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HomeMy WebLinkAboutStaff Report 7463 City of Palo Alto (ID # 7463) City Council Staff Report Report Type: Informational Report Meeting Date: 11/28/2016 City of Palo Alto Page 1 Summary Title: PAFD Performance Report FY17Q1 Title: Palo Alto Fire Department Quarterly Performance Report for the First 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 First 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 (PDF)  ATTACHMENT B_FY17 Q1 Peformance Report_FINAL (DOCX)  ATTACHMENT C_Thank You Letters (PDF)  ATTACHMENT D_EMS Survey (PDF) 1 | P a g e Palo Alto Fire Department Quarterly Performance Report Fiscal Year 2017, First Quarter Calls for Service The Palo Alto Fire Department (PAFD) responded to a total of 2,214 calls for service in the first quarter of Fiscal Year 2017. This includes responses within Palo Alto, Stanford, and neighboring cities to provide Auto and Mutual Aid. Approximately eighty-three (83%) of calls are generated from Palo Alto, twelve percent (12%) 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 Q1 FY17 Q1 Emergency Medical Service 1300 1335 Good Intent 440 357 False Alarm & False Call 289 290 Service Call 138 101 Rescue & Hazardous Material 67 75 Fire 31 56 Explosion, No Fire 2 0 Grand Total 2267 2214 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. 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. Of the 1,335 Emergency Medical Service calls the PAFD responded to in the first quarter of Fiscal Year 2017, the overwhelming majority were for medical, trauma and cardiac calls that did not involve a vehicle accident. 2 | P a g e Table 2. EMS Performance Measures Calls for Service FY16 Q1 FY17 Q1 NFIRS Code Description 321 EMS call, excluding vehicle accident with injury 1207 1225 322 Vehicle accident with injuries 72 69 324 Motor vehicle accident with no injuries 9 28 323 Motor vehicle/pedestrian accident 11 9 381 Rescue or EMS standby 1 4 Total 1300 1335 Transports Number of Transports 946 903 Percent of EMS Calls resulting in transport 72.8% 67.6% Response Times Percent of first responder arriving on scene to EMS calls within 8 minutes 92.2% 93.5% Percent of paramedic responder arriving on scene to EMS calls within 12 minutes 98.7% 99.3% Median response time for first responder arriving on scene to EMS calls 04:59 04:40 This quarter saw a slight dip in the number of EMS calls that resulted in an ambulance transport to a local hospital or care facility, making up sixty eight percent (68%) of all EMS calls. 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-four percent (94%) 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 56 calls where fire was present, with 46 in Palo Alto or Stanford. There were three building fires that the Department responded to, all of which were contained to the area of origin. All of the three building fires occurred during the second week of September. The first at restaurant on the 2300 block of El Camino Real, which began due to an unwatched pan filled with oil. Once PAFD personnel arrived, the fire had been extinguished by the sprinkler system. All fire units were released from the scene except Engine 66, Truck 66 and Battalion Chief 66. Crews inspected the wall interior and ceiling and found black staining and heat running up the flu, along with excessive oil on the roof from grease clogging the flu being pushed out of the vent and onto the roof. Crews advised the restaurant manager of the fire risk and the need to clean the flu. The second fire of the quarter was a full first alarm at the 3900 block of El Camino Real. Thirteen units responded including mutual aid resources from Mountain View and Santa Clara County. Engine 65 arrived first on scene and established Incident Command, and noted brown smoke showing. The fire was found in a second-story room approximately halfway down the hall on the left side of the building. The motel room was wide-open with 10’ flames blowing out the door and lapping up to the roof. A primary search resulted in an “all clear” with no persons or animals in need of rescue. PAPD closed lanes on El Camino Real both north and south bound. Utilities arrived on scene to shut down power to the building. Once fire crews had the fire contained, incident command called for a Fire Inspector and representative from Red Cross. Crews conducted salvage and overhaul clean up, and the scene was secured by PAPD for the night. Fire Inspectors determined that the cause was arson from clothing set fire on the hotel room bed. A rapid and cooperative effort with our law enforcement partners from the Palo Alto and Mountain View Police Departments quickly identified and located a suspect who was taken into custody within four hours of the incident. The third incident was a residential fire on the 4000 block of Laguna Way. First responders assessed the exterior with no smoke or flames showing. PAPD had confirmed no one was present in the home, and upon interior assessment crews found smoke damage throughout the second story, and burning embers that was started by candles that were too close to combustibles and left unattended. Crews extinguished the embers, and Engine 62 updated the homeowner on the situation and advised on clean up and restoration. 4 | P a g e Table 3. Fire Performance Measures Calls for Service FY16 Q1 FY17 Q1 NFIRS Code Description 113 Cooking fire, confined to container 5 8 154 Dumpster or other outside trash receptacle fire 1 8 111 Building fire 2 6 141 Forest, woods or wildland fire 2 5 150 Outside rubbish fire, other 5 5 131 Passenger vehicle fire 3 4 140 Natural vegetation fire, other 1 3 100 Fire, other 3 3 143 Grass fire 0 2 116 Fuel burner/boiler malfunction, fire confined 0 2 160 Special outside fire, other 0 2 118 Trash or rubbish fire, contained 5 2 162 Outside equipment fire 0 1 112 Fires in structures other than in a building 0 1 132 Road freight or transport vehicle fire 0 1 151 Outside rubbish, trash or waste fire 0 1 137 Camper or recreational vehicle (RV) fire 0 1 130 Mobile property (vehicle) fire 0 1 142 Brush, or brush and grass mixture fire 2 0 122 Fire in motor home, camper, recreational vehicle 1 0 161 Outside storage fire 1 0 Total 31 56 Response Times Percent of first responder arriving on scene to Fire calls within 8 minutes 86.6% 86.7% Median response time for first responder arriving on scene to Fire calls 5:37 05:22 Fire Containment Percent of building and structure fires contained to the room or area of origin N/A 100%  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-seven percent (87%) 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 Met: At least 90% of building and structure fires contained to the room or area of origin. This quarter there were three building or structure fires within Palo Alto or Stanford, of which all were contained to the room or area of origin. 