City of Kenosha Fire and EMS Study City of Kenosha FINAL REPORT Needs Assessment Study for City of Kenosha Fire Department Relative to an Additional Fire Station and Medical Rescue Squad Russell Hissom, CPA Partner December 4, 2014 City of Kenosha Fire and EMS Study Table of Contents Project Scope ............................................................................................................................2 Project Background and Methodology ....................................................................................3 Current State Assessment .......................................................................................................8 Department Organization ............................................................................................................. 8 Existing Fire and EMS Facilities and Vehicles ............................................................................. 8 Current Staffing Information ......................................................................................................... 9 Current Service Delivery Profile ................................................................................................... 9 Future State – Potential Adjustments to Service ..................................................................14 EMS Unit Assessment ................................................................................................................ 14 Fire Unit Assessment ................................................................................................................. 14 Approaches to Improving Service Levels and Efficiency within Emergency Response ............ 15 Appendix A ..............................................................................................................................18 Appendix B ..............................................................................................................................20 Appendix C ..............................................................................................................................22 Appendix D ..............................................................................................................................24 Appendix E ..............................................................................................................................31 Preliminary Findings Documents Released ............................................................................... 31 City of Kenosha Fire and EMS Study Final Report Project Scope The City of Kenosha (the “City”) retained the services of Baker Tilly Virchow Krause, LLP (“Baker Tilly”, “we”, or “our”) to conduct an evaluation and needs assessment for an additional fire station and medical unit (ambulance). The City is obligated to ensure that fire and EMS services are provided to its community with the appropriate balance of service level and cost. Recent growth and redevelopment in urban centers as well as growth on the outskirts of the City have raised questions about the current fire station and EMS unit resources. The City commissioned this third party analysis to help in determining whether appropriate resources, specifically med units and fire stations, exist to support emergency response services that meet the current needs of the community. This project concentrated on existing service levels based on historical alarm data of the City’s fire and EMS services that fall under the direction of the City of Kenosha Fire Department (KFD) as they relate to industry accepted standards. A common industry standard utilized by fire and EMS agencies across the country is the National Fire Protection Association (NFPA). This report will draw upon those standards and other best practices in order to help frame the current service response situation and lead the City towards future departmental goals. Prepared by Baker Tilly Virchow Krause, LLP December 4, 2014 Page 2 City of Kenosha Fire and EMS Study Final Report Project Background and Methodology The City of Kenosha Fire Department is comprised of four (4) main Divisions and one (1) Bureau that include the following: > > > > > Suppression Division Emergency Medical Services (EMS) Division Training Division Maintenance Division Fire Prevention Bureau The following is key summary information related to the Department: > The current total service area for the Department is approximately 28.5 square miles > The 2010 census indicated that there were 100,039 persons residing within the City limits > There are a total of six (6) stations that serve the City (numbered 2 thru 7) > There are six (6) fire engine station service areas that correspond to the six (6) stations and cover the entire emergency response area the City is responsible for > There are four (4) emergency medical station service areas that cover the entire emergency response area > There are three (3) ladder truck station service areas that cover the entire emergency response area > The emergency response system is served by 3 hospitals within or close to the city limits (with one being less than 0.25 miles outside limits) > There were approximately 11,384 incidents responded to in 2013 > There are a total of 154 funded positions in the 2014 adopted budget for the Department with 147 of these positions residing in either the Suppression Division (90) or the EMS Division (57). > The Department operates on a three (3) platoon system, with each platoon rotating through shifts that are 24 hours on-duty and 48 hours off-duty > There is a Local 414 Labor Agreement in effect from 2013 through 2015 with the international association of firefighters The goal of this study is to perform a high level of analysis to determine whether the safety response needs of the City population are being met by the current resources available. Specifically, this study will concentrate on the fire and EMS service levels being provided and how they may compare to industry standards and best practices. Ultimately, the decision to add resources such as a medical unit (ambulance) and/or a fire station will be at the discretion of the City. The analytics performed herein are intended to provide guidance in this decision making process. The most direct method in determining the ability of emergency response services to meet public need relates to the time it takes for emergency personnel and resources to arrive at the scene. Other service level issues such as quality of service and outcomes of emergency events are more subjective and more difficult to quantify. For these reasons, this needs assessment will concentrate on emergency response times and how they relate to industry standards and best practices. Prepared by Baker Tilly Virchow Krause, LLP December 4, 2014 Page 3 City of Kenosha Fire and EMS Study Final Report The National Fire Protection Association (NFPA) has published a set of standards identified as NFPA 1221 and NFPA 1710 that address the organization and deployment of fire suppression operations, emergency medical operations, and special operations to the public by career fire departments. These are general criteria for managing resources and systems, such as health and safety, incident management, training, communication, and pre-incident planning. These guidelines serve as the industry accepted standards for high level performance metric evaluation. Specifically, NFPA publishes emergency response time standards that serve as a guide for agencies to benchmark against. It is very important to note the difference between a “standard” and a “code” or “regulation”. A standard does not require compliance, but rather serves to help agencies to benchmark their own expectations, key performance indicators, and response time goals. A code or regulation implies a directive maintained by an authority. This study utilizes these NFPA standards in evaluating the need for an additional fire station and/or medical unit (ambulance). Factors that may create variations in both actual and desired emergency response times compared across communities include but are not necessarily limited to: > > > > > Population demographics and densities Infrastructure variation and distribution Climate Geography / Topography Alarm type distribution In addition to the community-specific characteristics mentioned above, availability of funds for resources is another important consideration when determining emergency response standards. There are costbenefit tradeoffs that community leaders and officials must also include in the decision making processes. Ultimately, the City of Kenosha will need to determine its own service standards for the City’s given characteristics, needs, and available resources. Each individual community must draw conclusions on their ability, desire, and degree to which they will adhere to the NFPA standards in setting that community’s own specific standards and goals. For the purpose of this report, an “alarm” will be defined as an emergency incident that has a request for service which comes from the public safety answering point (PSAP) or dispatcher. Each “alarm” may have multiple responding vehicles. For instance, if one ambulance, one engine, and one ladder truck respond to an “alarm”, there will be three “alarm responses” (or “responses to alarm”) for that specific “alarm” logged with data specific to each vehicle. Data provided for analysis included all responding vehicles as reported by ComSys Inc. via a Cisco data system. Prepared by Baker Tilly Virchow Krause, LLP December 4, 2014 Page 4 City of Kenosha Fire and EMS Study Final Report Alarm data is sometimes broken into four major response types that are made by fire departments: fire incident alarms, EMS alarms, HazMat alarms, and “other” alarms. This report will categorize all alarms by either “fire alarm” or “EMS alarm” in order to simplify the analysis results. Alarms that are sometimes classified as “other” or “HazMat” will be categorized within either fire alarms or EMS alarms. The figure below is taken from NFPA publication and describes the types of alarm categories and resulting response by the fire department. Source: “Fire Service Performance Measures”, NFPA Fire Analysis and Research Division; Jennifer Flynn, 2009 http://www.nfpa.org/~/media/Files/Research/NFPA%20reports/Fire%20service%20statistics/osfsperformancemeasures.pdf Each alarm is generally broken down into the following 5 components in alarm incident development and response timeline. Incident Occurence Call placed to Dispatcher Prepared by Baker Tilly Virchow Krause, LLP December 4, 2014 Alarm Processing Time (APT) Turnout Time Travel Time to Incident Page 5 City of Kenosha Fire and EMS Study Final Report For this study, each alarm was analyzed for the final three of five components: Alarm Processing Time (APT), Turnout Time (TT), and Travel Time. The first two components (incident occurrence and call placed to dispatcher) are within the control of the public, not an agency responsible for dealing with the emergency. Alarm Processing Time is defined as the elapsed time from the time a call for assistance is received at a PSAP until appropriate emergency response units (ERUs) are dispatched (NFPA 1221). Turnout time is defined as the time interval that begins with notification of the emergency response facilities (ERFs) and ERUs by either an audible alarm or visual annunciation or both and ends at the beginning point of travel time (NFPA 1710). Travel time is defined as the time interval that begins when a unit is en route to the emergency incident and ends when the unit arrives at the scene (NFPA 1710). The summation of these three segments will then be analyzed in what this report will define as “total response time”. It is this total response time that is the most important indicator of service level being provided to the public. While it is important to recognize that the Alarm Processing Time is not within the control of the fire or EMS agency, but rather the PSAP agency, this component still contributes to the time between when an emergency is reported and when help arrives on scene. The total response time reflects on fire and EMS departments in terms of the “public eye”. It is important to note that NFPA distinguishes between volunteer fire departments and career fire departments, and has separate standards for each. The City of Kenosha is classified as a career fire department, which NFPA 1710 addresses. A volunteer fire department has a separate set of standards that fall under NFPA 1720, which is not relevant to this study. The City and Kenosha County have been utilizing a joint dispatch service for several decades which is operated by an independent service provider. Aggregated alarm data was provided by ComSys Inc. for analysis and review. The following are important pieces of information in understanding the data analysis methodology: > Aggregated data was analyzed for a time period extending from June 1, 2013 through November 1, 2014 (17 month period) in order to ensure a recent timeframe yet significant sample set. > The data set analyzed concentrated on the 12 primary “front line” units (5 engines, 3 ladder trucks, and 4 med units) as well as the 3 secondary med units identified as Med Unit #2, Rescue #33, and Rescue #44. > Med Unit #2 is only placed into service when 39 FTE (plus 1 battalion chief) are on staff during a shift, given the policy of 3 FTE per unit. Rescue #33 and Rescue #44 are considered backup vehicles. They are only deployed in rare situations or when repairs are needed to one of the “front line” med units. The data shown in this report will reflect on the lower utilization of these units. > The analysis for response time segments does isolate “first-arriving” vehicles (units) in order to accurately assess the effectiveness of the KFD’s service levels. NFPA standards are relevant to these “first-arriving” (on-scene) units and including secondary arriving units would skew data analysis by inflating times. The preliminary working documents completed as part of the project work team’s initial discussion incorrectly included all units rather than isolating “first-arriving” units when comparing response times to NFPA standards (see Appendix E for discussion on changes in analysis methodology from time of preliminary document release to final report release). > Alarms that were not considered to be “emergency” type alarms were excluded from the analysis given that there is not typically a need for immediate response given the lower severity of the incident. These alarm types included: investigations, no burning bans, and “standby at quarters.” Prepared by Baker Tilly Virchow Krause, LLP December 4, 2014 Page 6 City of Kenosha Fire and EMS Study Final Report > Data range parameters were applied to each of the three alarm time segments in order to eliminate outlying data that could have the potential to skew analysis results. Outlying data could be as result of system recording error, personnel data entry or modification error, or extraordinary event circumstances not representative of typical department operations. The following data ranges limit alarm data to: − − − > Alarm Processing Time: Turnout Time: Travel Time: 0 minutes to 4 minutes 0 minutes to 4 minutes 0 minutes to 20 minutes The City of Kenosha has service agreements with both UW Parkside, just north of the City limits and with the Town of Bristol, just west of the City limits. Service calls made as part of these agreements are included in the alarm data analysis. Prepared by Baker Tilly Virchow Krause, LLP December 4, 2014 Page 7 City of Kenosha Fire and EMS Study Final Report Current State Assessment Department Organization The current organizational structure of the KFD consists of four divisions and one bureau. Overseeing the divisions and bureau are the Fire Chief and Deputy Fire Chief (see Appendix A for Organizational Chart). > > > > > Emergency Medical Services (EMS) Division (1 Division Chief) Training Division (1 Division Chief) Maintenance Division (1 Supervisor) Fire Prevention Bureau (1 Division Chief and 1 Assistant Division Chief) Suppression Division (3 Battalion Chiefs) Existing Fire and EMS Facilities and Vehicles There are 6 stations that serve as the infrastructure and support system of these divisions. Each station has an associated “emergency station service area” (numbered #2 thru #7) associated with it (see Appendix B for Station Service Area Map). There is no Station Service Area 1 since Station 1 has been retired as a fire station and is now the City’s administration building. These 6 station service areas comprise the main emergency response coverage area of the KFD. Within the total response area of the City are the following specific emergency resource station service areas: > > > Medical Station Service Areas #3, #4, #5, and #7 (4 total) Engine Station Service Areas #2, #3, #4, #5, #6, and #7 (6 total) Ladder Truck Station Service Areas #3, #4, #7 (3 total) Each specific emergency station service area group (medical, engine, and ladder truck) covers the entire emergency response area, yet has different coverage areas assigned to those numbered station service areas. In other words, the three (3) ladder truck station service areas cover the same total area as the six (6) engine station service areas. While there is “assigned” coverage for each station service area, it should not be assumed that the units associated with those station service areas only serve the same numbered station service area. The emergency response efforts work as an integrated system and units often travel outside of their station service areas to provide service. The vehicles associated with each specific station service area are as follows: Station Service Area Engine Ladder Truck Med Unit Rescue 2 Engine #2 3 Engine #3 Ladder Truck #3 Med Unit #3 Rescue #33 4 Engine #4, Engine #44 Ladder Truck #4 Med Unit #4 Rescue #44 5 Engine #5 6 Engine #6 Engine #55 7 Med Unit #2 Other MERV #1 MERV #2 Med Unit #5 Ladder Truck #7 Prepared by Baker Tilly Virchow Krause, LLP December 4, 2014 Med Unit #7 P-19 Page 8 City of Kenosha Fire and EMS Study Final Report Current Staffing Information The 2014 adopted budget included 154 funded full time equivalent (FTE) positions for the KFD (see Appendix C for Funded Full-Time Positions). The 154 FTE positions include 90 FTE for Suppression and 57 FTE for EMS for a total of 147 FTE that contribute directly to fire and EMS services on a daily operational basis. At the time of the study, there were approximately 10 vacancies within the KFD. Hiring of personnel within the KFD is coordinated so that multiple new staff members can be trained simultaneously in order to achieve economies of scale. Training of new KFD members is an expensive process and requires significant time commitment from KFD instructors. It is also up to the Department and City to determine the need to fill vacancies, which are often created by retirements or forced separations. A detailed staffing analysis was not within the scope of this study. The KFD operates on a 3 platoon system whereby the workday of a typical emergency response FTE consists of twenty-four (24) hours on continuous active duty followed by forty-eight (48) hours off duty. There is a 52.32 hour per week per employee when accounting for work reduction days. Each FTE receives 8 work reduction days, 4 holidays, and between 9 and 11 vacation days. Sick time is unlimited. The 5 primary engines, 3 ladder trucks, and 4 primary med units result in 12 “front line units” being staffed at all times. Given the City policy to staff a minimum of 3 personnel on each responding “front line” unit, the minimum staffing to support these 12 “front line” units during any particular shift is 36 FTE plus a battalion chief (37 total). If sufficient staff exists, med unit #2 is staffed to provide additional EMS