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33
TRANSITIONING FOURTEEN VOLUNTEER FIRE STATIONS
INTO A COMBINATION DEPARTMENT WITH CAREER ALS
QUICK RESPONSE VEHICLE
A Strategic Planning Project Submitted
By
(Your Name)
to
University of Maryland University College
HMLS 304
Professor
Dr. Robert L. Ditch, EdD
(Date)
TABLE OF CONTENTS
CHAPTER
1. INTRODUCTION
Background
……………………………………………………………..4
Statement of the
Problem……………………………………………….5
Operational
Definitions…………………………………………….…...7
Significance of the
Study..…………….………………………………..9
Summary………………………………………………………………
..10
2. LITERATURE REVIEW
Pertinent
Studies……………………………………………………….. 12
Reflection
…………….………………………………………………... 15
Summary………………………………………………………………
.. 15
3. STRATEGIC PLAN
Introduction…………………………….……………………………
…. 17
Restatement of the
Problem…………………………………….………. 17
Mission and Vision
Statement…………………………………………..18
Strategic Plan
Description……………………………………………….19
Summary………………………………………………………………
... 27
4. CONCLUSION AND RECOMMENDATIONS
Conclusion……………………………………………………………
…29
Recommendations……………………………………………………
…30
REFERENCES
…………………………………………………………………31
CHAPTER ONE
INTRODUCTION
Background
Fire and Emergency Medical Services (EMS) protection in
Carroll County is provided by fourteen private, non profit fire
stations, which maintain service for the entire county. The
Carroll County Volunteer Emergency Services Association
(CCVESA) is a group that oversees the fourteen stations. The
group consists of a President, two Vice Presidents, Treasurer,
Secretary, and then five representatives from each of the
fourteen stations. The “Officers” are voted on each year at an
annual convention by the members of the CCVESA. The
CCVESA meets monthly and works toward unifying the
fourteen stations on many issues dealing with the fire service.
The county volunteer system evolved in a time when people
lived and worked within their community and most employers
would allow employees to leave work to fight fires and handle
medical emergencies. In recent years, more people have started
working in communities other than where they reside. People
also generally live very busy lives making their availability to
volunteer diminish. Many of the volunteer stations are seeing a
reduction in the number of people responding to emergencies
resulting in their units not being able to respond to the calls.
As the number of volunteers continues to drop, the county still
has a need to provide a service and has started looking into
combination stations. The CCVESA is looking into the current
need to fill the gaps due to the loss of volunteers. It is
necessary to form a strategic plan on how to handle the
diminishing support of the volunteers and their ability to
respond to emergencies within the community. The plan will
allow the CCVESA a framework for replacing the volunteers
and improving the quality of patient care.
Carroll County covers 449.13 square miles, with an approximate
population of 169,353 based on the quick facts from the U.S.
Census Bureau for 2008 (U.S. Census Bureau, 2010). Each
year, the county responds to approximately 17,848 calls for
assistance (Safety, 2008). Currently 66% of the calls within the
county are medical in nature and 12% of our calls from mutual
aid contracts outside the county are medical in nature (Safety,
2008).
Statement of the Problem
The volunteer system has recently come under criticism with
the recent budget crisis. It has been recommended that a
committee be established to compile a plan to hire full time
Advanced Life Support (ALS) staff as well as a paid Engineer
for each station. This task would be overseen by the CCVESA
and the personnel would also be overseen by the CCVESA to
ensure consistency among the fourteen companies. By having
one group responsible as opposed to each of the fourteen
companies, the CCVESA feel it will allow employees to be
moved from station to station if the need arises to fill vacancies
or cover an extra busy area. The discussion and
recommendation came about due to each of the fourteen
companies purchasing their own equipment. This resulted in a
need for expensive fire apparatus and transport vehicles for
fourteen different stations creating a duplication of services.
Many of the stations house two engines as well as a special
service piece, several utility vehicles, and an ambulance. At
this time only one of the fourteen companies does not house an
ambulance. In fact we have three stations that house two
ambulances and two stations house three ambulances. This has
created an enormous duplication of services.
Several companies are seeing the need for additional help when
responding to emergencies and have started to hire their own
paid EMS providers to cover the times of day when they found
their response times were in jeopardy. As a result, a committee
is being formed to start compiling statistics on late and no
responses for each of the fourteen stations in an attempt to
determine where help is needed the most. Statistics can be
retrieved from the Carroll County Office of Public Safety who
oversees the 911 system. It will be necessary to conduct a study
to determine where levels of service are inconsistent. The
strategic planning committee will also need to take into account
the minimum recommendations for initial manpower as set forth
by the National Fire Protection Association. All fourteen fire
stations agree that they can no longer effectively run the EMS
service for the county without implementing a combination
department to assist in handling medical emergencies.
However, all fourteen stations do not agree on what the best
method to covert from a volunteer system to a combination
system. By establishing a combination department, EMS would
be provided by paid staff and that staff would report directly to
a supervisor who is hired by the CCVESA. This would help to
take down any barriers that exist due to district boundaries
bringing EMS into a single entity with one set of standards and
operating guidelines. Allowing for unified training programs
and the ability to pull from a large group of employees to cover
shifts as opposed to the current situations of having no one to
cover if some one cannot make it to the station on any particular
day. This would keep providers from working for multiple
stations and accidently scheduling themselves at multiple
stations for the same shift. At this point each station is working
independently to hire their own staff and establish their own
work schedules and rules in an attempt to fill the gaps. As a
result, we are getting duplication of services among the fourteen
stations and a tug of war between the stations. Those stations
that have more money are able to offer a higher salary and
essentially “stealing” medics from each other in attempt to
cover shifts.
Operational Definitions
Ambulance – a vehicle used by emergency medical personnel to
transport ill or injured persons
with medical needs (Glossary of Emergency Medical
Technology, 2010).
Advanced Life Support (ALS) – a level of emergency care
consisting of “invasive life-saving
procedures including the placement of advanced airway
adjuncts, intravenous infusions, manual defibrillation,
electrocardiogram interpretation, advanced airway management
and administration of medication” (Glossary of Emergency
Medical Terminology, 2010).
Basic Life Support (BLS) – “basic life support consists of
essential non-invasive life-saving
procedures, such as CPR, bleeding control, splinting broken
bones, artificial ventilation, and basic airway management.
Basic life support level providers include emergency medical
technicians and certified first responders” (Glossary of
Emergency Medical Terminology, 2010)
Carroll County Volunteer Emergency Services Association
(CCVESA) – organization comprised
of elected officers, full time staff members, and five delegates
from each station. The CCVESA is a mechanism for the stations
to govern their collective selves, establishing and enforcing
standards on manning, training, apparatus construction and
equipment. The CCVESA also creates a way for companies to
interface with the fire station, county and state government
(County, 2010).
Combination Department – “Fire departments where personnel
consist of both paid and volunteer Members” (Barr & Eversole,
2003, p.926).
Consolidation – an act or instance of consolidating; the state of
being consolidated; unification:
consolidation of companies (Dictionary.com).
Emergency Medical Services (EMS) – “The delivery of medical
services to people experiencing
medical emergencies, specifically in a pre-hospital setting”
(Barr & Eversole, 2003, p.923).
Emergency Medical Services Operations Division – a committee
comprised of a representative
from each of the fourteen stations that is overseen by a
chairperson appointed by the CCVESA. ‘This group is charged
with maintaining the EMS system within the county in regards
to compliance, training, protocols, and disciplinary measures
for providers.” (Barr & Eversole, 2003, p.932).
Emergency Medical Service System – A complex, coordinated
system of emergency medical
resources startegically located to respond in a timely manner to
reduce physical and emotional impact related to medical
emergencies regardless of patient’s ability to pay (Barr &
Eversole, 2003).
Emergency Medical Technician (EMT) – a certified medical
provider who is trained to provide
basic life support (BLS) treatment such as CPR, bleeding
control, splinting broken bones, artificial ventilation, and basic
airway management (Glossary of Emergency Medical
Terminology, 2010).
Maryland Institute for Emergency Medical Services Systems
(MIEMSS) – a statewide network
that includes volunteer and career EMS providers, medical and
nursing personnel, communications, transport systems, trauma
and specialty care centers, and emergency departments.
Oversees and coordinates all components of the statewide EMS
system in accordance with Maryland statute and regulation
(Maryland Institute for Emergency Services Systems, 2010).
Mutual Aid Contract – a contract between two or more
emergency medical service agencies to
help provide medical services in a jurisdiction when the regular
resources are overwhelmed (Barr & Eversole, 2003).
National Fire Protection Association - The National Fire
Protection Association (NFPA) is an
international nonprofit organization that was established in
1896. The company’s
mission is to reduce the worldwide burden of fire and other
hazards on the quality of life
by providing and advocating consensus codes and standards,
research, training, and
education (National Fire Protection Association, 2009).
Paramedic – a licensed medical provider who is trained to
provide advanced life support (ALS)
treatment, including invasive procedures such as intravenous
infusions, manual defibrillation, electrocardiogram
interpretation, advanced airway management and administration
of medication (Paramedic, 2010).
Quick Response Vehicle (QVR) – designed to provide quicker
response of advanced life support
personnel to the scene of a medical or traumatic emergency
(River Falls Area Ambulance Service, 2006).
Volunteer Fire Station – a fire station with a roster comprised
of all volunteer personnel
(Barr & Eversole, 2003).
Significance of the Study
By looking at several other jurisdictions that have consolidated,
there is a major benefit to taxpayers with increased service
levels and a removal of the duplication of services by function
and geographic region. However, one major drawback is the
possibility of a takeover by a government agency as a result of
elected officials or officers of the CCVESA. Many fear that
once we get this system in place, the county government will
step in and take control away from the CCVESA pushing the
volunteers out all together.
It is necessary to bring together the stakeholders from Carroll
County Government, officers and delegates of the CCVESA,
and a handful of residents from the community. This group
would prepare an outreach initiative for the community to look
at consolidating EMS services, providing paid staff, and quick
response ALS vehicles. The community should be engaged via
the internet, intranet, mail and media campaigns, as well as
community forums to offer their suggestions and insight on the
project. A web page for the project should be provided to allow
members of the community to watch the progress of the project
as well as participate in the process. Finally, the stakeholders
should arrange to speak to local community groups and give
presentations on how the community would benefit by
consolidating the stations.
Summary
There is a need to improve the fire and EMS service within
Carroll County due to a lack of volunteers. With the
diminishment of volunteers, it is necessary for the county to
begin looking at alternative ways to continue to protect and
preserve the community as it has in the past. The strategic
planning process will allow the county to look at several
alternatives and determine the risks as well as the benefits that
they have to offer. Currently, the protection for the county is
being handled by fourteen independent stations. It is necessary
to find a means to help save tax payers money without
jeopardizing their service. It is also important to attempt to
reduce the duplications in service that are currently happening
as a result of the fourteen independent organizations. While the
transition could be hard to implement and may not gain full
support along the way, a strong strategic plan will help ease the
adjustment. The consolidation will help create a more efficient
EMS system by reducing response times and increasing the
quality of patient care.
CHAPTER TWO
Literature Review
Faced with increased response times, increased service
demands, and a lack of volunteers, Carroll County is looking at
an alternative method to provide Fire/EMS service efficiently
and productively. The purpose of this literature review is to
look at pertinent information from a variety of sources to
identify consolidations from around the United States. The
research question used for the purpose of this literature review
will be, “What were the experiences of other companies that
have gone through a fire department consolidation?” We will
focus on benefits, operational and functional issues, factors
prompting consolidation, as well as other influencing factors.
There has been a long history of medical services provided by
fire stations however; it was not until the late 1960’s when fire
based EMS systems were formally established (Pratt, Pepe,
Katz, & Persse, 2007).
We will start with the factors that prompted consolidation. In
the Blue Ribbon Report, the authors discuss the tremendous
contribution that volunteers give to our community (Scott &
Buckman III, March 2004). This report prepared by the
International Association of Fire Chief’s (IAFC) discusses how
to preserve and improve the future of the volunteer service.
The authors point out that many stations are often under-funded
and ill-equipped and have a difficult time retaining volunteers
(Scott & Buckman III, March 2004). The blame has been placed
on poor leadership and the lack of programs to help one acquire
the knowledge and skills necessary for effective management
(Scott & Buckman III, March 2004). In the book, Managing
Fire Services, the author sites the following reasons to be the
most influential catalysts for change by cities and counties
considering changing the way they provide fire service. The
factors are as follows:
1. “Growth in demand for service, especially ambulance and
rescue services.
2. Municipal budget constraints and/or contractual labor
demands.
3. Not enough volunteers during daylight hours.
4. Pressure to improve the productive use of paid firefighter
“downtime.”
5. The complexity of modern firefighting and the length of
training
volunteers required to meet community fire-safety standards.
6. Economics of scale” (Managing Fire Services, 1988, p. 439).
Although the CCVESA and local government officials are
looking towards a consolidation for different reasons, Jan
Thomas stresses that it is critical that the ultimate goal of
consolidation is to enhance fire protection services for our
citizens (Thomas, 1994). The goal must be recognized by
everyone involved in the process no matter what their reasons
for consolidation may be. Point Montara and Half Moon Bay
Fire Districts began looking at consolidation efforts and
initially found it not possible due to salary differences (Rice,
August 1992). Salaries were adjusted and other areas of service
integrated which led to the question, “why do we need two
stations within seven miles of each other? Point Bay fire
district covers six square miles, has eight paid personnel with a
budget of $940,000. The Half Moon Bay Fire District covers 40
square miles, has 23 full time employees and a budget of $3.5
million” (Rice, August 1992, p. 2).
