HomeMy WebLinkAbout2004-12-09 Workshop City Commission Meeting Agenda Packet AGENDA
DANIA BEACH CITY COMMISSION
WORKSHOP
THURSDAY, DECEMBER 9, 2004 - 6:00 P.M.
ANY PERSON WHO DECIDES TO APPEAL ANY DECISION MADE BY THE CITY COMMISSION WITH REGARD TO ANY MATTER
CONSIDERED AT THIS MEETING OR HEARING WILL NEED A RECORD OF THE PROCEEDINGS,AND FOR SUCH PURPOSE MAY
NEED TO ENSURE THAT A VERBATIM RECORD OF THE PROCEEDINGS IS MADE WHICH RECORD INCLUDES THE
TESTIMONY AND EVIDENCE UPON WHICH THE APPEAL IS TO BE BASED.
LOBBYIST REGISTRATION REQUIRED-REGISTRATION AS A LOBBYIST IN THE CITY OF DANIA BEACH IS REQUIRED IF ANY
PERSON, FIRM OR CORPORATION IS BEING PAID TO LOBBY THE COMMISSION ON ANY PETITION OR ISSUE PURSUANT TO
ORDINANCE NO. 01-93. REGISTRATION FORMS ARE AVAILABLE IN THE CITY CLERK'S OFFICE IN THE ADMINISTRATION
CENTER.
IN ACCORDANCE WITH THE AMERICANS WITH DISABILITIES ACT, PERSONS NEEDING ASSISTANCE TO PARTICIPATE IN
ANY OF THESE PROCEEDINGS SHOULD CONTACT LOUISE STILSON, CITY CLERK, 100 W. DANIA BEACH BLVD., DANIA
BEACH,FL 33004,(954)924-3622,AT LEAST 48 HOURS PRIOR TO THE MEETING.
IN CONSIDERATION OF OTHERS,WE ASK THAT YOU:
A. PLEASE TURN CELL PHONES OFF,OR PLACE ON VIBRATE. IF YOU MUST MAKE A CALL,PLEASE STEP OUT INTO
THE ATRIUM,IN ORDER NOT TO INTERRUPT THE MEETING.
B. IF YOU MUST SPEAK TO SOMEONE IN THE AUDIENCE,PLEASE SPEAK SOFTLY OR GO OUT INTO THE ATRIUM, IN
ORDER NOT TO INTERRUPT THE MEETING..
1. Call to Order
2. Fire Department Transport Reimbursement Fees and Program
3. Proposed Charter Revisions
4. Citizen Comment
5. Adjournment
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11K.MS Transport lReimbursement
Program
December 3, 2004
"Advancing Service Through Caring"
DRAFT
' RESOLUTION NO.
A RESOLUTION OF THE CITY OF DANIA BEACH, FLORIDA,
SETTING FEES FOR THE TRANSPORT OF PATIENTS TO LOCAL
HOSPITALS BY THE CITY OF DANIA BEACH FIRE-RESCUE
DEPARTMENT; PROVIDING FOR A "COMPASSION POLICY";
PROVIDING,- FOR A "RESIDENT ONLY POLICY"; PROVIDING
THAT ALL RESOLUTIONS OR PARTS OF RESOLUTIONS IN
CONFLICT HEREWITH BE REPEALED TO THE EXTENT OF SUCH
CONFLICT; AND PROVIDING FOR AN EFFECTIVE DATE.
' WHEREAS, CMS (Centers for Medicare and Medicaid Services) has mandated
changes in the structure of transport fees with said changes to become effective January
1, 2005; and
WHEREAS, it is necessary to comply with said mandate; and
WHEREAS, the city wishes to provide a "Compassion Policy" allowing options for
' the payment of said transport fees; and
WHEREAS, the city also desires to provide a "Resident Only Policy" pertaining to
the payment of transport fees.
NOW THEREFORE, BE IT RESOLVED BY THE CITY COMMISSION OF THE
CITY OF DANIA BEACH, FLORIDA:
Section 1. That the following fees for the transport of patients to local hospitals by
the City of Dania Beach Fire-Rescue Department be and the same are hereby
approved:
ADVANCED LIFE SUPPORT II
$550.00 plus $9.00 per mile
ADVANCED LIFE SUPPORT I (Emergency)
1 $450.00 plus $9.00 per mile
1 BASIC LIFE SUPPORT (Emergency)
$450.00 plus $9.00 per mile
Section 2. That the "Comp Y"Compassion Policy""allowing options for the payment of said`
transport fees, a copy of which is attached hereto, is hereby approved and the
appropriate city officials are hereby authorized to execute same.
rResolution No.
