U.S. Fire Administration Library Citation(s)

 
Call Number:

47711

The revenue/response dilemma: patient transport services in a fire-based EMS environment

Author(s):Calderazzo, Michael V. ; El Paso. Fire Department.
Description: 53 p.
Publication Data:Emmitsburg, MD : National Fire Academy. March 2013
Identifier/s:Accession No.: 143213/ OCLC Record No.: 861305453
Type of Item: (EFO PAPER) EFO PAPER

PDF

URLs are tested and verified at time of data entry.
www.usfa.fema.gov/pdf/efop/efo47711.pdf (584.04 kb)
Subjects:1. EMERGENCY MEDICAL SERVICES 2. FIRE DEPARTMENTS 3. AMBULANCES 4. COST RECOVERY
Series Data:Executive Fire Officer Program. Applied Research Project
Summary/abstract:
  • This research attempted to determine feasibility of continuing fire-based ambulance services within the City of El Paso, Texas. The specific problem identified was the El Paso Fire Department had not studied the continued feasibility of providing ambulance transport services within the El Paso community since its merger with the former Department of EMS. The purpose of this evaluative research was to appraise the sustainability of the current service model for the City of El Paso and attempted to answer the following questions: (a) What are the present costs to the department for providing patient transport services? (b) What is El Paso's price-subsidy tradeoff? (c) To recover system costs and given the existing payer mix, what base fee should the EPFD charge to users of the emergency medical system? and (d) What operational impact would discontinuing transport service have on current service level objectives for fire/EMS calls? System costs were analyzed from the most recent budget report to separate the patient transport system costs from the rest of the fire department's services. Response data from the most recent 12-month period was analyzed to determine the price-subsidy tradeoff as well as establish baselines for studying the impact of system changes. Deccan ADAM was used to determine travel time impacts for eliminating ambulances and adding personnel to existing fire companies. Total fixed system costs amounted to $16.98 million, the price-subsidy tradeoff was approximately $9.50 and system travel times degraded for all scenarios when ambulances were removed. The department should explore creative ways to reduce cost without affecting travel times and attempt to determine the value of providing BLS service so an appropriate fee could be charged a potential provider of private ambulance service.
Notes:El Paso, TX; Executive Leadership; Abstracts for EFO papers are written by the author
Availability:Available on Interlibrary Loan
Copies:
  • c.1: DOCUMENT ROOM - ROOM 209 [Status: IN]
 
 
Call Number:

47353

An analysis of fire-based emergency medical transport services in Hood River, Oregon

Author(s):Wells, Devon J. ; Hood River. Fire and EMS.
Description: 36 p.
Publication Data:Emmitsburg, MD : National Fire Academy. January 2013
Identifier/s:Accession No.: 142539/ OCLC Record No.: 846512020
Type of Item: (EFO PAPER) EFO PAPER

PDF

URLs are tested and verified at time of data entry.
www.usfa.fema.gov/pdf/efop/efo47353.pdf (137.4 kb)
Subjects:1. FIRE DEPARTMENTS 2. APPROPRIATIONS 3. TAXATION 4. EMERGENCY MEDICAL SERVICES 5. AMBULANCE SERVICE 6. COST ESTIMATES 7. COST RECOVERY
Series Data:Executive Fire Officer Program. Applied Research Project
Summary/abstract:
  • The problem was that the City of Hood River was uncertain whether existing fire-based ambulance transport services enhance or diminish fire protection services which were funded by tax revenues. The purpose of the research was to determine if fire-based ambulance transport services either enhance or diminish the provision of fire protection services which were supported by tax revenues in Hood River, OR. By conducting a thorough literature review of current publications and a local survey, industry professional interviews, and an analysis of data and budget reports, the results of descriptive research answered the following three questions: (a) what are the base costs of providing emergency services in Hood River, without providing transport EMS, (b) what are the incremental operational risks and benefits of providing fire-based EMS transport in Hood River, and (c) what are the incremental financial requirements and revenues of providing fire-based EMS transport in Hood River? The results of the research indicated that the fire-based EMS transport system in Hood River, OR. enhanced the provision of fire protection services. Literature review and original research of existing budget and call volume data indicated that operational benefits out-weigh the risks. Also, even though medical services are expensive, the revenue model that was in place in Hood River was sufficient to cover EMS-related expenses. EMS revenue was found to subsidize fire protection capabilities at Hood River Fire & EMS. Recommendations were made to continue the fire-based EMS transport service that was in place in Hood River, OR. Finally, Hood Fire & EMS should monitor staff for signs of burn-out and fatigue to ensure the safety of the responders and community.
Notes:Hood River, OR ; Executive Leadership; Abstracts for EFO papers are written by the author
Availability:Available on Interlibrary Loan
Copies:
  • c.1: DOCUMENT ROOM - ROOM 209 [Status: IN]
 
 

Fire-based EMS made easier: an IAFC document, due out in November, will provide a comprehensive plan for implementing, or expanding, such programs [in "FIRE CHIEF"]

Author(s):Deardorff, Chad A.
Description: In "FIRE CHIEF". v. 56 (7) p. 26+
Publication Data: July 2012
Identifier/s:OCLC Record No.: 806368054
Type of Item: (JOURNAL) JOURNAL
Subjects:1. EMERGENCY MEDICAL SERVICES 2. HISTORY 3. COST EFFECTIVENESS 4. INTERAGENCY COOPERATION 5. BEST PRACTICES 6. POLITICS
Series Data:Fire-based EMS
Availability:Available on Interlibrary Loan
Copies:
  • : JOURNAL ROOM - ROOM 201 [Status: IN]
 
 
Call Number:

46278

Analyzing the costs and benefits for the implementation of a third fire-based ambulance

Author(s):Allora, Michael J. ; Clifton. Fire Department.
Description: 41 p.
Publication Data:Emmitsburg, MD : National Fire Academy. February 2012
Identifier/s:Accession No.: 139448/ OCLC Record No.: 794334172
Type of Item: (EFO PAPER) EFO PAPER

PDF

URLs are tested and verified at time of data entry.
www.usfa.fema.gov/pdf/efop/efo46278.pdf (121.4 kb)
Subjects:1. AMBULANCES 2. EMERGENCY MEDICAL SERVICES 3. BASIC LIFE SUPPORT 4. COST EFFECTIVENESS
Series Data:Executive Fire Officer Program. Applied Research Project
Summary/abstract:
  • The Clifton Fire Department (CFD) provides fire-based emergency medical services at the basic life support (BLS) level. A study of the Fire Department recommended that the CFD begin planning for the future implementation of a full time third ambulance. The problem is the CFD has not conducted an analysis of the costs and benefits of the implementation of a third fire-based ambulance. The purpose of the research is to identify the issues in developing a plan for conducting an analysis of the costs and benefits of the implementation of a third fire-based ambulance. The descriptive research method was used to answer the following research questions: (1) What type of cost and benefit analyses should be considered; (2) With a third fire-based ambulance implementation, what is the associated cost; and (3) What are the benefits associated with the implementation of a third fire-based ambulance? The author conducted research of published material related to the costs and benefits of the addition of a third fire-based ambulance, as well as the types of cost analysis to be considered by the CFD. Additional information was obtained from fire department personnel, city employees, equipment vendors, and training personnel. The author discovered that the elements of conducting a cost analysis are very complex. There are several types of cost analysis to consider, yet all require an understanding of complex economic procedures at some level. The costs associated with implementing a third fire-based ambulance are high. The benefits associated with the implementation are not easy to quantify and are not thoroughly supported by the medical community. The cost of providing services is high. The CFD must continue to explore alternative funding sources to maintain and/or expand current programs. The CFD must also consider all service delivery alternatives, and utilize relevant and accurate information in policy decision making.
Notes:Clifton, NJ; Executive Development; Abstracts for EFO papers are written by the author
Availability:Available on Interlibrary Loan
Copies:
  • c.1: DOCUMENT ROOM - ROOM 209 [Status: IN]
 
 

Resolve to ensure a good outcome for fire-based EMS [in "FIRE CHIEF"]

