FY21 B UDGET H EARING May 21, 2020 Jim Hooley, EMT-P Chief of Department Boston Emergency Medical Services
O VERVIEW FY21 B UDGET H EARING Bosto ton EMS Overview • Bureau of the Boston Public Health Commission • Two-tiered 9-1-1 EMS system ▪ Basic Life Support (BLS) ▪ Advanced Life Support (ALS) • Deployment coverage during peak hours ▪ 22 BLS ambulances ▪ 5 ALS ambulances • 2019 Boston EMS Numbers ▪ Total call volume of 127,802 clinical incidents ▪ 159,346 ALS & BLS ambulance responses ▪ 86,570 total transports • Boston EMS workforce ▪ 425 full-time positions ▪ 399 are uniformed EMTs and Paramedics
2019 B Y T HE HE N UMBERS FY21 B UDGET H EARING • Incidents by Priority ▪ Priority 1: 31,985 (25%) ▪ Priority 2: 59,216 (46%) ▪ Priority 3&4: 36,601 (29%) • Response Times ▪ Priority 1: 6.1 Minutes ▪ Priority 1 Goal: 6 Minutes • Top Incident Types ▪ Illness (31%) ▪ Investigations (20%) ▪ Injuries (12%) ▪ Cardiac Related (10%) ▪ Psychological (8%) ▪ Respiratory (7%)
P ERSONNEL FY21 B UDGET H EARING Sr Command Average of Years of Service For Current Workforce Non Uniform 6% 1% Deputy 3% EMT 9 Captain 3% Paramedic 19 Lieutenant 5% Lieutenant 24 Paramedic Captain 27 12% EMT Deputy Superintendent 30 70% Sr Command 33 Non Uniform 15 0 5 10 15 20 25 30 35
D IV FY21 B UDGET H EARING IVERSITY Language Capacity 40 35 American Indian/Alaska Native 1 9 30 25 16 Asian/Pacitic Islander 15 20 4 15 28 10 7 Black/African American 52 17 15 5 6 0 Hispanic/Latinx 34 2017 2018 2019 2020 English Only 2+ Languages Two or More Races 5 Gender 80% White 294 60% 68% 40% Not Specified 10 32% 20% 0% 0 50 100 150 200 250 300 350 Male Female
T RAINING FY21 B UDGET H EARING • Full-time accredited training academy • Provides continuing education for all uniformed personnel • Rigorous 6-month training program for new EMTs and 3- month internship for paramedics. • Simulation labs • Affordable Basic EMT course open to the public Members of Boston EMS’ Recruit Academy Class 2020 -1
S TA TATIONS & F ACILITIES FY21 B UDGET H EARING
C OMMUNITY A SSISTA TANCE T EAM EAM (S (S Q 80) FY21 B UDGET H EARING Community ty Assis istance Te Team • A non-transport squad unit • Staffed with two experienced EMTs FY FY20 Ex Expansion • Boston EMS Squad 80 Expanded to 7 days per week, adding weekends 2019 Numbers • Responded to 2,589 incidents • Made 383 referrals
N ARCOTIC R ELA TED I LL FY21 B UDGET H EARING LATE LLNESS 4500 3898 4000 3591 3546 3500 2879 3000 2601 2500 2010 1936 1928 2000 1498 1500 1196 1000 500 0 2015 2016 2017 2018 2019 NRI Incident Narcan Given
COVID-19 F FY21 B UDGET H EARING Current Situation in Boston • As of May 20 th , 12,143 COVID-19 cases & 591 deaths in Boston residents • Overall Boston EMS call volume and transports are down; the number of COVID related calls remains steady • Boston EMS has responded to over 7,000 suspected COVID-19 patients. Of which, 2,000 where confirmed COVID positive
COVID-19 F FY21 B UDGET H EARING Personnel Health & Wellness • Personal protective equipment • Source control – mask on every patient • Infectious disease control & testing for personnel • Peer Support • Strict wellness screening policy • Housing
COVID-19 F FY21 B UDGET H EARING Patient Care • 9-1-1 call screening for early identification of COVID-19 related calls • Minimize transmission of virus • Alter patient care practices to reduce aerosolization
COVID-19 F FY21 B UDGET H EARING Medical Surge • Meet the demand for service ▪ Increase response capacity ▪ Maximizing capacity • Reduce the demand for service ▪ Pre-hospital telehealth ▪ Deployment of department physicians
B UDGET FY21 B UDGET H EARING Thank you to the men and women of Boston EMS who continue to rise to the challenge and meet the needs of the City of Boston and its residents every day during this unprecedented time.
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