ITMedic — Ops Intelligence

Live for the shift. Ready for the meeting.

Your department already pays for the systems that hold the answers: CAD, ePCR, rig checks, scheduling, finance. We build the dashboards that put those answers on the station wall when the crew walks in, and the reports that arrive at the board meeting already done. Built in Power BI, in your department’s own Microsoft 365 tenant.

The Shift-Start SITREP crew view for a medic unit: ranked priority alerts, personal shift tiles, medication expirations, equipment service, crew pass-down notes.

The Shift-Start SITREP, crew view. An invented agency on simulated data; click through all three pages.

Two jobs, one set of numbers

On shift What is happening now

On the station wallboard, the MDT, a phone or in Teams. Each card is as fresh as its feed, says so, and grays out when the feed stops.

  • The Shift-Start SITREP for crews and the duty officer
  • Command center: units, incidents, response times, staffing
  • Threshold alerts to Teams when something needs a person
For the meeting What the room needs to decide

The board meeting, the budget hearing, the rating evaluation, the program review. The same numbers, laid out for the people in the room and produced on schedule, not rebuilt by hand the night before.

  • The monthly board packet, generated as a PDF
  • Finance for the CFO and the budget committee
  • Training, rating and program reports for the people who ask for them

Which meeting are you preparing for?

The meetingThe report we build for it
Shift change, every dayThe Shift-Start SITREP: the rig, the system and the day on one pane, a crew page and a chief page.
The monthly board meetingThe command center summary and the board packet, from the same model the wallboard reads.
The budget hearing and levy seasonThe financial dashboard: revenue, expenses, personnel, capital, grants and discretionary spending.
The training officer and the state auditTraining compliance by category, by station and against the state and federal mandates.
The protection-class evaluationThe WSRB score by category, with the improvements that move it most.
Hospital, county and grant partnersMobile integrated health: the program, its interventions, its operations and its financial impact.

The Shift-Start SITREP

Start every shift informed.

Your crews start every shift the same way their predecessors did: check the rig, count the narcs, ask the offgoing crew what broke, and guess what kind of day the system is having. Meanwhile the answers already exist — in the software your department pays for. They’re just spread across a stack of logins, a few bulletin boards, and one email inbox nobody opens before the first call.

Crew view
  • Priority alerts, acknowledged and tracked
  • Rig readiness — meds, O2, SCBA, service countdowns
  • Pass-down log with open work orders
  • Hospital, HEMS & mutual-aid status
  • Today’s hazards, events, closures & GIS changes
Chief / duty officer view
  • Staffing, coverage & concurrency pressure
  • Response-standard compliance, month to date (RCW 52.33)
  • Documentation, training & fleet queues
  • Mission modules — MIH, transport, wildland, finance
  • The month’s board packet, generated — not rebuilt
The SITREP supervisor view: units staffed, level-zero minutes, response compliance against the contract standard, offload time by hospital, unit hour utilization, monthly responses year over year.
Supervisor / chiefThe system at a glance before the day starts.
The SITREP data sources page: source systems, ingestion, Microsoft Fabric and Power BI, and where each view is delivered.
Data sources & buildHow each card is wired to the systems behind it.

Click through the working example

Reports we have built

Screens from our demonstration builds for fire and EMS. Select any screen to see it full size.

VRFA on these screens is the Vigilant Response Fire Authority, an agency we invented for demonstrations. Every number is sample data, not any real department’s. Member names on the training screen are blurred.

Command center

The duty officer’s view, and the summary that goes to the board.

Command center, real-time operations: average response time, active incidents, units available, on-duty personnel, a live incident map and unit status.
Real-time operationsResponse time, incidents, units and staffing.
Command center, performance analytics: response time heat map, station rankings, monthly call volume, mutual aid given and received, ISO rating.
Performance analyticsStation rankings, mutual aid and the response-time map.
Command center, prevention and risk: community risk map, annual inspections, fire loss year to date, public education reach, high-risk properties, smoke alarm installs.
Prevention & riskInspections, fire loss, public education and high-risk properties.
Command center, resource management: station resource distribution, fleet readiness, average apparatus age, overtime rate, training compliance.
Resource managementFleet readiness, apparatus age, overtime and training.
Command center, clinical and EMS metrics: EMS calls by station, ROSC rate, transport rate, STEMI and stroke alert times, BLS versus ALS split, patient satisfaction.
Clinical / EMS metricsCalls by station, ROSC, STEMI and stroke times, BLS/ALS split.

Finance

For the CFO, the budget hearing and levy season.