Author(s):Evans, Bruce.
Description: In "FIRE CHIEF". v. 56 (1) p. 14+
Publication Data: January 2012
Identifier/s:OCLC Record No.: 776276759
Type of Item: (JOURNAL) JOURNAL
Subjects:1. EMERGENCY MEDICAL SERVICES 2. TRENDS 3. GRANTS 4. COST EFFECTIVENESS 5. APPROPRIATIONS 6. MEDICARE 7. QUALITY CONTROL
Series Data:EMS viewpoints
Availability:Available on Interlibrary Loan
Copies:
  • : JOURNAL ROOM - ROOM 201 [Status: IN]
 
 

Taking a swipe at fire-based EMS: California grand jury criticizes response protocols on medical calls [in "FIREHOUSE"]

Author(s):Ludwig, Gary G.
Description: In "FIREHOUSE". v. 36 (8) p. 40
Publication Data: August 2011
Identifier/s:OCLC Record No.: 746807132
Type of Item: (JOURNAL) JOURNAL
Subjects:1. EMERGENCY MEDICAL SERVICES 2. PROTOCOLS 3. SANTA CLARA COUNTY, CA 4. COURTS 5. DISPATCHING 6. COST CONTROL 7. RESPONSE TIMES 8. PRIVATIZATION
Series Data:EMS
Availability:Available on Interlibrary Loan
Copies:
  • : JOURNAL ROOM - ROOM 201 [Status: IN]
 
 

Fire-based EMS: the solution for an ailing system? [in "FIRE ENGINEERING"]

Author(s):Dean, Aaron and Messoline, Mick.
Description: In "FIRE ENGINEERING". v. 164 (2) p. 32+
Publication Data: February 2011
Identifier/s:OCLC Record No.: 705292469
Type of Item: (JOURNAL) JOURNAL

PDF

URLs are tested and verified at time of data entry.
www.fireengineering.com/index/articles/display/0039153302/articles/fire-engineering/volume-164/issue-2/departments/fire-service_ems/fire-based-ems-the-solution-for-an-ailing-system.html
Subjects:1. EMERGENCY MEDICAL SERVICES 2. FIRE SERVICE 3. HISTORY 4. AMBULANCE SERVICE 5. CROSS TRAINING 6. PRIVATE SECTOR 7. EVALUATION
Series Data:Fire EMS
Availability:Available on Interlibrary Loan
Copies:
  • : JOURNAL ROOM - ROOM 201 [Status: IN]
 
 
Call Number:

45078

Fire based first responder service

Author(s):Bergin, Michael J. ; Waterbury. Fire Department.
Description: 44 p.
Publication Data:Emmitsburg, MD : National Fire Academy. October 2010
Identifier/s:Accession No.: 136409/ OCLC Record No.: 773955429
Type of Item: (EFO PAPER) EFO PAPER

PDF

URLs are tested and verified at time of data entry.
www.usfa.dhs.gov/pdf/efop/efo45078.pdf (1.8 mb)
Subjects:1. FIRST RESPONDERS 2. BASIC LIFE SUPPORT 3. FIRE DEPARTMENTS 4. EMERGENCY MEDICAL SERVICES 5. CARDIOPULMONARY RESUSCITATION 6. AUTOMATED EXTERNAL DEFIBRILLATORS
Series Data:Executive Fire Officer Program. Applied Research Project
Summary/abstract:
  • The problem is that the Waterbury Fire Department (WFD) has not evaluated the currently provided non-transport emergency medical services (EMS) at a first responder (FR) level using the existing fire service system. The purpose of the research is to determine this effectiveness of EMS delivery within the current system using evaluative research to answer questions regarding how WFD delivers EMS compared to standards and best practices for fire service first response systems, alternative systems used by comparable fire departments and the effect WFD. Using literature review, phone interviews and internet surveys, it was determined that the WFD delivers FR services appropriately but still lags behind other fire departments in level of certification for FR. Additionally, strong community knowledge of how to perform cardiopulmonary resuscitation (CPR) and use automatic external defibrillator (AED) can improve survival rates in cardiac arrest victims. WFD should investigate improving cardiac survival rates, as rapid response by FR along with bystander CPR has been shown to improve survival. Recommendations include implementing a training program for WFD members to become EMT-B. WFD should form a committee to address out-of-hospital cardiac arrest survival rate by studying communities with high survival rates for out-of-hospital cardiac arrest. WFD should provide CPR and AED classes for the public to increase the survival rates for heart attack victims. Dispatch should start tracking the following times for the fire department crew arriving at patient, CPR started, AED shock delivered and ambulance crew arrival at patient. AED effects on out-of-hospital cardiac arrest survival rate should be studied by tracking shock advice; numbers of shocks delivered and return of pulse. Local medical control and private ambulance companies should be consulted to review current MPDS determinants codes response levels to determine if they are appropriate.
Notes:Waterbury, CT; Executive Development; Abstracts for EFO papers are written by the author
Availability:Available on Interlibrary Loan
Copies:
  • c.1: DOCUMENT ROOM - ROOM 209 [Status: IN]
 
 

Transitioning to fire-based EMS systems: more cities and towns abandon private-ambulance model [in "FIREHOUSE"]

Author(s):Ludwig, Gary G.
Description: In "FIREHOUSE". v. 35 (8) p. 36
Publication Data: August 2010
Identifier/s:OCLC Record No.: 667689842
Type of Item: (JOURNAL) JOURNAL
Subjects:1. CONSOLIDATION 2. EMERGENCY MEDICAL SERVICES 3. FIRE DEPARTMENTS 4. COST CONTROL 5. RESPONSE TIMES
Series Data:EMS
Availability:Available on Interlibrary Loan
Copies:
  • : JOURNAL ROOM - ROOM 201 [Status: IN]
 
 
Call Number:

KF 5071 .S881 2010

Building codes basics: fire, based on the 2009 International fire code

Author(s):Stookey, Scott ; International Code Council.
Description: 265 p.
Publication Data:Clifton Park, NY : Delmar Cengage Learning. 2010
Identifier/s:OCLC Record No.: 527842482/ ISBN: 978-1-4354-0070-2/ ISBN: 1-4354-0070-4/ LCCN: 2009932854/ Accession No.: 134371
Type of Item: (BOOK) BOOK
Subjects:1. BUILDING CODES 2. FIRE CODES 3. INTERNATIONAL FIRE CODE 4. FIRE PREVENTION 5. LEGISLATION
Table of Contents :Prerequisite reading - occupancy classification PART 1: CODE ADMINISTRATION AND ENFORCEMENT 1. Introduction to Building and Fire Codes 2. Legal Aspects, Permits and Inspections PART 2: GENERAL SAFETY REQUIREMENTS 3. General Precautions against Fire 4. Emergency Planning and Preparedness PART 3: SITE AND BUILDING SERVICES 5. Fire Service Features 6. Building Systems 7. Interior Finish and Decorative Materials PART 4: FIRE / LIFE SAFETY SYSTEMS AND FEATURES 8. Requirements for All Fire Protection Systems 9. Automatic Sprinkler Systems 10. Fire Alarm and Detection Systems 11. Means of Egress PART 5: SPECIAL PROCESSES and BUILDING USES 12. Flammable Finishes 13. Motor Fuel-Dispensing Facilities and Repair Garages 14. High-Piled Combustible Storage 15. Other Special Uses and Processes PART 6: HAZARDOUS MATERIALS 16. General Requirements for Hazardous Materials 17. Compressed Gases 18. Flammable and Combustible Liquids
Availability:Available on Interlibrary Loan
Copies:
  • c.1: CIRCULATION - BOOKS [Status: IN]
 
 

Fire-service concerns in the health-care debate: the rework of the nation's health-care system is important to fire-based EMS. We are the country's medical safety net, and any changes will affect our service delivery [in "FIRE CHIEF"]