When evaluating the benefits of a consolidation you must first
look at the benefits found in other stations throughout the
United States. According to Charles Rule, former fire chief, in
an article in American City and County magazine some of the
benefits of consolidation are “enhanced career opportunities,
joint training facilities, specialization in various functions”
(Thompson, 1992). You also have the ability to “have more
efficient personnel allocation, faster response times, increased
service levels for dollars spent, and better use of resources and
reorganization” (Thompson, 1992, p. 25). It is important to
remember that a consolidated system that allows your agency to
offer better service for the same money is, in effect, a cost
savings (Hagstrom, 1999).
We now begin to look at the operational and functional issues
involved with a consolidation. In the magazine American City
and County, Stephanie Thompson suggested that labor groups
such as unions should be involved from the beginning of the
process or it will be doomed to fail (Thompson, 1992). She also
stated that the consolidation effort can not be a disguise for an
attempt to reduce personnel (Thompson, 1992). Reorganizing
peronnel will need to occur during the consolidation to remove
duplication of services. The important thing is that personnel
need to be assured that they will have a place in the
organization and that their future is secure (Tualatin Valley Fire
and Rescue : Case Study and Outline Implementation, January
1996). William Hewitt describes how your current fire officers
need to evaluate the operational and functional issues within the
station. In Recreating the Fire Service, he states, “A major
problem being experienced by many fire service leaders is that
are having an ongoing love affair with the here and now”
(Hewitt, April 1995, p. 153). They tend to be action oriented
people and fail to look at the long range plans for the station.
Instead, “they focus on what is happening today and let
tomorrow worry about tomorrow” (Hewitt, April 1995, p. 153).
Hewitt said that by creating a 5-10 year plan the station will
survive with a here and now officer because the future will
mapped out for them (Hewitt, April 1995, p.153).
Finally, we come to the other factors that effect consolidation
efforts. Mary Jo Wagner quotes Chief Jeff Johnson of Tualatin
Valley Fire and Rescue saying, “The four main obstacles to a
merger or consolidation are turf, power, politics, and control”
(Wagner, 1996, p. 23). In the same article Mary Jo speaks with
Retired Chief Jack Snook who added that the biggest issue with
consolidations is a loss of control (Wagner, 1996). Opposition
to consolidation comes in many forms and by many types of
people as change is never easy. John Kotter, professor of
leadership at Harvard offers eight major factors why change
may fail:
1. Not establishing a great enough sense of urgency.
2. Not creating a powerful enough guiding coalition.
3. Lacking a vision.
4. Under communicating the vision.
5. Not removing obstacles to the new vision.
6. Not sytematically planning for and creating short-term wins.
7. Declaring victory too soon.
8. Not anchoring changes in the organization’s culture (Kotter,
1995, p.
59).
Information flow will be key to a successful consolidation.
Chief Johnson of Tualatin Valley Fire and Rescue suggests that
you keep your elected officals and staff well informed is the key
to “rumor control” (Wagner, 1996, p. 24).
Reflection
By evaluating the research listed above, it was hoped to gain a
better understanding of other stations who have consolidated.
This understanding will help us proceed in evaluating our
consolidation needs and efforts in our own community. The
objective of this review was to explore if consolidation of fire
protection agencies could improve the delivery and efficiency
of our EMS service to Carroll County. With the information
obtained, it has been proven that consolidations can offer many
benefits to both the fire departments and the community.
Summary
The literature review proved very helpful to this project. There
are several communities in the United States that have taken on
the project of consolidation. Many of those communities were
very successful by utilizing organized and comprehensive plans.
For those who were not successful there were mitigating factors
that needed to be addressed before a successful consolidation
could occur. The literature review gave credence to this
research. The public is in need of better Emergency Services
with regards to EMS response times and effective personnel.
The county must look toward innovative solutions such as
consolidating the stations and utilizing ALS quick response
vehicles. The consolidation of the fourteen stations will
provide both financial and operational benefits, which will
result in greater efficiency and service to the citizens of Carroll
County. With regularly scheduled 24 hour on duty personnel in
strategically located stations, the fire station has the “potential
for the most rapid delivery of advanced pre-hospital 9-1-1
emergency response and care (Pratt, Pepe, Katz, & Persse,
2007).
CHAPTER THREE
STRATEGIC PLAN
Introduction
“Strategic planning is a systematic process for drawing a vision
for a community’s future” (Gordon, 2005, p. 5). It is a never
ending process assessing the best outcomes of environmental
forces. Essentially the plan helps communities control the
future by understanding and forecasting change. This strategic
plan has been formulated due to a lack of volunteers and an
increased demand for emergency services within Carroll
County.
Restatement of Problem
The volunteer system has recently come under criticism with the
recent budget crisis. It has been recommended that a
committee be established to compile a plan to hire full time
ALS staff as well as a paid Engineer for each station. This task
would be overseen by the CCVESA and the personnel would
also be overseen by the CCVESA to ensure consistency among
the fourteen companies. By having one group responsible as
opposed to each of the fourteen companies, they feel it will
allow employees to be moved from station to station if the need
arises to fill vacancies or cover an extra busy area. The
discussion and recommendation came about due to each of the
fourteen companies purchasing their own equipment. This
resulted in a need for expensive fire apparatus and transport
vehicles for fourteen different stations creating a duplication of
services. Many of the stations house two engines as well as a
special service piece, several utility vehicles, and an ambulance.
At this time only one of the fourteen companies does not house
an ambulance. In fact we have three stations that house two
ambulances and two stations house three ambulances. This has
created an enormous duplication of services.
Several companies are seeing the need for additional help when
responding to emergencies and have started to hire their own
paid EMS providers to cover the times of day when they found
their response times were in jeopardy. Many of the stations
were noticing a decline in the number of available and qualified
volunteers resulting in late or no responses for their units. As a
result, a committee is being formed to start compiling statistics
on late and no responses for each of the fourteen stations in an
attempt to determine where help is needed the most. Statistics
can be retrieved from the Carroll County Office of Public
Safety who oversees the 911 system. It will be necessary to
conduct a study to determine where levels of service are
inconsistent. The committee will also need to take into account
the minimum recommendations for initial manpower as set forth
by the National Fire Protection Association. All fourteen fire
stations agree that they can no longer effectively run the EMS
service for the county without implementing a combination
station to assist in handling medical emergencies. However, all
fourteen companies do not agree on what the best method to
covert from a volunteer system to a combination system. By
establishing a combination station, EMS would be provided by
paid staff within the volunteer station and that paid staff would
report directly to a supervisor who is hired by the CCVESA.
This would help to take down any barriers that exist due to
district boundaries bringing EMS into a single entity with one
set of standards and operating guidelines. This would allow for
unified training programs and the ability to pull from a large
group of employees to cover shifts as opposed to the current
situations of having no one to cover if some one cannot make it
to the station on any particular day. This would also keep
providers from working for multiple stations which keeps us
from moving providers around to fill holes in the schedule when
they accidently schedule themselves at multiple stations for the
same shift. At this point each station is working independently
to hire their own staff and establish their own work schedules
and rules in an attempt to fill the gaps. As a result, we are
getting duplication of services and a tug of war between the
stations. Those stations that have more money are able to offer
a higher salary and essentially “stealing” medics from each
other in attempt to cover shifts.
Mission Statement
(Put your organization’s new mission statement here)
Vision Statement
(Put your organization’s new vision statement here)
Strategic Plan Description
We need to begin the process by announcing and promoting the
process for strategic planning. You need to promote the process
by involving key elected and appointed officials and informing
local government managers to foster a community wide
understanding of and support for the plan. It will be necessary
to identify who the active members will be from each of the
major stakeholder groups and select them to represent each of
the identified groups. The most important step is to identify a
facilitator for the entire process to help keep things on task and
in line during discussions. We need to rally support from the
community by engaging all stakeholders and providing
information about the process and the expected outcomes. You
then move into the strategic planning process and lay the
groundwork by collecting all relevant data and statistics. Once
this has been established you begin your plan by moving into
creating the vision and mission statements as well as your goals,
objectives, and tactics. The vision for Carroll County
Emergency Services is “to exhibit a high degree of integrity and
professionalism providing quality services and benefits daily
and in times of crisis by protecting life, freedom, and property
of all citizens and increasing a partnership with our citizens,
local governments, and private and public businesses” (Office
of Public Safety Vision Statement, 2009). This statement helps
to reflect the collective understanding of the situation including
the standard of living that is expected by the citizens of Carroll
County. The strategic plan begins with this vision and allows
us to set the tone for the entire process and the plan itself. “The
mission statement identifies the local government’s role in
pursuing the community’s vision” (Gordon, 2005, p. 31). The
mission of Carroll County Emergency Services is “to protect the
lives, property and environment in Carroll County and
surrounding areas through prevention, public education,
response, and non-emergency services. We will maintain the
highest level of response readiness to deliver fire and EMS
services in a safe, competent, and caring manner when
requested” (Office of Public Safety Mission Statement, 2009).
“Every local government group working on a strategic plan
needs to carry out an environmental scan that considers the
various environments that make an impact on the jurisdiction”
(Gordon, 2005. p. 33). The external environment is the formal
jurisdiction and the surrounding areas. This means that not
only do we look at our own area but we also need to consider
mutual aid companies. We need to analyze how other fire
stations are handling EMS in their jurisdictions and how that
could essentially affect Carroll County. Included are the
agreements that have been made to receive mutual aid services
for our own communities as well as provide mutual aid services
to the immediate outlying areas. We have to consider how those
involved in the mutual aid agreements will handle the transition
and could this essentially dissolve our mutual aid agreement.
Finally, we also must consider the current local, state, and
national EMS standards and policies and be sure that our
current plans are in line with those standards already in place.
The internal environment is the local government itself on a
local, state, and regional level. In Carroll County we have three
commissioners who are ultimately responsible for things on a
county level. All aspects of the strategic plan have to be
presented to these three people before moving forward. It is
extremely important to have the support of all three
commissioners prior to moving forward with the planning and
implementation process. Factors that need to be considered
during the environmental scan include economic, social, and
political. When looking at economic factors you need to
evaluate employment growth, composition of workforce, taxes,
and the aging population. It is important to consider the age of
your current workforce because as the group gets older you will
start losing employees to retirement and you need to be able to
refill those positions with new employees. When looking at
social factors you need to evaluate population growth,
demographics, the aging population, and social capital. You
need to use the census as your tool to determine the population
growth and any major changes in the demographics of your
jurisdiction. Once again the aging population could greatly
impact both your employment as well as your demand for
services. As the population ages there is a greater demand for
emergency medical services and transports to local hospitals.
Social capital involves how well the members of the community
interact with one another, is there cohesiveness between the
neighbors and the stations in Carroll County. When looking at
political factors you need to evaluate Carroll County
Government, the current budget, and staffing. You need to
determine if the current budget can handle the costs associated
with the consolidation in its current state in the future. There
needs to be ways that the costs can be offset by another source
of revenue to guarantee the ability to fund the positions being
created by the plan.
Strengths, Weaknesses, Opportunities, Threats (SWOT)
Analysis
Strengths
1st Call coverage
Education/ Training
High School Program (Vo-Tech)
EMS Vehicles
First Responder Program
Paging
Communications Center
12 lead equipment
Experienced providers
Rip and Run Printouts
Agency collaboration
Mutual Aid relationships
Emergency Medical Dispatch
Call prioritization (emergency vs. non emergency)
Weaknesses
Response Times
2nd & 3rd call coverage
Recruitment of volunteers
Retention of volunteers
Staffing
Only 1 hospital in county
Amount of ALS Certified providers
Funding
Opportunities
Grants
Public Education on Call reporting
Media Coverage
Recruitment
Benefits Package for Career Providers and volunteer benefits
Multi Agency Training
Awareness of EMS
Use of Media
Training (funded and non-funded)
Increased Staffing
Billing
Paid for Call
Standardized system
Threats
Volunteer Burn-out
Funding – budget support
Liability / HIPPA
Equipment Condition and Maintenance
Natural & Man Made Disasters
Resource Availability
Infection Control for EMS
Time Away from Home
Change in local government leadership
Provider Safety
The overall goal of the strategic plan is to provide 24/7 EMS
coverage to all Carroll County citizens. This can be obtained
through numerous objectives and tactics over the life of the
plan. By designing a strategic plan, the citizens of Carroll
County can be assured that when they call 911, they will receive
the best care possible in the quickest and most efficient manner.
We need to begin by trying to gain public and government
support for the plan. It is essential to get as many stakeholders
as possible on board with the plan so that they too can assist in
marketing the plan to the public. The plan can only be
successful with the support of both the governmental
constituents and the citizens who live and work in Carroll
County. This can be achieved by mailing out informational
flyers, offering an opinion survey, and holding several
community meetings where questions can be asked as well as
answered. In addition, we can develop and air community
service announcements on TV and Radio. Developing an
interactive website would also be helpful for people to visit so
they can view the progress of the plan as well as provide
feedback. Once support has been established for the plan then
it is important to move into the logistics of how we are going to
fund the project. We will need to evaluate sources such as
grants, increase in taxes for citizens, and the possibility of
billing for EMS services. Once funding as been established
then we need to move toward the actual staffing objectives. To
begin we need to determine what the qualifications will be for
EMS staff. To accomplish this we will need to review the
current Maryland State requirements for EMS as well as those
of other stations who have been successful at consolidation. It
will then be necessary to develop competencies requirements
and training materials that can be used for all new employees.
