top of ohio rc&d emergency services brief 20110112
DESCRIPTION
Final coordinator's briefing to the Top of Ohio Resource Conservation and Development (RC&D) Council (before USDA de-funding of program in April 2011)TRANSCRIPT
JEREMY A. KELLER, COORDINATOR
TOP OF OHIOResource Conservation & Development Council
Rural Emergency Services Program OverviewJanuary 2011
TOP OF OHIO RC&D
MERCER
DARKE
AUGLAIZE
SHELBY
MIAMI
HARDIN
LOGAN
CHAMPAIGN
CLARK
UNION
2007 Population Estimates:
Top of Ohio RC&D Counties
Auglaize 46,429 Logan 46,279
Champaign 39,522 Mercer 40,888
Clark 140,477 Miami 101,038
Darke 52,205 Shelby 48,834
Hardin 31,650 Union 47,234
Total RC&D Area Population: 594,556
Initially formed: 1972(Logan, Union and Champaign)
Non-profit [501(3)c], voluntary organization of 10 west-central Ohio counties
o 30-member Council (three per county)
o Three-member Executive Committee
Coordinate mutually beneficial projects at the regional level in the following areas:
o Rural Economic Development
o Improved Quality of Life
o Conservation of Natural Resources
o Development of Natural Resources
TOP OF OHIOResource Conservation and Development Council (RC&D)
Mercer74.9 % - 0.2%
Darke75.0 % - 2.4%
Auglaize62.3 % + 0.7%
Shelby59.2 % + 4.6%
Miami48.7 % + 5.0%
Hardin55.9 % - 1.0%
Logan72.6 % + 1.9%
Union62.2 % + 20.2%
Champaign71.1 % + 3.4%
Clark 51.5 % - 2.2%
Rural vs. Urban Population (all 10 counties)
Population (2008 Census estimates)
Top of Ohio RC&D Area 595,325 + 0.9 % since 2000
Urban Areas Pop >5000236,804
- 2,413 since 200039.8 %
- 1.0 % since 2000
Rural Areas 358,521+ 7,625 since 2000
60.2 %+ 2.2% since 2000
TOP OF OHIO RC&D
RURAL RESPONDER INITIATIVE
Scope of the Rural Fire & EMS Problem Top of Ohio RC&D population: 60%
live in rural communities/areas (outside cities > 5000 population)
• Rural population increasing at more than twice the rate of overall growth
• Largely protected by volunteer/mostly volunteer Fire and EMS departments
• Limited and older fire protection water resources and apparatus
• Limited EMS capabilities
Even smaller cities have limited career Fire & EMS services
• 15 cities … includes Bellefontaine, Urbana, Piqua, Celina, etc.
• Limited resources compared to larger metro areas
• Most have < 10 staff per shift … 2 or 3 apparatus available at any time
Top of Ohio RC&D Counties: Rural Population & Change Since 2000 Census
TOP OF OHIO RC&D
RURAL RESPONDER INITIATIVE
Summary: Top of Ohio RC&D Fire and EMS Organizations
County
Fire & EMS Fire-Only EMS-Only Total
Volunteer Career Volunteer Career Volunteer Career All Types
Auglaize 4 2 4 0 2 0 12
Champaign 2 1 3 0 2 0 8
Clark 10 2 0 0 1 1 14
Darke 11 1 2 0 5 1 20
Hardin 2 0 6 1 5 1 15
Logan 8 1 3 0 4 1 17
Mercer 5 0 4 1 1 0 11
Miami 5 3 4 0 3 0 15
Shelby 4 1 6 0 5 1 17
Union 7 1 0 0 0 0 8
Top of Ohio RC&D
Totals:
Volunteer Career Volunteer Career Volunteer Career Total
58 12 32 2 28 5 137
Fire-EMS Total: 70 Fire-Only Total: 34 EMS-Only Total: 33Volunteer: 118
Career: 19
NOTE:
• Volunteer includes combination organizations comprising mostly volunteer staff supplemented with some paid staff (<50%)
• Career includes combination organizations comprising mostly paid staff supplemented with some volunteer staff (<50%)
Based on data provided by Ohio Departments of Public Safety (EMS Division) and Commerce (State Fire Marshal)
TOP OF OHIO RC&D
RURAL RESPONDER INITIATIVE
Challenges Facing Rural Fire & EMS Declining Base of Volunteers
• Trend in rural Ohio and nationwide
• Longer work hours and longer commutes Less motivation to volunteer unpaid time
Challenged to meet increasing training requirements
Organizational Limitations
• Coverage during work hours difficult