5 | P a g e Rescue and Hazardous Materials The Fire Department responded to a total of 75 rescue and hazardous material calls. The most common rescue call is for the removal of victims from a stalled elevator, which accounts for twenty-five percent (25%) of these call types. Lock-Ins saw a significant spike this quarter accounting for seventeen percent (17%) of calls. Table 4. Rescue and Hazardous Materials Measures Calls for Service FY16 Q1 FY17 Q1 NFIRS Code Description 353 Removal of victim(s) from stalled elevator 12 19 331 Lock-in (if lock out , use 511 ) 1 13 463 Vehicle accident, general cleanup 0 7 400 Hazardous condition, other 10 7 412U Gas leak (natural gas or LPG) - PA Utilities Related 11 6 422 Chemical spill or leak 1 4 442 Overheated motor 3 3 411 Gasoline or other flammable liquid spill 2 3 413 Oil or other combustible liquid spill 4 2 412 Gas leak (natural gas or LPG) 8 1 444U Power line down – PA Utilities Related 3 1 421 Chemical hazard (no spill or leak) 3 1 440 Electrical wiring/equipment problem, other 1 1 445 Arcing, shorted electrical equipment 1 1 451 Biological hazard, confirmed or suspected 1 1 424U Carbon monoxide incident – PA Utilities Related 0 1 365 Watercraft rescue 0 1 423 Refrigeration leak 0 1 481 Attempt to burn 0 1 410 Flammable gas or liquid condition, other 1 1 444 Power line down 3 0 460 Accident, potential accident, other 2 0 350 Extrication, rescue, other 1 0 352 Extrication of victim(s) from vehicle 1 0 443 Light ballast breakdown 1 0 Total 67 75 Response Times Median response time for first responder arriving on scene to Rescue & Hazardous Materials calls 05:43 06:19 6 | 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, and the data below shows an increase in the number of calls from the prior fiscal year for the second year in a row. This 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 four other jurisdictions on a total of 140 incidents. Five agencies provided mutual or automatic aid for calls within Palo Alto or Stanford on a total of 113 incidents. Table 5. Mutual and Automatic Aid Performance Measures Mutual and Auto Aid Provided FY16 Q1 FY17 Q1 Agency Mountain View Fire 96 110 Santa Clara County Fire 26 26 Menlo Park Fire 3 2 Sunnyvale 0 2 All Mutual and Auto Aid Provided 129 140 Mutual and Auto Aid Received Agency Mountain View Fire 66 87 Menlo Park Fire 14 14 Santa Clara County Fire 6 10 Woodside Fire 8 2 Cal Fire 1 0 All Mutual and Auto Aid Received 95 113 7 | 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 continues to rise for the second year in a row. This quarter saw a twenty- nine percent (29%) increase from the same quarter in the prior year. The Bureau has kept up with reviewing the majority of plans on time despite the sizeable workload increase, with ninety-seven percent (97%) of plans reviewed on time. Table 6. Prevention Bureau Performance Measures Permits FY16 Q1 FY17 Q1 Fire Permits Issued 202 134 Electric Vehicle Permits Issued 22 3 Solar Permits Issued 61 25 Inspections Hazardous Material Inspections Completed 89 101 Number of Hazardous Material Inspections for the year 207 440 Percent of Hazardous Material Facilities Inspections Complete 43.0% 23.0% State Mandated Inspections Completed 85 99 Number of State Mandated Inspections for the year 340 397 Percent of State Mandated Facilities Inspections Complete 25.0% 24.9% Fire and Life Safety Plan Review Plans Reviewed 360 464 Percent of Reviews Completed On-Time 100% 96.8% 8 | 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 6.0 employees off- line creating a total of 18.00 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. The Training Battalion Chief has significantly increased succession planning and training efforts. This focus toward succession planning is becoming increasingly important as forty-six percent (46%) of all line personnel will be eligible to retire within the next five years. Personnel completed eighty-two percent (82%) more hours than the prior year. Some of this was department-wide training on the new hose and nozzles. New hose and nozzles were purchased late last fiscal year, which provided new technology that better regulates the flow of water. Other trainings this quarter focused on gas and electric with PG&E, hazardous materials, EMS, ethics, paramedic updates, and incident commander training. Table 7. Vacancies and Off-Line Employees FY17 Q1 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 4.00 54.00 77% TOTAL 96.00 12.00 6.00 78.00 81% Table 8. Succession Planning FY16 Q1 FY17 Q1 Number of Line Personnel Currently Eligible to Retire 17 23 Number of Line Personnel Eligible to Retire in Five Years 24 17 Percent of all Line Personnel Eligible to Retire within Five Years 43.2% 45.5% Number of Acting Battalion Chief Hours 198 480 Number of Acting Captain Hours 2200 1714 Number of Acting Apparatus Operator Hours 7550 6394 Training Hours of Training Completed 10,290 18,811 Average Hours per Line Personnel 121.1 241.2 From: Cathie Foster <princesscathie@comcast.net> Date: August 15, 2016 at 11:34:28 AM PDT To: Dennis Burns <dennis.burns@cityofpaloalto.org> Subject: Accident today at Greenwood and Hutchinson Hi Dennis, I just wanted to say a big thank you to your team and the Fire Department’s team who responded to a car vs bicycle accident this morning. Everyone was so calm, kind and professional and handled all the neighborhood lookie-loos (including me of course) with respect and answered all our questions in a way that protected the victim but allayed our worries. I didn’t get the officer’s name who had to ask a woman to turn around and go another way to her house. I couldn’t believe it when she argued with him. His patience was way beyond anything I could exhibit. The PAPD and PAFD in my estimation are the best in the USA. And it may sound like hyperbole but all my local friends agree. I was wondering, if this is reported in the news would it include whether the bicyclist ran the stop sign or not. If that did happen it could serve as a heads-up to other bicyclists. If that wasn’t the case then I will be less likely to jump to that conclusion the next time there is a bike vs car accident. Since I have had so many bicyclists run through