Sunday, March 1, 2009

What's our plan?

TO:                  Fire Department          
DATE:             3/1/2009
RE:                   What is our Plan?

What is our plan? I look at our mission and value statements and this question comes to mind for many different reasons. I need to state that my intent in writing this letter is not to condemn or ridicule any individuals or group of individuals. This is a good Department, I enjoy the work, the people and the environment I am employed in, my only wish is that it rises to its full potential. It would be much simpler to accept the status quo, remain in a comfort zone, and through inaction accept things the way they are. I find it difficult to believe that this department would hire employees with those qualities. We find ourselves in a new environment in which maintaining the status quo will not work.

In this document I wish to articulate my observations, and opinions, of the dynamics and structure of our Fire Department. I do this yearly to allow me to condense and refine my thoughts and understanding of the workings of our Department. I hope this will not only benefit me, but also promote some discussion and perhaps action toward improving our department’s functionality and service to both citizens and employees. I feel that documentation of circumstances and attitudes within the department is as critical to determining progress as the quantitative data already being collected. I make these observations with incomplete knowledge of the underlying practices employed by management. There may well be reasonable explanations for why things are as they are, but I do not posses the information to determine if they are valid. In either case it is the perception in the absence of information that is the basis for my concerns.

OBSERVATIONS

Overall Management and Oversight
 i “When wrestling a gorilla, one does not stop until the gorilla gets tired!”

1)      We have seen a variety of changes to our equipment this year, some with appropriate levels of user input, others not.
2)      The intent of the changes has been good, but the execution and lack of stakeholder involvement has in some cases produced less useful, even dangerous outcomes.
3)      There does not appear to be any effort to communicate the long term plans for the department or any long term goals despite multiple exercises to obtain and promote the needs of the rank and file, i.e.: Target 21.


From a fiscal standpoint the city and all departments will be required to modify their operations and practices to accomplish their goals with less. For our department this should not mean that we back away from needed changes and improvements for the sake of not upsetting our budget, but instead embrace the opportunity to accomplish both improvement and cost reduction through efficiency and intelligent decision making processes. It is not logical to circle the wagons and wait for things to improve, they will not, the problems will remain and they will have multiplied.

I admit I know nothing of our department’s plans for training, finances, and organizational structure. This information is not available to me, the closest I seem to get is the month old reports on the command staff meetings and ECC meetings. I find these somewhat useful, but they don’t really convey the long term goals of our department adequately. Do we have a published 1, 2, 3, and five year plan for both the Fire and EMS components of our department?

Department Continuity  
i does it not reason that those who are left to carry-on are doomed to repeat the same mistakes”.

1)      There is no apparent effort on the part of more senior staff to mentor and train upcoming officers to fill their roles, leaving a great concern for having to re-live previous mistakes. To date no officer candidate school is in place.
2)   The magnitude and scope of the changes the Department and City must make to achieve a more businesslike level of operations and performance of our duty will require a new way of thinking.
3)   Those without any business training or experience may find themselves unable to cope with and/or perform in this new environment.
4)   From the outside it appears that no one wants to share their cheese for fear of somehow becoming less important or possibly expendable.

Training and Officer Development
i “You can care about fighting fire all you want but if you don't train to do it, sooner or later someone will pay the ultimate price and that person will be one of our brethren.”

1)      The department has put forth a basic officer development program consisting of core DFP courses for new officers.
2)      No other tactical courses, exercises, or drills have been developed that provide any hands on real-time practice with the exception of occasional task related training provided by our training division. The only tactical exercise I have been involved in for two years was at the last assessment center.
3)      There have been no perceptible changes in our way of training new officers since the call  last year.
4)      Training remains highly variable across all stations, shifts and Battalions. In my case I was allowed to pursue my EMT and ITLS instructor credentials, but not involved in the instruction program except as a part-time instructor.
5)      Our training division remains severely under funded and understaffed.