Financial dashboard, executive overview: total budget, revenue and expenses year to date, budget variance, allocation by category, key financial ratios.
Executive overviewBudget, revenue, expenses, variance and the key ratios.
Financial dashboard, revenue analysis: revenue sources against budget, property tax collection, assessed valuation growth, EMS transport revenue by payer.
RevenueLevy, transport fees, grants and collections against budget.
Financial dashboard, expense management: operating expense trends against budget, cost control index, fuel cost variance, station operating costs.
Expense managementSpending by category and station, with the variances flagged.
Financial dashboard, personnel costs: salaries, benefits, overtime, personnel by rank, pension and healthcare costs, vacancy rate, cost per FTE.
Personnel costsWages, benefits, overtime, pension and vacancies.
Financial dashboard, capital and equipment: capital projects status, capital budget and spend, fleet age, equipment reserve, fleet replacement schedule.
Capital & equipmentProjects, the replacement schedule and the reserve.
Discretionary spending analysis: budget, spent and remaining, spending pace, spending by category, recent purchases with approval status.
Discretionary spendingPace against the year, by category and purchase.

Training compliance

For the training officer, and for the audit that asks.

Training compliance: overall compliance rate, average training hours, certifications expiring within 30 days, overdue training, compliance by category and by station.
Compliance by category and stationWho is current, who is due, and where.
Training compliance, continued: critical training needs, members requiring action (names blurred), and state and federal mandated training compliance.
Mandates and critical needsState and federal mandated training, and what is overdue.

WSRB protection class

For the rating evaluation, and the budget asks that follow it.

WSRB score impact analysis: current protection class, fire department capabilities by category, water supply system scores.
Score by categoryEngine, ladder, personnel and water supply, point by point.
WSRB score impact analysis, continued: emergency communications, fire safety control, community risk reduction, projected score impact and priority improvement areas.
What moves the scoreThe improvements ranked by points they could gain.

Mobile integrated health

For the program review with hospital, county and grant partners.

Mobile integrated health, program overview: ED diversions, active patients by risk level, readmission rate, program impact year to date, response types.
Program overviewDiversions, enrollment, readmissions and response types.
Mobile integrated health, interventions and outcomes: intervention types with success rates, telehealth resolution, response time, clinical outcomes.
Interventions & outcomesWhat the teams did, and what came of it.
Mobile integrated health, operations and resources: community paramedic units by shift, training hours, equipment readiness, nurse triage line, utilization by shift, certifications.
Operations & resourcesTeams by shift, the triage line and certifications.

It reads the systems you already own

Reference architecture: your sources, into Microsoft Fabric, through Power BI, out to the wallboard, the phone and the board packet.

On GCC, Microsoft doesn’t support the capacity this design is drawn on, so we scope a GCC build on its own in the working session.

Open on day one

NERIS (API-first), weather, rivers, AQI, roads, fleet telematics, ArcGIS, Microsoft 365.

By arrangement

CAD extracts, ePCR reporting layers, checks & scheduling vendors — integration exists; we broker it.

Patient data

PHI stays in your ePCR and your own Microsoft tenant, never ours. The SITREP shows counts and statuses, not patient records.

Crawl, walk, run

Crawl · weeks 1–6
  • Fabric + semantic model on your Microsoft 365 tenant
  • Open feeds: weather, fire danger, roads, NERIS, calendar, inbox
  • First wallboard: situational awareness + activity trends

You get: a first station wallboard.

Walk · weeks 6–16
  • Vendor integrations: ePCR reporting, checks & inventory, scheduling
  • Rig readiness, documentation queues, credential countdowns
  • Crew and chief pages, with row-level security

You get: the full shift-start SITREP, both audiences.

Run · week 16+
  • CAD status feeds — compliance & concurrency, continuously
  • Hospital status, mission modules, Teams/SMS threshold alerts
  • Board-packet PDF generated on schedule

You get: the board packet as a by-product of operations.

Built to be shown — to crews, boards, and auditors

HIPAA — aggregate-first

Wallboards show counts and statuses, never patient identifiers. A page that needs PHI sits behind row-level security, your BAAs and audit logging.

CJIS — filtered at ingestion

Dispatch extracts are cut to fire and EMS incidents, law-enforcement fields removed, before they enter the reporting estate.

Public records

A district dashboard is disclosable. Aggregate-first design is meant to let the wallboard, the packet and the export be handed over on a records request.

Honest freshness

We build every card to state its refresh window, and a stale feed to gray out rather than presenting old numbers as current.

See your department’s view.

A 45-minute working session: we walk your command staff through the working examples, then map your CAD, ePCR, checks, and scheduling systems onto the same pane. Bring ops and training: the crew view earns its keep with the people who stand roll call.

Book a working session Click through the SITREP

ITMedic · Green IT Consulting, LLC · (206) 666-3885 · tgreen@itmedic.ai
Every screen on this page shows sample data. VRFA (the Vigilant Response Fire Authority) and Silver Basin EMS are invented agencies.