stop signs (when I have the right of way) that I am always amazed that there are not more injured cyclists. I think I will probably die of a heart attack one of the times I have to slam on the brakes to avoid hitting someone who flies through a stop sign. I stopped counting how many times it has happened after I got to one hundred. I don’t have Eric’s e-mail so if you could forward this to him too I would really appreciate it. Last thing: we still haven’t met for that coffee. I will be back in town on the 29th. Leaving for Ashland, Oregon on Sunday. When we meet my husband Mike wanted me to ask you something. Cathie From: Witmer, Derek@CALFIRE [mailto:Derek.Witmer@fire.ca.gov] Sent: Thursday, September 22, 2016 12:34 PM To: Nickel, Eric Subject: FW: Thank You Eric, I too wanted to pass on my thanks for your BC who meet the family and the FF at the hospital until Chief Marcucci could get there. Derek J. Witmer Fire Chief CAL FIRE Santa Clara Unit Protecting Santa Clara, Alameda, Contra Costa, Western Stanislaus and San Joaquin Counties South Santa Clara County Fire District www.ssccfd.com Morgan Hill Fire www.morganhillfire.org 408-778-8600 Every Californian should conserve water. Find out how at: SaveOurWater.com · Drought.CA.gov From: White, Josh@CALFIRE Sent: Sunday, September 18, 2016 9:04 AM To: Marcucci, Mike@CALFIRE Cc: Witmer, Derek@CALFIRE; McFadden, Greg@CALFIRE; Upton, Scott@CALFIRE Subject: Thank You Chief Marcucci, I wanted to express my sincere gratitude to you for all that you did last night/early this morning. Our volunteer/Columbia College firefighter was transported to Stanford in the early hours this morning and you were there when he and his family arrived. This level of service, above and beyond the call of duty, is greatly appreciated. I am also to understand you had a Palo Alto engine there as well. The family is awestruck with the level of caring and respect. Thank you so very much. Please let me know if there is ever anything I can do to assist you or SCU. Your selflessness and sense of duty means so much to TCU. Sincerely, Josh White Unit Chief Tuolumne County Fire Chief CAL FIRE Tuolumne-Calaveras Unit (209) 419-4400 From: Ron [mailto:rondillon@mchsi.com] Sent: Tuesday, August 30, 2016 9:47 AM To: Fire Subject: Clayton fire Palo Alto Fire fighters. We would like to give a thousand thanks to Palo Alto Fire for sending two engines up here to Lower Lake to help with the Clayton fire. A special thanks to Marc Muzzi and his guys for all their hard work. The poor town of Lower Lake took a really big hit but it could have been worse. As a retired City of Palo Alto employee I can't thank you guys enough. All my neighbors and I are eternally grateful. Ron Dillon From: Stephanie Charles <sjcharles@juno.com> Sent: Monday, September 12, 2016 6:40 AM To: Van Der Zwaag, Minka; Rainey, Nathaniel; Dueker, Kenneth; Johnson, Amy Subject: Thank You Hi Amy, Minka, Nathan, and Ken, I wanted to thank you all for the city’s help to the residents displaced by the Glass Slipper fire. Your great support of the shelter was invaluable, then I’m sure that putting up the displaced residents over the weekend was a big relief to them. I heard several of my Red Cross colleagues comment on how well things went with the city and how good our working relationship with all of you was. Every response to an incident like this involves a team effort, and I am very appreciative of all the teamwork from every quarter in the days after the fire. Thankfully fires like this are rare in Palo Alto, but just let me know if there are other ways in which the Red Cross can support you. Regards, Stephanie Charles Silicon Valley Red Cross From: Annette Glanckopf [mailto:annette_g@att.net] Sent: Monday, September 19, 2016 2:16 PM To: Nickel, Eric Subject: thanks for coming Dear Eric, Thanks once again for sharing your Sunday with the Midtown Residents Association. and for your graciousness in greeting our residents and visitors. You make such a difference for our community. warmest thanks to you and all the wonderful firefighters who came to be a part of our event! Best regards Annette From: Steve Drewniany [mailto:sdrewniany@sunnyvale.ca.gov] Sent: Monday, September 26, 2016 7:56 AM To: Diaz, Juan; Ken Kehmna; William Kelly; Nickel, Eric Subject: Mutual Aid for 674 Gail Ave, SNY Case #FR 16-6062 Chiefs On Sunday 09/25 at 09:06:17 hours, SNY DPS responded to a two story, multi-family residential structure fire that went to 3 alarms. At the conclusion of the fire 10 apartments were involved, and 47 residents are now displaced. The City, Red Cross and Sunnyvale Community Services have facilitated housing for all of the displaced residents. This is the second multiple alarm residential structure fire in our City this year that has displaced multiple families. I want to thank you and the members of your agencies for your rapid response to our call for assistance both at this recent fire and our previous one. I am thankful for our strong working relationships and the quality of personnel we all field here each and everyday. We truly are fortunate to have the level of professionalism and inter-agency cooperation both at the Chief level as well as the field level which define our operational area. Please pass along our appreciation to the men and women of your organizations that represented you all in such an exemplary manner. The assignments were: Backfill at ST1: MTV - EN54 Backfill at ST2: SNC - EN93 CNT - TR71 At the Fire Scene: CNT - EN71 MTV - TR51 SNC - EN90 SNC - BC91 PAF - EN62 (Air Support) Assoc. FR/EV's MTV FR #9002 SNC EV #7613 and #7615 CNT EV #C162690018 and #C162690022 PAF FR #9005 Steve Steve Drewniany, Deputy Chief Sunnyvale Department of Public Safety 700 All America Way | Sunnyvale, CA 94086 (P) 408.730.7123 | (F)408.730.5713 (E)sdrewniany@sunnyvale.ca.gov Called to Serve: Sunnyvale’s Public Safety Careers http://sunnyvale.ca.gov/Departments/PublicSafety.aspx ***** Confidentiality Notice: This e-mail message, including any attachments, is for the sole use of the intended recipient(s) and may contain confidential and privileged information. Any unauthorized review, use, disclosure or distribution is prohibited. If you are not the intended recipient, please contact the sender by reply e-mail and destroy all copies of the original message. The sender reserves the right to a reasonable privacy expectation with this communication. **** From: Bill Widmer [mailto:bwidmer@ci.atherton.ca.us] Sent: Friday, July 22, 2016 10:27 AM To: Fire Subject: Thank you