Once the criteria has been established then it is necessary to
move on to determining a timeline for implementing the new
24/7 EMS coverage. To start we will need to look at current
qualifications of our providers and the time needed to get our
providers to specific certification levels. We can look at other
combination stations for implementation time tables to
determine what is considered a reasonable and realistic time
frame. We then need to look at available resources that can be
utilized until all new staff is trained. Can we afford to pay
overtime or will we need to find other ways to cover the shifts
until everyone has met the training requirements? Before
anyone can be hired, we need to establish a set of standard
operating procedures as well as a job description for the
employees. We will need to look at other stations that have
paid staff in order to determine what we should expect from the
providers. Once we have gathered this information we need to
lay it out as an employee handbook as well as a set of operating
procedures that can be referenced by all employees. Finally we
will need to begin to train the personnel and start the transition
to 24/7 EMS. To begin we need to hold a station meeting to
discuss and inform personnel about transition. We need to let
them know the qualifications and training time line and what
will be expected by everyone while the transition is taking
place. We will need to place ads for Paramedics and Emergency
Medical Technicians (EMT’s) in attempt to gain enough
employees to cover all of the necessary shifts to get a full 24/7
schedule. Once the personnel have been hired we will begin to
hold training sessions for new employees and the transition will
have officially begun.
Implementation Plan
Action
Responsible Party
Time Line
Gain support from government
CCVESA
Immediate
Gain support from public
CCVESA and Carroll County Government
4/2010
Determine Funding sources for staff
CCVESA and Carroll County Government
4/2010
Determine qualifications for staff
EMS Operations Division and MIEMSS
5/2010
Establish a time line
CCVESA
Immediate
Develop standards / SOP’s for job
EMS Operations Division and MIEMSS
6/2010
Hire new employees
CCVESA
7/2010
Train New Employees
MIEMSS
8/2010
Evaluate transition
CCVESA and Carroll County Government
9/2010
To help fund this plan, it will be necessary to lay the ground
work and estimate just how much the plan will cost to get up
and running. The Carroll County Government already
subsidizes the fire stations budgets by issuing a quarterly check.
This money is to help the departments cover the day to day
operating expenses as well as any salaries that they may be
paying for staff. This allotment by no means covers the actual
costs of running the station but does help offset some of the
expenses. Many volunteer stations are relying on fundraising to
make up the remaining money needed to run the day to day
operations. For this plan to be funded, it will be necessary to
evaluate the current money being distributed to the stations and
determine if any of that money will be available for use. To
help secure funding for the plan, it will be necessary for the
stations to provide the county with an estimate of how much
money they receive as a result of EMS billing. This money
could essentially be used to fund a large portion of the plan.
Currently, the stations are using this money to make up the
shortfalls in salaries as well as purchase any equipment and
supplies for EMS. Many of the companies have a surplus of
money at the end of each year that could be used to assist in the
funding of 24/7 EMS. It will also be necessary to seek out any
grant opportunities that are available such as the Staffing for
Adequate Fire & Emergency Response (SAFER) Grants or the
Assistance to Firefighters Grant (AFG) programs. The SAFER
grant was “created to provide funding directly to fire stations in
order to help them increase the number of trained firefighters
available for their community” (AFG, 2010). The AFG
programs “primary goal is to meet the firefighting and
emergency response needs of fire departments and nonaffiliated
emergency medical service organizations” (AFG, 2010). Both
of these grants could be secured to help get the plan up and
running and sustain the plan in the years to come. In addition,
the billing process needs to be re-evaluated to be sure that each
station is billing the same way. Currently each station handles
their own billing so some may be making more money then
others who do not actively participate in the process. If these
two funding sources do not heed enough money to keep the plan
moving, then it will be necessary to consider an increase in
taxes for the citizens of Carroll County. That may come with
some hesitation at first however, once citizens realize that they
will be getting a much better service as a result of the tax
increase, I believe they will come on board.
As with any plan, it is important that you have a contingency
plan in place for the unexpected things that may arise. The
most important thing is to remember that you may not always
meet your deadlines. That does not mean that you will not
succeed, it means that you need to regroup and try again. If we
do not meet a deadline, then it will be necessary to make
adjustments to the remainder of the plan to accommodate the set
back. While the plan is unfolding, it will be necessary to be
sure that service is not interrupted or delayed. Therefore, it
will be important to keep a list of those people who are trained
and able to perform the duties should an opening occur. When
an opening does occur then you can begin going down the list to
find someone who would be available. This will not be a long
term plan because you can not rely on the volunteers forever as
they are the reason you are moving forward with the strategic
plan in the first place. As for funding contingencies, I believe
we have incorporated enough sources to secure the funding that
we should not fall short. However, should we fall short, then
we would have to fall back to relying on the volunteers and
finding ways to increase fundraising efforts or possibly even
billing fees. At this time we do not take anyone to collections
that do not pay their bill. If the insurance does not pay we only
send one bill to the patient and then it is left open but never
forwarded to any agency. If funding was scarce we could
always become more aggressive with the billing process and
attempt to collect more of the money that is owed. We could
even research to find out if the fees we are currently charging
are competitive with other organizations that provide the same
service. If we found we were not competitive we could alter
our process and increase the fees to bring ourselves in line with
the rest of the market.
Schedule for Performance Assessment
To be sure that we stay on track with the strategic plan, it will
be necessary to assess the plan on a weekly basis to start. We
will have team meetings every Monday morning to be sure that
everyone has been accomplishing the tasks they were assigned.
At that time we will be able to determine if we will be able to
meet the deadlines that we have set up. If we determine that we
can not finish a task in the allotted time, then it will be
necessary to estimate a new deadline and then adjust the rest of
the deadlines accordingly. If we find that meeting weekly does
not allow us enough time to fully finish our tasks then we will
move the meetings to bi-weekly until we get into the final stage
of the plan which is implementation and evaluation. At that
point in time, it will be necessary to only meet monthly as we
will need to allow enough time for people to get settled into the
new job. Obviously if problems arise then we will have to meet
and deal with them immediately however, once the staff is in
place we will only meet monthly.
Summary
The strategic plan that has been presented in this paper will
allow Carroll County to move from a volunteer system that is
lacking support and time from the volunteers into a combination
station. Due to the lack of volunteers and their lack of time, it
has been necessary for Carroll County to start turning towards a
career EMS system. This system will be comprised of BLS
units in ten of the fourteen fire stations and then Quick
Response Vehicles (QRV) staffed by a paramedic to upgrade the
BLS units when necessary. There will be a total of five Quick
Response Vehicles to cover the County at any given time. Staff
will work 24 hours shifts with a 72 hours period off before
returning to duty. As a result, we will need to hire four shifts
comprised of ten drivers, ten BLS providers, and five
paramedics per shift. To help offset when staff need off work
during a shift, we will also employ a group of part time staff.
This will be made up of a group of five drivers, five BLS
providers, and three paramedics. The part time staff will work
as needed and will allow us to offer time off to our employees
without running into an overtime situation. The plan has been
well thought out and should be able to be implemented without
too many problems along the way. Many other jurisdictions
have been successful in moving from an all volunteer to a career
based EMS system. This combination can cause some
frustration between the career and volunteer staff but we will be
sure to address any and all concerns along the way to ensure a
smooth transition. All volunteers and staff will be included in
the evaluation process and will have equal say when providing
feedback about the plan. The final decisions will ultimately be
made by the CCVESA but only after all feedback has been
obtained and considered.
CHAPTER FOUR
CONCLUSION
This strategic plan helped me to realize the need for a
combination station within Carroll County. The steps involved
allowed me to gather very pertinent information that I may have
not otherwise considered. I was able to determine that Carroll
County is not very prudent on documentation or offering their
mission and values within the CCVESA website. Much of the
information that I attempted to gather on my specific agency
was met with resistance. There is a lack of records showing
when transitions have been made as well as changes in
procedures and guidelines. I was unable to find any concrete
financial information in the CCVESA as a whole and had to rely
on what I was being told as opposed to an actual document.
I believe this strategic plan can be executed and successful
within Carroll County. Road blocks will be found along the
way especially when it comes to the transition process. The fire
station is not going to be as supportive of this plan as initially
they will see a reduction in the financial support from the
county until the new EMS has a chance to gain money from
billing. The county itself is in a transition year as we are going
from a three commissioner board to a five commissioner board
so we will be attempting this plan during a transition in how our
county government operates. This may work against us initially
as the three current commissioners have not announced that they
will be running for a new term. This means we will be getting a
whole new leadership and it will be necessary for the CCVESA
to build new relationships within county government.
With the right liaison for this plan, the plan will be able to gain
support and momentum to move forward and be successful with
implementation. It is imperative that the liaison be someone
who is passionate about the fire service and is also well known
throughout the fire service and community. The liaison will act
as the voice behind the strategic plan and interact with all
members to ensure a smooth and successful transition.
RECOMMENDATION
For the plan to move forward, it is necessary to begin to gain
the support of the stakeholders and government officials. It
will be necessary for the liaison as well as members of the
planning committee to attend as many community forums and
meetings as possible to get the word out about the plan. If the
crowd seems hesitant, then it will be necessary to bring in
spokes people from other stations that were successful in
transitioning to a combination department. These spokes people
can show how beneficial the transition has been for their station
and then the committee can show how beneficial it will be for
Carroll County. It is extremely important for this first step to
be completed prior to moving forward because gaining support
will allow the committee to begin implementing the various
phases of the plan. With support and financial assistance from
Carroll County Government, this plan can become very
beneficial and bring Carroll County back to providing fast,
efficient, and high quality patient care once again.
REFERENCES
Barr, R., & Eversole, J. M. (2003). The Fire Chief's Handbook.
Tulsa, OK: Penn Well
Corporation.
County, B. (2010). A Short History of the Association.
Retrieved March 1, 2010, from Baltimore
County Volunteer Fireman's Association:
www.bcvfa.org/content/overview
Dictionary.com. (n.d.). Retrieved April 9, 2010, from
dictionary.reference.com/browse/consolidation
Ellis, J. L. (August 2000). Consolidation of Fire Protection
Services in Central Penobscot
County. Holden, MAine: Holden Fire/Rescue Department.
Frazier, G. (1998). A
Solution
For Increased Efficiency and Service Consolidation.
Hutchinson,
KS: Hutchinson Fire Department.
Glossary of Emergency Medical Terminology. (n.d.). Retrieved
April 2010, from
firstaid.about.com/od/glossary/Glossary_of_Emergency_Medica
l_Terrminology.htm
Gordon, G. L. (2005). Strategic Planning for Local Government.
Washington, DC: International
City/County Management Association .
Hagstrom, J. (February 1999). How Do You Know? Is Your
Agency A Good Candidate for
Consolidation? APCO Bulletin 65 , 8-11.
Hewitt, W. (April 1995). Recreating the Fire Service. Ottawa,
Ontario: Kendall Publications.
Hyde, B., Clary, D., Moore, C., Bowen, W., Clary, D.,
Richardson, A., et al. (2007). Brunswick
County Strategic Plan. Lawrenceville, VA: Brunswick County.
Kotter, J. P. (1995). Leading Change: Why Transformation
Efforts Fail. Harvard Business
Review , 64-67.
Managing Fire Services. (1988). Washington, DC: INternational
City Managers Association.
Maryland Institute for Emergency Services Systems. (2010,
March 24). Retrieved March 24,
2010, from www.miemss.org
National Fire Protection Association. (2009). Retrieved
February 2, 2009, from National Fire
Protection Association:
http://www.nfpa.org/categoryList.asp?categoryID=143&URL=A
bout%20NFPA
Office of Public Safety Mission Statement. (2009). Retrieved
February 2, 2009, from Carroll
County Government:
http://ccgovernment.carr.org/ccg/pubsafe/docs/mission.pdf
Office of Public Safety Vision Statement. (2009). Retrieved
February 2, 2009, from Carroll
County Government:
http://ccgovernment.carr.org/ccg/pubsafe/docs/vision.pdf
Paramedic. (2010). Retrieved from Merriam Webster
Dictionary: www.merriam-webster.com
Pratt, F. D., Pepe, P. E., Katz, S., & Persse, D. (2007).
Prehospital 9-1-1 Emergency Medical
Response: The Role of the United States Fire Service in
Delivery and Coordination . International Association of
Firefighters.
Rice, E. (August 1992). Rising Cost Sparks Talk of
Consolidation of Fire Companies. Half Moon
Bay Review.
River Falls Area Ambulance Service. (2006, December).
Retrieved April 1, 2010, from River
Falls Area Ambulance Service:
www.rfaas.org/organizationalbook/3.0.0/ALSQuickResponseVe
hicle.pdf
Safety, (2008). Carroll County 911 Activity . Westminster, MD:
Carroll County
Government.
Scott, G., & Buckman III, J. M. (March 2004). A Call For
Action: The BLue Ribbon Report.
Fairfax, VA: International Fire Chiefs Association.
Scott, G., Buchman, E., Windisch, F., Holman, T., Fulmer, D.,
Curl, L., et al. (November 2005 ).
Lighting the Path of Evolution . Fairfax, VA: International Fire
Chiefs Association.
Seltzer, R. (2004). Successful Fire Department Consolidations
and Their Implications For
Conventry Fire Departments. Coventry, Rhode Island.
Thomas, J. (1994). When One Plus One Makes One. Fire Chief ,
105-106.
Thompson, S. (1992). American City and County. 25.
Tualatin Valley Fire and Rescue : Case Study and Outline
Implementation. (January 1996). A
Systematic Approach to Functional Consolidation and Merger,
5th edition, 1-183.
U.S. Fire Administration. (2010, March 25). Retrieved March
25, 2010, from SAFER
Grants: www.fireandgrantsupport.com
U.S. Fire Administration. (2010, March 25). Retrieved March
25, 2010, from AFG
Program: www.firegrantsupport.com
U.S. Census Bureau. (2010, March 21). Retrieved March 21,
2010, from www.census.gov
Wagner, M. J. (1996). Consolidation: Two Experts Offer A
Positive Approach. National Fire
and Rescue , 21-24.
