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Home My WebLink AboutAgenda - 11-21-2013 - Information Item 6-E911 /EMS ASSESSMENT UPDATE OCTOBER 3. 2013 Presented during the joint Orange County BOCC /Chiefs meeting ACRONYMS ALS — Advanced Life Support (Intermediate /Paramedic) AVL — Automatic Vehicle Location BLS —Basic Life Support (Medical Responder /EMT) EMD — Emergency Medical Dispatch Alpha -Bravo (BLS) and Charlie -Delta -Echo (ALS) EMS — Emergency Medical Service OCES — Orange County Emergency Services QA —Quality Audit and Improvement QRV — Quick Response Vehicle SORS — South Orange Rescue Squad VHF — Very High Frequency VIPER — Voice Interoperability Plan for Emergency Responders 2 EMS M EMS STATISTICS Call Volume Comparison By Year 2013 through 2nd Quarter = 6,384 (projected — 13k) 2012 = 13,445 2011 = 10, 719 Average Response Time Comparison By Year (Chute +Travel) 2013 through 2nd Quarter (1:02 + 8:43) = 9:45 2012(1:17 +9:13)= 10:30 2011 (1:16 + 9:30) = 10:46 EMS RECOMMENDATIONS R -1 Adjust M -5 and M -8 Coverage Hours (complete) Based on recent geographic call data (North /South) M -5 coverage remained 6am -6pm (unchanged) M -8 coverage changed to 6pm -6am R -2 Add additional ambulance 9am -9pm (complete) M -9 added 8am -8pm based on recent geographical call data EMS RECOMMENDATIONS R -3a &b Use SORS for BLS and bring on BLS ambulance (in- process) EMD data did not support implementation Re- visiting initiative to utilize SORS from 6pm -6am for BLS calls with EMS supervisor "chasing" calls. This accomplishes both recommendations. If Alpha or Bravo turn into something more serious, a Paramedic will be there to provide ALS patient care 7 EMS RECOMMENDATIONS R -4 Assess Fire Department capabilities for First Responder (complete) Fire Departments have been providing Medical First Responder care R -5a Implement Fire Department First Responder Initiative (complete) Fire Departments are providing Medical First Responder care R -5b QRV Initiative (not - applicable) Offered as an alternate recommendation to R -5a u EMS RECOMMENDATIONS R -6 Staff &Equip six (6) ALS ambulances (in- process) OCES budgets for one new (1) ambulance each year inclusive of staff and equipment Monitoring effectiveness of program each year Intent is to not over - purchase or over -staff Call volume and response times drive units and staffing 9 EMS RECOMMENDATIONS R -7 Hire Paramedic Level Shift Supervisor 24/7 (in- process) 13/14 budget approval for 4 Assistant Supervisors in January, 2014 14/15 budget request will move the Asst. Supervisors to Supervisors This tiered approach enables the Asst. Supervisors to be mentored for one year before being released R -8 Prepare a space needs assessment (in- process) Selection committee chose Stewart Cooper Newell for award (10/1/13) Staff meeting with firm the week of 10/7/13 or 10/14/13 to begin space needs assessment 10 EMS RECOMMENDATIONS R -9 Identify 9 strategic locations for future EMS base (in- process) As part of Stewart Cooper Newell discussions Co- location with existing Fire Departments Orange Rural Orange Grove Carrboro New Hope Chapel Hill (potential future co- location /co- build) 11 EMS RECOMMENDATIONS R -10 Obtain sites for development (not started) Based on outcome of R -8 and R -11 R -11 Procure EMS planning and design services (complete) Selection committee chose Stewart Cooper Newell for award (10/1/13) Staff meeting with firm the week of 10/7/13 or 10/14/13 to begin space needs assessment R -12 Advertise, bid, construct EMS facilities (not started) Based on outcome of R -8, R -10 and R -11 9 -1 -1 9 -1 -1 COMMUNICATIONS STATISTICS13 Call Volume Comparison By Year 2013 through 2nd Quarter Incoming 911 +Admin (47,153 + 39,854) = 87,007 Average Dispatch Time = 1:25 (1:11 non -EMD and 1:38 EMD) 2012 Incoming 911 + Admin (98,735 + 84,741) = 183,476 Average Dispatch Time = 1:52 (1:10 non -EMD and 1:53 EMD) 2011 Incoming 911 + Admin (86,800 + 158,782) = 245,582 Average Dispatch Time = 2:42 (no specific EMD data available) 14 9 -1 -1 RECOMMENDATIONS R -13 Hire full time Data Systems Manager (complete) Craig Blackwood was promoted to Data Systems Manager Mr. Blackwood retired 9/27/13 Position is being advertised internally. Expected to be filled by 10/18/13 R -14 Hire full time Training /Quality Assurance Officer (complete) Josh Robinson promoted from Telecommunicator to Training /QA Officer 15 9 -1 -1 RECOMMENDATIONS R -15 Hire additional Training /QA Officer (in- process) 13/14 budget approved to hire in January, 2014 R -16 & 17 Hire Telecommunicator positions (in- process /on- going) 13/14 budget approved to hire four (4) new Telecommunicators in January, 2014 Developing new initiative to fill vacant Telecom municator positions 16 9 -1 -1 RECOMMENDATIONS R -18 Purchase AVL hardware for new EMS vehicles (complete) All units outfitted with AVL All new units will be outfitted with AVL R -19 Provide informational meetings with emergency responders to share new software capabilities (in- process) 9 -1 -1 Users Group re- activated Members of each response organization are represented Information shared during Chiefs Association meeting 17 QUESTIONS OR COMMENTS? VIPER SITE COVERAGE /TOWERS DRAFT REPORT OCTOBER 3, 2013 Presented during the joint Orange County BOCC /Chiefs meeting Orange County, NC - Existing VIPER Coverage 900 MHz Analog Coverage; Portable Talk -1n (Radio to Repeater) at Various Quality Levels LAWS W, W"ET Existing 800 MHz Radio Site Q Orange County Border N 1111111111F Portable Talk -In Coverage >= DAQ 2.0 Portable Talk -in Coverage >= DAQ 3.0 0 1 2 4 Miles M Portable Talk -In Coverage a= DAQ 3.4 1 1 1 1 1 a s a l PROPOSED VIPER SITES Four (4) additional sites were selected to improve VIPER coverage within the County. These four sites are existing sites, and colocation was to be investigated. Northeast portion of County — Caldwell area — existing guyed tower 7444 Bill Poole Road —AT&T Wireless South - Central portion of County — Chapel Hill — existing monopole 1403 New Hope Trace — GTE Wireless Southwest portion of County — Chapel Hill — existing monopole 4900 NC 54 West - SBA Southeast portion of County — Chapel Hill — existing monopole E. Franklin St — WCHL or New Site Near the Mall 20 Orange County, PVC - Predicted coverage from VIPER sites and Candidate sites 800 MHz Analog Coverage; Portable Talk -In (Radio to Repeater) at Various Quality Levels BANE �y VIPER Site Proposed Candidate Site [=Orange County Border E Portable Taik -In Coverage >= CAQ 2.0 Portable Talk -In Coverage OAQ 3.0 Portable Talk -In Coverage OAQ. 3.4 a IL�L�S.yBOROUGH) W LESS SITE ILL (UNC HOSP) i� 0 1 Z 4 Miles Il I� F JiI LLI II LLI I 22 PROPOSED VHF PAGING SITES Two (2) additional Fire Paging sites were selected to improve coverage within the County. They are: North portion of County — Cedar Grove Fire Station 720 Hawkins Road — Existing Tower Southwest portion of County — Orange Grove Fire Station 6800 Orange Grove Road — Requires new tower U�] l�iy 0 DATJ I ZY! Orange County, NC - Predicted coverage of four VHF paging sites _ VHF Narrowhand Paging Coverage; Pager modeled at hip- height CEDAR GRAVE i' rMA y i. QRANGE GROVEiFD. stop isr5r6n rti •� � - -. -� GH THAM rt Existing VHF Paging Sites New VHF Paging Sites Orange County Border On- Street Coverage U 1 2 4 Miles M In 12-dB Building Coverage i 1 r r I r} r i SHORT STORY Four (4) tower sites recommended for VIPER coverage One (1) new tower site for VHF coverage One (1) existing tower site for VHF coverage Cost Example (GTE Wireless) $1,000 credit application fee $2,000 structural analysis $2,000 inspection fee (if construction installation fee is waived) $1,500 Closeout documentation fee $2,500 per month, rental fee with 5 year initial term Four (4) automatic renewal 5 year terms at 3% escalation 24 NEXT STEPS Present the final report to the BOCC during the January, 2014 work session Develop a project management plan and implementation schedule Incorporate the recommendations of the study into the Capital Investment Plan 25 26 QUESTIONS OR COMMENTS?