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The recently completed Standards of Response Coverage document offered several key recommendations for improving fire and EMS services to the community. Several are directly related to the item now before the council: OBJECTIVE 2 Build on the efficiencies created by EFD's EMS Redesign Project, Phase 1 delivery model and analyze the potential benefits of dynamic deployment strategies across the service system. Recommendations: 1. Evaluate the use of "peak activity" type units, both fire and EMS, utilized by other public safety agencies in the state and region. Many fire and EMS agencies are moving towards' the use of some kind of dynamically deployed human resource component, to augment cyclical demand gaps, while accommodating routine work assignments'. This concept may be of value in Eugene where such an analysis couM be designed to evaluate the potentia/ for enhanced dynamic deployment to provide a more cost-effective tool in meeting the incremental increases in demand. OBJECTIVE 3 Work to stabilize and secure the funding sources needed to support the continuous provision of ambulance services throughout ASA #4. Recommendations: 1. Effectively meet more of the total ambulance transport demand within ASA #4. The current deployment of ambulance resources within the greater metropolitan area is such that large portions of Eugene's established ambulance service area lie closer to transport units' operated by surrounding jurisdictions. The resulting cross- jurisdictional responses create service inefficiencies and represent significant revenue loss for Eugene. The implementation of paramedic first response capabilities on every Eugene fire engine has meant the need for the closest ambulance to respond is now limited to a small percentage of truly life-threatening emergencies. The City must work with all service partners to refine the current policy, thereby preserving needed ambulance resources within their own jurisdictions a greater percentage of the time, as well as preserving revenue. 2. Complete the EMS Redesign Project. Phase 3 of the plan called for the department to consolidate the improvements' made by the first two phases, and then to investigate and recommend a full slate of process efficiencies and new cost recovery modalities. This work includes updating ambulance ordinance language and the planned-for refurbishment of the existing membership subscription program. Implementing some of the anticipated changes will require the support of the greater City organization. Reduce service costs. The department continues to look for sustainable methods' that can be employed to systematically lower the unit costs' of providing ambulance transport services. To this end, we are evaluating different equipment, technology, L:\CMO\2004 Council Agendas\M040412\S0404124.doc