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Home My WebLink About2024-11-12 City Council Workshop Packet AGENDA MAPLEWOOD CITY COUNCIL MANAGER WORKSHOP 5:30 P.M. Tuesday, November 12, 2024 City Hall, Council Chambers A. CALL TO ORDER B. ROLL CALL C. APPROVAL OF AGENDA D. UNFINISHED BUSINESS 1. Ambulance Fund Presentation E. NEW BUSINESS 1. Budget Presentation – Community Development F. ADJOURNMENT RULES OF CIVILITY FOR THE CITY COUNCIL, BOARDS, COMMISSIONS AND OUR COMMUNITY Following are rules of civility the City of Maplewood expects of everyone appearing at Council Meetings - elected officials, staff and citizens. It is hoped that by following these simple rules, everyone’s opinions can be heard and understood in a reasonable manner. We appreciate the fact that when appearing at Council meetings, it is understood that everyone will follow these principles: Speak only for yourself, not for other council members or citizens - unless specifically tasked by your colleagues to speak for the group or for citizens in the form of a petition. Show respect during comments and/or discussions, listen actively and do not interrupt or talk amongst each other. Be respectful of the process, keeping order and decorum. Do not be critical of council members, staff or others in public. Be respectful of each other’s time keeping remarks brief, to the point and non-repetitive. THIS PAGE IS INTENTIONALLY LEFT BLANK D1 CITY COUNCIL WORKSHOPSTAFF REPORT Meeting Date November 12, 2024 REPORT TO:Michael Sable, City Manager REPORT FROM:Michael Mondor, Fire and EMS Chief PRESENTER:Michael Mondor, Fire and EMS Chief AGENDA ITEM:Ambulance Fund Presentation Action Requested:MotionDiscussionPublic Hearing Form of Action:ResolutionOrdinanceContract/AgreementProclamation Policy Issue: The ambulance fund was established as an enterprise fund in the early Over the last 20 years, the Emergency Medical Service (EMS)model has evolved and the Fire/EMS department has continued to adapt and evolve to meet increased service demands. A discussion regarding the current and future state of EMS will aid staffin ensuring the continued delivery of this essential service while ensuring that these services are financially sustainable. Recommended Action: No action is required. Fiscal Impact: Is There a Fiscal Impact?NoYes, the true or estimated cost is$0.00 Financing source(s):Adopted BudgetBudget ModificationNew Revenue Source Use of ReservesOther:n/a Strategic Plan Relevance: Community InclusivenessFinancial & Asset MgmtEnvironmental Stewardship Integrated CommunicationOperational EffectivenessTargeted Redevelopment -Financial & Asset Management as the department aims to maintain fiscal sustainability to ensure uninterrupted quality, essential services. Background: Staff will provide an overview of the EMS response model, fees for service, the reimbursement landscape, funding challengesll also provide an overview of current funding and accounting practicesanda comparison of similar cities approaches. Workshop Packet Page Number 