四虎影院

After more than 38 years, MedStar鈥檚 time as the designated EMS provider for Fort Worth is drawing to a close.

Fort Worth鈥檚 EMS committee, which has been researching alternative models for six months, recommended April 16 that the city switch to a fire-based EMS model. Under that model, the fire department would house employees 鈥� including those currently working at MedStar 鈥� whose sole role is to respond to medical emergencies. The projected cost for the switch is approximately $10 million.

鈥淲e鈥檝e finally alighted on one EMS option that everyone is on board with,鈥� council member Carlos Flores, who chairs the committee, said in an interview.

In a written statement, Matt Zavadsky, MedStar鈥檚 chief transformation officer, said the entire MedStar team is committed to working with the city on an effective transition.

鈥淲e are also committed to working collaboratively with the city to help assure that the more than 500 MedStar team members, many of whom have served this community for more than 30 years, are able to fairly transition into any new EMS system delivery model,鈥� he said.

The overhaul of Fort Worth鈥檚 EMS system came after MedStar acknowledged rising costs and declining reimbursements were making it difficult for the entity to sustain itself independently. Fort Worth initially considered a transitional funding plan, but ultimately didn鈥檛 allocate any funds.

The EMS committee, assembled by Mayor Mattie Parker, took analyzing next steps for emergency services in the city head-on. Fire-based EMS was proposed by Fitch & Associates, a consulting firm .

The current plan is to help transition MedStar staff into roles within the city鈥檚 fire-based EMS. Still up in the air is whether this new EMS system will be staffed by civilian or sworn employees. Sworn employees are members of the IAFF 440 fire union, who are afforded specific protections as a result of their designation.

Michael Glynn, president of IAFF 440, said it鈥檚 important that any employees brought over from MedStar are treated the same as current sworn fire department employees.

鈥淭hat鈥檚 just simply a matter of giving them the protections that they deserve, as public safety professionals, working side by side along with the firefighters and police officers on emergency scenes,鈥� Glynn said.

Committee members will choose between a civilian or sworn model April 30. The committee鈥檚 recommendations will then be taken up for a vote by the full City Council on May 21. If approved by council, the transition is expected to take 12 to 18 months.

Right now, MedStar operates as a result of an interlocal agreement between 14 cities, first created in 1986. In order to shift to fire-based EMS, Fort Worth must withdraw or dissolve the interlocal agreement.

Fort Worth is the largest city in the interlocal agreement. It doesn鈥檛 make financial sense for MedStar to continue serving the smaller member cities on their own, officials said.

鈥淭here is economy in size,鈥� Haslet Mayor Gary Hulsey said to committee members.

Hulsey was one of several representatives from member cities who spoke at the April 16 meeting. He said that whenever Haslet residents called MedStar, they were there to provide service. If Fort Worth moves forward with fire-based EMS, he urged the city to hire people whose sole role is emergency care 鈥� not a dual emergency and firefighter role.

鈥淲hen I call for the ambulance, I鈥檓 not interested that you know how to put out a kitchen fire, I want you to get me to the hospital,鈥� he said.

Haslet and other member cities have expressed concerns about how the transition will impact their own residents and budget process. City officials assured them that the member cities will have the opportunity to enter longer-term service agreements with Fort Worth for fire-based EMS services. The committee is still fine-tuning what those agreements could look like.

鈥淔ort Worth is the 900 pound gorilla in the room,鈥� council member Elizabeth Beck said. 鈥溾�� I think it鈥檚 prudent to have more than just individual agreements with every city.鈥�

Not everyone agreed with the committee鈥檚 recommendation. Dr. Terence McCarthy, chair of emergency medicine at TCU鈥檚 Burnett School of Medicine, said the existing MedStar system is functioning fairly well.

鈥淚f it ain鈥檛 broke don鈥檛 fix it, and it鈥檚 really not broke,鈥� McCarthy said.

Once MedStar is dissolved, Fort Worth will receive facilities and other assets 鈥� like ambulances 鈥� from MedStar, and enter contracts to provide the other member cities with fire-based EMS services. If the city doesn鈥檛 receive those assets, costs for a fire-based system would balloon to $50 million.

Several other aspects of the transition remain in flux. Hospital leaders and city officials agree it makes sense to privatize nonemergency interfacility transports and remove those calls from the 911 system, but the exact method of doing so will be hammered out in later meetings.

Both groups also agreed on the importance of maintaining an independent office of medical director. Currently, Jeffrey Jarvis serves as the for the EMS system. His office is responsible for evaluating emergency responses and offering medical direction and oversight.

鈥淚 won鈥檛 support anything that doesn鈥檛 maintain the independence of the medical office,鈥� Mayor Mattie Parker said. 鈥淚 think I鈥檝e been very clear about that.鈥�

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