CITY COUNCIL AGENDA ITEM
 
ACTION REQUESTED:
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Receive the report on the Naperville Fire Department CART Program
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DEPARTMENT:                     Fire Department 
 
SUBMITTED BY:                     Mark J. Puknaitis, Fire Chief
 
BOARD/COMMISSION REVIEW:
N/A
 
BACKGROUND:
The Naperville Fire Department (Fire) launched a Community Advocate Response Team (CART) pilot program in January 2022. The purpose of the program was to create a unit responsible for responding to non-emergency calls such as mental health, drug and chemical dependencies, memory care, and senior/elder care issues.  These calls, if not addressed, have the potential to escalate into future life-threatening medical emergencies.
 
The pilot was made possible by reassigning three shift personnel to a 40-hour (Tuesday-Friday, 7 a.m. - 5 p.m.) work week using existing technology, equipment, and a reserve ambulance.
 
Pilot Program - Calls and Data
Results from the pilot revealed 119 residents were calling 911 for frequent health care needs. By applying a team approach and using social services, community, and non-profit resources Fire was able to find appropriate health care solutions for all but 18 individuals.
 
Data collected during the pilot show the following:
1.                     An average on-scene call duration of more than 60 minutes compared to an average of less than 20 minutes for all other call types.
2.                     A gap in service from 5 p.m. - 7 p.m. and no service on Saturday, Sunday, and Monday.
 
To address the findings, Fire recommended the implantation of a 24/7 CART Program. However, at the time, the department operations and staffing model did not allow for a 24/7 CART Program without significant annual overtime expenses. As such, Fire requested, and the City Council approved, the addition of six firefighter/paramedics in September 2023.
 
DISCUSSION:
The March 4th presentation focuses on CART Program results from January through December 2024.
 
FISCAL IMPACT: 
N/A