Agenda - 10-03-2013 - 1 - Laserfiche WebLink

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Comprehensive Assessment of Emergency Medical Services 89 and 911 /Communications Center Operations Study EMS Base Location Scenarios Again, prompted by discussions during presentations to the Emergency Services Work Group regarding EMS response times and the lack currently of adequate EMS base facilities, two (2) hypothetical facility location scenarios were developed to enable a more in -depth discussion and subsequent assessment of options that might be available to the County. As noted previously, prominent national organizations have suggested that an ALS ambulance be on the scene of a medical emergency within eight (8) minutes of being dispatched. In turn, Orange County EMS has established a response time objective of 12- minutes, to 90% of all emergency calls dispatched. Therefore, utilizing a "blank slate" approach and looking at a map of the County without regard to existing EMS district boundaries or existing ambulance staging locations; measurements were taken and calculations run to determine the number of EMS base facilities that would be required, together with their respective (approximate) locations, that would be able to provide: 1. An OCEMS ambulance on scene anywhere in the County within eight (8:00) minutes. 2. An OCEMS ambulance on scene anywhere in the County within twelve (12:00) minutes. In reality it took the development (and redevelopment) of many trial- and -error partial scenarios to eventually achieve the objective set for each; the fewest number of EMS stations that would provide the maximum possible coverage. The results are illustrated on the maps that follow. • MAP #10 -8:00 Minute Response Time (RT) Coverage Scenario -A; identifies 19 EMS station locations • MAP #11 -8:00 Minute Response Time (RT) Coverage Scenario -B; identifies (in red) remaining "pockets" of land not accessible within the 8:00 minute response time limitation • MAP #12 -12:00 Minute Response Time (RT) Coverage Scenario -A; identifies nine (9) EMS station locations • MAP #13 -12:00 Minute Response Time (RT) Coverage Scenario -B; identifies (in red) remaining "pockets" of land not accessible within the 12:00 minute response time limitation Scenario Personnel Costs As a means of comparison, the number of stations and the corresponding number of FTE's required to staff a single 24 hour ambulance in each proposed station, and the estimated personnel costs of each coverage scenario were assessed against existing FY 2011 -2012 budget figures. 12:00 Minute Response Time Coverage 8:00 Minute Response Time Coverage 19 Stations 204 FTE's 9 Stations 97 FTE's ve rs us ve rs us 6 Locations 63 FTE's 6 Locations 63 FTE's $ 10,135,976 Total Personnel Cost Total Personnel Cost $ 4,818,233 Less Existing Budget Pers. Cost $ (3,703,295) Less Existing Budget Pers. Cost $ (3,703,295) Less Est. Overtime Savings [1/2] $ (200,000) Less Est. Overtime Savings [1/2] $ (200,000) Total Net CostAddt'I. Personnel $ 6,232,681 Total Net CostAddt'I. Personnel $ 914,938 Solutions for Local Government, Inc. 45