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

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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

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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

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2500

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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?