Rittman Emergency Medical Services Year-End Report of Activities 2011
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Rittman Emergency
Medical Services
Year-End Report of Activities
Submitted by:
Chief Andy Baillis
Assistant Chief Michael Kollert
Captain Kyle McDonald
With Assistance from Numerous Staff members
2011
Table of Contents:
Rittman EMS Departmental Officers ............................................ 3
Mission Statement .................................................................... 4
Our Commitment ..................................................................... 4
Overview ................................................................................ 5
Response Times ....................................................................... 6
Staffing .................................................................................. 6
All Calls & Mutual Aid ............................................................... 11
Automatic Aid Response ........................................................... 12
Vehicle Maintenance ................................................................ 14
Fuel Costs & Mileage................................................................ 16
Continuing Education & Advanced Training .................................. 17
Highlights for 2011 .................................................................. 18
Awards and Recognition ........................................................... 20
Community Activities & Programs .............................................. 23
Looking to the Future .............................................................. 26
Contact Information ................................................................ 27
2011 Statistics at a Glance ....................................................... 28
Charts & Graphs .................................................................. 30
Nature of Calls - 2011 .............................................................. 31
Response Time Definitions:....................................................... 35
2011 Statistical Charts ............................................................. 37
2011 Transport Destinations ..................................................... 42
Grants & Billing....................................................................... 43
Performance Measurement Data ................................................ 45
Performance Measurement Charts ............................................. 46
30-Year Call History ................................................................ 50
2
2011
Rittman EMS Departmental Officers
Andrew Baillis, EMT-P Chief
Michael Kollert, EMT-P Assistant Chief
Vacant Captain
Kyle McDonald, EMT-P Captain
Cale Bachman, EMT-I Lieutenant
3
Mission Statement
Rittman Emergency Medical Service is earnestly dedicated to providing
the highest standard of compassionate, skilled pre-hospital care to citizens
of all ages without consideration of race, religion, politics or social standing.
Our Commitment
In order to achieve this mission, the EMS Personnel
of this service pledge to:
To hold in regard the dignity and worth of each patient, family member and
colleague.
To follow the highest standards of ethical conduct.
To maintain and foster a relationship of mutual professionalism and respect with
physicians, nurses, allied health personnel and public safety personnel.
To maintain and foster a leadership role in facilitating regional EMS cooperation
and partnership.
To maintain current emergency medical knowledge and skill proficiency through
continuing education and training.
To maintain excellence in patient care using the latest techniques, technology and
equipment available within our financial resources.
To establish and maintain favorable public relations and promote community
health through outreach efforts.
To ensure efficient acquisition, operation and maintenance of appropriate rescue
vehicles, equipment and facilities.
4
Overview
Rittman EMS completed its 30th year in Service to the Community in 2011. We
celebrated this anniversary milestone with yet another record-setting year. The
department responded to 961 calls for service—a 12.79% increase from 2010. That
reflects an 87.2% increase over the past ten years (REMS responded to 513
responses back in 2001).
In addition to responding to medical emergencies, Rittman EMS experienced quite a
busy year by answering numerous requests for: training, standbys, and assistance
with community events.
Emergency Medical Services continues to be a first-line of defense, called upon to
meet the medical needs of any community. In the years-to-come, as people find
themselves in need, they will call upon EMS; thereby creating a rise in call volume.
We will continue to see new statistical milestones; but funding and mandatory
requirements will continue to be major obstacles we encounter trying to maintain a
top-notch service. Rittman EMS is committed to being fiscally responsible in its quest
to provide the best possible care to our community. We continually evaluate our
service delivery model, and adjust it to meet the needs of our community.
The following report is designed to offer a small glimpse of the day-to-day operations
of Rittman EMS, and provide you with insight on how we are available to serve you.
5
Response Times
Rittman EMS has very respectable response times. These times start when EMS is
dispatched, and end when the squad arrives on scene.
During the 545 daytime responses, the squad averaged leaving the station
within 2.14 minutes and arriving on scene within 4.47 minutes.
Daytime staffing has allowed us to continue providing rapid response during peak
hours to the community.
For the 416 night-time responses, the squad left the station within 6.12
minutes and was on scene within 8.29 minutes.
Overall, one could expect the squad to leave the station within 4.13 minutes
and be on scene within 6.38 minutes.
**These averages include the 83 calls answered out in the Milton Township contract
area and mutual aid responses to other communities; and include both emergency
and non-emergency responses.
We are constantly evaluating our system operations, and looking for ways
to improve our response efforts—including response times.
958 of the 961 calls were initially responded to with an ALS crew.
On occasion, when medically appropriate, the transport was handled by a Basic Life
Support (BLS) crew to keep ALS care available for another run.
Staffing
Rittman EMS’ response area includes the City of Rittman and a contracted portion of
Milton Township. According to updated information from the Wayne County Auditor’s
Office, this area consists of a population near 7,900 in a 14.35 square mile area. We
provide emergency medical care and transport to our citizens with three Advanced
Life Support (ALS) squads and one command vehicle. Staffing levels have remained
constant through 2011. We saw EMT Pam Adkins resign to take a job out of state,
and added EMT Justin Daubenmire to our ranks. We maintain a current staffing level
of 31 members. Below is a breakdown of current certification levels.