capability. This would require a minimum of 39 FTE plus a battalion chief (40 total). Med Unit #2 only participated in 103 of the 24,629 EMS unit alarm responses. Note that in a “best case” scenario, when there are no FTE on leave, the total personnel per shift for a platoon is 48 FTE. Current Service Delivery Profile As described in sections above, the primary industry benchmark that KFD service delivery was compared to is the NFPA 1221 and 1710 standards for “alarm processing time”, “turnout time”, and “travel time”, which in aggregate make up what is defined in this report as the “total response time.” These response time segments will provide an effective measure of the KFD’s ability to serve the community, especially as it relates to a leading industry organization’s defined benchmarks. It is important to reiterate that these are standards and not codes or requirements. While NFPA specifies standards for “percent less than” metrics, it is also important to review averages for alarm time segment response. The NFPA standards for travel time shown in the table below represent recommendations for the “first 1 responder with automated external defibrillator (AED)” to EMS incidents . The guidelines also indicate that when advanced life support (ALS) is provided, this response unit should adhere to an 8-minute travel time, assuming that the first responder with AED (considered the BLS responder) has adhered to the 4 minute travel time. NFPA time standards for fire response are based on fire propagation curves with consideration for time to flashover stage and potential spread to surrounding buildings. NFPA time standards for EMS response are based on the maximum amount of time a patient in cardiac arrest can survive without intervention. Therefore, it is important that the data analysis isolates the first-arriving unit capable of providing service that will appropriately handle fire and EMS emergencies. These standards were developed based on a 10-year process involving empirical data and real-world experience. Additionally, the Commission on Fire Accreditation International (CFAI) utilizes these NFPA defined standards as benchmarks in determining accreditation approvals. However, this does not mean that an agency necessarily must adhere to all standards in order to receive accreditation. The data analysis 1 Note that this report has redefined “first responder” as “first-arriving unit” to clarify that arrival on scene is a more appropriate measure when discussing “total response time” Prepared by Baker Tilly Virchow Krause, LLP December 4, 2014 Page 9 City of Kenosha Fire and EMS Study Final Report summary table below provides a snapshot of the 3 major time segments. Times depicted by X:XX represent duration in minutes and seconds. Alarm Time Segment Fire Alarms (Incidents) KFD Alarm Processing Time Turnout Time 23% < 1:00 NFPA Standard 80% < 1:00 (Avg. of 1:30) 29% < 1:20 78% < 4:00 90% < 1:20 62% < 6:20 33% < 1:00 NFPA Standard 80% < 1:00 23% < 1:00 90% < 1:00 (Avg. of 1:25) 90% < 4:00 (Avg. of 3:05) Total Response Time KFD (Avg. of 1:15) (Avg. of 1:39) Travel Time EMS Alarms (Incidents) 87% < 4:00 90% < 4:00 (Avg. of 2:38) 90% < 6:20 * (Avg. of 6:12) 73% < 6:00 90% < 6:00 * (Avg. of 5:17) The full results of this analysis with a breakdown on an individual vehicle (unit) basis are available in Appendix D. A few observations about the summary data in the above table include the following: > The “Alarm Processing Time” (APT) for both fire and EMS alarms falls short of NFPA standards. The KFD does not have any direct control of this time segment given that it relies on the capabilities of the dispatch center from the time an alarm is called in until the time the KFD is notified of the incident. > The “Turnout Time” for both fire and EMS alarms falls short of NFPA standards. The department does have complete control over this time segment and making attempts to improve these numbers can be done with little to no capital investment, but rather additional training and department policy adjustments. > The “Travel Times” for both fire alarms and EMS alarms are very close to meeting NFPA standards. This is especially important given that improvements to this time segment could require heavy capital investments related to additional resources (staff, infrastructure, and/or vehicles). > Improvements to “Alarm Processing Time” and “Turnout Time” will have significant impact in moving towards the 90% of alarms meeting 6:20 and 6:00, fire and EMS respectively, goals. It is important to note that NFPA does not actually publish standards for “Total Response Time” but one can infer from the summation of the three associated time segments that it would be very close to those listed in the table above *. In reviewing the more detailed analysis on a per vehicle basis (see Appendix D), the following observations are of significance in understanding and interpreting emergency response service levels and ultimately making decisions about the potential need for adjustments to standard operating procedures and/or additional resources: Prepared by Baker Tilly Virchow Krause, LLP December 4, 2014 Page 10 City of Kenosha Fire and EMS Study Final Report Fire Alarms (Data for 6/1/2013 through 11/1/2014) > Of the 4,117 vehicle responses to alarms, approximately 1,786 were “first-arriving” vehicles (indicating “unique” alarms) that were analyzed. This indicates that on average, there were roughly 2.3 units that responded to each alarm. Of the first-arriving units, 18.6% were med units or rescue units, 59.5% were engines, and 21.9% were ladder trucks. > Due to the reporting format of the data, it was not feasible to discount med units as “first-arrivers” (18.6% as stated above) and replace them with the first-arriving ladder truck or engine. This is important to note since med units do not have fire suppression capabilities. A completely effective analysis on “first-arriving” fire suppression units would remove med units and default to the firstarriving suppression unit. However, a med unit on scene at a fire incident can respond to EMS needs of victims and do provide significant value, which varies with each incident. > Ladder Trucks #3, #4, and #7 were first-arriving units in 21.9% of the incidents and had travel times that were nearly 2 minutes longer on average than the engine units. Ladder Truck #3 and Ladder Truck #4 have Engine #3 and Engine #4 within their station service areas (same station location); however Ladder Truck #7 is not paired with an engine at Station #7. Turnout times of ladder trucks also tend to be higher than engines, which is not unusual given logistical issues related to mobilizing a larger vehicle. > Response time segments for each individual vehicle do not indicate the location of the alarm that the vehicle is responding to. For instance, while Ladder Truck #3 and Ladder Truck #7 have the longest average travel times compared to other units, it is not known what percent of the incidents they are responding to fall within each of the various station service areas. If Ladder Truck #7 is responding to a large portion of its alarms that fall outside Station Service Area 7, then it is expected that travel times will be longer than other units. EMS Alarms (Data for 6/1/2013 through 11/1/2014) > Of the 24,629 vehicle responses to alarms, approximately 13,994 were “first-arriving” vehicles (indicating “unique” alarms) that were analyzed. This indicates that on average, there were roughly 1.8 units that responded to each alarm. Of the first-arriving units, 62.8% were med units or rescue units, 33.9% were engines, and 3.3% were ladder trucks. > Engines and Ladder Trucks have BLS support capabilities and so it is appropriate to include these units in the first-arriving data analysis. > The average travel time for all vehicles was 2:38. Most units had average travel times that fell within about 30 seconds (plus or minus) of this average with the exception of Med Unit #7 at 4:06 and Ladder Truck #7 at 3:54. As mentioned in the section above related to fire alarm incidents, it is not clear what percent of the alarms that these units responded to are geographically located within Station Service Area 7. More than likely, a significant factor contributing to the higher than average travel times is related to these vehicles responding outside of Station Service Area 7, especially given the shape of the City geographical coverage (see Appendix B). Prepared by Baker Tilly Virchow Krause, LLP December 4, 2014 Page 11 City of Kenosha Fire and EMS Study Final Report Unit Hour Utilization (Data for 6/1/2013 through 11/1/2014) UHU is an industry measure most often analyzed for EMS vehicles to determine their utilization as it relates to total available time. It is calculated by dividing the total time a unit is on a response to an alarm into the total time the unit is available for service. For this study, it was assumed that each med unit is available 24 hours a day, 365 days a year. Raw data was provided for each alarm that a unit responds to with time of day for “enroute” to an alarm and “back-in-service” when the alarm has been cleared by the unit. Summing all these time differences for each individual alarm (Back-in-Service minus Enroute) for each unit will provide a total time that the unit is occupied on an alarm over a given timeframe. The table below summarizes UHU for each Med Unit and Rescue Unit over the same 17-month period that response time was analyzed. While response times isolated “first-arriving” units and only considered “emergency” alarms, UHU considered all alarms that units responded to (“responses to alarms”) since the measure must include each second of time that the unit is being utilized on an alarm. It must be noted that not all alarms included data sufficient to determine total time a unit was occupied on an alarm. Of the 15,191 alarms associated with Med Units or Rescue Units during the 17-month period, only 14,000 