Tiger Team Recommendations: Evaluate EMT Outsourcing Synergies with Valley Hospital
We believe there may be synergies and economies of scale to be obtained by working with Valley Hospital to outsource Village EMT Services to Valley Hospital. Valley has obvious expertise in provision of EMT services and currently serves over 32 communities in and around Bergen County, with professional Advanced Life Service (ALS) technicians, as opposed to the Fire Department’s 18 Basic Life Service (BLS) technicians. The committee questions the need to have both of these heavily redundant service providers within half a mile of each other in Ridgewood. A possible outsourcing of Emergency Medical Services to Valley would reduce direct service demands on the police and fire departments, reduce training/certification costs, reduce ambulance costs/maintenance for the Village and potentially improve service levels.
In the most recent audit of the Fire Department, 744 “Rescue/EMS” response calls were documented in the previous year. This was the single highest response category and represented 33% of all call responses by the Fire Department. The second highest response category was false alarms (526) at 23% of all call responses.
Actual fire calls only represented 3% of all call responses. These percentages remain relatively constant from year to year. In the most recent Police Department audit, over 1,200 “Medical Assist/Personal Injury” calls by Police staff were also documented. If EMS call responsibility could be eliminated from the Fire Department and provided by Valley Hospital, opportunities may exist to improve Fire Department efficiency, focus on core Fire control and prevention competencies and reduce training/compliance requirements & costs, salary, overtime and long-term pension liabilities. Similar efficiencies, although to a much smaller degree, may also
be possible within the Police Department.
While we believe that this is an intriguing concept for the Village and Valley Hospital to explore, it will require more extensive due diligence on the part of Valley Hospital, the Village Council and the FOB to quantify the full financial implications to the Village and ensure a net saving, without a sacrifice in this essential service. It is important to note that outsourcing this service to a potentially more efficient provider, would not necessarily lead to the immediate elimination of personnel in the Fire Department. Rather, the committee’s view is that this may allow staffing/scheduling efficiencies, based on a significant reduction of the hourly demands on Fire
employees (including certification training), and a focus on each group’s core competencies.
Some questions for consideration include:
• What are the annual costs for training, certification & compliance of Fire & Police EMT?
• Would outsourcing this service allow staffing flexibility, particularly in Fire?
• Would a 30% reduction of call load in Fire facilitate opportunities to change current 24-hour shifts to
8-hour or 12-hour shifts, and improve operational efficiency of Fire Department?
• Would this create an opportunity to consolidate two current firehouses?
• What would are long-term impacts on benefit and pension obligations in Fire?
• What are the logistics involved of having Valley Hospital’s EMT staff be a “first responder”?
• Are there insurance-related benefits for the Village?