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Comprehensive Reviews of Pittsburgh s Fire and EMS Bureaus

Bureau of Fire. Organization

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Comprehensive Reviews of Pittsburgh s Fire and EMS Bureaus

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    1. Comprehensive Reviews of Pittsburghs Fire and EMS Bureaus June 26, 2008

    7. Response Time Analysis (2002-06) Dispatch times for fire incidents are too long Turnout times decreased to a 90th percentile low of 02:10 in 2006, but are still 1-minute longer than recommended 20022006: 90th percentile travel time of 05:05; exceeds the NFPA standard by one-minute, but is good for a large city Only a very slight increase in travel time from the closure of six stations in 2005 Improvements to call processing/ dispatch and turnout times can improve total response time

    11. Major Findings Good clinical care and organizational efficiency Poor response times Inefficient use of Pittsburgh Bureau of Fire for First Responder EMS Cultural clash between PEMS and PBF

    12. Clinical Care and Organizational Effectiveness and Efficiency EMS care meets or exceeds national guidelines Rescue personnel are well trained; only two rescues with minimal staffing is a problem Excellent medical oversight and physician participation PEMS is 80% financially self-sufficient

    13. EMS Response Times Overall response times for all calls are poor 70th percentile= 12 min, 19 sec 90th percentile = 17 min, 48 sec Meet 8 min 59 second response time goal in 66% of cases Need to improve EMS dispatching

    14. Cultural Differences/ PBEMS and PBF Differences in salary, retirement, and benefits are creating problems between fire and EMS Cultural clash has been going on for years; both organizations are culpable EMS personnel concerns about losing jobs (unfounded) if fire is given more responsibility EMS leadership and senior personnel need to lead a cultural change

    15. Recommendations Cooperative agreement between agencies to increase efficiency (Increase PBF participation in EMS and Rescue) PBF staff four peak-load BLS ambulances PEMS to assist with EMT-B and rescue training. Merge fire and EMS training Leadership training where both organizations participate

    16. Questions & Discussion ? ? ?

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