• Longer response times EMS: Lower survival rates
FIRE: Greater loss of life and property
• Less & older equipment due to funding Less capable, more expensive/difficult to maintain
Infrastructure Limitations
• Emergency communications limitations Radio frequencies inadequate for multiple incidents
• EMS: NO trauma centers in RC&D area Increased dependence on helicopter medevac
• FIRE: Limited fire protection water supply Dependence on water shuttle operations = increased exposure
to apparatus accidents
Summary:
Ohio Fire & EMS Training Standards
Minimal Desirable Optimal
FireVolunteer Firefighter
36 hrs
Firefighter I120 hrs
Firefighter II240 hrs
EMSFirst
Responder40 hrs
EMT-Basic130 hrs
Paramedic1 year +
Additional General Requirements
Emergency Vehicle Operator
Ohio EVO Course 16 hrs
Incident Command System (NIMS/ICS)
ICS-100 2-4 hrs
ICS-200 2-4 hrs
Hazardous Materials
Awareness 8 hrs
Operations 16 hrs
Technician 40-80 hrs
Wildland Firefighting
Awareness 6 hrs
Full Course 36-40 hrs
Current Projects Overview
Rural Responder Initiative
(RR)
Prescribed Fire Initiative
(RX)
Mad River Safety Initiative
(MR)
Economic Development
(ED)
INITIATIVES
Planning Projects (P)
Grant-Writing Assistance (G)
Community Risk Assessments (A)
Ohio Rural Fire Council (O)
Ohio Rural Fire Council Projects (O)
Planning Projects (P)
Geospatial (GIS) Projects (M)
Grant-Writing Assistance (G)• ED-G-001: RTC Industries Assist• ED-G-002: Bears Mill Assist
• MR-P-001: Mad River Interagency Rescue Pre-Plan• MR-P-002: Regional Swiftwater Capability
• RX-O-001: Ohio Rx Fire Council
• RX-P-001: Rx Fire Demonstration Areas – Phase I
• RR-G-XXX: Assistance to Individual Departments
• RR-A-001: Champaign Co. Risk Assessment
• RR-M-001: Logan Co. Map Book• RR-M-002: Geospatial Baseline Project• RR-M-003: Farm Incident Pre-Plans Database
• RR-O-001: Rural Water Source Certification• RR-O-002: Model SOGs for Rural Fire Departments• RR-O-003: Mutual Aid Rapid ID System• RR-O-004: Rural Fire Training Systems
Training & Workshops (T) • RR-T-001: Rural Fire Coordination Workshops
Jobs Creation (J) • ED-J-001: Community Paramedicine
PROJECTS(CATEGORIES)
TOP OF OHIO
RC&D
Rural communities disadvantaged in competing for fire and EMS grants due to lack of comprehensive risk and needs assessments
USDA-RD Community Facilities grants/loans
DHS-FEMA Assistance to Firefighters grants and Hazard Mitigation Assistance grants
Foundation grants
Data exists, but coordinated analytical efforts at local and regional level are lacking due to:
Funding and staffing constraints
Lack of regional coordinating bodies
Project Objectives:
Develop baseline analytical product as resource to support local and regional:
• Planning and coordination
• Grant proposal development and application
• Emergency service delivery improvement
Tie all incident and workforce data into GIS framework to facilitate geo-spatial analysis
Dissemination:
• Ensure that all analytical products receive the widest possible dissemination
• Emphasize electronic means (websites), but provide hard copy support as required
TOP OF OHIO RC&D
RURAL RESPONDER INITIATIVE
Project Deliverables
Rural Emergency Infrastructure GIS
Supports identification of optimal location for new stations, water sources and apparatus
Supports identification of “hot spots” and areas of slow response time
Rural Fire Incident Analysis Ohio Fire Incident Reporting
System (OFIRS)
Identification of incident causes and loss mechanisms to prioritize regional efforts and grant applications
Rural EMS Incident Analysis Ohio EMS Incident Reporting
System (EMSIRS)
Ohio Trauma Registry (OTR)
Identification of injury and mortality issues to prioritize regional efforts and grant applications