1
RELOCATING 6TH AIR MOBILITY WING AIRCRAFT,
RESOURCES, AND PERSONEL TO SAFETY DURING THE
EVENT OF A HURRICANEComment by Robert Ditch:
Remember your paper is supposed to be on the organization
itself and how to improve It towards its mission and not a
subject or an action of this organization. This is supposed to be
a strategic plan not a response to an emergency plan; which you
are leading to becoming. It is supposed to take the organization
from where it is today to where it can be in 3-5 years. Comment
by Robert Ditch: Personnel
A Strategic Planning Project Submitted
By
Tisha L. Fairley
to
University of Maryland University College
HMLS 304
Professor
Dr. Robert L. Ditch, EdD
September 8, 2014
TABLE OF CONTENTS
CHAPTER
1. INTRODUCTION
Background
……………………………………………………………..3
Statement of the
Problem………………………………………………..4
Operational
Definitions…………………………………………….…...5
Significance of the
Study..…………….………………………………..6
Summary………………………………………………………………
.. 6
2. LITERATURE REVIEW
Pertinent
Studies………………………………………………………..
Reflection
…………….………………………………………………...
Summary………………………………………………………………
..
3. STRATEGIC PLAN
Introduction…………………………….……………………………
….
Restatement of the
Problem…………………………………….……….
Mission and Vision
Statement…………………………………………..
Strategic Plan
Description……………………………………………….
Summary………………………………………………………………
...
4. CONCLUSION AND RECOMMENDATIONS
Conclusion……………………………………………………………
…
Recommendations……………………………………………………
…
REFERENCES
…………………………………………………………………
CHAPTER ONE
INTRODUCTION
Background
The 6th Air Mobility Wing’s mission is “to generate and
execute air refueling, airlift, and contingency response
capabilities while providing base support for joint coalition and
interagency partners including U.S. Central Command and U.S.
Special Operations command (Macdill air force, 2013).” The 6th
AMW consist of the 6th Operations Group, the 6th Mission
Support Group, the 6th Medical Group, and the 6th Maintenance
Group. MacDill is also home to 39 other Mission Partners
including the National Oceanic and Atmospheric Administration
(NOAA) fleet of weather tracking and research aircraft. It’s also
the home of approximately 18 KC-135R Stratotanker aircraft
and 3 C-37A. The KC-135 is able to refuel other aircraft in the
air, anywhere in the world, and is also capable of transporting
litter and ambulatory patients using patient support pallets
during aeromedical evacuations. The C-37A utilizes highly
experienced crews to provide global airlift on special
assignment missions directly supporting the Combatant
Commanders of U.S CENTCOM, U.S. SOCOM, U.S. SOCENT,
U.S. NORTHCOM, U.S. TRANSCOM, and U.S. STRATCOM.
Approximately 10,500 military and 4,000 civilian personnel
are assigned to MacDill Air Force Base, Fla (MacDill air force,
2013). MacDill AFB, Tampa, FL is home to all services: the Air
Force, Army, Marine, Navy, and Coast Guard. Comment by
Robert Ditch: MacDill Air Force BaseComment by Robert
Ditch: Spell out all acronymsComment by Robert Ditch: I know
what these are but in academic writing you need to spell out
these acronyms for the reader.Comment by Robert Ditch: Same
as above
MacDill is on the Southwestern tip of the Interbay Peninsula on
the west coast of Florida. The base is located on 5,767 acres of
land; 906 acres are wetlands (MacDill air force, 2013) near the
Gulf of Mexico. Because it is near the tropics and westerly
winds blow off the African coasts along the equator, Florida is
vulnerable to hurricanes. A hurricane is a type of tropical
cyclone or severe tropical storm that forms in the southern
Atlantic Ocean, Caribbean Sea, Gulf of Mexico, and in the
eastern Pacific Ocean. All Gulf of Mexico coastal areas are
subject to hurricanes. Hurricanes can cause catastrophic damage
to coastlines and several hundred miles inland; they can also
produce winds exceeding 155 miles per hour as well as
tornadoes and mircrobursts; additionally, hurricanes can create
storm surges along the coast and cause extensive damage from
heavy rainfall (Hurricanes, 2014). Floods and flying debris from
the excessive winds are often the deadly and destructive results
of these weather events (Hurricanes, 2014). This type of
weather can cause severe damage to the million dollar aircraft,
and personnel at MacDill AFB. Therefore, the current Hurrevac
plan needs to be adjusted to ensure the aircraft and personnel
are safe. Comment by Robert Ditch: Same as aboveComment by
Robert Ditch: Same as aboveComment by Robert Ditch:
Comment by Robert Ditch: Should be (DHS, n.d)Comment by
Robert Ditch: Same as above
Statement of the Problem
The current evacuation plan for the 6th AMW has not ensured
the safety of its aircraft and airmen during a hurricane. During
several Hurrevac exercises, aircraft, resources, and personnel
were not escorted to a safe haven in an organized manner.
Several aircraft would have been left behind because the
aircrew was not properly scheduled to deploy the aircraft to a
secure location. Also, the aircraft that was left behind was
neither secure nor protected during the exercise. The support
equipment and supplies were left in the warehouse. It was not
put on a pallet to relocate. Comment by Robert Ditch: You need
a citation for these facts and I would caution you with the For
Official Use Only level of this information. I will protect it, but
it is not the kind of information that needs to be shared outside
of Official U.S. Air Force Sources. Recommend you refer to an
After Action Report for the citation.Comment by Robert Ditch:
Comment by Robert Ditch: You need to have a citation for all
this information. Recommend an After Action Report. Also, this
is really considered For Official Use Only information and you
should not be putting it in a college paper. Caution.
Safe Havens and Safe Houses were not identified correctly in
the Air Force Personnel Accountability and Assessment System;
therefore personnel were not properly accounted for. Mission
essential personnel were told to proceed to their safe haven
when they were needed for evacuation. Non mission essential
personnel were not able to relocate to the safe haven. There was
poor communication between agencies and personnel were not
accounted for. The communication between groups, squadrons,
flights, and sections was very poor. Personnel were not
informed of the correct recall procedures. Some individuals
were not recalled/notified of the evacuation. Command Post did
not stand up UCC’s in a timely manner. The failures mentioned
above will result in damaged aircraft & equipment, and missing
personnel. If a better plan is not developed, the Air Force will
lose millions dollars in repairs and undue damage. Comment by
Robert Ditch: These probably should be included in your
Operational DefinitionsComment by Robert Ditch: Spell out all
acronyms
Operational Definitions
AFPASS Air Force Personnel Accountability and Assessment
System (AFPAAS) standardizes a method for the Air Force to
account, assess, manage, and monitor the recovery and
reconstitution process for personnel and their families affected
and/or scattered by a wide-spread catastrophic event. AFPAAS
provides valuable information to all levels of the Air Force
chain of command, allowing commanders to make strategic
decisions which facilitate a return to stability ((afpaas) air force
personnel,). Comment by Robert Ditch: Should be (U.S. Air
Force, n.d.)
FEMA Federal Agency Emergency Management Agency
FEMA’s mission is to support our citizens and first responders
to ensure that as a nation we work together to build, sustain and
improve our capability to prepare for, protect against, respond
to, recover from and mitigate all hazards("About the agency ,"
2014).Comment by Robert Ditch: This should be (FEMA, n.d.)
HURREVAC Hurricane Evacuation HURREVAC is the decision
support tool of the National Hurricane Program, administered
by FEMA, the USACE, and the NOAA National Hurricane
Center (Hurrevac,).Comment by Robert Ditch: Spell out
acronyms
UCC Unit Control Center UCCs provide mission support to the
IC through the EOC (when activated) and to the installation
commander as directed by the CAT. UCCs are responsible for
coordinating activities for incident response. UCCs are
responsible for personnel accountability, emergency
notification, accomplishing unit-level preparation and recovery
actions (HQ AFCESA/CEXR, 2009).Comment by Robert Ditch:
Change to Unit Control Center (UCC)Comment by Robert
Ditch: deleteComment by Robert Ditch: Spell out
acronymComment by Robert Ditch: Spell out acronymComment
by Robert Ditch: Comment by Robert Ditch: Spell out
acronymComment by Robert Ditch: Recommend you spell out
command and not use office symbols. This should be (Air Force
Civil Engineering Support Agency, 2009)
Significance of the Study
After reviewing other military and Air Force’s evacuation plans,
The 6th AMW will be able to save money, secure million dollar
aircraft, and ensure safety of assigned personnel when the
current plan is modified. However all groups, squadrons,
flights, and sections will have to foster the teamwork concept
and work together. Communication will need to approve and
rules will have to be re-addressed. The Chain of Command will
have to be reestablished and all stakeholders will need to be
identified and made aware of their positions in this process. The
Wing and Group commanders will meet with FEMA
representatives to ensure that the plan will support or not
interrupt community evacuations during the time of a hurricane.
The commanders will identify personnel in their units to run the
Unit Control Centers (and other identified centers) to ensure
every person receive the same information and respond
accordingly. Also, a Hurrevac exercise will occur every other
month to ensure the 6th AMW is prepared.
Summary
Hurricane Katrina (Keesler AFB, MS) is a lesson that bases in a
hurricane zones should learn from. The Air Force leadership and
community of Biloxi, MS were not prepared for the level of
damage the happened that day. There is a need to readdress the
evacuation plan for MacDill AFB, FL. Now that the Air Force is
downsizing (doing move with less), it’s necessary to change the
way Hurrevac operations use to happen. Communication and
procedures need to change to prevent duplication of work and
prevent loss of aircraft, equipment, and lives. Adjusting to
change is not easy, and everyone is not going to support the new
process. But the needs of the Air Force come first, and the Air
Force wants to save money, resources, and people. The
adjustment plan will create a more efficient evacuation plan that
will ensure aircraft will deploy in a timely manner; while
reducing the response time of alerting members to safety.
REFERENCESComment by Robert Ditch: Please put in
alphabetical order and APA style where highlighted
Macdill Air Force Base Airmen, Mission, Community. (2013,
May). Retrieved from Comment by Robert Ditch:
incorrect
http://www.macdill.af.mil/index.asp
Hurricanes in Florida. (n.d.). Retrieved from Comment by
Robert Ditch: Incorrect
http://fcit.usf.edu/florida/lessons/hurricane/hurricane.htm
Hurricanes. (2014, May 27). Retrieved from Comment by
Robert Ditch: incorrect
http://www.ready.gov/hurricanes
(AFPAAS) Air Force Personnel Accountability and Assessment
System . (n.d.). Retrieved from Comment by Robert Ditch:
Incorrect
https://afpaas.af.mil/cas/login?service=https://afpaas.af.mil/
About the Agency. (2014, August 14). Retrieved fromComment
by Robert Ditch: Incorrect
http://www.fema.gov/about-fema
Hurrevac. (n.d.). Retrieved from
http://www.hurrevac.com/
HQ AFCESA/CEXR. (2009, December 01). Air force incident
management guidance for major accidents and natural disasters.
Retrieved fromComment by Robert Ditch: Incorrect
http://fas.org/irp/doddir/usaf/afman10-2504.pdf
This assignment consists of conducting detailed research and
analysis on a specific organization that has a homeland security
mission and writing a strategic plan for that organization;
taking it from where it is today to where it needs to be in three
to five years from now.
Task: Students will select an organization that has a homeland
security mission. Remember this is an organization not a
subject/topic.
Citations: Students must use the Publication Manual of the
American Psychological Association, 6th Edition format to cite
their research. Students are required to research and cite a
minimum of three online sources, three print sources, and at
least one reference from the course texts (seven-source
minimum). Students must give others credit for others' work by
properly citing it. The university's plagiarism policy applies to
all written assignments for this course.
Research: Students must conduct academic research to
substantiate their papers. The best source of this information
resides in scholarly articles. These sources may be found in the
course required readings, the UMUC Library, or any other
scholarly sources that students identify. While Internet websites
may be used as part of the research, students must be very
cautious, as the content is often biased and represents someone's
personal opinion rather than academic research. Wikipedia is
not a valid academic source and students must not use it. Papers
with only Internet research will receive lower grades.
The Strategic Plan Project for this course requires students to
apply the knowledge and concepts learned to a real-world work
environment by developing a strategic plan for a homeland
security organization. It is accomplished through the completion
of three separate assignments.
1. Essay 1: Introduction and Executive Brief - Describes the
Organization and the need for a strategic plan (5 pages - not
counting the Cover Page, Table of Contents and Reference
Page). This essay will also describe the organizations current
strategic plan if one is available. Format: The Chapter 1/Essay 1
- Introduction/Executive Briefing must be five pages of double-
spaced pages of narrative. Photographs, bulleted lists, and other
inserts do not count toward the minimum page requirement.
Students must include separate title and reference pages, which
do not count toward the minimum page requirement. The paper
will be in an executive briefing format (as outlined in the
Course Content modules) and the second will be in standard
American Psychological Association (APA) research paper
format. This introduction will be the first Chapter to your
Strategic Plan. A format will be provided to all of you to
follow.
2. Essay 2: Literature Review - Provides an overview with no
less than 6 separate reference sources on the need to accomplish
a strategic plan for this organization. This essay will include the
previously written Chapter 1 (with any corrections that were
noted at grading - points taken off if corrections not made), and
the new Chapter 2. This should be a total of no less than 10
pages (not counting the Cover Page, Table of Contents and
Reference Page).
3. Essay 3: Strategic Plan - This will include all the major parts
of the strategic plan (Chapter 3) as well as a
Conclusion/Recommendations Chapter (Chapter 4). Chapters
3/4 should be a total of no less than 10 pages; making the whole
plan (All Chapters) no less than 20 pages
During this course, students will learn how strategic planning
enables homeland security organizations to establish strategy,
make decisions, allocate resources, and manage programs
safely, effectively, and efficiently. Students will examine the
basic strategic planning requirements that all homeland security
organizations must complete: prepare to plan; establish mission,
vision, and core values; assess the situation; develop goals,
strategies, initiatives, work plans, and objectives; and complete
the written plan.
