dc.contributor.author	Pennino, Joseph A.
dc.coverage.spatial	United States, Florida, Pinellas County	en_US
dc.coverage.temporal	2018-2020	en_US
dc.date.accessioned	2020-07-13T19:56:07Z
dc.date.available	2020-07-13T19:56:07Z
dc.date.issued	2020-06
dc.identifier.other	D6EC9005-9F35-AE92-4F62-8AFCD9072EB0	en_US
dc.identifier.uri	https://hdl.handle.net/10428/4263
dc.description.abstract	The emergency medical services (EMS) system in Pinellas County, Florida has been regarded as one of the finest systems in the United States due to quick response times and the quality of care provided to the citizenry. It is designed of an amalgamation of 18 local fire departments, which deliver advanced life support (ALS) first response, and a private ambulance company, which provides emergency and non-emergency transport. As a whole, the system routinely surpasses its stated goal of arriving on the scene of an emergency medical incident within 7.5 minutes. However, Pinellas County has experienced an increase in population, tourism, homelessness, opioid-related 911 calls, and an aging baby boomer demographic. The EMS system has encountered a decrease in relative system capacity as the number of calls for service have steadily increased. Pinellas County’s dispatch center uses a form of emergency medical dispatch (EMD) called the Medical Priority Dispatch System (MPDS), which employs a series of questions to determine the nature of the medical emergency and to coordinate the most appropriate response. Nevertheless, up to this point, even many of the lowest priority incidents still receive both a fire department and an ambulance response. This retrospective quantitative analysis examined the more than 200,000 emergency incidents that occurred in Pinellas County in calendar year 2018. After investigating impacts on apparatus commitment factor, call concurrency, and response time using inferential statistics, it is determined that the expanded implementation of MPDS in Pinellas County would have increased the relative response capacity and performance of the EMS system. The theoretical framework used for this research was Moore’s public value theory, specifically, the application of the public value strategic triangle theoretical model. Keywords: Medical Priority Dispatch System; MPDS; Pinellas County EMS; Emergency Medical Services; Criteria Based Dispatch; Public Value Theory;	en_US
dc.description.tableofcontents	Chapter I: INTRODUCTION 1 -- Importance of the Topic 4 -- Contribution of this Study 14 -- Problem Statement 18 -- Research Questions 19 -- Overview of Chapters 20 -- Chapter II: REVIEW OF LITERATURE 22 -- Conceptual Framework 22 -- Empirical Research 27 -- Case Studies 41 -- Chapter III: METHODOLOGY 44 -- Research Design 45 -- Operationalization of Variables 46 -- Research Procedures 47 -- Chapter IV: FINDINGS 54 -- Data Analysis 60 -- Chapter V: DISCUSSION AND SUGGESTED FUTURE RESEARCH 76 -- Limitations and Key Assumptions 77 -- Implications 79 -- Recommendations 87 -- Suggested Future Research 89.	en_US
dc.format.extent	1 electronic document, 123 pages	en_US
dc.format.mimetype	application/pdf	en_US
dc.language.iso	en_US	en_US
dc.rights	This dissertation is protected by the Copyright Laws of the United States (Public Law 94-553, revised in 1976). Consistent with fair use as defined in the Copyright Laws, brief quotations from this material are allowed with proper acknowledgement. Use of the materials for financial gain with the author's expressed written permissions is not allowed.	en_US
dc.subject	Ambulance service--Dispatching	en_US
dc.subject	Dissertations, Academic--United States	en_US
dc.subject	Emergency medical services--Evaluation	en_US
dc.subject	Emergency medical services	en_US
dc.subject	Florida--Pinellas County	en_US
dc.subject	Telephone--Emergency reporting systems	en_US
dc.title	The Expanded Implementation of the Medical Priority Dispatch System (MPDS) in Pinellas County: A Public Value Perspective	en_US
dc.type	Dissertation	en_US
dc.contributor.department	Department of Political Science of the College of Humanities and Social Sciences	en_US
dc.description.advisor	Yehl, Robert
dc.description.committee	Carhart, Elliot
dc.description.committee	Knight, Steven
dc.description.degree	D.P.A.	en_US
dc.description.major	Public Administration	en_US