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McKinney St. Denton, Texas 76201 www.cityofdenton.com Legislation Text File #:ID 16-465,Version:1 Agenda Information Sheet DEPARTMENT:Fire and Emergency Medical Services CM/ ACM:John Cabrales, Jr. Date:April 4, 2016 SUBJECT Receiveareport,holdadiscussionandgivestaffdirectionregardingFireandEmergencyMedicalServices (EMS) incident demand and strategies to improve response times. INTRODUCTION TheFireDepartmenthascompletedacomprehensiveanalysisoftheCity’sfireandEMSdemand,updatedto reflecttheCity’s2015responseexperience.Thisanalysisincludesthecurrentenvironment,alongwithgrowth projectionsandareviewofresourcedeploymenttomeetthatdemand.Inaddition,theevaluationofinternal processes is ongoing with a focus on unit availability. The Department’s multi-year strategy includes: Investment proposals for additional medic units Land-banking to prepare for additional stations in the next bond election Police/Fire/TechnologyServicescooperativeproposalstoenhance911andcomputerizeddispatch technologies. BACKGROUND Theprimarymeasureoftheeffectivenessofafireandemergencymedicalorganizationisresponsetime.Inthe firemission,effectivemeasuressuchascitizenrescue,thecontainmentofafiretoroomorstructureoforigin andthesafetyoffirefightersaredependentuponrapidresourcedeployment.Inthemedicalmission,patient survivability rate depends on rapid response and rapid application of treatment. Whilethisanalysisreviewsallfactorsthatinfluenceresponsetime,theprimaryconsiderationisfacilityand responseunitlocation.Nationallyrecognizedmodelsforestablishingthelocationoffirestationsdefinea responsetimestandardthatincludestraveltimeoffourminutesforthearrivalofthefirstunit.Locally,the applicationofnationalstandardsiscomplicatedbytheCity’slargelandarea.TheFireDepartmentprovides DentonCountycontractedresponse,aswellasmutualaidassistance,county-wide.WithintheCity,the City of DentonPage 1 of 6Printed on 3/31/2016 powered by Legistar© File #:ID 16-465,Version:1 departmentrespondstoalandareaof97.41squaremilesfromsevenfirestations.Bycontrast,Lewisvillehas thesamenumberofstations(seven)tomeetresponsetimestandardsforalandareaof36.4squaremiles. Arlington, with an equivalent land area to Denton (95.8 square miles), has 17 fire stations. CitySquare Miles# of Fire Stations Denton97.47 Lewisville36.47 Arlington95.817 Carrollton36.38 Garland57.111 Mesquite46.07 Plano66.213 Richardson28.66 TheCityofDentonhasakeyperformanceindicatorbasedonatargetoffiveminutes(turn-outandtraveltime) forthefirstarrivingunit90percentofthetime.Thisindicatorrepresentsresponsetimewithinthestructurefire subset of the total call volume. Thetwopercentimprovementinthismeasuremaybeananomalybasedondatareportingorthesmallsample size.Thismayindicateatrendassociatedwithaninternalemphasisonresponsetimeandprocess improvements aimed at maintaining unit readiness in service and in district. Key Focus Area 4: Safe, Liveable and Family Friendly Community Goal 4.1 Enhance public safety in the community. Key Performance IndicatorsFiscal YearFiscal Year 2013Fiscal YearFiscal Year 2014 (KPIs)2013-14 Actual-14 Target2014-15 Actual-15 Target Percentage of active structure44%90%46%90% fires responded to in 5 minutes or less In2015,FireAdministrationhadtheopportunitytoworkwithanengagedcitizengroupthatincludeda statisticalanalysisprofessional.WhiletheoriginalfocusofthestudywassouthwestDenton,demandforecasts weredevelopedforsoutheastandeastDentonbasedondepartmentaldataidentifyingareaswiththehighestcall volumes and long response times. District 6 (Southeast) Demand Forecast City of DentonPage 2 of 6Printed on 3/31/2016 powered by Legistar© File #:ID 16-465,Version:1 District 2 (East) Demand Forecast CURRENT ISSUES A review of 2015 call volume validates the statistical projections. (See Call Volume chart) Medicalcallvolumeasasubsetoftotalcallvolume,increased10.58percentfrom2014(See 2014-2015 Incidents chart).AfterMedicalUnit7wasplacedinservicesouthwest,oneadditionalstation,Station4in NortheastDenton,remainswithoutamedicalunit.Over19percentofambulanceresponsesinDistrict4 experience a response time of 10 minutes or longer. InsoutheastDenton,District6hasthehighestcallvolume.District6haslongresponsetimesandthehighest callvolumegrowthprojections.Responsetimesarecompoundedbytheriskpotentialassociatedwith developmentandpopulationdensity,andbytraveldistancefromthesingleexistingfacility.Twenty-five