1 of 36 D1 The discussion will include an overview of the State of EMS in Minnesota, the impacts of mutual aid along withthe landscapeoflocal, state and federal approaches to EMS service delivery and future recommendations. Attachments: 1.Ambulance Fund Presentation Workshop Packet Page Number 2 of 36 D1, Attachment 1 Service Before Self State of EMS AmbulanceFund Workshop Packet Page Number 3 of 36 D1, Attachment 1 Purpose Ambulance Fund Mutual Aid Impacts Review State of EMS Services vsReimbursement {ĻƩǝźĭĻ .ĻŅƚƩĻ {ĻƌŅ Service Before Self Workshop Packet Page Number 4 of 36 D1, Attachment 1 Maplewood EMS Service Delivery 9ƭƷğĬƌźƭŷƒĻƓƷ ƚŅ {ĻƩǝźĭĻƭIǤĬƩźķ tƚƌźĭĻΉCźƩĻ wĻƭƦƚƓƭĻCźƩĻ 5ĻƦğƩƷƒĻƓƷ wĻƭƦƚƓƭĻ History of Ambulance Enterprise Fund History (PSA) Primary Service Areas {ĻƩǝźĭĻ .ĻŅƚƩĻ {ĻƌŅ Service Before Self Workshop Packet Page Number 5 of 36 D1, Attachment 1 Workshop Packet Page Number 6 of 36 D1, Attachment 1 wĻźƒĬǒƩƭĻƒĻƓƷ ƩĻğƷƒĻƓƷ Private EMS Service \[ƚĭğƌ /ƚƓƷƩƚƌ {ĻƩǝźĭĻ .ĻŅƚƩĻ {ĻƌŅ Illness/Injury Service Before Self Workshop Packet Page Number 7 of 36 D1, Attachment 1 wĻźƒĬǒƩƭĻƒĻƓƷ ƩĻğƷƒĻƓƷ \[ƚĭğƌ /ƚƓƷƩƚƌ City EMS Response {ĻƩǝźĭĻ .ĻŅƚƩĻ {ĻƌŅ Illness/Injury Service Before Self Workshop Packet Page Number 8 of 36 D1, Attachment 1 0.9% 57.9% 40.8% 0.4% υЋЉЉЉυЊВЉЉ υЋͲАЉЉυЋБ υЋͲВЉЉ Non-Resident BLS (Basic Life Support)No Load ALS (Advanced Life Support)Mileage ALS2 (Advanced Life Support) 0.7%0.5% 44% 54.9% 2025 FeeSchedule υЊВЉЉ υАЉЉ υЋͲЌЎЉυЋЏ υЋͲЏЉЉ Resident BLS (Basic Life Support) No Load ALS (Advanced Life Support)Mileage ALS2 (Advanced Life Support) {ĻƩǝźĭĻ .ĻŅƚƩĻ {ĻƌŅ Service Before Self Workshop Packet Page Number 9 of 36 D1, Attachment 1 No Reimbursement Non-TransportNo Fee Response(Life Assist, Falls, etc.) Reimbursement Scenarios {ĻƩǝźĭĻ .ĻŅƚƩĻ {ĻƌŅ Service Before Self Workshop Packet Page Number 10 of 36 D1, Attachment 1 TM Remembering WhenSenior RoadshowSenior Taskforce Proactive Approaches ResearchCommunity ParamedicineFalls Prevention Service Before Self Workshop Packet Page Number 11 of 36 D1, Attachment 1 $708 $436 Reimbursement Scenarios Medicare:No ReimbursementMedicaid: Average Charge: Treatment/Non-Transport(Diabetic, etc.) Service Before Self Workshop Packet Page Number 12 of 36 D1, Attachment 1 $1944 Basic Life Support $452 $436 Reimbursement Scenarios Average Charge: BLSTransportMedicare: Medicaid: Service Before Self Workshop Packet Page Number 13 of 36 D1, Attachment 1 $2517 Advanced Life Support 1 $537 $517 Reimbursement Scenarios Average Charge: ALS 1Emergency(Chest Pain, etc.)Medicare: Medicaid: Service Before Self Workshop Packet Page Number 14 of 36 D1, Attachment 1 $2884 Advanced Life Support 2 $778 $749 Reimbursement Scenarios Medicare: Medicaid: Average Charge: ALS 2 Emergency(Cardiac Arrest, Significant Trauma, etc.) Service Before Self Workshop Packet Page Number 15 of 36 D1, Attachment 1 aĻķźĭğźķaĻķźĭğƩĻIahΉtƩźǝğƷĻ LƓƭǒƩğƓĭĻhƷŷĻƩ LƓƭǒƩğƓĭĻtğƷźĻƓƷ tğǤƒĻƓƷƭwĻǝĻƓǒĻ wĻĭğƦƷǒƩĻ ЋЍі ЌЍі Payor Breakdown YTD Ѝі Ві Џі ЋЌі {ĻƩǝźĭĻ .