HomeMy WebLinkAbout2025-166 - AP Triton Consulting - Emergency Medical Services (EMS) Transportation & Optimization StudyRESOLUTION NO. 2025 - 166
RESOLUTION OF THE CITY COUNCIL OF THE CITY OF NATIONAL CITY, CALIFORNIA,
ACCEPTING THE EMERGENCY MEDICAL SERVICES (EMS) TRANSPORTATION &
OPTIMIZATION STUDY CONDUCTED BY AP TRITON CONSULTING AND DIRECTING THE
CITY MANAGER TO PURSUE THE DEVELOPMENT OF A MUNICIPAL AMBULANCE
TRANSPORT SYSTEM.
WHEREAS, the National City Fire Department (NCFD), in coordination with AP Triton
Consulting, conducted a comprehensive Emergency Medical Services (EMS) Transportation &
Optimization Study to evaluate operational performance, financial sustainability, and long-term
service delivery models; and
WHEREAS, the study found that the NCFD currently provides a high -performing
Advanced Life Support (ALS) first -response system covering approximately nine square miles
and responding to over 10,000 incidents annually, nearly half of which are medical in nature; and
WHEREAS, through its operational and financial assessment, AP Triton identified a
significant opportunity to improve fiscal sustainability, system reliability, and local control by
transitioning to a City -operated municipal ambulance transport model; and
WHEREAS, among the five delivery models evaluated, the Ambulance Operator Model —
staffed by non -sworn EMTs and paramedics —produced the strongest financial outcome, with an
estimated annual surplus of $509,799 while maintaining service reliability; and
WHEREAS, the analysis revealed that a City -operated model would enable participation
in federal and state reimbursement programs, including the Public Provider Ground Emergency
Medical Transport (PP-GEMT) program and the Quality Assurance Fee (QAF) program, which
together could yield an estimated annual fiscal benefit exceeding $900,000; and
WHEREAS, when combined with PP-GEMT reimbursement, the system achieves the
highest long-term return on investment, providing both fiscal stability and operational control; and
WHEREAS, the study further recommends adopting a public provider framework,
leveraging supplemental funding programs, implementing an enterprise fund model, investing in
a permanent Fire Station 33, and maintaining data -driven oversight using continuous QA/QI
performance metrics; and
WHEREAS, the findings demonstrate that a City -operated ambulance transport system
would enhance service reliability, improve fiscal sustainability, and align with National City's goal
of providing equitable, high -quality emergency medical care to all residents.
NOW, THEREFORE, THE CITY COUNCIL OF THE CITY OF NATIONAL CITY,
CALIFORNIA, DOES RESOLVE, DECLARE, DETERMINE, AND ORDER AS FOLLOWS:
Section 1. That the City Council hereby accepts and files the Emergency Medical
Services (EMS) Transportation & Optimization Study conducted by AP Triton Consulting.
Section 2. That the City Council also hereby authorizes the City Manager to evaluate the
costs associated with the study's recommendations as part of the subsequent development phase
and recommendations will be brought back to the City Council for approval.
Section 3. The City Clerk shall certify to the passage and adoption of this Resolution and
enter it into the book of original Resolutions.
PASSED and ADOPTED this 18th day of Nov begs, 2025.
Ron Morrison, Mayor
ATTEST:
Shelleyolapel, MMC, City Clerk
APPROVED AS TO FORM:
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Barry J. S t , City Attorney
Passed and adopted by the City Council of the City of National City, California, on
November 18, 2025 by the following roll -call vote, to -wit:
Ayes: Molina, Rodriguez, Yamane, Bush, Morrison
Nays: None.
Absent: None.
Abstain: None.
AUTHENTICATED BY: Ron Morrison
Mayor of the City of National City, California
Shelley Chapel
City Clerk of the City of National City, California
BY:
Shelley Cl-'-'el, MMC, City Clerk