In its Saturday issue, the News Chief reported in detail on the proposed merger plan for Polk County Fire Services and Polk Emergency Medical Services. The proposed merger will be studied in a pilot program in a station near Lake Wales, according to the article, but the criteria for studying the program were not stated.
EMS programs in the United States were mostly developed within the fire services from the 1960s. However, there are an increasing number of independent EMS services to the extent that public safety is often expressed as a combination of police, fire and EMS. The question of program quality is important to the consideration and is difficult to assess.
The public calls for EMS services far more than for fire services. The EMS service carries far more potential for legal recourse by the residents served because of the close personal interaction at the scene. Fire service personnel are more prone to consider it as a career decision, whereas EMS personnel more commonly work for a number of years and then move into other health-care channels. In EMS, it is often called "burnout" and is a definite problem in personnel selection and training.
The point is that "cross training" may look simple, but is often difficult in practice because the personnel are, in fact, quite different. Complicating the picture further are present attitudes of the area hospitals, which quite commonly either accept certain patients only or temporarily close their emergency departments to further emergency patients. This further stresses the EMS system.
Serving as an ex-officio member of the EMS medical committee, I can sympathize with the Polk County commissioners and their desire to seek efficiencies in operation of county services. In this situation, I think that basing a decision on a pilot program may or may not help in making a wise decision - unless the evaluation criteria are carefully selected and analyzed.
I believe that an expert consultant's analysis of fire and EMS services over the past several years might offer better information on which a decision might be based. In the end, the decision should be made on the basis of the best service for the least cost, and combining the services may reduce costs by a fraction but also could reduce EMS efficiency by an even greater amount.
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