Author(s):Evans, Bruce.
Description: In "FIRE CHIEF". v. 53 (10) p. 22+
Publication Data: October 2009
Identifier/s:OCLC Record No.: 550050273
Type of Item: (JOURNAL) JOURNAL
Subjects:1. HEALTH CARE 2. EMERGENCY MEDICAL SERVICES 3. COST RECOVERY 4. FEDERAL GOVERNMENT
Series Data:EMS viewpoints
Availability:Available on Interlibrary Loan
Copies:
  • : JOURNAL ROOM - ROOM 201 [Status: IN]
 
 
Call Number:

42956

Feasibility study for rapid transition to a fire based EMS system for the city of Alice, Texas

Author(s):Van Nest, Dean W. ; Alice. Fire Department.
Description: 89 p.
Publication Data:Emmitsburg, MD : National Fire Academy. January 2009
Identifier/s:Accession No.: 131340/ OCLC Record No.: 666118011
Type of Item: (EFO PAPER) EFO PAPER

PDF

Sections of this paper not on the Internet.
www.usfa.dhs.gov/pdf/efop/efo42956.pdf (271.3 kb)
Subjects:1. EMERGENCY MEDICAL SERVICES 2. FIRE SERVICE 3. CONSOLIDATION 4. MODELS 5. LEGISLATION 6. REGULATIONS 7. DATA 8. COST EFFECTIVENESS
Series Data:Executive Fire Officer Program. Applied Research Project
Summary/abstract:
  • The City of Alice Fire Department is in need of developing a contingency plan for fire-based Emergency Medical Services (EMS) due to a possible ending of services by the contractor. The purpose of the research was to determine the timeline and resources needed to develop fire based EMS. Evaluative methodology was employed for this study. There were four questions the researcher needed answered for this research project: (a) what are the National recognized models available in providing Emergency Medical Services? (b) What are the state laws, rules, regulations that governing EMS service in the State of Texas? (c) How many calls for service is the current contract EMS provider fulfilling? In addition, (d) what will the required resources in employees and equipment cost the City of Alice to start the program? The researcher employed both personal interviews and email questionnaires to collect the information needed for this project. Literature for this project was difficult to locate since most departments in the country had already transitioned to fire based EMS services and were focused primarily on customer service and maintaining the required in-service training. The results of this research showed that the City of Alice Fire Department would not be able to assume EMS responsibilities with a short time line for acquisition. The city would need between twelve and eighteen months in order to be prepared to provide fire based EMS services. The city would need to hire twenty-nine additional personnel in order to provide this service. Based on this study, it was recommended that the city form a committee to determine how the EMS system is to be implemented. In addition, the city would have to establish a fund to be used to offset the initial cost of starting an EMS system from scratch.
Notes:Alice, TX; Executive Development; Abstracts for EFO papers are written by the author
Availability:Available on Interlibrary Loan
Copies:
  • c.1: DOCUMENT ROOM - ROOM 209 [Status: IN]
 
 
Call Number:

42568

The effects of emergency department delays on fire-based EMS

Author(s):Irwin, Michael J. ; Lee's Summit. Fire Department.
Description: 27 p.
Publication Data:Emmitsburg, MD : National Fire Academy. September 30, 2008
Identifier/s:Accession No.: 130302/ OCLC Record No.: 472521240
Type of Item: (EFO PAPER) EFO PAPER

PDF

URLs are tested and verified at time of data entry.
www.usfa.dhs.gov/pdf/efop/efo42568.pdf (64.6 kb)
Subjects:1. EMERGENCY DEPARTMENTS 2. AMBULANCE SERVICE 3. RESPONSE TIMES 4. PATIENT TRANSFER
Series Data:Executive Fire Officer Program. Applied Research Project
Summary/abstract:
  • The prehospital setting is seeing a rise in wait times from arrival at emergency departments to the time the patient is placed on an emergency department bed and the ambulance is placed available. The problem is the Lee's Summit Fire Department is unsure how this might be effecting its response times. In an effort to determine its effects, the following questions were answered; 1. What are the current Lee's Summit Fire Department policies and procedures on ambulance responses? Current policy allows patients to be delivered; once the cot is made and the ambulance cleaned, it is to report in-service unless it cannot for underlying circumstances. 2. What are the hospital policies and procedures for accepting patients from ambulance services? Hospital policies are to unload the patient from the ambulance cot as soon as an emergency department bed is available. This is sometimes delayed due to overcrowding of the emergency department. 3. What are the actual practices of ambulance personnel upon arriving at the emergency department? Most are following the policy set forth by the department although, if busy, they may take a break and eat before reporting available, which may have affected the wait times. 4. What is the impact of hospital delays on the response times for the Lee's Summit Fire Department? A 30% increase in wait times has been seen when transporting patients to area facilities; however, when patients have been transported to local facilities very little change has been noted. This seems to be a national problem on the rise and one that the fire department will need to continue to monitor for further trends identifying the issue as compounding in Lee's Summit.
Notes:Lee's Summit, MO; Executive Leadership; Abstracts for EFO papers are written by the author
Availability:Available on Interlibrary Loan
Copies:
  • c.1: DOCUMENT ROOM - ROOM 209 [Status: IN]
 
 
Call Number:

42069

Improving patient care with the implementation of a fire-based EMS ambulance service in the Bellows Falls Fire Department

Author(s):Yannuzzi, Steven J. ; Bellows Falls. Fire Department.
Description: 36 p.
Publication Data:Emmitsburg, MD : National Fire Academy. June 2008
Identifier/s:Accession No.: 129292/ OCLC Record No.: 472520219
Type of Item: (EFO PAPER) EFO PAPER

PDF

URLs are tested and verified at time of data entry.
www.usfa.dhs.gov/pdf/efop/efo42069.pdf (115.1 kb)
Subjects:1. AMBULANCE SERVICE 2. PRIVATIZATION 3. LOCAL GOVERNMENT 4. COST EFFECTIVENESS 5. QUALITY CONTROL
Series Data:Executive Fire Officer Program. Applied Research Project
Summary/abstract:
  • The Bellows Falls Fire Department is a small combination fire department in southern Vermont. The fire department currently provides first response non-transport emergency medical services to the community. In recent years the department has explored the possibility of implementing a fire-based ambulance to provide service for the community. The fire department developed and proposed a plan for an ambulance service during the last competitive bid process. The proposal highlighted the possible revenue that the service could generate along with the costs associated with the service. The proposal was rejected by the board of trustees because of the costs that were associated with establishing the service. The purpose of this paper was to investigate if the fire department could improve the quality of care being delivered to the community with a fire-based ambulance service. A descriptive method was used to collect information via a literature review, questionnaires and personnel interviews. The results revealed that there was virtually no difference in the quality of care delivered between fire-based ambulances and a private provider services. The results also revealed that both private provider and fire-based services do have some sort of quality assurance program in place. However, it was discovered that there is no standard established on what is measured by a quality assurance program. Without an established quality assurance standard, it is very difficult to determine if ambulance services, fire-based or private provider, are delivering quality care. Recommendations included: the development of a quality assurance program to determine if the current first responder service is being effective, determination of what level of emergency medical care is expected by the community, work in partnership with the state of Vermont in developing a quality assurance program standard, assist the Town of Rockingham in implementing a quality assurance clause in the next private provider contract, and to conduct an in-depth cost/benefit analysis study into the feasibility of implementing a fire-based ambulance.
Notes:Bellows Falls, VT; Executive Development; Abstracts for EFO papers are written by the author
Availability:Available on Interlibrary Loan
Copies:
  • c.1: DOCUMENT ROOM - ROOM 209 [Status: IN]
 
 

Developing a fire-based EMS system: one department's strategic plan [in "FIRE ENGINEERING"]

Author(s):Simpson, Jeff.
Description: In "FIRE ENGINEERING". v. 161 (6) p. 28+
Publication Data: June 2008
Identifier/s:OCLC Record No.: 550023937
Type of Item: (JOURNAL) JOURNAL

