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11 <br /> <br />– Reduce Hospital Readmission Rates for Heart Failure & COPD 1 <br />– Connect Residents with Recent Overdose Experience with 2 <br />Treatment Resources 3 <br /> 4 <br />Commissioner Greene asked if there are examples of other counties that have the 5 <br />Community Paramedic position in place, and if the is impact known. 6 <br />Dinah Jeffries said Orange County is kicking off this program with one position only, and 7 <br />the hope is this person will serve many people. She said currently, the County is calling people 8 <br />in on their off days to help, and this is making an impact. She said she is very hopeful that a 9 <br />dedicated staff person will make a large impact. 10 <br />Kim Woodward said many EMS systems across the State have community para-11 <br />medicine programs. She said Orange County has led the way in the creation of this program, 12 <br />and is working with Durham County to implement the “Stay Active” program there. She said the 13 <br />program has been very successful due to the partnership with the Department on Aging, and 14 <br />this position will help greatly in getting resources to those isolated in the community. 15 <br />Commissioner Bedford asked if WPPRs could be defined. 16 <br />Travis Myren said that is the employee performance system that the County uses. He 17 <br />said there has been concerted effort countywide to get these reviews done on time as it affects 18 <br />the employee’s base salaries. 19 <br /> Dinah Jeffries said doing WPPRs on time shows that the department values the 20 <br />employee. 21 <br />Travis Myren resumed the PowerPoint presentation: 22 <br /> 23 <br />• Emergency Services – graph – 2018 EMS Call Volume by Dispatch 24 <br />– 911 Communications Performance Measures 25 <br />– Emergency Medical Services Performance Measures 26 <br />– Emergency Medical Services Wheels Rolling Time 27 <br /> 28 <br />Chair Rich asked if there is a reason that calls are trending up again. 29 <br />Kim Woodward said overdose numbers are slightly up from the previous year, but are 30 <br />still a small percentage of the total calls. She said the population is aging, and the elderly 31 <br />population calls with falls. She said a fall is the number 2 reason for calls. 32 <br />Dinah Jeffries said they still experience population in the outlying areas, who do not 33 <br />have access to a General Practitioner so they call 911, who transports them to the hospital. 34 <br />She said this is one of the main reasons her department is pushing hard for the community 35 <br />paramedic. 36 <br />Commissioner Price said the community paramedic position is one FTE, and asked if it 37 <br />is known how the time will be scheduled. 38 <br />Kim W woodard said staff did an analysis, and most of the “fall calls” go out between 39 <br />8:00 a.m. and 8:00 p.m. She said the community paramedic’s hours are being determined as 40 <br />analysis continues. 41 <br />Dinah Jeffries said EMS will still respond by ambulance for a person that calls at 2 a.m., 42 <br />but the community paramedic can follow up with the patient to prevent future falls and future 43 <br />calls. 44 <br />Travis Myren resumed the PowerPoint presentation: 45 <br /> 46 <br />PUBLIC SAFETY - CIP 47 <br />• Waterstone Substation Colocation with Orange Rural - $400,000 – p. 63 CIP 48 <br />– Supplemental Funding of $350,000 for Construction Costs 49 <br />– $50,000 for Furniture, Fixtures, and Equipment 50