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HomeMy WebLinkAboutStaff Report 7829 City of Palo Alto (ID # 7829) City Council Staff Report Report Type: Informational Report Meeting Date: 3/6/2017 City of Palo Alto Page 1 Summary Title: PAFD Performance Report FY17 Q2 Title: Palo Alto Fire Department Quarterly Performance Report for the Second Quarter Fiscal Year 2017 From: City Manager Lead Department: Fire Recommendation Staff recommends the City Council review the Palo Alto Fire Department Quarterly Performance Report for the Second Quarter of Fiscal Year 2017. Background and Discussion In Fiscal Year 2015 the Palo Alto Fire Department (PAFD) identified performance reporting as a key initiative, and began reporting on key performance measures quarterly. The report provides overall calls for service information, as well as more detailed information on the key service areas, including Emergency Medical Services, Fire Suppression, Rescue and Hazardous Materials Response, and Fire Prevention. The report also provides information on mutual and automatic aid with our regional public safety partners and internal workforce planning efforts. Performance measures include the following:  Calls for Service: This data provides information on the final outcome of all emergency response calls. The data is tracked in the Fire Department’s Record Management System, and uses standardized call type codes, which are defined by the National Fire Incident Reporting System (NFIRS). The report includes overall call volume by primary category, and a detailed listing of call type in the service type sections.  Response Times: This aspect measures the time it takes from an emergency call or request for response being created in the dispatch center to the arrival of resources to the scene of the emergency. This information is tracked in the City of Palo Alto Page 2 Computer Aided Dispatch (CAD) System, and the performance goals, or service levels, are set by Council in accordance with county and national standards.  Ambulance Transports: The report provides the number of ambulatory transports to hospitals or other medical care facilities, and the proportion of Emergency Medical Calls that included transports. This information is tracked in the Fire Department’s Emergency Medical Record Management System.  Fire Containment: This measures the proportion of building and structure fires that are contained to the area or room of origin within Palo Alto and Stanford Campus.  Mutual and Automatic Aid: This includes the number and proportion of all incidents in which the PAFD provided aid to neighboring communities, as well as the aid received from neighboring Fire Departments. This information is tracked in the CAD System.  Permits: This provides the count of facility, electric vehicle, and solar permits issued by the Fire Prevention Bureau. This information is currently tracked in the Development Center’s Records Management System.  Inspections: A count of the total number of Hazardous Materials and State Mandated inspections is provided. In addition, an estimated number of inspections to be completed for the year is also provided to assess overall workload performance to date.  Fire and Life Safety Plans Reviewed: This provides a total count of all plans reviewed, as well as the proportion of plans that were reviewed within the time guidelines.  Vacancies and Off-Line Employees: This section provides the total number of budgeted full-time equivalent line personnel, current vacancies, and employees that are off line from workers compensation or light duty. This information is obtained from the Fire Department’s Staffing and Scheduling System (TeleStaff), as well as the City’s Personnel Management System.  Succession Planning Metrics: This provides the number and proportion of line personnel that are eligible to retire, or will be eligible within the next five years. This information is tracked in the City’s Personnel Management System. This report also provides the total number of hours line personnel have spent in an acting capacity. Personnel serving in an acting capacity are a key component of the Department’s overall succession planning efforts. Acting capacity allows junior officers to learn the responsibilities of higher ranks with guidance from senior officers. This information is tracked in TeleStaff. City of Palo Alto Page 3  Training hours: The total number of training hours completed by all line personnel is provided, as well as the average number of hours per each line personnel on staff. This information is tracked in the Fire Department’s Record Management System. Local, State and Federal mandates require fire personnel to train a minimum of 20 hours per month. Attachments:  ATTACHMENT A: Coverletter  ATTACHMENT B: FY17 Q2 Peformance Report  ATTACHMENT C: Thank You Letters  ATTACHMENT D: EMS Customer Survey 1 | P a g e Palo Alto Fire Department Quarterly Performance Report Fiscal Year 2017, Second Quarter Calls for Service The Palo Alto Fire Department (PAFD) responded to a total of 2,292 calls for service in the second quarter of Fiscal Year 2017. This includes responses within Palo Alto, Stanford, and neighboring cities to provide Automatic and Mutual Aid. Approximately eighty-one (81%) of calls are generated from Palo Alto, fourteen percent (14%) from Stanford, and the remainder from neighboring cities or requests for regional fire deployment. The majority of calls were for Rescue and Emergency Medical Services, making up sixty percent (60%) of the responses. Table 1 below shows the main categories of the calls to which PAFD responded. Calls are classified based on the actual event occurred, rather than the initial call request. Table 1. Calls for Service Type FY16 Q2 FY17 Q2 Emergency Medical Service 1352 1380 Good Intent 400 346 False Alarm & False Call 269 326 Service Call 115 135 Rescue & Hazardous Material 58 74 Fire 37 29 Other 3 2 Grand Total 2234 2292 Good Intent and False Alarm calls make up the second largest types of responses. Most calls for service that may be a true threat of fire, gas or other emergency hazard are actually found to be something else after Firefighters investigate the situation. These calls are coded as Good Intent calls. As well, many fire alarm activations are from causes other than fire or emergency hazard. These situations are categorized as False Alarm calls. Emergency Medical Services Emergency Medical Service (EMS) is the primary service that the Palo Alto Fire Department provides to Palo Alto and Stanford. While this shift toward EMS is being seen across the region, the Palo Alto Fire Department is the only Fire Department in the County that provides ambulance and transport services. This is especially valuable to our community. Indeed, the 2016 National Citizen Survey rated the EMS and Ambulance Service as the highest city-provided service, with a positive rating (excellent or good) of 97%. The most recent Report from the Council on Aging Silicon Valley from 2012 indicates that Palo Alto has the highest percentage of the oldest seniors (75 and over) in the County. This population relies most on our services, with a service utilization rate more than six times greater than the rest of the population. 