2022-088-E-Emergency Svc-Public Consulting Group-EMS System Analysis

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DocuSign Envelope ID:8F4640AF-9AC1-4D50-AABB-3D796391 BEAE October 15, 2021 Orange County, North Carolina EMS System Analysis RFP No. 367-005329 SECTION 1 : EXECUTIVE SUMMARY The challenges—and opportunities—facing EMS agencies throughout America are reaching their peak in our current decade, which brings about an opportune time for paid and volunteer organizations to plan and prepare for what their future may hold. Unique to North Carolina, the shift from local and countywide volunteer ambulance services and rescue squads to combination and fully paid countywide EMS agencies brings about its own subset of opportunities that not all states can resemble. Reflective of this project, our (PCG) focus will be toward helping your county to develop its forward path in remaining a viable, sustainable, efficient, and safety-oriented EMS agency (Division). Through our comprehensive analysis, we will develop an EMS System Assessment Report and EMS Strategic Recommendation Report that coincides with the two phases of this project: Comprehensive EMS System Assessment (Phase 1) and Deployment and EMS Location Study (Phase 2). We believe that our firm is perfectly poised and ideally prepared to take on this responsibility based on our progressive background within the EMS consulting industry, combined with our comprehensive experience in both EMS financial and CAD data analysis. Coinciding with your project objectives, we are eager to see where both the subjective (e.g., surveys, interviews) and objective (e.g., financial analysis, CAD data, call volume trending) data will direct this project. The population boom that Orange County has seen over the past few decades has certainly warranted significant changes in the organizational composition and operations of its EMS/ambulance transport service, especially because of its bordering proximity to the Wake-Durham metro region. These population increases have resulted in changing trends related to community aging, transportation patterns, bedroom community habits, and overall EMS system demands. Each of these factors affects operations in different ways,as static-based(station/post-based)deployment models work for some EMS agencies,while dynamic models (e.g., system status management)work best for others.Additionally, each of these factors affects what drives candidates to seek employment within each locale—or even to remain as volunteers. Unique to Orange County EMS and this project will be developing —defining —the organization's sense of identity. It's easy for an entity like this to rest in the shadows of popular agencies/systems like Wake County EMS and Durham County EMS, but in the challenging times that our industry is facing today—struck with low employee retention rates, a decreasing/depleted recruitment pool, highly competitive wage/benefit packages, and other employee enticements that potentially draw candidates away— it's important that the resulting path from this comprehensive analysis be one that sets the County up for competitive success, as it clearly (positively) is its own EMS system; not simply an extension of its neighbors'. We believe our team will be a great fit to help you analyze your system and provide guidance for its future growth. We are comfortable and confident in being able to address each of the components within your outlined Purpose(1.0)and Scope of Services(5.00 sections, especially those related to organizational and management operations, wage and benefit analysis, service coverage area and station location analysis, and projecting future system needs through long-term planning. Our subject matter expert team is comprised of professionals with administrative (chief officer) and operational (supervisory and clinician) experience throughout their decades of EMS industry involvement, which includes both project and personal/professional experience in both paid and volunteer system operations. We want you to remain as a high-quality ALS system just as much as you want to remain one, too. We want to help you build a consistent, sustainable, and even predictable system that allows for population shifts and call volume waxing and waning. We want to help you support your current workforce and entice new(future)workers to become a part of your team. We want to help you build a sustainable system— not just a single unit, station, or even organization — but a system that focuses on quality clinical care, quality training, and quality operations, in addition to the Division's core values of Integrity, Respect, Fairness, and Compassion. Public Consulting Group LLC Page 1