2020 Annual Operating Budget City of New Orleans Mayor LaToya Cantrell *29(510(17 ),1$1&( 2)),&(56 $662&,$7,21 Distinguished Budget Presentation Award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age 342 -&&%') ) -&&%') ) %##-$!)0 " *%$( # %"-$) ' #) # "!$! " ) & ! "!() 8C?D?9 -&&%') ) Accomplishments of the Last Year • • • Accomplishment 1: Dissected field response efficiency o Worked (working) with OPCD to reevaluate 911 calls, their priorities, and EMS response o Worked with Office of Performance & Accountability to evaluate staffing, fleet, and deployment strategies o Assigned personnel to detect trends, predict challenges, and more proactively identify solutions o Working with field staff to pinpoint day-to-day areas for improvement • • Accomplishment 2: Partnered with internal and external agencies to improve prehospital component of patient care o Teamed with Emergency Maintenance Division (EMD) to ensure timely fleet maintenance and repairs o Arranged quarterly meetings with local hospitals to improve wall times, patient hand-off, and inform local clinicians about City social services o Conducted region-wide training to benefit all prehospital providers o Participated in Opiate Task Force and its pioneering initiatives o Executed AED instillation in all City of YES buildings Accomplishment 4: Educated our community to improve its overall health o Increased community training in bystander CPR and Stop the Bleed o Promoted “providers, not just drivers” messaging to increase education o Focused on provider quality improvement and continued training o Developed alternative destinations to offer more comprehensive care Accomplishment 5: Expanded organizational chart with budget neutral changes o • Accomplishment 3: Fostered positive work environment and promoted a culture of wellness o Collaborated with NOPD, NOFD, and OPCD to better ensure provider safety while performing their job o Assigned LGBTQ+ liaison to benefit employees and patients o Provided pet therapy during Mardi Gras o Conducted 1st ever employee engagement survey o Developed Critical Incident Stress Management and peer support teams Hiring Committee Wellness Committee Community Relations Team o Created revolving roles to allow for employee growth and leadership development o Reinvigorated Volunteers in Government of Responsibility (VIGORs) to support overall operations Accomplishment 6: Ensured fiscal responsible approaches to patient care and provision of prehospital medical services o Identified conditions/services where debt collection is futile o Began collecting old debt for services through subcontracted agency o Page 343 Developed committees to increase transparency and engage staff at all levels Follows with health insurers Establishes “fair share” for medical care Developed payment plan options for persons with limited pay capability Budget Priorities for this Year • Budget Priority 1: Improved 911 response o • • Continued framework development to