EAM (S (S Q 80) FY21 B UDGET H EARING Community ty Assis istance - - PowerPoint PPT Presentation

FY21 BUDGET HEARING

Jim Hooley, EMT-P Chief of Department Boston Emergency Medical Services

May 21, 2020

OVERVIEW FY21 BUDGET HEARING

Bosto ton EMS Overview

• Bureau of the Boston Public Health Commission
• Two-tiered 9-1-1 EMS system

▪ Basic Life Support (BLS) ▪ Advanced Life Support (ALS)

• Deployment coverage during peak hours

▪ 22 BLS ambulances ▪ 5 ALS ambulances

• 2019 Boston EMS Numbers

▪ Total call volume of 127,802 clinical incidents ▪ 159,346 ALS & BLS ambulance responses ▪ 86,570 total transports

• Boston EMS workforce

▪ 425 full-time positions ▪ 399 are uniformed EMTs and Paramedics

2019 BY THE

HE NUMBERS

FY21 BUDGET HEARING

• Incidents by Priority

▪ Priority 1: 31,985 (25%) ▪ Priority 2: 59,216 (46%) ▪ Priority 3&4: 36,601 (29%)

• Response Times

▪ Priority 1: 6.1 Minutes ▪ Priority 1 Goal: 6 Minutes

• Top Incident Types

▪ Illness (31%) ▪ Investigations (20%) ▪ Injuries (12%) ▪ Cardiac Related (10%) ▪ Psychological (8%) ▪ Respiratory (7%)

PERSONNEL FY21 BUDGET HEARING

EMT 70% Paramedic 12%

Lieutenant 5% Captain 3% Deputy 3% Sr Command 1% Non Uniform 6%

15 33 30 27 24 19 9 5 10 15 20 25 30 35 Non Uniform Sr Command Deputy Superintendent Captain Lieutenant Paramedic EMT

Average of Years of Service For Current Workforce

DIV

IVERSITY

FY21 BUDGET HEARING

68% 32%

0% 20% 40% 60% 80% Male Female

Gender

10 294 5 34 52 15 1 50 100 150 200 250 300 350 Not Specified White Two or More Races Hispanic/Latinx Black/African American Asian/Pacitic Islander American Indian/Alaska Native 28 15 17 6 9 4 16 7

5 10 15 20 25 30 35 40 2017 2018 2019 2020

Language Capacity

English Only 2+ Languages

TRAINING FY21 BUDGET HEARING

• Full-time accredited training

academy

• Provides continuing education

for all uniformed personnel

• Rigorous 6-month training

program for new EMTs and 3- month internship for paramedics.

• Simulation labs
• Affordable Basic EMT course
• pen to the public

Members of Boston EMS’ Recruit Academy Class 2020-1

STA

TATIONS & FACILITIES

FY21 BUDGET HEARING

COMMUNITY ASSISTA

TANCE TEAM EAM (S

(SQ80) FY21 BUDGET HEARING

Community ty Assis istance Te Team

• A non-transport squad unit
• Staffed with two experienced EMTs

FY FY20 Ex Expansion

• Boston EMS Squad 80 Expanded to

7 days per week, adding weekends 2019 Numbers

• Responded to 2,589 incidents
• Made 383 referrals

NARCOTIC RELA

LATE TED ILL LLNESS

FY21 BUDGET HEARING

2601 2879 3591 3546 3898 1196 1498 1936 1928 2010

500 1000 1500 2000 2500 3000 3500 4000 4500 2015 2016 2017 2018 2019

NRI Incident Narcan Given

Current Situation in Boston

• As of May 20th, 12,143 COVID-19 cases & 591 deaths in Boston residents
• Overall Boston EMS call volume and transports are down; the number of COVID related

calls remains steady

• Boston EMS has responded to over 7,000 suspected COVID-19 patients. Of which,

2,000 where confirmed COVID positive

COVID-19 F FY21 BUDGET HEARING

Personnel Health & Wellness

• Personal protective equipment
• Source control – mask on every patient
• Infectious disease control & testing for personnel
• Peer Support
• Strict wellness screening policy
• Housing

COVID-19 F FY21 BUDGET HEARING

Patient Care

• 9-1-1 call screening for early identification
• f COVID-19 related calls
• Minimize transmission of virus
• Alter patient care practices to reduce

aerosolization

COVID-19 F FY21 BUDGET HEARING

Medical Surge

• Meet the demand for service

▪ Increase response capacity ▪ Maximizing capacity

• Reduce the demand for service

▪ Pre-hospital telehealth ▪ Deployment of department physicians

COVID-19 F FY21 BUDGET HEARING

Thank you to the men and women of Boston EMS who continue to rise to the challenge and meet the needs of the City of Boston and its residents every day during this unprecedented time.

BUDGET FY21 BUDGET HEARING