Emergency Medical Services Consolidation Feasibility Study Town and Village of Cohocton Town and Village of Wayland Atlanta-North Cohocton Fire District April 2011 This document was prepared with funds provided by the New York State Department of State under the Local Government Efficiency Grant Program Town and Village of Cohocton Town and Village of Wayland Atlanta‐North Cohocton Fire District New York Emergency Medical Services Consolidation Feasibility Study Prepared By: Kent Greene Todd LeeDuc Mike Price This document was prepared with funds provided by thhe New Yorrk State Department of State under the Local Government Efficiency Grant Program Town and Village of Cohocton, Town and Village of Wayland, Atlanta‐North Cohocton Fire District Emergency Medical Services Consolidation Feasibility Study Table of Contents Table of Figures ................................................................................................................................... iii Acknowledgements .............................................................................................................................. v Executive Summary .............................................................................................................................. 1 Baseline Agency Evaluations ................................................................................................................. 9 Organization Overview ..................................................................................................................... 9 History, Formation, and General Description ....................................................................................... 11 Organizational Structure ....................................................................................................................... 14 Operating Budget and Financial Resources .......................................................................................... 15 Staffing and Personnel Management .............................................................................................. 19 Rules, Regulations, and Handbooks ...................................................................................................... 19 Credentialing and Licensing .................................................................................................................. 20 Recruitment and Application Processes ............................................................................................... 20 Staff Distribution ................................................................................................................................... 21 Incident Staffing Performance .............................................................................................................. 22 Capital Assets ................................................................................................................................. 24 Facilities ................................................................................................................................................ 24 Apparatus .............................................................................................................................................. 26 Service Delivery and Performance .................................................................................................. 27 Demand ................................................................................................................................................. 27 Distribution ........................................................................................................................................... 30 Response Performance ......................................................................................................................... 38 Future Opportunities for Cooperation and/or Consolidation .............................................................. 45 General Partnering Strategies ......................................................................................................... 45 Autonomy ............................................................................................................................................. 45 Functional Consolidation ...................................................................................................................... 45 Operational Consolidation .................................................................................................................... 45 Legal Unification ................................................................................................................................... 46 Operational Analysis ...................................................................................................................... 46 Cohocton‐Wayland Ambulance District ................................................................................................ 47 Cohocton Ambulance District/Wayland Ambulance District ............................................................... 53 North Cohocton‐Wayland Ambulance District/Cohocton Ambulance District ................................... 55 Summary of Options ............................................................................................................................. 57 Fiscal Analysis ................................................................................................................................ 57 Staffing Options ............................................................................................................................. 60 Volunteer Staffing (Status Quo) ............................................................................................................ 60 Cohocton‐Wayland Ambulance District ................................................................................................ 64 Cohocton Ambulance District/Wayland Ambulance District ............................................................... 65 North Cohocton‐Wayland Ambulance District/Cohocton Ambulance District ................................... 66 Cohocton/Wayland Ambulance District (Without Village of Wayland) ............................................... 66 Fiscal Impact Summary ......................................................................................................................... 68 i Town and Village of Cohocton, Town and Village of Wayland, Atlanta‐North Cohocton Fire District Emergency Medical Services Consolidation Feasibility Study Funding Alternatives ............................................................................................................................. 68 Public Input .................................................................................................................................... 81 Implementation Process ................................................................................................................. 84 Conclusion...................................................................................................................................... 95 Appendix A – Ambulance District Resolution ...................................................................................... 97 Appendix B – Intergovernmental Agreement to Provide Emergency Medical Transport Services ...... 101 Appendix C – Facility Detail ............................................................................................................... 105 Appendix D – Public Input Form ........................................................................................................ 107 ii Town and Village of Cohocton, Town and Village of Wayland, Atlanta‐North Cohocton Fire District Emergency Medical Services Consolidation Feasibility Study Table of Figures Figure 1: Regional Primary Response Area ................................................................................................... 13 Figure 2: CFD Budget History ........................................................................................................................ 15 Figure 3: WFD Budget History ....................................................................................................................... 16 Figure 4: ANCFD Budget History ................................................................................................................... 17 Figure 5: Regional Taxable Assessed Value (TAV) ......................................................................................... 18 Figure 6: Regional Costs Attributable to Ambulance Services ...................................................................... 18 Figure 7: Summary of Available Personnel ................................................................................................... 22 Figure 8: Multiple Dispatch Volume ............................................................................................................. 23 Figure 9: Overall Workload ‐ EMS ................................................................................................................. 27 Figure 10: Workload by Month ..................................................................................................................... 28 Figure 11: Workload by Day of Week ........................................................................................................... 29 Figure 12: Workload by Hour of Day ...........................................................................................................