PDF

URLs are tested and verified at time of data entry.
www.fireengineering.com/index/articles/display/331551/articles/fire-engineering/volume-161/issue-6/departments/fire-service-ems/developing-a-fire-based-ems-system-one-departmentrsquos-strategic-plan.html
Subjects:1. EMERGENCY MEDICAL SERVICES 2. FIRE DEPARTMENTS 3. STRATEGIC PLANNING
Series Data:Fire service EMS
Availability:Available on Interlibrary Loan
Copies:
  • : JOURNAL ROOM - ROOM 201 [Status: IN]
 
 

Fire service-based EMS advocates ruffle some feathers! What's behind opposition to advocacy of fire-based medical systems? [in "FIREHOUSE"]

Author(s):Ludwig, Gary G.
Description: In "FIREHOUSE". v. 33 (5) p. 36
Publication Data: May 2008
Identifier/s:OCLC Record No.: 550022083
Type of Item: (JOURNAL) JOURNAL
Subjects:1. EMERGENCY MEDICAL SERVICES 2. ORGANIZATIONS 3. FIRE SERVICE 4. APPROPRIATIONS 5. GRANTS
Series Data:EMS
Notes:Fire Service Based EMS Advocates (FSBEMSA) - a group consisting of the IAFC, IAFF, CFSI, NFPA & NVFC
Availability:Available on Interlibrary Loan
Copies:
  • : JOURNAL ROOM - ROOM 201 [Status: IN]
 
 

Four categories of fire-based EMS: where does your department rank when it comes to providing EMS? [in "FIREHOUSE"]

Author(s):Ludwig, Gary G.
Description: In "FIREHOUSE". v. 33 (3) p. 46-47
Publication Data: March 2008
Identifier/s:OCLC Record No.: 550015554
Type of Item: (JOURNAL) JOURNAL
Subjects:1. EMERGENCY MEDICAL SERVICES 2. FIRE DEPARTMENTS
Series Data:EMS
Notes:Sidebar: "USFA & NFPA report on rural fire problem", p. 46-47
Availability:Available on Interlibrary Loan
Copies:
  • : JOURNAL ROOM - ROOM 201 [Status: IN]
 
 

Riding positions for fire-based EMS [in "FIRE ENGINEERING"]

Author(s):Daskal, Barry S.
Description: In "FIRE ENGINEERING". v. 161 (1) p. 24+
Publication Data: January 2008
Identifier/s:OCLC Record No.: 550010837
Type of Item: (JOURNAL) JOURNAL

PDF

URLs are tested and verified at time of data entry.
www.fireengineering.com/index/articles/display/317590/articles/fire-engineering/volume-161/issue-1/departments/fire-service-ems/riding-positions-for-fire-based-ems.html
Subjects:1. EMERGENCY MEDICAL SERVICES 2. JOB DESCRIPTIONS 3. AMBULANCES 4. MANNING 5. EQUIPMENT
Series Data:Fire service EMS
Availability:Available on Interlibrary Loan
Copies:
  • : JOURNAL ROOM - ROOM 201 [Status: IN]
 
 

A numerical study of firebrands scattering in urban fire based on CFD and firebrands aerodynamics measurements [in "JOURNAL OF FIRE SCIENCES"]

Author(s):Huang, Hong, Ooka, Ryozo, Kato, Shinsuke, and Hayashi, Yoshihiko.
Description: In "JOURNAL OF FIRE SCIENCES". v. 25 (4) p. 355-378
Publication Data: July 2007
Identifier/s:OCLC Record No.: 610013829
Type of Item: (JOURNAL; SCHOLARLY/REFEREED ARTICLE) JOURNAL
Subjects:1. MATHEMATICAL MODELS 2. FIREBRANDS 3. URBAN AREAS 4. FIRE SPREAD 5. FIRE SIMULATION
Notes:Computational fluid dynamics
Availability:Available on Interlibrary Loan
Copies:
  • : JOURNAL ROOM - ROOM 201 [Status: IN]
 
 
Call Number:

39721

Firefighter paramedic retention in a fire based EMS transport service

Author(s):Diehl, Daniel A. ; Kalispell. Fire Department.
Description: 24 p.
Publication Data:Emmitsburg, MD : National Fire Academy. September 2006
Identifier/s:Accession No.: 123333/ OCLC Record No.: 475895645
Type of Item: (EFO PAPER) EFO PAPER

PDF

URLs are tested and verified at time of data entry.
www.usfa.dhs.gov/pdf/efop/efo39721.pdf (68.7 kb)
Subjects:1. PARAMEDICS 2. PERSONNEL RETENTION 3. EMERGENCY MEDICAL SERVICES 4. CAREER DEVELOPMENT 5. INCENTIVES
Series Data:Executive Fire Officer Program. Applied Research Project
Summary/abstract:
  • The problem is the Kalispell Fire Department has a turnover of firefighter paramedics to larger departments resulting in reduced staffing and increased overtime costs. The purpose of the research is to identify why firefighter paramedics are leaving this department and identify ways to improve firefighter paramedic retention. The Descriptive Research Method was used to answer the following four research questions: 1. What causes a firefighter paramedic to leave a small career department providing EMS transport? 2. What causes a firefighter paramedic to stay? 3. What efforts have been done in other fire departments similar in operation and size to Kalispell Fire Department to prevent employees from leaving? 4. How can the Kalispell Fire Department prevent losing firefighter paramedics in the future? My recommendations will include retention training for supervisors, career and personal development of individual employees, changes in current policies and encouragement of more work-life balance.
Notes:Kalispell, MT; Executive Development; Abstracts for EFO papers are written by the author
Availability:Available on Interlibrary Loan
Copies:
  • c.1: DOCUMENT ROOM - ROOM 209 [Status: IN]
 
 
Call Number:

38220

An analysis of fire-based EMS and its affect on diversification at the entry-level position for the San Diego Fire-Rescue Department

Author(s):Hicks, Ronald E. ; San Diego. Fire - Rescue Department.
Description: 29 p.
Publication Data:Emmitsburg, MD : National Fire Academy. October 2004
Identifier/s:Accession No.: 119155/ OCLC Record No.: 476496952
Type of Item: (EFO PAPER) EFO PAPER

PDF

This paper will not be made available on the Internet .
Subjects:1. FIRE SERVICE 2. EMERGENCY MEDICAL SERVICES 3. DIVERSITY 4. RECRUITMENT
Series Data:Executive Fire Officer Program. Applied Research Project
Summary/abstract:
  • The problem is the City of San Diego Fire-Rescue Department, like many other fire service agencies, has taken on the responsibility of providing Emergency Medical Services (EMS) for its citizens. Specifically, San Diego Fire-Rescue (SDFD) provides this service through a unique Public-Private partnership with Rural-Metro Corporation, consisting of an Advanced Life Support (ALS) Emergency Medical Technician-Paramedic (EMT-P) 1st responder on each of its 46 Engine Companies and ALS EMT-P transport units. Data has shown that service delivery to its constituents has greatly improved resulting in "customer satisfaction" ratings reaching the 99th percentile. The purpose of this applied research project was to analyze San Diego's Fire-based EMS system and to identify any affects it may have on SDFD's ability to recruit and hire a diverse workforce at the entry-level. Additionally, the author sought to identify if this issue was commonplace to other comparable sized agencies. In conducting this research the author utilized descriptive research methodologies to answering the following questions: 1. To what degree, is the fire service providing EMS to its constituents? 2. What, if any, are the EMS related services provided by other comparable-sized departments? 3. Specifically, for agencies that provide ALS 1st Responders, how are their ALS Paramedic personnel obtained? 4. What, if any impact, has fire-based EMS had on retention of ALS Paramedics on comparable-sized departments and the City of San Diego Fire-Rescue Department? 5. What, if any impact, had fire-based EMS had on recruitment efforts for comparable-sized departments and the City of San Diego Fire-Rescue Department? 6. What recruitment strategies are being utilized by comparable-sized departments, which could be adopted by the City of San Diego's Fire-Rescue Department? The procedures used in this applied research project included literary reviews to determine the breadth of Fire-based EMS within the fire service; identification of issues affecting service delivery, specifically, the ability to recruit and retain trained paramedics; and identification of strategies and programs currently being utilized to effectively address diversification of the workforce in order to mirror the communities served. Additionally, the researcher conducted a written survey, externally, to determine the same information from comparable-sized departments to assist in determining basis of results. Recommendations made were to 1) abolish SDFD's current "Firefighter-Paramedic" based delivery model and adopt a model utilizing Paramedics of any rank, 2) SDFD should train it's existing members, on a voluntary basis, to meet their paramedic needs, 3) SDFD should also explore the possibility of creating a Paramedic Intern Program with the local Community College Districts and 4) establish an Outreach Program to expose members of the community to the career opportunities available as an Paramedic and a Firefighter through a collective partnership with local school districts, organized labor, informal employee organizations, the business community and established labor preparedness programs.
Notes:San Diego, CA; Leading Community Risk Reduction; Abstracts for EFO papers are written by the author
Availability:Available on Interlibrary Loan
Copies:
  • c.1: DOCUMENT ROOM - ROOM 209 [Status: IN]
 
 
Call Number:

CDROM RA 645.5 .I61 2003

Emergency medical services: a guide book for fire based systems (3rd ed.)