10-Paramedics
8-Advanced EMT’s
12-Basic EMT’s
1-EMS Driver
6
Meet Your Staff…
Administration
Chief Andrew Baillis, OFE Asst. Chief Michael Kollert Capt. David K. McDonald
FireMedic Paramedic FireMedic
Serving Since 1994 Serving Since 1988 Serving Since 1999*
Lt. Cale Bachman
FF / AEMT
Serving Since 2004
*Member had prior service with REMS. Date denotes most current date-of-hire.
7
Line Staff
Timothy Anderson Trudy Arnold Suzanne Bachman
FF / EMT EMT Paramedic
Serving Since 1994 Serving Since 1991 Serving Since 2007
Michael Banks Tracie Bowes Justin Daubenmire
EMT AEMT FF / EMT
Serving Since 1995 Serving Since 2005 Serving Since 2011
Amie Davis Adam Dheel Bryan Dodrill
AEMT FF/ EMT FireMedic
Serving Since 2009 Serving Since 1999 Serving Since 2001
8
Line Staff
Marcia Dodrill Michael French Kenneth Gallion
FireMedic EMT FF / EMT
Serving Since 2003 Serving Since 2001 Serving Since 2009
Tabatha Gregory Troy Hooser Samuel McComas
EMT FF/ AEMT FF / EMT
Serving Since 2006 Serving Since 2005 Serving Since 2003
Curtis Russell Dennis Russell Jay Russell
FireMedic FF / EMT FF / EMS Driver
Serving Since 2003 Serving Since 2009* Serving Since 1988
9
Line Staff
Timothy Schnick Gregg Shreve Robyn St. Clair
Paramedic Paramedic AEMT
Serving Since 2010 Serving Since 2009 Serving Since 2007
Deborah Steiner Jeromy Straub Donald Sweigert
FF / EMT FF / AEMT FF / AEMT
Serving Since 2005 Serving Since 2003* Serving Since 2008
Jason Wellman Keith Williams Mary Yoss
FF / EMT AEMT Paramedic
Serving Since 2005 Serving Since 1983 Serving Since 1998*
10All Calls & Mutual Aid
During 2011, Rittman EMS responded to 80 All-Calls. “All-Calls” are defined as an
additional request for a squad while the duty squad is still out (Also known as
“Overlapping” Calls). These include second or third squad calls, such as motor
vehicle accidents with multiple patients, or back-to-back calls. Seventy-five (75)
requests for a second squad and 5 requests for our third squad were handled by the
department.
In some instances we still required additional resources; we required mutual aid
from neighboring departments on 21 different occasions.
Assistance was received by:
Sterling Fire District
Chippewa Township Fire Department
Wadsworth EMS
Smith Ambulance
Samaritan Care Ambulance
On the other hand, Rittman EMS provided mutual aid to other area departments on
29 separate occasions, including:
Sterling Fire District
Chippewa Township Fire Department
Wadsworth EMS
Seville-Guilford Fire Department
11Automatic Aid Response
Automatic Aid responses to Motor Vehicle Accidents by Rittman EMS, Rittman Fire,
Chippewa Township Fire, and Wadsworth Fire began in 2007; additional Automatic
Aid Agreements were negotiated into the most recent Milton Township Contract.
These agreements encourage better utilization of resources and provide a greater
efficiency with our response.
On every MVA in the Milton Township Contract area (with the exception of the SR 57
Corridor) Sterling Fire District is dispatched as an automatic response with a Squad
and an Engine. Generally these auto-aid units respond non-emergency until either
cancelled or upgraded by the first responding units. This gets the additional
resources to the scene in a safe manner. Additionally, Sterling Fire District is now
automatically toned for subsequent medical calls in the contracted area if Rittman
EMS is already on another call. The philosophy is that Sterling would be able to
respond to these additional calls for service in order to meet the needs of the Milton
Township residents.
By having multiple agencies dispatched to these incidents, we are able to provide a
rapid response to the incident, while limiting how much equipment and manpower
from a single jurisdiction is dedicated to each emergency. It also reduces the delay
in the dispatcher’s decision on who to send at certain locations.
Overall, these agreements have had a positive impact on service to the residents of
all communities involved.
The area Chiefs meet regularly to discuss these agreements, and make adjustments
to the responses as needed.
The map on the following page shows the areas of Automatic Aid responses
by the various departments.
12Contracted
Area of
Milton Twp.
Automatic
Response
W / Sterling
Fire District
13Vehicle Maintenance
Rittman EMS is equipped with 3 modern Advanced Life Support (ALS) Ambulances,
and one command vehicle. In order to maintain a safe fleet to serve our community,
we strive to follow a strict preventative maintenance plan. At a minimum, all of our
vehicles are serviced once a quarter with oil changes, air filter replacements /
cleaning, and tire rotations. Other repairs are completed on an as needed basis.
Rittman EMS has also adopted a vehicle replacement schedule, which allows us to
plan financially to keep this fleet in good working order. Our plan is to purchase a
new ambulance every five years, and rotate out the oldest vehicle in the fleet. The
second oldest squad would be moved to reserve status at the 10-year mark. By
following this plan, Rittman EMS is due to replace its next ambulance in 2015-2016.
