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HomeMy Public PortalAbout1993 Fire Service Evaluation Final Report.tifKEY BISCAYNE, FLORIDA FIRE SERVICE EVALUATION FINAL REPORT 19 JANUARY 1993 Submitted By Douglas R. Stutz, PhD GDS Communications 2380 Riverdale Drive North Miramar, Florida 33025 (305) 431-2566 In fulfillment of Phase 11 of Consulting Contract, dated 9 December 1992. ACKNOWLEDGEMENTS The author would like to acknowledge the help provided by all members of the Village of Key Biscayne management team. Also very helpful were Chief Paulison of Metro -Dade Fire Department and certain members of his staff. The subject matter of this report is extremely sensitive, however, he was very cooperative and willing to help in the development of the report. In addition, the author would like to thank the many citizens of the Village who took time from their busy day to assist in learning about the Village and its residents. 1 EXECUTIVE SUMMARY A review of the existing fire/rescue services currently serving the Village of Key Biscayne was conducted. Data was collected from Metro -Dade Fire/Rescue Department, individuals were interviewed.and the neighboring communities of Miami and Coral Gables were contacted. A review of the Public Safety literature was conducted as well as the definition of the term "reflex time". Four options for service were considered: 1) continuing with the county system, 2) contracting with a neighboring city, 3) contracting with a private provider, 4) establishing a fire service within the Village. Based upon the review, option two is recommended with several changes. A contract should be established with the City of Miami to provide fire/rescue services for a period of six years. During that period, the Village should establish its own system to effect more savings. The system should be a Public Safety system providing the political climate is such as to allow mutual aid to come from the surrounding communities. If that is not possible, a combination department should be established. The recommendations are based upon the premise that the definition of reflex time is accepted by the Village. Reflex time is critical to the proper provision of service. Response time is only a portion of reflex time and must be considered in that fashion. ii TABLE OF CONTENTS ACKNOWLEDGEMENTS i EXECUTIVE SUMMARY ii STATEMENT OF THE PROBLEM 1 BACKGROUND AND DISCUSSION 2 ALTERNATIVES 9 ALTERNATIVE I - Continue with the Metro -Dade Fire Department 9 ALTERNATIVE II: Contract with the City of Miami Fire Department 12 ALTERNATIVE III: Contract with a Private Organization 14 ALTERNATIVE IV: Organize a Village Fire Department 15 Combination Department 15 Public Safety 17 CONCLUSIONS 21 RECOMMEND ATI ONS APPENDICIES A. FIRE PROTECTION AND EMERGENCY MEDICAL SERVICE STANDARDS Introduction 25 28 28 Recommended Response Time Standards 31 Definition of "Response time" 31 Time Indirectly Manageable 34 Detection 34 Report of Alarm 35 Time Directly Manageable 35 Dispatch of Units 35 Turnout Time 35 Travel Time 35 Setup Time 36 Reflex Time Issues 36 Flashover 37 Emergency Medical Resuscitation Rate 37 Recommended Fire Reflex Time Standard 37 Comparison With Current Estimated or Average Times 38 Reduction Of Fire Reflex Time 39 Detection 40 111 Reporting 41 Dispatch of Units 41 Turnout Time 42 Travel Time 42 Setup Time 42 Recommended Emergency Medical Reflex Time Standard 43 Comparison With Current Estimated or Average Times 44 Reduction Of Emergency Medical Reflex Time 45 Detection 46 Reporting 46 Dispatch 47 Turnout and Travel Time 47 Setup Time 47 Comparison Of Reflex Time Standards With Other Jurisdictions 47 Recommended Apparatus/Personnel Assignment Standards . 50 Discussion of Fire Suppression Apparatus/Personnel Assignment Issues 50 Recommended Fire Suppression Standards 51 Recommendations Concerning Reductions In Fire Assignment Standards . . . . . . . 53 Recommended Emergency Medical Standards 54 Recommended Standards For The Assignment Of Fire/Rescue Apparatus Assignment Of Fire Suppression Companies . Recommended Standard . . . . . . . . Assignment of Emergency Medical Units Justifications and Comparisons . . 55 55 55 57 57 Recommended Fire/Rescue Apparatus Staffing Standards 58 Staffing Issues 58 Recommended Standards For Supervision And Support Personnel 60 Field Supervision 60 Rescue Unit Staffing 62 Approach To Setting Minimum Fire/Rescue Apparatus Staffing Standards For The Village Of Key Biscayne 63 Fire Suppression 63 Emergency Medical 64 Recommended Engine/Truck Function Staffing Standards 64 Engine Function 64 Truck Function 65 Recommended Emergency Medical Unit Staffing Standards 65 Comparison With Other Jurisdictions . 65 B. CONSOLIDATION OF POLICE AND FIRE SERVICES 67 iv C. GLOSSARY 81 D. REFERENCES 84 E. DATA REQUEST FROM METRO-DADE FIRE DEPARTMENT 92 v C. GLOSSARY 81 D. REFERENCES 83 E. DATA REQUEST FROM METRO-DADE FIRE DEPARTMENT E - 1 v LIST OF TABLES Table 1: Structure Listing 3 Table 2: Alarm Data for Calendar Year 1991 5 Table 3: Miami Proposal for Fixed Costs 12 Table 4: Current Service (1 Quint, 1 Rescue, 1 Inspector) . 13 Table 5: Proposed Service (1 Quint, 2 Rescues, 1 Inspector) 14 Table 6: Cost Comparisons 23 TABLE Al: Estimated Current Average Components of Fire Reflex Time Directly Manageable 39 Table A2: Estimated Current Average Components of Emergency Medical Reflex Time Directly Manageable 44 TABLE A3: Average and Maximum Fire Response Times Based on a Nationwide Survey 48 TABLE A4: Response Time Goals for Other Jurisdictions 48 Table A3: First Alarm Assignments Used by Surveyed Departments 54 TABLE A6: Required Strength of Fire Companies 59 TABLE A7: Comparison of Results of Staffing Studies 62 Table A8: Reported Minimum Company Size Crews 66 Table A9: Staffing Goals 66 vi LIST OF FIGURES Figure 1: Map of the Village of Key Biscayne 4 Figure 2: Station Locations for Metro -Dade Fire Department 7 FIGURE Al: Fire Growth vs Reflex Time 32 FIGURE A2: Cardiac Arrest Reflex Time Chart 33 vii FIRE AND EMS SERVICE REVIEW FOR THE VILLAGE OF KEY BISCAYNE FINAL REPORT January 19, 1993 STATEMENT OF THE PROBLEM The residents of the Village of Key Biscayne, upon incorporation as an independent political jurisdiction, recognized that a review of their public safety options was required. Accordingly, committees were appointed to review both the police operations and those of the fire/rescue department. The initial results of the reviews indicated that large sums of money were required to maintain the existing system. Further review illustrated that the costs were more than the service provided actually cost. As a result, the Board of Trustees for the Village established a consulting relationship to have a more detailed review of the fire system to determine the most appropriate and cost effective method of providing the service. It was determined to proceed with the establishment of a police service and assume the responsibility from the Metro Police Department. This report is an analysis of the available data with recommendations as to the most efficient and cost effective method currently available to provide fire and rescue services to the Village of Key Biscayne. 1 BACKGROUND AND DISCUSSION The Village of Key Biscayne is located on the island of Key Biscayne and occupies the middle one third of the island, approximately 1.3 square miles. It is reached either by boat or a single causeway, the Rickenbacker, from the City of Miami. On the north side of the Village is Crandon Park, county owned, a number of businesses and the causeway to the neighboring island. This causeway ultimately leads to the mainland. On the south, the Village is bordered by a state park, which currently is closed due to the massive hurricane damage that occurred in August, 1992. (2) Table 1 provides information about the different types of structures which are present in the Village. (2) No structures of significance, with the exception of a historic lighthouse, exist in the state park. Many structures exist north of the Village and are provided fire service by the county. The normal population of the Village is over 8,800. During the tourist season, it does increase somewhat. There is little opportunity for growth due to the limited space in the Village. However, construction is underway on several new buildings, both commercial and private. The size of new homes is increasing significantly over what exists. This will provide an increased fire responsibility due to the increased value of the property involved. Fire and rescue services are currently provided by the Metro -Dade County Fire and Rescue Service. This Department has 2 been in existence since 1935 and was organized into its current STRUCTURE BY TYPE NO. Single Family 1263 Multi -family, condo, apt. etc. 4113 High-rise, above 3 floors 33 Hotels 2 Motels 1 Businesses not otherwise mentioned 93 Gasoline Stations 4 Restaurants 18 Churches 4 Library 1 Clubhouses 2 Schools 1 Table 1: Structure Listing configuration in 1960. It has over 1300 employees and services more than 1900 square miles including 22 municipalities as well as the unincorporated areas of the county. (2) Station 15 serves the 7illage and was built in 1969 through the efforts of Dr. J. Handweker (128). It is located on county owned property and is staffed with county employees. Services are provided to Cape 3 Florida Park, Calusa and Crandon Parks, Crandon Marina, the University of Miami Rosenstial facility, NOAA Laboratories, the 1% ;gFAf'aUH u y1[�ut�eyE (c` ,Ift! ' ".t F3L,11 .7 Figure 1: Map of the Village of Key Biscayne Seaquarium, several restaurants and county facilities as well as 4 the Village. Statistics for service from Station 15 for the calendar year 1991 are provided in Table 2. There were 57 water related incidents on the Key (it is unknown how many were within the Village boundaries). Support to the Key Biscayne Volunteers was provided in the form of worker's compensation coverage, EMT and MEDICAL FIRE OTHER TOTAL Village 372(71%) 24(5%) 123(24%) 519(76%) Other Key Areas 121(74%) 12(7%) 31(19%) 164(24%) Total Key Area 493(72%) 36(5%) 154(23%) 683 Table 2: Alarm Data for Calendar Year 1991 fire training, apparatus and maintenance. Costs for the station included in the FY 91-92 budget represented an expenditure of $3.281 million. (129) This station represents 3.06% of the total operational portion of the Department. (129) The response categories used by Metro -Dade are A: house fire, E: fire in a building of four stories or less, C: fire in a high rise, four stories or greater. Further categorization is used to define the type of fire as follows: Code 1: incident requiring additional equipment, Code 2: incident can be handled with current equipment, 5 Code 3: investigation, units proceed normally, Code 4: false alarm. When a fire has been determined to be a Code 1 incident, the incident commander determines what category of response is required. Within the Village, the following additional personnel and/or apparatus would be applied to the categories: Category A: one Battalion Chief bringing total available suppression personnel for a house fire to five. The response procedure calls for the volunteers to bring a pumper to the scene thus adding more personnel. The volunteers were dispatched a total of 16 times during the year of 1991. Rescue personnel (3 paramedics) are not included in suppression personnel, however, they may be on the scene and can assist in the operations if no medical services are needed. Category 8: one Battalion Chief, one additional suppression unit, and one aerial unit bringing the total apparatus to four (one being the volunteer pumper) with nine suppression personnel available. Again, there may be volunteers and rescue personnel on the scene, but the number is uncertain. Category C: a second Battalion Chief, a fourth (if the volunteer pumper is on the scene) suppression unit, a second aerial unit. In the case of a second alarm fire, the appropriate equipment and personnel for an A, B, or C category fire is doubled. For a third alarm fire, the appropriate equipment and personnel for an 6 Areas Sorted by Other /Ire Departrw..iib Figure 2: Station Locations for Metro -Dade Fire Department A, B, or C category fire is tripled, etc. (2) Additional units beyond those located at Station 15 must come from other stations within the county (see Figure 2) . The sequence of response is 14, 2, 30, 40, 35, 17, 3, 19 and 7. (2) Units from each of these county stations must pass through the City of Miami to reach the Key Biscayne area. Data is not 7 available' for this report on the total travel time, however, it has to be longer than that required for mutual aid units from either Miami or Coral Gables. This is a serious consideration for many of the structures which may be involved with fire. Secondary rescue units would also have to come from these out- lying stations. If the rescue assigned to Station 15 is involved in a transport, another must be moved in or the time frame will be extremely long. Personnel are assigned on a 24 hour shift basis with a work week of 48 hours. A total of 28 personnel are required to maintain four on the squirt and three on the rescue. This is calculated on the following basis: Total hours/year = 8760 52 weeks X 48 hours/week = 2496 hour/yr. Vacation and sick leave - 324 hours/yr. Number of personnel per position = 4.03 Total number of positions= 7 Total personnel required =28.21 Currently 20 personnel are assigned to Station 15 on a regular basis with the remaining time being filled in by temporary assignments or overtime. The Key Biscayne Volunteer Fire Department currently has 10 active members. Total support is provided by Metro -Dade Fire 1 Data has been requested, however, as of the date this report was prepared it had not been received. See Appendix E for list of information requested. 8 Department, to include: insurance, equipment, training, etc. The volunteers are available on a 24 hour basis. The average number of calls per year is 16 (2) . During the six year period preceding this report, there were five instances when simultaneous calls required the separate dispatch of the volunteers and Station 15. Mutual aid with other fire departments within Dade County is accomplished through the Operational Plan for Dade County Fire Service Mutual Aid Organization. This plan is Appendix A to the Fire and Rescue Annex III of the Dade County BEOP, dated 1980. Under this plan, mutual aid could be used on Key Biscayne if an incident exceeded the capability of resources within the zone. Data has been requested on this, but has not yet been forthcoming (see footnote 1) . ALTERNATIVES Four alternatives have been recognized by the various Village committees that have studied the problem.(5) Continue with Metro -Dade County Fire Department, 2. Contract with the City of Miami Fire Department, 3. Contract with a private organization, 4. Establish a Fire/Rescue service within the Village. Each of these will be discussed in turn. ALTERNATIVE! - Continue with the Metro -Dade Fire Department The easiest course to follow would be to remain with the current situation. This is strongly supported by many of the residents of the Village. Their premise is that the current 9 service is excellent and well worth the perceived extra cost. Those who oppose this argue that approximately $1 million is collected as taxes than is spent upon the service in the area. The current costs of approximately $3.6 million for the years 91- 92 (5) is higher than the county is supposedly paying. A memo included in the document Fire and Rescue Services currently provided by Metro -Dade Fire Department (2) indicates the cost to be approximately $3.2 million to maintain Station 15. This seems to be higher than it should be considering that personnel should account for approximately 90% of the cost. Personnel costs for that time period were expected to be $1,111,682 for suppression and $849,706 for EMS giving a total of $1,961,388. If the rule for personnel costs hold true, the total cost for CY 91 should approximate $2,179,320. This, of course, does not include amortization for apparatus and facilities nor the capital equipment portion of the budget. It would be unlikely, however, that one station would generate over $1 million in those categories. It would seem likely, therefore, that the true cost of providing the suppression and EMS services is in the range $2.2 million to $3.2 million. Given this, the 1992 tax collection should be approximately $3.6 million thereby creating a surplus for the county of $0.4 to $1.4 million. This, of course, would be used to support those geographical areas that do not generate sufficient tax to pay the full cost of service. It should also be kept in mind that these costs also support the areas outside of the Village. The ratio of service is .8 (2) , 10 therefore, the Village portion of the cost is really $1.6 to $2.5 million. The difference increases to $0.8 to $1.8 million, a significant amount. Services provided by the Metro -Dade organization certainly fall into the excellent to superior category. The personnel are well qualified and there are sufficient numbers assigned to the station to accomplish what needs to be done. Support beyond the initial units is not very good, however. Although the exact time is not currently available, it cannot be good since the other stations are so far away. It would be wise to use mutual aid rather than dispatch units as far away as the other county stations. This is not done at this time. Fortunately, there are few fires on the Key and those that do occur are limited. EMS services meet the expected standard. Again, however, the availability of a second unit if the primary is out, is limited. Current response, if the rescue is not available, is to dispatch the squirt and wait until the officer determines the need prior tc actual dispatch of another EMS unit. This will not meet the recommended standards outlined in Appendix A. This, however, is probably not a common occurrence. This station is reportedly the slowest station within the county system. The probability of simultaneous responses required is low as indicated by the five events over six years for the volunteers mentioned above. If this option were not selected, it would deprive the county of much needed funds to operate the department. It is 11 expected that station 15 would remain in service even if the Village chose to follow another path. Should this happen, the county would lose approximately $3.6 million in revenue and have to pay an additional $2.2 million to maintain the station for a total of $5.8 million in costs. This could be extremely detrimental to the operations within the county. Other services, e.g. inspections, arson investigation, helicopter service, etc. are supposedly paid out of other funds.