Author(s):International Association of Fire Fighters.
Description: 1 compact disk (3rd ed.).
Publication Data:Washington, DC : The Association. 2003
Identifier/s:OCLC Record No.: 55694197/ Accession No.: 114903/ Accession No.: 114904/ Accession No.: 114905/ Accession No.: 114906/ Accession No.: 114907/ Accession No.: 126893
Type of Item: (CDROM)
Subjects:1. EMERGENCY MEDICAL SERVICES 2. FIRE SERVICE
Notes:Used by ALIEMS (Advanced Leadership Issues in Emergency Medical Services) class at NFA
Availability:Not available on Interlibrary Loan
Copies:
  • c.1: MEDIA HALL - ROOM 216 [Status: IN]
  • c.2: MEDIA HALL - ROOM 216 [Status: IN]
  • c.3: MEDIA HALL - ROOM 216 [Status: IN]
  • c.4: MEDIA HALL - ROOM 216 [Status: IN]
  • c.5: MEDIA HALL - ROOM 216 [Status: IN]
  • c.6: MEDIA HALL - ROOM 216 [Status: IN]
 
 

The future of fire-based EMS: paramedic programs and internships [in "FIRE EMS"]

Author(s):O'Brien, Robert J.
Description: In "FIRE EMS". p. 36-38+
Publication Data: November-December 2003
Identifier/s:OCLC Record No.: 611408961
Type of Item: (JOURNAL) JOURNAL
Subjects:1. INTERNSHIP 2. PARAMEDICS 3. TRAINING PROGRAMS
Availability:Available on Interlibrary Loan
Copies:
  • c.1: JOURNAL ROOM - ROOM 201 [Status: IN]
 
 
Call Number:

34104

Reducing the risk in EMS: a study of no transport liability issues in fire based EMS and their application to Garland Fire Department EMS, Garland, Texas

Author(s):Pickard, Karen ; Garland. Fire Department.
Description: 40 p.
Publication Data:Emmitsburg, MD : National Fire Academy. May 2002
Identifier/s:Accession No.: 107162/ OCLC Record No.: 477183404
Type of Item: (EFO PAPER) EFO PAPER

PDF

URLs are tested and verified at time of data entry.
www.usfa.dhs.gov/pdf/efop/efo34104.pdf (102.7 kb)
Subjects:1. EMERGENCY MEDICAL SERVICES 2. FIRE DEPARTMENTS 3. LIABILITY 4. RISK EVALUATION
Series Data:Executive Fire Officer Program. Applied Research Project
Summary/abstract:
  • Garland Fire Department Emergency Medical Services (EMS) has been identified as having a significant patient no transport rate. The problem identified was that an uncertain degree of liability exists in no transports due to the fact that no policy exists to govern those decisions. The purpose of the research was to gather data about the types of patients not transported by Garland Fire Departmernt (GFD) EMS, to explore the liability issues by looking at policies in other departments, and to explore solutions for minimizing liability with the involvement of medical direction. Descriptive research was used to examine similar situations in other departments, accomplished by a literature review. Evaluative research was used to look at no transport scenarios in other departments and the perception of liability that existed in other departments. The first question, what types of patients, based on chief complaint, are not transported by GFD EMS, identified patients in four categories. The second question, is there liability associated with no transports after assessment or is the decision to not transport within the scope of practice of GFD paramedics was researched by an external survey that addressed liability, revealing that liability is perceived to be real in no transports in this large system. The third question, what specific actions can be taken by GFD paramedics to minimize liability was addressed by a literature review to look at providers and their solutions, which was directed toward physician involvement and documentation, along with a no transport policy. The procedures consisted of doing surveys that addressed pertinent data, and a literature review. The results were recognition of the liability issues, the need for more medical direction, and quality monitoring. The recommendations were to involve the medical community, to improve assessment and documentation skills, and to develop quality feedback loops.
Notes:Garland, TX; Advanced Leadership Issues in Emergency Medical Services; Abstracts for EFO papers are written by the author
Availability:Available on Interlibrary Loan
Copies:
  • c.1: DOCUMENT ROOM - ROOM 209 [Status: IN]
 
 
Call Number:

32816

Reengineering training: a study of fire based training systems and their application to the Garland Fire Department Training Division, Garland, Texas

Author(s):Pickard, Karen ; Garland. Fire Department.
Description: 33 p.
Publication Data:Emmitsburg, MD : National Fire Academy. September 2001
Identifier/s:Accession No.: 104401/ OCLC Record No.: 477281196
Type of Item: (EFO PAPER) EFO PAPER

PDF

URLs are tested and verified at time of data entry.
www.usfa.dhs.gov/pdf/efop/efo32816.pdf (97.5kb)
Subjects:1. FIRE SERVICE TRAINING 2. INCENTIVES 3. RECRUITMENT 4. TRAINING OFFICERS 5. TRAINING PROGRAMS
Series Data:Executive Fire Officer Program. Applied Research Project
Summary/abstract:
  • The Training Division of the Garland Fire Department was identified as a separate division that was not functioning well and was not perceived as being effective by either field or staff personnel. The primary problem identified was that the Garland Fire Department has been unable to recruit and maintain fire officers in the Training Division that are interested and committed to the in-house demand for quality training. The purpose of the research was to explore the reasons why the Training Division of The Garland Fire Department was not functioning by identifying new concepts for recruitment and retention of personnel and for their commitment to a successful training program. Descriptive research was used to identify current situations that exist in training divisions in the South and Southwest, and to identify programs that had provided incentives or enhancements to other training divisions. Evaluative research was used to survey internal and external training divisions in order to evaluate perceptions of needs of training division personnel and to evaluate successes that other departments might have had with incentive and enhancement programs. The first question, "Why do fire department personnel not want to work in training at Garland?," was addressed by an internal survey that revealed concerns such as lack of credibility and lack of any incentives. The second question, "What additional incentives and programs could be added to enhance the appeal of training?," was researched by literature and an external survey of other departments, revealing a list of incentives and programs, some of which had been implemented and some had not. The third question, "How is the effectiveness of training instructors measured in other departments?," yielded little data, with the exception of scene and incident reviews. The procedures consisted of doing surveys that addressed specific pieces of data from both internal and external sources, and then an extensive literature review. The results of this data gathering was a group of incentives and programs, but no quality monitoring, and no clear fire service reengineering programs. There were several business model reengineering programs that provided insight into the effectiveness of that concept, and its potential success in the fire service arena. The recommendations, following the outcome of this study, were to pursue reengineering for the Training Division of The Garland Fire Department while incorporating some of the incentive ideas discovered in the research.
Notes:Garland, TX; Strategic Management of Change; Abstracts for EFO papers are written by the author
Availability:Available on Interlibrary Loan
Copies:
  • c.1: DOCUMENT ROOM - ROOM 209 [Status: IN]
 
 
Call Number:

32703

Feasibility of providing fire-based emergency medical transport in the city of Pacifica

