Report from the Pinnacle Summit in Colorado’s Cheyenne Mountains - Administration and Leadership - @ JEMS.com


Report from the Pinnacle Summit in Colorado’s Cheyenne Mountains

 

 
 
 

A.J. Heightman, MPA, EMT-P | | Tuesday, July 17, 2012


In a fast-paced pre-conference workshop, entitled: This Changes Everything: Future Operational Models for Public Safety, Mike Ragone and Guillermo Fuentes told attendees at the 2012 Pinnacle EMS Management Summit how public safety agencies are being challenged by taxpayer advocates like never before.

Ragone, fire service practice leader for Fitch & Associates, explained that the public has many perceptions of the fire service, many that are inflated or false, and discussed how efficiencies typically associated with the most cost-effective private agencies are now being expected of fire service agencies.

Fuentes, an EMS planner with extensive experience building modeling concepts that are known for accuracy and success in multiple countries discussed how municipalities are looking for transformational rather than incremental change, moving the conversation from, "What do we need?" to "What can we afford?"

The workshop focused on:
• What the real mission of public safety is in today's world;
• The right (and wrong) way to measure performance in an increasingly accountable environment;
• Why one size does not fit all;
• How to identify which operational model fits communities best;
• Why the "all-hazards" approach is in danger of becoming extinct.

Key Points
Fire service agencies are traditionally slow adopters. For example, the medical priority dispatch system (MPDS) is an accepted call screening process that has 30 million dispatches flowing through it. The police priority dispatch system (the newest kid on the priority dispatch block) already has 5 million dispatches processed through it annually. However, the Fire Priority Dispatch System (FPDS) only has 300,000 dispatches processed through it.

Reliable measurements in the fire service that should be tracked:
• Call answer times;
• Turn out times;
• Drive times;
• Medication administration times;
• Transport times;
• Fire suppression times; and
• Return to service times.

Organizations should be agile to be able to adapt to all the changes occurring in the EMS/fire industry, economy and the national healthcare system.

The NFPA estimates show that most calls are not life saving. Instead they are:
Fire incidents: 4.7%
False alarm responses: 7.8%
Mutual aid responses: 4.2%
Other hazards (e.g., arcing wires and bombs): 2.3%
Kitchen sink calls: 13.9


EMS calls
Few agencies have performance based contracts with their 9-1-1 center.

Mutual aid calls are starting to disappear.  For example, in July, Contra Costa (Calif.) Fire District capped its aid to East Contra Costa, where half of the fire stations were shut down. Contra Costa, fearing the neighboring district’s fiscal crisis will sap its own thin firefighting/EMS forces, placed a cap on the number of engines and manpower it will dispatch outside its territory.

The reality is that a cost benefit analysis is necessary to truly determine a department’s staffing needs.
The cost of response (to run a truck down the road: fuel, repair maintenance and capital replacement) is causing some progressive fire service agencies, such as Tualitin Valley Fire & Rescue in Tigard Ore., to use more economical vehicles to respond to lower acuity calls. (See http://www.tvfr.com/aboutus/dept/ems/index.aspx.)

SUV: $ 3.42/mile
Engine: $28.22/mile
Ladder Truck: $33.05/mile




Connect: Have a thought or feedback about this? Add your comment now
Related Topics: Administration and Leadership, Leadership and Professionalism, Mike Ragone, medical priority dispatch system, Guillermo Fuentes, Fitch & Associates, Colorado Springs, 2012 pinnacle conference

 
Author Thumb

A.J. Heightman, MPA, EMT-P

JEMS Editor-in-Chief A.J. Heightman, MPA, EMT-P, has a background as an EMS director and EMS operations director. He specializes in MCI management.

BROWSE FULL BIO & ARTICLES >

What's Your Take? Comment Now ...

Buyer's Guide Featured Companies

Featured Careers & Jobs in EMS

Get JEMS in Your Inbox

 

Fire EMS Blogs


Blogger Browser

Today's Featured Posts

 

EMS Airway Clinic

Improving Survival from Cardiac Arrest Using ACD-CPR + ITD

Using active compression-decompression CPR with an ITD has been shown to improve 1-year survival from cardiac arrest by 33%.
More >

Multimedia Thumb

Philadelphia Fire Department Apologizes for Medic’s Jab at Police

Union head calls photos a slap in the face of officers.
Watch It >


Multimedia Thumb

D.C. Fire and EMS Crews Blame New Technology for Patient’s Death

Delayed response blamed on recurring dispatch problems.
Watch It >


Multimedia Thumb

Suspect Steals, Crashes Maryland Ambulance

One killed, others injured in Prince George’s County crash.
Watch It >


Multimedia Thumb

Truck Strikes Pedestrians in Scotland

Six killed in downtown Glasgow.
More >


Multimedia Thumb

Tennessee Trench Rescue

Worker pulled from Roane County worksite.
More >


Multimedia Thumb

Time’s Ebola Firefighters

Doctors, nurses and others saluted for fighting virus.
More >


Multimedia Thumb

Field Bridge Xpress ePCR on iPad, Android, Kindle Fire

Sneak peek of customizable run forms & more.
Watch It >


Multimedia Thumb

The AmbuBus®, Bus Stretcher Conversion Kit - EMS Today 2013

AmbuBus®, Bus Stretcher all-hazards preparedness & response tool
Watch It >


Multimedia Thumb

Braun Ambulances' EZ Door Forward

Helps to create a safer ambulance module.
Watch It >


Multimedia Thumb

LMA MAD Nasal™

Needle-free intranasal drug delivery.
Watch It >


More Product Videos >