for great service Wednesday your organization was called upon to transport me to Stanford from PAMF. I want to thank the team who handled things well and especially mention Alex who was in the back with me and seemed to be the team leader. Please thank these guys for me.! Great job, very competent and caring. Best regards Bill Widmer To: Mike Simbulan From: Ken Cardinale, Fire Chief Date: May 18, 2016 Subject: Thank You Captain Ferry I just want to thank you for the training that you provided to Lewis County this past weekend. The course was outstanding by providing knowledge from historic door systems to the most up to date modern security door we may in counter in both residential and commercial occupancies. The class room instruction and the multimedia aspects where invaluable and laid the foundation for the hands on training which the bulk of the curriculum is. The manipulative portion of the course, provided by Fire Fighter Mike Simbulan was so valuable to all of the firefighters. You can have lectures, read books and see videos, but the most valuable is the hands on training. It is where the tire meets the road. The unselfish hours of the instructors providing their guidance and instruction as well their experience will have a long and lasting impression with all the firefighter in attendance. Thank you so very much for the outstanding and excellent course. Sincerely, Ken Cardinale, Fire Chief, City of Chehalis, WA To: Yovan Sierra From: Ken Cardinale, Fire Chief Date: May 18, 2016 Subject: Thank You Captain Ferry I just want to thank you for the training that you provided to Lewis County this past weekend. The course was outstanding by providing knowledge from historic door systems to the most up to date modern security door we may in counter in both residential and commercial occupancies. The class room instruction and the multimedia aspects where invaluable and laid the foundation for the hands on training which the bulk of the curriculum is. The manipulative portion of the course provided by Fire Fighter Yovan Sierra was so valuable to all of the firefighters. You can have lectures, read books and see videos, but the most valuable is the hands on training. It is where the tire meets the road. The unselfish hours of the instructors providing their guidance and instruction as well their experience will have a long and lasting impression with all the firefighter in attendance. Thank you so very much for the outstanding and excellent course. Sincerely, Ken Cardinale, Fire Chief, City of Chehalis, WA Number of Your Patients in this ReportYour Score July 1, 2016 to September 30, 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. Lansing, Mi 48096 10594.15 Number of Patients in this Report 19,777 Number of Transport Services in All 131 Page 1 of 30 City of Palo Alto July 1, 2016 to September 30, 2016 Executive Summary This report contains data from 105 City of Palo Alto patients who returned a questionnaire between 07/01/2016 and 09/30/2016. The overall mean score for the standard questions was 94.15; this is a difference of 1.78 points from the overall EMS database score of 92.37. The current score of 94.15 is a change of -0.31 points from last period's score of 94.46. This was the 20th highest overall score for all companies in the database. You are ranked 4th for comparably sized companies in the system. 80.34% of responses to standard questions had a rating of Very Good, the highest rating. 99.42% of all responses were positive. Page 2 of 30 City of Palo Alto July 1, 2016 to September 30, 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 Total This PeriodLast OtherFemaleMale OtherMaleTotalFemale Under 18 4 7 011 253 0 18 to 30 2 3 05 253 0 31 to 44 2 2 04 4106 0 45 to 54 5 3 08 561 0 55 to 64 7 3 010 583 0 65 and older 46 75 4125 407131 0 Total 66 93 4163 105 47 58 0 Gender Page 3 of 30 City of Palo Alto July 01, 2016 to September 30, 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 93.84 92.47 1.37 Your Score Total DB Variance1000 Concern shown by the person you called for ambulance service 94.64 92.30 2.34 Your Score Total DB Variance1000 Extent to which you were told what to do until the ambulance arrived 91.57 90.61 0.96 Your Score Total DB VarianceVariance1000 Overall Section Score Total DB 1.64 100 91.79 0 Your Score 93.42 Page 4 of 30 City of Palo Alto July 01, 2016 to September 30, 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 96.36 91.69 4.67 Your Score Total DB Variance1000 Cleanliness of the ambulance 95.41 94.14 1.27 Your Score Total DB Variance1000 Comfort of the ride 92.86 87.21 5.65 Your Score Total DB Variance1000 Skill of the person driving the ambulance 96.43 93.49 2.94 Your Score Total DB Variance1000 Overall Section Score Total DB 3.62 100 91.66 Variance 0 Your Score 95.28 Page 5 of 30 City of Palo Alto July 01, 2016 to September 30, 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 96.91 94.01 2.90 Your Score Total DB Variance1000 Degree to which the medics took your problem seriously 96.17 94.01 2.16 Your Score Total DB Variance1000 Degree to which the medics listened to you and/or your family 94.80 93.73 1.07 Your Score Total DB Variance1000 Skill of the medics 97.68 94.06 3.62 Your Score Total DB Variance1000 Extent to which the medics kept you informed about your treatment 94.57 92.41 2.16 Your Score Total DB Variance1000 Extent to which medics included you in the treatment decisions (if applicable) 91.69 92.22 -0.53 Your Score Total DB Variance -0.53 Variance1000 Degree to which the medics relieved your pain or discomfort 91.48 90.45 1.03 Your Score Total DB Variance1000 Page 6 of 30 City of Palo Alto July 01, 2016 to September 30, 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 93.18 93.23 -0.05 Your Score Total DB Variance -0.05 Variance1000 Extent to which medics cared for you as a person 94.95 94.14 0.81 Your Score Total DB VarianceVariance1000 Overall Section Score Total DB 1.60 100 93.14 0 Your Score 94.74 Page 7 of 30 City of Palo Alto July 01, 2016 to September 30, 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 90.13 88.63 1.50 Your Score Total DB Variance1000 Willingness of the staff in our billing office to address your needs 90.44 88.86 1.58 Your Score Total DB Variance1000 Overall Section Score Total DB 1.53 100 88.75 Variance 0 Your Score 90.28 Page 8 of 30 City of Palo Alto July 01, 2016 to September 30, 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 95.70 93.24 2.46 Your Score Total DB Variance1000 Extent to which our staff eased your entry