of those alarms (92%) included sufficient data to include in UHU calculations. It was necessary to have both the “enroute” time and the “back-in-service” time. There were 1,191 alarms that did not have both times available in the data set, and were not included in the analysis. This results in slightly understated UHU percentages for units. An attempt to account for this lack of data could be as follows: > Assume that the missing alarm data for UHU calculations is representative of the average calculated UHU > Reduce the “total time the unit is available” to 92% of 24 hrs. x 365 days x (17 months / 12 months) = 11,417 hrs. > Considering Med Units #3, #4, #5 and #7 only, multiply (11,417 hrs. / vehicle) x 4 vehicles = 45,669 hrs. > Divide “Total Service Time” by “total available time” = 8128 hrs. / 45,669 hrs. = 17.8% UHU > This is slightly higher than the 16.3% UHU shown in the table below Unit Hour Utilization for Fire and EMS Alarms Responses: Percent of Time Unit is "In-Use" (Enroute - Back in Service) Total Service Alarm Responses (each) Total Service Time (min) Avg. Service Time (min) UHU Med 2 Med 3 Med 4 Med 5 Med 7 Rescue 33 Rescue 44 102 5,148 3,293 4,281 1,120 34 22 63:33:08 2792:57:53 1987:27:07 2649:45:45 698:10:59 16:49:32 12:47:56 0:37:23 0:32:33 0:36:13 0:37:08 0:37:24 0:29:42 0:34:54 0.5% 22.5% 16.0% 21.3% 5.6% 0.1% 0.1% Meds 3,4,5,7 All Med & Rescue 13,842 14,000 8128:21:44 8221:32:20 0:35:14 0:35:14 16.3% 9.4% Prepared by Baker Tilly Virchow Krause, LLP December 4, 2014 Page 12 City of Kenosha Fire and EMS Study Final Report As explained previously, Med Unit #2, Rescue #33, and Rescue #44 are not primary or “front line” units and are not staffed full time. Med Units #3, #4, #5, and #7 are the “front line” units and staffed full time. UHU targets vary significantly by department and depend highly on the total responsibilities assigned to staff as well as the target response times. Discussions with KFD Chiefs indicated that staff spend substantial time during the day on activities such as public education, apparatus and station maintenance, fire inspection, and training. There are no published industry standards for UHU. Communities often choose to have lower UHU targets in order to improve response times and ensure the public is receiving adequate service levels. Review of various studies of emergency response agencies revealed that UHU can range from 10% to 25% even though these studies tend to suggest that “efficient” UHU measures should be in the 25% to 40% range. Larger cities will often have UHUs of 40% or even higher. Additionally, private industry has been known to use 45% as a threshold for adding new ambulances. UHUs variance is a result of many factors including, but not limited to hospital accessibility, agency staff responsibilities, response policies for med units by alarm type, and target response times. The City should identify an acceptable level of UHU for its med units and manage to that standard. Station Location and Coverage The six (6) stations are located throughout the geography of the City as to adequately serve each station service area assigned to the station (see Appendix B). The scope limitations of the study did not allow for a detailed routing and geographical response analysis. However, the analysis of the response times provides an appropriate measure of the ability of the “front line” units to serve the community. Since the primary units act as a system in responding to alarms, there is no simple method for determining whether stations are optimally situated within the City limits. This would be a separate study on its own. Med units, engines, and ladder trucks work together to serve the City in aggregate and each unit is in no way limited to serving the station service area associated with its particular station. This is especially true in the more densely populated portions of the City. For instance, Med Unit #3 finishing a response to an alarm located in the northwest corner of station service area 3 may be better positioned to answer an upcoming alarm in southern station service area 5, eastern station service area 4, or southern station service area 6 than any of the respective med units associated with those station service areas. This is due to the fact that a unit already mobilized in the field does not need the turnout time required for a unit parked in a station facility. This coverage model is actually required to create efficiencies throughout the service response system. Planned Development Considerations There is planned development within Station Service Area 7 that includes a 280 unit residential development (mostly 2 and 3 bedroom units) near 71st St and 125th Ave (just west of I-94) and a 6.5 million square foot (9 buildings) industrial park in the same area. This development area is located in the southwest corner of Station Service Area 7. A very high level “rule of thumb” when considering alarm data within a community is that on an annual basis there are approximately 100 alarms for every 1,000 people. The City falls into this range per the data set analyzed as part of this study. Potential alarm data increases from the residential units could be estimated at 280 units x (3 people / unit) x (1 alarm / 10 people) = 84 alarms annually. Additional alarms generated from the industrial park are much more difficult to estimate. However, even if these 9 buildings generated a total of 100 alarms annually, the total additional alarm count is less than 200 per year. Given that this is only “planned” development at this time and that 200 additional potential alarms would be located in a less densely populated region of the City, there are no indications at this time related to additional resource needs. This may change as development in this area continues. Prepared by Baker Tilly Virchow Krause, LLP December 4, 2014 Page 13 City of Kenosha Fire and EMS Study Final Report Future State – Potential Adjustments to Service EMS Unit Assessment The alarm data shown in Appendix D provides powerful insight into the service levels provided in EMS alarm situations. The average total response time of 5:17 and average travel time of 2:38 indicate high levels of service are being provided to the community. Perhaps most impressive is that 87.3% of alarms have a travel time of 4:00 or less. While the total response time falls slightly short of 90% of alarms under 6:00, improvements in the alarm processing time (ATP) and turnout time (TT) segments could narrow this gap. The KFD and the City should work with the dispatcher to determine why NFPA standards for ATP are not being met and what can be done to remedy this situation. Additionally, internal policy and controls can be explored in order to attempt to reduce turnout time. A study funded by NFPA and performed by 2 the Fire Protection Research Foundation received responses from 14 departments across the nation that varied in population from 23,000 to 2.5 million. Within a data set of 115,206 EMS alarms, it was found that only 54% of alarms were recorded with turnout times of 60 seconds or less (NFPA standard) and it took 109 seconds to reach the 90% level defined by NFPA. The most important time component in terms of determining a need for additional resources is the travel time. Each of the ladder trucks and Med Unit #7 have the highest “first-arriving” unit travel times and total response times of all the “front line” units. This is not unexpected given several key factors. The following observations should be given strong consideration prior to making conclusions about potential need for additional resources. > This study did not analyze response times within station service area geographies but rather analyzed response times by responding unit. The analysis does not speak to specifics of response times for alarms within individual station service areas. > Higher travel times are expected for Med Unit #7 given that travel distances are greater both within Station Service Area 7 (given the large coverage area of the station service area) and outside of Station Service Area 7. > Ladder Trucks are expected to have slower response times given the size of the vehicles and lower utilization indicating they are less likely to be dispatched from the field and more likely to be parked within a station. Fire Unit Assessment The average total response time of 6:12 and average travel time of 3:05 indicate high levels of service are being provided to the community. At 77.7% of alarms with a travel time of 4:00 or less, the KFD is close to meeting the NFPA standards (90% less than 4:00). As mentioned above for the EMS results, improvements to APT and TT will narrow the gap between total response time of the KFD and the NFPA standards. The same study funded by NFPA mentioned above analyzed a data set of 22,564 fire alarms and it was found that only 60% of alarms were recorded with turnout times of 80 seconds or less (NFPA standard) and it took 123 seconds to reach the 90% level defined by NFPA. The same observations made in the section above for EMS alarms are applicable to fire alarm response times. There are no real “surprises” in the response analytics for any specific unit. 2 Quantitative Evaluation of Fire and EMS Mobilization Times; The Fire Protection Research Foundation, May 2010; pg. 40 Prepared by Baker Tilly Virchow Krause, LLP December 4, 2014 Page 14 City of Kenosha Fire and EMS Study Final Report Approaches to Improving Service Levels and Efficiency within Emergency Response The results of this study did not find conclusive evidence of an immediate specific need for additional resources (units or stations). However, each community must make decisions about the appropriate and desired level of service. It is not suggested that fire departments rely solely on NFPA standards to determine whether emergency response is efficient and effective. As with any municipal resource decision, there are cost-benefit considerations