ĻŅƚƩĻ {ĻƌŅ Service Before Self Workshop Packet Page Number 16 of 36 D1, Attachment 1 General Fund Ambulance Fund Special Revenue Fund Current Funding/Accounting Practices {ĻƩǝźĭĻ .ĻŅƚƩĻ {ĻƌŅ Service Before Self Workshop Packet Page Number 17 of 36 D1, Attachment 1 Cottage GroveSaint Paul White Bear Lake Woodbury Review Accounting Practices Comparable Cities Approach EdinaOakdale Burnsville {ĻƩǝźĭĻ .ĻŅƚƩĻ {ĻƌŅ Service Before Self Workshop Packet Page Number 18 of 36 D1, Attachment 1 Impacts of Mutual Aid wĻƭƦƚƓƭĻ Response Challenges Increasing Call Volumes {ĻƩǝźĭĻ .ĻŅƚƩĻ {ĻƌŅ Service Before Self Workshop Packet Page Number 19 of 36 D1, Attachment 1 Љ Љ ЉЊ 25 Љ Љ ЊЌ ЊЊ 2021 ЊЌ Љ ЎВ 152 Љ Ћ ЌЋ ВЊ 2022 ЍЉ А ЍЊБ 374 Џ А БЊ ЋЊЊ 2023 А Њ Њ ЊЊ Ѝ 242 Ќ АЋ ЊЍЌ 2024 *Projected Arden HillsLittle CanadaNew BrightonNorth OaksRosevilleShoreviewVadnais HeightsAllina (Total): Other Allina Impacts of Mutual Aid Mutual Aid Given {ĻƩǝźĭĻ .ĻŅƚƩĻ {ĻƌŅ Service Before Self Workshop Packet Page Number 20 of 36 D1, Attachment 1 АЉ ЍЍ 160 ЋЍ АВ 185 Џ 2021 ЊЋЊ ЎЎ 271 ЋБ ЊЏЍ 423 ЊЊ 2022 ЍЌ ЌБ 166 ЊЏ ВЌ 540 ЊЋ 2023 385 157 Љ Џ БЎЌЋЋЊ ЊЌ *Projected 2024 Total: NSP (Lakeview)Saint PaulWhite Bear LakeWoodburyM-Health Oakdale Total Mutual Aid Given: Impacts of Mutual Aid Mutual Aid Given {ĻƩǝźĭĻ .ĻŅƚƩĻ {ĻƌŅ Service Before Self Workshop Packet Page Number 21 of 36 D1, Attachment 1 Ѝ А Ћ АЌ ЊВ ЊЏ 121 2022 Љ Ќ Њ АЌ ЋЋ ЊВ 118 2023 ЌЉ 163 ЊЉЉ ЋВ ЏЋЎ 2024 *Projected AllinaOakdaleSaint PaulWhite Bear LakeOther/UnknownTotal: Lakeview Impacts of Mutual Aid Mutual AidReceived {ĻƩǝźĭĻ .ĻŅƚƩĻ {ĻƌŅ Service Before Self Workshop Packet Page Number 22 of 36 D1, Attachment 1 Structural Accounting Changes Service Level Changes Bill for AdditionalCall Types Aggressive Collections Fee Structure Changes Essential Public Service Future Recommendations {ĻƩǝźĭĻ .ĻŅƚƩĻ {ĻƌŅ Service Before Self Workshop Packet Page Number 23 of 36 D1, Attachment 1 Shifting of Regulation Landscape Overview Landscape {ĻƩǝźĭĻ .ĻŅƚƩĻ {ĻƌŅ Service Before Self Workshop Packet Page Number 24 of 36 D1, Attachment 1 State Advocacy National Advocacy Long Term Solutions {ĻƩǝźĭĻ .ĻŅƚƩĻ {ĻƌŅ Service Before Self Workshop Packet Page Number 25 of 36 D1, Attachment 1 {ƷğƷĻCĻķĻƩğƌ Discuss PartnershipsAdvocacy at the Elected & Staff Level Local Approaches Maplewood Solution Resolve Ambulance Fund BalanceEngage StakeholdersFee Schedule Changes {ĻƩǝźĭĻ .ĻŅƚƩĻ {ĻƌŅ Service Before Self Workshop Packet Page Number 26 of 36 D1, Attachment 1 Questions {ĻƩǝźĭĻ .ĻŅƚƩĻ {ĻƌŅ Service Before Self Workshop Packet Page Number 27 of 36 E1 CITY COUNCIL WORKSHOPSTAFF REPORT Meeting Date November 12, 2024 REPORT TO:Michael Sable, City Manager REPORT FROM: Danette Parr, Community Development Director PRESENTER:Danette Parr, Community Development Director AGENDA ITEM: Budget Presentation – Community Development Action Requested: MotionDiscussion Public Hearing Form of Action: Resolution OrdinanceContract/Agreement Proclamation Policy Issue: As part of the 2025 budget process, department heads will highlight their budget priorities. The