Item #3 Austin Travis County Emergency Medical Services FY 24 Q4 Presentation — original pdf

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Emergency Medical Services Public Safety Commission Meeting FY24 Q4 Wesley Hopkins, Chief of Staff 1 Medic Openings 38 Field 8 Communication Current EMS Department Staffing Authorized Strength Filled Sworn Sworn Vacancies Vacancies Vacancy Rate 698 595 103 September 30, 2024 Rank EMS Assistant Chief EMS Captain - Communications EMS Captain - Field EMS Clinical Spec - Comm EMS Clinical Spec - Field EMS Commander - Communications EMS Commander - Field EMS Division Chief EMS Medic - Communications EMS Medic - Field EMS Chief Paramedic Practitioner EMS Paramedic Practitioner TOTAL Q4 AVERAGE Authorized Sworn Staffing 4 11 81 29 293 5 40 10 14 206 1 4 698 0 1 3 1 51 0 0 1 8 38 0 0 103 0.00 9.09 3.70 3.45 17.41 0.00 0.00 10.00 57.14 18.45 0.00 0.00 14.76 16.90 2 Sworn Separations Sworn Separations by Type 25 30 25 20 15 10 5 0 2 1 1 1 5 2 11 Resigned Retired EMS Assistant Chief EMS Captain - Comm EMS Captain - Field EMS Clinical Spec - Comm EMS Clinical Spec - Field EMS Commander - Comm EMS Commander - Field EMS Division Chief EMS Medic - Comm EMS Medic - Field 3 Sworn Tenure at Separation Sworn Tenure at Separation 16 14 12 10 8 6 4 2 0 3 3 1 1 4 3 2 1 1 1 2 1 d e n g i s e R d e n g i s e R d e r i t e R d e r i t e R d e n g i s e R d e r i t e R d e n g i s e R d e r i t e R d e n g i s e R d e r i t e R d e n g i s e R d e r i t e R d e n g i s e R d e r i t e R d e n g i s e R d e r i t e R d e n g i s e R d e r i t e R d e n g i s e R d e r i t e R EMS Assistant Chief EMS Captain - Comm EMS Captain - Field EMS Clinical Spec - Comm EMS Clinical Spec - Field EMS Commander - Comm EMS Commander - Field EMS Division Chief EMS Medic - Comm EMS Medic - Field Less than 1 year 1-5 years 5-10 years 10-15 years 15-20 years more than 20 years 14 7 4 4 Vacancy Rates Sworn & Civilian Vacancy Rate 20.00 18.72 19.30 17.56 17.13 17.42 17.27 16.55 14.35 13.57 13.57 13.45 13.45 12.56 12.56 12.56 12.56 11.76 11.76 14.76 11.71 19.10 17.71 18.00 17.93 25.00 15.00 10.00 5.00 0.00 Oct 2023 Nov 2023 Dec 2023 Jan 2024 Feb 2024 March 2024 April 2024 May 2024 June 2024 July 2024 August 2024 Sept 2024 Sworn Vacancy Rate Civilian Vacancy Rate 5 EMS Turnover Rate Turnover Rate 2.03 2.03 2.50 2.00 1.50 0.50 0.00 1.26 1.00 0.89 1.02 0.71 0.70 0.52 1.23 1.02 1.03 0.87 1.05 1.06 0.70 0.69 0.35 0.00 0.00 0.00 0.00 0.00 0.18 0.17 Oct 2023 Nov 2023 Dec 2023 Jan 2024 Feb 2024 March 2024 April 2024 May 2024 June 2024 July 2024 August 2024 Sept 2024 Sworn Turnover Rate Civilian Turnover Rate 6 Opioid Overdoses – ATCEMS Data Q4-FY24 • 1,537 Overdose Alerts identified in • A total of 768 Buprenorphine doses FY24 were administered • ATCEMS OUD Program enrolled 227 patients in the Opioid Bridge Program • 150 patients were successfully connected to long term (MAT) Care Opioid Overdoses reported to 911 600 500 400 300 200 100 0 8 1 - l u J 8 1 - p e S 8 1 - v o N 9 1 - n a J 9 1 - r a M 9 1 - y a M 9 1 - l u J 9 1 - p e S 9 1 - v o N 0 2 - n a J 0 2 - r a M 0 2 - y a M 0 2 - l u J 0 2 - p e S 0 2 - v o N 1 2 - n a J 1 2 - r a M 1 2 - y a M 1 2 - l u J 1 2 - p e S 1 2 - v o N 2 2 - n a J 2 2 - r a M 2 2 - y a M 2 2 - l u J 2 2 - p e S 2 2 - v o N 3 2 - n a J 3 2 - r a M 3 2 - y a M 3 2 - l u J 3 2 - p e S 3 2 - v o N 4 2 - n a J 4 2 - r a M 4 2 - y a M 4 2 - l u J 4 2 - p e S 4 2 - v o N Opiate Alerts Kits Used Kits Distributed 7 Opioid Overdoses – ATCEMS Data Q4-FY24 30 20 10 0 Buprenorphine Bridge Program 100 80 60 40 20 0 Field1 Inductions # of Doses Expanding C4 Operations to 24/7 1 2 3 4 Program Funded for 24-hour Expansion The expansion project receives funding, kicking off the process of extending C4 hours. October 2024 Paramedics Hired and Training 8 New paramedics are recruited and undergo rigorous training, preparing them for 24/7 operations. November 2024 All Priority 5 calls are directed to C4, ensuring seamless transition and consistent Priority 5 Calls Referred service. November 18, 2024 24-Hour Operations Begin C4 fully transitions to 24-hour operations, providing uninterrupted service to the community. January 2025 C4: Safety & Efficiency Proven Safety Record Reduced Ambulance Use With C4, only 0.3% of patients are transported with lights and C4 helps reduce unnecessary ambulance transports. 30% of sirens (Code 3), demonstrating our commitment to safe and patient contacts are safely managed without requiring an efficient care. ambulance dispatch, optimizing resource allocation. Select Priority 5 Calls to C4 Immersive Simulation Training (Sim-Lab) Immersive simulation transforms the classroom, and even mobile units, into fully immersive spaces that provide a realistic and safe training environment for our providers with the goal to improve patient outcomes through innovation, education and technology. Sensory Feedback Visual Tactile Auditory Olfactory Fixed Sim-Lab Uses Initial Education Programs • EMT and ECA courses for new hire and Explorers (youth program) • Internal Paramedic School New Hire Academy • Initial training and testing Critical Care Paramedics (PL6) • Preliminary training and annual competency verification for advanced practice paramedics Maintenance of Credentials • Annual evaluation of all certification levels to ensure competencies Continuing Education (CE) • Incorporate performance improvement data into scenario-based training • Train new medical protocols and procedures (whole blood program) High Stress Low Frequency Training • Situations that are potentially very dangerous or life-threatening for the patient, but occur infrequently Mobile Sim-Lab Uses New Hire Academy- Mobile sim-labs deployed at the Public Safety Training Center for weekly cadet scenarios. On Duty Ambulance Crew Training- Mobile sim-labs strategically placed in command districts for scenario-based training. Ensures ambulances remain available for 911 calls and are not displaced for on-duty training. Joint Training with Partner Agencies- Allows opportunities for joint trainings with our partner agencies throughout the City of Austin and Travis County. Community Outreach & Education- Mobile sim-labs will be used at Community Events such Hands Only CPR, Stop The Bleed, and Emergency Preparedness Clinics. Project Update Fixed Sim-Lab (located at EDWD) Went On-Line in March of 2024 Fixed Sim-Lab Data: - - 162 scenarios conducted for the 2024 Spring Continuing Education semester. 108 scenarios conducted for the 2024 Fall Continuing Education semester. Upcoming Trainings: Advanced Practice Paramedic- December 2024 PL5 Academy (Clinical Specialist)- November 2024 Internal Paramedic Program- January 2025 Mobile Sim-Labs are scheduled to arrive in January and will Go-Live in March of 2025