that must be weighed. A department could add resources (staff, stations, vehicles, etc.) until NFPA standards are met, however that would not likely result in a cost effective and efficient operation. In fact, while the Commission on Fire Accreditation International (CFAI) utilizes these NFPA defined standards as benchmarks in determining accreditation approvals, not every accredited agency meets all the standards of NFPA. The following are suggested methods for improving service levels and/or department efficiency: > > Determine whether existing FTE staffing levels could support more frequent use of underutilized med units. The increased staffed time of a med unit would reduce total response times of the “system” regardless of where this unit is stationed. The KFD can strategize about where this “5th” primary med unit should be stationed based on current unit response times, current unit alarm volumes, and other logistical factors identified by KFD chiefs and managing City staff. This type resource modification likely means revisiting existing policies and employee agreements including, but not limited to: − 3 FTE per Med Unit: Reducing the number of personnel on med units to 2 for certain types of alarms or situations might help contribute to the effort of adding a med unit into the “front line” fleet. It is not typical in the industry to staff med units with 3 FTE responders, but rather 2 FTE per med unit is most common. The advantage to 3 FTE per med unit is that the majority of medical alarm incidents can be serviced with 3 FTE, which would prevent the need for a second emergency responding vehicle. While a policy of 2 FTE per med unit would require the dispatch of a second unit for more serious medical alarms, it would ensure that excessive staff is not dispatched for the lower level alarms that only require 2 FTE, not 3 FTE. Given that the KFD medical alarms averaged 1.8 vehicles per alarm, it seems that most incidents are currently serviced with 2 vehicles. For this reason, consideration should be given to the effects of staffing policy revisions that reduce staff per med unit to the more industry common 2 FTE.. − Review of the “unlimited” sick time leave clause in the collective bargaining agreement. The KFD can analyze sick time days within the Department and determine how it compares to expectations and even other similar sized departments. This can be done by conducting a survey among other departments or researching existing studies performed on sick time in emergency response municipal departments. This internal review process should highlight staffing “availability” analysis in order to determine the percent of time staffing levels meet the service level needs of the community. The purpose of the study would be to reveal whether operational efficiencies could be achieved by modifying sick time policy. Review departmental policies and procedures related to dispatching multiple units: − There may be opportunities to reduce the number of units responding to emergencies depending on the classification of that emergency. As discussed above in the “Current Service Delivery Profile” section, there were an average of 2.3 vehicles responding to fire alarms and 1.8 vehicles responding to medical alarms. If the KFD continues with the policy of staffing each vehicle with 3 FTE, consideration should be given to limiting the frequency with which lower level alarms (i.e. BLS) are responded to with more than one vehicle, especially when that vehicle is not a med unit. Prepared by Baker Tilly Virchow Krause, LLP December 4, 2014 Page 15 City of Kenosha Fire and EMS Study Final Report − > Of the 10,573 EMS alarms responded to by engine or ladder truck units in the data set, only 5,199 of them were “first-arriving” units. This indicates that there were 5,374 alarms where engines and ladder trucks were not “first-arriving” units, which is 22% of the total 24,629 EMS alarm calls within the data set. While these engines and ladder trucks may nd have been necessary “2 responders” in advanced life support (ALS) type alarms, there nd were likely many instances where they responded as “2 responders” in basic life support (BLS) type alarms. It is also interesting to point out that Ladder Truck #3 and Ladder Truck #4 combined for 944 alarm responses to EMS alarms. Given that these ladder trucks have both an engine and a med unit located within their station service area, there may be opportunities to reduce their involvement with EMS alarms. Seek methods to reduce response time segments by modifying policy or procedure on responding units: − Average total response times for “first responding” ladder trucks were more than 2 minutes longer than engines. There were 312 alarms where Ladder Truck #3 or Ladder Truck #4 was a “first-arriving” unit to a fire alarm. This constitutes 17% of the 1,786 fire alarms from the data set. There may be opportunities to reduce the number of times a ladder truck is a first-arriving unit, especially given that Engine #3 and Engine #4 are within these same station service areas. If the ladder trucks are currently intentionally being used to respond to certain types of alarms because of equipment installed only on those trucks, consideration must be given to moving or adding this equipment to vehicles that may instead respond to these alarms. − Some departments have found innovative ways to effectively respond to lower level emergencies (low level BLS) with faster, cheaper vehicle alternatives. This can involve the use of a reduced capability med unit or even modified “suburban” type vehicle. This practice is currently most common outside of the U.S., but is becoming more popular with U.S. fire and EMS departments interested in reducing capital costs and operating costs. The main goal of this initiative is to send the right type of vehicle to the right type of call. This will result in reduced costs associated with operation and “wear and tear” on larger vehicles when it is not necessary. This strategy is most effective when combined with cross-staffing of vehicles, which can be limited by employee agreement terms. − As mentioned earlier in the report, the department can work with dispatch to reduce alarm processing times. − As mentioned earlier in the report, internal standards can be put in place in attempt to reduce turnout times. This may require additional training and adjustments in culture. − Cross-staffing of equipment would allow for more flexibility to utilize the appropriate and available units given specific alarm needs. This can be both a cost and time saving methodology but may require revisions to collective bargaining agreements. − Develop a plan to work towards CFAI accreditation. This would help in the implementation of revised policies by providing incentive to work towards improved service levels with the KFD’s given resources. The City should consider the cost-benefit of the accreditation process. There are opportunities to implement CFAI accreditation strategies and participate in CFAI sponsored industry events without fully committing to accreditation. Prepared by Baker Tilly Virchow Krause, LLP December 4, 2014 Page 16 City of Kenosha Fire and EMS Study Final Report − The recommendation of this report is that the KFD and City work to make revisions to existing policies, procedures, and employee agreements in a first attempt to improve what are already high levels of service. There are certain unit response times, as noted above in this report, that have room for improvement when compared to the system operation as a whole. The recommendations in the report concentrate on using more effective and efficient methods of existing resources to provide cost-effective solutions. It is not clear from the results of the study that there is an immediate need for additional resources but rather a need to reconsider existing operating methodology. Prepared by Baker Tilly Virchow Krause, LLP December 4, 2014 Page 17 City of Kenosha Fire and EMS Study Final Report Appendix A Prepared by Baker Tilly Virchow Krause, LLP December 4, 2014 Page 18 Page 19 City of Kenosha Fire and EMS Study Final Report Appendix B Prepared by Baker Tilly Virchow Krause, LLP December 4, 2014 Page 20 AVENUE 25TH AN R O AD) 2" (S HERID S.T.H . "3 CT. AVENUE 15TH 16TH AVE. 12TH AVEN UE 15 TH 15TH AVE. . AVE AVE. AVE. 13TH AVE. G 8TH AVE. AVE. DRIVE ED Y KE N N 4TH 4TH AVE. "A " 6T H 8TH AVE. 7TH AVE. 5TH AVE. 2ND AVE. 7TH AVE NU E 6TH AVE. 1ST AVE. 3RD AVE. CT. 5TH AVE. AVE. 8TH 7TH CT. 9TH CT. 5T H 7TH AVE. 8TH CT. 2ND AVE. 10TH AVE. 11TH AVE. 10TH AVE. 14TH AVE. 12TH AVE. AN RD.) S.T.H. "32" (SHERID 14TH AVE. AVE. 7TH AVE. 12TH 14TH AVE. 2N D AV E . 85TH ST. 14TH AVE. 86TH SH O RE DR IV E LA K E 3R D AV E . AV E. 15TH 16TH 3RD AVE. Truck 3 91ST PL. 91ST PL. 11TH AVE. 92ND ST. 92ND PL. 93RD ST. 93RD ST. 95TH ST. . "32 S.T. H 3RD AVE. 94TH ST. 4T H AV E. 11TH AVE. 1ST AVE. ST. 93 RD ST . 14TH AVE. 15TH AVE. AVE . 5T H 17TH AVE. STREET " 24TH R 90TH 90TH ST. (SHERIDAN RD.) O K 87 TH PL . 88TH ST. 89TH PL. 16TH AVE. (22ND AVE.) C.T.H. "ML" BR AVE. 24TH AVENUE 26TH AVE. 27TH AVE. 20TH AVE. 29TH CT. SP NG RI O 88TH PL. 90TH ST. 91ST PL . 87 TH ST. 88TH ST. D. 86TH PL. ST. 86 TH 2N D AV E . AVE. 15TH AV E. AV E. 17TH AVE. 8TH AVENUE S.T.H. "32" (SHERIDAN RD.) 13TH AVE. 12TH AVE. 13TH AVE. 12TH AVE. 13TH AVE. 14TH AVE. 16TH AVE. 15TH AVE. 17TH AVE. 18TH AVE. AV E. 19TH AVE. 18TH 20TH AVE. 5T H 6TH 7TH AVE. 10TH AVE. 10TH AVE. 13TH AVE. 13TH CT. 14TH AVE. 15TH AVE. 16TH AVE. 17TH 19TH AVE. 20TH AVE. 21ST AVE. 22ND AVENUE 83RD ST. 87TH PL. 87TH PL. 29TH AVE. CT . 