into the medical facility 94.78 93.43 1.35 Your Score Total DB Variance1000 Appropriateness of Emergency Medical Transportation treatment 93.76 93.13 0.63 Your Score Total DB VarianceVariance1000 Extent to which the services received were worth the fees charged 85.07 87.53 Your Score Total DB Variance -2.46 Variance1000 Overall rating of the care provided by our Emergency Medical Transportation 95.16 93.20 1.96 Your Score Total DB Variance1000 Likelihood of recommending this ambulance service to others 94.18 92.82 1.36 Your Score Total DB Variance1000 Overall Section Score Total DB 1.03 100 92.23 Variance 0 Your Score 93.26 Page 9 of 30 July 1, 2016 to September 30, 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 93.84-0.61 92.4794.45 Concern shown by the person you called for ambulance service 94.640.88 92.3093.76 Extent to which you were told what to do until the ambulance arrived 91.57-1.70 90.6193.27 Ambulance Analysis Last Period Change This Period Total DB Extent to which the ambulance arrived in a timely manner 96.361.13 91.6995.23 Cleanliness of the ambulance 95.41-0.81 94.1496.22 Comfort of the ride 92.86-0.89 87.2193.75 Skill of the person driving the ambulance 96.431.79 93.4994.64 Medic Analysis Last Period Change This Period Total DB Care shown by the medics who arrived with the ambulance 96.910.48 94.0196.43 Degree to which the medics took your problem seriously 96.17-0.45 94.0196.62 Degree to which the medics listened to you and/or your family 94.80-1.90 93.7396.70 Skill of the medics 97.681.58 94.0696.10 Extent to which the medics kept you informed about your treatment 94.570.11 92.4194.46 Extent to which medics included you in the treatment decisions (if 91.69-2.17 92.2293.86 Degree to which the medics relieved your pain or discomfort 91.48-1.02 90.4592.50 Medics' concern for your privacy 93.18-1.00 93.2394.18 Extent to which medics cared for you as a person 94.95-0.79 94.1495.74 Page 10 of 30 July 1, 2016 to September 30, 2016 City of Palo Alto Question Analysis (Continued) Billing Staff Assessment Analysis Last Period Change This Period Total DB Professionalism of the staff in our ambulance service billing office 90.132.80 88.6387.33 Willingness of the staff in our billing office to address your needs 90.444.18 88.8686.26 Overall Assessment Analysis Last Period Change This Period Total DB How well did our staff work together to care for you 95.700.63 93.2495.07 Extent to which our staff eased your entry into the medical facility 94.78-0.26 93.4395.04 Appropriateness of Emergency Medical Transportation treatment 93.76-1.24 93.1395.00 Extent to which the services received were worth the fees charged 85.07-3.29 87.5388.36 Overall rating of the care provided by our Emergency Medical 95.16-1.02 93.2096.18 Likelihood of recommending this ambulance service to others 94.18-1.91 92.8296.09 Page 11 of 30 City of Palo Alto July 1, 2016 to September 30, 2016 Sep 2015 Oct 2015 Nov 2015 Dec 2015 Jan 2016 Feb 2016 Mar 2016 Apr 2016 May 2016 Jun 2016 Jul 2016 Aug 2016 Sep 2016 Helpfulness of the person you called for ambulance 96.51 92.36 100.0 95.83 94.57 97.00 97.22 100.0 95.03 93.75 94.64 94.44 91.24 Concern shown by the person you called for 95.35 89.29 91.67 95.65 94.32 96.00 97.22 100.0 93.95 93.18 94.64 94.91 93.75 Extent to which you were told what to do until the 92.68 89.29 100.0 91.13 93.59 87.50 97.22 95.83 93.08 93.15 94.64 93.48 82.21 Extent to which the ambulance arrived in a timely 94.12 95.35 100.0 94.77 94.74 92.31 98.91 94.44 97.28 94.33 98.53 95.38 97.62 Cleanliness of the ambulance 95.74 95.00 80.20 98.73 93.09 96.15 100.0 93.75 97.56 95.83 96.88 95.90 92.86 Comfort of the ride 91.33 89.23 80.20 95.76 90.63 92.31 96.51 93.75 94.51 93.41 95.31 93.03 90.48 Skill of the person driving the ambulance 93.88 93.89 100.0 98.25 95.31 96.00 99.40 96.88 95.24 94.17 96.88 97.13 94.05 Care shown by the medics who arrived with the 97.50 95.63 100.0 98.28 97.81 93.75 98.84 97.22 96.43 96.35 98.53 96.37 97.22 Degree to which the medics took your problem 97.00 95.12 100.0 98.28 96.05 94.79 99.43 97.22 96.43 96.65 98.53 95.24 97.22 Degree to which the medics listened to you and/or 94.79 95.12 100.0 97.81 96.05 95.83 100.0 97.22 97.02 96.51 95.59 95.90 90.33 Skill of the medics 96.88 95.00 95.00 98.68 95.98 96.74 98.84 97.22 96.95 95.60 97.06 97.62 98.53 Extent to which the medics kept you informed about 90.56 92.11 95.00 98.04 96.00 95.45 98.13 94.44 96.15 93.75 98.33 94.17 92.65 Extent to which medics included you in the treatment 88.12 90.91 100.0 97.22 93.29 94.32 95.83 100.0 96.55 92.31 94.23 93.65 82.21 Degree to which the medics relieved your pain or 91.46 92.86 100.0 96.43 94.32 92.86 98.48 89.29 93.38 92.41 89.29 93.52 85.79 Medics' concern for your privacy 91.67 95.39 95.00 98.56 94.39 93.18 98.21 87.63 95.14 94.38 98.44 92.27 91.18 Extent to which medics cared for you as a person 94.27 96.88 100.0 99.11 97.64 92.43 100.0 97.22 95.39 95.74 97.06 94.58 94.12 Professionalism of the staff in our ambulance service 85.23 89.58 50.50 92.39 89.58 92.50 86.00 100.0 87.50 86.48 96.43 90.22 84.38 Willingness of the staff in our billing office to address 90.33 85.42 50.50 92.86 83.75 91.67 84.00 100.0 87.50 84.94 95.83 90.00 87.50 How well did our staff work together to care for you 95.10 95.63 100.0 98.61 95.10 96.88 97.62 97.22 96.53 94.29 94.12 95.76 97.06 Extent to which our staff eased your entry into the 96.50 96.34 95.00 99.07 94.61 95.83 99.38 97.22 95.17 94.78 97.06 95.18 91.18 Appropriateness of Emergency Medical 93.37 93.90 100.0 99.07 95.37 95.83 96.98 96.88 94.74 94.95 92.19 95.34 89.76 Extent to which the services received were worth the 83.79 89.39 81.25 90.98 86.84 88.80 89.00 100.0 91.91 85.55 85.94 86.54 78.64 Overall rating of the care provided by our Emergency 94.27 95.12 100.0 99.54 95.28 94.79 98.84 97.22 96.05 96.13 95.31 95.49 93.75 Likelihood of recommending this ambulance service 92.24 94.87 93.75 97.50 94.27 95.83 98.75 100.0 95.30 96.07 93.75 95.26 90.69 Your Master Score 93.39 93.53 93.73 97.08 94.39 94.30 97.65 96.47 95.18 93.97 95.43 94.55 91.64 Your Total Responses 52 45 5 64 65 29 49 10 48 105 17 66 22 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 30 City of Palo Alto July 1, 2016 to September 30, 2016 Monthly tracking of Overall Survey Score Page 13 of 30 City of Palo Alto July 1, 2016 to September 30, 2016 Greatest Increase and Decrease in Scores by Question Increases Last Period This Period Change Total DB Score Willingness of the staff in our billing office to address your needs 