enhance system efficiency and readiness o Continued data-mining with more realtime innovation and scalability o Increased collaborations to ensure seamless, integrated, & reliable care o Continued development of alternative destinations away from ED o Adapt & evolve in line with the National Highway Traffic & Safety Administration • Budget Priority 3: Create processes to support sustainability of our accomplishments o Formalized policies/procedures o Memorialized partnerships o Reinforcing culture shifts and reassuring “late-majority/laggard” adopters of change Budget Priority 4: Continued transparency and information sharing with our community o Continued CPR/Stop the Bleed training o Continued development of mobile integrated healthcare and collaboration with local agencies to increase patient access o Continued work with NOHD to identify health needs unique to our City and each neighborhood o Build a more people-centered approach to consistent and compassionate care Budget Priority 2: Continued staff development o Increased employee recruitment and retention o Increased top-down accountability o Increased continuing education to keep providers competent and cutting edge o Growth of our future agency leaders Page 344 Budget Summary - EMS +LVWRULFDO 6XPPDU\ ([SHQGLWXUHV E\ 7\SH 2018 Actual 2019 Adopted Personal Services 2020 Proposed Other Operating Debt Service ([SHQGLWXUHV E\ 7\SH (06 15,463,022 'ROODU &KDQJH )< 629,967 3HUFHQW &KDQJH )< 4.25% 5,084,406 5,403,866 319,460 6.28% 0 0 0 0 - ([SHQGLWXUH 7\SH $FWXDO $GRSWHG 3URSRVHG Personal Services 12,892,251 14,833,055 Other Operating 4,726,603 Debt Service 7RWDO ([SHQGLWXUHV Page 345 'HWDLOHG 3HUVRQQHO E\ 'HSDUWPHQW 3HUVRQQHO Dollar amount 7RWDO 'HSDUWPHQW )7(V $GRSWHG 3URSRVHG 14,833,055 15,463,022 Page 346 'ROODU &KDQJH )< 629,967 3HUFHQW &KDQJH )< 4.25% Page 347 HEALTH PROGRAM DETAIL EMS Program No. 001 GENERAL FUND 3665 EMERGENCY MED SERV OPERATIONS Personal Services Other Operating Debt Service Total 13,603,399 3,800,518 0 17,403,917 837,022 0 0 837,022 94,736 994,148 0 1,088,884 3679 EMERGENCY MED SERV ADMIN 3690 EMERGENCY MED SERV CALL CENTER 3691 EMERGENCY MED SERV TRAIN ED 413,011 0 0 413,011 3696 EMERGENCY MED SERV LOGISTI/SOD 341,955 0 0 341,955 15,290,123 4,794,666 0 20,084,789 FEM FED DEPARTMENT OF EMERGENCY 3665 EMERGENCY MED SERV OPERATIONS 0 160,800 0 160,800 FEM FED DEPARTMENT OF EMERGENCY TOTAL 0 160,800 0 160,800 FHS FED DEPT. OF HOMELAND SECURITY 3665 EMERGENCY MED SERV OPERATIONS 0 80,400 0 80,400 FHS FED DEPT. OF HOMELAND SECURITY TOTAL 0 80,400 0 80,400 FJA FEDERAL DEPARTMENT OF JUSTICE 3692 IMPROV CRIM JUST RESPONS PROGR 172,899 330,000 0 502,899 FJA FEDERAL DEPARTMENT OF JUSTICE TOTAL 172,899 330,000 0 502,899 LDH LA DEPT OF HEALTH/HUMAN SVCS 3665 EMERGENCY MED SERV OPERATIONS 0 2,000 0 2,000 LDH LA DEPT OF HEALTH/HUMAN SVCS TOTAL 0 2,000 0 2,000 LPS LA DEPT OF PUBLIC SAFETY 3665 EMERGENCY MED SERV OPERATIONS 0 36,000 0 36,000 LPS 0 36,000 0 36,000 001 