Lake EMS Operations Study 1 LAKE EMS BOARD OF DIRECTORS PHASE - - PowerPoint PPT Presentation

LAKE EMS BOARD OF DIRECTORS PHASE THREE

CONSULTANT PRESENTATION DECEMBER 5, 2017 FITCH & ASSOCIATES, LLC

Lake EMS Operations Study

1

EMS System Design

2

Responses by Agency

3

Cost Comparisons

4

Phase 1 - Deployment Costs for Implementation

• Adjust one 0900-2200 to 0800-2100
• Adjust one 0900-2200 to 0700-2000
• Add 0700-1900 on Friday
• Add 1900-0700 on Friday
• Remove 0900-2200 on Sunday
• Additional 11-hours per week at a UHC of $113.37 is $64,848 annually.

5

6

7

EMS Response Time Improvement

8

Implementation Considerations - Lake EMS

9

Projected Growth

10

Workload Considerations

11

Workload Management Strategies

• The 24/48 hour shift is the most fiscally efficient manner to staff

for 24 hours

• Lake EMS has maximized this most efficient deployment for

many years

• Workload is too high for five of the 24-hour units
• Given the total time on task of 43,705 out of the 161,330

deployed hours the fleet could remain below 0.30, at 0.27 if the workload was managed and evenly distributed

• Once the workload is greater than the ability to manage, it is

suggested that units are incrementally changed to 12-hour shifts.

• Each 24-hour unit converted to two 12-hour shifts would cost an

additional $149,575.

12

Analysis of System Fragmentation

13

Analysis of System Fragmentation

14

Implementation Considerations - Lake EMS

• Utilize the report’s urban/rural analyses to define urban/rural areas that correlate to the

dispatch response parameters

• Design response areas for the Lake County Fire Rescue rural transport units
• Ensure LCFR units have MDT’s and AVL capability in the identified rural transport areas
• Utilize AVL to determine closest responding units for both the urban/suburban and rural

areas separately

• Allow the MPDS process to complete the call triaging prior to dispatch
• Identify the closest existing stations to the optimized posts and their suitability for

accommodating Lake EMS crews

• Develop the ISBA areas in the new CAD with different response parameters for emergent

versus non-emergent calls

• Obtain a blanket or master automatic-aid agreement and remove emergent response

activity from the ISBAs.

• Ensure that all units and fire departments have MDTs and AVL capabilities
• 18 Month to 24 Month Implementation

15

Medical Priority Dispatching

16

Summary of Recommendations

• Lake EMS to change deployment plan that maintains

current urban performance and improves rural performance

• Cost of approximately $65,000
• LCFR to provide cross-staffed ambulance services in 6 to

8 rural stations

• No additional recurring costs
• Evaluate workload and adjust accordingly at

approximately $150,000 per 24 to 12 hour conversion

• Remove “emergent” incidents from the ISBA boundaries

and utilize a master automatic-aid agreement countywide

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Summary of Recommendations

• Under current deployment, optimized staffing for

Lake EMS would be 136 personnel assigned to ambulance services

• Lake EMS currently has 131
• This 5 person gap will significantly influence OT
• Fleet should maintain 140% of peak ambulance

deployment

• This would be approximately 10 units in reserve
• May need additional units to account for remount

lag time

18

Questions?

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