EMS Command Vehicle Car 541:
2006 Chevy Trail Blazer
42,250 Miles
Major Repairs:
Replaced Battery
Installed Remote Start
Body Work Done After Vehicle
Was Struck While Parked in Front
of City Hall
Scheduled for replacement: 2018-2019
Front Line Squads
Squad 545:
2006 Ford E-450, Road Rescue Ambulance
36,357.6 Miles
Scheduled for Reserve status: 2016
Scheduled for replacement: 2021-2022
Major Repairs:
Routine Service Including
Replacing Fuel Filters
Paint Work (Warranty)
Replaced Rear Step-Bumper
(Warranty)
14Squad 547:
2008 Ford E-450, Road Rescue Ambulance
Mileage: 20,750.3
Scheduled for Reserve status: 2021
Scheduled for replacement: 2024-2025
Major Repair:
Replaced EGR Valve (Warranty)
Replaced Fender Guard
New Tires
By maintaining three ambulances, we can guarantee a minimum of two ambulances
available to respond to our communities’ needs. It also allows us to assist those
communities in need due to mechanical problems or natural disasters.
Reserve Ambulance
Squad 549:
1998 Ford F-350, Horton Ambulance
57,155.6 Miles
Scheduled for replacement: 2015-2016
Major Repairs:
Repaired Oil Leak
15Fuel Costs & Mileage
Like every Public Safety Agency across the United States, Rittman EMS has had to
deal with fluctuating fuel costs to maintain service to the community. In 2011 our
fleet traveled 19,229.8 miles and consumed 2,252.55 gallons of diesel fuel. Over the
course of the year, fuel averaged $3.78 per gallon (an average of $.76 per gallon
more than our 2010 costs), bringing our annual fuel cost to $8,712.89.
Number of Average
Type of Fuel Miles
Vehicle Number Gallons Cost per Actual Cost
Used Driven
Used Gallon
541 Gasoline 410.455 $3.46 $1,423.84 5,552.0
545 Diesel 992.530 $3.87 $3,855.14 7,080.9
547 Diesel 825.397 $4.00 $3,313.52 6,547.5
549 Diesel 31.691 $3.79 $120.39 49.4
In an effort to maintain the performance of our diesel fleet, we continue
to add a diesel fuel additive at each fill-up. This practice, along with the
more frequent replacement of the fuel filters, seems to have had a
positive effect on the performance and maintenance of our fleet.
16Continuing Education & Advanced Training
All EMT’s and Paramedics must maintain a certain number of continuing education
hours every 3 years for certification renewal. Rittman EMS is an approved CE
Training site with the State of Ohio—Site 1173.
Our training staff consists of 13 individuals who have attained Instructor status in
various disciplines:
4-EMS Instructors 4-ACLS Instructors
3-CE Instructors 3-Trauma Instructors
9-CPR Instructors 3-Pediatric Instructors
Over the past year alone:
Rittman EMS offered 20 different educational offerings, to over 200 students.
(Some of these classes were offered on multiple occasions in order to reach
more students)
Our instructors taught 83 classroom hours of continuing education classes,
including 2 Basic Refresher classes.
Hosted 22 hours of CE taught by outside agencies or instructors.
Rittman EMS personnel and instructors have 679.5 contact hours invested into
training during 2011.
Additionally, Rittman EMS instructors volunteered their time, assisting other area
departments in maintaining their continuing education requirements. Various
courses and drills were held at, or for personnel of the following departments:
Chippewa Twp. Fire Department
Wadsworth EMS
Wayne County Fire & Rescue Training Facility
Sterling Fire Department
Wooster Township Fire Department
Rittman Fire Department
Rittman Police Department
Rittman EMS also serves as a field internship site for several teaching agencies,
including:
Stark State College
Summa-St. Thomas Medical Center
Wayne Co. Schools Career Center
University Hospital EMS Academy
17Highlights for 2011
2011 marked yet another busy year for Rittman EMS. Not only were we busy
providing our community with professional and compassionate medical care, but we
were busy behind the scenes too. Some of the events or projects completed are
featured below.
Completed a City-wide Continuity of Operations Planning process (COOP) in
conjunction with the Wayne County EMA Office.
REMS staff began evaluating various cardiac monitors so we can start replacing
our current machines. (Initially one replacement was budgeted for in 2011, a
second in 2013, and the third in 2016.) After reviewing several vendors, the staff
opted to stay with Medtronic-Physio Control and purchase a LifePack 15. After
the quotes came in, and several alternative funding sources were secured it was
determined that we would actually be able to purchase two monitors at once. The
actual purchase has been delayed until the first quarter of 2012 in order to
conform to granting cycles.
Purchased the telemetry modems that are required to transmit 12-lead EKG’s to
the receiving hospitals. (By purchasing now, we were able to save almost 50%
over the 2012 prices).
Purchased industrial grade floor mats for all City buildings, rather than continue to
rent them; estimated savings to the City will be nearly $16,000 over the next 5-
years.
Continued joint Fire/EMS training sessions to facilitate teamwork within the
departments, and to fulfill State fire training requirements.
Began to plan joint Continuing Education classes with the entire Summa-
Wadsworth Rittman Medical Control group.
Implemented a new, modern medical protocol for all staff.
