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<br />Comprehensive Management Study <br />of the Saint Paul Department of Fire and Safety Services Final Report <br /> <br />RISK AND DEMAND <br /> <br />Emergency medical calls account for 79 percent of the total emergency service demand_ <br />False alarms and routine calls for assistance account for 14 percent. Fires are only five percent of <br />the total calls. EMS calls are expected to increase over the next 10 years while fire incidents will <br />remain about the same, as projected for most U.S. cities_ <br /> <br />Saint Paul has a much higher than average rate of EMS calls (per 10,000 population) than <br />do other cities while fire incidents were the second lowest per capita of the 13 communities in <br />the comparison group_ The already high and increasing number of EMS calls is the primary <br />reason to add EMS resources_ To reduce EMS demand per capita similar to other cities, it would <br />be helpful to educate the public. Per capita spending for fire and EMS services was slightly <br />higher than the average of comparison cities while the fire loss slightly under the average. <br /> <br />On average, Demand Zones 7 and 8 experienced the highest number of structure fires and <br />the highest average loss_ Zones 7 and 8 are located on the city's east and west central areas, <br />respectively. Demand Zones I and 10, which are in the city's south central region, experienced <br />the lowest number of structure fires and dollar loss_ A description of each demand zone and the <br />historical losses are provided in the report. <br /> <br />A key consideration for station location and resource deployment are the locations and <br />workloads of the fire and EMS units_ Stations without EMS units have substantially lower <br />workloads than do stations with an EMS unit. The higher workloads for the cross-staffed engine/ <br />medic units is increasing their unit hour utilization (UHU) rate, which is increasing the response <br />time for other EMS calls. Several of the combined engine/ medic units have surpassed 3,000 <br />calls per year and other units will reach this plateau by 2010. Call volumes and workloads of the <br />engines where medic units are not stationed are very low and the seven ladder companies are <br />reasonable; they are expected to remain so through 2020. <br /> <br />FIRE, RESCUE, AND EMS OPERA nONS <br /> <br />As noted earlier the SPDFSS is unique because the same crews staff both fire and EMS <br />units. TriData is not aware of any other metro-size cities that use the same approach. Since the <br />current approach was implemented there have been recommendations and attempts to staff fire <br />and EMS units independently, including a trial program at Station 19_ The trial was plagued by <br />poor implementation, therefore the results were unfavorable. <br /> <br />TriData, a Division of <br />System Planning Corporation <br /> <br />8 <br /> <br />March 2007 <br />