Identification of key injury mechanisms impacting agricultural workers
Rural Responder Workforce Analysis
Characterization of firefighter and EMT workforce (emphasis on volunteers)
Identification of priority recruitment areas
Data Holdings & Collection Requirements
GIS Base Layers USDA data (NRCS, FSA)
Census data
County-provided data
Locally-developed data
USDA and Census datasets freely available for download – most already acquired, others available as needed
Some county-level data acquired, remainder acquired as needed/available
Some key county-level data will have to be locally developed (e.g. dry hydrants)
Rural Fire & EMS Incident Data
Initial data for RC&D area provided for 2004-2008
Preliminary incident type analysis underway by county, community & rural/urban area
Rural Responder Workforce Data
Data requirements still under development
Collection planned following completion of initial incident data analysis
Project RR-M-002
Geo-Spatial Baseline Project
Village of West Liberty Grant Assistance (RR-G-003): Use of Geospatial Baseline data with ArcGIS Network Analyst to conduct feasibility study for new ambulance station as part of USDA-RD grant proposal
development process
Census Blocks Road Network
West Liberty EMS: 2000 Census Blocks SummaryNumber of Blocks 576
Population Range 0 to 248
Mean 20.3
Median 39
Mode 6
0
1000
2000
3000
4000
5000
6000
7000
8000
9000
10000
0 to 3 min 3 to 6 min 6 to 9 min 9 to 12 min 12 to 15 min 15 to 18 min 18 to 21 min
Current
Proposed
TOTAL POPULATION BY THREE-MINUTE RESPONSE ZONE: Current station location vs. proposed southern location
0
500
1000
1500
2000
2500
3000
3500
4000
0 to 3 min 3 to 6 min 6 to 9 min 9 to 12 min 12 to 15 min 15 to 18 min 18 to 21 min
Current
Proposed
TOTAL HOUSING UNITS BY THREE-MINUTE RESPONSE ZONE: Current station location vs. proposed southern location
0
200
400
600
800
1000
1200
1400
0 to 3 min 3 to 6 min 6 to 9 min 9 to 12 min 12 to 15 min 15 to 18 min 18 to 21 min
Current
Proposed
POPULATION OVER 65 BY THREE-MINUTE RESPONSE ZONE: Current station location vs. proposed southern location
0
500
1000
1500
2000
2500
3000
0 to 3 min 3 to 6 min 6 to 9 min 9 to 12 min 12 to 15 min 15 to 18 min 18 to 21 min
Current
Proposed
POPULATION UNDER 18 BY THREE-MINUTE RESPONSE ZONE: Current station location vs. proposed southern location
TOP OF OHIO RC&D
RURAL RESPONDER INITIATIVEGeo-Spatial Baseline Project
Champaign County Community Risk Assessment (RR-A-001): Geospatial (GIS) analysis of Champaign County EMS response times (5-minute intervals) to identify
areas of inadequate coverage and at-risk populations using ArcGIS Network Analyst
Champaign County Community Risk Assessment (RR-A-001): Geospatial (GIS) analysis of Champaign County fire and injury risk
factors by political jurisdiction (municipalities and townships) using ArcGIS with 2000 Census data
Champaign County Community Risk Assessment (RR-A-001): Geospatial (GIS) analysis of Champaign County Emergency Medical Services (EMS) responses by political jurisdiction (municipalities and townships) using ArcGIS with 2000 Census data and 2004-2007 Ohio
EMS Incident Reporting System (EMSIRS) data
Champaign County Community Risk Assessment (RR-A-001): Geospatial (GIS) analysis of Champaign County respiratory-related
EMS responses by political jurisdiction (municipalities and townships) using ArcGIS with 2000 Census data and 2004-2007 Ohio EMS Incident
Reporting System (EMSIRS) data
Problem:
Logan County emergency responses are slowed by outdated dispatch maps
Rural fire/EMS rely on photocopies of county road maps for navigation … some department map books are over 20 years old
Common issue in all rural areas … places rural communities at increased risk