(7) If this is not true, these services ti,ould be severely curtailed for the Village. ALTERNATIVE 11: Contract with the City of Miami Fire Department Another option suggested is to contract with an adjoining city to provide the required service. The City of Miami has submitted a letter proposal discussing this option. (132) They have proposed a six year contract indicating that it could not be done for a shorter period of time. Costs proposed are: Purchase of apparatus by the Village, titled to the Village: Table 3: Miami Proposal for Fixed Costs APPARATUS/FACILITY TOTAL COST COST/YEAR Pumper for Volunteers $50,000 8,333.33 Quint '$500,000 83,333.33 Rescue $150,000 25,000.00 Inspector's Vehicle $20,000 3,333.33 Temporary Fire Station - Year 1 $97,750 97,750.00 12 APPARATUS/FACILITY TOTAL COST COST/YEAR Temporary Fire Station - Years 2-6 218,500.00 $43,700.00 TOTAL 1,036,250.00 261,449.99 The operating costs, including personnel and other operating expenses are provided for two different scenarios: Table 4: Current Service (1 Quint, 1 Rescue, 1 Inspector) CONTRACT TERM OPERATING CAPITAL TOTAL Year 1 2,902,657 261,450 3,164,107 Year 2 2,527,657 261,450 2,789,107 Year 3 2,527,657 261,450 2,789,107 Year 4 2,527,657 261,450 2,789,107 Year 5 2,527,657 261,450 2,789,107 Year 6 2,527,657 261,450 2,789,107 TOTAL 15,540,942 1,568,700 17,109,642 Total cost of the six year contract would be $17,109,642 with less than $3 million per year. This cost would provide the same service as is currently provided by Metro -Dade. Another option has been offered by the City of Miami. They propose to add a 13 second rescue to cover those times when the primary unit is out of the area. This would entail adding personnel as well as apparatus. Table 5: Proposed Service (1 Quint, 2 Rescues, 1 Inspector) CONTRACT TERM OPERATIONS FACILITIES TOTAL Year 1 3,879,576 261,450 4,141,026 Year 2 3,331,576 261,450 3,593,026 Year 3 3,331,576 261,450 3,593,026 Year 4 3,331,576 261,450 3,593,026 Year 5 3,331,576 261,450 3,593,026 Year 6 3,331,576 261,450 3,593,026 TOTAL 20,537,456 1,568,700 22,106,156 Total costs for this option is $22,106,156. This would provide a higher level of service than currently exists. An option not mentioned is that of an ALS pumper or quint. By placing paramedics on the quint, the same result in rapid EMS response can be achieved without the cost of additional personnel or apparatus. Transport could be done by a second unit coming from another Miami station. The cost for this would be slightly more than the current system proposed. ALTERNATIVE III: Contract with a Private Organization This option was explored by the Village management. Bids 14 were solicited from Wackenhut Security Services for both police and fire/rescue services. Although the cost for this option was significantly lower than what currently exists and what has been proposed by the City of Miami, it was determined by the review committees that the problem with mutual aid was significant enough to warrant not using this option. The political climate through the firefighter unions is not such that they would support providing mutual aid to a private, commercial organization. As a result, this alternative is not considered viable. ALTERNATIVE IV: organize a Village Fire Department This option has two sub -units within it; the first being the development of a full service fire department from the volunteer organization, the other being the development of a Public Safety organization. Each will be discussed in turn. COMBINATION DEPARTMENT The current volunteer organization is composed of 10 active members.(2) A proposal has been submitted by KEVFD (6) to develop a combination department consisting of paid personnel supplemented by volunteers. The proposal, if carried through, would provide the same service that exists under the current operation. It is proposed that 21 personnel be hired to staff the quint with four personnel and the rescue with three. In addition, a Chief and Assistant Chief would be hired to provide command, administration and inspection services. As mentioned earlier, it requires 4.03 personnel to fill one position 24 hours 15 a day year round when a 48 hour week is utilized. The schedule suggested by the KBVFD would require that the following manyears would have to be filled by overtime or volunteers: Rescue Captain/Lieutenant 1.03 manyears Paramedic 1.23 manyears Fire Captain/Lieutenant 1.03 manyears Driver/Engineers 0.03 manyears Firefighters 2.23 manyears TOTAL 5.55 manyears Most volunteer or combination organizations use the ratio of 1:4 to measure the paid vs volunteer participation. Using this ratio, it would require a total of 22 active volunteers willing to spend 12 hours per week in the station able to respond to calls. Anything less than this amount of time would require more volunteers or a reduction in service availability. Using this as a guide, it does not seem likely that people can be found who would be willing to provide 12 hours per week on standby, additional time for training and still respond to calls to staff the pumper and/or second rescue unit. This is done in many areas, however, those departments usually have large numbers of volunteers who are available throughout the day. At the time of this report, it is unknown if a community the size of the Village can support a requirement this size. The costs that are projected in this report (6) are quite favorable. The total cost projected for the first year is $1,293,600. This would be a significant savings over the other 16 projections and the existing costs. Several areas of cost are not included, however. The cost of apparatus is somewhat low and probably does not include the equipment required to make the apparatus useable. There is no cost allowed for construction and maintenance of a station and the associated equipment. If these costs are added in, the projection will increase, however, it still will be significantly lower than the others. One of the premises presented in the report (6) is that there would be little start up time and cost. If the current volunteers were to become paid personnel, two things would happen. One, some may not be certified and would have to go through the basic certification course thus costing time and money. The second, and probably the more important, the volunteer pool would be decreased significantly. This would make it more difficult to obtain sufficient qualified volunteers to fill the positions mentioned above. Time and money would be spent recruiting and training a new group. As a result, the level of experience and training in the new department would be reduced, perhaps below a safe level. This would be a serious concern. It can be managed, providing there is sufficient lead time. PUBLIC SAFETY In the preliminary report (133), it was suggested that the concept of Public Safety was one to be seriously considered for the Village of Key Biscayne. When a start up process exists such as that currently underway within the Village, it provides an 17 ideal opportunity to examine new, and perhaps radical, ideas for the provision of public safety services. In a community such as the Village, there is not sufficient workload for all services normally required in a town. Although crime exists, it is usually of the type and frequency that managing it does not require large amounts of the communities resources. This is particularly true when the community is isolated in the way the Village is. With limited access, it is much easier to control those elements which would create a criminal situation. The frequency of fire and rescue incidents is much lower in a small community, particularly when isolated from others such as being on an island. The demographics of the community listed earlier indicate the absence of many of the problems which exist in other communities, such as large industry, busy highways, railroads, depressed areas, etc. This means that the community, while it does have fire potential, does not have to meet many of the requirements of other cities. As a result, it is easier to consider the possibility of combining the two most costly services provided by any community. Appendix B outlines the PSO concept and provides a number of case studies. This concept has been successful in a number of areas and has failed in many others. A number of references are listed which discuss the causes for both failure and success. The largest single reason for lack of success seems to revolve around the concept that one person cannot provide both services. The labor unions are adamant about this subject. Obviously, 18 these organizations would not be in favor of any concept which would reduce the opportunity for jobs. Their concern is valid for larger cities where there is a much greater incidence of both fire and police activities. It would be difficult to have one person doing both jobs as each individual would be busy at either one. However, the concept that each job is so technical that one individual is unable to assimilate all of the information and use it appropriately is not valid. Millions of persons do more than one occupation, including both police and firefighters. Many of these "other" jobs are extremely sophisticated. One of the best illustrations is those individuals (firefighters) involved in computer operations and programming. This is a highly technical field. If it were beyond the individual's capability to learn and do, would there be so many people in it? Probably not. Also consider that the vast majority of the individuals involved in public safety are at the entry level or just above it. As time goes along, everyone tends to focus on one, or at the most a few, areas of interest. Hazardous materials management within the fire service or EMS itself is an excellent example. Once this has been set aside, it is reasonable to say that there is a different psychology required for the two types of public service. This also exists between firefighting and EMS as well, yet many do both. In a community with minimal requirements on all fronts, it would only seem logical to combine the services provided by personnel to achieve the most efficient work environment. 19 The cost savings would be significant by using this option. It is estimated (3) that the cost for Public Safety would be approximately $3.7 million which would save approximately $2 million when both the police and fire costs are considered. This estimate does not include EMS costs. A proposal has been received by the Village for EMS services by a private provider. The cost was $750,000 for ALS service. The patient would also be charged for the service, thus the provider would receive approximately $1.1 million for the service. As a point of comparison, the City of Miramar spends approximately $900,000 for two ALS units and support an area of 34 square miles with over 42,000 population. Private providers usually do not have as good a reputation for excellence as public EMS organizations. profit motive often interferes with the standard of care. provision would be a significant concern in a public safety environment. The requirement for suppression personnel would be significantly reduced due to the lack of calls. If the PSOs also provided first responder cr EMT service, the call load would increase considerably. A combination of all three would be unique and may well serve the community the best. As an example, a quick response fire apparatus (a small truck initiate fire attack) operated by two PSOs who paramedics would provide all three services at The EMS with equipment to are trained the same time. The frequency of calls would be such -that this unit would be busy approximately 30% of the time. One distinct advantage is that the unit would be on patrol and able to respond immediately to 20 either rescue or fire calls, thus reducing the reflex time significantly (see Appendix A for a discussion of reflex time). This concept has been used infrequently in various forms elsewhere, but has not been very successful due to opposition from the various interest groups. Logically, it should function very well. A severe problem may exist in the PSO environment, that of mutual aid. Due to opposition from fire and rescue organizations and labor unions, it would be difficult to establish mutual aid agreements with other communities. The fear of becoming subordinate to other needs drives this opposition. If public safety were successful in the Village, others may be tempted to try it. As a result, opposition groups fight very hard to pre—e:t implementation of the concept. It is believed that �uruai aid would not be forthcoming from other communities if public safety were put in place. Most of the incidents would not require such support, however, should one of the larger buildings or a nigh life threat become involved, other units would be recuired. In an actual situation, it is unlikely that any city would refuse to help, however, there are recent, local cases of such events. This is a very serious consideration. CONCLUSIONS The most cost efficient method of providing fire service is to use the Public Safety concept. This does not include the provision of EMS services, therefore, it would have to be 21 contracted for adding to the cost. Once this is done, the overall cost of all three services, police, fire, EMS is still lower than the other options. An over-riding issue of mutual aid dictates that this concept may not be appropriate at this time. Once the community has been established, it may well be able to follow this plan. Most of those communities who attempt to use this concept after forming the other departments do not succeed due to opposition group efforts. Organization of a Key Biscayne Fire Department is the next most cost efficient method for provision of service. It has several drawbacks, however. The most critical is the concern about the community being able to provide sufficient volunteers tc fill the necessary positions without reduction in service. If it is found later that not enough people will volunteer, the service levels may have to be reduced below what exists today. Contracting for method for provision to accomplish within the service is the next most cost efficient of services. This is a relatively easy one the current framework. It would also give time to develop one of the other concepts over the period of the contract. Service levels would remain the same. In fact, for slightly more money, additional service can be still remain below the cost of the county. Continuing on with the current service purchased and is the most costly, however, it is also the easiest to accomplish. The level of service is approximately the same between the county and the City of Miami, therefore the service would remain intact. The costs 22 of all viable alternatives are provided in Table 6. Table 6: Cost Comparisons OPTION FIRST YEAR COST SIX YEAR COSTS DIFFERENCE I. Metro -Dade County 3,600,000 22,248,000 0 II. Contract with City of Miami - Option A 3,164,107 15,540,942 6,707,058 Option B 4,141,026 20,537,456 1,710,544 III. Contract with Private Provider - PSO* 4,188,445 21,341,335 906,665** IV. Key Biscayne FD Option A - FD 1,800,000 10,800,000 11,448,000 Option B - PSO* 3,700,000 22,200,000 48,000** * =ces not include costs of EMS ** Additional savings are effected due to cost of police being incladed here. The above chart illustrates the various costs for each option. Options III and IVB do not include the cost of providing EMS to the Village. Options IIA and IIB are less in cost than they appear because the cost includes the purchase of equipment 23 and facilities which would be titled to the Village and remain with it regardless of what course of action is selected at the end of six years. Option IVA does not include the total cost of facility construction and support. As a result, it understates the true cost of this option. The author of this report strongly feels that the implementation of these standards by the Village of Key Biscayne will provide a high level of protection of life and property for residents of the Village on a cost effective basis. However, there are several associated points to be emphasized: This standards were developed as a set; that is , they are interrelated, and not independent. Thus, one standard for fire suppression services should not be implemented to the exclusion of others. Furthermore, the staffing standard for ALS units was specifically set at three paramedics in favor of supporting the limited number of units available. These standards must be implemented together because the staffing and assignment standards are minimal based upon fast reflex time. If a slower reflex time is experienced, then higher staffing levels would be required because a fire might have passed the flashover point and, therefore, require additional resources. The reflex time standard is the key to the entire standard set and to the provision of the proposed cost-effective service levels -- for both fire protection and EMS. In addition, the use of the reflex time concept gives the Village a series of options 24 for cost effectively providing a high level of service by applying available funds to the areas that will produce the greatest benefit. For example, citizen CPR training, automatic suppression and smoke detectors are areas with a high benefit -to - cost ratio. RECOMMENDATIONS 1. The recommended fire protection reflex time standard for the Village of Key Biscayne is: "tc initiate fire suppression actions prior to flashover." It is recommended that the flashover time of 9 minutes be adopted for the fire reflex standard. This recommendation is based upon the tact that 9 minutes is the average of the frequently quoted range of 6-12 minutes. Therefore, the recommended fire reflex time standard is "to initiate fire suppression actions within 9 minutes of ignition for at least 90% of all fire incidents, and 95% within 10 minutes." 2. The recommended emergency medical reflex time standard for the Village of Key Biscayne is: "To initiate definitive emergency medical assistance within 8 minutes of occurrence of life critical symptoms for 90% of incidents, with a maximum reflex time of 10 minutes for 95% of the responses." 3. Based upon the recommended reflex time, Option IIA, contract with the City of Miami, should be selected as an initial step. 25 Throughout the course of the contract, the Village should plan to adopt its own service, Option IV. The public safety concept should be chosen, Option however, it must include period will allow proper IVB as the most cost effective measure, EMS as an integral part. The contract development of the concept as well as a period in which to resolve the mutual aid problem. Efforts should be made to rectify the political climate to ensure full support of the concept. If this is not accomplished, Option IVA should be chosen as the next most cost effective process. A combined system would cost the least, however, the Village leaders must ensure that there are sufficient numbers of volunteers to support such an effort. If not, it may require a totally paid system. Either way, the equipment and facilities will be in place thus reducing the initial impact. The six year contract period is highly appropriate for this process. 4. Other recommendations are provided as a part of the overall package: a. The Village of Key Biscayne should immediately initiate the process of adopting the strongest feasible automatic detection and suppression codes. This should include such systems in new home construction as well as commercial buildings. b. One of the requirements for the City of Miami as contractor should be to equip and staff the quint in a manner that it can serve as a non -transporting ALS unit as defined by the State of Florida. This will significantly improve the 26 coverage when the rescue unit is transporting. c A smoke detector program should be established to include a testing and battery replacement service. d. A comprehensive citizen CPR training program should be initiated as rapidly as possible, with a goal of training all Village residents of 12 years of age or older. The initial effort should be toward Village employees and employees in commercial establishments. e. Fire/rescue procedures and training programs should be reviewed to identify the potential for reducing average turnout and setup time and new programs developed, as necessary, to accomplish a reduction. f. The fire/rescue program defined through these standards should be monitored and evaluated (on an annual basis) and revised as necessary. 