86.26 4.18 88.8690.44 Professionalism of the staff in our ambulance service billing office 87.33 2.80 88.6390.13 Skill of the person driving the ambulance 94.64 1.79 93.4996.43 Skill of the medics 96.10 1.58 94.0697.68 Extent to which the ambulance arrived in a timely manner 95.23 1.13 91.6996.36 Concern shown by the person you called for ambulance service 93.76 0.88 92.3094.64 How well did our staff work together to care for you 95.07 0.63 93.2495.70 Care shown by the medics who arrived with the ambulance 96.43 0.48 94.0196.91 Extent to which the medics kept you informed about your treatment 94.46 0.10 92.4194.57 Decreases Last Period This Period Change Total DB Score Extent to which the services received were worth the fees charged 88.36 -3.29 87.5385.07 Extent to which medics included you in the treatment decisions (if applicable) 93.86 -2.17 92.2291.69 Likelihood of recommending this ambulance service to others 96.09 -1.91 92.8294.18 Degree to which the medics listened to you and/or your family 96.70 -1.90 93.7394.80 Extent to which you were told what to do until the ambulance arrived 93.27 -1.70 90.6191.57 Appropriateness of Emergency Medical Transportation treatment 95.00 -1.24 93.1393.76 Degree to which the medics relieved your pain or discomfort 92.50 -1.02 90.4591.48 Overall rating of the care provided by our Emergency Medical Transportation service 96.18 -1.02 93.2095.16 Medics' concern for your privacy 94.18 -1.00 93.2393.18 Comfort of the ride 93.75 -0.89 87.2192.86 Page 14 of 30 Greatest Increase and Decrease in Scores by Question Page 15 of 30 City of Palo Alto July 1, 2016 to September 30, 2016 Greatest Scores Above Benchmarks by Question Highest Above Benchmark This Period Variance Total DB Score Skill of the medics 94.063.6297.68 Care shown by the medics who arrived with the ambulance 94.012.996.91 Skill of the person driving the ambulance 93.492.9496.43 Extent to which the ambulance arrived in a timely manner 91.694.6796.36 Degree to which the medics took your problem seriously 94.012.1696.17 How well did our staff work together to care for you 93.242.4695.7 Cleanliness of the ambulance 94.141.2795.41 Overall rating of the care provided by our Emergency Medical Transportation service 93.21.9695.16 Extent to which medics cared for you as a person 94.140.894.95 Degree to which the medics listened to you and/or your family 93.731.0894.8 Page 16 of 30 City of Palo Alto July 1, 2016 to September 30, 2016 Highest and Lowest Scores Highest Scores Last Period This Period Change Total DB Score Skill of the medics 97.6896.10 1.58 94.06 Care shown by the medics who arrived with the ambulance 96.9196.43 0.48 94.01 Skill of the person driving the ambulance 96.4394.64 1.79 93.49 Extent to which the ambulance arrived in a timely manner 96.3695.23 1.13 91.69 Degree to which the medics took your problem seriously 96.1796.62 -0.45 94.01 Lowest Scores Last Period This Period Change Total DB Score Extent to which the services received were worth the fees charged 85.0788.36 -3.29 87.53 Professionalism of the staff in our ambulance service billing office 90.1387.33 2.80 88.63 Willingness of the staff in our billing office to address your needs 90.4486.26 4.18 88.86 Degree to which the medics relieved your pain or discomfort 91.4892.50 -1.02 90.45 Extent to which you were told what to do until the ambulance arrived 91.5793.27 -1.70 90.61 Page 17 of 30 City of Palo Alto July 1, 2016 to September 30, 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 Question Your Correlation Coeffecient Extent to which medics cared for you as a person .85046707994.95 Extent to which our staff eased your entry into the medical facility .83033624294.78 Medics' concern for your privacy .79545287393.18 Extent to which the medics kept you informed about your treatment .7535244394.57 Appropriateness of Emergency Medical Transportation treatment .74013451193.76 Extent to which medics included you in the treatment decisions (if applicable).73433229391.69 Professionalism of the staff in our ambulance service billing office .73341754690.13 How well did our staff work together to care for you .73032990295.70 Degree to which the medics relieved your pain or discomfort .72757416591.48 Skill of the medics .72106261997.68 Helpfulness of the person you called for ambulance service .71780680893.84 Skill of the person driving the ambulance .71573406396.43 Care shown by the medics who arrived with the ambulance .71272688396.91 Concern shown by the person you called for ambulance service .70750479594.64 Degree to which the medics took your problem seriously .70705246596.17 Degree to which the medics listened to you and/or your family .69102892494.80 Willingness of the staff in our billing office to address your needs .68318331590.44 Extent to which the services received were worth the fees charged .67950337585.07 Comfort of the ride .65830109192.86 Cleanliness of the ambulance .62961248395.41 Extent to which you were told what to do until the ambulance arrived .60434425391.57 Extent to which the ambulance arrived in a timely manner .59532923796.36 Page 18 of 30 City of Palo Alto July 1, 2016 to September 30, 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 Your Company A B C D E F Comparison Companies Helpfulness of the person you called for ambulance 93.02 90.23 94.93 90.43 87.8293.5793.84 Concern shown by the person you called for ambulance 92.73 89.74 94.48 92.03 87.8892.9094.64 Extent to which you were told what to do until the 87.34 86.30 91.53 91.21 85.4991.9491.57 Extent to which the ambulance arrived in a timely 91.93 92.94 95.32 90.62 85.9292.4896.36 Cleanliness of the ambulance 93.06 94.51 96.71 94.04 89.1794.1395.41 Comfort of the ride 86.97 80.54 92.79 88.42 80.4388.3392.86 Skill of the person driving the ambulance 90.29 91.49 96.40 92.20 89.0693.8196.43 Care shown by the medics who arrived with the 90.62 95.13 97.40 93.80 90.9594.2096.91 Degree to which the medics took your problem seriously 89.72 94.22 97.02 93.63 90.4294.5096.17 Degree to which the medics listened to you and/or your 89.32 94.75 96.65 93.58 89.7393.8694.80 Skill of the medics 89.59 93.00 97.19 93.44 91.1195.0097.68 Extent to which the medics kept you informed about 89.11 92.96 95.91 92.28 88.5893.5794.57 Extent to which medics included you in the treatment 90.23 94.40 95.83 92.83 88.4792.3391.69 Degree to which the medics relieved your pain or 87.85 92.33 94.41 93.43 86.4191.4191.48 Medics' concern for your privacy 90.54 94.38 96.98 92.53 89.7093.5193.18 Extent to which medics cared