EMS and FIRE integration

1)      Fire and EMS components within the department are not fully integrated; patient care is achieved in spite of this. Friction, animosity, and frustration exist just beneath the surface. There are disparities on both sides that need to be addressed. EMS calls are the primary call type for all apparatus and account for >90% of calls.
2)       There is only one EMS officer per district (paramedics are not considered or addressed as officers) and an Officer for every other fire apparatus in each district.
3)      Paramedics are denied specialty assignments due to staffing, and required to spend a disproportionate amount of time riding an ambulance in most districts/stations. In my case I was hired with the majority of my Technical Rescue certifications already in place and attended others off duty, but was denied a place on the HTR team due to my paramedic certification. Others were hired with no certifications, placed on the team, and paid overtime to get their HTR certifications.
4)      EMT’s do not routinely ride the ambulance at all, ST’s typically ride every third shift, and PM’s every other shift at best.
5)      Battalion level officers on Fire side are called Chief, EMS officers are called Lieutenant.
6)      EMS calls have a QI process; FIRE calls do not have a formal process for evaluation.
7)      The Battalion level FMO position is filled based on the performance of an individual on an Engine company officers assessment.
8)      Assignment to a Medic duty is considered a chore for most, a punishment for some, and used as a punishment by others. For example; it appears to be ok to miss an Engine duty, but Ambulance duties must be made up.

I personally do not mind riding the ambulance, but I did not agree to give up other opportunities to do so. A truly integrated Fire/EMS system would require equal participation of all personnel ALS & BLS. Battalion level EMS officers shoulder the same responsibilities as other Battalion level officers and should be given the same level of authority and recognition; this of course raises the question of other EMS positions being filled with subordinate EMS officers (captains and lieutenants).


SUGGESTIONS:
(ill informed and probably too optimistic)

  1. Stop Procrastinating: We need an Officer and Professional development program in this department now. If this does not happen we are doomed to repeat tragic errors made here and elsewhere.
  2. Implement a formal mentoring program for all levels with specific goals and objectives that will facilitate a progression from rank to rank.
  3. Put EMS operations on par with Fire operations, for Pete’s sake it’s 90% of our call volume, requires significantly more education, and affects many more citizens’ lives and welfare than Fire calls do.
  4. Improve EMS training by permitting providers to seek and attend training from outside sources from subject matter experts even if it falls above the minimum required training. Customer service and morale should improve considerably. Do we really want a “minimally trained” EMS system?
  5. Hire and/or train an adequate number of ALS providers. It is unreasonable to expect our paramedics to shoulder the responsibility they do and be denied opportunity because of their training. It should not be unreasonable to have an ALS provider on every first response unit.
  6. Engage in active public education to reduce false and inappropriate calls, an added benefit should be cost reduction. Inform the public of our activities so they understand what we do for them and how we work.
  7. Take employee suggestions seriously, give feedback, and allow participation and ownership of department issues by the entire department.
  8. No More Lip service; we should not engage in exercises such as target 21 if no resources or commitment will be dedicated to addressing the issues identified. Seek honest input, identify areas where improvement is needed, aggressively seek resolution of the issues and provide regular feedback to everyone.



I have been a resident of this city since its birth. I have watched my parents, friends and neighbors contribute and become actively involved in choosing the path this city would follow. I realize that any organization, department or city must have frequent honest dialogue with its members and those it serves in order to discover its true mission and purpose. I think it is extremely easy to look at such an organization and feel that there is nothing really that I can do to influence the actions and outcomes, but I know the truth to be otherwise, It will take hard work, determination, constant prodding, and perhaps a new way of thinking, but it can and must be done. This city and our department in particular have changed since my parent’s time. Citizens will remain complacent with bad decisions by local government until something happens that has a significant negative impact on them. I myself am much less politically active than I was 20 or 30 years ago. We have to fix ourselves and earn the respect and support of our citizens. We owe it to ourselves and those who pay our salaries.



Sincerely,
Alan Perry







i) Quotes from Allen Schidgen with permission