Section 3. That the "Resident Only Policy" pertaining to the payment of transport
fees, a copy of which is attached hereto, is hereby approved and the appropriate city
officials are hereby authorized to execute same.
Section 4. That all resolutions or parts of resolutions in conflict herewith be and
the same are hereby repealed to the extent of such conflict.
Section 5. That this resolution shall be in force and take effect immediately upon
its passage and adoption.
PASSED and ADOPTED this day of December, 2004.
MAYOR-COMMISSIONER
ATTEST: ROLL CALL:
MAYOR MCELYEA
VICE-MAYOR MIKES
LOUISE STILSON COMMISSIONER ANTON
CITY CLERK COMMISSIONER CHUNN
COMMISSIONER FLURY
APPROVED AS TO FORM AND CORRECTNESS:
BY:
THOMAS J. ANSBRO
CITY ATTORNEY
' 2
Resolution No.
ATTACHMENT "A"
CITY OF DANIA BEACHrMs
' COMPASSION POLICY DRAj61
Centers for Medicare and Medicaid services (CMS) Manual section 2309.4 provides that:
A [State or Local government] facility which reduces or waives its charges
for patients unable to pay, or charges patients only to the extent of their Medicare
and other health insurance coverage, is not viewed as furnishing free services and
may therefore receive program payment.
OVERVIEW
Dania Beach Fire Rescue has approved uniform policies and procedures for the
determination of"unsponsored charity care". These policies and procedures shall be
applicable effective January 1, 2005. Unless a patient has been rated financially indigent
or a reduction consistent with the financially indigent patient or an estate representative
has been established, the patient or other responsible party under applicable contracts,
laws, or regulations, is fully expected to pay the entire bill in a timely manner.
No patient account(s) will be considered for reduction without the proper written request
and/or documentation from the patient, legal representation, or family member.
All patient accounts must be reviewed uniformly by definition of the components of un-
sponsored charity care. This shall be accomplished by the Dania Beach Fire Rescue
Transport Reimbursement Executive Board. This board shall consist of the city attorney,
finance director, and the EMS Coordinator.
DEFINITIONS AND POLICY
tUnsponsored Charity Care
Financially Indigent Unsponsored charity care shall include unreimbursed services to
tthe financially indigent. Financially indigent shall mean uninsured, or underinsured
patients with no obligation or a discounted obligation to pay for services rendered based
on Dania Beach's formal eligibility which may include: (a) income levels; or (b) other
criteria for determining a patient's inability to pay that are consistent with the service's
mission and established policy. The Department of Health and Human Services Poverty
Guidelines shall serve as an index for the threshold below which patients receiving care
from Dania Beach Fire Rescue are deemed financially indigent.
Charity Care Determination
No patient shall be awarded any write-off financial or otherwise without the approval by
the Dania Beach Fire Rescue Transport Reimbursement Board. The determination may
tbe made after review of documentation of a hardship as submitted by the patient. In order
to facilitate the review process, the Transport Reimbursement Board may examine copies
of recent Federal tax returns, itemization of sources of revenue for the current year and
anticipated expenses, and any other documentation which may prove evidence of
hardship. All information submitted will be kept confidential to the extent provided by
law.
' Contractual Adjustments
Contractual Adjustments to commercial contracts and/or Medicare shall not be counted
as unsponsored charity care.
Bad Debt
Bad debts shall not be counted as unsponsored charity care. Bad debts shall include the
uncollected billed charges for services rendered to patients who do not qualify under the
definition of unsponsored charity care. Contractual adjustments shall not be considered
bad debt.
' ATTACHMENT `B" LjRAFT
CITY OF DANIA BEACH
RESIDENT ONLY POLICY
1 Centers for Medicare and Medicaid services (CMS) Manual section 2309.4 provides that:
A [State or Local government] facility which reduces or waives its charges
for patients unable to pay, or charges patients only to the extent of their Medicare
and other health insurance coverage, is not viewed as furnishing free services and
may therefore receive program payment.