Launched the new rittmanems.org website, and incorporated the City’s site and
Recreation Center’s sites in the same format. While websites are difficult to
maintain, we believe that we have done a decent job keeping the sites current,
and we have the ability to update them as needed with no additional charge.
Offered a paramedic refresher class for our ALS staff (48-hours).
18 Assisted fire department administration with grant applications for necessary
equipment. (Assistance to Firefighters Grant- $342,105 grant application for a Rescue
Pumper Truck and a second AFG Grant- $41,500 application for a breathing air fill station
and RIT packs). Note: Both Grants Were Turned Down Due to the Many
Requests for Federal Funding.
Continued our Child Passenger Seat Safety Inspection Program.
Provided EMS Stand-by at the following events:
All Rittman High School Home Football Games
Rittman Band Show
Various WRNVC Services
Charity Flag Football Game
Rittman Sleepwalker Festival
Provided EMS Representation at the following events:
Various Community Health Fairs
Community-wide Trick-or-Treat Night
Crawford’s Trunk-or-Treat Night
Safety Village
19Awards and Recognition
Years-of-Service:
While we continually strive to provide the best medical care possible, sometimes we
still cannot save our patients. In the EMS field, you have to learn to deal with the
up-and-down emotions of a major call, or you will not last long as an EMT. Provider
stress has led to many good EMT’s careers to be cut short.
The national average career expectancy of an EMT is 3-5 years.
The members of Rittman EMS have a combined total of 307 years of experience with
just this department—many have experience from other departments prior to
serving the City.
The average years of service for Rittman EMS is just over
10.65 years — Well above the national averages.
We would like to acknowledge those individuals who celebrated anniversaries with
Rittman EMS during 2011.
They are as follows:
Ten-years:
Bryan Dodrill, Paramedic
Michael French, EMT
Jeromy Straub, AEMT
15-years:
Mary Yoss, Paramedic
20-years:
Trudy Arnold, EMT
20Rittman EMS and Rittman Fire & Rescue hold a joint Annual Awards Banquet in April,
which honors the achievements and service from the previous year. At our Banquet
in 2011, awards for Squadman of the Year, and Rookie of the Year were presented
for 2010.
Squadman of the Year-2010
Each year, members of Rittman EMS submit nominations of their peers
to be named the Squadman of the Year. For 2010, Kenny Gallion was
awarded with this distinction.
In his nomination, Kenny was described as “a go-to-person” who is
“always willing to pick up an extra shift when asked”. “If there is
anything that needs done around the station—or even a project at
home—Kenny would be more than willing to help out”.
“Kenny lives for Service; he is Hard-Working, Dedicated, and an
asset to the entire Community”.
The 2010 Rittman EMS
Squadman of the Year
Kenny Gallion
FF / EMT
21Rookie of the Year-2010
Each year, members of Rittman EMS submit nominations of their peers
to be named the Rookie of the Year. To be eligible for this award, one
must have been a member of the department for fewer than two years.
For 2010, Gregg Shreve was awarded with this distinction.
An excerpt from Gregg’s nomination: “As a newer member of
the department, Gregg has committed himself as a team-
player. He makes the best of his time at work, and is fun-
loving. When duty calls, he responds in a professional and
caring manner”.
“Gregg can be described as “Professional, Caring, Hard-
working,
and Fun-loving”
The 2010 Rittman EMS
Rookie of the Year
Gregg Shreve
Paramedic
22Community Activities & Programs
In addition to covering squad calls, attending CE courses, and balancing family-life,
our volunteer staff has taken on many community projects and provided numerous
hours of standby coverage for events at the Western Reserve National Veteran’s
Cemetery and various high school athletic events. EMS personnel have also
participated in many community functions such as: the annual Sleepwalker
Festival, community trick-or-treat night, various health fairs, and Safety Village.
CPR:
Rittman EMS maintains a staff of 9 certified CPR instructors who combined to teach
16 CPR classes throughout the community and our schools. A total of 104 students
were certified during these courses; all of whom were trained in the use of AED’s
(Automated External Defibrillators).
PAD (Public Access Defibrillation):
Rittman EMS continues to promote and maintain a Public Access AED Program. This
program places AED’s out in various public locations for easy access in the event of a
cardiac emergency. There are 30 AED’s located throughout the community (Some
locations have multiple units).
Mobile Units:
Rittman Police Department (5 Units)
Rittman EMS (Chief’s Car)
Rittman Fire Department (Engine 52) 23Rittman Area Stationary AED Locations on Google Maps™
Stationary Locations:
Rittman Exempted Village School District Rittman EMS Building
(Multiple Units at All Buildings) Rittman City Hall
Ohio Western Reserve National Cemetery Rittman Police Department
Milton Presbyterian Church Rittman Fire Department
Rittman United Methodist Church Rittman Recreation Center
Morton Salt (Multiple Units) Rittman Public Library
24Fill-the-Pill:
Fill-the-Pill is a program implemented that allows residents to secure important
emergency medical information in a safe and secure location, to be accessed in the
event that the person cannot relay this information to us. It is very similar to the
Vial-of-Life™ program; however it does not suggest the information be kept inside
the refrigerator, as it tended to get lost at the back of the refrigerator. We offer
these magnets to anyone who would like one. Additional forms are also available at
the station, or on our website at www.rittmanems.org . If you need assistance
completing the information sheet, feel free to contact the station and we will assist
you the best that we can.