2 | P a g e Of the 1,380 Emergency Medical Service calls the PAFD responded to in the second quarter of Fiscal Year 2017, the overwhelming majority were for medical, trauma and cardiac calls that did not involve a vehicle accident. Table 2. EMS Performance Measures Calls for Service FY16 Q2 FY17 Q2 NFIRS Code Description 321 EMS call, excluding vehicle accident with injury 1255 1276 322 Vehicle accident with injuries 72 73 324 Motor vehicle accident with no injuries 14 19 323 Motor vehicle/pedestrian accident 11 9 381 Rescue or EMS standby 0 3 Total 1352 1380 Transports Number of Transports 977 962 Percent of EMS Calls resulting in transport 72.3% 69.7% Response Times Percent of first responder arriving on scene to EMS calls within 8 minutes 91.5% 92.9% Percent of paramedic responder arriving on scene to EMS calls within 12 minutes 98.3% 98.9% Median response time for first responder arriving on scene to EMS calls 04:47 04:48 EMS transports continue to occur on more than two-thirds of all EMS responses, this quarter seventy percent (70%) resulted in an ambulance transport to a local hospital or care facility. This is the primary source of revenue generated from emergency medical services, and revenue received in this quarter is on track with budget projections.  Response Time Goal Met: At least 90% of first responder arriving on scene to EMS calls within 8 minutes. This quarter the PAFD first responder arrived on scene to EMS calls within 8 minutes ninety-three percent (93%) of the time.  Response Time Goal Met: At least 99% of paramedic responder arriving on scene to EMS calls within 12 minutes. This quarter the PAFD paramedic responder arrived on scene to EMS calls within 12 minutes ninety-nine percent (99%) of the time. 3 | P a g e Fire Suppression Very few of the potential fire calls coming into dispatch turn out to be a real fire once PAFD investigates the scene and cause of the concerning elements. This quarter PAFD responded to 29 calls where fire was present, with 27 in Palo Alto or Stanford. There were five building fires that the Department responded to, of which four were contained to the area of origin. These fires happened periodically throughout the quarter and vary in degree. The first incident occurred on the 400 block of Guinda Street during the second week of October. Engine 61 responded to the call, with the occupant reporting a smell of smoke. Upon inspection a malfunctioning light fixture was found to be the cause, and salvage covers were placed in the room of origin and the crew began to expose the structural members of the ceiling around the light fixture. Firefighters noted charring of wood in the ceiling and some smoldering insulation. During the overhaul process 2 rafters were partially removed. The ceiling was then shored up to ensure that it would not fall before it was repaired. The second incident occurred the next week on the 300 block of Tennessee Lane. Engine 65 arrived on scene with smoke showing from a single story single family residence. The fire was found to be burning above the stove top impinging on a structural beam above it. Fire crews made entry and extinguished the fire. Engine 65 and Medic 62 completed overhaul, reported no extension into the walls or ceiling and Truck 66 completed ventilation. In late November, on the 2100 block of East Bayshore Road, Engine 63 responded to a report of smoke detector activation in a kitchen area. Dispatch advised that several more detectors were activated. The incident was upgraded to a first alarm assignment after a passerby stated it looks like fire in building. Firefighters dressed in full PPE and made access through the door leading to a large kitchen/lounge area. There was no fire visible, only smoke with a single sprinkler head flowing near the area of a small refrigerator and microwave. A portable hot/cold water system appeared to be burned which extended to a wall counter with charring to the back wall and ceiling. Crews stopped water flow from the sprinkler head, cleared the second floor, with no occupants found. Additional units initiated ventilation, and set up an electric fan to remove the smoke. The Fire Department worked closely with the Utilities Department to safely shut down the utilities only in the immediate area so the rest of the business could continue operating. The sprinkler system was put back in service and the fire alarm was restored. On the 3100 block of Middlefield Road, during the first week of December Engine 65 arrived on scene and noted smoke showing from a medium sized two-story apartment with a sub-level parking garage. Crews verified that all occupants were out, and the resident stated she was cooking and had food on the stove while she was upstairs. She came downstairs to find smoke and an activated smoke detector before calling 911 and exiting the apartment. A fire was located on top of the stove, which was clearly visible from the kitchen window. Firefighters pulled a hose line to the front door and were able to extinguish the fire. Once Truck 66 and Engine 62 verified there was no extension and all smoke had been ventilated, Incident Command cleared them and Engine 65 remained on scene to assist displaced residents and wait for Red Cross to arrive. Building owner and residents were advised not to enter unit until a restoration company could remove debris and repair the damage. 4 | P a g e The fifth fire of the quarter was the largest occurring on the 2100 block of Louis Road. Battalion Chief 66 responded to a structure Fire was the first to arrive on scene to a structure fire call, and found a fully involved structure with the possibility of rescue. A 2nd alarm was requested. The homeowner was found two houses down from his home; he indicated that he was the only person in the house and an "All Clear" was given. Engine 63 made entry through the front door for fire attack and rescue. The crew encountered high heat with heavy fire and smoke conditions. The crew requested back up assistance to help with the hose line. During fire attack, an "All Clear" was given indicating no victims were trapped inside the home. The fire was knocked down within 30 minutes of arrival. Engine 63 remained onscene with Truck 66 to continue salvaging belongings and overhauling the fire. A fire investigator and a City building inspector responded. There was minor damage to one neighboring house. No firefighters or civilians were injured. Table 3. Fire Performance Measures Calls for Service FY16 Q2 FY17 Q2 NFIRS Code Description 113 Cooking fire, confined to container 8 8 131 Passenger vehicle fire 4 6 111 Building fire 6 5 100 Fire, other 8 3 154 Dumpster or other outside trash receptacle fire 0 2 150 Outside rubbish fire, other 3 1 170 Cultivated vegetation, crop fire, other 0 1 118 Trash or rubbish fire, contained 1 1 142 Brush, or brush and grass mixture fire 0 1 162 Outside equipment fire 1 1 114 Chimney or flue fire, confined to chimney or flue 1 0 116 Fuel burner/boiler malfunction, fire confined 1 0 130 Mobile property fire, other 1 0 132 Road freight or transport vehicle fire 1 0 140 Natural vegetation fire, other 1 0 143 Grass fire 1 0 Total 37 29 Response Times Percent of first responder arriving on scene to Fire calls within 8 minutes 95.0% 85.9% Median response time for first responder arriving on scene to Fire calls 05:42 05:22 Fire Containment Percent of building and structure fires contained to the room or area of origin 50% 80% 5 | P a g e  Response Time Goal Not Met: At least 90% of first responder arriving on scene to Fire calls within 8 minutes. This quarter the PAFD first responder arrived on scene to Fire calls within 8 minutes eighty-six percent (86%) of the time. This is consistent with the small improvement that was seen in the prior fiscal year, a few percentage points above historical performance. The Fire Department continues to explore ways to improve on this measure.  