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Final Report Town of Northampton EMS Stu[...]

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Final Report Town of Northampton EMS Stu[...] Ron Graner Public Safety Consultant Strategic Planning For Efficiency Effectiveness & Safety 19 Gazebo Path Fayetteville NY 13066 10/14/19 Final Report A Comprehensive Review of Emergency Medical Services Northampton Ambulance Service Prepared For the Town of Northampton New York Primary Town of Northampton Contact William H. Gritsavage Councilman Town of Northampton 412 S. Main St, PO Box 479, Northville, NY 12134 Final Report EMS Services Study for Town of Northampton NY Ron Graner Public Safety Consultant Phone: 770 630 0104 Email: [email protected] HTTP://FIRERESCUECONSULTING.COM Page 1 of 127 Table of Contents Table of Contents ............................................................................................................................. 2 Project Goals .................................................................................................................................... 5 Disclaimer ........................................................................................................................................ 5 Acknowledgements .......................................................................................................................... 6 Executive Summary ......................................................................................................................... 7 Immediate Actions Required To Assure Efficient, Effective & Safe Emergency Medical Services in Northampton .............................................................................................................................. 10 Consultants’ View of Strategic Planning ....................................................................................... 13 Terms and abbreviations used in this report .......................................................................... 14 The Study Methodology ................................................................................................................ 15 Service Supply & Demand ............................................................................................................ 17 Success of Emergency Services ..................................................................................................... 18 Key Rules for all who serve in emergency services .................................................................. 18 Benchmarking & Baselines ........................................................................................................... 21 Definitions: Benchmark & Baseline ...................................................................................... 21 Generally Accepted Benchmarks, Standards, Goals and Objectives .................................... 21 Standards of Response Coverage ........................................................................................... 21 Benchmarks for Standards of Response ................................................................................ 22 Event Cascade ........................................................................................................................ 22 Generally Accepted Guidelines for Emergency Medical Service ............................................. 24 Cardiac Arrest Survival: Brain Death .................................................................................... 24 NFPA EMS Response Standards ........................................................................................... 27 NYSDOH EMS Regulations ................................................................................................ 29 Findings ......................................................................................................................................... 30 NAS Response to incidents ....................................................................................................... 30 9-1-1 Emergency Communications ........................................................................................... 33 Records Management: ........................................................................................................... 34 EMD Emergency Medical Dispatch .......................................................................................... 35 NAS Time Analysis & Response Time ..................................................................................... 36 Service Demand by Time of Day .......................................................................................... 39 Staffing ...................................................................................................................................... 40 Staffing & Current EMS Certifications Reported by NAS ................................................... 41 Staffing Response Availability .............................................................................................. 42 Leadership .............................................................................................................................. 44 Patient Care ............................................................................................................................ 45 Final Report EMS Services Study for Town of Northampton NY Ron Graner Public Safety Consultant Phone: 770 630 0104 Email: [email protected] HTTP://FIRERESCUECONSULTING.COM Page 2 of 127 Staff Capabilities ....................................................................................................................... 46 Age of Volunteers .................................................................................................................. 46 Fitness For Duty .................................................................................................................... 48 Women in the Emergency Medical Services ......................................................................... 49 Volunteer Response to Incidents ........................................................................................... 49 Time Demands on NAS Volunteers ...................................................................................... 50 Training .................................................................................................................................. 51 Tracking Volunteer Availability ................................................................................................ 53 I Am Responding ....................................................................................................................... 54 On Duty Staffing ........................................................................................................................ 57 Time demands for on duty staffing ........................................................................................ 57 Service Options for Combined Volunteer & Paid Staffing ................................................... 59 Fly Car Response Alternative ................................................................................................ 60 Vehicles ..................................................................................................................................... 61 Facilities ..................................................................................................................................... 63 NAS Current facilities ........................................................................................................... 63 Facility Improvement Opportunities...................................................................................... 66 Community Trends .................................................................................................................... 69 Area Ambulance Agencies ............................................................................................................ 71 Northampton Ambulance, GAVAC & Edinburg Ambulance Response Protocols, Travel Distances and Travel Time ........................................................................................................ 73 Area Ambulance Agencies Time & Distance Maps .............................................................. 75 Emergency Medical Business Organization .................................................................................. 78 Current NAS Organizational Structure .................................................................................. 81 NAS Budget ........................................................................................................................... 81 NAS Internal Financial Situation........................................................................................... 83 Fundraising Activities ............................................................................................................ 83 Fly Car Staffing Cost Calculations ........................................................................................ 84 Ambulance Staffing Costs ..................................................................................................... 85 Benefits of EMS Regionalization .......................................................................................... 86 Appendix ........................................................................................................................................ 88 Survey Summary Responses ...................................................................................................... 88 NYSDOH EMS Regulations .................................................................................................
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