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City of Dania Beach
                                                               Fire-Rescue Department
                                                          “Advancing Service Through Caring “


To:      J.R. Fernandez, Fire Chief
From: Michael Cassano, Deputy Fire Chief
Date:     August 16, 2010
Re:      Monthly Report – July 2010



Chief Fernandez, provided herein is the monthly report for July 2010. I have additionally provided within this report,

comparative July data over the previous several years. These comparatives, provide jurisdictional understanding that

emphasizes the tremendous individual and collective workload currently placed on this fire rescue organization. The

month of July 2010 represents continued advancements within service related performance benchmarks, especially

regarding personnel training hours, Fire Prevention inspected properties, overall call volume, and unit hour utilization

of personnel’s time.



At a current call volume rate, of nearly 23 (911) calls daily, the department is taxed even in what used to be referred to

as the “slow summer season”. Coupling these figures, with the fact that nearly 75% of those 911 calls are for medical

                                                                                   emergencies, it becomes obvious that each emergency call
                                   BLS & ALS Ratios
                                                                                   requires an elongated time to handle. Additionally, a more
      100%
                                                                         77%       thorough review indicated that, there is a growing medical
      80%                                                     73%
              64%        66%          65%          66%
      60%                                                                          protocol propensity for 911 calls to be treated with
             35%        33%         34%        32%                                 Advanced Life Support care levels. This BLS to ALS
      40%                                                    26%        21%
      20%                                                                          differential seen to the left, strongly indicates that each call
                   1%         1%          1%         2%            1%         2%
        0%
                                                                                   is requiring additional “treatment to transport” time and
             FY 2005 FY 2006 FY 2007 FY 2008 FY 2009 FY 2010
                                                                                   thereby making individual unit apparatus autonomy, a
                                    BLS     ALS1      ALS2
                                                                                   necessary system expectation.




 Page 1
PILLAR: FISCAL RESPONSIBILITY, INFRASTRUCTURE SUPPORT


The department is currently engaged in a number of fiscal challenges and efforts. Bulleted below are a number of those

current issues, underscoring the need to quickly codify a new and fiscally sound, collective bargaining agreement. The

hiring of personnel under the SAFER Grant award, and the replacement of three open paramedic firefighter positions,

due to mid-year retirements, are apparently tied to a new agreement and thus exponentially burden the overall process.



Additionally, the fiscal year 2011 budget has been presented to the CM and Finance Director. Many budget documents

indicated the need for personnel, vehicles and apparatus, equipment, and program modifications, and did receive the

initial support necessary to have it as part of the CM’s, City of Dania Beach recommended budget for FY11.



Current fiscal responsibility challenges:

       Ongoing Collective Bargaining Agreement discussions

       Finalization of new hire recommendations submitted to HR for SAFER Grant compliance

       Finalization of the Fire Assessment Fee Study / recommendations

       Review of Transport Fees; local survey completed; resident policy, assessment of costs, charges, and payers

       Review of Fire Prevention and Life Safety Division fees for service




GRANT AWARD STATUS:

       SAFER GRANT: Personnel screenings, oral and written testing has all been completed for over 180 applicants.
       Final selections in ranked order have been provided to the Human Resource Department for processing once
       CBA is finalized.

       Video Laryngoscopes: Received product / commencement of “Competency Based Training” (CBT) for all
       paramedic personnel through the regional training representative, Ambu with an August completion date.

       (2) Field/Event Medical Transport Carts: Chassis received, lighting packages and finishing body work
       through August with delivery by the end of September.




2    Page
PILLAR: OPERATIONAL IMPROVEMENT

EMERGENCY MANAGEMENT:
         EOC Readiness Initiatives: The City of Dania Beach approved the purchase of Satellite Systems, Phones,
         Data Lines, TV’s, and various equipment used to improve the readiness, resiliency, and redundancies between
         our two EOC locations. All equipment has been ordered, and waiting to be installed, creating phone line
         capacity & communication resiliency as part of the initial steps towards Emergency Management improvements.

         Communication Efforts: GETS Cards – Government Emergency Telecommunication System Cards were
         applied for and received, Verizon Cellular Redundancy Phones: Contact lists and phone lists set into every
         phone pending emergency events. CC – Alert: Activated the Dania Beach, mass communication device used
         to send messages to all essential personnel as disaster / important events take place.



FIRE PREVENTION & LIFE SAFETY DIVISION: Presented below are the Fire Prevention Division productivity figures
for July 2010, with previous year comparatives for trending assessment purposes.

