05/22/07 359 W, 3 I - + 19 - 7 Proposed County Budget, EMS

From the Wake County budget document web page, EMS expenditures are listed in the Public Safety chapter. Performance measures and major accomplishments are also listed. Here's what they say about expenses:

Issues for FY 2008

The dispatches-per-hour rate (unit hour utilization) for downtown units is becoming excessive for employees working 24-hour shifts. One possible solution, the deployment of Peak Activity Units, has been delayed due to high paramedic turnover and lack of staff to support the expansion units.
Improvement of coverage in the Durant Road area has been delayed due to the lack of an appropriate facility to house an overnight ambulance unit and crew.
EMS made a request through the Capital Regional Advisory Committee for $250,000 in grand funding to provide necessary pandemic flu personal protective equipment. This request was based on federal guidelines but unfortunately was not funded for FY07.

Horizon Issues

De-cluster EMS units located at EMS station 1 (downtown) and EMS station 5 (Millbrook).
Consider alternatives in the event that EMS parking spaces in the Public Safety Center become necessary for criminal justice functions.
Implement an in-vehicle navigation (IVN) system to work in cooperation with the automated vehicle locator (AVL) and computer-aided dispatch (CAD) systems to enhance system-wide response performance.
Using GIS and planning data, expand the analysis of response data to determine the deployment of EMS resources,
Expand staff in the Office of Professional Development to meet expanded training demands of EMS system, including the capacity to conduct in-house paramedic pre-service training.
Consider alternative staffing models to improve clinical and operational performance.
Consolidation of EMS administrative personnel and expanded operational capabilities through design and acquisition of Central Operations Facility.

EMS capital projects are a bit harder to find. The Capital Improvement Plan section of the Capital Improvements chapter notes an EMS Facility Planning expense for FY08, as well as a Horizon Issue expense for EMS Facilities.

The Budget Highlights chapter includes a section on Requests Not Funded. The EMS requests not funded were:

Additional Staff: 12.7 FTEs
Fleet Upgrade: District Chief Response
Six new vehicles including two ambulances
Financial Services Contract
EMS Special Operations
Induced hypothermia Protocol Fluid Coolers
Employee illness prevention
12 hour shift change

The adopted budget: http://www.wakegov.com/budget/fy08/
Legeros - 06/26/07 - 18:51

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