99TH ST. 33 RD AVE. 98TH PL. 3RD AVE. AVE. 10TH 11TH 11TH AVE. AVE. 13TH 13TH CT. 14TH AVE. 18TH AVE. 20TH AVE. 21ST AVE. AVE. 22ND 26TH AVE. AVE. 14TH AVE. 13TH AVE. AVE. 16TH 17TH AVE. AVE. 18TH AVE. 18TH AVE. 22ND 23RD AVE. 25TH AVE. CT. 25TH 7TH AVE. AVE. 17TH 18TH AVE. 19TH AVE. 19TH 20TH AVE. 20TH AVE. 21ST AVE. AVE. 23RD AVE. 23RD AVE. 25TH AVE. 24TH AVE. N SO 26TH AVE. 20TH AVE. 21ST AVE. 22ND AVE. 23RD AVE. 24TH AVE. 24TH AVE. 25TH AVE. 26TH AVE. 26TH AVE. BU CH RO 25TH CT. AN AD RO AN 25TH AVE. AD RO AD 24TH AVE. 27TH AVE. 27TH AVE. O LN HN JO 27TH AVE. 30TH AVENUE 21ST AVE. 27TH AVE. LI NC 28TH AVE. 30TH AVE. 31ST AVE. 31ST AVE. 32ND AVE. 15TH AVE. 23RD AVE. 24TH AVE. 25TH AVE. 25TH AVE. 26TH AVE. 28TH AVE. 28TH AVE. 29TH AVE. 28TH AVE. 31ST AVE. AVE. 31ST CT. 32ND AVE. 33RD AVE. 33RD AVE. 34TH AVE. 14 TH 17TH AVE. AVE. 18TH 19TH AVE. 20TH AVE. 19TH 21ST AVE. AVE. 26TH AVE. 29TH AVE. 28TH 29TH AVE. 29 TH AV E. 30TH AVE. 32ND AVE. 32ND AVE. 33RD AVE. 33RD 34TH AVE. 35TH AVE. 16TH 21ST AVE. 24TH AVE. 25TH AVE. 23RD AVE. 22ND AVE. 26TH AVE. 28TH AVE. 29TH AVE. 30TH AVENUE 30TH 30TH AVE. 31ST AVE. 33RD AVE. 33RD AVE. 34TH AVE. 16TH AVE. 17TH AVE. 18TH AVE. 19TH AVE. AVE. 23RD 22ND AVE. 28TH AVE. 24TH AVE. 23RD AVE. 31ST AVE. 31ST AVE. 32ND AVE. 34TH AVE. AVE. 36TH AVE. AVE. 38TH AVE. 19TH AVE. 17 17TH TH CT CT. . 17TH AVE. 19TH AVE. 21ST AVE. 21ST AVE. AVE. 21ST AVE. 25TH AVE. 27TH 28TH AVE. 22ND AVE. 26TH AVE. AVE. C.T.H. "G" (30TH AVENUE) 23RD AVE. AVE. 24TH AVE. 28TH AVE. 31ST 32ND AVE. 33RD AVE. 34TH AVE. 34TH AVE. 35TH AVE. 35TH AVE. 35TH 35TH CT. 35TH AVE. 36TH AVE. 37TH AVE. 37TH AVE. 18TH 18TH AVE. C.T.H. "Y" 22ND AVENUE AVE. AVE. AVE. 29TH 29TH 33RD AVE. 33RD AVE. 34TH AVE. 34TH AVE. 35TH AVE. 35TH AVE. 36TH AVE. 36TH AVE. 39TH AVENUE AVE. 41ST . 82 ND ST H 96 T 97TH ST. ST. ST. 80TH ST. 94TH PL. . CT. 47TH C.T.H. "EZ" (39TH AVE.) C. T. H ." M L" (S PR IN GB RO OK 33RD RD .) 49 TH E. 98TH ST. 79TH ST. 98TH ST. E DR. E. 97 TH . ST 78TH ST. E. STREET 43 RD TH 95 87TH ST. 77TH ST. 77TH ST. LA KE SH OR STRE ET 93RD STREET 84TH ST. 84TH PL. 89TH STREET AVE PL. Med-3 84TH ST. 90TH ST. 90TH PL. 83RD ST. PL. 41 ST A VE . 43RD CT. 96TH ST. Fire 82ND ST. ST. 76TH ST. 73RD ST. 74TH ST. 3R D AV E. 51ST CT. AVE . 24TH 25TH AVE. AVENUE 27TH 26TH AVE. 29TH 34TH AVE. CT. 34TH 35TH AVE. 37TH AVE. AVE. 37TH AVE. 38TH 40TH AVE. 41ST AVE. 88TH 2 74TH ST. 8T H AV E. 20TH AVE. 25TH AVE. AVE. 29TH 34TH 37TH AVE. 38TH AVE. 38TH AVE. AVE. 40TH 42ND AVE. 41 ST AV E. CT. 42ND TH 86 . PL 84TH ST. 73RD ST. . AVE 11T H 72ND AVE. 20TH AVE. AVE. 27TH 28TH CT. C.T.H. "G" AVENUE CT. 29TH 32ND AVE. CT. 30TH 32ND AVE. AVE. 27TH 35TH 35 TH AVE . CT. 34TH AVE. 36TH AVE. 36TH 35TH AVE. 36TH AVE. 36TH AVE. 37TH AVE. AVE. H 38 T 39TH AVENUE 40TH AVE. 41ST AVE. PERSHING 41ST AVE. AVENUE 43RD . 86 TH ST . DR GE . AVE 98TH ST. 95TH E. AV 99 T H 94 T PL H . LE 99TH (22ND AVENUE) 29TH AVE. (30TH AVE.) AVE . 38TH AVE. 37TH AVE. AVE. AVE. 37TH 38TH AVE. 39TH AVE. AVE. 40TH 40TH AVE. 42ND ST. 43RD AVE. BLVD. 43RD AVE. AVE. 42ND 42ND AVE. 42ND AVE. AVE. 43RD 44TH AVE. 43RD AVE. 96 T ST H . TH 48 E . AV LA VIL . CT DR IV E 37TH 39TH AVE. 40TH AVE. 41ST AVE. 42ND ST. 44TH AVE. AVE. 43RD AVE. 44TH 47TH 46TH AVE. 45TH AVE. 47TH AVE. 46 TH AVE. 45TH AVE. 48TH AVE. 48TH AVE. AVE. FA R M S 97TH ST. 40TH AVE. 41ST AVE. 42ND AVE. PRIVATE PRIVATE AVE. 45TH 46TH AVE. 47TH AVE. 46TH AVE. AVE. 49TH AVE. AVE. 50TH AVE. 54TH AVE. AVE. 62ND CIRCL E 60TH 66TH COOPER ROAD 94 TH ST . 93RD PL. 88 TH 38TH CT. 38TH AVE. 43RD AVE. 42ND AVE. AVE. AVE. 44TH 43RD AVE. 43RD AVE. 44TH AVE. 45TH 46TH AVE. 47TH AVE. 48TH AVE. 48TH AVE. 47TH COURT 50TH AVE. 43RD AVE. 44TH AVE. PERSHING 45TH AVE. 46TH AVE. 47TH AVE. 48TH AVE. 49TH AVE. 50TH AVE. COOPER ROAD COOPER ROAD 56TH AVE. 43RD AVE. PERSHING BLVD 47TH AVE. 46TH AVE. 48TH AVE. 50TH AVE. 49TH AVE. AVE. 50TH 49TH AVE. 51ST AVE. AVE. 52ND 54TH AVE. 56TH AVE. 57TH AVE. 49TH AVE. 55TH AVE. PRIVATE 56TH C.T.H. "H" (88TH AVE.) AVE. 105TH 39TH AVE. 40TH AVE. 39TH AVE. 25 PL TH . 42ND AVE. AVE. 43RD 45TH AVE. BL VD 44TH CT. . 46TH AVE. 48TH AVE. 47TH AVE. 46TH AVE. 49TH AVE. 50TH 51ST AVE. 53RD AVE. 55TH AVE. 54TH AVE. AVE. 54TH AVE. 57TH AVE. 61ST AVE. 60TH AVE. 65TH AVE. AVE. 50TH AVE. 51ST AVE. 52ND AVE. 53RD AVE. 54TH AVE. 55TH AVE. 56TH CT. AVE. 58TH 61ST AVE. 60TH AVE. 55TH 59TH AVE. 61ST AVE. AVE. 66TH 65TH 62ND AVE. AVE. AVE. 64TH 65TH AVE. 63RD AVE. 66TH CT. 85TH 43RD 45TH AVE. 47TH AVE. 50TH AVE. 52ND AVE. 52ND AVE. 54TH AVE. 53RD AVE. 55TH AVE. 57TH AVE. 57TH AVE. 58TH AVE. 60TH AVE. 62ND AVE. 63RD AVE. 62ND AVE. 64TH AVE. 65TH AVE. AVE. 64TH AVE. 69TH 70TH AVE. McDOWELL DR. 69TH OLD GREEN BAY ROAD CT. 96TH 120TH AVE. AVE. 42ND AVE. 41ST AVE. AVE. 48TH AVE. AVE. 52ND AVE. 51ST 53RD 54TH AVE. AVE. AVE. 55TH 56TH AVE. 58TH AVE. 56TH AVE. 63 RD (GREEN S.T.H. "31" 77TH AVE. BAY RO AD ) 63RD AVE. AVENUE AVE. 82ND 70TH COURT 85TH AVE. 68TH AVE. 94 T H BIRCH DR. 91ST AVE. UE AVE N 87TH AVE. AVE. 98TH 94 T H E 45TH AVE. AVE. 56TH 63RD AVE. 64TH AVE. 68TH AVE. 70TH CT. AVE. 84TH C.T.H. "H" (88TH AVE.) 89TH AVE. 91ST AVE. 91ST 82ND 83RD 86TH AVE. 89TH CT. CT. 90TH 93RD. AVE. 87TH AVE. 90TH AVE. AVE. 92ND COURT 93RD. AVE. 92ND AVE. AVENUE AVE. 86 TH . PL 81 ST RI DG 43RD AVE. AVE. 45TH 46TH AVE. 44TH AVE. 47TH AVE. AVE. 50 TH 65 TH 45TH AVE. 50TH AV E. AVE . 52 ND AVE. 54TH AVE. 48T H AVE 47 TH . CT . 55 TH 53R AV E. D CT . CT. 55TH 56TH AVE. LANE MA RK ET BRUMBACK AVE. 64TH AVE. 68TH AVENUE 70TH AVENU E C.T.H. "H" (88TH AVENUE) AVE. 91ST AVE. 94TH 93RD AVE. 95TH 94TH CT. 96TH AVE. AVE. AVE . 95 T H 96TH 97TH AVE. AVE. AVE. 100TH 104TH AVE. 86 T PL H . AVENUE CO URT 94 TH AVE. AVE. 96TH 98 T H AVE . 96TH AVE. AVE. AVE. 99TH AVE. 102ND 100TH RID GE WEST 104TH AVENUE 84TH PL. 103RD AVE. . AVE 110TH 114TH AVE. S.T.H. "31" (GREEN BAY ROAD) 62 N D ND 42 B DA B 95TH STREET RK PA 40TH CT. 45TH 45TH AVE. 47TH AVE. 48TH CT. AVE. S.T.H. "31" (GREEN BAY ROAD) C.T.H. "H" (88TH AVENUE) 99TH AVE. AVE. 99TH AVE. 103RD AVE. 103RD 99TH AVE. 107TH 103RD AVE. AVE. 105TH 106TH AVE . AVE . 10 7T H 10 9T H 108TH AVE. AVE. 111TH 109TH AVE. 112TH AVE. AVE. PK WY . AVE. 113TH PL EA AI U N ES 115TH AVE. VILLAGE OF PLEASANT PRAIRIE VILLAGE OF BRISTOL 72ND AVENUE PL . D 42 N (EAST FRONTA GE ROAD) Truck 4 ! ( 91ST PL. PL. L. DP 93R 89TH ST. 88TH ST. 88TH PL. 91ST ST. ND 42 INTERSTATE 94 93RD STREET . RD 87TH PL. PL 83RD PL. 82ND 71ST ST. H 4T T. C SI DE 87TH ST. 89TH PL. DA OW AD NE ME LA 120TH AVE. 89TH ST. 89TH PL. ST. 88TH . AVE (WEST FRONTA GE ROAD) 41ST 43 RD 52ND AVE. AVE. AVE. 53RD CR EE K WILLO W 94TH 96TH AVENUE 104TH AVENU E 105TH AVE. AVENUE 106TH 105TH AVE. AVE. AVENUE 112TH 104TH AVE. 108TH AVE. AVE. 107TH AVE. 106TH AVE. AVE. 114TH AVE. 113TH 111TH 10 7T 108TH H AVE . AV E. 115 TH 122ND AVE. AVENUE 125TH AVENUE H 130 T 120TH AVE. INTERSTATE 94 120TH AVE. AVE. 141ST 14 2N D AV E. 128TH AVENUE 14 7T H AV E. 14 5T H AV E. AV E. 15 0T H 14 8T H 144 TH 143 RD CO UR T 144TH AVENE UE AVE. 92 ND D 63RVE . A 128TH P L. 86TH ST. 86TH PL. 87TH ST. 85 T H 85TH PL. 82ND ST. PL. 70TH ST. 72ND ST. 72ND ST. 81ST ST. 81ST ST. 68TH 69TH ST. 8T H AV E. E. AV 90 TH PL . 87TH PL. 88 TH PL . 85TH ST. 86TH PL. 86TH PL. 87TH PL. ST. 90 TH 64 TH CT. EASANT PRAIRIE ST. 91 ST OL D F BRISTOL 91ST CIR. IDE KS EE CR 86TH ST. IE PR AIR 136TH AVENUE 86TH PL. 89TH STREET K EE CR R (136T H AVENUE) 85TH PL. 86TH ST. 20TH AVE. ITY UN IV ER S 63RD AVE. 65TH AVE. AVE. 82ND ST . . AVE 95TH AVE. 58TH AVE. AVE. 87TH 80TH AVE. AVE. TH 95 AVE. AVE. 97TH 98TH INTERSTATE 94 WEST FRONTAGE ROAD 122ND AVE. 144TH AVENE UE AVENU E 152ND AVE. 74 TH 155TH CT. 97TH AVE. AVE. 98TH 100TH AVENUE 102ND AVE. 120TH AVE. (EAST FRONTAGE ROAD) 120TH AVE. (WEST FRONTAGE ROAD) 128TH AVENUE C.T.H. "MB" (152ND AVENUE) C.T.H. "MB" (156TH AVENUE) 93RD AVE. 97TH AVE. AVE. 118TH CITY OF KENOSHA TOWN OF PARIS C.T.H. "UE" (136TH AVENUE) C.T.H. "MB" (152ND AVENUE) 169TH AVENUE C.T.H. "D" (172ND AVENUE) C.T.H. "MB" (160TH AVE.) 84TH 88TH ST. Truck 7 E RIV .H. "MB" (160TH AVENUE) VE BE . LN ST. 123 80TH PL. 80TH PL. 83RD ST. 78TH PL. ST. 68TH PL. 70TH ST. 76TH ST. 79TH ST. 65TH ST. 68TH 68TH ST. 75TH ST. 78TH ST. 60TH ST. 67TH ST. 71ST ST. RO AD Y RL ST. 83 RD 85TH PL. 87TH PL. 91ST PL. E IV DR Med-4 85TH PL. TH 88 L. P RO AD 83RD PL. 80TH ST. 76TH ST. 59 TH PL . 61ST ST. ST. 69TH ST. NG RI 84TH ST. 85TH ST. 84TH ST. 79TH ST. 78TH ST. 74TH PL. E. 83RD PL. 81ST ST. 79TH ST. 78TH ST. 73RD ST. 74TH ST. ST. 66 T H ST. 56 TH ST. 57 TH ST. PL . 2N D AV ET RE ST 84TH ST. 124 83RD ST. 83RD ST. 77TH ST. 74TH ST. ST. 64TH ST. ST. 59 TH E. D. 83RD ST. 82ND ST. 76TH ST. 73RD ST. 56 TH 59 TH ST. 54 TH E. NR 82ND PL. ST. 74TH ST. 73RD ST. 72ND ST. 1 ! ( Fire55TH ST. 65TH 70TH ST. 71ST ST. 51ST PL. 4T H AV T IO STA 83RD ST. 82ND ST. 81ST 73RD ST. Med-3 PL. 3R D AV 84TH IN BA Med-4 64 TH CT 83 R . D PL . D PL. 83 R 81ST ST. 72RD ST. STREET 67TH PL. ISLAND R D. PL. PL. S T EE TR 80TH PL. 71ST 62ND ST. 132 69TH ST. 70TH ST. 61ST ST. D R. 83RD 85TH AVE. BA IN ST AT IO N RD . H 94 T LA N E RD 83 ST. 82ND 124 S T. 80TH ST. RO 70TH ST. LT VE E S 71ST ST. 68TH ST. ST. SI MO NS ST. AVE . . CT T 81 S 80TH PL. 69TH ST. 59TH ST. FireRescue 66TH ST. 51ST 51ST ST. 53 RD 58 TH 48TH PL. AVE . EVERGREEN DR. TH 67 E. AV 79TH ST. 80TH STREET ( " "5 ST. 46TH PL. E. OAK ST. W A P W LL ST INE AY N U T . 79TH PL. 50 ." ) AD 76TH ST. 78TH ST. T EL 78TH EV . PL. OS RD RO 79TH ST. T.H S. H. ST. 49TH S.T.H. "50" (63RD ST.) 3 65TH ST. 48TH Med-3 58TH ST. 64TH ST. ! ( ST 135 RO 63RD PL. 67TH ST. Med-3 O RO T. S. 0" (R S OO T EL EV ) AD ST. 47TH 5T H AV MARY ANN DR. 78TH ST. 69TH ST. 63RD ST. 65TH ST. 66TH ST. 60TH PL. R IAL M EM O 79TH ST. 74TH ST. 74TH PL. ST. 73RD ST. 55TH ST. ED Y KE NN CEDAR LN. D 78TH PL. 77TH ST. 73RD ST. 73RD PL. 134 65TH ST. 68TH ST. 71ST ST. 54TH ST. ST. 7T H BIRCH DR. SHERRY LN. 76TH ST. AD RO 64TH ST. 67TH ST. . RD T AN GR 70TH ST. TH 68 . PL 63RD ST. 66TH ST. 68TH ST. ON IS RR HA 53RD ST. 56TH ST. 61ST ST. ST. 50TH 51ST PL. 60TH STREET ST. 45TH 46TH 51ST ST. 58TH ST. 44TH Med-5 48TH ST. 50TH ST. 57TH ST. 43RD 6T H MAPLE RD. . ST 80TH 89TH PL. ) EL CI M R. W ES T W O O 70TH ST. Med-4 62ND ST. 153 ST. ST. S.T.H. "158" (52ND ST.) 53RD ST. 42ND ST. 44TH 45TH 40TH PL. 41ST ST. E. ILM 73RD ST. 77TH ST. 78TH ST. 82ND STREET TH 84 . PL . DR T.H C. 82 ND PL . (W 70TH ST. 71ST ST. 73 RD ST . BL VD 60TH PL. 61ST ST. AD N AD O SO R IL W FT A T ST. 43RD ST. 40TH PL. 6T H AV 82 ND PL . C" ." 