Inspected Properties:

2010:    304

2009:    244

2008:    264

2007:    231

Square Footage Reviewed        # Plans         Time Spent           Turn-around Time Back to Customer

2010:    713,295               50                      37 hrs               1.2 Days

2009:    823,358               43                      37 hrs               1.7Days

2008:    771,493               45                      59 hrs               1.6 Days

2007     821,946               21

Fees:

Submitted July to Finance (without impact fees / matches H.T.E.):

2010:    $30,515.00

2009:    $23,921.00

2008:    $27,335.00

2007:    $13,370.00




3       Page
Emergency Responses
                  Total Calls For Service July 2010 =673
                            Total Calls For Service July 2009 = 627



                                          Emergency
                                           Medical
                                            73%




                        Fires and                                 Service/Good
                         Hazards                                     Intent
                                          Fire Alarms
                           4%                                         15%
                                               8%




                                              Automatic Aid
                                    July 2010 Given 129 Received 108
                                     July 2009 Given 138 Received 106

           160
           140
           120
           100                                                                   Given
            80                                                                   Received
            60
            40
            20
             0
                 Jan Feb Mar   Apr May Jun        Jul   Aug Sep Oct     Nov




4   Page
FIRE DEPARTMENT TRAINING RECORD
                                  DOCUMENTATION GRAPHIC FOR JULY 2010
Total Monthly Personnel Training Hours

2010:1483

2009: 891

2008: 990




                                                JULY TRAINING
                                         Operational Improvement
                       Pillar:           Professional Development
                                         Customer Service / Community Outreach

                 2009: Total Hours: 891                             2010: Total Hours: 1483

             Fire/ISO                                                              Fire/ISO
               61%                                                                   77%

                                                                 Other
       Other                                   EMS                9%
                                                                                              EMS
       10%                                     29%                                            14%

                Fire               EMS           Other              Fire          EMS          Other

                                 Advanced      Computer                          Airway       Computer
            Hose Lays                                             Haz Mat
                                  Airway        Training                       Management      Training

            Mutual Aide                       Probationary
                                  CEU’s                         FPL Training     LP 15      Rescue Jack
            Airport Drill                      Employee

                                                                               New Rescue
            Eo Training          Other EMS    Shift Meeting     MSA Make-up      Vehicle
                                                                                 Training

                                                                 EO Training




5   Page
PILLAR: FISCAL RESPONSIBILITY
           EMERGENCY MEDICAL SERVICES TRANSPORT FIGURES REPORT

                                           Fiscal Year Comparison

                    $900,000
                    $800,000
                    $700,000                                             $599,520
                                          $562,430
                    $600,000
                    $500,000
                    $400,000
                    $300,000
                    $200,000
                    $100,000
                        $-
                                          FYTD 2010                      FYTD 2009




                                 Collections/Deposits Analysis
                    $900,000                    $808,781 $789,756 $798,741 $820,252
                    $800,000            $734,236
                    $700,000     $608,137
                    $600,000                                                       $562,430
                    $500,000
                    $400,000
                    $300,000
                    $200,000
                    $100,000
                        $-
                                    FY      FY        FY       FY      FY     FY     FYTD
                                   2004    2005      2006     2007    2008   2009    2010



                                   Transport Totals
                   4,000                                    3,462
                               3,283   3,377    3,316                3,286
                   3,000                                                     2,514

                   2,000
                                                                                     1,161
                   1,000

                     -
                           FY 2005 FY 2006 FY 2007 FY 2008 FY 2009 FYTD              FYTD
                                                                   2009              2010




6   Page
Transport Comparison by Month
           350
           300
           250
                                                                                       FY 2007
           200
                                                                                       FY 2008
           150
                                                                                       FY 2009
           100                                                                         FY 2010

            50
             0ce e r




                      ry




                      ne
             Fe a ry
              Ja e r




               Au ly
                     ch

                      ril
               ve r




             pt st

                       r
                     ay
            No be




                    be
           De mb




                   Ju
                  Ap
                   ua




           Se gu
                    b




                  Ju
                   ar



                  M
                 nu
                 m




               em
                  o




                M
                br
               ct
              O




                   Monthly Collection Comparison for FY05 - Present
             $120,000
             $100,000
              $80,000
              $60,000
              $40,000
              $20,000
                   $0
                              ay

                             ne
                        em r




                       Au ly
                             ch
                        br y




                      pt st
                              ril
                      Ja er




                                r
                        e r




                              ry
                     ec e




                            be
                    N obe




                     Fe uar




                            Ju
                   Se gu
                           Ap
                   D mb

                            b


                           ua

                           ar



                           M
                          Ju




                        em
                        M
                         n
                        ct
                     ov
                  O




