During the Town of Stratford Ordinance Committee's special budget workshop on April 2, 2024, a significant focus was placed on the financial health and operational challenges of the Emergency Medical Services (EMS) department. The discussion highlighted the unique structure of EMS as an enterprise fund, which requires its revenues to match expenses, unlike traditional public safety budgets.
Key insights emerged regarding the department's financial management. Officials reported that while there have been surpluses in operational expenses, challenges remain, particularly with staffing and supply costs. The department has had to creatively manage staffing levels without a minimum staffing requirement, often relying on overtime and volunteer support to meet community needs. "We have to be really creative in the way that we monitor and fill these shifts," one official noted, emphasizing the ongoing struggle to maintain adequate staffing levels.
The conversation also touched on the rising costs of medical supplies due to inflation and supply chain issues. However, the department successfully transitioned to more cost-effective medications, showcasing their adaptability in the face of financial pressures. Additionally, the use of Narcan, a critical medication for opioid overdoses, was discussed. While EMS has always utilized Narcan, recent state requirements for a "leave behind" program have prompted the department to seek additional resources.
Response times were another critical topic, with officials reporting an average emergency response time of 5 to 7 minutes, well within acceptable limits. They also monitor mutual aid response times to ensure accountability and efficiency. "There's never really going to be a time when the resident is completely left out to dry," one official assured, highlighting the robust mutual aid agreements in place with neighboring towns.
The workshop concluded with a recognition of the ongoing challenges in recruiting volunteers, a common issue across the state. Despite efforts to attract new volunteers, the high cost of living makes it difficult for individuals to commit to unpaid service. The department remains committed to fostering a strong volunteer base, recognizing its importance in maintaining service levels.
Overall, the discussions underscored the EMS department's proactive approach to managing its budget and ensuring community safety, while also navigating the complexities of staffing and funding in a challenging economic environment.