Solution:
Straightforward GIS project using free, off-the-shelf public data (Census Bureau, USGS, USDA-NRCS and USDA-FSA)
Use standardized grid based on USGS 7.5-min Map Quadrangles
Develop user-friendly, modular map books for responder use in the field … all products on standard paper to facilitate reproduction and updates
Ensure full integration with Logan County Sheriff’s Office dispatch center
Project Implementation:
Develop draft proof-of-concept product
Ensure compatibility with existing dispatch system
Logan County EMS Association as sponsoring group
Logan County SWCD GIS specialist to manage project
Application for Logan Electric Co-Op community grant to fund project
Grant Awarded - $2500 + $500 match (Dec 2009)
Hand-off project to Logan SWCD (Feb 2010)
Map books ready for distribution; developing roll-out training (Nov 2010)
Methodology can be readily adapted to cover any/all RC&D counties
35 36
45 46
Quarter Quad3’ 45” Lat/Lon
(approx 4 miles)
Standard Map Book Page
Logan County Map Book Pilot ProjectUSGS 7.5-min Quad Coverage
Project RR-M-001
TOP OF OHIO
RC&D
Situation:
FFA initiated the “Saving Area Farms Effectively” (SAFE) program
GIS and GPS training provided to FFA teachers at local high schools
FFA students conduct hazard surveys of area farms with data recorded in standardized “Farm Emergency Response Map” format
Problem:
As structured, SAFE maps are produced without coordination with local fire departments or EMA … even though data collected would be of value
SAFE maps are stand-alone products, and data resides in stove-piped files
SAFE hazard survey forms are very basic and lack input from Fire and HazMat response communities
Solution:
Develop mechanism to include SAFE data in existing RC&D geospatial database holdings for sharing with Fire and EMA
Improve data collection through coordination with Fire and EMA
Assist FFA teachers with additional GIS and GPS training for students
Provide mechanism to link FFA efforts with jurisdictional fire departments
Develop process to ensure that SAFE maps are available to responders … standardized pre-incident plan books to be carried on fire apparatus or stored in secure location on-site
Farm Incident Pre-Plans Database
Project RR-M-003
TOP OF OHIO
RC&D
OHIO RURAL FIRE COUNCIL
Providing a standardized system for accurately determining usable volume of rural water sources for:• Fire suppression operations• Fire insurance rating• Prioritization of dry hydrant installation
Designed to address a gray area for most rural fire departments:• Improve responder and public safety• Improve insurance ratings for rural communities• Promote efficient allocation of rural fire mitigation funding• Provide data for dry hydrant, tanker, and other water supply project grants
Project Objectives• Provide a user-friendly product that will facilitate the accurate assessment of
rural water sources for fire protection purposes• Provide a basis for prioritization of dry hydrant installation, pond construction,
and other related projects• Provide greater standardization to the ISO rating process for Ohio’s rural
communities
Costs Benefits
• Staff time for development of procedures and worksheets
• Costs to host workshops during development process
• Costs to provide train-the-trainer sessions during initial roll-out period
• Publication costs for hard copy versions
• Standardized method available to all rural fire departments to improve rural water supply planning and operations
• Provides consistent framework for SWCD staff to assess water supplies for ISO rating purposes
• Provides hard data for developing rural water supply grant projects (dry hydrants, tanker purchases, etc.)