percentoftheDistrict6callvolumerequiressupplementaryresponsefromotherdistrictstohandle simultaneouscalls.Inapreliminaryresourcedistributionstudy,theInsuranceServicesOffice(ISO)has identified the need for two additional stations in southeast Denton. City of DentonPage 3 of 6Printed on 3/31/2016 powered by Legistar© File #:ID 16-465,Version:1 IntheareaofeastDenton,District2,thesituationissimilarwithahighcallvolume,longresponsetimes,and high growth projections. SOLUTIONS InApril2015,DentonCityCouncilmembersapprovedacontractualagreementwithDentonCounty EmergencyServicesDistrict#1whichoutlinesaprojectedstationopeninginNorthlakeinfall2018.Thefocus oftheFireDepartment’sstrategicinitiativesovertheinterimwillbeinvestmentsandprocessimprovementsto prepareforanISOre-evaluation.ThegoalistoimprovetheCity’sratingoverall,andtoutilizetheNorthlake FireStationtoaligntheRobsonRanchratingwiththeCity’scorerating.Itisimportanttonote,however,that areasoftheCitynorthwestandnortheastwillcontinuetoexceedtheISOparameteroffivemilesfromthe nearest fire station. Basedonexistingconditions,theFireDepartmentwillrecommendanewMedic8,locatedatatemporary locationinspaceleasedfromDentonRegionalMedicalCenter.TheDepartmentproposestobringalease agreementtoCouncilinsummer2016,allowingtimeforappropriatefinish-outofthespace.Ifapproved,staff would be hired in October with Medic 8 placed in service in January 2017. City of DentonPage 4 of 6Printed on 3/31/2016 powered by Legistar© File #:ID 16-465,Version:1 The Fire Department will recommend a new Medic 4, northeast, in the Fiscal Year2017-2018Budget.AJanuary2018in-servicedatewillcoincidewithcompletionoftheStation4re- build providing adequate space to house the additional unit. Within60days,acontractcanbeanticipatedforCouncilmemberapprovaltopurchasethepropertyon ColoradoStreetforFireStation8.Inaddition,apotentialpartnershipwithDentonMunicipalElectric,the ParksandRecreationDepartmentandDentonCountyTransitAuthoritytoland-bankafirestationlocationnear the intersection of University Drive and Loop 288 (Virginia Circle) is underway. Whilethedatademonstratesgrowingresponsetimeconcernsinthesystemthatsupportinvestmentsin additionalstationsandresponseunits,itiscriticalthattheseproposalsbeaccompaniedwithaconcurrent analysisofallavenuestoimproveresponsetimes.TheDepartmentcontinuestoimplementprocess improvements to keep units in service and in district. Inaddition,theFireDepartmentisleadingacoordinatedprocessimprovementstudy,alongwiththePoliceand TechnologyServicesDepartment,toprovideforthecurrentandfutureneedsoftheCity’s9-1-1Dispatch, ComputerAidedDispatch,andPublicSafetyRecordsManagementSystems.Automaticvehiclelocating systems,prioritydispatchingmethods(tieredresponse)andtrafficsignalpreemptionarebeinganalyzedfor opportunities. CONCLUSION TheDentonFireDepartmentiscommittedtoprovidingeffectiveemergencyservicetothecommunity.The strategicinitiativesarefocusedonimprovingresponsetimetoagrowingcitywithanincreasingservice demand.Alongwithidentifyinginvestmentpriorities,acommitmenttoacomprehensiveanalysisofallfactors thatcanpositivelyimproveemergencyresponsetimeisinprogress.Theuseandimprovementofdataanalysis to manage by fact will continue to be a department priority. STRATEGIC PLAN RELATIONSHIP TheCityofDenton’sStrategicPlanisanaction-orientedroadmapthatwillhelptheCityachieveitsvision. Thefoundationfortheplanisthefivelong-termKeyFocusAreas(KFA):OrganizationalExcellence;Public Infrastructure;EconomicDevelopment;Safe,Livable,andFamily-FriendlyCommunity;andSustainabilityand EnvironmentalStewardship.WhileindividualitemsmaysupportmultipleKFAs,thisspecificCityCouncil agenda item contributes most directly to the following KFA and goal: Related Key Focus Area:Safe, Liveable & Family-Friendly Community Related Goal:4.1 Enhance public safety in the community EXHIBITS Exhibit 1: Presentation Exhibit 2: Capital Project Update Respectfully submitted: City of DentonPage 5 of 6Printed on 3/31/2016 powered by Legistar© File #:ID 16-465,Version:1 Robin Paulsgrove Fire Chief Prepared by: Allison Carlwicz Fire Administrative Manager City of DentonPage 6 of 6Printed on 3/31/2016 powered by Legistar© Incidents ., �o 00 o � r- O N • O 0 N DD N i L � w L D • • Q L O N UD 0 L O 0 L • L N N E N u L N E O O ; ° w 4.1 CL a� • ' m 0 L tW � .. 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