Author(s):Brandvold, Steven ; Pacifica. Fire Department.
Description: 16 p.
Publication Data:Emmitsburg, MD : National Fire Academy. August 2001
Identifier/s:Accession No.: 104167/ OCLC Record No.: 477287738
Type of Item: (EFO PAPER) EFO PAPER

PDF

URLs are tested and verified at time of data entry.
www.usfa.dhs.gov/pdf/efop/efo32703.pdf (48.5kb)
Subjects:1. ADVANCED LIFE SUPPORT 2. EMERGENCY MEDICAL SERVICES 3. FEES 4. PACIFICA, CA 5. TRANSPORTATION
Series Data:Executive Fire Officer Program. Applied Research Project
Summary/abstract:
  • This research project evaluated the current system of providing Advanced Life Support (ALS) transport services within the City of Pacifica using a private transport provider versus the ability of the city to provide its own fire-based transport system. This research project used evaluative research to (a) identify the historical trends in call volume for emergency medical transport within the city, (b) determine what is the current contract status with the private transport provider and what obstacles, if any, would prohibit the implementation of a fire-based transport system in the city, and (c) identify, in terms of revenue generation, what can the City of Pacifica reasonably expect to collect from emergency medical transports. The procedures employed in this research project were the review of literature related to the legalities of providing emergency medical services within the State of California, current contracts with the County of San Mateo and the current private transport provider as well as the history of emergency medical services. The findings of this research revealed that the major obstacle to providing a fire based transport system was legal in nature. The current contract appears to be binding until at least the year 2003. It is recommended that a committee be formed to produce a business plan for the implementation of a fire-based ALS transport system that could be acted upon at a future time when the current county contract expires.
Notes:Pacifica, CA; Advanced Leadership Issues in Emergency Medical Services; Abstracts for EFO papers are written by the author
Availability:Available on Interlibrary Loan
Copies:
  • c.1: DOCUMENT ROOM - ROOM 209 [Status: IN]
 
 
Call Number:

32369

Adding value to a fire-based EMS system

Author(s):International Association of Fire Fighters. Department of Emergency Medical Services.
Description: 35 p.
Publication Data:Washington, DC : The Department. 1997
Identifier/s:OCLC Record No.: 39923493/ ISBN: 0-942920-28-7/ LCCN: 97-203218/ Accession No.: 103560
Type of Item: (REPORT) REPORT
Subjects:1. COST RECOVERY 2. EMERGENCY MEDICAL SERVICES 3. FIRE SERVICE 4. ORGANIZATIONAL DEVELOPMENT 5. QUALITY CONTROL
Series Data:Emergency medical services. Monograph 7
Availability:Available on Interlibrary Loan
Copies:
  • c.1: DOCUMENT ROOM - ROOM 209 [Status: IN]
 
 
Call Number:

32296

Strategic transition to a fire-based EMS system: managing the effect on the human side

Author(s):Riley, Brian J. ; Arlington. Fire Department.
Description: 41 p.
Publication Data:Emmitsburg, MD : National Fire Academy. June 2001
Identifier/s:Accession No.: 103424/ OCLC Record No.: 477274251
Type of Item: (EFO PAPER) EFO PAPER

PDF

URLs are tested and verified at time of data entry.
www.usfa.dhs.gov/pdf/efop/efo32296.pdf (112.8kb)
Subjects:1. CHANGE 2. EMERGENCY MEDICAL SERVICES 3. FIRE DEPARTMENTS 4. PERSONNEL MANAGEMENT
Series Data:Executive Fire Officer Program. Applied Research Project
Summary/abstract:
  • The problem was that the Arlington Fire Department had not yet developed a strategy for managing the human side of a probable transition to a fire-based EMS system. The purpose of this applied research project was to explore the issues and recommend a strategy for successfully managing the human side of a transition to a fire-based EMS system. Historical and action research methodologies were employed for this study in order to answer the following questions: 1. What has historically been the effect on personnel concerning changes in the level of emergency medical services (EMS) provided by the fire service? 2. What options are available according to the research to acquire the level of staffing needed to support a fire-based EMS system in the City of Arlington? 3. What insights can management literature or research provide regarding the human side of a major organizational transition? 4. Which of the theories or models described in the literature can be adapted to the Arlington Fire Department in order to provde a framework for managing the human side of the transition to a fire-based EMS system? The principle procedures employed were the review of written documents such as department policies and standard operating procedures (SOPs), as well as relevant literature and instructional materials focusing on the various transition issues to fire-based EMS. Telephone interviews were also conducted with primary sources who had first-hand knowledge and experience related to the problem. The results indicated that the fire service in general has been struggling with the transition to fire-based EMS mainly because of the effects on personnel involved in the change. It was recommended that the Arlington Fire Department should develop a strategic action plan for managing the human side of a transition to a fire-based EMS system.
Notes:Arlington, TX; Strategic Management of Change; Abstracts for EFO papers are written by the author
Availability:Available on Interlibrary Loan
Copies:
  • c.1: DOCUMENT ROOM - ROOM 209 [Status: IN]
 
 
Call Number:

24755

Studying a fire-based advanced life support service for the West Hartford Fire Department

Author(s):Allyn, Gary S. ; West Hartford. Fire Department.
Description: 36 p.
Publication Data:Emmitsburg, MD : National Fire Academy. October 2000
Identifier/s:Accession No.: 100605/ OCLC Record No.: 481590721
Type of Item: (EFO PAPER) EFO PAPER

PDF

URLs are tested and verified at time of data entry.
www.usfa.dhs.gov/pdf/efop/efo24755.pdf (515.5kb)
Subjects:1. ADVANCED LIFE SUPPORT 2. FIRE SERVICE 3. WEST HARTFORD
Series Data:Executive Fire Officer Program. Applied Research Project
Summary/abstract:
  • The national trend of large ambulance providers' absorbing EMS services is reversing, largely due to managed care. Communities contracting with services are being forced to consider alternatives because the large companies are abandoning 911 contracts due to low collection rates. The fire service is once again beginning to move forward in the delivery of EMS. The West Hartford Fire Department has competed with a private provider for Advance Life Support (ALS) service for 12 years, during which American Medical Response (AMR) acquired the provider. With the renewal of the contract for service approaching, the ability for the fire department to generate revenue and the resources to provide an increased level of ALS service faster and cheaper, the fire department is preparing to compete with the Goliath of the industry. The purpose of this research project is to determine the feasibility of providing a quality fire-based ALS service that can generate revenue to support the program and benefit the community and the organization in the millennium. Historic and evaluative research were the methodologies used. The research was conducted utilizing literature review and expert interviews to answer the following questions: 1. What are the advantages of a fire-based ALS service? 2. What are the disadvantages of a fire-based ALS service? 3. Is it possible for the fire department to generate revenue through fees for service to help support the program? 4. Can a cross-trained/dual role firefighter EMS system increase the level of service and provide 2 services for the price of one? 5. How does the fire department intend to implement the ALS service with the resources available? The results of the research clearly indicate a fire-based ALS service would benefit the community with increased level of care and survivability. Economically, the community and the organization also realize two services for the price of one and revenue to help support the system. The recommendations include educating the target groups in the benefits of a fire-based ALS system. Utilizing a phase in approach to develop and implement the response service initially with minimal resources until additional personnel can be trained or hired. The result will be customer driven, quality fire-based ALS service with the continued fire service mission of saving lives.
Notes:West Hartford, CT; Executive Development; Abstracts for EFO papers are written by the author
Availability:Available on Interlibrary Loan
Copies:
  • c.1: DOCUMENT ROOM - ROOM 209 [Status: IN]
 
 
Call Number:

RA 645 .I61 1995

Effectiveness of fire-based EMS

Author(s):International Association of Fire Fighters. Department of Research and Labor Issues.
Description: 40 p.
Publication Data:Washington, DC : The Department. 1995
Identifier/s:OCLC Record No.: 43305174/ ISBN: 0-942920-18-X/ Accession No.: 96356
Type of Item: (BOOK) BOOK
Subjects:1. EMERGENCY MEDICAL SERVICES 2. FIRE DEPARTMENTS
Availability:Available on Interlibrary Loan
Copies:
  • c.1: CIRCULATION - BOOKS [Status: IN]
 
 
Call Number:

RA 645.5 .I61 1995

Emergency medical services: a guide book for fire-based systems

Author(s):International Association of Fire Fighters. Department of Research and Labor Issues.
Description: 93 p.
Publication Data:Washington, DC : The Department. 1995
Identifier/s:OCLC Record No.: 43981449/ ISBN: 0-942920-19-8/ Accession No.: 96357
Type of Item: (BOOK) BOOK
Subjects:1. EMERGENCY MEDICAL SERVICES 2. FIRE SERVICE
Availability:Available on Interlibrary Loan
Copies:
  • c.1: CIRCULATION - BOOKS [Status: IN]
 
 
Call Number:

RA 645.5 .I61 1999

Emergency medical services: a guide book for fire-based systems (2nd ed.)