Fire Containment Goal Not Met: At least 90% of building and structure fires contained to the room or area of origin. This quarter there were five building or structure fires within Palo Alto or Stanford, of which eighty percent (80%) were contained to the room or area of origin. 6 | P a g e Rescue and Hazardous Materials The Fire Department responded to a total of 74 rescue and hazardous material calls. The most common rescue call is for the removal of victims from a stalled elevator, which accounts for eighteen percent (18%) of these call types. Table 4. Rescue and Hazardous Materials Measures Calls for Service FY16 Q2 FY17 Q2 NFIRS Code Description 353 Removal of victim(s) from stalled elevator 12 13 444U Power line down - PA Utilities Related 2 8 400 Hazardous condition, other 7 8 331 Lock-in (if lock out , use 511 ) 5 6 440 Electrical wiring/equipment problem, other 3 6 412U Gas leak (natural gas or LPG) - PA Utilities Related 3 6 463 Vehicle accident, general cleanup 0 5 412 Gas leak (natural gas or LPG) 8 4 411 Gasoline or other flammable liquid spill 3 4 442 Overheated motor 3 3 422 Chemical spill or leak 1 2 410 Flammable gas or liquid condition, other 0 2 365 Watercraft rescue 0 1 461 Building or structure weakened or collapsed 0 1 424U Carbon monoxide incident-PA Utilities Related 0 1 424 Carbon monoxide incident 0 1 420 Toxic condition, other 0 1 444 Power line down 2 1 451 Biological hazard, confirmed or suspected 2 1 445 Arcing, shorted electrical equipment 2 0 471 Explosive, bomb removal 1 0 480 Attempted burning, illegal action, other 1 0 413 Oil or other combustible liquid spill 3 0 Total 58 74 Response Times Median response time for first responder arriving on scene to Rescue & Hazardous Materials calls 06:04 06:16 7 | P a g e Mutual and Automatic Aid The Fire Department has automatic aid agreements with five regional Fire Departments, including Mountain View, Menlo Park, Woodside, Los Altos, and Santa Clara County Fire. The PAFD primarily provides aid to Mountain View, which is due to the virtual consolidation effort with the cities of Mountain View and Los Altos, which was completed at in the first quarter of FY15. The Deputy Chief of Operations communicates regularly with the Mountain View Fire Department to review the agreement and ensure Palo Alto’s resources are not overly relied upon. In this quarter, the PAFD provided mutual or automatic aid to two jurisdictions on a total of 116 incidents. Five agencies provided mutual or automatic aid for calls within Palo Alto or Stanford on a total of 143 incidents. Table 5. Mutual and Automatic Aid Performance Measures Mutual and Auto Aid Provided FY16 Q2 FY17 Q2 Agency Mountain View Fire 92 92 Santa Clara County Fire 24 24 All Mutual and Auto Aid Provided 116 116 Mutual and Auto Aid Received Agency Mountain View Fire 73 116 Menlo Park Fire 20 16 Santa Clara County Fire 3 6 Woodside Fire 5 4 Moffett Fire 1 1 All Mutual and Auto Aid Received 102 143 8 | P a g e Fire Prevention The Fire Prevention Bureau ensures compliance with the Fire Code for the safety of occupants and protection of property. Fire Inspectors perform fire sprinkler and fire alarm plan checks, permitting, and field inspections with the goal of ensuring all construction complies with local and national codes. The number of plans to review remained consistent with the prior fiscal year. The Bureau has kept up with reviewing the majority of plans on time despite an overall increase in plans this year, with ninety- six percent (96%) of plans reviewed on time. Table 6. Prevention Bureau Performance Measures Permits FY16 Q2 FY17 Q2 Fire Permits Issued 151 105 Electric Vehicle Permits Issued 13 28 Solar Permits Issued 32 31 Inspections Hazardous Material Inspections Completed 98 82 Number of Hazardous Material Inspections for the year 207 440 Percent of Hazardous Material Facilities Inspections Complete 90.3% 41.6% State Mandated Inspections Completed 114 106 Number of State Mandated Inspections for the year 340 397 Percent of State Mandated Facilities Inspections Complete 58.5% 51.6% Fire and Life Safety Plan Review Plans Reviewed 399 401 Percent of Reviews Completed On-Time 100% 96.3% 9 | P a g e Workforce Planning The Department operates daily emergency response operations with a total of 96.00 FTE line personnel. This includes three battalions of crews that staff six stations in the City and Stanford 24 hours each day. Over the last quarter, the department has operated with 12.0 positions vacant and 7.0 employees off- line creating a total of 19.00 FTE positions that require backfilling. The permanent vacancies are solely within the Firefighter and Apparatus Operator Classifications. During this Fiscal Year the Department will conduct a promotional process for Apparatus Operator, which will shift all vacancies to the Firefighter rank. There has been an increase in the number of personnel currently eligible to retire. As of the end of the second quarter, twenty-seven percent (27%) of personnel are eligible to retire. The department is expecting a handful of retirements this year and next, and has begun the planning process for another entry level hiring process. Table 7. Vacancies and Off-Line Employees FY17 Q2 Classification Budgeted FTE Vacancies Off-Line Employees (Workers Comp/Light Duty) Personnel On Line Percent of Personnel On Line Battalion Chief 4.00 0.00 0.00 4.00 100% Fire Captain 22.00 0.00 2.00 20.00 91% Fire Apparatus Operator & Fire Fighters 70.00 12.00 5.00 53.00 76% TOTAL 96.00 12.00 7.00 77.00 80% Table 8. Succession Planning FY16 Q2 FY17 Q2 Number of Line Personnel Currently Eligible to Retire 18 24 Number of Line Personnel Eligible to Retire within Five Years 23 17 Percent of all Line Personnel Eligible to Retire over Five Years 43.2% 45.6% Number of Acting Battalion Chief Hours 372 382 Number of Acting Captain Hours 2696 1578 Number of Acting Apparatus Operator Hours 7054 6205 Training Hours of Training Completed 6091 5794 Average Hours per Line Personnel 73.39 75.25 From: Joseph Yang [mailto:yangjoseph@yahoo.com]   Sent: Thursday, October 20, 2016 9:13 AM  To: Fire; publicsafety@lists.stanford.edu  Cc: Joe Yang  Subject: Thank you ‐ turkey debacle    Hello:    Last Thursday, October 13, around 10 am, a whole crew of first responders ‐‐ Stanford PD officer Rick  Rondeau (whom I had previously met at the Stanford community police academy), a Stanford CSO, and  Palo Alto firemen and paramedics ‐‐ came to help me at the Stanford Dish. I'm writing to thank you all  for helping me during my moment of need. It was very much appreciated.     I had injured my back when I fell on a stone while kicking at a flock of wild turkeys that had chased my  wife off the pavement, and were trying to bite her.     It was so painful that I laid sprawled on the path, and couldn't move, for a long time. After about 45  minutes, I could finally get up, and was adamant that I only wanted a ride down to my car to go home.  