Scope of work: A Standards of Cover analysis of paramedic units with recommendations for future expansion of the program within Weber County. Citygate’s Standards of Cover assessment utilized historical incident data to evaluate existing resource deployment for proper distribution and concentration purposes and developed recommendations for strategic planning purposes based on both demand and a concentration analysis.

A study of ambulance service delivery models for the City of San Rafael. This assessment includes analysis of EMS service levels, staffing, hiring and training, standards of coverage, and will address the potential impacts of options presented to the City.

Citygate performed an organizational review and analysis of Monterey County’s current homeless programs, funding, and coordination services. For this review, Citygate identified, evaluated, and recommended funding sources and budgeting structure for the Homeless Services function; identified and recommended organizational best practices, including comparisons with similar cities and counties; evaluated and recommended best practices for collaboration and coordination with various County departments, the Continuum of Care, local cities, school districts, businesses, and homeless service providers; and evaluated and recommended formal and informal organizational alignment, structure, and staffing for the Homeless Services function.

Citygate conducted the first-ever independent Standards of Coverage evaluation of the Los Angeles Fire Department’s fire and emergency medical services deployment system, including the current system’s capacity to evolve over time as a very diverse metropolitan area. This analysis determined whether current fire station locations and crew/apparatus staffing are sufficient to meet the unique needs of the Department’s service area. A comprehensive community risk assessment was also included as part of the overall analysis.

Citygate is currently performing a peer review of the emergency ground ambulance and interfacility transport services procurement documents and process for San Bernardino County, California. The study will include peer review of specific deliverables associated with procurement of emergency ground ambulance and interfacility transport services, review of the Request for Proposals document and the provision of feedback prior to release of the procurement, and the technical review and evaluation of proposer documents and contract.

Citygate performed a fire department services evaluation for the City of Hastings, Minnesota, Fire Department. This assessment established recommended minimum requirements relative to the organization and deployment of fire suppression operations, emergency medical operations, and special operations for the Department to consider and provided a template for future analysis and long-term financial planning.

Citygate recently conducted a fire and EMS staffing and operations study of the fire department for the City of Fort Worth, Texas. This comprehensive operational assessment included a comprehensive review of all services provided, including a comprehensive risk assessment, a staffing and headquarters programs assessment, a station location and improved service delivery assessment, and an analysis of the current EMS delivery model and assessment of options to improve service delivery based on current/future service demands. In addition, Citygate solicited input from a variety of Departmental stakeholders and City Hall

Citygate completed a Standards of Coverage study and developing a Strategic Plan for East Jefferson Fire-Rescue in East Jefferson, Washington. The goals of this study comprise of an evaluation of the District’s current deployment model, including service demand and response performance; the identification of opportunities for improvement in delivery of fire, emergency medical, and other technical emergency services to best serve the evolving demographics and service demand needs within the District’s service area; and an evaluation of additional or alternate fire station locations for impacts on first-due and Effective Response Force travel times.

Citygate conducted a comprehensive operations assessment of the City of Valdez, Alaska, Fire/EMS Department to assist the City and Department in identifying opportunities to improve the delivery of fire, emergency medical, and other technical emergency services. This assessment will include an analysis of deployment, including a community risk assessment and distribution, concentration, and historical reliability and effectiveness analyses, and a review and evaluation of the Fire/EMS Department, including the Department’s organizational structure, the Department’s capital assets and the City’s Capital Improvement Program, the Department’s training and fire prevention programs, the City support services the Department relies upon, and the level of community involvement.

Citygate completed a fire department services evaluation for the City of Lakeville, Minnesota. This evaluation took place across two phases. The first phase utilized the Standards of Coverage assessment process to establish recommended minimum requirements relative to the organization and deployment of fire suppression operations, emergency medical operations, and special operations for consideration by the Department, as well as created a template for future analysis. The second phase included a comprehensive performance analysis with the identification of capacity levels and constraints of Department staffing services based on the data analysis resulting from the first phase.