for you as a person 90.11 95.43 96.86 94.48 91.3995.5294.95 Professionalism of the staff in our ambulance service 87.80 86.49 94.51 88.54 81.6588.2990.13 Willingness of the staff in our billing office to address 88.09 85.14 94.38 88.86 82.0788.1690.44 How well did our staff work together to care for you 90.08 93.92 96.55 92.32 89.1292.9395.70 Extent to which our staff eased your entry into the 89.96 93.60 96.57 93.24 89.3393.5994.78 Appropriateness of Emergency Medical Transportation 90.29 93.19 95.84 92.41 87.9394.4493.76 Extent to which the services received were worth the 81.33 88.69 93.60 88.02 77.7887.7685.07 Overall rating of the care provided by our Emergency 89.70 91.80 96.10 90.86 87.9593.5295.16 Likelihood of recommending this ambulance service to 87.70 92.13 96.54 89.90 85.0590.2594.18 Overall score 94.15 92.62 89.60 91.89 95.74 91.99 87.49 National Rank 20 44 84 58 9 57 88 Comparable Size (Medium) Company Rank 4 26 28 Page 19 of 30 City of Palo Alto July 1, 2016 to September 30, 2016 Ca l i f o r n i a Yo u r Co m p a n y 91.37Total Score Benchmark Comparison 94.15 To t a l D B Si m i l a r S i z e d 92.37 91.65 Helpfulness of the person you called for ambulance 92.8493.84 92.47 91.94 Concern shown by the person you called for 93.1594.64 92.30 91.72 Extent to which you were told what to do until the 91.6291.57 90.61 89.99 Extent to which the ambulance arrived in a timely 93.3496.36 91.69 91.00 Cleanliness of the ambulance 94.9695.41 94.14 93.35 Comfort of the ride 87.5292.86 87.21 87.02 Skill of the person driving the ambulance 93.2496.43 93.49 92.98 Care shown by the medics who arrived with the 93.2396.91 94.01 93.65 Degree to which the medics took your problem 93.0096.17 94.01 93.62 Degree to which the medics listened to you and/or 92.3194.80 93.73 93.21 Skill of the medics 94.1797.68 94.06 93.72 Extent to which the medics kept you informed about 91.3294.57 92.41 92.09 Extent to which medics included you in the treatment 90.1991.69 92.22 91.73 Degree to which the medics relieved your pain or 89.7791.48 90.45 90.07 Medics' concern for your privacy 92.1593.18 93.23 93.08 Extent to which medics cared for you as a person 92.6494.95 94.14 93.82 Professionalism of the staff in our ambulance service 85.6690.13 88.63 88.09 Willingness of the staff in our billing office to address 85.8690.44 88.86 88.18 How well did our staff work together to care for you 92.4395.70 93.24 92.97 Extent to which our staff eased your entry into the 92.4594.78 93.43 92.90 Appropriateness of Emergency Medical Transportation 92.2693.76 93.13 92.94 Extent to which the services received were worth the 84.7285.07 87.53 86.45 Overall rating of the care provided by our Emergency 92.2095.16 93.20 92.92 Likelihood of recommending this ambulance service 91.8394.18 92.82 92.10 Number of Surveys for the period 105 Page 20 of 30 City of Palo Alto July 1, 2016 to September 30, 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 21 of 30 City of Palo Alto July 1, 2016 to September 30, 2016 Cumulative 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 Total DB 91.7094.55Overall Facility Rating Dispatch 94.2 91.49 Helpfulness of the person you called for ambulance 92.2495.14 Concern shown by the person you called for ambulance 91.9694.64 Extent to which you were told what to do until the 90.2692.82 Ambulance 95.24 91.28 Extent to which the ambulance arrived in a timely manner 91.6195.68 Cleanliness of the ambulance 93.7996.43 Comfort of the ride 87.0492.83 Skill of the person driving the ambulance 92.7096.03 Medic 95.64 92.71 Care shown by the medics who arrived with the 93.7297.02 Degree to which the medics took your problem seriously 93.6396.75 Degree to which the medics listened to you and/or your 93.3796.34 Skill of the medics 93.7996.77 Extent to which the medics kept you informed about your 91.8495.07 Extent to which medics included you in the treatment 91.6493.81 Degree to which the medics relieved your pain or 90.2093.67 Medics' concern for your privacy 92.6194.84 Page 22 of 30 City of Palo Alto July 1, 2016 to September 30, 2016 Cumulative (Continued) Your Total DB 91.7094.55Overall Facility Rating Medic 95.64 92.71 Extent to which medics cared for you as a person 93.5796.49 Billing Staff Assessment 88.73 88.11 Professionalism of the staff in our ambulance service 88.0988.78 Willingness of the staff in our billing office to address 88.1388.68 Overall Assessment 94.56 91.77 How well did our staff work together to care for you 92.7996.07 Extent to which our staff eased your entry into the 92.9896.00 Appropriateness of Emergency Medical Transportation 92.7395.66 Extent to which the services received were worth the fees 86.6787.63 Overall rating of the care provided by our Emergency 92.9096.31 Likelihood of recommending this ambulance service to 92.5495.69 Page 23 of 30 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 July 1, 2016 to September 30, 2016 City of Palo Alto EMS DB % Very Good Company % Very Good Very GoodGoodFairPoor Very Poor Overall Company Rating 9 3 45 351 75.38%80.34%1667 Dispatch 2 0 4 48 73.93%77.78%189 Helpfulness of the person you called for ambulance service 1 0 1 15 68 80.00%75.71% Concern shown by the person you called for ambulance service 0 0 1 16 67 79.76%74.94% Extent to which you were told what to do until the ambulance arrived 1 0 2 17 54 72.97%71.16% Ambulance 0 0 6 63 73.67%82.62%328 Extent to which the ambulance arrived in a timely manner 0 0 1 13 89 86.41%73.98% Cleanliness of the ambulance 0 0 1 16 81 82.65%79.02% Comfort of the ride 0 0 4 20 74 75.51%63.75% Skill of the person driving the ambulance 0 0 0 14 84 85.71%77.92% Medic 4 0 17 123 78.66%82.48%678 Care shown by the medics who arrived with the ambulance 0 0 1 10 86 88.66%80.88% Degree to which the medics took your problem seriously 0 0 2 11 85 86.73%81.65% Degree to which the medics listened to you and/or your family 1 0 0 16 79 82.29%80.60% Skill of the medics 0 0 0 9 88 90.72%80.67% Extent to which the medics kept you informed about your treatment 0 0 2 16 74 80.43%76.47% Page 24 of 30 Top Box Comparisons July 1, 2016 to September 30, 2016 City of Palo Alto (Continued) EMS DB % Very Good Company % Very Good Very GoodGoodFairPoor Very Poor Overall Company Rating 9 3 45 351 75.38%80.34%1667 Extent to which medics included you in the treatment decisions (if applicable)2 0 3 12 61 78.21%76.20% Degree to which the medics relieved your pain or discomfort 1 0 5 14 62 75.61%72.19% Medics' concern for your privacy 0 0 3 18 67 76.14%77.59% Extent to which medics