Community Development department will give an overview of its 2025 priorities and emphasize notable changes. Recommended Action: This item is for discussion purposes. No action is needed. Fiscal Impact: Is There a Fiscal Impact? No Yes, the true or estimated cost is $2,050,269 Financing source(s): Adopted Budget Budget Modification New Revenue Source Use of Reserves Other: N/A Strategic Plan Relevance: Community InclusivenessFinancial & Asset MgmtEnvironmental Stewardship Integrated CommunicationOperational EffectivenessTargeted Redevelopment City staff are committed to providing the Mayor and Council Members, stakeholders and taxpayers with information pertaining to each department that is clear and transparent. Background: The City began its budget process in the summer of 2024. As part of the process, department heads met with the City Manager and Finance Director to discuss priorities in 2025. In August and September, the City Council was presented with budget scenarios before formally setting the limit in September. Before final approval of the 2025 budget, each department will provide an overview of their 2025 budget, discuss priorities for the year ahead and address questions. Attachments: 1.Budget Presentation Workshop Packet Page Number 28 of 36 E1, Attachment 1 t Budget Overview November 12, 2024 Community Development Workshop Packet Page Number 29 of 36 E1, Attachment 1 7.13% of General Fund Budget Targeted Redevelopment EffortsBusiness Expansion and RetentionAssure Housing Is Healthy and SafeSupport Food Safety/EventsCode Compliance Key InitiativesKK¤¤¤¤¤¤¤¤¤¤ Workshop Packet Page Number 30 of 36 E1, Attachment 1 Workshop Packet Page Number 31 of 36 E1, Attachment 1 Community Development Budget Both Building and Planning Divisions Workshop Packet Page Number 32 of 36 E1, Attachment 1 Based On Pay StudyDeputy Building Official PositionTechnology, Insurance, etc. Budget Changes ¤¤¤ Salaries/Wages/BenefitsInternal Charges ¤¤ Workshop Packet Page Number 33 of 36 E1, Attachment 1 $1,726,972.91 __________________________ Fee Revenues 2024 Building Permit Building Permit Fees: $832,733.08Mechanical Permit Fees: $162,517.54Plumbing Permit Fees: $106,954.96Plan Review Fees: $431,922.53Electrical Permit Fees: $181,984.80Misc $10,860.00 ¤¤¤¤¤¤ Workshop Packet Page Number 34 of 36 E1, Attachment 1 ss) Oberon JuniperGladstone Village IIBeacon/Redevelopment of Former Gladstone HouseSt Johns Hospital Expansion Birch Run (two additional building pads)St Paul Regional Water Plant Harriet Tubman RenovationDR Horton Ponds ProjectHmong Mall 3M (lab upgrades) Current/Upcoming Projects ¤¤¤¤¤¤¤¤¤¤¤ Workshop Packet Page Number 35 of 36 E1, Attachment 1 Inspections/Plan Review StaffPlanning StaffState Delegation Agreement Credential Code Enforcement Looking Ahead ¤¤¤¤ f c Economic Development Priority PlanningEEGrow Economic Development Resources GGStaffing LevelsStComprehensive Plan Update CAffordable Housing (Local Affordable AAHousing Aid Funds-LAHA)H ¤¤¤¤¤¤¤¤¤¤¤¤ Workshop Packet Page Number 36 of 36