• Engagement with OFSWCD, Extension and NRCS promotes buy-in by key stakeholders in rural water supply projects
Project Features
• Objective: A standardized process for determining usable volume of water for firefighting purposes in rural ponds (with or without dry hydrants)
• Deliverable: Procedural workbook with standardized worksheets for assessing water sources
• Partners: Ohio Federation of Soil and Water Conservation Districts (OFSWCD), OSU Extension Service and USDA Natural Resources Conservation Service (NRCS) … for subject matter expertise and buy-in by all stakeholders
• Dissemination: Document will be distributed primarily by electronic means to keep costs down
Rural Water Source Certification Project
Project RR-O-001
OHIO RURAL FIRE COUNCIL
Model Standard Operating Guidelines (SOGs)
Providing a set of operational guidelines to Ohio’s rural emergency services organizations that:• Cover most topics applicable to incident management for fire,
EMS and HazMat • USFA recommends about 250 SOP/SOG topics
• Are prepared and vetted by Subject Matter Experts• Are reviewed for legal/regulatory compliance• Provide an “80% Solution” framework for most departments
Designed to fill an unmet need in most rural organizations in order to:• Improve responder and public safety• Meet legal and regulatory requirements• Reduce liability exposure for local governments, departments &
emergency responders
Project Objectives• Provide a user-friendly, modular product• Provide a product that is easily tailored to local needs• Provide a system for regular review and updates• Avoid conflicts with existing systems (local protocols, response
plans, etc.)
Project FeaturesProject Concept
• ORFC serves as lead entity for project, but actively engages partners to ensure diverse viewpoints and concerns are included
– OAEMS, OSFSI, OEMA, etc.
• SOP/SOG documents solicited from throughout Ohio and beyond
• ORFC and partners ensure quality through standardized review process
– ORFC maintains regular review cycle and maintenance process
• ORFC provides central website to host finished documents for download by end-users
– SOP/SOG documents provided in editable formats (Word, Text, etc.) to facilitate tailoring by end-users
• SOP/SOG documents organized by topic based on USFA publication and ORFC-approved numbering system to ensure consistency
Costs
• Staff/volunteer time only; web hosting provided gratis by ODNR
Builds on similar SOG project of OSFA from 1990sProject RR-O-002
OHIO RURAL FIRE COUNCIL
Providing a standardized system for rural Incident Commanders (Fire, EMS & HazMat) to:• Rapidly & accurately identify mutual aid personnel qualifications• Ensure responders are not placed in unsafe situations due to
assignments beyond legal limits• Limit potential liability exposure for officers, departments and
governments
Improves responder and public safety:• Ensures responder assignments are within scope of practice• Assists with resource tracking and determining additional
resource needs
Project Objectives• Create a standard, state-wide marking system for helmets (decal)
or jackets (Velcro-backed patch)• Allow Incident Commanders, Safety Officers, etc. to rapidly and
accurately determine responder qualifications• Simple, effective and user-friendly to encourage widespread use• Keep costs to minimum necessary to meet objectives
Costs Benefits
• Staff time for design of system and development of SOP/SOG
• Costs to manufacture and distribute decals and patches
• Staff time to train / educate emergency responders in system implementation
• Standardized system available to all rural fire and EMS agencies at low or no cost
• Responder & public safety improved by ensuring incident assignments match qualifications
