E mergency Medical S ervices Ambulance Act Piece of legislat ion - - PowerPoint PPT Presentation

e mergency medical s ervices ambulance act
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E mergency Medical S ervices Ambulance Act Piece of legislat ion - - PowerPoint PPT Presentation

E mergency Medical S ervices Ambulance Act Piece of legislat ion t hat governs t he way an ambulance service in Ont ario is operat ed. Lays out definit ions and responsibilit ies of what is required t o be a cert ified delivery


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SLIDE 1

E mergency Medical S ervices

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SLIDE 2

Ambulance Act

  • Piece of legislat ion t hat governs t he way an

ambulance service in Ont ario is operat ed.

  • Lays out definit ions and responsibilit ies of

what is required t o be a cert ified delivery agent .

  • Manit oulin-S

udbury DS S AB is t he Designat ed Delivery Agent (DDA) for t his area.

  • As t he DDA our goal is t o provide a land

ambulance service t hat meet s t he needs of t he people wit hin our area.

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SLIDE 3

MOHLTC responsibilit ies

  • Dispat ching of Ambulance S

ervices

– Currently accomplished through 3 Central

Ambulance Communications Centres (S udbury, S ault S

  • te. Marie, & Timmins)
  • Base Hospit al S

ervices

– Recently amalgamated into one regional site

from 3. Now called the Northeastern Ontario Prehospital Care Program based out of S udbury.

  • S

et t ing S t andards and Ensuring Compliance

– Through a 3 year certification cycle

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SLIDE 4

Key EMS Responsibilit ies

Provide a service that includes all aspects of land ambulance operations including:

  • Personnel, vehicles, and equipment
  • Type of service (on-site versus on-call)
  • Quantity and level of service

Responsible for all costs associated with the provision of these services:

  • 50/ 50 cost share with province on

“ Approved Costs”

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SLIDE 5

Manit oulin S udbury EMS / S MU

  • 12 EMS

S t at ion Locat ions

– S

udbury East: Noëlville, Hagar, Killarney

– S

udbury North: Chapeau, Foleyet, Gogama

– La Cloche: Espanola, Massey – Manitoulin Island: Little Current, Mindemoya,

Gore Bay, Wikwemikong (Wikwemikong is

  • perated by DS

S AB on behalf of the Province)

  • 5 Volunt eer Emergency First Response Teams

– Cartier, Cockburn Island, French River Delta,

S

  • t. Charles, Tehkummah
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SLIDE 6

Operat ions

  • Logistical Resources

– 23 Ambulances – 3 Emergency Response Vehicles – 1 Logistics Unit – 1 Administrative Vehicle – 4 Emergency First Response Team Vehicles

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SLIDE 7

Operat ions cont inued

Human Resources

  • 60 Full-Time Primary Care Paramedics
  • 52 Part-Time Primary Care Paramedics
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SLIDE 8

Priorit y Codes for S ervice

Priority codes are the basis on which ambulances are dispatched

  • Priority Code 1 – Deferrable
  • Priority Code 2 – S

cheduled

  • Priority Code 3 – Prompt, not life threatening
  • Priority Code 4 – Urgent life threatening
  • Priority Code 8 – Emergency S

tandby

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SLIDE 9

Call S tatistics 2009 Comprehensive Analysis

Area Code 1 Code 2 Code 3 Code 4 Code 8 Total % S udbury East 47 18 207 881 1137 2290 19.2% S udbury Nort h 23 128 102 335 61 649 5.7% LaCloche 304 133 389 769 1322 2917 24.5% Manit oulin Island 714 279 691 1481 2864 6029 50.7% Total 1088 558 1389 3466 5384 11885 100%

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SLIDE 10

2004 t o 2009 Comparison

500 1000 1500 2000 2500 2004 2009

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SLIDE 11

Response Times

Current 90th Percent ile Response

  • The current mandat ed minimum response

performance for all code 4 calls, and is based upon responses in 1996.

  • Manit oulin-S

udbury DS S AB’s mandat ed 1996 90th percent ile response t ime is 23 min 56 seconds.

  • It is evident from previous slides t hat call

volumes have drast ically changed from 2004 t o 2009.

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SLIDE 12

NEW Response Time

  • The 1996 st andard does not reflect t oday’s

pat ient demographics, does not account for growt h and does not consider medical-based evidence regarding enhancement s in pat ient care.

  • The MOHLTC is now challenging DDA

’s t o creat e t heir own response t imes st art ing in 2011 based on cert ain principles.

  • There are 3 separat e response crit eria based
  • n t he level of t he pat ient ’s condit ion.
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SLIDE 13

NEW Response Time cont inued

The 3 criteria in the new response time standard are: 1.

What percent of t he t ime will we have a defibrillat or on scene wit hin six (6) minut es of a sudden cardiac arrest ? 2. What percent of t he t ime will we have a paramedic on scene wit hin eight (8) minut es for

  • t her crit ically ill pat ient s?

3. What percent of t he t ime will we have a paramedic on scene for less ill pat ient s (CTAS 2-5) wit hin response t imes t hat we as t he DDA set ?

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SLIDE 14

NEW Response Time cont inued

  • The new response time standard allows for

greater municipal flexibility and is now patient

  • utcome focused.
  • Each DDA will submit their plans to the MOHLTC

each autumn for the upcoming year.

  • End results are to be reported to the MOHLTC

by each March 31st of the following year.

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SLIDE 15

Emergency First Response Teams &Tiered Response Agreements

  • The DS

S AB supports both EFRT’s and Tiered Response agreements in an effort to increase efficient response times within the communities we serve.

  • Goal of the recent review process was to

have written documentation that clearly lays out the responsibilities of all parties.

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SLIDE 16

Electronic Patient Care Reporting

  • Paramedics are required by legislation to

produce patient care charts for every patient.

  • Historically this has been accomplished on

paper.

  • Will begin utilizing ZOLL Tablet EPCR in the

second quarter of 2010.

  • Advantages of the electronic system include:

timeliness, no penmanship issues, compliance, statistical gathering.

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SLIDE 17

S t rat egic Issues

  • Cont inued commit ment from t he

Government of Ont ario t o provide t rue 50/ 50 cost sharing

  • Operat ing such a large geographical service

under t he cont rol of 3 CACC’s

  • Provincial Ambulance S

ervice Review (2010)

  • Growt h of t he Public Access Defibrillat or

program

  • Elect ronic advances in pat ient chart ing
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SLIDE 18

QUES TIONS ?