GENERAL FUND TOTAL LA DEPT OF PUBLIC SAFETY TOTAL Page 348 HEALTH PROGRAM DETAIL EMS Program No. DEPARTMENTAL TOTAL Personal Services Other Operating Debt Service Total 15,463,022 5,403,866 0 20,866,888 Page 349 HEALTH EXPENDITURE SUMMARY EMS Program No. 001 EMERGENCY MED SERV OPERATIONS EMERGENCY MED SERV ADMIN EMERGENCY MED SERV CALL CENTER EMERGENCY MED SERV TRAIN ED EMERGENCY MED SERV LOGISTI/SOD GENERAL FUND TOTAL EMERGENCY MED SERV OPERATIONS FED DEPARTMENT OF EMERGENCY TOTAL EMERGENCY MED SERV OPERATIONS FED DEPT. OF HOMELAND SECURITY TOTAL IMPROV CRIM JUST RESPONS PROGR FEDERAL DEPARTMENT OF JUSTICE TOTAL EMERGENCY MED SERV OPERATIONS LA DEPT OF HEALTH/HUMAN SVCS TOTAL 2020 2019-2020 14,219,227 1,055,217 1,049,759 544,982 333,024 16,479,949 949,220 1,081,710 442,517 315,289 17,403,917 837,022 1,088,884 413,011 341,955 923,968 (112,198) 7,174 (29,506) 26,666 17,202,209 19,268,685 20,084,789 816,104 0 80,400 160,800 80,400 0 80,400 160,800 80,400 0 80,400 80,400 0 0 80,400 80,400 0 45,765 449,976 502,899 52,923 45,765 449,976 502,899 52,923 0 2,000 2,000 0 0 2,000 2,000 0 370,880 0 0 0 370,880 0 0 0 0 36,000 36,000 0 0 36,000 36,000 0 LA HIGHWAY SAFETY COMMISSION 3667 EMS PORT SECURITY GRANT LA HIGHWAY SAFETY COMMISSION TOTAL LPS 2019 LA DEPT OF HEALTH/HUMAN SVCS 3665 LHS 2018 FEDERAL DEPARTMENT OF JUSTICE 3692 LDH Variance FED DEPT. OF HOMELAND SECURITY 3665 FJA Proposed FED DEPARTMENT OF EMERGENCY 3665 FHS Adopted GENERAL FUND 3665 3679 3690 3691 3696 FEM Actual LA DEPT OF PUBLIC SAFETY 3665 EMERGENCY MED SERV OPERATIONS LA DEPT OF PUBLIC SAFETY TOTAL Page 350 HEALTH EXPENDITURE SUMMARY EMS Program No. DEPARTMENT TOTAL Page 351 Actual Adopted Proposed Variance 2018 2019 2020 2019-2020 17,618,854 19,917,461 20,866,888 949,427 HEALTH PERSONNEL SUMMARY EMS Program No. 001 Pay Grade Adopted 2019 Proposed 2020 Variance 2019-2020 GENERAL FUND 3665 EMERGENCY MED SERV OPERATIONS EMERGENCY MEDICAL TECHNICIAN, ASSISTANT 64 4.00 4.00 0.00 EMERGENCY MEDICAL TECHNICIAN, INTERMEDIATE 66 1.25 1.25 0.00 EMERGENCY MEDICAL COORDINATOR, ASSISTANT 81 8.00 8.00 0.00 PHYSICIAN 16 0.25 0.25 0.00 EMERGENCY MEDICAL TECHNICIAN, PARAMEDIC 75 77.25 77.25 0.00 EMERGENCY MEDICAL TECHNICIAN, ASSISTANT 64 36.50 36.50 0.00 127.25 127.25 0.00 3665 EMERGENCY MED SERV OPERATIONS TOTAL 3679 EMERGENCY MED SERV ADMIN MEDICAL DIRECTOR U16 1.00 1.00 0.00 CHIEF OF EMS U07 1.00 1.00 0.00 EMERGENCY MEDICAL COORDINATOR 87 1.00 1.00 0.00 EMERGENCY MEDICAL COORDINATOR, ASSISTANT 81 1.00 1.00 0.00 EMERGENCY MEDICAL TECHNICIAN, PARAMEDIC 75 1.00 1.00 0.00 PUBLIC HEALTH NURSE III 84 1.00 1.00 0.00 6.00 6.00 0.00 1.00 1.00 0.00 1.00 1.00 0.00 3679 EMERGENCY MED SERV ADMIN TOTAL 3690 EMERGENCY MED SERV CALL CENTER EMERGENCY MEDICAL COORDINATOR, ASSISTANT 81 3690 EMERGENCY MED SERV CALL CENTER TOTAL 3691 EMERGENCY MED SERV TRAIN ED EMERGENCY MEDICAL TECHNICIAN, PARAMEDIC 75 1.00 1.00 0.00 EMERGENCY MEDICAL TECHNICIAN, INTERMEDIATE 66 0.25 0.25 0.00 EMERGENCY MEDICAL