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Section Three: Risk Assessment performs the necessary pre-authorization work, and calls the pertinent information in to the Central Lane 9-1-1 Communications Center, at least 30 minutes prior to the time of service. The communications center then selects the appropriate available medic unit, with available dual-role ambulances being dispatched last to this type of call. These pre-scheduled calls are included in the frequency of calls in the table below. The following table shows the numbers of calls when patients were actually transported. Table 3.13 Frequency of EMS Transports Call Type FY02 FY03 FY04 Transports 8,565 9,231 9,429 Prescheduled 1,329 470 236 Total 9,894 9,701 9,665 Da i ly Avg. 27 27 26 The table shows a significant decrease in the number of pre-scheduled transports between FY02 and FY03. This can be attributed to several factors. In FY03, Springfield Fire & Life Safety began providing this service in Springfield, which Eugene Fire & EMS had, by agreement, previously done. Second, one specific patient who had been a frequent user within this service category (multiple times per week) was no longer in the area. Third, dispatch activities for pre- scheduled transports began to be handled by 9-1-1 dispatchers, rather than the EMS office staff, and some of these transports are now coded as regular transports. A decrease in total EMS transports occurred in FY03, due to the change in the ASA boundaries in May 2002, when Lane Rural Fire/Rescue began service to a newly created ASA (#8) which had previously been a part of Eugene's ASA #4. ASA Response Zones The Lane County Health & Human Services Department developed an Ambulance Service Plan which has been adopted by the Board of County Commissioners. This plan calls for each ambulance service provider in the county to report quarterly on its ambulance response times for emergency calls. Response time goals are set for various zones, based on population density, proximity to urban areas, terrain, transportation networks, and expected travel time to the area. Zones 1, 2, 3, and 4 in each ASA correspond roughly to the State of Oregon's urban, suburban, rural, and frontier designations. ASA #4 contains only three zones, since it has no frontier territory and there are no portions of the ASA that are expected to have a greater-than-45-minute response time. o Zone 1 includes all territory within the Eugene Urban Growth Boundary (UGB). It is considered urban. o Zone 2 includes territory outside the UGB and to the west as far a line approximately at Fern Ridge Reservoir. It is considered rural. 30