Students must develop a detailed strategic plan for a federal,
state, local governmental, or private homeland security
organization. The organization selected must have a clear
homeland security mission.
Citations: Students must use the Publication Manual of the
American Psychological Association, 6th Edition format to cite
their research. Students are required to research and cite a
minimum of three online sources, three print sources, and at
least one reference from the course texts (seven-source
minimum). Students must give others credit for others' work by
properly citing it. The university's plagiarism policy applies to
all written assignments for this course.
Research: Students must conduct academic research to
substantiate their papers. The best source of this information
resides in scholarly articles. These sources may be found in the
course required readings, the UMUC Library, or any other
scholarly sources that students identify. While Internet websites
may be used as part of the research, students must be very
cautious, as the content is often biased and represents someone's
personal opinion rather than academic research. Wikipedia is
not a valid academic source and students must not use it. Papers
with only Internet research will receive lower grades.
33TRANSITIONING FOURTEEN VOLUNTEER FIRE STATIONS INTO A COMBIN.docx

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33TRANSITIONING FOURTEEN VOLUNTEER FIRE STATIONS INTO A COMBIN.docx

  • 1. 33 TRANSITIONING FOURTEEN VOLUNTEER FIRE STATIONS INTO A COMBINATION DEPARTMENT WITH CAREER ALS QUICK RESPONSE VEHICLE A Strategic Planning Project Submitted By (Your Name) to University of Maryland University College HMLS 304 Professor Dr. Robert L. Ditch, EdD (Date) TABLE OF CONTENTS CHAPTER 1. INTRODUCTION Background ……………………………………………………………..4 Statement of the Problem……………………………………………….5 Operational Definitions…………………………………………….…...7
  • 2. Significance of the Study..…………….………………………………..9 Summary……………………………………………………………… ..10 2. LITERATURE REVIEW Pertinent Studies……………………………………………………….. 12 Reflection …………….………………………………………………... 15 Summary……………………………………………………………… .. 15 3. STRATEGIC PLAN Introduction…………………………….…………………………… …. 17 Restatement of the Problem…………………………………….………. 17 Mission and Vision Statement…………………………………………..18 Strategic Plan Description……………………………………………….19 Summary……………………………………………………………… ... 27 4. CONCLUSION AND RECOMMENDATIONS
  • 3. Conclusion…………………………………………………………… …29 Recommendations…………………………………………………… …30 REFERENCES …………………………………………………………………31 CHAPTER ONE INTRODUCTION Background Fire and Emergency Medical Services (EMS) protection in Carroll County is provided by fourteen private, non profit fire stations, which maintain service for the entire county. The Carroll County Volunteer Emergency Services Association (CCVESA) is a group that oversees the fourteen stations. The group consists of a President, two Vice Presidents, Treasurer, Secretary, and then five representatives from each of the fourteen stations. The “Officers” are voted on each year at an annual convention by the members of the CCVESA. The CCVESA meets monthly and works toward unifying the fourteen stations on many issues dealing with the fire service. The county volunteer system evolved in a time when people lived and worked within their community and most employers would allow employees to leave work to fight fires and handle medical emergencies. In recent years, more people have started working in communities other than where they reside. People also generally live very busy lives making their availability to volunteer diminish. Many of the volunteer stations are seeing a reduction in the number of people responding to emergencies
  • 4. resulting in their units not being able to respond to the calls. As the number of volunteers continues to drop, the county still has a need to provide a service and has started looking into combination stations. The CCVESA is looking into the current need to fill the gaps due to the loss of volunteers. It is necessary to form a strategic plan on how to handle the diminishing support of the volunteers and their ability to respond to emergencies within the community. The plan will allow the CCVESA a framework for replacing the volunteers and improving the quality of patient care. Carroll County covers 449.13 square miles, with an approximate population of 169,353 based on the quick facts from the U.S. Census Bureau for 2008 (U.S. Census Bureau, 2010). Each year, the county responds to approximately 17,848 calls for assistance (Safety, 2008). Currently 66% of the calls within the county are medical in nature and 12% of our calls from mutual aid contracts outside the county are medical in nature (Safety, 2008). Statement of the Problem The volunteer system has recently come under criticism with the recent budget crisis. It has been recommended that a committee be established to compile a plan to hire full time Advanced Life Support (ALS) staff as well as a paid Engineer for each station. This task would be overseen by the CCVESA and the personnel would also be overseen by the CCVESA to ensure consistency among the fourteen companies. By having one group responsible as opposed to each of the fourteen companies, the CCVESA feel it will allow employees to be moved from station to station if the need arises to fill vacancies or cover an extra busy area. The discussion and recommendation came about due to each of the fourteen companies purchasing their own equipment. This resulted in a need for expensive fire apparatus and transport vehicles for
  • 5. fourteen different stations creating a duplication of services. Many of the stations house two engines as well as a special service piece, several utility vehicles, and an ambulance. At this time only one of the fourteen companies does not house an ambulance. In fact we have three stations that house two ambulances and two stations house three ambulances. This has created an enormous duplication of services. Several companies are seeing the need for additional help when responding to emergencies and have started to hire their own paid EMS providers to cover the times of day when they found their response times were in jeopardy. As a result, a committee is being formed to start compiling statistics on late and no responses for each of the fourteen stations in an attempt to determine where help is needed the most. Statistics can be retrieved from the Carroll County Office of Public Safety who oversees the 911 system. It will be necessary to conduct a study to determine where levels of service are inconsistent. The strategic planning committee will also need to take into account the minimum recommendations for initial manpower as set forth by the National Fire Protection Association. All fourteen fire stations agree that they can no longer effectively run the EMS service for the county without implementing a combination department to assist in handling medical emergencies. However, all fourteen stations do not agree on what the best method to covert from a volunteer system to a combination system. By establishing a combination department, EMS would be provided by paid staff and that staff would report directly to a supervisor who is hired by the CCVESA. This would help to take down any barriers that exist due to district boundaries bringing EMS into a single entity with one set of standards and operating guidelines. Allowing for unified training programs and the ability to pull from a large group of employees to cover shifts as opposed to the current situations of having no one to cover if some one cannot make it to the station on any particular day. This would keep providers from working for multiple
  • 6. stations and accidently scheduling themselves at multiple stations for the same shift. At this point each station is working independently to hire their own staff and establish their own work schedules and rules in an attempt to fill the gaps. As a result, we are getting duplication of services among the fourteen stations and a tug of war between the stations. Those stations that have more money are able to offer a higher salary and essentially “stealing” medics from each other in attempt to cover shifts. Operational Definitions Ambulance – a vehicle used by emergency medical personnel to transport ill or injured persons with medical needs (Glossary of Emergency Medical Technology, 2010). Advanced Life Support (ALS) – a level of emergency care consisting of “invasive life-saving procedures including the placement of advanced airway adjuncts, intravenous infusions, manual defibrillation, electrocardiogram interpretation, advanced airway management and administration of medication” (Glossary of Emergency Medical Terminology, 2010). Basic Life Support (BLS) – “basic life support consists of essential non-invasive life-saving procedures, such as CPR, bleeding control, splinting broken bones, artificial ventilation, and basic airway management. Basic life support level providers include emergency medical technicians and certified first responders” (Glossary of Emergency Medical Terminology, 2010)
  • 7. Carroll County Volunteer Emergency Services Association (CCVESA) – organization comprised of elected officers, full time staff members, and five delegates from each station. The CCVESA is a mechanism for the stations to govern their collective selves, establishing and enforcing standards on manning, training, apparatus construction and equipment. The CCVESA also creates a way for companies to interface with the fire station, county and state government (County, 2010). Combination Department – “Fire departments where personnel consist of both paid and volunteer Members” (Barr & Eversole, 2003, p.926). Consolidation – an act or instance of consolidating; the state of being consolidated; unification: consolidation of companies (Dictionary.com). Emergency Medical Services (EMS) – “The delivery of medical services to people experiencing medical emergencies, specifically in a pre-hospital setting” (Barr & Eversole, 2003, p.923). Emergency Medical Services Operations Division – a committee comprised of a representative from each of the fourteen stations that is overseen by a chairperson appointed by the CCVESA. ‘This group is charged with maintaining the EMS system within the county in regards to compliance, training, protocols, and disciplinary measures for providers.” (Barr & Eversole, 2003, p.932). Emergency Medical Service System – A complex, coordinated system of emergency medical resources startegically located to respond in a timely manner to
  • 8. reduce physical and emotional impact related to medical emergencies regardless of patient’s ability to pay (Barr & Eversole, 2003). Emergency Medical Technician (EMT) – a certified medical provider who is trained to provide basic life support (BLS) treatment such as CPR, bleeding control, splinting broken bones, artificial ventilation, and basic airway management (Glossary of Emergency Medical Terminology, 2010). Maryland Institute for Emergency Medical Services Systems (MIEMSS) – a statewide network that includes volunteer and career EMS providers, medical and nursing personnel, communications, transport systems, trauma and specialty care centers, and emergency departments. Oversees and coordinates all components of the statewide EMS system in accordance with Maryland statute and regulation (Maryland Institute for Emergency Services Systems, 2010). Mutual Aid Contract – a contract between two or more emergency medical service agencies to help provide medical services in a jurisdiction when the regular resources are overwhelmed (Barr & Eversole, 2003). National Fire Protection Association - The National Fire Protection Association (NFPA) is an international nonprofit organization that was established in 1896. The company’s mission is to reduce the worldwide burden of fire and other hazards on the quality of life by providing and advocating consensus codes and standards,
  • 9. research, training, and education (National Fire Protection Association, 2009). Paramedic – a licensed medical provider who is trained to provide advanced life support (ALS) treatment, including invasive procedures such as intravenous infusions, manual defibrillation, electrocardiogram interpretation, advanced airway management and administration of medication (Paramedic, 2010). Quick Response Vehicle (QVR) – designed to provide quicker response of advanced life support personnel to the scene of a medical or traumatic emergency (River Falls Area Ambulance Service, 2006). Volunteer Fire Station – a fire station with a roster comprised of all volunteer personnel (Barr & Eversole, 2003). Significance of the Study By looking at several other jurisdictions that have consolidated, there is a major benefit to taxpayers with increased service levels and a removal of the duplication of services by function and geographic region. However, one major drawback is the possibility of a takeover by a government agency as a result of elected officials or officers of the CCVESA. Many fear that once we get this system in place, the county government will step in and take control away from the CCVESA pushing the volunteers out all together.
  • 10. It is necessary to bring together the stakeholders from Carroll County Government, officers and delegates of the CCVESA, and a handful of residents from the community. This group would prepare an outreach initiative for the community to look at consolidating EMS services, providing paid staff, and quick response ALS vehicles. The community should be engaged via the internet, intranet, mail and media campaigns, as well as community forums to offer their suggestions and insight on the project. A web page for the project should be provided to allow members of the community to watch the progress of the project as well as participate in the process. Finally, the stakeholders should arrange to speak to local community groups and give presentations on how the community would benefit by consolidating the stations. Summary There is a need to improve the fire and EMS service within Carroll County due to a lack of volunteers. With the diminishment of volunteers, it is necessary for the county to begin looking at alternative ways to continue to protect and preserve the community as it has in the past. The strategic planning process will allow the county to look at several alternatives and determine the risks as well as the benefits that they have to offer. Currently, the protection for the county is being handled by fourteen independent stations. It is necessary to find a means to help save tax payers money without jeopardizing their service. It is also important to attempt to reduce the duplications in service that are currently happening as a result of the fourteen independent organizations. While the transition could be hard to implement and may not gain full support along the way, a strong strategic plan will help ease the adjustment. The consolidation will help create a more efficient EMS system by reducing response times and increasing the quality of patient care.