69TH ST. 143 41ST PL. 42ND 46TH ST. 56TH ST. RO 41ST ST. 44TH PL. 57TH ST. 60TH PL. FireRescue 40TH ST. AV E. EW AY OT ) AD RO PL. 76TH 68TH ST. 55TH ST. 40TH ST. F. 39TH ST. 10 TH R EAST RID G E IDG 81ST ST. CO U RT 68TH ST. 50TH ST. 5 HN VE. 8T H A LE XIN GTON . 80 TH ST 142 Med-4 67TH PL. S.T.H. "50" (75TH STREET) D EVAR BO UL RIDGE 73RD ST. 67TH ST. PL. 69TH ST. 72ND ST. 66TH PL. G ST. 39TH ST. JO 38TH ST. AVE. ST. 66TH PL. 65TH PL. 41ST 48TH ST. ST. 51ST ST. 59TH ST. AD O ! ( 46TH ST. 48TH 38TH ST. 37TH ST. 8T H 74TH PL. 76TH ST. CIR. NO R VIE TH W DR . 71ST ST. 65TH PL. 66TH PL. 66TH ST. RD HA IN R 35TH PL. 36TH ST. 40TH ST. 43RD ST. S.T.H. "32" . DR ST. 63RD ST. 63RD ST. 65TH ST. 68TH ST. . 61 ST ST 62ND ST. 64TH ST. 67TH 61ST ST. 64TH ST. FireRescue ! ( Med-5 STREET 35TH AVE . 11T H ST . 67TH ST. 69TH 64TH ST. 4 58TH ST. 34TH ST. ST. 35TH AVE. 76TH ST. 74TH ST. 63RD ST. ST. ST. AVE . PL. 56TH ST. 57TH 56TH ST. 33RD ST. 34TH Lake Michigan 11TH 74TH ASHB URY 84TH PL. 89TH ST. 73RD ST. 55TH ST. 31ST ST. ST. 10 TH ST. 70TH ST. 74TH ST. EAST H 7T 10 E . AV (W AD ST. 83RD TH 111 . AVE H 3T 11 E. AV " "C 82ND 84TH ST. TH 111 E. AV C.T.H. "C" (93RD STREET) . T.H I RO 81 ST PLACE H 11 87 T A 0T VE H ST. . ST. H T 88 72ND ST. 73RD ST. ST. . CT E. AV T. HS 86 T 80 PL TH . 83RD PL. H OA K 71ST ST. STRE ET 68TH ST. 68TH 70TH 70TH ST. . DR 82ND ST. 69TH ST. H 97T 80TH ST. 84 TH ST RE ET OT LM 80 TH 79TH PL. 68TH ST. E PR AIRI ST. 66TH DR. 109TH AVE. 79 TH 56TH ST. 53 TH CTRD 54 54 ST. . T CT H . 156 32ND 30TH ST. AD ST. 55 TH ST. 55TH ST. 53RD ST. 28TH ST. 13 TH CT. 79TH 78TH ST. 71 S ST. T 98TH 79TH PL. ST. 147 55TH ST. ST. 25TH ST. 37TH ST. 45TH PL. Med-4 53RD ST. Med-4 65TH ST. PLAC E 65TH 67TH ST. ST. 77TH 77TH PL. 66TH STREET 67TH ST. AV E. STREET 33RD 24TH ST. 29TH ST. 29TH ST. 34TH RD AVE. 78 TH 3T 11 C. 90TH ST. 92ND ST. ST . ST. 53RD ST. 60TH STREET . ST 64TH 145 (52ND ST.) S T. T 61S 62ND ST. 65TH 50TH ST. 27TH ST. 28TH ST. 32ND ST. 23RD ST. 26TH ST. FO 14TH 77TH ST. 77TH PL. 83RD ST. 88TH STREET . "C" C.T.H 74TH ST, 63RD ST. ST. ST. 28TH PL. (A L 21ST ST. 45TH ST. 46TH ST. 17TH ST. 18TH PL. 22ND ST. 23RD ST. 24TH ST. 25TH 45TH ST. 47TH ST. ST. AVE . . ST 77TH STREET HI CI RC LE 91ST ST. ST. 60TH PL. 62ND PL. 50 TH D 22 N PL. 41ST ST. 44TH ST. 46TH ST. ST. 50TH 43RD ST. 16TH ST. 16TH PL. 17 TH 17 TH . PL TH 78 84TH STREET TH 77 H 82ND PLACE 70TH 65TH 67 T ST H . H S.T.H. "50" (75TH STREET) S T. 68TH ST. 69TH ST. ST. 42ND ST. 16 TH ST. 16TH PL . AVE . AV E. 66TH ST. 67TH ST. ST. 63RD ST. 65TH 49TH ST. C.T.H. "K" (60TH STREET) 62ND PL. ST. 42ND ST. TH 48 . CT 11 8T 69 T H 64TH ST. ST. ST. 15TH PL. 20TH PL. ST. WASHINGTON RD. 40TH 41ST ST. 42ND 20TH PL. 21ST STREET 40TH ST. ST. PL. 58TH PL. 62ND ST. 46TH 46TH 58TH ST. 61ST ST. 25TH ST. STREET 30TH TH . 49 CT H 1T . 11 CT PL. . STREET 67TH 67TH PL. Med-7 63RD ST. ST. . PL. 16TH 66TH ST. PLACE ST. 24TH ST. STREET 29TH G STREET 63RD ST. 56TH ST. 24TH ST. 23RD ST. 27TH STREET N HI RS PE 64TH 68TH PL. E. AV 79 PL TH ST. RD S 62ND 114 TH 11 AVE 5T . AV H 65TH E. T 118 79 TH ST. AM PL. . ST AD S.T.H. "50" (75TH STREET) T 61S . PL TH 98 D 72N . ST TH 39 61ST STREET 43RD 48TH E. AV 61ST 61ST S.T.H. "158" TH 95 ST. AVE. ST RE ET 74TH ST. 80TH ST. Map Last Revised: Sept 2014 PL. 58TH 29TH ST. 30TH 51ST ST. 54TH ST. TH 99 71 PL ST AC E 71ST 78 TH 82ND STREET 60TH 50TH STREET STREET 174 C.T.H. "K" (60TH STREET) . ST AVE . 72 ND STREET 45TH ST. 46TH STREET 53RD ST. 55TH PLACE 78 TH 81ST STRE ET RD 53 . PL ST. 34TH ST. STREET 28TH Med-5 33RD ST. 44TH ST. FireRescue ! ( S.T.H. "158" (52ND STREET) . AVE E. AV 69TH ST. 35 TH 25TH ST. 154 ST. 23RD C.T.H. "S" (WASHINGTON RD.) 43RD 165 Med-5 ST. 22ND ST. STREET 25TH ST. ST. TH 29 L. P TH 50 32ND ST. 24TH STREET 27 TH STREET 15TH 19TH ST. 22 ND ST. 15TH 16TH PL. 16TH PL. 14TH PL. 18TH STREET PL. 20TH C.T.H. "S" (38TH STREET) 7 ST. 25TH ST. 28TH PL. 53R D AV E. 31 ST . VD BL 274 64 TH PLACE STREET 28TH .) Med-7 ST. 26TH 31ST STREET C.T.H. "N" (38TH STREET) 67TH 25 TH PL . PL . Fire PLACE ³ 13TH PL. RO RD 17TH ST. 16TH 21ST 23RD PLACE ST. 12TH PL. 13TH ST. ST. 13TH PL. SHERID AN TO N 15TH 16TH ST. 16TH ST. 6 ! ( 19TH ST. TH 44 T. C R LI NG 15TH ST. 14TH PL. 21ST ST. " (BU 14TH LN. PL. 22ND STREET 24 TH 13TH 13TH 14TH ST. 14TH PL. 17TH PL. C.T.H. "L" (18TH STREET) 19TH H 9T 10 E. AV H 4T 15 E. AV H 5T 15 ST. ST. 13TH ST. 13TH PL. 16TH PL. 16TH PL. 17TH C.T.H. "L" (18TH STREET) . AVE . "S PL. 14TH ST. 17TH ST. 18TH STREET 111TH ST. STREET C.T.H. "H" (8 TOWN OF SOMERS KENOSHA COUNTY OFFICE OF LAND INFORMATION September 2014 16TH STREET H 47T . CT C.T .H CITY OF KENOSHA 66TH RD 73 16TH PL. TON R OA D ) VILLAGE OF BRISTOL CITY OF KENOSHA 70TH ST. 15TH STREET TH 55 168TH AVENUE LING TOWN OF PARIS VILLAGE OF BRISTOL 68TH ST. Feet 13TH 12TH PL. VE) DRI (BUR 13TH PL. 13TH ST. 35 TH . AVE 2" E. AV (12TH ST.) C.T.H. "E" K "14 AV E 13 TH ST. 11TH PL. T. L. R PA H. 42 ND 6,000 Map Prepared By: D" EET 67TH 13TH ST. CITY OF KENOSHA FIRE DEPARTMENT Engine 7 C.T.H. "N" (38TH STREET) C.T.H. "K" (60TH STREET) CT. 11TH 11T H S 11T H P ET RE ST PL . . RD S.T . 31ST ST. C.T.H. "E" (12TH STREET) Source: Engine 6 Engine 4 Private Road Civil Division Line Truck Response Boundary ST. 1 INCH = 15TH 2000 FEET Engine 5 Engine 3 FireRescue - Station Type 4,000 TH 27 . CT 10TH PLACE N Location - ! ( 2,000 H 14 T 10 TH DRIVE . RD TOStation N RO AD) TH 14 . PL 10TH ST. O IS AD M LING 1,000 12TH PL. S YING SPRING RO AD) H RC BI (BUR 3 - Station Number 0 ST. PL. 9TH PL. ST. PL . 8TH PL. 9TH ST. D 32N E. AV 2" 14TH 12TH PL. 13TH ST. Truck 3 PLACE BLVD. 36 TH AVE . S.T.H. "14 - Medical Response Unit Number 12TH (PETRIF 10T H 10 TH 11TH PL. R" PARKSIDE TH 37 T. C Med-4 Engine 2 11TH ST. C.T.H. "E" (12TH STREET) City of Kenosha - Response District Number 11TH STREET . "J 8T H TH 38 VE. A 135 TOWN OF PARIS C.T.H. "MB" (136TH AVENUE) 138TH AVENUE C.T.H. "E" (12TH STREET) C.T.H. "E" (12TH STREET) Truck 4 Truck 7 10TH PL. C.T .H E UNIVERSITY ¤n s EMERGENCY s 8 RESPONSE DISTRICTS n 8TH ST. DR IV Page 21 24x42City_Composite_Map_2014.mxd City of Kenosha Fire and EMS Study Final Report Appendix C Prepared by Baker Tilly Virchow Krause, LLP December 4, 2014 Page 22 Page 23 City of Kenosha Fire and EMS Study Final Report Appendix D Prepared by Baker Tilly Virchow Krause, LLP December 4, 2014 Page 24 EMS INCIDENTS ‐ RESPONSE ANALYSIS FOR FIRST ARRIVING VEHICLES Data Range Parameters: All Data Analysis Only Includes Call Times Between X:XX and X:XX minutes (as shown below) Alarm Processing Time 0:00:00 0:04:00 Turnout time 0:00:00 0:04:00 Travel Time 0:00:00 0:20:00 National Fire Protection Association (NFPA) Standards have been cited as benchmarking comparison data. These are industry accepted guidelines for fire and EMS departments in evaluating their service metrics and general performance. Specifically, NFPA Standard 1710 and 1221 were used as they relate to alarm processing time, turnout time, and travel time. EMS Incident Alarm Data for First Arriving Vehicles: Alarm Count and Average Times by Alarm Segment for Dates: All Arriving Alarms 103 5,063 3,325 4,303 1,174 55 33 1,851 2,411 1,642 1,918 1,360 571 373 447 Total Alarms (each) 70 3,395 1,946 2,614 727 29 14 1,373 1,004 566 816 979 199 100 162 Avg Alarm Processing Time (min) 0:01:18 0:01:10 0:01:12 0:01:11 0:01:18 0:01:29 0:01:27 0:01:20 0:01:21 0:01:19 0:01:19 0:01:20 0:01:29 0:01:36 0:01:25 Meds 3,4,5,7 All Med & Rescue 13,865 14,056 8,682 8,795 8,623 8,736 0:01:11 0:01:11 8,588 8,701 Engines Engines & Trucks 9,182 10,573 4,738 5,199 4,689 5,140 0:01:20 0:01:21 All Vehicles 24,629 13,994 13,876 0:01:15 Med 2 Med 3 Med 4 Med 5 Med 7 Rescue 33 Rescue 44 Engine 2 Engine 3 Engine 4 Engine 5 Engine 6 Truck 3 Truck 4 Truck 7 to 11/1/2014 First Arriving Alarms ONLY Alarm Processing Time Alarms (each) 70 3,374 1,932 2,603 714 29 14 1,356 995 564 807 967 196 96 159 Total Alarms (each) 6/1/2013 Turnout Time Avg Turnout Alarms Time (each) (min) 70 0:01:26 3,373 0:01:18 1,922 0:01:22 2,580 0:01:28 713 0:01:27 29 0:01:31 14 0:01:33 1,361 0:01:26 996 0:01:23 562 0:01:24 804 0:01:29 966 0:01:38 188 0:01:32 98 0:01:32 158 0:01:33 Avg APT+TT+Travel ATP+TT+Travel Alarms Time (each) (min) 66 0:05:37 3,199 0:04:46 1,777 0:05:21 2,436 0:05:29 625 0:06:52 9 0:05:53 6 0:05:55 1,325 0:05:12 937 0:04:46 506 0:05:15 744 0:05:18 932 0:05:38 163 0:05:55 77 0:05:59 143 0:06:53 Travel Time Alarms (each) 66 3,224 1,796 2,464 641 9 6 1,346 949 512 759 943 175 81 148 Avg Travel Time (min) 0:02:54 0:02:19 0:02:48 0:02:49 0:04:06 0:02:43 0:03:10 0:02:26 0:02:03 0:02:29 0:02:30 0:02:39 0:02:51 0:02:46 0:03:54 0:01:23 0:01:23 8,125 8,206 0:02:43 0:02:43 8,037 8,118 0:05:17 0:05:17 4,689 5,133 0:01:28 0:01:28 4,509 4,913 0:02:25 0:02:29 4,444 4,827 0:05:13 0:05:18 13,834 0:01:25 13,119 0:02:38 12,945 0:05:17 Notes: "Total Alarms" in the table above represents the total number of incidents that a particular vehicle responsed to, with no data range parameters applied. Data for "ATP + TT + Travel" (Alarms and Avg Time for alarm processing time + turnout time + travel time) will not equal the sum of each of the components in the previous columns. This is because data was only included if all 3 time segments for a specific incident number fell within the defined time parameters given to each individual segment, as shown in the "Data Range" table above. Requiring that parameters are met for each time segment will reduce the sample size, however it will ensure that total response time only represents complete data for each component of each incident. Page 25 Percent of Alarms that are Less Than X:XX Minutes for Turnout Time Percent of Alarms that are Less Than X:XX Minutes for Alarm Processing Time Med 2 Med 3 Med 4 Med 5 Med 7 Rescue 33 Rescue 44 Engine 2 Engine 3 Engine 4 Engine 5 Engine 6 Truck 3 Truck 4 Truck 7 % < 0:01:00 32.9% 39.1% 35.7% 37.0% 30.0% 24.1% 21.4% 