These are the procedures to be followed by ADPI [Advanced Data Processing
Incorporated] in billing City of Dania Beach resident patients transported by Dania Beach
Fire Rescue:
Resident of Dania Beach: any person whose mailing address is in the City of Dania
tBeach or who could,with appropriate proof, show that they are a resident of Dania
Beach without a mailing address. The term "resident" shall not include a person
whose residence address is temporarily at a nursing home or a hospital unless such
person is otherwise a resident of the city. A person shall be considered a resident of
the City if they reside continuously at the nursing home for more than [1] year.
PROCEDURES:
The EMS staff shall determine resident status based on the above criteria prior to the
transport billing report being submitted to ADPI.
The EMS staff will indicate the mileage, medication given and determine if the call is
BLS, ALS t or ALS lI.
City residents will not be billed directly; their insurance companies will be billed in all
cases. If there is a supplemental policy, this will also be billed.
City of Dania Beach employees will not be charged for transport services.
If there are refunds to be disbursed,those funds will be handled by written notice from
ADPI by way of the EMS staff to the Finance Department.
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ADVANCED DATA PROCESSING COMPARATIVE FEE SCHEDULE REVISED: 10/01/04
City/County ALS7 ALS2 SCT2 BLS 02 MILE 8UPP
Boca Raton 465.00 600.00 625.00 465.00 8.50
Brevard 469.00 499.00 369.00 25.00 6.00 Y
Broward Sheriff 360.00 480.00 330.00 26.25 7.251 Y
HEL 4500.00 70.o0R
Charlotte EM 375.00 550.00 550.00 325.00 6.50
NE 375.001 300.00 6.50 Y
Cherokee GA 480.00 375.00 60.00 9.00 Y
Cincinnati OH 433.18 252.03 5.00
Citrus 473.00 598.00 598.00 330.00 7.50 Y
Cooper City 300.00 300.00 26.35 7.25
Coral Springs 450.00 575.00 400.00 7.00
Dania Beach 360.00 480.00 300.00 25.00 7.00
Davie 400.00 530.00 400.00 30.00 8.00 Y
Deerfield Beach 500.00 600.00 500.00 9.00
Dekalb GA 475.00 475.00 425.00 36.001 6.50 TWT
Flagler EM 415.00 580.00 350.00 8.50 Y
NE 400.001 500.00 350.00 8.50
Fort Lauderdale 452.00 525.00 425.00 30.30 8.50
Hallandale Beach 500.00 500.00 500.00 20.00 7.50
Hendry345.00 480.00 300.00 6.00 Y
Hialeah 380.00 490.00 600.00 330.00 30.00 7,501 Y
Highlands 345.00 485.00 315.00 7.50 Y
t Jacksonville 400,001 500.00 300.00 7.50 Y
Kissimmee RES 425.00 425.00 350.00 5.00 TWT
N-RES 525.00 525.00 450.00 6.50 TWT
Lauderdale Lakes 350.00 480.00 550.00 350.00 7.00
Lauderhill 375.00 480.00 280.00 6.50
EM 375.00 550.00 650.00 325.00 7.00/9RI Y
NE 350.00 200.00 7.00/9R
Lee HEL 2,900.001 19.00
HEL
RURAL 4050.00 30.00
TWT 80.00 30.00 25.00
Leon EM 757.00 883.00 883.00 631.00 11.831 Y
NM 504,00 379.00
Lighthouse Point 360.00 480.00 330.00 30.00 7.00
Longwood
RES 324001 469.00 273.00 5.50
N-RES 324.00 469.00 273.00 5.50
Maitland 521.00 521.00 521.00 6.50
Margate 450.00 525.00 450.00 8.00
Miami Beach 380.00 490.00 330.00 30.001 7.50 Y
Miami-Dade 380.00 490.00 600.00 330.001 30.001 7.501 Y
Monroe 500.00 600.001 500.00 9.001 Y
Nashville TN
North Lauderdale 400.00 500.001 375.001 1 8.00
North Port 380.00 530.001 1 350.001 1 5.75 Y
Oakland Park 350.00 480.00 350.00 24.001 6.501 Y
Okaloosa 340.00 480.001 340.001 1 5.00
Orange 462.00 565.001 359.001 1 7.00
Osceola 400.00 1 400.001 1 7.001 Y
Palm Beach 395.00 495.001 1 395.00 7.95
Plantation 360.001 480.001 1 330.001 25.001 7.001 Y
1 Polk 360.00 1 500.001 600.001 320.001 20.001 9.00 Y
Pompano Beach 350.001 480.001 1 350.00 27.50 F 5.75
Sanford 324.031 468.991 1 272.86 5.47
Sarasota 330.001 480.001 350.00 300.00 4550 Y
Seminole EM 324.03 468.99 272.86 NE 204.65 170.54 Sumter SC 293.00 424.00 247.00 25. 00 Y
Tamarac 400.00 500.00 360.00 Y
Tam a 360.00 500.00 550.00 330.00
Winter Springs 326.321 412.771 1 298.631 1 5.50
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520 NW 165`h St, Suite 201 Miami, Florida 33169
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September 13, 2004 L)RA? ]
Mr. Cassano
Deputy Fire Chief
City of Dania Beach
102 West Dania Beach Blvd
Dania Beach, FL 33004
Dear Chief Cassano,
I would like to thank you and Captain Caruso for a very productive meeting on
September 1, 2004. 1 apologize for not following up sooner but due to the hurricanes it
has been extremely hectic, as I am sure you know. I sincerely hope we accomplished
your goals and objectives.