cared for you as a person 0 0 1 17 76 80.85%81.72% Billing Staff Assessment 0 0 1 26 63.41%62.50%45 Professionalism of the staff in our ambulance service billing office 0 0 0 15 23 60.53%62.86% Willingness of the staff in our billing office to address your needs 0 0 1 11 22 64.71%63.95% Overall Assessment 3 3 17 91 76.33%78.93%427 How well did our staff work together to care for you 0 0 1 14 78 83.87%77.98% Extent to which our staff eased your entry into the medical facility 0 0 2 15 74 81.32%78.35% Appropriateness of Emergency Medical Transportation treatment 1 0 3 13 75 81.52%77.79% Extent to which the services received were worth the fees charged 1 3 8 20 50 60.98%66.55% Overall rating of the care provided by our Emergency Medical Transportation service 0 0 1 16 76 81.72%78.59% Likelihood of recommending this ambulance service to others 1 0 2 13 74 82.22%78.70% Page 25 of 30 July 1, 2016 to September 30, 2016 City of Palo Alto Standard Deviation by Question SD Variance Database Standard Company StandardTotal DBYour Score Helpfulness of the person you called for ambulance service 93.84 92.47 14.731 15.596 0.87 Concern shown by the person you called for ambulance service 94.64 92.30 10.959 15.423 4.46 Extent to which you were told what to do until the ambulance arrived 91.57 90.61 16.507 17.469 0.96 Extent to which the ambulance arrived in a timely manner 96.36 91.69 9.482 16.384 6.90 Cleanliness of the ambulance 95.41 94.14 10.318 12.456 2.14 Comfort of the ride 92.86 87.21 13.363 20.341 6.98 Skill of the person driving the ambulance 96.43 93.49 8.748 13.927 5.18 Care shown by the medics who arrived with the ambulance 96.91 94.01 8.98 14.457 5.48 Degree to which the medics took your problem seriously 96.17 94.01 10.321 14.908 4.59 Degree to which the medics listened to you and/or your family 94.80 93.73 13.388 15.061 1.67 Skill of the medics 97.68 94.06 7.253 13.994 6.74 Extent to which the medics kept you informed about your treatment 94.57 92.41 11.555 16.054 4.50 Extent to which medics included you in the treatment decisions (if applicable) 91.69 92.22 19.355 16.469 -2.89 Degree to which the medics relieved your pain or discomfort 91.48 90.45 17.493 18.452 0.96 Medics' concern for your privacy 93.18 93.23 12.907 14.525 1.62 Extent to which medics cared for you as a person 94.95 94.14 10.681 14.626 3.94 Professionalism of the staff in our ambulance service billing office 90.13 88.63 12.22 17.328 5.11 Willingness of the staff in our billing office to address your needs 90.44 88.86 13.578 17.45 3.87 How well did our staff work together to care for you 95.70 93.24 10.123 14.748 4.63 Extent to which our staff eased your entry into the medical facility 94.78 93.43 11.433 14.371 2.94 Appropriateness of Emergency Medical Transportation treatment 93.76 93.13 15.409 15.017 -0.39 Extent to which the services received were worth the fees charged 85.07 87.53 22.335 21.222 -1.11 Overall rating of the care provided by our Emergency Medical Transportation service 95.16 93.20 10.535 15.361 4.83 Likelihood of recommending this ambulance service to others 94.18 92.82 14.861 16.696 1.84 Page 26 of 30 Overall Survey Rating 94.15 92.38 12.77 15.93 3.16 Page 27 of 30 City of Palo Alto July 1, 2016 to September 30, 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 28 of 30 Facilities in Database July 1, 2016 to September 30, 2016 City of Palo Alto Adair null Adair EMS Kirksville, MO Air San Juan Island Friday Harbor, WA Alliance Health null Alliance Mobile Health Troy, MI AMT Peoria, IL Ava Springfield, MO Bay State Springfield, MA Bay Village Bay Village, OH Bay Village Employee null Beaumont Troy, MI Beaumont Medical Troy, MI Birmingham Fire Birmingham, MI Bloomfield Township Bloomfield Hills, MI Burnsville Fire Burnsville, MN Carilion Clinic Roanoke, VA Cetronia Allentown, PA Christian County Springfield, MO City of Palo Alto Palo Alto, CA Columbus Connection Cols, OH Community Macon, GA Community Care EMS Ashtabula, OH Community Care EMS null 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 Ann Arbor, MI Emergent Health null Employee Survey null Employee Survey null Employee Survey MMR null Employee Survey Tri-null Emp.Survey Medstar null EMSA Oklahoma City, OK EMS Float Springfield, MO Escalon Ambulance Escalon, CA Ferndale Fire and Ferndale, MI F-M Ambulance Fargo, ND Genesis Community Zanesville, OH Gold Cross Menasha, WI Greene County Springfield, MO Guilford EMS Greensboro, NC Harris County Houston, TX Health East St. Paul, MN Health Link Taylor, MI HEMSI Hunsville, AL Hennepin County EMS Minneapolis, MN Hillsboro Fargo, ND Hot Springs Hot Springs, AR Hot Springs Village Hot Springs, AR Howard County Nashville, AR Humboldt Winnemucca, NV HVA null Iosco County EMS East Tawas, MI Lassen County Susanville, CA LifeCare Ambulance Battle Creek, MI LifeCare Medical EMS Sterling, CO Life EMS Ambulance Grand Rapids, MI LifeNet EMS Texarkana, TX Loyola Medicine Melrose Park, IL Madison Heights Fire Madison Heights, MI Malvern Malvern, AR MCHD Conroe, TX McKinney Fire McKinney, TX Medcare Ambulance Columbus, OH Medic 1 Ambulance Canton, MI Medic Ambulance Vallejo, CA Medic Ambulance Vallejo, CA Medic EMS Davenport, IA Medstar Clinton Twp., MI Medstar Mobile Fort Worth, TX Medstar Mobile 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 Saginaw, MI MONOC Neptune, NJ Nature Coast Lecanto, FL North Memorial Robbinsdale, MN Northwell Health Syosset, NY Page 29 of 30 Oceana Hart, MI Patterson District Patterson, CA Pearland EMS Pearland, TX Portage County Stevens Point, WI Pro EMS Cambridge, MA ProMed Muskegon, MI Prompt Ambulance Highland, IN PTS Loveland, OH Puckett Austell, GA Regional EMS Flint, MI REMSA Reno, NV REMSA Air Transport Reno, NV Ridgefield Fire Ridgefield, CT Riggs Ambulance Merced, CA Royal Oak Fire Royal Oak, MI San Juan Island Friday Harbor, WA San Marcos Hays San Marcos, TX Scott & White Temple, TX Senior Care Bronx, NY Sioux Land Sioux City, IA SkyHeath Syossett, NY SMCAS Niles, MI Snohomish County Snohomish, WA Southfield Soutthfield, MI St. Charles St. Peters, MO Stillwater Stillwater, OK Stone County Springfield, MO Suburban Palmer, PA Survey Employee-null Swartz Flint, MI Taney County Branson, MO Texarkana Texarkana, TX Thief River Falls Fargo, ND Tri-Hospital Port Huron, MI Umpqua Health null University Medical Lubbock, TX Van Buren EMS Paw Paw, MI Waterford Regional Waterford, MI Webster County Spriingfield, MO West Bloomfield Fire West Bloomfield, MI WestSide Community Newman, CA York Regional EMS Yoe, PA Page 30 of 30