So I climbed into the Stanford PD vehicle. It was so painful I could barely sit, and I had to get out again.      Throughout this process, there must have been 6 of you in all, very patiently and professionally waiting  for me, while I figured out what I wanted to do.     When I was again ready to go home, one of you firemen or paramedics (sorry, I don't remember your  name), gently and tactfully suggested that I reconsider going to the ER. You said that, in your  experience, that much pain for that long suggested more than just a simple bruise.  I finally agreed, but  wanted to go down to El Camino ER, instead of Stanford ER (too busy). The paramedics kindly said they  would take me wherever I wanted.     At the ER, they found I had fractured two ribs, plus 4 smaller bones on the spinal column itself.  But no  internal bleeding, no ruptured spleen, and no torn kidney. One more inch, and I might have broken my  back, or injured the spinal cord and become paralyzed. All in all, it was my lucky day.     To whomever encouraged me to go, please accept my warmest thanks.  You had a great understanding  of human nature, and used exactly the right type and amount of persuasion. Pushing harder would've  made me dig in, and pushing less would have validated my desire to not go.      On a lighter note, I hope you all got a kick out of the incident, and a funny story to share back at the  station house. As I heal, I'm laughing about the absurdity of it all ‐‐ who would have thought urban  hiking and turkeys could be dangerous?      Most importantly, please eat as much turkey as you possibly can this Thanksgiving. I really want to get  back at those bastards.     Thanks again!    All the best,  Joe Yang  Number of Your Patients in this ReportYour Score October 1, 2016 to December 31, 2016 EMS System Report Palo Alto, CA 1515 Center Street City of Palo Alto 1 (877) 583-3100 www.EMSSurveyTeam.com Client 9701 service@EMSSurveyTeam.com Lansing, Mi 48096 9793.64 Number of Patients in this Report 15,840 Number of Transport Services in All EMS DB 135 Page 1 of 28 City of Palo Alto October 1, 2016 to December 31, 2016 Executive Summary This report contains data from 97 City of Palo Alto patients who returned a questionnaire between 10/01/2016 and 12/31/2016. The overall mean score for the standard questions was 93.64; this is a difference of 1.13 points from the overall EMS database score of 92.51. The current score of 93.64 is a change of -0.51 points from last period's score of 94.15. This was the 31st highest overall score for all companies in the database. You are ranked 9th for comparably sized companies in the system. 80.88% of responses to standard questions had a rating of Very Good, the highest rating. 98.77% of all responses were positive. Page 2 of 28 City of Palo Alto October 1, 2016 to December 31, 2016 Demographics — This section provides demographic information about the patients who responded to the survey for the current and the previous periods. The information comes from the data you submitted. Compare this demographic data to your eligible population. Generally, the demographic profile will approximate your service population. Total This PeriodLast Period OtherFemaleMale OtherMaleTotalFemale Under 18 3 2 05 264 0 18 to 30 3 2 05 110 0 31 to 44 6 4 010 671 0 45 to 54 1 5 06 693 0 55 to 64 3 5 08 693 0 65 and older 31 40 071 346531 0 Total 47 58 0105 97 42 55 0 Gender Page 3 of 28 City of Palo Alto October 01, 2016 to December 31, 2016 Dispatch Analysis This analysis details the section results that concern dispatcher operations. The analysis contains the mean scores for each survey question. The first column shows the company score and the total database score, the second column is your variance from the database score. Helpfulness of the person you called for ambulance service 92.64 92.45 0.19 Your Score Total DB VarianceVariance1000 Concern shown by the person you called for ambulance service 92.00 92.40 -0.40 Your Score Total DB Variance -0.40 Variance1000 Extent to which you were told what to do until the ambulance arrived 92.01 90.80 1.21 Your Score Total DB Variance1000 Overall Section Score Total DB 0.34 100 91.88 Variance 0 Your Score 92.22 Page 4 of 28 City of Palo Alto October 01, 2016 to December 31, 2016 Ambulance Analysis This analysis details the section results that concern ambulance operations. The analysis contains the mean scores for each survey question. The first column shows the company score and the total database score, the second column is your variance from the database score. Extent to which the ambulance arrived in a timely manner 92.90 91.84 1.06 Your Score Total DB Variance1000 Cleanliness of the ambulance 96.43 94.29 2.14 Your Score Total DB Variance1000 Comfort of the ride 93.68 87.62 6.06 Your Score Total DB Variance1000 Skill of the person driving the ambulance 94.19 93.64 0.55 Your Score Total DB VarianceVariance1000 Overall Section Score Total DB 2.41 100 91.87 0 Your Score 94.28 Page 5 of 28 City of Palo Alto October 01, 2016 to December 31, 2016 Medic Analysis This analysis details the section results that concern medic operations. The analysis contains the mean scores for each survey question. The first column shows the company score and the total database score, the second column is your variance from the database score. Care shown by the medics who arrived with the ambulance 95.17 94.37 0.80 Your Score Total DB VarianceVariance1000 Degree to which the medics took your problem seriously 95.83 94.23 1.60 Your Score Total DB Variance1000 Degree to which the medics listened to you and/or your family 95.45 93.91 1.54 Your Score Total DB Variance1000 Skill of the medics 95.06 94.31 0.75 Your Score Total DB VarianceVariance1000 Extent to which the medics kept you informed about your treatment 94.58 92.74 1.84 Your Score Total DB Variance1000 Extent to which medics included you in the treatment decisions (if applicable) 94.10 92.33 1.77 Your Score Total DB Variance1000 Degree to which the medics relieved your pain or discomfort 93.43 90.59 2.84 Your Score Total DB Variance1000 Page 6 of 28 City of Palo Alto October 01, 2016 to December 31, 2016 Medic Analysis This analysis details the section results that concern medic operations. The analysis contains the mean scores for each survey question. The first column shows the company score and the total database score, the second column is your variance from the database score. Medics' concern for your privacy 93.13 93.39 -0.26 Your Score Total DB Variance -0.26 Variance1000 Extent to which medics cared for you as a person 94.89 94.23 0.66 Your Score Total DB VarianceVariance1000 Overall Section Score Total DB 1.34 100 93.34 0 Your Score 94.68 Page 7 of 28 City of Palo Alto October 01, 2016 to December 31, 2016 Billing Staff Assessment Analysis This analysis details the section results that concern office operations. The analysis contains the mean scores for each survey question. The first column shows the company score and the total database score, the second column is your variance from the database score. Professionalism of the staff in our ambulance service billing office 89.05 88.41 0.64 Your Score Total DB VarianceVariance1000 Willingness of the staff in our billing office to address your needs 86.28 88.38 Your Score Total DB Variance -2.10 Variance1000 Overall Section Score Total DB Variance 100 -0.72 88.40 0 Your Score 