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CITY OF SOUTH BEND I OFFICE OF THE CLERK
<br /> Chief Cox stated, I'm going to move this part of the presentation along. Back to expenditures and
<br /> our operating budget, supplies have decreased by twelve percent (12%), that's roughly a million
<br /> dollars for 2020. 2019 had some grant-related, one (1) time purchases that were made at the end
<br /> of the year last year with the expectation that they were going to be reimbursed this year. That has
<br /> happened. One(1)example of that is,we put in for a Firehouse Subs grant for twenty-five thousand
<br /> dollars ($25,000). That was awarded I believe in the November timeframe. We bought that
<br /> equipment this year. That one(1)time expenditure was this year, and then we'll be reimbursed for
<br /> it. In that, we don't anticipate it again next year because there's a period of time that has to elapse
<br /> before you're eligible again. Then, in services, we also have a five percent (5%) decrease. The
<br /> national refunds from Memorial will be discontinued. That'll be$120,000. Then, we've also had a
<br /> decrease in our inner fund allocations, as well,to the tune of about$320,000. Capital projects,Fire
<br /> Department has been working with Central Services to ensure the replacement and maintenance
<br /> plan stays intact, and basically,we continue to work with the folks at Central Services to maintain
<br /> this. Next year,what we had on a schedule was a replacement of two(2)pumpers. Two (2) engine
<br /> companies. The big truck right in the front that you can see, the fire truck, it'll be two (2)of those,
<br /> and one(1) ambulance. Then, two (2) command vehicles, which are typically SUVs.
<br /> He continued,Additionally,we had several cardiac monitors that aged out. We will have to replace
<br /> them because they've reached end of life, and we're expecting that cost to be roughly $280,000
<br /> next year. We've added that as well. As it stands, that's all of our capital that we're projecting for
<br /> next year. I just wanted to mention quickly the community para medicine program. We have asked
<br /> to add one (1) FTE here. We have had tremendous success with this program, and we anticipate
<br /> building on the success that we've had with this program. There are a lot of avenues that we can
<br /> go with it. One(1) of which, I think I've mentioned before, we've been speaking to the FIMR, the
<br /> Fetal and Infant Mortality Team associated with the Health Department. We feel like the
<br /> application of the community for medicine programming in conjunction with the FIMR team has
<br /> a potential for some impact to reduce infant mortality rates in St. Joseph County. Interestingly, we
<br /> just went to a program that was put on by the Health Department, and it shows that babies of color
<br /> are actually at the highest risk in regard to this, and mothers. Our thought is that this program
<br /> probably matches up well with matching the services to those mothers that really need some of
<br /> that assistance providing them the prenatal and postnatal care that they need. Hopefully, we are
<br /> able to make an impact, and this would just be the second (2nd) community paramedic that we
<br /> would be adding to our department.
<br /> Committee Chair White stated, Chief Cox, if you could maybe give a little bit more descriptive
<br /> information about the special initiative of community paramedic medicine,just in case one(1) or
<br /> two (2) may not be familiar with it. I'm not talking about the firefighters.
<br /> Chief Cox replied, Absolutely. So, the community paramedic, the program we just piloted, the
<br /> idea of this was for us to be able to take the individual that is a trained paramedic, who is specially
<br /> trained in providing individuals that are utilizing the EMS system as their primary care physician.
<br /> In essence,they don't have the services available to them,a primary care provider,a doctor's office,
<br /> even being connected with Medicaid or Medicare benefits, etc. The idea is that our community
<br /> paramedic then reached out to these individuals once they're identified, and they work with them
<br /> to provide them and match them up with the services that they need to find them in a medical home
<br /> that works for them.
<br /> EXCELLENCE ; ACCOUNTABILITY INNOVATION I INCLUSION ; EMPOWERMENT
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