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.. -. .. ::i2 - ..,.. .. `''. 5X. .. -:F.-';y..: ~. `;.6- .. :ate ~~~, __ .;-.~..~ Pra~ect Narrative - ~ .. .... ... °`' ~ - .. , ... ~'; in the space provided, please describe your EMS System and the need for this project /funding. Cabamrs EMS is a Model t~ViS Sysbam which provides advanced paramedic-level care to the citizens of Cabarrus County and maintains readiness formulas! aid response. Cabannas County EMS provides primary paramedic service for 468,000 residents of Cabarrus County and Is funded through the Cabarnaa County budge. The population also flucWates SNt the transient travelers along the t-65 c~rrldor and during spectat venues at the Lowe'a Motor Speedway. Cabarrus County encxx~asses 364 square m~es and is bordered by Mecklenburg and Union Counties to the south, Stanty County to the tl~tst, Rowan County to the north, and Irsdefl County to the west. The county seat is Concord, North CaroNna, Cabarrua EMS handles approximately 17.500 calls annua~r. Cabarrus EMS pn'~ldea the primary paramedic coverage for the county, 24 hours per day. Current staging of the system is maintained at fi paramedic transport unibs,1 EMT Mtermediate non-emergency units and 1 supervisor in a quids response vehide. Puna have been approved to add a tenth paramedic unit in January 2006. All 919 calls are handled by Cabamas EMS. Local fire departments and rescue squads provide first responder coverage. There is also one EMT i provider and flue EMT A providers with local tiro deparbner>ra and rescue squads that provide back up transport to the service when the system becomes taxed. Cabamas EMS non-emergency division hands the non-ernergent and scheduled calls for the Courtly. CMC-Northeast Sped'aRy Care Transports handles critical cans transports. Cabanaas EMS la part of the total emergency response plan for the county. AN 911-calla are routed to EMD opara~#ors ~ Cabanas Caarriy Sheriffs t]epartment. Local first responder agencies are 'dispatched on aft emergency c~ia, -with Csbarrus EMS respondkrg as the primary pariamedicJemergency provider. Local rescue squads and fire departments provide for extrication and lire suppression. Critical care transports are routed to CMC-Northeast via a separate phone number for transfer. Tire Specialty Care 'Transport Service has a primary role of critical care transports; however, they will be utilized as part of the special haaarda response plan to shuttle medications and physicians to the scene in the event of a terrorist or hazardous materi~s ac#. Primary air senrice is provided by Carolina's Maritsa! Center. - CMG-Northeast is the primary recfp~nt of patients within oar service area and maintak-a deafgnation as a i.avei iti trauma center. They will receive routine orientation to system operatbns. Cabarrus EMS peroonnei ors involved in a variety of practice settings to ~clude Disaster Responses Teams, Tactical Medics, HazMat Merl, Special Hazarcls Response Team, Disaster Medical Unit, STORM Team, Structural Collapse, Water Rescue, public erclucetion, and oommun#y awareness. Additional ir>formation about the agearcy can be found at www.cabarrrazcounty.us. The EMS System Response Tooi Kit effectively identified several key areas In which ir~rovemer#t could be-possible with the ski of {front Handing thrntrgh this program. The needs are identified in the section below to include the impact, plan, and application. ABhough currerrf policies exist for some of nscomrrrer~ed target areas, process and iogisticai improvement can be made. T~+ro target potfdes are currently not in place and wl~ be implemenbsd. The aid of the grant funding is cxucial in the implementation and improvement of the five target arses. The 1~111S system has made potentla! adjustment in areas elf need and can further make recommended changes with grant funding. 1) ~spatch Center Time Potfcy: Na pof~y I$ currently In piece for this target. The EMS System Response Toai Kit recomrrrarrds the irr~tementation e)f Chia p0#icy. Research for beat piAe:tlCe of implementation with the EMS System Res~nae Tooi Kit wilt be performed with anttcipatfon of policy implementation "80 second or leas" dispatch on emergency EMS VVI(hheels Rolling (Chute Time) Policy: Currently a poftcy addressing this target is found in the County EMS Standard aerating Gufdeiirte. Curren pviicy is a daytime chute trtrte of 80 seconds or less with nighttime chafe of 3 minutes or s. Additional improvement is required to Improve compliance and tracking. Grant funding will enable this process after st practices are identified with the EMS System Response Tool Kit. EMS Tum Around Tfrne Policy: Currently no policy exists other than a generalized guideline of minimizing dawn lime at splh-1 in eNdelr to return to servk:e. A policy is expected to be Implemented with grant funding after best practice is ntifled utilizing the EMS System Response Tool Kit. EM3 unite are dispatched into zones of res~ns~flfty for sags. the seat unit for the service is known ff all EMS units are in quarters, however, our units are frequently involved in calls, run at the hospital, or returning from assignments. Grant funding w1A enable mobile mapping and autornattc vehicle slots to improve the response to calls. identiiSr dosest unit for service, identify unfts that are listed as out of service, ntify unit loca#fotta, improve tam around time in that the cbsest unit may actually be inlransitian from a zone rather than ng out of service until back in the primary response area. EMS Vehide Malnterrence Plan: A plan is currently in place utilizing a County maintenance department. This plan will evaluated for efficiency utilizktg the findings of the Tao! Kit, Currently, the agency is experience significant down Attachment number 1 Page 216 of 237