Please remember to update your medication list when you change
medications, and remember to attach a copy of any Advanced Directives
(DNR or Living Will).
Child Passenger Safety Seat Checks:
Rittman EMS continues to offer free Car Seat Safety Inspections by appointment.
We currently have one certified inspector on staff, Robyn St. Clair, who gives freely
of her time to conduct these appointments. The number of inspections varies each
year; this past year Robyn performed an average of one inspection per quarter.
If you need to have a car seat inspected, please call 330-925-2065 and we will get
you in touch with Robyn to set up an appointment. You can also request someone to
contact you about an inspection through our website (www.rittmanems.org).
For the most up-to-date information on car seats and booster seats, please see the
Ohio Department of Health’s website at www.odh.ohio.gov
25Looking to the Future
Rittman EMS is preparing to maintain a consistent level of service throughout this
period of economic decline; and is always looking at ways to expand service to
incorporate other needed programs.
We are studying several ideas to make the EMS service in Rittman even better. We
are continually trying to reduce our response times, and evaluating the possibility of
extending staffed hours at the station. As noted in this report, our call volume is
steadily increasing. In addition, we are seeing a trend in the time of day that our
calls are coming in; particularly between the hours of 6pm to 10pm. We will
continue to monitor the situation, and make changes if they are necessary. We are
also looking at how we can reduce the redundancy between services provided by the
three Public Safety Services. This has already been started by group purchasing on
several items, common policies across-the-board, and inter-agency training. We will
continue to look for ways to improve upon this in the future, including studying the
effect of joint-staffing opportunities amongst the departments.
We will embrace the ever-changing world of emergency service, and provide our
citizens with the best possible service model that will meet these changes. While
change is sometimes uncomfortable, we accept it as a challenge. It is our goal to
continue to provide compassionate medical care in a timely fashion. To accomplish
this goal, we must adapt to our changing world. We look forward to providing you
the best possible Emergency Medical SERVICE.
Updated Website:
In trying to provide the community with pertinent information, Rittman EMS has
contracted with a local web designer to update our website, and make it user-
friendly.
We soon hope to be able to provide a means of emergency notification to your email
or smartphones.
I encourage you to take a few minutes and explore this new site to learn more about
YOUR RITTMAN EMS!
Please visit us at: www.rittmanems.org
26Contact Information
I hope the information provided in this document helps portray the services and
activities of Rittman EMS. Should you have any questions or require additional
information, feel free to contact me at 330-925-2065, or by email at
Abaillis@rittman.com , and I will be happy to provide it for you.
Sincerest Regards,
Chief Andrew Baillis, OFE
Rittman EMS
272011 Statistics at a Glance
Total calls: 961
Percent increase from 2010: 12.79% (an increase of 109 calls)
Average Overall (day and night) Response Times: *
4.13 min. to leave the station 6.38 min to arrive at the scene
*Includes both emergency and non-emergency responses, as well as mutual aid responses to
other Communities.
Most common complaint: Medical Illness – 161 Calls
Number of calls with ALS crews available: 958
Number of transports: 646
Number of All-Calls: 80 Second Calls- 75 Third Calls- 5
Number of times Mutual Aid was required: 21
Number of times Rittman EMS provided Mutual Aid: 29
Responses in the Milton Township Contract area: 83
Number of Automatic Aid Responses: 21
Number of responses to nursing homes: 35 (a 105.88% increase from 2010)
Number of responses to other Senior Citizen facilities: 152
28 Number of Walk-in Patients: 13
Busiest month: February – 92 Calls
Slowest month: April – 68 Calls
o Only 4 Months with less than 70 Calls. January, June, &
November each had 69 calls
Busiest day of the week: Saturdays - 147 calls
Busiest hour of the day: 7 pm-8 pm – 64 calls
Slowest day of the week: Sundays - 127 calls
Slowest hour of the day: 5 am-6 am & 6 am-7 am (Tied) - 20 calls
Average number of calls per day: 2.63
Most calls in a single calendar day: 8 (Tied--August 21 & September 2)
7-days with 7 calls
11-days with 6 calls
24-days with 5 calls
In 2011, there were 44-days that Rittman EMS
responded to 5 or more calls
Longest time between calls: 104 hrs. 24 min. (October 14 – October 17)
29Charts & Graphs
30Nature of Calls - 2011
Nature of Call Selected Response Locations
Highway / MVA 44
Heart (CP) 80 Nursing Home /Asst. Living* 187
School / Church / Park 19
Full Arrest 8 Police Department 27
Physicians Offices 13
Breathing / Resp. 89
*Includes: Rittman Acres,
Misc. Bleeding / Injuries 120 Towne Manor, Autumnwood
Poisoning / OD / Allergic 42 Mutual Aid
Mutual Aid Given 29
Medical Illness 161 Mutual Aid Received 21
CVA /TIA 13 Automatic Aid Responses 21
DOA 8 Contract Area
Calls Answered in Contract
Area 83
Diabetic 34
Altered LOC 32
Seizures 26
ABD Pains / Complaints 47
OB / Maternity 5
Assaults 17
Burns / Electrocution 1
Bee Sting / Animal Bites 8
Mental / Psych. Pt. 41
MVA 44
Fire Rehab. 55
Public Service / Standbys 57
Falls 52
Stabbing / Gunshot 1
False Alarms 20
Total Annual Calls 961
31Overall Rittman EMS Response Time
Total Time for Emergency and Non-Emergency Responses, Including Mutual Aid Calls to
Other Communities Handled by Rittman EMS.