COORDINATOR, ASSISTANT 81 2.00 2.00 0.00 EMERGENCY MEDICAL COORDINATOR 87 1.00 1.00 0.00 Page 352 HEALTH PERSONNEL SUMMARY EMS Program No. Pay Grade 3691 EMERGENCY MED SERV TRAIN ED TOTAL Adopted 2019 Proposed 2020 Variance 2019-2020 4.25 4.25 0.00 3696 EMERGENCY MED SERV LOGISTI/SOD EMERGENCY MEDICAL TECHNICIAN, INTERMEDIATE 66 1.00 1.00 0.00 EMERGENCY MEDICAL COORDINATOR 87 1.00 1.00 0.00 EMERGENCY MEDICAL TECHNICIAN, PARAMEDIC 75 1.00 1.00 0.00 EMERGENCY MEDICAL TECHNICIAN, ASSISTANT 64 1.00 1.00 0.00 4.00 4.00 0.00 142.50 142.50 0.00 3696 EMERGENCY MED SERV LOGISTI/SOD TOTAL 001 FJA FJA GENERAL FUND TOTAL FEDERAL DEPARTMENT OF JUSTICE 3692 IMPROV CRIM JUST RESPONS PROGR HEALTH PROJECT & PLANNING SPECIALIST 76 1.00 1.00 0.00 HEALTH PROJECT & PLANNING SENIOR ANALYST 63 1.00 1.00 0.00 3692 IMPROV CRIM JUST RESPONS PROGR TOTAL 2.00 2.00 0.00 FEDERAL DEPARTMENT OF JUSTICE TOTAL 2.00 2.00 0.00 144.50 144.50 0.00 DEPARTMENT TOTAL Page 353 Human Services Juvenile Justice Intervention Center (JJIC) Overview Budget Summary Page 354 Human Services, Juvenile Justice Intervention Center Overview Department Head: Address: Phone: Hours of Operation: Dr. Kyshun Webster, Sr. 1100-A Milton Street 504-658-3400 24 hours 7 days a week Mission Statement Our mission is to provide a temporary safe, secure, and humane environment that provides juveniles an opportunity for behavioral change; while offering quality services and programs for juveniles based on their individual needs. Vision Statement The Juvenile Justice Intervention Center (JJIC) will foster an environment that recognizes innovative thinking, while providing staff and youth with unlimited learning and developmental opportunities. A commitment to growth and continuous improvement will result in the JJIC being recognized nationally as an innovative leader providing quality evidence-based juvenile detention. Page 355 Organizational Chart Page 356 Accomplishments of the Last Year Accomplishment 1: Lowered youth assault rate av. by approx. 34% annually. Accomplishment 4: Restructured operations and hired a senior-level management team for more specialized management oversight. Accomplishment 2: Increased overall av. daily youth attendance at school by approx. 54%. Accomplishment 5: Improved security infrastructure by installing doors and locks. Accomplishment 3: Developed and implemented a responsive corrective action plan to improve JDAI conditions of confinement for youth. Accomplishment 6: Created new digitized management systems for youth case management and facilities maintenance. Accomplishment 7: Hosted job fair that attracted over 230 prospect employees. Budget Priorities for this Year Budget Priority 1: Staff and maintain the opening of the new expansion of 28 more bed facility. Budget Priority 3: Expand JJIC interventions to include re-entry support for youth and families. Budget Priority 2: Improve overall safety and security infrastructure. Budget Priority 4: Develop and implement job-skill