Envisioning The Future of EMS: The Dallas Fire-Rescue Department s EMS Vision Process Joe Vasquez, EMS Assistant Chief, DFR Joe Kay, EMS Deputy Chief, DFR Leanne Siri, Executive Officer, DFR S. Marshal Isaacs, MD FACEP, Medical Director, DFR
The Back Story Day 1 Apr. 19 Apr. 28 May 5 May 12 May 19 Day 25 Day 50 Day 75 May 26 Jun. 2 Jun. 9 Jun. 16 Jun. 23 Jun. 30 Jul. 7 Aug. 4 Aug. 11 Aug. 18 Aug. 25 Sep. 1 Sep. 8 Sep. 15 Sep. 22 Day 100 Sep. 29 Oct. 3-2 -
Challenges for DFR EMS: 1. Improve morale of the workforce. 2. Evaluate and improve emergency medical dispatch policies & procedures. 3. Review current procedures regarding EMS operations & training. -3 -
Continuous Analysis & Process Improvement Strategic Planning Mission, Vision, Values Strategic Analysis SWOT Analysis Long Term Objectives Integrated Programs Budgetary Projections Management Priorities Operational Planning Operational Analysis Key Results Areas Performance Measures Short Term Objectives Goal Mapping Efficiency Study Action Plans Budgeting for Outcomes Results Management Management Reports Organizational Results Divisional Results Individual Results Corrective Action Reward Systems Quarterly Plan Annual Plan -4 -
This Exit: Developing a roadmap to individual, department, and EMS system-wide excellence. -5 -
Dr. Isaacs arrived from the San Francisco Fire Department in August 2006. He spent his first 6 months in Dallas on a Listening & Observing Tour of Dallas Fire- Rescue. -6-
At the close of the first 6 months, Dr. Isaacs recommended to Chief Burns and Dr. Pepe that we initiate a DFR EMS Vision Process -7 -
Goals of the Process: 1. Improve the quality of the clinical care provided to our patients. 2. Improve the design and function of the overall EMS System. 3. Improve the working conditions of the men & women providing the service. -8 -
DFR EMS Vision Process Utilizes 6 Workgroups in each major area of EMS. Each group has two co-chairs and a facilitator. Members include rank & file, officers, administration and DFR partner agencies. Each workgroup meets for 2 hours each week for 12 weeks. -9 -
DFR EMS Vision Process Facilitators: Dr. Isaacs, Assistant Chief Vasquez, Executive Officer Siri, Deputy Chief Kay Working Groups EMS Training Emergency Medical Dispatch EMS Response EMS Policies & Protocols Quality Improvement & Research Documentation/ E-PCR Draft Recommendations for 1-Year, 2-Year and 3-Year Plans Presented in a Draft EMS Vision Document to Chief Burns and Dr. Pepe Obtain input on draft from our members Associations, BioTel, University of Texas Southwest Medical Center, partner agencies, receiving hospitals, Dallas Medical Society, Hospital Council, Office of Emergency Management, American Heart Association, American Red Cross, City Attorney, City Manager s Office, City Council (PSC) and the public-at-large. Finalize EMS Vision Document - 10 -
Vision Work Plan Weeks 1-2: Review current state of DFR in workgroup s area. Weeks 3-5: Review best practices in workgroup s area for other fire departments, EMS agencies and cities around the US. - 11 -
Vision Work Plan Continued: Weeks 6-10: Take and discuss recommendations from workgroup members, narrow recommendations. Weeks 10-12: Submit recommendations in a 1, 2 and 3-year plan. - 12 -
What Vision Does NOT ALLOW: Throwing a wad of money at our challenges thinking that will make them go away - 13 -
You cannot recommend the Impossible - 14 -
Utilize Science & Data when Possible! - 15 -
Where Science & DATA DO NOT EXIST. Fall back upon what is likely to be in the best interests of the patients, the community and the Department. - 16 -
The Result: A Position Paper for GLOBAL EMS improvement within DFR over the next 3-5 years. - 17 -
The Final Steps Prior to Implementation Allow ALL members of the Department, our receiving hospital partners, our BioTel partners to review and comment on the plan. -18-
City Manager/City Council May choose to hold public hearings to advise the community on DFR s plans to improve its service to the City. - 19 -
The Intended Result: Improved morale and working conditions of DFR employees, while providing state-of-the-art emergency care! - 20 -
Questions? - 21 -