Number of Average Dispatch Average Enroute Average On Scene
2011 calls Time Time Time
Day Crew (minutes) (minutes) (minutes)
January 43 00:52 02:32 05:31
February 54 00:52 01:30 04:42
March 48 01:10 02:33 05:13
April 42 01:24 02:06 04:26
May 49 01:16 01:54 04:09
June 40 01:12 02:17 04:48
July 44 01:49 02:11 04:53
August 50 02:01 01:50 04:01
September 44 02:14 02:31 05:14
October 51 01:40 02:28 04:35
November 37 01:49 03:13 05:19
December 43 01:03 01:46 04:29
Totals: 545 01:27 02:14 04:47
Number of Average Dispatch Average Enroute Average On Scene
calls Time Time Time
Night Crew (minutes) (minutes) (minutes)
January 26 01:37 07:03 09:10
February 38 02:00 05:46 09:16
March 43 01:56 06:18 08:13
April 26 03:25 06:13 08:12
May 35 01:36 06:05 08:51
June 29 01:25 05:22 07:16
July 45 01:53 05:48 07:44
August 42 01:06 06:25 08:31
September 34 00:58 06:25 09:00
October 37 00:57 06:08 07:52
November 32 03:43 06:37 09:06
December 29 01:04 06:11 08:41
Totals: 416 01:48 06:12 08:29
Total From
Days: 545 01:27 02:14 04:47
Combined
Average: 961 01:38 04:13 06:38
32First Calls-EMERGENCY RESPONSES
Total Time for Emergency Responses
(Including Mutual Aid Calls to Other Communities Handled by Our Duty Squad.)
Number of Average Dispatch Average Enroute Average On Scene
2011 calls Time Time Time
Day Crew (minutes) (minutes) (minutes)
January 31 01:00 02:12 05:04
February 37 00:42 02:02 04:15
March 36 01:18 02:33 05:10
April 26 01:32 02:16 04:46
May 33 01:15 01:47 04:11
June 32 01:13 02:24 05:08
July 28 01:34 02:00 05:02
August 33 01:25 02:05 04:40
September 28 01:19 02:41 05:26
October 40 01:46 02:24 04:39
November 32 01:45 03:24 05:39
December 32 01:09 01:41 04:41
Totals: 388 01:20 02:17 04:53
Number of Average Dispatch Average Enroute Average On Scene
calls Time Time Time
Night Crew (minutes) (minutes) (minutes)
January 16 01:07 07:08 09:30
February 27 01:40 06:00 09:04
March 37 01:54 06:33 08:29
April 17 01:21 06:11 08:45
May 16 01:26 04:08 06:49
June 23 01:13 05:37 07:27
July 28 02:09 05:27 07:41
August 27 00:58 05:58 08:13
September 22 01:14 06:14 08:46
October 21 00:43 05:38 07:47
November 16 01:38 06:04 09:11
December 21 01:17 06:12 08:29
Totals: 271 01:23 05:56 08:21
Total From
Days: 388 01:20 02:17 04:53
Combined
Average: 659 01:22 04:07 06:37
33Second Calls-EMERGENCY RESPONSES
Total Time for Emergency Responses, Including Mutual Aid Calls to Other Communities
Handled by Our Second Squad.
Number Average Dispatch Average Enroute Average On Scene
2011 of Time Time Time
nd
Day Crew 2 Calls (minutes) (minutes) (minutes)
January 4 01:45 02:30 05:00
February 4 01:30 03:00 05:00
March 2 02:00 07:00 09:30
April 0 00:00 00:00 00:00
May 4 01:15 04:15 05:45
June 3 00:40 06:40 10:00
July 1 02:00 06:00 09:00
August 2 01:30 05:00 06:00
September 2 03:00 04:00 07:00
October 7 01:51 02:09 03:51
November 3 05:00 07:20 07:40
December 1 01:00 07:00 15:00
Totals: 33 01:48 04:35 06:59
Number Average Dispatch Average Enroute Average On Scene
of Time Time Time
nd
Night Crew 2 Calls (minutes) (minutes) (minutes)
January 1 02:00 04:00 05:00
February 2 00:30 04:30 16:30
March 6 01:50 08:20 09:50
April 0 00:00 00:00 00:00
May 3 00:20 03:20 05:40
June 2 00:30 05:00 06:30
July 4 00:45 04:15 06:30
August 3 01:40 10:00 14:40
September 0 00:00 00:00 00:00
October 0 00:00 00:00 00:00
November 1 03:00 03:00 07:00
December 2 01:00 02:00 03:30
Totals: 24 00:58 03:42 06:16
Total From
Days: 33 01:48 04:35 06:59
Combined
Average: 57 01:23 04:08 06:37
During 2011, Rittman Our Third Squad Handled Five Additional Calls for Service.