24.5% 28.7% 30.7% 32.2% 25.4% 21.9% 14.6% 22.0% % < 0:01:30 74.3% 79.0% 77.6% 77.3% 70.4% 55.2% 50.0% 72.3% 68.7% 72.5% 72.6% 70.9% 56.1% 50.0% 59.1% % < 0:02:00 87.1% 94.4% 94.6% 93.7% 90.6% 79.3% 92.9% 91.7% 89.0% 89.2% 90.3% 91.2% 80.6% 79.2% 88.1% All Vehicles NFPA Standard 33.2% 80.0% 74.6% 92.3% Percent of Alarms that are Less Than X:XX Minutes for Travel Time Med 2 Med 3 Med 4 Med 5 Med 7 Rescue 33 Rescue 44 Engine 2 Engine 3 Engine 4 Engine 5 Engine 6 Truck 3 Truck 4 Truck 7 All Vehicles NFPA Standard Med 2 Med 3 Med 4 Med 5 Med 7 Rescue 33 Rescue 44 Engine 2 Engine 3 Engine 4 Engine 5 Engine 6 Truck 3 Truck 4 Truck 7 % < 0:01:00 27.1% 28.7% 27.2% 21.7% 20.5% 17.2% 14.3% 18.8% 20.5% 23.3% 19.2% 9.6% 16.5% 18.4% 16.5% % < 0:01:30 58.6% 68.3% 66.7% 58.2% 58.9% 41.4% 42.9% 63.1% 64.4% 62.3% 56.6% 49.6% 43.1% 50.0% 54.4% % < 0:02:00 81.4% 88.5% 84.8% 79.6% 81.3% 69.0% 78.6% 83.5% 87.0% 83.8% 81.2% 76.0% 77.7% 77.6% 81.6% All Vehicles NFPA Standard 22.7% 90.0% 61.9% 83.5% Percent of Alarms that are Less Than X:XX Minutes for Total Response Time (Alarm Time Processing + Turnout Time + Travel Time) % < 0:04:00 75.8% 91.9% 84.5% 86.1% 54.0% 88.9% 50.0% 93.7% 92.6% 90.8% 89.1% 91.0% 82.3% 86.4% 59.5% % < 0:05:00 93.9% 96.3% 92.0% 94.8% 79.6% 88.9% 83.3% 97.6% 97.4% 95.9% 95.9% 97.9% 85.7% 88.9% 81.8% % < 0:06:00 98.5% 98.2% 96.1% 97.2% 89.4% 88.9% 100.0% 99.0% 98.8% 97.5% 98.3% 99.5% 90.9% 95.1% 90.5% 87.3% 90.0% 94.5% 97.3% Med 2 Med 3 Med 4 Med 5 Med 7 Rescue 33 Rescue 44 Engine 2 Engine 3 Engine 4 Engine 5 Engine 6 Truck 3 Truck 4 Truck 7 All Vehicles NFPA Standard % < 0:06:00 60.6% 83.7% 72.8% 68.6% 32.2% 55.6% 33.3% 77.2% 81.6% 76.9% 74.7% 65.5% 62.0% 58.4% 32.9% 72.8% 90.0% % < 0:07:00 85% 93% 86% 86% 59% 78% 50% 92% 91% 89% 89% 90% 79% 74% 63% 87% % < 0:08:00 90.9% 97.0% 93.4% 93.5% 78.7% 88.9% 66.7% 97.0% 97.0% 95.1% 94.9% 96.5% 85.3% 84.4% 79.0% % < 0:10:00 98.5% 98.9% 98.0% 98.5% 95.5% 100.0% 100.0% 99.4% 99.7% 97.8% 98.9% 99.5% 92.6% 94.8% 93.0% 94.3% 98.5% Page 26 EMS Incident Data by Call Segment and First Arriving Vehicle (6/1/2013 to 11/1/2014) 0:07:00 0:06:00 0:05:00 0:04:00 0:03:00 0:02:00 0:01:00 0:00:00 Med 2 Med 3 Med 4 Med 5 Med 7 Rescue Rescue Engine 33 Engine Engine 44 2 Engine 3 4 5 Avg Alarm Processing Time (min) Avg Turnout Time (min) Avg Travel Time (min) Engine Truck 3 Truck 4 6 Truck 7 Avg ATP+TT+Travel Time (min) Page 27 FIRE INCIDENTS ‐ RESPONSE ANALYSIS FOR FIRST ARRIVING VEHICLES Data Range Parameters: All Data Analysis Only Includes Call Times Between X:XX and X:XX minutes (as shown below) Alarm Processing Time 0:00:00 0:04:00 Turnout time 0:00:00 0:04:00 Travel Time 0:00:00 0:20:00 National Fire Protection Association (NFPA) Standards have been cited as benchmarking comparison data. These are industry accepted guidelines for fire and EMS departments in evaluating their service metrics and general performance. Specifically, NFPA Standard 1710 and 1221 were used as they relate to alarm processing time, turnout time, and travel time. 6/1/2013 Fire Incident Alarm Data for First Arriving Vehicles: Alarm Count and Average Times by Alarm Segment for Dates: All Arriving Alarms 11/1/2014 First Arriving Alarms ONLY Alarm Processing Time Alarms (each) Med 2 Med 3 Med 4 Med 5 Med 7 Rescue 33 Rescue 44 Engine 2 Engine 3 Engine 4 Engine 5 Engine 6 Truck 3 Truck 4 Truck 7 9 345 210 269 77 2 0 337 632 388 470 221 548 452 157 5 142 58 92 33 2 0 201 308 180 226 147 198 114 80 5 142 57 91 30 2 0 199 305 174 220 143 192 111 76 Avg Alarm Processing Time (min) 0:01:10 0:01:18 0:01:12 0:01:18 0:01:17 0:02:27 ‐ 0:01:30 0:01:35 0:01:29 0:01:28 0:01:36 0:01:38 0:01:32 0:01:46 Meds 3,4,5,7 All Med & Rescue 901 912 325 332 320 327 Engines Engines & Trucks 2,048 3,205 1,062 1,454 All Vehicles 4,117 1,786 Total Alarms (each) to Total Alarms (each) Turnout Time Alarms (each) 5 137 53 87 28 0 0 190 289 167 217 142 192 106 74 Avg Travel Time (min) 0:03:02 0:01:57 0:02:22 0:02:21 0:03:42 ‐ ‐ 0:02:48 0:02:15 0:03:00 0:02:48 0:02:55 0:05:00 0:04:17 0:04:50 APT+TT+Travel Alarms (each) 5 136 52 85 27 0 0 184 277 161 208 138 184 101 70 Avg APT+TT+Travel Time (min) 0:05:44 0:04:35 0:04:49 0:05:11 0:06:25 ‐ ‐ 0:05:45 0:05:29 0:06:00 0:05:50 0:06:06 0:08:34 0:07:58 0:08:24 5 141 56 91 32 2 0 195 296 173 219 143 196 112 75 Avg Turnout Time (min) 0:01:32 0:01:21 0:01:21 0:01:33 0:01:38 0:01:09 ‐ 0:01:31 0:01:37 0:01:37 0:01:37 0:01:39 0:01:52 0:02:06 0:01:53 0:01:17 0:01:17 320 327 0:01:26 0:01:26 305 310 0:02:18 0:02:18 300 305 0:04:58 0:04:58 1,041 1,420 0:01:32 0:01:33 1,026 1,409 0:01:36 0:01:42 1,005 1,377 0:02:41 0:03:15 968 1,323 0:05:47 0:06:29 1,747 0:01:30 1,736 0:01:39 1,687 0:03:05 1,628 0:06:12 Travel Time Alarms (each) Notes: "Total Alarms" in the table above represents the total number of incidents that a particular vehicle responsed to, with no data range parameters applied. Data for "ATP + TT + Travel" (Alarms and Avg Time for alarm processing time + turnout time + travel time) will not equal the sum of each of the components in the previous columns. This is because data was only included if all 3 time segments for a specific incident number fell within the defined time parameters given to each individual segment, as shown in the "Data Range" table above. Requiring that parameters are met for each time segment will reduce the sample size, however it will ensure that total response time only represents complete data for each component of each incident. Page 28 Percent of Alarms that are Less Than X:XX Minutes for Turnout Time Percent of Alarms that are Less Than X:XX Minutes for Alarm Processing Time Med 2 Med 3 Med 4 Med 5 Med 7 Rescue 33 Rescue 44 Engine 2 Engine 3 Engine 4 Engine 5 Engine 6 Truck 3 Truck 4 Truck 7 % < 0:01:00 20.0% 39.4% 54.4% 33.0% 36.7% 0.0% ‐ 22.6% 18.4% 25.9% 23.2% 19.6% 9.9% 19.8% 9.2% % < 0:01:30 100.0% 72.5% 80.7% 70.3% 70.0% 50.0% ‐ 58.3% 51.8% 55.2% 59.1% 47.6% 43.8% 56.8% 38.2% % < 0:02:00 100.0% 85.2% 87.7% 89.0% 90.0% 50.0% ‐ 78.9% 77.7% 79.3% 82.7% 74.1% 79.7% 79.3% 68.4% All Vehicles NFPA Standard 23.0% 80.0% 56.3% 80.0% Percent of Alarms that are Less Than X:XX Minutes for Travel Time Med 2 Med 3 Med 4 Med 5 Med 7 Rescue 33 Rescue 44 Engine 2 Engine 3 Engine 4 Engine 5 Engine 6 Truck 3 Truck 4 Truck 7 All Vehicles NFPA Standard % < 0:01:00 0.0% 24.8% 21.4% 24.2% 18.8% 50.0% ‐ 12.8% 11.5% 11.6% 13.2% 7.0% 6.6% 2.7% 5.3% % < 0:01:20 60.0% 53.2% 55.4% 42.9% 31.3% 100.0% ‐ 35.4% 26.0% 29.5% 29.2% 23.1% 14.3% 12.5% 10.7% % < 0:02:00 60.0% 87.9% 87.5% 72.5% 75.0% 100.0% ‐ 83.6% 78.0% 75.7% 74.9% 75.5% 62.8% 52.7% 69.3% 12.3% 29.0% 90.0% 74.8% Percent of Alarms that are Less Than X:XX Minutes for Total Response Time (Alarm Time Processing + Turnout Time + Travel Time) Med 2 Med 3 Med 4 Med 5 Med 7 Rescue 33 Rescue 44 Engine 2 Engine 3 Engine 4 Engine 5 Engine 6 Truck 3 Truck 4 Truck 7 % < 0:04:00 100.0% 97.8% 92.5% 90.8% 57.1% ‐ ‐ 84.2% 90.0% 79.6% 83.4% 81.0% 49.0% 53.8% 36.5% % < 0:05:00 100.0% 98.5% 96.2% 98.9% 85.7% ‐ ‐ 91.6% 95.8% 89.8% 93.5% 93.7% 58.9% 66.0% 62.2% % < 0:06:00 100.0% 100.0% 98.1% 100.0% 89.3% ‐ ‐ 95.3% 98.3% 94.0% 98.2% 97.2% 67.7% 79.2% 79.7% All Vehicles NFPA Standard 77.7% 90.0% 87.0% 92.0% Med 2 Med 3 Med 4 Med 5 Med 7 Rescue 33 Rescue 44 Engine 2 Engine 3 Engine 4 Engine 5 Engine 6 Truck 3 Truck 4 Truck 7 All Vehicles NFPA Standard % < 0:06:20 80.0% 91.9% 88.5% 78.8% 48.1% ‐ ‐ 70.1% 72.6% 62.7% 58.7% 65.2% 33.2% 34.7% 11.4% 61.5% 90.0% % < 0:07:00 100.0% 97.1% 92.3% 90.6% 70.4% ‐ ‐ 81.0% 80.5% 75.8% 77.9% 72.5% 41.3% 45.5% 24.3% 0.0% 72.2% % < 0:08:00 100.0% 99.3% 92.3% 98.8% 88.9% ‐ ‐ 89.7% 93.9% 88.8% 90.9% 86.2% 54.3% 58.4% 45.7% % < 0:10:00 100.0% 100.0% 98.1% 98.8% 96.3% ‐ ‐ 97.3% 97.8% 96.3% 99.0% 97.8% 69.0% 79.2% 80.0% 83.7% 92.8% Page 29 Fire Incident Data by Call Segment and First Arriving Vehicle (6/1/2013 to 11/1/2014) 0:09:00 0:08:00 0:07:00 0:06:00 0:05:00 0:04:00 0:03:00 0:02:00 0:01:00 0:00:00 Med 2 Med 3 Med 4 Med 5 Med 7 Rescue Rescue Engine 33 Engine Engine 44 2 Engine 3 4 5 Avg Alarm Processing Time (min) Avg Turnout Time (min) Avg Travel Time (min) Engine Truck 3 Truck 4 6 Truck 7 Avg APT+TT+Travel Time (min) Page 30 City of Kenosha Fire and EMS Study Final Report Appendix E Preliminary Findings Documents Released Prior to the completion of the Draft Report for this study, working documents were produced to share preliminary findings with the City’s project work team. These documents included a summary of findings, alarm data analysis, and maps showing station locations with 2 mile radius circles centered on the station locations. The documents were intended for facilitating discussions with the work team and did not include any recommendations. It is expected that analysis and findings change throughout the project study process. The information within these preliminary working documents has been revised and is different from what is represented in this final report based on additional analysis, updated alarm data, and more detailed review of project material. Specifically, the preliminary alarm analysis included ALL responding units on alarms rather than isolating “first-arriving” units. This methodology overstated alarm response times as they relate to NFPA standards. This final report is based on revised analysis that isolates “first-arriving” units to alarms. Additionally, 2 mile circles centered on station location maps were not included as appendices of this final report. These maps do not provide precise analysis of response time coverage due to the many factors affecting a unit’s speed in reaching an alarm location. These factors include, but are not limited to, speed limits, traffic control, traffic volumes, street layout and available routes, and roadway conditions. Without consideration for these factors, the coverage maps may be misinterpreted. Other variations in information between the preliminary working documents and this final report may exist. Prepared by Baker Tilly Virchow Krause, LLP December 4, 2014 Page 31