HomeMy WebLinkAboutIII C. FY2024-25 RESOURCE MANAGEMENT PLAN (BUDGET) - 6. EMERGENCY MEDICAL SERVICES (EMS) 3.26.24FY 2024-25
Proposed Budget
Jason E. Stroud, EMS Chief
March 26, 2024
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Organization Summary
Total FTEs Number of Divisions Total FY 2024-25 Budget
169.12 8 $26,422,442
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FY 2024-25 Programmatic Budget
Business Center, $844,774,
3%
Emergency Response
System, $12,768,212, 51%
Training, Learning, and
Development, $1,704,093,
7%
Marine Patrol, $651,252, 3%
Personnel, $976,304, 4%
Emergency Services,
$2,501,126, 10%
Administration, $1,157,632,
5%
General Operating Expenses,
$4,350,277, 17%
PROPOSED
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Department Operating Budget- General Fund
Program FY 2023-24
Amended
FY 2023-24
FTE
FY 2024-25
Proposed
FY 2024-25
FTE Change ($)Change (%)
Business Center $746,340 5 $844,774 6 $98,434 13.19%
Emergency Response System $13,371,896 117 $12,768,212 117 -$603,684 -4.51%
Training, Learning, and
Development $1,382,350 12 $1,704,093 16 $321,743 23.28%
Marine Patrol $649,014 11.62 $651,252 11.62 $2,238 0.34%
Personnel $436,685 5 $976,304 6 $539,619 123.57%
Emergency Services $2,741,378 6 $2,501,126 6 ($240,252)(8.76%)
Administration $775,640 5.5 $1,157,632 6.5 $381,992 49.25%
Lifeguard Contract $2,023,728 -$2,023,728 -$0 0%
General Operating Expenses $2,155,837 3 $2,326,549 0 $170,712 7.92%
Total $24,282,868 165.12 $24,953,670 169.12 $670,802 2.76%
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Year-in-Review
•New EMS chief, 2 deputy chiefs, accountant, recruiter, payroll specialist, 8
captains and 30 career responders onboarded.
•New programs to increase transparency, communications, engagement and
member satisfaction put in place.
•Included a reduction in volunteer duty requirements.
•Net gain of 17 new volunteers in 2023
•Net loss of 26 in 2021 and 41 in 2022
•New schedule model deployed and ambulance staffing stabilized
•Demand period staffing went up to 16 ambulances vs. 12-14.
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EMS Staffing and Response
•18 ambulances are needed as baseline staffing.
•1 per 3,000 calls-for-service
•To keep unit-hour-utilization consistently below 0.50
•To have adequate geographic coverage and response time
•How many does it take to staff an ambulance?
•It takes 50 volunteers to staff 1 ambulance 24/7
•It takes 10 career staff members to staff 1 ambulance 24/7
•So how many more responders do we need?
•We need to be able to staff 3 more ambulances 24/7
•150 volunteers*, 30 career*, or any combination thereof.
* Does not account for those leaving the system during the year
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Why else is staffing so important?
Ambulance Staffing
Availability
Response Times
Workload (UHU)
Member
Satisfaction
(Burnout)
Health & Wellness
Recruitment &
Retention
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Major Changes & Initiatives
•Need to establish adequate baseline staffing levels.
•Recruitment and retention of both career and volunteer personnel.
•Appropriate medical direction for the size and scope system.
•Advancement of protocols, clinical programs, and patient outcomes.
•Emotional, physical and mental health and well-being of members.
•Sustainable funding for EMS and rescue squad needs.
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New challenges and priorities
•Upcoming pharmaceutical supply changes and system impacts.
•Need to increase ambulance fleet size significantly.
•20 years of career EMS - retirements on the horizon.
•Sustainable funding for rescue squad vitality, growth to meet
demand, etc.
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