  • 11. CHAPTER TWO Literature Review Faced with increased response times, increased service demands, and a lack of volunteers, Carroll County is looking at an alternative method to provide Fire/EMS service efficiently and productively. The purpose of this literature review is to look at pertinent information from a variety of sources to identify consolidations from around the United States. The research question used for the purpose of this literature review will be, “What were the experiences of other companies that have gone through a fire department consolidation?” We will focus on benefits, operational and functional issues, factors prompting consolidation, as well as other influencing factors. There has been a long history of medical services provided by fire stations however; it was not until the late 1960’s when fire based EMS systems were formally established (Pratt, Pepe, Katz, & Persse, 2007). We will start with the factors that prompted consolidation. In the Blue Ribbon Report, the authors discuss the tremendous contribution that volunteers give to our community (Scott & Buckman III, March 2004). This report prepared by the International Association of Fire Chief’s (IAFC) discusses how to preserve and improve the future of the volunteer service. The authors point out that many stations are often under-funded and ill-equipped and have a difficult time retaining volunteers (Scott & Buckman III, March 2004). The blame has been placed on poor leadership and the lack of programs to help one acquire the knowledge and skills necessary for effective management (Scott & Buckman III, March 2004). In the book, Managing Fire Services, the author sites the following reasons to be the most influential catalysts for change by cities and counties
  • 12. considering changing the way they provide fire service. The factors are as follows: 1. “Growth in demand for service, especially ambulance and rescue services. 2. Municipal budget constraints and/or contractual labor demands. 3. Not enough volunteers during daylight hours. 4. Pressure to improve the productive use of paid firefighter “downtime.” 5. The complexity of modern firefighting and the length of training volunteers required to meet community fire-safety standards. 6. Economics of scale” (Managing Fire Services, 1988, p. 439). Although the CCVESA and local government officials are looking towards a consolidation for different reasons, Jan Thomas stresses that it is critical that the ultimate goal of consolidation is to enhance fire protection services for our citizens (Thomas, 1994). The goal must be recognized by everyone involved in the process no matter what their reasons for consolidation may be. Point Montara and Half Moon Bay Fire Districts began looking at consolidation efforts and initially found it not possible due to salary differences (Rice, August 1992). Salaries were adjusted and other areas of service integrated which led to the question, “why do we need two stations within seven miles of each other? Point Bay fire district covers six square miles, has eight paid personnel with a budget of $940,000. The Half Moon Bay Fire District covers 40 square miles, has 23 full time employees and a budget of $3.5
  • 13. million” (Rice, August 1992, p. 2). When evaluating the benefits of a consolidation you must first look at the benefits found in other stations throughout the United States. According to Charles Rule, former fire chief, in an article in American City and County magazine some of the benefits of consolidation are “enhanced career opportunities, joint training facilities, specialization in various functions” (Thompson, 1992). You also have the ability to “have more efficient personnel allocation, faster response times, increased service levels for dollars spent, and better use of resources and reorganization” (Thompson, 1992, p. 25). It is important to remember that a consolidated system that allows your agency to offer better service for the same money is, in effect, a cost savings (Hagstrom, 1999). We now begin to look at the operational and functional issues involved with a consolidation. In the magazine American City and County, Stephanie Thompson suggested that labor groups such as unions should be involved from the beginning of the process or it will be doomed to fail (Thompson, 1992). She also stated that the consolidation effort can not be a disguise for an attempt to reduce personnel (Thompson, 1992). Reorganizing peronnel will need to occur during the consolidation to remove duplication of services. The important thing is that personnel need to be assured that they will have a place in the organization and that their future is secure (Tualatin Valley Fire and Rescue : Case Study and Outline Implementation, January 1996). William Hewitt describes how your current fire officers need to evaluate the operational and functional issues within the station. In Recreating the Fire Service, he states, “A major problem being experienced by many fire service leaders is that are having an ongoing love affair with the here and now” (Hewitt, April 1995, p. 153). They tend to be action oriented people and fail to look at the long range plans for the station. Instead, “they focus on what is happening today and let
  • 14. tomorrow worry about tomorrow” (Hewitt, April 1995, p. 153). Hewitt said that by creating a 5-10 year plan the station will survive with a here and now officer because the future will mapped out for them (Hewitt, April 1995, p.153). Finally, we come to the other factors that effect consolidation efforts. Mary Jo Wagner quotes Chief Jeff Johnson of Tualatin Valley Fire and Rescue saying, “The four main obstacles to a merger or consolidation are turf, power, politics, and control” (Wagner, 1996, p. 23). In the same article Mary Jo speaks with Retired Chief Jack Snook who added that the biggest issue with consolidations is a loss of control (Wagner, 1996). Opposition to consolidation comes in many forms and by many types of people as change is never easy. John Kotter, professor of leadership at Harvard offers eight major factors why change may fail: 1. Not establishing a great enough sense of urgency. 2. Not creating a powerful enough guiding coalition. 3. Lacking a vision. 4. Under communicating the vision. 5. Not removing obstacles to the new vision. 6. Not sytematically planning for and creating short-term wins. 7. Declaring victory too soon. 8. Not anchoring changes in the organization’s culture (Kotter, 1995, p. 59). Information flow will be key to a successful consolidation. Chief Johnson of Tualatin Valley Fire and Rescue suggests that you keep your elected officals and staff well informed is the key to “rumor control” (Wagner, 1996, p. 24). Reflection
  • 15. By evaluating the research listed above, it was hoped to gain a better understanding of other stations who have consolidated. This understanding will help us proceed in evaluating our consolidation needs and efforts in our own community. The objective of this review was to explore if consolidation of fire protection agencies could improve the delivery and efficiency of our EMS service to Carroll County. With the information obtained, it has been proven that consolidations can offer many benefits to both the fire departments and the community. Summary The literature review proved very helpful to this project. There are several communities in the United States that have taken on the project of consolidation. Many of those communities were very successful by utilizing organized and comprehensive plans. For those who were not successful there were mitigating factors that needed to be addressed before a successful consolidation could occur. The literature review gave credence to this research. The public is in need of better Emergency Services with regards to EMS response times and effective personnel. The county must look toward innovative solutions such as consolidating the stations and utilizing ALS quick response vehicles. The consolidation of the fourteen stations will provide both financial and operational benefits, which will result in greater efficiency and service to the citizens of Carroll County. With regularly scheduled 24 hour on duty personnel in strategically located stations, the fire station has the “potential for the most rapid delivery of advanced pre-hospital 9-1-1 emergency response and care (Pratt, Pepe, Katz, & Persse, 2007). CHAPTER THREE STRATEGIC PLAN
  • 16. Introduction “Strategic planning is a systematic process for drawing a vision for a community’s future” (Gordon, 2005, p. 5). It is a never ending process assessing the best outcomes of environmental forces. Essentially the plan helps communities control the future by understanding and forecasting change. This strategic plan has been formulated due to a lack of volunteers and an increased demand for emergency services within Carroll County. Restatement of Problem The volunteer system has recently come under criticism with the recent budget crisis. It has been recommended that a committee be established to compile a plan to hire full time ALS staff as well as a paid Engineer for each station. This task would be overseen by the CCVESA and the personnel would also be overseen by the CCVESA to ensure consistency among the fourteen companies. By having one group responsible as opposed to each of the fourteen companies, they feel it will allow employees to be moved from station to station if the need arises to fill vacancies or cover an extra busy area. The discussion and recommendation came about due to each of the fourteen companies purchasing their own equipment. This resulted in a need for expensive fire apparatus and transport vehicles for fourteen different stations creating a duplication of services. Many of the stations house two engines as well as a special service piece, several utility vehicles, and an ambulance. At this time only one of the fourteen companies does not house an ambulance. In fact we have three stations that house two ambulances and two stations house three ambulances. This has created an enormous duplication of services.
  • 17. Several companies are seeing the need for additional help when responding to emergencies and have started to hire their own paid EMS providers to cover the times of day when they found their response times were in jeopardy. Many of the stations were noticing a decline in the number of available and qualified volunteers resulting in late or no responses for their units. As a result, a committee is being formed to start compiling statistics on late and no responses for each of the fourteen stations in an attempt to determine where help is needed the most. Statistics can be retrieved from the Carroll County Office of Public Safety who oversees the 911 system. It will be necessary to conduct a study to determine where levels of service are inconsistent. The committee will also need to take into account the minimum recommendations for initial manpower as set forth by the National Fire Protection Association. All fourteen fire stations agree that they can no longer effectively run the EMS service for the county without implementing a combination station to assist in handling medical emergencies. However, all fourteen companies do not agree on what the best method to covert from a volunteer system to a combination system. By establishing a combination station, EMS would be provided by paid staff within the volunteer station and that paid staff would report directly to a supervisor who is hired by the CCVESA. This would help to take down any barriers that exist due to district boundaries bringing EMS into a single entity with one set of standards and operating guidelines. This would allow for unified training programs and the ability to pull from a large group of employees to cover shifts as opposed to the current situations of having no one to cover if some one cannot make it to the station on any particular day. This would also keep providers from working for multiple stations which keeps us from moving providers around to fill holes in the schedule when they accidently schedule themselves at multiple stations for the same shift. At this point each station is working independently to hire their own staff and establish their own work schedules and rules in an attempt to fill the gaps. As a result, we are
  • 18. getting duplication of services and a tug of war between the stations. Those stations that have more money are able to offer a higher salary and essentially “stealing” medics from each other in attempt to cover shifts. Mission Statement (Put your organization’s new mission statement here) Vision Statement (Put your organization’s new vision statement here) Strategic Plan Description We need to begin the process by announcing and promoting the process for strategic planning. You need to promote the process by involving key elected and appointed officials and informing local government managers to foster a community wide understanding of and support for the plan. It will be necessary to identify who the active members will be from each of the major stakeholder groups and select them to represent each of the identified groups. The most important step is to identify a facilitator for the entire process to help keep things on task and in line during discussions. We need to rally support from the community by engaging all stakeholders and providing information about the process and the expected outcomes. You then move into the strategic planning process and lay the groundwork by collecting all relevant data and statistics. Once this has been established you begin your plan by moving into creating the vision and mission statements as well as your goals, objectives, and tactics. The vision for Carroll County Emergency Services is “to exhibit a high degree of integrity and professionalism providing quality services and benefits daily and in times of crisis by protecting life, freedom, and property of all citizens and increasing a partnership with our citizens, local governments, and private and public businesses” (Office of Public Safety Vision Statement, 2009). This statement helps
  • 19. to reflect the collective understanding of the situation including the standard of living that is expected by the citizens of Carroll County. The strategic plan begins with this vision and allows us to set the tone for the entire process and the plan itself. “The mission statement identifies the local government’s role in pursuing the community’s vision” (Gordon, 2005, p. 31). The mission of Carroll County Emergency Services is “to protect the lives, property and environment in Carroll County and surrounding areas through prevention, public education, response, and non-emergency services. We will maintain the highest level of response readiness to deliver fire and EMS services in a safe, competent, and caring manner when requested” (Office of Public Safety Mission Statement, 2009). “Every local government group working on a strategic plan needs to carry out an environmental scan that considers the various environments that make an impact on the jurisdiction” (Gordon, 2005. p. 33). The external environment is the formal jurisdiction and the surrounding areas. This means that not only do we look at our own area but we also need to consider mutual aid companies. We need to analyze how other fire stations are handling EMS in their jurisdictions and how that could essentially affect Carroll County. Included are the agreements that have been made to receive mutual aid services for our own communities as well as provide mutual aid services to the immediate outlying areas. We have to consider how those involved in the mutual aid agreements will handle the transition and could this essentially dissolve our mutual aid agreement. Finally, we also must consider the current local, state, and national EMS standards and policies and be sure that our current plans are in line with those standards already in place. The internal environment is the local government itself on a local, state, and regional level. In Carroll County we have three commissioners who are ultimately responsible for things on a
  • 20. county level. All aspects of the strategic plan have to be presented to these three people before moving forward. It is extremely important to have the support of all three commissioners prior to moving forward with the planning and implementation process. Factors that need to be considered during the environmental scan include economic, social, and political. When looking at economic factors you need to evaluate employment growth, composition of workforce, taxes, and the aging population. It is important to consider the age of your current workforce because as the group gets older you will start losing employees to retirement and you need to be able to refill those positions with new employees. When looking at social factors you need to evaluate population growth, demographics, the aging population, and social capital. You need to use the census as your tool to determine the population growth and any major changes in the demographics of your jurisdiction. Once again the aging population could greatly impact both your employment as well as your demand for services. As the population ages there is a greater demand for emergency medical services and transports to local hospitals. Social capital involves how well the members of the community interact with one another, is there cohesiveness between the neighbors and the stations in Carroll County. When looking at political factors you need to evaluate Carroll County Government, the current budget, and staffing. You need to determine if the current budget can handle the costs associated with the consolidation in its current state in the future. There needs to be ways that the costs can be offset by another source of revenue to guarantee the ability to fund the positions being created by the plan. Strengths, Weaknesses, Opportunities, Threats (SWOT) Analysis Strengths 1st Call coverage
  • 21. Education/ Training High School Program (Vo-Tech) EMS Vehicles First Responder Program Paging Communications Center 12 lead equipment Experienced providers Rip and Run Printouts Agency collaboration Mutual Aid relationships Emergency Medical Dispatch
  • 22. Call prioritization (emergency vs. non emergency) Weaknesses Response Times 2nd & 3rd call coverage Recruitment of volunteers Retention of volunteers Staffing Only 1 hospital in county Amount of ALS Certified providers Funding Opportunities Grants
  • 23. Public Education on Call reporting Media Coverage Recruitment Benefits Package for Career Providers and volunteer benefits Multi Agency Training Awareness of EMS Use of Media Training (funded and non-funded) Increased Staffing
  • 24. Billing Paid for Call Standardized system Threats Volunteer Burn-out Funding – budget support Liability / HIPPA Equipment Condition and Maintenance Natural & Man Made Disasters Resource Availability Infection Control for EMS Time Away from Home Change in local government leadership Provider Safety