Author(s):International Association of Fire Fighters. Department of Emergency Medical Services.
Description: 180 p. (2nd ed.).
Publication Data:Washington, DC : The Department. 1999
Identifier/s:OCLC Record No.: 43981386/ ISBN: 0-942920-40-6/ Accession No.: 95415/ Accession No.: 95416/ Accession No.: 95417/ Accession No.: 95418/ Accession No.: 95419/ Accession No.: 95420/ Accession No.: 95421/ Accession No.: 97378/ Accession No.: 97379/ Accession No.: 99203
Type of Item: (BOOK) BOOK
Subjects:1. EMERGENCY MEDICAL SERVICES 2. FIRE SERVICE
Notes:Used by ALIEMS class at NFA
Availability:Available on Interlibrary Loan
Copies:
  • c.1: CIRCULATION - BOOKS [Status: IN]
  • c.2: CIRCULATION - BOOKS [Status: IN]
  • c.3: CIRCULATION - BOOKS [Status: IN]
  • c.4: CIRCULATION - BOOKS [Status: IN]
  • c.5: CIRCULATION - BOOKS [Status: IN]
  • c.6: CIRCULATION - BOOKS [Status: IN]
  • c.7: CIRCULATION - BOOKS [Status: IN]
  • c.8: CIRCULATION - BOOKS [Status: IN]
  • c.9: CIRCULATION - BOOKS [Status: IN]
 
 

Fire-based EMS and the FLSA firefighter exemption [in "FIRE ENGINEERING"]

Author(s):Cohn, Alan D.
Description: In "FIRE ENGINEERING". v. 152 (3) p. 109-110+
Publication Data: March 1999
Identifier/s:OCLC Record No.: 549635800
Type of Item: (JOURNAL) JOURNAL
Subjects:1. EMERGENCY MEDICAL PERSONNEL 2. FAIR LABOR STANDARDS ACT 3. FIRE DEPARTMENT PERSONNEL 4. OVERTIME
Availability:Available on Interlibrary Loan
Copies:
  • c.1: JOURNAL ROOM - ROOM 201 [Status: IN]
 
 

Move to a fire-based EMS system would save both lives and money [in "FIRE"]

Author(s):Burnett, Hal.
Description: In "FIRE". v. 91 (1125) p. 17-18
Publication Data: March 1999
Identifier/s:OCLC Record No.: 610091987
Type of Item: (JOURNAL) JOURNAL
Subjects:1. AMBULANCE SERVICE 2. COST EFFECTIVENESS 3. FIRE SERVICE 4. GREAT BRITAIN 5. INTERAGENCY COOPERATION 6. RESPONSE TIMES
Series Data:First responders
Availability:Available on Interlibrary Loan
Copies:
  • c.1: JOURNAL ROOM - ROOM 201 [Status: IN]
 
 
Call Number:

29006

Customer satisfaction can help to insure the survival of fire based EMS

Author(s):Cheverie, Richard A. ; Bangor. Fire Department.
Description: 43 p.
Publication Data:Emmitsburg, MD : National Fire Academy. November 1998
Identifier/s:Accession No.: 92964/ OCLC Record No.: 482912815
Type of Item: (EFO PAPER) EFO PAPER

PDF

URLs are tested and verified at time of data entry.
www.usfa.fema.gov/pdf/efop/efo29006.pdf (765kb)
Subjects:1. CUSTOMER RELATIONS 2. EMERGENCY MEDICAL SERVICES 3. FIRE DEPARTMENTS
Series Data:Executive Fire Officer Program. Applied Research Project
Summary/abstract:
  • Private ambulance providers have increased their pressure to take over medical transport in many communities, including Bangor, Maine. With the pressure of privatization, organizations are faced with satisfying the changing needs and expectations of their customers. This requires the comparison of services provided to those services wanted. Services desired by the customer must be analyzed to determine the availability of resources to provide those services. The problem this created for the Bangor Fire department was that no database existed from which to draw this information. The purpose of this research project was to determine if the Bangor Fire Department would benefit from developing and instituting a customer service program. A descriptive research methodology was utilized to answer the following research questions: 1. What methods are used by fire and EMS services to evaluate and obtain customer feedback? 2. What is the anticipated cost of instituting a customer service program? 3. What is the minimum level of service that the customer expects from the fire department? 4. What programs are currently available that promote customer satisfaction that may be beneficial for the Bangor Fire department? The research included a review of published literature, an Internet search for related articles, and a random EMS customer service survey. Several results from the research suggested that the customers of the Bangor Fire Department are currently satisfied with the services they receive. Results of the survey indicated the customer's highest priorities are quick response and technically competent personnel that respond to their emergencies. Based on the research conducted, it was recommended that fire departments become aware of the benefits of a customer service program. That programs begin with one aspect of service and expand to include the other services offered by the organization. It was also recommended that a joint labor and management committee be involved in developing a strategic customer service program for the implementation process.
Notes:Bangor, ME; Advanced Leadership Issues in Emergency Medical Services; Abstracts for EFO papers are written by the author
Availability:Available on Interlibrary Loan
Copies:
  • c.1: DOCUMENT ROOM - ROOM 209 [Status: IN]
 
 
Call Number:

27064

Feasibility of a fire-based EMS program in the City of Oberlin

Author(s):Kirin, Dennis E. ; Oberlin. Fire Department.
Description: 34 p.
Publication Data:Emmitsburg, MD : National Fire Academy. September 4, 1996
Identifier/s:Accession No.: 85650/ OCLC Record No.: 502539895
Type of Item: (EFO PAPER) EFO PAPER
Subjects:1. EMERGENCY MEDICAL SERVICES 2. FIRE SERVICE MANAGEMENT
Series Data:Executive Fire Officer Program. Applied Research Project
Summary/abstract:
  • The national trend of controversy between fire department-based and private ambulance-based emergency medical service continues to rage on. Allen Memorial Hospital, the local primary emergency medical care provider to the City of Oberlin for many years, is considering the discontinuance of EMS services at the end of their present contract in 1999. The challenges facing the City of Oberlin, and especially the Oberlin Fire Department, is how will quality EMS transport be provided for its citizens in the future. With limited qualified EMS transport agencies available to bid on future contracts, and problems arising during the use of a private EMS agency, is it in the best interest of the City of Oberlin to research the possibility of a fire department-based EMS transport service? The Oberlin Fire Department will complete a study concerning the fire department's ability to provide the community's EMS service in the future. The purpose of this research project is to determine the feasibility of a fire department-based EMS program and how it can benefit a small community similar to that served by the City of Oberlin Fire Department. Evaluative research was the method chosen to address the problem stated and to demonstrate the effectiveness of such programs. This was accomplished through literature review and surveys of fire department organizations and local community. The research was to answer the following questions: 1. Will a fire department-based emergency medical services (EMS) system meet the needs of the local community? 2. What is the local experience with fire department-based EMS systems and transport? 3. Will the local customers support a change in the provision of emergency medical services by a fire department organization? The results of this research indicated that a fire department-based emergency medical services program is the answer that will meet the needs of the community. The recommendations corroborated by this research were to determine the feasibility of the fire department-based EMS program, to ensure that a fire department is capable of providing such a service, to seek out citizen opinion through surveys, interviews, and other proven methods, and to use responses and information generated from the research project as input to the fire department's Proposal for Emergency Medical Services for the community.
Notes:Oberlin, OH; Strategic Management of Change; Abstracts for EFO papers are written by the author
Availability:Available on Interlibrary Loan
Copies:
  • c.1: DOCUMENT ROOM - ROOM 209 [Status: IN]
 
 
Call Number:

27000

Fire based paramedic ambulances: will it play in Peoria?