27 APPENDIX A Fire Protection and Emergency Medical Service Standards INTRODUCTION Standards for provision of fire and EMS services are critical to the planning for cost-effective delivery of these services. Yet, such standards have been elusive. Even after 200 years of fire service history, nationally -accepted standards still do not exist. Standards have been established by individual units of local government, or they have not been directly considered. Thus, local government decision -makers generally do not have answers to such questions as: "What are the costs and benefits associated with each increment of time in responding to a fire or rescue incident?" "What are the costs and benefits associated with each additional person assigned to a fire or rescue unit?" These, and the other issues addressed in this study, are probably the most important and difficult issues faced by fire/ rescue service decision -makers. These questions are especially critical in reviewing budget requests submitted by fire/rescue agencies and making the difficult decisions associated with insufficient revenues; i.e., where should budget cuts be made and what are the consequences? These questions have probably been raised by local government administrators and councils every year for the better part of this century. The answers today are really not any better than they were 50 years ago; and, in fact, are probably even more elusive because of such factors as: a) The impact of built-in fire protection systems (i.e., buildings with automatic detection and suppression systems may not require the response times and personnel complements that would be needed for the same buildings without such systems). b) The generally decreasing number of fire alarms and increasing demand for emergency medical services. c) The difficulty in recruiting and retaining volunteers in some areas and the growing reluctance of employers to permit 28 volunteers to respond from work. (This problem is frequently exacerbated by the increasing volume of EMS calls -- which are not of interest to some volunteers, especially when combined with the decreasing opportunity to fight fire.) There are a number of suggested reasons for lack of such decision -making criteria, including:(11) a) The application of operations research techniques (the quantitative tools needed to develop these criteria) began approximately 40 years ago, but these techniques were not generally applied to fire rescue problems until the last 20 years. b) Goals and objectives for fire/EMS services are difficult to establish and may vary widely between communities. c) Data systems have not been developed which record the information needed to conduct analysis. d) Fire and EMS incidents are extremely complex, and the development and consequences of a specific incident are very difficult to predict. e) When local government funds are readily available, there is often no incentive to determining the most cost-effective approach to service delivery. f) Productivity and effectiveness in the fire/EMS services are difficult to measure. a'. Fire departments have (especially in the past) tended to be insular, self-sufficient organizations with little personnel turnover and infrequent use of outside specialists in operations analysis and planning. The lack of research related to standards and decision making criteria was documented in a report by the New York City Rand Institute, which stated: ....we have found that except for studies of the deployment of firefighting men and equipment, there is little research related directly to local government policy. Most of the research is either fundamental, such as physical and chemical research aimed at an understanding of combustion phenomena, or engineering, such as studies of the combustibility and flammability of buildings and household materials."(12) While this report was published in 1975, it is felt that the conclusion is still applicable. 29 There have been many official declarations of the need for answers to the questions addressed in this report -- that is, non -validated, accepted standards and associated criteria; for example: 1) The Wingspread II Conference (a fire service needs assessment meeting) concluded what productivity in the fire service is "difficult to measure" and called for development of accepted productivity measurements and standards. (13) 2) A program plan for the National Fire Prevention and Control Administration (now the U.S. Fire Administration) contained a recommended project to establish resource allocation and response criteria.(14) 3) The International City Management Association identified the development of these standards as a high priority research and development need.(15) In response to these and other statements of need for standards, there have been several attempts to answer one or more of the driving questions especially having to do with: a) The required response time for fire/rescue companies. b) The appropriate staffing level for fire/rescue companies. However, none of those attempts have resulted in nationally accepted standards. In general, what has been accomplished is: a) The development of fire -growth curves (e.g., the "standard time -temperature curve") and predictions for the time at which "flashover" occurs (flashover is "the point at which fire gases and all combustible surfaces of a room blast into flame at once.") (16) b) The development of estimates of when brain damage occurs as a result of lack of oxygen, and mortality rates associated with initiation of medical aid within various time periods.(17, 18) Several projects have been initiated to develop national standards for company staffing and of at least nationally recognized criteria for setting local standards; however, none were completed. A feasibility analysis and research plan involving the ICMA, IAFF, and IAFC was completed in 1976, but was never implemented.(19) A survey of "Fire Suppression Crew Sizes" was completed in 1982,(20). It was to be the first phase of an overall project to analyze the implications of different fire suppression company 30 staffing levels. The remaining phases were not initiated because of "cuts in federal government funding for fire research."(21) A document which has frequently been used as a fire department standard is the Insurance Services Office (ISO) Grading Schedule(22) which contains criteria for: a) required number of engine/truck companies, b) maximum response distance. However, this Schedule was developed for insurance rating purposes and not for use in determining required fire department resources. In fact, this Schedule includes the statement, "The Schedule is a fire insurance rating tool, and is not intended to analyze aspects of a comprehensive public fire protection program. It should not be used for purposes other than insurance rating."(22) The continued use cf this Schedule for fire department planning, considering the above statement, is indicative of the need for corresponding decision -making criteria, and the current lack of such criteria. Fire service experts have listed recommended standards in various publications. For example, Warren Kimball, writing in Fire Attack II states that a three -person pumper crew could be used for low to medium hazards, but four persons are needed for engines and trucks protecting high hazards (p. 36) . A four person pumper crew is required to be able to advance and operate a 2 1-2" hand line (needed to fight large fires leaving the operator at the pump.(23) Such recommendations are generally not quantitatively justified, and the marginal utility cf alternative standards is not discussed. The result of this lack of nationally recognized standards and decision making criteria is that communities have not explicitly defined performance standards, or have developed their own standards. Frequently, such local standards are established as part of a community master planning project which involves the establishment of service -delivery goals, objectives, and selection criteria.(24) Recommended Response Time Standards Definition of "Response time" The Statement of Work for this project specifies the development of " . . . recommendations regarding response time standards...." However, the term "response time" must be 31 explicitly defined for this project because it is used in a number of ways throughout the fire service. For example, some TEMP. FLASHOVER UNREST NE IRE GROWTH F QH WITH 2 3 4 5 6 7 B 9 10 MINUTES TIME VARIES DETECTION OF FIRE RE- PORT OF FIRE FIRE SYSTEM RESPONSE TIME Dm_ PATCH TURN O T TIME TRAVEL TIME SET W TIME TIME INDIRECTLY MANAGEABLE TIME DIRECTLY MANAGEABLE FIRE GROWTH FIGURE Al: Fire Growth vs Reflex Time communities define response time as, "the period of time between the receipt cf a citizen's call and arrival at the scene," while others use the definition, "the period of time from receipt of dispatch by first due company to arrival on scene." A number of other definitions are also used. Considering the intended use of review results, it is recommended the Village approve the use of "reflex time" as the definition of "response time". Reflex time is the time period from ignition to application of an extinguishing agent, and is illustrated in Figure Al. An analogous period for a medical incident is the time from occurrence to initiation of field emergency medical definitive care, and is illustrated in Figure A2. The reflex time concept is recommended because it includes all of the components of the time period between occurrence and initiation of public service assistance. Each time component can be identified and analyzed, and the results used to determine how the overall reflex time can be reduced on a cost-effective basis. 32 The amount of time required for fire detection and reporting (as an example) cannot be directly controlled by the Village, while the Village's fire system response time is directly manageable, regardless of the method chosen for providing it. Fire system response time begins with the receipt of an alarm at the dispatch center and ends with the initiation of corrective action (e.g., application of water). It includes the following components: a) time required to process the alarm and dispatch units. FIGURE A2: CARDIAC ARREST REFLEX TIME CHART TIME CPR STARTED VS. PROBABUrrY OF RECOVERY FROM CARDIAC ARREST b) turnout time -- the period from receipt of dispatch by a unit in quarters until the apparatus leaves the station. c) travel time. d) set-up time -- the period of time from arrival on scene until suppression or medical treatment activities are initiated. By using reflex time as the basis for the Village's response standard, all components of the time period can be 33 considered for improvement and resources can be applied in the most cost-effective manner. There is a nationwide trend toward the use of the reflex time concept in planning for fire/rescue service delivery. For example: - "Despite (the) commonly accepted definition of response time, the sequence of events that must be considered is that from ignition to the initiation to fire -fighting activity . . . any response time reduction strategy must involve an examination of the time from ignition to intervention."(25) Chief Ron Coleman recommends an approach to managing the fire problem which addresses the individual components of reflex time.(26) The fire and rescue services report to the Arlington County (VA) Board uses a response time definition containing the components of reflex time.(27) These references are primarily concerned with reflex time for fire incidents, yet, the concept is just as, or more, important for emergency medical incidents. References to reflex time are not as prevalent in the literature, however. The individual components of reflex time are defined and discussed within the two categories: (1) time indirectly manageable, and (2) time directly manageable by the Village (refer to Figures 1 and 2) . TIME INDIRECTLY MANAGEABLE Detection The period of time from initiation of event until it is discovered by an individual who can contact the Dispatch Center. For fire, the initiation of event is ignition, while for a medical incident, it is the period of time from occurrence of an injury or accident or from onset of acute symptomology (in case of heart attacks, strokes, etc.) until the patient or someone else decides to contact the dispatch center. Obviously, these time periods are dependent upon a large number of variables and are difficult to even estimate -- especially for medical incidents. In structures equipped with an operable smoke detector, an alarm would be given approximately 30 seconds to one minute after ignition. (28) There have been studies of the time period from onset of 34 acute symptomology to call for emergency medical services. (29) This time period appears to vary significantly with symptomology; however, a general study of over 3,000 patients indicates that approximately 50% have emergency medical help requested within 5.5 minutes.(30) Average reporting times for patients with life critical symptoms (e.g., cardiac arrest or live threatening arrhythmia) could not be identified. It is, therefore, assumed that such situations would be discovered within time periods analogous to fire detection, with a smoke detector (i.e., one minute) . Report of Alarm The period of time from discovery of a fire/emergency medical incident until it is reported to the dispatch center. This period is also difficult to estimate because of a large number of variables, such as access to a telephone and attempts to handle a situation prior to calling the dispatch center (i.e. a delayed alarm). In the absence of any definitive estimates of this time period, it seems reasonable to assume that, once discovered, a fire or emergency medical incident would be reported in one to two minutes). TIME DIRECTLY MANAGEABLE Dispatch of Units This component is the interval between the time a call is received by the Dispatch Center and responding units are notified. Functions which have to be performed during this time period are: receiving the call, determining the nature of the request for service, transferring the call to the fire/rescue dispatcher, identifying the appropriate available response, and alerting the corresponding units. Turnout Time This time period begins with the receipt of an alarm at a station and ends when the fire/rescue vehicle leaves the station. (Units which are dispatched while they are "on the air and available" generally are not associated with a turnout time.) Travel Time This period is the time required for the unit to drive to the scene of the incident. Travel time is generally a function of distance, road and traffic conditions, time of day, etc. Studies have shown that, on an overall basis, travel times are relatively constant; e.g., the results of the New York Experiment and elsewhere show little or no difference in travel velocities at different times of day, perhaps because less traffic congestion 35 is offset by poorer visibility at night."(32) Setup Time This component is the period of time from arrival on scene until suppression or medical treatment activities are initiated. Activities within this period are: dismounting, unloading equipment, gaining access to the building, sizing up the incident, and taking action. REFLEX TIME ISSUES There is complete agreement in the literature and among fire protection/emergency medical experts concerning the need to minimize response time in order to protect life and property. For example, "Tests carried out by LAFD (the Los Angeles City Fire Department) and other agencies demonstrate conclusively that a delay in the application of fire suppression agents significantly increases both the amount of water and time required to control a fire."(33) Response time is also critical for provision of emergency medical services. Common sense, as well as numerous studies (34, 35), has substantiated this requirement for rapid initiation of basic life support services. For example, a report by the Los Angeles County Fire Department states: "Another study conducted by the American Heart Association showed that the amount of time to initiation of basic life support was critical to overall survival rate."(36) Specific time requirements are specified in the American Academy of Orthopedic Surgeon's report: There must be a maximal sense of urgency in starting basic life support. Time is critical. If the brain is deprived of oxygen for four to six minutes, brain damage is likely to occur. After six minutes without oxygen, brain damage is extremely likely."(37) Thus, there is no question that it is important to minimize fire and emergency medical reflex time, but to what levels and at what cost? Unit travel times could be significantly reduced by building a fire rescue station on each corner; however, our society would not pay for such a level of service. What, then, is the appropriate balance of service level and cost? A review of Figures 1 and 2 shows that the development of a fire/emergency medical incident can be considered a continuum from initiation to conclusion. It has been established that emergency services should be provided as early on the continuum as possible, considering that "appropriate balance." For fire, the recommended critical event was "flash over." 36 The recommended emergency medical incident was the time after a cardiac arrest at which the chance of recovery falls below 50%. Flashover Flashover is defined as, "...the point at which fire gases and all combustible surfaces of a room blast into flame at once." (16) Deaths, injuries, and property loss can be expected to increase significantly after flashover has occurred. In addition, the fire department resources needed to extinguish the fire increase greatly after flashover. Thus, fire suppression initiated prior to flashover will generally require less resources, and will provide greater protection of life and property. Emergency Medical Resuscitation Rate The emergency medical critical event is the 50% probability of resuscitation following a cardiac arrest -- that is, to initiate CPR prior to the point on the continuum where the probability of resuscitation drops below the 50% level. The chart presented in Figure 2, based on American Heart Association data, illustrates the point that each minute beyond 4 minutes reduces the chance of recovery by 50%. (94) The fire/rescue services supporting the Village, of course, respond to many types of medical incidents other than cardiac arrest, however, this critical event was selected because basic life sustaining actions also nerd to be performed for other types of medical incidents, such as asphyxiation, drowning, Sudden Infant Death Syndrome, and other respiratory failures. RECOMMENDED FIRE REFLEX TIME STANDARD The recommended fire protection reflex time standard for Key Biscayne Village is: "to initiate" fire suppression actions prior to flash over." This standard means that, for buildings without automatic suppression systems, the first due unit should be on -scene - and applying an extinguishing agent prior to the occurrence of flashover. The implementation of this standard requires a definition of when (on the continuum) flashover can be expected to occur. Like many other factors associated with the provision of fire/rescue services, flashover is a complex phenomenon, and the time to 37 flashover can vary significantly based upon materials and furnishings, source of heat of ignition, available oxygen, use of an accelerant, etc. "Flashover is now believed to be caused by thermal radiation feedback from the ceiling and upper walls which have been heated by the fire. This radiation feedback gradually heats the contents of the fire area. When all of the combustibles in the space have become heated to their ignition temperatures, simultaneous ignition occurs."(38) Toxic product -of -combustion levels are very important to life safety. The Operation San Francisco tests showed that the carbon monoxide level of 3000 ppm was exceeded approximately 8 minutes after ignition, with 5000 ppm exceeded shortly thereafter. Because a person can survive for only 3-5 minutes in an atmosphere with levels above 5000 ppm, it is felt that protection for occupants from toxic products will generally have to come from automatic detection and suppression systems.(42) The literature contains a number of average times to flashover: "10-15 minutes"(39); "11-12 minutes"(40), "9 minutes". In addition, actual times to flashover, as measured in full scale fire tests, are also given: for example, 6 minutes 26 seconds, 7 minutes, and 17 minutes.