34Response Time Definitions:
(A Diagram Appears on the Following Page)
Average Dispatch Time – Time from the receipt of a call in the dispatch center, until
the time the department was alerted. (Also known as Call Processing time) EMS has
no control over this time.
Average Enroute Time – Time taken from the time the call was dispatched, until the
time the first unit is on the road. (Also known as Turnout Time)
Average On Scene Time – The time from the call received in dispatch, until the first
unit arrives on scene. (Call Processing through Travel Time)
Average Response Time Method – Calculated by using the Unit Notification Time
until the Squad arrives on scene (Turnout Time and Travel Time), and averaging the
results over a certain time period.
Emergency Response – The mode of response to calls that have a high likelihood of
death or severe injury; responding with lights and sirens.
Fractile Response Time Method – Calculated from the Call Processing time, to the
Patient Contact time. The goal is to reflect a more accurate time, and meet a
Standard of Transport ALS on scene within 8-minutes, 90% of the time. (NFPA 1720)
Non-Emergency Response – The mode of response to calls where the likelihood of
death or severe injury is minimal; responding with the flow of traffic. This category
includes alarm drops, lift assists, and medical equipment assistance calls.
*Statistics have shown that rescuers are more likely to be in accidents while responding
with lights and sirens. In addition, these statistics also reflect very minimal differences
in response times overall. Therefore, personnel are asked to weigh the risks versus the
benefits on each call.
35Elements of Response Time:
“Wheels
Rolling”
Notification to
Dispatch (911) Out With Out at the
Patient Hospital
Typical Segment Included with
“AVERAGE” Response Time
Unkn. Call Turnout Travel Time Pt. Patient Care Travel Transfer of
Time Processing Time Contact Interventions to the Care /
Time Hospital Paperwork
Notification of Squad
EMS (Tones) On-Scene
Enroute to the Squad Back-
Onset of Injury Hospital in-Service &
or Illness Available
362011 Statistical Charts
Number of calls between 6am and 6pm: 545
Slowest hour of the day: 5am-6am & 6am–7am (Tied) – 20 calls
37Number of calls between 6pm and 6am: 416
Slowest hour of the day: 5am-6am & 6am–7am (Tied) – 20 calls
Busiest hour of the day: 7pm-8pm – 64 calls
38Number of calls answered between 6am and 10pm: 744 Calls
(78% of the calls occurred between 6am and 10pm during 2011)
Number of calls between the hours of 10pm and 6am: 217
(22% of the calls occurred between 10pm and 6am during 2011)
39Busiest day of the week: Saturday - 147 calls
Slowest day of the week: Sunday - 127 calls
40Busiest Month: February - 92 calls
Slowest Month: April - 68 calls
(Only 4 months had fewer than 70 calls: January, April, June, & November)
Average Calls per Month: 80 calls
412011 Transport Destinations
Lodi
Aultman Orrville 0% 2011 Transport Destinations
2% DOA
1%
MGH
1% Refusals
CHMCA 21%
2%
Summa-St. Thomas
0%
Summa -Akron City
2%
Summa-WRH
53%
AGMC
4%
Summa-BCH
10%
WCH
4%
Summa-Wadsworth-Rittman- 440 Refusals-171
Summa-Barberton- 80 DOA-11
Wooster Community Hospital-34
Akron General Medical Center-34
Summa-Akron City Hospital-18
Summa-St. Thomas Medical Center-4
Children’s Hospital Medical Center of Akron-15
Medina General Hospital-5
Aultman Orrville Hospital-21
Lodi Community Hospital-0
42Grants & Billing
Grant Funding 2003-Present
Year Grant Award Amount Funding Use
2003-2004 Ohio EMS $7,680.00 Misc. Medical Supplies
2004-2005 Ohio EMS $10,000.00 Training Supplies, Classes, AED, Misc.
2004 Airway Grant-Div. of EMS $1,500.00 Training Mannequin
2005-2006 Ohio EMS $7,000.00 AED, Misc. Supplies
2006-2007 Ohio EMS $8,000.00 Cot, Stair Chair, Misc. Supplies
County-wide Communications Upgrade
2006 Assistance to Firefighters $191,096.00 (Total Project-$240,000)
2007 WRH Foundation $1,500.00 Highway Safety Products
2007-2008 Ohio EMS $6,500.00 Training and Equipment
2008-2009 Ohio EMS $4,000.00 Training & Equipment (EMT-I Training)
2008 WCCF $5,000.00 MDT's for Squads
APCO Training Materials (Basic
2008 Beaverson Foundation $1,476.00 Telecommunicator / EMD)
2008 Beaverson Foundation $1,960.00 LP-1000 AED for Engine 52 (RFD)
2009-2010 Ohio EMS $4,500.00 Training & Equipment
Reimbursement for EMT-I Training
2009 Beaverson Foundation $3,200.00 (Bowes, Bachman, Hooser, St. Clair)
2010-2011 Ohio EMS $3,950.00 Training & Equipment
2011-2012 Ohio EMS $4,000.00* Toward two (2) LP-15 Cardiac Monitors
2011 Beaverson Foundation $10,000.00* Toward two (2) LP-15 Cardiac Monitors
Apostolic Foundation
2011 Board $1,000.00* Toward two (2) LP-15 Cardiac Monitors
2012-2013 Ohio EMS TBA
Total $272,362.00
(*These funds are set aside to be used for the purchase of two new cardiac monitors set for replacement in
the first quarter 2012)
Over the past three years, Rittman EMS has assisted fire department
administration with several grant applications in for large equipment purchases
(New Pumper Truck and a New Breathing-Air Compressor). We have also
attempted to secure funding for several large ticket items for our department, such
as new cardiac monitors.