  • 25. The overall goal of the strategic plan is to provide 24/7 EMS coverage to all Carroll County citizens. This can be obtained through numerous objectives and tactics over the life of the plan. By designing a strategic plan, the citizens of Carroll County can be assured that when they call 911, they will receive the best care possible in the quickest and most efficient manner. We need to begin by trying to gain public and government support for the plan. It is essential to get as many stakeholders as possible on board with the plan so that they too can assist in marketing the plan to the public. The plan can only be successful with the support of both the governmental constituents and the citizens who live and work in Carroll County. This can be achieved by mailing out informational flyers, offering an opinion survey, and holding several community meetings where questions can be asked as well as answered. In addition, we can develop and air community service announcements on TV and Radio. Developing an interactive website would also be helpful for people to visit so they can view the progress of the plan as well as provide feedback. Once support has been established for the plan then it is important to move into the logistics of how we are going to fund the project. We will need to evaluate sources such as grants, increase in taxes for citizens, and the possibility of billing for EMS services. Once funding as been established then we need to move toward the actual staffing objectives. To begin we need to determine what the qualifications will be for EMS staff. To accomplish this we will need to review the current Maryland State requirements for EMS as well as those of other stations who have been successful at consolidation. It will then be necessary to develop competencies requirements and training materials that can be used for all new employees. Once the criteria has been established then it is necessary to move on to determining a timeline for implementing the new 24/7 EMS coverage. To start we will need to look at current qualifications of our providers and the time needed to get our providers to specific certification levels. We can look at other
  • 26. combination stations for implementation time tables to determine what is considered a reasonable and realistic time frame. We then need to look at available resources that can be utilized until all new staff is trained. Can we afford to pay overtime or will we need to find other ways to cover the shifts until everyone has met the training requirements? Before anyone can be hired, we need to establish a set of standard operating procedures as well as a job description for the employees. We will need to look at other stations that have paid staff in order to determine what we should expect from the providers. Once we have gathered this information we need to lay it out as an employee handbook as well as a set of operating procedures that can be referenced by all employees. Finally we will need to begin to train the personnel and start the transition to 24/7 EMS. To begin we need to hold a station meeting to discuss and inform personnel about transition. We need to let them know the qualifications and training time line and what will be expected by everyone while the transition is taking place. We will need to place ads for Paramedics and Emergency Medical Technicians (EMT’s) in attempt to gain enough employees to cover all of the necessary shifts to get a full 24/7 schedule. Once the personnel have been hired we will begin to hold training sessions for new employees and the transition will have officially begun. Implementation Plan Action Responsible Party Time Line Gain support from government CCVESA Immediate Gain support from public CCVESA and Carroll County Government 4/2010 Determine Funding sources for staff
  • 27. CCVESA and Carroll County Government 4/2010 Determine qualifications for staff EMS Operations Division and MIEMSS 5/2010 Establish a time line CCVESA Immediate Develop standards / SOP’s for job EMS Operations Division and MIEMSS 6/2010 Hire new employees CCVESA 7/2010 Train New Employees MIEMSS 8/2010 Evaluate transition CCVESA and Carroll County Government 9/2010 To help fund this plan, it will be necessary to lay the ground work and estimate just how much the plan will cost to get up and running. The Carroll County Government already subsidizes the fire stations budgets by issuing a quarterly check. This money is to help the departments cover the day to day operating expenses as well as any salaries that they may be paying for staff. This allotment by no means covers the actual costs of running the station but does help offset some of the expenses. Many volunteer stations are relying on fundraising to make up the remaining money needed to run the day to day operations. For this plan to be funded, it will be necessary to evaluate the current money being distributed to the stations and determine if any of that money will be available for use. To help secure funding for the plan, it will be necessary for the stations to provide the county with an estimate of how much
  • 28. money they receive as a result of EMS billing. This money could essentially be used to fund a large portion of the plan. Currently, the stations are using this money to make up the shortfalls in salaries as well as purchase any equipment and supplies for EMS. Many of the companies have a surplus of money at the end of each year that could be used to assist in the funding of 24/7 EMS. It will also be necessary to seek out any grant opportunities that are available such as the Staffing for Adequate Fire & Emergency Response (SAFER) Grants or the Assistance to Firefighters Grant (AFG) programs. The SAFER grant was “created to provide funding directly to fire stations in order to help them increase the number of trained firefighters available for their community” (AFG, 2010). The AFG programs “primary goal is to meet the firefighting and emergency response needs of fire departments and nonaffiliated emergency medical service organizations” (AFG, 2010). Both of these grants could be secured to help get the plan up and running and sustain the plan in the years to come. In addition, the billing process needs to be re-evaluated to be sure that each station is billing the same way. Currently each station handles their own billing so some may be making more money then others who do not actively participate in the process. If these two funding sources do not heed enough money to keep the plan moving, then it will be necessary to consider an increase in taxes for the citizens of Carroll County. That may come with some hesitation at first however, once citizens realize that they will be getting a much better service as a result of the tax increase, I believe they will come on board. As with any plan, it is important that you have a contingency plan in place for the unexpected things that may arise. The most important thing is to remember that you may not always meet your deadlines. That does not mean that you will not succeed, it means that you need to regroup and try again. If we do not meet a deadline, then it will be necessary to make
  • 29. adjustments to the remainder of the plan to accommodate the set back. While the plan is unfolding, it will be necessary to be sure that service is not interrupted or delayed. Therefore, it will be important to keep a list of those people who are trained and able to perform the duties should an opening occur. When an opening does occur then you can begin going down the list to find someone who would be available. This will not be a long term plan because you can not rely on the volunteers forever as they are the reason you are moving forward with the strategic plan in the first place. As for funding contingencies, I believe we have incorporated enough sources to secure the funding that we should not fall short. However, should we fall short, then we would have to fall back to relying on the volunteers and finding ways to increase fundraising efforts or possibly even billing fees. At this time we do not take anyone to collections that do not pay their bill. If the insurance does not pay we only send one bill to the patient and then it is left open but never forwarded to any agency. If funding was scarce we could always become more aggressive with the billing process and attempt to collect more of the money that is owed. We could even research to find out if the fees we are currently charging are competitive with other organizations that provide the same service. If we found we were not competitive we could alter our process and increase the fees to bring ourselves in line with the rest of the market. Schedule for Performance Assessment To be sure that we stay on track with the strategic plan, it will be necessary to assess the plan on a weekly basis to start. We will have team meetings every Monday morning to be sure that everyone has been accomplishing the tasks they were assigned. At that time we will be able to determine if we will be able to meet the deadlines that we have set up. If we determine that we can not finish a task in the allotted time, then it will be necessary to estimate a new deadline and then adjust the rest of
  • 30. the deadlines accordingly. If we find that meeting weekly does not allow us enough time to fully finish our tasks then we will move the meetings to bi-weekly until we get into the final stage of the plan which is implementation and evaluation. At that point in time, it will be necessary to only meet monthly as we will need to allow enough time for people to get settled into the new job. Obviously if problems arise then we will have to meet and deal with them immediately however, once the staff is in place we will only meet monthly. Summary The strategic plan that has been presented in this paper will allow Carroll County to move from a volunteer system that is lacking support and time from the volunteers into a combination station. Due to the lack of volunteers and their lack of time, it has been necessary for Carroll County to start turning towards a career EMS system. This system will be comprised of BLS units in ten of the fourteen fire stations and then Quick Response Vehicles (QRV) staffed by a paramedic to upgrade the BLS units when necessary. There will be a total of five Quick Response Vehicles to cover the County at any given time. Staff will work 24 hours shifts with a 72 hours period off before returning to duty. As a result, we will need to hire four shifts comprised of ten drivers, ten BLS providers, and five paramedics per shift. To help offset when staff need off work during a shift, we will also employ a group of part time staff. This will be made up of a group of five drivers, five BLS providers, and three paramedics. The part time staff will work as needed and will allow us to offer time off to our employees without running into an overtime situation. The plan has been well thought out and should be able to be implemented without too many problems along the way. Many other jurisdictions have been successful in moving from an all volunteer to a career based EMS system. This combination can cause some
  • 31. frustration between the career and volunteer staff but we will be sure to address any and all concerns along the way to ensure a smooth transition. All volunteers and staff will be included in the evaluation process and will have equal say when providing feedback about the plan. The final decisions will ultimately be made by the CCVESA but only after all feedback has been obtained and considered. CHAPTER FOUR CONCLUSION This strategic plan helped me to realize the need for a combination station within Carroll County. The steps involved allowed me to gather very pertinent information that I may have not otherwise considered. I was able to determine that Carroll County is not very prudent on documentation or offering their mission and values within the CCVESA website. Much of the information that I attempted to gather on my specific agency was met with resistance. There is a lack of records showing when transitions have been made as well as changes in procedures and guidelines. I was unable to find any concrete financial information in the CCVESA as a whole and had to rely on what I was being told as opposed to an actual document. I believe this strategic plan can be executed and successful within Carroll County. Road blocks will be found along the way especially when it comes to the transition process. The fire station is not going to be as supportive of this plan as initially they will see a reduction in the financial support from the county until the new EMS has a chance to gain money from billing. The county itself is in a transition year as we are going from a three commissioner board to a five commissioner board so we will be attempting this plan during a transition in how our county government operates. This may work against us initially as the three current commissioners have not announced that they
  • 32. will be running for a new term. This means we will be getting a whole new leadership and it will be necessary for the CCVESA to build new relationships within county government. With the right liaison for this plan, the plan will be able to gain support and momentum to move forward and be successful with implementation. It is imperative that the liaison be someone who is passionate about the fire service and is also well known throughout the fire service and community. The liaison will act as the voice behind the strategic plan and interact with all members to ensure a smooth and successful transition. RECOMMENDATION For the plan to move forward, it is necessary to begin to gain the support of the stakeholders and government officials. It will be necessary for the liaison as well as members of the planning committee to attend as many community forums and meetings as possible to get the word out about the plan. If the crowd seems hesitant, then it will be necessary to bring in spokes people from other stations that were successful in transitioning to a combination department. These spokes people can show how beneficial the transition has been for their station and then the committee can show how beneficial it will be for Carroll County. It is extremely important for this first step to be completed prior to moving forward because gaining support will allow the committee to begin implementing the various phases of the plan. With support and financial assistance from Carroll County Government, this plan can become very beneficial and bring Carroll County back to providing fast, efficient, and high quality patient care once again. REFERENCES Barr, R., & Eversole, J. M. (2003). The Fire Chief's Handbook. Tulsa, OK: Penn Well
  • 33. Corporation. County, B. (2010). A Short History of the Association. Retrieved March 1, 2010, from Baltimore County Volunteer Fireman's Association: www.bcvfa.org/content/overview Dictionary.com. (n.d.). Retrieved April 9, 2010, from dictionary.reference.com/browse/consolidation Ellis, J. L. (August 2000). Consolidation of Fire Protection Services in Central Penobscot County. Holden, MAine: Holden Fire/Rescue Department. Frazier, G. (1998). A Solution For Increased Efficiency and Service Consolidation. Hutchinson, KS: Hutchinson Fire Department. Glossary of Emergency Medical Terminology. (n.d.). Retrieved April 2010, from
  • 34. firstaid.about.com/od/glossary/Glossary_of_Emergency_Medica l_Terrminology.htm Gordon, G. L. (2005). Strategic Planning for Local Government. Washington, DC: International City/County Management Association . Hagstrom, J. (February 1999). How Do You Know? Is Your Agency A Good Candidate for Consolidation? APCO Bulletin 65 , 8-11. Hewitt, W. (April 1995). Recreating the Fire Service. Ottawa, Ontario: Kendall Publications. Hyde, B., Clary, D., Moore, C., Bowen, W., Clary, D., Richardson, A., et al. (2007). Brunswick County Strategic Plan. Lawrenceville, VA: Brunswick County. Kotter, J. P. (1995). Leading Change: Why Transformation Efforts Fail. Harvard Business Review , 64-67.
  • 35. Managing Fire Services. (1988). Washington, DC: INternational City Managers Association. Maryland Institute for Emergency Services Systems. (2010, March 24). Retrieved March 24, 2010, from www.miemss.org National Fire Protection Association. (2009). Retrieved February 2, 2009, from National Fire Protection Association: http://www.nfpa.org/categoryList.asp?categoryID=143&URL=A bout%20NFPA Office of Public Safety Mission Statement. (2009). Retrieved February 2, 2009, from Carroll County Government: http://ccgovernment.carr.org/ccg/pubsafe/docs/mission.pdf Office of Public Safety Vision Statement. (2009). Retrieved February 2, 2009, from Carroll
  • 36. County Government: http://ccgovernment.carr.org/ccg/pubsafe/docs/vision.pdf Paramedic. (2010). Retrieved from Merriam Webster Dictionary: www.merriam-webster.com Pratt, F. D., Pepe, P. E., Katz, S., & Persse, D. (2007). Prehospital 9-1-1 Emergency Medical Response: The Role of the United States Fire Service in Delivery and Coordination . International Association of Firefighters. Rice, E. (August 1992). Rising Cost Sparks Talk of Consolidation of Fire Companies. Half Moon Bay Review. River Falls Area Ambulance Service. (2006, December). Retrieved April 1, 2010, from River Falls Area Ambulance Service: www.rfaas.org/organizationalbook/3.0.0/ALSQuickResponseVe hicle.pdf
  • 37. Safety, (2008). Carroll County 911 Activity . Westminster, MD: Carroll County Government. Scott, G., & Buckman III, J. M. (March 2004). A Call For Action: The BLue Ribbon Report. Fairfax, VA: International Fire Chiefs Association. Scott, G., Buchman, E., Windisch, F., Holman, T., Fulmer, D., Curl, L., et al. (November 2005 ). Lighting the Path of Evolution . Fairfax, VA: International Fire Chiefs Association. Seltzer, R. (2004). Successful Fire Department Consolidations and Their Implications For Conventry Fire Departments. Coventry, Rhode Island. Thomas, J. (1994). When One Plus One Makes One. Fire Chief , 105-106. Thompson, S. (1992). American City and County. 25.
  • 38. Tualatin Valley Fire and Rescue : Case Study and Outline Implementation. (January 1996). A Systematic Approach to Functional Consolidation and Merger, 5th edition, 1-183. U.S. Fire Administration. (2010, March 25). Retrieved March 25, 2010, from SAFER Grants: www.fireandgrantsupport.com U.S. Fire Administration. (2010, March 25). Retrieved March 25, 2010, from AFG Program: www.firegrantsupport.com U.S. Census Bureau. (2010, March 21). Retrieved March 21, 2010, from www.census.gov Wagner, M. J. (1996). Consolidation: Two Experts Offer A Positive Approach. National Fire and Rescue , 21-24.
  • 39. 1 RELOCATING 6TH AIR MOBILITY WING AIRCRAFT, RESOURCES, AND PERSONEL TO SAFETY DURING THE EVENT OF A HURRICANEComment by Robert Ditch: Remember your paper is supposed to be on the organization itself and how to improve It towards its mission and not a subject or an action of this organization. This is supposed to be a strategic plan not a response to an emergency plan; which you are leading to becoming. It is supposed to take the organization from where it is today to where it can be in 3-5 years. Comment by Robert Ditch: Personnel A Strategic Planning Project Submitted By Tisha L. Fairley to
  • 40. University of Maryland University College HMLS 304 Professor Dr. Robert L. Ditch, EdD September 8, 2014
  • 41. TABLE OF CONTENTS CHAPTER 1. INTRODUCTION Background ……………………………………………………………..3 Statement of the Problem………………………………………………..4 Operational Definitions…………………………………………….…...5 Significance of the Study..…………….………………………………..6
  • 42. Summary……………………………………………………………… .. 6 2. LITERATURE REVIEW Pertinent Studies……………………………………………………….. Reflection …………….………………………………………………... Summary……………………………………………………………… .. 3. STRATEGIC PLAN Introduction…………………………….…………………………… …. Restatement of the Problem…………………………………….………. Mission and Vision Statement…………………………………………..