• Rural fire and EMS department liability reduced due to reduction in inappropriate assignments
Project Features
• Objective: A standardized state-wide marking system for identification of responder qualifications in mutual aid situations (emphasis on rural incident requirements)
• Deliverable: Decal and Velcro patch system with associated model SOP/SOG for distribution to all Ohio rural fire and EMS agencies
• Partners: Ohio Rural Fire Council, Ohio State Firefighters Assn, Ohio Fire Academy
• Dissemination: All products will be distributed via the partner organizations at no cost or on a cost-recovery basis (dependent on grant funding success)
Mutual Aid Responder ID System V XA A © 2009 Ohio Rural Fire Council
Project RR-O-003
STRUCTURAL FIRE
2 OHIO FIREFIGHTER II (240-HR)
1 OHIO FIREFIGHTER I (120-HR)
V OHIO VOLUNTEER FIREFIGHTER (36-HR)
X NONE
HAZARDOUS MATERIALS
T TECHNICIAN
O OPERATIONS
A AWARENESS
X NONE
WILDLAND FIRE
C WILDLAND FIRE INCIDENT COMMANDER (TYPE 5 or HIGHER)
F WILDLAND FIREFIGHTER (TYPE 2 or HIGHER) (S-130/190)
A OHIO WILDLAND FIRE AWARENESS (6-HR)
X NONE
EMERGENCY MEDICAL
P PARAMEDIC
I ADVANCED EMT (EMT-INTERMEDIATE)
B EMERGENCY MEDICAL TECHNICIAN (EMT-BASIC)
F EMERGENCY MEDICAL RESPONDER (FIRST RESPONDER)
X NONE
Examples
X BA X
V XA A
X XX F
Wildland Firefighter (ODNR) EMT-B (Rescue Squad) Firefighter (Volunteer Fire Dept)
© 2009 Ohio Rural Fire Council
OHIO RURAL FIRE COUNCIL
Vol. Firefighter
(Optional) 36 hr
Firefighter I
NFPA 1001 / 120 hr
Firefighter II
NFPA 1001 / 240 hr
Fire Officer I
NFPA 1021
Current Ohio Fire Certification Structure Current Ohio EMS Certification Structure
First Responder
(Optional) 40 hr
EMT-Basic
130 hr
EMT-Intermediate
(Optional)
Paramedic
800+ hr
Ohio Executive Fire Officer
Allows use of non-firefighters in fireground support roles
Allows use of non-EMTs in EMS scene support roles
Driver/Operator
NFPA 1002 /Optional
Staffing Issues for Rural Fire & EMS Lack of qualified FF and EMT volunteers Qualified FF/EMT tied down for support roles
rather than emergency operations No program to accommodate non-qualified
volunteers
Incident Resource TechnicianProgram Components:
Incident Command System
Fire/EMS Orientation
Scene Safety/Accountability
Apparatus Operations/Staging
OHIO RURAL FIRE COUNCIL
Incident Resource Technician (IRT) Project
Project RR-O-004
Vol. Firefighter
(Optional) 36 hr
Firefighter I
NFPA 1001 / 120 hr
Firefighter II
NFPA 1001 / 240 hr
Fire Officer I/II
NFPA 1021
Current Ohio Fire Certification Structure
Current Ohio EMS Certification Structure
First Responder
(Optional) 40 hr
EMT-Basic
130 hr
EMT-Intermediate
(Optional)
Paramedic
800+ hr
Ohio Executive Fire Officer
MOST volunteers do not progress beyond FF1
No accessible pathway to officer skills training for most Volunteer FF
Driver/Operator
NFPA 1002 / Optional
NO officer certifications for EMS No accessible pathway to officer training
for non-fire service-based EMS
Provides accessible officer skills to rural fire service
Provides accessible officer skills to rural EMS service
Rural Emergency Services Officer
Program Components:
Incident Command Skills
Leadership/Management
Scene Safety/Accountability
Interagency Operations
Pre-Incident Planning
Project RR-O-004
OHIO RURAL FIRE COUNCILPotential ORFC Project
Summary:
Prescribed Fire Initiative
Goal 1: Coordinate
Sponsor Top of Ohio Rx Fire Council to coordinate with state-wide council
Provide GIS support for local Rx Fire
Establish database of local qualified individuals for cooperative Rx fire projects
Goal 2: Facilitate
Establish database of Rx burn plans
Develop Rx fire public education program; seek grant funding
Goal 3: Promote Safety
Establish Rx fire equipment cache trailer: Wildland gear, tools, etc.