(41) It is recommended that the flashover time of 9 minutes be adopted for the fire reflex standard. This recommendation is based upon the fact that 9 minutes is the average of the frequently -quoted range of 6-12 minutes. Therefore, the recom- mended fire reflex time standard is "to initiate fire suppression actions within 9 minutes of ignition for at least 90% of all fire incidents, and 95% within 10 minutes." The 90% and 95% accomplishment levels are suggested because it is not reasonable to expect that the standard can be met in every case Comparison With Current Estimated or Average Times The portion of the fire reflex time directly manageable by the Village is estimated using current averages and summarized in Table Al. 38 COMPONENT CURRENT ESTIMATED AVERAGE (MINUTES) Dispatch of Unit 2.5 Turnout Time 1.5 Travel Time 3.2 Setup Time 1.5 TOTAL 8.7 TABLE Al: Estimated Current Average Components Time Directly Manageable of Fire Reflex REDUCTION OF FIRE REFLEX TIME The various components of reflex time offer a number of opportunities to keep this time period within the standard. Even the components which are only indirectly manageable (detection and reporting) can be reduced. The single most important action the Village can take to meet the reflex time standard is to require and/or encourage the installation of automatic detection and suppression systems in new and existing structures, Including individual residences. This action will Increase the level of protection of life and property from fire and reduce long-term costs for provision of fire suppression services. Thus, it is the most cost-effective approach to meeting the fire reflex time standard.(26) Numerous studies have proven the tremendous value of automatic systems; for example: A study of 117 fires showed that " . . . there might have been approximately a 90 per cent reduction in both lives lost and injuries sustained if fire protection systems had been installed. Also, property loss would have been decreased by a factor of about three with the detector system, by a factor of about four with the remote alarm system, and by a factor of about seven with the suppression system."(43) "A community policy to control and reduce property hazards by requiring automatic sprinklers can have a 39 significant impact on holding the line with fire department manning requirements. In addition to improved life safety and property protection, automatic sprinklers may reduce property insurance premiums and the demand on the community's fire suppression delivery system. This may open new service delivery options, such as improvements of emergency medical services with existing personnel. " (44 ) An analysis of fires in U.S. Department of Energy sprinklered facilities resulted in the following conclusions: (45) 1) The cumulative fire loss ratio since 1947 was less than 1% of the value of the property. 2) DOE had only 26 reported fires per year from 1975 to 1983, with over $50 billion in plant and equipment values. 3) The loss in sprinklered buildings is only 20% of the loss in unsprinklered buildings; only low potential loss buildings are not sprinklered. 4) There has been no loss of life in a sprinklered building due to fire. 5) Sprinklers have been 98% effective in controlling fires. 6) Approximately 1/3 of the sprinklered building fires were extinguished by the operation of only one sprinkler head. 7) The probability of a sprinkler head failing is approximately one chance in one million per year. 8) Sprinkler systems are approximately twice more reliable than other types of water systems. 9) The damage resulting from the presence of a sprinkler system is less than 1% of the fire damage that would have resulted if the sprinkler system had not been present. Detection Rapid fire detection is critical to meeting the reflex time standard. The estimate of current reflex time was based on a detection time which assumed the presence of an operable smoke detector. But, what about those structures in the Village which currently do not have operable smoke detectors or other automatic detection and suppression devices? Smoke detectors are proven life savers, for example: 40 "For the second year in a row, no fire deaths were reported in Navy and Marine Corps family housing units. Installed smoke detectors are again credited."(46) Smoke detectors can also significantly reduce fire losses: "Knockdown time and loss would go down dramatically if the alarm were given when open flame first appeared. If, through use of such warning systems as smoke detectors or sprinklers, the alarms were received six minutes earlier and the company present on the scene six minutes sooner, flashover might not have occurred and loss might be reduced to approximately one half the loss anticipated if the first -in company arrives at flashover." (47) It is recommended that the Village initiate a smoke detector program to ensure that all structures (especially independent dwellings) are equipped with detectors and that such detectors are operable. It is particularly important to test battery -powered detectors and replace batteries on a regular basis. Even if the Village purchased the batteries, the cost would be less than meeting the reflex time standard by building additional fire stations or adding units and personnel. Reporting There is little that the Village can do to further reduce reporting time except through public education --teaching residents (especially children) to call 911 immediately, rather thin_ trying to fight the fire fist and then calling. The Village currently uses the 911 system which is considered to reduce Reporting time.(48) If the Village does not use the County's services, it must be assured that 911 and dispatch service will continue to be provided. Dispatch of Units As stated earlier, the current average fire/rescue dispatch time is approximately 2 1/2 minutes. However, this time period is associated with a manual dispatch system. It is understood that the County is planning to acquire a computer -assisted dispatch (CAD) system, which should significantly reduce the average dispatch time. Estimates of an average dispatch time under the new system are not available. It is the author's experience that properly designed CAD systems can process a dispatch as fast as the information is obtained from the calling party; that is, after the call is transferred to the fire/rescue dispatcher, obtaining the information concerning the incident becomes the determining 41 factor in dispatch time. The average time required to pre-screen a 911 call and transfer it to the dispatcher is reported to be 18 seconds. (49) If 30-45 seconds are required to obtain the incident information (a reasonable average based upon the author's experience), the average dispatch time with a CAD system should be between 45 to 60 seconds. A one minute average dispatch time would represent a 1 1/2 minute (50%) reduction compared to the current average time of 2.5 minutes. (The city of Dallas has measured the performance of its CAD system and found that the average time from receipt of call to dispatch is 38 seconds for EMS incidents. (96)) A one minute dispatch time would reduce the estimated average reflex time (directly manageable by the Village) presented in Table 1, from 8.7 minutes to 7.7 minutes, a 11% reduction. Turnout Time Turnout time can be reduced by proper training of personnel and ensuring that sufficient units are in the first response area at all times. Travel Time In general, the only way to reduce travel time is to relocate and/or add fire/rescue stations and companies. Two alternatives being considered, provision by the Village and contracting for service, will in essence, add a station to the Key. At this time, the County does not have any intention of closing Station 15 if the Village obtains its service elsewhere. As a long term prospect, it is quite possible that it may be closed. Travel time also becomes extremely important relative to mutual aid companies. At this time, for service beyond that already on the Key, County units must come from a significant distance, in fact by passing Coral Gables and City of Miami stations. If mutual aid is used, City of Miami units would be the ones to respond. In any case, excluding Station 15, the nearest next unit, either fire or rescue is more than six miles away. Thus, the travel time for any unit would be in excess of the Village required response time. A move -up capability should be established to ensure that service remains within the prescribed parameters. Setup Time The time required for setup can often be reduced through improved procedures and training. It is recommended that the 42 Village establish standards regardless of the service option chosen. RECOMMENDED EMERGENCY MEDICAL REFLEX TIME STANDARD The recommended emergency medical reflex time standard for Key Biscayne Village is: "To initiate definitive emergency medical assistance within 9 minutes of occurrence of life critical symptoms for 90% of incidents, with a maximum reflex time of 10 minutes for 95% of the responses." This standard is based on studies which indicate that definitive medical assistance for cardiac arrest provided within this time period, together with CPR initiation within 4 minutes, will result in a successful resuscitation in over 40% of the cases. (99 These studies show that there is a decrease in cardiac arrest outcomes as measured by patient discharges from hospitals when definitive care exceeds a 10 minute response. The percentage of patients discharged from hospitals drops from 43% down to 22% when definitive care is delayed from a 6 to 8 minute range to a range of 8 to 10 minutes. (100) When the time to definitive care exceeds 10 minutes, the percentage of patients discharged from hospitals falls below 17%. (100) Arguably, the closest emergency medical equivalent to flash over is the function of the time to initiate cardiopulmonary resuscitation in a cardiac arrest incident. The author recommends establishment cf a response time limit as the time to initiate cardiopulmonary resuscitation prior to the point that the probability of resuscitation drops below 50%. Based on American Heart Association data, figure A2 illustrates the importance cf starting CPR within the first four minutes following the victim's collapse due to cardiac arrest. As reported in the document entitled, Evaluation of Paramedic Services for Cardiac Arrest, two specific factors (time to initiate CPR and time to definitive care by paramedics) strongly predict successful resuscitation. The study also proved that both initiation of CPR before four minutes had elapsed from arrest, and paramedics beginning definitive care (defibrillation, intubation, and medication) within an eight minute period, are both critical to initial resuscitation and long-term recovery. "For example, if CPR was initiated within 4 minutes and definitive care provided within 8 minutes, 40% of patients were discharged. If one of those times was exceeded, the percentage of patients surviving fell dramatically; and if both times were exceeded, only 10% were discharged."(101) 43 As the study goes on to report " . . time to initiation of CPR and time to definitive care jointly affect the outcome. If both intervals are short, the highest survival results. One short interval without the other is less likely to result in survival."(102) The joint relationship is shown in figure A2. This report emphasizes the finding that, "the percentage discharged fell dramatically within each four -minute interval of time to initiation of CPR. If time to initiation of CPR was greater than 12 minutes and time to definitive care greater than 12 minutes, there were no survivors."(102) Because both elements significantly affect outcome, response time standards have been recommended for both CPR and ALS Rescue Unit response. Comparison With Current Estimated or Average Times Estimates of the portion of the emergency medical reflex time directly manageable by Key Biscayne Village, using the data presented earlier, are summarized in Table A2. Dispatch of Units 2.5 minutes Turnout Time 1.5 minutes Travel Time 3.2 minutes Setup Time 1.0 minutes TOTAL 8.2 minutes Table A2: Estimated Current Average Components of Emergency Medical Reflex Time Directly Manageable Notes: 1) Dispatch time is the estimated average for both fire and rescue incidents. 2) Turnout time is the calculated average for fire and rescue units. 3) Travel time is the average for first due engine companies; it is assumed that travel time for first due units responding to medical incidents would be the same. 4) Setup time has been estimated at 60 seconds, based on: 44 "field observation, run reports, and discussions with field personnel indicated that approximately one minute may elapse between arrival and the initiation of definitive care." (103) The average estimated times listed in Table 2 show that the reflex time standard has already been exceeded, even without the addition of the time required for detection and reporting. REDUCTION OF EMERGENCY MEDICAL REFLEX TIME Because the estimated current emergency medical reflex time exceeds the recommended standard, it is important to examine all cf the directly and indirectly manageable time components to determine where more time savings can be cost-effectively achieved. As was the case with fire (i.e., use of automatic detection and suppression devices), there is a single most important action which Key Biscayne can take to improve life safety. This action is to conduct citizen training in cardiopulmonary resuscitation CPR. Numerous studies have proven the significant value of CPR which is immediately initiated by a family member or bystander. For example, it is evident that there was a significant ,mprcvement in the percentage of patients who were initially resuscitated and in the percentage of patients who became long-term survivors . . . . " (51) "Whatever the level of the rescuer's training, immediate CPR can double survival rate after ventr:cu1ar fibrillation_ while lessening the neurological damage." (52) "Only a third of those (patients given immediate bystander CPR) whom a layman aided died; only a third of those not given immediate CPR survived." (52) "The patient group that had been helped by bystander adMinistered CPR also fared better in quality of survival." (52) The Seattle and other programs have shown that citizen CPR training is feasible. The Seattle Medic II program had a goal of training all King County residents 12 years of age and older; training at the rate of 3,500 citizens per month. (53) As of 1978, more than 100,000 citizens had been trained (approximately 45 1/4 of the City's population). This training has been effective, as demonstrated by the doubled survival rate quoted above and by: "Some 34% of all Medic I's cardiac rescue runs are summoned by a bystander who has started CPR before the ambulance arrives. " (52) Additional options which should by considered to reduce the time to initiation of CPR include: o Increasing the number of citizens trained in CPR. o Selective training of family members of high risk patients o Further enhancements to "instant CPR" instructions that dispatchers give callers when a cardiac arrest is verified. o Training all Village employees. o Selective training of employees and/or office workers in high occupancy buildings and facilities. o Public education reinforcements. Detection Unfortunately, there is not a device for emergency medical incidents which is analogous to the smoke detector. There are a few promising devices that may one day offer high risk cardiac patients a reliable mechanism to detect the onset of potentially life -threatening arrhythmia; however, a single device to detect life -threatening emergency medical conditions shows no signs of becoming available in the near future, therefore, detection is almost entirely up to the patient and/or a bystander, and Key Biscayne can do little to reduce detection times, except for public education. It is recommended that Key Biscayne Village initiate a public education program which will support the rapid detection of life critical symptoms. Reporting Direct -line (or automatic dialer) emergency medical reporting systems are currently available, but generally are used only by persons with a high risk medical history. As with fire reporting, there is probably little that the Village can do to further reduce reporting time for the general population except public education. 46 Dispatch The discussion of the need for the CAD system is also applicable to emergency medical reflex time. Turnout and Travel Time These reflex time components are generally the same as those for fire incidents. Setup Time Typical emergency medical setup time for definitive patient care is on the order of 60 seconds; which offers minimal opportunity for significant reductions. The following options for decreasing the time to definitive emergency medical assistance should also be considered: 1! Increasing the number of paramedic certified firefighters. 2) Increasing the number of advanced life support units in service. 3) Qualifying EMT -A trained personnel to be able to defibrillate patients using fail-safe defibrillators that reduce inappropriate use. The State of Florida is, at this time, approving the use of automatic defibrillators. 4; Decreasing inappropriate calls for service, and selective dispatch procedures. COMPARISON OF REFLEX TIME STANDARDS WITH OTHER JURISDICTIONS The concept of reflex time is relatively new and has not yet been adopted by many jurisdictions. Some have. As an example, Arlington County, Virginia has a fire reflex time goal of 9 minutes. Most communities have response time goals or objectives which generally include turnout and travel time, but not dispatch or setup times. A report by the Research Triangle Institute contained the results of a nationwide survey of over 1,200 fire departments which included information on response time. Average and maximum response times were given by population categories, and are listed in Table 3. (54) For this survey, response time was defined as turnout time, plus travel time. It should be noted 47 that data available for the Key Biscayne area includes only turnout and travel times. Population 5-10,000 10-25,000 25-50,000 50- 100,000 Over 100,000 Ave. Response Time 4.2 4.5 3.4 3.1 3.2 Maximum Response Time tc any mart c‘{ nay:n. .t_act..reE 9.1 7.4 6.9 6.0 7.7 TABLE A3: Average and Maximum Fire Response Times Based on a Nationwide Survey Response time goals identified in the course of this project are listed in Table A4. These times include turnout, plus travel time. JURISDICTION RESPONSE GOAL Baltimore County 4 minutes (EMS) Contra Costa County 5 minutes (Urban) 10 minutes (Rural) Palm Beach 4 minutes Average 5 minutes Maximum Orange County (FL) 6 minutes (BLS) Arlington County (subset of reflex time) 5-7 minutes Average Mt. View, CA (EMT) Paramedics 3 minutes Average 4 minutes Maximum 5 minutes Average 10 minutes Maximum TABLE A4: Response Time Goals for Other Jurisdictions A number of studies involving medical units produced mean/median response times of less than five minutes with geographically dispersed units.(55) 48 Comparing data from other jurisdictions to the recommended fire and emergency medical response times yields the following conclusions: 1) Arlington County is the only known jurisdiction with a reflex time goal and it is identical to the recommended fire reflex time standard. 2) The remaining data pertaining only to response time (turnout plus travel) and the current estimated time for the Key Biscayne area for first due units is similar. 49 RECOMMENDED APPARATUS/PERSONNEL ASSIGNMENT STANDARDS Discussion of Fire Suppression Apparatus/Personnel Assignment Issues These standards are concerned with the kinds and numbers of apparatus and personnel (i.e., fire Suppression and rescue companies) that should respond to fire and rescue incidents. Such standards are used by every fire department (although not necessarily called "standards"), and generally specify the numbers and types of companies required, as well as, the total number of personnel needed on the fire ground. Some fire departments establish these incident assignment standards for various alarm levels (e.g., first alarm, second alarm, etc.), although the trend is to define full first alarm assignment with additional resources requested on an individual basis. Standards for first alarm assignments are of course, a function of the characteristics and fire hazards in the community. However genera] guidelines and criteria for establishing these standards are prevalent in the fire service literature. For example: High Hazard Occupancies 4 engines 2 trucks, and 2 chief officers with a total of 26 personnel Medium Hazard Occupancies 3 engines 1 truck, and 1 chief officer with a total of 17 personnel Low Hazard Occupancies 2 engines, 1 truck, and 1 chief officer with a total of 13 personnel (85) Similar criteria are presented in numerous other documents, and it is understood that they are generally based on building fire flow requirements. "Fire flow" is defined as the estimated water delivery rate in gallons per minute required to provide adequate fire protection for a specified structure. (84) Fire flow estimates for a building are calculated using a 50 formula which is based on 1450 actual fire flows as plotted with respect to total] building floor area. (84) The formula takes into account the following factors:(87) a) effective floor area (considering potential for fire spread) b) type of construction c) building use (i.e., fuel loading) d) exposures (e.g., surrounding structures) e) combustibly/non-combustible roof f) presence of automatic suppression system. It is felt that the fire flow estimate is the best currently available quantitative measure of the fire suppression capability reacquired for specific buildings. The formula can be used for ail structures except very high hazard occupancies, such as lumber yards, petroleum storage, refineries, grain elevators, and large chemical plants. (88) When a fire flow requirement has been calculated, the resources required to deliver that fire flow can be determined. The results of a number of studies have been used to establish the relationship between fire flow and corresponding required resources (e.g. engine and truck companies).