951

331,433

384,847

53,414

16.12%

NET CAPITAL EXPENSE

321,901

0

0

0

City of Kingston

-314,453

0

0

0

7,448

0

0

0

1,734,399

331,433

384,847

53,414

Operating Expense

Reserve Transfers

Total Operating Expense with Reserve transfers NET MUNICIPAL CONTRIBUTION less depreciation ( non-cash)

County Contribution

Requisition

Corporate Services – Finance – First Quarter Financial Summary May 18, 2016

16.12%

Page 2 of 2

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