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w <br /> • <br /> Comprehensive Assessment of Emergency Medical Services 46 <br /> DRAFT REPORT and 911/Communications Center Operations Study <br /> EMS Base Location Scenarios <br /> Again, prompted by discussions during presentations to the Emergency Services Work Group regarding <br /> EMS response times and the lack currently of adequate EMS base facilities, two (2) hypothetical facility <br /> location scenarios were developed to enable a more in-depth discussion and subsequent assessment of <br /> options that might be available to the County. <br /> As noted previously, prominent national organizations have suggested that an ALS ambulance be on the <br /> scene of a medical emergency within eight (8) minutes of being dispatched. In turn, Orange County EMS <br /> has established a response time objective of 12-minutes,to 90%of all emergency calls dispatched. <br /> Therefore, utilizing a "blank slate" approach; i.e. looking at a map of the County without regard to <br /> existing EMS district boundaries or existing ambulance staging locations; identify the number of EMS <br /> base facilities and plot their approximate location on a map of the County that would be able to provide: <br /> 1. An OCEMS ambulance to be on scene to anywhere in the County within eight (8:00) minutes. <br /> 2. An OCEMS ambulance to be on scene to anywhere in the County within twelve(12:00) minutes. <br /> In reality it took the development (and redevelopment) of many trial-and-error partial scenarios to <br /> eventually achieve the objective set for each;the fewest number of EMS stations that would provide the <br /> maximum possible coverage. The results are illustrated on the maps that follow. <br /> • MAP #10-8:00 Minute (Response Time) RT Coverage Scenario-A; identifies 19 EMS station <br /> locations <br /> • MAP #11-8:00 Minute (Response Time) RT Coverage Scenario-B; identifies (in red) remaining <br /> "pockets"of land not accessible within the 8:00 minute response time limitation <br /> • MAP #12-12:00 Minute Response Time (RT) Coverage Scenario-A; identifies nine (9) EMS <br /> station locations <br /> • MAP#13-12:00 Minute Response Time (RT) Coverage Scenario-B; identifies (in red) remaining <br /> "pockets" of land not accessible within the 12:00 minute response time limitation <br /> Scenario Personnel Costs <br /> As a means of comparison,the number of stations and the corresponding FTE's required to staff a single <br /> 24 hour ambulance in each proposed station, and the estimated personnel costs of each coverage <br /> scenario were assessed against existing FY 2011-2012 budget figures. <br /> 12:00 Minute Response lime Coverage 8:00 Minute Response Time Coverage <br /> 19 Stations 204 FTE's 9 Stations 97 FTE's <br /> versus versus <br /> 6 Locations 63 FTE's 6 Locations 63 FTE's <br /> Total Personnel Cost $ 10,135,976 Total Personnel Cost $ 4,818,233 <br /> Less Existing Budget Pers.Cost $ (3,703,295) Less Existing Budget Pers.Cost $ (3,703,295) <br /> Less Est.Overtime Savings[1/2] $ (200,000) Less Est.Overtime Savings[1/2] $ (200,000) <br /> Total Net Cost Addt'I.Personnel $ 6,232,681 Total Net Cost Addt'l.Personnel $ 914,938 <br /> Solutions for Local Government,Inc. 44 <br />