enhancement programs for the new “Raise the Age” population of 17yr old youth. Budget Priority 5: Improve youth medical & behavioral health services through partnership with Children’s Hospital. Budget Priority 6: Improve management and operations by integrating new technologies for efficiency and accountability. Page 357 Budget Summary - Human Services +LVWRULFDO 6XPPDU\ ([SHQGLWXUHV E\ 7\SH 2018 Actual 2019 Adopted Personal Services 2020 Proposed Other Operating Debt Service ([SHQGLWXUHV E\ 7\SH +XPDQ 6HUYLFHV 4,312,753 'ROODU &KDQJH )< 111,000 3HUFHQW &KDQJH )< 2.64% 2,172,858 2,903,207 730,349 33.61% 0 0 0 0 - ([SHQGLWXUH 7\SH $FWXDO $GRSWHG 3URSRVHG Personal Services 3,857,408 4,201,753 873,029 Other Operating Debt Service 7RWDO ([SHQGLWXUHV Page 358 'HWDLOHG 3HUVRQQHO E\ 'HSDUWPHQW 3HUVRQQHO Dollar amount 7RWDO 'HSDUWPHQW )7(V $GRSWHG 3URSRVHG 4,201,753 4,312,753 Page 359 'ROODU &KDQJH )< 111,000 3HUFHQW &KDQJH )< 2.64% Page 360 ( !"#% !"#$ !"!" !"#$ & !"!" XPENDITURES ' ' ( ' ) ' * + , * -<)./")Ă'ƌĂŶŐĞ DŝƐƐŝŽŶ ^ƵƉƉŽƌƚ ;,Zͬ ĚŵŝŶͿ dĂŵĞƌĂ ^LJůǀĂŝŶ ŶŐŝŶĞĞƌŝŶŐ EŐƵLJĞŶ ͘ WŚĂŶ͕ W dƌĂĨĨŝĐ ;^ŝŐŶƐͬ^ŝŐŶĂůƐ Θ ^ƚƌĞĞƚůŝŐŚƚƐͿ ůůĞŶ zƌůĞ͕ W EŐƵLJĞŶ ͘ WŚĂŶ͕ W Page 409 &ŝƐĐĂůͬ ŽŶƚƌĂĐƚƐ WĂƌŬŝŶŐ ŶĨŽƌĐĞŵĞŶƚ ĚũƵĚŝĐĂƚŝŽŶ ŽŶŶLJĞ >͘ ƌĂĚLJ ŶƌŝĐŽ ^ƚĞƌůŝŶŐ ZŝĐŚĂƌĚ ŽƐĞŵĂŶ Budget Summary - Public Works +LVWRULFDO 6XPPDU\ ([SHQGLWXUHV E\ 7\SH 2018 Actual 2019 Adopted Personal Services 2020 Proposed Other Operating Debt Service ([SHQGLWXUHV E\ 7\SH 3XEOLF :RUNV 12,600,646 'ROODU &KDQJH )< 356,748 3HUFHQW &KDQJH )< 2.91% 43,798,230 43,823,230 25,000 0.06% 0 0 0 0 - ([SHQGLWXUH 7\SH $FWXDO $GRSWHG 3URSRVHG Personal Services 10,907,181 12,243,898 Other Operating 24,123,405 Debt Service 7RWDO ([SHQGLWXUHV Page 410 'HWDLOHG 3HUVRQQHO E\ 'HSDUWPHQW 3HUVRQQHO Dollar amount 7RWDO 'HSDUWPHQW )7(V $GRSWHG 3URSRVHG 12,243,898 12,600,646 Page 411 'ROODU &KDQJH )< 356,748 3HUFHQW &KDQJH )< 2.91% Page 412 ' K !"#% !"#$ !"!" !"#$ & !"!" XPENDITURES ' ' ( ' ) ' * + , * -/1)"/")1%0 -10)"ŝďƌĂƌŝĂŶͬ džĞĐƵƚŝǀĞ KĨĨŝĐĞƌ džĞĐƵƚŝǀĞ ƐƐŝƐƚĂŶƚ >ŝďƌĂƌLJ ŽĂƌĚ ŽĨ ŝƌĞĐƚŽƌƐ ƐƐŝƐƚĂŶƚ ŝƚLJ >ŝďƌĂƌŝĂŶ /d ŝƌĞĐƚŽƌ ƵƐŝŶĞƐƐ DĂŶĂŐĞƌ ,ƵŵĂŶ ZĞƐŽƵƌĐĞƐ ŽůůĞĐƚŝŽŶ DĂŶĂŐĂŵĞŶƚ ĂƚĂůŽŐƵĞ WƌŽŐƌĂŵͬKƵƚƌĞĂĐŚͬWĂƌƚŶĞƌƐŚŝƉ ŝƌĞĐƚŽƌ ϭϱ >ŝďƌĂƌLJ ƌĂŶĐŚĞƐ Page 446 DĂƌŬĞƚŝŶŐ ŝƌĞĐƚŽƌ &ĂĐŝůŝƚŝĞƐ ŝƌĞĐƚŽƌ Budget Summary - Library +LVWRULFDO 6XPPDU\ ([SHQGLWXUHV E\ 7\SH 2018 Actual 2019 Adopted Personal Services 2020 Proposed Other Operating Debt Service ([SHQGLWXUHV E\ 7\SH /LEUDU\ ([SHQGLWXUH 7\SH $FWXDO $GRSWHG 3URSRVHG 'ROODU &KDQJH )< 3HUFHQW &KDQJH )< Personal Services 12,391,143 14,250,000 14,163,146 (86,854) -0.61% Other Operating 6,725,779 9,196,060 8,107,060 (1,089,000) -11.84% 0 0 0 0 - Debt Service 7RWDO ([SHQGLWXUHV Page 447 'HWDLOHG 3HUVRQQHO E\ 'HSDUWPHQW 3HUVRQQHO Dollar amount 7RWDO 'HSDUWPHQW )7(V $GRSWHG 3URSRVHG 14,250,000 14,163,146 Page 448 'ROODU &KDQJH )< (86,854) 3HUFHQW &KDQJH )< -0.61% Page 449 !"#% !"#$ !"!" !"#$ & !"!" XPENDITURES ' ' ( ' ) ' * + , * -#$)##0)$!! -!/)<<0)"0" -!!)!.")!"0 -@#)#.1)%1