87.68 Page 8 of 28 City of Palo Alto October 01, 2016 to December 31, 2016 Overall Assessment Analysis This analysis details the section results that concern assessment of operations. The analysis contains the mean scores for each survey question. The first column shows the company score and the total database score, the second column is your variance from the database score. How well did our staff work together to care for you 94.89 93.59 1.30 Your Score Total DB Variance1000 Extent to which our staff eased your entry into the medical facility 94.29 93.56 0.73 Your Score Total DB VarianceVariance1000 Appropriateness of Emergency Medical Transportation treatment 95.57 93.22 2.35 Your Score Total DB Variance1000 Extent to which the services received were worth the fees charged 86.05 87.36 Your Score Total DB Variance -1.31 Variance1000 Overall rating of the care provided by our Emergency Medical Transportation service 94.58 93.34 1.24 Your Score Total DB Variance1000 Likelihood of recommending this ambulance service to others 92.00 92.75 -0.75 Your Score Total DB Variance -0.75 Variance1000 Overall Section Score Total DB 100 0.93 92.31 0 Your Score 93.24 Page 9 of 28 October 1, 2016 to December 31, 2016 City of Palo Alto Question Analysis This section lists a synopsis of the information about your individual questions and overall scores for this monthly reporting period. The first column shows the company score from the previous period, the second column shows the change, the third column shows your score for this period and the fourth column shows the total Database score. Dispatch Analysis Last Period Change This Period Total DB Helpfulness of the person you called for ambulance service 92.64-1.20 92.4593.84 Concern shown by the person you called for ambulance service 92.00-2.64 92.4094.64 Extent to which you were told what to do until the ambulance arrived 92.010.44 90.8091.57 Ambulance Analysis Last Period Change This Period Total DB Extent to which the ambulance arrived in a timely manner 92.90-3.46 91.8496.36 Cleanliness of the ambulance 96.431.02 94.2995.41 Comfort of the ride 93.680.82 87.6292.86 Skill of the person driving the ambulance 94.19-2.24 93.6496.43 Medic Analysis Last Period Change This Period Total DB Care shown by the medics who arrived with the ambulance 95.17-1.74 94.3796.91 Degree to which the medics took your problem seriously 95.83-0.34 94.2396.17 Degree to which the medics listened to you and/or your family 95.450.65 93.9194.80 Skill of the medics 95.06-2.62 94.3197.68 Extent to which the medics kept you informed about your treatment 94.580.01 92.7494.57 Extent to which medics included you in the treatment decisions (if applicable)94.102.41 92.3391.69 Degree to which the medics relieved your pain or discomfort 93.431.95 90.5991.48 Medics' concern for your privacy 93.13-0.05 93.3993.18 Extent to which medics cared for you as a person 94.89-0.06 94.2394.95 Billing Staff Assessment Analysis Last Period Change This Period Total DB Professionalism of the staff in our ambulance service billing office 89.05-1.08 88.4190.13 Willingness of the staff in our billing office to address your needs 86.28-4.16 88.3890.44 Page 10 of 28 October 1, 2016 to December 31, 2016 City of Palo Alto Question Analysis (Continued) Overall Assessment Analysis Last Period Change This Period Total DB How well did our staff work together to care for you 94.89-0.81 93.5995.70 Extent to which our staff eased your entry into the medical facility 94.29-0.49 93.5694.78 Appropriateness of Emergency Medical Transportation treatment 95.571.81 93.2293.76 Extent to which the services received were worth the fees charged 86.050.98 87.3685.07 Overall rating of the care provided by our Emergency Medical Transportation 94.58-0.58 93.3495.16 Likelihood of recommending this ambulance service to others 92.00-2.18 92.7594.18 Page 11 of 28 City of Palo Alto October 1, 2016 to December 31, 2016 Dec 2015 Jan 2016 Feb 2016 Mar 2016 Apr 2016 May 2016 Jun 2016 Jul 2016 Aug 2016 Sep 2016 Oct 2016 Nov 2016 Dec 2016 Helpfulness of the person you called for ambulance service 95.83 94.57 97.00 97.22 100.00 95.03 93.75 94.64 94.44 91.24 98.15 90.13 83.33 Concern shown by the person you called for ambulance service 95.65 94.32 96.00 97.22 100.00 93.95 93.18 94.64 94.91 93.75 98.15 88.89 83.33 Extent to which you were told what to do until the ambulance 91.13 93.59 87.50 97.22 95.83 93.08 93.15 94.64 93.48 82.21 96.30 88.95 100.00 Extent to which the ambulance arrived in a timely manner 94.77 94.74 92.31 98.91 94.44 97.28 94.33 98.53 95.38 97.62 98.48 89.42 91.67 Cleanliness of the ambulance 98.73 93.09 96.15 100.00 93.75 97.56 95.83 96.88 95.90 92.86 98.48 94.90 100.00 Comfort of the ride 95.76 90.63 92.31 96.51 93.75 94.51 93.41 95.31 93.03 90.48 95.45 92.65 91.67 Skill of the person driving the ambulance 98.25 95.31 96.00 99.40 96.88 95.24 94.17 96.88 97.13 94.05 95.45 93.14 100.00 Care shown by the medics who arrived with the ambulance 98.28 97.81 93.75 98.84 97.22 96.43 96.35 98.53 96.37 97.22 98.57 92.65 100.00 Degree to which the medics took your problem seriously 98.28 96.05 94.79 99.43 97.22 96.43 96.65 98.53 95.24 97.22 97.86 94.23 100.00 Degree to which the medics listened to you and/or your family 97.81 96.05 95.83 100.00 97.22 97.02 96.51 95.59 95.90 90.33 97.79 93.63 100.00 Skill of the medics 98.68 95.98 96.74 98.84 97.22 96.95 95.60 97.06 97.62 98.53 97.14 93.37 100.00 Extent to which the medics kept you informed about your 98.04 96.00 95.45 98.13 94.44 96.15 93.75 98.33 94.17 92.65 97.79 92.02 100.00 Extent to which medics included you in the treatment decisions 97.22 93.29 94.32 95.83 100.00 96.55 92.31 94.23 93.65 82.21 97.41 91.46 100.00 Degree to which the medics relieved your pain or discomfort 96.43 94.32 92.86 98.48 89.29 93.38 92.41 89.29 93.52 85.79 95.00 92.07 100.00 Medics' concern for your privacy 98.56 94.39 93.18 98.21 87.63 95.14 94.38 98.44 92.27 91.18 97.50 90.10 100.00 Extent to which medics cared for you as a person 99.11 97.64 92.43 100.00 97.22 95.39 95.74 97.06 94.58 94.12 98.53 92.16 100.00 Professionalism of the staff in our ambulance service billing 92.39 89.58 92.50 86.00 100.00 87.50 86.48 96.43 90.22 84.38 94.64 85.04 100.00 Willingness of the staff in our billing office to address your 92.86 83.75 91.67 84.00 100.00 87.50 84.94 95.83 90.00 87.50 94.64 80.25 100.00 How well did our staff work together to care for you 98.61 95.10 96.88 97.62 97.22 96.53 94.29 94.12 95.76 97.06 99.29 91.33 100.00 Extent to which our staff eased your entry into the medical 99.07 94.61 95.83 99.38 97.22 95.17 94.78 97.06 95.18 91.18 97.79 91.33 100.00 Appropriateness of Emergency Medical Transportation treatment 99.07 95.37 95.83 96.98 96.88 94.74 94.95 92.19 95.34 89.76 97.66 93.89 100.00 Extent to which the services received were worth the fees 90.98 86.84 88.80 89.00 100.00 91.91 85.55 85.94 86.54 78.64 89.32 81.93 100.00 Overall rating of the care provided by our Emergency Medical 99.54 95.28 94.79 98.84 97.22 96.05 96.13 95.31 95.49 93.75 99.24 91.15 100.00 Likelihood of recommending this ambulance service to others 97.50 94.27 95.83 98.75 100.00 95.30 96.07 93.75 95.26 90.69 96.88 88.40 91.67 Your Master Score 97.08 94.39 94.30 97.65 96.47 95.18 93.97 95.43 94.55 91.64 97.16 91.09 96.93 Your Total Responses 64 65 29 49 10 48 105 17 66 22 36 58 3 Monthly Breakdown Below are the