(89) There is little controversy concerning the fire flow defined resources requirements, especially compared to the controversy involving response time and company staffing level criteria. The primary issue which is debated is the need to dispatch a full firs_ alarm assignment; for example: "A full response is needed only a small percentage of the time (e.g., 2 or 3 per cent). One could argue, therefore, that a small initial response should be sent since it will be adequate such a high percentage of the time. However, it is those few times a full response is needed that a quick and complete response by the fire department may save lives and property." (90) RECOMMENDED FIRE SUPPRESSION STANDARDS The approach to setting fire incident assignment standards, is to establish standards defining the: "full first alarm assignment based on the resources required to control a fully -involved structure fire (i.e., an entire building or the area between four hour fire walls whichever is smaller)." 51 These standards must be established by "class" of fire department response district. The class represents the magnitude of the fire risk in the district and permits the establishment of first alarm assignments that are related to the expected demand for fire suppression resources. It is recommended that base level standards be established for all response districts that have a relatively low fire hazard level, as defined by: lest than 50% of the unsprinklered occupancies have a fire flow requirement of no more than 1000 GPM and there are no high life risk facilities (e.g., schools). In this class of response district, the recommended first alarm assignment is: A minimum of 12 fire fighters (including a minimum of 2 engines, 1 truck, 1 rescue unit and duty officer) meet the 14 -minute (reflex time standard in 90% of dispatches and a 16 -minute (reflex time) standard in 95% of the cases. The base assignment standard will provide adequate protection for typical fires in structures having total floor areas ranging from 4,000 sq. ft. (high hazard) to 10,000 sq. ft. (low hazard.(83) (Of course it is always possible to create fire demands in those structures which exceed the 1000 GPM fire flow capability -- for example, arson fires involving accelerants and delayed alarms -- however, the cost of providing the resources required for such situations, within the stated reflex time, is generally not considered cost effective.) Thus, the base standard provides protection for single family residential neighborhoods, small apartment houses, neighborhood shopping centers, etc. Standards for the more involved response districts should include: A minimum of 21 fire fighters (including a minimum of 3 engines, 2 trucks, 1 rescue unit, and a duty officer) meet the 14 -minute reflex time in 90% of the dispatches and a 16 -minute reflex time standard in 95% of the cases. This assignment standard will provide adequate protection for typical fires in structures having total floor areas ranging from 10,000 sq. ft. (high hazard) to 60,000 sq. ft. (low hazard).(80) Examples of such structures include larger apartment houses, stores, medium -size office buildings, plants, etc. It is recommended that occupancies that have a fire flow requirement in excess of 2500 GPM, high rise buildings, high life risk (e.g., hospitals, schools, and nursing homes), and hazardous 52 materials facilities be considered target hazards and be prefire planned on an individual basis -- that is, that the first alarm assignment be established as necessary to meet the special requirements associated with these high risk hazards. These recommended assignment levels are based on the fire flow resource requirement table discussed earlier.(91) In addition, it is felt that the requirement for personnel is more important than the exact mix of companies (beyond what is specified in the standards) that are used to get them to the fireground. This view is substantiated by a statement in Fire Attack I: "in the vast majority of instances, the gallons per minute that can be applied on a fire within a stipulated time after arrival of the apparatus depends upon the available manpower, rather than rated pumping capacity."(92) The first alarm assignments listed above include a rescue unit with two people minimum staffing. This recommendation is based upon: a. two qualified firefighters are needed to provide the total number of personnel required, b. the availability of emergency medical personnel on the fireground would be invaluable for rescue and treatment of firefighter and civilian injuries, c. the use of rescue units could satisfy both of those needs; of course, the inclusion of such units in the first alarm assignment means that the personnel must be cross -trained and carry their turnout gear and breathing apparatus. RECOMMENDATIONS CONCERNING REDUCTIONS IN FIRE ASSIGNMENT STANDARDS If 50% or more of the occupancies in response districts are fully sprinklered, and there are no high hazard facilities (as described above), then the standard first alarm assignment would be reduced to a minimum of seven firefighters (including as a minimum, 1 engine (with truck capacity), 1 rescue and one command officer). If 100% of the occupancies in a response district are fully sprinklered, and there are no high hazard facilities, then the standard first alarm assignment could be reduced to a single engine company (with a minimum staffing level of three). The nationwide fire suppression crew size survey also solicited information on standard first alarm assignments. Results of this survey are present in Table 3. (93) 53 RECOMMENDED EMERGENCY MEDICAL STANDARDS The recommended initial BLS assignment is one rescue (two person minimum staffing, both EMT certified). In addition, it is also recommended that an adaptive dispatch procedure be applied - - that is, where the prevailing medical condition, number of patients, or scene circumstances indicate that an engine company is also needed, then an engine company should be dispatched to provide additional support. For all other non -critical care calls, the dispatch of one rescue is recommended. For advanced life support situations, it is recommended that one ALS unit (staffed by a minimum of two paramedics) and one engine company be dispatched. The engine company can rapidly provide the additional personnel required to handle a full cardiac arrest. Of course, if a rescue or other type of unit (with sufficient qualified personnel) can provide a faster response then they should be utilized. RESPONSE SINGLE FAMILY MULTIPLE DWELLING HIGHRISE COI* RCIAL/ MERCANTILE HOSPITAL No. of Personnel Mean 15.1 16.9 21.1 18.4 21.8 Median 14.0 15.0 21.0 17.0 21.0 Range 6-38 7-38 10-46 7-38 7-40 Table A3: First Alarm Assignments Used by Surveyed Departments 54 RECOMMENDED STANDARDS FOR THE ASSIGNMENT OF FIRE/RESCUE APPARATUS These standards are concerned with the process of deciding what types of companies (i.e., apparatus) should be assigned to stations. These standards are general in nature, and can be used to determine the needed company complement for any existing or future station. ASSIGNMENT OF FIRE SUPPRESSION COMPANIES The assignment of companies to stations is basically a function of the characteristics and desired service levels of each community; and, nationally -accepted standards or criteria do not exist and are not even applicable, in most cases. What does exist are general guidelines, such as: "These (ISO) standards recommend location of stations and distribution of companies (apparatus and personnel) based on response time under normal conditions."(80) Other than response time, recommended factors to be considered in assigning companies, listed in the literature, are: a. size and type of district, hazards in district, types of fires in distriot,(80) b? specific service delivery ob]ectives for each first due response area,(80) c) prefire planning for general and target hazard in each response area. (82) Recommended Standard The approach to setting this standard will be: "based on a combination of reflex time and apparatus/personnel standards; that is, when the reflex time and resource requirements are developed for the service, then, corresponding standards for assignment of apparatus will be derived." Thus, this standard is really not independent, but is the coordinated application of two other standards. In general, this approach is a combination of the "response time" and "prefire planning" techniques mentioned above. 55 It is recommended that base standards be established for the response districts that have a relatively low fire hazard level, as defined by: less than 50% of the unsprinklered occupancies' have a fire flow requirement of no more than 1000 GPM, and there are no high life risk facilities. In this class of response district, the recommended standards are: a) First due engine companies assigned to station so that the fire reflex time standard is met. b) Companies providing truck functions assigned to stations such that these units meet a 14 -minute reflex time) requirement in 90% of dispatches and a 16 -minute (reflex time) requirement in 95% of the cases. c) These companies assigned to stations so that a minimum of 12 firefighters are available (including a minimum of 2 engines, 1 truck, 1 rescue, and a command officer) to meet the 14 -minute (reflex time) standard in 90% of dispatches and a 16 -minute (reflex time standard in 95% of the cases. This base assignment standard will provide adequate protection for typical fires In structures having total floor areas ranging from 4,000 sq. ft. (high hazard) to 10,000 sq. ft. (low hazard).(83) Thus, the base standard provides protection for single family residential neighborhoods, small apartment houses, neighborhood shopping centers, etc. Standards for those districts in which over 50% of the unsprinklered occupancies have a fire flow requirement over 1,000 GPM, but less than 2,500 GPM. In this class of response district, the recommended standards are: a) Four person minimum engine companies assigned to response areas in which over 50% of the occupancies have a fire flow requirement in excess of 1000 GPM. b) Companies providing truck functions assigned to stations such that these units meet a 14 -minute (reflex time) requirement in 90% of dispatches and a 16 -minute (reflex time)requirement in 95% of the cases. c) These companies are assigned to stations so that a minimum of 21 firefighters are available (including a 2. Occupancy is defined as the area between four-hour fire walls, or the entire structure if such fire separations do not exist. 56 minimum of 3 engines, 2 trucks, and a battalion chief) and meet the 14 -minute reflex time in 90% of dispatches and a 16 -minute reflex time standard in 95% of the cases. This assignment standard will provide adequate protection for typical fire's in structures having total floor areas ranging from 10,000 sq. ft. (high hazard) to 60,000 sq. ft. (low hazard).(80) Examples of such structures include extremely large single family residences, larger apartment houses, stores, medium -size office buildings, plants, etc. it it recommended that occupancies that have a fire flow requirement in excess of 2500 GPM, high-rise buildings, high life risks (e.g., hospitals, schools, all nursing homes), and hazardous materials facilities be considered target hazards and be prefire planned on an individual basis -- that is, that the assignment of companies be adjusted as necessary to meet the special requirements associated with these high risk hazards. Assignment of Emergency Medical Units Basic life support (BLS) and advanced life support (ALS) units should be assigned to stations such that the emergency medical reflex time standard is met for all areas of the Village. Justifications and Comparisons The justifications for these recommendations are inherent in the justifications for the standards upon which they are based. In addition, comparisons with existing Key assignments or assignments in comparable jurisdictions are not applicable because they are based or. other service level standards and (in the case cf comparable jurisdictions) other response district ha=ar :, and charac t _r _s ti cs . 57 RECOMMENDED FIRE/RESCUE APPARATUS STAFFING STANDARDS STAFFING ISSUES The determination of minimum recommended staffing levels for fire/rescue companies is probably the single most controversial issue in the fire service -- especially for engine and truck companies. This issue is best defined by the question: "What is the minimum number of personnel required to safely perform the associated functions of protecting life and property?" Note that there are two fundamental factors to be considered in addressing this question: 1) saving lives, reducing injuries, and protecting property of the community's residents, and 2) performing this service sanely; that is, without endangering fire/rescue personnel. There are no definitive answers to the staffing question at least, answers that are generally accepted. The following citations substantiate this conclusion: "In the final sense, the decisions relating to manpower levels (and reductions) are made by politicians. In cases where manpower is reduced gradually, the city was not summarily or suddenly burnt down. Statements like "we must have four on an engine and five on a truck" cannot be backed up with logic because nobody knows what the optimal staffing of a work unit should be. Modern fire chiefs must work aggressively in the system to develop and manage fire force levels that balance cost and benefit . " (56) "A number of authors have recommended manning levels for fire companies . . . but there has been no research relating to this issue. The more men assigned to each company, the better its performance when it reaches the scene. But, assigning more men to each company means fewer companies and therefore longer response time. In evaluating the question of how many men to assign, one must consider not only fire ground performance, but also the effect on response time. . . . Research is needed on the manning question, an issue ranked high by our panel of experts. " (57) 58 In the absence of generally -accepted staffing standards, fire departments have frequently used the Insurance Services Office (ISO) Grading Schedule(22) as a justification for fire company staffing. Previous editions of this Schedule were more definitive in specifying staffing requirements. For example, Table A6 lists the staffing requirements contained in the 1956 edition of the Grading Schedule.(14) FIRE COMPANIES - HIGH VALUE REQUIRED STRENGTH Pumper Company 7 Hose Company 6 Aerial Ladder Company 7 Service Ladder Company 8 Pumper -Ladder Company 10 FIRE COMPANIES - OTHER DISTRICTS Pumper Company 5 Hose Company 4 Aerial Ladder Company 6 Service Ladder Company 6 Pumper Ladder Company 8 Pumper Company with Extra Ladder Equipment 7 TABLE A6: Required Strength of Fire Companies As stated earlier, the Schedule was developed for insurance rate setting purposes, and not as fire department standards. Over the past decade, the use of the Grading Schedule as a basis for fire department planning has declined significantly. In addition, the ISO has revised its policies concerning the use of the Schedule. For example, surveying of cities of 500,000 or more has been discontinued. The rate setting process for these cities was changed to an actuarial basis and the Schedule was reduced in scope. The current Grading Schedule is limited to evaluation of ability to control fires in small to moderate size structure which require less than 3500 GPM fire flow. The future of the Grading Schedule in its present form appears to be in question. (59) A comprehensive nationwide survey of fire suppression 59 company staffing was conducted in 1982, which included a question pertaining to the criteria used by each department to establish staffing levels. Respondents stated that ". . . budget considerations, crew safety and departmental operation or tactical policy were among the most important criteria in determining their department's current suppression crew sizes." It was interesting to note that most of these respondents also reported that "OSHA, mutual assistance, national studies, and NFPA recommendations had not been important criteria in determining existing crew size.(60) Various fire protection publications list recommended staffing levels, such as: Fire Attack 11(23) Municipal Fire Administration(63) Training Standard on initial Fire Attack (64) Urban Guide for Fire Prevention and Control Master Planning (total personnel requirements based on fire flow)(24) In general, such recommendations are either based on the ISO Grading Schedule, or are not quantitatively substantiated. In addition, the marginal utility of alternative staffing levels is not discussed. Individual local governments have attempted to establish their own suppression staffing standards; notably, West Allis/West Milwaukee, Wisconsin (65); Dallas (66, 67); Seattle (68) ; and Los Angeles (26) . The Dallas studies are probably the most frequently referenced, and are based on the total time required to complete a defined evolution. The Los Angeles City Fire Department used normalized activities to compare the effectiveness of different staffing levels. RECOMMENDED STANDARDS FOR SUPERVISION AND SUPPORT PERSONNEL Field Supervision Field supervision in the fire/rescue services normally involves a combination of management, administrative, and incident command duties. Such supervision (to varying degrees) is required for all fire/rescue departments. The number of field supervisors required for a particular situation is usually based upon "span -of -control." In general, span -of -control is defined as the number of persons supervised 60 or managed by one individual. For field supervision in the fire/rescue service, the definition is tailored to be "the number of fire/rescue companies supervised by one individual." These companies may be a combination of engine, truck, rescue or special purpose units. Because each company is led by a company officer, the span -of -control can be considered as covering the supervision of these officers. Field supervisors often carry the title of Duty Officer, but Captain, Division Chief, District Chief, and others are also used in other jurisdictions. Fire/rescue agencies that have a number of field supervisors may require a second level of field supervision; that is, a chief officer, to manage the field supervisors. Titles for this position also vary, but are frequently "Division" or "District" chiefs. Field supervisors frequently work shift duty, i.e., one individual for each shift, such that the position is filled 24 hours per day. However, some departments assign this supervisor to normal business hours, with the individual on call during off -hours for incident command. Another variation sometimes used is to split the normal field supervision functions (listed above) to establish two positions: 1) One supervisor handles management and administrative duties, and works normal business hours, 2 A second field supervisor works shift duty, and primarily handles incident command duties. An Executive Development III Research Project for the National Fire Academy produced a comparison of the results of the Wisconsin, Los Angeles, Seattle, and (first) Dallas studies.