Author(s):Monroe, C. Lyman ; Peoria. Fire Department.
Description: 33 p.
Publication Data:Emmitsburg, MD : National Fire Academy. August 1996
Identifier/s:Accession No.: 85488/ OCLC Record No.: 502539808
Type of Item: (EFO PAPER) EFO PAPER
Subjects:1. AMBULANCE SERVICE 2. PRIVATIZATION 3. PUBLIC SECTOR 4. STRATEGIC PLANNING
Series Data:Executive Fire Officer Program. Applied Research Project
Summary/abstract:
  • The Peoria Fire Department, Peoria, Illinois, wanted to expand their services provided to the city by initiating paramedic ambulances. The fire department provides basic life support care, and saw an opportunity to better serve the community. The problem arose when the lack of a strategic plan by the fire department allowed the private ambulance company to fight and hold onto that service. Historical research of literature, past practices, and first hand experiences were the basis of this research paper. An examination in the methods of strategic planning by the Peoria Fire Department were analyzed and recommendations sought to better serve the department and the city. Questions asked in this study were: 1. Who can best serve the public with emergency medical services? 2. How does pre-hospital care play in the total scheme of HMOs and preferred provider care? 3. How does training, longevity, and service compare between public and private providers of EMS? 4. How would a sound strategic plan help in acquiring any new service for your department? 5. How can a fire department recoup costs when providing some services? Literature searches through the volumes of articles written on this subject and interviews with departments who provide such service allowed for ample justification of the fire based paramedic ambulance. Recommendations were made to develop a sound management style which included strategic planning and employee involvement. Cost recovery was a possibility through patient billing and charges for certain services provided.
Notes:Peoria, IL; Executive Planning; Abstracts for EFO papers are written by the author
Availability:Available on Interlibrary Loan
Copies:
  • c.1: DOCUMENT ROOM - ROOM 209 [Status: IN]
 
 

Cost confusion abounds in fire-based EMS [in "FIRE CHIEF"]

Author(s):Krakeel, Jack J.
Description: In "FIRE CHIEF". v. 42 (11) p. 22-23
Publication Data: November 1998
Identifier/s:OCLC Record No.: 549871508
Type of Item: (JOURNAL) JOURNAL
Subjects:1. COST ESTIMATES 2. EMERGENCY MEDICAL SERVICES 3. FIRE SERVICE MANAGEMENT 4. MODELS
Series Data:EMS viewpoints
Notes:Project Hope, a health policy and research consulting firm, is building a model of EMS transport costs that will be nationally recognized.
Availability:Available on Interlibrary Loan
Copies:
  • c.1: JOURNAL ROOM - ROOM 201 [Status: IN]
 
 

Fire-based EMS makes sense [in "FIRE CHIEF"]

Author(s):Whitehead, Alfred K.
Description: In "FIRE CHIEF". v. 40 (4) p. 40+
Publication Data: April 1996
Identifier/s:OCLC Record No.: 549871368
Type of Item: (JOURNAL) JOURNAL
Subjects:1. EMERGENCY MEDICAL SERVICES 2. FIRE DEPARTMENTS 3. PUBLIC HEALTH 4. SKILLS
Series Data:An EMS roundtable
Notes:A viewpoint of the International Association of Fire Fighters.
Availability:Available on Interlibrary Loan
Copies:
  • c.1: JOURNAL ROOM - ROOM 201 [Status: IN]
 
 

Fire-based EMS: the trend of the future [in "EMERGENCY MEDICAL SERVICES"]

Author(s):Greiff, Scott J.
Description: In "EMERGENCY MEDICAL SERVICES". v. 28 (6) p. 43+
Publication Data: June 1999
Identifier/s:OCLC Record No.: 668413886
Type of Item: (JOURNAL) JOURNAL
Subjects:1. CONSOLIDATION 2. EMERGENCY MEDICAL SERVICES 3. FIRE DEPARTMENTS 4. FIRE SERVICE
Availability:Available on Interlibrary Loan
Copies:
  • c.1: JOURNAL ROOM - ROOM 201 [Status: IN]
 
 

A fire-based hazard/risk assessment [in "FIRE MANAGEMENT NOTES"]

Author(s):Burton, Timothy A., Dether, Deirdre M., Erickson, John R., Frost, Joseph P., Morelan, Lynette Z., Neuenschwander, Leon F., Rush, William R., Thornton, John L., and Weiland, Cydney A.
Description: In "FIRE MANAGEMENT NOTES". v. 59 (2) p. 31-36
Publication Data: Spring 1999
Identifier/s:OCLC Record No.: 610060786
Type of Item: (JOURNAL) JOURNAL
Subjects:1. BOISE NATIONAL FOREST, ID 2. COMPUTER PROGRAMS 3. FIRE MODELS 4. GEOGRAPHIC INFORMATION SYSTEMS 5. RISK EVALUATION 6. WILDLAND MANAGEMENT
Availability:Available on Interlibrary Loan
Copies:
  • c.1: JOURNAL ROOM - ROOM 201 [Status: IN]
 
 

Swiss warehouse fire: based on a report from Brand-Verhutungs-Dienst: the Swiss FPA [in "FIRE PREVENTION"]

Description: In "FIRE PREVENTION". p. 6-7
Publication Data: January-February 1987
Identifier/s:OCLC Record No.: 611377744
Type of Item: (JOURNAL) JOURNAL
Subjects:1. SWITZERLAND 2. WAREHOUSES
Availability:Available on Interlibrary Loan
Copies:
  • c.1: JOURNAL ROOM - ROOM 201 [Status: IN]
 
 
Call Number:

28881

Questions to be answered for integration of advanced life support services in fire-based EMS

Author(s):Dehner, J. Bryan ; Southern Platte. Fire Protection District.
Description: 42 p.
Publication Data:Emmitsburg, MD : National Fire Academy. October 1998
Identifier/s:Accession No.: 92707/ OCLC Record No.: 482912719
Type of Item: (EFO PAPER) EFO PAPER

PDF

URLs are tested and verified at time of data entry.
www.usfa.fema.gov/pdf/efop/efo28881.pdf (1.4mb)
Subjects:1. ADVANCED LIFE SUPPORT 2. EMERGENCY MEDICAL SERVICES 3. FIRE DEPARTMENTS
Series Data:Executive Fire Officer Program. Applied Research Project
Summary/abstract:
  • A duty to serve and an opportunity from growth prompted The Overland Park Fire Department, Inc. to explore an increased level of EMS provision. The problem prompting this research was that there was no clear decision in making a transition of this scope. The purpose of this evaluative research was to develop objective benchmarks to determine if the implementation of advance life support (ALS) within the departments service was prudent. The questions posed were: 1. How receptive is the organization to commit to quality ALS care? 2. What will it cost the customer and organization? 3. Can the organization provide a better level of care than is currently provided? 4. How does the organization intend to implement the increased level of care? The literature review discovered texts and articles debating the provision of fire-based EMS at the ALS level. One survey was conducted to measure the organization's opinion of providing ALS care and what benefit would be provided to the customer and organization. The results indicated that fire-based ALS was an efficient service, both financially and operationally. Response time analysis showed that a substantial impact in patient care is obtainable with advanced airways, medications, and electrical therapy in the hands of first responders. Recommendations included a phased approach to the implementation of advanced life support services; ensuring quality patient care with adequate training, practical experience, and diligent supervision.
Notes:Parkville, MO; Executive Development; Abstracts for EFO papers are written by the author
Availability:Available on Interlibrary Loan
Copies:
  • c.1: DOCUMENT ROOM - ROOM 209 [Status: IN]