Trend and Analysis
This response time benchmark is based on the maximum amount of time for a cardiac arrest patient to receive CPR and defibrillation to have a reasonable chance of survival. It is critical that the first unit arrives on the scene within 300 seconds to achieve this benchmark.
The balancing factors for response time performance and reliability are (a) efficient production of resources, (b) effective deployment of those resources and (c) managing demand for services. The agency has executed improvement projects in all three domains that have resulted in performance gains. This measure has shown some improvement over the past several years.
The agency improved production through an improved staffing model (introduced February 2018) to ensure that at least two units are available in each station staffed by career personnel. This doubles the probability that a request for service can be answered by the closest station. Comparing equal time periods before and after the staffing change, performance improved 11% in the communities that benefited from additional staffing. The agency intends to maintain this staffing model as the standard minimum staffing as it demonstrates the greatest return on investment.
The agency improves deployment by using ARL to improve both average response time and reliability. In FY 2019, the agency proposes to add an additional technology solution that works in conjunction with ARL to allow units to be moved from communities least likely to request to services to the communities most likely to request services, hence further improving response time performance and reliability. The agency addresses demand through utilization of the Mobile Integrated Healthcare unit, which is described in detail in Objective 1.1.
Additionally, the Department has worked closely with MNCPPC in the subdivision review process to better understand and account for future demand dynamics and inform adjustments in production and deployment methodologies. Current trends indicate that the Department can anticipate one unit response per year associated with each newly constructed dwelling unit in the County. The budget includes staffing at two additional existing stations in FY 2019 to serve in those communities that consistently underperform in this measure with the intent of being equally, if not more, impactful on this measure.