(70) These results were converted to a common measure of effectiveness for a given staffing level. This measure relates the time taken to achieve a specific objective or group of objectives. The shortest time required for a set of evolutions is normalized to the value 1.0. Table A7 Contains the results of this comparison: The authors conclude that there is a very strong positive correlation among these results, and state that "Despite the variation in method, technology, and reporting method, all tests indicate that increased staffing increases engine company capability".(98) Such studies still do not address the question of the cost-effectiveness of alternative staffing levels, or of fire protection programs, i.e., the issue of investing resources in public educator., fire prevention, built-in detection and suppression systems, and for EMS citizen CPR training. 61 STAFFING LEVEL WISCONSIN DALLAS LOS ANGELES SEATTLE 6 - - - 1.0 5 1.0 1.0 1.0 0.79 4 0.73 0.59 0.75 0.49 3 0.65 0.34 0.46 0.45 TABLE A7: Comparison of Results of Staffing Studies Thus, each community establishes its own level of suppression capability (sometimes by default) based upon a combination of such factors as: a) budget limitations b) employee agreements c) community fire risks d) total number of companies available (i.e., higher staffing vs fewer companies, or vice versa) e) ISO, NFPA, or other criteria. The result of suppression crew size decision making is that crew sizes from one to eight firefighters(61) can be found on comparable apparatus -- with some correlation with community size, but not necessarily with fire load. (62) Rescue Unit Staffing The issue of staffing levels for emergency medical units (BLS and ALS) is not as controversial nor as extensively discussed in the literature. However, nationally accepted staffing standards for these units also do not exist. For the most part, communities establish their own emergency medical staffing standards (frequently based on state health department requirements) which are generally at the following levels: BLS - 2 persons (usually EMT's) ALS - 3 persons (1 or more paramedics). It is felt that the reason for this consistency in staffing is that standard emergency medical functions are relatively easy to define, at least as compared to engine or truck company 62 functions -- that is, there is general agreement that two properly trained medics are required to perform specific life critical functions, etc. Many states (e.g., Florida) hove established a minimum staffing level of two for emergency medical units.(69) Even with the existence of state standards and the general agreement on current staffing levels, the cost effectiveness of alternative levels has apparently not been addressed. APPROACH TO SETTING MINIMUM FIRE/RESCUE APPARATUS STAFFING STANDARDS FOR THE VILLAGE OF KEY BISCAYNE. Considering the limited scope and schedule associated with this project and the demonstrated difficulty in setting rigorous quantitative staffing standards, it is recommended that staffing standards for engine, truck and rescue units be based on: the minimum number of personnel required to safely perform a basic function critical to the protection of life and property. For structural fire incidents, this basic function will vary by the level of risk prevailing in a given area of the Village. The emergency medical functions will be for: (1) Basic Life Support (ELS, and (2) Advanced Life Support (ALS). The established functions to be used in deriving the staffing standards are: FIRE SUPPRESSION Engine Function Enter a smoke -filled commercial building and put a 200 GPM stream into operation with engine operating from hydrant. Truck Function Aerial to roof of three-story building, commence ventilation. The 100 GPM stream capacity is sufficient to control and knockdown a fully involved room fire in a typical dwelling. A two hundred GPM stream is required to establish an initial exposure protection or initial attack upon a fully involved compartment fire in a typical commercial building. Truck functions generally include ventilation, utilities control, forcible entry, search and rescue, and salvage. However, it is felt that the initial function most critical to reducing life and property loss is ventilation. 63 EMERGENCY MEDICAL Basic Life Support (BLS) Function Successfully conduct a patient assessment and initiate CPR when cardiac arrest conditions are established. Advanced Life Support (ALS) Function Successfully conduct a patient assessment and initiate definitive care measures to intubate, defibrillate, and medicate a patient in the field, and transport the patient to the hospital. Note that the emergency medical functions were selected because they represent the base level of performance associated with first -due engine, truck, BLS, and ALS operations. RECOMMENDED ENGINE/TRUCK FUNCTION STAFFING STANDARDS Engine Function Because of the qualification that all functions be accomplished "safely" and because the function specifies that firefighters enter a smoke filled room, there is no choice but that the minimum staffing be three firefighters. This conclusion is based on Occupational Safety and Health Administration (OSHA) regulations that a two -person team is required to enter a toxic atmosphere, and a third safety person must remain outside to call for help if necessary.(71) It turns out that three firefighters are also required from a water delivery standpoint, based on the estimate of 35 GPM delivery capability per firefighter.(77) (This rate is increased when master streams are used.) Moreover, two firefighters are required to maneuver a 1 1/2" or 1 3/4" line, which, when combined with a pump operator, also results in a three person (minimum) company.(73) It is recommended that first due engine companies, with response districts wherein over 50% of the unsprinklered occupancies have a fire flow requirement over 1000 GPM, such as some of the larger homes on the Key and some of the condominiums, have minimum staffing level of four firefighters. The fourth person is needed to release the Company officer for incident Command duties (until relieved by a duty officer. In high hazard areas, i.e. multi -story buildings, the other units of the first alarm assignment will more likely be needed, and overall coordination of all resources will be essential to effective operations. 64 Truck Function The recommended minimum staffing level for performing the listed truck functions is three. Note that the recommended reflex time for truck functions is the same as for the first alarm assignment; therefore, the full personnel complement will be on scene to assist with other truck functions as necessary. When operating as the current service does within the Village, a combined system of incident command, truck, engine, rescue and incident command functions are combined within the two units located at Station 15. The ultimate goal is to place the needed number of personnel at the scene of an incident within a given period of time to perform required tasks. With the exception of the first due unit, numbers of personnel arriving per vehicle is less important than the total which arrive, and the quality of incident scene management. Minimum crew size is generally accepted to be three based upon the need to have two personnel operate as a team in a hostile atmosphere with one safety person outside (such as a technician operating a pumper). Recommended Emergency Medical Unit Staffing Standards A minimum staffing level of three paramedic personnel is recommended as the distance for additional units to respond is significant. Although there are a limited number of calls within the Village, support units will take a considerable amount of time to reach the scene. Comparison With Other Jurisdictions The nationwide survey of fire suppression crew sizes resulted in a calculated average staffing level of 3.6 for both engine and truck companies.(74) This report also states that a ma:ority of the responding fire departments (in cities of at least 100,000 population) have engine and truck crews of four or five. The survey also collected data on "minimum crew size" which is defined as the level below which a company is considered too small to operate. Table A8 contains the percentages of responding departments which hove adopted the corresponding minimum crew sizes.(75) Note that not one department specified five firefighters as a minimum crew size. About 60% of the respondents would "sometimes" permit an understaffed company to remain in service.(75) 65 MINIMUM COMPANY CREW SIZE ONE TWO THREE FOUR ENGINE COMPANIES 2% 43% 49% 6% LADDER COMPANIES 11% 31°% 40% 15% Table A8: Reported Minimum Company Size Crews The survey of comparable jurisdictions conducted as part of this study produced the following staffing levels: ENGINE TRUCK RESCUE JURISDICTION Baltimore Co. 4 5 2 Fairfax Co. 2 Orange Co. (CAL) 3 3 Palm Beach Co. 3 3 2 Riverside Co. 2 Prince William Co. 4 out of service below 3 4 _ 2 Table A9: Staffing Goals Most of these staffing levels were reported to be "goals" or "guidelines" rather than rigid standards. There is one exception to this conclusion which was identified, Anaheim, California, where the department has a five-year written contract with the City Council guaranteeing a minimum staffing level of four for both engines and trucks. 66 APPENDIX B CONSOLIDATION OF POLICE AND FIRE SERVICES (114) The consolidation of police protection and fire fighting is not a new idea. Combined police and fire fighting services have been in effect in the United States for almost 80 years. But it was the Roman Emperor Augustus who created the first combined service in 27 B.C. when he formed the vigiles, a group of men armed with batons and short swords who were responsible for keeping the order and fighting fires. (111) Japan and Germany experimented with consolidation during the years preceding World War II when fire departments were made into divisions of police departments. Since then, however, fire fighting in Japan and Germany has been separated from the police department in an organization similar to most municipalities. Britain also consolidated fire and police services prior to World War II but these forces proved inadequate during war -time bombings and a national fire service was formed. After the war, fire fighting was taken over by local municipalities, but Parliament passed a law forbidding consolidation of the two services. (108) . In the United States, the pros and cons of consolidation have been debated for many years. In fact, records show that the organization which preceded the International Association of Fire Chiefs passed a resolution against consolidation more than 80 years ago. (111) However, this did not prevent cities in the early twentieth century from consolidating their services. In 1911, Grosse Point Shores in Michigan became the first U.S. city to consolidate its police and fire fighting services. (1108) Since 1911, some cities have continued to consolidate these services. Generally, it was small suburban areas or residential communities with little crime and few fires which chose to consolidate. Consolidation became more attractive in the 1950s and 1960s due to rising costs, city expansion, rising crime rates, and the increasingly popular argument that the working hours of fire fighters were not fully utilized. (108) Cities have continued to consolidate services for many of these same reasons. Twelve cities consolidated services between 1970 and 1976 according to a 1977 Laurie Frankel survey of consolidated services in cities with populations of 10,000 and more. Consolidated departments vary in their organization from one city to another. Some departments stress police work and assign fire fighters police duties. Other programs emphasize fire fighting. In these programs, police must assist fire fighters at the scene of a fire. (110) More (11) has listed five levels of consolidation: full consolidation, partial consolidation, selected -area consolidation, functional consolidation, and 67 nominal consolidation: 1 Services are fully consolidated when police and fire fighting duties are combined under a single agency called the Department of Public Safety. Officers, usually called public safety officers, perform both police and fire fighting duties. A small number of officers remain at the fire station to maintain equipment and drive the fire truck while the rest do regular police work and fire prevention. 2 Partial consolidation exists when police and fire fighting services remain separate except for a special patrol of public safety officers which performs both police and fire fighter duties. The police department gives these officers orders when they are engaged in police work while the fire chief supervises them when they are acting as fire fighters. 3 A city has selected -area consolidation when police and fire departments remain separate except for specially trained public safety officers who are assigned to work in limited geographical areas of the community, usually areas newly annexed to the municipality. 4 If fire and police departments remain separate, but some duties normally performed by one department are assigned to the other, the city has functional consolidation. For example, fire fighters may help in administering police work. Or police officers may assist fire fighters by reading gauges or hooking up hoses at the scene of a fire. 5 Nominal consolidation occurs when the police and fire departments are separate but operate under the administrative control of a single public safety director. The 1977 survey showed that in cities with populations of 10,000 and more, 11 had full consolidation, 5 had partial consolidation, 2 had selected -area consolidation, 6 had functional consolidation, and 19 had nominal consolidations which had been erroneously identified as police and fire consolidation. The rising costs of maintaining and manning two separate public safety departments is the major reason city officials seek alternatives to the standard organizations. Consolidation is appealing when cities can cut costs without reducing the quality of their protective services. Cities that want to expand or improve their police and fire fighting services often find consolidation as attractive possibility. Urban growth is often accompanies by more crime and taller, less accessible buildings. 68 These conditions increase the demand for police and firefighters, for higher pay, and for better fringe benefits and more sophisticated equipment. By combining police and fire fighting services, city officials can expand and upgrade their public safety services without a corresponding increase in costs. (110) The demand •for a shorter work week, especially by firefighters, has also prompted cities to consolidate in order to reduce costs. Traditionally, fire departments have operated on a 24 hour shift with firefighters working more hours per week than any other municipal employee. Since 1954, however, the average number of hours firefighters work per week has gradually been reduced. Shorter work weeks necessitate the hiring of more people to maintain the same level of service. When the budget is limited, hiring additional persons is out of the question. It is at this point that consolidation becomes attractive. (111) proponents of consolidation claim that this type of organization makes productive use of the time that firefighters spend waiting for fires to break out. Under consolidation, firefighters are engaged in a variety of police duties. Proponents argue that recent technological advances in communications systems enable a minimum number of persons to man the fire apparatus. Thus, the number of workers needed to remain at the fire station is reduced. This frees firefighters to carry out police patrols in radio -equipped patrol cars which contain equipment for both police work and fire fighting. These patrol cars may reach the scene of a fire before or at the same time as the fire apparatus. (108) Proponents also argue that because police work and fire fighting are such similar activities, consolidation is a logical move. Both services preserve the public safety. Both groups prevent crime and fires and handle emergencies. Both are public organizations funded by municipal revenues. both have paramilitary structures. (111) Furthermore, the to services often overlap one another. For instance, at a mayor fire, police are needed to control traffic and crowds. Firefighters and police officers both respond to serious traffic accidents because fire fighting equipment may be needed to extinguish automobile fires or to hose down the area to prevent fie. The two services overlap in ambulance calls, in response to explosions, and in arson investigation. (111) Resistance to consolidation has come from several professional organizations including the International Association of Fire Chiefs (IAFC), the International Association of Fire Fighters (IAFF), the National Fire Protection Association (NFPA), and the American Insurance Association (AIA). Opposition has also come from firefighters and local fire unions and associations, police officers and police unions and associations, and citizens who fear a reduction in services and safety. More firefighters oppose consolidation than police officers, primarily because consolidation upsets the job and work schedules of 69 firefighters more than police officers. The 24 hour workday for firefighters is usually abolished. (111) Not surprisingly, cities which seek to merge police and fire fighting services almost always confront intense union opposition. (113) The IAFF has opposed consolidation for many years. The association passed its first resolution condemning consolidation in 1956 and has passed similar resolutions in subsequent years. In 1962, the association created the Committee to Combat Consolidation of Fire and Police Departments at the biennial convention. The committee helped local fire department officials across the nation to defeat consolidation proposals. (111) Firefighters particularly object to the claim that they are not productive while waiting for a fire to break out. They argue that in a well run fire department, firefighters are busy preventing fires, inspecting buildings, maintaining equipment and the station itself, training personnel, and improving efficiency and effectiveness (108) Firefighters argue that consolidation will destroy the camaraderie of a fire fighting team by breaking the company which functions as a basic attack unit at the scene of a fire. They fear that precious time will be lost when public safety officers must spend time changing from their police uniforms into fireproof clothing. They also argue that time is lost when a patrol car must respond to a fire from a long distance away. The argue that fire fighting apparatus must always be ready and manned by a sufficient number of persons for immediate and effective action. they claim that this is out of the question if firefighters are out performing police duties. The firefighters note that delays in the arrival of firefighters and equipment could result in serious property damage and loss of life. (108) A major argument advanced by both police officers and firefighters is that the degree of specialization inherent in modern police and fire protection makes the merger of the two services infeasible. (107) They argue that one individual is not capable of achieving competence n both areas. Simply stated, one person cannot perform these two jobs because requires a different type of individual and a different background of schooling and training. These opponents of consolidation consider the training program for public safety officers to be too short and insufficient for effective performance of both jobs. (108) Opponents argue that fire insurance companies give consolidated departments lower ratings. Companies use the Grading Schedule of the Insurance Services Office to help determine