Implement wildland fire safety and burn boss training w/ RC&D sponsorship
Goal 4: Ensure Effectiveness
Develop and implement local fire effects monitoring protocols
Seek involvement from fire ecology experts in development of monitoring protocol and burn plans
RX FIRE
Promoting the use of prescribed fire as a land management tool in the Top of Ohio RC&D area
o Goal 1: Coordinate current and future prescribed fire efforts in RC&D area
o Coordinator certified to write and review prescribed fire plans
o GIS database of candidate sites for cooperative Rx burns under development
o Goal 2: Facilitate the efforts of prescribed burners through cooperative planning and public education projects
o Coordinator is part of effort to establish an Ohio Prescribed Fire Council to promote cooperative efforts and improved burning rules
o Working with ODNR to develop regional Rx Fire crew in Top of Ohio area
o Goal 3: Promote the safe execution of prescribed fire by providing equipment and training
o Working with Ohio Rural Fire Council to offer basic wildland fire safety courses to local burn crews and fire departments
o Goal 4: Ensure effectiveness of local prescribed fire programs through establishment of a fire effects monitoring program
TOP OF OHIO RC&D
PRESCRIBED FIRE INITIATIVEDecember 2010 Update
2011 Emphasis: • Identify 3-5 Rx Fire demo areas on public lands (1-20 ac each)• Prepare draft Rx Fire plan format for cooperator use• Secure grant funds to train and equip cooperative burning team
Program designed to increase access to preventive health care and promote wellness among rural populations Sponsored by Mayo Clinic in US Successfully implemented in Nova Scotia, Australia, Alaska; Pilot
programs underway in Minnesota, New Mexico Over 5 years in Nova Scotia pilot area: Reduced ER visits by
40%; Reduced clinic visits by 28%
Program expands role of existing – but underutilized – resources in the community to address unmet needs Additional training provided to current EMTs and Paramedics
(paid and/or volunteer) to enhance skills in:
Top of Ohio RC&D is an ideal candidate area for implementation: Majority of council area identified as “medically underserved”
by DHHS Large rural population base with high percentage of isolated
elderly residents that could benefit from program Good candidate pool of volunteer EMTs who may find
additional income opportunity attractive
Community ParamedicineTOP OF OHIO
RC&D
Community Paramedicine Partnership
Benefits:
• Reduced risk for rural residents due to increased EMS provider familiarity with community
• Isolated elderly residents provided regular medical contact
• Reduced expense for local medical systems
• Income opportunities for squads and EMTs, including potential for self-funded positions
• Improved EMS provider patient care skills
Project Partners:
• Top of Ohio RC&D
• Clark State College
• Mad River Family Practice (OSU Med School)
• EMS Providers (volunteer and paid)
• Hospitals
• Health Districts
2011 Emphasis: Continue coordination with Clark State for
program design and business plan development Continue to engage potential EMS providers as
partners
• Injury Prevention •Wellness Promotion
•High-Risk Patient Management • Community Presence
Project ED-J-001
The Mad River is growing in popularity as an outdoor recreation resource for Logan, Champaign and Clark counties
Paddling, fishing are most popular uses: Three major canoe liveries
Aesthetic values of river appeal to urbanites: Columbus and Dayton
Potential for further development as an eco-tourism resource
River is fairly safe … but several recreational accidents occur annually
High-profile incidents damage reputation of river as a safe destination for recreational visitors