During our meeting we discussed several issues that would assist the city in attaining
their financial goals, including:
✓ Increasing the city's BLS, ALS1, ALS2, and Mileage fees to the new ADPI
regommended fees (see attached). This would ensure the maximum
reimbursement from all insurance carriers as well as bring your fees inline with
the market.
✓ Eliminate the oxygen fee and roll into base fees.
✓ Adopt a"Compassion" Policy for indigents. This allows the city to forgive
debts for those patients who truly cannot afford to pay their bill.
✓ Develop a"Resident Only" Policy, which would bill insurance only for city
residents and allow the city to bill non-residents directly. Prior to implementing
this policy, ADPI highly recommends waiting until we have finished
researching this policy's effect on private insurance companies.
✓ To ensure the highest possible reimbursement for auto accidents, it is critical to
t obtain the police report and send to ADPI as soon as possible. If this does not
occur in a timely manner the hospital may be able to exhaust the PIP portion of
a patient's auto policy (normally $10,000) prior to the city's bill being paid.
ik I N ��
In addition to the above, ADPI has already begun researching another source of potential
revenue by charging for additional items related to motor vehicle accidents such as the
cleaning of spills and debris, extrication of entrapped individuals, extinguishments of
fires, and render other safe services or hazardous situations that may occur at the scene of
motor vehicle accidents. As soon as we have completed our research on the above I will
notify Captain Caruso of our findings. If there are any additional items that should be on
the list above please do not hesitate to contact me.
We
are in the service business, so we really appreciate reciate the opportunity to spend time with
an important client such as the City of Dania Beach. If there is anything else I can do,
please do not hesitate to call.
Best Regards,
i
Darryl Hartung
Senior Manager
CC: Captain Bruce Caruso
r
CITY OF DANIA BEACH
MEMORANDUM
TO: Mayor and Commissioners
Charter Board Members
Ivan Pato, City Manager
Patty Varney, Finance Director
Fernando Vazquez, Public Services Director
Larry Leeds, Community Development Director
Mary McDonald, Human Resources Director/Risk Manager
Louise Stilson, City Clerk
FROM: Thomas J. Ansbro, City Attorney
DATE: December 6, 2004
RE: Proposed "New" City Charter; Ordinance Adopting Ballot Questions and
Proposed Charter
Attached is a revised version of the proposed "new" Charter, containing the
recommendations made during the previous three workshop meetings. The principal changes
are identified below:
1. Page 2, Section 3 of Ordinance, "Notice of Election": this now lists the new
additional ballot questions, which are discussed below.
2. Pages 3-6, Section 4 of Ordinance: ballot questions have been revised and
several have been added, as discussed below.
3. Page 12, Charter, Part I, Article 2, "Powers of the City", subparagraph (e)
pertaining to "civil service": this has been revised and condensed to reflect the existence of
current system as established by the Commission last year.
4. Pages 14-15, Charter Part I1, Article 1, "City Commission", Section 6,
"Selection of Mayor and Vice-Mayor": while the election of the mayor remains unchanged,
the wording for the election process for the vice-mayor has been modified.
5. Pages 15-16, Part 1I, Article 1, Section 8, "Limitation of powers": two different
alternatives are presented for your consideration to address the matter of communications
between elected officials and any employees of the City, including the City Manager. The
second alternative would allow the Commission to enact a "communication policy" by
Mayor and Commission
December 6, 2004
Page 2
ordinance, to address "authorized and unauthorized communication procedures". This would
give future City Commissions flexibility to modify such procedures from time to time, rather
than await referendum approval.