a city's fire insurance rate. This schedule is a nationally published list of standards for municipal fire protection and prevention. Classification is based on the total number of deficiency points that a city accrues with regard to water supply, fire department, fire service communications and fire safety control. Cities with consolidated services usually accrue the 70 greatest number of deficiency points in the category of fire department. This usually occurs because these cities do not have at least six persons on duty at all times for each ladder and engine company. Frankel's survey of consolidated cities revealed, however, that no city which responded had earned a worse classification after switching to consolidation. In 15 out of 20 cities which reported their current classification and their insurance classification immediately before consolidating, the classifications remained unchanged. In five out of the 20 cities, the classification improved after they consolidated services although these cities did not necessarily credit the improvement to consolidation. (108) The National Board of Fire Underwriters, which grades cities on their fire service, has not formally opposed the idea of consolidation. When a consolidated department must be evaluated, the board has stated that it will inspect the department, collect all the pertinent facts, and grade the department using the Standard Grading Schedules. The board has also stated, however, that it is not enthusiastic about consolidation. (109) Consolidation proposals face severe constraints in cities where police officers and firefighters are organized. The scope of bargaining of most state labor relations laws would require that city management negotiate with its employees' representatives over the impact of consolidation. In some states, the obligation goes even further. These states require the city to negotiate over the content of such a program as it relates to wages, hours, and working conditions and not merely the impact consolidation may have on these items. If police officers and firefighters are represented by different employee organizations, a merger becomes even more fraught with difficulty. which of these organizations, if either, will represent the new classification of public safety officers that is created after consolidation? It is improbable that one union will step aside for the other or agree to merge. The management and the employees will usually have to ask a state labor board or similar administrator of the state labor law to resolve such a representation. Careful study and preparation for reorganization saves money. There are many costs associated with consolidation. These costs may determine the extent to which consolidation is even possible. City management must consider comparisons between short-term and long-term costs. The installation of the program is an immediate expense but future costs must be estimated as well. If there is not enough money to pay for the immediate costs of consolidation, the city must modify the program to conform to the money available. for example, the initial expense of purchasing additional patrol cars and outfitting new and existing cars with fire fighting equipment can limit efforts to consolidate. Often, cities which want to fully consolidate must remodel buildings, especially public safety headquarters, to 71 implement the total merger of services through centralized command units, communications equipment, and records. Remolding or construction can increase the initial costs significantly. (106) Past traditions have been a major stumbling block in the consolidation of police and fire fighting service. It is not easy to change long held customs, attitudes and interests. Police and fire fighting work have become more specialized and professional over the years. Police officers and firefighters often fear that with consolidation, one service will become subordinate to the other, or that both fields of expertise will be replaced by an entirely new occupation. (106) CASE STUDIES (115) Sunnyvale Model Sunnyvale (California) is a good model for study for its use of cross -trained personnel. The pity of about 24 square miles has a population of just under 120,000 and is located on the peninsula of the San Francisco Bay region, 44 miles south of San Francisco and 10 miles northwest of San lose. Its Climate mate of temperatures between 50 and 70 all year, and its employment opportunities make it an attractive place for residents. And, importantly, the city has enjoyed status as one of the nation's cities with the lowest crime rate (currently 6th lowest in the nation). William Borzone serves as the Public Safety Officer for Planning and Research/recruiting. He explained that in 1950, the city had a paid police force of about 10-15 members and a volunteer fire department. City leaders who, Borzone said, "had a bit of vision," decided to create a public safety department which would combine the police and fire services into one unit. The motivation for the decision was mainly one of economics, but the plan also promised easier administration by placing all positions under one director. Sunnyvale's Structure The present structure of the Sunnyvale Department of Public Safety sees the Director supervising four departments: Support Services (facilities, planning, research, training, target range armory, cadets, property, evidence, records, communications, personnel, payroll, and statistics); Police Services (crime scene coordination, police in-service training, patrol, vehicles, court liaison, traffic, investigations, and clerical); Community Services (crime prevention, neighborhood resource officers, com- 72 munity service officers, emergency preparedness, and clerical); and Fire Services (in-service fire training, fire prevention, hazardous materials and clerical). Each department has its own commander, captains and lieutenants. A $28 million budget oper- ates the whole system. The department has 215 sworn and 80 support personnel (including dispatchers, crime prevention and records). Although members can be rotated from fire to police responsibilities annually, Borzone explained that usually such rotations are done every thrice to five years except for those now to the department. Such newcomers need career development, so it is likely that their first five years in the department will see them serving about equal time in fire and police responsibilities, switching as often as every six weeks or so in the earliest parts of their careers. Everyone will be rotated a few times during his/her career exempt for a few individuals who possess some highly -specialized skills Sue as in hazardous materials handling, strategic tactics and rescue, field evidence and aerial/snorkel operator. Personnel Matters Assignment schedules vary with the work, but officers on police duty work 10 -hour shifts for a 40 -hour work week, and officers assigned to fire duty work 24 -hour shifts to equate to a 56 -hour work week. Six fire stations serve the pity with 14 pieces of fire -fighting apparatus. There are 26 police vehicles, six motorcycles, 22 other vc.vehicles and six support vehicles. Because the responsibility of performing both police and fire duties is a serious one to the person considering such a career option, it is Sunnyvale's policy to offer excellent salary and benefit opportunities to its public safety officers. The city's wage scales have averaged about 11% more than the typical police salaries in comparable neighboring jurisdictions. Borzone says starting members will earn about $40,000 during their training period, and non -probationary officers average $55,000. Extra pay is given in lieu of 12 holidays per year, for specialist assignments and for overtime. Compensatory time off is offered in lieu of overtime. Vacation leave is 11 days per year at the start, 16 days after five years, 21 days aft a 10 years, and 26 days after 25 years. A full program of health, dental, mental health, life, and long term disability insurance is offered, as is membership in the public employees' retirement system. Uni- forms are provided by the city. An equal number of lateral entry Level are hired as entry level personnel and the new recruit attends both the police and the fire academies. The police training program runs bout four and a half months and the fir training program about three months. Then come 12 to 18 months with a field training officer before the new officer is on his/her own. Because cross -trained personnel need more time for initial and probationary period training, Sunnyvale makes it a practice to have about ten members 73 in training to take care of attrition, disability and retirement of serving members of the department. Thus the city is not caught with a lack of personnel when turn -over occurs. The requirements for minimum qualifications for officers in training include 48 semester or 72 quarter units in college, or two years of experience in police or fire work, between the ages of 21 and 59 at the time of appointment, U.S. citizenship, uncorrected minimum vision of 20140 in both eyes and not less than 20/50 individually, good character and class A medical standard, and possession of a valid California driver's license. For lateral entry, the candidate must have completed two years of college and have two years of current police experience and/or three years fire experience. The other requirements are basically the same as entry level candidates. Says Borzone, "It has been a good place to work and we don't have any trouble attracting people," But he admits that if Sunnyvale were to adopt the program now, the city would face far higher costs of a change -over, and probably opposition from unions; perhaps even from lateral -entry individuals who might have what he called "a different mind set" in seeing the police and fire functions as separate and distinct and not functions to be carried out by the same person. Borzone thinks that the fact that Sunnyvale adopted the program over 40 years ago accounts, in part, for the success it has enjoyed. And the cross -trained personnel save Sunnyvale about five to eight million dollars annually. How It Works Two people are assigned to each piece of fire equipment and patrol officers supplement that basic crew. When a call for fire service arises, the patrol officer(s) responding join their fellow officers on the scene, place their holsters and police equipment in the trunk of the patrol car and retrieve their fire gear, including turnout coat, from the trunk. The initial attack and knock down of the fire is done, then the patrol officers return to their duty while the fire rig personnel carry on the salvaging and overhauling following the fire. If the patrol officers need to clean up after the fire work, they go either to a fire station or the Civic Center headquarters for a shower and clean-up. Sunnyvale's typical year sees about 5,000 calls for fire service which breaks down to about 3,800 medical emergencies, 200 structure fires, and about less than 30 actual working fires; the remainder of calls being hazardous materials or false alarms and "other." Borzone said the city has a residential sprinkler 74 requirement ordinance for all new construction and remodeling, and has strict hazardous materials and toxic gas ordinances. The city also requires non-combustible roofing material. He said such ordinances have led the way to about one -tenth the fires the city had compared to about ten years ago. "We just don't have commercial fires, as we used to," he said. Because the city has many research and development companies (the "Silicon Valley"), there are increased calls for service regarding hazardous materials. The city employs five civilian chemists as hazardous materials inspectors who work in cooperation with the Public Safety Department's planning, review and enforcement personnel. As to any "them and us" feelings between police and fire personnel, Borzone says that problem is nearly eliminated by means of cross -trained personnel. The officers "all know one another, do the same job, and there are no conflicts and no personality clashes," he says. Public acceptance of the cross -trained personnel is excellent. The city's total strength of officers is rated at 2.32 per 1,000 population. The Drawback One drawback for Sunnyvale has been the fact that it has not been too successful in recruiting interested female applicants. Borzone says the city's female applicants have sought the police work, but are not as keen about the fire work. Thus the city has only five women in its 215 sworn personnel, but Borzone adds that those five "do the job really well." In fact, he says, the women of the force are usually superior in performance of duties and have been top cadets in the academy sessions. The Kalamazoo Model Yet another success story is Kalamazoo (Michigan) which has a population of about 200,000 in its metropolitan area of about 36 square miles. David Weessies is the city's Assistant Chief for its Public Safety Department and he has been on the staff for 26 years. His department studied Sunnyvale's example and other cities before making the change to cross -trained personnel. The program started in 1982 and took several years to implement fully in order to accommodate training needs. There are 325 members of the department, 265 of which are sworn. A! -out 22 members of the fire service are strictly assigned to that service because of the nature of their Sob in equipment operation. Other than that, public safety officers are fully trained even for the specialized areas such as hazardous materials, special weapons and tactics, and bomb team work. After ten years of operation of the cross training system, only about 23 of the personnel are not 75 cross trained. Kalamazoo, like Sunnyvale, has found the system to be cost effective and able to provide more service and cut response time. The city received 3,236 fire calls, including 181 actual working fires, 92 vehicle fires, 85 grass fires, and 2,874 medical rescues. Like Sunnyvale's personnel, when patrol officers are called to the scene of a fire, their police equipment is stowed in the trunk of the car and, in exchange, out comes the gear and other equipment for fire fighting. New recruits undergo about six months of academy training and in house work, then are assigned to a field training officer for about one year of probationary status. In adopting the change, traditional frustrations in implementation took time to work out - "growing pains," Weessies calls it. Through collective bargaining, much of the problem with the changeover was worked out by bringing frustrations and concerns to the bargaining table. "It has taken time both ways for both disciplines to adjust," said Weessies, but the change -over has proven effective for the city. An independent study in 1987 showed the city was spending $2 million less than the original estimated cost for the system. The public service department operates on a budget of $21.7 million. Weessies says it is "rare" to receive a citizen complaint about slow response time. The city has also consistently been below the national index in its crime rate something administrators feel may be to the credit of the cross -trained personnel system. Unlike Sunnyvale, Kalamazoo has not had a problem in hiring female officers. One or two of every ten new recruits is a woman. Like Sunnyvale, Kalamazoo uses tough sprinkler, hazardous materials and similar ordinances, meets standards for OSHA and Michigan's OSHA, and offers above average pay and benefits to its public safety officers. "We feel like we're moving in the right direction," says Weessies, and the statistics are bearing out that view in both cost-effectiveness and efficiency. The Peoria Experience On the other side of the coin is Peoria (Illinois) where Police Sergeant Larry Hammer says the city once had cross -trained personnel, but abandoned the system in 1971. The emphasis in Peoria was on training the city's nearly 100 police officers at that time to take on some fire -fighting duties. The officers were 76 called "Coops," short for "co-operative patrol officers." Each officer was assigned to a fire engine as the third person on that engine. Fire equipment was carried in the trunk of the patrol car and the officer changed at the scene. The program did save Peoria money, but was eventually phased out when more fire personnel were hired, thus lessening the need for cross -trained personnel. But Hammer says the training he received as a "coop" has continued to be of benefit to him in rescue work he may be called upon to perform in the course of his police duties. "A lot of what was taught made a lot of sense for a police officer to know," he said. Such as, how to and how not to access a fire scene, how to deal with certain types of fires and toxic gases, how to access buildings, how to bail out from tall buildings and how to tie a variety of knots. Cross -training can be right for a community, but administrators would be wise to study the system carefully before making a decision. 77 PUBLIC SAFETY OFFICER Description of Work General duties involve law enforcement, fire and rescue work and service to the community by providing for the protection of life and property through the enforcement of laws and in the exercise of sound judgment in seeing to the safety and welfare of the community, the control of fire, the performance of emergency medical treatment and rescue, and the response to other service calls for assistance within the guidelines of law and departmental Policy. This work involves four major elements all of which are inter -related within the context of the Public Safety Department mission: the first element requires performance of regular preventive police patrol following assignments received from superiors. The second element involves responding to fires either from police patrol duties or from standby duties with an aim toward extinguishment of such fires as is required and as may be assigned through departmental policy or orders from a commanding officer. The third element involves responding to calls for emergency medical treatment and rescue either from police patrol duty or standby duty and caring for any sick or injured persons as is within departmental guidelines seeing to such persons safe removal to nearby treatment facilities. The fourth element involves the application of special skills as may enhance the mission of the department and the general public safety and welfare of the community. The law enforcement element of work normally consists of routine patrol, enforcement of state and local ordinances, and the performance of investigative duties on an assigned relief, normally performed in a radio equipped police cruiser and/or by walking an assigned beat. The fire control work element involves responding to fire alarms within fire fighting duties as assigned either at the scene or by prearranged departmental policy with an aim toward extinguishment and overhaul of such fires. The emergency medical treatment and rescue element involves responding to emergency calls for assistance wherein sick or injured persons are given emergency treatment at the scene and/or en route to a hospital. Officers perform related work as may be assigned and may be required to undergo special training and may be given special assignments requiring special skills including, but not limited to, assignment to any one or more of the following: 78 Detective - Public Safety Officers may be assigned to the Investigative Services Division or within each crew to plain- clothes investigative duty. Officers so assigned are responsible for blueprint investigation and follow up of all Part 1 and other serious crimes as determined by their command officer. Officers so assigned work under the office of Community Safety and are responsible for blueprint investigations, follow-up investigations, intelligence gathering and other work related to in-depth, specialized evidence gathering and criminal investigations and clearance of crimes and arrests of criminals Officers assigned to this specialized task must remain competent in the job requirements of Public Safety Officer while serving in the office of the Community Safety and may from time to tire be called upon to support personnel assigned to the Operations Division. Fire Engineer - Officers may be assigned as fire engineers whose primary responsibility is the maintenance of all fire and rescue equipment. They serve as primary fire apparatus, drivers and pump operators to any fire scene and are responsible for water flow, equipment inventory, and fire ground assistance at such scenes. Operators are also routinely responsible for the up -dating and maintenance of the department's fire run file. Fire/housing Inspector - Officers may be assigned as inspection officers who on a complaint basis or through a preassigned schedule see to the inspection of structures within the community tc determine whether or not such structures are in compliance with the State of Ohio and City of Oakwood Fire and Housing Code. Paramedics - Officers may be assigned paramedic officers whose responsibility will be to provide special skills and utilize that special equipment as are authorized under Standing Medical Orders of the City of Oakwood Health District. Paramedics shall also be responsible for the routine maintenance of ambulance and medical inventory of equipments. Officers may also receive special assignments requiring specialized ability or knowledge, though previous preparation is normally available through training courses undertaken while on the job. Both general and special assignments and instructions are received from a command officer, who reviews work methods and results through reports, personal inspection and discussion and counsel. Officers are expected to exercise independent judgment meeting the majority of normal work situations, and to require specific guidance from a commanding officer only in very unusual situations. Responsibilities involve an element of danger and is characterized by relief rotation. Public Safety Officers report directly to their crew command 79 officer unless specifically assigned or directed otherwise. 