Meeting Agenda
1. Open Meeting
2. Roll Call
3. Consent Agenda
3.A. Approve Meeting Minutes
3.B. Accept the City Treasurer's Report
3.C. Approve the Payment of Claims Against the City
4. Items of Business
4.A. Public Hearing on ALS and BLS services contract 
5. Petitions - Communications - Citizen Concerns
6. Officers' Reports
7. Adjournment
Agenda Item Details Reload Your Meeting
 
Meeting: October 9, 2024 at 5:00 PM - Crete City Council Emergency Meeting
Subject:
1. Open Meeting
Rationale:
  • In accordance with Nebraska law, a copy of the Open Meetings Act can be found in the back of the Council Chambers.
  • Items listed on the agenda may be considered in any order.
  • Please stand for the Pledge of Allegiance.
Subject:
2. Roll Call
Rationale:
  • Attendance of members will be recorded to determine the presence of a quorum for official actions.
Subject:
3. Consent Agenda
Rationale:
  • All items listed on the consent agenda will be approved by one motion and vote. No separate discussion of these items will occur unless the Mayor, a Councilmember, or a citizen so requests. If such a request is made, the item will be moved out of the consent agenda and considered separately.
Subject:
3.A. Approve Meeting Minutes
Subject:
3.B. Accept the City Treasurer's Report
Subject:
3.C. Approve the Payment of Claims Against the City
Subject:
4. Items of Business
Rationale:
  • Action may be taken to discuss/limit discussion, to hear testimony in favor of or in opposition to, and to approve or disapprove any matter presented under this title.
Subject:
4.A. Public Hearing on ALS and BLS services contract 
Discussion:
The Public Hearing opened at 5:03 p.m. 

Crete Volunteer Fire Department Assistant Fire Chief, James Yost gave a presentation on the work they have been doing and the number of calls they received. 

-Outside calls very busy
-Training a month 
-prep work
  • Public education 
  • EMS stand bys 
  • Supply management 
  • Pre billing
  • 611 911 calls
  • 300 transfers 
2024
442 calls that were medical related 
379 paramedic
295 medical
276  Paramedic

By passing (2023 23 by pass)
3 of 8 own paramedic 

1 critical patient

2024 24 by pass 

Financial tax funding $100,000
Saline County $25,000 per year

Highland rural $200,000 bond every 5 years for apparatus replacement 
Ambulances are $400,000
EMS reimburse $400,000 -$500,000 entire department 
Crete fire and rescues 
85% in all 911 calls 
Plan to continue staffing for transfers 2 hour round trip to Lincoln 
Current reimbursement for transfers not making up for costs not keeping up 
Paying out more than coming in 

Stephanie Boldt, President/CEO for Crete Area Medical Center stated that she appreciates the opportunity to be allowed back. Boldt asked what it is that the City of Crete wants? Boldt stated that making an educated decision is important and the Crete Fire Department covers a lot of the 911 and BLS and transfers. If the City of Crete doesn't want the CAMC services, that's okay. Boldt added that:

ALS flat fee per year or pay per transfer $23 per hour 

Under two hours (that won’t cover)

ALS transfer (city ambulance CAMC paramedic) 

Boldt stated she is open to conversation and looking for feedback. The biggest thing is that the CAMC paramedics can't be on call for free. There needs to be some sort of compensation.  

Mayor Bauer stated there would not be decision made tonight but would like the council to leave with as many of their questions answered.

Council member Anthony Fitzgerald asked if they could look at ALS transfers with the hospital sharing the burden of uncollected bills.  

Medicaid and Medicare doesn’t collect everything. 

Boldt stated that the contract has not been updated in years. City Administrator Tom ourada added that during the last League of Municipalities conference this was a big topic. Municipalities don't have the funding and are working with the legislature to subsidize this. 

Mayor Dave Bauer added that the City Council needs to take this information and direct questions to him and to City Administrator Tom Ourada. This will go on the October 15th, 2024 City Council meeting and if not it will on the first City Council meeting in November. 



The Public Hearing closed at  6:10 p.m.
 
Action(s):
Motion 1 Carried:
Opened Public Hearing on ALS and BLS services contract Carried with a motion by Dale Strehle and a second by Dan Papik.
  • Tom Crisman: Aye
  • Anthony Fitzgerald: Aye
  • Ashley Newmyer: Aye
  • Kyle Frans: Aye
  • Dale Strehle: Aye
  • Dan Papik: Aye
Motion 2 Carried:
Closed the Public Hearing on ALS and BLS services contract Carried with a motion by Dale Strehle and a second by Dan Papik.
  • Tom Crisman: Aye
  • Anthony Fitzgerald: Aye
  • Ashley Newmyer: Aye
  • Kyle Frans: Aye
  • Dale Strehle: Aye
  • Dan Papik: Aye
Subject:
5. Petitions - Communications - Citizen Concerns
Rationale:
  • Citizen testimony may be limited to 3 minutes per person.
  • Please do not repeat testimony that has already be heard.
  • No action can be taken on matters presented under this title except to answer any questions or to refer the matter for further action.
Subject:
6. Officers' Reports
Rationale:
  • Reports may be given by Officers, Departments, Committees, or Councilmembers concerning the current operations of the City.
  • No action can be taken on matters presented under this title except to answer any questions or to refer the matter for further action.
Subject:
7. Adjournment
Discussion:
The meeting adjourned at 6:11 p.m.










 
 

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