                  FY 2005     FY 2006    FY 2007     FY 2008     FY 2009     FY 2010




                                         BLS & ALS Ratios
           100%
                                                                       73%         77%
           80%     64%          66%         65%           66%
           60%
                  35%         33%         34%         32%
           40%                                                        26%        21%
           20%
                        1%          1%          1%             2%           1%            2%
            0%
                  FY 2005     FY 2006     FY 2007      FY 2008        FY 2009    FY 2010

                                          BLS      ALS1        ALS2




7   Page
Charge Mix



                                                                  Medicare
                                           Self Pay                 24%
                                            34%


                                                                   Medicaid
                                                                    19%
                                              Insurance
                                                 23%




                                                      Payor Mix



                                                  Self Pay
                                                    6%
                                                                  Medicare
                                                                   30%



                                          Insurance
                                             53%                  Medicaid
                                                                   11%




The July 2010 Report is submitted herein for your review and comment.



Respectfully submitted,



Michael Cassano, Deputy Fire Chief




8    Page

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City of Dania Beach Fire-Rescue Monthly Report Highlights Service

  • 1. City of Dania Beach Fire-Rescue Department “Advancing Service Through Caring “ To: J.R. Fernandez, Fire Chief From: Michael Cassano, Deputy Fire Chief Date: August 16, 2010 Re: Monthly Report – July 2010 Chief Fernandez, provided herein is the monthly report for July 2010. I have additionally provided within this report, comparative July data over the previous several years. These comparatives, provide jurisdictional understanding that emphasizes the tremendous individual and collective workload currently placed on this fire rescue organization. The month of July 2010 represents continued advancements within service related performance benchmarks, especially regarding personnel training hours, Fire Prevention inspected properties, overall call volume, and unit hour utilization of personnel’s time. At a current call volume rate, of nearly 23 (911) calls daily, the department is taxed even in what used to be referred to as the “slow summer season”. Coupling these figures, with the fact that nearly 75% of those 911 calls are for medical emergencies, it becomes obvious that each emergency call BLS & ALS Ratios requires an elongated time to handle. Additionally, a more 100% 77% thorough review indicated that, there is a growing medical 80% 73% 64% 66% 65% 66% 60% protocol propensity for 911 calls to be treated with 35% 33% 34% 32% Advanced Life Support care levels. This BLS to ALS 40% 26% 21% 20% differential seen to the left, strongly indicates that each call 1% 1% 1% 2% 1% 2% 0% is requiring additional “treatment to transport” time and FY 2005 FY 2006 FY 2007 FY 2008 FY 2009 FY 2010 thereby making individual unit apparatus autonomy, a BLS ALS1 ALS2 necessary system expectation. Page 1
  • 2. PILLAR: FISCAL RESPONSIBILITY, INFRASTRUCTURE SUPPORT The department is currently engaged in a number of fiscal challenges and efforts. Bulleted below are a number of those current issues, underscoring the need to quickly codify a new and fiscally sound, collective bargaining agreement. The hiring of personnel under the SAFER Grant award, and the replacement of three open paramedic firefighter positions, due to mid-year retirements, are apparently tied to a new agreement and thus exponentially burden the overall process. Additionally, the fiscal year 2011 budget has been presented to the CM and Finance Director. Many budget documents indicated the need for personnel, vehicles and apparatus, equipment, and program modifications, and did receive the initial support necessary to have it as part of the CM’s, City of Dania Beach recommended budget for FY11. Current fiscal responsibility challenges: Ongoing Collective Bargaining Agreement discussions Finalization of new hire recommendations submitted to HR for SAFER Grant compliance Finalization of the Fire Assessment Fee Study / recommendations Review of Transport Fees; local survey completed; resident policy, assessment of costs, charges, and payers Review of Fire Prevention and Life Safety Division fees for service GRANT AWARD STATUS: SAFER GRANT: Personnel screenings, oral and written testing has all been completed for over 180 applicants. Final selections in ranked order have been provided to the Human Resource Department for processing once CBA is finalized. Video Laryngoscopes: Received product / commencement of “Competency Based Training” (CBT) for all paramedic personnel through the regional training representative, Ambu with an August completion date. (2) Field/Event Medical Transport Carts: Chassis received, lighting packages and finishing body work through August with delivery by the end of September. 2 Page
  • 3. PILLAR: OPERATIONAL IMPROVEMENT EMERGENCY MANAGEMENT: EOC Readiness Initiatives: The City of Dania Beach approved the purchase of Satellite Systems, Phones, Data Lines, TV’s, and various equipment used to improve the readiness, resiliency, and redundancies between our two EOC locations. All equipment has been ordered, and waiting to be installed, creating phone line capacity & communication resiliency as part of the initial steps towards Emergency Management improvements. Communication Efforts: GETS Cards – Government Emergency Telecommunication System Cards were applied for and received, Verizon Cellular Redundancy Phones: Contact lists and phone lists set into every phone pending emergency events. CC – Alert: Activated the Dania Beach, mass communication device used to send messages to all essential personnel as disaster / important events take place. FIRE PREVENTION & LIFE SAFETY DIVISION: Presented below are the Fire Prevention Division productivity figures for July 2010, with previous year comparatives for trending assessment purposes. Inspected Properties: 2010: 304 2009: 244 2008: 264 2007: 231 Square Footage Reviewed # Plans Time Spent Turn-around Time Back to Customer 2010: 713,295 50 37 hrs 1.2 Days 2009: 823,358 43 37 hrs 1.7Days 2008: 771,493 45 59 hrs 1.6 Days 2007 821,946 21 Fees: Submitted July to Finance (without impact fees / matches H.T.E.): 2010: $30,515.00 2009: $23,921.00 2008: $27,335.00 2007: $13,370.00 3 Page
  • 4. Emergency Responses Total Calls For Service July 2010 =673 Total Calls For Service July 2009 = 627 Emergency Medical 73% Fires and Service/Good Hazards Intent Fire Alarms 4% 15% 8% Automatic Aid July 2010 Given 129 Received 108 July 2009 Given 138 Received 106 160 140 120 100 Given 80 Received 60 40 20 0 Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov 4 Page
  • 5. FIRE DEPARTMENT TRAINING RECORD DOCUMENTATION GRAPHIC FOR JULY 2010 Total Monthly Personnel Training Hours 2010:1483 2009: 891 2008: 990 JULY TRAINING Operational Improvement Pillar: Professional Development Customer Service / Community Outreach 2009: Total Hours: 891 2010: Total Hours: 1483 Fire/ISO Fire/ISO 61% 77% Other Other EMS 9% EMS 10% 29% 14% Fire EMS Other Fire EMS Other Advanced Computer Airway Computer Hose Lays Haz Mat Airway Training Management Training Mutual Aide Probationary CEU’s FPL Training LP 15 Rescue Jack Airport Drill Employee New Rescue Eo Training Other EMS Shift Meeting MSA Make-up Vehicle Training EO Training 5 Page
  • 6. PILLAR: FISCAL RESPONSIBILITY EMERGENCY MEDICAL SERVICES TRANSPORT FIGURES REPORT Fiscal Year Comparison $900,000 $800,000 $700,000 $599,520 $562,430 $600,000 $500,000 $400,000 $300,000 $200,000 $100,000 $- FYTD 2010 FYTD 2009 Collections/Deposits Analysis $900,000 $808,781 $789,756 $798,741 $820,252 $800,000 $734,236 $700,000 $608,137 $600,000 $562,430 $500,000 $400,000 $300,000 $200,000 $100,000 $- FY FY FY FY FY FY FYTD 2004 2005 2006 2007 2008 2009 2010 Transport Totals 4,000 3,462 3,283 3,377 3,316 3,286 3,000 2,514 2,000 1,161 1,000 - FY 2005 FY 2006 FY 2007 FY 2008 FY 2009 FYTD FYTD 2009 2010 6 Page
  • 7. Transport Comparison by Month 350 300 250 FY 2007 200 FY 2008 150 FY 2009 100 FY 2010 50 0ce e r ry ne Fe a ry Ja e r Au ly ch ril ve r pt st r ay No be be De mb Ju Ap ua Se gu b Ju ar M nu m em o M br ct O Monthly Collection Comparison for FY05 - Present $120,000 $100,000 $80,000 $60,000 $40,000 $20,000 $0 ay ne em r Au ly ch br y pt st ril Ja er r e r ry ec e be N obe Fe uar Ju Se gu Ap D mb b ua ar M Ju em M n ct ov O FY 2005 FY 2006 FY 2007 FY 2008 FY 2009 FY 2010 BLS & ALS Ratios 100% 73% 77% 80% 64% 66% 65% 66% 60% 35% 33% 34% 32% 40% 26% 21% 20% 1% 1% 1% 2% 1% 2% 0% FY 2005 FY 2006 FY 2007 FY 2008 FY 2009 FY 2010 BLS ALS1 ALS2 7 Page
  • 8. Charge Mix Medicare Self Pay 24% 34% Medicaid 19% Insurance 23% Payor Mix Self Pay 6% Medicare 30% Insurance 53% Medicaid 11% The July 2010 Report is submitted herein for your review and comment. Respectfully submitted, Michael Cassano, Deputy Fire Chief 8 Page