monthly responses that have been received for your service. It details the individual score for each question as well as the overall company score for that month. Page 12 of 28 City of Palo Alto October 1, 2016 to December 31, 2016 Monthly tracking of Overall Survey Score Page 13 of 28 City of Palo Alto October 1, 2016 to December 31, 2016 Greatest Increase and Decrease in Scores by Question Increases Last Period This Period Change Total DB Score Extent to which medics included you in the treatment decisions (if applicable) 91.69 2.40 92.3394.10 Degree to which the medics relieved your pain or discomfort 91.48 1.96 90.5993.43 Appropriateness of Emergency Medical Transportation treatment 93.76 1.81 93.2295.57 Cleanliness of the ambulance 95.41 1.02 94.2996.43 Extent to which the services received were worth the fees charged 85.07 0.98 87.3686.05 Comfort of the ride 92.86 0.82 87.6293.68 Degree to which the medics listened to you and/or your family 94.80 0.65 93.9195.45 Extent to which you were told what to do until the ambulance arrived 91.57 0.45 90.8092.01 Extent to which the medics kept you informed about your treatment 94.57 0.01 92.7494.58 Decreases Last Period This Period Change Total DB Score Willingness of the staff in our billing office to address your needs 90.44 -4.17 88.3886.28 Extent to which the ambulance arrived in a timely manner 96.36 -3.46 91.8492.90 Concern shown by the person you called for ambulance service 94.64 -2.64 92.4092.00 Skill of the medics 97.68 -2.62 94.3195.06 Skill of the person driving the ambulance 96.43 -2.24 93.6494.19 Likelihood of recommending this ambulance service to others 94.18 -2.18 92.7592.00 Care shown by the medics who arrived with the ambulance 96.91 -1.74 94.3795.17 Helpfulness of the person you called for ambulance service 93.84 -1.19 92.4592.64 Professionalism of the staff in our ambulance service billing office 90.13 -1.08 88.4189.05 How well did our staff work together to care for you 95.70 -0.81 93.5994.89 Page 14 of 28 City of Palo Alto October 1, 2016 to December 31, 2016 Greatest Scores Above Benchmarks by Question Highest Above Benchmark This Period Variance Total DB Score Cleanliness of the ambulance 94.292.1396.43 Degree to which the medics took your problem seriously 94.231.695.83 Appropriateness of Emergency Medical Transportation treatment 93.222.3595.57 Degree to which the medics listened to you and/or your family 93.911.5595.45 Care shown by the medics who arrived with the ambulance 94.370.895.17 Skill of the medics 94.310.7595.06 How well did our staff work together to care for you 93.591.3194.89 Extent to which medics cared for you as a person 94.230.6694.89 Overall rating of the care provided by our Emergency Medical Transportation service 93.341.2394.58 Extent to which the medics kept you informed about your treatment 92.741.8394.58 Page 15 of 28 City of Palo Alto October 1, 2016 to December 31, 2016 Highest and Lowest Scores Highest Scores Last Period This Period Change Total DB Score Cleanliness of the ambulance 96.4395.41 1.02 94.29 Degree to which the medics took your problem seriously 95.8396.17 -0.34 94.23 Appropriateness of Emergency Medical Transportation treatment 95.5793.76 1.81 93.22 Degree to which the medics listened to you and/or your family 95.4594.80 0.65 93.91 Care shown by the medics who arrived with the ambulance 95.1796.91 -1.74 94.37 Lowest Scores Last Period This Period Change Total DB Score Extent to which the services received were worth the fees charged 86.0585.07 0.98 87.36 Willingness of the staff in our billing office to address your needs 86.2890.44 -4.16 88.38 Professionalism of the staff in our ambulance service billing office 89.0590.13 -1.08 88.41 Likelihood of recommending this ambulance service to others 92.0094.18 -2.18 92.75 Concern shown by the person you called for ambulance service 92.0094.64 -2.64 92.40 Page 16 of 28 City of Palo Alto October 1, 2016 to December 31, 2016 Key Drivers — This section shows the relative importance of each question to the respondents' overall satisfaction. The greater the coefficient number, the more important the issue is to your patients' overall satisfaction. The questions are arranged based on their weighted importance value. Question Your Score Correlation Coeffecient Degree to which the medics listened to you and/or your family .91442164695.45 Appropriateness of Emergency Medical Transportation treatment .90545251295.57 Willingness of the staff in our billing office to address your needs .90452561486.28 Extent to which the medics kept you informed about your treatment .8954199594.58 Medics' concern for your privacy .8927420293.13 Skill of the medics .86814651295.06 Extent to which medics cared for you as a person .8663175894.89 Care shown by the medics who arrived with the ambulance .83892223595.17 Extent to which you were told what to do until the ambulance arrived .81064218992.01 Degree to which the medics took your problem seriously .80346382195.83 Extent to which the ambulance arrived in a timely manner .79624534192.90 Extent to which medics included you in the treatment decisions (if applicable).77722947994.10 Degree to which the medics relieved your pain or discomfort .77491482493.43 How well did our staff work together to care for you .77115359694.89 Helpfulness of the person you called for ambulance service .7672412992.64 Comfort of the ride .76681958293.68 Concern shown by the person you called for ambulance service .76204623292.00 Extent to which our staff eased your entry into the medical facility .74928073394.29 Cleanliness of the ambulance .74578071796.43 Extent to which the services received were worth the fees charged .65714511786.05 Skill of the person driving the ambulance .63769969294.19 Professionalism of the staff in our ambulance service billing office .62562838189.05 Page 17 of 28 City of Palo Alto October 1, 2016 to December 31, 2016 Company Comparisons — The following chart gives a comparison of the mean score for each question as scored by comparable companies. Your company is highlighted. There is also a green-shaded highlight of the highest score for each question. This will show how you compare to similar companies. Your Company A B C D E F Comparison Companies Helpfulness of the person you called for ambulance service 97.34 92.72 94.28 94.10 84.7690.3092.64 Concern shown by the person you called for ambulance service 97.40 93.35 93.90 94.44 87.6087.3392.00 Extent to which you were told what to do until the ambulance 95.48 92.43 90.33 93.01 83.0186.8692.01 Extent to which the ambulance arrived in a timely manner 93.97 90.98 96.04 93.10 84.1789.0892.90 Cleanliness of the ambulance 98.18 94.51 96.38 95.06 88.0890.2396.43 Comfort of the ride 88.20 78.70 88.57 91.56 79.2582.4893.68 Skill of the person driving the ambulance 98.61 93.75 96.07 95.73 87.4288.5294.19 Care shown by the medics who arrived with the ambulance 98.21 93.90 97.19 97.32 88.9991.4695.17 Degree to which the medics took your problem seriously 99.54 94.71 97.47 95.83 89.5590.4395.83 Degree to which the medics listened to you and/or your family 99.07 93.75 96.59 95.54 87.6990.0695.45 Skill of the medics 99.06 93.90 97.19 95.73 89.2790.4395.06 Extent to which the medics kept you informed about your 97.60 92.38 96.43 94.33 86.3389.7994.58 Extent to which medics included you in the treatment decisions (if 97.02 92.42 97.08 96.37 84.9288.1394.10 