Total Grant Requests 2003-Present: Over $1.5 million dollars.
43Rittman EMS is primarily funded through a 2.3 mill property tax levy. This five-year
levy was last renewed in November 2009. Additional funding to supplement
operations comes in the form of Ambulance Billing.
Rittman EMS utilizes City of Rittman staff to submit bills for transports to patients
and insurance companies. Currently Shelley Roberts is our Billing Clerk. She makes
sure all claims are submitted according to Medicare and Medicaid rules. Between 7-
10% of the annual transport charges are billed monthly. We average a 55-60%
collection rate based on a calendar-year’s charges (charges submitted in the fourth
quarter are not always received until the next calendar year).
As with all aspects of EMS, we continually monitor collection rates and billing cycles;
and study all options and ideas of ways to increase revenue.
Rates Billed per Ordinance in 2011
BLS $450.00
ALS $450.00
Loaded Mileage $10.00/mile
Any City Resident will receive up to a $330.00 credit for BLS Transports.
Any City Resident will receive up to a $250.00 credit for ALS Transports.
In Calendar-year 2011, our billing department billed
$347,895.
2011 Monthly Charges
$22,744.00 Jan
$32,686.00
$24,204.79 Feb
$31,058.00 Mar
$31,032.91 Apr
$35,148.00 May
$30,347.30 Jun
Jul
$24,549.00
$32,108.00 Aug
$30,267.00 Sep
$28,960.00
$24,790.00 Oct
Nov
Dec
44Performance Measurement Data
2011 Performance Measures
Performance Indicator 2011 Data 2011 Results
Population Served
7,900 550.5 Residents per Square Mile
(14.35 Sq. Mi.)
Number of Personnel 31 3.92 EMTs for Every 1,000 Residents
Operating Budget $353,474 $44.74 per Resident
Payroll Expenses $267,822 $33.90 per Resident
EMS Call Volume 961 121.64 Calls per 1,000 Residents
Number of EMS Transports 646 81.77 Transports per 1,000 Residents
Rittman EMS Total cost per call: $367.81
45Performance Measurement Charts
This chart represents the total cost of EMS Operations per capita within the
Rittman EMS response area.
(This cost does not include vehicle purchases.)
Five-Year average: $44.76 spent on EMS Operations per person.
46Costs per Capita--Total Vs. Payroll
$50.00
$46.90 $46.30
$45.00 $44.74
$43.13 $42.75
$40.00
$35.00 $35.03
$33.90
$32.75 $32.85
$30.00 $30.34
$25.00
$20.00
$15.00
$10.00 Total Cost Per
Capita
$5.00 Payroll Expense
Per Capita
$0.00
2007 2008 2009 2010 2011
Over the past five-years, an average of 73% of the total EMS
budget was used for payroll expenses.
47Rittman EMS averaged 110.872 calls per 1000 residents over a
five-year period.
Of those calls, an average of 73.75% resulted in transports to
local hospitals.
48A five-year average cost of $404.01 per call.
4930-Year Call History
Increase
Number of from
Year % Increase
Calls Previous
Year
1981* 236 N/A N/A
1982 272 36 15.25%
1983 337 65 23.90%
1984 415 78 23.15%
1985 405 (10) -2.41%
1986 516 111 27.41%
1987 504 (12) -2.33%
1988 445 (59) -11.71%
1989 474 29 6.52%
1990 459 (15) -3.16%
1991 493 34 7.41%
1992 514 21 4.26%
1993 476 (38) -7.39%
1994 571 95 19.96%
1995 484 (87) -15.24%
1996 558 74 15.29%
1997 552 (6) -1.08%
1998 494 (58) -10.51%
1999 496 2 0.40%
2000 529 33 6.65%
2001 513 (16) -3.02%
2002 670 157 30.60%
2003 687 17 2.54%
2004 784 97 14.12%
2005 735 (49) -6.25%
2006 787 52 7.07%
2007 872 85 10.80%
2008 817 (55) -6.31%
2009 878 61 7.47%
2010 852 (26) -2.96%
2011 961 109 12.79%
50Since the beginning of Rittman EMS – A Thirty-Year Snapshot
30 Year Trend : 1981-2011
Total Calls 17,786
Total % Increase 307.20%
Rittman EMS 30-Year Trend
1000
Number of Calls
800
600
400
200
0
1 3 5 7 9 11 13 15 17 19 21 23 25 27 29
Year
51On behalf of the men and women of
Rittman EMS,
Thank You for letting us SERVE YOU!
A special thank you goes out to the following
individuals for their assistance in tracking and
compiling the data for this report:
Asst. Chief Mike Kollert
Keith Williams
Jeromy Straub
Gregg Shreve
Marcia Dodrill
Troy Hooser
My sincere apologies go out to anyone that I
missed.
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