Staffing Plan Meeting

4-22-2010

Committee Members Present: Board President Joe Van Meter,  Director Greg Frank,  Fire Chief Jeff Cowan,  Deputy Chief Randy Jackson, Division Chief Ken Dawson, Captain Brian Butler, Office Manager Karen Bracken, and Lt. Mike Hall

Today’s topic Career Staffing-

1.     Data Discussion M36- The committee was presented with Fire House Records Management Data regarding M35 response.  Specifically, what calls would M36 pick up if they were staffed 24 hours instead of 12/7?  A data report was reviewed and discussed.  (Ref: Keizer Fire District Outside Medic Response 01/01/2009-12/31/2009)  The probable estimated finding is 148 calls equivalent to about $31,000.  Not enough to fund it.  This based on including no transports, 60% collection, transporting 82%, during the 12 hour period that M36 is out of service in 2009.

2. Additional Staffing – EMS: If we had additional staffing we would commit them to EMS as 80% of calls are EMS. M36 would be the Best likely spot to add additional staff
3. Additional Career Staffing:  Missed 3^rd Level EMS calls. We staff for two EMS calls during the day and one at night.  The third call in any case is an out of District Medic Unit.  Is this an acceptable level of Non-performance?  We need community awareness review and approval.  Acceptable level of non-performance?  Community Awareness and Approval?

Tiered Response – Limited Initial response

Modified by dynamics – Fire District Determine

Engine, Rescue, M35, M36 80% of calls are EMS handle 98% of calls.  Fires require a much higher and different level of staffing currently supplied by volunteers.

4. Discussion: Day time & Night Time staffing are different currently.  All daytime staffing is career.  The night time staffing drops to one medic unit and one Career Captain with volunteer “Rescue Duty Shift” personnel at night. 

We need to Staff 2 medics during the day– Day Staff 2, Night Shift 1currently.

            We are not keeping up with Growth- We are maintaining what we are doing

            Maintain level of service of Response Time Goals will diminish over time.

            There funding cuts around the state

            Alternative response staffing models – Discussion

            Find Balance in cost, efficiency, reliability.

5. Reliability M35 – (Crew burn out) M35 does not sleep at night.  With 10 calls a shift the current average M35 unit reliability is unlikely.  Or likely that M35 is not available for Fire Calls, second calls or reliable staffing in response because they are likely on a call or coming back from a call.   Statewide M35 is one of the busiest medics based on Activity Levels.  Additional personnel – M36

Preparing to sell and commit to citizens will be necessary in the future.

Revenue is not the only basis for staffing career personnel.  $$ funding as net the basis – NO.

We need to take care of both inside & outside customers (our paramedic staff).

Paramedic Burnout is high in our organization due to high call volume on one unit.  We will not build longevity this way.

M36 Response at Night, Staff 2^nd Engine/Fire for high risk low frequency, relief of work load.       We have a risk in reliability of staffing and response.  We missed 148 calls we could have been to. 248 calls over all; above our level of staffing.  3^rd, 4^th, 5^th calls at once.  (No one staffs to that level).

6. Evaluate programs we provide up and down the organization. 

If we had 1 additional FTE _->

If we had 2 Additional FTE ->

80% of the time we are responding to EMS.

½ Time Units?  Peak Period Response (M36)

What if we did it different?

M36 1^st out then M35 would this help with burn out.  (Staff answer is no).

Next Meeting Date:   May 10, 2010, 0700 hours Station 350. 

Homework:

Next 30 pages of Deployment Plan 4-10

Consider Staffing EMS

Consider Staffing Fire