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State Board of Emergency Medical, Fire, and Transportation Services
Ohio Department of Public Safety, Division of Emergency Medical Services EMS and Fire Service Recruitment & Retention
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Certifications
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Certifications EMS Emergency Medical Responder (EMR)
Emergency Medical Technician (EMT) Advanced EMT (AEMT) Paramedic EMS Instructor Assistant EMS Instructor EMS Physician Instructor EMS Physician CE Instructor
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Certifications FIRE Volunteer Firefighter Firefighter I
Firefighter I & II Hazard Recognition Officer (NEW 1/1/2018) Fire Safety Inspector Fire Instructor Assistant Fire Instructor Live Fire Instructor (NEW 1/1/2018) Fire Safety Inspector Instructor
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Fire & EMS Certifications (7/1/2019)
Firefighter = 39,087 (VFF, FFI, & FFII) Fire Safety Inspector = 10,021 Hazard Recognition Officer = 18 EMS EMR, EMT, Advanced EMT, Paramedic = 41,469 EMS Instructors = 5368 EMS Instructor = 1988 CE Instructor = 2978 Fire Service Instructors: Fire Instructor = 4504 Assistant Fire Instructor = 275 Live Fire Instructor = 2122 Fire Safety Inspector = 138 Dual Certified = 27,095 Total Certificate Holders (Providers) = 53,337 Total Certifications = 100,742
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Fire Change -2232 (-5.4%) Overall Change (3.3 %) EMS Change - 480 (-1.1%)
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41,325
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Service Demands
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Fire (National)* EMS (Ohio)
*65 – 69% of all fire department incidents are related to medical response
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EMS Certificates Summary
Includes statewide distributions by county and certificate holder county affiliations.
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Highest Total Number of EMS Providers: Franklin, Cuyahoga and Hamilton counties.
Lowest Total Number of EMS Providers: Morgan, Noble and Vinton counties.
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Counties with the highest total number of affiliated providers: Cuyahoga, Franklin and Hamilton.
Counties with the lowest total number of affiliated providers: Carroll (26), Noble (21) and Vinton (24).
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Counties with the highest number of primary affiliations: Cuyahoga, Franklin and Hamilton.
Counties with the lowest number of primary affiliations: Carroll (17), Noble (15) and Vinton (20).
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Counties with the highest number of primary full-time affiliations: Cuyahoga, Franklin and Hamilton.
Counties with no primary full-time affiliations: Carroll, Noble and Paulding.
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Counties with the highest number of primary part-time affiliations: Cuyahoga, Franklin and Montgomery. Counties with no primary part-time affiliations: Carroll, Noble.
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Counties with the highest number of primary volunteer affiliations: Mahoning (174, Wayne (187) Wood (206). Counties with the lowest number of primary volunteer affiliations: Gallia (4), Morrow (2), Vinton (4).
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EMS Providers State Mean = 41.56 EMS Providers State Median = 41.0
Lowest (median) Provider Age: Greene (38) and Hocking (39) counties. Oldest (median) Provider Age: Belmont (47), Monroe (49), Morgan (47) and Noble (47) counties.
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Fire Certificates Summary
Provider Census Based on County of Residence, Counties of Affiliation and Median Ages for Firefighter I, Firefighter II and Volunteer Certificate Holders. July 2019
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Highest Total Number of Firefighters: Franklin, Cuyahoga and Hamilton counties.
Lowest Total Number of Firefighters: Morgan, Noble and Vinton counties.
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Counties with the highest total number of affiliated providers: Cuyahoga, Franklin and Hamilton.
Counties with the lowest total number of affiliated providers: Morgan, Noble and Vinton.
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Counties with the highest number of primary affiliations: Cuyahoga, Franklin and Hamilton.
Counties with the lowest number of primary affiliations: Morgan, Noble and Vinton.
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Counties with the highest number of primary full-time affiliations: Cuyahoga, Franklin and Hamilton.
Counties with no primary full-time affiliations Carroll, Meigs, Monroe, Morgan, Paulding and Vinton.
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Counties with the highest number of primary part-time affiliations: Cuyahoga, Franklin and Montgomery. Counties with no primary part-time affiliations: Adams, Gallia, Guernsey, Hardin, Meigs, Monroe, Morgan, Noble, Seneca, Shelby, Vinton and Washington.
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Counties with the highest number of primary volunteer affiliations: Scioto, Washington and Wood.
Counties with the lowest number of primary volunteer affiliations: Cuyahoga, Franklin, Summit.
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Counties with most FF Is: Montgomery, Trumbull, Wood, Wayne, Mahoning, & Hamilton
Counties with least FF Is: Morgan, Monroe, Noble, Lawrence, Madison, Morrow, Harrison
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Counties with most FF IIs: Cuyahoga, Franklin, Hamilton, Summit, Montgomery, Stark, Butler, Licking, Lucas Counties with least FF IIs: Monroe, Noble, Paulding, Harrison, Morgan
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Counties with most VFF: Wood, Washington, Putnam, Columbiana, Scioto, Jefferson, Monroe, Lawrence, Ottawa, Stark Counties with least VFF: Madison, Morrow, Van Wert, Fulton, Union
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Fire Providers State Mean = 41.21 State Median = 40.0
Lowest (median) Provider Age: Darke and Montgomery counties. Oldest (median) Provider Age: Belmont, Monroe and Morgan counties.
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Highest Mean Age: Franklin (51), Belmont (48), Cuyahoga (46), Washington (46), Morrow (46) , Summit (45) Lowest Mean Age: Monroe (31), Pickaway (32), Fayette (32) Muskingum (33),
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Highest Mean Age: Lawrence (47), Gallia (46) Coshocton (44), Williams (44), Paulding (44)
Lowest Mean Age: Harrison (35), Mercer (35), Darke (36), Shelby (36), Carroll (36), Monroe (36)
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Highest Mean Age: Madison (58), Mahoning (53), Summit (52), Marion (52), Cuyahoga (51), Paulding (50), Muskingum (50) Lowest Mean Age: Jackson (38), Lawrence (38), Darke (39), Seneca (40), Richland (40), Noble (40), Tuscarawas (40)
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Attrition Survey
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EMS—Most Common Reasons for Attrition…
Aging workforce/retirement* Low wages and lack of employee benefits given the job responsibilities* Lack of career ladders (employee growth, advancement, and satisfaction) Lack of leadership/poor management/hostile work environment* Health and safety concerns Professional identity and status Continuing education and training requirements* Conflict with non-EMS employment* Family obligations* Disabled Non-EMS healthcare employment, e.g., nurse* Certifications accidentally expired Relocated/working out of state*
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Fire—Most Common Reasons for Attrition…
Family obligations Personality conflicts (volunteer vs paid staff in combination departments) Conflict with non-fire service employment Continuing education and training requirements Response requirements/increasing call demand Increasing medical care responsibilities Salary/benefits Aging population/workforce Commute for full-time employment/no longer work in the community where they live Department leadership/management Decline in the sense of civic responsibilities/volunteerism
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Recruitment & Retention Strategy/Activities
Evaluation of continuing education requirements Quality vs Quantity Competency assurance Streamlining of reciprocity processes EMS Fire Health & safety initiatives (safer working environment) EMS and fire service training improvement (quality of instruction) Adult programs High school programs Public information campaign Training Scholarships Recruitment & retention toolkit
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Mel House, Executive Director 614-995-4752 mrhouse@dps.ohio.gov
Questions? Mel House, Executive Director
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