Degree to which the medics relieved your pain or discomfort 93.89 90.67 95.73 93.66 83.1486.1193.43 Medics' concern for your privacy 96.81 94.62 96.04 95.19 86.9188.3193.13 Extent to which medics cared for you as a person 99.06 94.64 98.24 96.25 88.3589.3894.89 Professionalism of the staff in our ambulance service billing office 92.39 83.06 93.18 91.89 82.3584.7289.05 Willingness of the staff in our billing office to address your needs 91.30 82.29 93.75 91.89 82.2284.3386.28 How well did our staff work together to care for you 97.64 94.64 96.33 94.87 87.7990.0094.89 Extent to which our staff eased your entry into the medical facility 95.21 93.98 97.39 94.59 88.2789.8794.29 Appropriateness of Emergency Medical Transportation treatment 96.15 93.75 96.07 95.33 87.7089.9395.57 Extent to which the services received were worth the fees charged 93.13 87.72 91.67 89.91 80.9081.0186.05 Overall rating of the care provided by our Emergency Medical 97.64 93.45 98.26 95.51 86.0288.9294.58 Likelihood of recommending this ambulance service to others 95.83 92.68 97.86 92.51 83.9586.4192.00 Overall score 93.64 88.25 96.44 92.14 95.70 94.50 85.97 National Rank 31 88 8 54 13 21 93 Comparable Size (Medium) Company Rank 9 2 27 Page 18 of 28 City of Palo Alto October 1, 2016 to December 31, 2016 Ca l i f o r n i a Yo u r Co m p a n y 91.92Total Score Benchmark Comparison 93.64 To t a l D B Si m i l a r S i z e d 92.51 91.57 Medics' concern for your privacy 91.8793.13 93.39 93.00 Helpfulness of the person you called for ambulance service 93.1192.64 92.45 91.97 Extent to which the medics kept you informed about your 91.6394.58 92.74 92.46 Skill of the medics 93.7895.06 94.31 93.81 Degree to which the medics listened to you and/or your family 92.2395.45 93.91 93.51 Extent to which our staff eased your entry into the medical 93.4394.29 93.56 92.57 Extent to which you were told what to do until the ambulance 91.7192.01 90.80 90.22 Care shown by the medics who arrived with the ambulance 93.4995.17 94.37 94.07 Degree to which the medics relieved your pain or discomfort 90.4393.43 90.59 90.71 Willingness of the staff in our billing office to address your 90.3786.28 88.38 86.09 Comfort of the ride 88.4093.68 87.62 87.97 Extent to which medics included you in the treatment decisions 90.9394.10 92.33 92.01 Professionalism of the staff in our ambulance service billing 90.3489.05 88.41 86.41 Extent to which the ambulance arrived in a timely manner 92.0492.90 91.84 91.21 How well did our staff work together to care for you 93.2894.89 93.59 93.21 Extent to which medics cared for you as a person 93.0194.89 94.23 93.66 Extent to which the services received were worth the fees 86.1286.05 87.36 85.74 Skill of the person driving the ambulance 92.9994.19 93.64 93.08 Concern shown by the person you called for ambulance service 92.4692.00 92.40 91.49 Overall rating of the care provided by our Emergency Medical 92.4194.58 93.34 92.72 Likelihood of recommending this ambulance service to others 91.3992.00 92.75 91.91 Degree to which the medics took your problem seriously 92.8595.83 94.23 93.85 Appropriateness of Emergency Medical Transportation treatment 92.8395.57 93.22 92.15 Cleanliness of the ambulance 95.0096.43 94.29 93.84 Number of Surveys for the period 97 Page 19 of 28 City of Palo Alto October 1, 2016 to December 31, 2016 Benchmark Trending Graphic - Below are the monthly scores for your service. It details the overall score for each month as well as your subscribed benchmarks for that month. Page 20 of 28 City of Palo Alto October 1, 2016 to December 31, 2016 Cumulative Comparisons This section lists a synopsis of the information about your individual questions and overall scores over the entire lifetime of the dataset. The first column shows the company score and the second column details the total database score. Your Score Total DB 91.7294.43Overall Facility Rating Dispatch 94.01 91.51 Helpfulness of the person you called for ambulance service 92.2594.90 Concern shown by the person you called for ambulance service 91.9894.40 Extent to which you were told what to do until the ambulance 90.2992.74 Ambulance 95.16 91.3 Extent to which the ambulance arrived in a timely manner 91.6295.43 Cleanliness of the ambulance 93.8296.43 Comfort of the ride 87.0692.91 Skill of the person driving the ambulance 92.7195.86 Medic 95.55 92.74 Care shown by the medics who arrived with the ambulance 93.7596.86 Degree to which the medics took your problem seriously 93.6696.66 Degree to which the medics listened to you and/or your family 93.3996.26 Skill of the medics 93.8196.61 Extent to which the medics kept you informed about your treatment 91.8895.03 Extent to which medics included you in the treatment decisions (if 91.6793.84 Degree to which the medics relieved your pain or discomfort 90.2293.64 Medics' concern for your privacy 92.6494.68 Page 21 of 28 City of Palo Alto October 1, 2016 to December 31, 2016 Cumulative Comparisons (Continued) Your Score Total DB 91.7294.43Overall Facility Rating Medic 95.55 92.74 Extent to which medics cared for you as a person 93.6096.34 Billing Staff Assessment 88.62 88.13 Professionalism of the staff in our ambulance service billing office 88.1188.80 Willingness of the staff in our billing office to address your needs 88.1588.44 Overall Assessment 94.41 91.79 How well did our staff work together to care for you 92.8395.97 Extent to which our staff eased your entry into the medical facility 93.0195.84 Appropriateness of Emergency Medical Transportation treatment 92.7595.65 Extent to which the services received were worth the fees charged 86.7087.51 Overall rating of the care provided by our Emergency Medical 92.9296.15 Likelihood of recommending this ambulance service to others 92.5495.36 Page 22 of 28 The Top Box Analysis displays the number of responses for the entire survey by question and rating. The Top Box itself shows the percentage of "Very Good" responses, the highest rating, for each question. Next to the company rating is the entire EMS DB rating for those same questions. Top Box Comparisons October 1, 2016 to December 31, 2016 City of Palo Alto EMS DB % Very Good Company % Very Good Very GoodGoodFairPoor Very Poor Overall Company Rating 9 14 63 271 75.81%80.88%1510 Dispatch 1 2 8 44 73.98%75.56%170 Helpfulness of the person you called for ambulance service 1 0 2 15 60 76.92%75.53% Concern shown by the person you called for ambulance service 0 1 3 15 56 74.67%75.10% Extent to which you were told what to do until the ambulance arrived 0 1 3 14 54 75.00%71.32% Ambulance 0 2 8 57 74.21%80.58%278 Extent to which the ambulance arrived in a timely manner 0 1 5 12 70 79.55%74.54% Cleanliness of the ambulance 0 0 0 12 72 85.71%79.38% Comfort of the ride 0 1 0 19 67 77.01%64.73% Skill of the person driving the ambulance 0 0 3 14 69 80.23%78.18% Medic 1 5 23 95 79.32%83.49%627 Care shown by the medics who arrived with the ambulance 0 0 3 11 74 84.09%81.84% Degree to which the medics took your problem seriously 0 0 3 9 78 86.67%82.25% Degree to which the medics listened to you and/or your family 0 0 3 10 75 85.23%81.20% Skill of the medics 0 1 1 12 72 83.72%81.52% Extent to which the medics kept you informed about your treatment 0 0 3 12 68 81.93%77.53% Page 23 of 28 Top Box Comparisons October 1, 2016 to December 31, 2016 City of Palo Alto (Continued) EMS DB % Very Good Company % Very Good Very GoodGoodFairPoor Very Poor Overall Company Rating 9 14 63 271 75.81%80.88%1510 Extent to which medics included you in the treatment decisions (if applicable)0 1 3 8 60 83.33%76.74% Degree to which the medics relieved your pain or discomfort 1 1 2 9 63 82.89%72.45% Medics' concern for your privacy 0 1 2 15 62 77.50%78.18% Extent to which medics cared for you as a person 0 1 3 9 75 85.23%82.20% Billing Staff Assessment 2 2 4 18 62.76%67.90%55 Professionalism of the staff in our ambulance service billing office 1 0 2 10 28 68.29%62.37% Willingness of the staff in our billing office to address your needs 1 2 2 8 27 67.50%63.15% Overall Assessment 5 3 20 57 76.87%81.72%380 How well did our staff work together to care for you 1 0 2 9 71 85.54%78.98% Extent to which our staff eased your entry into the medical facility 1 0 4 7 71 85.54%79.11% Appropriateness of Emergency Medical Transportation treatment 0 0 1 12 66 83.54%78.30% Extent to which the services received were worth the fees charged 2 1 6 10 40 67.80%66.60% Overall rating of the care provided by our Emergency Medical Transportation service 0 2 2 8 71 85.54%79.27% Likelihood of recommending this ambulance service to others 1 0 5 11 61 78.21%78.93% Page 24 of 28 October 1, 2016 to December 31, 2016 City of Palo Alto Standard Deviation by Question SD Variance Database Standard Deviation Company Standard Deviation Total DBYour Score Helpfulness of the person you called for ambulance service 92.64 92.45 15.994 15.424 -0.57 Concern shown by the person you called for ambulance service 92.00 92.40 15.362 15.18 -0.18 Extent to which you were told what to do until the ambulance arrived 92.01 90.80 15.493 17.034 1.54 Extent to which the ambulance arrived in a timely manner 92.90 91.84 15.516 16.281 0.76 Cleanliness of the ambulance 96.43 94.29 8.748 12.046 3.30 Comfort of the ride 93.68 87.62 12.696 19.961 7.27 Skill of the person driving the ambulance 94.19 93.64 12.456 13.501 1.05 Care shown by the medics who arrived with the ambulance 95.17 94.37 11.833 13.885 2.05 Degree to which the medics took your problem seriously 95.83 94.23 11.335 14.644 3.31 Degree to which the medics listened to you and/or your family 95.45 93.91 11.644 14.89 3.25 Skill of the medics 95.06 94.31 12.54 13.784 1.24 Extent to which the medics kept you informed about your 94.58 92.74 12.302 15.754 3.45 Extent to which medics included you in the treatment decisions (if applicable) 94.10 92.33 14.727 16.613 1.89 Degree to which the medics relieved your pain or discomfort 93.43 90.59 17.311 18.249 0.94 Medics' concern for your privacy 93.12 93.39 14.238 14.341 0.10 Extent to which medics cared for you as a person 94.89 94.23 13.672 14.65 0.98 Professionalism of the staff in our ambulance service billing office 89.05 88.41 19.837 17.485 -2.35 Willingness of the staff in our billing office to address your needs 86.28 88.38 24.247 18.141 -6.11 How well did our staff work together to care for you 94.89 93.59 14.832 14.231 -0.60 Extent to which our staff eased your entry into the medical facility 94.29 93.56 16.083 14.508 -1.57 Appropriateness of Emergency Medical Transportation treatment 95.57 93.22 10.342 15.088 4.75 Extent to which the services received were worth the fees charged 86.05 87.36 24.355 21.802 -2.55 Overall rating of the care provided by our Emergency Medical Transportation service 94.58 93.34 15.054 15.35 0.30 Likelihood of recommending this ambulance service to others 92.00 92.75 17.608 17.002 -0.61 Overall Survey Rating 93.64 92.51 14.93 15.83 0.9 Page 25 of 28 City of Palo Alto October 1, 2016 to December 31, 2016 Responses vs Score Histogram — This graph shows the number of responses on the Y axis vs the average score on the X axis. Page 26 of 28 Facilities in Database October 1, 2016 to December 31, 2016 City of Palo Alto Adair null Adair EMS Kirksville, MO Air San Juan Island Friday Harbor, WA Alliance Mobile Health Troy, MI AMT Peoria, IL Ava Springfield, MO Bay State Springfield, MA Bay Village Bay Village, OH Beaumont Troy, MI Beaumont Medical Troy, MI Birmingham Fire Birmingham, MI Bloomfield Township Bloomfield Hills, MI Burnsville Fire Department Burnsville, MN Care Flight Operations,Reno, NV Carilion Clinic Roanoke, VA Cetronia Allentown, PA Christian County Springfield, MO City of Palo Alto Palo Alto, CA Columbus Connection Cols, OH Community Ambulance Macon, GA Community Care EMS Ashtabula, OH Community EMS MI Southfield, MI Community EMS OH Columbus, OH CoxHealth EMS Springfield, MO Cumberland Carlisle, PA Cy-Fair Houston, TX Cypress Creek Spring, TX Dade County Springfield, MO DMC Care Detroit, MI Edward Naperville, IL Emergent Health Partners Ann Arbor, MI Emergent Health Partners null EMSA Oklahoma City, OK EMS Float Springfield, MO Escalon Ambulance Service Escalon, CA Falck Rocky Mountain Inc Aurora, CO Ferndale Fire and Rescue Ferndale, MI F-M Ambulance Moorhead, MN Genesis Community Zanesville, OH Gold Cross Menasha, WI Greene County Springfield, MO Guilford EMS Greensboro, NC Harris County Emergency Houston, TX Health East St. Paul, MN Health Link Taylor, MI HEMSI Hunsville, AL Hennepin County EMS Minneapolis, MN Hillsboro Moorhead, MN Hot Springs Hot Springs, AR Hot Springs Village Hot Springs, AR Howard County Nashville, AR Humboldt Winnemucca, NV Iosco County EMS East Tawas, MI Lassen County Ambulance Susanville, CA LifeCare Ambulance Battle Creek, MI LifeCare Medical EMS Sterling, CO Life EMS Ambulance Grand Rapids, MI LifeNet EMS Texarkana, TX Loyola Medicine Transport Melrose Park, IL Madison Heights Fire Madison Heights, MI Malvern Malvern, AR McCormick Ambulance Torrance, CA MCHD Conroe, TX McKinney Fire Department McKinney, TX Medcare Ambulance Columbus, OH Medic 1 Ambulance Canton, MI Medic Ambulance Service Vallejo, CA Medic Ambulance Service Vallejo, CA Medic EMS Davenport, IA Medstar Clinton Twp., MI Medstar Mobile Healthcare Fort Worth, TX Medstar Mobile Healthcare null Mercy Flights Medford, OR Mercy Ohio Cincinnati, OH Metro West Hillsboro, OR Mobile Life Support New Windsor, NY Mobile Life Support New Windsor, NY Mobile Medical Response Saginaw, MI MONOC Neptune, NJ Nature Coast Lecanto, FL North Memorial Robbinsdale, MN Northwell Health Syosset, NY Oceana Hart, MI Patterson District Patterson, CA Pearland EMS Pearland, TX Portage County Stevens Point, WI Pro EMS Cambridge, MA ProMed Muskegon, MI Page 27 of 28 Prompt Ambulance Highland, IN PTS Loveland, OH Puckett Austell, GA Regional EMS Flint, MI REMSA Reno, NV REMSA Air Transport Reno, NV Ridgefield Fire Department Ridgefield, CT Riggs Ambulance Merced, CA Royal Oak Fire Department Royal Oak, MI San Juan Island Friday Harbor, WA San Marcos Hays County San Marcos, TX Scott & White Temple, TX Senior Care Bronx, NY Sioux Land Sioux City, IA SkyHeath Syossett, NY SMCAS Niles, MI Snohomish County Fire Snohomish, WA Southfield Soutthfield, MI St. Charles St. Peters, MO Stillwater Stillwater, OK Stone County Springfield, MO Suburban Palmer, PA Swartz Flint, MI Taney County Ambulance Branson, MO Texarkana Texarkana, TX Thief River Falls Moorhead, MN Tri-Hospital Port Huron, MI Umpqua Health Alliance null University Medical Center Lubbock, TX Van Buren EMS Paw Paw, MI Waterford Regional Fire Waterford, MI Webster County Spriingfield, MO West Bloomfield Fire West Bloomfield, MI WestSide Community Newman, CA York Regional EMS Yoe, PA Page 28 of 28