  • 43. Strategic Plan Description………………………………………………. Summary……………………………………………………………… ... 4. CONCLUSION AND RECOMMENDATIONS Conclusion…………………………………………………………… … Recommendations…………………………………………………… … REFERENCES ………………………………………………………………… CHAPTER ONE INTRODUCTION Background The 6th Air Mobility Wing’s mission is “to generate and execute air refueling, airlift, and contingency response capabilities while providing base support for joint coalition and interagency partners including U.S. Central Command and U.S.
  • 44. Special Operations command (Macdill air force, 2013).” The 6th AMW consist of the 6th Operations Group, the 6th Mission Support Group, the 6th Medical Group, and the 6th Maintenance Group. MacDill is also home to 39 other Mission Partners including the National Oceanic and Atmospheric Administration (NOAA) fleet of weather tracking and research aircraft. It’s also the home of approximately 18 KC-135R Stratotanker aircraft and 3 C-37A. The KC-135 is able to refuel other aircraft in the air, anywhere in the world, and is also capable of transporting litter and ambulatory patients using patient support pallets during aeromedical evacuations. The C-37A utilizes highly experienced crews to provide global airlift on special assignment missions directly supporting the Combatant Commanders of U.S CENTCOM, U.S. SOCOM, U.S. SOCENT, U.S. NORTHCOM, U.S. TRANSCOM, and U.S. STRATCOM. Approximately 10,500 military and 4,000 civilian personnel are assigned to MacDill Air Force Base, Fla (MacDill air force, 2013). MacDill AFB, Tampa, FL is home to all services: the Air Force, Army, Marine, Navy, and Coast Guard. Comment by Robert Ditch: MacDill Air Force BaseComment by Robert Ditch: Spell out all acronymsComment by Robert Ditch: I know what these are but in academic writing you need to spell out these acronyms for the reader.Comment by Robert Ditch: Same as above MacDill is on the Southwestern tip of the Interbay Peninsula on
  • 45. the west coast of Florida. The base is located on 5,767 acres of land; 906 acres are wetlands (MacDill air force, 2013) near the Gulf of Mexico. Because it is near the tropics and westerly winds blow off the African coasts along the equator, Florida is vulnerable to hurricanes. A hurricane is a type of tropical cyclone or severe tropical storm that forms in the southern Atlantic Ocean, Caribbean Sea, Gulf of Mexico, and in the eastern Pacific Ocean. All Gulf of Mexico coastal areas are subject to hurricanes. Hurricanes can cause catastrophic damage to coastlines and several hundred miles inland; they can also produce winds exceeding 155 miles per hour as well as tornadoes and mircrobursts; additionally, hurricanes can create storm surges along the coast and cause extensive damage from heavy rainfall (Hurricanes, 2014). Floods and flying debris from the excessive winds are often the deadly and destructive results of these weather events (Hurricanes, 2014). This type of weather can cause severe damage to the million dollar aircraft, and personnel at MacDill AFB. Therefore, the current Hurrevac plan needs to be adjusted to ensure the aircraft and personnel are safe. Comment by Robert Ditch: Same as aboveComment by Robert Ditch: Same as aboveComment by Robert Ditch: Comment by Robert Ditch: Should be (DHS, n.d)Comment by Robert Ditch: Same as above Statement of the Problem
  • 46. The current evacuation plan for the 6th AMW has not ensured the safety of its aircraft and airmen during a hurricane. During several Hurrevac exercises, aircraft, resources, and personnel were not escorted to a safe haven in an organized manner. Several aircraft would have been left behind because the aircrew was not properly scheduled to deploy the aircraft to a secure location. Also, the aircraft that was left behind was neither secure nor protected during the exercise. The support equipment and supplies were left in the warehouse. It was not put on a pallet to relocate. Comment by Robert Ditch: You need a citation for these facts and I would caution you with the For Official Use Only level of this information. I will protect it, but it is not the kind of information that needs to be shared outside of Official U.S. Air Force Sources. Recommend you refer to an After Action Report for the citation.Comment by Robert Ditch: Comment by Robert Ditch: You need to have a citation for all this information. Recommend an After Action Report. Also, this is really considered For Official Use Only information and you should not be putting it in a college paper. Caution. Safe Havens and Safe Houses were not identified correctly in the Air Force Personnel Accountability and Assessment System; therefore personnel were not properly accounted for. Mission essential personnel were told to proceed to their safe haven when they were needed for evacuation. Non mission essential personnel were not able to relocate to the safe haven. There was
  • 47. poor communication between agencies and personnel were not accounted for. The communication between groups, squadrons, flights, and sections was very poor. Personnel were not informed of the correct recall procedures. Some individuals were not recalled/notified of the evacuation. Command Post did not stand up UCC’s in a timely manner. The failures mentioned above will result in damaged aircraft & equipment, and missing personnel. If a better plan is not developed, the Air Force will lose millions dollars in repairs and undue damage. Comment by Robert Ditch: These probably should be included in your Operational DefinitionsComment by Robert Ditch: Spell out all acronyms Operational Definitions AFPASS Air Force Personnel Accountability and Assessment System (AFPAAS) standardizes a method for the Air Force to account, assess, manage, and monitor the recovery and reconstitution process for personnel and their families affected and/or scattered by a wide-spread catastrophic event. AFPAAS provides valuable information to all levels of the Air Force chain of command, allowing commanders to make strategic decisions which facilitate a return to stability ((afpaas) air force personnel,). Comment by Robert Ditch: Should be (U.S. Air Force, n.d.) FEMA Federal Agency Emergency Management Agency
  • 48. FEMA’s mission is to support our citizens and first responders to ensure that as a nation we work together to build, sustain and improve our capability to prepare for, protect against, respond to, recover from and mitigate all hazards("About the agency ," 2014).Comment by Robert Ditch: This should be (FEMA, n.d.) HURREVAC Hurricane Evacuation HURREVAC is the decision support tool of the National Hurricane Program, administered by FEMA, the USACE, and the NOAA National Hurricane Center (Hurrevac,).Comment by Robert Ditch: Spell out acronyms UCC Unit Control Center UCCs provide mission support to the IC through the EOC (when activated) and to the installation commander as directed by the CAT. UCCs are responsible for coordinating activities for incident response. UCCs are responsible for personnel accountability, emergency notification, accomplishing unit-level preparation and recovery actions (HQ AFCESA/CEXR, 2009).Comment by Robert Ditch: Change to Unit Control Center (UCC)Comment by Robert Ditch: deleteComment by Robert Ditch: Spell out acronymComment by Robert Ditch: Spell out acronymComment by Robert Ditch: Comment by Robert Ditch: Spell out acronymComment by Robert Ditch: Recommend you spell out command and not use office symbols. This should be (Air Force Civil Engineering Support Agency, 2009)
  • 49. Significance of the Study After reviewing other military and Air Force’s evacuation plans, The 6th AMW will be able to save money, secure million dollar aircraft, and ensure safety of assigned personnel when the current plan is modified. However all groups, squadrons, flights, and sections will have to foster the teamwork concept and work together. Communication will need to approve and rules will have to be re-addressed. The Chain of Command will have to be reestablished and all stakeholders will need to be identified and made aware of their positions in this process. The Wing and Group commanders will meet with FEMA representatives to ensure that the plan will support or not interrupt community evacuations during the time of a hurricane. The commanders will identify personnel in their units to run the Unit Control Centers (and other identified centers) to ensure every person receive the same information and respond accordingly. Also, a Hurrevac exercise will occur every other month to ensure the 6th AMW is prepared. Summary Hurricane Katrina (Keesler AFB, MS) is a lesson that bases in a hurricane zones should learn from. The Air Force leadership and community of Biloxi, MS were not prepared for the level of damage the happened that day. There is a need to readdress the evacuation plan for MacDill AFB, FL. Now that the Air Force is
  • 50. downsizing (doing move with less), it’s necessary to change the way Hurrevac operations use to happen. Communication and procedures need to change to prevent duplication of work and prevent loss of aircraft, equipment, and lives. Adjusting to change is not easy, and everyone is not going to support the new process. But the needs of the Air Force come first, and the Air Force wants to save money, resources, and people. The adjustment plan will create a more efficient evacuation plan that will ensure aircraft will deploy in a timely manner; while reducing the response time of alerting members to safety.
  • 51. REFERENCESComment by Robert Ditch: Please put in alphabetical order and APA style where highlighted Macdill Air Force Base Airmen, Mission, Community. (2013, May). Retrieved from Comment by Robert Ditch: incorrect http://www.macdill.af.mil/index.asp Hurricanes in Florida. (n.d.). Retrieved from Comment by Robert Ditch: Incorrect http://fcit.usf.edu/florida/lessons/hurricane/hurricane.htm Hurricanes. (2014, May 27). Retrieved from Comment by Robert Ditch: incorrect http://www.ready.gov/hurricanes (AFPAAS) Air Force Personnel Accountability and Assessment System . (n.d.). Retrieved from Comment by Robert Ditch: Incorrect https://afpaas.af.mil/cas/login?service=https://afpaas.af.mil/ About the Agency. (2014, August 14). Retrieved fromComment by Robert Ditch: Incorrect http://www.fema.gov/about-fema Hurrevac. (n.d.). Retrieved from
  • 52. http://www.hurrevac.com/ HQ AFCESA/CEXR. (2009, December 01). Air force incident management guidance for major accidents and natural disasters. Retrieved fromComment by Robert Ditch: Incorrect http://fas.org/irp/doddir/usaf/afman10-2504.pdf This assignment consists of conducting detailed research and analysis on a specific organization that has a homeland security mission and writing a strategic plan for that organization; taking it from where it is today to where it needs to be in three to five years from now. Task: Students will select an organization that has a homeland security mission. Remember this is an organization not a subject/topic. Citations: Students must use the Publication Manual of the American Psychological Association, 6th Edition format to cite their research. Students are required to research and cite a minimum of three online sources, three print sources, and at least one reference from the course texts (seven-source minimum). Students must give others credit for others' work by properly citing it. The university's plagiarism policy applies to all written assignments for this course. Research: Students must conduct academic research to substantiate their papers. The best source of this information resides in scholarly articles. These sources may be found in the
  • 53. course required readings, the UMUC Library, or any other scholarly sources that students identify. While Internet websites may be used as part of the research, students must be very cautious, as the content is often biased and represents someone's personal opinion rather than academic research. Wikipedia is not a valid academic source and students must not use it. Papers with only Internet research will receive lower grades. The Strategic Plan Project for this course requires students to apply the knowledge and concepts learned to a real-world work environment by developing a strategic plan for a homeland security organization. It is accomplished through the completion of three separate assignments. 1. Essay 1: Introduction and Executive Brief - Describes the Organization and the need for a strategic plan (5 pages - not counting the Cover Page, Table of Contents and Reference Page). This essay will also describe the organizations current strategic plan if one is available. Format: The Chapter 1/Essay 1 - Introduction/Executive Briefing must be five pages of double- spaced pages of narrative. Photographs, bulleted lists, and other inserts do not count toward the minimum page requirement. Students must include separate title and reference pages, which do not count toward the minimum page requirement. The paper will be in an executive briefing format (as outlined in the Course Content modules) and the second will be in standard American Psychological Association (APA) research paper
  • 54. format. This introduction will be the first Chapter to your Strategic Plan. A format will be provided to all of you to follow. 2. Essay 2: Literature Review - Provides an overview with no less than 6 separate reference sources on the need to accomplish a strategic plan for this organization. This essay will include the previously written Chapter 1 (with any corrections that were noted at grading - points taken off if corrections not made), and the new Chapter 2. This should be a total of no less than 10 pages (not counting the Cover Page, Table of Contents and Reference Page). 3. Essay 3: Strategic Plan - This will include all the major parts of the strategic plan (Chapter 3) as well as a Conclusion/Recommendations Chapter (Chapter 4). Chapters 3/4 should be a total of no less than 10 pages; making the whole plan (All Chapters) no less than 20 pages During this course, students will learn how strategic planning enables homeland security organizations to establish strategy, make decisions, allocate resources, and manage programs safely, effectively, and efficiently. Students will examine the basic strategic planning requirements that all homeland security organizations must complete: prepare to plan; establish mission, vision, and core values; assess the situation; develop goals, strategies, initiatives, work plans, and objectives; and complete the written plan.
  • 55. Students must develop a detailed strategic plan for a federal, state, local governmental, or private homeland security organization. The organization selected must have a clear homeland security mission. Citations: Students must use the Publication Manual of the American Psychological Association, 6th Edition format to cite their research. Students are required to research and cite a minimum of three online sources, three print sources, and at least one reference from the course texts (seven-source minimum). Students must give others credit for others' work by properly citing it. The university's plagiarism policy applies to all written assignments for this course. Research: Students must conduct academic research to substantiate their papers. The best source of this information resides in scholarly articles. These sources may be found in the course required readings, the UMUC Library, or any other scholarly sources that students identify. While Internet websites may be used as part of the research, students must be very cautious, as the content is often biased and represents someone's personal opinion rather than academic research. Wikipedia is not a valid academic source and students must not use it. Papers with only Internet research will receive lower grades.