SUPPORTS ITEM NO. 1  
                                                      CS&B COMMITTEE AGENDA
                                                      SEPTEMBER 28, 1995   


                             ADMINISTRATIVE REPORT


                                             Date: September 14, 1995
                                             Dept. File No. CC 27/95


   TO:       Standing Committee on City Services and Budgets

   FROM:     Medical Health Officer

   SUBJECT:  Vancouver Health Department Telephone Upgrade




   RECOMMENDATION

        A.   THAT  Council approve  the upgrading  of telephone  systems in
             eight  major Health  Department worksites  at no  cost  to the
             City.

        B.   THAT  Council approve  the allocation of  up to  $550,000 from
             Continuing Care Program's accumulated surplus account to cover
             the cost of the following upgrade.


   GENERAL MANAGER'S COMMENTS

        The General Manager of Community  Services RECOMMENDS approval of A
        and B.


   COUNCIL POLICY

   City Council, on February 4, 1994,  resolved that during the term of the
   1994-1996 Budget  Management Program, any proposed  increases in program
   and/or  service levels  be offset  by corresponding  spending reductions
   elsewhere in the City's operating budget or by increases in non-taxation
   revenues, subject to Council discretion.


   PURPOSE

   The purpose of this report is  to seek Council's approval to allocate up
   to  $550,000 from  Continuing Program's  accumulated surplus  account to
   upgrade telephone systems at eight major Health Department worksites.





   BACKGROUND

   The Health  Department is closely tied to  the community, and provides a
   range of services that each and every resident of Vancouver will need at
   some point in their lifetime.  The Department currently provides service
   out of some thirteen different worksites around the City.


   The  initial point of contact  for the community is usually  by way of a
   telephone call  to a  switchboard at  one of the  many worksites  of the
   Department.    This  represents  telephone  traffic  numbering  in   the
   thousands  of  calls  every  working  day  -  indeed,  past  surveys  of
   switchboard  call loads  conducted  by BC  Tel  have shown  peak  period
   traffic in excess of 200 calls per hour, on occasion.

   A  number  of factors  thwart the  ability  of switchboard  operators to
   handle the considerable telephone traffic of the Department efficiently:

      -  There is no direct dialling capability to either individuals or
         programs in any of the worksites.

      -  There is no local-to-local dialling possible between any of the
         Department s  worksites, even though  up to 70%  of traffic has
         been estimated to be intra-worksite.

      -  The  lack  of  voice  messaging  has  meant  that   switchboard
         operators spend  inordinate amounts  of  time taking  messages,
         thus taking away from their switchboard traffic and information
         desk duties.


   DISCUSSION

   Improvement of  our telephone  communications is  identified as  a major
   goal  within the Department's Strategic  Plan.  The  Department has been
   working with the  Power & Telecommunications  Branch of the  Engineering
   Department,  and  with  BC  Tel,  over the  past  few  years  to develop
   strategies to improve our telephone communications.

   In the 1993 report "Analysis of Future Directions in  Telephony - Health
   Department Case  Study", prepared  by Teleconsult Ltd.  of Vancouver  as
   part of the City's Future Directions in Telecommunica-tions  initiative,
   the technological issues relating to the Depart-ment s current telephone
   system were summarized as:

        Technology Obsolescence:

        The  Mitel  switchboard  systems  at  most  Health  Department
        locations  are approximately  eight years  old.   Most systems
        were purchased in 1985 and have had no software               
                                                                      
                                           upgrades   or  enhancements
        since that time.  An industry average for the lifecycle of any
        telephone system is 5  to 7 years.  While telephone system age
        is not a problem in itself,  many of the systems have grown to
        capacity and are in need of system upgrades.


        Telecommunications Bottlenecks:

        Telephone operators at each of the Department s worksites  are
        a  primary  source  of  information  for  the   public.    The
        switchboard functions as an information centre and not  merely
        a telephone traffic control  point.  The switch-board at  each
        worksite,  however, has become a bottleneck due to the lack of
        direct dial  capability to individuals or  programs within the
        Department.   The existing Mitel technology  installed at most
        worksites is  also limited  in  providing information  to  the
        switchboard  operator as  to how  many calls  are in  the hold
        queue,  etc.   Callers experience  prolonged ringing  if their
        calls  cannot get through  to the operator,  and frequent busy


        signals,  and have complained  frequently.  Direct-in-dial and
        voice mail  capabilities can  alleviate  some of  the  current
        switchboard bottlenecks.


        Peak Calling Periods:

        Many  staff of the Department  spend much of  their workday in
        the field  and are only in the office at the beginning and end
        of the day.  These times are the busiest for each switchboard,
        as  staff are all placing calls and returning messages.  There
        are not enough lines to handle these peaks.  In addition, much
        time is spent  taking messages  for staff who  are out of  the
        office.   Voice mail will  solve that problem,  with the added
        benefit  that  staff in  the field  will  be able  to retrieve
        messages during the day without tying up additional  telephone
        operator time.


   The  approaches  to  telephone  system upgrading  have  different
   financial  implications  depending  on  the  technology selected,
   i.e.,  higher  initial capital  cost  with  lower ongoing  annual
   operating costs vs lower initial cost but higher operating costs.
   The  higher initial cost alternative has the advantage of greater
   flexibility in dealing with  system growth down the road.   There
   is,  however,  no point  in  embarking  on either  course  unless
   funding is in place.




   The  Department  will  continue  to  work  closely  with Power  &
   Telecom-munications  Branch  of  the  Engineering  Department  to
   select a telephone  system that achieves the best balance between
   capital cost  and operating  costs to  insure the  flexibility to
   make changes in order to meet future needs.

   The Department will report back to Council when the selections of
   system and vendor are made.


   FINANCIAL IMPLICATIONS

   The  Continuing Care  Program  is 100%  funded  by the  Province.
   Approval  of recommendations  contained in  this report  will not
   result in additional cost to the City.

   The Chair of the Vancouver  Health Board, Mr. Ron Yuen, has  been
   informed  about, and  supports to,  the Department's  proposal to
   proceed  with three high priority  projects - one  of which is an
   upgrade to  the  telephone  systems  at  eight  major  department
   worksites.

   The degree  of  upgrade necessary  to meet  operational needs  is
   different  at  each  worksite.    Estimated  cost  for  upgrading
   telephone systems at all eight major Health Department  worksites
   are as follow:

             Burrard Unit                  $ 70,300
             Central Office                  51,200
             Continuing Care Division        56,100
             East Unit                       46,700
             Environmental Health            44,800


             North Unit                      69,800
             South Unit                      66,900
             West-Main Unit                 104,600
                            Sub-Total      $510,400
             Contingency                     39,600

                                Total      $550,000


   CONCLUSION

   The  telephone is usually the  initial point of  contact with the
   department.    Efficient  and  effective  telephone  systems  are
   essential to maintaining good service to the public  and internal
   users alike.    The proposed  upgrades  can be  achieved  without
   additional  cost to the City.  Council should approved the recom-
   mendations contained in this report.


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