Access by emergency services is complicated by:
Multiple jurisdictions
Limited signage on river
Access across private lands, few public road crossings
Addressing safety concerns will be important for further development
Solution: Mad River Recreational Safety Partnership
Development of emergency access plan
Planning and coordination of rescue training and operations
Establishment of interagency swiftwater rescue capability
Mad River Recreation Safety InitiativeTOP OF OHIO
RC&D
Mad River Recreational Safety Partnership
• Top of Ohio RC&D
• Miami Conservancy District
• Trout Unlimited – Mad Men Chapter
• Logan, Champaign and Clark SWCD
• Wittenberg University
• ODNR Division of Watercraft
• Canoe Liveries (3)
• Champaign/Clark/Logan Fire/Rescue Agencies (6-8)
Pending outcome of project, Miami Conservancy District interested in implementing similar program on Great Miami & Stillwater Rivers
2011 Objectives: Recruit partner fire/rescue agencies Host workshops to set priorities & develop plan
templates Identify access points (every ½ mile) Assign access point survey workload to partners
Mad River Recreation Safety InitiativeTOP OF OHIO
RC&D
Mad River Interagency Rescue Pre-Plan (Project MR-P-001)
Mad River Recreation Safety
Initiative
Regional Swiftwater Incident Capability (Project MR-P-002)
• Access site list identification• Development of common site survey
assessment methodology• Site survey assignments and data
collection by responder agencies• GIS development• Plan compilation and distribution
INITIATIVE
PROJECTS
Cooperative Planning
Capability Development
ELEMENTS
• Recruitment of partner agencies• Hazard assessment• Training needs assessment• Discipline-specific training to support
rescue plan implementation• Exercise series ramp-up and
execution
Phase I: Planning• Hazard Assessment• Training Needs Assessment• Pre-Plan Design
Phase II: Ramp-Up• Discipline-Specific Training• Discussion-Based Exercises• Pre-Plan Data Collection
Phase III: Execution• Full-Scale Exercise• Evaluation & Assessment• Pre-Plan Distribution
Initial Operational Capability
Unified CommandRescue – EMS – ODNR
Emergency Ops CenterEOC Director
OperationsOperations Chief Search & Rescue Group
Group Supervisor
Field Medical GroupGroup Supervisor
PlanningPlanning Chief
LogisticsLogistics Chief
SafetySafety Officer
InformationPIO
LiaisonLiaison Officer
Staging AreaStaging Area Manager
InformationJIC
Hospital IMTIncident Commander
InformationPIO
LiaisonLiaison Officer
Casualty Collection PointCCP Manager
Search TeamTeam Leader
Water Rescue TeamTeam Leader
Search TeamTeam Leader
Field Aid StationFAS Manager
Ambulance Task ForceTF Leader
Helispot (Medevac LZ)Helispot Manager
Resources Unit• Unit Leader•2 x Check-In Recorder
Technical Specialists•River Guides•ODNR-Watercraft•GIS Specialist
Incident Base (w/ICP)•Base Manager
Ground Support Unit•Unit Leader•3 x Driver/Runner
Scene SecurityLE Officer
MADRIVEX-11 – Proposed Unified Command Structure
Emergency Operations Center (EOC) Mary Rutan Hospital
Training Needs Matrix Proposed Training Requirements
Participant Groups No. Pers.
ICS Concepts Refresher
Water Rescue
Awareness
Water Rescue
TechnicianCertification
WildlandSearch and
Rescue Awareness
Mass CasualtyIncident
Procedures
Medical Topics
(Hypothermia, Immersion,
etc.)
Helicopter LZ
Operations
Unified Command Organization
Command & General Staff(IC & Section Chiefs)
9 X X X X
Incident Support Staff(Logistics & Plans)
12 X X
Operations Section
Search and Rescue Group 25 X X X
Water Rescue Team --- X X X
Search Team EMTs --- X X X X X
Field Medical Group 18 X X X X
Other Operations Personnel 2 X
Emergency Operations Center (EOC)
EOC Staff ? X X
Hospital Incident Management Team (IMT)
IMT Members ? X X X
Questions?