7. Pages 22-26, Part II, Article 5, "Initiative and Referendum": As discussed by
the City Commission, the initiative .and referendum process which appears in the current
Charter is being retained, with some additional language and revisions for clarification
purposes. For the sake of convenience, this portion is shown in a "strike-through" and
"underline" format to show you the proposed modifications.
8. Page 28, Part II, Article 6, "Meetings of the City Commission", Section 7
"Certain Action at a Special Meeting": this has been revised to address issues raised at the last
City Commission workshop, as to employment decisions affecting the City Manager or City
Attorney. If the last sentence is not what was intended, it can easily be modified or removed.
9. Pages 31-32, Part II, Article 3, "City Manager", Section 2, "Absence or
disability": this provision has been expanded to allow for a temporary "Acting City Manager"
designation by the City Manager for a period not exceeding 15 calendar days.
10. Pages 32-33, Part III, Article 3, Section 3, subparagraph (a) of "Right of City to
enter into contract of employment" (with the City Manager): This provision has been modified
to:
• provide for a maximum three year contract, the term of which cannot be
extended;
• provide that severance pay cannot ever exceed the amount payable under
the contract for its remaining term (e.g., if ten months of the contract
term remain when removal is desired, the severance could not exceed
what would otherwise be payable for that period).
Subparagraph (b) of this provision, which applies to a City Manager appointment
without a contract, has been clarified to specify that despite any provision in this Section which
is or may appear to be to the contrary, a City Manager can be removed without cause at any
time by a four-fifths vote. Please review subparagraph (d) carefully, to confirm that it meets
your intent, as to performance reviews and removal upon a three-fifths vote under certain
circumstances.
11. Pages 36-37, Section 4, "Powers and duties" of a City Manager, subparagraph
(j) has been modified to refer to a "monetary threshold" to be established by ordinance, which
will limit the spending authority of a City Manager without City Commission approval
(currently, $15,000.00). The provision also now codifies the current practice of allowing
"piggyback" contracts for items competitively bid by another governmental agency, to include
such bids which are no older than one year, unless such a bid was extended, with all original
bid conditions in place. Again, a monetary threshold would be established by ordinance for
2
Mayor and Commission
December 6, 2004
Page 3
such purchases and require a four-fifths City Commission vote if the limit were to be exceeded
(the Charter Review Board had remained $50,000.00; the "monetary threshold" is
recommended, since the Charter will not be readily amendable. Additionally, the purchase
restriction will not apply to "cost recovery" matters such as those incurred by developers
whose projects require outside landscaping review, traffic analysis, engineering review or legal
work.
12. Page 37, subparagraph (e): A provision has been added to authorize the use of
facsimile signature on checks, subject to the "monetary threshold" ordinance to be adopted.
13. Page 41, Part IV, "Finances and taxation", Article 4, "Transfer of Funds":
provides that the City Commission shall be notified by the Finance Director on a quarterly
basis of any "transfer of funds from one fund to another", subject to a monetary threshold to
be established by ordinance.
14. Page 42, Part IV, Article 7, "Internal Management and Procedures Audit": per
the last workshop, this provision, formerly proposed to be deleted by the City Commission,
has been restored, to require such an audit to be undertaken at least once every five years.
15. Pages 42-43, Part V, Article 1, "Sale of property" has been revised to specify
that vacations of streets, alleys and utility easements are not subject to the "declaration of
surplus property" procedures, unless any such land is "contiguous to any park".
16. Page 44, Section 3, "Protests" has been revised to provide that "five percent",
rather than 15 percent of the registered voters, can petition the City Commission to object to a
land sale, and effectively subject the sale to a special election vote.
17. Pages 46-49, Article 2, "Leases", Section 1, "Power", subparagraph (b), and
(c): both provisions will now require leases to be approved by ordinance, after two public
hearings, notices of which must be published at least ten days before each such hearing.
18. Page 50, Article 3, "Contracts", Section 2 (b): will require a four fifths City
Commission vote for any agreement involving Airport land. An authorizing ordinance will be
required, with two public hearings and publication of notice as mentioned above before each
hearing.
19. Pages 50-51, Section 2 (c): Any agreement, commitment or any other action
pursuant to which the City will become obligated to spend City funds in excess of one million
dollars will require a four-fifths vote, again subject to an authorizing ordinance with two public
hearings and two notice publications.
566.028
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