80 APPENDIX C GLOSSARY Advance Life Support (ALS) Function Base Level Basic Life Support (BLS) Function Class of Fire Department Response District The successful conduct of a patient assessment and initiation of definitive care measures to intubate, defibrillate, and medicate a patient in the field, and transport the patient to the hospital. All response districts that have a relatively low fire hazard level, as defined by: less than 50% of the un- sprinklered occupancies have a fire flow requirement of more than 1000 GPM, and there are no high life risk facilities The successful conduct of a patient assessment and initiation of CPR when cardiac arrest conditions are established, or first aid as appropriate. The class represents the magnitude of the fire risk in the district and permits the establishment of first alarm assignments that are related to the expected demand for fire suppression resources. CPR Cardiopulmonary Resuscitation. Detection Dispatch of Units EMS EMT Engine Function The period of time from initiation of event until it is discovered by an individual who contacts the Dispatch Center. The interval between the time a call is received by the Dispatch Center and responding units are notified. Emergency Medical Service. Emergency Medical Technician. Enter a smoke -filled commercial building and put a 200 GPM stream into operation 81 with engine operating from hydrant. Base Fire Flow First Due (primary response) Flash over ICS (Incident Command System) Paramedic (EMT -P) Reflex Time Report of Alarm Setup Time Target Hazards Enter a smoke -filled dwelling and put a 100 GPM (minimum) stream into operation with engine operating from hydrant. The estimated water delivery rate in gallons per minute required to provide adequate fire protection for a specified structure. First unit due on an incident. The point at which fire gases and all combustible surfaces of a room blast into flame at once. A process for managing and coordinating multi -agency and multi -jurisdictional resources assigned to an incident. Emergency Medical Technician -Paramedic An individual trained to provide the highest level of prehospital advanced life support. Fire - The time period from ignition to application of extinguishing agent. Emergency Medical - The time from occurrence to initiation of field emergency medical definitive care. (Reflex time includes all of the components of the time period between occurrence and initiation of public service assistant) The period of time from discovery of a fire/emergency medical incident until it is reported to the dispatch center. The period of time from arrival on scene until suppression or medical treatment activities are initiated. Occupancies having a fire flow requirement in excess of 2500 GPM, high rise buildings, high life risks (e.g., hospitals, schools, and nursing homes), 82 and hazardous materials facilities. Travel Time Truck Function Turnout Time Urban Class Work Input Persons The time required for the unit to drive to the scene of the incident. Aerial to roof of three-story building, commence ventilation. Base: Accomplish rooftop ventilation for a two-story dwelling. The time period that begins with the receipt of an alarm at a station and ends when the fire/rescue vehicle leaves the station. All response districts in which over 50% of the unsprinklered occupancies have a fire flow requirement over 1000 GPM, but less than 2500 GPM. Individuals (career and volunteer) within a corporation who directly_ contribute to the administrative/ clerical workload; that is, persons who generate administrative/ clerical work and submit it to the support staff for processing. 83 APPENDIX D References 1. Recommendations for Fire and Rescue Services for the Village of Key Biscayne. 1/27/92. Fire and Rescue Committee of the Village Board of Trustees. 2 Fire and Rescue Services Currently Provided by Metro -Dade Fire Department to Key Biscayne. 1991. Key Biscayne Council Report prepared by the Fire and Rescue Transition Committee. 3 The Case for Public Safety. Report 4 Law Enforcement Transition Committee Report to the Key Biscayne Board of Trustees, 4/28/92. 5 Summary Report - Key Biscayne Fire and Rescue Services Transitional Committee. 6 Option D - Establishment of a Key Biscayne Fire/Rescue Service. Key Biscayne Volunteer Fire Department. 2/19/91. 7 Final Report - Fire and Rescue Committee. 8 Proposed Recommendaton to the Village of Key Biscayne Board of Trustees from Fire/Rescue Committee. 9. Village of Key Biscayne - Fire Cost Analysis. 10. Letter, City of Miami, RE: Fire Service Proposal. 1/7/93. 11. "Decision -Aiding Tools In Urban Public Safety Systems," Larson, Richard C., Sloan Management Review, Winter 1972-73. 12. Fire Protection and Local Government: An Evaluation of Policy -Related Research, Swersey, Arthur, Ed. al, The New York City Rand Institute, September 1975, p. v. 13. Wingspread II Conference Report, The Johnson Foundation, 1971 14. A Program Alan for the NFPCA Fire Technology Master Plans, Ryland Research, Inc., September, 1975. 15. Contribution to a National Fire Research and Development Policy, International City Management Association, Washington, D.C., 1979. 16. Fire Risk Analysis: A Systems Approach, National Fire 84 Academy, Emmitsburg, MD, (NFA-SM-FRAS), p. 4-6. 17. Cardiopulmonary Resuscitation, American Red Cross, Washington, D.C., 1974. 18. The Effect of Emergency Medical Systems on Pre -Hospital Cardiovascular Care, National Heart, Lung, and Blood Institute, Bethesda, MD, April, 1981, p. 4-6. 19. Program for Establishment of the Relative Efiectiveness of Alternative Personnel Complements, Mission Research Corporation, June, 1976. 20. Report on the Survey of Fire Suppression Crew Size Practices, Centaur Associates, Inc., Washington, D.C., June 1982. 21. "Fire Suppression Crew Size," Cnristopher Niemczewski, The International Fire Chief, January 1984, p. 12. 22. Fire Suppression Rating Schedule, Insurances Services Office New York, 1980. 23. Fire Attack II, Kimball, Warren, National wire Protection Association, Boston, 1968. 24. Urban Guide for Fire Prevention and Control Master Planning, National Fire Preventon and Control Administration, 1977. 25. Evaluation of the impact of Response Time and Company Staffing on First Alarm Capability -- A Decision Making Process, A Research Prc:ect for the National Fire Academy Executive Development I11 Program, March 12-23, 1984, pp. 2-3. 26. "A Systems Approach to Staffing and Manning," Coleman, Ronny, Fire Chief, August 1985, p. 79. 27. Final report to the Arlington County Board, Ad Hoc Committee on Arlington's Fire Services, December 1983, p. IV -9. 28. Operation San Francisco Technical Report, International Association of Fire Chiefs, Washington, D.C., -1983. 29. The Effect of Emergency Medical Systems on Pre -Hospital Cardiovascular Care -- An Evaluation of Studies and An Inventory of Data Bases, National Heart, Lung, and Blood Institute, Washington, D.C., April 1981, p. 22. 30. Methodologies for the Evaluation and Improvement of Emergency Medical Services Systems, Andrews, R.B., L.E. Davis, J.R. Bettman, et. al., U.S. Department of Transportation, Washington, D.C., July 1975. 85 31. Feasibility Assessment of a Computer Aided Dispatch System for the Police and Fire/Rescue Departments, Michaud, Cooley, Erickson and Associates, Inc., August 1984, p. 10. 32. Op. Cit., (12), p. 74. 33. "Reduced Staffing: At What Cost?", Gerard, John, and A. Terry Jacobsen, Fire Service Today, September 1981, p. 15. 34. Op. Cit., (30) . 35. Cardiopulmonary Resucitation, American Red Cross, Washington, D.C., 1974. 36. Fire Protection and Emergency Medical Service Delivery System, Los Angeles County Fire Department, April 1980. 37. Emergency Care and Transportation of Sick and Injured, American Academy of Orthopedic Surgeons, Chicago, 1981. 38. Fire Protection Handbook (14th edition), National Fire Protection Association, Boston, 1976, p. 6-45. 39. Op. Cit., (16), p. 4-6. 40. Op. cit., (33), p. 19. 41. Home Fire Project: 1972-1982, Harvard University, Cambridge (NBS Report #NBS-GCR-82-416), November 1982. 42. Op. Cit., (28) 43. Assessment of the Potential Impact of Fire Protection Systems on Actual Fire Incidents, NFPCA, October 1978, p. 2. 44. Fire Management Review, Hickey, Harry, International City Management Association, Washington, D.C., Winter, 1979. 45. Automatic Sprinkler PerfoLnlance and Reliability in United States Department _ Energy Facilities, 1952-80. 46. Annual U.S. Navy Fire Report 47. Measurements of Comparative Effectiveness, Company Fire Fighting Operations, Los Angeles City Fire Department, December 1980, p. 10. 48. Op. Cit., (27) (Appendix) 49. Op. Cit., (31), P. 6. 50. "A Rapid Response System for Out -of -Hospital Cardiac 86 Emergencies," Cobb, Leonard A., et al, Medical Clinics of North America, March 1976, p. 283. 51. Ibid., p. 287. 52. "Laymen May Outscore Physicians in Cardiopulmonary Resuscitation," Journal American Medical Association Medical News, January 30, 1978, p. 391. 53. "Medic II"/Citizen Cardiopulmonary Resuscitation (CPR), Seattle, WA, January 1978. 54. Municipal Fire Service Workbook, Research Triangle Institute, May 1977. 55. Op. Cit., (29) , p. 22. 56. "A Difficult Question to Answer," The International Fire Chief, Brunacini, Alan, January 1983, pp. 17-18. 57. Op. Cit., (12), p. 85. 58. Standard Schedule for Grading Cities and Towns of the United States With Reference to Their Fire Defenses and Physical Condition, American Insurance Association, New York, NY 1956 (with 1963 and 1964 Amendments). 59. Los Angeles County Fire Department Management Audit, February 1985, p. IF -2. 60. Op. Cit., (20) , P. 61. Op. Cit., (20) , P. 62. Cp. Cit., (19) , p. 1 18 1 63. Municipal Fire Administration, ICMA, Washington, D.C. 1967. 64. Training Standard on Initial Fire Attack, NFPA #97, National Fire Protection Association, Boston, 1966. 65. Firefighting Principles and Practices, Clark, W.F., Dun - Donnelly, New York, 1979. 66. Manpower Analysis, Dallas, Texas Fire Department, 1969. 67. Dallas Fire Department Staffing Study, McManis Associates, Inc., Washington, D.C., June, 1984. 68. Service Levels in Fire Suppression Operations - The Seattle Experience - 1976, Lotz, David T., Seattle Fire Department. 87 69. Information provided by the Palm Beach County (FL) Fire Department. 70. Op. Cit., (25), P. 8. 71. "Fire Fighters", Wirts, Ralph Job Safety and Health Magazine, U.S. Department of Labor, OSHA, June, 1978. 72. Minimum Manning Based on the Required Fire Flow, Dirienzo, Charles, et. al., A Research Project for the National Fire Academy Executive Development I11 Program, November 30 - December 11, 1981, p. 7. 73. Op. Cit., (16), p.p. 4-14 74. Op. Cit., (20), P. i. 75. Ibid., p. 76. Incident Command Systems, Fire Protection Publications, Oklahoma State University, Stillwater, OK, 1983, p. 11. 77. Op. Cit., (63), p. 34. 78. Management in the Fire Service, National Fire Protection Association, Boston, MA, 1977, p. 258. 79. Emergency Vehicle Repair Service, Citrus Heights, CA. 80. Op. Cit., (78) , p. 290. 81. Op. Cit., (24), p. VII -9. 82. Op. Cit., (24), p. VII -12. 83. Op. Cit., (24) , p. IV -5. 84. Op. Cit., (63) , p. 103. 85. Op. Cit., (78), p. 279. 86. Op. Cit., (72), p. 6. 87. Procedures for Needed Fire Flow, Insurance Services Office, New York, NY, 1980. 88. Ibid., p. 301. 89. Op. Cit., (72), P. 7- 90. Op. Cit., (12), p. 86. 88 91. Op. Cit., (24), p. V-3. 92. Fire Attack I, Kimball, Warren, National Fire Protection Association, Boston, MA, 1966, p. 55. 93. Op. Cit., (20) , p. 94. Op. Cit., (26), P. 74. 95. Emergency Medical Services, Dallas Fire Department, 1978. 96. Ibid., p. 15. 98. Op. Cit., (25) p. 5. 99. Evaluation of Paramedic Services for Cardiac Arrest, Bergner, Lawrence, et al, U.S. Department of Health and Human Services, Washington, D.C., 1981, p. 33. 100. Ibid., p. 24. 101. Ibid., p. 2. 102 Ibid., p. 27. 103 Ibid., p.14. 114 Developing Emergency Medical Services, Commission on Emergency Medical Services, American medical Association, Chicago, IL, 1976, p. 12. 105. Earle, Robert. 1958. Personel implications of police -fire integration. Pub. Personnel Rev. 19(3):192-196. 106. Frankel, Laurie S. 1977. Police/fire consolidation in municipalities 10,000 and over. Urban Data Srv. Rep. 9(9) . 107. Jaynes, Charles S. 1955. A frontier of municipal safety. Chicago, IL, Public Administration Service. 108. Lynch, Ronald G., and Lord, Vivian, 1979. Public safety progtrams: Consolidating police and fire services. Pop. Gov. 45(1):1-8, 33. 109. More, Jr., Harry W. 1970. The new era of public safety. Springfield, IL; Charles C. Thomas. 110. Neale, John. 1956. Integrated police -fire services...Viewpoint of the fire underwriters. Minn. Municipalities 41(9):212-213, 218. 111. Thurow, Robert. 1979. When peace officers and firemen merge, it's seldom peaceful. Wall Street J. September 4:1. 89 112. Rubin, Richard S. 1984. Consolidaton of the Police and Fire Services. J. Pol Sci. and Admin. 12(2):221. 113. Slahor, Stephenie. 1992. Cross Training. 911 Magazine. Sept./Oct. 26. 114. Coe, Charles and Rosch, Joel. 1987. Benefits and Barriers to Police -Fire Consolidation: A Case Study. J. Pol. Sci. Admin. 15(3):54. 115. Rule, Charles H. 1989. Public Safety --Will It Work? Fire Chief, December. p 29. 116. Bates, Robert B. 1988. Can a public safety department work for you? Fire Chief, July. p. 69. 117. Burkell, Charles J. 1986. Public safety director. Fire Chief, March, p. 48. 118. Saly, Alan, 1984. PSO: Jack of All Trades? Firehouse, December, p. 58. 119. Saly, Alan, PSOs-A Dying Breed? Firehouse, August, p. 53. 120. Matarese, L. A. and Chelst, K. R. 1991. Forecasting The Outcome of Police/Fire Consolidations. ICMA MIS Report, 23(4) April 121. Krall, Ed. 1989. Will the combination of police and fire departments work for the City of Winona? Exec. Fire Off. Prog. NFA. 122. Rosenbauer, Donald E. 1982. Integrated police and fire services in the village of Brown Deer and other Wisconsin communities. Dept. of Publ. Safety, Brown Deer, WI. 123. Lawence, Cortez. 1990. Alternative public safety service delivery - emphasizing fire protection services. Exec. Fire Off. Prog. NFA. 124. Edwards, Brooke. 1989. Flexible deploymet of emergency response vehicles as an alternative to traditional pbulic safety services. Exec. Fire Off. Prog. NFA. 125. Jones, Olen M. 1990. Fire and police - developing interagency cooperation. Exec. Fire Off. Prog. NFA. 126. Byrnes, Andrew J. 1990. Department consolidation and the incident command system. Orem Department of Public Safety, Orem, UT. 127. Hughes, Patirck K. 1990. Public safety - why it works and why it doesn't. Exec. Fire Off. Prog. NFA. 90 128. Personal Communication, Dr. Alma Tappolini 129. Metro -Dade Fire Rescue Fact Sheet for Key Biscayne, 3/30/92. APPENDIX E DATA REQUEST FROM METRO-DADE FIRE DEPARTMENT 92 GDS COMMUNICATIONS 2380 RIVERDALE DRIVE NORTH MIRAMAR, FLORIDA 33025 Douglas R. Stutz, PhD Geraldine K. Stutz, RN 27 December 1992 Diane Wright Asst. Dir. for Administration Metro -Dade Fire Department Dear Ms. Wright: Telephones OFFICE: (305) 431-2566 1-800-982-1287 FAX: (305) 431-5445 I am currently assisting the Village of Key Biscayne to establish the method of fire rescue service to serve the community. I realize that Metro -Dade currently does this and have discussed it at length with Chief Paulison. As a result, I requested information from him beyond that which you have already provided during the last year. The data given to me by the Village did not extend beyond 1990. In order to properly support any suggestion, I need more current data as well as some additional data points. Your Chief asked me to get in touch with you to obtain the necessary information. Therefore, I would like to request the following information be forwarded to me for review. Number of calls, by category, i.e. fire, rescue, miscellaneous, etc. for 1991 and to the current date in 1992. 2. Number of actual fire calls requiring suppression service within the Village confines during 1991 and 1992. Extended data should include: a. Number of personnel on each fire. b. Total time spent on the call. c. Additional units responding and response time for each. d. Category of the structure, i.e. single family, high-rise, etc. e. Loss for each fire. f. Whether any fill units were utilized during the fire. 3. Number of responses from Station 15 to areas other than either Virginia Key or Key Biscayne with the total times out of the first response area. 4. Number of EMS responses for 1991 and 1992 to include: a. Number of ALS vs. BLS calls. b. Calls by type, i.e. heart attack, trouble breathing, auto accident, etc. c. Number of actual transports by code. d. Total time on transport and scene for each. e. Number of rescue calls out of the primary response area for Station 15. Total time out of the area. f. If fees were charged, the total collected. 5. Number of mutual aid calls requiring response by Station 15. 6. Number of mutual aid calls into Station 15's response area. 7. Average number of personnel on duty for each shift during the years. 8. Number of inspections performed by Station 15 personnel each year. 9. Number of public fire education events conducted by Station 15 personnel. 10. Number of times the volunteers were dispatched during 1991 and 1992 with the following data: a. Number of personnel responding. b. Total time involved. c. Response time for the unit. d. Types of calls dispatched on and what service was performed on each. I would like to thank you in advance for your assistance. I will provide you with the data summary that I develop with the above information and that which has been provided by the Village. I greatly appreciate your help. If you have any questions, please contact me at the above numbers or call me at 2 the following number: Chief Douglas R. Stutz, PhD Miramar Fire Rescue Department 435-4406 Sincerely, Doug . Stutz, PhD 3 T R A N S M I T T A L To: From Date: Pages: Re: Aosdel /.).- ‘A,f� �O(rBry ***•********•**..4 *:**** *:*********************************************•4 * TRANSACTION REPORT * * FOR: GDS COMMUNICATIONS 305 431 5445 SEND * RECEIVER PAGES NOTE 5968891 4 OK * *+•.+.***************:h:**********************************************:+ GDS Communications 2380 Riverdale Drive North Miramar, Florida 33025 Tel: (305) 431-2566 Fax: (305) 431-5445 1-800-982-1287